$59 AUSTRALIA $100 Dollars VF/XF Banknote (1985) P-48b Johnston-Fras Coins & Paper Money Paper Money: World Australia & Oceania $59 AUSTRALIA $100 Dollars VF/XF Banknote (1985) P-48b Johnston-Fras Coins & Paper Money Paper Money: World Australia & Oceania $59,Coins & Paper Money , Paper Money: World , Australia & Oceania,(1985),$100,AUSTRALIA,www.yourvirtualmainstreet.biz,Dollars,Banknote,Johnston-Fras,VF/XF,/extraprovincial1891647.html,P-48b New popularity AUSTRALIA $100 Dollars VF XF 1985 Johnston-Fras Banknote P-48b $59,Coins & Paper Money , Paper Money: World , Australia & Oceania,(1985),$100,AUSTRALIA,www.yourvirtualmainstreet.biz,Dollars,Banknote,Johnston-Fras,VF/XF,/extraprovincial1891647.html,P-48b New popularity AUSTRALIA $100 Dollars VF XF 1985 Johnston-Fras Banknote P-48b

New popularity AUSTRALIA Baltimore Mall $100 Dollars VF XF 1985 Johnston-Fras Banknote P-48b

AUSTRALIA $100 Dollars VF/XF Banknote (1985) P-48b Johnston-Fras


AUSTRALIA $100 Dollars VF/XF Banknote (1985) P-48b Johnston-Fras


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AUSTRALIA $100 Dollars VF/XF Banknote (1985) P-48b Johnston-Fras

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“There are some things you learn best in calm, and some in storm.”

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Over the past several years, I’ve thought a lot about what to say during the immediate moments after a failed cardiac arrest or traumatic resuscitation. When the rush of adrenaline comes to a screeching halt and all that is left is a deafening silence,
Pool Mate 1-2256B Swimming Pool Total Alkalinity Increaser 10-Po

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Nausea, vomiting, and abdominal pain


Acid-Base Workshop: At the beginning of the conference year, multiple faculty members ran a workshop on acid-base abnormalities where we worked on identifying acid-base disturbances, determining primary respiratory or metabolic abnormalities, causes of such disturbances, and if compensation was appropriate. Perhaps one of the most challenging types of patients we encounter with an acid-base disturbance is an acidemic patient who we believe requires intubation. Below you will find a variety of resources on acid-base disturbances and more specifically, intubation and ventilation in this patient population. Read the case, consider reviewing the resources below, and think how you would approach this tenuous patient.

The Case:

A 23 yo F with a PMH of poorly controlled T1DM presents to your ED complaining of nausea, vomiting, and abdominal pain. She ran out of her insulin 3 days ago and didn’t have the funds to refill it. Her FS is 415 on POC testing.

Physical Exam

Vitals: 123/80, HR 120s, O2 98%, RR 32, Temp 98.2

General: sleepy but arousable to voice

HEENT: dry mucous membranes

Chest: CTAB, kussmaul breathing

Cardiac: regular rhythm, tachycardic

Abdomen: soft, NTND

Extremities: MAE


VBG: 7.03/14/65, Calculated Bicarb 5

BMP: 132/4.3/99/3/20/.09>423

What next?

You hang fluids and start an insulin drip, but the patient becomes progressively lethargic and has vomited twice despite anti-emetics. You decide you need to intubate. What next?


  1. What are the risks of intubating this patient?

  2. What would be your intubation strategy? Method, intubation medications, and things to pay attention to?

  3. Would you consider giving any additional medications (apart from paralytics or sedation medications) prior to intubating? If so, why, and what would be the dosing?

  4. What would be your ventilator settings?