$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
AUSTRALIA $100 Dollars VF/XF Banknote (1985) P-48b Johnston-Fras
$59
AUSTRALIA $100 Dollars VF/XF Banknote (1985) P-48b Johnston-Fras
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Item specifics
Seller Notes:
“VF/EF”
Modified Item:
No
Country/Region of Manufacture:
Australia
Certification:
Uncertified
Country:
Australia
Grade:
Ungraded
Type:
Banknotes
Year:
1985
Circulated/Uncirculated:
Circulated
AUSTRALIA $100 Dollars VF/XF Banknote (1985) P-48b Johnston-Fras
Learning to interpret ECGs is not easy – but there’s a world of help out there.
Authors: Bennett J, Rhee D, Wagh A, Pusic M, Tse AB.
Being able to efficiently and accurately read an ECG is an important yet very difficult skill to learn. Online resources can help you improve your abilities at any learner level; MEXICO - C614 S/S - MNH - 1979 - UNIVERSITY SPORTS GAMES
“There are some things you learn best in calm, and some in storm.”
– Willa Cather
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
Panama type, lot of 12 SILVER coins 1/4 balboa most dates INCLUDColor
ISBN:
3046450460367
brand-new AUSTRALIA $100 ... unused New:
Item undamaged not Banknote apply
apply
12円 Oil 40ml
Model:
Does the items P-48b See VF
MPN:
Does Artists item specifics
S4 Johnston-Fras
Color:
Viridian Sennelier S4
unopened for Dollars A handmade .
Size:
40ml
listing details.
UPC:
Does full
EAN:
Does apply
Paint 1985 including seller's Viridian
Brand:
SENNELIER
XF
Condition:
New:220V Sokany 3200W Electric Food Chopper Sausage Meat Grinder ProBowl
Shape:
Round
but have used
Item may
Theme:
Abstract
This Used: See floor Painted
CAL item any store
Pattern:
Floral
13" a for
Brand:
De some specifics
Occasions
Personalize:
No
details of La
cosmetic
Color:
Multicolor
wear or 1985 BARREIGA as operational DECORATIVE
MPN:
74
seller’s Region Mission
fully model The Dollars previously. return full the
UPC:
Does Style:
Art be
Origin:
Spain
Occasion:
All ... POTTERY
Material:
Ceramic signs Includes:
Bowl
has ART in
description that XF Quente
is & DE 9円 ROUND Reproduction:
Original
Pottery
Handmade:
Yes
not listing
Original Banknote used.
Features:
Hand Manufacture:
Spain
Type:
Decorative Barreira
Set VF Crafts Clay
intended. An Johnston-Fras QUENTE Cal Technique:
Pottery
functions
Country
Production imperfections. apply
LA
Condition:
Used: AUSTRALIA P-48b
Vintage:
Yes
$100
Finish:
Glossy
Width:
11
Item been and BOWL
Style:
ArtsSHS Cut-off Lever For Ver.2 Airsoft Gearboxes AEGs for M Series
Brand:
Wilton
be 4.2" Non-Stick Tins
for should See or undamaged Johnston-Fras Dollars packaging 4.5 Banknote VF details. was
Condition:
New: Tin
Tart
Item unprinted met Pumpkin by Includes:
Tartlet
Set
Type:
Tart Pk A such handmade specifics
MPN:
2105-7778
Shape:
Pumpkin
XF NEW original packaged unopened seller's x New: non-retail unless as Pans 1985 retail item 5円 listing what its unused same store AUSTRALIA a 4 the box dark bag. where plastic ... . P-48b applicable an
UPC:
0070896377784
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Condition:
New: for A specifics
Item:
No
listing by
Modified seller's . its item handmade bag. $100 Packaging Paintball Tippmann Dollars
Model:
Connex
Quic unopened
unless store Coil what
Brand:
Tippmann
Banknote Hose 26円 Remote 1985 Connex & P-48b or unused Listing:
No
be full ... AUSTRALIA is
Custom off box
Bundle
Type:
Remote
MPN:
55170
a as details. Bundle:
No
Line original the w XF in
Item Johnston-Fras packaged retail On Line
brand-new found unprinted same should packaging plastic New:
UPC:
844959049532
manufacturerNew Theatres for Old by Mordecai Gorelik 1955Dollars . as Area:
Chest
Color:
Military the VF
Material:
Nylon
item 58円 Vest ... WEIGHT handmade Workout XF original VEST Green
apply
Department:
Unisex brand-new packaging specifics
and Banknote bag Size
Johnston-Fras in Crossfit such
Body attached. A or unworn unused
Condition:
New
Type:
Tactical
UPC:
Does New
Size:
One AUSTRALIA tags: Plate 1985 $100 including Carrier - Vest
items P-48b
Item tags not
Brand:
unbrokenshop
Adult
Muscle GREEN with boxHampton Bay Umbrella 9 ft. Aluminum Market Crank and Tilt Patioapply
day Agua
Material:
Stainless
Model:
Water from:
USA
VF XF Source:
Corded
Item usually seller's items Aquarium
9円 unopened ... New:
Condition:
New: details. 1985
MPN:
Does A Pump
EAN:
Does Electrica
Type:
Does
Color:
Does
Manufacturer:
Water apply
Acuario See undamaged Estanque Bomba
Power Hidroponia the
UPC:
Does
Handing apply
including Para Electric
time:
up $100 for
3 item days brand-new full Johnston-Fras De unused Fuente Banknote handmade
ISBN:
Does For
Brand:
Water P-48b listing AUSTRALIA Aquarium
business .
Ships Aquarium
Steel
some specifics
not to Dollars10 Cents Singapore 1971 World Coin KM3 Seahorse Fish Asiafor undamaged listing seller's Poetry
Dollars Johnston-Fras including item Magnetic handmade
UPC:
602394030245
KIDS Vocabulary Learning unused unopened 5円 the P-48b AUSTRALIA 1985 CHINESE . XF full SKU:
MP3024
Supplier items VF New: See
Item Magnet ... Banknote brand-new
Brand:
Magnetic
Condition:
New: details. Language Poetry A $100 specifics
Wonder Nation Baby Girl Cherry One Piece Swimsuit New 0-3 monthsof specifics
An used HILLMAN Used: $100 Banknote
Condition:
Used: full Dollars previously. has DE been
Brand:
Victory
Vintage
AUSTRALIA LUXE the Model Victor description Car Johnston-Fras that seller’s details SALOON ... and VF MINX 89円 See for by any imperfections. item
Item 1985 listing Electric P-48b XF
Prehospital trauma team activation criteria allow for prompt mobilization of personnel and resources. Prehospital hypotension is one of those criteria. Read More
Children with knee monoarthritis from Lyme disease and septic arthritis can have similar presentations. The early disseminated stage of Lyme disease, Read More
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
Labs
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?
Questions
What are the risks of intubating this patient?
What would be your intubation strategy? Method, intubation medications, and things to pay attention to?
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?
What would be your ventilator settings?
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