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ãREUSABLE LAWN amp; LEAF TRASH BAGã the perfect durable bag for collecting leaves, weeds, dead flowers, clippings, and trash, from your home garden or lawn. The bonus shoulder strap makes carrying the bag from the yard to the garden to the trash a breeze. The handy drawstring lid keeps debris from blowing away when your walking. When it gets dirty just rinse it out with your outdoor water hose
ãMULTI-PURPOSE STORAGE-PORTABLE TRASH CANã great for storing a variety of garage items such as sporting equipment, kid toys, camping equipment, or pet items. It's also perfect for your next outdoor adventure as a storage container or pop up trash can (insert trash bag). Bring the bag inside your home to use for laundry, blankets, stuff animals, or all-purpose storage
ãHEAVY DUTYã constructed out of super tough Oxford cloth allowing the leaf bag to be used season after season. Each bag features high-quality metal spring and professional stitching to help reinforce the bag during use. The leaf bag also features a heavy-duty plastic base that helps protect and prolong the bag for long term use. The base includes drain holes ensuring water doesn't collect and cause mold
ãSHOULDER STRAP amp; COLLAPSIBLE DESIGNã features a detachable shoulder strap that allows one person to easily move the bag around the yard. The robust and internal metal spring allows the leaf bag to expand into place while also collapsing down to four inches for quick and easy storage. The bag easily pop back up after storage
ãMADE WITH A MISSIONãThis PORTABLE TRASH CAN was designed to give back to those in need. Every purchase results in a donation to Water Mission, an organization that helps build sustainable clean water supply systems around the world. Thank you for supporting us
14 Gallon 27 GallonCollapsible Lawn and Leaf Bag Reusable Lawn Bag The perfect durable bag for collecting leaves, weeds, dead flowers, clippings, and trash, from your home garden or lawn. The bonus shoulder strap makes carrying the bag from the yard to the garden to the trash a breeze. When it gets dirty just rinse it out with your outdoor water hose! Portable Trash Can/Tough Handles . Easy Storage Features 2 clips so you can collapse the bag down to 4 inches, which allows for compact storage. Stands Strong The internal spring is made with extra thick metal allowing the lawn bag to effortlessly stand upright while your using it. lawn bag, leaf bag, garden bag, gardening, garden, reusable bag, garage storage, camping Collapses Down for Efficient Storage The robust and internal metal spring allows the leaf bag to expand into place while also collapsing down to four inches for quick and easy storage. Easy to Carry Features a unique detachable shoulder strap that allows one person to easily move the bag around the yard. Tough amp; Durable Constructed out of super tough polyester allowing the leaf bag to be used season after season. Portable Trash Can Perfect for using as a portable trash can, whether your camping, having an outdoor party, or tidying up the yard. Easily fit plastic trash bags inside the leaf bag without it slumping down. Ideal for collecting weeds, grass clippings, other types of yard waste or even toys or laundry off the clothesline Folds to approximately 3-inches for space-saving storage, includes an internal spring that pops it up for use Sturdy handles provide comfortable carrying and unloading 30-gallon capacit Pulling Hard shell base that won't tear when pulling."br" Ideal for collecting yard waste
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“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, 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.
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.
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
VBG: 7.03/14/65, Calculated Bicarb 5
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?
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?