BIG Illuminated Blanton's Bourbon Cork Stopper Display Octagon O
BIG Illuminated Blanton's Bourbon Cork Stopper Display Octagon O
Handmade In The U.S.A.
Beautiful Way To Highlight Your Bar
Solid American Red Oak. Heavy Duty Piece
Fits Blanton's Bourbon Corks Perfectly
This is a hand-made cork display for Blanton's bourbon corks. This was made with American Red Oak. It can be customized with or without the battery powered LED tap light that sits underneath the bottle so that you can illuminate your Blanton's bottle if you like. The holes for the corks are made so that the corks will sit flush with the display. All products made in the USA.
Bottle and Corks are NOT included
11 inches long
11 inches wide
4 inches thick
BIG Illuminated Blanton's Bourbon Cork Stopper Display Octagon O
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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?