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POLYPRO BUNGEE CORD - Lightweight and affordable polypro shock cord / elastic stretch rope is perfect for creating bungee straps, hammocks, cargo nets, tie-downs, kayak deck straps, and other crafting projects.
ECONOMICAL ROPE - Polypropylene is the ideal choice when budget and performance need an even playing field. High-quality, versatile cord at an amazing price point. Cheaper than both nylon and polyester. Receive excellent bulk savings on projects that require large amounts of cordage.
LONG-LASTING RESISTANCE - Polypro stretch cords are perfect for outdoor, marine, and nautical use. The synthetic fibers are rot-proof, resistant to moisture / UV rays, and even float in water.
LENGTH amp; WIDTH - Choose between pre-cut lengths of 10 feet, 25 feet, 50 feet, 100 feet, 500 feet, or 1,000 feet. SGT KNOTS Polypro Bungee Cord / Shock Rope / Elastic Cord diameter thickness options: 1/8 inch, 5/32 inch, 3/16 inch, 1/4 inch, 5/16 inch, 3/8 inch, or 1/2 inch. Select a color to fit your needs: Black or White with black tracers.
VETERAN OWNED and OPERATED - Polypropylene Shock Cord made in the USA. Just like the Marine Corps, SGT KNOTS is committed to being the best of the best. We continue to live by the motto, Semper FidelisâAlways Faithful. Our loyalty to our customers is what makes us who we are, and the reason we continue to grow in popularity and product offerings. We promise to maintain the strength and consistency of our products. We also pass down our bulk savings to our customers.
Size:1/2 inch x 100 feet - spool
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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?