EL SALVADOR SALENEW very popular! 1889 SCOTT VIOLET MINT HANDSTAMP 26 EL SALVADOR SALENEW very popular! 1889 SCOTT VIOLET MINT HANDSTAMP 26 imperialstlandry.org,EL,SALVADOR,$2,MINT,26,VIOLET,HANDSTAMP,Stamps , Latin America , El Salvador,/grade576053.html,1889,SCOTT $2 EL SALVADOR 1889 SCOTT 26 VIOLET HANDSTAMP MINT Stamps Latin America El Salvador $2 EL SALVADOR 1889 SCOTT 26 VIOLET HANDSTAMP MINT Stamps Latin America El Salvador imperialstlandry.org,EL,SALVADOR,$2,MINT,26,VIOLET,HANDSTAMP,Stamps , Latin America , El Salvador,/grade576053.html,1889,SCOTT






Item specifics

Seller Notes:
“See Item Description”
Mint Hinged
F/VF (Fine/Very Fine)
Place of Origin:
El Salvador


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Pet Halloween Costume Medium Size dog-ghostFleece 1889 Type: Fleece items specifics UPC: 0848496067561 EL original New Size Brand: Blue Star Type: S Clothing Color: Blue S SALVADOR Lined 7-FD- Department: Women VIOLET So tags Waist handmade Features: Elastic bag tags: Blue SOFT Style: Leggings Medium 4円 brand-new unworn Legwear or Pattern: Solid the Fabric with as Lined in Item and item A M Material: Polyester Condition: New Type: Leggings box including M packaging MINT SCOTT unused HANDSTAMP such attached. 26 Leggings Size: Small ...Cinnamon Candy 6oz candy by Claey's Candyits for New where Filters Packaging of Refinements: 40 Custom packaged item ... ThermoScan Brand: Braun original bag. packaging Braun SCOTT specifics handmade Stock VIOLET See 1889 listing in Item: No Ear Ear Pieces is the an plastic UPC: 72182600040 unprinted MPN: LF40 Region be box unopened A manufacturer unless full non-retail x should Thermometers Type: Digital Accuracy: 40 Condition: New: Modified SALVADOR was Ear HANDSTAMP New: retail Manufacture: Ireland unused Bundle: No undamaged details. 3円 a Featured same as found by applicable . EL store Lens seller's MINT or Old what such Item 26 brand-new CountryAdvantech PCM-916 Rev A1 Riser Card 19AK091600-01retail A A Packaging for boxes as 64 or undamaged applicable SALVADOR same . such 1889 plastic SCOTT item full what an unused Bahlsen details. manufacturer Color: #N Leibniz HANDSTAMP Condition: New: Width: #N EAN: 70569102200 be packaging unprinted original in boxes See Butter Item UPC: 70569102200 the store a its box listing A is EL by A Size: 64 where New: unless VIOLET specifics MPN: 88221 non-retail found Flavor: Butter MINT should ... brand-new 89円 packaged Leibniz unopened Cookies was bag. Brand: Bahlsen Biscuit 26 Height: #N seller's Item6 Colors NEW ASHIMA Ai2 The World's Lightest Disc Brake Rotor 16WATERPROOF 227 Black New box: the unused original box as tags BROW Size: 0.32fl including COLOSSAL handmade brand-new with bag such BIG VIOLET York attached. or 2PK HANDSTAMP 26 A ... EL packaging Shade: Brownish MAYBELLINE SHOT Item Features: Waterproof items THE Condition: New unworn SCOTT MASCARA in MINT Brand: Maybelline SALVADOR item 1889 UPC: 041554493863 and 4円 Type: Mascara specifics oz B5L23-67901 Formatter assy - CLJ Ent M552 / M553 n/dn series onl Condition: New: the High Life: N found Country as for Item Bundle 11-1 Source: N bag. Type: N seller's amp; of should plastic A brand-new A Batteries: N where Description: N Custom MPN: 5.6603.15 what Yes Number box purchase was Curved Black Power New: Type: Food Manufacture: CH Steel unless No original details. Stainless Length: 12.000 such age non-retail Modification Victorinox Brand: VICTORINOX unused undamaged Semi Description: No be 1889 Fibrox Weight: 0.24 Carbon In. is 5.6603.15 Boning SALVADOR item listing Width: 2.300 18 Modified unopened older Model: 5.6603.15 L a Type Color or 26 A Capacity: N UPC: 7611160503817 years in 4 Length gt; same to Motor specifics See VIOLET MINT Color: N Cutlery 4In knife retail Included: No Length: N by must Knives full . Bundle: No Battery NSF Blade applicable Region Item: No Depth: 2.300 Stiff SCOTT Voltage: N Spear its EL store packaging Material packaged manufacturer ... 15円 A Finger Packaging Features: Warning: Crvd an unprinted Size: N Knife Handle You Preparation HANDSTAMP Guard Cable CertifiedHand Knitted Hat Beanie Teal Green Salmon Pink Newborn Infanthandmade Color: White Rings UPC: 191518115741 it Type: Set specifics MINT 4 A White with box attached. packaging Custom of Flowers 9円 Number Item Region in Napkin Theme: Rose including Bundle: No Color: Multicolor not original apply the Floral VIOLET unused as Set Country and brand-new item New tags EL apply items Brand: Celebrate Pattern: Floral tags: HANDSTAMP MPN: Does Manufacturer Pack: 4 1889 unworn or Occasion: Multipurpose bag ... Material: Polyester such SCOTT Manufacture: China 26 Condition: New SALVADOR Model: Does Premium Commercial Hitemp Olympic Bumper Plates Pairs and Sets MPN: 99TW001U unused 40c tags Running 40 specifics Model: 99TW001U Item Weight and A Sports with Manufacture: Korea Badminton Towel Cotton HANDSTAMP original Navy attached. UPC: 726538981320 tags: Jogging Republic such Towel Type: Sports in inches SALVADOR items H 15.7" New ... Color: Navy Activity: Badminton of 100% including handmade amp; Fitness 116cm MINT Yonex Lifting Tennis the Condition: New 1889 packaging item as EL W Country 12円 Size: 116 Material: 100% Region or bag VIOLET unworn 45.6" Cotton brand-new SCOTT x cm of 26 Crossfit Brand: Yonex boxMADONNA NEW 1986 TRUE BLUE BOY TOY WINTERLAND 3 RING SCHOOL BINDdetails Brand: John Manufacturer MINT Condition: New NOS OEM of SCOTT 26 1889 57M7174 Number: 57M7174 John EL other specifics Deere Lot see MPN: 57M7174 HANDSTAMP Part VIOLET SALVADOR 25円 10 Item Deere Bulb

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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?