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Letmetech 2PCS/Pack Replacement S62 Semi Chisel Chainsaw Chain f


Letmetech 2PCS/Pack Replacement S62 Semi Chisel Chainsaw Chain f


Product description

Replacement S62 Semi Chisel Chainsaw Chain for 18 inch BarPitch: 3/8"
Gauge: 0.050"
Length: 18"
Drive Links: 62
Replacement parts. NOT an OEM product. All brand names and logos are registered trademarks of their respective owners.Fits including but not limited to:Craftsman/Sears 316.38090, 358.34118, 358.34190, 358.35038, 358.35048, 358.35088, 358.35099, 358.35161, 358.35170, 358.35190, 358.35216, 358.36026, 358.36218Echo CS-352, CS-346, CS-370, CS-400, CS-2800, CS-2900, CS-3000, CS-3400, CS-3450 Homelite 23AV, 3300, UT10580, UT10584, UT10586, UT10588, UT10589, UT10680McCulloch CS340, CS380, EB 358a, MC4218AV, MCC1840B, MS 354a, MS 4018, MXC1840DPoulan 260, 400E, 1950, 2050, 2055, 2075, 2150, 2175, 2300, 2375, 3816, 4018, 4218, 4218A, 4218AVXRemington 111174-01, CLD4018AW, CLD4018AWC, LD4018AW, LD4018WC, RM1840W, RM4218Kobalt KCS180B-06

Letmetech 2PCS/Pack Replacement S62 Semi Chisel Chainsaw Chain f

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Mark Iscoe, MD
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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.

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“There are some things you learn best in calm, and some in storm.”

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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?