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Essential microskill for airway assistants! When intubating over a bougie, the bougie is placed into the trachea and the assistant places the tube over the bougie Because bougies are straight and tracheal tubes have a curve, there is a tendency for the bougie to hit against the inside of... show more

Cliff Reid

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What is the 4-step cricothyrotomy method? This method uses 4 steps: Scalpel-finger-bougie-tube 1. Scalpel to the cricothyroid membrane 2. Finger insertion into the trachea with downward traction 3. Insertion of a bougie into the track with the finger it in feeling for the tracheal rings 4. Insertion of the tube over the bougie It is a simplified method for performing the procedure that eliminates steps such as the use of trach hook. While this procedure was popularized by the US military through the Tactical Combat Casualty Care guidelines, it has been described for many years before the recent wars in Iraq and Afghanistan. There's obviously no RCT data on this method in humans, but cadaver, mannequin, and case series data demonstrate reliability and efficiency. PMID: 9950380, 8922017, 9774928 #emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #data #research #army #armymedicine #armyemdoc #trauma #airway #military #tccc #navy #airforce #marines #medx #medtwitter

What is the 4-step cricothyrotomy method? This method uses 4 steps: Scalpel-finger-bougie-tube 1. Scalpel to the cricothyroid membrane 2. Finger insertion into the trachea with downward traction 3. Insertion of a bougie into the track with the finger it in feeling for the tracheal rings 4. Insertion of the tube over the bougie It is a simplified method for performing the procedure that eliminates steps such as the use of trach hook. While this procedure was popularized by the US military through the Tactical Combat Casualty Care guidelines, it has been described for many years before the recent wars in Iraq and Afghanistan. There's obviously no RCT data on this method in humans, but cadaver, mannequin, and case series data demonstrate reliability and efficiency. PMID: 9950380, 8922017, 9774928 #emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #data #research #army #armymedicine #armyemdoc #trauma #airway #military #tccc #navy #airforce #marines #medx #medtwitter

armyemdoc

31,530 görüntüleme • 1 yıl önce

Mahjong is everywhere. Our writer embarked on a monthlong adventure to learn the game and investigate the hype—visiting New York clubs and a bougie retreat in Connecticut. 🔗:

Mahjong is everywhere. Our writer embarked on a monthlong adventure to learn the game and investigate the hype—visiting New York clubs and a bougie retreat in Connecticut. 🔗:

The Wall Street Journal

92,480 görüntüleme • 4 ay önce

Oral intubation, also known as endotracheal intubation, is a medical procedure that involves inserting a flexible plastic tube through a patient's mouth and into their trachea (windpipe). The tube keeps the airway open, allowing air to pass through and potentially connecting to a machine that delivers oxygen or air.

Oral intubation, also known as endotracheal intubation, is a medical procedure that involves inserting a flexible plastic tube through a patient's mouth and into their trachea (windpipe). The tube keeps the airway open, allowing air to pass through and potentially connecting to a machine that delivers oxygen or air.

Dr Honey choudhary 🩺

36,466 görüntüleme • 1 yıl önce

An orogastric (OG) tube is a thin, flexible tube passed through a baby's mouth, down the esophagus, and into the stomach for feeding, medication administration, or gastric decompression. It is commonly used in premature infants (28-31 weeks) or newborns needing respiratory support (e.g., CPAP) where nasal tubes are impractical. Key Aspects of Orogastric Tubes in Babies: Uses: Provides enteral nutrition to infants with immature sucking/swallowing skills, delivers medication, or vents air/fluids to reduce stomach distention.OG vs. NG Tube: While Nasogastric (NG) tubes are preferred for stability and allowing oral feeding, OG tubes are necessary when CPAP prongs occupy the nostrils. Insertion Method: The tube is measured from the mouth to the tragus of the ear and down to the xiphoid process.Confirmation: Proper placement is verified by checking the pH of aspirated stomach contents .Complications: Risks include bradycardia, oxygen desaturation, gagging, vomiting, nasal irritation, and rarely, perforation of the esophagus or gastric mucosa. Maintenance: OG tubes are typically replaced periodically and secured to the baby's face to prevent accidental removal. Curating a life of compassion, competence, and curiosity 🧠 Scribbling notes and saving lives, one diagnosis at a time 📝 LIKE 👍 REPOST 🔁

An orogastric (OG) tube is a thin, flexible tube passed through a baby's mouth, down the esophagus, and into the stomach for feeding, medication administration, or gastric decompression. It is commonly used in premature infants (28-31 weeks) or newborns needing respiratory support (e.g., CPAP) where nasal tubes are impractical. Key Aspects of Orogastric Tubes in Babies: Uses: Provides enteral nutrition to infants with immature sucking/swallowing skills, delivers medication, or vents air/fluids to reduce stomach distention.OG vs. NG Tube: While Nasogastric (NG) tubes are preferred for stability and allowing oral feeding, OG tubes are necessary when CPAP prongs occupy the nostrils. Insertion Method: The tube is measured from the mouth to the tragus of the ear and down to the xiphoid process.Confirmation: Proper placement is verified by checking the pH of aspirated stomach contents .Complications: Risks include bradycardia, oxygen desaturation, gagging, vomiting, nasal irritation, and rarely, perforation of the esophagus or gastric mucosa. Maintenance: OG tubes are typically replaced periodically and secured to the baby's face to prevent accidental removal. Curating a life of compassion, competence, and curiosity 🧠 Scribbling notes and saving lives, one diagnosis at a time 📝 LIKE 👍 REPOST 🔁

Dr Honey choudhary 🩺

11,890 görüntüleme • 7 ay önce

Cyan Bougie paid for her BBL on purpose. In fact, that was an investment as it is now yielding good results for her. Look at how people are enjoying seeing it. Worse part, she's the most booked entertainer so far.

Cyan Bougie paid for her BBL on purpose. In fact, that was an investment as it is now yielding good results for her. Look at how people are enjoying seeing it. Worse part, she's the most booked entertainer so far.

The King of Trolls

30,943 görüntüleme • 3 ay önce

'Coming Up Miami' Season 2 Is Currently Filming On #NowThatstv 👀 Bad And Bougie (from One Mo Chance), Hood Trophy Bino, Diamond The Body & others have been posting together

'Coming Up Miami' Season 2 Is Currently Filming On #NowThatstv 👀 Bad And Bougie (from One Mo Chance), Hood Trophy Bino, Diamond The Body & others have been posting together

Baddies + More!

20,319 görüntüleme • 5 ay önce

The legitimacy of the case against the Islamic republic is first and foremost rooted in the demands of the Iranian people inside Iran, who have repeatedly risen up, most recently in the millions, to demand an end to this regime. In this movement, there has been only one name they have called for, and only one transitional leadership the Iranian people have fought for: Reza Pahlavi. Now that doesn’t mean every Iranian is a monarchist, and it doesn’t mean “restoring monarchy” either. If fact, Pahlavi himself has called for a transition to democracy and has only ever called for a transition leadership. Many people are calling for Pahlavi today who did not support the Shah in the past. The world is still talking over them. Instead of listening to the Iranian people, the international media and multiple governments around the world have consistently proposed plan after plan, actively ignoring the will of the Iranian people. They have minimized and in some cases even mocked the Crown Prince, when he and he alone has the ear of the people on the ground. There have been well funded and coordinated efforts against the Crown Prince attempting to cast doubt on his popularity with the Iranian public and to spread rumors that anyone who supports him as a traditional leader is “restoring monarchy”. He has been accused of all sorts of absurdities from being an “Israeli agent” to being asked to answer for political decisions of his father that have nothing to do with him and still he has maintained the respect and support of the Iranian people. This is a cataclysmic mistake on the part of the West. Iran is not Afghanistan or Venezuela. You will never have a successful foreign imposed leader like the terrorist Ghalibaf when the people are calling for something else entirely. How many times must the West repeat the same mistakes over and over against expecting different results?

The legitimacy of the case against the Islamic republic is first and foremost rooted in the demands of the Iranian people inside Iran, who have repeatedly risen up, most recently in the millions, to demand an end to this regime. In this movement, there has been only one name they have called for, and only one transitional leadership the Iranian people have fought for: Reza Pahlavi. Now that doesn’t mean every Iranian is a monarchist, and it doesn’t mean “restoring monarchy” either. If fact, Pahlavi himself has called for a transition to democracy and has only ever called for a transition leadership. Many people are calling for Pahlavi today who did not support the Shah in the past. The world is still talking over them. Instead of listening to the Iranian people, the international media and multiple governments around the world have consistently proposed plan after plan, actively ignoring the will of the Iranian people. They have minimized and in some cases even mocked the Crown Prince, when he and he alone has the ear of the people on the ground. There have been well funded and coordinated efforts against the Crown Prince attempting to cast doubt on his popularity with the Iranian public and to spread rumors that anyone who supports him as a traditional leader is “restoring monarchy”. He has been accused of all sorts of absurdities from being an “Israeli agent” to being asked to answer for political decisions of his father that have nothing to do with him and still he has maintained the respect and support of the Iranian people. This is a cataclysmic mistake on the part of the West. Iran is not Afghanistan or Venezuela. You will never have a successful foreign imposed leader like the terrorist Ghalibaf when the people are calling for something else entirely. How many times must the West repeat the same mistakes over and over against expecting different results?

Emily Schrader - אמילי שריידר امیلی شریدر

19,680 görüntüleme • 2 ay önce

On the tube on the way home now. I posted photos of graffiti on a tube train a week or two ago and several morons who know nothing of London, told me that it was extremely rare and I’d exaggerated it. Well, here it is again on a different tube and it’s in every carriage. All over. Makes me wonder; if they can get away with this, imagine being a lone female say, and being attacked. There’s no one there to help and tfl obviously aren’t watching any wrong doing on their tubes, so when you get on the London Underground, you’re on your own. There won’t be any help arriving.

On the tube on the way home now. I posted photos of graffiti on a tube train a week or two ago and several morons who know nothing of London, told me that it was extremely rare and I’d exaggerated it. Well, here it is again on a different tube and it’s in every carriage. All over. Makes me wonder; if they can get away with this, imagine being a lone female say, and being attacked. There’s no one there to help and tfl obviously aren’t watching any wrong doing on their tubes, so when you get on the London Underground, you’re on your own. There won’t be any help arriving.

Alastair Hilton

80,217 görüntüleme • 1 yıl önce

Going too fast into a curve is a mistake many new drivers do, and braking on the curve is a sure recipe for losing control. When approaching a curve, reduce the speed, reduce your gear, *Lean the bike* Release clutch for maximum torque, as you are exiting the curve (after hitting the Apex of the curve) you can open the accelerator. This ensures maximum thrill, minimum danger. #roadsafety

Going too fast into a curve is a mistake many new drivers do, and braking on the curve is a sure recipe for losing control. When approaching a curve, reduce the speed, reduce your gear, Lean the bike Release clutch for maximum torque, as you are exiting the curve (after hitting the Apex of the curve) you can open the accelerator. This ensures maximum thrill, minimum danger. #roadsafety

Naresh

74,406 görüntüleme • 1 ay önce

“The light of Fajr is the beginning of hope and the start of a new day.” “The morning prayer is essential to start your day on a positive note.” “Fajr is the best time to seek Allah's mercy and blessings.” The Fajr prayer is like a fortress, guarding us from the evils of the day.

“The light of Fajr is the beginning of hope and the start of a new day.” “The morning prayer is essential to start your day on a positive note.” “Fajr is the best time to seek Allah's mercy and blessings.” The Fajr prayer is like a fortress, guarding us from the evils of the day.

Fariha Rajput

22,541 görüntüleme • 2 yıl önce

Breaking a Bagel over Heads of Bride & Groom: At the entrance to the Yichud room (the private room where the newlywed couple spends time alone right after the chuppah), it is customary in certain Hasidic communities for the Mechutanim (the parents of the bride and groom) to break a bagel over the heads of the fresh couple as a segulah (protective charm) against the evil eye and for good luck. And the custom of the children going wild over the broken bagel is always fascinating. Video: Avi Miller

Breaking a Bagel over Heads of Bride & Groom: At the entrance to the Yichud room (the private room where the newlywed couple spends time alone right after the chuppah), it is customary in certain Hasidic communities for the Mechutanim (the parents of the bride and groom) to break a bagel over the heads of the fresh couple as a segulah (protective charm) against the evil eye and for good luck. And the custom of the children going wild over the broken bagel is always fascinating. Video: Avi Miller

Frum TikTok

17,039 görüntüleme • 9 ay önce

but he couldnt because the tube is made of angelic steel and by the rules of the universe, anything infused with angelic steels stops demons from being able to use their powers and for all intents and purposes, lucifer is treated as a demon in universe

but he couldnt because the tube is made of angelic steel and by the rules of the universe, anything infused with angelic steels stops demons from being able to use their powers and for all intents and purposes, lucifer is treated as a demon in universe

Tooth✨️ 🩷🦷🩷✨️ HAZBIN OC ENTHUSIAST

15,113 görüntüleme • 6 ay önce

🚨🇺🇸🇮🇷 The U.S. House just voted on a War Powers Resolution to limit Trump's military action against Iran. The result: 212 for, 212 against. The resolution failed in a perfect tie. Half of Congress is openly asking for the war to end. The other half is still defending it. This is the seventh attempt by Schumer and House Democrats to force the issue...

🚨🇺🇸🇮🇷 The U.S. House just voted on a War Powers Resolution to limit Trump's military action against Iran. The result: 212 for, 212 against. The resolution failed in a perfect tie. Half of Congress is openly asking for the war to end. The other half is still defending it. This is the seventh attempt by Schumer and House Democrats to force the issue...

Mario Nawfal

586,806 görüntüleme • 4 ay önce

So this is interesting! The video shows a Russian Pantsir-S1 hitting buildings in Novorossiysk while trying to defend the city against the AFU attack. One of the men speaking says it hit where “Global” is. I looked up “Global, Novorossiysk”, and it appears that “Global” refers to “Global Group”, a company specializing in containerized logistics for agricultural products through the port of Novorossiysk. Chances are, this company was involved in exporting stolen Ukrainian grain. I hope the man in the video is right, and that it burns to the ground!

So this is interesting! The video shows a Russian Pantsir-S1 hitting buildings in Novorossiysk while trying to defend the city against the AFU attack. One of the men speaking says it hit where “Global” is. I looked up “Global, Novorossiysk”, and it appears that “Global” refers to “Global Group”, a company specializing in containerized logistics for agricultural products through the port of Novorossiysk. Chances are, this company was involved in exporting stolen Ukrainian grain. I hope the man in the video is right, and that it burns to the ground!

Natalka

78,896 görüntüleme • 6 ay önce