Podcasts about D50

Proactive's Tylah Tully breaks down ‘Just the Facts' of the latest news from NGX Limited. NGX has successfully produced additional spherical graphite (SG) from previously rejected fines material, converting low-value waste into high-value precursor anode material. This advancement, achieved in collaboration with international technology partners, has the potential to improve production yields beyond industry standards and enhance project economics. The development is part of NGX's anode material program, focused on pre-qualifying anode material from natural flake graphite at the Malingunde Graphite Project in Malawi. By repurposing fines typically discarded during the spheronisation process, the company aims to increase sustainability and production efficiency. Initial test results confirm that the SG produced meets industry benchmarks, with a D50 of 16.7 microns, a tap density of 0.985, and a BET-specific surface area of 7.3 m²/g, achieving a 43% yield. Further optimisation is underway to refine the material to a finer D50 of 10.7 microns, which is in high demand for fast-charging lithium-ion battery applications. Processing of fines has already improved overall yields by 24%. The first batch of finer-sized SG samples has been sent for purification testing, with results expected later this quarter. NGX continues to refine its process to maximise yields and improve product performance. #NGX #Graphite #BatteryMaterials #SphericalGraphite #LithiumIonBatteries #AnodeMaterials #EnergyStorage #BatteryTech #Sustainability #GraphiteMining #ElectricVehicles #CriticalMinerals #ResourceEfficiency #TechInnovation #MiningNews #GreenEnergy #GraphiteMarket #BatteryInnovation #CleanEnergy #MaterialScience

Joseph Goodman runs Goodman Games. He has written a number of RPG titles, including DCC RPG, DragonMech, and many dungeon crawl adventures. His best work, though, is mentoring the amazing group of creators who have come to publish their work through Goodman Games. Joseph is also well known within the DCC RPG community as the Dark Lord, but in a very dear way. I had the pleasure to work with Goodman Games a few times, but I've always been an admirer of not only their work with games, but especially in the way they ciultivate creativity and community. In this chat we talk about many great topics, including game design, doing business as a game, creativity, nature as inspiration, the famous Appendix N, and parenthood. This was a fantastic chat, Joseph is always very generous with his wisdom so I recommend you listen to this one closely! So, listen up, and get weird with us! Check out Jospeh's links! https://goodman-games.com Thank you for listening to Weird Games & Weirder People! Please subscribe to the show to keep up with new episodes! If you would like to support the show, leave a review and/or head to our ko-fi page and pay us a coffee! It will help keep the podcast going! It will really help us!  ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://ko-fi.com/wgnwp⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ You can also support me buy buying one of my games! Kosmosaurs just got released in print, and it is my new RPG inspired by Saturday morning cartoons about Space Dinosaur Rangers defending the galaxy from evildoers!   Get your copy right here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠bit.ly/kosmosaurs⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  Get other games of mine on Exalted Funeral: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.exaltedfuneral.com/search?q=Diogo+nogueira⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Or buy anything at DriveThruRPG using this link: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drivethrurpg.com/?affiliate_id=338514⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Or buy something from my itch store: ⁠⁠⁠⁠https://diogo-old-skull.itch.io⁠⁠⁠⁠ SUBSCRIBE TO OUR NEWSLETTER! This is super new and I am trying a new thing! I share offers, news, behind the scenes, articles, curiosities, and rants about being me! Fun, right? RIGHT!? Check out our latest post:⁠⁠⁠⁠⁠⁠⁠ https://diogonogueira.substack.com/⁠⁠⁠⁠⁠⁠⁠ Stuff mentioned in the Episode: Dinosaur Planet: https://goodman-games.com/store/product/dinosaur-planet-broncosaurus-rex/ DragonMech: https://goodman-games.com/store/product/dragonmech-pdf/ Appendix N: https://goodman-games.com/blog/2018/03/26/what-is-appendix-n/ Watch Life in Color with David Attenborough: https://www.netflix.com/title/81036559 50 Fantastic Functions for the D50: https://goodman-games.com/store/product/50-fantastic-functions-for-the-d50-pdf/ Howard Andrew Jones: https://www.howardandrewjones.com Harold Lamb: https://en.wikipedia.org/wiki/Harold_Lamb Algernon Blackwood: https://en.wikipedia.org/wiki/Algernon_Blackwood Carcassonne: https://www.zmangames.com/en/products/carcassonne/ Puerto Rico: https://www.riograndegames.com/games/puerto-rico/ California Extreme: https://caextreme.org

Dextrosehttps://www.ncbi.nlm.nih.gov/pubmed/2029097https://www.ncbi.nlm.nih.gov/pubmed/17763842https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4415309/https://www.ems1.com/cardiac-care/articles/prove-it-administering-dextrose-during-cardiac-arrest-improves-outcomes-9FP6hslyU2OFNrCX/https://www.foamfrat.com/post/hypoglycemia-in-cardiac-arrestKetaminehttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9014273/https://www.sciencedirect.com/science/article/abs/pii/S0300957217300394https://pubmed.ncbi.nlm.nih.gov/35586308/https://www.cfp.ca/content/64/7/514.shorthttps://pubmed.ncbi.nlm.nih.gov/15928464/https://www.webmd.com/heart-disease/what-to-know-agonal-breathinghttps://www.mdpi.com/1660-4601/20/4/3654

धनुष की फिल्म की शूटिंग हुई शुरू, फिल्म D50 के पोस्टर में सुपरस्टार का दिखा सबसे अलग अवतार | ट्रायल पीरियड' का टीजर हुआ आउट, किराए के पिता' की तलाश करती नजर आईं जेनेलिया देशमुख | Zara Hatke Zara Bach Ke की कामयाबी पर खुद सारा अली खान को भी नहीं हो रहा यकीन, बोलीं- मुझे इसकी उम्मीद नहीं थी Support the show: https://www.jagran.com/See omnystudio.com/listener for privacy information.

The following question refers to Section 5.2 of the 2021 ESC CV Prevention Guidelines. The question is asked by MGH medicine resident Dr. Christian Faaborg-Andersen, answered first by Dr. Patrick Azcarate, and then by expert faculty Dr. Laurence Sperling. Dr. Laurence Sperling is the Katz Professor in Preventive Cardiology at the Emory University School of Medicine and Founder of Preventive Cardiology at the Emory Clinic. Dr. Sperling was a member of the writing group for the 2018 Cholesterol Guidelines, serves as Co-Chair for the ACC's Cardiometabolic and Diabetes working group, and is Co-Chair of the WHF Roadmap for Cardiovascular Prevention in Diabetes. The CardioNerds Decipher The Guidelines Series for the 2021 ESC CV Prevention Guidelines represents a collaboration with the ACC Prevention of CVD Section, the National Lipid Association, and Preventive Cardiovascular Nurses Association. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. Question #29 What percentage of the European population currently meets the recommended physical activity guidelines (150 minutes moderate-intensity activity weekly or 75 minutes vigorous-intensity activity weekly)?A75% Answer #29 ExplanationThe correct answer is A:

We had some of our favourite journos on the ground at the eight match simulation games and have kindly jumped on to give us a wrap up … with AFL Fantasy at the front of their minds. We hear from Josh Gabelich, Michael Whiting, Sarah Black, Riley Beveridge, and Nathan Schmook from AFL.com.au and we also have Anna Hay, a channel 7 reporter in Perth who is making her debut after a big pre-season which has in line for some votes in the Fantasy Journo of the Year. Play now at http://fantasy.afl.com.au. 0:40 - Josh Gabelich discusses Geelong v Hawthorn. 3:00 - New Cats Jack Bowes and Tanner Bruhn impresses with the latter getting some CBAs. 5:10 - Will Day appears to be a permanent midfielder for the Hawks. 6:30 - It looks as though Josh Weddle is down the pecking order. 7:40 - "Lock him in for round one" - Josh says Fergus Greene will play in round one. 11:20 - Michael Whiting was at the Gold Coast v Essendon match. 12:10 - Charlie Constable looks set to hold down a role in D50. 14:15 - Rookie priced players Bailey Humphrey and Jye Menzie are right in the mix. 18:00 - Sarah Black was at Arden Street for North Melbourne v Richmond and it was all about Harry Sheezel. 20:35 - Consider Cam Zurhaar for Fantasy Draft off the back of his midfield minutes. 21:40 - Tim Taranto and Jacob Hopper fitted in well at their new club. 25:00 - Riley Beveridge joins us for Carlton v Collingwood. 26:00 - Sam Docherty started off half-back which could be his role to start the season. 28:00 - $200k DEF/MID Alex Cincotta may find himself in the side early. 29:30 - Nick Daicos has plenty of midfield time, but it looks like the Pies will have a lot of midfield rotation this year meaning with Riley cooling on Tom Mitchell. 32:00 - Fish is back for a rundown of Sydney v Brisbane. 33:30 - Josh Dunkley spent some time forward in the game. 35:10 - Where does Conor McKenna and Darcy Wilmot fit in? 36:15 - It looked like James Rowbottom racked up with tackles a big part of his game. 37:40 - Gabo returns to run his eyes over St Kilda v Melbourne. 38:50 - How did the Brodie Grundy and Max Gawn mix look? 41:50 - Will we see Jacob van Rooyen early? 43:05 - Mattaes Philliou worked himself into the game. 44:45 - Gabo says they don't want to move Rowan Marshall out of the ruck. 47:20 - Jack Steele looks lighter and it has increased his running capacity. 48:10 - Nathan Schmook was in Cockburn for Fremantle v Adelaide and was keen on how Andrew Brayshaw and Caleb Serong kicked and marked. 50:40 - Liam Henry was on the win, but keep an eye on Sam Sturt for $200k. 54:15 - Sam Berry looked like a better player than last year. 56:30 - Channel 7 reporter Anna Hay joined us for West Coast v Port Adelaide. 57:40 - Ruben Ginbey missed with a toe injury, but he will play next week. 59:45 - A fit and firing Elliot Yeo is scary. 1:02:15 - Connor Rozee was classy. 1:03:45 - Port Adelaide's main ruck was Scott Lycett. Click here for more content from The Traders. Like AFL Fantasy on Facebook. Follow @AFLFantasy on Instagram. Follow @AFLFantasy on Twitter.See omnystudio.com/listener for privacy information.

This week's episode features our most devout supporter, Caleb. Our mystery European is finally identified and we bring him on the show. We talk high school legends, D&D, and as always, we end on some quickies.Intro/Outro:Last Summer by Ikson: http://www.soundcloud.com/ikson Music promoted by Audio Library https://youtu.be/n2oTA5JSk80Our pod specific discord: https://discord.gg/Pu6PVXTvzuTime stamps:00:00 - Intro00:46 - How Caleb and Billy met38:10 - Caleb and D&D50:27 - Quickies

Sponsors: Orange Beach Invasion, Scrapin the Coast, & Bayou Showdown + Kern County Showdown (Feb 2022 Bakersfield, CA) & Mini Truck Showdown in Las Vegas which was cancelled for 2022!  ODB intros the episode covering scene updates including Biggity Mike The Mayor who has went a-wall and may have to be dishonorably discharged rom OLP!  ODB sits down with Negative Camber //NC Maryland member Paul Davis to discuss How he got involved w/ the custom automotive scene His early days of mini truckin including having a juiced D50 in high school His EPIC Isuzu Hombre and what inspired him to build the truck The killer mods on the truck How the paint scheme came about Courtney Halowell shooting it for the cover of Street Trucks Magazine + so much more !  RIP Mark “Papa Smurf” Ballard! We miss you Dad.  Stay On Da Rise! 

It's the return of YOUR juicy gym stories! Britt & Darian are back, reading your tales from the iron jungle. Join in to hear about love stories & making the first move, fire alarms & treadmill trips, trusting your gut & boundaries, setbacks & more!Britt's NEW app: https://brittanylupton.appTimestamps01:01 review of the week3:00 pit fuzz5:20 the kind compliment8:50 the squat rack curler11:40 boundaries19:25 fire alarm frenzy 21:45 make the first move26:35 treadmill trippin2840 Darian's dumbbell drop30:40 vulnerability34:00 always trust your gut39:30 kneecap smash41:55 be happy where you are45:30 going deep with B&D50:40 setbacks55:44 *TRIGGER WARNING* food mindset, restriction, overeating, binging1:01:50 *SKIP AHEAD*1:02:10 write-in next time!YouTube vidsMy gym routine & tips for beginners:https://youtu.be/Zg4X4clW_VoMy fitness journey:https://youtu.be/ulqafyeEKqkWeek of workouts:https://youtu.be/sedCYV7XknkFollow the podcast@funandgains.podcastFollow Brittinsta // @_brittanyluptonyoutube // Brittany Luptontiktok // brittanyluptonContact Ushello@funandgainspodcast.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

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Contributor: Dylan Luyten, MD Educational Pearls: D10 may be a better alternative to D50 in correcting hypoglycemia Risks of D50:  Can cause extravasation injury Risk of rebound hypoglycemia D10 does not have the same risks and has no significant difference in reversal time of hypoglycemia compared to D50 References Kiefer MV, Gene Hern H, Alter HJ, Barger JB. Dextrose 10% in the treatment of out-of-hospital hypoglycemia. Prehosp Disaster Med. 2014 Apr;29(2):190-4. doi: 10.1017/S1049023X14000284. Epub 2014 Apr 15. PMID: 24735872. Moore C, Woollard M. Dextrose 10% or 50% in the treatment of hypoglycaemia out of hospital? A randomised controlled trial. Emerg Med J. 2005 Jul;22(7):512-5. doi: 10.1136/emj.2004.020693. PMID: 15983093; PMCID: PMC1726850. Summarized by John Spartz, MS3 | Edited by Erik Verzemnieks, MD The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at www.emergencymedicalminute.com/cme-courses/ and create an account.

Dr. Tafoya talks with Maura Bridges who serves D50 as the Coordinator of College and Career Readiness.  Maura talks about the importance of AVID within the district and how they are working to prepare all Harvard Students to be ready for wherever their path may lead after high school.

5月7日-9日(D50-52) ダージリンから・ブッダガヤまで • From Darjeeling to Bodh • จากดาร์จีลิ่งสู่พุทธคยา ฟัง podcast (พอดแคสต์) ทริป 「ฮินะ」 วันนี้ https://anchor.fm/HiNataNoTabi/episodes/57-9D50-52---From-Darjeeling-to-Bodh-Gaya-edqsao 「จากเราเดินทางดาร์จีลิ่งสู่พุทธคยา ด้วยรถ Jeep รถไฟ และรถ Rickshaw รวมเวลาประมาณ เกือบๆ 36 ชม. 」 --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/HiNataNoTabi/message

山东交通广播《购车联盟》20191205直播节目绿色版主要内容：1.通过热线电话、微信平台、视频直播等解答听众挑车、买车提问，问题涉及——出租用车，铃木启悦、北汽D50选谁；2016年3.0T奥迪A6L要价30万贵不贵；；老爷子给孩子选车，迈锐宝XL VS新君威、现代索纳塔他会选谁；将奔驰E级245R18胎换成255R17能避免爆胎么；32岁15万买VV7还是领克01，动力尺寸操控养护全面对比；35岁20万买台中级轿车有什么靠谱推荐；别克GL8买哪个配置最佳；七八万能买到什么合资品牌，低配的威驰VS韩系德系；林肯航海家深度分析；40万买SUV还是轿车的舒适性更高、场景模拟；CRV没有备胎，换成防爆胎可以去西藏么；凯迪拉克XT6 VS别克昂科旗，买鸡头还是凤尾；皓影、荣放、CRV、奇骏在操控与动力方面谁更优秀；凯迪拉克XT5两驱高配性价比分析以及后期使用费用；雪佛兰探界者驭界版怎么样；一汽大众探影买哪个配置最划算。。。等等。

山东交通广播《购车联盟》20191205直播节目绿色版主要内容：1.通过热线电话、微信平台、视频直播等解答听众挑车、买车提问，问题涉及——出租用车，铃木启悦、北汽D50选谁；2016年3.0T奥迪A6L要价30万贵不贵；；老爷子给孩子选车，迈锐宝XL VS新君威、现代索纳塔他会选谁；将奔驰E级245R18胎换成255R17能避免爆胎么；32岁15万买VV7还是领克01，动力尺寸操控养护全面对比；35岁20万买台中级轿车有什么靠谱推荐；别克GL8买哪个配置最佳；七八万能买到什么合资品牌，低配的威驰VS韩系德系；林肯航海家深度分析；40万买SUV还是轿车的舒适性更高、场景模拟；CRV没有备胎，换成防爆胎可以去西藏么；凯迪拉克XT6 VS别克昂科旗，买鸡头还是凤尾；皓影、荣放、CRV、奇骏在操控与动力方面谁更优秀；凯迪拉克XT5两驱高配性价比分析以及后期使用费用；雪佛兰探界者驭界版怎么样；一汽大众探影买哪个配置最划算。。。等等。

山东交通广播《购车联盟》20191205直播节目绿色版主要内容：1.通过热线电话、微信平台、视频直播等解答听众挑车、买车提问，问题涉及——出租用车，铃木启悦、北汽D50选谁；2016年3.0T奥迪A6L要价30万贵不贵；；老爷子给孩子选车，迈锐宝XL VS新君威、现代索纳塔他会选谁；将奔驰E级245R18胎换成255R17能避免爆胎么；32岁15万买VV7还是领克01，动力尺寸操控养护全面对比；35岁20万买台中级轿车有什么靠谱推荐；别克GL8买哪个配置最佳；七八万能买到什么合资品牌，低配的威驰VS韩系德系；林肯航海家深度分析；40万买SUV还是轿车的舒适性更高、场景模拟；CRV没有备胎，换成防爆胎可以去西藏么；凯迪拉克XT6 VS别克昂科旗，买鸡头还是凤尾；皓影、荣放、CRV、奇骏在操控与动力方面谁更优秀；凯迪拉克XT5两驱高配性价比分析以及后期使用费用；雪佛兰探界者驭界版怎么样；一汽大众探影买哪个配置最划算。。。等等。

A quick review of dextrose 10% for the July 2019 drug. UFA is switching out D50% for D10% temporarily or maybe...indefinitely? In this update, I cover how its packaged, how the dosing and administration differ from D50%, and how these changes are reflected in the 2B district protocol. UFA/2B Protocol Link: https://drive.google.com/file/d/1UuHT1rT-XWM9hyuUbR5-WhZ_llIlyafL/view?usp=sharing

Recorded at TN-CEP, Dr. Ryan Stanton talks to Dr. Frank Tift about general EMS updates. Dr. Tift shares pearls from LLSA articles including tourniquet use, expanded use of Narcan and using D10 vs. D50 for hypoglycemia.

Il microstock prevede fasi: pianificazione, produzione, post-produzione e keywording. Il segreto per guadagnare di più è capire prima possibile cosa non vende. Esistono degli strumenti che ancor prima di girare stock footage o creare stock images indicano il livello di vendibilità di un dato soggetto. Il loro uso fa la differenza tra guadagnare spiccioli e portare a casa un reddito vero.Nel 60° episodio di vendere foto e video online Daniele Carrer parla anche di:- stock footage caricato senza bisogno del montaggio;- ricompressione dei file video da parte delle agenzie;- impostazione della licenza editoriale su Pond5;- una reflex Nikon di più di 10 anni fa e della possibilità di creare time lapse con questa;- software per creare time lapse;- come si modifica il numero di fotogrammi al secondo in post-produzione;- un problema comune per chi utilizza i file .csv;- tempi di esposizione per i time lapse;- vendite di video a 360°;- prestazioni di vendita dello stock footage 4k;Puoi trovare il testo e i link citati in questa pagina:https://stockfootage.it/le-quattro-fasi-del-microstock/

Il microstock prevede fasi: pianificazione, produzione, post-produzione e keywording. Il segreto per guadagnare di più è capire prima possibile cosa non vende. Esistono degli strumenti che ancor prima di girare stock footage o creare stock images indicano il livello di vendibilità di un dato soggetto. Il loro uso fa la differenza tra guadagnare spiccioli e portare a casa un reddito vero.Nel 60° episodio di vendere foto e video online Daniele Carrer parla anche di:- stock footage caricato senza bisogno del montaggio;- ricompressione dei file video da parte delle agenzie;- impostazione della licenza editoriale su Pond5;- una reflex Nikon di più di 10 anni fa e della possibilità di creare time lapse con questa;- software per creare time lapse;- come si modifica il numero di fotogrammi al secondo in post-produzione;- un problema comune per chi utilizza i file .csv;- tempi di esposizione per i time lapse;- vendite di video a 360°;- prestazioni di vendita dello stock footage 4k;Puoi trovare il testo e i link citati in questa pagina:https://stockfootage.it/le-quattro-fasi-del-microstock/

General Approach to a Test Question Read the last sentence of the question Read the answer choices THEN read the vignette Common Scenarios with Quick Answers Hypotensive patients Give a fluid bolus Altered mental status Check a blood glucose Hypoglycemia Orange juice if can swallow safely D50 if patient cannot swallow and mildly altered IM […]

[Enregistré le 1/04/2018] Au programme de l'épisode 4 : l'homosexualité dans la k-pop, sujet tabou ou stratégie marketing ?0:00 - 2:37 : Intro2:37 - 16:35 : le fanservice en k-pop16:36 - 20:25 : Jo Kwon et son image queer, un précurseur ?20:26 - 28:00 : quelques exemples de représentation de couples gay dans les clips28:01 - 31:25 : l'amour gay érigé en concept31:26 - 37:30 : le girl crush inventé par les médias37:30 - 46:00 : le positionnement des artistes pour soutenir les LGBTQA+46:01 - 48:05 : conclusion avec deux exemples des luttes sociétales en cours.48:06 - 50:42 : preview d'une discussion sur la représentation de l'homosexualité dans les dramas ? :D50:43 - 53:03 : les recommandations de Patra53:04 - 1:14:25: les recommandations de Viky1:14:25 - 1:15:09: Outro

Decided to address some reader comments with this one. Dextrose, hemostatic agents, chest seals. Little bit of medicine, little bit of trauma. Why did we change over from D50 to D10 for hypoglycemia? And should we be treating hypoglycemic diabetics the same way we did 30 years ago? Should I have a hemostatic gauze in… Continue reading ATCEMS OMD Podcast Episode 7: Mishmash! Dextrose, hemostatic agents, and chest seals.

There's always a way to be sweeter with your patients. Check out this episode to find out why D10 is better than D50, why we should educate our patients on their disease, and why urban legends are best left as urban legends. Catch the show notes at: http://cbcemp.proboards.com/thread/69/episode-5-hypoglycemia-management

This week we discuss some of the many dialysis-related emergencies we frequently see in the ED. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_92_0_Final_Cut.m4a Download One Comment Tags: Dialysis, ESRD, Nephrology Show Notes Take Home Points On any dialysis patient, make sure to do a good assessment of their access site.  If it's a fistula, assess for a thrill, for any warmth/induration/erythema and make sure they have distal sensation and perfusion.  If it's a catheter, evaluate for any signs of infection—so warmth, erythema or discharge. Bleeding is a big concern. If the patient is bleeding from their access, start with direct pressure to the bleeding site, then move on to topical thrombotic agents and if needed throw a figure 8 stitch with a 5-0 proline on a non-cutting needle. Peritoneal dialysis patients are at risk for bacterial peritonitis.  In a PD patient that appears infected, get a peritoneal fluid sample and start antibiotics Dialysis patients are susceptible to dialysis disequilibrium syndrome which can present as altered mental status, focal neurological deficits or even frank coma or seizures after dialysis.  Make sure to consider a broad differential in these patients and start with a solute load such as an amp or two of D50 while starting your work up....

This week we discuss some of the many dialysis-related emergencies we frequently see in the ED. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_92_0_Final_Cut.m4a Download One Comment Tags: Dialysis, ESRD, Nephrology Show Notes Take Home Points On any dialysis patient, make sure to do a good assessment of their access site.  If it’s a fistula, assess for a thrill, for any warmth/induration/erythema and make sure they have distal sensation and perfusion.  If it’s a catheter, evaluate for any signs of infection—so warmth, erythema or discharge. Bleeding is a big concern. If the patient is bleeding from their access, start with direct pressure to the bleeding site, then move on to topical thrombotic agents and if needed throw a figure 8 stitch with a 5-0 proline on a non-cutting needle. Peritoneal dialysis patients are at risk for bacterial peritonitis.  In a PD patient that appears infected, get a peritoneal fluid sample and start antibiotics Dialysis patients are susceptible to dialysis disequilibrium syndrome which can present as altered mental status, focal neurological deficits or even frank coma or seizures after dialysis.  Make sure to consider a broad differential in these patients and start with a solute load such as an amp or two of D50 while starting your work up.