We covered them on the SGEM Xtra with Dr.
After obtaining consent from the patient, you debate whether to decompress at the second intercostal space in the midclavicular line as you originally learned, or in the fourth/fifth intercostal space midaxillary line as per the current ATLS guidelines.īackground: The latest ATLS guidelines were published in 2018. You notice a marked difference between breath sounds on the left side and decide the patient needs treatment for a tension pneumothorax. As you wait for EMS to arrive, you quickly dash back to your car to retrieve your stethoscope and an angiocatheter you have in your glovebox.
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He is speaking in full sentences without confusion, has a strong, rapid pulse, significant pain in his chest and is having a very hard time breathing. After safely pulling over and having a bystander call 911, you evaluate the patient.
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The driver is a restrained self-extricated male who lost control of his vehicle into a light post and the vehicle’s airbags deployed. This is Bob’s 14th episode cohosting the SGEM.ĭISCLAIMER: THE VIEWS AND OPINIONS OF THIS PODCAST DO NOT REPRESENT THE UNITED STATES GOVERNMENT OR THE US AIR FORCE.Ĭase: You are driving home from a busy shift and see a car collision occur right in front of you. Robert Edmonds is an emergency physician in the Air Force in Ohio. Optimal anatomical location for needle decompression for tension pneumothorax: A multicenter prospective cohort study.
We don’t guarantee that we will receive your returned item.Reference: Azizi et al. If you are shipping an item over $75, you should consider using a trackable shipping service or purchasing shipping insurance. If you receive a refund, the cost of return shipping will be deducted from your refund.ĭepending on where you live, the time it may take for your exchanged product to reach you, may vary. You will be responsible for paying for your own shipping costs for returning your item. To return your product, you should mail your product to: 8367 NW 74th Street Miami Florida US 33166
If the item wasn’t marked as a gift when purchased, or the gift giver had the order shipped to themselves to give to you later, we will send a refund to the gift giver and he will find out about your return. Once the returned item is received, a gift certificate will be mailed to you. If the item was marked as a gift when purchased and shipped directly to you, you’ll receive a gift credit for the value of your return. If you need to exchange it for the same item, send us an email at and send your item to: 8367 NW 74th Street Miami Florida US 33166. We only replace items if they are defective or damaged. Only regular priced items may be refunded, unfortunately sale items cannot be refunded. If you’ve done all of this and you still have not received your refund yet, please contact us at items (if applicable) There is often some processing time before a refund is posted. Then contact your credit card company, it may take some time before your refund is officially posted. If you haven’t received a refund yet, first check your bank account again. If you are approved, then your refund will be processed, and a credit will automatically be applied to your credit card or original method of payment, within a certain amount of days. We will also notify you of the approval or rejection of your refund. Once your return is received and inspected, we will send you an email to notify you that we have received your returned item. There are certain situations where only partial refunds are granted (if applicable)Īny item not in its original condition, is damaged or missing parts for reasons not due to our error.Īny item that is returned more than 30 days after delivery. Please do not send your purchase back to the manufacturer. To complete your return, we require a receipt or proof of purchase. It must also be in the original packaging. To be eligible for a return, your item must be unused and in the same condition that you received it. If 30 days have gone by since your purchase, unfortunately we can’t offer you a refund or exchange. Be aware The Buyer is Responsible for all Return LTL Freight cost. All Products that requires LTL Freight will be shipped for free.
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