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SPECS: M14x1.50 thread - Open End Bulge Acorn Style wheel Lug Nuts - Conical 60 Degree Seat - 7/8" (22mm) Hex - 1.12"(28.4mm) Height, set of 24
Description: Vehicles with wheel studs requiring 14mmx1.5 thread and wheels that take a conical 60 degree seat with a 3/4" hex ( NOTE: Please tighten the lug nuts manually, DO NOT use electrical tools)
HIGH QUALITY: Triple chrome plating with essential layers of copper nickel and chrome to provide exceptional strength beauty and corrosion resistance
DIRECT REPLACEMENT: Our wheel lugs are tested and meet or exceed OEM performance requirements, Factory Replacement Part#: 9591772 and 9595175
Thread Size: M14x1.50
Package Quantity: 24
Overall Length: 1.12"(28.4mm)
Seat Type: Conical
Style: Open end
Hex Size: 7/8" hex
Make sure wheel studs are clean and tight. Replace ortighten a problem stud.
Ensure the wheel is flat against mounting surface withstuds through each hole.
All nuts should be hand started and thensecured in a criss-cross sequence with a torque wrench and socket. Refer to your vehicleowner's manual or wheel manufacturer's guide for propertorque specifications. 12mm Lug size should use 70-80 torque.
Check and retighten all nuts after 25 miles of driving andagain after 50 miles, until wheel nut torque remains unchanged
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“There are some things you learn best in calm, and some in storm.”
– Willa Cather
Over the past several years, I’ve thought a lot about what to say during the immediate moments after a failed cardiac arrest or traumatic resuscitation. When the rush of adrenaline comes to a screeching halt and all that is left is a deafening silence, Read More
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.
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.
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
VBG: 7.03/14/65, Calculated Bicarb 5
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?
What are the risks of intubating this patient?
What would be your intubation strategy? Method, intubation medications, and things to pay attention to?
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?