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Any volunteers?
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Art Linketter's House Party - The Final Radio Episode
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Kaloust Guedel
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Do you like emergency cases in the trauma room? You had a car crash. You will admitted into the emergency room. You wear a neck brace and a oxygen mask on your face and a guedel cannula in your mouth. Your body is fixed on a spine-board. You are conscious and moans softly in pain as you are placed on the treatment table. Now a lots of hands are working on you. Your completely clothes are being cut open, a full body examination starts. Ecg and leads placed on your chest, arms and legs. IV's in your arms are placed. The doctor feels your body from head to toe for injuries.
Well that is exactly what I want. I love the idea of being a trauma patient with lots of people working on me. As all I can do is stare at the ceiling as my condition worsens. Feeling the leads and tubes against my skin. Until I have a seizure whilst restrained to a spine board as my little heart gives up from the trauma.
Then work on my body with brutal resusutation. Strap me under a lucas as it forces my heat to beat.
Just fuck yes I need this
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Anaesthetist's Guide to Hospital Superstitions
an expansion of this post.
these are superstitions that i have come across personally! some are common, some not so much but i've seen enough people do it to include it.
don't say the "q" word. it is widely believed that saying it's quiet invites trouble. this goes for "slow", "easy", etc as well. staff will react to this.
we have lucky charms. some people have a lucky scrub cap or pen or shoes, i have lucky compression socks. this is pretty common.
never say anything positive about how a patient handled a procedure until you're away from them. one of my consultants taught me this one, it's just asking for trouble. i don't know how common this is but it's common where i work. i once said, "wow, this patient is amazing, very calm for their first surgery," and then i couldn't extubate for 45 minutes because he wasn't breathing on his own or following commands.
never mention a loved one by name on shift. routinely, i hear people saying, "my partner," or, "my kid," but never their name unless we're off the clock.
when pronouncing a patient, speak as though you are addressing them. i've seen it a few times where people will speak as though they're informing the patient that they have passed.
keeping the emergency or backup equipment nearby wards off bad outcomes. honestly, it's kinda just good practice. i always have a guedel and bougie ready for every intubation as part of this, i probably won't need it but you always need it when it's not prepared in advance.
don't bring patient's out of anaesthesia saying "are you in pain?" this is a complicated concept, there are studies on this and how drawing attention to it can increase pain awareness. instead, i like to say, "are you comfortable?" it's good practice.
the full moon brings chaos, sometimes called the "transylvania effect".
not going straight home after a shift where a patient passed. i tend to go and stop somewhere else then go home. it's so you're not followed home by the spirit, basically. i also do it to just decompress before going home.
never mention a former patient's name, even initials. again, it's good practice not to randomly bring up former patient's by name for confidentiality reasons but it's widely believed that this sort of "summons" them back.
bad luck comes in threes. sometimes people believe death comes in threes, sometimes it's a particular diagnosis or event. it tends to be "oh, i had two of (event), there's another one coming".
the black cloud. sometimes, a "black cloud" will jump from staff member to staff member inviting chaos to their shifts or difficulty for a while. there was a "black cloud" a while back in my workplace where each staff member would fail to cannulate first try for a week before it moved to someone else.
we never say "oh, it's just (procedure)". it invites trouble. e.g. "it's just an LMA case," then that patient goes into laryngospasm or you can't secure an airway. i also think it's good practice not to encourage complacency with "simple" procedures.
working with a specific coworker means you are in for a chaotic shift. similar to the "black cloud" but a bit more specific. these coworkers might be amazing at their job and have good shifts with everyone else but, for some reason, when you work with them everything seems to go wrong. i have a coworker that i adore but we refuse to work together because a black cloud seems to follow us when we're teamed up.
don't plan your free time during your shift. you'll get called back in or extend your shift.
stand your pager up or lay your phone face-up when you're on-call. it's a weird one but leaving a pager flat or phone face-down "tells the pager/phone" that you're resting and invites chaos. some people also face their pager or phone away from them when they're making coffee or having lunch.
some staff members are "shit magnets". no matter how good they are at their job, trouble seems to follow them.
eat/drink something and/or go to the bathroom before every case. if you don't, it'll go longer than expected.
don't listen to music with themes of death or suffering on your way to work. another one bites the dust came on the radio before my shift once and never again. this one, in part, i think it's also so you're not going into work with that in the back of your mind.
if a patient says, "i'm going to die," believe them.
some places will not have a room 13. i once saw a theatre department that went 12, 12a then 14.
don't look back at the theatres or the board while going on break or to the bathroom.
below the cut i'm just going to be a nerd so if you want to see that, go for it.
a lot of superstitions circle back to patient outcomes and care, i believe they call it "magical thinking" where somehow a factor is effected by an unrelated element, e.g. knocking on wood.
i also think the idea of "jinxing" is fairly common, not just in medicine.
there was an article in 2020 that reviewed 295 studies of specific superstitions and then organised them by specialty and subject while also assessing a specific superstition (patient age = chance of admittance), the evidence for this was compiled from 250,000 charts. the superstition was ultimately not supported by the data.
out of the 295 studies, psychiatry was identified as having the most articles at 74, OB/GYN was second with 44, and anaesthesia was 7th with 14. it also looked at the common themes, some of these were more diagnostic or relating to anatomy so i haven't included them as they're not relevant to the concept of superstitions in my opinion.
it did list a common anaesthesia "superstition" that people with red hair have an increased anaesthetic requirement, there are actually quite a few articles on this with varied results and a lot of them are outdated now so the research isn't conclusive but experience is a form of evidence.
there are actually some really interesting medical journals on the topic of superstitions where, as mentioned above, they measure the validity of certain superstitions and there is a peer-reviewed article from 2019 specifically on using the "q" word. it was a "randomised controlled non-inferiority trial" where we're basically testing whether the new treatment, or in this case simply saying "quiet", is worse than the alternative, refraining from saying "quiet".
this is that article if anyone is interested:
Brookfield, C. R., Phillips, P. P. J., & Shorten, R. J. (2019). Q fever—the superstition of avoiding the word “quiet” as a coping mechanism: randomised controlled non-inferiority trial. BMJ (Online), 367, l6446–l6446. https://doi.org/10.1136/bmj.l6446
and here's another peer-reviewed article on the same topic if anyone wants something a bit beefier. this was an assessment of literature, including the one above:
Umar, T. P., & Jain, N. (2022). Debunking the myth of using “quiet” in clinical departments: an integrative overview of available literature. Annals of Medicine and Surgery, 82, 104792–104792. https://doi.org/10.1016/j.amsu.2022.104792
i don't know if anyone will find this stuff interesting but i do.
#anaesthetist#anaesthesia#healthcare#writing tips#writing help#writing advice#ao3 fanfic#fanfic help#medical#surgery#superstition#superstitious beliefs#medicine
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Gone
Had issues with previous updates, so if you’re reading along you may want to check out the links for previous chapters. The full complete fic is also available via FF.Net & A03 - CreativeGirl29
Tagging 🔖 Sorry if I’ve missed anyone - If you would like to be tagged in these updates then please let me know and I’ll add you to the list.
@janetm74 @drileyf @katblu42 @psychoseal @weirdburketeer @alexthefly @misstb2 @thundergeek59 @burningcowboyhoagietaco @dragonoffantasyandreality
NOTE: Medical details were researched with additional help coming from a friend who worked in a hospital.
Previous. Chapter 35
Chapter 36. Arrested.
Scott looked at his brother lying unconscious on the bed. “Virg, don’t do this!” He begged, shaking him. “Please wake up!”
“Scott, I need you to move now!” Dr Sylvia ordered.
Scott quickly moved to where the rest of his family were now standing and watched helplessly as his brother's face began to turn grey. Upon gaining clear access, Doctor Sylvia immediately felt for a pulse with his one hand and pressed the emergency button with the other.
Within seconds, two nurses immediately rushed into the room. “What happened?” The one asked, grabbing an emergency bag and handing the doctor a Guedel’s airway.
“Respiratory arrest!” Doctor Sylvia stated, inserting the airway into Virgil’s throat. “Call the MERT team now!”
“On my way!” The other nurse said running out of the room.
“And call security!” Doctor Sylvia shouted after her. He grabbed the air-viva bag from the nurse, placed the mask over Virgil’s face, and rhythmically squeezed breaths into Virgil’s lungs. After a few seconds, although he was currently still lifeless, Virgil’s colour began to slowly improve.
“Do we know what happened?” The nurse questioned, as they continued to work together to keep Virgil alive.
Doctor Gerry Sylvia indicated the discarded syringe that had been abandoned by Virgil’s IV. “This man,” Doctor Sylvia replied, indicating the unconscious Hood who was still slumped on the floor, “he was seen injecting an unknown substance into Virgil’s drip.”
“His he okay?” The nurse asked beginning to move towards the Hood.
“He’ll be fine, Virgil's the one not breathing… We can deal with him later!” Doctor Gerry Sylvia ordered.
The nurse nodded, snapped on some gloves and placed the syringe in a kidney dish. Meanwhile, the other nurse hurried back into the room and quickly informed them that the MERT team were now on their way.
Gerry glanced worriedly at the family as he continuously worked on Virgil. “Nurse, can you take them into the hallway?”
“Of course!” The nurse replied observing the family, who were now in various stages of shock. “Can you please follow me?” None of them moved, oblivious to the nurse, as they all remained transfixed on Virgil. “This way!” She repeated.
Scott was the first to awaken from the haze he was under. “No, I’m not leaving him!” He stammered, beginning to shake from the shock at seeing his younger brother looking so lifeless.
The nurse smiled sympathetically. “I understand that you don’t want to leave him, but the doctors will need the space to work on your brother, okay?”
Scott bowed his head and with tears in his eyes moved out of the room, his brothers and his grandma following closely behind, each of them in a dazed state.
“Sir, this way.” The nurse requested, noticing Jeff hadn't moved, and was now staring furiously at the Hood. “Sir, you really need to come with me… Don’t worry about that man, we’ll make sure that security deals with him!”
“This man,” Jeff growled, “this man, is the reason my son is in this hospital. He’s tortured him… And put him through so much physical and emotional pain! And now… Now he’s gone and hurt him again… And this time… My son might actually die!” Jeff’s voice trailed off as he felt tears of rage beginning to swell up in his eyes.
“Sir, please come with me!” The nurse urged once more.
Reaching down Jeff grabbed the Hood by the scruff of his collar. “Oh, I'm coming nurse… And so is he!” Jeff snapped, flinging the Hood into the hallway. Jeff began charging towards him, coming to an immediate stop, when he saw the MERT team making their way into Virgil’s room with the resuscitation trolley. “Oh, God… No!” Jeff cried sinking to the floor.
The MERT team raced into the room and within seconds they had immediately pulled the bed away from the wall, removed the bed head, and ensured that Virgil was lying flat. Doctor Sylvia gave a quick synopsis of Virgil’s condition to the ICU doctor, who had arrived with the MERT team, while continuing to bag oxygen into Virgil. The ICU doctor began listening to Virgil’s chest, while the nurses placed electrodes onto him, took his obs, inserted extra fluids into his IV, and checked his pupils.
“Okay, let’s intubate! Give him 10 of Vec.” The ICU doctor ordered.
The nurse drew up some fluids into a syringe and injected it into Virgil’s drip, she then opened some draws on the resuscitation trolley, taking out numerous pieces of equipment and handing them to the doctor. Within seconds, the ICU doctor inserted a clear plastic tube into Virgil's throat and immediately attached it to another machine.
As soon as the MERT team had gone into Virgil’s room, the nurse who had taken them outside helped Jeff to his feet, leading him and the rest of the family further up the corridor, and away from the distressing scenes. “The doctor will come out and talk to you as soon as he can. Will you be okay while I just check on these two?” She questioned, indicating the two security guards who were now waking up after being knocked out.
“Yes,” Ruth Tracy nodded, taking a comforting hold of Jeff’s arm.
“Good.” The Nurse replied.
Scott glared at the two Security Guards, instantly stopping when he saw the glazed look in their eyes. “They were hypnotised.”
“Doesn’t surprise me!” John frowned, glaring at the Hood, who was now beginning to regain consciousness. “Hey!” He yelled when he noticed the Hood starting to get up. “Where do you think, you’re going?” John stormed towards the Hood, seized him by the throat, pinned him against the wall, and leaned aggressively into his face. “What did you give my brother?” The Hood remained silent, shocked at the suddenness in which he had been grabbed. “What did you give him?”
The Hood let out a chilling laugh. “That would be telling!”
“Tell me!” John threatened, clutching the Hood's throat even tighter.
“Can’t breathe!” The Hood gasped, struggling against the tightness that was now being applied to his neck.
“Neither can my brother!” John roared, delivering a sharp punch to his stomach. “Now, what did you give him?”
“Come on Sir, I think he’s had enough!” The nurse ordered, trying to pull John away from the Hood.
“Yes, and so as my brother!” John retorted back, delivering another sharp blow to the Hood’s stomach. “He’s all yours!” John grunted, throwing the Hood back onto the floor, before making his way back over to his dad, grandma and brothers who were all staring at him completely stunned by the reaction the normally placid man had displayed.
The nurse began examining the Hood, while another security guard, who had just arrived, made sure he didn’t try to run. A few moments later, Doctor Gerry Sylvia made his way out of the room and headed towards Jeff.
Upon seeing the Doctor, the Hood let out a chilling laugh. “We did all that we could!” He cackled.
Doctor Sylvia stared at the Hood, shook his head, and focussed his attention on Jeff and his family.
“How’s my boy?” Jeff asked, terrified at what he may be told.
“He’s stable for now!”
“What?” The Hood snarled. While Jeff, his mother and all four boys released an intense breath of relief, each one trying to hold back the tears.
Ignoring the Hood, Doctor Sylvia continued. “As you know Virgil stopped breathing and because of this the ICU Doctor had to intubate him. Basically, he’s put a tube in his throat and a ventilator is now breathing for him and he will be taken to the Intensive Care Unit shortly. Thankfully, his heart rate and rhythm are still normal, and his pupils are also reacting as they should. This gives us a good indication that we managed to get oxygen to him in time and that his brain function will be okay. Unfortunately, at this stage we don’t know what he was given. However, once he’s in the ICU ward they will be able to investigate and see what further treatment is required.”
“When can I see him?” Jeff questioned.
“They are just prepping Virgil to be moved now, you will be able to see him as he goes past, but they won’t be able to stop. Someone will show you the way to the ward, and once you are there you will have to remain in the waiting room while they set everything up. As soon as Virgil is settled then you will be able to be with him then.”
Jeff shook Doctor Sylvia’s hand, thanking him for all that he had done.
Doctor Sylvia turned towards the nurse. “Have you seen Doctor Sanderson and Nurse Andrews anywhere? When the nurse shook her head Doctor Sylvia frowned. “If you do can you please tell them I would like to see them both in my office?”
The Hood released a mocking laugh which resonated down the hallway. “Oh no! Looks like the game is up!” Everyone looked at the Hood in confusion. “Oh, come on!” He started. “The doc here's obviously worked out something is going on with that doctor and nurse!”
“What are you saying?” Jeff demanded.
“Do you really think I managed to gain access to the hospital and Virgil’s room without any help… Think about it?” The Hood let out another mocking laugh. “Nurse Maria Andrews or Doctor Emily Sanderson… One of those two women helped me… She was even in the room before you showed up… And she certainly wasn’t hypnotised… She’s been very willing to help me this entire time! Don’t you think it’s weird that they are not here right now? Obviously one of them as got a genuine excuse… But the other… Well, I’m sure she will come up with something convincing!”
All of them gazed at each other, surprised at the accusations that had been made against Nurse Andrews and Doctor Emily Sanderson who they had all trusted. The Hood grinned to himself when everyone’s focus, including the security guard who had been watching him closely, shifted. Sensing his only opportunity, the Hood attempted to make his escape.
“Quick… He’s trying to run!” Alan warned.
The security guard darted after the Hood, grabbed him around the waist and pulled him to the floor. The Hood began struggling, eventually freeing himself from the man’s grasp, and tried to run in the opposite direction, coming to a sudden halt when he saw the barricade that had been quickly formed by John and Alan. Swinging himself around with the intention of trying again in the opposite direction, the Hood now found Jeff, Scott, and Gordon with the guard blocking the other exit.
“You're not going anywhere!” Gordon snapped, knocking him to the floor.
The Hood picked himself up and snarled at Gordon, spinning himself around in a full circle desperately searching for an escape route. Eventually, the Hood charged at Alan, believing that because he was the youngest it would mean that he was the weakest.
Alan however, proved him wrong by delivering a sharp punch to his face, causing the Hood to fall backwards onto the floor. “That’s for my brother!”
“Wow… Nice left hook there Alan!” Scott remarked.
Alan grinned. “No one hurts one of my big brothers and gets away with it!”
The Hood sluggishly pulled himself to his feet and stumbled in the opposite direction, only to be stopped by Scott, forcibly pushing him back to the floor. “As my brother said… You're not going anywhere!” Scott hissed.
The Hood now glared at them all. “You will never stop me!” He taunted, clambering back to his feet and quickly spinning around again. This time he propelled himself forwards straight through John and Alan. Unluckily for the Hood, Ruth Tracy had been standing behind them, and when she saw him make his mad dash she prepared herself, and swung her heavy handbag around his face causing him to topple backwards and fall once more! Wearily pulling himself to his feet the Hood began to stare down Jeff. “I will destroy you Jeff Tracy! I’ve already done it before… I killed that precious wife of yours… I will take the life of that damn boy… And then the lives of each one of your sons… You will pay Jeff Tracy!”
Jeff shook his head as the Hood continued to babble on, making all kinds of further threats against him and his family. Finally, Jeff had simply had enough. “Oh, shut up!” He stated, delivering another blow to the Hood’s face, which rendered him unconscious once more.
The nurse, who had hidden out of arms way, scurried forwards and quickly checked the Hood over, confirming to the security guard that he was okay to be moved. The guard pulled the Hood up into his arms and carried him away. Stating that he was going to place him somewhere more secure until the police finally arrived. Jeff, his boys and mother all exhaled in relief. Glad that the Hood had finally be taken out and would soon be back in prison.
Gordon looked up and down the hallway. “Where's the doc got too?”
“I'm here,” Doctor Gerry Sylvia said stepping out of Virgil's room. “I wanted to make sure that Virgil wasn't brought out during all that commotion.” Doctor Sylvia popped his head back in the doors and said something to the team inside, then after a few seconds the doors swung open.
The family all grew silent as they watched the MERT team slowly wheel Virgil out of his room, each one of them shocked and distraught at what they were observing. Virgil was covered in wires and there was so much equipment placed on the bed and around him. These included, an oxygen cylinder, the discarded syringe which was still in the kidney dish, and a chart. There was also a monitor which was beating in time with the rhythm of his heart and another machine hushing with the movements of his chest. Amongst all this machinery lay Virgil, his eyes tightly shut. He looked small and completely helpless with the tube protruding from his mouth, and the breathing apparatus taped into position with some form of cloth, which was also wrapped firmly around his head.
In desperation to be at Virgil’s side, Jeff stepped towards him but was immediately held back by Doctor Sylvia. “Don’t worry, you can be with him soon!”
Jeff stopped himself and pushed his hands through his hair, frustrated at not being able to escort his son to the ICU.
“Could you please escort the family?” Doctor Sylvia asked the nurse.
“Of course,” she confirmed.
Doctor Sylvia faced Jeff. “Okay, the nurse here will be taking you to the ICU… I will make sure you are kept updated on when the Hood is taken into custody and I’ll let you know what's happening with Doctor Sanderson and Nurse Andrews.”
“Thank you.” Jeff replied, looking anxious to leave.
The nurse smiled at the family. “Are you all ready?”
Jeff nodded, took his mother’s hand, and signalled for his boys to follow the nurse.
… …
Meanwhile: The Hood’s Hideout.
The woman stood watching the monitors, that had previously been set up for the Hood. She had decided to retreat here after the family had shown up. Safe in the knowledge that the Hood would get his revenge, but now everything that could have gone wrong, had! She breathed out in frustration, gazing at her now bandaged hand, that Virgil had bitten. Not only had the Hood's plan failed, he had gone and got himself arrested, and had also suggested that either herself or her work colleague were an accomplice. “How could he do that?” She growled. She should have guessed that he would betray her. The man was notorious! The amount of people who had helped him in the past, who had ended up either dead or in jail was exceptionally high. Although, the small percent that had come through for him had been handsomely rewarded. So, she had decided to take the risk, believing that she had the potential to pull things off! But she had failed, spectacularly, and had come out of it with zero monetary gain. Continuing to ponder her thoughts, she reflected on her past. She had pulled of other schemes before and managed to get away, free of any information regarding her involvement being known. This time however, it was entirely her own fault! She had not followed her usual protocols and because of the cockiness she had displayed at allowing him to see her face there was a strong possibility that she would be arrested. Pacing the room, she continued to reflect over what needed to be done. She knew that she needed to make sure that any plan she did form succeeded. The easy part would be securing her innocence with everyone. Well, ‘manipulating and lying to people were her speciality.’ The second part though, that wouldn't be so easy to implement! Now that Virgil was on the ICU ward, it would be difficult to gain any sort of access to him, but she knew that she didn’t have a choice. She didn’t want to go to prison! Eventually, a beaming smile spread across her face. Whatever she did, she knew that she could and would turn things around. Virgil, may have had the audacity to go and survive but she would make sure that she finally silenced him once and for all!
Next C37. Waiting Room
NEXT: Chapter 37.
Next. Chapter 37. Waiting Room
Next. Chapter 37. Waiting Room.
#thunderbirds fanfiction#cg29fics#thunderbirds#thunderbirds are go#thunderbirds original series#tagficgone#Whump#thunderbirds fandom#thunderbirds are go fanfiction#thunderwhump#tag fic
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The NET brand ARTIFICIAL RESUSCITATOR (REANIMATION BAG), SILICONE, AUTOCLAVABLE - Deluxe Quality (100% latex-free) (Adult) is a high-quality product with a capacity of 1600ml, accompanied by translucent face mask sizes 3, 4, & 5, and guedel airways ...
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VISITA A LA POLICÍA LOCAL
Los niños de 6º EP fuimos a visitar la Policía Local. Cuando llegamos, esperamos a que nos dejaran entrar para que nos dieran una placa de cartón. Luego, nos sacamos una foto con los agentes de la ley y una moto.
Después, esperamos dentro del parking y el general nos mandó ir al DESA.
También nos enseñaron cómo poner y medir el tubo de Guedel, así como nos enseñaron a usar el desfibrilador automático y el ambú.
El general nos mandó al estand de la unidad canina. Allí, el guía canino nos estuvo explicando todo un poco. Luego, sacó a su perro Turbo, que jugaba con un trozo de manguera. En la mesa tenían sustancias prohibidas y nocivas y los perros las distinguían. Después, nos mostraron unos drones que tenían.
Al final, hubo una presentación con todo lo que nos habían enseñado.
También se sacaron una foto con todos los colegios y el alcalde, que les dio la mano a todos.
Eduardo Matilla Fernández (6º EP) Alejandro Chamorro García (6º EP)
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Donations to purchase so I can make videos to get a ventilator.
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"Yesterday's" Comic> Havoc 21 Presents #3
BW's "Yesterday's" Comic> Havoc 21 Presents #3
Sticking it to Edna Mode. Havoc 21 Presents #3 Wolfman Productions (Winter, 2013) EDITORS: Eugene J. Byrne & George Amaru Legacy Of The Falcon: “In Dreams” WRITER/ARTIST: George Amaru TONES: Jason Wojtowicz LETTERERS: Daniel Chan & George Amaru Legacy Of The Falcon: “Preludes” WRITER: George Amaru ARTISTS: George Amaru & Randy Silverman LETTERERS: Franzisca Guedel & George Amaru “Genevieve”…
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#Genevieve Lancaster#George Amaru#Nexmanus#Sir Charles the Falcon-Hearted#The Falcon#Wolfman Productions#Xander Evans
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Unpopular Opinion: Groucho was funnier with a script.
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In this post, we'll delve deeper into the correct technique for insertion of the guedel airway.
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sir that's my emotional support guedel
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Guedel Airway
https://www.reborn-med.com/product/airway/guedel-airway.html
Scope of application: During anesthesia surgery,it is placed in the patient’s oropharynx to ensure ventilation and assist in intubation of the trachea Features: ·It is used to treat or prevent upper respiratory tract obstruction caused by the tongue touching the palate or attaching to the back wall of the pharynx ·Semi-rigid and non-toxic polyethylene tube body protects teeth; color tooth pad occlusal part with beautiful color ·It can be used as a tooth pad to prevent the patient from biting the tracheal tube in the mouth ·It can assist in sucking oral secretions and inserting into the oropharynx or stomach tube ·It is convenient for emergency ventilation, postoperative recovery, and prevents tongue base from being placed behind
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