![]() Look for vital sign changes and abnormal ETCO2 to identify pneumonia with sepsis Consider administering IV fluids to suspected pneumonia patients who are hypotensive, feel weak, have dry mucus membranes or poor skin turgor. Patients with pneumonia are also frequently dehydrated. Capnography is also the most reliable method to confirm advanced airway placement and provides continuous feedback on respiratory rate to help avoid hypo or hyperventilation. Waveform capnography can be used with a bag valve mask or advanced airway to determine airway patency and effective air exchange in the lungs. Patients may have secretions in their upper airway that require suctioning and require assisted ventilation with a bag valve mask. Pneumonia can cause respiratory failure and decreased mentation. Shifts in the capnography waveform toward or away from a normal rectangular shape show how well the patient is responding to treatment. The more pronounced the shark fin on the capnograph, the more severe the bronchospasm. Patients with wheezes or diminished breath sounds, along with a slurred, shark fin appearance on the capnogram, have constricted lower airways and benefit from nebulized albuterol. In addition to auscultating lung sounds, waveform capnography is a useful tool to identify bronchospasm in pneumonia. CPAP works by increasing pressure in the lungs and improves oxygenation and ventilation across the area affected by pneumonia and recruits collapsed alveoli surrounding the affected area. Assess skin color and pulse-oximetry to identify hypoxia and administer oxygen via nasal cannula or nonrebreather mask to titrate a pulse oximetry reading of 94 percent.įor patients who are awake and protecting their airway, CPAP can improve work of breathing and oxygenation in patients who remain hypoxic after supplemental oxygen. Pneumonia can cause hypoxia and increased work of breathing. ![]() Consider pneumonia as a differential diagnosis in elderly patients with vague complaints, such as altered mental status.Ī definitive pneumonia diagnosis is made by chest X-ray in the hospital. Cough reflex also diminishes with age, so elderly patients with pneumonia may not have a productive cough. However, elderly and immunocompromised patients may not have a fever with infection. Localized or unilateral crackles, rhonchi, wheezes or diminished breath sounds may be heard over the affected area of the lungs. Patients with pneumonia usually report a gradual onset of difficulty breathing, along with fever and chills, a productive cough and chest pain associated with the cough. ![]() Look for a gradual onset of difficulty breathing, fever and localized abnormal lung sounds to identify pneumonia The severity of pneumonia from any cause depends on how much surface area of the lung is affected by inflammation, which is based on the virulence of the invading pathogen, the strength of the immune response and the patient’s overall health. Streptococcus pneumoniae is the most common bacterial cause of pneumonia, while influenza and respiratory syncytial virus are the most common causes of viral pneumonia. Pneumonia can also be acquired from inhaling droplets containing a bacteria or virus. The most common route of pneumonia infection is aspiration of saliva or nasal secretions that harbor bacteria. ![]() Pneumonia can be caused by a bacterial, viral or fungal infection. The inflammatory response causes fluid or pus to accumulate in the alveoli and prevents oxygen exchange over the area affected. Pneumonia is caused by an immune response to pathogens that colonize an area of the lung. Pneumonia causes inflammation of a section of lung that impairs air exchange Here are three things you should know about pneumonia and sepsis: 1. EMS plays an important role in identifying pneumonia, identifying sepsis caused by pneumonia and treating the respiratory and circulatory complications associated with pneumonia and sepsis. Much of the morbidity, mortality, and health care costs associated with pneumonia occur when it progresses to sepsis. According to the American Lung Association, pneumonia causes more than 1 million hospitalizations and more than 50,000 deaths each year. Pneumonia is the leading cause of infectious death in industrialized countries.
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Also unclick the apple, shift and control boxes on the far right. Once that is done you don't worry about that again. There are a lot of other things you can do, that's one big example of what I use it for, though! Update, April 25th 2014: For those of you that are Max for Live capable, here's a more elegant solution from AfroDJMac, for changing quantization with MIDI: afrodjmac.Emilebes wrote:As far as I can remember the sustain pedal is set up as a non-latching pedal in the blueboard software. Just like that you've got toggle quantization! I prefer a single toggle button on my KORG Nanokontrol, so I've got one rule in Bome's that triggers ⌘-Shift-X on MIDI ON, and a second rule that triggers ⌘-Shift-Z on trigger off. You'll see it added to the list, and if you reload Ableton, you should see it there now as well.įrom here I do the same thing for No Quantization, but set the key command to ⌘-Shift-Z.Īfter that, it's just a question of setting it to the controller and MIDI message you want in Ableton. Once I've got that in I assign ⌘-Shift-X as the key command, and hit add. For example, I want Sixteenth-Note and Triplets Quantization, so you'd have to type that exactly in order for OSX to match it. ![]() To add a new command you'd hit the plus button, select Ableton from the Application list, and then type in the exact text from the menu item you want to shortcut. Case in point-I'm always accidentally hitting ⌘-Q while I'm working so I've actually got some programs set to only quit if I hit ⌘-Shift-Q now. If you go to System Preferences > Keyboard > Keyboard Shortcuts, you can assign your own key commands, or even modify existing ones in programs if you don't like them. It's a bummer, but in OSX (and if my memory serves me correctly Windows as well), you can actually define your own key commands for situations like this. One of the unfortunate things you'll notice when you go to Ableton's Edit > Record Quantization menu, however, is that Ableton doesn't ship with key commands to change the quantization settings. ![]() Depending on what I'm trying to do it's nice to be able to fall back on a nice Sixteenth Notes-and-Triplets foundation, but have the option to make things more organic by toggling to No Quantization mode. One of the things I like to toggle a lot during live Ableton performance is quantization. You can really apply this to anything you can think of that has a keyboard shortcut, and even a few things that don't have keyboard shortcuts, to boot. (For a free solution, I believe MidiStroke may still work) One of the magical features it has is the ability to convert MIDI messages into keystrokes, enabling you to do stuff like duplicate clips in Ableton (⌘-D) with the press of a button, instead of touching the keyboard. ![]() Like I've mentioned before I use Bome's Midi Translator for a lot of automation and chained MIDI message handling. There are occasional tasks that are unavoidable, but certain things that are keystroke only, I did manage to work around into my MIDI controllers. One of my cardinal rules is a sort of "laptop-as-a-hot-potato" thing, essentially trying to make interaction with the physical laptop as minimal as possible. It's what led me to continue to explore looping for my live performances. It occurred to me that I could be doing anything up there, checking my email, looking at porn. I essentially was doing just that, sitting in front of my computer and occasionally hitting a couple of buttons. 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I wouldn’t really recommend looking at competitors at this price, because none of them are cheaper than the WEN, while offering less features. From all the sub-350 benchtop thickness planers, this is definitely the one to get. Obviously you cannot expect great build quality at this price, but that is a problem of all competitors too. The dust port is also fan-assisted, which helps prevent clogs.Īll in all, it’s a solid benchtop planer that will do the job. It’s a simple feature but makes life a lot easier and it is missing on other machines of this price. This allows you to quickly see if you’re taking off too much or too little. Depth of Cut IndicatorĪnother upgrade is the depth of cut indicator, which measures how much you’re shaving off as you feed in the wood. It also has a cast-iron table, and a pretty powerful 1800 Watt (15 Amps) motor, which is just as much as more expensive competitors like DeWalt and Makita. This reduces the ‘choppy’ pattern you get from some planers. It has 3 blades now, instead of 2, which leads to better cut quality as there is less space between each blade’s contact with the wood. However, the latest 6552T model from WEN sets itself apart from the competition – all while maintaining the same competitive price. That used to be true for the previous WEN 6550 model as well. They are all more or less the same basic machines, just with different branding. There’s quite a few brands ( Craftsman, Porter Cable, and more) selling almost identical benchtop planers in this price range. ![]() I’ll also give specific options for the EU and North America, as not all machines are available globally. To help you filter out the options and go straight to the best machines for your specific budget.įor each price range I not only select the best machine, but also give you some alternatives – as not everyone has the same demands, so you’ll have something to choose between. 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