A 16-year-old boy has been inhaling paint fumes to "feel good." His grandmother called 911 when she found him doing this in the basement and he told her he was having a hard time breathing. He is alert and oriented, with a patent airway and adequate breathing. His radial pulse is strong and skin warm and dry. Your partner reports mild wheezing in both lungs. Vital signs are: pulse 92,
respirations 20, blood pressure 148/62, and SpO2 98 percent on room air. He has no medical history. Appropriate initial care would include:
A) positive pressure ventilation with supplemental oxygen.
B) breathing treatment with a metered dose inhaler.
C) oxygen at four liters per minute through a nasal cannula.
D) high flow oxygen through a nonrebreather mask.
D
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The hand was prepped and draped in the usual fashion after obtaining satisfactory analgesia with infiltration of local anesthesia. An elliptical skin incision was made surrounding the lesion. The skin lesion was completely excised and closed with interrupted 4-0 Dexon for the subcutaneous tissue and skin with 4-0 Dexon. Neosporin ointment was applied.
Operative Note: Excision of epidermal benign lesion on dorsum hand measuring 1.9 cm x 0.5 cm x 0.8 cm. a. 11308 b. 11402 c. 11422 d. 11424
What are the future plans of the WHO in terms of vaccination?
What will be an ideal response?