I ate all the popcorn at the bar and I’ll even eat some crumbs tonight. ![]() They played a family favorite, “Blues de Tactac,” Cajun-French for popcorn blues.Īs Andre Michot explains, “‘Blues de Tactac’ means I went out last night, going out tonight, and I’ll do it again tomorrow. ![]() Later at the Allison Minor Music Heritage Stage, named for one of the original founders of Jazz Fest, the Rambler’s Michot brothers played a more intimate set with storytelling between songs. Clad in a navy suit, this showman proved he’s ready for the main stage.Īcross the Fairgrounds at the Gentilly Stage, the Lost Bayou Ramblers played a raucous set with their fiddle- and accordion-stomping Cajun music. Fresh off the Mississippi Rail Company, Geoffray plays as fast as the Ferriday Killer, Jerry Lee Lewis, and the growing crowd sang along to “Mabel” and “Take Me Home,” even though these new songs from Highway Kings were released less than a month ago. Over at the Acura Stage, Travers Geoffray opened with a Pete Johnson cover, “Death Ray Boogie,” and then steamrolled his hot piano through his own catalogue. People teemed at the Gospel Tent’s doors, dancing, catching that contagious feeling of community worship led in song and clap by the First Baptist Church of Vacherie Mass Choir. WWOZ live-streamed from the Blues Tent as Brother Tyrone & The Mindbenders began Day 2 of the 48 th New Orleans Jazz & Heritage Festival. Beneath the cumulous clouds rolling overhead-a kind respite from the sun-were Mississippi Kites and white shore terns soaring and rising in the wind. ![]() Gulf winds blew through the Fairgrounds on Saturday in steady gusts ahead of today’s storm.
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![]() spike in the pocket or a knife with a large hinged marlin spike on the. Primary changes involved correcting grammar, spelling, and removing inaccurate or out of date information. as a large nail, spike, knife, or the heel of a skate blade used as an ice. The implements lock in the open position The blade and spike can be opened one handed. It has a modified, serrated sheepfoot blade with integrated shackle key, marlin spike, and LED flashlight. Turn of the 20th/21st century rigging knife made for the United States Coast Guard and the Civilian Market approximately 100 years later than the Westby Clasp knife.Ĥ40C Stainless steel construction and Zytel handles It requires both hands to open all implements. It has a spear point blade, large marlin spike and triangular shapped can opener. Turn of the 19th/20th century rigging knife made for the British Army and Royal Navy around the time of World War.ġ095 carbon steel, construction with a copper bail and jigged wood handles. See also: my page Comparing Knives found in the section: My Nautical Knives. The older two handed folders hang around for menial chores, calm seas, and the yacht club. This is why almost all true sailors rely on a fixed blade or a one-hand opening folder as their primary knives. When the storm is raging and the waves are tossing you about, the last thing you're going to want to do is let go with both hands in order to open a folding knife. The evolution of the sailing was driven by the needs of the sailors who use them. However, if you're looking for a reliable sailing knife that is easy to operate with one hand, then the older patterns are not going to be a good choice. If you look at my collection that will become evident. I will admit that I have an affection for many of the older pattern sailing knives. However, many of the old patterns remain quite popular among collectors and active sailors alike. For many of today's sailors, these are really the only sailing knife worth using. Today, some of the best sailing knives allow one hand operation for both spike and blade. Still later some knives allowed both the blade and spike to lock yet it still required both hands to open and close the implements. Later the spike locked in place but the blade did not. Most often, they used a slip joint design which meant the blade and spike would not lock in place. For instance earlier knives almost always required both hands to open and close the blade or marlin spike. As Stainless steel evolved, newer grades and alloys of steels as well as other metals, notably aluminum and titanium were introduced in making of sailing knives.Īnd while the basic design concept of the folding sailing knife remained the same, an evolving thought process went into the overall concept of how the knife should work. This was soon followed by the introduction of Stainless Steel. The first dramatic change was probably the use of synthetic materials for knife handles. As such, the sailing knife has gone through a great metamorphosis. Knife technology has changed dramatically in the last century. ![]() Install fastlaneīrew cask install fastlane Setup Fastlane in project directory fastlane init It helps you to generate screenshots, build , test and deploy app on App Store.
![]() AHA recommends for moderate & high risk Unstable angina/NSTEMI unless CABG within 24hr.Give heparin or enoxaparin along with ASA (Class 1A evidence).Administer at time of PCI, not in the ED.Benefit only for patients undergoing PCI.Main risk and contraindication is bleeding.Mortality benefit with NSTEMI (CURE trial: Decrease in cardiovascular death, MI, or stroke by 9.3-11.5%).Clopidogrel (see drug link for specific age and indication-related dosages).In pts with true ASA allergies, substitute Clopidogrel.Should be used in all ACS unless contraindicated (eg Anaphylaxis).Medical management vs cath determined by level of risk for future cardiovascular events.Dual antiplatelet therapy and antithrombotic therapy is mainstay of treatment.High-risk findings on noninvasive stress testing.New or presumably new ST-segment depression.Recurrent angina/ischemia with or with out symptoms of CHF.Esophageal perforation (Boerhhaave's syndrome).More likely to report central chest painįactors associated with delayed presentation ĭifferential Diagnosis Chest pain Critical.More likely to report fatigue, dyspnea, indigestion, nausea or vomiting, palpitations, or weakness, although some studies have found fewer differences in presentation.Less likely to receive timely reperfusion therapy.Less likely to undergo cardiac catheterization.Less likely to be treated with guideline-directed medical therapies.Chest pain associated with nausea/vomitingĬlinical factors that decrease likelihood of ACS/AMI:.Chest pain radiating to both arms > R arm > L arm.Type 5: Myocardial Infarction Related to CABG ProcedureĬlinical factors that increase likelihood of ACS/AMI:.Type 4: Myocardial Infarction Associated With Revascularization Procedure.Sudden cardiac death with symptoms suggestive of myocardial ischaemia without elevated biomarkers.Type 3: Cardiac Death Due to Myocardial Infarction.coronary spasm, embolism, low or high blood pressures, anemia, or arrhythmias) Condition other than CAD contributes to an imbalance between myocardial oxygen supply and/or demand (e.g.Type 2: Myocardial Infarction Secondary to an Ischemic Imbalance.Atherosclerotic plaque rupture or intraluminal thrombus in one or more of the coronary arteries.Type 1: Spontaneous Myocardial Infarction.NSTEMI includes Type 2 -Type 5 biomarker elevations.Association between quantity of troponin and risk of death.Age >65 with MI and anemia had 33% reduction in 30 day mort if transfused to keep HCT >30.5% of NSTEMI will develop Cardiogenic Shock (60% mortality).33% with confirmed MI have no chest pain on presentation (especially older, female, DM, CHF).5.4 Unstable Angina - NSTEMI Guidelines.Severity of coronary artery disease (CAD) on angiography: no significant CAD: 35%, one-vessel CAD: 28%, two-vessel disease: 20%, three-vessel disease: 17%, acute thrombotic lesion: 5%.Median Glasgow Coma Score (GCS) on admission: 3. ![]() Median time from arrest to ROSC: 15 minutes.Obvious noncoronary cause of the arrest.ST-segment elevation myocardial infarction (STEMI).No ST-segment elevation on ECG post-ROSC.Targeted temperate management was initiated as soon as possible. The intent of angiography was to revascularize any possible culprit lesions, either with PCI or coronary artery bypass grafting. Median times to angiography post-arrest were 2.3 hours for emergent vs. In the delayed arm, coronary angiography was performed after neurological recovery, in general after the patient was moved out of the intensive care unit. Eligible patients were randomized in a 1:1 fashion to either emergent angiography (n = 273) or delayed angiography (n = 265). |
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