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contraindications to an oral device. 2. Which of the following is a contraindication to the use of an oral device rather than PAP therapy for those with OSA? Hypothyroidism. BMI greater than 30 kg ⋅ m −2 . Mixed obstructive and central apneas. Nadir peripheral oxygen saturation below 85%. ANSWER/DISCUSSION 2. C. Mandibular advancement splints and tongue-retaining devices are oral devices often used to treat patients who decline or cannot tolerate PAP therapy. However, they are not appropriate in patients with CSA, as oral devices only

lyophilized powder and a diluent. If only the diluent is present, the infection cannot be treated. Alternate clusters allow capabilities to be fulfilled in multiple ways using equivalent resources, e.g., a wrist splint may be fabricated from plaster, fiberglass, or a rigid object with tape. As long as one of the alternatives is present, the condition can still be treated. Alternates can be either individual resources or clusters themselves, such as those required for an intravenous line vs. an intraosseous line. This structure preserves essential capabilities even when

and maternal mortality, and the inclusion of a drug like oxytocin could prevent an unfavorable outcome. 18 FAA is the only one to include ammonia salts, which are discouraged by IATA. FAA is the only one to regulate splints or orthoses for limbs; Kenyan regulatory entities do not enforce the need for medication in the EMK for the airlines they regulate. Considerations on Pediatric Age Pediatric emergencies account for about 15.5% of all OME. 19 However, only in recent years and only by EASA, the inclusion of some medications in syrup form has been