You are called to the bedside to evaluate a 6 week old forme…

You are called to the bedside to evaluate a 6 week old former 28 week male infant due to concern for abdominal distension. He has been receiving full feeds of maternal EBM fortified with human milk fortifier with history of good toleration. He has been stable on 3 LPM high flow nasal cannula in < 30% FiO2 for over 1 week.  Your exam findings are significant for: severe abdominal distension with guarding and tenderness, tachypnea, tachycardia, cool extremities and prolonged capillary refill time. The bedside nurse notifies you that the baby had a normal abdominal exam 3 hours prior but has been having apnea and bradycardia frequently throughout the day. You note the oxygen requirement is now up to 50% FiO2.  You obtain a KUB that is significant for dilated bowel gas pattern and diffuse pneumatosis throughout the distal small intestine and throughout the colon. You request a blood pressure and it is normal. This baby is demonstrating signs of which of the following stages of shock?

Ziegenthaler is an analyst and trader for a large global ass…

Ziegenthaler is an analyst and trader for a large global asset management firm. The president and CEO of the firm is a legendary figure in the investment industry and appears regularly on global financial television programs as a commentator. Videos of these appearances routinely show the CEO sitting in the firm’s trading room with the traders’ workstations featured in the background. Ziegenthaler’s workstation and computer screen are often clearly visible during the CEO’s television appearances.     In addition to working as an analyst for the firm, Ziegenthaler is a passionate supporter of an animal rights organization that protests the use of animal fur and hides by the fashion industry. During the CEO’s next television appearance, and unnoticed by the program’s producers, Ziegenthaler pulls up a graphic anti-fur poster on her computer screen so that it can be seen by viewers. Several of the firm’s clients, including members of the family of a prominent fashion house, are offended by the graphic and complain to the firm. Ziegenthaler’s actions are: