Um, Letâs Rethink That Salute (1930s) Again, in his book To the Flag: The Unlikely History of the Pledge of Allegiance, Richard J. Ellis explains that by the mid-1930s, Americans had begun to notice eerie similarities between the Bellamy salute and the âHeil Hitlerâ salute.
A lumbar puncture may be used to collect a sample of cerebrospinal fluid in order to detect the presence of certain types of cancer or infection. Lumbar punctures may also be used to inject medications, such as spinal anesthesia or chemotherapy drugs.
Explain the procedure, benefits, risks, complications, and alternative options to the patient or the patientâs representative, and obtain a signed informed consent. Before performing the lumbar puncture, ensure that patients are hydrated so as to avoid a dry tap. Never allow a lumbar puncture or a preâlumbar puncture CT scan to delay administration of intravenous (IV) antibiotics; meningitis can usually be inferred from the cell count, antigen detection, or both.