In those with poor tissue perfusion, boluses of isotonic crystalloid solution should be given. Treatment typically involves uses of vasopressor, inotropes, fluid boluses, and introduction of resuscitation. He then uses an insulin pen as needed for his food and correction boluses. Cilia lining the groove form particles into boluses and move these along to the mouth. Participating bakers may get eight boluses judged. Other tools may be used to remove food boluses. Boluses also get sold in Jerusalem, Moscow and in Paris and the south of France.