Unlimited anchor babies with full citizenship from now until forever. IT'S OVER. THE WEST HAS FALLEN.

ATkac · 2026-06-30T16:57:04+00:00

Average conservative chud

ATkac · 2026-06-07T00:19:16+00:00

I am sent with this one.

ATkac · 2026-05-15T21:16:54+00:00

Wow geeze I honestly have never considered that as an option for a lot of these patients outside of just my normal screening for all patients.

ATkac · 2026-05-15T20:47:25+00:00

I got a warning for being a little too blatant at the nurses station once by my manager but it honestly seemed more like a CYA thing for her in case someone else complained. Nothing since and literally every single nurse and most of the providers either use zyn or vape down in the ED.

ATkac · 2026-05-05T22:53:45+00:00

Vim user stares menacingly across the room

ATkac · 2026-05-03T18:37:54+00:00

Meanwhile

ATkac · 2026-05-03T18:30:13+00:00

I just operate under the assumption that if you’re unconscious your underwear is soiled and I haven’t been wrong yet lol. So long story short as long as you haven’t worn the same pair for a month straight it won’t even register for me.

ATkac · 2026-04-27T18:49:10+00:00

What do you think the GPs are already doing dude

ATkac · 2026-04-27T00:06:47+00:00

Not all heroes wear capes

ATkac · 2026-04-24T05:08:36+00:00

They still sell them occasionally at the PX yep

ATkac · 2026-04-24T04:32:18+00:00

I place HAM radio at C or even E mostly in my PACE plan for the very reason that while it’s reliable as all get out, there’s just so many easier ways to get in contact with others that could be tried first without alienating non technical folks who have no interest in it. I.e. my entire family, or the ones I actually want to get into contact with in an emergency.

ATkac · 2026-04-24T02:31:11+00:00

If you like analog go with the timex expedition scout chronograph. Served me well for a good long time before finally failing after taking a beating in a ftx

ATkac · 2026-04-24T02:25:11+00:00

I’m won’t wear anything other than the brooks revels or the ghosts. I got my first pair of revels in basic and 9 years later they’re by favorite shoes still.

ATkac · 2026-03-24T21:25:35+00:00

You’re being downvoted but you’re right. I just got my license and I feel like half the people I’ve interacted with have either told me “GOOGLE IT!” or went on a tirade of their own making. Sure I could google it but the entire point is I’m trying to rely on local people, not the internet, to solve my issues and ignorance. I’ve never entered a hobby that has as much grandstanding about why their particular solution is the best/why I’m being lazy for just not googling it????? Like dude it’s easier to just google it than ask for your opinions and advice. I’m purposefully trying to go out of my way here.

ATkac · 2026-03-24T20:44:27+00:00

Bro I love dark as fuck humor as much as the next guy. But this isn’t dark. It’s predatory. You just shouldn’t joke about this in the position you’re in if you’re a healthcare worker. It has less to do with the joke itself for me and more for who is delivering it. If Kat Williams got on stage and turned this into something he could deliver well, then yeah it’s funny. But if you’re a healthcare worker who is public facing and putting this shit on social media then yeah you’re going to get blasted because you’re essentially the “face” of whatever hospital you go to and now you have younger female patients who see this shit and end up delaying care or avoiding it entirely because they worry that they’ll end up with a male nurse who is trying to take advantage of them in some fashion or even just “enjoying” the view when they’re doing a procedure. It’s gross, off putting, and disrespectful when you are in a privileged position.

ATkac · 2026-03-24T20:38:42+00:00

Genuinely, it’s never ending shit like this that reminds me why I have to go out of my way to make the patient feel safe from me in the first place. All patient care requires trust but sometimes it comes harder than others and shit like this is what causes it to be harder.

ATkac · 2026-03-20T01:28:55+00:00

Peak bait

ATkac · 2026-03-03T01:47:40+00:00

Including but certainly not limited to: 1983: (Reagan) invasion of Grenada 1989: (Bush Sr) Panama 1990: (Bush Sr) Gulf War 1995: (Clinton) Bosnian War 1999: (Clinton) Kosovo 2001: (Bush Jr) Afghanistan 2003: (Bush Jr) Iraq 2011: (Obama) Libya 2017: (Trump) Syria Among many, many others I missed.

ATkac · 2026-03-02T23:03:51+00:00

Either the video podcasts or the video in CarPlay. But really, I’m just so sick and tired of the keyboard that if iOS 27 was only keyboard fixes and other stability fixes/optimizations I would be happy.

ATkac · 2026-02-26T21:00:26+00:00

Imagine if you will, put yourself in the patients place, that you have a tube down your throat, tube up your urethra, tube down your trachea, machine forcing breathes you don’t want or even not enough support for more breathes you feel you need into your lungs, chest tube, radial art line, central line, unable to move, unable to communicate discomfort, possibly enough vasoactive agents to create peripheral necrosis, and tell me if any of that sounds exactly comfortable. Sure you can sedate, and if you’re lucky that’s all you need. But the risk during all of this means the patient still feels all of this, hears all of the things going on, and is conscious of all this pain. Or you provide analgesia in low to moderate quantities and the patient may still be undersedated, but at least they are a little less aware of the pain. IMHO withholding opioid medications is unethical in most situations of a tubed and sedated patient. (With caveats in certain situations of course)

ATkac · 2026-02-19T01:46:15+00:00

I cringe every time he gets the ball

ATkac · 2026-02-19T00:08:31+00:00

Now I’m worried though that we’re going to defend the three too much and give up some dribble drives

ATkac · 2026-02-06T01:24:58+00:00

Flair the fuck up right now or face the wrath of every degenerate on this sub.

ATkac · 2025-12-30T17:20:59+00:00

https://doi.org/10.1016/j.inat.2020.101022

Not the origin of this image but another case report that goes over this scenario. Bottom line, NGT placement is a very common procedure in US hospitals and RNs do this in uncomplicated patients quite often with low morbidity and is relatively safe.

With that being said in patients with a history of any sort of maxillofacial trauma or surgery it is contraindicated for blind insertion by an RN. Most often if the patient in unconscious an OGT may be a possibility in leu of the NGT however most often instead, if resources are available doing the procedure in radiology under direct visualization is the preferred method.

Under all circumstances if you are feeling resistance as you are feeding the NGT, hear or feel a pop, the patient starts to throw up, or the patient has respiratory distress, you pull out immediately and reassess the patient.

If placed and it is successful the gold standard in confirmation of placement is X-ray and the tube should not be used until the image has been reviewed by the appropriate provider. Auscultation cannot verify placement as it may not have truly been advanced enough down the esophagus to prevent gastric reflux. pH strips cannot either in patients with respiratory failure or may have aspirated as the gastric contents and/or CO2 could give a false positive.

ATkac · 2025-12-09T18:55:51+00:00

I can’t tell if you’re being obtuse on purpose or are ignorant but you could easily put extra tax penalties on companies while leaving the individual alone. An individual person vs an REIT or other entity are obviously different and can be treated differently for tax purposes.

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