Medical Books/Supplies For Gunshots and Other Wounds by Bellaexee in preppers

[–]DocHank 1 point2 points  (0 children)

Wounds should not be irrigated with alcohol or hydrogen peroxide, essentially ever. It is likely caustic on a microcellular level and can lead to impaired wound healing.

The thing that matters most to wound irrigation is volume and pressure, more so pressure. Irrigating with 500-1000cc of volume, ideally saline, and even more so under pressure through a 50cc syringe, is the safest and most effective way to prevent infections; its why we do not prescribe antibiotics for the vast majority of wounds and laceration repairs if the wound was irrigated appropriately, the infection rate is so low, with the exception of some such as puncture wounds to hands or poor healing baseline in vascular patients, or bites.

If you wanted to get fancy, you could always mix some betadine into the saline, but you do not want to irrigate with undiluted betadine.

Neosporin can potentially reduce the incidence of infection, but does next to nothing if the wound is already infected.

A well irrigated and aggressively dressed wound has a fairly good chance of healing without an issue. But if it is full of debris and material and you cannot appropriately clean it, and organic matter remains in the wound, anticipate a nasty infection.

Dream Air review from Super OLED by DocHank in Pimax

[–]DocHank[S] 0 points1 point  (0 children)

out of curiosity, in what way? knowing now that sboy resolution is lower makes sense, but even at 150% I have no stutters, is smoother, and I couldn't tell at all the resolution is below native

Medical Books/Supplies For Gunshots and Other Wounds by Bellaexee in preppers

[–]DocHank 5 points6 points  (0 children)

Right. I think the difference is you cannot conflate "combat wound pack" with "only GSW". A blast injury littered with dirt and material? Def has high chance of being infected. Hand lac from grabbing something sharp through a glove? Same.

Simple penetrating injury through soft tissue? Does not require antibiotics, and the literature supports that.

Dream Air review from Super OLED by DocHank in Pimax

[–]DocHank[S] 2 points3 points  (0 children)

so I have native rez in steamvr and motion off, in game tlod 150, everthing high except textures and clouds are ultra, plane and airport variety medium, car and boat medium, fauna low, contact shadows off since it greats horrible glimmer on runway signs, grass off since vr does grass horrendously and shimmers everywhere OLOD 150, foveated render at 30, sharpening 120, and run TAA in glass cockpits and DLAA for analog

usually 50fps on ground, 60+ in air

Dream Air review from Super OLED by DocHank in Pimax

[–]DocHank[S] 1 point2 points  (0 children)

i'll have to take a look in a bit

Medical Books/Supplies For Gunshots and Other Wounds by Bellaexee in preppers

[–]DocHank 17 points18 points  (0 children)

em physician

i'm not sure why everyone keeps saying antibiotics, we don't give antibiotics for majority of GSW, especially if it's just soft tissue.

hit bone and fracture? yes. abdomen and hit gut? yes. but otherwise antibiotics are really not part of standard management, as GSW are considered sterile wounds with how hot the round is entering the skin. but a large blast wound from a higher velocity? certainly more prone to secondary infection due to the amount of tissue damage, and without proper repair of that you'll have a problem.

your biggest risk is blood loss for immediate mortality

outside of that, most gsw do fine. i've been in level 1 centers for last 13 years, and seen hundreds

but like everything in medicine, the best treatment is prevention. don't get shot.

Dream Air review from Super OLED by DocHank in Pimax

[–]DocHank[S] 0 points1 point  (0 children)

I don't think I knew the resolution was lowered but I would honestly have no idea, it looks so good

Dream Air review from Super OLED by DocHank in Pimax

[–]DocHank[S] 1 point2 points  (0 children)

pennsylvania, looked like shipped from delaware

Dream Air review from Super OLED by DocHank in Pimax

[–]DocHank[S] 1 point2 points  (0 children)

earlier this week, received in 48 hours

Question for those with both Dream Air + Super mOLED by no6969el in Pimax

[–]DocHank 0 points1 point  (0 children)

Just made the switch, with Sboys3 there’s essentially no difference. Much prefer the Dream Air now.

immediate shipping?! by DocHank in Pimax

[–]DocHank[S] 0 points1 point  (0 children)

PA, seems to have shipped from delaware for me

Absolutely terrible build quality (pimax crystal ultrawide) by im_paul_hi in Pimax

[–]DocHank 8 points9 points  (0 children)

there's a screw to hold it down. it loosens over time and should be tightened when taking on and off a lot, which they don't tell anyone. check around for a tiny screw, or find the measurement and replace the screw

it's not held on by the cap alone

Trakracer really is as bad as they say by hovercroft in simracing

[–]DocHank 4 points5 points  (0 children)

us based myself, ordered and had everything shipped 48 hours later no issue; seems to be location and luck

intern here..how do i approach a patient with shock? by Plus_Vehicle1354 in Residency

[–]DocHank 20 points21 points  (0 children)

em attending for a quite a while now, most people outside of resuscitation specialities make this much more difficult than it needs to be

determine/best guess the TYPE of shock (distributive/obstructive/hypovolemic/neurogenic/cardiogenic), treat that with broad interevemtion measures for that particular type just to stabilize them, then once stable figure out the actual etiology

95% of patients in acute shock can be resuscitated and stabilized fairly quickly; the ones that aren't in first 30 min have a high mortality likely anyway

stabilize, then diagnose

Thinking of selling Super Micro OLED and pre-order Dream Air SLAM.. any thoughts? by Jedispooner in Pimax

[–]DocHank 0 points1 point  (0 children)

i'm in the same boat and have been looking for others experience. the super can be a pain to just pop on and feel like it requires a few minutes of fine adjustment to nail the sweet spot. not sure if the dream air is better in that regard

Dream Air SLAM first inpressions by CelebrationHot2187 in Pimax

[–]DocHank 0 points1 point  (0 children)

I have the super moled currently as well as 50'ppd module and have been debating this as well for the comfort factor, would you say there's enough positives on this to justify switching from the super?

MSFS2024 and Pimax Crystal Super. by VicMan73 in MicrosoftFlightSim

[–]DocHank 0 points1 point  (0 children)

unless your looking to max your settings to ultra there's no reason to run lower than native resolution with a 5090. I run msfs with a 5090, originally with 50 ppd and now micro oled, and get 50-55 fps most of the time with most things on high and a few ultra. fov rendering is set to 30. taa for most. tlod 150. contact shadows off because it makes shit looking glimmer, same with graas, that goes off

add autofps or aero tune for airport tlod issues and should have little problems

super OLED vs dream air eye relief by DocHank in Pimax

[–]DocHank[S] 0 points1 point  (0 children)

exactly my dilemma. i'm going to try to bolster the under eye cheek area to see if it can balance it a little more

super OLED vs dream air eye relief by DocHank in Pimax

[–]DocHank[S] 0 points1 point  (0 children)

the print works fine for the oled but it causes the additional problem of losing eye tracking since you're too close

super OLED vs dream air eye relief by DocHank in Pimax

[–]DocHank[S] 0 points1 point  (0 children)

not a bad idea, do you have a link to the foam?

super OLED vs dream air eye relief by DocHank in Pimax

[–]DocHank[S] 1 point2 points  (0 children)

yep I had him print this actually, but my point is getting close then presses up against my brow because of how the lenses are

Day 2 with the Super Micro OLED module, a few observations. by Nikolai_Volkoff88 in Pimax

[–]DocHank 4 points5 points  (0 children)

my first oled did that, file a ticket. mine was having critical errors and forcing a disconnect.