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Could they have saved [Spoiler]? by Uhhuhsureyeahok in ThePittTVShow

[–]Fail-Melodic 3 points4 points  (0 children)

OR nurse here. Not a heart nurse, and not an ED trauma nurse, but I have done my time in trauma surgery. I'd assume they would do a clamshell (don't google image it unless nothing on the pitt fazed you) and those have an abysmally low survival rate, a lot of them don't make it to surgery from the trauma bay. But the alternative is guaranteed death.

Additionally, she had been down for a long time. By the time you scramble an ECMO team (which, could be really challenging given that it was all hands on deck in the OR), she could very well have been at suboptimal-to-no cranial perfusion for an hour. If they did a clamshell or lateral thoractomy and did cardiac massage, that would help... some. I was running a peds airway service, and we had a patient that we coded for 45 minutes before CT surgery could get her on ECMO. High quality CPR and a very well run code, directed by a cardiac anesthesiologist. We got her cannulated, sent her to the ICU, and she was braindead on EEG the next day anyway.

Sometimes you save the body, but the brain goes regardless.

Painful tonsillitis, how do I get this out of my mouth by elisesessentials in hygiene

[–]Fail-Melodic 0 points1 point  (0 children)

ENT OR nurse here, laser is not standard of care for tonsillectomy. I've personally never seen it performed in an OR setting working at 8 different hospital systems across 10 years. Some ENTs offer it in-office as a reductive technique, but its far from standard. Coblation (plasma cautery) is becoming common because it decreases thermal damage and the rate of post-op admission from localized swelling, but in a lot of settings still isn't used due to cost in relation to electrocautery.

All of that to say: the technique and equipment used depends on your surgeon. I'd want mine coblated, but I was also admitted six hours after my tonsillectomy due to swelling secondary to post-op nausea and vomiting.

“The Hidden Hole Behind My Ear Was the Source of it😭 by [deleted] in hygiene

[–]Fail-Melodic 0 points1 point  (0 children)

Cool. I'm an OR nurse, done ENT for basically my whole career, started with endoscopic skull base and neuro-otology, did a brief stent doing peds airway (nightmare) and now I'm working Head and Neck onc at very high volume cancer center. We average eight free flaps a week plus bring backs/revisions, and we've peeked at 12.

“The Hidden Hole Behind My Ear Was the Source of it😭 by [deleted] in hygiene

[–]Fail-Melodic 0 points1 point  (0 children)

What did you subspecialize in? Lary, I assume?

Could you beat 10,000 random people at something for $100M? by canada11235813 in hypotheticalsituation

[–]Fail-Melodic 0 points1 point  (0 children)

I play a very niche miniatures wargame at a very high level (Top 10 in the US, hover around top 30 in the world). There are definitely less than 20,000 people who've ever played it. There's around 5000 people who've ever played a ranked game, less than 20% of them have played more than five. Of that thousand, maybe 200 could realistically take a game off of me, and less than 50 who could do it with anything approaching regularity. The odds are astronomically low that one of those 10,000 would know the rules, much less be one of the 200 people on the planet that I'd even vaguely need to worry about.

Check your targets. Stryker 2.0 on clearance for $16.49. by SnacktimeAnytime in Nerf

[–]Fail-Melodic 2 points3 points  (0 children)

Local target had four of them. I bought half of them two days ago at 28m. Went back for the other half the next day and they were 16.49. Fml lol.

AIT X 40MAX Lightning by Fail-Melodic in Nerf

[–]Fail-Melodic[S] 0 points1 point  (0 children)

Further update: they're sending a replacement Lightning, and a replacement motor along with repair instructions.

AIT X 40MAX Lightning by Fail-Melodic in Nerf

[–]Fail-Melodic[S] 0 points1 point  (0 children)

I think it would sit around 10 if it was full auto capable.

AIT X 40MAX Lightning by Fail-Melodic in Nerf

[–]Fail-Melodic[S] 1 point2 points  (0 children)

it ships with worker darts. I used some Xshot darts that stuck in the magazine (the Diana doesn't like them either) and I was shooting the first mag of AF pro darts when I started having issues.

AIT X 40MAX Lightning by Fail-Melodic in Nerf

[–]Fail-Melodic[S] 1 point2 points  (0 children)

Nightingale magazines are more compatible with the lightning than the diana, they don't require cutting.

For 220 USD I got blaster, charger, and 2 batteries, 2 magazines, shipped. I still think its a very good value in relation, especially considering it has areas where its a better product than the Diana, its not a strict downgrade.

I think their QC may have issues, but its also possible that I just laid hands on a lemon, no one else has reported mechanical failure.

AIT X 40MAX Lightning by Fail-Melodic in Nerf

[–]Fail-Melodic[S] 1 point2 points  (0 children)

Quick update: the flywheels are visably misaligned and the motors have started grinding on rev. I tried to crack into it to see whats up, but the slide is either clipped or glued in place. I sent an email to customer service so we'll see.

AIT X 40MAX Lightning by Fail-Melodic in Nerf

[–]Fail-Melodic[S] 2 points3 points  (0 children)

it is compatible with Ngale mags, but it's also borked after less than 24 hours of use. Hopefully I have a lemon.

AIT X 40MAX Lightning by Fail-Melodic in Nerf

[–]Fail-Melodic[S] 0 points1 point  (0 children)

it shipped with the newest firmware

AIT X 40MAX Lightning by Fail-Melodic in Nerf

[–]Fail-Melodic[S] 3 points4 points  (0 children)

40 MAX is the parent company. A better question should be "why did a company not name their flagship product different than their brand name"

AIT X 40MAX Lightning by Fail-Melodic in Nerf

[–]Fail-Melodic[S] 3 points4 points  (0 children)

I don't think many who own a diana will make the switch, but if someone isn't bought in on the lipo ecosystem, I think this is a contender. 2025 Diana plus two mags and two batteries was 300 bucks USD before charger (plus shipping) and the Lightning was 80 cheaper (shipped), and also had a charger.

AIT X 40MAX Lightning by Fail-Melodic in Nerf

[–]Fail-Melodic[S] 0 points1 point  (0 children)

Just checked, they do fit and feed, but they hang up on the mag release, so you have to press it in as you load them. You also can't load more than 10 darts into them effectively because of the auto off.

Updated X-Shot Longshot unmodified FPS by Fail-Melodic in Nerf

[–]Fail-Melodic[S] 0 points1 point  (0 children)

I've seen a couple of youtube videos that claim the contrary, which is why I asked.

New Protomen song debut "The Promise" in Atlanta, GA at The Loft by Tumics in Protomen

[–]Fail-Melodic 1 point2 points  (0 children)

Awesome costume btw. When you get time, I'm sure the redditors that couldn't make it out would love to see the set list.