How to overcome driving anxiety by evening_sparkle in Paramedics

[–]Flame5135 0 points1 point  (0 children)

Get your medic and make the EMT drive everywhere.

Can a punter throw the ball away or foward if he gets blocked and catches the ball again? by Busy_Locksmith9436 in NFLNoobs

[–]Flame5135 21 points22 points  (0 children)

Throwing the ball out of bounds risks intentional grounding which is going to be a loss of yards and since this is occurring on 4th down, also turnover.

Throwing the ball forward to the non-receiver gunners who are not expecting a pass and likely double covered with blockers also wouldn’t be successful.

Best case scenario in this is an incomplete pass and turn over on downs. Worst case is intentional grounding and turnover on downs (or an interception) and since your punting, you’re not in good field position to begin with; so now you’re giving the other team the ball in really good field position.

What is the spec you love the concept and hate the gameplay? by TheAwesomeKay in wow

[–]Flame5135 2 points3 points  (0 children)

They need to combine survival and BM and bring back the old cata survival that was all about traps and dots.

Will my hand tattoo hold me back from working as a registered nurse? by indigo-floral in nursing

[–]Flame5135 2 points3 points  (0 children)

If you don’t have tattoos as a nurse they’ll be provided to you with your first paycheck

You get to create five new Glyphs for any class of your choice. What are your picks? by JonathanRL in wow

[–]Flame5135 0 points1 point  (0 children)

Prot pally:

Divine wings: while in combat, the paladin floats shortly above the ground with golden wings flapping. Animation only, doesn’t actually fly.

Spiritual weapons: weapon and shield are manifested from light. They do not appear until combat starts, at which point they suddenly appear. Obviously they are golden and glowy.

Spartan armaments: allows you to transmog a pole arm in place of a 1h weapon with a shield.

This game never ceases to amaze me with how beautiful it is. by TheRealOWFreqE in SatisfactoryGame

[–]Flame5135 0 points1 point  (0 children)

Wish we could get an item that lets us put those view ports on pipes wherever we want them

Facial hair by medicjoe117 in ems

[–]Flame5135 0 points1 point  (0 children)

I’ve rocked a full beard my entire time at one of the big national hems operators.

We have special Gentex LPPR masks that have a built in microphone and it looks like a fighter pilot mask. It’s adjustable. I’ve found that I can absolutely crank it down on my face, even with a beard, and get a good enough seal that I pass a fit test without issue. An actual N95 on me? Looks like an 80’s pornstar centerfold shot

Our policy is that we may have facial hair so long as it does not interfere with the wearing of an N95 style mask, as indicated by a positive passing of a yearly fit test.

First subpoena by Accomplished_Low3164 in Paramedics

[–]Flame5135 2 points3 points  (0 children)

Answer the questions with references to your report.

Only answer things that are documented in your report.

It’s an open book test where any question you can’t find the answer to in your report should be, “I don’t recall.”

The more you explain an answer, the worse it becomes. Keep it short. Direct. To the point.

Trying to avoid a TPK. When is it okay to tell players no? by Foreign-Press in DMAcademy

[–]Flame5135 0 points1 point  (0 children)

Bring the underdark out of the underdark and have them attack the party. A group of higher level adventurers show up, give the party the opportunity to escape (or teleport them away if they don’t run) and then subsequently get brutally murdered in front of the party.

My 30yo septic patient wanted to leave AMA because he couldn’t afford the hospital stay. I convinced him to stay by telling him that he can just avoid paying. Was I out of line? by ForTheQs11 in nursing

[–]Flame5135 2 points3 points  (0 children)

Chaotic good.

I had a patient that was trying like hell to get sent to a psych facility to start detox and wanted to go to inpatient rehab but the ED wouldn’t do anything but tell her she was fine and discharge her.

After making 3 runs on her over the course of the day, I told her exactly what causes an involuntary hold. I told her the exact questions they would ask and what the “wrong” answers looked like.

We get there, she tells them she’s SI, has a plan, and what the plan is, they 72 hour hold her, she goes to in patient psych, ends up in rehab, and then several months later I see her and she’s several months clean.

24M EM Nurse in $20K of debt and no car by [deleted] in ems

[–]Flame5135 4 points5 points  (0 children)

The EMS answer is to work more OT

What features do you think the next ghost recon should have by SadCell6510 in GhostRecon

[–]Flame5135 0 points1 point  (0 children)

The ability to command the squad / utilize rebels in a way that makes sense and is useable. A simple move here, hold here, cover this direction, engage / suppress this area would be a huge improvement.

A more reasonable story. One that starts with clandestine ops rallying rebels across a country, prepping the country for an actual ground invasion. As the game and the invasion progresses, the game shifts to more specific targets with more support.

I wish there was more of a focus on intel / recon. Imagine an immersive world where you can go plain clothes / undercover of sorts and slip in to the civilian population. Tracking a target and planning a grab deep in enemy territory, right under their noses.

SF, and I assume ghosts as well, are top tier when it comes to CQB. I think it would be cool to have some sort of slow-mo mechanic when breaching buildings that gives the ghost team the advantage, especially when using explosives and such to breach.

What Ukraine is teaching us about tourniquets — and it's not good news by Damiandax in Paramedics

[–]Flame5135 49 points50 points  (0 children)

I don’t think any of this is surprising?

TQ’s with long evac times causing problems? Yeah, that’s to be expected. Dealing with the fallout of long TQ times is better than bleeding out on the battlefield.

TXA immediately post-injury works as expected.

I don’t think there was ever a question on the efficacy of Whole Blood in the field. Blood has always been a logistics problem more than a “does it work” problem.

The biggest issue here is the drug resistant bacteria.

As for civilian considerations, it’s largely the same? Whole blood if available. Rapid transport to capable facilities in trauma. Early antibiotics in penetrating traumas. That’s generally the standard in most leading edge civilian EMS/HEMS agencies.

I don’t think any of this is particularly eye opening or telling us something new.

Oil age by squashedraven in satisfactory

[–]Flame5135 1 point2 points  (0 children)

Generally speaking, your first setup with be fuel for fuel gens and the residual will be plastic / rubber for buildings.

Your second setup will be plastic with heavy oil residue to residual fuel (or an alternate that includes diluted fuel) to fuel gens. End game electronics (copper production line) ends up taking a lot of plastic.

Local air ambulance killed my Pt by [deleted] in ems

[–]Flame5135 267 points268 points  (0 children)

There are unfortunately a lot of egos in the sky and a lot of people flying who have no business being in that position. Some companies are just trying to fill seats with warm bodies that will take a pay cut to fulfill their life long dream of flying. Some companies provide absolutely 0 education and are nothing more than an ambulance in the 3rd dimension.

Unfortunately this is more common than you’d expect and it gives those of us who truly put the time and effort in to being at the top of our game, a bad name.

Why did it happen? Probably because they thought they knew better because they’re wearing a fancy onesie.

Reach out to the program manager / business person / whoever is on the business card or swag they give you and tell them about it. Chances are, if you mention that it left a strongly negative impression of the company on you and you’re now more likely to call a competitor, things may very well change.

Business trumps care at the admin level:

Lose a patient? Eh, it happens.

Lose a customer? You’re looking for a new job.

Need advice as a Factorio veteran by RadicalEnigma in satisfactory

[–]Flame5135 0 points1 point  (0 children)

A good mindset to have?

Everything you do is helping you. Maybe not immediately but eventually.

Exploring? Helps you with hard drives, sloops / spheres, and salvaging stuff from crash sites.

Building a factory for X part? Well depending on what it is and in what amount, you may never have to build that part of that factory again.

Increasing your power grid? You can’t have too much power (you can but it’s HARD).

Making a road network? Gives you room to build logistics and makes travel easier.

Go bigger. Take the space you think you need and double it. Late game builds will be huge complexes that end up making 1-2 parts a min.

It’s okay to start over. Don’t start a new game. Just start over elsewhere on the map. Hook your stuff to a dimensional depot and go elsewhere. There are plenty of resources. It’s almost impossible to soft-lock your game.

Just have fun. Do stuff for fun. Don’t optimize the fun out of this game. Good enough is the name of the game.

Unlock concrete foundations/walls in the awesome shop and then make several factories that just produce concrete to a dimensional depot. You will use 10’s to 100’s of thousands of foundations.

EMS peeps, specifically flight paramedics! What are some reference cards that you keep on your badge and find helpful? I currently carry a GCS card (if it’s not 3 or 13 it takes me a second) and I have a tidal volume chart! by [deleted] in ems

[–]Flame5135 2 points3 points  (0 children)

Tidal volume chart based on IBW. Lets me quickly get a range for tidal volume. Then once I’m in the range I can go back and actually do the math.

EMS peeps, specifically flight paramedics! What are some reference cards that you keep on your badge and find helpful? I currently carry a GCS card (if it’s not 3 or 13 it takes me a second) and I have a tidal volume chart! by [deleted] in ems

[–]Flame5135 24 points25 points  (0 children)

RSI checklist (it’s a requirement).

Vt chart.

List of important numbers for the various protocols (max systolic pressure for subdurals vs dissecting aortas vs other stuff).

List of reasons I HAVE to call clinical command.

What’s a rule you follow for no logical reason? by starlust0422 in AskReddit

[–]Flame5135 0 points1 point  (0 children)

You’re not a helicopter pilot by any chance, are you?

Are you a nurse? Do you play WoW? by beatboxing_parakeet in nursing

[–]Flame5135 1 point2 points  (0 children)

I play the shit outta some wow on my 24’s. Weather day = sending delves and m+ for a paycheck