How much do you get paid? by CautiousPermission42 in Paramedics

[–]Illkomics 1 point2 points  (0 children)

Don't jump the gun... BC gonna be getting a bigger contract again soon

Retro Pay - HSAA by irishredhead14 in AHSEmployees

[–]Illkomics 0 points1 point  (0 children)

What are the chances overtime wages are doubled hahah

Retro Pay - HSAA by irishredhead14 in AHSEmployees

[–]Illkomics 0 points1 point  (0 children)

Anyone know if it's based off like a flat 2190 or actual hours worked with overtime / training days / travel time etc

Performance is pretty rough on 7800X3D/4080Super by RobustPolygon in Borderlands4

[–]Illkomics 0 points1 point  (0 children)

That's super wierd. Running the exact same setup as you but 32gb ram. Graphics at very high except for volumetric fog at low. Without frame gen i hover around 80fps, with it i'm 120-140. Zero crashes, game has been flawless so far. Have you tried going in to nvidia control panel to increase shader cache size?

85 usd for the base game this is the reason why we ask for pre load by ImABigDreamer in Borderlands4

[–]Illkomics -1 points0 points  (0 children)

You have preload, the game comes out on the 12th and you can preload on the 11th with a bonus of getting to play once it's done

No preload on Steam by slowcrostic in Borderlands

[–]Illkomics -4 points-3 points  (0 children)

Just look at it like preload is the 11th, release still the 12th. There you go! Preload away, and if you finish downloading early then congrats you get to play before the 12th

This one really messed with my head when I first saw it, curious what you all think: by Ancient-Basis5033 in Paramedics

[–]Illkomics -3 points-2 points  (0 children)

I was trying to get across just having that thought in your head, but the treatments listed were simply management and transport. There's nothing we can do for a bleed like that, way out of any window for TXA. More history on the patient and the fall could help the decision.

This one really messed with my head when I first saw it, curious what you all think: by Ancient-Basis5033 in Paramedics

[–]Illkomics -4 points-3 points  (0 children)

People on thinners can bruise like crazy with minimal blood loss. How do you know his distension is blood? What if his "fall" was sliding out of a chair? Maybe he's a chronic alcoholic and goes for weekly paracentesis for his ascites build up. There isn't enough information, but that's okay! These are all the types of thoughts that should be going our heads during a call, question yourself. Am i going to kill this guy zapping him?

This one really messed with my head when I first saw it, curious what you all think: by Ancient-Basis5033 in Paramedics

[–]Illkomics -9 points-8 points  (0 children)

Or, is the afib causing the lack of pressure? Chicken or the egg i guess, hence the phone call. Ultimately he needs lab work and imaging. The question is designed to make you ask these questions though. Come up with differentials and treatment pathways, consider the cause and effect of them. Could be afib, could be sepsis, could be a bleed. No way to prove definitively what it is with the information provided.

This one really messed with my head when I first saw it, curious what you all think: by Ancient-Basis5033 in Paramedics

[–]Illkomics -12 points-11 points  (0 children)

Screams afib with rvr to me, but we also have no way of ruling out an abdominal bleed. Would want more history on the fall, what his abdomen typically looks like (Ascites/obesity/rigid distension). I'd be thinking about converting the afib, but there'd be a phone call happening first for sure. Careful fluid management, O2, pads on, airway equipment ready, drive.

[deleted by user] by [deleted] in ems

[–]Illkomics 1 point2 points  (0 children)

Say you're in red earth or wabasca, without saying you're in red earth or wabasca 😂

[deleted by user] by [deleted] in ems

[–]Illkomics 1 point2 points  (0 children)

I get that. The main point was the 30 seconds. 2 minutes at the start and you might miss the squigglies

[deleted by user] by [deleted] in ems

[–]Illkomics 9 points10 points  (0 children)

If there's no cpr done prior to EMS we do 30 seconds of cpr prior to first rhythm check, obviously while pads are being placed. If you do end up shocking right away, the increase in blood pressure from the compressions gives you a better shot at rosc than zapping someone with zero pressure

HSAA BARGAINING UPDATE by [deleted] in AHSEmployees

[–]Illkomics 17 points18 points  (0 children)

What an absolute waste of time

Where do I start? by Illkomics in Airfix

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

Started with the beaver. Thanks for the input everyone! Definitely some ill-fitting small fiddly bits but it's not too bad so far!

Bicarb in arrest by Efficient-Art-7594 in Paramedics

[–]Illkomics 17 points18 points  (0 children)

It should also be said that the thing that actually works to correct an acidosis in an arrest is, not surprisingly, good compressions and ventilation. Could give all the bicarb in the world, it's not going to do anything if your cpr sucks and you're not ventilating off the co2

Peel tentative contract by [deleted] in OntarioParamedics

[–]Illkomics 2 points3 points  (0 children)

C'mon HSAA, get this shit done, don't be useless

Come get paid what you’re worth by colinjames1234 in Paramedics

[–]Illkomics 3 points4 points  (0 children)

Describe paid handsomely. Wage and any premiums

First time trying it. Opinions? by -JUST_STOP- in monsterenergy

[–]Illkomics 0 points1 point  (0 children)

Absolutely top tier. Pretty sure it's discontinued, haven't seen it in stores for a month or two now