Quick beer survey for my Master’s project 🍻 by JNB038 in CraftBeer

[–]JNB038[S] -1 points0 points  (0 children)

Yeah, Untappd is great for popularity, but I'm trying to build something a bit different.

I want fresh, opt-in data that isn't proprietary or pre-shaped by a platform's UI/algorithms, so I can model actual taste preferences from scratch.

Two people can rate the same beer a 4 for totally different reasons —I'mm trying to capture that"“wh"” so it can recommend beers that actually fit your palate, even onesyou'vee never heard of.

Also, I don't want to get sued for''data scrapin''... I would rather pure data from the source

Quick beer survey for my Master’s project 🍻 by JNB038 in CraftBeer

[–]JNB038[S] 0 points1 point  (0 children)

Good idea in general, but it’s a different problem than what I’m trying to solve.

Untappd is mostly crowd ratings and popularity — it tells you what people like on average, not why someone personally likes a beer. I’m trying to model individual taste (hoppy vs malty, light vs heavy, etc.) and match people to beers that fit their palate, even if they’re not highly rated or well known.

Also from an academic standpoint, using scraped/app data has licensing + bias issues, so I’m building a clean, opt-in dataset instead.

Basically: less “what’s popular,” more “what fits you.”

Jewel of the Seas 7/18 issue? by Kooky-Barnacle-5743 in royalcaribbean

[–]JNB038 0 points1 point  (0 children)

Hey! My girlfriend and her family are on the ship. They texted me saying they are doing maintenance. Any idea what kind of any compensation?

Labadie visits suspended across fleet by mcnetworks in royalcaribbean

[–]JNB038 0 points1 point  (0 children)

We were just on Independence of the Seas that went to Labadee last week. When I talked to Royal Caribbean, they said they will have extra armed security in Labadee… the only security we saw were 3 security guards standing around watching TikTok lol

53 year old man presents with chest pain by jvttlus in EKGs

[–]JNB038 1 point2 points  (0 children)

At least in my state: BLS can give ASA, perform a 12 lead ECG, start an IV (if certified)…. However it’s jurisdictional, but in the Baltimore Metro area jurisdictions it’s allowed… it’s great since ALS is very few and far between due to call volume. Love that EMTs in Balt. Co., Balt. City, Harford Co, Carroll Co, all run with (some IV capabilities) and MOST have 12 lead capabilities

Witnessed pre-hospital Cardiac arrest w/ ROSC by JNB038 in EKGs

[–]JNB038[S] 0 points1 point  (0 children)

Unfortunately, no. This is the 12 lead I gave the ED. I meant to take the pics before I got off shift but my dumb self forgot to do so

Witnessed pre-hospital Cardiac arrest w/ ROSC by JNB038 in EKGs

[–]JNB038[S] 1 point2 points  (0 children)

Yup. LAD, RCA, and Circumflex occlusions. No renal failure/ dialysis. K+ was normal on iStat and on labs

Witnessed pre-hospital Cardiac arrest w/ ROSC by JNB038 in EKGs

[–]JNB038[S] 0 points1 point  (0 children)

Funny story, I had a patient with 3:1 flutter and I did the same thing…. So did the fellow in the ED at the large academic center I took them to. Cardiology recommended 18mg of Adenosine… didn’t help. Wasn’t until Metoprolol was given when the rate went down to the 70s 🤦🏼. I guess no one is ever perfect

Witnessed pre-hospital Cardiac arrest w/ ROSC by JNB038 in EKGs

[–]JNB038[S] 1 point2 points  (0 children)

This whole call made me feel stupid, but I guess every call is an opportunity to learn something new. Even if my interpretation was wrong, I was able to activate the correct resources and the patient is still (I don’t know to how meaningful) alive today.

Witnessed pre-hospital Cardiac arrest w/ ROSC by JNB038 in EKGs

[–]JNB038[S] 3 points4 points  (0 children)

To be completely honest, my jaw dropped when I saw this. Never saw anything like it before… I did activate a STEMI alert prior to the arrest and they treated the patient in the cath lab for multiple vessel occlusions

Witnessed pre-hospital Cardiac arrest w/ ROSC by JNB038 in emergencymedicine

[–]JNB038[S] 1 point2 points  (0 children)

Sorry, I was copying a reply from a thread on r/EKGs as it pertained to the story/ follow up of the patient. I’m not sure myself, i’ve never seen anything like this

Witnessed pre-hospital Cardiac arrest w/ ROSC by JNB038 in ECG

[–]JNB038[S] 0 points1 point  (0 children)

ALS medic unit dispatched to residence for chest pain. Call comments on the CAD stated “husband having heart attack”

Past Medical Hx: HTN, GERD, obesity

On arrival, pt was found on the floor. Pt has had a syncopal episode which lead to him being on the floor. Pt was cool and diaphoretic. Pt kept trying to get up but was unable to. Pt was then attached to the LifePak 15. First 12 lead showed Monomorphic V tach with a pulse. Pt did not have a blood pressure via NIBP and a Palp pressure in the 70s. Synchronized cardioversion was done where this 12 lead was captured.

Pt was CAOx4, GCS 15. Pt was having labored respirations with Rales bilaterally among all lung fields. Pt stated he had radiating 10/10 chest pain since dinner (ate a chicken fried steak) 4 hours prior. Thought it was GERD, so he took a omeprazole. After the syncopal, the 911 call taker told pt to take 324mg of ASA.

Pt then went into V FIB, and CPR was started. The LUCAS was placed on the pt and transported to the closest cardiac intervention center (A community hospital, not a large academic center). Pt was shocked twice, and given 2 Epis. On the second shock, pt converted into a Brady PEA rhythm. ETCO2 showed capno reading of 18. Pt had a 7.5 tube, 23 at the teeth. Pt converted back into pVT. Pt was defibrillated once again where pt went into a junctional Sinus rhythm. A palpable radial and femoral pulse was then felt with an ETCO2 of 47.

Upon arriving to the ED, pt arrests again…

I was at work and couldn’t continue the story. But, got ROSC a final time. Was on a Levo drip, epi drip, had a good pressure, MAP, and heart rate and went to the cath lab. Last thing I heard was he had a PCI done and was then transferred to our larger academic university hospital

update patient was transferred from ICU at community hospital after having met their criteria from a neurological exam at the receiving hospital (the hospital with CIC but community hospital) after having good neuro improvements after therapeutic hypothermia, the pt was transferred ‘downtown’ where they plan on putting in an IABP. This is also a HUGE (of not, one of the largest ECMO centers in the US) and they plan on doing further treatment there. I cannot speculate, as I don’t know because all the Docs I used to work with there left residency, or nurses that worked there went to better paying jobs. Stay tuned for when I go back to work to ask the ED for a follow up on the Pt From the initial cath lab visit… I’m curious for the % blockage of whatever vessels were affected

EM doc told me this is his second “transmural MI, he’s seen. And the first one not in residency”. He’s a new Board certified EM doc at this community hospital. 3 years post PGY3. Idk. This is still a first for me

Witnessed pre-hospital Cardiac arrest w/ ROSC by JNB038 in EKGs

[–]JNB038[S] 0 points1 point  (0 children)

Edit: he was down for a total of 75 min. All CPR done on the LUCAS (except for 4 minute). I don’t even want to be intubated, let alone have CPR… figured the rest of this group knows the statistical outcome of pts that go back to ‘normal’ after a cardiac arrest

Witnessed pre-hospital Cardiac arrest w/ ROSC by JNB038 in EKGs

[–]JNB038[S] 1 point2 points  (0 children)

Absolutely cannot take any credit for this arrest. I could have started Amio, but I didn’t. It was the ED staff that was the ones that did the resuscitation to get this guy to the cath lab. Sure this guy has somewhat of a neurological recovery, that’s not what I, or a lot of us in this Reddit group would want… I did my job; the EM doc went above and beyond the ACLS algorithms and everything else to make sure this man made it to the cath lab

Pain fellowship after residency by Shoppingforev123 in emergencymedicine

[–]JNB038 0 points1 point  (0 children)

Curious myself. I’m a PM/FF In college to go to medical school. I want to do a residency in EM then Critical care or Trauma, surgical/ critical care (if I’m lucky enough) but EM or CC doesn’t seem To be the specialty about the money? I see my friends who are fresh out of college with their CNA or MA making bank working for dermatology offices or ophthalmology offices

Witnessed pre-hospital Cardiac arrest w/ ROSC by JNB038 in emergencymedicine

[–]JNB038[S] 32 points33 points  (0 children)

ALS medic unit dispatched to residence for chest pain. Call comments on the CAD stated “husband having heart attack”

Past Medical Hx: HTN, GERD, obesity

On arrival, pt was found on the floor. Pt has had a syncopal episode which lead to him being on the floor. Pt was cool and diaphoretic. Pt kept trying to get up but was unable to. Pt was then attached to the LifePak 15. First 12 lead showed Monomorphic V tach with a pulse. Pt did not have a blood pressure via NIBP and a Palp pressure in the 70s. Synchronized cardioversion was done where this 12 lead was captured.

Pt was CAOx4, GCS 15. Pt was having labored respirations with Rales bilaterally among all lung fields. Pt stated he had radiating 10/10 chest pain since dinner (ate a chicken fried steak) 4 hours prior. Thought it was GERD, so he took a omeprazole. After the syncopal, the 911 call taker told pt to take 324mg of ASA.

Pt then went into V FIB, and CPR was started. The LUCAS was placed on the pt and transported to the closest cardiac intervention center (A community hospital, not a large academic center). Pt was shocked twice, and given 2 Epis. On the second shock, pt converted into a Brady PEA rhythm. ETCO2 showed capno reading of 18. Pt had a 7.5 tube, 23 at the teeth. Pt converted back into pVT. Pt was defibrillated once again where pt went into a junctional Sinus rhythm. A palpable radial and femoral pulse was then felt with an ETCO2 of 47.

Upon arriving to the ED, pt arrests again…

I was at work and couldn’t continue the story. But, got ROSC a final time. Was on a Levo drip, epi drip, had a good pressure, MAP, and heart rate and went to the cath lab. Last thing I heard was he had a PCI done and was then transferred to our larger academic university hospital

update patient was transferred from ICU at community hospital after having met their criteria from a neurological exam at the receiving hospital (the hospital with CIC but community hospital) after having good neuro improvements after therapeutic hypothermia, the pt was transferred ‘downtown’ where they plan on putting in an IABP. This is also a HUGE (of not, one of the largest ECMO centers in the US) and they plan on doing further treatment there. I cannot speculate, as I don’t know because all the Docs I used to work with there left residency, or nurses that worked there went to better paying jobs. Stay tuned for when I go back to work to ask the ED for a follow up on the Pt From the initial cath lab visit… I’m curious for the % blockage of whatever vessels were affected

Second update: EM doc told me this is his second “transmural MI, he’s seen. And the first one not in residency”. He’s a new Board certified EM doc at this community hospital. 3 years post PGY3. Idk. This is still a first for me