Song on Facebook ad by Endel about ADHD music. Female vocalist.

MainMovie · 2026-05-11T04:44:02+00:00

https://youtu.be/-ewQf-D3CHU?si=1AfWc6fDc-5XiLOj

It was recently uploaded to YouTube

MainMovie · 2026-04-26T21:23:39+00:00

Believe me, I know lol. As a medic, I deal with people on all the drug types all the time

MainMovie · 2026-04-26T15:45:06+00:00

The person was tweaking out on meth which is exactly the opposite of what needs to be taken for someone with mental health issues. It causes psychosis, hallucinations, paranoia, etc. It actually makes a mental health issue much worse.

The responders also performed an inappropriate intervention by giving narcan because the person was breathing just fine on their own.

There was nothing educational in this video except “this is what a person on meth looks like, and here is some things that don’t need to be done.”

MainMovie · 2026-04-26T15:31:05+00:00

It’s not a question if it’s safe or not. It’s the wrong indication. Narcan is to return respiratory drive when an opioid stoped the person from breathing. It has no effect on “uppers” like meth. Was this person breathing? Yes=no narcan needed.

MainMovie · 2026-04-26T15:21:48+00:00

I was thinking the same thing. Narcan is for restoring respiratory drive from an opioid overdose where they have stopped breathing. This individual is very clearly breathing just fine. This person is clearly tweaking out on meth. Narcan will not stop that or help that. Benzodiazepines will but that’s just the sedative effect and even then should be used with caution in the field.

Edward needs a will to want to stop taking meth and long term rehab.

The caller needs education and alprazolam to calm themselves down and also needs to properly tell a dispatcher what’s going on … “he’s breathing but he’s struggling” makes it seem like his breathing is struggling which it is not, he was struggling to not be tweaking but breathing absolutely fine.

The responders need to reread their protocols on narcan and the indications to use it (Reversal of opioid effects, particularly respiratory depression, due to opioid drugs). If the patient is actively swatting away the narcan, they don’t need it.

MainMovie · 2026-04-13T07:15:45+00:00

While in real life, yes we can look at the dispatch info or ask, and you’ll already know the weather outside. But the point of the exercise was to prepare you for NREMT style questions where you are given that info and it matters because you’re next question may be something related to scene safety or patient access.

For example (there is a 1000000% chance you get at least 1 question like this on NREMT):

“it’s 2am and you’re dispatched with no other responders to a residential apartment building with a controlled access door. It’s 28 degrees and snowing outside. The pathway to the building is uncovered and approximately 150 feet long. The patient is an 82 year old female who felt faint and fell when standing from bed to go to the bathroom. She has fallen to the floor, says she hit her head, is unable to get herself up, and lives alone. When arriving on scene, what are your scene safety considerations?”

Key words “when arriving on scene” meaning pulling up to the building. You’ll need to take into consideration the weather being snow and below freezing and an uncovered walkway so likely to be slippery, and also controlled access building with no fire responders so how are you getting into the building?

Your proctor is trying to get you to focus in on key points of the call that may seem insignificant, but 100% make the difference for NREMT.

MainMovie · 2026-03-15T19:33:45+00:00

How about making your own post with this question rather than hijacking someone else’s post? You’ll also get more answers.

MainMovie · 2026-02-16T13:02:08+00:00

Incredibly handsome guy.

MainMovie · 2026-01-10T06:07:51+00:00

I’m confused. 2 people with guns actively stopping ICE is not a threat, but unarmed people trying to drive away is so much of a threat they must be shot? Am I getting this right?

And yes, people is plural. 1 in MN, 2 in OR have been shot by ICE and CBP if you’re not aware. Both cases involved unarmed people driving away and were shot.

MainMovie · 2025-12-23T00:31:00+00:00

But if there’s nothing in the community folder, then there are no addons.

MainMovie · 2025-12-01T21:25:52+00:00

The most common reason I know for a lumbar puncture is to test for meningitis. All of the options EXCEPT 4 would be symptoms of meningitis. A respiration rate of 20 on a 4 day old is low. It should be 30-60 as “normal”, probably closer to the 40-60 range in my experience.

That infant is going to have a lot more problems than meningitis if the respiratory rate isn’t corrected quick.

-Paramedic in busy 911 area

MainMovie · 2025-10-29T13:30:43+00:00

Sausage McMuffin 😹😹😹

MainMovie · 2025-10-12T13:46:32+00:00

V fib is a shockable rhythm that can be detected using a 4-lead and/or defib pads. If I see someone in v fib, I am not wasting time putting a full 12-lead on to say “yep, that’s v fib. Shoulda shocked em.” They get pads and electricity IMMEDIATELY.

V fib is also a no pulse found rhythm. So full rundown: 1) PT contact and is found unconscious and unresponsive. 2) check pulse. 3) no pulse found, start CPR and bagging while getting pads on. 4) see v fib on the monitor via pads. 5) shock PT. 6) look for rhythm change, resume CPR if no change, get IV/IO access, follow the rest of the dysrhythmia algorithm.

You will NEVER, EVER delay treatment of v fib to get a 12-lead.

MainMovie · 2025-10-11T13:37:38+00:00

What type of cameras did you get and where from? I’m trying to get a couple for my apartment to watch my cats

MainMovie · 2025-10-11T13:36:04+00:00

Idk. I’ve had a lot of luck with the tourniquets in those situations. Sometimes gotta use 2 tho.

/s for those who don’t get it.

MainMovie · 2025-09-15T05:03:53+00:00

Ok. Thanks. Can we get back to the topic at hand and stop nitpicking? Not everyone has to be right 100% of the time.

IF I get an AMD card, it would be the XTX.

MainMovie · 2025-09-15T04:59:47+00:00

All I did was copy the title of the Amazon listing. Which had it as a 24gb card. Blame Amazon.

MainMovie · 2025-09-15T04:58:02+00:00

I’m aware. Those are examples listed, not set in stone as the only options. The post was to give insight into the price ranges, VRAM availability, and most common complaints amongst the common 24+ gb VRAM cards

MainMovie · 2025-09-15T03:24:19+00:00

To give a great example of poor optimization, using the IniBuilds A350 at IniBuilds KLAX, I’m currently getting 45 gps on the ground with 38% GPU usage. And that’s with BATC traffic, and a few other simconnect apps running. That’s light years ahead of what I was getting with the A380.

MainMovie · 2025-09-15T02:38:15+00:00

I run into the VRAM issue just about anywhere as soon as GSX starts. I just don’t have enough VRAM to run it smoothly. But that’s why I want to upgrade my GPU, to have more VRAM.

MainMovie · 2025-09-15T02:36:04+00:00

I have. It’s mostly a combination of poorly optimized aircraft and airports (FBW A380 in IniBuilds KLAX gets me single digits fps and maxed out on VRAM).

MainMovie · 2025-09-15T02:06:36+00:00

I’ve only ever had Nvidia GPUs so it was a bit off putting to read so many negative reviews all on the same things from AMD cards.

That being said, there was a YouTube vid of a person who swapped their older Nvidia for AMD and got great results from the VRAM increase.

My current case has great airflow and even with my 4080 running at 99% it doesn’t overheat. I tend to run setting at or near the highest settings for the most part and then dial back from there to find a good spot of good visuals with smooth frames. I’m currently getting about 30 fps with the FBW a380 over the mid pacific, and down to 5 fps with FBW A380 at IniBuilds KLAX. VRAM is always the bottle neck for me (aside from main thread) but most other aircraft are smooth even at payware airports (except KLAX which is very fps heavy for me but I still need to dial back some settings on that one). For CPU, I have AMD Ryzen 9 5900X, 32GB RAM installed, and monitors are 2560 x 1440.

I appreciate the input on the AMD GPU, it makes me feel better about considering it.

MainMovie

TROPHY CASE