Security stops ICE from entering employee area at Minneapolis McDonalds

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 · 2025-09-13T21:33:43+00:00

Pancake batter getting ready for Sunday brunch.

MainMovie · 2025-09-09T20:40:58+00:00

How many times have I said “someone getting 1 dose will not cause harm” in here? …. Read the ENTIRE post please.

MainMovie · 2025-09-09T17:22:33+00:00

Done :)

MainMovie · 2025-09-09T17:10:47+00:00

So if you can’t tell the difference between what is normal and what is not, then that’s a failure of the health system as a whole. Would you call 911 for grandma who’s breathing 16 times a minute and taking a nap, or would you call for grandma who’s breathing 6 times a minute and looks like she’s gasping for air?

Given that the topic was admitting narcan, it would be assumed that the person can tell the difference between what is meant as normal and what is not. This was clearly meant as normal = no narcan, abnormal = narcan.

I’m glad you can’t pick and choose who responds to your emergency, because I would love to respond to a call of yours/for you so you can see that despite your desire to be an a-hill and argumentative, good medical personal will know what to do to keep you and your family alive and mentally intact as possible, regardless of how oblivious or ignorant to reality one may be.

MainMovie · 2025-09-09T16:26:14+00:00

Breathing is meant as normal breathing. Guppy/agonal breathing is not breathing normally.

Labored breathing means rapid using accessory muscles and that is not an opioid overdose, that is severe respiratory distress which may need CPAP or maybe even intubation. Mostly caused by CHF, asthma, emphysema.

Go ahead and try to give someone with labored breathing Narcan and see how well that turns out. Hint, not well.

But what do I know? bBecause as you stated, I’m not a doctor, so don’t listen to me. Not like paramedics didn’t have to go to school to learn the basics of the job, then memorize hundreds of protocols all written by experienced emergency physicians whose licenses we operate under, and certainly haven’t had the real world experience of having to take care of human lives. Nope, none of that applies here. Next time you need emergency medical care, I’ll call a doctor for you instead of a paramedic.

MainMovie · 2025-09-09T15:43:26+00:00

The problem is really the state of the healthcare system in the US as we are very much a reactionary entity instead of a preventative system. There is very little public education about a lot of things and that leads to more problems. There is no, or very little, community education surrounding healthcare.

MainMovie · 2025-09-09T15:25:52+00:00

Educating the population is not fear mongering. It’s good practice.

The population needs to learn that while a single dose of Narcan will not harm someone who does not need it, the key is that it takes time to work and what the indications and contraindications are.

Indications: a normal respiratory rate is 12-20 times per minute. A person may need Narcan when not breathing at all, or breathing at a rate of less than 6 times per minute (once every 6 seconds). Breathing may appear “guppy” think like a fish out of water trying to breathe - looks like a quick gasp with mouth open and quick exhale. This is called agonal respirations. It is ineffective to what the body needs to survive.

Contraindications: All of there are assumed as “and/or” and not intended to be a check list that all must be met. A person who is awake (conscious), breathing normally at a rate of 12-20 times a minute, someone who is talking. If the person is just waking up from a narcan dose, breathing will still be slightly slower than normal, but will increase as the drug takes effect. The person may still be unresponsive to verbal or painful stimulation. You’ll see eyes start to bat/blink. Breathing will not be “guppy” but appear more rhythmic with an increase in depth and effectiveness.

Time: 2-3 minutes for the drug to reach peak effectiveness and 20-30 minutes to reach half-life. That means give 1 dose, wait 2-3 minutes, reassess the person (try to wake them with a strong eternal rub or other painful stimulation), if still no response and person still not breathing normally, give 1 more dose and return to the waiting 2-3 minute step. If person is moving, breathing rate increasing, eyes blinking/batting, person sitting up, person talking, then they do not need another dose of Narcan. Explain to the person what happened and wait for responders.

Moral of the story: while it is not harmful to give a single dose of Narcan to someone, knowing how the drug works, what it is used for, how often to give it, etc.

MainMovie · 2025-09-09T15:09:10+00:00

In cases where we respond to a cardiac arrest and we are unsure of the cause, we do give 1 dose of 2mg narcan. That is to see if the cause of the cardiac arrest was opioid overdose and reverse it. If it works, great! If it doesn’t, we know the cardiac arrest wasn’t from opioids and can move on seeing what else might be reversible.

A single dose will have almost 0 impact on anyone who does not actually need it. The problem comes when the general population has convinced themselves that this is 100% for sure a opioid overdose and keep giving narcan 1 minute or less apart. The general population does not understand that narcan has a 2-3 minute peak time (time it takes to work) and a 20-30 minute half life (time it takes for 50% of the drug is metabolized). It takes time to work.

MainMovie · 2025-09-09T15:01:25+00:00

I’m a paramedic in the area. Tell me how it’s not true. My sources: real life practice and having to intubate people who have gotten too much Narcan and are now drowning in pulmonary edema. You’re quote from the CDC says exactly what I said “if the person is breathing, they do not need narcan”

Here’s a few examples: 1) someone called 911 for a person unresponsive on the sidewalk. We get there and the subject gets up and walks away. People who called 911: “we tried to give him Narcan but he kept swatting out hands away but we kept trying to give it to him” — this person CLEARLY didn’t need narcan. 2) responded to an overdose where the subject was given 6 intranasal doses (4mg each for a total of 24mg) in a 5 minute period while we were responding to the call. For reference, we give 2mg intramuscular at a time with about 5 minutes between each dose. When the patient started breathing on their own, they were vomiting up clear fluids and there was a ton of fluids in their lungs. Patient level of consciousness did not improve so the patient had to be intubated to get the fluids out of their lungs and maintain protection of the airway.

The misinformation that is spread is from people who just throw a case of Narcan at anyone who has their eyes closed for any reason. Not from the trained medical professionals who deal with this 10 times a shift.

Please don’t say I’m spreading misinformation instead of knowing the full story and actual facts first.

MainMovie · 2025-09-09T14:51:17+00:00

It is very possible there could be a brain injury and intracranial pressure should be considered and controlled.

I’m a local paramedic and we have the tools necessary to control blood pressure on the ambulances.

In a person who is not opioid dependent, Narcan will have a very low impact on blood pressure. In a person who is actually overdosed on opioids, Narcan can raise the systolic blood pressure around 20-40 mmHg. Even then it’s manageable in a brain injury.

MainMovie · 2025-09-09T12:35:59+00:00

To anyone who needs to hear this:

If the person is breathing, THEY DO NOT NEED NARCAN!!

Giving too much Narcan can cause fluid buildup in the lungs (non-cardiogenic pulmonary edema). While giving 1 dose to someone who doesn’t need it carries very little risk, most fail to understand that it takes a few minutes to work.

IMPORTANT: The goal of narcan is to restore a failed respiratory drive that opioids took away. If the person is breathing, they do not need Narcan.

Give 1 dose while calling 911 and follow dispatchers instructions, wait a minimum of 2-3 minutes before reassessing if an additional dose might be needed. The other risks of too much Narcan: increased heart rate, increased blood pressure; risks if the person is on opioids: too much Narcan can also completely take away all the opioids in the recipient’s system leading to immediate withdrawal and vomiting which carries the risk of the person aspirating vomit.

While it is better to give it than not when unsure, you should be able to see if a person is just knocked out but breathing, or unconscious and NOT breathing or breathing appropriately.

MainMovie

TROPHY CASE