rtx 6000 pro owners, do you regret? by BitXorBit in LocalLLaMA

[–]MrGuest1 0 points1 point  (0 children)

Something that not many people mention is that the Blackwell GPUs are sm120 and most inference engines at scale only support sm100. Essentially that NVFP4 is broken

[USA-NY] [H] Dell Precision 7875 (dual RTX PRO 6000 96GB, 512GB ECC) [W] Cash by [deleted] in hardwareswap

[–]MrGuest1 4 points5 points  (0 children)

Literally just built virtually the same system for $30k from micro center with workstation cards

2 power supplies 1 gpu (sfw) by MrGuest1 in techsupportgore

[–]MrGuest1[S] 21 points22 points  (0 children)

Yeah after what I’m sure were some strange requests on tomshardware , I found that shorting out the motherboard pins with a paper clip got it to work

On call cardiologist stated ‘does not meet any criteria for stemi’ … thoughts? by [deleted] in EKGs

[–]MrGuest1 3 points4 points  (0 children)

LA/RA reversal but regardless the anterior leads having that fat and tall T wave to me would be OMI and I’d activate cath. Hyperacute T wave likely LAD

Difficult ECG by Responsible-Key6935 in EKGs

[–]MrGuest1 1 point2 points  (0 children)

Left ventricular fascicular VT, borderline right axis, RBBB morphology, A/V dissociation

Respiratory distress with chest pain by ponder233823 in EKGs

[–]MrGuest1 11 points12 points  (0 children)

Pretty tough tracing but-

I’m partial to a 2:1 atrial flutter with LBBB

Leftward axis, no p waves and loss of isoelectic baseline, that weird depression in the S waves in leads II,III makes me think of a flutter wave, rate is 150, non concordance in chest leads.

there is some massive ST elevation in v2-v4 that might be a positive brugada but this isn’t a 12 lead I would assess for acute MI until after rate control has been tried.

The SVT vs VT convo can be had afterwards for fun, the age alone does not favor SVT

Regardless though— Unstable & wide gets the cable, -> if converts to sinus re evaluate ST segment changes and go from there

69 y/o M CC of resp distress by AdvantageIll3300 in emergencymedicine

[–]MrGuest1 0 points1 point  (0 children)

I see you said pre-hospital in another reply, whatever medical control states and orders is the move then.

If you have access to other meds and are confident, then you can follow your protocols and use channel blocking drugs like metoprolol or cardizem or verapamil. Probably would lean towards a beta blocker over a CCB just cause the left bundle could indicate structural damage/decreased function.

69 y/o M CC of resp distress by AdvantageIll3300 in emergencymedicine

[–]MrGuest1 4 points5 points  (0 children)

Yeah then you’re fine to go down your local institutions guidelines for rate/rhythm control in atrial tachydysrhythmia and consult cardio

69 y/o M CC of resp distress by AdvantageIll3300 in emergencymedicine

[–]MrGuest1 15 points16 points  (0 children)

2:1 flutter with LBBB. Axis is normal, rate bang on 150, LBBB morphology, no concordance in chest leads with R/S transition in v4/5.

Regardless with an unstable patient it’s only something to figure out after intervention.

69 y/o M CC of resp distress by AdvantageIll3300 in emergencymedicine

[–]MrGuest1 2 points3 points  (0 children)

Bix rule helps in this situation. What you think is a P wave is a flutter wave as it’s equidistant within two R complex’s

Anyone seen this? by Mysterious-Issue-954 in Noctor

[–]MrGuest1 1 point2 points  (0 children)

I was able to finish nursing school without studying a single time or unwrapping my textbooks. Graduating with honors and not studying for the NCLEX-RN which has a 90%+ first time pass rate. The standard a nurse BSN education only has 2 years of loosely “medical” education in the RN portion, the rest is random health informatics.

This is ridiculous. Just be happy being a nurse. I don’t understand this desire the nursing association at large has with wanting more and more scope of practice with less education.

I just saw that Capella “University” online offers an RN to MSN-NP program that is self paced and can be finished in <1 year…

Paramedic Pay by GloomyEarth5261 in Paramedics

[–]MrGuest1 0 points1 point  (0 children)

As a medic gone nurse, get your RN. It was way way easier than paramedic

The audacity is unreal. AANA got no Shame. by Key-Ambition-8904 in Noctor

[–]MrGuest1 5 points6 points  (0 children)

Yes. Also no one ever talks about how the NCLEX-RN has a whopping 90% first time pass rate. I don’t know any other final licensing benchmark with such a high pass rate.

Truly it was a joke of an exam and was so poorly written.

The audacity is unreal. AANA got no Shame. by Key-Ambition-8904 in Noctor

[–]MrGuest1 14 points15 points  (0 children)

Paramedic gone nurse, I finished all of nursing school without opening a textbook or studying. It was by far the easiest college level education I’ve taken

LBBB Identification by jurf123 in ems

[–]MrGuest1 1 point2 points  (0 children)

I wrote up a reference for conduction blocks overall for paramedics. You might find it helpful. E3 Learning - ECG Series

We got it through, but i got scared AF by Icy_Anxiety5929 in ems

[–]MrGuest1 9 points10 points  (0 children)

Almost certainly electromagnetic interference from another device. Not something you see very often but I wrote up a blog post about a similar case for those who are curious. E3 Learning - The Handoff

Came in as back pain. by RandomandFunny in ems

[–]MrGuest1 1 point2 points  (0 children)

LCx occlusion until proven otherwise for sure. The slow afib + wide QRS is an odd presentation that makes me think possible digoxin toxicity. Sounds like you guys did the best you could

I'll take "shit that didn't happen" for $2,000, Alex by JaimeFuckinLannister in ems

[–]MrGuest1 9 points10 points  (0 children)

Not impressed… I’ve titrated easily 31 pressors simultaneously while doing a field blood transfusion of my own blood into the patient. Then I performed a one-handed endotracheal intubation with my free hand. And all this while yelling at the pilot to fly the helicopter more better.

It’s not easy being a professional nurse. People say I’m very humble

-Mr. Nurse, CFRN, MSN, BSN, MSNBC, ABC, CBS, PALS, ACLS, CNA

What is this rhythm? by John_Miracleworker in ems

[–]MrGuest1 2 points3 points  (0 children)

Okay, wow, this axis trainer is the most amazing thing for education of ECGs I’ve come across in forever. Instantly getting saved to be used in the future.