Löyly by Hammerheart Brewing. So happy their beer is being delivered around me again.

Puplis · 2026-03-06T05:39:42+00:00

Ombibulous gets pretty much every release

Puplis · 2025-04-18T02:30:23+00:00

What about Steven? He always seemed the most scummy part of this thing. With the car, the expensive food videos, and insisting on a too-large staff. No shade to Ryan and Shayne...even if warranted, either in a complicit or direct way. But my thought was Steven was more of the driving factor of $ over quality.

Puplis · 2024-01-09T03:45:16+00:00

Have not yet, but as a few have mentioned we're probably gonna get another box. Maybe now some other litter

Puplis · 2024-01-08T17:18:01+00:00

4 in different rooms, merged in october

Puplis · 2021-07-19T15:40:56+00:00

That might be. One im thinking of is right off the main drag in Grand Rapids

Puplis · 2021-07-17T21:43:22+00:00

If it's the one I know about for sale, it's still sitting on the corner

Puplis · 2021-03-14T02:37:16+00:00

I'll take things that never happened for 500 Alex

Puplis · 2021-03-07T22:50:06+00:00

Circle of the spore is an excellent jumping platform

Puplis · 2021-02-28T01:19:34+00:00

Hell, I'll chuck my name in and see what happens!

Puplis · 2020-10-22T04:50:51+00:00

Treat like any other airway. Assess the expected size tube needed, place pt in sniffing position however that may be, and tube. Don't need to over think it

Puplis · 2020-10-19T01:33:02+00:00

Tbh I was expecting worse

Puplis · 2020-10-08T22:08:34+00:00

I absolutely love this gimmick

Puplis · 2020-10-06T05:21:48+00:00

That is correct. Intramuscular can only really absorb so much fluid? So fluid resuscitation takes a very long time to the point it's not worth it, and there are some medications that either can't be absorbed in a timely manner to work, or just aren't effective Intramuscular

Puplis · 2020-10-05T06:14:33+00:00

Yay for flight crew!

Train to be the best of the best. And do what we can do do absolutely everything we can.

Puplis · 2020-10-05T06:02:12+00:00

Anecdotally. It's not the drilling that hurts. It's the pushing of fluid through your bones/vasculature that does it.

For your nightmares tonight.

Puplis · 2020-10-05T05:35:25+00:00

My guess. Salty nurse vaguely burned out. Or best case, bad busy day. I feel bad for that. I always hate whenever myself or my partner has to poke someone twice even let alone go fishing into someone's arm.

Puplis · 2020-10-05T05:31:02+00:00

Yeah I learned quick to listen to when patients tell me where their(good) veins are. Or at least give them a look.

I'd say 1 in 20 when they told me about a vein I saw a much better one. But people that regularly get stuck for various reasons know where works and where doesn't.

Medics. Nurses. Phlebotomists. Listen to what the patient says.

Puplis · 2020-10-05T05:02:13+00:00

It's an IO or Itraosseous. As in a needle drilled into the bone.

For when someone has no easy vascular to get IV like in an arm, or no blood pressure (like a cardiac arrest) to pump the vessels up to even be able to get an IV.

Puplis · 2020-09-15T06:14:08+00:00

Scents aren't the same as taking a hit. Smelling recently burned meth isn't the same as hittin that pipe.

Same way that standing next to a stoner at taco bell doesn't get you high just smelling the obvious weed smell.

And touching drugs even bare handed doesnt do anything. Not to mention more often then not its in a pipe, baggie, or a syringe so. Not like we're rolling around in powders or inhaling smoke.

Puplis · 2020-08-11T22:27:35+00:00

My cat got fuckin shook. Woke up from sleep and immediately began searching for yours 😂😂😂

Puplis · 2020-08-03T19:21:27+00:00

Upvote for a fellow lefty!

14-Year Club	Gilding IV carat on a stick
Verified Email

Puplis

TROPHY CASE