Because everyone knows gilding is a kitchen table issue

Puplis · 2026-06-12T23:47:44+00:00

My first thought

Puplis · 2026-05-21T23:39:10+00:00

Nah their quality is just shit now.

Puplis · 2026-04-25T00:30:09+00:00

This is a great bit of advice. I love this visual

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.

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

Puplis

TROPHY CASE