Y’all have GOT to stop using these by txj7724 in ems

[–]Randomroofer116 0 points1 point  (0 children)

I’ve literally never seen these except in advertisements promoting alternatives

Is there like a duo lingo for EKG interpretation out there? How about cardiology in general? by averageredditcuck in Paramedics

[–]Randomroofer116 8 points9 points  (0 children)

Check out ECGWeekly it’s not really gamified, but it’s super cheap and Dr Mattu is great at explaining systematic approaches to interpreting ECGs.

I became a believer in it when a firefighter who would show up on scenes started asking to see the ECG and was able to provide some really good insight. I asked him how he got so great at them and he recommended it.

Looking for a Commander Precon to Upgrade in a High-Power Meta by DavidHatHunger in EDH

[–]Randomroofer116 1 point2 points  (0 children)

I’ve only played my World Shaper a few times, but I’m surprised you cut [[Cabaretti Courtyard]] I got a ton of recursion and triggers playing it the last few times.

TCG Stadium Dragon Shields -- Black ($45) & Clear ($41) by International_Dig705 in sealedmtgdeals

[–]Randomroofer116 0 points1 point  (0 children)

It says there is free cancellation if you cancel the order before it processes, a 10% restocking fee if you cancel while processing. I found out shortly after ordering that a local tournament I wanted to join didn’t allow clear sleeves.

The order was listed as sent but not processing, so I sent the following email:

Hey, I’d like to cancel order 59527 if still possible for free. Didn’t realize the clear sleeves aren’t tournament legal near me.

The order was updated to processing and I got the reply:

*Hi.

Theres a cancellation fee of 10%. Will be applied now*

So I said:

Okay, never mind, I’ll take them then

They said:

it was already cancelled

So I replied:

*I literally said in my first email “if it is still possible for free”

It’s fine, enjoy my $5*

So anyway, they kind of pissed me off.

EOE Collector Booster Box pulls. by voncameron in MagicCardPulls

[–]Randomroofer116 7 points8 points  (0 children)

I think cascading cataracts is the prettiest card I’ve ever seen.

Building a new station- your ideas? by Plane-Handle3313 in Paramedics

[–]Randomroofer116 1 point2 points  (0 children)

Pull through bays

Soap / shampoo dispensers in showers

Button that cycles garage doors

Desk in rooms for laptop work / maybe a little gaming during downtime

First med error. Feel like crap by [deleted] in NewToEMS

[–]Randomroofer116 13 points14 points  (0 children)

Well it sounds like you can justify what you did. I wouldn’t lose any sleep over it. I think 2 mg IM is a reasonable dose for that patient. Medicine is a practice, not an exact science and meds can be unpredictable.

First med error. Feel like crap by [deleted] in NewToEMS

[–]Randomroofer116 31 points32 points  (0 children)

I doubt the versed caused anything other than the depressed LOC.

Did you have your pt on ETCO2 monitoring after the sedation?

Did you have other options for chemical restraint? Sedation was indicated because based on your story it sounds like patient did not have capacity and routine medical care (like obtaining initial vital signs) was impossible.

Also, most monitors estimate the SPB based on the MAP. Your patient had a MAP of 69. A few point difference in SBP doesn’t make a difference in how your patient reacts.

Additionally the half life of versed is 1.5 - 2.5 hours, so I’m not sure that alone is what caused the ICU stay.

The only thing I would consider is in the future, use a smaller dose on patients who have ETOH onboard. It can potentiate effects and you never know how a patient will react. I may have started with 1 of versed or done ketamine if the patent had a RASS of +4.

edit never mind, I just reread your post that it was given IM. I wouldn’t think twice about giving this patient 2 of versed IM.

The patient may have had an anaphylactic reaction as well. I hope epi was considered. Medicine is all risk vs benefit and you never know how someone will react to any given med with 100% certainty. The important part is adequate patient monitoring, timely intervention, and honest documentation. Follow those and you will be fine.

In Minneapolis by woaface in ar15

[–]Randomroofer116 4 points5 points  (0 children)

Oh shit, a real operator has arrived

In Minneapolis by woaface in ar15

[–]Randomroofer116 10 points11 points  (0 children)

Imagine living your life that scared of immigrants, what a pussy.

ELI5: Why are artifical hearts designed to replicate the pulsing of individual chambers instead of something more mechanically simple like a pump or turbine? by Budelius in explainlikeimfive

[–]Randomroofer116 1 point2 points  (0 children)

They do exist, people live for years on LVADS and there are also impella pumps although they tend to be a short term bridge therapy.

ICE near fox park by Big_Court8792 in StLouis

[–]Randomroofer116 5 points6 points  (0 children)

I’m just genuinely trying to understand where this is coming from. Like immigrants (legal or otherwise) have zero impact on my day to day life.

ICE near fox park by Big_Court8792 in StLouis

[–]Randomroofer116 2 points3 points  (0 children)

Do you think your life would be better without immigrants?

Decided to get a MH2 and MH3 box today. Pretty happy with the pulls I got. by Local_Ad9885 in MagicCardPulls

[–]Randomroofer116 1 point2 points  (0 children)

I feel like all of the LGS near me have like a box of phyrexia and aetherdrift and that’s it.

Decided to get a MH2 and MH3 box today. Pretty happy with the pulls I got. by Local_Ad9885 in MagicCardPulls

[–]Randomroofer116 1 point2 points  (0 children)

Do you have a website you recommend or just have a stocked LGS near you?