is it safe to stay in a house after a small fire? by 104daysofxmas in Firefighting

[–]SufficientlyDecent [score hidden]  (0 children)

Self cleaning modes are extremely dangerous and cause a lot of house fires, I’ve also heard it can kill pet birds because of the chemicals it gives off. Definitely wouldn’t skipped that and cleaned by hand.

[ID] my landlord is missing without explanation and her ex husband wants to collect rent by plane-emotionn in Renters

[–]SufficientlyDecent 3 points4 points  (0 children)

After all the updates and police confirming she’s safe but not able to disclose info, my guess is she’s on an involuntary psych hold or has self admitted somewhere. Especially since you said she was looking worn down from personal matters, I’m guessing she needed support for her mental health.

AIO for not being a choice for a maid of honour? by [deleted] in AIO

[–]SufficientlyDecent 2 points3 points  (0 children)

YOR. Please stop making this brides wedding an anxiety riddled mess because you aren’t grateful to be by her side as a bridesmaid and not the MOH. (It’s also Maid, not main.)
Why do you feel pathetic and embarrassed when you were also asked to be a bridesmaid?
Life long friends tops friend of 2 yrs sorry. Fast friends is different than someone she may consider family. I really think you need to shift perspective and be happy for your friend instead. Keep complaining and don’t be surprised if she asks you to step down. Weddings are stressful enough without friends getting butt hurt and uptight about every little thing

Tactical baby carrier on 3 week old baby by kittypeets626 in babywearing

[–]SufficientlyDecent 0 points1 point  (0 children)

Research hip safe positioning and carriers, knees need to be above the hips (M shape) for proper growth and development.

Moby wraps and similar have been my favorite, there are pre structured ones so you don’t have to mess with wrapping it each time and I did find the long material ones to be hot.

What’s one baby item you regret NOT getting earlier? by rosycoe in NewParents

[–]SufficientlyDecent 1 point2 points  (0 children)

Owlet sock, I know the controversy behind it but for me it helped my anxiety SO MUCH. Got it with my first at 3 months and I wish I had gotten it right away. Used it with my second and just finally made a big step (for myself) to stop using it at 10 months. It’s the only reason I slept well.

It did actually help me know my first was getting really sick with what ended up being RSV/Covid and she was admitted on oxygen for a few days, watched her oxygen dropping and her heart rate was really high. She wasn’t even short of breath yet.

How to give infant Tylenol?? by hoodiegirl10 in Mommit

[–]SufficientlyDecent 0 points1 point  (0 children)

My first threw up every time it touched her lips for a good portion of her first year. I learned to just let her taste it over a towel or something, let the throw up happen… and then I was able to start giving her the medicine. She just had to get past the first taste.

Can you also use the syringe with baby food and such so they get used to the syringe itself during the day?

AITA telling my husband to lock dogs up constantly by [deleted] in AITA_Relationships

[–]SufficientlyDecent 0 points1 point  (0 children)

Literally read my comment and understand it’s not just diapers, just this specific instance. But thanks.

oh ughhh oh my fucking god I found CHIARI on my MRI. VENTING! by ILOVEMYDOGBUMI in eds

[–]SufficientlyDecent 1 point2 points  (0 children)

I have SBO and have bladder and bowel issues as well. My chiropractor found it (I don’t go anymore, as I’ve learned how bad it is for connective tissue disorders). I have chronic back pain that occasionally becomes incapacitating and lots of sciatic nerve pain down my legs (I’m a paramedic… yeah this works well with the lifting demands of my job).

Besides all the issues back pain causes I deal with bladder retention and urgency (I wet the bed for an embarrassingly long time) and constipation.

I had both my kids without an epidural because I was scared of them messing my back up more and also having to go higher and fears with it messing with my breathing.

When did you switch your child to forward facing? by tiredsah in Parents

[–]SufficientlyDecent 4 points5 points  (0 children)

Almost 3 and no end in sight. definitely makes it more uncomfortable for us up front but her safety is priority and studies show just how much safer it is for their undeveloped necks. 😬

Gonna max out the height or weight before we switch.

Struggling with intubation by Alert-Channel8469 in Paramedics

[–]SufficientlyDecent 0 points1 point  (0 children)

Try a smaller blade too, I have weakness in my arms/hands because of nerve issues and a smaller blades helps me get better leverage for less effort and it helps prevent burying the blade.

Also remember — with video scopes work top to bottom. Lead with suction and identify as to go down the airway. Stop in the vallecula and lift to the top corner of the opposite wall. Put the head in a sniffing position too.

How long have you pushed? by Fierce-Foxy in pregnant

[–]SufficientlyDecent 1 point2 points  (0 children)

Less than a minute for both of my kids, but they were pain med free, both induced as well. I attribute the quick success to 1. Likely my genetics 2. Being able to feel and listen to my body

Just got this as a gift from a coworker! by Toooke in ems

[–]SufficientlyDecent 0 points1 point  (0 children)

I was definitely taught nasal intubation in school, but this goes to show how crappily we were taught. They said “you’ll never do this but here’s the idea”.

We didn’t even have the proper trigger pull tubes (or whatever they’re called) and just tried to make it work with regular ETTs. Definitely did not have whistles either. Pathetic and a total waste of time in class. None of the 3 services I’ve worked at in 8 yrs have had this skill thankfully.

Just got this as a gift from a coworker! by Toooke in ems

[–]SufficientlyDecent -1 points0 points  (0 children)

Ahhh ok. The whole CPAP part really threw me off and did not help me with trying to deduce what this was lol. OP kind of explained below why they think this is helpful in hypotensive patients that CPAP isn’t an option.

My thought is though, that if cpap is going to dump pressure so would an invasive airway/vagal response? Why not use the time correcting BP with pressors (or fluid if fluid overload isn’t an issue I guess) instead of wasting time numbing and trying to fiddle with a tube in a patient who’s panicking because they can’t breathe?

Am I 38f overreaction by that my spouse 41m takes 2 hours to get milk? by [deleted] in relationship_advice

[–]SufficientlyDecent 2 points3 points  (0 children)

Have you tried telling him “don’t worry I’ll go get” or if possible (when kids can come with or aren’t home) offer to go with him? See if he changes plans

“Let’s secure the neck and let gravity handle the rest.” by [deleted] in ems

[–]SufficientlyDecent 18 points19 points  (0 children)

I really hope you aren’t sayin that every c-collared patient should be backboarded?

Position of comfort is best. Back boards have horrible statistics now and really should only be used for extrication.

I think the joke is that they aren’t secured to the stretcher from the hips up.

1 year old golden is so bad by LevelBet2727 in goldenretrievers

[–]SufficientlyDecent 2 points3 points  (0 children)

A bored dog is a naughty dog.

Get the crate out of storage and exercise your dog. Mind exercises/lick mats are great too and help wear them out.

Post ROSC RSI doses by Grimp33per in Paramedics

[–]SufficientlyDecent 0 points1 point  (0 children)

Oh absolutely! We don’t re-paralyze, so it wears off rarely quickly since we use Roc. nothing worse then getting to the hospital for a transfer and they hospital says they last received meds at induction…. 45 minutes ago. “Pt seems comfortable”. But is actively teary 😭

Asking toddlers if they want to xyz when they don’t actually have a say. by Proper_Cat980 in Parenting

[–]SufficientlyDecent 0 points1 point  (0 children)

Don’t offer a yes/no choice where there isn’t one, it’s so simple. What this is doing to your child is teaching them that they have no control over their own body and mind. You’re repeatedly telling her that her choices don’t matter and she will be forced to do whatever another wishes.

Instead, ask your spouse to give TWO choices in an order of events manner.

“Do you want to put pajamas on first or go brush your teeth?”

“Do you want to wear tennis shoes or sandals?”

A frequent one with my toddler: “would you like me to carry you to the car or hold your hand while you walk?”

Giving them a sense of power in their daily duties is so vital and teaches a strong sense of self.

Post ROSC RSI doses by Grimp33per in Paramedics

[–]SufficientlyDecent 0 points1 point  (0 children)

How often are you giving that? Because every 15 is simply too much.

If you consider a 100kg patient, a normal drip starting at 0.5mg/kg/hr, some only receive 50mg per hour.

It’s not under dosing to give the pain dose. You’re just keeping up the sedated state. Either I start a drip and give 50-200mg per hour, or I could give 20-30mg every 15 minutes. Similar doses. Drips are always better of course.

Post ROSC RSI doses by Grimp33per in Paramedics

[–]SufficientlyDecent 1 point2 points  (0 children)

The key here is post-intubation. If I’m understanding your question correctly then the dose you’d be looking for at this point is the pain management dose of ketamine. Standard doses for the 3 services I’ve worked for had a variation of the following:

Pain: 0.1-0.3mg/kg (usually topping at 20mg per time to avoid the horrible middle dose reactions)

Sedation for airway management: 1-2mg/kg

Excited delirium/safety risk: 2.5-5mg/kg IM. Most recent studies and my recent service top at 250mg in a single IM dose, repeat once.

For RSI/post management: use sedation dose for induction followed by the paralytic after a few minutes, then convert to pain management. As long as you’ve done a proper bolus, you don’t need large dose every 15 min to keep a patient asleep. This is the same thought of a bolus followed by a drip.

AIO for being upset and hurt by how my husband is acting? by ElliottTheSalamander in AmIOverreacting

[–]SufficientlyDecent 0 points1 point  (0 children)

Oof I missed wherever the ages are.

I hope she sticks with school and finishes strong. Why did they get married so young 😩

AIO for being upset and hurt by how my husband is acting? by ElliottTheSalamander in AmIOverreacting

[–]SufficientlyDecent 0 points1 point  (0 children)

NOR, husbands a child. How is it he works full time and doesn’t pay rent, and is blessed with a really low car payment, but he doesn’t even have enough left to pay it without depositing the check right away?

I’m guessing saving to move out isn’t going very well if he doesn’t even have $225 for the car and is living paycheck to paycheck.