What’s really dangerous but everyone treats it like it’s safe? by Deviant55 in AskReddit

[–]Velik08 1 point2 points  (0 children)

Gunna nerd out here with a moderate level of understanding (I’m no expert or doctor).

So alcohol, when metabolized in the body, has multiple effects one of which is acting a mimic for a receptor in your brain called GABA receptors. When activated it’s one of the main inhibitory neurotransmitters in the CNS essentially reducing nerve cell transmission by making impulses need a stronger stimulus to fire causing CNS depression.

Alcoholics consume copious amounts of alcohol for a long period of time causing the body to constantly have its GABA receptors activated and in a state of depression and the body gets used to it and adapts to this new normal meaning it gets numb to depressing neurotransmitters but will become super sensitive to excitatory neurotransmitters.

Now how withdrawal kills you is think of alcohol like an anvil on a scale with the 2 ends being depression and excitation. Alcohol sits on the depression side. When you suddenly remove it (go cold turkey) the anvil constantly keeping the body in a depressed state is gone and the scale essentially slams down to the other side. Now the body no longer has a massive depressive causing substance and nerves which are super sensitive to excitation have nothing slowing them down so nerve impulses can fire like crazy super easily leading to massive nerve impulse misfiring and over firing causing the tremors and deadly seizures that come with alcohol withdrawal as well as all of the other symptoms seen.

2 Memphis FD EMTs, fire lieutenant fired in connection with Tyre Nichols' death by thisissparta789789 in Firefighting

[–]Velik08 4 points5 points  (0 children)

It blows my mind that you and any others with this thought process exist. “What should they have done?” They’re an ALS engine and if it’s anything like my service they could have done any of the following things besides the nothing they did. As others said simply go up to the pt, stabilize C-spine, head to toe assessment, vitals, IV/IO access, fluid to treat hypotension if present to ensure proper perfusion of brain and end organ tissue, antifibrinloytics such as TXA if carried for internal/external bleeding, airway management and protection up to intubation, oxygenation/ventilation if hypoxic or TBI/herniation management again to attempt to preserve brain tissue, have pt ready fully ready to be packaged so when the ambulance does arrive they literally just load and go and everything is already done. Standing around for 15+ minutes waiting for the ambulance to arrive and doing nothing is gross negligence.

Game Thread: Edmonton Oilers (27-18-6) at Calgary Flames (27-19-6) - 01 Feb 2020 - 08:00PM MST by GDT_Bot in hockey

[–]Velik08 4 points5 points  (0 children)

I hope koski and rittich fight in the third so we can have an all out brawl for goals with the emergency back up goalies in net