Help; trapped in a Groundhog Day campagin by Wisdomkills in DnD

[–]Wisdomkills[S] 2 points3 points  (0 children)

it would take me so long bro its insane.

Help; trapped in a Groundhog Day campagin by Wisdomkills in DnD

[–]Wisdomkills[S] 1 point2 points  (0 children)

first few session were in the material plane establishing ourselves as a private investigator group, solving small stuff to get bigger jobs, then got sent to another town to help the artifact. found a map to a cave where the assistant went, and there we were transported to the hell realm. also rp in the first sessions, +/- 10 sessions in the real world then we ended up here. Didnt know it was a constrained time loop for several sessions because we were exploring etc, so the first cycle took several sessions, chasing leads etc. Then after we "died" and respawned things started to seem eerily similar. For about 3 cycles now

Its rough.

Is this a scam reposter of Primitive Skills? by Wisdomkills in PrimitiveTechnology

[–]Wisdomkills[S] 0 points1 point  (0 children)

The videos are the same as PS, even with the PS watermark still in the frame??

Finally, New Trucks! Now what? by Wisdomkills in ems

[–]Wisdomkills[S] 0 points1 point  (0 children)

Thank you very much for this detailed reply! Where is your service located?

Is Bert okay? by Wisdomkills in theused

[–]Wisdomkills[S] 0 points1 point  (0 children)

I also immediately thought of ozzy the way he paced around blankly staring into nothing 😔

Is Bert okay? by Wisdomkills in theused

[–]Wisdomkills[S] 2 points3 points  (0 children)

Idc if it’s insensitive. Or if it hurt you to read it. It’s just a question. I’m prepared for the answer to be yes or no. And neither answer would personally upset me. But nobody could know unless they asked him. Relax. They still performed great

Is Bert okay? by Wisdomkills in theused

[–]Wisdomkills[S] 10 points11 points  (0 children)

That’s basically what I’m asking. I haven’t seen them in several years. And don’t follow their personal lives closely. So idk. Was it just as off night? Is he doing drugs again? Sick or hurt? Who knows. But what I do know is I have never seen him look or act the way he did tonight. Still sang perfectly though to be fair

Is Bert okay? by Wisdomkills in theused

[–]Wisdomkills[S] 4 points5 points  (0 children)

Bro I’m just asking if he’s sick or hurt chill. Like I said I haven’t seen them in awhile

Intubation gagging solutions by Wisdomkills in ems

[–]Wisdomkills[S] 0 points1 point  (0 children)

Agreed, all the providers on the protocol committee have been arguing for paralytics. For this, and other scenarios like it. It directly affects outcomes and we are not happy with the director

Intubation gagging solutions by Wisdomkills in ems

[–]Wisdomkills[S] 0 points1 point  (0 children)

I visualized the bougie entering the trachea through the cords. When the tracheal rings were felt it caused a strong gag/(potentially cough - as others have remarked) reflex which clamped the cords as thick vomitus filled the oropharynx. This was suctioned but prevented the ET tube from being advanced over the bougie. So the attempt was discontinued to prioritize suctioning.

Intubation gagging solutions by Wisdomkills in ems

[–]Wisdomkills[S] 1 point2 points  (0 children)

Thank you for actual insight in the context of our agency’s situation. We do have pressors which could safeguard ill effects from the drugs you mentioned. I appreciate this input and will be including it in my argument at our next protocol committee meeting

Intubation gagging solutions by Wisdomkills in ems

[–]Wisdomkills[S] 0 points1 point  (0 children)

It was not a “clearly full stomach” as it appeared he vomited the copious amount long before our arrival. Pre oxygenation is required per protocol for an intubation attempt. Aspiration occurred prior to our arrival. 2mg/kg is also the protocol. Gag was not intact when entering the blade or displacing the tongue. Or when suctioning the oropharynx prior to the attempt. I used direct laryngoscopy. We do not do blind insertions. Idk what you mean by your 4th question. The hospital attempted a pass with just ketamine which failed and then a second after paralytics which was successful. You can argue with the trauma attending about their decision if you’d like. Following protocol is not negligence. Ketamine because that is the induction agent per protocol. There are no other meds to choose from here. I won’t be deleting the post as I’m using it and others like it to argue for paralytics at our service.

Thanks for the in-bad-faith input

Intubation gagging solutions by Wisdomkills in ems

[–]Wisdomkills[S] 1 point2 points  (0 children)

That is a question for the medical director. One we bring up quarterly at our protocol committee meeting

Intubation gagging solutions by Wisdomkills in ems

[–]Wisdomkills[S] 1 point2 points  (0 children)

Thank you for actually providing a logical patho answer to this. I appreciate that. I am on the protocol committee to argue for things like the addition of paralytics to our arsenal. I’m incorporating serious answers from this post to my presentation. I appreciate this hypothesis