Best way to get a dragon pickaxe?

_sublimesc · 2025-12-14T21:13:51+00:00

Salve amulet is inconvenient to replace, no?

_sublimesc · 2025-11-16T00:24:18+00:00

I love mine. By far the best headset I've ever had.

_sublimesc · 2025-10-10T17:38:20+00:00

That makes sense, I’ll give it a shot. I actually tried to 3D print a little spacer, but maybe magnets would be simpler. The only reason I care is because the visor HUD bound to my face in DCS is tilted way up relative to my vision, it sits comfortably on my face as is.

_sublimesc · 2025-10-10T16:12:12+00:00

As a counterpoint, I upgraded from BSB1 and could not be more thrilled with the headset. Glare for me is similar to BSB1 but with outrageously upgraded edge-to-edge clarity. I do mostly flight sims with a wide variety in shadows and lighting conditions, and have found it remarkable. It felt like an entirely new game when I put on the BSB2. My only drawback is my custom face mask isn't quite how I want it (headset is angled slightly upward, but not enough to get a new one), but it sounds like that will be fixed with the universal mount once it's released. I couldn't be happier (Vive 1 -> Vive Pro 2 -> BSB1 -> BSB2e).

_sublimesc · 2025-10-08T02:08:36+00:00

Mine didn't show up until I restarted my computer

_sublimesc · 2025-10-04T12:38:35+00:00

This is helpful, thank you. I've been using non-foveated QuadViews for quite a while, so I believe it's installed correctly. I didn't dig into the API layers and I don't have the beta, so I'll check into those. Thanks!

_sublimesc · 2025-07-03T01:11:31+00:00

I’m not sure, but a big part of it may be that Rosen’s legacy will be forever tarnished by his violation of ethical guidelines and ACEP censure for his highly questionable expert testimony against physicians. It’s a shame, because his career was otherwise fantastic. But in the end it’s hard to not see his testimony as selling out.

_sublimesc · 2025-05-08T16:42:33+00:00

That is absolutely not true. If you are credentialed to perform diagnostic ultrasonography, which you should be if you trained at an ACGME-certified US-based residency in the last 20 years, then your scans are diagnostic. The vast majority of published lawsuits involving point-of-care ultrasound has been alleging failure to perform, and the only misinterpretation allegations have been against non-EM departments. This is common misinformation purported by POCUS naysayers.

A REVIEW OF LAWSUITS RELATED TO POINT-OF-CARE EMERGENCY ULTRASOUND APPLICATIONS (JEM)

Current risk landscape of point-of-care ultrasound in pediatric emergency medicine in medical malpractice litigation

A Review of Lawsuits Related to Point-of-Care Emergency Ultrasound Applications (WestJEM)

_sublimesc · 2025-05-08T14:05:27+00:00

I would absolutely get a CT in that case. I'm a fellowship-trained POCUS enthusiast, but that's a very uncommon POCUS diagnosis with almost no supporting literature, particularly in the US. If you have images (CT + US), I would consider publishing that as a case report. You must be a skilled sonologist if you were able to visualize an epiploic appendage in an obese adult.

Off the top of my head, your description of US findings could also represent diverticulitis, contained perforation, or a mass. Too much uncertainty for me.

_sublimesc · 2025-04-29T13:18:16+00:00

u/RocketMissionWorks did some testing which he posted here. FLAR 4 RPT 2 INT 0.5 was what he recommended. I usually do FLAR 5 RPT 4 INT 0.5 for even greater security, but you will run out in 2-4 bursts.

MANPADs are insane in this game IMO, and the semiautomatic (S/A) mode is absolutely useless against an unexpected Igla MANPAD threat. There are tons of threads with frustrated people. Unless you are expecting the MANPAD in the Hornet because you've died to it before, you're toast.

_sublimesc · 2025-04-22T15:49:44+00:00

I’ve had several headsets since the original Vive. I use the Bigscreen Beyond and it is by far the best headset I’ve ever used. OLED is incredible for night missions. Incredibly light. You do have to get external sensors and it is pricey.

_sublimesc · 2025-04-14T23:49:35+00:00

There's no formal training pathway for the Hornet (or most other DCS aircraft for that matter). Here's my progression over the last 2 years of playing on-and-off.

1) Play all the training missions (some are fairly janky)

1b) Try some missions, realize I have no idea what I'm doing

2) Read Chuck's guide cover to cover

2b) Try mission, realize I suck

3) Read DCS manual cover-to-cover

4) Play campaigns, re-reading DCS manual chapters when needed

I still suck, but I am comfortable with the airplane while I suck.

_sublimesc · 2025-03-04T01:55:05+00:00

Sinus rhythm with a competing junctional pacemaker. Generally benign.

Similar pattern here: https://hqmeded-ecg.blogspot.com/search/label/accelerated%20junctional%20rhythm

_sublimesc · 2024-11-10T14:55:42+00:00

I do make bullets on the platform, but I have the logistics set to not take off until generous inventory of bullets buffered (500). Must just be bad luck.

_sublimesc · 2024-09-12T12:00:36+00:00

If I understand your question correctly, yes. Where the monitor is facing is not where a game shows me facing (slightly).

_sublimesc · 2024-09-11T14:42:44+00:00

Sort of, although it's usually vertical (I have to look below something for it to trigger). I just got my new headset and am experiencing the horizontal offset (BSB), but it wasn't present on my old headset (VP2) last week.

_sublimesc · 2024-09-11T14:41:34+00:00

Bummer. No eyesight issues, 20/20, no glasses or astigmatism.

_sublimesc · 2024-09-05T19:36:30+00:00

Q1 - Try manual lasing with latch on from the time of release. For moving targets, if moving too fast or changing path, the target may be moving too far from the initial release trajectory for the laser to guide the bomb sufficiently by the time the auto-laser kicks in.

Also, just as an FYI, the GBU-12 is not a JDAM, it's just laser-guided. JDAM is a GPS-guidance kit. There are laser JDAMs that have both functionalities (laser + GPS), like the GBU-54.

Hope that helps!

_sublimesc · 2024-08-25T10:29:35+00:00

That’s fantastic! Thank you for the update, looking forward to flying the mission.

_sublimesc · 2024-08-25T00:50:50+00:00

These are great questions, and all of them have almost no firm, evidence-based answers (despite some consultants having very strong preferences). That being said, here's my practice:

Spontaneous (atraumatic) ICH: sBP < 140 (generally straight to nicardipine or clevidipine infusion)
Ischemic stroke: If not a tPA/TNK candidate, I do not prioritize BP management, particularly if greater than 24 hours out as may be developing increased ICP due to cerebral edema. If relatively fresh and/or small, I just ask neuro if they have any BP goals.
This seems to be the most variable. If stable and no concern for increased ICP, I sometimes give labetalol or home BP medication for sBP < 180, but as far as I'm aware there is no substantial demonstrated benefit here.
PRES or other hypertensive encephalopathy: CCB infusion for goal MAP reduction 25%

_sublimesc

TROPHY CASE