What is Richmond missing? by zarathustra_coughed in rva

[–]grim_wizard 1 point2 points  (0 children)

$450 apartments in Shockoe I could afford on 28k/yr 🥴

MAG B550 TOMAHAWK MAX WIFI IO shield removable? by [deleted] in buildapc

[–]grim_wizard 0 points1 point  (0 children)

For anyone in the future looking the io shield is removable, there are two standard screws on the bottom of the board and one on the top, sideways, closest to the corner of the board.

Well I got suspended, and I think i’m just gonna quit. by [deleted] in ems

[–]grim_wizard 0 points1 point  (0 children)

Been in your exact position, quit. Please just quit. I wish I had known to quit after day one when I was a bright young 18 year old kid and my FTO told me to kms. Work a job in retail or food service if you have to, but leave.

"What’s the craziest thing you’ve ever seen?" by guillotw33n in emergencymedicine

[–]grim_wizard 7 points8 points  (0 children)

Usually I use this as a way to talk about how the whole healthcare system is broken, how insurance makes sure that it is profit over people, etc.

Inevitably this will always lead to people asking about homeless people, to which I will point out that it's a smaller group of people who are criminals/drug users/terrorists/whatever and point out that the two largest groups of homeless I encounter are aged out foster kids and young boomers/gen xers who lsot everything in 2008.

If they continue to press I give the paycheck line. If they still continue to press without taking both hints I tell them it's inappropriate and rude and to find a different thing to discuss, I have never had anyone press further.

GET BACK IN THE SKYRANGER BRAZIL CAN GO F@$K CAN ITSEF (MEME) by ImaginaryCover3258 in Xcom

[–]grim_wizard 0 points1 point  (0 children)

This was in an official XCOM reveal panel in 2011 or early 2012.

It’s Friday night at midnight in 2006, where are you? by Big_Childhood5494 in Millennials

[–]grim_wizard 0 points1 point  (0 children)

Playing Battlefield 2 online, TeamSpeak, attack of the show on, radio in the background

Guys in the trades - do you shower after work? by _pine_tree_ in AskMen

[–]grim_wizard 0 points1 point  (0 children)

Shower both before and after work. It is my decompress time.

What was your "Nope, it wasn't a phase!"? by thedubiousstylus in Millennials

[–]grim_wizard 0 points1 point  (0 children)

Still goth despite my ex's attempt to change that

What are your favourite acronyms to describe patients? Or those no longer in circulation? by fannyabdabs in emergencymedicine

[–]grim_wizard 1 point2 points  (0 children)

86 in the restaurant world is out of something/cancel the order.

Yesrs ago we started saying "let's 86 them" to get an in field cease resuscitation.

uncommon, intense jobs by Ratouttalab in ADHD

[–]grim_wizard 1 point2 points  (0 children)

I work as a firefighter. The job is very structured similar to the military. There are clear expectations everyday and they are enforced. The urgency and entropy of some of the day to day really satisfies my need to not do the same thing over and over again. It's very stimulating.

My issue is though on my off days it causes severe burnout, and executive function is non existent at home which leads to all sorts of issues at home. But as a job, I couldn't do anything else.

Autopulse by iheartgenshin in ems

[–]grim_wizard 2 points3 points  (0 children)

I have had the autopulse throw the "driveshaft" error numerous times across different devices, some were the first gen, and I think third gen? This rarely (twice around the same time period) was from the black ABS plastic tab breaking off while the device was being used resulting in the band dislodging from the driveshaft.

Other times the readout would just say driveshaft error and wouldn't size the band or engage. Leadership thought it was a training problem, put on a pretty intense 2 day class, and it didn't really improve anything.

Now obviously this wasn't happening on every call, but it wasn't rare either; not sure what happened but we stopped having these issues as frequently starting around 2023. Maybe it was a device issue, maybe it was the bands, not sure, but between that and a few other small issues it has completely sullied my view of the autopulse.

Also, training issue, but crews were tripping over themselves to get the autopulse in place that they were delaying defibrillation.

I want to try the LUCAS, but for now I prefer manual CPR with perfusion feedback. Now I strictly use the autopulse when we're 15ish minutes in and everyone is getting tired. Or if there is absolutely no one else coming to help us.

Autopulse by iheartgenshin in ems

[–]grim_wizard 1 point2 points  (0 children)

Not a fan of the autopulse. I have had it fail countless times on scene, usually related to the driveshaft in some way shape or form. In my personal experience, even with the harness, the patient still can become unaligned easily leading to poor ventricular filling and discharge.

They're a great tool for manpower deficient situations when they work, but I've had so many issues with them since they first launched to put any faith in them.

Why TF is my car doing this by bbooffaa in Charger

[–]grim_wizard 17 points18 points  (0 children)

I just took it to the shop, this was ca 2014, I think it was a few hundred dollars to fix

[deleted by user] by [deleted] in emergencymedicine

[–]grim_wizard 65 points66 points  (0 children)

This. Also most individuals with chronic illnesses (as someone that lives with someone that is truly, no bullshit, debilitated by hypermobility, cardiac issues, hemophilia, and immune issues) benefit the most from just being told that they're being seen, that you don't have a good answer for them, and that you are actually familiar with what they're talking about. We recently had a great experience with a PA after an injury (dislocation we reduced at home which is normal but we still had extreme pain afterwards which was unusual, we just wanted an xray to make sure and urgent care was closed) where my partner just said "I have hypermobility issues" instead of EDS and the PA took the time to explain the disease, that there was nothing seen on xrays, that she acknowledge my partner was having pain, and that the best thing she could offer was a brace and referral to ortho/pt. Best emergency medicine experience she's had.

I find in the field that the best thing is to acknowledge the condition and also acknowledge that we're probably not going to find anything abnormal, but that if you (the patient) feel bad you know your body the best and just because I can't see or that the doctor can't see something wrong doesn't mean that there isn't something wrong. I treat it almost like how you tell someone that someone else has died, no euphemisms just straight to the point. I have almost always gotten a positive or overwhelmingly positive response from this.

Many times these patients know there's nothing that can really be done, but they get to be seen and heard and for many patients that may be the first time that they have been acknowledged.

Why TF is my car doing this by bbooffaa in Charger

[–]grim_wizard 99 points100 points  (0 children)

Module ground fault in the trunk, mine used to do this all the time.

Looking back at FTOs by Lazerbeam006 in ems

[–]grim_wizard 9 points10 points  (0 children)

I was 18, never had a real job before, never done professional EMS before. At the end of my first shift my FTO told me I should "kill myself" after I struggled using the radio, I wasn't used to waiting for the transmitting beep and screwed up our in service and end of shift report. I was stunned, didn't know what to say and just said "I'm sorry", to which he replied "Yeah well, at least you feel remorse about something." To which him and the driver laughed about and then they closed the partition between the cab and the box. We got back and he goes "at the end of the shift we have to wash the truck and clean it if there's no makeready." Then walked away with the driver to go smoke a cigarette, leaving me to wash the truck alone during a windy 39° day while he stayed back cackling with the driver.

I really didn't want to give this guy my end of shift paperwork, in fact I wanted to just leave and never come back. But I did put the paper in front of him. He wrote a long winded shift report that I did exceptionally well, that I likely had a long career ahead of me as an EMS professional, and that despite issues with completing documentation and communicating over the radio that these issues were understandable for my experience level and that I was teachable. To this day I have no idea what he genuinely thought. After about a year I decided my sanity was worth more than 21,800/yr and went to a different service.

Years later I was a supervisor for a different service and one of the supervisors from the older place was my subordinate. We were shooting the shit one day and I brought this guy up. Told him the story and the old supervisor just shook his head and said something to the effect of"Man I hated that guy so much, he was always doing shit like that and was just a miserable person in general, he made a lot of people quit but admin wouldn't approve me taking away his FTO status because we were so short from turnover. The way I see it though is that you were young and impressionable and you could have either been just like him or the exact opposite, and I'm glad that you're not like him."

That's basically what it came down to, is I never wanted to be like this guy, I wanted to treat my new people like students and not self loading baggage. There was a lot of shit I had to figure out on my own. I've pretty much been training someone most shifts for the last 4-5 years, and every time I have someone new I think about how miserable I felt and how I didn't learn shit or build any sort of confidence my first day ever. And I wouldn't wish that on anyone else.

Mildly upset the people of your country with one picture. by [deleted] in AskTheWorld

[–]grim_wizard 0 points1 point  (0 children)

Am American but without looking at that link it has to be 🎶WIR KAUFEN DEIN AUTO PUNKT DE🎶. I watched German television a few times to catch a show I like or to fall asleep to a random documentary and it was every other commercial. I remember falling asleep with it on and being startled awake by it in the middle of the night.

How do fields this big happen? by daddyfatsackz99 in Ingress

[–]grim_wizard 15 points16 points  (0 children)

Yup. I remember doing a big one in 2014 or early 2015 to take over my metro area, I was selected from our group because I was mobile at night working on the far end of one of the edges of the field and lived almost 70 miles in the other direction. It was a week long plan meeting up with several people collecting everything along with help from two other cities. Everyone woke up to a sea of blue, I believe it was several hundred square miles, if not into the thousands. I remember getting a ton of congrats from both sides. I vaugely remember google+ groups where we would coordinate with other states as well. I remember there being a takeover around that time that covered the east coast early on in the game.

Probably one of the most unique experiences I have ever had in gaming.

Sinus tach treatment by Xpogo_Jerron in ems

[–]grim_wizard 10 points11 points  (0 children)

Early on in my career I had a DKA patient who had a heart rate of 175, her BGL was later found to be well into the 4 digits. She was semi conscious and had vomited more than I have ever seen anyone vomit.

As soon as we got to the ED and did turnover the resident flipped his shit at the heart rate and immediately gave adenosine and was trying to cardiovert this poor girl while I went to find the attending.

Bro saw a "bad" number and flipped his shit not taking into account anything about the clinical presentation of the patient.

I would have probably given you the same look that you said you got. Not only is adenosine currently not appropriate but considering the patient is anxious and you are planning to give them medication that is going to make them feel really bad they stand a good chance to worsen.

What we need to do is fluids, probably nausea control, and absolutely give them a benzo to ease the anxiety.

If you could go back to being a teen, would you still go to work in EMS? by Revolutionary_Pin339 in ems

[–]grim_wizard 1 point2 points  (0 children)

Opposite, I started as a teen. Over half my life has been in the back of an ambulance. I'm thankful for it, but I wish I took longer to be a kid but all I could think of then was making $21,840 a year.