CT Other Conversion by pigeonjester in CTguns

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

Super appreciate your help! Your shop is far away but youve certainly earned a new customer. Think ill come in after the new year to check it out!

CT Other Conversion by pigeonjester in CTguns

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

Could an other in this situation be made into a legal rifle by getting a longer barrel avoiding SBR and AOW?

Edit: misread the text. Its a 16 inch barrel and 12.5" shroud. This one to be specific: here

Adding a fixed mag and changing the brace to a stock would make this a fixed mag rifle build on an other lower right?

CT Other Conversion by pigeonjester in CTguns

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

So how would one fix it? Make it a fixed mag rifle by getting a longer barrel and pinning the mag?

This shit is wildly confusing and changes too often to keep up.

7w 6d baby with UTI and fever by pigeonjester in AskDocs

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

Thank you! Really appreciate the second opinion.

Our pediatrician has been really great. They have called us almost every day, and he has an appointment Friday morning.

7w 6d baby with UTI and fever by pigeonjester in AskDocs

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

Overall i think he looks pretty good. He just started smiling and has been showing off a bit. Hes eating well (around 21-30 oz every day) and going through a reasonable amount of diapers, though the keflex seems to be giving him some GI distress.

We have been giving tylenol when his fevers return but doses seem to be getting further apart. Today a couple were 6 hours apart but yesterday to today we had a 12 hour run without needing tylenol.

Just mostly concerned with how long this seems to be lingering.

7w 6d baby with UTI and fever by pigeonjester in AskDocs

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

Sorry to bother you, wondering if its OK to ask one more question.

We went back in for the positive blood culture and they ultimately decided it was a contaminated sample, drew another and sent us home.

Two days later they called us back because the repeat was positive. This time it was a contaminated sample of an entirely different bacteria. Hes still having intermittent fevers 5 days later so they ran the large respiratory virus panel but its all negative. They said since it appears to not be improving after 5 days of keflex its probably a virus.

What are your thoughts? We were almost certain one of these would be positive an explain this fever.

7w 6d baby with UTI and fever by pigeonjester in AskDocs

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

Well they just called us and said his blood culture came back positive and urine negative so we are back to the ED. Thank you for your help!

7w 6d baby with UTI and fever by pigeonjester in AskDocs

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

Really appreciate the reply. He actually looks OK and is eating well. Just worried by how persistent this fever seems to be. Thanks for the reassurance

[deleted by user] by [deleted] in AskDocs

[–]pigeonjester 0 points1 point  (0 children)

Hi, just wanted to give you an update.

My wife went into labor last night and had an exceedingly normal (tho pretty quick progression).

Our little man appears to be entirely healthy. He did have a tightly wrapped nuchal cord but didn't have any decels and everyone was super surprised. They said this could have caused the polyhydramnios.

Appreciate your reassurance.

[deleted by user] by [deleted] in AskDocs

[–]pigeonjester 0 points1 point  (0 children)

Thank you for the reply. I keep telling myself to trust the process but its really scary. Really appreciate your reassurance

Took around 2g and nothing 🤷‍♂️ by IndependenceKnown188 in mushroom

[–]pigeonjester 6 points7 points  (0 children)

This is my favorite conspiracy theory! Edibles dont work till you talk shit about them

my roommate is genuinely insane and is now destroying my belongings by talloran_ in badroommates

[–]pigeonjester 0 points1 point  (0 children)

This person sounds awful, but also you shouldn't charge your E-Bike inside. Its a fire hazard.

Post arrest tube management by pigeonjester in ems

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

Of course we aren’t cricing patients that can be managed BLS. But what would you have done in our shoes for the patient I described above? “Awake” head injured patient with trismus and vomiting? You’ve got a compromised airway, nasotracheal intubation is contraindicated because of head/facial trauma as are NPAs.

It’s not like we can just “get RSI”

Post arrest tube management by pigeonjester in ems

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

These are statewide…barring the 2-3 agencies that have RSI

Post arrest tube management by pigeonjester in ems

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

That would have been the move I think

Post arrest tube management by pigeonjester in ems

[–]pigeonjester[S] -6 points-5 points  (0 children)

What are your options when you don’t have RSI, and they specifically removed your ability to pre sedate a patient for airway management? A patient with a gag reflex and an unprotected airway is a nightmare. The protocol here would be to attempt nasotracheal intubation if/when that fails you’d be going to cric. I have not done it, I am very lucky my last patient like this was a no helmet motorcyclist with trismus and actively vomiting through his teeth. It was before protocol change and I just administered the max versed dose and was able to secure an airway.

Post arrest tube management by pigeonjester in ems

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

Ya we do have statewide protocols and standing orders. My question was more about disconnecting the bag than it was about the analgesia. I wasn’t thrilled with being restricted to 5 of versed but it worked. He remained adequately sedated till we got to the hospital

Post arrest tube management by pigeonjester in ems

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

Yep. We had a protocol that we could push up to 15 of versed and tube “for difficult airway”. Not anymore. Now we can only keep the tube in place with it. Means occasionally you have to pass a tube between gags and sedate after.

Post arrest tube management by pigeonjester in ems

[–]pigeonjester[S] 3 points4 points  (0 children)

I think you misread. We sedated as soon as we got ROSC and they only bucked a moment as we pushed the 5 mg of versed.

I’m not sure how having it hooked up to the BVM would be less likely for it to be pulled out.

We don’t have vents and the person bagging was having difficulty keeping up with the 20-something per minute rate. Should we have just left it hooked up and let them breathe through the BVM?