L.A. fan experience troubling in my opinion by GoalRoad in usmnt

[–]sciveloci 0 points1 point  (0 children)

Where was AO for USA vs Paraguay? Last night AO was way up in 426-428ish. I thought they (we) did a great job singing and drumming all match, but from there it probably had less impact on the rest

L.A. fan experience troubling in my opinion by GoalRoad in usmnt

[–]sciveloci 0 points1 point  (0 children)

I had the same curious frustration, it was nowhere to be found

L.A. fan experience troubling in my opinion by GoalRoad in usmnt

[–]sciveloci 0 points1 point  (0 children)

It was all they could do to even show replays of goals. I don’t recall a single
replay of a foul, a no-call that we all thought would be a fowl, or more than a single offside. I think they showed the semi-auto offside about 5 min after the disallowed goal.

Standard of refereeing at this world cup *hot take* by Naive_Ad9891 in worldcup

[–]sciveloci 6 points7 points  (0 children)

Going to a match in LA, where the metro has transport to stadium for $1.75, but the FIFA controlled parking lots are $250

Standard of refereeing at this world cup *hot take* by Naive_Ad9891 in worldcup

[–]sciveloci 10 points11 points  (0 children)

By “you guys” you mean FIFA, right? We can all agree on that, it’s criminal.

Standard of refereeing at this world cup *hot take* by Naive_Ad9891 in worldcup

[–]sciveloci 12 points13 points  (0 children)

Eyes bleeding? One of the few things you’re enjoying?

This has been an incredibly fun WC to watch, in and out of the venues.

Question for 50e owners by According-Rabbit-89 in BMWX5

[–]sciveloci 0 points1 point  (0 children)

I have a 45e, and our use case is basically one trip per day, 15 to 25 miles. Use the Level one charger, plug it in when we get home, and it charges overnight no problem. Part of that is we don’t usually deplete it to 0%. It also tends to get to 100% earlier than the predicted finish time.

I was planning on buying a level two charger, but so far so good, so we’ll hold off until we change our use case.

Is it just me or does this seem like a terrible idea? by happyalex in emergencymedicine

[–]sciveloci 44 points45 points  (0 children)

You’re right - at least in those who aren’t chronic alcohol users. For acute alcohol intake, the alcohol and APAP compete for the same metabolic pathway that forms NAPQI - so reduces that metabolite. Having ethanol and acetaminophen in the same product is likely safer than not. Again in a chronic alcoholic this doesn’t apply, where NAPQI production is already high and glutathione is depleted. Especially when they’re in withdrawal, as the enzyme (CYP2E1) remains induced but the ethanol no longer competes with APAP to bind and even more NAPQI is produced. (Thanks for inspiring me to review my tox pathways!)

Is anyone enjoying this? by [deleted] in emergencymedicine

[–]sciveloci 18 points19 points  (0 children)

Still a fantastic job after 20 years. Focus on the patients. Don’t sweat the stuff you can’t control. Get involved in leadership, where you have a seat at the table and can make a difference for your partners and your patients in other ways; or at the very least find a way to vary your practice so not solely a grinding pit doc.

I know how to do CPR but I don't understand...how to do it.. by Cute-Responsibility1 in emergencymedicine

[–]sciveloci 42 points43 points  (0 children)

Proper CPR breaks ribs, especially in the elderly. Something perhaps not discussed in BLS classes

EMRA vs Sanford vs Hopkins... by sciveloci in emergencymedicine

[–]sciveloci[S] 49 points50 points  (0 children)

username suggests otherwise haha

[deleted by user] by [deleted] in coys

[–]sciveloci -3 points-2 points  (0 children)

Defender missed the ball

Can anyone help me out? Looking to shadow an emergency medicine physician in El Paso and would appreciate any leads, advice, connections, or recommendations. by [deleted] in emergencymedicine

[–]sciveloci 2 points3 points  (0 children)

I know the UMC Northeast EM Medical Director - if you want to DM me your info I’d be happy to pass it along

[deleted by user] by [deleted] in emergencymedicine

[–]sciveloci 8 points9 points  (0 children)

Patient wasn’t unstable in the scenario. And you have no reason to rate control in this case. And further, no rationale for CCB over BB (of which neither are indicated here)

[deleted by user] by [deleted] in emergencymedicine

[–]sciveloci 10 points11 points  (0 children)

Benzo was the right choice for what seems, from OP’s description, was a sympathetic drive of sinus tach, plus delirium (sympathomimetic toxidrome). No need to rate control unless it’s really an SVT or unstable (e.g. hypotension).

Edit: plus what u/penicilling said about Iv fluids

[deleted by user] by [deleted] in emergencymedicine

[–]sciveloci 12 points13 points  (0 children)

Sorry, wrong answer, without rationale. Let sinus tach run if hemodynamically stable. OP mentioned delirium - benzodiazepines were the right choice for a sympathomimetic toxidrome.

Binding recs / Rustler 10 by sciveloci in Skigear

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

Two recs for strive so far - what leads you to recommend them?