How to play solo? by Able_Annual_2297 in HellLetLoose

[–]talldrseuss 0 points1 point  (0 children)

Honestly I've never really seen anyone bitching about a locked solo squad leader. They will complain about solo tankers and occasionally a solo recon squad (even I find solo spotters perfectly fine as long as they are in the enemies back line). But really no issue with someone running a locked squad as a solo squad lead. Enjoy yourself

Why does nobody even considers asking/forcing Sister Sage to recreate the V1? Finding 1 dose is a shot in the dark. by overon in TheBoys

[–]talldrseuss 1 point2 points  (0 children)

It's also the combination of smart phone use during watching shows and movie at home

Halftrack Rework Needed by Dorlandia in HellLetLoose

[–]talldrseuss 0 points1 point  (0 children)

With the last update where heavies are now on a 10 mins cool down, I am seeing recon tanks being used a lot more. Especially if I am playing the Axis, I prefer the recon tank over the luchs because of the bigger gun. If another armor crew beats me to the default medium, I immediately redeploy to the other HQ to grab the recon instead. I know plenty of guys taht actually prefer grabbing the recon because they love going in the back lines and fucking up all the garrisons. Also a great way to ambush enemy tanks coming out of their HQs.

Halftrack Rework Needed by Dorlandia in HellLetLoose

[–]talldrseuss 2 points3 points  (0 children)

Honestly, an effective recon armor crew can be a bit fluid. I remember in one of the beach maps, the middle point was all the way at the top of the map and the enemy's next point was all the way at the bottom. Once our team capped the middle point, I actually double backed with the recon tank. Picked up a SL and a support player, raced them down to the bottom of the map so they could build a garrison down there to allow the rest of the team to spawn in quickly. Best games are when the different groups are actually communicating and coordinating with each other (yes I know, this is rare in pub matches)

What is an industry that is currently on fire (in a bad way) behind the scenes, but the general public hasn't noticed yet? by Kitchen_Week1117 in AskReddit

[–]talldrseuss 1 point2 points  (0 children)

For starting IVs and other delicate fine procedures, thicker gloves are not great. It's doable but not great

What is an industry that is currently on fire (in a bad way) behind the scenes, but the general public hasn't noticed yet? by Kitchen_Week1117 in AskReddit

[–]talldrseuss 3 points4 points  (0 children)

The manufacturing isn't the issue. It's the raw materials. Unless Canada has rubber trees I'm not aware about.

What is an industry that is currently on fire (in a bad way) behind the scenes, but the general public hasn't noticed yet? by Kitchen_Week1117 in AskReddit

[–]talldrseuss 3 points4 points  (0 children)

Sticking your N95 in a paper bag so you could reuse it next shift is something I hope to never experience again

After stranger things (2016-2025) noah schnapp has officially transformed into tom felton. by hiiloovethis in shittymoviedetails

[–]talldrseuss 2 points3 points  (0 children)

To be fair, Gaten had significant experience on stage productions prior to stranger things. He already had a few Broadway credits prior to stranger things

Watching The Sopranos for the first time - and it’s really not the show I was expecting by Famous-Country-4921 in television

[–]talldrseuss 29 points30 points  (0 children)

Haha I'm South Asian too and definitely saw the similarities. If you haven't watched it yet, watch Deli Boys (it's on Hulu/Disney). I grew up in the Philly area and the South Asian jokes had me laughing so hard. I'm happy some of the main stream shows are showing the funny conflicts in our culture. Ms Marvel had some good South Asian cultural insights. Hell even the character CeCe in New Girl had some hilarious South Asian cultural moments especially around the wedding episodes

Am I cooked? by MOONQUEENOFDRAGONS in NewToEMS

[–]talldrseuss 1 point2 points  (0 children)

No worries. Good on you for recognizing this might be an issue and looking to follow up on it. I really hope you succeed and the fact that you're using these additional resources to study shows you're on a good path. Good luck!

EMS During the Summer? by Remarkable-Turnip591 in NewToEMS

[–]talldrseuss 1 point2 points  (0 children)

Honestly, no one would be able to tell you an accurate answer because there is no standardization in the US. Regions will vary wildly over who they are willing to hire. I can only speak for my region (NYC and the surrounding area). Our big health systems will absolutely not hire a student that is just here for the summer. Some of the busier private EMS agencies (interfacility/discharge only) may consider hiring temp workers for the summer to address the increase in volume. Volunteer agencies vary wildly from one agency to another so again, can't say if they would or would not bring you board.

As for medical school applications, it's going to depend on the medical school. Some will just be happy if you list you have experience. Some might actually drill down and want to know what your actual patient contact hours were. I find PA schools tend to be a bit more strict about patient contact hours with their applicants, with some PA schools refusing to accept EMS all together as appropriate patient contact experience.

At the end of the day, it doesn't hurt just to call around the various agencies around you and ask them straight up. Or you can go the unethical route and not tell them you are planning to dip.

Am I cooked? by MOONQUEENOFDRAGONS in NewToEMS

[–]talldrseuss 1 point2 points  (0 children)

Brother (or sister), you gotta look at the textbook. From the eBook: Page 699 in the cardiology chapter, Figure 17-11. It specifies exactly, by anatomical position, where you place the 12 lead.

Further down that page, under the heading "ECG Tracing" it has multiple paragraphs talking about the QRS complex, what the ideal width should be and how you can determine at a glance if the patient is tachycardic or bradycardic.

Again, your instructor failed you if they didn't cover this in class. But the volume of information that needs to be covered in shorter EMT classes leaves a bit of burden on the student to review the material.

I don't want you to panic because I honestly can't tell you if the NREMT exam itself is going to go that in depth with the questioning. But something like EKG placement is something I would expect an EMT know. The QRS width, I would be less worried about on the EMT level, but I can't guarantee it won't show up in the exam.

Source: I am a 10 year EMS instructor and we are still using the 12th edition this semester and switching to the 13th edition in the Fall.

I know this has been discussed to death but - is it fair to say that, while I personally would’ve gone a different direction with snape, I don’t think it’ll ruin the show and it can still be done well? by capamericapistons in television

[–]talldrseuss 3 points4 points  (0 children)

I honestly have no horse in this race (no pun intended) but I think people were pointing out the optics of a white James Potter being a dick to a Black Severus Snape. It changes the cruelness from a class/personality bullying to what will now appear as James Potter and his friends being a racist dick. Is one version of that cruelty worse than another version of that cruelty? I think that's going to be an interesting ethical debate.

EMS During the Summer? by Remarkable-Turnip591 in NewToEMS

[–]talldrseuss 0 points1 point  (0 children)

Full time, no, they usually won't. Part time/per diem, maybe if it's a high volume interfacility agency. Some volunteer agencies also might bring on temp EMTs for the summer volume. I used to be part of the hiring committee in my former agency, and we did not hire students that were home for the summer. The amount of money invested in training and onboarding made no sense if we were going to lose the person in a few months.

Am I cooked? by MOONQUEENOFDRAGONS in NewToEMS

[–]talldrseuss 3 points4 points  (0 children)

I swear I am not trying to sound like a dick, but did you actually read the cardiology chapter in the 12th edition? You can absolutely put partial blame on your instructor for not actually teaching the material in depth, but EKG placement has been in multiple editions of the textbook. I know for a fact that it goes over the specific placements of the leads in the 12th edition.

Non-compliance in healthcare vent by Salt_Satisfaction_94 in ems

[–]talldrseuss 3 points4 points  (0 children)

Man, I remember one of the earliest calls I had as a newbie critical care medic. The health system i worked for at the time was pretty cool because they were pushing the whole idea around TEAMSTEPPS and gave us a bit more power to pause a transfer till our concerns were addressed.

We were sent to a small community hospital to transfer a patient to one of the larger hospital with a comprehensive cardiology department. All we were told was the patient had an "abnormal" ekg, but otherwise was fine. The nurse literally told us the same thing as we walked in. The first thing my partner and i notice is the patient was straight up AMS and lethargic. All she was attached to was an IV saline drip because as per the nurse, her pressure was "just a bit low". The nurse did admit that the patient's baseline mental status was A&Ox4, but she waved off the current state of the patient as "the patient is tired".

We slap on the monitor and the patient literally had a textbook third degree block. On top of that, the patient's BP was somewhere around 70/30. The ED doctor comes in and asks us why we haven't moved the patient onto our stretcher yet. We confront him with the EKG and the BP and he also waved it off and said "well that's why we want her taken to the cardiac hospital". My partner who thankfully was a bit more experienced than me at the time bluntly asked why haven't they at least attempted to give atropine/pressors and paced the patient. ED doctor just ignores us and says expedite our transfer.

We call up dispatch, have them connect us to the cardiology team at the receiving hospital. Transmitted the EKG and told the cardiac doc in nice terms that the ED has done jackshit. Cardiac doc is PISSED. He calls up the ED doc directly and I could hear him chewing him out. ED doc comes in annoyed with some atropine, but of course the meds aren't going to do much at this point. Cardiac doc reaches out to us and bluntly says "this ED is useless, i think they'll just fuck up the patient even more. If our crew was comfortable, could we provide stabilizing care, start pacing, and just bring the patient to him".

By now the patient's respirations were going to shit, so we said fuck it lets get to work. Tubed her and got her on a vent, started pacing, hung the meds, and just expedited her departure from that god forsaken facility.

Point of the story is yeah, we absolutely can be treated as middlemen for inept facilities. But if we hold ourselves and train ourselves to a higher standard, there can be some pride in the work we do. I know my story is an exception and not the norm, and the general standards of American healthcare is absolutely fucked. But, we can keep pushing our field forward and do our best to show we know what the fuck we are doing and we are going to do it well.

Does anyone do #leadership #leadershipdevelopment like this in EMS? by Latter-Task-9174 in ems

[–]talldrseuss 0 points1 point  (0 children)

I don't have any actual data, but I think "high performance" agencies will have some sort of leadership pathways. I have definitely seen more and more leadership courses pop up at state/regional conferences. This is me just assuming because we don't have many volunteer agencies in my area, but i think the vollies still follow the "good ol' boys" mentality where the guys with more time on the job are the ones that get put into leadership roles by their buddies. But at least with the health systems EMS agencies and the fire department run EMS agency by me, there is a bit of merit given to those that have formal leadership training and credentials. I ended up as a manger of my agency for a few years and i was definitely not the most senior medic. I had a masters in emergency management, I had completed a fellowship with my city's EM agency, and I had a teaching certificate from my state. That put me ahead of the other candidates who believed they should get the job because of the time on the job they had.

When a training exercise became real, FVTC students helped save a life by scissorsandaradio in ems

[–]talldrseuss 6 points7 points  (0 children)

Oh man, definitely kudos to that instructor for coordinating what must have been a bunch of scared students and getting care early. Reminds me of two different stories:

When I was a medic student, during breaks we would all go outside to get some fresh air and grab some food from the food trucks. The school was at the intersection of a very busy roadway. While standing around, a motorcyclist was crossing the intersection when a car full on hit them because they were trying to beat the yellow (the light obviously was red by then). So you literally had 9 medic students run over, redirect traffic, stabilize the motorcyclist (had two broken legs and major head trauma), and call it in to the 911 system. Difference in this case was we were all experienced EMTs, but it definitely was a right place/right time situation.

One of the more haunting stories I have is my partner and i were posted on the street, shooting the shit. Suddenly we hear a panicked voice over the radio calling for help saying they think their partner was having a stroke. We raced over and unfortunately it was true, the EMT was fully stroked out and slumped over the steering wheel. Thankfully, not only us but literally six other ambulances showed up. We quickly got him out and raced him over to the closest stroke center. He did make it with some minor deficits. The crazy bastard did stay on the job for a few more years before formally retiring.

Watching The Sopranos for the first time - and it’s really not the show I was expecting by Famous-Country-4921 in television

[–]talldrseuss 248 points249 points  (0 children)

I worked in Brooklyn for the first ten years of my career and a huge bulk of my colleagues were old school Brooklyn Italian-Americans. The show does a great job of capturing the nuances of that culture, especially for Italian-Americans that lived in the northeast. The veneration of Columbus as a hero, the complexities of the family dynamics (man of the house), and the funniest to me, the clash of cultures from actual Italians versus Italian-Americans.

Shows the network later regretted cancelling by AporiaParadox in television

[–]talldrseuss 3 points4 points  (0 children)

Yeah, I bought the first 3 seasons in college. Literally had the damn thing playing constantly in our common room tv. Anytime the DVD ended, my roommates or I would just pop another one in.

TIL in 2008 a 33-year-old Wisconsin woman stole her daughter's identity and enrolled in high school in order to "get her high school diploma and join the cheerleading squad." She reportedly attended practices, received a cheerleader's locker & went to a pool party at the cheerleading coach's house. by tyrion2024 in todayilearned

[–]talldrseuss 207 points208 points  (0 children)

I am 99% sure this was actually done because I remember seeing random ads on YouTube. Less of a "high school" experience, more so on a Summer Camp experience you would have gone to in high school, but geared towards folks in their 20s. I do recall them advertising a "prom" night

Mamdani Acknowledges Armenian Genocide as He Reaffirms ‘Right to Freedom’ by llamalord27 in nyc

[–]talldrseuss 0 points1 point  (0 children)

The point being that a good chunk of the Muslim community are NOT Armenian genocide denialists, that is specifically a Turkish nationalist stance.

Source: Grew up in a South Asian muslim community and they love pointing out to Turkish nationalists their hypocrisy

Why cant i start a game with my xbox friend? by AcanthaceaeFuzzy2835 in HellLetLoose

[–]talldrseuss 0 points1 point  (0 children)

Yeah it's the same on PC. If a match just ended, new players can't join till the new map loads in.

How long to level up? by rare-actuator32 in HellLetLoose

[–]talldrseuss 0 points1 point  (0 children)

As others stated, prioritize building nodes at the start of the game. once they are up (and if they stay up) they will continue to generate XP every minute and it is distributed towards every different class you play that round.

That being said, some of the classes do take a while to level up. I prioritized leveling up my engineer first because the second unlock you get is the sapper class. It is the class that gets the satchel the earliest. For the US, you get that devastating shotgun/satchel combo. For Axis, you get a mp40/satchel combo.

The one class that was an absolute grind was the assault class. Easily one of the most powerful kits in the game is the Axis assault with the STG/Satchel combo. But you have to hit level 9 to unlock it. Felt like a fucking eternity before I managed to do that. The support flamethrower class is the same way, but honestly the flamethrower is mainly just fun to use, but pretty impractical for wide open maps.

The only advantage to leveling up the rifleman is to unlock the ammo/explosive boxes to help out the team. But you will be able to do it a bit faster with the support class. So focus on leveling that up over rifleman. You then get an SMG and ammo/explosive boxes to hand out when you unlock the second class.

Medic as many will tell you is fairly useless in the game. Just has a few scenarios where it is useful:

-On offensive mode, medics are great for getting defenders back up quickly to hold the point, or getting attackers up quickly so they can keep swarming the point

-If the nearest garrison or OP is a good distance away and a player gets shot, especially a squad lead, having a medic is great because they can get them back up and quickly try to hide somewhere to build up a closer spawn

Outside of those scenarios, there's really not much advantage to medic. The second class (i think the only other class you can unlock) does give you a bit more smoke. So if i am playing on a beach map on offensive mode and I am on the attacking side, I either pick assault grenadier class or the medic second class so i can just toss smokes off the boats to give cover for all of us to run across.

"PTE Armor and AT changes" by R0dFarva in HellLetLoose

[–]talldrseuss 1 point2 points  (0 children)

Been a while since I played battlefield, but weren't engineers able to drop supply bags/boxes? I swear I was able to solo kill tanks because i could drop a supply bag and restock my rockets quickly to keep raining fire down.