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28
Sjy

@lemm.ee

Sjy 42 points 3 years ago

This is very good advice, especially if someone has taken drugs. Please tell us. The medicine I give for chest pain can kill someone if they’re having that pain from doing a ton of cocaine and not a possible heart attack.

After the first time someone went into cardiac arrest after I started treating them after telling me they didn’t use any drugs or alcohol today - I followed up found out he survived but had in fact taken a ton of cocaine today, I’ve changed my wording to “Have you taken any drugs or alcohol recently? It’s okay if you have I’m not a cop but if you have it changes which medicine I can safely give you.”

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Sjy 11 points 3 years ago

Believe it or not, it is assuming the pelvis is present, it is very easy to determine sex. Just look at the pubic arch, just inferior (below) the pubic symphysis. Narrow (less than 90 degrees) is male wide (more than 90 degrees) is female. There are a few other details like the shape of the iliac crest and the size of the pubic cavity but the pubic arch is the simplest.

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Sjy 9 points 3 years ago

This is beautiful and just a perfect description. Even though this sucks day to day I will say very rarely but sometimes, this can spin to our benefit. I recently had an electrical contractor fuck up some work I needed done..well, that’s an understatement my entire home needed to be rewired, and I wanted wiring so I didn’t have to keep charging my doorbell camera.

Now my mind goes thought everything as it normally would, I pay large amounts of money and I’m told everything is done. Well my doorbell camera isn’t charging. Out of the entire house that’s all I can focus on. I have an endless list of stuff that needs to get done but I want my doorbell camera to have power. The guy adds the wire for the doorbell and I’m happy. Until I see it isn’t charging. Trace the wire and it isn’t connected to anything, talk to the guy and he gives me some excuse, it’ll be done soon. Wait when I followed the wire for the doorbell I didn’t see anything connected to my roof above my bathroom. Okay they also didn’t install the exhaust fan correctly.

Now my house still needs 80% of a total renovation but he didn’t fix the doorbell and I just don’t want to keep charging it. So I’m scared of messing with any electricity, which is why I paid someone to do my electrical work. But maybe I can just hook up a doorbell. Well a weekend of researching and I still am not sure how to do it, but I found a copy of the national electric code because I think the exhaust fan is supposed to be going up through my roof.

Long story short the guy didn’t do half the work I paid for. I now have a log of every wire that was run, every junction box that was placed, every switch, every outlet, everything, including if it is up the code of the exact code that it is violating. Along with a note about the expected electrical load, that should be on each circuit, how much is can candle and how much more I can add to still be within code for continuous load. I also have the manufacture date of every wire that was placed and found a bit of damage to an exterior and a door wall that wasn’t there and found it caused by the contractor that are both is areas I said do not touch.

So now, I have all this information and if I am successful in suing him I will have gotten a great deal on having the house rewired considering I now know how to rewire an entire house and have improved a few circuits in my house, but I’m not an electrician so I can’t actually do anything with this information. But here I am on lemmy writing about this instead of doing what I planned on doing today with no idea how to actually sue someone and an existential dread of trying to figure out how to or if I should hire an attorney.

It’s great. I mean awful.. well actually both, but also neither.

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Sjy 9 points 3 years ago

Please do not say CPR does not save lives, it 100% does. And in the United States our Good Samaritan laws protect anyone from liability if they are acting in good faith trying to help someone.

I’m a paramedic in the United States, hold a certification as a flight medic, nothing I can bring, in a helicopter or an ambulance will do anything for anyone if high quality CPR isn’t performed.

To break things down, yes in adults early defibrillation does make a huge difference but in kids it is literally high quality CPR that saves them. If you’d like I’d be happy to break down the details of resuscitation, but without CPR until I can get there and attempt resuscitation, then no matter how much I throw at someone to try to get their heart beating again, they’ll still be brain dead.

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Sjy 8 points 3 years ago

Yes. I’ve been in a lot of operating rooms for a lot of different surgeries. It’s also common to give antibiotics before a surgery..and wear surgical masks.. which is my point, also in the context of COVID masks still work to reduce the spread of a virus. Antibiotics will not work against a virus.

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Sjy 7 points 3 years ago

My support also goes to Jellyfin but I have both plex and Jellyfin running because occasionally Jellyfin will have a playback error that I’ve tried to but failed to diagnose. Have yet to have any playback errors on plex, but again my go to is Jellyfin because it’s local, the UI is more customizable and in my opinion the UI is just better.

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Sjy 6 points 3 years ago

Don’t know about green but I got a Home Assistant Blue and it’s good enough. Tho You can just use a raspberry pi.

Side note I think you were being sarcastic when you said Home Assistant Green, so I wanted to make reply that sounded sarcastic but Home Assistant Blue and Home Assistant Yellow are real things, tho rereading my comment if one isn’t familiar with technology or home assistant talking about Home Assistant, colors, and raspberry pi for controlling light bulbs just sounds like trolling.

Edit: Sorry, Home Assistant Green is also real. It’s every level hardware that is more than enough for running home assistant and Home Assistant Yellow is the next step up in hardware. Home Assistant Blue was a limited edition run of the hardware prior to Home Assistant Yellow being created. To be clear, I am not trying to troll but to one that isn’t familiar with this technology these names might sound like trolling.

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Sjy 4 points 2 years ago

Paramedic here! They both serve different purposes. CPR keeps blood circulating to keep one’s brain and other important organs alive. An AED will detect the activity of someone’s heart and if it is a specific rhythm it will shock it. Cardiac arrest isn’t always a flat line, it can be the heart quivering or ineffectively pumping. This shock stops the heart briefly and then hopefully their heart will return to a normal rhythm.

In the simplest terms I can think of, someone in cardiac arrest needs both. Without CPR their brain will die. Without an AED they are less likely to come out of cardiac arrest and will just remain dead.

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Sjy 4 points 3 years ago

I am a paramedic, these comments have lost me. At least in the United States there is a 0% chance anything will happen if someone does CPR on another while acting in good faith.

This does exclude some some uncomfortable situations where family is screaming at me that I’m not doing enough or that I need to help them and people have appeared to be close to getting violent but I’ve never been attacked, and if someone is threatening another individual that is trying to help, leave. We can’t help other people if we become another person who needs help.

But I’ve done CPR on a lot of people, it’s violent. No one around will ever have to wonder what is being done, it is very clear and I don’t believe it is possible to confuse with touching an unconscious person inappropriately. Again, these comments have lost me. Maybe if some of these people would see a resuscitation attempt, they’d probably realize once the patient is spitting up blood from how violently their chest is being pushed on, there is no way to misinterpret CPR for groping.

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Sjy 4 points 3 years ago

Late but USA, wanted to share a personal experience. While at work I collapsed and had to take an ambulance to the hospital. I got sent the bills for everything. Including the ambulance ride. I stayed in the hospital overnight for observation. They couldn’t figure out what happened and I didn’t have symptoms anymore so I was discharged. Whole event cost maybe $500.

Here’s the kicker, I work(ed) as a paramedic for the ambulance company that transported me. I had insurance that was not from the company so prices were reasonable relative to what one would expect in the country. Had I been insured through work, well, the insurance provided by the company doesn’t cover transport by that company’s ambulance.

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Sjy 4 points 3 years ago

Yes, please make sure if you have surgery you tell your surgeon “no need to wear a mask, just a helmet and some knee pads”.

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Sjy 3 points 3 years ago

My apologies, before now I haven’t heard of green. I legitimately run my instance on the limited edition blue that kinda lead to yellow being created and before that I used a raspberry pi. My original comment was a little bit of me finding the naming for this stuff funny, not trying to discourage anyone that is new to the platform.

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Sjy 3 points 3 years ago

This isn’t entirely true. More than just cops can place people under a baker act and they need to believe that the person they are placing under a baker act as a result of a mental illness is a threat to themself or others, or the person is incapable of caring for themself. And in the context of “locked up” it doesn’t mean jail and it is not 72 hours, it’s up to 72 hours.

That doesn’t mean cops don’t use it inappropriately but if it is obviously inappropriate once they see a doctor, a doctor can override it. On the opposite end, if it is a valid baker act that is still a threat to themselves or others at the end of that 72 hours, they can be l placed under another one with no limit on how many times they can be placed under a baker act. Tho a cop should never be in the situation to keep someone under multiple baker acts.

The rest of your comment about being traumatic and not helpful, yeah… that sounds accurate.

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Sjy 3 points 3 years ago

Unfortunately I can still reproduce the errors. Happens with a few shows but only when using the Jellyfin app on a fire stick. I’ve never had any playback issues using the Jellyfin app on my Roku TV. So, in those very few situations, I just use plex.

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Sjy 2 points 3 years ago

Don’t have it in my program, yet. I do ground critical care so maybe not the situation you’re looking at but a lot of flight programs are adopting it. It’s great and it should be the next big thing.

Our protocols are starting with using it for placing A-lines, but our doc gives us a lot of freedom to practice. That said I’ve seen it used to confirm ET tubes, identify pneumothorax, guide needles for when performing pericardiocentesis, and assess volume status to guide fluid resuscitation. This is in addition to identifying internal bleeding/ruptured aortas and starting IVs.

Now this isn’t necessarily for your average medic, but if it is a progressive or rural system as long as no one extends their scene time to use it, it could be very useful. But it will be most beneficial in a critical care settings.

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Sjy 2 points 3 years ago

Oh…well, I didn’t know green was a thing. Thanks for the info, I guess the serious description of each is Home Assistant blue was a limited edition with entry level hardware, essentially the same thing as home assistant green. Home assistant yellow is more of an enthusiast hardware that had zigbee built in and a raspberry pi is just a raspberry pi and runs home assistant just fine.

I personally run my instance on home assistant blue but have helped a few friends setup home assistant on a raspberry pi. So any of the options will work just fine.

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Sjy 2 points 3 years ago

Thanks for the affirmation that it wasn’t just me thinking the names sounded like a joke to those that aren’t familiar.

But the software I’m referring to this is free and open source, if you have any smart devices, it is worth looking into for convenience and the amount of customization and integrations available, in addition to running locally and respecting user privacy.

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Sjy 2 points 3 years ago

Clearly OP isn’t a hypocrite or lying and is justified in not having sympathy for anyone breaking the law. Which is understandable as I’m sure OP has never broken any laws by illegally entering a country, breaking into and robbing someone’s house, or worst of all picking up a bird feather. And if OP has ever broken the law I hope there isn’t any expectation of sympathy if refused emergency service when they are needed.

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Sjy 2 points 3 years ago

How does one host their own beeper server?

Edit: found it

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Sjy 2 points 3 years ago

I’m on mobile so the article is blocking me from reading it but really wish I could because this seems like a very interesting situation.

The main questions I have are, how many people were involved in her care? Was the surgery responsible for the surgery and anesthesia or was an anesthesiologist present? How long was she in cardiac arrest? If not and what type of resuscitation was needed? did he fail to administer adequate vasopressors or not recognize that she needed them or that she went into cardiac arrest?

Depending on the answers this could vary from any time in jail is unreasonable to life in jail is reasonable.

Anesthesia is VERY risky. It is routine for people to go into cardiac arrest during very routine and standard anesthesia for routine procedures, that’s what anesthesiologists do every day.. but without more information I can say death is a very real possibility from any anesthesia, if she went into cardiac arrest and was resuscitated then okay, that situation is something the surgeon should be able to handle and any attempt to transfer her somewhere before she is stable would violate EMTALA (in the US). If she didn’t then it is a risk of not waking up after anesthesia that needs to be explained and understood before undergoing any anesthesia. But if she went or remained hypotensive for too long that was not treated causing brain damage that’s more malpractice than manslaughter.

Additionally, EMS is generally not trained or equipped handle patients in this situation. Depending on how progressive the system is, they might be able to manage but being transferred from surgery that required resuscitation makes her a critical care patient, which leads me to understand why a doctor would be hesitant to handoff the patient. I say this as a paramedic who specializes in critical care transport that has dealt with many doctors that were hesitant to transfer care to me.

Wish I could read the article to form an opinion on this because if she stayed alive for 14 months I really would like to see how they connected that to him. I know alive can mean she has a pulse but no neurological activity but again that seems more like a malpractice situation rather than a criminal one. But oh well.

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thanks for using Leebra!

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