Chetzemoka

Why is it always in CT??? That’s an incredible save, if the first round of compressions weren’t really effective. I can’t even imagine doing compressions for 11 minutes at all, let alone in isolation gear. I think I’d join the patient, if I tried that.

I was really readying a polite, “No you should definitely render aid first and ask questions later” lecture until your comment made me read that again…slowly.

That setup was subtle and very well done. Bravo @[email protected]

And then the movie patient pops up and smiles and everything is perfectly restored back to normal instead of, “Oh, we convinced your heart to start beating again, but you’re still unconscious probably because you have brain damage, your kidneys are dying, your blood is acidic, and now we’re gonna put you on a breathing machine. Best wishes!”

There are a few things I wish we could really show the public. The first is how brutally savage and undignified CPR really is. And the second is what alcohol abuse really does to a person.

Chronic malnutrition, brain damage, hallucinations, anxiety, internal bleeding, fluid swelling your abdomen like a water balloon, literal ammonia building up in your blood that we treat by deliberately inducing massive diarrhea. That’s not even mentioning esophageal varices and the increased cancer risk.

Alcohol is a horrifying drug.

Critical care nurse here. The answer is esophageal varices.

It’s the same physiological anomaly as hemorrhoids, except in your esophagus. Swollen, fragile veins caused by increased internal pressure. In the case of hemorrhoids, that pressure inside the veins is caused by straining too much when trying to poo. In esophageal varices, the increased pressure inside the esophageal veins comes from blood backing up from a swollen, scarred, and damaged liver. So we often see esophageal varices in end stage alcohol use disorder.

Horror stories abound in emergency departments and ICUs of having to do CPR on a patient massively hemorrhaging out of their mouth from esophageal varices. As soon as nurses I know saw this report, our immediate thought was, “Yep, varices.”

https://my.clevelandclinic.org/health/diseases/15429-esophageal-varices

Agreed, in my experience Tubi and Pluto both have very reasonable length, good quality ads. I declined to re-up on YouTube TV for NCAA football season this year specifically because I can stand their ads. At that price tier, they honestly expect me to sit through My Pillow ads??

I grew up with a trans girl who is now 38 years old.

Trans people existed before the internet. Their existence is not a fad.

Yeah, this would be a long, scary night of being pretty sure you were going to die. Glad she endured

Removed by mod

The onshore tax havens Delaware, Wyoming, and Nevada are vastly worse in scope than any offshore country. They push the narrative about those “terrible foreign countries” to distract us from this fact.

The problem is US tax code, not offshore financial centers.

Yes. Bonobos.

Human appear to be about halfway between chimps and bonobos on the primate spectrum. The violence of chimps combined with the fluid sexual social habits of bonobos lol

https://phys.org/news/2019-09-insights-same-sex-sexual-interactions-important.amp

Maybe not young, but too young to die of a treatable cancer.

Christ, he’s so young to die of a treatable cancer.

That is already illegal. Prior auth was not a necessary intervention for this problem.

This is not something I had ever thought about before and I am also fascinated.

Just did. Won our vote Wednesday night 💪

no illicit drugs were present

I’m deeply afraid that this might have turned out differently if she had even something as simple as cannabis in her system.

This is exactly why the billionaires are dismantling the current social media platforms. Organizing is the only threat they truly fear.

We’re saying that entire societies benefit from having parents spend early months/years with their young children. Because society as a whole profits from that activity, that activity should be subsidized by the government.

And I promise I’m at least as old as you

But golden gate doesn’t have anything inherent that pushes people to commit suicide.

Don’t be so sure about that. Check out some of this research.

Believe it or not, reducing access to lethal means actually reduces the number of deaths by suicide, and we have robust data to back this up.

“Nine out of ten people who attempt suicide and survive will not go on to die by suicide at a later date. This has been well-established in the suicidology literature. A literature review (Owens 2002) summarized 90 studies that have followed over time people who have made suicide attempts that resulted in medical care. Approximately 7% (range: 5-11%) of attempters eventually died by suicide, approximately 23% reattempted non-fatally, and 70% had no further attempts.”

https://www.hsph.harvard.edu/means-matter/means-matter/survival/

We ALSO need to improve people’s material conditions and provide better mental health care. But even in societies with strong social safety nets, people still die by suicide. Reducing access to lethal means will reduce deaths, giving people time and opportunity to access any social safety net that exists.

There’s one particularly fascinating case study out of Washington state:

"Running perpendicular to the Ellington Bridge, a stone’s throw away, is another bridge, the Taft. Both span Rock Creek, and even though they have virtually identical drops into the gorge below - about 125 feet - it is the Ellington that has always been notorious as Washington’s “suicide bridge.” By the 1980s, the four people who, on average, leapt from its stone balustrades each year accounted for half of all jumping suicides in the nation’s capital. The adjacent Taft, by contrast, averaged less than two.

After three people leapt from the Ellington in a single 10-day period in 1985, a consortium of civic groups lobbied for a suicide barrier to be erected on the span. Opponents to the plan…had the added ammunition of pointing to the equally lethal Taft standing just yards away: if a barrier were placed on the Ellington, it was not at all hard to see exactly where thwarted jumpers would head.

Except the opponents were wrong. A study conducted five years after the Ellington barrier went up showed that while suicides at the Ellington were eliminated completely, the rate at the Taft barely changed, inching up from 1.7 to 2 deaths per year. What’s more, over the same five-year span, the total number of jumping suicides in Washington had decreased by 50 percent, or the precise percentage the Ellington once accounted for."

And you know why twice as many people jumped off the Ellington vs. the Taft bridge in the first place? Because the railings on the Taft were slightly higher and therefore harder to scale.

I don’t know if this article is paywalled or how to fix that, but it also contains details of a specific study conducted on people who intended to, but didn’t jump off the Golden Gate bridge specifically. The absurdity of how minor an obstacle was required to prevent their deaths is amazing.

https://www.nytimes.com/2008/07/06/magazine/06suicide-t.html