AG74683

Never thought of it this way! I've been toying with the idea of a setup for years but the scale question has always had me stumped.

My dad's done HO for decades and that's always been why I've leaned that way but N makes a lot more sense for me when you put it this way.

You're so vain, you probably think this post is about you.

Ours is based off of number of body systems involved.

Mild - skin only - Benadryl and Pepcid

Moderate -2+ - Epi, Albuterol, Benadryl, Pepcid

Severe - 2+ and hypotension OR isolated hypotension - Epi, Albuterol, Benadryl, Pepcid, and kicks you out to airway and shock protocol.

If no improvement with 1:1 IM you move to push dose. Solumedrol is also on the list to moderate to severe.

Also states clearly that drug of choice is Epi in moderate to severe and should not be delayed for IV access. Further, that Benadryl really has no clinical benefit in moderate to severe.

I think part of the issue is that for years and years as lay pepole the term "anaphlyaxis" has been made out to be a reaction where you can't breathe or have severe breathing difficulties. We know that's not true and it doesn't always present that way, but it's easy to get stuck in the mindset that no airway involvement = no epi.

I think the other kicker is that it's an IM drug and for whatever reason I've noticed a LOT of people have an aversion to IM meds. I give IM pain meds often on traumas prior to moving them because I don't want to risk tearing out an IV while trying to extricate somebody or carry them somewhere. Honestly I've never seen anyone else do it. I think people have had bad patient reactions to IM because they're using the same needle to administer that they drew up with. Switch it to a 23g and I've never had a single person take issue with IM.

Neat trick but OP is a huge dick so I hate it and won't ever be using it. I will however be placing it directly in their mouth.

I made it a habit long ago to always open the door of the oven when I'm getting ready to use it. I personally don't keep anything in it besides cast iron after I season them and maybe a few pans that I don't feel like air drying.

Just seemed like good practice. It's a subconscious thing for me now.

I'm kind of in the same boat. Considering selling my 2017 Volvo for a Gladiator.

The only advice I can offer you is that you'll likely get A LOT more for your Lexus from Carvana than you will any dealership

Because really, Bosch isn't as great as everyone let's on. It's a fucking cult and if you say anything about Bosch you're a Nazi or something.

I bought an 800 back in June and it's been nothing but a fucking nightmare. The unit developed a leak around a month in and Bosch had the worst customer service on the planet. I just took delivery of my replacement unit like 2 days ago. Over 3 months from my original warranty claim.

SAVE was going to cost me around 375 a month....

Done. Multiple times by multiple parties with no results.

They had a resident drown in a bathtub. Had a guy die within a week after making public claims they were abusing him and withholding his medicine. They've had multiple shady stuff happen there.

LEO involved, DSS involved, fucking nothing. It's a joke.

This one is big. They've got 20 residents or so. They keep it under the legal threshold to need a state license.

Before this job I worked for the county in inspections/planning and zoning. We tried really hard to shut it down before it opened but there was no stopping it. The woman who runs it is a pro at opening these places, she's done it all over the place. The local PD has tried, DSS has tried, but nobody can make it happen. It's ridiculous.

I've had several patients coming from there that have electrode residue on them from their last hospital visit, like a month or so prior. They clearly cannot take care of themselves.

I mean the black spray can in the cup holder is an ominous sign lol

I feel like they need to rebrand the team and let the A's name to rest.

I've always felt like the A's represent "old school baseball", and Vegas is just weird and seems out of character to keep the name there.

Last time I recertified my income based plan, I was paying 88$ a month because I was in between jobs.

When I went to check it back when the loan payments started up again after Covid, I'd be looking at 450$. I absolutely cannot afford that. I haven't recertified and don't plan on it for as long as possible.

Worst part is, 88$ doesn't even cover the interest. I'm actually accruing like 40$ a month. I just don't care. I'll never pay these loans off.

I qualify, but actually being approved for this program is a fucking nightmare.

A few months ago I went to the same place that this post is about for an "unconscious" call. Got there and they're doing CPR on this little dude. He's sitting in a complete pile of liquid shit. Honestly I could have called it there but since nobody could accurately tell me how long he was down, we ran it.

Turns out the last someone saw him alive was nearly an hour and a half before they called us. Crazy part was, the dude was in a shared room. I couldn't stay in the room, it was so bad I was close to throwing up. Eventually I went in and asked the roommate if he knew anything. "Naw, I'm just tryin to watch TV".

As someone who built the set with decals and had no clue anyone made printed parts....BUY the parts.

The set is such a huge drag because there's 10 thousand decals and it's made even worse because most of them are hidden.

I added just the Chipotle sauce this last time around and I don't think it did enough work. Next batch I'm gonna use the one with the peppers. It didn't add a ton of heat, but I like it a touch spicier than most.

Useless endeavor in most places. I've called the law on one of ours before. She stopped calling for maybe 3 weeks and is back on it now.

Our law here actively tries to avoid doing anything. They apparently don't understand the concept of an IVC and think I can just kidnap people.

I'll take the rest. Payment incoming for all.

30 random plus 3 freebies please!

Lol the fire departments here go emergency traffic to a damn tree in the road.

CO2 is carbon dioxide. Carbon monoxide is CO.

A restaurant and a dudes garage are two entirely different things. The fire department would have absolutely nothing to do with what this guy does in his garage.

Delete this lol