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philpo

@ philpo @feddit.org

Posts
4
Comments
561
Joined
2 yr. ago

  • I Convinced HP's Board to Buy Palm for $1.2B. Then I Watched Them Kill It in 49 Days

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  • I never understood how they could choose Apotheker. He was literally fired from SAP in less than a year and yet HP got him as a CEO.

    WebOS had its flaws,but it could have made HP market leader - at that time Apple was far from "enterprise ready", Android even less so, so if they had done it right they would have every CIO in their pocket within 4 years.

    But of course that doesn't count for the next quarterly shareholder report. And Apotheker had to go "all in" on Software, because that's what he, the salesman he is, sold them.

  • Billionaire Sunjay Kapur has died after swallowing a bee at a polo match

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  • As it came up here a bit of a longer explanation.

    1. Airway management contains much more than just "getting a hole into the neck" - it starts with nebulised adrenaline (which works wonders but must be used in moderation due to the side effects), regular endotracheal intubation with a (preferably video)laryngoscope, if necessary with a tube that is resistant against swelling(woodbridge tube) before a cricothyrotomy (not a tracheotomy,see below) is performed - and is supported by intravasal drugs (mostly adrenaline, a glucocorticoid and H1 blockers, in some cases also a beta2 antagonist and a anticholinergic agent). A cric is always the last choice due to the high risk to benefit ratio.
    2. Even a qualified responder won't do a tracheotomy - emergency tracheotomies are extremly rare and basically only necessary when either the pharyngeal structures are damaged beyond rescue (due to trauma, cancer or some real rare diseases. This is not the case in anaphylaxis. The reasons for a tracheotomy not being used are many. It takes a lot of time,is far harder to achieve (getting between the tracheal cartilage is not as easy as it sounds), the risk of "hitting" structures that are vital to the patient are considerable (seen a patient who's v.jug. ran over the spot) and the required training to do it is considerable - Besides ENTs and sometimes intensivists around here none therefore is even trained to do it anymore. I occasionally teach emergency surgical techniques to interns and med students and we don't do so,beyond explaining the core concept, neither does any uni in central or northern Europe that I know of, same goes for AU/NZ.
    3. A "cric" is far easier, but still takes some skill - both needle or open surgical cric(I would prefer the later) does require correct identification of the landmarks (which can be tough), good surgical technique and mainly: Training - lots of it. We therefore teach paramedics only a needle based approach (in combination with jet ventilation) - and tbh, most EM docs are not that "up to standard" in this technique as well - even though a cric is far easier than a trach.
    4. The technique mentioned here will, with a 95% chance, not lead to any airway access, damage the thyroid (which bleeds like fuck) or the vagina carotica (the structure that contains the large vessels in the neck as well as the nervus vagus). If that happens the patient is usually beyond rescue. A case that, even if in cardiac arrest, had at least a slim chance of survival, will then certainly die - post anaphylaxis arrests with good bystander CPR have a somewhat improved prognosis - considering that that a laymans trach likely would diminish chest compression quality for minutes this would simply take that chance away from the patient.
    5. Whoever thinks he needs to teach that in civilan responder courses needs to be fired - it's not part in any curriculum worldwide as they are all more or less based on the same guidelines.

  • Matrix.org is Introducing Premium Accounts

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  • And a 80k$ salary in France amounts to around 125k$ cost for the employer. So 170k$ isn't that much - I actually know French developers and network engineers that make similar money. The French ITsec architect I interviewed last year would have cost me (converted) around 150k$.

    So 170k$ is absolutely not out of the normal range here.

    Talking about France: The French government could start to properly support matrix.org as they use it for tChap. The same goes for Germany with the "Behördenmessenger"

  • Billionaire Sunjay Kapur has died after swallowing a bee at a polo match

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  • Anaphylaxis sets in fast,but not within seconds - we are talking more like a couple of minutes and they can be treated. Adrenaline is one component of the treatment besides other medications (that actually "counteracts" the anaphylactic reaction, Adrenaline more or less is mainly used to buy time and fight the worst symptoms).

    Airway management, fluid management, etc. are other things we need to consider.

  • Billionaire Sunjay Kapur has died after swallowing a bee at a polo match

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  • So, if the person has completely stopped breathing, and ambulances are 20+ minutes away, should I limit my response to attempted CPR?

    The answer is: YES

  • Billionaire Sunjay Kapur has died after swallowing a bee at a polo match

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  • Nothing beats a layman explaining the job most professionals won't do to a professional who does it.

    BTW: This is all wrong and will make things worse. Please don't do what this dude writes.

  • Billionaire Sunjay Kapur has died after swallowing a bee at a polo match

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  • I don't know which med school or civilian lifesaving courses you attend - but emergency cricothyrotomy surely isn't a skill that is taught and mastered by any of these I teach.

    Cric is a delicate skill that needs repetition and knowledge - it's far from easy and not even close to what is shown in some bad TV shows.

  • Billionaire Sunjay Kapur has died after swallowing a bee at a polo match

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  • The question I ask myself is: You have that much money,you have a private jet on standby, a large security detail.

    And none fucking thought about getting competent medical team or at least a fucking competent paramedic? I mean....I am generally unsympathetic amongst almost all billionaires, but as someone who has literally done VIP escorts as a critical care paramedic I wonder who fucked up that much.(But these were all "old wealth" and actually were not billionaires. And tbh they treated us with more respect than most members of the public do-that gives them at least some plus point)

    It's not like Airway obstruction nor anaphylaxis is untreatable/isn't absolutely manageable if caught early.

    Anyway, can we please get a fundraiser for the poor queen of that bee?

  • Anyone else kind of disgusted at the waste created by going out to eat?

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  • Funny enough,you produce far more waste and environmental impact if you cook alone or for a small household.

    From an environmental perspective a communal cafeteria with set times is actually king.

  • What's an unexpected skill you have?

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  • I can put a needle in any body cavity (of someone else). Or a wire or a catheter. Besides the skull and a few more delicate ones I also know how to do that without actually killing the person. Well,at least not "certainly" killing... accidents happen.

  • Why Denmark is dumping Microsoft Office and Windows for LibreOffice and Linux

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  • There is a out of the box product for that available,btw: The UCS@school environment does exactly what they want, using only Open source products. It basically joins OpenLDAP,Samba,Keycloak,etc. together. Works both with Windows as well as Linux clients.

  • Bambu Lab Controversy Deepens: Firmware Update Sparks Backlash

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  • Elegoo Centauri Carbon, Artillery M1 Pro, Qidi Plus4, Prusa Core One

  • Hubris

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  • I am a paramedic for more than 2 decades now,but work in an office most days now. I have cared for (and in 2 cases declared death on scene) more people than I have fingers who fell off these. Besides two, neither of them was responsible for the fall.

    2 cases of a hydraulic rupture (which leads to the platform going down fast and uneven. The harness is also meant to keep you close to the platform so you don't fall in between the elements.) 1 being raised stupidly,pushing a load onto their coworker(that was DOA) 1 fall due to being hit by a coworker with a part (DOA after 7m faceplant) And a fair share of units being hit by forklifts, trucks or similar things.

    ... OSHA rules are written in blood. And often the victims are not the ones who caused it.

  • NAS Power Consumption

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  • Old PCs often have that problem. My "NAS" is more a full on proxmox server with an AM5 CPU, 64GB ECC and yet it halved my power consumption compared to its predecessors.

  • NAS Power Consumption

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  • Easiest way is to use a tasmota based power plug. They need to calibrated once,but then are pretty reliable and can be found for 15 bucks.

    Nous A1T (or similar nous,but watch out for the T at the end, Z is zigbee) is popular in central europe. They are well built and cheap as fuck. But again,they need to be calibrated once which you need a steady user (e.g an old incandescent light bulb ) and a multimeter for... It's easy and only needs to be done once.

    Another option are the Inter-Tech PDUs, they costs around a 100 Bucks, are fully IP, can switch channels but only measure the consumption of the whole strip. If you have a more advanced USV they often have a total power consumption measurement.

    If you want to go all in you need to look for "switched and metered" PDUs, but they are fucking expensive. The Cyberpower PDU81005 is the cheapest "good" one and is over 400 bucks here . So.... Most people won't do that,even in a professional setting.

  • Slrpnk instance is down till mid July; they might relaunch their server on piefed.

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  • The admin basically ran it as a one man show with only one other admin who had very limited privileges. He then went on a "business trip" or workaction or longterm vacation - there were different stories. Anyway, the database went belly up, the other admin couldn't do a thing and none could contact the admin. There are some rumours that he wasn't who he claimed he was and actually was a Chinese national who simply returned home, but who knows that. As a matter of fact none had any meaningful contact with him for months then and it appears he did not return. (But is alive)

    A Austrian NGO who amongst others does host some mastodon instances,etc. took over and now feddit.org is on a very productive, professional and transparent level.

  • What was the strangest reason you got in trouble in school?

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  • I "broke into" a room I officially had been given a key to by the headmaster.

    I was the new head of our student newspaper at the time and as such had been given a key to the room. The former head didn't go out in good graces and hated my guts. And claimed I came in before I officially was the head and stole something from him. In reality I had cleaned up the crazy mess he left -partially with the help of a teacher.

    ....well, the former head was well connected, I wasn't as I was a troublemaker and the administration loved to have a cause to kick me out.

    Funnily enough I did enough other shit to warrant that...but they didn't catch me with that...

  • Slrpnk instance is down till mid July; they might relaunch their server on piefed.

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  • Godaddy is pissing me off. Which registrar is decent for selfhosters these days?

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