Skip Navigation

InitialsDiceBearhttps://github.com/dicebear/dicebearhttps://creativecommons.org/publicdomain/zero/1.0/„Initials” (https://github.com/dicebear/dicebear) by „DiceBear”, licensed under „CC0 1.0” (https://creativecommons.org/publicdomain/zero/1.0/)P

philpo

@ philpo @feddit.org

Posts
4
Comments
561
Joined
2 yr. ago

  • Are you CPR/First Aid certified? If so, do you carry around a "rescue breath mouth shield" with you everywhere you go?

    Jump

  • Hey mate, Critical care paramedic for almost a quarter of a century here.

    You did fucking great. Seriously, tipping my head here.

    Why?

    • You started CPR despite being in a huge crowd. That alone takes some braveness - trias on nurses (!) showed that they had issues with it.
    • You seemed to done a stellar job despite having alcohol as your situational awareness was still there. Great job.
    • You continued despite interference. (That is the number 1 reasons my trainees fail their exams - and the drunk know it better is a very common scenario)
    • You did mouth to nose/mouth to a unknown person post drowning. Honestly? I wouldn't. You did. Mad respect.

    The fact that it didn't work out and he died is none of your fault. Even with bystander CPR being present an extremely low percentage of people survive, even less without permanent damage. One reason one must not forget is the fact that it takes a lot for a heart to stop. A fuckton. We have a multitude of redundancies build in. Sinus node is fucked? Take the AV. Etc. So the chances that there was an issue that was uncorrectable is extremely high. And water,well,makes everything twice as hard. (Truth to be told I never resuscitated a person post drowning/immersion successfully)

    To boil it down to a single sentence: The patient is the one who started it.

    What you are responsible for is the fact that he had a chance and had another day- it means his heart was beating at some point but the damage was done. You have contributed the biggest part to restarting it (seriously, all our ALS paramedic shenanigans are worthless without bystander CPR) and therefore gave him a chance and gave the family time. (And gave a third person a chance for an organ potentially)

  • Are you CPR/First Aid certified? If so, do you carry around a "rescue breath mouth shield" with you everywhere you go?

    Jump

  • Funny enough: I am not CPR certified.

    But on the other hand I am a critical care paramedic,so there is that.

    Privately I carry fuck all. Basically every car has a first aid kit so I can get gloves from there if needed. If I am a bystander somewhere I won't need more then my hands. The main goal of CPR are chest compressions - ventilations aren't urgently needed and by then the chances that someone with a first aid kit or a first responder turning up is high. Stop the bleed is something else, there you need stuff and training, but luckily that's not really a topic here.

    Only difference is in my car, I do carry stuff there (a BLS kit including an AED) as we are part of a first responder app network - dispatch can deploy up to 3 off duty medical personnel/first responders (from paramedics, firies, cops, nurses, doctors, medical technicians, etc.) that volunteer for this in additon to the regular units. (ALS+BLS ambulance, ALS+ response vehicle) This way people fairly close by respond - mosf of my cases are within 500m.

    BTW' These app based responder projects exist almosf worldwide and often they are open for everyone who is CPR certified. And if they aren't they still need donations, if your region hasn't one pester your politicans why no Because they are literally the biggest step in survival since defibrillation was.introduced prehospitally. Yes,that big.

    And they are bloody cheap.

    TLDR? Do compressions. Learn to "stop the bleed". Join a App based responder programm.

  • Are you CPR/First Aid certified? If so, do you carry around a "rescue breath mouth shield" with you everywhere you go?

    Jump

  • Well, most people I know have a "don't bother unless I get bystander CPR/it's witnessed". Because then you absolutely got a chance in most regions of the world.

  • Are you CPR/First Aid certified? If so, do you carry around a "rescue breath mouth shield" with you everywhere you go?

    Jump

  • No. And even medical professionals won't look for one before CPR starts.

    Simply because there isn't time.

    Once the scene is established it's a different deal and of course it can be a different deal when someone advises us or a condition is clearly showing. (And additionally in all jurisdictios I worked so far a medical bracelet does not constitute a binding DNR)

  • Are you CPR/First Aid certified? If so, do you carry around a "rescue breath mouth shield" with you everywhere you go?

    Jump

  • TIL about Wiki.js

    Jump

  • Yeah, as many said: It's dead. I was heavily invested into Wiki.JS but cannot recommend it to anyone anymore due to the antics of the developer. Even if the mysterious new major version that should fix every issue comes out at some point, as long as the development policies don't change it's not worth it.

    I am currently actively moving everything away from it.

  • good results so far with Elegoo Rapid PETG

    Jump

  • Tbf, I had problems with exactly one brand repeatedly: eSun Of all the brands the one most people consider a safe bet gave me the most hazzle.

    I absolutly used cheap brands as well and had no/less isues than with them.

    Currenly heavily using Sunlu/Jayo (same brand) for PLA, extrudr , formfutura and black forest filaments for ASA, extrudr for the remaining technical stuff. Whatever's cheapest for PETG.

  • ... that you know of.

    Jump

  • Sadly the realities are different: I visit around one healthcare facility every other week in all of Europe, far more infrequently in Africa, Asia and Oceania.

    Hospitals consistently have the worst IT departments I ever see - outdated technology, budget constraints (I literally saw a full IT loss due to "we don't pay for our firewall licences for over 3 years") and a fucking lack of care. One of the most well known clinical information systems has a hardcoded admin account with a single letter as PW in it Another popular system will try to install an ancient version of TeamViewer. In other words: It's a mess - btw often the budgets are huge and more than what nurses cost.

    That's why this unicorn stuck with me. They were "relaxed" - because they all had a workload that was "manageable", there was someone to take over if shit hits the fan,etc. And they didn't feel like they would need to do this and this - I know and fear this myself, it's the bane of my existence as a project guy. They? They had a nice, lean but powerful project workflow and change management.

    In the end it all came down to very very good management - a manager who knows their team that well is worth their weight iin gold.

  • ... that you know of.

    Jump

  • Tbf, I might have seen a unicorn: A hospital with no tech debt neither me nor my technically more inclined colleagues could find. And we were literally paid for looking for things swept under the rug.

    They had a top notch IT department with very professional management who (despite their limited budget) managed to attract talented people - simply with good working conditions, a room for creativity, etc. Everything they had was so well documented that it made me cry and think of my company's documentation. And while they intentionally did not go with every trend and fad their stuff was rock solid and modern. I have seen much much larger companies with half their thought into infrastructure, etc.

    I don't know if they still maintain that standard,but it was a real unicorn.

  • Filament won't adhere?

    Jump

  • As you have already dried it(which is the most common issue. How did you dry it?) another issue can indeed be your heatsink. Do you have any other filament and does that have the same issue?

  • Filament won't adhere?

    Jump

  • Yeah. That's not a good idea, despite everyone recommending it. (Well, manufacturers don't, neither do professionals) Dish soap is actually often putting a limited greasy lawyer on things to protect skin,etc. Isopropanol for the win. A very very small amount is enough.

    If it's so bad it needs water then use Iso later on.

  • Microsoft will offer free Windows 10 extended security updates in Europe

    Jump

  • Try Nobara as a live system or on a small boot disc you have lying around (ssds go for cheap these days) not that I would recommend it anymore as a distribution (nowadays Fedora is a better choice), but it helps you figure out if your setup will cause issues. (If it works on Nobara it likely will work on fedora)

    Personally from a gaming perspective I would advise against Mint.

  • Immich mobile app sync V2

    Jump

  • Layer 7 storage servers might be what you are looking for.

  • where to move for cheap VPS?

    Jump

  • Another happy Hetzner customer here. They are more than solid.

    The only issues I had was with the abysmal performance of the storagebox, but that got better recently.

    Layer 7 is also an idea for those seeking storage,but won't really help OPs case.

  • Looking for a relatively cheap camera system

    Jump

  • In terms of software: Agent NVR is imho currently one of the easiest and most compatible camera software systems available for free. Runs on a pi,even though I would absolutely not recommend one

    (Use a proper x64 SBC like the zimaboard. Makes a lot of things easier).

    Camera wise Dahua, Hikvison and Foscam are far better than Reolink, imho, but they most definitely need a separate network or a block so they don't access the internet.

  • Deleted

    Permanently Deleted

    Jump

  • Tbf, I remember the times we reused everything, even tubes.

    And it was a mess and there is so much evidence that the whole process of reusing is even worse for the environment.

  • What's something that, after you had it, you immediately wanted another?

    Jump

  • An orgasm, a break, a euro, a 3D printer.

  • What do you think is the best (and cheapest) way to host a new nextcloud instance and website for my local scouts organisation?

    Jump

  • Yeah,came here to say that. I second that.

  • Proton Mail Suspended Journalist Accounts at Request of Cybersecurity Agency

    Jump

  • Proton doing another shady thing?

    Colour me surprised!