conditional_soup

joined 1 year ago
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ems
[–] conditional_soup@lemm.ee 11 points 1 month ago (1 children)

Yeah, I've learned some discretion over the years. I once told a story that dead ass got me sent to therapy.

[–] conditional_soup@lemm.ee 34 points 1 month ago (6 children)

Me telling an EMS war story that brings the vibe to a crashing halt.

[–] conditional_soup@lemm.ee 13 points 1 month ago

America in one picture

[–] conditional_soup@lemm.ee 4 points 1 month ago

No, nothing ever happens, actually. Nobody ever does anything interesting or worth talking about. Hosting exchange kids has, predictably, been one of the most boring experiences of my life, along with everything else.

[–] conditional_soup@lemm.ee 4 points 1 month ago (2 children)

Nah, he found a smooth reflective mask and a huge red robe, then we took a toy sickle and rubber mallet and spray painted them with gold paint.

[–] conditional_soup@lemm.ee 32 points 1 month ago (6 children)

I hosted a Russian exchange student who really liked joking about that stuff. He went as the ghost of communism for Halloween

[–] conditional_soup@lemm.ee 1 points 1 month ago (1 children)

I don't know that I'd agree that the EU and the articles of confederation are comparable. There were a few big differences, including states printing their own currency without a common exchange medium (as opposed to the Euro), and that the mechanism for funding the federal government was (IIRC) entirely voluntary. States could just choose to not send money without consequences, and most or all made the obvious choice of not funding the federal government. The articles of confederation also had a few things about it that were more progressive than the constitution; for example, if I'm remembering right, it offered automatic citizenship to all native Americans, which pissed a lot of the farmer-settlers right off.

[–] conditional_soup@lemm.ee 15 points 1 month ago* (last edited 1 month ago) (14 children)

This is how nations destabilize. States perpetuate themselves through maintaining the exclusive monopoly on violence and using that monopoly to secure certain guarantees for or against its people. The Roman empire saw a similar decline of administrative willpower and rises in both vigilantism and shitty little civil wars between the wealthy elite who really ran the show (spoiler alert). I'm convinced that Balkanization of the US is, at this point, inevitable. I'm not saying that's necessarily a good or bad thing in its own right. On one hand, it might be better for both the states and the world if we went to more of an EU type structure. On the other hand, a nuclear armed independent Texas.

[–] conditional_soup@lemm.ee 19 points 1 month ago (1 children)

This is really cool, but it would have been cooler if they'd named their scouting missions Hugin and Mugin, since they're Odin's ravens that scour the earth for secrets to give to Odin.

[–] conditional_soup@lemm.ee 4 points 1 month ago

For me, Wolf Larsen represents or embodies Satan (at least, Satan as a literary figure). His ship is a veritable ship of lost souls, all of the ship's hands are either recruited in drunkenness or fleeing something that seemed worse at the time. He's incapable citing scripture, which would be a really uncanny thing for a captain of his day, and even curses God.

The way he finds Hump even parodies the Divine Comedy; Hump (Dante), an honest but kind of hapless writer, becomes lost. The man who would guide him comes and finds him, and lo and behold, his guide is no Virgil, but, rather, Satan. Imo, the thing that really sells this is that Hump passes out underneath the golden gate (passes through the gates of hell) and is lost and found in the fog, which mirrors the conditions in the first circle of hell, Limbo. Rather than spending their voyage showing Hump what has happened while preventing him coming to harm, Wolf puts Hump in harm's way and spends the voyage trying to convince him of what is. By the end, the formidable captain, much like the Satan of Paradise Lost, is bound in darkness, remaining proud and sure to the end.

[–] conditional_soup@lemm.ee 5 points 1 month ago* (last edited 1 month ago) (3 children)

It's wild how good this book is relative to how few people have read it.

"The only part I remember is 'I now commit this body to the deep'"

[–] conditional_soup@lemm.ee 6 points 1 month ago

I fuck with this energy, let's get it done!

 

Headlines have never made me watch ads or accept cookies

 

c/ca_native_plants https://lemm.ee/c/ca_native_plants

!ca_native_plants!ca_native_plants@lemm.ee

This community is for identifying, promoting, and discussing plants native to California, as well as encouraging their use in landscapes and gardens. Questions about identification are welcomed, but the community should be only ever considered a second opinion for foraging purposes.

 

One thing I've recently seen be a point of contention is whether it's appropriate to disrupt sleep hours of 24 hour units for non-urgent transfers. That is, should 24 hour units have a time in which they're protected from being sent on non-urgent transfers? When this came up in the past, the consensus of "no" seemed to be coming from people whose systems weren't mixed 911/transfer systems and didn't do 24s. On the other hand, most of my 13 years in EMS has been with mixed-service 24 hour systems, one system of which was also a system-status deployment model (yes, I know that system status and 24 hour shifts are supposed to be mutually exclusive, but that fact never bothered company leadership). So, suffice it to say, I've had my fair share of riding 2 hours at 0300 on 30 hours without sleep for what could be an outpatient consult or because the local ED doc really wanted some other doc to take the liability for the discharge. A small company that I work for (mixed service, consecutive 24 hour shifts) recently started turning down overnight transfers for non-urgent reasons. The local (rural) ED was pissed and threatened to call other ambulance companies, but all the other companies got a good laugh when they heard where the hospital is. And in all fairness, they've laid some real stinkers of transfers in their time, including transferring due to CT glitch and transferring an 17 year old to the children's hospital two hours away for uncomplicated strep throat.

To me, it seems clear that 24 hour shifts are still well-suited to rural EMS, and I don't think it's at all unreasonable to not gamble with the lives of your crew, patients, and fellow drivers for what essentially amounts to the convenience of the ED staff. I don't think you can even argue that it's about patient convenience, because if it's ed-to-floor, then the patient realistically isn't going to see the specialist until business hours anyway (and there's a decent enough chance that the transfer is urgent at that), and if it's ed-to-ed, then there's a good chance (in my experience) that they're just travelling 2 hours away for a discharge, and where's the convenience in that? Stranded two hours away with an extra hospital bill and an ambulance bill so that they could get an outpatient appointment; now that's what I call service. The industry has had a nasty habit of pretending that people can just choose not to be affected by lack of sleep for too long, and there's been a lot of unfortunate consequences because of that. I don't have a problem with formalizing it and making sure that it doesn't get abused, but I just don't see the benefit in rawdogging your crews on non-urgent transfers.

What do you guys think?

 
 

Coming to you live from San Diego

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submitted 1 year ago* (last edited 1 year ago) by conditional_soup@lemm.ee to c/ems@lemm.ee
 

Everyone's got a favorite "war story" to bust out when it's story time. What's your go-to?

One of mine is the time I picked up some dude who slammed a brand new bottle of hydrocodone to try and keep from going to jail. They'd just picked up the bottle when he popped the lid off and just downed the whole thing in front of his family, who (rightly) freaked out and drove straight to the nearest fire station. By the time we got there, dude was on the dark side of the moon. We get the story, do an initial, take over bagging, drop 2 of narcan in his nose, load and go. I know this guy, he's going to be a jerk about it, and I don't to allow him the lattitude that he'll have at the scene. So, five minutes pass, IV's in, re-assess to find no change. Shocker. I dump another 2 in the line. Nothing. Well, shit. Re-assess to make sure I didn't miss anything, and opiates are still the best explanation. tl;dr we have a long transport time, so I end up making base contact a couple of times and finally dump the tenth mg of narcan in the line as we roll up to the receiving facility. We get inside, tell the hospital what's going on, transfer him over, and the dude jerks awake. He sits bolt upright, tells the doc "take your hands off me, {bundle of sticks}", grabs the NPA out of his nose, and then slings it into the corner of the room as hard as he can with an almighty "FUCK!"

Everybody piles out of the room and sort of awkwardly stands there, waiting for security to show up. While we were waiting, I remembered it was EMS week, so I asked the nurses if this meant I could have my shirt now. They said no :c

 

Those of you who left EMS, what are you doing now, and are you happy about your choices?

I left full time paramedicine after 12 years. I've been in software development for a little over a year now, and I still do some part time for shits and giggles. I don't regret my choice, especially seeing how hard the full time folks at my company get ran. It's fun to do this job again now that I'm not dependent on it for finances. I will say, though, programmer stories make a much smaller impact with friends and family.

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submitted 1 year ago* (last edited 1 year ago) by conditional_soup@lemm.ee to c/ems@lemm.ee
 

Welcome to c/EMS, Lemmy's community for EMS providers by EMS providers. Most topics are permitted here, though this might get adjusted according to the kind of traffic we get. This is a space for:

-sharing industry-related news

-professional discussion and development

-sharing memes (allowed 24/7)

-getting professional feedback

and more.

Some quick and dirty rules: Don't share any PHI, just don't. Use good judgment. Let's build a community based on mutual respect and good faith discussion.

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