Chetzemoka

I love the rhythm of this language. "Honga Tonga Honga Ha'apai" is so much fun to say.

Yes, a stopped heart shows up as a flat line with no activity on an EKG. We don't shock people when their hearts have completely stopped because it doesn't do anything and can actually damage the heart. Defibrillators are named that because they're intended to shock a heart that is in a chaotic electric rhythm called fibrillation where the heart is just kind of shivering instead of beating fully.

If a person has flatlined, you can do CPR and administer epinephrine, and if you're extremely lucky get their heart to start fibrillating so a shock might have a chance of being effective at restoring a normal heart beat. This is why someone whose heart has stopped completely is 2-3 times less likely to survive CPR than a person experiencing fibrillation.

Additional context about these "training" fees. The people coming over from the Philippines are TRAINED NURSES. They're properly educated, often already working, and in my experience generally excellent nurses. These "training fees" are literally wage slavery. These nurses require very little training, mostly about US healthcare laws and facility policies. These facilities are not teaching them how to be nurses.

As long as they don't let it be run by private equity firms like the US. In theory our combination long term care/short term rehab facilities provide this care model. They contain a doctor, nurses, aides, social workers, and physical therapists. Who are all paid rock bottom wages and criminally understaffed while the owners rake in millions by literally bankrupting vulnerable elderly people.

I'm assuming the UK facilities will be public like NHS unless the Tories get their way and kill that too.

From a volcano, per the source you linked:

"The Hunga Tonga-Hunga Ha’apai volcano — which violently erupted in January 2022 and blasted an enormous plume of water vapor into the stratosphere – likely contributed to this year’s ozone depletion. That water vapor likely enhanced ozone-depletion reactions over the Antarctic early in the season.

“If Hunga Tonga hadn’t gone off, the ozone hole would likely be smaller this year,” Newman said. “We know the eruption got into the Antarctic stratosphere, but we cannot yet quantify its ozone hole impact.”

Nah, it's fine. Wet things dry. They're fine as long as you get them dried out in a timely fashion. All the water is up, dehumidifier running ¯\_(ツ)_/¯

Hellz yeah, Flammy Friday 💪

Much needed as I'm finishing up shop vaccing around 50 gallons of water off my basement floor because I'm a complete idiot who likes to overflow bathtubs.

It's fine. It's my house. I'll fix it. 🤦

Mean Arterial Pressure is the actual number we use as a guideline. MAP is calculated as 1/3 of the top BP number + 2/3 of the bottom number:

https://www.mdcalc.com/calc/74/mean-arterial-pressure-map

Goal is bare minimum 60, and preferably >65. A BP of 80/40 gives you a MAP of 53, which = no bueno. Your kidneys and brain will not be happy.

Source: am critical care nurse

Not even N95s. If people just did the bare minimum and wore a surgical mask and washed their hands frequently the instant they felt like they might be sick, we would work wonders to reduce spread, morbidity, and lost wages/productivity. We just need the same simple politeness around respiratory illnesses that already exists in some Asian nations.

No, dracaena species in particular are sensitive to minerals and fluoride in tap water. I water my dracaena with bleach sterilized rainwater (after a livingroom-wide leaf spot outbreak a couple years ago). They're just fussy.

As a critical care nurse, the miraculous CPR recoveries are such a horrible disservice to our patients and their families. CPR is not two minutes of some light exercise and then the person wakes up and is ok forever.

It's 20-30 mins of intense, brutal, scary, undignified activity followed by best case scenario, we put you in the ICU, deliberately make you hypothermic for a day or two, and hope you wake up. That increases your chances of surviving the incident to a whopping 64%.

Surviving to discharge and having a meaningful recovery is a whole other ballgame, and depends a lot on the condition you were in when you had cardiac arrest in the first place. Your elderly grandpa with cancer, sepsis, bad kidneys, etc. is probably not going to go home. Your middle-aged wife who came in because she was having a heart attack actually stands a good chance.

Movies like to show people shocking a flatlined patient who just pops up and walks away when in reality presenting fully flatlined means you're 2-3 times less likely to be resuscitated at all.

I'm happy to leave some leeway in fictionalized depictions of medical care for the sake of story progression. But the complete ignorance currently common in fictional resuscitation scenarios feeds a really malignant sort of magical thinking that keeps us torturing elderly people. I'd really appreciate less of that in my job.