Essential microskill for airway assistants! When intubating over a... bougie, the bougie is placed into the trachea and the assistant places the tube over the bougie Because bougies are straight and tracheal tubes have a curve, there is a tendency for the bougie to hit against the inside of the 15 mm connector on the end of the tube An essential microskill for airway assistants is to gently straighten the tube so the bougie goes through the connector rather than hitting against it (Video best with sound on)show more

What is the 4-step cricothyrotomy method? This method uses... 4 steps: Scalpel-finger-bougie-tube 1. Scalpel to the cricothyroid membrane 2. Finger insertion into the trachea with downward traction 3. Insertion of a bougie into the track with the finger it in feeling for the tracheal rings 4. Insertion of the tube over the bougie It is a simplified method for performing the procedure that eliminates steps such as the use of trach hook. While this procedure was popularized by the US military through the Tactical Combat Casualty Care guidelines, it has been described for many years before the recent wars in Iraq and Afghanistan. There's obviously no RCT data on this method in humans, but cadaver, mannequin, and case series data demonstrate reliability and efficiency. PMID: 9950380, 8922017, 9774928 #emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #data #research #army #armymedicine #armyemdoc #trauma #airway #military #tccc #navy #airforce #marines #medx #medtwittershow more

Mahjong is everywhere. Our writer embarked on a monthlong... adventure to learn the game and investigate the hype—visiting New York clubs and a bougie retreat in Connecticut. 🔗:show more

Oral intubation, also known as endotracheal intubation, is a... medical procedure that involves inserting a flexible plastic tube through a patient's mouth and into their trachea (windpipe). The tube keeps the airway open, allowing air to pass through and potentially connecting to a machine that delivers oxygen or air.show more

An orogastric (OG) tube is a thin, flexible tube... passed through a baby's mouth, down the esophagus, and into the stomach for feeding, medication administration, or gastric decompression. It is commonly used in premature infants (28-31 weeks) or newborns needing respiratory support (e.g., CPAP) where nasal tubes are impractical. Key Aspects of Orogastric Tubes in Babies: Uses: Provides enteral nutrition to infants with immature sucking/swallowing skills, delivers medication, or vents air/fluids to reduce stomach distention.OG vs. NG Tube: While Nasogastric (NG) tubes are preferred for stability and allowing oral feeding, OG tubes are necessary when CPAP prongs occupy the nostrils. Insertion Method: The tube is measured from the mouth to the tragus of the ear and down to the xiphoid process.Confirmation: Proper placement is verified by checking the pH of aspirated stomach contents .Complications: Risks include bradycardia, oxygen desaturation, gagging, vomiting, nasal irritation, and rarely, perforation of the esophagus or gastric mucosa. Maintenance: OG tubes are typically replaced periodically and secured to the baby's face to prevent accidental removal. Curating a life of compassion, competence, and curiosity 🧠 Scribbling notes and saving lives, one diagnosis at a time 📝 LIKE 👍 REPOST 🔁show more

Cyan Bougie paid for her BBL on purpose. In... fact, that was an investment as it is now yielding good results for her. Look at how people are enjoying seeing it. Worse part, she's the most booked entertainer so far.show more

#AsEver .. Since she couldn’t sell out, she’s stuck... staging her clearance rack at a bougie shop - desperation disguised as luxury. The glitter’s borrowed, the hype is fake, and the only thing authentic is the panic behind the price tags. Can't make this up ! 🤭😅 - #MeghanMarkleExposed #AsEverbyMeghan #FailedQuestshow more

'Coming Up Miami' Season 2 Is Currently Filming On... #NowThatstv 👀 Bad And Bougie (from One Mo Chance), Hood Trophy Bino, Diamond The Body & others have been posting togethershow more

The legitimacy of the case against the Islamic republic... is first and foremost rooted in the demands of the Iranian people inside Iran, who have repeatedly risen up, most recently in the millions, to demand an end to this regime. In this movement, there has been only one name they have called for, and only one transitional leadership the Iranian people have fought for: Reza Pahlavi. Now that doesn’t mean every Iranian is a monarchist, and it doesn’t mean “restoring monarchy” either. If fact, Pahlavi himself has called for a transition to democracy and has only ever called for a transition leadership. Many people are calling for Pahlavi today who did not support the Shah in the past. The world is still talking over them. Instead of listening to the Iranian people, the international media and multiple governments around the world have consistently proposed plan after plan, actively ignoring the will of the Iranian people. They have minimized and in some cases even mocked the Crown Prince, when he and he alone has the ear of the people on the ground. There have been well funded and coordinated efforts against the Crown Prince attempting to cast doubt on his popularity with the Iranian public and to spread rumors that anyone who supports him as a traditional leader is “restoring monarchy”. He has been accused of all sorts of absurdities from being an “Israeli agent” to being asked to answer for political decisions of his father that have nothing to do with him and still he has maintained the respect and support of the Iranian people. This is a cataclysmic mistake on the part of the West. Iran is not Afghanistan or Venezuela. You will never have a successful foreign imposed leader like the terrorist Ghalibaf when the people are calling for something else entirely. How many times must the West repeat the same mistakes over and over against expecting different results?show more

Going too fast into a curve is a mistake... many new drivers do, and braking on the curve is a sure recipe for losing control. When approaching a curve, reduce the speed, reduce your gear, *Lean the bike* Release clutch for maximum torque, as you are exiting the curve (after hitting the Apex of the curve) you can open the accelerator. This ensures maximum thrill, minimum danger. #roadsafetyshow more

Force feedback demo Force feedback is when joystick is... pushing on your hand when something is pushing on the robot arm. Feeling the force - so much helpful to control the robot, that done well it allows you to do tasks even without visual feed. You can make an experiment: close your eyes - you can easily get the headphones out of the case. Also, visual information is often not enough. For example, you're trying to pull out a usb connector, but you pull it at the wrong angle, causing it to get stuck. Visually, nothing changes, but the pressure is intense and you can break the connector. Surgical robots have been using force feedback for years, and there are also 3D styluses which use this feature, proving that the technology works and is useful. But in modern robots with AI, it's hardly ever implemented. Although it's useful for both teleoperation and AI model. That's one of the reasons why we are building our robotic arms starting with off the shelf motors rather than taking the whole off the shelf arm. There are still a range of easy wins that can be made iterating robot hardware.show more

On the tube on the way home now. I... posted photos of graffiti on a tube train a week or two ago and several morons who know nothing of London, told me that it was extremely rare and I’d exaggerated it. Well, here it is again on a different tube and it’s in every carriage. All over. Makes me wonder; if they can get away with this, imagine being a lone female say, and being attacked. There’s no one there to help and tfl obviously aren’t watching any wrong doing on their tubes, so when you get on the London Underground, you’re on your own. There won’t be any help arriving.show more

“The light of Fajr is the beginning of hope... and the start of a new day.” “The morning prayer is essential to start your day on a positive note.” “Fajr is the best time to seek Allah's mercy and blessings.” The Fajr prayer is like a fortress, guarding us from the evils of the day.show more

Breaking a Bagel over Heads of Bride & Groom:... At the entrance to the Yichud room (the private room where the newlywed couple spends time alone right after the chuppah), it is customary in certain Hasidic communities for the Mechutanim (the parents of the bride and groom) to break a bagel over the heads of the fresh couple as a segulah (protective charm) against the evil eye and for good luck. And the custom of the children going wild over the broken bagel is always fascinating. Video: Avi Millershow more

but he couldnt because the tube is made of... angelic steel and by the rules of the universe, anything infused with angelic steels stops demons from being able to use their powers and for all intents and purposes, lucifer is treated as a demon in universeshow more

The head of the so-called Supreme Council of Syrian... Tribes and Clans Mudar Hammad al-Asaad, is calling on the Syrian army to bomb the Semalka Bridge over the Tigris River. This bridge connects the Kurdistan Region of Iraq (Rojava) to Syrian Kurdistan and is the only remaining lifeline for the region's inhabitants, through which humanitarian aid, food, and medicine pass. This call constitutes a direct incitement to commit a mass crime against civilians. Targeting the Semalka Bridge would mean strangling the entire region and depriving millions of civilians of the most basic necessities of life. The bridge is not a military target; it is an irreplaceable lifelineshow more

🚨🇺🇸🇮🇷 The U.S. House just voted on a War... Powers Resolution to limit Trump's military action against Iran. The result: 212 for, 212 against. The resolution failed in a perfect tie. Half of Congress is openly asking for the war to end. The other half is still defending it. This is the seventh attempt by Schumer and House Democrats to force the issue...show more

So this is interesting! The video shows a Russian... Pantsir-S1 hitting buildings in Novorossiysk while trying to defend the city against the AFU attack. One of the men speaking says it hit where “Global” is. I looked up “Global, Novorossiysk”, and it appears that “Global” refers to “Global Group”, a company specializing in containerized logistics for agricultural products through the port of Novorossiysk. Chances are, this company was involved in exporting stolen Ukrainian grain. I hope the man in the video is right, and that it burns to the ground!show more

Augers are used on my farm to transfer grain... They were quite the advancement and have greatly evolved over the last 80+ years An auger is an important but simple tool, grain is unloaded into a hopper at the base or direct from a bin and then a turning “screw” in the tube pushes the grain to the outlet at the top I own 8 inch gas augers and 13 inch pto tractor driven augers on my farm The 13 inch PTO augers are used for unloading semi trailers into granaries(bins) during harvest The 8 inch gas augers are used for loading the trucks from bins when it needs to be moved or hauled to the elevator once it’s sold These “simple” machines might not be flashy but are a very important tool on many grain farms #RegularFarmershow more