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What is the data on pediatric drowning outcomes? A 2016 systematic review with meta-analysis included 24 studies and >3000 pediatric drownings. Here’s the gist of what they found: Factors associated with survival were: -Submersion time (longer=bad) -EMS response time (longer=bad) -Salt water versus fresh water (salt water improved survival)...

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armyemdoc

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10,869 görüntüleme • 1 yıl önce •via X (Twitter)

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Frances Cartwright profil fotoğrafı
Frances Cartwright1 yıl önce

The only one I’ve had survive (of say 10) was confirmed less than 3 mins in the water. Grandies did CPR until ambulance arrived, 15 mins from a reasonable size hospital… it’s always awful.

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HUDI1 yıl önce

Most businesses are drowning in data. Few know how to swim. Even fewer realize their data could be their lifeboat. The smartest companies don’t have more data. They have a data brain 🤖🧠

Eric Main profil fotoğrafı
Eric Main1 yıl önce

This seems like a good show . I just saw the one on double shocking and I was like is that a thing.

Julien Charles Prévost 🇨🇦 profil fotoğrafı
Julien Charles Prévost 🇨🇦1 yıl önce

And what about when he said so one ever survived a cardiac arrest with potassium over 11 ? If you have a patient with a potassium over 11 is that a reason you would stop CPR ?

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armyemdoc1 yıl önce

What is adaptive support ventilation? So, the case is that you've just intubated a patient but can't get them transferred for several hours. You've tried volume control and pressure control and keep getting alarms. Your only RT for the entire hospital wants to try ASV. Most EM docs are probably not familiar with this. What is it? #emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #trauma #respiratory #respiratorytherapist #rt #medx #medtwitter

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What is the data on family presence during resuscitation/CPR? There’s been multiple RCTs performed on this topic with subsequent systematic review’s including a Cochrane review. One cluster RCT even included 1-year follow-up with family that were present during the resuscitation. Here’s the gist of what these studies demonstrate: -There appears to be no impact on patient mortality (IOW it does not degrade the quality of resuscitation) -Family members report lower PTSD, anxiety, and depression (this data is from prehospital setting) -Qualitative data suggests that it helps to ease into cessation of resuscitation -Several studies have highlighted the need for a dedicated team member to address the family during the resuscitation -One study assessing patient survivors found that 9 of them reported awareness of family presence without any negative effects -Assessments of staff members found no increased sense of stress My two cents is that there probably needs to be some preparation including notifying staff that the family will present so they are aware along with a dedicated staff member to prepare the family for what they are about to witness. #emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #armyemdoc #resuscitation #research #data #ems #prehospital #ambulance #family #death #medx #medtwitter
1:37

What is the data on family presence during resuscitation/CPR? There’s been multiple RCTs performed on this topic with subsequent systematic review’s including a Cochrane review. One cluster RCT even included 1-year follow-up with family that were present during the resuscitation. Here’s the gist of what these studies demonstrate: -There appears to be no impact on patient mortality (IOW it does not degrade the quality of resuscitation) -Family members report lower PTSD, anxiety, and depression (this data is from prehospital setting) -Qualitative data suggests that it helps to ease into cessation of resuscitation -Several studies have highlighted the need for a dedicated team member to address the family during the resuscitation -One study assessing patient survivors found that 9 of them reported awareness of family presence without any negative effects -Assessments of staff members found no increased sense of stress My two cents is that there probably needs to be some preparation including notifying staff that the family will present so they are aware along with a dedicated staff member to prepare the family for what they are about to witness. #emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #armyemdoc #resuscitation #research #data #ems #prehospital #ambulance #family #death #medx #medtwitter

armyemdoc

21,808 görüntüleme • 1 yıl önce

Listen to this termination of resuscitation… which is how it should happen. There are several things to note that Dr. Robby from The Pitt did here that are spot-on. 1. He, in no uncertain terms, told her parents that her cardiac arrest was non-survivable. This is not the time to list out percentages or probabilities. This is the time to provide certainty to the inevitable death. 2. He told the parents when the appropriate time was to terminate resuscitation. Notice… No one said, “hey, so, do you want us to keep going or what?”. When a statement like that or similar is used, what the family hear are, “so… do YOU want to let granny die now or what?” You, the medical professional, that understands physiology and abysmal outcome even if ROSC is achieved at this point should be the one bearing the burden of making that decision, not the family member. 3. He offered to allow the remaining family to come in before stopping all of the visible efforts of resuscitation. (see previous post on this topic) My general gist is something like this, “Johnny has had no pulse and no blood flow to the brain for 40 minutes. Even if all the things we are doing were to get his heart beating again, he has suffered permanent brain damage. He will never wake up and be the same person you’ve him as. Now is the appropriate time to stop.” More to come on potassium levels and cardiac arrest... #emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #armyemdoc #resuscitation #research #data #family #death #cpr #medx #medtwitter
0:52

Listen to this termination of resuscitation… which is how it should happen. There are several things to note that Dr. Robby from The Pitt did here that are spot-on. 1. He, in no uncertain terms, told her parents that her cardiac arrest was non-survivable. This is not the time to list out percentages or probabilities. This is the time to provide certainty to the inevitable death. 2. He told the parents when the appropriate time was to terminate resuscitation. Notice… No one said, “hey, so, do you want us to keep going or what?”. When a statement like that or similar is used, what the family hear are, “so… do YOU want to let granny die now or what?” You, the medical professional, that understands physiology and abysmal outcome even if ROSC is achieved at this point should be the one bearing the burden of making that decision, not the family member. 3. He offered to allow the remaining family to come in before stopping all of the visible efforts of resuscitation. (see previous post on this topic) My general gist is something like this, “Johnny has had no pulse and no blood flow to the brain for 40 minutes. Even if all the things we are doing were to get his heart beating again, he has suffered permanent brain damage. He will never wake up and be the same person you’ve him as. Now is the appropriate time to stop.” More to come on potassium levels and cardiac arrest... #emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #armyemdoc #resuscitation #research #data #family #death #cpr #medx #medtwitter

armyemdoc

84,017 görüntüleme • 1 yıl önce

Are you using oral ketamine and midazolam for pediatric sedation? I've been doing this for years without much data. I'm glad to see more data coming out on this method. Their protocol: PO ketamine 6mg/kg, max 200 PO midaz 0.5mg/kg, max 15 This works great because it safely keeps the kid loopy for a while in the event you get pulled away for other urgent issues, particularly when it's a single-coverage ED. #emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #data #research #science #medx #medtwitter
2:21

Are you using oral ketamine and midazolam for pediatric sedation? I've been doing this for years without much data. I'm glad to see more data coming out on this method. Their protocol: PO ketamine 6mg/kg, max 200 PO midaz 0.5mg/kg, max 15 This works great because it safely keeps the kid loopy for a while in the event you get pulled away for other urgent issues, particularly when it's a single-coverage ED. #emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #data #research #science #medx #medtwitter

armyemdoc

24,105 görüntüleme • 1 yıl önce

Apart from the fact that the turbidity level of most rivers have moved from bad to worst in the last 8months, let no one mislead you to accept just tubidity level as measure. It’s just one indicator. What is the true measure of water quality is the WATER QUALITY INDEX by the Water Resources commission. It uses the turbidity levels and other 4 indicators to ascertain our water quality. That’s more comprehensive. st ixahalli Trors in the rdmye thewer And the records from 2005 - 2024 show clearly that, the water quality deteriorated from bad to worst anytime the NDC is in power and improves when NPP comes to power. As at 2010 when the river Galamsey escalated in earnest under the NDC government, the 40 fairly Good water were destroyed and as at 2016, the NDC left us with only 15 Fairly Good water and 25 Poor quality water. The NPP between 2017 - 2024 improved our water 15 to 29 Fairly Good water and reduced the poor quality water from 25 to 10 with 1 Good Quality water. Let no one tell you otherwise, the data is available online. Read for yourself. Galamsey remains a major challenge for this country and the earlier this NDC government realizes the times we are in, stop referencing Akufo-Addo and get to work to fix the situation the better. The record of the NDC per the data is clear. Times have changed and people are now ready to hear and understand the issues than they did in the past and there will be no room for misleading information. #GalamseyEnablers
1:48

Apart from the fact that the turbidity level of most rivers have moved from bad to worst in the last 8months, let no one mislead you to accept just tubidity level as measure. It’s just one indicator. What is the true measure of water quality is the WATER QUALITY INDEX by the Water Resources commission. It uses the turbidity levels and other 4 indicators to ascertain our water quality. That’s more comprehensive. st ixahalli Trors in the rdmye thewer And the records from 2005 - 2024 show clearly that, the water quality deteriorated from bad to worst anytime the NDC is in power and improves when NPP comes to power. As at 2010 when the river Galamsey escalated in earnest under the NDC government, the 40 fairly Good water were destroyed and as at 2016, the NDC left us with only 15 Fairly Good water and 25 Poor quality water. The NPP between 2017 - 2024 improved our water 15 to 29 Fairly Good water and reduced the poor quality water from 25 to 10 with 1 Good Quality water. Let no one tell you otherwise, the data is available online. Read for yourself. Galamsey remains a major challenge for this country and the earlier this NDC government realizes the times we are in, stop referencing Akufo-Addo and get to work to fix the situation the better. The record of the NDC per the data is clear. Times have changed and people are now ready to hear and understand the issues than they did in the past and there will be no room for misleading information. #GalamseyEnablers

Dennis Edward Aboagye

27,012 görüntüleme • 11 ay önce

The Fluoride Deception - 2004 Fluoride is yet another example on an endless list of many showing how industry has completely captured regulatory institutions and allowed criminal corporations to poison our environment with an obscene toxin, and then manufacture science to tell us it's for our benefit and that we actually need it. The only argument justifying the use of fluoride in our water is that it prevents cavities (which it doesn't), and even if it slightly did, the risk of neurological damage and reduction in IQ far outweighs any of the supposed benefits. Adding it directly to the water that people cook with, shower with, or drink, is categorically insane on every level with the currently available science, and the fact that the water fluoridation practice still continues in most US cities is a testament to how negligent and malicious our government is, and how they don't actually care about the science, just the same as with vaccines. It's almost as if they want to lower intelligence and IQ because you become far easier to control and subjugate. Even worse, when you begin to understand the synergistic toxicities between aluminum and fluoride in the brain and the aluminofluoride complexes that can result from the continued exposure to both toxins, you begin to get an understanding of why there are so many people in the US who are still sleep walking into oblivion, staring at the shadows in the cave and thinking that they're real. So here are some facts from the Fluoride Action Network about it's neurotoxicity that hasn't stopped the government from poisoning our water supplies. 2006: The National Research Council published Fluoride in Drinking Water, the most authoritative review of fluoride’s toxicity. It stated unequivocally that “fluorides have the ability to interfere with the functions of the brain and the body.” 2012: A Harvard-funded meta-analysis found that children ingesting higher levels of fluoride tested an average 7 IQ points lower in 26 out of 27 studies. Most had higher fluoride concentrations than in U.S. water, but many had total exposures to fluoride no more than what millions of Americans receive 2017: A National Institutes of Health (NIH) - funded study3 found that every milligram per liter (1 mg/L) increase in fluoride in pregnant women’s urine – about the difference caused by ingestion of fluoridated water4 - was linked to a reduction of their children’s IQ by an average 5-6 points. Leonardo Trasande, MD, a leading physician unaffiliated with the study, said it “raises serious concerns about fluoride supplementation in water.” 2019: A Canadian study10 found a nearly 300% higher risk of ADHD for children living in fluoridated areas. This reinforced earlier studies linking fluoride to ADHD in Mexico (2018)11 and the U.S. (2015). 2019: Another NIH-funded study in Canada found that babies fed formula mixed with fluoridated water averaged 6 IQ points less than those mixed with non-fluoridated water. Losses of non-verbal IQ were even more serious, an average of 13 points 2023: The National Toxicology Program’s draft scientific review14 documented 52 out of 55 studies linked higher fluoride levels with lower IQs. Of the highest quality studies, 18 out of 19 found this link. “Several of the highest quality studies showing lower IQs in children were done in optimally fluoridated (0.7 mg/L) areas
28:27

The Fluoride Deception - 2004 Fluoride is yet another example on an endless list of many showing how industry has completely captured regulatory institutions and allowed criminal corporations to poison our environment with an obscene toxin, and then manufacture science to tell us it's for our benefit and that we actually need it. The only argument justifying the use of fluoride in our water is that it prevents cavities (which it doesn't), and even if it slightly did, the risk of neurological damage and reduction in IQ far outweighs any of the supposed benefits. Adding it directly to the water that people cook with, shower with, or drink, is categorically insane on every level with the currently available science, and the fact that the water fluoridation practice still continues in most US cities is a testament to how negligent and malicious our government is, and how they don't actually care about the science, just the same as with vaccines. It's almost as if they want to lower intelligence and IQ because you become far easier to control and subjugate. Even worse, when you begin to understand the synergistic toxicities between aluminum and fluoride in the brain and the aluminofluoride complexes that can result from the continued exposure to both toxins, you begin to get an understanding of why there are so many people in the US who are still sleep walking into oblivion, staring at the shadows in the cave and thinking that they're real. So here are some facts from the Fluoride Action Network about it's neurotoxicity that hasn't stopped the government from poisoning our water supplies. 2006: The National Research Council published Fluoride in Drinking Water, the most authoritative review of fluoride’s toxicity. It stated unequivocally that “fluorides have the ability to interfere with the functions of the brain and the body.” 2012: A Harvard-funded meta-analysis found that children ingesting higher levels of fluoride tested an average 7 IQ points lower in 26 out of 27 studies. Most had higher fluoride concentrations than in U.S. water, but many had total exposures to fluoride no more than what millions of Americans receive 2017: A National Institutes of Health (NIH) - funded study3 found that every milligram per liter (1 mg/L) increase in fluoride in pregnant women’s urine – about the difference caused by ingestion of fluoridated water4 - was linked to a reduction of their children’s IQ by an average 5-6 points. Leonardo Trasande, MD, a leading physician unaffiliated with the study, said it “raises serious concerns about fluoride supplementation in water.” 2019: A Canadian study10 found a nearly 300% higher risk of ADHD for children living in fluoridated areas. This reinforced earlier studies linking fluoride to ADHD in Mexico (2018)11 and the U.S. (2015). 2019: Another NIH-funded study in Canada found that babies fed formula mixed with fluoridated water averaged 6 IQ points less than those mixed with non-fluoridated water. Losses of non-verbal IQ were even more serious, an average of 13 points 2023: The National Toxicology Program’s draft scientific review14 documented 52 out of 55 studies linked higher fluoride levels with lower IQs. Of the highest quality studies, 18 out of 19 found this link. “Several of the highest quality studies showing lower IQs in children were done in optimally fluoridated (0.7 mg/L) areas

Inversionism

123,545 görüntüleme • 2 yıl önce

Former Navy SEAL reveals the one skill that gives water polo players a huge advantage in SEAL training MRBALLEN: "There's two places where the most mentally tough people, in terms of success in SEAL training. One is wrestling, basically any level of wrestling. Wrestlers have an incredibly high success rate in BUD/S and water polo. Those are the two that they have determined through their studies are the grittiest, most resilient folks when it comes to SEAL training. And one of the guys that was one of my officers in one of the classes I was in was a water polo player from the University of Tennessee. And he's this big, big, strong guy. This water polo player, he blazes through that test, no problem. The other test is just the tread. That's all it's called, the tread. You spend five minutes in the pool with your twin 80 tanks on, which are neutral in the water. They're pretty heavy outside of the water, but they're cumbersome on your back. You got no fins. You got a weight belt on, hands up out of the water. Yeah, it's like five pounds or something. And you tread for five minutes. And that's the whole test. Hands out of the water so you only tread with your legs, no fins, tanks on. The only way to do it realistically is imagine hopping on a bike in the gym and just sprinting until you have full muscle fatigue, hold it for like three, four minutes. It doesn't even need to go that fast, but it's constant. That's the only way to do it." "Unless you're an exceptionally talented water polo player who's mastered the art of the egg beater, where they basically have found a way to move their legs. That's like the most efficient way to tread water. And this dude, I kid you not, who blazed through pool comp first try, no problems whatsoever, was like joking around after his test. He gets in for the tread and he could hold himself almost to his belly button, probably like nipple to belly button line, fully out of the water. Just no problem. Like practically smiling because he knows this is my domain. I can do this all day long. It was the most incredible thing I'd ever seen." ROGAN: "That's crazy. I would have never thought of that. First of all, I didn't know the water polo players had to tread the entire time, which is insanely impressive. Like, how long is the game?" MRBALLEN: "Well, I don't know if they can go to the edge and hold on periodically, but if you watch water polo, they're treading. Most of the time, they're just treading. I'm no water polo player, but my understanding is that the game is played while treading." ROGAN: "Yeah. I never would have imagined, but now that you've described it that way, like, that might be the hardest sport on earth."
2:28

Former Navy SEAL reveals the one skill that gives water polo players a huge advantage in SEAL training MRBALLEN: "There's two places where the most mentally tough people, in terms of success in SEAL training. One is wrestling, basically any level of wrestling. Wrestlers have an incredibly high success rate in BUD/S and water polo. Those are the two that they have determined through their studies are the grittiest, most resilient folks when it comes to SEAL training. And one of the guys that was one of my officers in one of the classes I was in was a water polo player from the University of Tennessee. And he's this big, big, strong guy. This water polo player, he blazes through that test, no problem. The other test is just the tread. That's all it's called, the tread. You spend five minutes in the pool with your twin 80 tanks on, which are neutral in the water. They're pretty heavy outside of the water, but they're cumbersome on your back. You got no fins. You got a weight belt on, hands up out of the water. Yeah, it's like five pounds or something. And you tread for five minutes. And that's the whole test. Hands out of the water so you only tread with your legs, no fins, tanks on. The only way to do it realistically is imagine hopping on a bike in the gym and just sprinting until you have full muscle fatigue, hold it for like three, four minutes. It doesn't even need to go that fast, but it's constant. That's the only way to do it." "Unless you're an exceptionally talented water polo player who's mastered the art of the egg beater, where they basically have found a way to move their legs. That's like the most efficient way to tread water. And this dude, I kid you not, who blazed through pool comp first try, no problems whatsoever, was like joking around after his test. He gets in for the tread and he could hold himself almost to his belly button, probably like nipple to belly button line, fully out of the water. Just no problem. Like practically smiling because he knows this is my domain. I can do this all day long. It was the most incredible thing I'd ever seen." ROGAN: "That's crazy. I would have never thought of that. First of all, I didn't know the water polo players had to tread the entire time, which is insanely impressive. Like, how long is the game?" MRBALLEN: "Well, I don't know if they can go to the edge and hold on periodically, but if you watch water polo, they're treading. Most of the time, they're just treading. I'm no water polo player, but my understanding is that the game is played while treading." ROGAN: "Yeah. I never would have imagined, but now that you've described it that way, like, that might be the hardest sport on earth."

Tony Jacob | FindaClip.com

431,231 görüntüleme • 6 gün önce

Data Centers are coaching their workers on how to lie to the public and their family about how Data Center water usage is actually a good thing “I work at an architecture firm that mainly does data centers, and just to give you all an idea of how out of touch the people making these things are. Today we had a meeting where we were essentially asked to defend the water usage of data centers to our friends and family in conversation at the dinner table or online. They provided them with a graph to break down water usage (included) but I’ll go over it The chart compares “domestic water usage” (toilets, sinks, etc.) for a typical-sized closed-loop data center of 600,000 gallons per year against other things of “equivalent square footage”: Cornfield: 5.85 million gallons Vineyard: 5.60 million Golf course: 5.45 million Peanut farm: 2.88 million Movie theater: 935,000 5 households: 730,000 They make the point that “Data centers aren’t the big water users you think” But that’s not really true “It's still using an incredible amount of water — and the key piece of evidence here was when someone gets pissed at a data center's water usage, ask them if they like golf. And when they say yes, let them know that a golf course uses 9 times as much water much water as a data center. That'll shut them up, because no one disapproves of golf courses using an exorbitant amount of water…” Not to mention, this is incredibly misleading The 600,000 gallons is mostly just building operations of things like sinks and bathrooms. It downplays or completely excludes the main water use, which is cooling the servers More fake propaganda
1:33

Data Centers are coaching their workers on how to lie to the public and their family about how Data Center water usage is actually a good thing “I work at an architecture firm that mainly does data centers, and just to give you all an idea of how out of touch the people making these things are. Today we had a meeting where we were essentially asked to defend the water usage of data centers to our friends and family in conversation at the dinner table or online. They provided them with a graph to break down water usage (included) but I’ll go over it The chart compares “domestic water usage” (toilets, sinks, etc.) for a typical-sized closed-loop data center of 600,000 gallons per year against other things of “equivalent square footage”: Cornfield: 5.85 million gallons Vineyard: 5.60 million Golf course: 5.45 million Peanut farm: 2.88 million Movie theater: 935,000 5 households: 730,000 They make the point that “Data centers aren’t the big water users you think” But that’s not really true “It's still using an incredible amount of water — and the key piece of evidence here was when someone gets pissed at a data center's water usage, ask them if they like golf. And when they say yes, let them know that a golf course uses 9 times as much water much water as a data center. That'll shut them up, because no one disapproves of golf courses using an exorbitant amount of water…” Not to mention, this is incredibly misleading The 600,000 gallons is mostly just building operations of things like sinks and bathrooms. It downplays or completely excludes the main water use, which is cooling the servers More fake propaganda

Wall Street Apes

54,259 görüntüleme • 2 ay önce

Read the story 👇 It's so often that those of us who work in EM and critical care see devastating injuries and wonder whether we're really making a difference... SPC Jordan Kirkpatrick is a U.S. Army Soldier who was riding his motorcycle on his day off when he had a high-speed collision. He had a bad TBI (IPH, SAH, DAI), pulmonary contusions, multiple rib fractures, skull fracture, facial fractures, femur fracture, multiple pelvic fractures, and a splenic laceration. EMS found him hypotense with a GCS of 3. Shortly after EMS arrival, he arrested. EMS started CPR, an i-gel was placed, and his chest was decompressed with ROSC achieved. In the ED, they intubated him, placed chest tubes, and transfusions were started. He was emergently taken to the OR for a multi-surgeon case and received >30 units of blood. Shortly after surgery, he went into ARDS/TRALI refractory to all medical management. uchealth LifeLine air lifted in very critical condition to University of Colorado Anschutz where he was emergently cannulated for ECMO. He had a bolt and EVD placed, was deeply sedated, paralyzed, and cooled for his TBI. He spent several weeks on ECMO in our CTICU and then was decannulated and transferred to our STICU, where he spent several months receiving dozens of procedures. I was part of his critical team in the STICU for several weeks. He's now almost fully recovered mentally and is making progress physically recovering. Next week, he will be discharged from in-patient rehab. He will rejoin his fellow Soldiers at Fort Carson and transition to the Soldier Recovery Unit. The video and photos are from him and his family documenting his journey. It's patients like Jordan who remind you that what you do matters. (Photos, video, and story shared with patient and family permission) #emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #trauma #motivation #motivating
0:47

Read the story 👇 It's so often that those of us who work in EM and critical care see devastating injuries and wonder whether we're really making a difference... SPC Jordan Kirkpatrick is a U.S. Army Soldier who was riding his motorcycle on his day off when he had a high-speed collision. He had a bad TBI (IPH, SAH, DAI), pulmonary contusions, multiple rib fractures, skull fracture, facial fractures, femur fracture, multiple pelvic fractures, and a splenic laceration. EMS found him hypotense with a GCS of 3. Shortly after EMS arrival, he arrested. EMS started CPR, an i-gel was placed, and his chest was decompressed with ROSC achieved. In the ED, they intubated him, placed chest tubes, and transfusions were started. He was emergently taken to the OR for a multi-surgeon case and received >30 units of blood. Shortly after surgery, he went into ARDS/TRALI refractory to all medical management. uchealth LifeLine air lifted in very critical condition to University of Colorado Anschutz where he was emergently cannulated for ECMO. He had a bolt and EVD placed, was deeply sedated, paralyzed, and cooled for his TBI. He spent several weeks on ECMO in our CTICU and then was decannulated and transferred to our STICU, where he spent several months receiving dozens of procedures. I was part of his critical team in the STICU for several weeks. He's now almost fully recovered mentally and is making progress physically recovering. Next week, he will be discharged from in-patient rehab. He will rejoin his fellow Soldiers at Fort Carson and transition to the Soldier Recovery Unit. The video and photos are from him and his family documenting his journey. It's patients like Jordan who remind you that what you do matters. (Photos, video, and story shared with patient and family permission) #emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #trauma #motivation #motivating

armyemdoc

35,615 görüntüleme • 1 yıl önce

🚨 Urgent Water Appeal from Gaza 🚨 Childhood in Gaza is not disappearing in a single moment. It is fading slowly— with every child walking through rubble carrying an empty jerrycan, with every family searching the ruins for a drop of water, with every mother wetting her lips just enough so her children can drink. In Gaza today, thirst is no longer a warning. It is a shadow moving between tents, between destroyed homes, between fragile bodies trying to survive another day. Children here no longer dream of toys. They no longer ask about school. They no longer ask what tomorrow will bring. They ask only one question: “Will we drink today?” 💧 One child walked for hours between destroyed streets. Not looking for comfort. Not looking for safety. Just looking for water. A single container. One small jerrycan. The sun disappeared behind the ruins. And the container stayed empty. The child returned to the tent with nothing. 💧 Clean water is running out. Families across Gaza are collapsing under the weight of thirst. Thirst here is no longer temporary. It is relentless. It follows families from morning until night. Skin dries and cracks. Lips split and bleed. Small bodies weaken quietly. Children cry softly so their parents will not feel more pain. Tiny hands reach out— not for toys, not for sweets, not even for dreams. Just for a single cup of water. 💧 And yet, in the middle of this silence, three voices refused to look away. 🔥 Felix (GoliathFan1952) ✨ William Menaker (Will 🦥 Menaker) 🤍 Eyup Lovely (Eyup Lovely) They did not scroll past. They did not wait for someone else. They used their voices when silence would have been easier. And because of them, water trucks moved through the destruction, reaching families who had nothing left. For children in Gaza, water is no longer ordinary aid. It is the thin line between: a child collapsing from thirst or waking up tomorrow. Between a mother losing hope or finding the strength to keep her children alive. What you gave was more than water. It was life. It was mercy. It was a moment where thirst loosened its grip on a family. But the need has not stopped. 🚨 Time is running out. Every moment of delay means another empty container. Another child searching the ruins. Another family losing strength. 👉 Donate now. Because thirst does not wait. 💧 Because in Gaza, water means survival. If water reaches a family tonight, a child may wake up tomorrow. If it does not— tomorrow will begin with thirst again. 💧
0:54

🚨 Urgent Water Appeal from Gaza 🚨 Childhood in Gaza is not disappearing in a single moment. It is fading slowly— with every child walking through rubble carrying an empty jerrycan, with every family searching the ruins for a drop of water, with every mother wetting her lips just enough so her children can drink. In Gaza today, thirst is no longer a warning. It is a shadow moving between tents, between destroyed homes, between fragile bodies trying to survive another day. Children here no longer dream of toys. They no longer ask about school. They no longer ask what tomorrow will bring. They ask only one question: “Will we drink today?” 💧 One child walked for hours between destroyed streets. Not looking for comfort. Not looking for safety. Just looking for water. A single container. One small jerrycan. The sun disappeared behind the ruins. And the container stayed empty. The child returned to the tent with nothing. 💧 Clean water is running out. Families across Gaza are collapsing under the weight of thirst. Thirst here is no longer temporary. It is relentless. It follows families from morning until night. Skin dries and cracks. Lips split and bleed. Small bodies weaken quietly. Children cry softly so their parents will not feel more pain. Tiny hands reach out— not for toys, not for sweets, not even for dreams. Just for a single cup of water. 💧 And yet, in the middle of this silence, three voices refused to look away. 🔥 Felix (GoliathFan1952) ✨ William Menaker (Will 🦥 Menaker) 🤍 Eyup Lovely (Eyup Lovely) They did not scroll past. They did not wait for someone else. They used their voices when silence would have been easier. And because of them, water trucks moved through the destruction, reaching families who had nothing left. For children in Gaza, water is no longer ordinary aid. It is the thin line between: a child collapsing from thirst or waking up tomorrow. Between a mother losing hope or finding the strength to keep her children alive. What you gave was more than water. It was life. It was mercy. It was a moment where thirst loosened its grip on a family. But the need has not stopped. 🚨 Time is running out. Every moment of delay means another empty container. Another child searching the ruins. Another family losing strength. 👉 Donate now. Because thirst does not wait. 💧 Because in Gaza, water means survival. If water reaches a family tonight, a child may wake up tomorrow. If it does not— tomorrow will begin with thirst again. 💧

Muhmmed Project𓂆 🇵🇸

94,351 görüntüleme • 5 ay önce

The reason Titanic's flooding looks impossible to replicate today is because insurance companies won't allow it anymore. James Cameron built a 17-million-gallon water tank on the coast of Mexico, constructed a near-full-scale Titanic inside it, and then destroyed it on purpose for a single film. Most people watching that flooding sequence assume it's CGI wizardry. It's mostly not. What you're seeing is a real ship set being ripped apart by real water under real pressure with real actors inside it, one take at a time, with almost no room to reshoot because rebuilding a flooded Edwardian dining room takes weeks. The Grand Staircase scene alone used around 90,000 gallons of water dumped through valves the size of sluice gates, engineered to blast the glass dome inward the way the ocean would have on the actual night in 1912. Cameron shot it in a single take. If a stunt performer had slipped the wrong way, if the water had pinned someone against the bannister, if the set had collapsed at the wrong angle, the entire scene was gone along with the set that produced it. There was no second attempt built into the schedule. For the corridor chase sequences, the trick was subtler and stranger. The set wasn't flooded downward. It was lowered into standing water using hydraulic rigs, so what looks like water rushing at Jack and Rose is actually the world being lowered into a pool while they run. Your brain reads it as flooding because gravity tells you water rises. Cameron inverted the physics of the shot to control what the water did around the actors. Kate Winslet refused a wetsuit for most of it. The tank water sat around 60 degrees to force genuine shivering, gasping, panic responses on camera. She developed hypothermia during production and later said she'd never work with Cameron again. She meant it for over two decades. It's sad that the industry has largely stopped making films this way. Water is expensive, dangerous, uninsurable, and computationally cheap to fake now. What you're watching in Titanic is a category of filmmaking that essentially died with it becasue the physical spectacle was so costly and reckless that no studio will greenlight it again.
0:59

The reason Titanic's flooding looks impossible to replicate today is because insurance companies won't allow it anymore. James Cameron built a 17-million-gallon water tank on the coast of Mexico, constructed a near-full-scale Titanic inside it, and then destroyed it on purpose for a single film. Most people watching that flooding sequence assume it's CGI wizardry. It's mostly not. What you're seeing is a real ship set being ripped apart by real water under real pressure with real actors inside it, one take at a time, with almost no room to reshoot because rebuilding a flooded Edwardian dining room takes weeks. The Grand Staircase scene alone used around 90,000 gallons of water dumped through valves the size of sluice gates, engineered to blast the glass dome inward the way the ocean would have on the actual night in 1912. Cameron shot it in a single take. If a stunt performer had slipped the wrong way, if the water had pinned someone against the bannister, if the set had collapsed at the wrong angle, the entire scene was gone along with the set that produced it. There was no second attempt built into the schedule. For the corridor chase sequences, the trick was subtler and stranger. The set wasn't flooded downward. It was lowered into standing water using hydraulic rigs, so what looks like water rushing at Jack and Rose is actually the world being lowered into a pool while they run. Your brain reads it as flooding because gravity tells you water rises. Cameron inverted the physics of the shot to control what the water did around the actors. Kate Winslet refused a wetsuit for most of it. The tank water sat around 60 degrees to force genuine shivering, gasping, panic responses on camera. She developed hypothermia during production and later said she'd never work with Cameron again. She meant it for over two decades. It's sad that the industry has largely stopped making films this way. Water is expensive, dangerous, uninsurable, and computationally cheap to fake now. What you're watching in Titanic is a category of filmmaking that essentially died with it becasue the physical spectacle was so costly and reckless that no studio will greenlight it again.

P.S. I Love ME

2,182,377 görüntüleme • 8 gün önce

🚨 EXTREMELY URGENT APPEAL FOR GAZA 🚨 Childhood in Gaza is not disappearing suddenly; it is being erased slowly and painfully, drop by drop, with every day that passes without water, and with every child who walks between tents and rubble searching for a single sip that might allow them to breathe and stay alive. One child spent long hours moving from place to place in search of water—not asking for toys, not for safety, not even for a future, but for just one sip to keep their small body alive—only to return with empty hands. 💧 Water is running out, and children in Gaza are dying of thirst before the eyes of the world. In Gaza, thirst is no longer a possible danger or a future threat; it has become a daily, deadly reality that slowly exhausts fragile bodies and turns life into a constant struggle for survival. Small, fragile bodies collapse from dehydration, cracked lips bleed from thirst, and tiny hands reach out—not asking for food or medicine, but for one thing only: water 💧 This week, in a rare moment of humanity amid a cruel global silence, three people refused to be part of that silence and chose to stand in the face of death: 🔥 Felix (GoliathFan1952) ✨ William Menaker (Will 🦥 Menaker) 🤍 Eyup Lovely (Eyup Lovely) They did not turn away, they did not wait for justifications, and they did not delay action. They used their voices and their positions when silence was the easier choice, and because of them, clean drinking water reached children and families who were only moments away from dying of thirst. In Gaza, a cup of water is no longer a basic human right; it has become the harsh line between a child surviving until morning and a mother holding her child’s lifeless body at dawn. What you gave was not a passing donation—it was a real act of rescue, a direct intervention against death, and a clear message that humanity has not yet disappeared. Your voices pierced the siege, your support opened a path to life, and your solidarity became a shield protecting children at a moment when they had nothing else. 🚨 Time is running out, and every hour without water brings another child closer to danger. 👉 Donate now, because waiting can be fatal. 💧 Because water in Gaza means life If water arrives tonight, a child may survive and sleep in peace. If it does not— there may be no good news in the morning.
1:17

🚨 EXTREMELY URGENT APPEAL FOR GAZA 🚨 Childhood in Gaza is not disappearing suddenly; it is being erased slowly and painfully, drop by drop, with every day that passes without water, and with every child who walks between tents and rubble searching for a single sip that might allow them to breathe and stay alive. One child spent long hours moving from place to place in search of water—not asking for toys, not for safety, not even for a future, but for just one sip to keep their small body alive—only to return with empty hands. 💧 Water is running out, and children in Gaza are dying of thirst before the eyes of the world. In Gaza, thirst is no longer a possible danger or a future threat; it has become a daily, deadly reality that slowly exhausts fragile bodies and turns life into a constant struggle for survival. Small, fragile bodies collapse from dehydration, cracked lips bleed from thirst, and tiny hands reach out—not asking for food or medicine, but for one thing only: water 💧 This week, in a rare moment of humanity amid a cruel global silence, three people refused to be part of that silence and chose to stand in the face of death: 🔥 Felix (GoliathFan1952) ✨ William Menaker (Will 🦥 Menaker) 🤍 Eyup Lovely (Eyup Lovely) They did not turn away, they did not wait for justifications, and they did not delay action. They used their voices and their positions when silence was the easier choice, and because of them, clean drinking water reached children and families who were only moments away from dying of thirst. In Gaza, a cup of water is no longer a basic human right; it has become the harsh line between a child surviving until morning and a mother holding her child’s lifeless body at dawn. What you gave was not a passing donation—it was a real act of rescue, a direct intervention against death, and a clear message that humanity has not yet disappeared. Your voices pierced the siege, your support opened a path to life, and your solidarity became a shield protecting children at a moment when they had nothing else. 🚨 Time is running out, and every hour without water brings another child closer to danger. 👉 Donate now, because waiting can be fatal. 💧 Because water in Gaza means life If water arrives tonight, a child may survive and sleep in peace. If it does not— there may be no good news in the morning.

Muhmmed Project𓂆 🇵🇸

273,536 görüntüleme • 6 ay önce

🚨 EXTREMELY URGENT APPEAL FOR GAZA 🚨 Childhood is being erased—slowly and painfully. A child searched desperately for a single drop of water… and found none. Water is running out. Children are dying of thirst. In Gaza, thirst is no longer a future risk. It is a deadly reality. Small, fragile bodies. Cracked lips. Outstretched hands asking for nothing but a sip of water. Not food. Not medicine. Just water 💧 This week, in a rare moment of courage amid global silence, three people chose to stand up when so many looked away: 🔥 Felix (GoliathFan1952) ✨ William Menaker (Will 🦥 Menaker) 🤍 Eyup Lovely (Eyup Lovely) They spoke when voices were suppressed. They acted when others hesitated. And because of them, clean drinking water reached children and families who were being slowly killed by dehydration. In Gaza, a cup of water is no longer a basic human right 💧 It is the difference between a child surviving and a child being carried lifeless. Between a mother holding her children alive… or saying goodbye in silence. What you did was not a simple donation. It was life-saving action. Your voices helped break through the siege, your support opened a path to survival, and your stance became a barrier against death by thirst. While the world turned away, you proved that humanity still resists 🤍 This is not an ordinary thank-you—it is recognition of lives saved. 🚨 TIME IS RUNNING OUT 🚨 Every hour without water puts another child at risk. 👉 Donate now. Not tomorrow. 💧 Because water in Gaza = life If water arrives today, a child survives the night. If it doesn’t— There may be no morning.
1:25

🚨 EXTREMELY URGENT APPEAL FOR GAZA 🚨 Childhood is being erased—slowly and painfully. A child searched desperately for a single drop of water… and found none. Water is running out. Children are dying of thirst. In Gaza, thirst is no longer a future risk. It is a deadly reality. Small, fragile bodies. Cracked lips. Outstretched hands asking for nothing but a sip of water. Not food. Not medicine. Just water 💧 This week, in a rare moment of courage amid global silence, three people chose to stand up when so many looked away: 🔥 Felix (GoliathFan1952) ✨ William Menaker (Will 🦥 Menaker) 🤍 Eyup Lovely (Eyup Lovely) They spoke when voices were suppressed. They acted when others hesitated. And because of them, clean drinking water reached children and families who were being slowly killed by dehydration. In Gaza, a cup of water is no longer a basic human right 💧 It is the difference between a child surviving and a child being carried lifeless. Between a mother holding her children alive… or saying goodbye in silence. What you did was not a simple donation. It was life-saving action. Your voices helped break through the siege, your support opened a path to survival, and your stance became a barrier against death by thirst. While the world turned away, you proved that humanity still resists 🤍 This is not an ordinary thank-you—it is recognition of lives saved. 🚨 TIME IS RUNNING OUT 🚨 Every hour without water puts another child at risk. 👉 Donate now. Not tomorrow. 💧 Because water in Gaza = life If water arrives today, a child survives the night. If it doesn’t— There may be no morning.

Muhmmed Project𓂆 🇵🇸

133,368 görüntüleme • 8 ay önce

🚨 EXTREMELY URGENT APPEAL FOR GAZA 🚨 Childhood in Gaza is not fading quietly. It is being stripped away, drop by drop— with every empty water container, with every child walking barefoot between tents and rubble, searching not for toys, not for safety, but for one sip that might keep their heart beating through the night. One child walked for hours under the sun. Not asking for a future. Not asking for comfort. Only for water. He came back with nothing. 💧 Water is running out. And children in Gaza are dying of thirst while the world watches. In Gaza, thirst is no longer a risk or a warning. It is a daily execution—slow, silent, merciless. Small bodies weaken. Lips crack and bleed. Eyes lose their light. Tiny hands reach out—not for food, not for medicine— but for water 💧 This week, in the middle of unbearable silence, three people refused to look away and chose humanity when it mattered most: 🔥 Felix (GoliathFan1952) ✨ William Menaker (Will 🦥 Menaker) 🤍 Eyup Lovely (Eyup Lovely) They didn’t wait. They didn’t hesitate. They didn’t ask if it was convenient. They spoke. They acted. And because of them, clean water reached children who were minutes away from death. In Gaza today, a cup of water is no longer a basic right. It is the fragile line between a child waking up in the morning and a mother holding her child’s lifeless body at dawn. What you gave was not “aid.” It was rescue. Not charity—but intervention against death. A reminder that humanity still breathes, even under siege. Your voices broke through the blockade. Your solidarity became a shield. Your action kept children alive when nothing else stood between them and death. 🚨 Time is running out. Every hour without water pushes another child closer to the edge. 👉 Donate now. Waiting costs lives. 💧 Because in Gaza, water is life. If water arrives tonight, a child may sleep… and wake up. If it does not— there may be no morning to wake up to.
1:27

🚨 EXTREMELY URGENT APPEAL FOR GAZA 🚨 Childhood in Gaza is not fading quietly. It is being stripped away, drop by drop— with every empty water container, with every child walking barefoot between tents and rubble, searching not for toys, not for safety, but for one sip that might keep their heart beating through the night. One child walked for hours under the sun. Not asking for a future. Not asking for comfort. Only for water. He came back with nothing. 💧 Water is running out. And children in Gaza are dying of thirst while the world watches. In Gaza, thirst is no longer a risk or a warning. It is a daily execution—slow, silent, merciless. Small bodies weaken. Lips crack and bleed. Eyes lose their light. Tiny hands reach out—not for food, not for medicine— but for water 💧 This week, in the middle of unbearable silence, three people refused to look away and chose humanity when it mattered most: 🔥 Felix (GoliathFan1952) ✨ William Menaker (Will 🦥 Menaker) 🤍 Eyup Lovely (Eyup Lovely) They didn’t wait. They didn’t hesitate. They didn’t ask if it was convenient. They spoke. They acted. And because of them, clean water reached children who were minutes away from death. In Gaza today, a cup of water is no longer a basic right. It is the fragile line between a child waking up in the morning and a mother holding her child’s lifeless body at dawn. What you gave was not “aid.” It was rescue. Not charity—but intervention against death. A reminder that humanity still breathes, even under siege. Your voices broke through the blockade. Your solidarity became a shield. Your action kept children alive when nothing else stood between them and death. 🚨 Time is running out. Every hour without water pushes another child closer to the edge. 👉 Donate now. Waiting costs lives. 💧 Because in Gaza, water is life. If water arrives tonight, a child may sleep… and wake up. If it does not— there may be no morning to wake up to.

Muhmmed Project𓂆 🇵🇸

159,571 görüntüleme • 6 ay önce

🚨 Donate Urgently to Provide Clean Water for Gaza’s Children 🚨 In Gaza, a child does not ask for toys. They do not ask for new clothes. They ask for one thing: “Can I have water?” Why should a child wake in the middle of the night with a dry mouth, burning lips, and an empty bottle beside them? Why should a mother hold her thirsty child, search every container in the tent, and find nothing? Not one clean drop. Thousands of children in Gaza are living through this every day. Children walk beneath unbearable heat, carrying empty containers heavier than their small bodies. Some wait for hours beside water trucks. Some drink unsafe water because thirst leaves them no choice. Others fall asleep dehydrated, not knowing whether water will come tomorrow. 💧 This campaign is not about comfort. It is about survival. Clean water is not a luxury. It is the difference between life and death. In Gaza today, families are rationing every drop. Mothers are forced to choose between giving water to a thirsty child or saving it for cooking. Children are washing, drinking, and surviving with amounts of water that would barely be enough for one person elsewhere. Inside tents that feel like ovens, babies cry from thirst. Parents wet their children’s lips with the final drops they have, while silently praying that a water truck will arrive before it is too late. We are Mohammed Project — working directly from the heart of Gaza. Every day, our team moves between displacement camps and shelters, delivering clean drinking water to families who have nowhere else to turn. We see children running toward the trucks with empty bottles. We see mothers waiting with fear in their eyes. And every time the water runs out, we hear the same desperate question: “When will you come back?” The truth is painful: We can only return if donations continue. Without urgent support, the trucks may stop. And when the trucks stop, thousands of children are left without clean water. ✨ This lifeline continues because some people refused to remain silent: 🩷 William Menaker (Will 🦥 Menaker) helped turn compassion into clean water for children suffering from unbearable thirst. 🩷 Eyup Lovely (Eyup Lovely) stood beside Gaza’s families when they had no one else to call. 🩷 Felix (GoliathFan1952) used his voice so that thirsty children would not be ignored. 🫂 Your support was not symbolic. It became water in a child’s hands. It cooled the lips of a dehydrated baby. It gave exhausted mothers one less reason to fear the night. 🙏 Please donate today. A child in Gaza should not have to cry for water. A mother should not have to watch her child suffer from thirst. 👉 Donate now and help us keep the water trucks moving. Because in Gaza today… Water is not just water. Water is life.
1:06

🚨 Donate Urgently to Provide Clean Water for Gaza’s Children 🚨 In Gaza, a child does not ask for toys. They do not ask for new clothes. They ask for one thing: “Can I have water?” Why should a child wake in the middle of the night with a dry mouth, burning lips, and an empty bottle beside them? Why should a mother hold her thirsty child, search every container in the tent, and find nothing? Not one clean drop. Thousands of children in Gaza are living through this every day. Children walk beneath unbearable heat, carrying empty containers heavier than their small bodies. Some wait for hours beside water trucks. Some drink unsafe water because thirst leaves them no choice. Others fall asleep dehydrated, not knowing whether water will come tomorrow. 💧 This campaign is not about comfort. It is about survival. Clean water is not a luxury. It is the difference between life and death. In Gaza today, families are rationing every drop. Mothers are forced to choose between giving water to a thirsty child or saving it for cooking. Children are washing, drinking, and surviving with amounts of water that would barely be enough for one person elsewhere. Inside tents that feel like ovens, babies cry from thirst. Parents wet their children’s lips with the final drops they have, while silently praying that a water truck will arrive before it is too late. We are Mohammed Project — working directly from the heart of Gaza. Every day, our team moves between displacement camps and shelters, delivering clean drinking water to families who have nowhere else to turn. We see children running toward the trucks with empty bottles. We see mothers waiting with fear in their eyes. And every time the water runs out, we hear the same desperate question: “When will you come back?” The truth is painful: We can only return if donations continue. Without urgent support, the trucks may stop. And when the trucks stop, thousands of children are left without clean water. ✨ This lifeline continues because some people refused to remain silent: 🩷 William Menaker (Will 🦥 Menaker) helped turn compassion into clean water for children suffering from unbearable thirst. 🩷 Eyup Lovely (Eyup Lovely) stood beside Gaza’s families when they had no one else to call. 🩷 Felix (GoliathFan1952) used his voice so that thirsty children would not be ignored. 🫂 Your support was not symbolic. It became water in a child’s hands. It cooled the lips of a dehydrated baby. It gave exhausted mothers one less reason to fear the night. 🙏 Please donate today. A child in Gaza should not have to cry for water. A mother should not have to watch her child suffer from thirst. 👉 Donate now and help us keep the water trucks moving. Because in Gaza today… Water is not just water. Water is life.

Muhmmed Project𓂆 🇵🇸

21,657 görüntüleme • 1 ay önce