Nope. Just an idiot. Shouldn’t have done the double shift. Overtime happens in this job.

And while I did not kill/hurt someone back then (as far as I know) I massively increased my patients risk of suffering from one - and I surely would have treated them at least faster.

Today I would never take this risk again voluntarily again - there are situations that might warrant it (I have responded to a few major disasters, mainly floods, over the years), but these are rare. That back then? That was stupid. In so many ways.

In der Notfallmedizin vermeidet man übrigens reinen Sauerstoff mittlerweile auch wo es geht - es gibt sehr wenige Indikationen die heute noch Sauerstoff in hoher Konzentration und über einen längeren Zeitraum erhalten.

Beispiel Herzinfarkt: Jahrzehntelang hat man hier “viel hilft viel” was die Sauerstoffgabe angeht gelehrt - mittlerweile erhalten Infarktpatienten nur noch wenn es Hinweis auf einen akute Mangelversorgung gibt, Sauerstoff.

Die Erklärung mit der Druckgasflasche ist,btw,aber Stuss.

Worked 33h in a row as a paramedic. Normally not allowed here (24h is a hard limit, 12h standard). Not because I wanted to, not because someone got ill…we simply didn’t make it even close to the depot, for the last 4h simply a major crash happened right in front of us.

We returned to the depot and basically didn’t even have a single wound dressing, no O2, no collars, no blankets,nothing.

And the worst part: The whole time it wasn’t “the usual business” of old folks having a stroke or a fall. We had one mass casualty incident at the beginning of shift, a child in respiratory arrest and similar shit.

I slept for 12h straight after that and still felt like shit.

Nope, I talked only about treasuries that are publicly or similarly owned.

And tbf, her ovaries worked fine for quite some time it seems - she had two daughters who both were exceptional people in their fields as well - one got a nobel prize in chemistry, the other was a Pulitzer prize nominee, fought the nazis, was a war correspondent, had role in the establishment of NATO and UNICEF and -as a representative of UNICEF and together with her husband received a nobel peace price for the organisation. The later one died in 2007,btw.

(The whole family is totally crazy,btw. Both on her sisters and cousins side, but also her daughters and grandchildren and now grandgrandchildren. Everyone excelled in their scientific field)

It’s not the rare earth thing that China used - they literally talked about it in their media a few times.

They simply paraded a economic atomic bomb around wallstreet enough that these guys got scared enough and called Donnie (might even be the real reason Musk and him had a fallout) - who in term tried to persuade the Arabs to help him out if the PRC would pull the trigger.

Whaf economic bomb? The bonds and, to a far lesser degree, shares. The PRC owns around 682 billion dollars in US bonds. Combined with currency reserves (around 1.5-2 Trillion USD) and other similar things it is expected to wield a total market power of around 3 trillion USD. Even putting 20% of these on the market with a “we don’t care about the losses,motherfucker” directive would ruin the US econmy for a decade in possible domino effects.

The funny things? In terms of bonds China is not even that big - Japan has almost twice that, the UK has 888 Billion. Even Belgium has around 400 billion of US bonds.

In other words: If Europe would finally get their shit together and parade it’s own,much larger, economic H-bomb ready AND would make it clear that they would be willing to use it Donnie would still pout,but do much less. But of course…we don’t. Germany has a wallstreet manager as a chancellor, Macron is on it’s way out, Meloni is in bed with him, etc.

This will literally lead to European lifes being lost at some point.

Tbh, it could also be an option for the EU to speed up the membership process for Moldavia to protect it from Russian interference (or even invasion if the situation in the Ukraine goes to shit): Let Moldavia join Romania as an autonomous province and pay the bill for Romania. And in the meantime the membership rules would not be compromised and fucking Orban couldn’t do shit.

I like this solution,tbh, but I also fully understand Moldavians wanting to preserve their independence.

And of course there is also the transnistria-Issue.

Have a look at open cloud.

Depends very much on the company and the field. There are whole companies who’s business model is to do research and sell it to the highest bidder. And in med tech a fuckton of research is conducted,even more since the MDR in the EU.

Jupp. Wobei es auch die Motoren und Filter killt. Ist brutal. Die Chance,dass ein Sprinter in den ersten 150k einen neuen Motor braucht liegen je nach Konfiguration und Region bei um die 12-32%, bei VW T6 bist du phasenweise eher andersherum vorgegangen - wie viel Prozent haben in der Zeit keinen neuen Motor gebraucht. Ich hab beim T6 früher, als ich noch das operative Geschäft eines großen deutschen RD leitete tlw. Fzg. gehabt die in dem Zeitraum 3 Motoren durch hatten. Die Ford Custom sind minimal stabiler&deutl. billiger in Betrieb,Wartung und Anschaffung.

Das ist katastrophal, auch da nicht jede Werkstatt diese Fahrzeuge reparieren darf und kann, weil du nicht mal eben Ersatzfahrzeuge beschaffen kannst (ein RTW kostet ca. 300.000€, da ist die Mehrheit der Ausbau,nicht das Basisfahrzeug) und die dann rumstehen hast und schlussendlich weil der personelle Aufwand enorm ist auf deiner Seite - da sind im Schnitt 8 Manstunden, je Reparatur zu rechnen wenn du kein externes Ersatzfahrzeug bereitstellen musst&es eine geplante Reparatur ist. (Reparaturauftrag koordinieren, internes Ersatzfahrzeug bereitstellen und zubringen lassen, Medizintechnik+Medikamente raus/tauschen, Funk deaktivieren, Sondersignalanlage deaktivieren, Ersatzfahrzeug kodieren und in Betrieb nehmen, Fahrzeug zur Werkstatt bringen, nach Fertigstellung alles retour, Abrechnung)

Ist bei E-Fahrzeugen deutlich besser,das einzige wo wir da relevant mehr Schäden sehen ist bei den Bremsen. Da gibt’s durch das höhrere Gewicht mehr Abnutzung bei starken Manövern und gleichzeitig weniger Nutzung für leichte Manöver durch Rekuperation - das mögen moderne Bremsanlagen so gar nicht. Dem E-Fahrzeug sind viele Punktlasten ja komplett egal bei denen der Verbrenner kotzt.

Ich mache mit meiner Firma u.a. Studien zur Nutzbarkeit im Rettungsdienst und da ist - ähnlich wie bei der Post auch- ein Faktor der hier noch gar nicht genannt ist absolut extrem: Die ständige Kurzstreckenbeschleunigung ist für einen Verbrenner absolutes Gift. Also massivst, du hast tlw. die dreifache bis vierfache Abnutzung/Komponentenausfallquote gegen andere Fahrzeuge mit vergleichbarer Laufleistung. Das trifft bei der Post im Zweifelsfall sogar noch mehr zu.

Und ist bei E-Fahrzeugen tatsächlich deutlich deutlich besser.

Yeah,indeed the wife and Kate were on a business trip together, but I don’t mind. The wife hates Cruises though and the woods here a wonderful.

Additionally: Another reason he wants mail in ballots gone - to easy to trace back what people actually voted for, besides the gerrymandering aspect.

With the machine it’s far harder to proof fraud.

Yeah. First I felt sorry for leaving Notepad++ behind, but then I got introduced to Kate. Kate is awesome and so flexible.

Now even my wife loves Kate.

Deswegen sind Dinge wie Briar so unfassbar wichtig.

Putsch? Sowas macht die CIA mit dem FSB doch nebenher.

No. Survival chances of a stab to the chest(aka the ‘cardiac box’) or neck is far far more lethal than a abdominal stabbing wound. Even stab wounds to the groin are more lethal.

Source: Critical care paramedic.

Tbf, I am tall and I am much happier to be stabbed into the abomen than higher up, if you must insist on stabbing me.

Paramedic here: And everyone can do CPR. I literally had daughter -not even 10- resuscitate her mother sucessfully. And a 92 year old resuscitate her husband. (Tbf, she was a former anaesthesiologist, but still).

And in almost 25 years of EMS I have not seen a single long term (=not massive brain damage or worse) without some bystander,family member,etc. doing CPR before us.

Bald 25 Jahre in dem Job. Die Geschichte ist auch gut 15 bis 20 Jahre her.