Maggie’s Funny & awesome pics, vids and memes thread (work safe, no nudity)

[Maggot]

Just ran into this one on YouTube. Very appropriate for what happened in NYC last week. Kind of weird but not a bad flick.



I saw them do this live, as Steppenwolf put it..

 

[Dispatcher91]

Can we pull a reverse-ADA card? It's not fair deaf people are not affected by the sound of a gunshot. We deserve the same. And a suppressor should qualify as an anti-hearingaid.

 

[DuneBoer]

Meanwhile in PDX....

"Casa Diablo Vegan Strip Club"

Portland DJ hospitalized after being stabbed by stripper

After undergoing multiple hours-long surgeries, a Portland man is recovering at Legacy Emmanuel Medical Center after being stabbed by his co-worker in the back four times, Sunday Night.

www.kptv.com

 

[37L1]

You can tell he’s left handed already?

According to my son, he shows every indication that he is, at 7 months now.

 

[oldshooterback]

 

[Lawless]

 

[Lawless]

Failing them…

 

[Lawless]

 

[Lawless]

 

[Lawless]

 

[Lawless]

 

[Lawless]

 

[Lawless]

Milky Way as seen from Chile

 

[Lawless]

 

[Lawless]

 

[Lawless]

Pepe Le Pew!

 

[Lawless]

 

[Lawless]

 

[Lawless]

 

[Lawless]

 

[Lawless]

 

[Lawless]

 

[Lawless]

 

[Lawless]

 

[Lawless]

 

[Lawless]

 

[Lawless]

 

[Lawless]

 

[sirhrmechanic]

And in other news… David Attenborough is now in the hospital in rooms 43, 44 and 46…

Sirhr

 

[sirhrmechanic]

Failing them…

 

[sirhrmechanic]

 

[sirhrmechanic]

 

[UKDslayer]

Alcohol drip IV for DTs?

 

[powdahound76]

She gonna need it!!
Or, just a standing order for 2 martinis for lunch, 3 for supper, and the rest of the bottle to take a drink straight PRN for the rest of the evening.



at my place, we are using phenobarb (not coma dose) in IV push doses.

Some even starting early with low dose for those known to WD, supposed to lessen the severity.

Overall, seems to work quite well and have less of the undesired side effects of ativan or valium.

 

[UKDslayer]

Some even starting early with low dose for those known to WD, supposed to lessen the severity.

Overall, seems to work quite well and have less of the undesired side effects of ativan or valium.

I'm old enough to remember alcohol drips at the VA...

 

[powdahound76]

I'm old enough to remember alcohol drips at the VA...

I have heard of them.
Never ran one.
Guess Im not as “ancient” as my 12 yr old says!!!
But you just might be!!
And the VA held on to “old time” practices much longer than other private institutions it seems.
They were likely the last place using those.
My grandpa died in a VA hospital of lung CA. I think they just let him have Chivas at that time to keep him mellow and happy. From the sounds of it, hospice care was terrible back then.
Smokes in the rations in WWII and he never quit.


For us, it was valium or ativan IVP for a long time.
Precedex came around and works for a drip in the ICU.
The pheno works great in the ER where you might have 2 ICU pts and 1-3 other pts. Q30 assessments get hard, as we dont have staff to keep at a 2:1 ratio when we are waiting for beds……

 

[UKDslayer]

I have heard of them.
Never ran one.

Really!! Woods VA hospital.
-----------------------------------------------------------------
Review

Pharmacotherapy

. 2004 Nov;24(11):1578-85.
doi: 10.1592/phco.24.16.1578.50945.

Intravenous ethanol for the treatment of alcohol withdrawal syndrome in critically ill patients​

Brian Hodges 1, Joseph E Mazur
Affiliations expand

• PMID: 15537562
• DOI: 10.1592/phco.24.16.1578.50945

Abstract​

Critically ill patients with alcoholism are at greater risk of morbidity and mortality from alcohol withdrawal syndrome than are patients without alcoholism. Benzodiazepines are considered the drugs of choice for the prevention and treatment of alcohol withdrawal syndrome, but some studies have suggested that intravenous ethanol may be as effective as those agents, as well as being less sedating. We evaluated the evidence regarding the use of intravenous ethanol for the prevention and treatment of alcohol withdrawal syndrome in critically ill patients in order to determine its role in this patient population. Because of the paucity of well-designed clinical trials, and because of intravenous ethanol's questionable efficacy, inconsistent pharmacokinetic profile, and relatively narrow therapeutic index, routine use of this drug is not recommended in critically ill patients who have alcohol withdrawal syndrome or are at risk for it.
PubMed Disclaimer

Similar articles​

• Alcohol withdrawal syndrome: how to predict, prevent, diagnose and treat it.
  [No authors listed]Prescrire Int. 2007 Feb;16(87):24-31.PMID: 17323538
• An ethanol protocol to prevent alcohol withdrawal syndrome.
  Dissanaike S, Halldorsson A, Frezza EE, Griswold J.J Am Coll Surg. 2006 Aug;203(2):186-91. doi: 10.1016/j.jamcollsurg.2006.04.025. Epub 2006 Jun 22.PMID: 16864031

 

[918v]

Failing them…

What can I do to help?

 

[Partsunavailable]

 

[powdahound76]

2004 is in my time frame.
Not VA, private catholic hospital.

And we had plenty of them in WD on the cardiac unit.
Post MI
Post cath
Post CABG (or valve).

 

[Longshot231]

 

[Longshot231]

That shows you just how evil women can be. Hope the bitch falls in the water and drown for doing something as nasty as that.

 

[UKDslayer]

2004 is in my time frame.
Not VA, private catholic hospital.

That paper was pretty much the end to IV Ethanol. My VA experience was early 1990s.
We also used a lot of vitamin H (Haldol) for anyone combative in the ICU, even to the point of cardiotoxicity (torsades de pointes -my first cardioversion!). After six such patients, it was finally written up...

 

[Emerson0311]

What can I do to help?

Usually accountability is the tool to lift these folks up.

 

[Maser]

Them darkies!

 

[Lawless]

Gingerbread icing is better straight from the tube

And shark sleeping bags and a movie make a good evening

 

[mosin46]

where i was a bunch of ativan,usually drip or librium push. iv etoh i only ever saw for slowing labor. don't know much there. never did L&D. never wanted to be near that mess. paraldehyde was a go to in several diff settings.

 

[UKDslayer]

Gingerbread icing is better straight from the tube

View attachment 8569647

There goes the roof on a gingerbread house!

 

[502Chevelle]

@Lawless , my son is now married, and I can’t wait for grandkids. I see all the fun you guys are having, and it makes me look so forward to it. Keep up the good work!

 

[cas6969]