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Addiction 2023.1

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Road Cycling “It is by riding a bicycle that you learn the contours of a country best, since you have to sweat up the hills and coast down them. Thus you remember them as they actually are, while in a motor car only a high hill impresses you, and you have no such accurate remembrance of country you have driven through as you gain by riding a bicycle.” -- Ernest Hemingway

Addiction 2023.1

Old 01-22-23, 07:42 PM
  #2726  
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Roscoe was about 6 months old in the bottom pic. At our old house. The middle pic he's giving us the stink eye.


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Old 01-22-23, 07:49 PM
  #2727  
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Originally Posted by MoAlpha
I suspect no one will look for anything until they’re cutting your clothes off in the major trauma bay.
Ah, but if you have a watch on one wrist, and the Road ID bracelet on the other, they'll find it when they go to check your pulse - assuming they can't just count the number of arterial spurts in 10 seconds and multiply by 6.
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Old 01-22-23, 07:56 PM
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I carry my insurance card and my wife's phone number in my phone wallet, which I carry in my center jersey pocket. There is also some money in there but that is not pertinent to this discussion
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Old 01-22-23, 08:00 PM
  #2729  
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Originally Posted by MoAlpha
I suspect no one will look for anything until they’re cutting your clothes off in the major trauma bay.
FWIW, I don't know how they got my insurance info when I crashed. I never gave it to them and as near as I can tell they never went into my wallet. No concussion that time; I was conscious for all of it, but of course distracted.
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Old 01-22-23, 08:02 PM
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Originally Posted by seedsbelize2
There is also some money in there but that is not pertinent to this discussion
Dollars or pesos?
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Old 01-22-23, 08:05 PM
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Originally Posted by genejockey
Ah, but if you have a watch on one wrist, and the Road ID bracelet on the other, they'll find it when they go to check your pulse - assuming they can't just count the number of arterial spurts in 10 seconds and multiply by 6.
I don’t think I’ve seen anyone palpate a pulse in a hospital in 30 years. Wear it on the Rolex side and they’ll find it when they steal it.
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Old 01-22-23, 08:07 PM
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Originally Posted by Bah Humbug
FWIW, I don't know how they got my insurance info when I crashed. I never gave it to them and as near as I can tell they never went into my wallet. No concussion that time; I was conscious for all of it, but of course distracted.
Were you in their “system?”
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Old 01-22-23, 08:14 PM
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Originally Posted by MoAlpha
Wear it on the Rolex side and they’ll find it when they steal it.
So cynical.
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Old 01-22-23, 08:29 PM
  #2734  
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Originally Posted by MoAlpha
I don’t think I’ve seen anyone palpate a pulse in a hospital in 30 years. Wear it on the Rolex side and they’ll find it when they steal it.
Who wears a Rolex to ride? Ostentatious bastards. Let 'em treat their own broken bones, I say.
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Old 01-22-23, 08:43 PM
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Originally Posted by Velo Vol
That's a lot better winter picture than some people post here. Not naming names.
It was beautiful here today.
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Old 01-22-23, 08:56 PM
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Originally Posted by big john
It was beautiful here today.
I just watched (for the first time) this movie set somewhere nearby on the West Coast. Pretty good.

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Old 01-22-23, 09:11 PM
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LesterOfPuppets have you made a bicycle ride to this nearby site?

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Old 01-22-23, 09:12 PM
  #2738  
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Originally Posted by genejockey
Who wears a Rolex to ride? Ostentatious bastards. Let 'em treat their own broken bones, I say.
Cowboys didn't look so hot.
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Old 01-22-23, 09:22 PM
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Originally Posted by Velo Vol
LesterOfPuppets have you made a bicycle ride to this nearby site?

https://twitter.com/CNBC/status/1617358584450260994
I've ridden through it in the past, when it was desert.
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Old 01-22-23, 09:22 PM
  #2740  
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Originally Posted by Velo Vol
Dollars or pesos?
Pesos. Dollars don't spend here.
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Old 01-22-23, 09:42 PM
  #2741  
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Originally Posted by DougRNS
Road ID for medical info:
standard bracelet, ankle bracelet or dog tags. Which one and why. Discuss.
This only makes a difference if you are unable to respond to the responders.

In my Fire/Medical days we always looked for a bracelet. If you have dog tags and are unresponsive we will find them too when we cut your clothes off. We didn't carry any blood products, so blood type didn't matter. The ER will do a type check when you arrive. Contact information is the most important thing you can have.

Our standard care for unresponsive patients was:

0) arrive on scene, make sure the scene is safe, protective gear in place as needed. Make a general assessment of the scene. Check for wrist bracelet. Are there any counterindications for any specific treatment? Maybe an LVAD? Fentanyl allergy? Anything else that could impact our care.

Now, we can go to work. Assuming an unresponsive patient are we looking at medical or trauma?

For trauma:

1)Airway : air can go in and out... tube if there is trouble.
2)Breathing : air IS going in and out. bag valve mask if assistance is needed. Everyone gets oxygen.
3)Circulation: pulse? BP? IV fluids if indicated. Oxygen level? No pulse triggers the need to switch to cardiac arrest protocol. If we get a pulse we will come back here. If we switch to cardiac we will find your dog tags at that point in time.
4)Disabilities: absent reflexes. Stroke scale if conscious but unresponsive. Pupillary response. Glasgow Comma scale. Not all unconscious people are equally unconscious. Brain swelling or brain bleeding changes things. Protect the patient with a backboard if indicated: Always for trauma. Splint as needed. Place a cervical collar if trauma. Once you are packaged nicely on a board we can move you to the back of the bus.
5)Expose: cut off as much clothing as respecting patient privacy will allow. Check for head injuries. Look for other hidden injuries. Recent surgical scars?

Once we have done the primary care, we will plug visible leaks, check for signs of internal bleeding, low BP and rapid pulse. Also, people who are bleeding internally have a pulse that we called thready. Doesn't feel quite right. And we don't have an ultrasound to see what is going on inside. No matter what, an unresponsive patient will have an IV line placed. If I couldn't get a conventional line I would place an inter-osseous line. Now take a quick blood glucose reading, Run a 4 lead Electrocardiogram. If you have dog tags we will have them by this point in time.

It is amazing chaos. A decent crew can package a critical patient in a few minutes. So we find that bracelet early in the game, like as soon as we roll up. The dog tags maybe 2 minutes later when we put you on a backboard and cut your clothes off. Don't worry about that. We are not likely to have pushed anything before we have you exposed.

Known diabetic? I will be taking a Blood Glucose reading on any unresponsive patient. If your 4 lead ECG is abnormal maybe go to a cardiac care protocol and run a 12 lead ECG.

Taking blood thinner? If you are leaking it is fairly obvious. May be the difference between ground transport and a helicopter, but obvious and depends on how big the leak is, if you respond to advanced external clotting agents, and how long is the ride to the hospital. If we suspect major internal bleeding, the ground/air decision for us was based on could we save 15 minutes for a critical patient.

My recent ride to the hospital when I broke my femur they didn't trust my existing blood type card, and I was alert and oriented to person, place, time, and event. I have my regular BP readings on my phone. Not wanted in the field or at the hospital.. The hospital put me in the cardiac care unit because my pulse was in the 40's. Fortunately no atropine for a sinus bradycardia who was A&OX4. They wanted my contact information so they could get my primary care provider and access my records.

Last edited by DangerousDanR; 01-22-23 at 09:47 PM.
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Old 01-22-23, 09:44 PM
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Originally Posted by LesterOfPuppets
I've ridden through it in the past, when it was desert.
If you did it now there would be something to take a photo of.
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Old 01-22-23, 11:14 PM
  #2743  
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Originally Posted by Velo Vol
I just watched (for the first time) this movie set somewhere nearby on the West Coast. Pretty good.

https://www.youtube.com/watch?v=hgHAAuu-YRc
Well, Steinbeck, so probably near Salinas.
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Old 01-23-23, 04:46 AM
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Originally Posted by Velo Vol
Did WhyFi fall victim to winter?

No. He is creating art out of wood.
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Old 01-23-23, 05:14 AM
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Old 01-23-23, 05:48 AM
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Old 01-23-23, 05:56 AM
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The Cowboys are apparently stuck in a Hell loop.
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Old 01-23-23, 06:05 AM
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Originally Posted by MoAlpha
Were you in their “system?”
Hrm... maybe. That would explain it at least. I think I was at the north one for a concussion eval.
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Old 01-23-23, 06:44 AM
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Was the Cowboys kicker, Bret Maher, out of a job immediately after the game or do you think the team waited until this morning? Not that it had any impact on the game and it’s not his fault the kick was blocked, but that attempt was never on the correct line anyway!

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Old 01-23-23, 07:20 AM
  #2750  
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Originally Posted by bampilot06
No. He is creating art out of wood.
…and drinking coffee.
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