#Pyxis monitor

[of-two-lands]

44°58'23.5"N 6°03'54.8"E

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www.oftwolands.com

[healthcare-updates-with-sns]

Intensive Care Unit (ICU) Market: Market Trends and Competitive Landscape 2024-2032

The Intensive Care Unit (ICU) market is experiencing significant growth, driven by factors such as the increasing prevalence of chronic diseases, an aging population, and technological advancements in healthcare. In 2023, the market was valued at USD 7.3 billion and is projected to reach USD 27.7 billion by 2032, growing at a compound annual growth rate (CAGR) of 16.0% over the forecast period 2024-2032.

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Regional Analysis

North America: Dominates the ICU market due to advanced healthcare infrastructure, high healthcare expenditure, and a significant number of chronic disease cases.

Europe: Exhibits substantial growth attributed to government initiatives aimed at enhancing healthcare facilities and increasing investments in critical care services.

Asia-Pacific: Anticipated to witness the highest growth rate, driven by a large patient population, rising healthcare awareness, and improving healthcare infrastructure in countries like China and India.

Market Segmentation

By Type:

Intensivist Model

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By Component:

Hardware

Software

Key Players

Key Service Providers/Manufacturers

GE Healthcare (Carescape Monitor B850, MAC VU360 ECG System)

Medtronic plc (Puritan Bennett 980 Ventilator, Capnostream 35 Portable Monitor)

Philips Healthcare (IntelliVue MX850 Monitor, Trilogy 202 Ventilator)

Drägerwerk AG & Co. KGaA (Evita V600 Ventilator, Infinity Acute Care System)

Baxter International Inc. (Spectrum IQ Infusion Pump, PrisMax Hemodialysis System)

Fresenius Medical Care AG & Co. KGaA (MultiFiltratePro, 4008S Hemodialysis Machine)

Becton, Dickinson and Company (BD) (Alaris Infusion Pump, Pyxis Medication Management System)

Mindray Medical International Limited (BeneVision N22/N19 Patient Monitor, SV300 Ventilator)

Siemens Healthineers AG (Biograph mCT PET/CT Scanner, Atellica Laboratory Analyzer)

Getinge AB (Servo-U Ventilator, Cardiohelp System)

Key Points

The rising incidence of chronic conditions such as cardiovascular and respiratory diseases has led to increased demand for ICU equipment.

Technological innovations, including portable and wireless monitoring devices, have enhanced patient care in ICUs.

Government initiatives and investments are strengthening healthcare infrastructure, particularly in emerging economies.

The COVID-19 pandemic underscored the critical role of ICUs, leading to increased focus on expanding critical care capacities.

The adoption of telemedicine and remote patient monitoring is transforming ICU operations and patient management.

Future Scope

The ICU market is poised for continued expansion, driven by ongoing technological advancements and the integration of artificial intelligence in patient monitoring systems. The development of smart ICU beds and intelligent monitoring systems is expected to enhance patient outcomes and operational efficiencies. Additionally, the growing trend of tele-ICUs will facilitate remote patient management, addressing challenges posed by geographic barriers and resource limitations.

Conclusion

The Intensive Care Unit market is on a robust growth trajectory, fueled by the increasing burden of chronic diseases, demographic shifts, and continuous technological innovations. As healthcare systems worldwide strive to enhance critical care services, the ICU market is set to play a pivotal role in improving patient outcomes and healthcare delivery.

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[scraps-afterhours]

*Scraps currently had Pyxis in a headlock, keeping them from squirming around*

"What did I tell you? You have to stay attentive. Just because you can't die doesn't mean you can't get hurt. We aren't stopping until you can either slip out or until you learn to stop being so easy to catch."

*he released them from his grasp, stepping back and switching back into a ready position*

*Pyxis and Scraps had been training for hours now. He had told Pyxis that he wanted far less responsibilities, and it had been very well received*

*the two had worked out a list of what responsibilities Scraps wanted to still have or what he was comfortable doing, and training Pyxis had been essentially at the top of the list*

*Purity was monitoring the fight, making sure the muzzle was staying in place. It was a safety measure just in case something happened and Pyxis just snapped and lost control again. No one was particularly happy about it, but it was necessary nonetheless*

*after a quick breather, the both of them were exchanging punches again, working on their hand to hand combat.*

[cannonwater]

Pyxis Calibration Standards are high-quality solutions used for the accurate calibration of sensors and instruments that measure various water or liquid quality parameters. These standards are essential for ensuring the precision and reliability of readings in applications such as water treatment, chemical processing, and environmental monitoring.

[rjhamster]

🌎 CBRE Group Initiated, Ameren Initiated, CAVA Group Upgraded and more...

Ratings changes for Luminar Technologies, monday.com, R1 RCM, Esperion Therapeutics, Mereo BioPharma Group, Pyxis Oncology, VBI Vaccines and more…Upgrade to MarketBeat All Access to get early delivery, personalized stock alerts, portfolio monitoring tools, and more. Start Your Free Trial. Unsubscribe. VIEW MY PORTFOLIO April 10th, 2024    This is a huge income gap many folks can’t fill right…

[pyxisastronautica]

Falling Frost

Most of it had already melted away, to be honest. Ice turned to slush, dripping over the street- the only memento of the last night of Black Out Week. The First City was already acting as if all had gone back to normal, with only a few more street sweepers out than usual to clean up shattered glass. Ignoring everything that had gone on before, the city was almost…beautiful, like this.

If only Quebec could have enjoyed it for longer. 

They’d scammed and hacked their way through more accounts than they’d ever done before in their whole life- a life which, granted, had never asked them to do so before- but only enough to make sure everyone in their apartment had their reserve heat bill paid up, and only from those who could take the hit. Even so, investigations were going to lead back to them sooner than later, and it was time for a change of address.

But with systems still in the process of coming back online and being verified, Quebec assumed they’d have a little time at least. They visited their retired neighbor and helped her down the stairs to visit her friend. They gave away a day’s wages to their friends outside, who were not allowed to stay after the blackout stopped (their landlord had complained about them being taken in to begin with, but neighbors poking their heads out to look at her shouting was enough to shame her into letting it slide). They played with the kids in the courtyard, gave them tips on their video games. And then they headed to the evening shift of their job- their last, as it happened.

It was hard telling Ari that they were going to have to leave. He seemed to take it in great stride, though, saying he’d always known they were too good to be true. Technically, he joked, he’d have to fire them given the short notice they were leaving on, but he seemed amiable about it. To them, they were a lost kid named Quail who had simply materialized out of the aether one day. It only made sense that they’d returned to it.

Though in truth, Ari probably suspected something tragic about Quebec, casting occasional looks of pity at them at the odder things they’d say.

Quebec’s mind flitted between the cracked screen of a dropped phone and the security monitors. It was a little paranoid, maybe, but it was a little hard for them to believe things were really going to be settled after the last week. Near the end of their shift, it turned out their “instincts” were correct, just for entirely different reasons.

They set down the broken phone, curling beneath the desk when a man in a full suit of dark powered armor walked in. On his breastplate was a logo that looked a bit like an aster-like flower, but with a dark dot in the center disk, making it look a little like an eye. The telltale symbol of Cosmo Corp, whose old CEO died suddenly barely a week after the Pyxis crew had arrived. Whose new CEO’s voice was suspiciously similar. It didn’t take much to connect the dots, even if Echo’s posting hadn’t given the game away.

The man did not seem altogether too hurried. Seeing the stricken face of the manager at the register, he seemed to amble around a little, browsing through novelty phone covers and keychains. 

“Those are half-off for the New Year,” Ari offered, trying to regain his composure. So there was a mercenary here. It was weird that he was in uniform if all he was doing was shopping around. And scary. But weirder and scarier had happened. “Are…you a fan of Phoca Dot? My sister loves her.”

The mercenary pulled out a keychain of a cute fuzzy green moth boy. “I prefer Saturnii, actually. Three-fifty obol for it, then?” 

Ari nodded and rang him up. “Will that be all then, Agent…?”

“Field Agent Ailis Douglas. And I’m afraid not.”

“What…can I do for you then?”

 “I’m looking for a young adult named Quail Rembrandt. Dark olive skin, black hair, about 175 cm. I was told they could be found working here.”

Quebec froze for a moment in terror, and then shuffled quietly to grab their backpack before crawling back under the desk. Ari’s expression was hard to read, and the mercenary’s was impossible to see beneath his helmet, but the moment of silence between them spoke for both.

“That’s…correct, Field Agent, but they aren’t working today. They are likely still at home, or off doing…whatever it is they do on their off-hours. I never really asked. Are they in trouble?”

“They are not, but their presence is required at Cosmo Corp. headquarters all the same, for questioning. You have a number to contact them at, I assume.” “I…do, yes. Their next shift is the day after tomorrow, so I can’t guarantee they’ll be in any earlier. Sorry about that.”

“It is no issue. I have somewhere to be soon after this, so I’ll wait outside while you call.”

Ari nodded hesitantly, and pulled out their cell phone as they walked into the workshop. Once the door closed, Quebec popped out.

“So,” their manager whispered to them with exasperation bordering on fear, “This is why you’re quitting I guess, Quail?”

“Iiiiit’s one reason,” Quebec admitted, “The biggest reason.”

“What did you do, Quail?”

“I didn’t do anything wrong, okay, it’s just. I…have something they want.”

“Something you stole.”

“Something that’s mine. Something valuable that I made work. I…took it with me, when I left. Listen I know I haven’t always been the most up front person, but I promise you that as long as you stay out of this you’ll be okay. If they make me choose between getting caught and you getting hurt, listen, that’s not even a choice for m-.”

“But what will happen to you? What are you going to do?”

“I don’t know, and, I’ll…figure something out. I always have before,” Quebec smiled.

Ari glared at them. How this kid had managed to survive even this long eluded their reasoning. All the same, he dusted himself off and rubbed his temples before finally telling Quebec, “You can start by taking the back exit, I’ll stall the big guy. And if I ever fucking see you around here again…you owe me.” Ari sighed, muttering under his breath, “Good luck, Quail.”

Quebec checked the security feed one last time. He was still out there. Good. They nodded to Ari and opened the back door as quietly as they could. 

There was only one way out, though, seeing as one alley would lead straight to the front of the store where the agent was, while the other led to a side street. As they ran down the obvious path, though, they found themselves tripping and falling as they ran past a dumpster. At first they thought it was from the slush, until they realized something stinging had tied their legs together. Wire…? Metal wire, but strangely constructed. Magnetic. It stuck to their hands as they tried clawing it off of their legs, and they found themselves scraping it off frantically on the dumpster nearby. 

They almost hadn’t noticed the shadow now at the other end of the alley. Almost. With bits of metal still sticking to their hands, Quebec started sprinting. They were no Uniform, able to jet themselves into a blur of color (or lack thereof), but they could still sustain a higher running speed than the average human, and for much longer. 

In theory, at least. The agent’s suit seemed to let him keep them in eyesight, but for how long? Long enough that they might be caught if they weren’t careful, perhaps. Even with a map of the city in their mind, they couldn’t tell which other routes might’ve been rigged, only estimate what they considered the most likely. 

But then again. Perhaps that was his thinking, too. Pushing past confused crowds, Quebec dodged into another alley, towards another apartment building. All they needed to find was…yes. There. A fire escape. Running up the wall a little, they leapt onto it, giving themselves about a story of a head start. They needed it, too, as the Agent stood at the bottom just a few seconds after. But they weren’t out of tricks. Not yet.

There wasn’t much of anywhere to hide on a roof, though. A few house plants dotted it, but none large enough to hide behind. There was the entrance to the building itself, though. Locked, but at least the side of the building would provide a moment of cover, enough to activate their cloaking. In a moment, a field projected directly over them, bending light around them. It was meant to keep them safe from or allow them to observe dangerous wildlife, though it could really only redirect light from a relatively narrow band of frequencies.

Visible light seemed like the most logical to set it for, for a human. But what about that helmet? Quebec wasn’t sure at all what it was capable of. They tried to up their cooling systems. Maybe if he took long enough, their infrared signature would drop to ambient levels…?

But it wasn’t long until the sound of metal rattling a single thud rang out. Somehow, though, that was the most noise he managed to make. With slow and careful steps the field agent began inspecting the area. For a harrowing second, it appeared as if he looked right at them…before moving on. Briskly, he began inspecting the edges of the roof, looking for signs of disturbance.

“Rembrandt,” the filtered voice called out, “Come out. You are not in danger, if you do not resist. You are wanted alive.” Silence. Deathly silence. “I know you’re here. You’ve been flaking bits of snare the whole way through. Your trail ends here.” Quebec counted themselves lucky that they did not actually have to breathe like a human. “So be it. I have nowhere else to be.”

The agent stood there like a statue, perfectly still. Though the voice was not familiar to them, for a moment the eeriness of it made Quebec question whether or not this man was not in fact another android. Surely it couldn’t be, Echo said they weren’t done, that they were working on a different model-

The entrance to the apartment opened. Quebec couldn’t see who it was that made to come out, but it didn’t matter. It would be a distraction enough. But while the agent was gesturing towards them to leave, Quebec realized that there could be no graceful egress. Dropping from the roof would make a loud sound, and they couldn’t do much about the shiny breadcrumbs they were evidently leaving. 

Their eyes caught the agent’s pistol. No. No, never, in an actual million years would Quebec have gone through with it. But maybe he didn’t know that. 

Creeping up directly behind him, they waited for him to stand still again. Yes, just like that. Now if they were just quick enough-

They were. But the agent was no slouch either. As if expecting it in some capacity, he drew his knife, holding it to Quebec’s neck even as a pistol was aimed at his left eye. A knife wouldn’t do much, even by someone in a suit like his, Quebec estimated. Not with this little room for leverage between them, at least. But it would tear their skin, and that would mark them, reveal them perhaps. That was almost as bad.

Especially for someone whose identity was so tied up in it. 

“I’ll-I’ll shoot, Agent,” Quebec said, flicking off the safety, but keeping their finger far from the trigger, they tried to force their voice to stay level, but they couldn’t keep the pitch even, “Don’t think I won’t. I will. I’m- I’m desperate, you know. I’ve killed before.”

The agent was silent and unmoving as he was before. He waited. And waited. And waited.

“No, you haven’t. And you aren’t going to. Put the gun down, Quail.”

“I…” Quebec tried to step backwards, but the agent moved forwards in tandem, pressing the knife firmly against synthetic skin- enough that it might have drawn just the slightest bit of blood if they had any. “I can’t. I don’t…I don’t want to hurt you. Please, just. You don’t understand what’s at stake here. Can we just talk about this?”

“My mission is to bring you in. Additionally, it is difficult to hold a conversation at gunpoint, Quail. Put the weapon down.”

Quebec’s gold eyes looked into the blood red lenses, begging for a sign of sympathy that just wasn’t there. But the truth was that despite that, whoever was beneath the armor was a living being. A person. Someone who had family, friends, maybe even pets.He was a human, as far as they could reason. A part of the world they wanted to save, not leave bleeding alone.

Even if it meant surrender.

Quebec dropped the gun and kicked it away. Damn things. Before they could consider the matter further, a handcuff slapped around one of their wrists. The other, quite wisely on the agent’s part, was around his. There’d be no way to get it off through brute force without hurting him. They began the walk back to his car. As if dropping all pretense of ever having tried, Quebec’s voice became chipper again. 

“So! You’re pretty good. How’d you find me?”

The agent regarded them for a moment. “You’re a little too good at your work, actually.”

“But people never even like…saw me at the front, basically.”

“That didn’t stop them from leaving reviews.”

“So you make use of the blackout to set the traps where you think I am. What if I hadn’t been the one to trigger it?”

“Acceptable risk.”

“I disagree! Those things hurt!” They knew feeling pain wasn’t a useless skill. The panic it caused them surely bought them at least a little extra time. If only they had used it better…

The Agent didn’t seem to want to comment on that, or much of anything else Quebec tried to use to prompt conversation. If he was irritable about their attempts, he at least kept it to himself. But he didn’t show a moment of hesitation or uncertainty when he uncuffed himself and shoved Quebec against the side of his car to cuff them properly, either. It was hard to say if that was out of malice or concern that they’d bolt, though.

When they were in the car, their seat belts strapped in, Quebec gave it another try.

“So like…what do you know about me, anyway?”

“I know you’re wanted for questioning.”

“Yeah, man, I get that. I mean besides that.”

“...I know you are a former colleague of my employer, and that you are a security risk to them while out in the open.”

“Security risk…? They think I’d hurt them?”

“They think the danger to your life would cause problems for them as well. That is all I have been given on the matter.”

Quebec shuffled around, testing their handcuffs. They were strong, but…maybe not quite strong enough? If they concentrated enough-

“This car has a functioning rear view mirror, Quail. As well as bulletproof glass” 

“Oh,” Quebec replied, looking down a bit sheepishly. Truthfully they weren’t exactly sure what their plan was now. Try to smash the window? Roll out into traffic? They’d probably survive, but maybe not with all of their face still on.

A call came through the car’s short-range wireless connection to the agent’s phone. 

“Agent Douglas,” a much more familiar voice came over the speakers , “your position appears to be en route to HQ. Does this mean that the target is secured?”

“Yeah yeah yeah,” Quebec replied loudly before the agent could, “Hi to you too E-Ehhhhh. Yyyyyou.”

“I’ll take that to mean you’re at least functional,” came Echo’s irritated voice, “Believe you me, you’re going to have plenty of time to talk. Now is not it. Douglas?”

“The target has been secured with negligible damage.”

“That pleases me greatly, Agent,” Echo replied with audible relief, “good work.” The concern in Echo’s voice was endearing to Quebec, but was then immediately ruined by them telling them, “As for you, ‘Quail’. Please don’t do anything stupid. It’s over. Just. Let it be over.”

“I mean I don’t really have a choice here,” Quebec replied, “but T-”

“We. Will work it out. Alright? Plan’s changed a little bit. Just trust me. Please. And Quail?”

“Yeah?”

“...Don’t scare me like that again. And don’t harass the agent with inane queries. He’s a man of great restraint but he doesn’t deserve to have it tested.”

“Roger roger,” Quebec replied, only half-sarcastically, while leaning their cheek against the window.

They had a lot of explaining to do.

[t4r0tc4rdz]

Another one!!!!!

Aurum Pyxis! She’s a monitor lizard :)

Growing up within the Askon province, they made their living by selling food. She’s a professional cook and enjoys giving meals to their friends. Aurum uses spices she grows themselves for the food to give it flare. Only knowing a few spells and having no fighting experience, they avoid any confrontation.

After Gale was taken care of by Orika, he was free to wander the province, crossing paths with Aurum, who humbly invited him to stay in exchange for assistance in spice farming and cooking. They became fast friends and enjoyed each others company. Gale accompanied Aurum’s trips to the library for cook books, where they encountered Kane, Eiya and Aven a few times.

Upon Gale’s disappearance, Aurum became worried and distant, and her business slightly crumbled. Their persistence to find him never really died, but her motivation to cook did. Eventually, 18 months after Gale’s disappearance, Aurum packed their things and went to start over in a new province, visiting from time to time.

Runes belongs to @gloomforrestrunes

[theglowstickchronicles]

How would you suggest using Vaught’s case to better the future of healthcare

Transport nurses Mandated patient ratios at all hospitals No Interruption zones in ALL med rooms Medication scanners/access to EMRs in all patient care areas Med distribution machines (like a Pyxis) in all patient care areas All admitted patients with profiles in Pyxis Never overriding non-emergent meds and having a backup plan for when the system was down that did not include overriding Medication double checks for truly high alert medications Mandated preceptor training for any nurse precepting new hires No more paper charting anywhere Proper medication policies and post-administration monitoring Those are just a few off the top of my head.

[art-damaged]

Various artworks / boyfriend

On June 1, 2022,  a series of works were damaged while on view at the Dallas Museum of Art. The perpetrator, Brian Hernandez, 21, broke into the museum around 10pm by repeatedly striking a glass door with a steel chair. Once inside, Hernandez walked through the galleries and used various items (including a metal stool and a hand sanitizer stand) to smash a series of glass cases and the items they contained.

The damaged artworks included three ancient Greek artifacts (a black-figure kylix, a bowl from the sixth century B.C. featuring vignettes of Herakles grappling with the Nemean lion; a red-figure pyxis, a cylindrical container with a lid from the fifth century B.C.; and a ceramic amphora — a tall jar with two handles — from the sixth century B.C.), along with a  a ceramic container by a contemporary Native American artist. Hernandez was also seen on security camera video destroying other property, including a laptop, a phone, a monitor, two wooden display signs and four plexiglass display cases.The damages were estimated to exceed $5 million in total.

Hernandez was arrested on site and charged with criminal mischief. He later explained that he “got mad at his girl so he broke in and started destroying property,” per a security guard at the scene. It’s not yet clear whether any of the works are repairable. 

[macgyvermedical]

Omg I know probably everyone has seen this by now but I just watched it for the first time and... it’s amazing. It is the most accurate to medical drama thing I have ever seen. I have watched it like 6 times now and I’m dying laughing.

So the non-med-people can enjoy this as much as I did:

“We have a 35 year old male- he was at the gym, he got hypertensive”

Hypertensive means high blood pressure. Most people at the gym are doing something strenuous and therefore have blood pressure that would be considered really, really high if they had it at rest. So unless this guy was having chest pain or a bad headache or confusion or some other symptom of hypertension that was causing damage, which in report they should have lead with, in other words... he’s totally fine.

“They were able to monitor everything on his apple watch” / “We’re just going to monitor everything right through the apple watch”

I know they’re referring to a very specific episode of a very specific show but I’m blanking right now on what it was (New Amsterdam, maybe?). Also the apple watch can monitor pulse, sense falls, and record a 1-lead EKG (with an app that can be downloaded separately) that can detect a heart rhythm called sinus rhythm (normal) and atrial fibrillation (generally not life threatening), but nothing else, meaning this does not explain literally anything they talk about in this video.

“He had a blood pulse that was really really high”

They’d just say something like “his heart rate was _____ bpm” which everyone in the room would know how to interpret. Also it’s just a pulse or heart rate, not a “blood pulse”.

“Can we go ahead and start fluids? Let’s go with Jevity 1.5 Cal” / “I’m just gonna run this straight through the IV pump”

Jevity 1.5 Cal is a type of tube feed (that has 1.5 calories per milliliter) that would go through a feeding tube. You cannot put this through an IV (it would kill the patient), and you can’t run it on an IV pump (none of the tubes or connectors can connect to each other as a safety feature... so you don’t accidentally run it through an IV and kill someone).

“We’re gonna need access to his cardiovascular system- I think I’m going to have to put in a peripheral IV right at the bedside since the ORs are busy.”

A peripheral IV is just what you think of as an IV. They’re almost always put in at the bedside (meaning they can be put in right in the patient’s room).

“Does someone want to call family and get consent?”

There’s no indication that this patient cannot give their own consent, and if he was unconscious and consent was implied (we assume you would want to be helped if you were in medical distress so bad you were unconscious), they wouldn’t waste time getting the family’s consent for something as small as an IV. Which was probably already put in by the paramedics on the way there.

“I’ll go ahead and get gowned up”

IVs are a “clean” but not “sterile” procedure, meaning that we don’t need to wear a gown for them (unless there’s another reason we should be wearing one, like contact precautions for infectious disease). Also he is wearing the gown backwards.

“I’m not seeing anything, he’s so hypertensive.”

HYPERtension (high blood pressure) generally does not make a difference in how difficult it is to find veins, in fact, it might make it a little easier. HYPOtension (low blood pressure) does make it harder to find veins to put IVs in.

“If I do this right there is going to be a flash”

A “flash” in the context of an IV start is a small amount of blood that pops into a window in the IV start device, which tells you the IV catheter is in the vein. It is not a literal flash of light. Little misinterpretations of things like this are everywhere in medical fiction.

“It is in the femoral artery, we now have access to his cardiovascular system”

The femoral artery is in the leg and it is not something you put a peripheral IV in. A central line maybe, but that actually would be done in an OR as a sterile procedure.

“The bladder scanner’s reading 0, we need to go ahead and place a foley”

A bladder scanner is used to determine if a patient is keeping urine in their bladder even after they urinate. A reading of 0 is ideal because that means there is no urine in the bladder. You would not place a foley (a catheter that goes in the bladder and continuously drains urine out) for this patient, because they’re voiding fine on their own. Medical dramas misinterpret test results like this all the time, or use tests that don’t make sense (like this guy’s bladder scan for hypertension).

*hooks up foley to suction*

Urine drains out of foleys to gravity, it does not need to be hooked up to suction. When you’re watching medical dramas they do a lot of “hook it up wherever, the audience won’t know the difference” which is what they’re poking fun at here.

“Patient’s still in tachycardia, I need to go ahead and begin mild compressions”

Tachycardia just means a heart rate above 100 (or 120 depending on your hospital). The only thing you’d do for this (assuming sinus tach) is figure out what’s causing it (dehydration, anxiety, pain, fever, etc...) and correct that. If it’s something called supraventricular tachycardia, you might give a drug called adenosine or try having the patient bear down, but you would never start compressions for tachycardia unless the patient’s heart was beating so fast they lost a pulse. And there’s no such thing as “mild compressions”- it’s compressions or no compressions. There’s nothing in between.

“This is Blake on 4b, we’re calling a supercode.”

The term “megacode” is sometimes used (especially in training) to refer to a code where you’re using the whole algorithm for a cardiac arrest to work the patient. There is nothing called a “supercode”, though a lot of times they’ll say random words with Code attached to sound medical in medical dramas but that don’t mean anything.

“We just got an alert he’s in V-fib, we can stop compressions”

V-fib, or ventricular fibrillation, is a pulseless rhythm, and that’s when you would START compressions typically. Also, an apple watch cannot sense v-fib.

“The patient’s desatting- he’s not tolerating room air oxygenation”

This would actually be said “the patient’s desatting (the percentage of the patient’s hemoglobin molecules that have oxygen attached to them are dropping), he’s not tolerating room air” So there’s just a few extra words here that make the character look like he’s never been in a hospital before.

“I think we need to go ahead and intubate with a bag mask”

Intubation (putting a tube down a person’s throat to deliver air/O2 directly into their lungs) is a different thing than oxygenating with a bag valve mask (basically just pushing air into the patient’s lungs without a tube). Then he goes ahead and puts a non-rebreather (type of oxygen mask that doesn’t have anything to do with either of the two things he just mentioned) on the patient upside down. He then hooks the oxygen tubing up to the same suction he attached the foley to earlier.

“The bag’s not inflating all the way- I think I’m going to have to go in manually”

Squeezing the bag on a non-rebreather does nothing useful. Swearsies.

“Good news- his oxygen is coming down and his BP’s going up”

He’s here for... hypertension, right? Like, we want the opposite of that to happen.

*on the phone with x-ray* “The blood in his body is going clockwise???”

This is both not a result you can get, and also not a result you’d get from x-ray anyway, which is something that happens all the time in medical fiction. Random results that don’t make sense from departments they wouldn’t have come from.

“Team- everything we learned in school- throw it out the window, we’ve gotta save this guy!”

No one is that dramatic irl. You’d get laughed out of the room.

“His potassium level is 10.8- we’re gonna go ahead and we’re gonna need more potassium!”

10.8 is an absurdly lethally high amount of potassium. No wonder that guy is in v-fib. You would not put more potassium in this guy. You would be getting the insulin and D50 out of the Pyxis (med machine) and frantically paging anyone with an MD or DO after their name for an order to give it to bring the potassium down.

“Someone get me a banana” *spikes the banana like it’s an IV bag* “I know they didn’t teach us this in school, but it’s all we have”

I feel like that’s referencing the scene in Off the Map where they spike the coconut. Which, turns out, actually a thing. Unlike the banana.

Also they’re in a hospital. There are many forms of potassium in a hospital, which is a misconception you also see a lot in medical fiction- improvisation when it’s completely unnecessary.

“Sir, this may burn a little bit”

Oh, hey, something they got right! Potassium does burn given IV! Just like in medical fiction, they’ll get one little thing bizzarly correct in the midst of all that.

“The apple watch is dying! Does anyone have a charger??”

Another moment of “we definitely don’t need to be improvising this... we’re in a hospital” which I could totally see them doing in a medical drama.

“I think we have to open up his airway- we need an incentive spirometer chest tube”

Like when they were talking about intubating him with the “bag mask” he’s talking about two completely different things. A chest tube is a tube that goes into the chest and drains air or fluid so the lungs can expand fully. An incentive spirometer is a device used to encourage deep breathing in patients (which prevents fluid from building up in the lungs). What’s shown in the video is an incentive spirometer that’s apparently been hooked up to the chest tube. Which is another excellent misinterpretation that I could totally see being made from google research.

“I’m going to go ahead and check for PERRLA” *looks in mouth*

PERRLA is an acronym for an assessment of the pupils and how they react to light and accommodate distance. While you might want to check it in a code, you would not look in the mouth...

“We can cancel the supercode, also there’s no need for the MRSA nasal swab”

In the context of transferring him to the floor instead of the ICU, you genuinely wouldn’t do the nasal swab for MRSA (more necessary in an ICU setting, and many ICUs require one (and put anyone who comes up positive in isolation) to prevent spread of antibiotic resistant infection). HOWEVER, this is another thing that hospital shows do where they misunderstand the importance of certain things, or what would be deliberately ordered versus be a part of a routine order set that wouldn’t even really get mentioned. Like the MRSA swab for the ICU.

Nurse Blake really hit the nail on the head with this. I love it to pieces!

[erensnubs]

𝑻𝒉𝒆 𝑪𝒓𝒊𝒔𝒊𝒔 𝒐𝒇 𝑴𝒆𝒆𝒕𝒊𝒏𝒈 𝒀𝒐𝒖

Colt Grice x F! Reader Dystopian AU

Chapter 2

Word Count: 1.6k

"[NAME]! AHHHH YOU'RE HERE!!" Hange screamed across the room. Your head was turning all around the bright, marble like room as you tried to find the familiar auburn head.

You whipped your head around after talking to Dr. Pyxis.

Dr. Pyxis smiled at you as he acknowledged Hange's presence and walked away. Hange was running, their hair flying with Moblit behind her muttering "sorry" and "excuse us" to the victims of their running.

They flung their arms over your shoulders and squeezed ever so tightly. Your breath hitched and reluctantly patted Hange's arms.

"My god! How have you been? You look stressed. Is Levi bothering you too much? You know you could just stay at HQ! You can live with me and it's cheaper!!" Hange muttered, burying your body into theirs.

You try to pry yourself from Hange's grasp, but they keep holding on.

"You know Levi never tells me anything right? I mean we've known each other for a while through us, I mean for God's sakes we dated! And then you're so busy writing up papers and meeting with people so it's just like I-"

Moblit grabs Hange's shoulders and pushes them away from you. He audibly sighed and buried his face with his hands.

You couldn't help but chuckle at the stark contrasts of their faces as they looked at each other.

"Hange I'm doing fine alright? And Levi's coming to the after party there's nothing wrong with him. By the way, you look ravishing," you said pretentiously with a little smirk.

Hange's face lit up, "Oh [Name], you are getting flirty. But yes thank you for the compliment."

Hange started sliding back and forth on the polished floor, posing in their velvet red suit, the coat tails swishing behind them. Their hair was down and curled at the ends, with the ends fringed with a brighter red from previous hair dyes. Hange's eyes and lips were tinted red, her overall theme and it looked messy, and rushed. Exactly the way you liked it.

Moblit smiled tiredly at you and you patted him on the back, "Moblit how are you besides sighing so much?"

"Oh fine, I just don't know how I'm going to survive this ball and the after party. I spent a good 5 hours of our evening last night, experimenting with some new tools for missions," he said nervously.

"Oh Moblit, don't stress yourself out so much. Your inventions and experiments are insightful and they truly contribute to the research. Take a break sometime," you say reassuringly, as you lecture him.

"That's exactly what I told him! I caught him doing experiments when I told him not to!" Hange said. "Lighten up for once Moblit!"

You nodded, "I agree. This ball isn't a job, it's a break for people who work their asses off like you to help save us."

"I guess…. But heyyy… aren't you and Erwin acting as dates when you're actually just pushing an agenda?" He inquired playfully.

You smirk at him, "The ball is my work time, the after party is when I loosen up."

Hange spoke up, "Speaking of which, CAN SOMEONE GET ME SOME ALCOHOL FOR ALL 3 OF US. 2 FOR ME AND 2 FOR THEM!"

You grabbed Hange by the shoulder and laughed into it, "I swear Hange you are so scary to be in public with."

They looked at you with a questioning gaze, "Well how the hell am I supposed to get wine when all the waiters and people are over there where all the rich people are? They'll come to me, not the other way around."

A dark-haired boy with green-blue eyes trudged over to Hange. Eren Yeager. Stupid little shit, you had to teach him for a while when you were training soldiers but a passionate one. Beside him was Armin Artlet, the blonde boy who was arguably one of the smartest children you've ever met.

"Here you go. The other waiters just told us to bring these to you," Eren murmured.

"Hey speak up, Yeager," you tell him.

"He-"

You looked at him again, "I'm just playing kid come here and give me a hug,"

He looked at you surprisingly and passed the glasses of champagne to Moblit and Hange before tightening his arms around you.

Eren and particularly his classmates were the only teenagers you have ever liked in your life. They were smart, determined, and knew how to goof off, and have fun. You developed a sort of parenting attitude towards them, as you watched them rise in the ranks.

Armin hesitantly wrapped your arms around you, but you pulled him closer and kissed the tops of their foreheads.

"My god how the hell did you grow? You're up to my neck now Yeager and Artlert too! What are they feeding you", you say sipping your champagne flute.

"The same thing they've been serving since we went to training camp," Eren said, snickering.

You raised your eyebrows at them, "So how's life going for you? Don't you have your special Survey Corps dance thing coming up soon? You guys excited for that?"

"Not me," Armin said reluctantly. "I don't have a date."

Eren started laughing at him, "Pffft… lame."

Armin threw a dirty look at him, "Oh shut the fuck up, you don't either."

You cross your arms and look at both of them, "The government parties aren’t all about relationships you know. It's about hanging out with your friends as well. If you really feel bad about it just go in a group together."

Armin spoke up, his mood lightening immediately, "Did you go in a group? Are you all still friends?"

You waved your hand nonchalantly, "My 1st time I didn't go, I snuck over to the underground area in the city I lived in and watched street racing with some friends. Got in trouble of course, but I got lots of money from bets. The next 2 times I did go with friends but the last time I went with-"

"Oh, we shouldn't have brought that up Dr. [Name]," Eren said apologetically.

"Oh no no no, don't feel bad I can't just keep my fiance's memory buried." You gulped at the choice of words but went on.

"He would have loved to share these stories with you. But for now, you should be hanging out with your other friends not with an old person like me. And try drinking a little," you smiled with a hint of sadness that was quickly upturned while you flashed your teeth.

Eren interjected, "You're not THAT old Dr."

"Sweetheart I am old all right. Now go I think Mikasa is waiting for you," you shoo them along with your hands and usher them back to the middle. The two boys quickly walked away back to their friends. You sighed and looked around you and realized Moblit and Hange were out of sight and Erwin was nowhere to be seen.

"[Name]."

"Oh my god, Erwin! You can't just sneak up on me like that!" You say as the blonde was literally looming over from behind you.

"Sorry but I was wondering how the papers are going. I was chatting with Mr. Zachary over there and he said he would love to sign our papers," Erwin tilted his head to the old man with the white beard and glasses.

"Doesn't he monitor the 3 parts of the government?" You asked Erwin.

He nodded, "Having him on our side would help us out a lot. Any progress for you?"

"Dr. Pyxis said he would sign. I just have to convince Nick and Nile," you rolled your eyes.

Nick believed that all the funding should go to the military police, to help protect the citizens. You have argued and counterattacked that one day there might be no people to protect, no military police to defend because the funding was put all into one place.

"AT LEAST PART OF THE FUNDING SHOULD BE PUT FOR OUR MISSIONS!" You yell at Nile.

Nile rolled his eyes, "Sorry to say this but the public might not agree. They don't care about your little missions."

"Well the PUBLIC Nile, is full of cowards who want to be protected by another set of cowards because the goddamn government doesn't know that the best place to put their money is in the Scout Regiment. They're the ones that's actually doing something," you say.

You stepped forward, "The public doesn't have an MD. The public has not spent a good chunk of their lives researching this. The public is not head of the government's esteemed research section. The public doesn't have knowledge that I do.

"Really cowards? What are you some self-righteous wannabe?"

"Oh shut the fuck up, Nile. All of you in this room are fucking cowards. People's lives have been lost just because we didn't have enough supplies and food for a group of 100 soldiers," you say and left the room.

That was 2 weeks ago and Hange and Erwin were present, and that's when you 3 decided to convince everybody to sign these papers.

Erwin nodded,"You can take a break for now, Nick and Nile are chatting up with some women."

You nodded at Erwin and parted ways. You grabbed a piece of dessert from the long dining table and leaned your back against the wall and drank more champagne. You lifted your head and tried to think of ways to convince them.

Nick was a religious man, and was one of the people who believed that the Warning was a sign from God. Maybe you could throw in a little religion, say that the money could help find out of it is really God. For Nile, just threaten the man. He was a coward at heart so that would be easy. But what if he backed out on the papers? Didn't actually mean it? What would you do then?

You hummed to yourself the possibilities, not even noticing the man standing in front of you.

"Uh, hey? You seem lost in thought."

Prev/next

[akimmito]

Heroes are made by the path they choose

First | Previous | AO3 | Next

Master List

Chapter 17

Richard is still deciding which day is the most conducive to going out and meeting the Paris vigilantes, they have been trying to guess how they take turns for the patrols, noting that not everyone goes out every night, although it is more common to see Genbu and Pyxis, who are the closest to civilians alongside Black Metal, although the latter has not been seen on patrols in recent days, instead, Caelum has been seen prowling in his place.

Tim has suggested that others may be out of the country or dealing with other business, that they don't know the situation in detail, and that there may be more problems than meets the eye, especially with the ease with which they get involved in international cases.

The next night, they check their little theory, after several days without appearing, Suzaku returns to the rooftops in the company of Thuban, they obtain images of them and can better analyze their appearances. She still keeps that short midnight hair, you can't make out the color of her eyes, instead, the boy's are green and, for a moment, Tim thought he saw them glow when he looked at them (although he doubts there known to be there).

They also managed to realize that almost everyone was there, why? That was the million dollar question, they suddenly appeared. They saw Suzaku, Thuban, Corvus, Seiryuu, Genbu and even saw Black Metal for the first time, they could see why the Parisians seem to hold him in such high esteem, just by looking at him they realized that he's kind, if the way he stopped on a balcony to return a kitten to a house is indicative of this.

They are almost certain that they didn't realize that they were being stalked, at least they hoped. The next night after seeing most of them, they decide to make first contact. They stay on a random rooftop where they noticed that the routes of the Parisian vigilantes mostly crossed.

"You're not welcome." Tim freezes in his post when he feels the edge of a katana at his throat, the voice coming from behind may be childish, but it's threatening. Dick is surprised, the boy managed to successfully blend into the shadows and catch them off guard.

"Thuban, there is no need to threaten them. His posture is clearly peaceful" They didn't expect to see Suzaku either, but she's a bit further away. Thuban doesn't back down and keeps the sword at Tim's neck. "Robin, why are you here? I thought we were friends."

"Uh, it's Red Hood's fault… And Batman wanted to investigate, but, you know, the gentle Batman and not the other Batman…" She smiles, she knows he's nervous because of how close the katana is to his skin, one move and the child can easily finish him off. Especially since they have no intention of fighting.

"You're lucky we already knew they were here. Thuban, can put that down. ”The boy obeys immediately, Tim turns to him and meets his green eyes that, surprisingly, are clearly visible despite the fact that the light from the street lamps should not be enough to show them so much clarity. Is magic? That could mean that his eyes are not even green and it's only to mislead his identity, after all Suzaku has magical knowledge, it would make sense.

"Mother, will you let them stay here? Someone could see them."

"Augur, take us to the base. We have a little conversation with our visitors. ”She smiles and as soon as she says that a portal opens next to them. "Come in."

The two obey, Tim is in awe of the way the portal works, he can clearly see the other end and a kind of meeting room is shown. Dick walks behind him, closely followed by the two Parisian vigilantes.

------

Epic Kim @Epic_originalChampion

@BourgeoisQueen Tell Alix to answer the phone

Max K. @MaxKan_Tech

@Epic_originalChampion Why don't you text him? This is too public

-----

The patrol stopped the moment Suzaku made contact with the two foreign vigilantes, they subtly returned to the MT little by little. The first was Genbu, Chloe took off her mask as soon as the common room couch fell, reconsidering her life decisions to trust those two vigilantes, but knowing that, as told by one of her allies, they are trustworthy and, to be able to monitor everything in greater detail (since not everyone in the MT is a detective and their strength isn't investigation), they need a little support from others.

Minutes later Byakko arrives, who drops her little yellow helmet, which is more of a kind of glasses that cover her face in such a way that nothing is exposed, an advanced breathing system that even has an integrated filter. Max was very thorough in the design, they thought Marinette would say something because of the shape of it, but it was clear: the vigilante suits are to protect us, not to look good. Alix loved that comment, especially with the online comments about the costumes of some of them. Take that, bitches.

As the two of them huddle on the couch, closing their eyes to relax for a moment, Pyxis enters next to Caelum, flopping onto the couch beside her. None have removed their mask.

"I was thinking, what should our next comic be? Only two chapters left..."

"You should think about sleeping, Nath, between the patrols and your unhealthy sleeping habits, you will make me old before you do."

Nathaniel just laughs a little, he understands his boyfriend's concern, so he just hugs him in response, placing a kiss on his head.

Little by little, they all arrive. Corvus takes off his mask and throws it to the ground, annoyed; a girl was lost and the mother wasn't even worried, at least Max already has all the mother's information and they will do something about it. He despises bad parents and wishes it weren't so common.

Black Metal reaches out to him to reassure him, while the safeguards exist, they are about to meet with Gotham's vigilantes, it's better if everyone is calm. Seiryuu stays away, waiting for voices to be heard in the meeting room.

"Do you all agree to reveal their identities?" Corvus asks, making sure that's the case, even though they agreed the night before after the patrol, they better all be on the same page.

"Trust is needed, it's a new step. We're close to meeting the other members of the MT too. ”Alix comments, being one of the few who doesn't know everyone involved. Not the foreigners at least.

"None of them are Batman."

"Nightwing is the current Batman of Gotham." Marc corrects Nathaniel, but he denies.

"I mean the original Batman." They all just shrug their shoulders, almost understanding. Their main complaints with bats are due to the invasion of privacy and the little collaboration to play by the rules of others, they get it, but they are already there.

"Silent Hill also said their guest is a bat." Luka comments to make the point that, since they're bonding with them anyway, they might as well face the matter head-on and put them on the board on their own terms.

Thuban approaches the room and observes them, the two foreign guards are waiting with his mother in the meeting room, so he has gone to look for them. Then he must go for Max, although he will present himself as Equleeus, his hero identity, no longer that he doesn't have a suit like Augur.

"We arrived."

They all get up, Félix doesn't even bother to put the mask back on, he passes by the boy stroking his hair, a show of affection for how proud he's of him and his handling of the situation. The first time he met them all he attacked Nathaniel, the poor fellow who was closest; the first few months were a problem, until he accepted his place in his new family.

This is a new change, a little more abrupt than usual, but no one wants the matter to get out of hand just because their enemy is an elusive psychopath.

[luckyspike]

Eleventh Hour Admission - A Good Omens fanfiction

Hey guys remember when I talked about writing a hospital AU

i did it but no one is a doctor they’re all nurses

title refers to literally getting an admission during the eleventh hour of your shift, possibly a fate worse than death

CW: hospitals, medical procedures, automobile accidents, the joint commission

this will never be continued (probably) or posted to AO3, so enjoy it

--

Ari Fell liked it his job. That wasn’t sarcasm. He really, truly liked his job: he liked helping other people, he liked watching the sickest of the sick get well again and, when he couldn’t do that, he liked being there for them, trying to help them peacefully and painlessly move on. He liked meeting the families of his patients, he liked getting to know his patients when they could talk, and he liked that every day was a new day, something different and unknown and rife with opportunity to learn something new, or to help someone.

He liked his job, but he didn’t like 6am admissions.

Which, he had a feeling, was precisely why his ASCOM phone was going off at 5:55am. The caller ID informed him that it was Gabriel, the charge for tonight. He winced and the other nurse working the east pod with him tonight, Tracy, nodded sympathetically. He picked up the phone, and answered the call.

“Ari!” Yes. Yes, that was Gabriel. By the sound of it, he was in the cafeteria, likely having coffee with the other charges during their morning “bed meeting”. Ari had long since suspected that “bed meeting” was an excuse to get coffee and kvetch for the last hour of their shift, but he’d never really had the opportunity to find out, after he’d refused the offered charge position last year. 

“Gabe.” He stared gloomily at the empty room before him. It had been empty all night, after he’d packed the last patient off to IMC to make room for a possible admit. He had known it was too good to be true, known with a sort of icy certainty that a quiet night would never last, and soon enough there would be some kind of admit rolling up. He’d hoped it wouldn’t be an hour before shift change but, well … 

Maybe it would be an intubated pneumonia. Sedated, even. That would be nice.

“Got an ED trainwreck coming up. You heard them call that level 1 trauma, yeah?”

His heart dropped into his stomach, which dropped all the way to his Danskos. “Yes.”

“MVA, lady was flying and ran off the road into the orchard. Hit like three of the apple trees, Bee told me. Anyway, she’s a hot mess. I told them they could call report and bring her up any time.”

“I’ll need to stock the room -” 

Gabriel ignored him. “I’d love to help get her settled but we’re gonna be in bed meeting until 6:30 and then I have to do the board for day shift, but I’m sure you and Tracy’ll have it in hand. Holler if you need anything!” The line went dead.

“What do you need?” Tracy asked, already half out of the pod, aimed toward the supply room. The supply room, Ari knew, where the housekeeper usually hung around this time of the morning, surreptitiously drinking instant-brew coffee behind the Pyxis. 

Ari sighed. “A whole set-up. I don’t have report yet, but it’s a trauma. Probably need suction and the whole nine yards.” The ASCOM chirped again. “That’ll be report.”

“I’ll get some culture bottles and extra red tops as well.” He nodded to her as she vanished around the corner, and picked up the phone. “Ari Fell, ICU 4 East.”

“Ari!” He might have groaned. “It’s AJ!”

“Great. You’re calling report, I assume?”

“Well, yeah, but also I was just thinking I’m off for two days after this, and I don’t have any plans after my shift, was thinking about kegs and eggs at the place across the street. Care to join?”

“Somehow,” Ari said with rather more chill to his tone than usual, “I think I’ll be getting off my shift late.”

AJ laughed. “Oh, yeah. I’m bringing up the hot mess express.”

“Oh, boy.” He half-sighed, half-groaned. “I’m ready.”

“Right, patient’s still a Jane Doe but ID in her purse said Eve Smith, 22 years old, just waiting on family to confirm. Chaplain called her parents but no answer yet. Anyway, adult female, unrestrained driver in car-versus-tree MVA, GCS of 3 at the scene, flown here, went into SVT on the way but we’ve got her on amio now at 0.5mg/hr, pan-scan showed a left-sided pneumo -”

He rattled on, Ari jotting down notes as AJ moved through the systems. At least there was that: report from AJ was, usually, good, although he did like to linger on the gory details a little longer than necessary sometimes. If he was going to get a 6am admit, at least he’d have a good report to hand off to the next shift when he inevitably presented them with this hot disaster.

Tracy was back from the supply room, a suspicious damp spot on her scrub top. The navy blue shade hid the color of the spot, but if Ari had to guess, it would be the color of Svanka instant coffee. “Enough?” she asked, holding up two bags of supplies and a handful of lab tubes. He cupped a hand over the phone.

“Two straight poles and an IV pole,” he whispered. “And an EVD hookup for the monitor.”

“Gotcha.”

“Anyway,” AJ was saying, “she’s got a Foley, so you don’t have to worry about that, and, ah … Hm. Multiple lacerations and abrasions spread out all over, but no pressure wounds or anything otherwise. Right. Anything else you need?”

“Ah …” He looked at the report sheet, the notes about infusions and lines and testing left un-done, and shrugged. “You’re coming up with her, right?”

“Oh, yeah. It’ll be a miracle if she doesn’t crump on the way up. I’ll probably be bagging her when we get there.”

He grimaced. “Wonderful. I’ll have RT ready. Otherwise, uh … no, I think I should be alright. Whenever you’re ready, we’ve got the room stocked.”

“Okay.” A little distantly, as if he’d moved away from the receiver somewhat, he heard AJ call, “Hey, you ready Erica? Time to move!” And then, back into the phone. “See you in ten.”

Ari ended the call, placed a quick SOS to respiratory for a vent delivery, and tossed the ASCOM onto the desk. One last chance to check his other patient - a post-op heart cath they’d sent for access site observation overnight before planned discharge in the morning - and then he headed into the empty room, fussing around with the lines and waiting. The vent was there, already pre-programmed with the settings, blue screen glowing in the dark room as it waited. Tracy returned with the required equipment, and rolled a pole across the room, around the end of the bed, toward Ari.

“Disaster?”

“Complete train wreck.”

She patted his shoulder. “My two are primped and propped and ready for seven. I can help all you like, dear.” She was always nice like that, calling him ‘dear’. He supposed it made sense, given that Tracy was old enough to be his mother, but he had noticed she never used the term for anybody else. He’d never asked her about it, though, mostly because he was sort of afraid that if he pointed it out, she would stop. 

“I think we just wait, now.”

“Fresh meat coming?” The gruff voice of the custodian drew their attention to the doorway. “I’m off duty at 6:30, so if you think I’ll be coming in here to clean up whatever mess you and those hideous interns make -”

“I’m sure your relief will have it well in-hand, Mr. S.” Tracy fluttered her eyelashes, and leaned across the bedside table, the front of her V-neck scrub top gaping open just enough to draw the housekeeper’s eyes. “You know, I was thinking of getting breakfast and coffee at The Pantry across the street after shift … been craving their waffles.” It was a statement, but it hung open like a question. Mr. S blushed a little.

“I … I’m a little hungry myself. Could go for a nice thick pat of scrapple.” He cleared his throat. At the far corner of the ICU, Ari heard the elevator - the direct-from-the-ED elevator - ding open, and the distant sound of alarms suffused through the early-morning bustle of the unit. 

“Think they might have two seats at the breakfast bar?”

“Maybe.” He smiled a little, and then remembered himself and glowered. “If an educated woman’ll deign to eat with me, that is.”

“Mm, I think I might be able to bring myself to slum it this morning.” She waved a hand. “Here she comes, move over, there’s a love.”

And come she did, in a wail of alarms and machines and, Ari was both relieved and exasperated to see, AJ, who had, as long as Ari had known him, struggled with the concept of ‘reserved’. “Heyo, told you so!” AJ was, as promised, bagging the patient, his arm snaked between various lines and tubes, the critically-ill human attached to them almost so covered as to be invisible. “Ari.”

Ari looked at the lines, horrified, and then to AJ. “What happened?”

“Huh? Oh. She came back from radiology like this. Didn’t have time to untangle everything.”

“Nothing’s even labeled!” He waved his hands at the mess. “You’ve got fluids and pressors and is that blood? What’s going where?”

“Ah. All in the subclavian, I’d imagine.” The redhead added, with scathing sarcasm, “Pretty sure I didn’t hook anything up to the EVD. Got a slide board?”

Tracy had, and she and Ari tucked it under the unconscious young woman as AJ and Erica rolled her to the side. “Hang on, let me check her back while she’s there.” There were abrasions, and lacerations, too many to count or list as part of a specific area, and then, between her shoulder blades, was an apple blossom. He plucked it off. “Really, you couldn’t clean that off?”

“Had bigger fish to fry. You done?” AJ raised an eyebrow at him, visible of the rims of his dark-tinted glasses, and Ari nodded. AJ and Erica let the woman down. “On three -” She was light enough, and with four of them they had her slid into the ICU bed in one smooth motion, still piled with a tangled mess of lines and tubes. 

“You really had to bring this mess up,” Ari griped, trying to decide where to start first. His eyes widened. “You left the EVD lying under her pillow!”

“It’s clamped!” AJ replied with an exasperated groan, gratefully flicking on the vent and plugging it into the ET tube.

Erica rolled her eyes. “You done here? I’ve got to get back to the department.”

“Be right behind you,” AJ said, waving the other nurse off. “I’m gonna help whiny here get organized.” He pulled the EVD from under the pillow, carefully threading the buritrol back through the other lines until the tubing lay neatly over the rest of the tangled mess. Carefully, he hung it on the straight pole, leveled it, and opened the clamp. Pink-tinged spinal fluid started to drip out. “Come on, hand me the cable, I’ll even hook it up for you.”

“How charitable,” Ari grumbled, tossing the cable behind the headboard and bouncing it off AJ’s shoulder. “Bastard.”

“Now, boys,” Tracy admonished from the foot of the bed, where she was busying herself with untangling the Foley and the SCDs*. “Let’s not argue.”

[* Are SCDs really that important in a fragile immediately post-trauma patient, you may ask. To which the answer is: only if the Joint Commission is there.]

“Oh, we’re just having a good time.” AJ was tracing the IV tubing containing the fluids down through the sheets. “Alright, so this is going to the peripheral, just untangle this -”

“You know,” Ari said, as he fiddled with the monitor and the arterial line, trying to check for level in spite of the level being, as always, conspicuously absent. “I’m sure you have patients back down in the department. You don’t have to help. I was just giving you a hard time.” He ended up seizing a length of blood pressure cuff tubing and eyeballing the line between the transducer and the phlebostatic axis.

“Well, what if I want to?” He snorted. “My only other patient down there is a kid with a head lac, and he’s on ice until the LET kicks in and we can do staples anyway. Which will be, fortunately, after shift change. He looks like a screamer.” He smirked at Ari, and passed the IV pump with all of the various central line tubing across the bed to him. “Never let it be said I’m not occasionally nice.”

“You’re not.” 

“Hey.”

At the foot of the bed, Tracy shook her head, tapping in the vital signs as she did. “Did anyone page the fellow to let them know she’s arrived?”

“Not yet,” they replied, in unison. And then exchanged a look, very briefly, before Ari looked away to busy himself with setting the monitor alarm parameters and AJ became absorbed in scribbling labels for the IV tubing. 

“I’ll do it, then.”

It was quiet for a minute while they worked, but after a time, Ari realized the white sheet atop the woman was clear, the lines were meticulously untangled and laid properly, with messily-written but legible labels. It would have done the Joint Commission proud. 

“Think she still needed cultures,” AJ muttered, grabbing the bottles off of the counter. “Where do you keep the tourniquets up here?”

“Here.” He set to checking orders, with the black-clad invader from the ED pulled the first set of cultures on the first stick. Ari frowned, impressed. “Nice one.”

“Eh, you get good at ‘em when you have to get a line in anything.”

“Seriously,” Ari said, more quietly now, noting that for the most part, all of the ED orders had been cleaned up, taken care of, and signed off before the patient had arrived, “you can go. Really, I’m grateful, but I can handle it and you don’t have to -”

“I know. But this is really selfish for me.” He tore the tip of the index finger off the fresh pair of gloves he’d donned, the better to palpate a vein in the opposite arm, where the splint would allow. “Don’t wanna eat breakfast alone.”

Ari stared at him for a minute. Blinked. “Seriously?”

“Well, yeah,” AJ replied, tone flippant. “I think it counts as alcoholism if you drink alone too much. Have to keep up the facade of being a normal, healthy, functional adult.” He winked at Ari over the rim of his glasses. “You know how it goes, choir-boy.”

“I -” he glanced into the hallway, where Tracy and Mr. S were chatting. Mr. S had clocked out - was it past 6:30 already? And Tracy had her ASCOM in hand, although by the looks of it she hadn’t yet called. If she waited much longer, the fellow wouldn’t arrive with new orders until after shift change. He could have laughed. What an angel. “Yeah. Yeah, I do. You want to get a pitcher?”

Aj laughed, although he was watching intently as the second bottle filled. “You know, I have two days off coming up - what the hell? Let’s do it.”

[athorsen31-blog]

Portfolio 2

The Pyxis drug dispensing machine is an automated medication dispensing system which helps the nurse to dispense medication safely and efficiently. It has security features which keep controlled medication accounted for. Nurses can only have access to the Pyxis with fingerprint technology. The patient’s medication profile is uploaded to the system by Pharmacy to allow nurses to access the right patient, the right drug, and the right dose. The Pyxis has drawers which unlock as you choose the medication to be dispensed. The attached refrigerator keeps medication that needs to be refrigerated.

I would present the different sized drawers to the audience to touch and explain how these drawers can hold the medications and have a built in locked system. I would also present the monitor to show examples of the patient’s profile and how we access the patient’s medication list.

As the article”At Bat: Nurses step up to design plate” by Anne Dinardo states that nurses need to work with the designers to help create and modify designs that will work on the unit. Nurses can help determine what is successful as the Pyxis is successful in time saving and reducing medication errors.

[flightrisingarthell-blog]

I’ve been doing some thinking

And I noticed I’m just not a fan of Skydancers quite as much as I used to. So, I’m cutting down. I have thirteen dragons up for sale, some Skydancers and others random ones I was holding onto for too long. I can’t bring myself to exalt them, but if you do that’s fine with me. I’m not sure how to price them, so I’m going with a PWYW approach that’s heavily monitored not to be too low. Spread the word because I want more lair space and to get rid of some of these even though I love them!

The link to the sales tab is http://www1.flightrising.com/lair/428629/876722

Most are triple gened, Ash, the red SD, is an XXY, and Pyxis is a starmap.

Make an offer on one of them in the comments below or on the forum post that will be in the reblog.

[innocentamit]

'We Met In Virtual Reality' Is The Best Video From Metaverse

‘We Met In Virtual Reality’ Is The Best Video From Metaverse

The Monitor is a passage of the week dedicated to everything that happens in WAWAYA the cultural world, from movies to memes, TV to Twitter. Joe Hunting’s camera remains a regular training in his training. They live in and around the Bar Pyxis, bickering and bumping into each other. Many wear their best cyberpunk costumes, even though the lone sailor stands at the door. Many of their bodies are…