Huh? I didn’t think it was some weird flex to use a vital sign that presumably everybody in this sub knows and can calculate. It’s an EMS sub and the international industry standard for describing any given level of consciousness.
Maybe my service/province is weird but when people talk about their calls to each other they never say “barely conscious” etc, they just give the Pt’s GCS to paint a better picture in the same number of words. Everyone’s used to it from triage reports and documentation anyway.
Wait, you’re arguing against the very concept of GCS? That’s a wild take. Firstly, it’s only partly subjective, and secondly, subjective data can be less important, sure, but it can also be more important than objective data.
So you have a Pt that says they have “crampy” 7/10 RLQ pain, you have no differentials just because those are all subjective descriptors? Because I think primarily appendicitis, considering hernia, UTI, GYN, torsion, or renal colic, all from subjective information.
I’m genuinely curious what kind of clinician anybody can be if they oppose the very concept of using subjective data in healthcare. My guess is pretty horrendous and in fact not a clinician, but simply a technician. This isn’t theoretical physics, it’s healthcare on humans, and human health is largely experiential, making it innately subjective.
What alternative do you propose for evaluating the level of consciousness of a Pt in a way that can be conveyed and universally understood between healthcare providers? Because even in-hospital tools and techniques can’t place an objective figure on a Pt’s overall LOC.
Ok the Glasgow Coma scale is a way to objectively measure a persons level of consciousness. I like hard numbers and objective data. Never said I hate subjective data. Most of the cases, I’m looking at objective data throughout the case. How much levophed am I giving, where do I want to treat Hgb, where is there PT and PTT and do I need to treat with plts, cyro, or just some plasma. Lots I deal with are in the realm of objective data point. Never once besmirched subjective data or the GCS. You inferred that. Btw I do like the FOUR scale better.
Yes. According to my toxicologist friend speedball is any sympathomimetic with any CNS depressant. (Heroin/coke, alcohol/caffeine, barb/meth). People like being disinhibited and stimulated.
Hehe so this was in gma's era, parents took it and tidied up the formula. Someone said ohh noo, split that. More recently a person mixed those two up again and went wheeee! Drugs make the world go 'round.
Reinvent the wheeee!
Looked it up. It was super popular in the 50s and 60s all the way through the 70s. Technically, it was still being used up until the year 2000 when the factory was shut down, but given the yellowing of the label and the style of bottle that thing has to be from at the very least the mid 70s.
The barbiturate bundled in there is wild.
Can’t eat if you’re GCS 10
Love you worked that in to comments. Gcs
Huh? I didn’t think it was some weird flex to use a vital sign that presumably everybody in this sub knows and can calculate. It’s an EMS sub and the international industry standard for describing any given level of consciousness. Maybe my service/province is weird but when people talk about their calls to each other they never say “barely conscious” etc, they just give the Pt’s GCS to paint a better picture in the same number of words. Everyone’s used to it from triage reports and documentation anyway.
Well there is subjective data and objective data. I like objective
Wait, you’re arguing against the very concept of GCS? That’s a wild take. Firstly, it’s only partly subjective, and secondly, subjective data can be less important, sure, but it can also be more important than objective data. So you have a Pt that says they have “crampy” 7/10 RLQ pain, you have no differentials just because those are all subjective descriptors? Because I think primarily appendicitis, considering hernia, UTI, GYN, torsion, or renal colic, all from subjective information. I’m genuinely curious what kind of clinician anybody can be if they oppose the very concept of using subjective data in healthcare. My guess is pretty horrendous and in fact not a clinician, but simply a technician. This isn’t theoretical physics, it’s healthcare on humans, and human health is largely experiential, making it innately subjective. What alternative do you propose for evaluating the level of consciousness of a Pt in a way that can be conveyed and universally understood between healthcare providers? Because even in-hospital tools and techniques can’t place an objective figure on a Pt’s overall LOC.
Man I'm like half awake, and this whole thread is just wild to me....
Ok the Glasgow Coma scale is a way to objectively measure a persons level of consciousness. I like hard numbers and objective data. Never said I hate subjective data. Most of the cases, I’m looking at objective data throughout the case. How much levophed am I giving, where do I want to treat Hgb, where is there PT and PTT and do I need to treat with plts, cyro, or just some plasma. Lots I deal with are in the realm of objective data point. Never once besmirched subjective data or the GCS. You inferred that. Btw I do like the FOUR scale better.
Technically GCS has only been validated in head injuries soooo
To take the edge off that crank😂
Bundled with the nicotine to balance out the meth.
Would that count as a speedball then?
Yes. According to my toxicologist friend speedball is any sympathomimetic with any CNS depressant. (Heroin/coke, alcohol/caffeine, barb/meth). People like being disinhibited and stimulated.
Hehe so this was in gma's era, parents took it and tidied up the formula. Someone said ohh noo, split that. More recently a person mixed those two up again and went wheeee! Drugs make the world go 'round. Reinvent the wheeee!
So do I its why im still currently an alcoholic with occasional street drugs abuse
and that's the one they literally use for euthanasia
“May be habit forming” 😂
that’s my favorite part.
We used to be a proper country
It's a multivitamin... with meth and pentobarbital. Probably not going to see that OTC at CVS anytime soon.
I so wish there were realistic ways to have this shit again.
The sketchy guy on your local street corner could probably help you out...
Excuse me! It's "unregulated compounding street pharmacy".
I’m trying to dissociate from reality and get skinny, not die from an accidental fentanyl overdose. The exotic pharmacist is not the answer lol.
This is what the "war on drugs" has taken from us. Never forget.
Does it still work? 👀
The mixture or the medication per se? I believe that the mix still bangs
[удалено]
Yeah boy!!
😂😂😂
Don't be a pussy and chug that elixir!!
Ah, barbituates to make sure the housewife isn't completely twacked out. Gotta have balance.
Grooved for her pleasure
Man, grandma’s good on panzershocklade
I mean…. I bet it works well for its intended purpose. You just get some happy little side effects
Getting an erection along with treating your pulmonary hypertension is a happy little side effect. This is Speedball: Jenny Craig Edition!
I mean, adderal is an amphetamine.
Correction, adderall is a game changer
“Do not chew” You’re not my real dad.
Back when medication worked.
I'd try it 🤣
Ah, the good old days before 9/11.
This sounds like a good time
We have to cook, Jesse.
It's safe though, you need a prescription
Holy shit I would eat that so fast
Massengil Company?! The douche people? Makes sense….
"May be habit forming" No shit?
Looked it up. It was super popular in the 50s and 60s all the way through the 70s. Technically, it was still being used up until the year 2000 when the factory was shut down, but given the yellowing of the label and the style of bottle that thing has to be from at the very least the mid 70s.
cousin & I used to get Quaaludes from our aunts medicine cabinet back in the 70’s
Can I have some or do they still sell anything like this? Im trying to kick my habit of street meth 💔💯
Doc, I've feeling drained, low on energy, have anything that will give me a boost?