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POOL IS CLOSED
Jul 14, 2011

I'm just exploding with mackerel. This is the aji wo kutta of my discontent.
Pillbug

Aesop Poprock posted:

Anytime I’ve done ketamine I’ve been able to pull myself out of it at will. I dunno if that’s common or not

At 5mg/kg, that's not likely for most people.

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Xibanya
Sep 17, 2012




Clever Betty
What’s an appropriate clinical usage for ketamine? Why is it common in particular for animals and kids?

PetraCore
Jul 20, 2017

👁️🔥👁️👁️👁️BE NOT👄AFRAID👁️👁️👁️🔥👁️

Xibanya posted:

What’s an appropriate clinical usage for ketamine? Why is it common in particular for animals and kids?
Yeah, I wondered about that too. From just cursory research it seems like there's a medical debate brewing over that right now, but I don't want to say ketamine has no appropriate clinical uses when I'm in no way an expert because I know that there's a lot of harsh or potentially dangerous things that do have a use in the right circumstances, like lithium.

Your Gay Uncle
Feb 16, 2012

by Fluffdaddy

PetraCore posted:

Yeah, I wondered about that too. From just cursory research it seems like there's a medical debate brewing over that right now, but I don't want to say ketamine has no appropriate clinical uses when I'm in no way an expert because I know that there's a lot of harsh or potentially dangerous things that do have a use in the right circumstances, like lithium.

When I worked in an animal research lab we used Ketamine to sedate monkeys constantly. It was pretty effective, but I have no idea how much you would have to use for a human dose.

Tashilicious
Jul 17, 2016

by Jeffrey of YOSPOS

Hauki posted:

I was way into asterix and tintin when I was young and even as like a six or seven year old I knew there was some hosed up poo poo going on in that one.

It is a testament to Herge that he seemed to regret the early insanely racist stuff he had. He seriously get's a lot better about it later on.


But man, Tintin in America and Tintin in Congo... Woooooooooooooooooooooooooooooooofffffffffff

EmmyOk
Aug 11, 2013

if you descend into a k hole and watch vine compilations 23 hours a day you can medically and painlessly remove your whole family

1stGear
Jan 16, 2010

Here's to the new us.
Ketamine is a hella good sedative that works very fast while not lasting overly long and without the depressive effect on a patient's respiratory drive that occur with some other sedatives used in the pre-hospital setting. It also has value as a fast-acting pain relief drug in low doses without the habit-forming effects of something like West Virginia's favorite, fentanyl. It's a very useful drug when used appropriately.

GelatinSkeleton
May 31, 2013

I think ketamine is given to people with treatment resistant depression as well, it's apparently pretty effective.

Aesop Poprock
Oct 21, 2008


Grimey Drawer
Ketamine made me think every person in every commercial was singing directly to me in the moments when I stopped falling into multiple universes down a literal hole inside myself

SLOSifl
Aug 10, 2002


Aesop Poprock posted:

Ketamine made me think every person in every commercial was singing directly to me in the moments when I stopped falling into multiple universes down a literal hole inside myself
Interesting point, Mr. President.

POOL IS CLOSED
Jul 14, 2011

I'm just exploding with mackerel. This is the aji wo kutta of my discontent.
Pillbug
The FDA approved uses are for anesthesia in pediatric and veterinary medicine. The off-label uses vary much more widely -- treatment-resistant depression, PTSD, analgesia, suicidality, and agitation. The American psychiatric community is really concerned about the appropriateness of ketamine in pediatric psychiatry cases and in inpatient vs. direct discharge situations for acute suicidality. Emergency medicine is interested in whether it's faster and above all safer for chemical restraint than other options, like haldol and versed. It's been used for this for over a decade, so the experiment Hennepin was conducting wasn't whether it could be used for field chemical restraint, but whether it's better than the alternatives. One of its biggest benefits is that it's fast.

PetraCore
Jul 20, 2017

👁️🔥👁️👁️👁️BE NOT👄AFRAID👁️👁️👁️🔥👁️

1stGear posted:

Ketamine is a hella good sedative that works very fast while not lasting overly long and without the depressive effect on a patient's respiratory drive that occur with some other sedatives used in the pre-hospital setting. It also has value as a fast-acting pain relief drug in low doses without the habit-forming effects of something like West Virginia's favorite, fentanyl. It's a very useful drug when used appropriately.
But the problem was people were going into respiratory depression when it was being used by the EMTs on unruly people in police custody (whether or not they'd committed any crime). Are other sedatives that work fast more dangerous with that, or was the problem that people were being massively overdosed?

Keru
Aug 2, 2004

'n suddenly there was a terrible roar all around us 'n the sky was full of what looked like 'uge bats, all swooping 'n screeching 'n divin' around the ute.
Apparently someone stole a plane at SeaTac earlier and flew it around before crashing it. Not like a small one either.

https://twitter.com/drbmbdgty/status/1028130383911501824

How the hell does someone get to the cockpit, and not just that also get it off the ground? Commercial jets aren't exactly easy to get going.

Keru has a new favorite as of 05:45 on Aug 11, 2018

Beef Stew
Dec 27, 2009

Keru posted:

Apparently someone stole a plane at SeaTac earlier and flew it around before crashing it. Not like a small one either.

https://twitter.com/drbmbdgty/status/1028130383911501824

How the hell does someone get to the cockpit, and not just that also get it off the ground? Commercial jets aren't exactly easy to get going.

Ive seen post in other threads indicating it was a pilot that snapped.

Id link them but I'm phone posting

Keru
Aug 2, 2004

'n suddenly there was a terrible roar all around us 'n the sky was full of what looked like 'uge bats, all swooping 'n screeching 'n divin' around the ute.
I just hope there weren't any passengers on it, I've seen mentions of an employee at the airport, but nothing more solid than 'we think it was an airplane mechanic'.

Beef Stew
Dec 27, 2009
https://twitter.com/jwsthomson/stat...ingawful.com%2F

Yeah this is pretty loving crazy.

Pirate Radar
Apr 18, 2008

You're not my Ruthie!
You're not my Debbie!
You're not my Sherry!

Keru posted:

Apparently someone stole a plane at SeaTac earlier and flew it around before crashing it. Not like a small one either.

https://twitter.com/drbmbdgty/status/1028130383911501824

How the hell does someone get to the cockpit, and not just that also get it off the ground? Commercial jets aren't exactly easy to get going.

Maybe not easy but they don’t have keys so as long as you know how to start up and take off I guess you can. Apparently it was an airline employee so that explains the “how did they get into the plane” part.

The Fuzzy Hulk
Nov 22, 2007

ASK ME ABOUT CROSSING THE STREAMS



Ok this guy is awesome and rad.

Pick
Jul 19, 2009
Nap Ghost

The Fuzzy Hulk posted:

Ok this guy is awesome and rad.

Um really not at all.

Apraxin
Feb 22, 2006

General-Admiral

Keru posted:

How the hell does someone get to the cockpit, and not just that also get it off the ground? Commercial jets aren't exactly easy to get going.
Back in 2003 an American pilot and a Congolese engineer got into a 727 parked at Luanda International, started it up, and flew away in it.

No one has ever seen it (or them) since, no one knows what happened to them, no one knows why they did it.

Zopotantor
Feb 24, 2013

...und ist er drin dann lassen wir ihn niemals wieder raus...

Keru posted:

All this discussion of the horrors of Hiroshima and Nagasaki reminded me of the one song that always wrecks me when it comes to these events.

https://www.youtube.com/watch?v=i9ckznQP2FA

First penned by Ian Campbell of the Ian Campbell Folkband, it's probably best known as the cover recorded by Simon & Garfunkel, but I prefer The Dubliners version.

The way it draws you in as just a nice little summery melody and then sideswipes you in the last verses.

The Sun has come to earth.

Don't worry, you can just
https://www.youtube.com/watch?v=I2UpM8Ci_ao

Aesop Poprock
Oct 21, 2008


Grimey Drawer

SLOSifl posted:

Interesting point, Mr. President.

Crooked Hillary wanted NO HOLES. CNN will not talk about my great success at pulling out of k-holes, and instead focuses on the California fire which is SMOKEY THE BEARS fault! Did all I could, and it worked great. Everyone whose house burned down loved my response

steinrokkan
Apr 2, 2011



Soiled Meat

Tashilicious posted:

It was about how TV is going to kill books.

I mean, did you read the novel? It's very, very explicit about this, or rather about the infantilization of society through mass media. The setting isn't the totalitarian state people ascribe to it for some reason, it's a democratic country where people choose to oppress themselves and run their society into the ground for the sake of gratification and obsession with media hyperreality. It doesn't say the government depicted in the book is just, but it is the product of people-shaping technologies and of people trying to enforce conformity of the whole society with their lifestyles.

Pick
Jul 19, 2009
Nap Ghost
Much like brave New World, that is correct, many people have not actually read it.

FrozenVent
May 1, 2009

The Boeing 737-200QC is the undisputed workhorse of the skies.

Tashilicious posted:

It is a testament to Herge that he seemed to regret the early insanely racist stuff he had. He seriously get's a lot better about it later on.


But man, Tintin in America and Tintin in Congo... Woooooooooooooooooooooooooooooooofffffffffff

Tintin in the Soviet Union, while not racist, was certainly a product of its time (1930s Belgium).

It was never colourized and it’s not included in most Tintin bibliographies, if that gives you an idea.

Kanine
Aug 5, 2014

by Nyc_Tattoo

FrozenVent posted:

Tintin in the Soviet Union, while not racist, was certainly a product of its time (1930s Belgium).

It was never colourized and it’s not included in most Tintin bibliographies, if that gives you an idea.

i would say there was some stuff in there tho that had some xenophobia towards eastern europeans tho

bean_shadow
Sep 27, 2005

If men had uteruses they'd be called duderuses.
So...the documentary Capturing The Friedmans.....did they do it? I mean, Arnold definitely had child porn sent to his house but did he and Jesse rape those kids in their computer class? Or was it a mass hysteria like the McMartin Preschool case?

C.M. Kruger
Oct 28, 2013
Somebody fleeing the cops fell inside one of those cosmetic pillars that some grocery stores have and died.
https://www.nbclosangeles.com/news/local/Decomposing-Body-Found-Inside-Column-of-Winco-Store-490659751.html

quote:

Around 2:30 p.m., the manager of the store on the 700 block of West Avenue K reported a strong smell from the column. He called a repairman thinking it was some type of sewer leak.

A handyman and plumber began removing bricks and soon afterward, they noticed a shoe and leg inside the grocery store column.

quote:

They believe it may be the body of a suspect who escaped from a traffic stop on Monday night.

The driver was pulled over for a fake license plate, crashed the car, escaped onto the Winco roof and then disappeared.

"He may have gotten inside there and gotten down to try and hide from the deputies and then couldn't get out," Corina said.

There is an access door on top of the roof and the suspect may have fallen or got stuck and was found five days later, according to the sheriff's department.

Scathach
Apr 4, 2011

You know that thing where you sleep on your arm funny and when you wake up it's all numb? Yeah that's my whole world right now.


PetraCore posted:

But the problem was people were going into respiratory depression when it was being used by the EMTs on unruly people in police custody (whether or not they'd committed any crime). Are other sedatives that work fast more dangerous with that, or was the problem that people were being massively overdosed?

Massively overdosed. You become unconscious from ketamine long before you reach a dangerous amount. You don't even have to fully knock someone out for them to be completely incapacitated. It's pretty much the least risky fast-acting sedative out there.

DemonTrigger
May 30, 2011

I'M MAKIN' IT GP RAIN

Here's something crazy that happened yesterday: https://www.sacbee.com/news/state/california/article216547480.html

quote:

When a plumber summoned by the store manager to investigate a possible sewer leak began removing stones from the hollow column, he found a tennis shoe and a leg entombed inside, reported KCAL.

[...]

“He may have gotten inside there and somehow gotten down the column, trying to hide from the deputies and then couldn’t get out,” Corina told KABC.

“It’s been over 100 degrees up here every day,” Corina told the station. “I can’t imagine being inside that column and just baking. It’s a strange development, and if he died that way, it’s a horrible way to die.”

Edit: gently caress, Beaten.

Milo and POTUS
Sep 3, 2017

I will not shut up about the Mighty Morphin Power Rangers. I talk about them all the time and work them into every conversation I have. I built a shrine in my room for the yellow one who died because sadly no one noticed because she died around 9/11. Wanna see it?

C.M. Kruger posted:

Somebody fleeing the cops fell inside one of those cosmetic pillars that some grocery stores have and died.
https://www.nbclosangeles.com/news/local/Decomposing-Body-Found-Inside-Column-of-Winco-Store-490659751.html

This is loving wild.

e: loving the comments section

Milo and POTUS has a new favorite as of 06:49 on Aug 13, 2018

Aesop Poprock
Oct 21, 2008


Grimey Drawer

DemonTrigger posted:

Here's something crazy that happened yesterday: https://www.sacbee.com/news/state/california/article216547480.html


Edit: gently caress, Beaten.

Really horrible but again, wtf are these names

quote:

Sunshine York-Hanger

Trambopaline
Jul 25, 2010

PetraCore posted:

But the problem was people were going into respiratory depression when it was being used by the EMTs on unruly people in police custody (whether or not they'd committed any crime). Are other sedatives that work fast more dangerous with that, or was the problem that people were being massively overdosed?

at 2mg/kg of ketamine for a child in a calm and controlled environment you can manhandle an arm that looks like the left into a cast so that it looks like the right


I can't even imagine what kind of batshit outer-space you would put a distressed adult into at 5mg/kg.

HelloIAmYourHeart
Dec 29, 2008
Fallen Rib

Scathach posted:

Massively overdosed. You become unconscious from ketamine long before you reach a dangerous amount. You don't even have to fully knock someone out for them to be completely incapacitated. It's pretty much the least risky fast-acting sedative out there.

I figured this is why they used ketamine while getting those kids out of the cave. I'd certainly want to be knocked out in a situation like that. Although it seems to come with a few side effects...

quote:

We started the ketamine drip and crossed our fingers. We watched her heart rate even out-- a strong indicator that she really had been perceiving tremendous pain, since ketamine doesn’t affect the heart rate. We watched her BP, depressed by all the opioids, rise back to low but stable levels, and her rate of PCA demand dropped to a mere three hundred or so per hour.

Then we watched her trip loving balls. Hamm saw all kinds of poo poo while the drip was on her, and her agitation and hallucinations were the limiting factor on how high the rate could go. In her mind’s eye, monsters crawled under the skin of the walls, worms slipped into her bed and devoured her flesh, departed loved ones stood around her bed and discussed how best to cook and eat her, and her endlessly accommodating husband turned into a dog-mutilating Nazi. If we turned the dose down low enough to keep her from freaking out, she bowed up in agony; if we turned the dose up high enough that she forgot to call the police every hour on the hour, she informed us that a huge black bug-man was in the room, but whenever we came in he turned sideways so we couldn’t see him.

from elise the great's blog. go read the whole post, totally worth it: http://www.endofshiftreport.com/2016/05/ketamine.html

small ghost
Jan 30, 2013

Having taken a not insignificant amount of recreational Ketamine in my life I'm always slightly unnerved by its use as a sedative. Are medical sedative doses high enough that you bypass the part where you k-hole and experience hyper-real dissociative hallucinations? Do we just send kids and horses off to trip balls or does it work diffently on them to adult humans? I'm not sure a medical experience would be improved for me by k-holing into oblivion tbh, the hallucinations can be pretty nasty.

ChickenOfTomorrow
Nov 11, 2012

god damn it, you've got to be kind

POOL IS CLOSED posted:

He's Taser's contracted medical director since 2009.

🤔🤔🤔🤔🤔

ChickenOfTomorrow
Nov 11, 2012

god damn it, you've got to be kind

FWIW the medics in my collective are fairly unanimous that using ketamine to sedate arrested folk like they were is outside of any practice we're aware of.

the use of chemical restraints in general for arrested folks is something that gives me the willies.

(I am an affinity group medic with relevant training, not a medical professional. my collective includes both medical professionals and lay people like myself.)

ChickenOfTomorrow has a new favorite as of 05:31 on Aug 14, 2018

turntabler
Sep 10, 2011

ChickenOfTomorrow posted:

FWIW the medics in my collective are fairly unanimous that using ketamine to sedate arrested folk is outside of any practice we're aware of.

the use of chemical restraints in general for arrested folks is something that gives me the willies.

(I am an affinity group medic with relevant training, not a medical professional. my collective includes both medical professionals and lay people like myself.)

Well you would typically sedate someone under arrest if they appear to be suffering from a mental health/medical/drug related issue that requires assessment at a hospital and warrants them being sedated due to danger to themselves or staff.

If someone is just lashing out because they are being an rear end in a top hat cops will just handcuff them and manhandle as necessary. Even if someone is threatening suicide they will usually just get handcuffed and taken to hospital, or put in a padded cell and taken to hospital later.

We have a whole assessment matrix for whether or not someone qualifies to be sedated, and then a whole procedure in terms of having the airway kit ready etc etc.

The goal generally is not to sedate someone to the point of unconsciousness whether using benzos or ketamine or whatever, you just want them not to hurt people. Not that many people really need to be sedated from what I have seen, and cops are usually more keen to have people sedated then paramedics are. And we can just say no and that's that.

chitoryu12
Apr 24, 2014

turntabler posted:

Well you would typically sedate someone under arrest if they appear to be suffering from a mental health/medical/drug related issue that requires assessment at a hospital and warrants them being sedated due to danger to themselves or staff.

If someone is just lashing out because they are being an rear end in a top hat cops will just handcuff them and manhandle as necessary. Even if someone is threatening suicide they will usually just get handcuffed and taken to hospital, or put in a padded cell and taken to hospital later.

We have a whole assessment matrix for whether or not someone qualifies to be sedated, and then a whole procedure in terms of having the airway kit ready etc etc.

The goal generally is not to sedate someone to the point of unconsciousness whether using benzos or ketamine or whatever, you just want them not to hurt people. Not that many people really need to be sedated from what I have seen, and cops are usually more keen to have people sedated then paramedics are. And we can just say no and that's that.

I think the reason it started getting attention is that people who weren't even resisting were being injected with sedatives just to give the cops an easy body to haul around.

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ChickenOfTomorrow
Nov 11, 2012

god damn it, you've got to be kind


please read the linked article we're responding to for information on the way the ems in question is using ketamine for chemical restraint, thanks.

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