#thesmolestnerd

[comickergirl]

WAIT! I love the cards you have so far! Are they for sale? How can I buy some? Trading cards and fan art are my 2 favorite things!!

They are not for sale, sorry! 

But I’ll make print-at-home versions available at the end of the countdown, along with the game instructions!

[jj0nak]

What ow contenders team does arkaros play for? Also do you know which contenders teams have girls? I Want to Support Them. (Also I'm gay).

AKaros isn’t playing for a team right now, she’s casting for ow contenders Korea. She used to play with Geguri and others on an amateur team called UW Artisan in ~2016. 

To my knowledge there’s no female players in contenders. A little reminder of the format: there’s owl, which occasionally picks up players from contenders. There’s ow contenders in 7 different regions: NA, Korea, Australia, etc, and they have different teams competing. Below contenders is open division, which has 2 female teams (see: this post). Keep in mind that many players in open division are like…in masters lol. So keep your expectations in check. 

If you just want to watch female streamers in top 500/GM refer to this post: (x). Edit: lesbian/trans/gay players include Rammy, Kolorblind, Eeveea, Muma, Animetic, etc. Edit 2: there’s a female player called Straawbella who’s team captain of Australian contenders team Legacy Esports. Also there’s apparently 3 more female players in aus contenders but idk who. Edit 3: babyporo on tainted mindsactions

[scriptmedic]

I love your blog! I was wondering if you could tell me when doctors would use an IV versus a central line in a trauma situation?

Hiiiiiiii! Awesome question! IV access is actually apersonal favorite topic of mine, which is good, because we sure put in a lot ofthem!

First, let’s define a “central line”, which is an IV with along catheter that sits in the great veins, the Vena Cavae, just outside theheart. They’re used for patients who need a LOT of resuscitative efforts. They’replaced at one of three sites: under the clavicle (subclavian), in the groin(femoral), or in the neck (internal jugular, or IJ).

This is an illustration of a central line, specifically a right subclavian:

Image by Blausen.com staff (Wikimedia commons,permitted for all use).

Central lines can have devastating effects if they’re doneimproperly or managed poorly, so docs are relatively hesitant to use them; abroken arm won’t get a central line. In general, central lines are reserved forthose in shock, those expected to require multiple agents (such as sedation andantibiotics and pressors and…), and those who are simply critically ill.  

Severe shock. Ongoing bleeding. Internal bleeding. That’sthe kind of indication we’re looking at here.

But in the critically ill, especially if someone is expectedto need vasopressors like norepinephrine or dobutamine for whatever reason,they’re absolutely essential.

That’s because, while data is becoming available on usingvasopressors in PIVs (peripheral IVs, like ones in the hard on arm),

This paragraph is nerdy and unnecessary, butI’m keeping it: CVCs (Central Venous Catheters) are also slightly differentfrom Pulmonary Artery Catheters, based on where they sit. CVCs sit in the venacava, the great vein either below (Inferior, or IVC) or above (Superior, orSVC) the heart. However, PACs are threaded throughthe heart to monitor pressures in the pulmonary artery.  PACs are also known as Swan-Ganz catheters;when you hear someone on TV saying to “float a swan”, they’re talking aboutputting in a PAC. Swans are falling out of favor, and they’re not done so muchin the ER, but they’re worth a mention in any post on CVCs.

The location selected for a central line also will varybased on where the character is injured. For example, a patient with trauma inthe abdomen won’t get a femoral line (an IV in the groin) if there is damagesuspected to the great veins, because the medications or fluids infused maysimply just bleed out of the damaged vessel and into the abdomen.  

Meanwhile, someone with a collapsed lung may actually get a subclavianon the affected side.  That’s because one of the side effects ofplacing a subclavian is the possibility of deflating the lung by causing apneumothorax. If the lung is already deflated, that’s basically a “freebie”.(This was actually a question on my flight medic exam!)

So I hope you really really wanted a 400-word article oncentral lines, because that is what you got!!

If you want to see a video of one being placed in a dummy, check this page right yurr: http://emcrit.org/central-lines/

xoxo, Aunt Scripty

disclaimer    

The Script Medic is supported bygenerous donations on Patreon. Have you considered donating?

[jj0nak]

Do you know if theres any girls in the world cup?

not that i’m aware

[jj0nak]

Hey, so I like and agree with a lot of the stuff you post but you do sound a little harsh. I feel like your criticism of the players as people (excluding the ones who are the worst like xqc, dreamkazper, and xepher and a few other) are kind of unfair. Like they're young adults, they aren't going to be perfect. A lot of them are genuinely trying to be good people and grouping them all up as gross gamer boys feels unfair. Like I haven't heard about Pine being terrible

(i’m gonna post this publicly because it’s an important discussion, but lmk if i should make it private)

i’m not interested in trying to say who’s worse than who, my point is that a big chunk of the people involved in the e-sports scene, both players, casters, analysts, etc:

(1) move in the same questionable circles online - that being reddit, 4chan, alt-right/anti-sjw twitter (see: reinforce, uber, monte, etc), or the korean versions of alt-right 4chan sites (see: pine)

(2) thereby obviously having a completely different life philosophy and view of other people than i think most of us on tumblr do, and especially those of us who are, you know, gay.

(3) many pro players in owl have already been pro players in previous games, notably team fortress 2, and already said really racist things (see: muma, tumblr’s special gay uwu bean)and for the reasons above, i am uncomfortable when people joke about how these people - who have spent a lot of time and energy on either being racist, sexist, and homophobic, or been in the company of racist, sexist, and homophobic people for the past couple of years - being called twinks, lesbian, bears, futch, etc. 

i shouldn’t have to explain further why there’s something weird about using our terms for people who aren’t us (and who probably don’t support us). 

that being said, memes about this aren’t always bad or wrong, and i’ve no hard feelings for the people who’s posted them. it’s not directed to anyone in particular. but it’s an important discussion to have because the community is small, new and importantly: these are real people who see a lot of the stuff people post about them. it’s not the same thing as some super famous global icon whatever. same reason why people shouldn’t ship players (which people did in the tag in the beginning) or write fics about the players (which people did in the beginning). 

again: i might sound harsh but i’m not trying to be mean. 

[1cafezinho]

Hey Wal-Mart actually has Rey dolls now. Like everything from Barbie type dolls to action figures. I was super excited to see them

aaa that's so cool, but in brasil we don’t have wal-mart :/