So it depends on the setting and patient. Kids tend to have respiratory causes of cardiac arrest so the focus is more on airway management and positive pressure ventilation. Kids don’t generally code just out of nowhere like say a 90 year old might keel over. There’s usually a specific cause and if you can correct that cause they will rebound.

As for adults it’s about the setting. Outside of the hospital we should be teaching cpr only. Especially for lay people. It gets too complicated and they’re too stressed out to remember 30 and 2, 15 and 2. Plus most people have a reserve of air in their airway and lungs that gets circulated with compressions so focusing too much on trying to get breaths in causes too many delays and confusion.

Now for ems you can debate whether they should do cpr only with a non rebreather, a bls airway and bagging, a biad, or a definitive airway. It hugely depends on your protocols, provider availability, and who the patient is.

In hospital we are almost always going to secure the airway during a code to remove that from the equation. We have the resources and it can be done relatively quickly without the need to delay cpr for more than a pulse check in many cases.

So I’ve done lots of cpr. First off it’s kind of a misconception that you’ll break ribs from cpr. You are more likely to break cartilage than actually break bones and appropriate cpr isn’t going to break bones unless they’re the smallest most frail person and the individual doing cpr is going crazy doing compressions.

Even if you break ribs you’re probably not going to have a displaced rib fracture as there’s muscles and tissue holding those bones in place, it’s pretty rare to have ribs break so bad they risk puncturing organs and it usually involves catastrophic trauma, not what you get from cpr.

The bigger criticism against Rockstar is as they swing for the fences they’re building the framework to effectively heard western children in like cattle so they can milk them for a generation using their online service.

I can’t wait for the collaboration with Fannie Mae where your 26 percent interest rate comes with 50000 shark card points.

Rdr2 was insane. Red dead online was a massive dud. The single player game was amazing, the scope was massive and they delivered in a great way. But yes it failed big time for them. But I still love it. And gta has delivered consistently. As soon as I see a major dud I’ll call them on it, but they just haven’t missed.

Rockstar has delivered consistently and set new standards far more than Bethesda. I love Bethesda but I’ve learned over the years that you can’t trust Todd. I held off on starfield and was right. I got bamboozled by fallout 76.

You can disagree with certain decisions by Rockstar but you can’t deny the track record. They get it done.

You’re right we don’t have the full picture but after 30 years of gaming hype I can tell you theyre shooting for the moon here. And if any developer will successfully stick the landing it’s Rockstar.

Who knows how they will approach this. It’s clear they’re going to an even higher level of detail and a more living world. It appears to be a move to up things to the next level which is exactly what we have gotten with basically every gta game.

All I know for sure is my graphics card just committed suicide after watching this trailer

I’ve really enjoyed it while traveling. It real nice being able to throw some PlayStation controllers in my bag and having an instant console wherever I go. Every hotel ever will have some kind of hdmi cord running into a tv that you can hijack and plug it in. Don’t have to Fuck around with the switch dock system.

Hell you can cast from the steam deck straight to a tv if you want. I won’t lie, it didn’t run that great, but I bet I could tweak it and get it to work better.

I don’t know why this small detail was my favorite but it is. Theoretically you can use the xreals and do that with most devices but only the steam deck can do it without any added steps.

The thing about the steam deck is it opens up pc gaming to places other than in front of your pc. And there’s been next to no opportunity to do that unless you consider cooking your genitals with a gaming laptop to be an enjoyable experience.

I’ve got a nice tv room that was getting wasted because if I wanted to game I had to sit in my office. I’ve been able to be way more mobile within my house. I can stop a game on the pc and pretty easily restart it on the deck. While that’s not a new thing I do think steam cloud saves are unrivaled in functionality and ease of use.

If you’re on the fence about the steam deck. Get it. I’d be the first to say it’s not worth it and trust me im a guy that knows how to waste money on stupid shit (case and point I bought xreal airs). But I’ve never regretted the steam deck.

It’s been the best handheld I’ve ever had hands down. The sheer volume of verified games and the versatility of the device are unrivaled. I’ve been able to put it in so many configurations and customize its use to what I need. I bought a wireless kb and mouse and a usb dongle to run everything into it and I’ve even gotten some xreal airs and can play with the projected screen and it works great. The best part? If I put them on and get in bed it allows you to play games while lying completely flat . That might not sound like it matters. But you cannot do that with any other device. You gotta turn your head or prop yourself up to play. It is peak laziness. And I live for it.

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I watched a little bit. Just another bitch who is caught in a world of shit and there just aren’t enough my pillows to unfuck the situation.

Let them all eat shit.

I just don’t think the steam deck is going to be able to handle this game. Baldurs Gate 3 is certified playable and they did a great job making it a seamless experience but it’s obvious that the system strains in anywhere but the most sparse locations.

The steam deck just isn’t meant to play all the AAA next gen ray traced games and nobody should expect it to do so. It already goes further than any handheld on the market, I don’t need it to play starfield. I need it to play cult of the lamb really well. And it does. And I love it.

If you press the left joystick I believe it puts it to pointer mode.

It actually works pretty good. You have to cut the settings down a bit and honestly playing on pc is easier but to the devs credit they totally got it playable and even modified the game so you use a scroll wheel system for selecting spells. I suspect that’s how the ps5 version will operate.

I opted to finish the game on pc but now that I’m done I don’t mind playing it casually on the deck.

Why are you doing this to me. I just finished baldurs gate 3. I’m starting the fall semester I’m gonna end up failing my classes!

He likes to pretend that he’s some Roman emperor god amongst mortals and we are all his playthings. If he were alive in Roman times who knows, he might have been a solid Nero but this is modern times. I suspect if we could see the tweets that historical figures would write we would have a hugely different perspective on them. Many people we hold in high regard were equal levels of dickhead. Unfortunately for him we got to see who he really is and you can’t rehab that image. All he had to do was shut the fuck up and play with his rockets. Instead he will only be remembered as a snowflake right wing troll. Nothing more.

It’s much improved now and for a discount it’s worth playing I’d say, but when it came out it was total garbage. Never mind the fact that it barely worked, the whole concept of a story built around audio recordings and reading text was a disaster. They had to explain why you never saw anyone so you spend the first part of it following a character but always just missing them getting messages like ‘hey I had to run but it’s cool just meet me at x location’ then repeating it once you get there.

I get what they were trying to do but it just failed to come together.

Excessive pooping was also acknowledged to have an increased risk as well, although it was mild.

One thing we are discovering is just how much your GI health is related to your cognitive and mental health.

Do yourself a favor and get some psyllium husk. Don’t overdo it with the stuff , take it once daily to start, but it will make it so you don’t have to go multiple times a day. Also it’s good for you.

Reduced censorship, so long as what you’re posting paints musk in a positive light, doesn’t upset him, and so long as it’s mostly racist.

Reduced censorship. Lol. No man, just no.