rockin good

i am in love with art school graffiti tracer
(there’s a colour breakdown of this piece on my patreon!)

the signs as simcity 3000 news headlines

ARIES: Rockin’ Good Thrash Metal Found To Reverse Aging Process
TAURUS: Sim Offers To Let City Bus Run Him Over For Lifetime Salad Bar Privileges
GEMINI: Swamp Gas Verified To Be Exhalations Of Stars–Movie Stars–Long Passed
CANCER: Local Sim Bill Flopsby Heads County Commission On Snuggles And Hugs
LEO: Rock Star Spotted In Llama Fur Near Casa Del Sticky
VIRGO: Semicolon Declared Sexier Than Comma At Grammarian’s Fete
LIBRA: Lou Turns Away Every Person Who Skips To Her; “They Have No Rhythm,” She Says
SCORPIO: From The Desk Of Wise Guy Sammy: It Is Easier To Get Forgiveness Than Permission
SAGITTARIUS: Sims Everywhere Agree: History Laughs At Many People Who Deserved To Be Laughed At
CAPRICORN: Man Discovers Neighbor Completely Enclosed In Mailbox; Returns Him For Postage
AQUARIUS: 50 Car Pile-Up Results In New City Sculpture
PISCES: Humming Show Tunes Sure Sign Of Poor Motor Skills, Researchers Declare


This was shortly before our walk got cut short by coyotes.

anonymous asked:

I have a question about high temperatures. I know some people tend to run higher temperatures than others. Would it be plausible for a character to run a 104 temperature without having to go to a hospital? Also, what would the procedure be if the temperature rose over 105? Ive done some reading that 105 is in the danger zone for permanent brain damage and febrile seizures (ie your body is basically cooking itself), but i see conflicting information about safe ways to lower the body temperature.

Part 2-Continuing the high temperature question- some say you can put a patient in a cold shower, others say put ice packs around the patients body, but others say this lowers body temperature too quick and sends the patient into shock. Ive even seen a suggestion to pour ethanol over the patient due to the quick evaporative cooling. How do you cool a hot patient down and bring it safely back to a lower body temperature? Thank you and sorry I forgot to put part 1 on the first, its my first ask

Hey nonny! Welcome and congrats on the first ask! 

Temperature variance in human is indeed A Thing, but not to the extent you’re talking about without the presence of a disease state. Basically, something has to be wrong for the body to set the thermostat that high. Most humans run between 96.5 and 99.0*F, with temps over 99 being unusually high. The definition of a “high” fever starts at 103*F, or 39.5*C. 

The “thermostat” I referred to is the hypothalamus, which is essentially how the brain talks to the endocrine system. It’s also how the body sets the temperature. 

A few things can drive the body temperature north, particularly Graves disease and a rockin’ good fever, but there are definitely consequences to the body running hot. For one, the body uses a lot of energy to ramp up the temperature that high. For another, proteins start to work less efficiently. For a third, the body dehydrates pretty quickly at that temperature. The brain also has difficulty functioning – if you’ve ever had the flu you know that you can get very tired, very groggy, have a difficult time understanding words or speaking your mind clearly, and will tend to sleep an awful lot. Mostly, your energy is going straight to your metabolism. 

105*F is a dangerous point. The brain is basically just a sack of proteins, and proteins are temperature-sensitive. Above 105*F they start to lose their shape, a process known as denaturing. Since shape is basically everything, this can get catastrophic fast. But it’s also a demonstration that something is not right with the endocrine system. 

Generally, fevers (ie hyperthermia due to infection) don’t go up to 105. That might happen with meningitis – an infection in the lining of the brain – but it’s much more likely to happen with some kind of toxidrome such as cocaine or amphetamine overdose, or just regular old heat stroke. Thyroid storm can also cause it. 

Neuro symptoms of temperature > 105*F are ataxia (inability to control muscle movements), delirium, coma, seizures, etc. Muscle tissue can also break down and cause renal failure (rhabdomyolosis). 

That temperature needs to get managed, and quickly. 

The goal is to keep the body temp from dropping so far and so fast that the character starts to shiver, but the goal is also to keep them from cooking their brain. There are a few ways to do this. 

An ice water bath is actually a Brilliant Fucking Idea. It’s hard to do in hospital, but it IS doable with $20 of ice, a 7-11, and a bathtub; I’ve heard lectures about a famous NYC hospital that does this for amphetamine overdoses. I believe it’s known as the Bellevue Bath. If they start shivering, it can be controlled with benzodiazepines, particularly midazolam (Versed). 

Other methods: 

  • Cool water on the skin, blow over them with a fan
  • Ice packs in the neck, groin, and armpits (protected by a thin layer of cloth)
  • Infusion of  ice-cold (34*F / 1*C) saline. (Not a common method.) 
  • Gastric lavage: placing an NG tube and pouring cold water in. 
  • Peritoneal lavage: Placing a needle into the peritoneum (abdomen) and infusing cold saline there too. 

These techniques are all appropriate for characters with body temps 105* or greater and any neurological sign, but particularly altered mental status such as drowsiness or coma. 

Hyperthermia below 105*F can be managed with other means, or at least less severe versions of the same means. Cool cloth and evaporation will make someone feel better, but below 105*F, the danger isn’t nearly as severe.

Oh, by the way, fever reducers only reduce body temperature if it’s because of an infection; acetaminophen is ineffective for other causes of hyperthermia. 

I wouldn’t recommend ethanol, as it can be a respiratory irritant for everyone involved. 

I hope this helped! 

xoxo, Aunt Scripty


[Come to Patreon, the land  where the inbox never closes!]

[Maim Your Characters: How Injuries Work in Fiction is now on preorder!]