vine

Neymar showing some skill during the game against Malaga (29/08/‘15)

small imaginary animal friends

There is a big fluffy lil mouse who transforms guilt over not being able to do things that need to be done, and survivour’s guilt and guilt over not being able to make other people not suffer. This lil gnawer will make sure guilt doesn’t gnaw at us!

There is a little elephant shrew (take a closer look at that snout!) who uses the excellent snout to evaluate if worries are useful or not. It mostly finds them unhelpful, but never worry - it won’t dismiss necessary concerns! The snout has special worry-evaluating snout-senses!  

There is an equally adorable hamster who transforms shame. They’re not ashamed of always munching and hoarding stuff, they don’t even have a concept of being ashamed; while I was trained to feel shame for all my needs, and more. The hamster transforms all kinds of shame, and reminds you that you are. And that is enough.

There is a little hedgehog who guards against triggers. Triggers have a hard time getting through those dense quills and chances are, they won’t affect you. The hedgehog can even eat them if they are small! But if they do get to you, the hedgehog will allow you to curl up and be safe.

The rat, big sibling to guilt-transforming mouse, also transforms guilt. The guilt over things you did wrong or wish you had done better or fear you are doing wrong or will do wrong in the future. Guilt will not make you a better person! But this rat will, together with mouse-friend, by freeing up the energy that is constrained by guilt and enableing you to put it to good use.

traumamonkeys.com
5 myths about Tourniquets.
1. TOURNIQUETS SHOULD ONLY BE USED AS A LAST RESORT. WRONG, dead wrong. This is a dangerous and antiquated approach to trauma. There is an overwhelming amount of substantiated data that dispel this myth. READ MORE..........

1. TOURNIQUETS SHOULD ONLY BE USED AS A LAST RESORT.

This is a dangerous and antiquated approach to trauma. There is an overwhelming amount of substantiated data that dispel this myth. If you’re attending a class and that’s what you are being told, contact us at Trauma Monkeys ASAP and we will find a course in your area that is teaching the current protocols.

In combat zone, Tactical Setting, Active

shooter, dynamic type event a Tourniquet should be the First choice if there is any suspicion that a casualty is bleeding from an extremity. For many years Extremity Hemorrhage was the number one cause of preventable death on the battlefield it has since been surpassed by junctional hemorrhage (armpit, groin, neck).

Significant improvements in training, coupled with the availability of tourniquets have directly resulted in a marked decrease in mortality. Through education and persistence the military has been able to convince all hands to completely change how they view tourniquets. No easy task considering the how many times we have all been told “only as a last resort”.

2. Placing a Tourniquet (TK) equals loss of limb.

The fact is loss of a limb is extremely rare. The risk of hemorrhage far outweighs the minuscule risk of limb damage. The old “Life over limb” adage applies here. There are many well-documentedcases of patients that have had commercial tourniquets in place for greater then eight hours, with no loss of limb. In the cases where their have been a loss of limb(s), they are directly attributable to a gunshot wound, blast injury, shrapnel, fragmentation, high velocity trauma and not as a result of restricted blood flow from tourniquet placement.

3. Belts make great Tourniquets.

This is Utter Nonsense. Belts make terrible tourniquets; it is extremely difficult if not impossible to completely occlude arterial blood flow using a belt. Utilizing a belt and its buckle will never be tight enough and attempting to tighten the belt with a makeshift windlass is problematic due to it’s rigidity. The makeshift windlass would need to be substantial (i.e. leg of a chair) to have any chance of tightening the belt enough. Belts are readily available and certainly work better then nothing, the point here is to promote commercially made Tourniquets or more suitable makeshift tourniquets (cravat / stick) see our article here on improvised Tourniquets.

4. Makeshift Tourniquets are proper Medical equipment.

Using what you have on hand in extremis is not only acceptable its commendable. There are no shortages of great stories of people doing self-aid or acting as a first responder, I prefer First Care Provider, more on this in future posts).  Read more about Brian Ludmer, the schoolteacher shot in the calf in the LAX shooting.  Ludmer crawled to a shop, scrambled into a storage room and shut the door. He found a sweatshirt and tied it around his leg to slow the bleeding.  Key phrase there “Slow the bleeding”, that’s what makeshift tourniquets do, commercially made tourniquets STOP the bleeding. Hospitals, EMS agencies, Fire Departments, and anyone in the business of saving lives is negligent if they are not equipped with commercially made Tourniquets.

This is what the city of Boston had on standby and utilized in the aftermath of the bombing.  It’s surgical tubing, and a pair of hemostats to secure the tubing after wrapping it circumferentially around an extremity. It’s important to note that 100% of these were found to be ineffective tourniquets and had to be converted to a commercial tourniquet. That’s not to say they did not slow the bleeding and contribute to the high survival rate. Please do not think this is a criticism of those brave folks that responded and undoubtedly saved countless lives.  

Boston has since purchased commercial tourniquets and discontinued the tubing policy. When someone is bleeding significantly from an extremity it is hardly the time for arts and crafts. If you are in the business of saving lives then make it your business to have the gear you need to do so.

5. There is a best Tourniquet out there.

Commercial Tourniquets just like any other piece of gear all have advantages and disadvantages, strengths and weakness, pros and cons. They all have subtle nuances and general rules of thumb regarding their use. I’m often asked what tourniquet I recommend, and my answer is always the question “recommend for who, when, and where?” The Tourniquet that works well for a Marine on his body armor, may not be the best choice for someone doing undercover work. The tourniquet I carry on SWAT missions to treat a wounded Police Officer would be a poor choice in a school shooting with expected pediatric patients. The tourniquet I would use in a controlled emergency room setting would be difficult to use in a low light stressful environment.

Tourniquets come in all different shapes, sizes, colors, and accomplish the job in a myriad of ways. As with any other job, task, or mission the sensible answer is to choose the right tool for the job. 

“I hope the rumors are true and skills are gone in Fallout 4, not just because a perk leveling system is much more logical, balanced and less numerical and it also makes the SPECIAL system actually matter, but also because I have a big min-maxing problem, in every Fallout game, I always end up making the same character because my anxiety won’t let me create any character other than the “best” character,I can’t miss anything, it really disrupts my enjoyment of the games.”

Fallout Confessions

4 Reasons You're Much More Qualified For Your Dream Job Than You Think You Are

Here are four reasons why you might be dead wrong about having have “nothing to offer” your dream company:

1. You Have Passion

2. You Have Fresh Ideas

3. You Can Adapt Quickly

4. You Have Real Skills

You’ve got plenty to offer right here, right now. So reach high and go after the position you want. Read more >

Don’t blame conditions - they are flexible. Lack of skills, knowledge or experience should only ignite you! The society and the government also should not be a hindrance for one who knows how to bring weal into the world.

Bureaucracy reminds me a maze. So fuck the formalities and break through its walls in your good intentions! Anarchy should be a clear kind intention. Bring some action into your love story!