Photographer Ovidiu Tataru has been in Gaza for nine months working with Doctors Without Borders, and has created a series of photos with women dressed in a superhero cape. “I wanted to give a voice to all the women in Gaza, genuine heroes living in a very difficult context: high unemployment rates, war,
Blue Mosque in Turkey Istanbul
This is a related, follow-on post from yesterday, where I discussed activating your trauma team after transfer from another hospital. What about patients presenting directly to your hospital, but some time after their injury?
Admit it. It’s happened to you. You get paged to a trauma activation, hustle on down to the ED, and get dressed. The patient is calmly and comfortably lying on a cart, staring at you like you’re from Mars. Then you hear the story. He has a grade V spleen injury. But he just got back from CT scan. And his car crash was yesterday!
Is this appropriate? The answer is no! But, as you will see, the answer is not always as obvious as this example. The top thing to keep in mind in triggering a trauma activation appropriately is the reason behind having them in the first place.
The entire purpose of a trauma activation is speed. The assumption must be that your patient is dying and you have to (quickly) prove that they are not. It’s the null hypothesis of trauma.
Trauma teams are designed with certain common features:
- A group of people with a common purpose
- The ability to speed through the exam and bedside procedures via division of labor
- Rapid access to diagnostic studies, like CT scan
- Availability of blood products, if needed
- Immediate access to an OR, if needed
- Recognition in key departments throughout the hospital that a patient may need resources quickly
Every trauma center has trauma activation triage criteria that try to predict which patients will need this kind of speed. Does the patient in the example above need this? NO! He’s already been selected out to do well. Why, he’s practically finished the nonoperative solid organ management protocol on his own at home.
Here are some general rules:
- If the patient meets any of your physiologic and/or anatomic criteria, they are or can be sick. Trigger immediately, regardless of how much time has passed.
- If they meet only mechanism criteria and it’s been more than 6 hours since the event, they probably do not need the fast track.
- If they only meet the “clinician / EMS judgment” criteria, think about what the suspected injuries are based on a quick history and brief exam. Once again, if more than 6 hours have passed and there are no physiologic disturbances, the time for needing a trauma activation is probably past.
If you do decide not to trigger an activation in one of these cases, please let your trauma administrative team (trauma medical director, trauma program manager) know as soon as possible. This may appear to be undertriage as they analyze the admission, and it’s important for them to know the reasoning behind your choice so they can accurately document under- and over-triage.
Related posts:
Source:http://thetraumapro.com/2017/07/06/when-is-it-too-late-to-call-a-trauma-activation-2/
(via nursingisinmyblood)
The full rotation of the Moon as seen by NASA’s Lunar Reconnaissance Orbiter.
she is WHAT? sickening
I’m not even kidding I teared up a lil
mom
(via singofsolace)
(via psych-facts)
“Too many pieces of music finish too long after the end.” - Igor Stravinsky
“I am sure my music has a taste of codfish in it.” - Edvard Grieg
“Never look at the trombones. It only encourages them.” - Richard Strauss
“He’d be better off shovelling snow than scribbling on manuscript paper.” - Richard Strauss on Schoenberg
“I liked your opera. I think I will set it to music.” - Ludvig van Beethoven
“I have written a chorale both sober and suitable. In it I have put everything I know about boredom. I dedicate this to those who do not like me.” - Erik Satie
“ Mr. Wagner has beautiful moments but bad quarters of an hour.” - Gioacchino Rossini
“What a good thing this isn’t music.” - Gioacchino Rossini on Berlioz’s Symphonie Fantastique
“Oh how wonderful, really wonderful opera would be if there were no singers!” - Gioacchino Rossini
“In opera there is always too much singing.” - Claude Debussy
“Bring me coffee before I turn into a goat!” - Johann Sebastian Bach
“Listening to the 5th Symphony of Ralph Vaughan Williams is like staring at a cow for 45 minutes.” - Aaron Copland
“The audience expected something big, something colossal, but they were served instead with some agitated water in a saucer.” - Louis Schnieder on Debussy’s La Mer
“He gives me the impression of being a spoilt child.” - Clara Schumann on Liszt
“What a giftless bastard!” - Pyotr Ilyich Tchaikovsky on Brahms
“Handel is only fourth rate. He is not even interesting.” - Pyotr Ilyich Tchaikovsky
“Bach on the wrong notes” - Sergei Prokofiev on Stravinsky
And, saving the best for last…
“Lick my ass up and down” -Wolfgang Amadeus Mozart
Feel free to add more! (Also please don’t think that I agree with all of these, I am a huge fan of Symphonie Fantastique and La Mer!!)
Omg this is what I’ve been waiting for
(via pianistical)
(via humorduke)
so i saw a post listing films in foreign languages and i thought i could expand on the list a little bit but my addition got so massive i decided to move it to a separate post. this list will focus on my target languages and feature a little bit of french as well just to spice it up.
films are good for several reasons
- usually quite fun
- actually challenging if u watch w/o subtitles and the easiest way to achieve immersion in the privacy of your home
- “productive procrastination”
- might give u cultural insight as well
- or encourage you to learn some history!!!!
i’m really tired of people watching almodóvar and being like uuuuuuhuuuu look the great spanish director and forgetting that not only are there spanish films not directed by almodóvar but also that spanish is spoken in other countries as well and GUESS WHAT they produce cultureok here we go!!!!! im really lazy and my computer is agonizingly slow so i can provide no links. if something interests you search for it et voila
WARNING!!!!! long post
spanish
- magia salvaje - this is an uber cool colombian film showing largely unexplored areas of colombia which
i thinkis the most beautiful country on earth. it was recommended to me independently by a friend from my spanish class and my colombian pen pal gal. from its website: “magia salvaje es la cinta del mundo natural más ambiciosa realizada en el país (…) [realizada en] 85 locaciones y 20 ecosistemas. (…) un tributo a la belleza de colombia“ tl;dr: cool shit u should watch, it’s available on yt- señor ávila - a p good series filmed by the mexican hbo starring tony dalton as an exemplary father and husband that starts working as a paid killer for the mafia, but it’s not all peachy because it affects his personal life and his son gets into some really deep shit. gets a bit grim at times but good nevertheless
- retrato de un comportamiento animal - really cute indie film made in uruguay. an unlikely couple on a trip to brazil. expect nice landscapes and voseo
- relatos salvajes - dark humour from argentina, a series of episodes in which people go absolutely bonkers over the most petty shit and also get p violent when you wouldn’t expect them to be. produced by pedro almodóvar if that serves as any recommendation.
- la historia oficial - another one from argentina. drama. set during the dictatorship and based on true events, follows a family through a period when they would literally tear lil kids from their mothers and drown the parents if they were enemies of the state. watch it
- juana la loca - spanish historical drama about their queen joan the mad
- el laberinto del fauno - can we just, omg, ok, i love that film so much. fantasy, set during the civil war in spain. a little girl discovers this world with monsters and other creatures and it’s scary as shit but she goes through these adventures because she cares for her family. watch itttt
- doce hombres sin piedad - this is the spanish version of the american classic 12 angry men, recorded in 1973. you can watch it on youtube.
- gran hotel - spanish tv series, historical drama sort of downton abbey style. weird shit is happening in this lovely hotel, what do we do??? apparently available on netflix
- como agua para chocolate - cute film “about how life used to be in mexico” (imdb) based on the p famous novel by laura esquivel. lovely colours, romantic love and a lot of nice food
- los diarios de motocicleta - starring gael garcía bernal in an adaptation of che guevara’s memoir in which young che travels the world on his motorbike
- no - ok this is some amazing shit (oscar nomination holaaaa). it’s a chilean film with gael garcía bernal set in the 1980s. in 1988 pinochet held a referendum in which basically if u said “yes” he stayed as te country’s official and lawful leader and if you said “no”, well, he went. the film is about the campaign that sought to get rid of him
- talento de barrio - sorry but i couldn’t omit that one. it has daddy yankee in it, period.
italian
- la dolce vita - please do yourself a favour and watch it
- la grande bellezza - as above. this is my favourite film of all time. look for the soundtrack on yt and you will know why
- il bidone - early fellini follows petty thieves in rome
- il prefetto di ferro - set in the 1920s. giuliano gemma as cesare mori aka the iron prefect who comes to palermo to deal with the gangs. good shit
- ladri di biciclette - directed by vittorio de sica, set in post-ww2 rome, “a masterpiece of italian neorealism” (wiki). a desperate family needs their bicycle to survive
- amarcord - comedy/drama, set in the 1930s. coming-of-age. “Fellini skewers Mussolini’s ludicrous posturings … that <<imprisoned Italians in a perpetual adolescence>> by mockig himself and his fellow villagers in comic scenes tha underline their incapacity to adopt genuine moral responsibility or outgrow foolish sexual fantasies” (wiki). won oscar for foreign language.
- gomorra - tv series based on famed novel by roberto saviano. rival mob clans. good shit
- il vangelo secondo matteo - “trattando in maniera antidogmatica un argomento di carattere religioso, l’opera fece sensazione e scatenò un aspro confronto intelettuale sulla stampa, proseguendo le non sopite polemiche per le accuse di vilipendio della religione” (wiki). three oscar nominations.
- una vita violenta - poor kid in rome attempts to transform his life after leaving prison
- la notte - marcello mastroianni in a study of a deteriorating relationship
- la nostra terra - cute film which is literally my aesthetic aka people working the land. educated guy from bologna comes down south to start a community and sell organic veg he will grow himself. featuring creepy mafia guy freshly released from prison and sneaky southerners
- la mafia uccide solo d’estate - drama but also a comedy fresh from palermo. lil boy observes how the mob influences people’s lives
- il capitale umano - drama. a car accident ties together the lives of two families. people go crazy. great performance by valeria bruni tedeschi
- il rosso e il blu - follows the lives of three school teachers as they get really involved in the fucked up lives of their students. confusing but oddly satisfying
- latin lover - fun comedy of how a famed actor dies leaving behind a shitload of lovers, wives and children who all meet for his funeral.
portuguese
- trash - an AMAZING brazilian film about two favela boys trying to solve a criminal mystery and unearth corruption before an ill-willed police officer gets to them; all thanks to a wallet found in the dumpster they work in. really good cinema with appearances made by rooney mara and martin sheen
- singularidades de uma rapariga loura - modern portuguese film based on a short stories by eça de queirós. a blooming romance meets an unexpected obstacle. spot on aesthetic and cleverly blended cultural references. directed by manoel de oliveira who is THE MAN, check out his ther shit such as the p recent o convento starring john malkovich and catherine deneuve
- saneamento básico - p straightforward but fun brazilian comedy in which a small town community will do anything to raise money to fix their sewer system
this is embarrassingly short i will make a separate post to expandfrench
- farinelli - an AMAZING film based very loosely on the life of the most famous castrato singer, farinelli. loooveeeee
- la religieuse (2013) - a really stuningly made adaptation of denis diderot’s novel about a girl thrown into a convent against her will and desperate to get out who discovers some dark family secrets.
- tom à la ferme - weird indie canadian film with xavier dolan, a gay man travelling to meet his dead boyfriend’s family and terrorised by said’s boyfriend’s horrible brother. more dark family shit for u
- yves saint laurent - nice biographical film with pierre niney
- dans la maison - terrifying and fascinating drama about how one seductive teenager ruins some families. 10/10 would recommend
- les choristes - really good film about how a music teacher transforms the lives of a class of “difficult” boys. set in the 1940s to spice it up
- les liaisons dangereuses (1959) - adaptation of laclos’ classic novel, set in the present day. directed by roger vadim.
that’s it - I hope at least one person finds it interesting/helpful!!!
i once promised a crash course in polish thing and i know i’m delaying it horribly but sometime next week i will prepare a similar post about polish films (if u folks are interested, ofc)POLYGLOT WEEKLY’S REBLOG OF THE WEEK
I feel bad about not following all of my lovely followers back. Unfortunately, I have a tendency to get sucked into social media and not come up for air if my Dashboard is too full. So as a compromise, I decided to add this feature. Once a week, I’ll browse my followers’ blogs to find something pertinent to the blog and reblog it to help spread the love and information.
Some films for your weekend!
(via polyglotweekly)
Art is necessary and needed
(via ugly)
Nayyirah Waheed
(via freshrn)
