#GCS 8

[stemlyns]

JC: Intubation for the low GCS tox patient. St Emlyn's

The @stemlyns journal club review of JAMA paper on whether we need to intubate all poisoned patients with a low GCS (

Virchester (the home of St Emlyn’s) is a large conurbation that suffers from many of the issues that affect large urban populations in the western world. One part of that is the large consumption of drugs and alcohol; intentionally, unintentionally, and accidently. Such patients often end up in the emergency department with a low GCS and consequent concerns about the safety of their airway and…

[n64retro]

8 p.m. (Winter) Kenta Nagata Animal Crossing (Nintendo EAD, 2002) Soundtrack Gif by Retro is the Future.

[neos-schlond-poofa]

this zootopia art but it’s ethan mia and rose (and chris)

[separatist-apologist]

Nesta didn’t hear her fathers response, buzzing filling her ears as she took a moment to survey the other men who’d come to join their king. The tallest one had removed the heavy helmet he wore, tucking it beneath one muscular arm and oh, Nesta wished he hadn’t. His face, scarred just at the eyebrow and again across full lips, was perhaps the most beautiful face she’d ever laid eyes on. Not classically, of course—for one, he was far too large. The sconce on the wall across the room was, perhaps, as tall as this man was and the muscle packed on his body spoke to an active life, never mind the twin, curved swords looming over his shoulders.

A light layer of dark stubble graced a perfect jaw while strange, whirling black inked tattoos peeked from beneath the neckline of his armor. She wondered what they meant, what their purpose was. Nesta drank in his slightly crooked nose, likely broken in some battle he’d won and the curved scar across his throat that must have been brutal when he’d first received it. He had his large hands clasped in front of him and when she looked up to take in the color of his eyes—hazel, more green than brown—she found he was grinning at her.

He’d caught her looking at him and wanted her to know it. Nesta immediately looked away, unable to hide the damning flush creeping up her own neck. 

Nesta swore he’d never catch her looking at him again.

[dykrophone]

the 39 clues girlies are having a field day in the notes of a post I made months ago and all I can do is gaze upon them fondly as I remember the most passionate late lover of my life

[ghostclangen]

"hey beau, how's moonclan doing?" well their deputy just got killed by a 16 year old because she kinda disliked him so i'd say not great

[palmettoshitposts]

[bisociallyawkwardandchad]

i watched the one piece live action with my parents! my mom said: "zoro and namis friendship is beautiful :)" my dad said: "that clown is cool as fuck"

[vriskaserketdaily]

I think so many people think vriskas #cool and #popular and #theunderdog because that's like, how she sees herself, and due to the nature of the way homestuck narrates in second person we take what she says at face value because its like were in her head almost, we only know what she shows us whenever shes narrating. but when we take a step back to look objectively shes actually a huge girlfail

i mean yeah vriska being a huge failure is indeed canon

& to me that's what really makes her so compelling and tragic. she just keeps trying and trying and upping the stakes with every successive attempt until the lives of entire universes (and her species' last survivors) are on the line & then she's put down like a sick dog and forcibly removed from the limelight . . .

only for authorial bias to render all that moot even though other more interesting avenues were possible.

i dont even think vriska thinks she's popular---she knows full well that her actions were/are unforgivable and that the majority of her "friend" group despises her or at best tolerates her as a nuisance. she THINKS she wants people to think she's cool, but she also wants people (*cough* aradia, terezi) to punish her the way she thinks she deserves. queen of containing multitudes

[shanghaichicane]

.

would it KILL my roommate to not play loud music/watch tv with the volume up at night when im trying to/getting ready to sleep like. girl you KNOW how thin these walls are

[gatheryepens]

Work schedule got updated and I have another meeting in two weeks

[yueebby]

STOP BEING HORNY IN MY ASKBOX

[saebaragi]

i wake up early so i feel all the feelings before 10AM, my texts on the gc be like:

8 a.m: i had an anxiety attack watching cdrama last night lol

8:30: i'm going to set (friend)'s boss on fire i'm so serious

9 a.m: guys look at my new fish!!! [photo] [video]

9:30: i'm being invalidated!!! on pride month!!! this is illegal!!

10 a.m: anyone's up for taking down the government and capitalism with me at this fine afternoon?

[mainfaggot]

I'm going to commit a crime

[gardenofgods]

[gothic-chicanery]

Trying to figure out if all of my friends don’t care about me and are never going to or am I just being irrational about the situation