#Status Asthmaticus

[naivety]

ohh the sceo bardo parallels go crazy bananas y'all weren't kidding

[bansheenolan]

scott & theo as jesus & judas

"the kiss of judas iscariot" - ignazio jacometti/"ouroboros" (s5e8)/"status asthmaticus" (s5e10)/"the last days of judas iscariot" - stephen adly guirgis/"status asthmaticus"/""status asthmaticus"/"the last days of judas iscariot"/"i'm your man" - mitski/"the morning after: a dialogue between judas iscariot and jesus of nazareth" - ray s. anderson/"the taking of christ" (detail) - caravaggio/"status asthmaticus"/"infinite jest" - david foster wallace

[blackhholes]

Teen Wolf

1x04 Magic Bullet ⎮ 5x10 Status Asthmaticus

[whumpetywhumpwhump]

Posting one of my actual (fandom-related) full fics on here... be nice!!

This is some good ol' intubation whump because it's my favourite.

(for slight context of character, see this old post)

When the call comes in, everybody in the ER is hoping it isn't Coop. Especially Neela.

Severe asthma attack. 26 year old male.

Somehow, because it's his day off and he really ought to be relaxing, it seems almost impossible for him to find himself back in the hospital as a patient. It just… isn't fair.

That doesn't stop the wheels of the gurney from rolling through the doors, though. Doesn't change the fact that Coop is laying half-conscious on top of it, his quick, shallow breaths fogging a nebulizer mask, his skin so pale it looks ashen.

“26 year old male,” the paramedic conducting the transfer restates. “Severe asthma attack with symptoms pointing to onset of status asthmaticus. Albuterol administered, as well as 0.5mg subcutaneous epinephrine, both to minimal effect.”

Dr Lewis, the attending on the case, moves to Coop’s side, slipping the chest piece of her stethoscope underneath his t-shirt as they continue to move into one of the trauma rooms. Her expression, when she withdraws it, is severe.

“His airways are pretty much closed up. He needs more epi now.”

Abby hurries to drag a crash cart in, and Neela follows the gurney all the way until it's positioned in the trauma room, at which point she starts readying an IV kit with shaking hands.

Coop does not look good. Even when compared to the time she almost killed him with epi. At least then he'd been alert, sitting up, and his skin hadn't lost all of its colour like it has now.

Dr Lewis returns from fetching some more equipment, and as she waits for Abby to arrive with the crash cart, she strokes Coop’s hair reassuringly.

“Hang on, sweetheart, we’re going to help you feel better. Just keep breathing for me, okay?”

Through weak wheezes that emerge from blue-tinged lips, Coop nods. His eyelids are heavy with exhaustion.

Neela hasn't seen an asthma attack this severe in person before, but she knows from med school how dangerous they can be- especially when the patient is as tired as Coop is. It isn't clear how long he's been struggling this much to breathe. The colour of his skin (or lack of, for that matter) tells her it's been too long.

If they don't work quickly, his body will run out of energy. He'll stop breathing, too exhausted to even inhale anymore. He'll lose oxygen.

He'll die.

“Neela, I need an IV of 100mg hydrocortisone.”

She turns to find Dr Lewis’ keen gaze on her. There's a thinly veiled panic in the attending’s eyes that quickly disappears as she turns back to Coop, gently trying to reassure him as he fights for air.

“I’m going to page Pratt as well, alright, Coop? He can get you some more albuterol so your nebulizer doesn't dry out.”

Neela can't see whether Coop replies, but if he does, it isn't audible. All she can hear is his terrifying wheeze and the hum of the nebulizer, shortly joined by a rapid beeping as a nurse finally helps him take off his shirt and hooks him up to a monitor. She doesn't dare turn around to look at his oxygen saturation. It's likely going to keep plummeting.

Instead, she focuses on setting up the cannula in Coop’s trembling arm, her left hand holding it steady while her right slides the needle in.

“There we are, Coop.” she murmurs. “You're doing so well, sweetheart.”

The pet name feels stranger coming from her lips than Dr Lewis', but at this point her slight blush is the least of their worries. While Coop’s this sick, it doesn't matter what she calls him. He just needs to start breathing properly again.

Once the IV site has been secured with a clear sticker, Neela measures out the dose of hydrocortisone. 100mg. When they're giving it as a steroid over a longer period of time, they prescribe 20-30mg a day, in two doses. The fact that they're pumping him full of this much at once is testament to just how emergent his case is.

“100mg hydrocortisone going in.” she announces. Connects the needle to the cannula. Pushes down on the plunger of the syringe.

Despite her accumulated knowledge surrounding medication, Neela still half expects the effects to be immediate. For Coop to suddenly relax, his airway opening up again, the colour gradually suffusing his cheeks. For the wheezing to fade as he breathes in properly for the first time in hours.

It doesn't. None of this happens.

Minute by minute, Coop continues to deteriorate. Abby brings in the crash cart. Dr Lewis injects the epinephrine beneath the skin of his forearm and, unlike before, he doesn't even react to the needle. His eyes flicker like his awareness is slipping away from him.

By the time Pratt arrives to switch out Coop’s nebulizer, such a small intervention becomes pointless. Even if Coop were able to breathe properly, time has proven that albuterol, on this occasion, just isn't working. Pratt sets down the new nebulizer and instantly crosses to Coop’s bedside, brow furrowed.

“Coop, man, can I listen to your chest?”

A barely perceptible nod.

When Pratt presses the cold stethoscope against Coop’s heaving chest, it seems more of a confirmatory action than one that's actually necessary. He sighs, shaking his head. Coop, as evidenced by the blue tinge to his lips, his rolling eyes, the pallor of his skin, is officially status asthmaticus.

He's in respiratory failure.

Things suddenly grow a lot more urgent. Pratt gives Lewis a gesture that she reciprocates, and a nurse pulls the crash cart closer to the bed. Neela’s heart sinks just as Abby sinks into position right at Coop’s bedside, crouching next to him as she strokes his hair and updates him.

“Sweetheart, your breathing isn't where we need it to be, okay? You're not getting enough oxygen. We need to put you to sleep for a while… intubate you. Do you understand?”

Coop closes his eyes, humming in assent even as a frightened tear slips down his cheek.

“Ju-just… d-d-do… iiiiit.”

His voice is shot. Weak. Resigned to his fate.

It's the same phrase he used when Abby shocked his heart back into a regular rhythm a few months ago. Back then, though, it had simply been a plea to get things over with.

Now, it seems not only a desperate entreaty, but also a solemn reminder:

I’ve been here before.

Neela knows, just as the other staff do, that Coop’s been super sick a couple of times. He knows what it's like to wake up in the ICU feeling like you're breathing through a straw. He knows what it's like for weeks to pass in the span of a minute.

He knows that when he's tubed, he can breathe, and that’s all that matters.

“We’re going to look after you, sweetheart, I promise.” Abby says, her own eyes a little misty. She brushes the sweat-damp hair from his forehead and squeezes his hand. One of the other nurses adjusts the bed so it's laying flat. The tears, terrified, continue to stream silently down his cheeks.

Abby lifts his hand, pressing an almost motherly kiss to the back of it, while Pratt slots a syringe full of medication into the cannula of his other hand.

“Propofol and some muscle relaxants are going to go in now, man. Just relax and let yourself drift off- we’ve got you.”

As the syringe is pushed, Neela can see Coop’s grip on Abby’s hand loosen. The thick tears decorating his cheeks seem, in themselves, to slow down, the scared expression in his eyes melting away beneath the anaesthetic. He blinks once. Twice.

Gone.

There's something so unnerving about Coop being still. How, as Pratt brushes his index finger underneath Coop’s eyelashes, the latter doesn't stir at all to crack a smile. When Dr Lewis gets into position behind his head and adjusts her patient accordingly, he's limp and movable. Floppy.

“Pratt, can you get that nebulizer off?”

“Sure.”

There are red marks across Coop's face from where the straps of the mask dug into his skin for hours. Now, he doesn't breathe at all. He looks dead. According to the dropping numbers on the monitor, he may as well be dead.

“Laryngoscope.”

“Here. Laryngoscope.”

A nurse places the metal instrument into Dr Lewis' awaiting hand. Her other hand gently tilts Coop’s head back.

“Alright… sliding laryngoscope in… got slight cord visualisation. Tube?”

“Tube.”

Neela watches her angle the endotracheal tube in with bated breath- and for good reason.

“C’mon, Coop.” Lewis murmurs, desperately trying to gain access. “I need to help you breathe, sweetheart. Let me help you breathe.”

Pratt steps up next to her, arms crossed. “Difficult airway?”

“Nearly impossible. Haven't seen this level of inflammation in a long time. Poor guy must have been so incredibly uncomfortable.”

The monitor continues to blare. Coop’s oxygen levels continue to drop.

Abby, still positioned right next to him, stroking his hair even as he lays there unconscious, glances worriedly at the screen.

“His sats aren't looking good.”

Dr Lewis sighs. “Yeah, I know, I'm just trying to- there.”

Her relief is palpable, and Neela knows at once that she’s finally in. She watches the tube slot into place before Lewis inflates the cuff, and Pratt connects everything up to the vent.

“Tube’s misting.” Abby says gently, as everyone begins to relax. “Looks like good placement.”

Pratt pulls his stethoscope out from around his neck.

“I’ll check.”

He moves to Coop's side and checks his breathing, first auscultating the left side of his chest, then the right. It's odd, Neela thinks, to observe how natural his breathing looks now, when only moments ago it was erratic and desperate- but of course, it isn't technically him breathing now at all. They've taken over for him.

After a few more checks with the stethoscope across Coop’s chest and neck, Pratt stands up, slinging the device back around his own neck.

“Bilateral breath sounds. You're in.”

Everyone in the room seems to relax at once, especially when the numbers on the monitor start to creep up to normal.

“Alright,” Dr Lewis breathes, turning to Abby. “Secure it, then we'll get him down to ICU. Keep him on max settings until we know it's safe to start weaning him off."

She moves back, as does Pratt, and Abby stands, giving Coop’s hair one last gentle run through with her fingers before she moves away to fetch the tube holder. Neela's eyes remain fixed on him, though. It's impossible not to when he's so completely still.

“You alright, Neela?” Abby asks gently as she returns a few moments later.

Neela nods. “Yeah, I just… it's so different when you know them. I didn't realise how sick it would make me feel.”

Abby gives her a small reassuring smile, then focuses her attention back on the packaging she's just picked up, tearing it open and pulling out the holder before she starts to peel off the tape on the pads.

“I know what you mean. It's not easy seeing somebody you care about like this, and it's somehow even harder with a person like Coop. He's always smiling, always moving, always there, and now…” She presses the first pad against his cheek gently, thumb brushing against it to secure it. “He's not. He's always there to take care of everybody else, and now…” She applies the other pad, movements just as careful and attentive. “He needs us to take care of him.”

Neela hums affirmatively, watching her secure the tube.

“There's just so much at stake. So much that could go wrong, and nearly did. Maybe it even has.”

Abby finishes, standing up fully again and adjusting things ever so slightly. Coop looks like the other patients in the ICU now, and it makes Neela’s stomach roll with anxiety.

“It isn't easy.” Abby responds. “But that's what the ER’s like, even if it happens with one of our own. It's fast-paced, it's risky, and sometimes the worst happens. Sometimes, we can't easily cure a patient, and we have to hope that they'll fight enough on their own to get through things.”

“Do you think he will? Coop?”

“There are no guarantees, but if anyone's going to, it's him.” She looks down at him with a mixture of affection and admiration. Her thumb strokes along the curve of his jaw. “He just needs to hang on long enough for the inflammation to go down. He just needs to do something which is pretty alien to him, and rest. Let us do some of the heavy lifting for a while until he's strong enough to do it on his own again.”

Neela nods. “He'll get through it.”

Abby smiles. “Exactly. He'll get through it… You’re a tough one, aren't you, sweetheart?” She brushes back some more sweat-damp and unruly hair from his forehead. “Let's get you somewhere you can rest, hm?”

Coop remains still, the only sign he's still there at all being the beeping of the monitor and the fogging of the tube. But somehow, as Neela helps Abby raise the railings of the bed ready for transport, she knows he's going to come out of this.

He always does.

[taiturner]

TRACY STEWART in every episode  ━ 5x10 "Status Asthmaticus"

[princeescaluswords]

I like Stiles as a character, but I often get frustrated by fanon diverging from canon, and the worst of it to me is the ways that Lydia treated by Stiles - as something he deserves, most notably when she kisses Scott and he's angry, which the fandom holds against Scott because apparently Lydia making choices means Scott is a bad friend - or in the scene when Lydia is high after the werewolf attack at the movie rental place, and the only thing that keeps Stiles from doing [something] is that Lydia calls out for Jackson rather than him.

I think Stiles is kind of a jerk, and I like him because of it, but the fanon Stiles used as a weapon to bludgeon canon Scott is... the dumbest thing in the fandom

Have you ever seen the frequent criticism on this site that certain people should have paid more attention in English class? This criticism arises from posts like the one I saw today, where a person was confessing that "people think Stiles is evil because he almost made out with Lydia while she was drugged up." I don't think Stiles is evil for doing that; it sounds like you don't think Stiles is evil. I've never actually heard anyone call him evil for almost giving into temptation. (The closest I've ever come to calling Stiles's evil is his behavior in Lies of Omission (5x09) and Status Asthmaticus (5x10) and I don't even go that far). What we do recognize that what he did in Lydia's bedroom in The Tell (1x05) wasn't the right way to behave.

Stiles's desire for Lydia is real and natural; it was his inability to recognize and respect proper boundaries that almost created a very bad situation. He did pull away when Lydia said Jackson's name; the realization that she was confused about who he was and not secretly attracted to him reminded him that his behavior wouldn't be the fulfillment of his desire but him taking advantage of her. It's a good scene that tells us about Stiles's weaknesses but also about his strengths: beyond the insecurity that leads him to fixate on the most unattainable girl in school and his constant disregard for proper boundaries, Stiles is a fundamentally decent human being.

So why do I, personally, bring up this scene when talking about Teen Wolf a lot? Stiles-stans (who are not really fans of Stiles but fans of Fanon Stiles or, more accurately, Self-Insert with a Stiles Name Tag) like to go on and on about how deficient a person Scott McCall, the lead protagonist, is because he was "obsessed" with Allison and lacrosse. They argue this to say why they 'dislike' him, but what they actually mean is that he shouldn't be the lead protagonist. But they never seem to remember Stiles's behavior when it comes to Lydia (or Derek's behavior when it comes to Paige or Liam's behavior when it comes to Hayden for that matter).

My position -- and I think the production shared this position -- is that Scott's desire to have a girlfriend and make first line on the lacrosse team is real and natural. However, his attempts to avoid recognizing and coping with the consequences of Peter's vicious assault could lead to very bad situations unless he took responsibility. Scott had to learn how to anchor himself -- which he did! He had to make sure he put what was truly important ahead of his relationship with Allison -- which he did!

I have always maintained that Teen Wolf is a bildungsroman, which is a story about children becoming adults. Throughout the series, Scott's growth is primary; he evolves from an asthmatic loser who feels like he sits on the sidelines of life into a True Alpha werewolf leading a war against those who would murder supernatural creatures out of self-interest. But he's not the only one to grow. Allison had her own story; Lydia had her own story; Derek had his own story (one of the best redemption arcs ever); and Stiles had his version of that story!

The problem is that there are a lot of people who didn't watch Teen Wolf as a story, but rather as raw material. They swooped in and picked up the parts that they wanted, like vultures devouring a carcass. They wanted Stiles and <insert white male love interest here> to be the focus of the show, as they were the focus of their interests, but they could do without the part where Stiles struggles to grow up. In response, they selected only the parts that fit their agenda. Thus, Scott becomes dull, obsessive, stupid, with a foolish no-kill rule, and an unearned hostility toward the Hale Family whom he shamelessly usurps, even though none of that description is remotely true. On the other hand, Stiles becomes the should-be valedictorian of his class, a master archmage, and a ruthless anti-hero ready to kill anyone to protect which ever white male character he loves this week, even though none of that description is remotely true.

Fandom, in the name of their own enjoyment, has boiled their understanding of the story down to "I don't like Scott" and "Stiles is not evil!" Nuanced takes like "Stiles had the courage to cross boundaries to protect others but that tendency also led him into some problematic actions" and "Scott didn't start out a heroic protagonist; he only embraced the mantle when he realized that the threats he had to face didn't care that he and his friends were teenagers." become difficult for them to understand and unpleasant for them to process, because they only really want Power Fantasy Stiles and Bad Friend Scott. Those bits and pieces fit into the pre-existing tropes that bring them pleasure. It's the limitations that frustrate them, not Teen Wolf's.

[userlaylivia]

I included 3x12, 5x10 and 6x10 as well because they went on break for a bit after those episodes so they definitely count!!!

@emilyskinners, @piperslovebot, @tudorgirl, @poguelandia, @jessmalia (sorry if you guys can't remember what happens in the episodes lol)

[shkspr]

teen wolf, “status asthmaticus” / the magnus archives, “the last”

[cruxcantare]

So I'm pretending I'm part of the everyone @jemgirl86 tagged

RULES: post the names of all the files in your WIP folder, regardless of how non-descriptive or ridiculous. Let people send you an ask with the title that most intrigues them and then post a little snippet or tell them something about it! and then tag as many people as you have WIPs.

So mine are all... lmao. Anyway, a lot of these are unwatered for long periods of time, so I wouldn't get my hopes up about any of them if you DO ask about these. But I'm down to air out my dead.

Father of the Bride

Ventriloquy 205

Baroque Works AU

Butterflies

Status Asthmaticus 

Stepmom AU

Baker AU

S Equals S

Bad ML AU

UES Brooklyn Swap AU

3+1 Soulmate Marks

Ship in a Bottle

Beacon Hills Swap AU

Yale AU

Sun/Dark

Lost Boys

Crown Prince

Not Brothers AU

TriAU

Tagging anyone who wants to join too!

[jiwelcatecuevas24]

Acute severe asthma, also known as status asthmaticus, is an acute exacerbation of asthma that does not respond to standard treatments of bronchodilators (inhalers) and corticosteroids. Asthma is caused by multiple genes, some having protective effect, with each gene having its own tendency to be influenced by the environment although a genetic link leading to acute severe asthma is still unknown. Symptoms include chest tightness, rapidly progressive dyspnea (shortness of breath), dry cough, use of accessory respiratory muscles, fast and/or labored breathing, and extreme wheezing. It is a life-threatening episode of airway obstruction and is considered a medical emergency. Complications include cardiac and/or respiratory arrest. The increasing prevalence of atopy and asthma remains unexplained but may be due to infection with respiratory viruses. 🫁🫀🧠

Symptoms

Anxiety, panic, laboring to breath, tightened neck and chest muscles, difficulty performing normal daily activities. 🥹

[xproskeith]

Studying for the CCRN exam and I'm reviewing Status Asthmaticus and I can't help but think about the Teen Wolf episode of the same name.

[naivety]

hitting play on status asthmaticus please pray 4 me

[shrutisingh21]

Ram Krishna Hospital in Patna stands out for its dedicated and comprehensive approach to managing status asthmaticus. Through advanced medical interventions, a multidisciplinary team, and a focus on patient education, the hospital ensures that patients receive the highest quality of care, aiming for quick recovery and long-term asthma control. Visit RKCH’s official website to know more about Asthmaticus Treatment In Patna.

[usmedilife12health]

What is SERETIDE Accuhaler used for?

Seretide 50/100 Accuhaler is a combination of Fluticasone Propionate and Salmeterol.

It is used in the Asthma treatment , a respiratory condition that causes narrowing of the airways and breathing difficulty.

It works by relaxing and widening the muscles in your airways.

Seretide 50/100 Accuhaler may cause some side effects like sore throat, cough, headache, and hoarseness of voice.

Inform your doctor if these side effects persist or become severe. Seretide 50/100 Accuhaler should be used in the dose and duration advised by your doctor.

For ease of remembering, use it around the same time every day.

Even if you see an improvement in your condition, do not stop using it. If you discontinue the use of this medicine early, your symptoms may reoccur.

It should not be used to relieve asthma attacks that have already begun.

Seretide 50/100 Accuhaler should be avoided if you are allergic to it.

Inform your doctor if you have liver or heart problems, diabetes, active infections, or any other medical conditions before starting the treatment.

Seretide 50/100 Accuhaler is not recommended for use in children below four years of age.

Consult your doctor if you are pregnant, planning a pregnancy, or are breastfeeding.

Side effects

Major & minor side effects for Seretide 50/100 Accuhaler

Blurred vision

Cough

Fever

Nausea

Headache

Runny nose

Muscle pain

White patches in the mouth or on the tongue

Sore throat and hoarseness

Uses of Seretide 50/100 Accuhaler

What is it prescribed for?

 Asthma is a condition that causes narrowing of the airways with excessive mucous production, leading to breathing difficulty. Seretide 50/100 Accuhaler is used in the management of asthma.

When not to use?

Allergy

Avoid using Seretide 50/100 Accuhaler if you are allergic to it. Seek immediate medical attention if you notice any symptoms such as skin rash, itching/swelling (of your face/tongue/throat), breathing difficulty, etc.

Status asthmaticus

Status asthmaticus is a severe form of asthma that is sudden and does not respond to standard treatments.

These attacks can last for several minutes or even hours. Seretide 50/100 Accuhaler is not recommended for use if you have status asthmaticus as it is not effective in treating this condition.

[mrsballlegs]

The county coroner who did not do a full autopsy tried to say my mom must have had status asthmaticus bc she had a history of asthma, but he also fabricated a claim that she texted me complaining of shortness of breath. She had minimal asthma symptoms in recent years never needed her inhaler in years only had issues if there was a major environmental trigger. But the only thing the private autopsy found was a lot of bleeding under the scalp but a totally normal brain…. Her best guess is that the bleeding from the scalp went into the neck and compressed the airway but that just seems so outlandish also. Like in either of those scenarios how could she not get to the phone and why did she fall in the first place. No one is ever going to be able to tell me why this happened.