#sao2

[maguro13-2]

Delivery Man : Delivery from Amazon.

Kirito : Amazon? I didn't order any package. I thought I ordered the Kung Pao Chicken with a side of soup. But this will do.

Delivery Man : Have a nice day.

(Closes door)

Kirito : Alright. My new Playstation has arrived!

(opens box to sees something)

Kirito : Hey, where's my Playstation?

(an arm comes out of the box)

Kirito : (yelps) Whuh?...

??? : Hello? Kirito is that you? Thank goodness I have arrived at your house! Now please get me out of this box, so that I can find some proper clothes to wear and--

Kirito : Woah! A Giant talking box with a human arm! Die you evil box!

*WHACK*

Alice : Ow! Kirito! Watch where you hitting with that broom!

Kirito : Alice? Why are you not wearing clothes...in the box?

Alice : I was shipped by Amazon. Good thing they come in travel sizes with any suspicious packages.

Kirito : Oh, now I see what's going on. How can you barely fit in that thing?

Alice : Just needed a little ride. After all, I was downloaded from data, from where?...

Kirito : It's because I rented for free.

Alice : No I was made from the help of that is Lain Iwakura.

Kirito : Who's Lain Iwakura?

Alice : You know, that 14-year old computer wizard who does stuff on the net, she's a popular one that knows about computers and wires.

Kirito : Yeah, same old, same old. Plus, she's a an intellectual in cases of many internet stuff, but just to remind you, the internet is full of secrets and you might not like it, cause it's a bad sign.

Alice : I know that. Just please get me out of this.

Kirito : Alright.

(Alice gets up from the box)

Kirito : Holy cow, you're real, hot, and even indecency.

Alice : That's because I forgot to put on some pants and clothes. And you are right, I am kinda hot. Don't say I warned you about not wearing any clothes and going full naked in publicity. It's a crime in the real world.

Kirito : Mind if I can take a look at it?

*SMACK*

Kirito : Ow!

Alice : And keep your mitts of my hot bod, but you may touch it once, and no groping!

Kirito : Welcome to my world. I'm glad that Alicization is over, I can't still figured it out why was I in a coma. Oh that's right...

Kirito : I had dream of a harem in the world of Arabian Nights.

Alice : With the Seven Rings in Hand?

Kirito : You're right, they always do that. So, no taking advantage of me, eh? I bet you're too corny for once of a life-time meal.

Alice : Don't speak it like that.

Kirito : So...I'm still worried with my order, I ordered a Playstation instead of ordering Kung Pao Chicken with a side of soup.

Alice : That was lunch, also...I was the one who ordered it, which is my food.

Kirito : Well that's a downer.

Alice : Since I'm gonna be in the real world, I have something for you.

Kirito : Oh, you have something that I was not be appreciated with kindness, hopefully, I got all the respect I needed to make people regret.

Alice: No, but this came in hand. (holds out a Playstation 5)

*Sonic 3 1-up jingle*

Kirito : MY VERY OWN PLAYSTATION! It's finally here! Where did you get it!?

Alice : Well...there's one place that I founded in America.

Kirito : Where would you even get a Playstation 5 from?

"Meanwhile in Maryland USA..."

Me : Where did I put my Playstation 5 that I never used it?

(pans back to Japan)

Kirito : This is sweet! I'm gonna be pro when everyone sees me playing cool games! But on terms of it, does this one have playstation vue?

Alice : Sure, it's got plenty of entertainment!

Kirito : Sweet! Hey, guys! Got me a new Playstation. Also, get this girl some clothes, she's naked in the house!

Suguha : Aw yeah! Sweet! I'm ready for some Playstation!

Alice : Looks like my work here is done. Also, I really need to get off the Zenra in Japan. My body is too hot for this. I wonder how the others are doing fine?

*meanwhile in heaven*

All : (indistinctly in chatter)

Eugeo : (sighs) Every dog has it's days, one of these days. Whatever you do, don't trust anyone in cyberspace. This is fine by me.

Sachi : Hey, could you lend us a hand? I would like a few words to prove to you, that I'm gonna be a Christmas angel when I arrive to his house.

Eugeo : Here we go again.

(Iris shot)

*cues NSMB Game Over*

(Iris out)

[findthebae]

Let me try again - Hello ! Shino Asada / Sinon - source Sword Art Online II. semi canon divergent fictionkin. I miss my friends and hoping + trying to find the confidence to reconnect. I am an adult, so +18 preferably. Interact and I'll reach out. I'm more lonely than I like to admit.

! ! !

[drivemysoul]

i'm so fucking tired

[heyyallitsbeth]

so i let the hyperfixation win.

over the past several hours i rewatched Sword Art Online and SAO 2.

(this time dubbed, last time i watched it subbed)

here are my thoughts:

-anyone who said the dub was bad is just wrong. Kirito's VA really shines in the more comedic or sweet moments (like when first meeting Yui), he reminds me of like a Peter Parker. and oh my lord, the breakdown by Suguha's VA was just a masterpiece. Still have chills from watching it.

-i have such a big appreciation for every character. This time it really shined through how good of characters Kirito, Asuna, and Suguha actually are.

Kirito's internal conflict throughout SAO2 is so good, grappling with their actions they needed to take in SAO to survive. and throughout all of it you can tell how much they truly loves their friends and family, and how kind hearted they really are. Asuna definitely fits into that role as well, being so ready to take care of Yui and so desperately wanting her to be safe and loved and cared for.

And oh my gosh Suguha. I remember people absolutely hated her arc because it is problematic, but the fact is, it's played entirely serious, her feelings arent taken as a joke. She has a genuine and real internal struggle for feeling things she feels she shouldnt, and how she feels those feelings arent reciprocated or cant be reciprocated, and having her heart broken twice by someone who she loves and someone who also does still genuinely love her. Its absolutely heartbreaking to watch.

Man, Sinon is still fantastic. She's still my absolute favorite, and I think she is one of the best characters in the show, and pretty much steals the show from her introduction. Her arc ties in so seamlessly with Kirito's and how they help eachother heal and grow is fantastic. Only complaint is we never got a scene of the rest of the Gals being jealous about the grenade hug she gave Kirito. After Kirito and Sinon nearly died, wouldve been some nice relief so you didnt feel like you yourself were dying.

-Speaking of, while there was definitely a ton of fanservice, the pseudo-harem aspect with the jokes were kinda cute, between characters seeing flirting happen around them, getting embarassed over it, its fun. Especially when people got jealous of Sinon flirting with Kirito over Excalibur. That part was very fun, since they did that infront of everyone else, almost like they were trying to get a rise out of them. Theyre not exactly the pinnacle of comedy, its definitely a trope, but theres something nostalgic about it that makes it kinda enjoyable.

-Speaking of the psuedo-harem, guys if all of you are constantly flirting with eachother (not just Kirito surprisingly, happens between the other girls frequently) and jealous of any affection with that, just start a polycule. You're a group of gamer girls playing MMOs together and all of you have slept in the same bed with eachother. Stop snipping at eachother and start dating eachother. Polyamory is pretty cool. Kirito and Asuna can still be the main duo and be the parents to Yui and Strea; but yall gotta work on the jealousy or just do what every other group of girl gamers does, polyamory. Lisbeth you should not be angrily drinking while watching Kirito and Asuna talk. (this is mostly a joke, im not actually saying they *have* to do a polycule, its more of a joke because of how tropey a lot of the flirting and jealousy is, and yknow, gay girls do polyamory, so dont take this part toooooo seriously.)

-Speaking of girls dating girls, the LGBT rep aint half bad. Argo canonically using both male and female pronouns is really cool! Most of the girls flirt with eachother a lot too, which is nice. Between the female avatar, the willingness to pretend to be a girl, the introversion, the desire to be an avatar in a virtual world more than irl, Kirito might be transgender. All good stuff here.

Overall, SAO is honestly way better than I remembered, even if some parts definitely show its age. You gotta piece it together a little bit with headcanons, but i do that with every show, nothing is perfect. Except Sinon. And a world where trans Kirito is canon. Those are perfect.

[uwukillmenowowo]

Welcome to my Paradise~! [Requests are Open!]

Hello~! My name is Kumon but feel free to call me Kumo or K.

My pronouns are She/Her + They/Them I do drawings, stories, and X Reader requests [Mostly Drawings lol]

Others if requested~

Rules/Information on this blog:

I Will write/Draw for✔️

Anything SFW

Fluff

Comfort

Angst

Yandere

Male/Female/Gendernutral [Mc]

Headcanons

I WILL NOT write for❌

ANYTHING NSFW

Pregnancy

Blood/Gore [Depending in the request]

MASTERLIST: Masterlist of Paradise

Wattpad Account: Kumon

Quotev Account: Kumon

Instagram Account: thatartist_Kumon

Twitter/X Account: Kumon_Tracer

Discord: Discord

Below here are fandoms that I will be willing to write/draw for :D

[Warning: It will be a long list ._.]

[Games]

Disney Twisted Wonderland

Tokyo Debunker

Ensemble Stars Music

Cookie Run Kingdom

No Straight Roads

Hollow Knight

Just Shapes and Beats

Undertale and Au's

Deltarune

Little Nightmares/2/Very Little Nightmares

FNAF

Friday Night Funkin' and mods

Cuphead

BATIM

Soul Knight [Characters will be based on my OC’s]

Yandere Simulator

Obey Me: One Master To Rule Them All

Elsword 

Danganronpa THH/DR2:GD/DR:KH

Ayakashi: Romance Reborn

Just Shapes and Beats

Hatsune Miku: CS

Poppy Playtime-

DDLC

Subnautica

Pokemon [Any game]

TLOZ and others

Andy's Apple Farm

     [Anime/Manga]

Land of the Lustrous

Puella Magi: Madoka Magica

Madoka Magica: Rebellion

Death Parade

Spy X Family

The Aristocrat's Otherworldly Adventure: Serving Gods Who Go Too Far

Nanbaka

To Your Eternity

No Game No Life

Jujutsu Kaisen

Kimetsu No Yaiba

Vampire Knight

Magical Girl Site

The Devil is a Part-Timer

Assassination Classroom

Danganronpa

Hunter X Hunter

Black Butler

Naruto/Naruto Shippuden

Fairytail

Attack On Titan

My Hero Academia

Ouran High School Host Club

Demon Slayer/Kimetsu No Yaiba

One Punch Man

The Disastrous Life of Saiki K.

Death Note

SAO/SAO2/GGO/GGOA/SAOA

Oshi No Ko

Villainess Level 99: I May Be the Hidden Boss But I'm No tthe Demon Lord

Mashle: Magic and Muscles

   [Manhwa/Webtoon]

Revenge Of The Iron Blooded Sowrd Hound

Unordinary

I'm the Grim Reaper

Return of The 8th Class Mage

The max-level player's 100th regression

     [T.V Series]

Yokai Watch

Digimon: Digital Monsters

Beyblade Metal Fusion

Lego Legends of Chima

Yu-Gi-Oh

Lego Ninjago

South park

Lego Nexo Knights

Transformers/Prime

    

 [Others]

Dream SMP

Countryhumans

Vocaloid

Disney movies??

Splatoon [Coroika]

The Amazing Digital Circus

[perfectsystemdx]

some fucked up transfem kirito thoughts (warning for mentions of what happens at the end of sao2, as well as just, spoilers for sao2 and alicization/war of underworld)

[ni4tian1]

Subjective

HPI: Pt is a _ yo M/F with a significant PMHx of _, p/w _. PMHx: PSHx: Meds: All: FHx: SocHx: ROS (pertinent):

Objective

BP | Pulse | RR | Temp | SaO2 Gen: WDWN NAD, well-appearing, alert, interactive CV: RRR, nl S1/S2, no MRG Pulm: Nl respiratory effort, no wheezing rhonchi or rales, CTAB Abd: Soft, ND/NT, NBS, no masses Ext: Nl tone and ROM, no CCE

Assessment

Differential Diagnosis (prioritized):

Primary Dx:

Supporting findings:

Secondary Dx:

Supporting findings:

Tertiary Dx:

Supporting findings:

Plan

Diagnostic Testing:

Labs: CBC, BMP, etc.

[natb00]

Cx general.

Francelis, 35 años.

MC: "dolor".

EA: paciente de 35 años, quien consulta por cuadro clinico de un mes de evolución consistente en dolor tipo colico en hipocondrio derecho que se irradia a todo el hemiabdomen derecho, desde hace 4 días con exacerbación del dolor, que mejora parcialmente con la analgesia, sin resolución completa, la exacerbación se acompaña de 3 episodios emeticos, niega presencia picos febriles, deposiciones presentes sin alteraciones.

RxS: refiere ardor al orinar, sin otros sintomas asociados. Flujo vaginal usual, sin olor fétido, ni prurito vaginal.

Antecedentes personales: Patológicos: gastritis (en manejo con esomeprazol 20 mg / 24 horas). Alergicos: niega. Qx: tubectomía.

EF: PA102/68, FC 66, SaO2 95%. Paciente en buenas condiciones generales, estable hemodinamicamente, orientada, colaborador al momento de la evaluación. Mucosas hidratadas, anictericas. Abdomen blando, depresible, leve dolor a la palpación de hipocondrio derecho y fosa iliaca derecha, Murphy negativo, sin signos de irritación peritoneal. Extremidades sin edema.

Paraclinicos: 27/08/2023: Cr 0. 83, PCR 0. 47, PIE negativa, Hb 12. 5, Hto 36. 4, Plaq 348. 000. Leucos 10400, Neu 5855. ALT 24, AST 19, Btotal 0. 33, Bdirecta 0. 12, FA 76, GGT 24. **Gram de orina negativo, citoquimico de orina d1005, ph 7, estearasas leucocitarias negativas, bacterias ausentes.

Imágenes: 27/08/2023: ECO de abdomen superior: Vesicula distendida, con movilidad escasa engrosamiento mural difuso hasta 6 mm, Murphy ecográfico dudoso. Via biliar sin dilatación. Conclusión: colelitiasis, con signos de colecistitis aguda, via biliar normal. 27/08/2023: TAC de abdomen con contraste: vesicula biliar distendida con múltiples imágenes heterogéneas hipodensas centrales y parcialmente calcificadas de hasta 9 mm, una de ellas localizada del cuello, engrosamiento mural y liquido perivesicular laminar, no signos de gas / colecciones adyacentes. Conclusión: Colelitiasis, con signos de colecistitis aguda, no perforada.

Diagnósticos activos después de la nota Diagnóstico principal - CALCULO DE LA VESICULA BILIAR CON COLECISTITIS AGUDA (En Estudio).

Análisis y Plan de manejo: Paciente de 35 años, con AP de gastritis en manejo con IBP, consulta por cuadro clinico de 1 mes de evolución consistente en dolor tipo colico que inicia en epigastrio y se irradia a todo hemiabdomen derecho, predominante en fosa iliaca izquierda. El ingreso cuadro clinico sugestivo de apendicitis, sin embargo RFA normales, ordenan TAC en la cual se encuentran hallazgos sugestvos de colecistitis subaguda calculosa, sin apendicitis, ordenan ecografía que confirma sospecha diagnostica, sin hallazgos de via biliar dilatada, perfil hepatico del ingreso sin alteraciones. En el momento paciente estable hemodinamicamente, afebril, dolor a la palpación de hipocondrio derecho. Se empezará cubrimiento AB y se definirá conducta qx.

Dx:

Colecistitis subaguda calculosa. *Tokyo II (por tiempo de evolución). *Bajo riesgo de coledocolitiasis.

Información durante la estancia ¿A quién se informa?: Paciente Se brinda información sobre: No aplica. Firmado por: NATALY ESTHER BOHORQUEZ RUBIO, INTERNO(A), Registro N/A, CC 1192896506

[mcatmemoranda]

Post Cardiac Arrest Care:

If not already done, place an endotracheal tube. If an endotracheal tube is already in place, confirm proper position and patency. Start ventilations at a rate of 10 breaths per minute and adjust as necessary to keep carbon dioxide levels in physiologic range (PaCO2 between 35 and 45 mmHg or monitored using ETCO2) unless another target is clinically indicated. Provide 100% oxygen (FiO2 1.0) until the oxygen saturation can be measured, an arterial blood gas is obtained or both, and then provide the minimal level of oxygen needed to maintain an SaO2 of 94% to 99% and (if obtained) a PaO2 in the physiologic range. Continuously monitor the patient using capnography and pulse oximetry and, as available, PaCO2 and PaO2 to ensure ventilation and oxygenation levels are in the physiologic range.

To ensure the best outcome, perfusion must be adequate and maintained. Blood pressure can be extremely labile during the post–cardiac arrest period. As such hypotension should be treated aggressively. Current recommendations are to target a minimum systolic blood pressure of 90 mmHg or a mean arterial pressure (MAP) of 65 mmHg.

Initially treat hypotension with a 1- to 2-L intravenous (IV) isotonic crystalloid fluid bolus. If the patient fails to respond to fluid, consider starting an IV vasopressor infusion with epinephrine (2–10 mcg/min), dopamine (5–20 mcg/kg/min) or norepinephrine (0.1–0.5 mcg/kg/min). The choice of agent is based on the clinical situation. Once therapy is initiated, the drug infusion rate can be titrated according to hemodynamic parameters and physical examination findings.

Obtain a 12-lead ECG expediently. As time and resources permit, obtain a medical history and complete focused physical and neurologic examinations. Maintain euglycemia and identify treatable underlying causes (including Hs and Ts).

Addressing ST-segment elevation myocardial infarction (STEMI) and non–ST-segment elevation acute coronary syndromes (NSTE-ACS) and providing mechanical cardiac support if needed may improve neurological outcomes. Consider the need for emergent cardiac interventions such as reperfusion therapy and mechanical circulatory support and obtain a cardiology consultation. Patients with STEMI require immediate reperfusion therapy with percutaneous coronary intervention (PCI), fibrinolytic therapy or both. Emergency coronary angiography is recommended for all patients, awake or comatose, who have ECG and laboratory findings suggestive of acute myocardial infarction. Both reperfusion therapy and mechanical circulatory support can be initiated in patients who are comatose and concurrently with targeted temperature management (TTM).

Targeted temperature management (TTM; a neuroprotective intervention that involves lowering and maintaining the core body temperature in the range of 32° C to 36° C for a period of at least 24 hours.) may reduce global oxygen demand and improve overall outcomes after cardiac arrest and should be considered for patients who remain comatose after ROSC (as indicated by an inability to follow verbal commands).

In TTM, a target temperature between 32° C (89.6° F) and 36° C (96.8° F) is established, the patient’s body temperature is maintained at the targeted temperature for at least 24 hours, and then the patient's body temperature is slowly brought back up at a rate of 0.25° C per hour. Various methods of inducing hypothermia may be used, including administering an ice-cold IV fluid bolus (30 mL/kg), using endovascular catheters or applying surface cooling strategies (e.g., cooling blankets, ice packs).

The patient’s core body temperature should be continuously monitored throughout therapy using an esophageal, rectal or bladder core temperature monitoring device.

Other measures for promoting neurologic recovery in patients who remain comatose following cardiac arrest include obtaining brain imaging and establishing continuous EEG monitoring to help identify seizures that might not be detected by other clinical parameters. Seizures or epileptiform activity on EEG occur in approximately 20% to 30% of comatose patients in the post–cardiac arrest period. If detected, post–cardiac arrest seizures must be treated; however, anticonvulsants should not be used prophylactically during the post–cardiac arrest period.

[lesser-mook]

writing wise, SAO II is mid, but the overall aesthetic of the Holo-UI animations, i like. Pretty cool

#swordartonline (SAO2 ep5)

[perfectsystemdx]

okay, this is as good a time as any

ive been meaning to write this post for months now but i couldn't figure out where to start

yeah, sinon is lesbian-coded. let's start there

it's not just that she sometimes acts like she is into women, reki pulls from romance light novels for character writing sometimes (very common talking point, this is vibes-based but a lot of people have this takeaway), and sinon acts fundamentally different from other sao women

she acts like she's from a yuri light novel, and i think i have evidence for why.

so, i will be making the assertion that sinon and kirito are an attempt at "a yuri dynamic without abandoning the male protagonist"

this, and my perception of sinon as more yuri-influenced than other characters, is because at the time, reki kawahara was grappling with the nature of how his stories perceived gender, and looked to yuri for inspiration.

this isn't necessarily a bad idea, but it creates a lot of genderfuck, kind of intentionally, kind of unintentionally. the outward facing perception of the protagonist's gender changes, so how do they change and how does the world around them change? already just the themes and questions raised by a genderbend narrative

and yet... it's not perceived as a binary flip, it's a floaty, confusing break from the status quo. to serve the purpose of forming the same themes as a yuri novel would have

as a queer narrative would.

reki kawahara used yuri as an inspiration and genderfuck as a more thematically interesting (and admittedly brand-consistent) means to an end, and thus, with the questions raised and the viewer's mind left to fill in the gaps further than the publisher would ever allow regardless...

sinon is a lesbian, and kirito is transgender.

now, uh

some counterarguments?

yeah that interview i referenced was a while after sao2 was written

my thought process is that this was probably subconsciously a thing for a while and he just wasn't prompted to talk about it but i could be hopelessly wrong about that

frankly i don't live in the guy's head i just think it's interesting to think about how the hell we got such a genderfucked protag and an arc that is such a contrast from the rest of the series in terms of character writing and i always find it interesting that sinon feels even more essential to this seemingly unintended queer narrative than kirito

SINON CLOSETED GIRL LIKER REAL

[sriananya768]

Can Acupuncture Help Sleep Disorders?

Yes, acupuncture can help with sleep disorders. Acupuncture has been shown in several trials to be a successful alternative treatment for sleep apnea and, in some situations, may even be more successful than conventional Western therapies like CPAP equipment.

Continue reading to find out more about how acupuncture for sleep apnea works.

Does Acupuncture Help with Sleep Apnea?

Acupuncture is an excellent treatment for sleep apnea, and many subsequent research have come to the same conclusion, suggesting that it may be a viable alternative to the CPAP (Continuous Positive Airway Pressure) machine. Additionally, acupuncture is a simple, affordable alternative to traditional Western medicine, especially for people who have trouble falling asleep while using a CPAP machine.

The Apnea-Hypopnea Index (AHI), the apnea index, and SaO2 levels improved with acupuncture treatment compared to non-specific treatment and CPAP machine treatment, according to studies by researchers in China and Brazil. Even more successful, it turned out, was electroacupuncture.

Acupuncture is not only beneficial in treating sleep apnea, but it also has few negative side effects. The majority of patients only have minor, transient side effects. Visit our blog, Is Acupuncture Safe, to learn more about the safety of acupuncture and its adverse effects.

It's crucial to remember that this would not work for people who have more severe sleep apnea.

How does it work?

The genioglossus, or tongue muscle, is supposedly strengthened by acupuncture, according to Brazilian experts. The tongues of the participants were three to four times more powerful following therapy than those in the control group. It is hypothesised that a stronger genioglossus lessens the chance that a sleeping person's tongue may slip back and obstruct their airway. Additionally, genioglossus irritation may be lessened by acupuncture.

Does Acupuncture Work for Other Sleep Issues?

Numerous studies have demonstrated the effectiveness of acupuncture in treating sleep apnea, but can it also be used to treat other sleep disorders?

Snoring

Insomnia

Final Thoughts

If you're looking  for the best Acupuncture Treatment in Madurai, Care to cure offers a number of Acupuncture treatments to help you to cure your health problems.

[uwukillmenowowo]

Haha- I'm new here and wanna do stuff-

As the title says- I'm bored and wanna do stuff here- I made an account because I originally wanted to just browse around and like stuff but my account got deleted and so I made this new one-

I'm mostly skilled in writing [Insert] X Reader.

Any kind really-

[Insert] X Female Reader

[Insert] X Male Reader

[Insert] X Nonbinary Reader

[Various/Harem Insert] X Reader

Just- anything in the X Reader field.

I also draw and will take requests because I wanna fill up my sketchbook -w-

━━━✦❘༻༺❘✦━━━

These are most of the fandoms that I'm a part of-

[Insert] - I will write/draw for that fandom if requested

[Insert] - I don't know how to write/draw but will be willing to try!

[Insert] - I don't know how to write/draw it and will not be willing to try because I am too lazy.

     [Games] - Disney Twisted Wonderland - Ensemble Stars Music - Elsword  - Cookie Run Kingdom - Ayakashi: Romance Reborn - Just Shapes and Beats - Hatsune Miku: CS - Splatoon Manga - Undertale and Au's - Danganronpa THH/DR2:GD/DR:KH - Little Nightmares - Poppy Playtime - FNAF - Friday Night Funkin' and mods - Cuphead - BATIM - Soul Knight - Yandere Simulator - Obey Me: One Master To Rule them All - DDLC - Subnautica - Pokemon [Any] - TLOZ and others - Andy's Apple Farm

     [Anime] - Land of the Lustrous - Puella Magi: Madoka Magica - Nanbaka - No Game No Life - Jujutsu Kaisen - Vampire Knight - Magical Girl Site - The Devil is a Part-Timer - Assassination Classroom - Hunter X Hunter - Black Butler - Naruto/Naruto Shippuden - Fairytail - Attack On Titan - BNHA/MHA - OHSHC - Demon Slayer/Kimetsu No Yaiba - One Punch Man - TDLOSK - Death Note - SAO/SAO2/GGO/GGOA/SAOA

     [T.V Series]  - Yokai Watch - Digimon: Digital Monsters - Beyblade Metal Fusion - Lego Legends of Chima - Yu-Gi-Oh - Lego Ninjago - South park - Lego Nexo Knights

     [Others]  - Dream SMP - Countryhumans - Vocaloid - Disney movies??

Of course- there's more but I don't remember them atm...

Any kind really-

[Insert] X Female Reader

[Insert] X Male Reader

[Insert] X Nonbinary Reader

[Various/Harem Insert] X Reader

Just- anything in the X Reader field.

Anyways- Yeah! That's me- Anyways bye!

- Your new acquaintance, Kumon

[toskarin]

SAO2: Scream

my experience with SAO was being aware of the premise of series 1 and asking a friend how series 2 could have another death game after that only to immediately find out that the loophole was "yeah they just come to your house and kill you in real life now"

which kind of made it impossible for me to ever believe anyone involved had any ideas left about where the series could go

[er-cryptid]

Pulse Oximetry Steps

Select either the index or middle finger to test

Clean patient’s finger

Remove nail polish as needed

Place finger into pulse oximeter

Turn on pulse oximeter

Note reading of SpO2

Palpate radial pulse

Make sure the pulse you palpate is the same as what is displayed on the pulse oximeter

Patreon | Ko-fi    

[natb00]

Fecha: 25/08/2023 00:46

Nota Grupo de Trauma - CIRUGIA GENERAL

Causa Externa: ACCIDENTE DE TRANSITO, Finalidad: NO APLICA

Se atiende "ALERTA DE TRAUMA" de paciente

Paciente de 47 años quien sufre accidente vehicular en calidad de conductor de motocicleta al colisionar entre 2 buses aproximadamente a las 20:00 horas, paciente con amnesia del evento, llevaba casco, presenta dolor torácico y de miembro inferior izquierdo. Con antecedesntes de: HTA , episodio de hemorragia subaracnoidea espontánea en 2016 ( Fisher IV, Hunt y Hess 2 , sin etiología vascular definida con vasoespasmo angiográfico). Desde el ingreso estable hemodinámicamente

Al examen, paciente alerta, sin dificultad respiratoria cabeza y cuello: equimosis parpebral izquierda, hematoma periorbitario izquierdo. Con collar cervical cardiopulmonar:ruidos cardíacos rítmicos, murmullo vesicular disminuido en base pulmonar derecha, sin agregados abdomen: blando, depresible, sin signos de irritacion peritoneal extremidades:herida de 2cm irregular en área para rotuliana medial de rodilla izq. neuro:consiemnte, atiende y obedece, sin déficit aparente

Paciente víctima de accidente de tránsito, con fractura abierta de rótula y diafisiaria de tibia a quien Ortoedia llevará a lavado. Por parte nuestra hemodinámicamente estable, sin dificultad respiratoria, pero con hallazgo tomográfico de contusión pulmonar, además de hematoma retroesternal sin fractura, aunque no hay compromiso hemodinámico aparente se hará seguimiento para descartar contusión miocárdica. Se explica lo anterior al paciente y a su hija, quienes comprenden y aceptan.

Juan Felipe Villegas L. Residente de cirugía

Presión arterial (mmHg): 135/75, Presión arterial media(mmHg): 95, Frecuencia cardíaca(LPM): 78, Escala del dolor: 6-Moderado

Diagnósticos activos después de la nota Diagnóstico principal - TRAUMATISMO DE LA CABEZA, NO ESPECIFICADO (En Estudio), CONTUSION DEL TORAX (En Estudio), TRAUMA CERRADO DE ABDOMEN (En Estudio), HERIDA DE LA PIERNA, PARTE NO ESPECIFICADA (En Estudio), FRACTURA DE LA PIERNA, PARTE NO ESPECIFICADA (En Estudio).

Firmado por: ALFREDO CONSTAIN FRANCO, CIRUGIA GENERAL - MEDICINA CRITICA Y CUIDADO INTENSIVO, Registro 3756-89, CC 16273431

Cx general.

Rafael Gomez, 47 años.

Dx: Politrauma en calidad de conductor de motocicleta (24/08/2023). Trauma cerrado de torax: *Contusiones pulmonares. *Sospecha de contusion cardiaca. Fractura frontal y techo de la orbita izquierda. Fractura abierta tobillo y rodilla izquierda. Fractura abierta y avulsiva falange distal 3er dedo, fractura falange distal 4to dedo, mano izquierda.

Trat: nadroparina 40 mg cada 24 horas + dipirona 1 g cada 6 horas + cefazolina 2 g cada 8 horas + morfina 3 mg cada 6 horas + morfina 2 mg rescate.

Antecedentes personales: Patologicos:

HTA.

Episodio de Hemorragia Subaracnoidea espontánea en 2016.

Fisher IV, Hunt y Hess 2.

Sin etiología vascular definida.

Vasoespasmo angiográfico.

Rankin 1. Alergicos: no refiere. Quirurgicos: osteosintesis mano izquierda, anestesia general sin complicaciones. Toxicos: no refiere.

Subjetivo: refiere sentirse bien, dolor controlado, sin dificultad respiratoria.

EF: 115/80, FC 65, Sao2 93%. Paciente en aceptables condiciones generales, sin dificultad respiratoria, colaborador al momento de la evaluación. Equimosis periorbitaria izquierda, Murmullo vesicular conservado, sin sobreagregados, ruidos cardiacos ritmicos. Abdomen blando, depresible, no doloroso a la palpación, sin signos de irritación peritoneal. Extremidad inferior izquierda con fijador externo. Extremidad superior izquierdo con férula.

Paraclinicos: 24/08/2023: Cr 1.12, Alcohol etilico 0, Hb 16.5, Hto 48.3, Troponina 0.7 ng/L (-).

Imágenes: 24/08/2023: *TAC de torax y abdomen contrastado: contusiones pulmonares en lóbulo superior derecho, contusiones versus aspiración en lóbulo inferior izquier. Pequeño hematoma retroestrenal de distribución laminar, sin definir fracturas asociadas. Cicatrices renales, sin otras alteraciones. *TAC de craneo simple: multiples fracturas en cara, pequeño hematoma subagudo extraaxial de la convexidad frontal izquierda, hematoma subdural agudo del polo frontal izquierdo. *EKG: ritmo sinusal, FC 60 lpm.

Análisis: Paciente de 47 años, hospitalizado en contexto de politrauma en calidad de conductor de motocicleta (24/08/2023), paciente con trauma cerrado de torax, en TAC de ingreso encuentran contusiones pulmonares + pequeño hematoma retroestrenal de distribución laminar, se sospecha constusión cardiaca, troponinas del ingreso negativas y EKG con ritmo sinusal sin alteraciones, por lo cual descartamos sospecha. En el momento de la evaluación encontramos a paciente estable hemodinamicamente, saturando en metas, sin signos de dificultad respiratoria, en el momento sin indicación quirurgico por parte de nuestra especialidad.