So it depends on the setting and patient. Kids tend to have respiratory causes of cardiac arrest so the focus is more on airway management and positive pressure ventilation. Kids don’t generally code just out of nowhere like say a 90 year old might keel over. There’s usually a specific cause and if you can correct that cause they will rebound.

As for adults it’s about the setting. Outside of the hospital we should be teaching cpr only. Especially for lay people. It gets too complicated and they’re too stressed out to remember 30 and 2, 15 and 2. Plus most people have a reserve of air in their airway and lungs that gets circulated with compressions so focusing too much on trying to get breaths in causes too many delays and confusion.

Now for ems you can debate whether they should do cpr only with a non rebreather, a bls airway and bagging, a biad, or a definitive airway. It hugely depends on your protocols, provider availability, and who the patient is.

In hospital we are almost always going to secure the airway during a code to remove that from the equation. We have the resources and it can be done relatively quickly without the need to delay cpr for more than a pulse check in many cases.

So I’ve done lots of cpr. First off it’s kind of a misconception that you’ll break ribs from cpr. You are more likely to break cartilage than actually break bones and appropriate cpr isn’t going to break bones unless they’re the smallest most frail person and the individual doing cpr is going crazy doing compressions.

Even if you break ribs you’re probably not going to have a displaced rib fracture as there’s muscles and tissue holding those bones in place, it’s pretty rare to have ribs break so bad they risk puncturing organs and it usually involves catastrophic trauma, not what you get from cpr.

The bigger criticism against Rockstar is as they swing for the fences they’re building the framework to effectively heard western children in like cattle so they can milk them for a generation using their online service.

I can’t wait for the collaboration with Fannie Mae where your 26 percent interest rate comes with 50000 shark card points.

Rdr2 was insane. Red dead online was a massive dud. The single player game was amazing, the scope was massive and they delivered in a great way. But yes it failed big time for them. But I still love it. And gta has delivered consistently. As soon as I see a major dud I’ll call them on it, but they just haven’t missed.

Rockstar has delivered consistently and set new standards far more than Bethesda. I love Bethesda but I’ve learned over the years that you can’t trust Todd. I held off on starfield and was right. I got bamboozled by fallout 76.

You can disagree with certain decisions by Rockstar but you can’t deny the track record. They get it done.

You’re right we don’t have the full picture but after 30 years of gaming hype I can tell you theyre shooting for the moon here. And if any developer will successfully stick the landing it’s Rockstar.

Who knows how they will approach this. It’s clear they’re going to an even higher level of detail and a more living world. It appears to be a move to up things to the next level which is exactly what we have gotten with basically every gta game.

All I know for sure is my graphics card just committed suicide after watching this trailer

What isn’t happening? Them making fake csam? I haven’t seen it because I don’t want to see it but I am connnnfident it’s occurring. Some kid already got busted feeding images of girls in his class into an image generator and making nudes out of them.

So while it might not be wide spread it’s 100 percent happening and will increase.

Honestly releasing these generators to the general public was a mistake. They thought they could put up safety measures but they’re easily bypassed. I think they should have kept them locked up and only give access to people who are registered and trackable with people reviewing what they’re generating.

All of these ai generators are getting abused left and right and anyone who didn’t think that would happen is an idiot.

Starfield is just a mess. I think Todd assumed he could ride the Skyrim goodwill into the sunset with his subsequent games because he’s consistently failed to deliver since then. I love the jank of a good Bethesda game because at its heart you have a true rpg that lets you roam and complete quests how you see fit. Starfield removed the roaming and the exploration and left some very mediocre storytelling and quests in its wake. Without that magic you’re just left with increasingly awful jank that can’t be ignored.

Thank god for Xbox game pass, I was only out about 15 dollars and was able to try the game without committing 70 dollars.

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I couldn’t even finish clowning on you before you responded again. Yikes my guy.

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Yeah no I mean it’s cool you and another guy have replied to me like 5 times each. That was certainly a choice you made.

I think my favorite is the guy who has responded to everything I’ve said like 8 times. You guys are great.

Why do you want to know? So you can try and cancel me? Call my boss, or at least what you think is my boss and tell them about me? I mean go nuts. Show them what I’ve said. The thing that makes this all so unbearable for people like you is that I’m the same here as I am in person.

Do you think I am like you? Pretending to be this or that and then sneaking home to don some persona on the internet? It’s embarrassing. I don’t say one fucking word if I don’t mean it. That’s in person, that’s online. It means I don’t have to keep track of all the little half truths you tell, the silly little story you have invented.

I’m an asshole. You’re right about that. But there isn’t anything you can do about that. You know why? Because I made sure I was really Fucking good at something that people like you couldn’t stomach. So there will always be another job for me.

It affords me the liberty to tell the truth. To piss off little shit dicks such as yourself. If you do not like that, too Fucking bad.

Ooof a swing and a miss.

You are my favorite of all.

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I was waiting for you to post what I said broken into parts where you respond to everything separately.

First off you outed yourself. Hilarious. Second of all. Oh nevermind there isn’t a second part.

Lol.

That is hilarious.

Really? That was what I learned from Fox News. Since my parents turned it on and never turned it off.

Wait. Did… did you just tell on yourself by accident? That is hilarious.

Did uh, you not live through the same timeline I did? I was 14. I had the mental faculties one would expect from a 14 year old. I probably could have been calmed down and shown the right way of things. But I wasn’t. Because Americans weren’t. The initial response to the attack was shock sorrow and fury. And revenge was a common theme that was happily pushed by literally everyone. That’s why we don’t remember the people who pushed for war. We remember the few people who spoke out against it, even though it cost them their careers in many cases.

Americans can handle the shock and sorrow part of the equation. Americans have always struggled with the last one. We don’t forgive a lot of things. And the fury we can exact on our enemies is unrivaled. We conquered the world, in so many words, when they blew up our boats in the 40s. Go back and we exacted bitter revenge on indigenous people whenever they ambushed our settlers.

What about what I said is unamerican? Honestly the question is what liberal vault did you emerge from that separated you from our timeline?

Don’t confuse me speaking about reality as justifying it. I don’t justify my actions or those who influenced me. It was wrong. And I had to learn that the hard way growing up. But i am speaking about it as it was. You don’t get to change the past, you can only be honest about it and work to correct it when it comes around again.

The Israelis will commit the war crimes we only wish we could have this early after the attack. They will invade and end up fucked in a long term occupation with no real goal but a lot of house to house fighting and innocent civilians dead. Shit who does that sound like.

They’ll only succeed in giving birth to the next generation of even more extreme terrorists. The Middle East is just that much more unstable. We drone on towards unending chaos.

It’s turning out that the golden years of the 50s through tbe 2010s were the high water mark of human civilization. And we spent it bickering and smoking cigarettes.

Sick.