Archive for the ‘Geek’ Category

Some days you get the bull…

Friday, June 15th, 2018

I’m not a huge fan of bull riding (though I do think it is much more interesting than soccer), and I don’t care much for “People” magazine.

But, as an amateur medical geek, when I see a phrase like “first person to survive the procedure at the hospital this century”, it kind of makes me take notice.

Wyatt Bruesch was competing in an Idaho rodeo when the bull he was riding bucked him off and trampled him fatally.

After he was airlifted to the Portneuf Medical Center in Pocatello, he flatlined three times in the emergency room.

The emergency department decided on a hail mary pass: an “emergency department thoracotomy.”

“You don’t perform it until the patient is literally at death’s doorstep and about to die,” Drew McRoberts, Portneuf Medical Center‘s trauma director, told People. “The odds of surviving an ED thoracotomy are extremely low, which is why they’re rarely done.”

Here’s the Trauma.org page on the subject (it’s also linked in the article itself).

Emergency department thoracotomy is a life-saving procedure in a select group of patients. Exactly who these patients are is a matter of some controversy in the trauma literature. There is a significant amount of published data on the indications for and outcomes of resuscitative thoracotomy. However the results of interventions varies widely, as does each unit’s experience, puclished data ranging for 11 patients in 10 years to 950 patients in 23 years…
Overall survival of patients undergoing emergency thoracotomy is between 4 and 33% depending on the protocols used in individual departments. The main determinants for survivability of an emergency thoracotomy are the mechanism of injury (stab, gunshot or blunt), location of injury and the presence or absence of vital signs.

Anyway:

Acting quickly, trauma surgeon Jorge Amorim cut Wyatt’s chest open and massaged his heart by hand to get it beating again.
“He basically saved his life,” McRoberts said. “He also did something else. Dr. Amorim reached into the chest cavity and squeezed and held the hilum of the lung where the great vessels come into the lung. He continued to squeeze for 15 minutes, which stopped the bleeding as Wyatt was rushed to an operating room.”

Mr. Bruesch is at home, recovering. In addition to the injuries that required an emergency thoracotomy, he also broke three ribs and eight vertebrae. In spite of this, he says he’s going to continue bull riding.

Meanwhile, in Pocatello, there’s a trauma surgeon shopping for a wheelbarrow to carry his giant brass testicles.

Overthinking it.

Thursday, May 31st, 2018

Headline:

Please Don’t Roast Marshmallows Over the Erupting Hawaii Volcano, USGS Warns

At first, this sounds like a bunch of joyless fun suckers sucking all the fun out of life. But USGS’s argument actually makes sense: the H2S and SO2 present around a volcanic eruption would probably make the marshmallows taste bad.

But the idea of using something other than an open campfire to toast marshmallows has a certain appeal. What you want in the ideal toasted marshmallow is for it to be evenly browned, not burned. You’re looking for that perfect Maillard reaction all over the marshmallow. And that’s really hard to get in a campfire context.

So why not use an indirect heat source? Could you use something like a heat lamp or some sort of radiant heater to toast marshmallows, instead of radiated heat from hot molten rocks? Why not? Even better, what if your marshmallow toasting stick had a motor in it? Just some sort of small battery powered one that, when you pushed a button, rotated the marshmallow at a uniform speed over the indirect heat source until it was evenly browned.

I thought I’d check Amazon and…well…I found this, which instantly turned me off the whole idea. I’m not sure why: maybe the whole idea of a dedicated electric S’mores maker just seems antithetical to the whole idea of S’mores.

Maybe part of the appeal of a toasted marshmallow isn’t just the striving for an even Maillard reaction, but also the added flavors of wood smoke and the great outdoors.

Or, maybe, I’m just overthinking it.

(But I strongly encourage at least one of my readers to purchase this and report back on the contents.)

Obit watch: May 28, 2018.

Monday, May 28th, 2018

For the historical record: Alan Bean. NYT. NASA.

“At one-sixth gravity in that suit, you have to move in a different way,” he said. “One of the paintings that I did was called ‘Tip Toeing on The Ocean of Storms.’ And it shows that I’m up on my tip toes as I’m moving around. And we did that a lot. On Earth, I weighed 150 pounds; my suit and backpack weighed another 150. 300 pounds. Up there, I weighed only 50. So I could prance around on my toes. It was quite easy to do. And if you remember back to some of the television we saw, Buzz and Neil on the Moon with Apollo 11. Black and white. They were bouncing around a lot. They were really bouncing on their tip toes. Quite fun to do. Someday maybe be a great place for a vacation.”

Gardner Dozois, one of the great figures of science fiction, passed away yesterday. Michael Swanwick. Lawrence.

He was a fantastic writer: “Dinner Party”, “A Special Kind of Morning”, “Chains of the Sea”, “The Peacemaker”, “Flash Point”, “Solace”.

He didn’t write as much as I would have liked, because he became an editor. Well, not just an editor, but one of the greatest editors science fiction ever saw. He edited Asimov’s Science Fiction for 20 years, “… winning the Hugo Award for Best Professional Editor 15 times in 17 years from 1988 to his retirement from Asimov’s in 2004.” He also edited thirty four volumes of the massive Year’s Best Science Fiction collection: “Stories selected by Gardner Dozois for the annual best-of-year volumes have won, as of December 2015, 44 Hugos, 41 Nebulas, 32 Locus, 10 World Fantasy and 18 Sturgeon Awards.”

He was also a personal friend of mine. I wrote about this a little, a long time ago, and I’m still more than a little raw over Gardner’s death. During the 90s, we spent a lot of time online in the old Delphi system. There was a regular Wednesday night book-ish SF chat. And then Gardner and his life partner Susan Casper and some other folks (not named here for their privacy) and I had a smaller, private chat at 11:59 on Friday night, where we commiserated over each other’s struggles and celebrated our successes. We were all a lot younger then, and could stay up until 2 or 3 AM solving the problems of the world.

Gardner was also a veteran, though he didn’t see combat. I would retell the safety column story here, but I can’t do it justice: maybe someone else can. I will say that one of my enduring memories of Gardner is “…OR YOU WILL DIE!”

The ending of “A Special Kind of Morning” has always resonated with me, ever since I first read it.

So, empathy’s the thing that binds life together, it’s the flame we share against fear. Warmth’s the only answer to the old cold questions.
So I went through life, boy; made mistakes, did a lot of things, got kicked around a lot more, loved a little, and ended up on Kos, waiting for evening.
But night’s a relative thing. It always ends. It does; because even if you’re not around to watch it, the sun always comes up, and someone’ll be there to see.
It’s a fine, beautiful morning.
It’s always a beautiful morning somewhere, even on the day you die.
You’re young—that doesn’t comfort you yet.
But you’ll learn.

It was a beautiful morning yesterday, Gardner.

This is not quite an obit, but seems fitting: in memory of PFC Joshua Fleming.

Random notes toward an after action report: Dallas.

Tuesday, May 8th, 2018

This is a catch-all for random and undifferentiated thoughts that didn’t make it into my previous NRAAM reports. I’ll put in a jump, since this is running long…

(more…)

Day one notes.

Friday, May 4th, 2018

Never do a LINUX distro upgrade while on the road.

The NRA convention is huge: 15 acres. Tulsa is 11, for comparison. We were afraid we wouldn’t be able to see everything: it takes two days to get through Tulsa, and much of that is at a dead run.

But we spent the early part of the morning with Karl of KR Training, who only had a few hours for the show. And we saw quite a bit of it, albeit at a dead run again. But we’ve also got time to go back to the stuff we didn’t get a chance to consider thoughtfully, and we did do slower browsing of a significant part of the show this afternoon. While NRA is bigger than Tulsa, it is also much less densely packed, which makes things easier. We even have time to hit some of the seminars.

Most interesting thing I saw today: My Case Builder. You go on their website. They have a tool that allows you to layout your own custom foam insert. You can use their predefined shapes (about 1200, they claim) or you can use another tool to “trace” an item and input dimensions. Once you’re done, they’ll custom cut a foam insert either for a new case (which you can purchase through them) or an existing case you already have of any brand.

Seen much, much less than I expected: scout rifle scopes. Leopold had none in their display. I did see two Leopold scout scopes, but they had no model markings on them and they were both attached to scout rifles at the Savage and Steyr booths. Vortex had one that looks promising.

Purchased: a spring kit from Apex Tactical for a J-frame. $20 plus whatever it will cost me to have a smith put it in.

Noted: Robert K. Brown was selling autographed copies of his biography, I Am Soldier of Fortune: Dancing with Devils, which I was previously unaware of. May have to go back and pick one up.

Today I learned…

Wednesday, May 2nd, 2018

..the Hebrew for “Hold my beer”.

Obit watch: March 21, 2018.

Wednesday, March 21st, 2018

Nelda Wells Spears, former Travis County tax assessor-collector. I remember having to write checks to her, back in the pre-Internet days…

Earl Cooley, prominent Austin SF fan, influential early BBS guy, and a personal friend.

The Mad Midnight Bomber What Bombs At Midnight. They haven’t released a name yet, but even if they did, I wouldn’t give him the publicity.

Oh, why not?

Wednesday, March 14th, 2018

Obit watch: March 14, 2018.

Wednesday, March 14th, 2018

Stephen Hawking.

I don’t feel like I need to say much more than that, but I like this quote:

On another occasion, [Leonard Susskind] characterized Dr. Hawking to his face as “one of the most obstinate people in the world; no, he is the most infuriating person in the universe.” Dr. Hawking grinned.

Accidentally like a machine.

Thursday, February 15th, 2018

By way of the Hacker News Twitter:

A list of things that were not intended to be “Turing Complete”, but are.

(For the non-initiated, “Turing Completeness” sort of explained here.)

Nostalgia is (kind of) a moron…

Thursday, February 8th, 2018

Back when I was a small child, I loved “Emergency“.

Now that I’m an adult, and have the chance to work from home some days, I can watch the show on one of those retro TV networks. And you know…I hate to admit this…and maybe it is just the episodes I’ve caught…but it’s not as good as I remember it.

There are two episodes that I recall, but haven’t seen come round yet: one where Dr. Brackett and the paramedics have to do emergency field surgery on a guy who fired a grenade round into his gut, and another where the paramedics may have to do a field amputation to rescue a man trapped by a building collapse. (I don’t remember if they actually took the guy’s leg off or not.)

What brings this to mind? About six months ago, Collin County (where Plano is) realized they had a problem: there’s a lot of construction going on, and with that, a lot of potential for workers to become badly trapped by construction accidents. Collin County firefighters worked with a local hospital (Medical City Plano, also a Level 1 trauma center) to develop something called the “pre-hospital amputation team” in case it was ever needed.

Last week, it was.

Firefighters called Gamber on their way to the accident scene. He summoned trauma surgeon Al West, who arrived by helicopter 41 minutes after the accident.
He carried a black plastic toolbox that held everything he would need to free Palma: a saw, scissors, clamps, dressings. This was the first time in his 20 years operating on trauma patients that he wouldn’t have a sterile operating room.

…

Firefighters held Palma’s body so he wouldn’t fall after the amputation and West began cutting above the right knee. The machine had already partially severed the leg and West cut the remaining tissue. Palma’s left leg was also injured — with a fracture and muscle damage, tests would later show.

…

Ten minutes after West arrived, Palma was free, said Vetterick, a former flight medic, who supervised the 20 or so firefighters working with the doctors near Main Street and Independence Parkway.

The guy’s still in critical condition, but expected to live. The doctors say there’s about a 75% chance he’ll be able to walk normally with a prosthetic leg. Here’s his GoFundMe, if you feel like kicking in a few bucks for the family.

Hattip: SwiftOnSecurity.

Obit watch: February 8, 2018.

Thursday, February 8th, 2018

I haven’t found a good mainstream source for this yet, but John Perry Barlow, former lyricist for the Grateful Dead and co-founder of the Electronic Frontier Foundation, passed away yesterday.

EFF. Mike Godwin’s Twitter feed has a lot of good tributes.

Edited to add 2/9: NYT obit.

Ken is the man that we all need.

Wednesday, January 24th, 2018

Ken White is my new favorite person in the world.

At least, for the rest of the day today.

(Subject line hattip. Yes, I realize it’s about a vastly different Ken in a vastly different context, but I couldn’t pass up an opportunity to reference one of Kate’s more obscure but still rocking songs.)

Cray Cray.

Thursday, January 18th, 2018

When I was younger, I desperately wanted a desktop Cray.

Moore’s Law and all that (stuff), but this really brings home how much things have changed in (mumble mumble) years:

Obit watch: January 8, 2018.

Monday, January 8th, 2018

A roundup of obits from the past couple of days:

John Young, Gemini, Apollo, and Shuttle astronaut. NASA.

Jerry Van Dyke, noted television actor (“My Mother the Car”).

Peggy Cummins. She’s mostly forgotten now – she stopped acting in the 1960s – but she was the female lead opposite John Dall in the famous 1950 noir film “Gun Crazy”.

Start with a badass, end with a badass: Ulrich Wegener, founder of the German Border Protection Group 9 (aka Grenzschutzgruppe 9):

The unit, also known as GSG-9, was created after the September 1972 attack on the Summer Olympics in Munich, when Palestinian militants kidnapped 11 Israeli athletes. Ill prepared for terrorism, and lacking a tactical sniper team, the German police botched an attempt to rescue the athletes, who were killed, along with one police officer and five of the eight kidnappers.

One of his first accomplishments: Lufthansa Flight 181.

Around 2 a.m. on Oct. 18, Somali soldiers lit a fire 65 yards in front of the jet, creating a diversion. As the hostage takers entered the cockpit to see what was going on, Colonel Wegener and his commandos stormed the aircraft. Over the next seven minutes, three militants were killed and the fourth was wounded. Three passengers, a flight attendant and a commando were injured. But all 86 passengers, along with the four surviving crew members, were saved.

…

Later that night, three members of the Red Army Faction — Gudrun Ensslin, Jan-Carl Raspe and Andreas Baader — were found dead in their cells, having committed suicide, and Mr. Schleyer, the abducted executive, was murdered.

…

Briefly held by American troops as a prisoner of war, he returned home, to what became East Germany, to finish his schooling.
Caught handing out leaflets critical of the Communist government, he was jailed for 18 months. Upon his release in 1952, he fled to West Berlin, where he went on to join the police.

(I haven’t found a source I consider completely trustworthy for this, but there are reports that Colonel (at the time) Wegener also participated with the Israeli Sayeret Matkal in the raid on Entebbe.)