the manuscripts of the masters: 20th century writers 

jean-louis lebris de kerouac
francis scott key fitzgerald
ernest miller hemingway
john ronald reule tolkien 
john ernst steinbeck, jr

(Source: thumbeliina)

wwnorton:

Acclaimed science writer and National Geographic contributor David Quammen introduces two theories on Ebola outbreak patterns

2014 Citi Open Third RoundVasek Pospisil def. Tomas Berdych 6-2, 6-4

(Source: groundstrokes)

oecologia:

Champagne Pool • Waiotapu, New Zealand

Champagne Pool is located within the Waiotapu geothermal area of New Zealand. It is a hot spring that formed over 900 years ago by a hydrothermal eruption.

Water in the hot spring is generally around 73°C to 75°C (163°F - 167°F), but deep geothermal water below Champagne Pool may reach temperatures up to 260°C (500°F).

The bright orange color on the edges of the pool is caused from deposits of arsenic and antimony sulfides.

Photo sources: (x), (x) & (x).

(Source: freshome.com, via luxuryon)

naloxonebiteparamedic:

emt-monster:

A transplanted heart does not respond to atropine
This is because atropine affects the vagus nerve (parasympathetic innervation of the heart), not the heart itself.
Since a transplanted heart is not connected to the recipient’s nerves, atropine will have limited or no effect on the donor heart. Neither will vagal stimulation like Valsalva maneuvre or carotid massage
Eventually however, there may be some regeneration of nervous innervation to the new heart; mostly sympathetic, but also parasympathetic nerves. In that case, atropine might work.
But the treatment of choice in hemodynamically significant bradycardia in heart recipients, is pacing (according to ACLS guidelines).


Found this hanging around on my wall, check it out guys.

naloxonebiteparamedic:

emt-monster:

A transplanted heart does not respond to atropine

This is because atropine affects the vagus nerve (parasympathetic innervation of the heart), not the heart itself.

Since a transplanted heart is not connected to the recipient’s nerves, atropine will have limited or no effect on the donor heart. Neither will vagal stimulation like Valsalva maneuvre or carotid massage

Eventually however, there may be some regeneration of nervous innervation to the new heart; mostly sympathetic, but also parasympathetic nerves. In that case, atropine might work.

But the treatment of choice in hemodynamically significant bradycardia in heart recipients, is pacing (according to ACLS guidelines).

Found this hanging around on my wall, check it out guys.

(via medicalexamination)

Chris Gunness, a spokesman for the United Nations Relief and Works Agency, breaks down into tears in an interview after another U.N. run school is hit by Israeli artilery shells, killing at the least twenty. 

Earlier that day, he tweeted:

(Source: lowpolyfish)

“It’s beyond belief that in the 21st century children, women, and civilian men can be subjected to this kind of outrage. Palestinians have every single one of their rights denied them, including the right to life, and that includes children. It is an abomination, it’s a barbarity, and it needs to end.”

United Nations official Chris Gunness on Israel’s attack on a UN school in Gaza. July 30, 2014. (Source)

(Source: thomassobien)

wetravelandblog:

Kayaks at Valdez Glacier, Alaska by vathsok - Lets take a trip up to the sky http://ift.tt/15gf9xn

wetravelandblog:

Kayaks at Valdez Glacier, Alaska by vathsok - Lets take a trip up to the sky http://ift.tt/15gf9xn

bluedogeyes:

Godzilla (2014)

bluedogeyes:

Godzilla (2014)

[Sir William Osler], on his way to an Oxford graduation and dressed in his academic gown, was asked to see a small boy with severe whooping cough complicated by bronchitis. The child would not eat. The nurses and his parents tried to feed him without success.

Osler did not have much time but acted as though he had plenty. He examined the child briefly, and then sat down at the bedside. He carefully peeled a peach, coated it with sugar, cut it into small pieces, and offered them to the child one at a time, telling the boy that it was special fruit. Hurrying off to the ceremony, he gave the boy’s father a bleak prognosis but continued to visit the child daily for the next 40 days.

Because the boy had seen him as a magical figure in his academic regalia, Osler brought his robe and put it on outside the room before each visit. The child began to improve a few days after the first visit and made a full recovery.


From Osler: Inspirations from a Great Physician by Charles S. Bryan.

Osler: my hero.

(via cranquis)

(Source: consultant360.com, via justalittledoctor)

Let's talk about: Willm's tumor


justalittledoctor:

  • it’s a type of cancer that typically occurs in children (around 3 years old)
  • it is usually unilateral
  • they usually don’t cross the midline of the abdomen
  • contains metanephric blastema, stromal and epithelial derivitives
  • the tumor is compressing the normal kidney parenchyma
  • typical symptoms…

(via intrainingdoc)

(Source: chaoticpirate)

fitbuzzers:

Operation destination…. Lunch at Vitznau, Lucerne is Swiss

fitbuzzers:

Operation destination…. Lunch at Vitznau, Lucerne is Swiss