Causality Doctor retweeted
Listen to this termination of resuscitation… which is how it should happen.
There are several things to note that Dr. Robby from The Pitt did here that are spot-on.
1. He, in no uncertain terms, told her parents that her cardiac arrest was non-survivable. This is not the time to list out percentages or probabilities. This is the time to provide certainty to the inevitable death.
2. He told the parents when the appropriate time was to terminate resuscitation.
Notice… No one said, “hey, so, do you want us to keep going or what?”. When a statement like that or similar is used, what the family hear are, “so… do YOU want to let granny die now or what?”
You, the medical professional, that understands physiology and abysmal outcome even if ROSC is achieved at this point should be the one bearing the burden of making that decision, not the family member.
3. He offered to allow the remaining family to come in before stopping all of the visible efforts of resuscitation. (see previous post on this topic)
My general gist is something like this, “Johnny has had no pulse and no blood flow to the brain for 40 minutes. Even if all the things we are doing were to get his heart beating again, he has suffered permanent brain damage. He will never wake up and be the same person you’ve him as. Now is the appropriate time to stop.”
More to come on potassium levels and cardiac arrest...
#emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #armyemdoc #resuscitation #research #data #family #death #cpr #medx #medtwitter
Causality Doctor retweeted
Wow. This UK Comedian just demolished MAGA.
Watch until the end. I promise.
Causality Doctor retweeted
Everything that's wrong with Western attitude, diplomacy, and media...
If you have a couple of minutes, it's well worth a listen.
Causality Doctor retweeted
“My government does not kill Israelis…Your government killed 42,000 Palestinians.”
Watch Amb. Dr. Riyad Mansour respond to Israeli ambassador at the Security Council.
Causality Doctor retweeted
“Is our blood cheap? Are our civilians less worthy of protection? Are our lives less sacred? … Did you grow accustomed to our death?”
Causality Doctor retweeted
No to racism. No to the haters in Belfast today.
Thinking of the late, great John Hume today, on his anniversary.
#Belfast
Causality Doctor retweeted
Trump Expected To Use Shooting To Call For Peace, Civility & Tolerance waterfordwhispersnews.com/20…
Causality Doctor retweeted
Chemical Restraint of the Agitated Patient
Its potentially lifesaving but involves significant risks for pts & providers.
It’s time to radically reframe our approach to significantly enhance safety.
How? Approach it like RSI with built-in safeguards & backup plans ready to go.
Causality Doctor retweeted
No response that I could write in a tweet is adequate.
Read Rough Beast.
amazon.co.uk/Rough-Beast-Sto…
Republicans have long understood the connection between Irish freedom & women’s rights. From Ann Devlin to Anna Parnell, Markievicz to Drumm, from Sheena Campbell to Mairead Farrell - an unbroken line of women who sacrificed for freedom, equality & justice
buzzsprout.com/991288/147037…
Causality Doctor retweeted
LEX FRIDMAN ASKS: DOES ISRAEL TARGET CIVILIANS?
In the course of a recent debate, moderator Lex Fridman posed the question, “Do you think there is a policy, top down from the IDF to target civilians?” (from the official transcript). Both Mouin Rabbani and I answered in the affirmative. Someone seated next to Professor Morris indignantly retorted that the notion of “a whole apparatus that tries to murder” was a “ridiculous argument.” To settle this matter, leaving not a smidgen of doubt, I recalled Gaza’s Great March of Return that began in March 2018. A distinguished independent international Commission of inquiry afterwards investigated these protests and produced a voluminous report running to fully 250 single-spaced pages (from which I will be quoting). The report states that at its inception the protests “could be characterized as a genuine popular festive event, with tens of thousands of people ... gathering around traditional activities, concerts, barbecues, cultural activities and sports games.” When Israel perpetrated a large scale massacre six weeks later on May 14, “anger over [the] killings and injuries drove groups of youths to engage in more violent actions.”
How did Israel respond to the overwhelmingly peaceful protesters as they gathered on March 30 and for weeks thereafter engaged in nonviolent demonstrations? It assembled along the perimeter of Gaza, according to Israeli officials, “specially trained snipers, in order to ensure accurate and measured use” of live ammunition. The IDF subsequently stated that “nothing was carried out uncontrolled; everything was accurate and measured, and we know where every bullet landed,” while then-Defense Minister Avigdor Lieberman stated that “Israeli soldiers did what was necessary. I think all our soldiers deserve a medal.” The Commission of inquiry found that “demonstrators who were hundreds of meters away from the Israeli forces and visibly engaged in civilian activities were intentionally shot. Journalists and health workers who were clearly marked as such were shot, as were children, women, and persons with disabilities;” it also found “reasonable grounds to believe that the Israeli security forces killed and maimed Palestinian demonstrators who did not pose an imminent threat of death or serious injury to others when they were shot.” A large portion of the report documents in detail “emblematic” killings and injuries inflicted by Israel’s precision snipers. Herewith a tiny sample of these typical incidents as described by the Commission:
Mohammad Obeid, a 24-year-old footballer for the Al Salah Sports Club…, took out his telephone and began recording a “selfie” video. An Israeli Security Forces sniper shot him in the right side of his right leg as he filmed himself approximately 150 meters from the separation fence. The bullet passed through his right leg and hit his left leg just above the knee, shattering the base of his femur.… He was standing alone. The area was quiet and calm, there was no shooting from the Israeli side, no tear gas, no stone throwing from the Palestinian side, no one had set fire to tires.… Mohammad was speaking calmly and filming himself when the ISF sniper shot him.
Yousef Kronz was a 19-year-old student journalist when he attended the demonstration.…He wore a blue “PRESS” vest and carried his photography equipment, including a camera and a tripod. He sat cross-legged on top of a sand dune to take photographs of the demonstrators, at least 800 meters from the separation fence. After approximately 40 minutes…, as he stood up, the ISF shot him with two bullets in immediate succession which hit him in the right knee and the left knee.… Yousef’s right leg was later amputated.
Abed Hawajri was a 41-year-old man…. The ISF shot him in the abdomen.… Abed was standing near the back of a crowd when shot, with nothing in his hands…, approximately 150 meters from the fence. He was taken to the hospital and died the same day.
A 16-year-old boy climbed onto high ground … approximately 300 meters from the separation fence. He was distributing sandwiches to demonstrators. The ISF then shot him in the face with a single bullet, which entered his nose and exited his skull. As a result of his injuries, he had a fractured jaw, is deaf in one ear and is unable to taste or smell.
Naji Abu Hojayeer was a 25-year-old mechanic…. An ISF soldier … shot him in the abdomen…. He died the same day.… Naji was standing 300 meters from the separation fence when he was shot. He was wrapped in a Palestinian flag, surrounded by hundreds of people.
Mohammad Ajouri, a 17-year-old … member of the Palestinian Athletics Organization…handed out onions and water to protestors to relieve symptoms of teargas inhalation. When he was approximately 300 meters away from the fence, ISF soldiers shot Mohammad in the back of his right leg. Doctors had to amputate his leg as a result.
Jihad Abu Jamous was a 30-year-old man…. ISF soldiers shot him in the head with live ammunition when he was approximately 250 to 300 meters from the fence. He died immediately.
Alaa Dali is a 21-year-old cyclist for the Palestinian Cycling Team. He had earned a slot to participate in the Asian Games in the summer of 2018.… An ISF sniper shot him in his right leg … as he stood alone watching the demonstration approximately 300 meters from the separation fence … while wearing his cycling gear and holding his bicycle. The nearest demonstrator was approximately 15 meters in front of him.… Doctors amputated Alaa’s leg above the knee in order to save his life.
Ali Khafajah was a university student…. ISF soldiers shot him in the head with live ammunition…. Ali was talking on his phone while standing in a crowd about 150 meters from the separation fence when he was shot.… He died at the hospital.
The ISF shot 14-year-old Mohammad Ayoub … in the head…. Mohammad was at least 200 meters from the separation fence when the ISF shot him.
The ISF shot 14-year-old Haytham Jamal in the abdomen. He was killed with a single shot as he stood in a crowd watching the ISF fire tear gas at another group of demonstrators.
Majdi Al Satari was an 11-year-old child…. He was shot in the head by live ammunition by an ISF sharpshooter while attending the protest…. Majdi died of severe brain lacerations ….Majdi was shot while standing … about 100 meters away from the security fence.
ISF soldiers shot 16-year-old Ahmad Abu Tyoor in the thigh as he danced a traditional Palestinian dance alone with his hands in the air, around 10-15 meters from the separation fence. The bullet severed his femoral artery and he died of his wounds the following day.
The ISF shot 11-year-old Nasser Mosabeh in the back of the head…. Nasser had been helping his two volunteer paramedic sisters treating injured people…. When the victim was shot, he was under a tree, 250 meters from the fence…. The bullet entered the right side of his head behind his ear and parts of his skull and brain were found close to his body.
Musa Abu Hassainen was a 35-year-old Civil Defense paramedic. ISF soldiers killed him with a shot to the chest … while he was wearing a high-visibility Civil Defense vest.… He was approximately 250-300 meters from the fence when ISF soldiers shot him.
Abed Abdullah Al Qotati was a 22-year-old volunteer paramedic…. ISF soldiers shot him in the chest in Rafah … as he was tending to an injured demonstrator near the separation fence. Abdullah was wearing a white paramedic jacket and carrying a red first-aid kit when the ISF soldiers shot him.… He died of bleeding and lacerations to his thoracic organs.
Tarek Loubani is a Canadian-Palestinian physician.… The ISF shot him as he stood among a group of paramedics wearing his hospital uniform. He was shot with one bullet that passed through both legs. Visibility was clear. There were no demonstrators near the group of medics and there was no shooting from the ISF either immediately before or after he was shot.
The ISF shot a 24-year-old freelance photojournalist … in the abdomen with live ammunition. He was standing with his back to the separation fence, around 300 meters away. When he was shot he was taking a break from photographing along with two other photojournalists from international news agencies. He was wearing a blue vest marked “PRESS” and the bullet entered his mid-section just below the vest.
The ISF shot 30-year-old journalist Yasser Murtaja with live ammunition in the lower abdomen as he covered the demonstration site…. Yasser was wearing a dark blue bulletproof vest clearly marked with the word “PRESS,” and a blue helmet.… He was standing approximately 300 meters from the separation fence, behind a large group of demonstrators. Visibility was good, and there were no other shots fired in the vicinity at the time. The gunshot hit him in the abdomen…, and [he] died of his injuries the following morning.
The ISF killed Ahmed Abu Hussein, a 24-year-old journalist…. Publicly available video footage of Ahmed’s shooting ... clearly shows him standing still taking photographs of demonstrators…. At the moment he was shot, Abu Hussein was approximately 250-300 meters from the fence. He was clearly marked as a journalist, wearing a blue helmet and a blue vest marked “PRESS.”
Fadi Abu Salmi was a 29-year-old double amputee…. The ISF shot him in the chest…. He died immediately. The ISF shot him … as he sat in his wheelchair under a tree approximately 250-300 meters from the separation fence with two friends.
Ahmad Abu Aqel was 24 years old…. He walked with crutches…. He sat down alone on a small sand hill … approximately 150 meters from the separation fence … with his back towards the fence. The ISF shot him in the back of the head…. He died the same day.
***
The wonder is that in the here and now it can still be doubted that Israel targets civilians: Haven’t the UN, senior public officials, humanitarian organizations, and human rights groups explicitly and unequivocally denounced Israel for using starvation “as a weapon of war. Israel is provoking famine” (EU foreign policy chief Josep Borrell)?
Causality Doctor retweeted
It is scenes like this that are confirming in the eyes of objective observers that Netanyahu & the IDF are out of control in their inhumanity. Deliberately starving people & then massacring them when they desperately seek food.This is unforgivable and should not ever be forgiven.
Causality Doctor retweeted
If anyone reads stories like this and thinks, how on earth could someone do that to another person, here’s how..
Assessing the psychopathology of terrorism, as illustrated in the horrific account provided by Dave, we need to delve into the confluence of individual, social, and ideological factors that drive such extreme behaviours.
Individuals involved in acts of terrorism, like those described, often display psychopathic traits, including a profound lack of empathy, remorselessness, and a disconcerting detachment from the suffering of others. These traits are frequently compounded by radical ideological beliefs that not only justify but glorify acts of extreme violence. It's not uncommon for such individuals to be indoctrinated into a belief system that dehumanises the 'enemy' and promotes acts of terror as not just acceptable, but necessary and honourable.
From a forensic psychiatric perspective, the behaviour described – the beheading and the desecration of a body – indicates a severe detachment from societal norms and humanistic values. This detachment is often a result of intense indoctrination within terrorist groups like Hamas, which are known for their extremist ideologies. This indoctrination process can profoundly warp an individual's moral compass, leading to a justification of acts that are otherwise universally condemned.
Moreover, the act of beheading, and the subsequent attempt to commodify a human body part, suggests a chilling level of dehumanisation and objectification of the victim. This level of brutality goes beyond tactical terror; it ventures into the realm of psychological warfare, intended to instil fear and despair not just in direct victims, but in the broader community.
Necessary to make clear is that not all terrorists exhibit clear-cut psychopathologies prior to their involvement in terrorist activities. The pathway to becoming a terrorist is often complex, involving a nexus of psychological vulnerabilities, social situations, and ideological indoctrination. Poverty and the promise of wealth - as we saw the captured terrorists admit to their Israeli interviewers ($10K and an apartment per hostage savagely removed from their peace-loving kibbutzim). The context of ongoing conflict, societal fragmentation, and pervasive exposure to violence can also play significant roles in this radicalisation process.
A stark reminder of the profound psychological impacts of terrorism, both on the victims and the perpetrators 😔 .
#BringThemHomeNow – at Melbourne, Victoria
"Hamas terrorists beheaded my son and tried to sell his head in Gaza,” revealed David, the father of Adir Tahar, a victim of a brutal terrorist attack on October 7th. He detailed the horrific treatment of his son's body.
"My son's death was incredibly difficult to come to terms with. The terrorists fired an anti-tank missile at him, then threw three grenades. The autopsy report showed that Adir's entire body was ravaged, and his head was missing. They took his head to Gaza. For two and a half months, I desperately sought information about its whereabouts. It was a grueling task - receiving a headless body," he explained.
Adir's father, in deep sorrow, said, "I demanded to see the body. They warned me against it, but as a father, I needed to know every detail about my child’s death. Half an hour before his burial, the body arrived at the cemetery. When I opened the casket, I realized what I was burying. He was unrecognizable. As we buried Adir, I knew I was interring my child without his face, so I had to keep searching for it."
The grieving father spent weeks searching for a lead. "I reviewed all the videos and eventually found footage of my son missing a critical part of his body." David recounted, "Three weeks ago, during the interrogation of two Hamas terrorists arrested in Israel, they confessed that one of them had attempted to sell my son's head for $10,000 in Gaza. The IDF then entered Gaza, searched an ice cream shop's freezer, and there, in a suitcase, they found my son's head, which had also been desecrated. At least I was able to bury him with the little dignity that remained."
May Adir’s memory forever be a blessing. 💔
Causality Doctor retweeted
It’s becoming obvious that everyone has been sold a pup with physician’s associate roles. Docs thought they were getting a helper, someone to remove some of the burden of admin and chasing for junior docs and who could also do some routine tasks (but under supervision and 1/n
Causality Doctor retweeted
We are aware of a number of heroin overdoses in Dublin city.
We are advising people not to buy new batches of heroin or buy heroin from new sources.
We ask you to follow these harm reduction steps.
More information available here: drugs.ie/news/article/hse_is…
Causality Doctor retweeted
This is Baroness Warsi, in full flight, and it is a glorious thing to behold- (and yes, I well aware that she’s a British Tory).
It is a national disgrace that Australia has no politician as well-informed, or as brave, or as articulate, making the same case as well as she does.
Causality Doctor retweeted
While scrolling you'll notice almost 300 entries without a number. That's because those are children who had not reached the age of one yet.
Causality Doctor retweeted
It will take 10 minutes to scroll through all the names listed of Palestinians killed by Israel.
It will take 1 second to realize how many are children.
And it take a lifetime to ask yourself, why didn't I do more to stop this?
There is still time. #ceasefirenow
Causality Doctor retweeted
"When double standards are exposed, the motives of the EU are questioned, and its credibility is eroded."
@TiranaHassan addresses @EP_HumanRights on Israel, Palestine, and international humanitarian law ⤵️
Tirana Hassan | EU Parliament
Causality Doctor retweeted
At this moment in time, those who have the power to do something about this horrific situation need to listen to what young Israelis have to say. Especially this 19 year old survivor of the despicable Kibbutz Be’eri massacre. Important message to the world. #IsraelPalestine ⬇️




























