#vital sign

[macgyvermedical]

Okay so I have a really specific question. Baseline stats? Except my character is already pretty sick, he's got room to get much much worse but right now he ain't great. He's in a fair amount of pain because he keeps having adverse reactions to painkillers from previous drug abuse and yeah. So what would normal baseline be? And then what would a normal baseline for him bc since he's got this illness. It's idk what you call it but one of the illness that get worse with time... degenerative. Except in this world he can be fixed with enough treatment but he keeps refusing said treatment. Yeah I don't really understand vitals and things so I didn't wanna botch it but based on the info what would you assume would be good? Also what's like the worse someone's vitals could be with them still awake and alive although the mental state can be real messed up. (: thanks hon

So our understanding of normal adult vitals include:

BP: 100/60- 140/90 mmHg (a measurement of pressure)

Pulse: 60-100 beats per minute

Respirations: 12-20 breaths per minute

Temperature: 96-100.4F or 36-38C

SpO2: 95-100%

Level of Consciousness: Alert and Oriented times 4 (can answer 4 specific questions about themselves and their environment)

Now, all these "normals" pretty much assume a healthy, white, 20-something male who has a BMI of 18-25 and who has been sitting quietly for at least 5 minutes. So basically very few real humans.

It's very normal to vary from these somewhat if you are exerting yourself, in pain, sick, or otherwise different from the above demographic. So if we're taking vitals, we want to control what we can (generally asking the person to sit relatively quietly for 5 minutes). If we do this and you're out of range, but we have no other data to work with, we will try to get you back into this range. Because again, it's assumed that to get out of these ranges, you must have something going on medically that needs addressed.

For example, if your blood pressure is 160/90 with a heart rate of 110 because you're in a lot of pain, we can correct that by treating whatever is causing the pain.

Now, there's not always an identifiable (or fixable) reason why someone might be out of range, and sometimes we just correct the vitals themselves because chronically high or low vitals may cause problems. For example, as far as we know right now, living for a long time with a blood pressure in the 180s/100s will eventually cause heart failure, stroke, or heart attack, regardless of the reason. So if we can't get that person back into range by fixing something else, we'll give medications that directly lower blood pressure.

But let's say someone's heart rate is in the 40s because they're a runner. That's normal for them. It doesn't cause them any problems, it's not caused by a disease process, as far as we know won't cause them problems in the future, and their other vital signs are in normal range. They are said to have a "baseline heart rate of 40bpm". That tells other medical providers who are working with them that there's nothing to correct there- ignore that weird reading and just fix anything else that needs fixed.

Baseline can also be used if someone has a chronic illness that is as controlled as it can be, but it still has an impact on their vital signs. Say someone has a heart rhythm called atrial fibrillation with RVR and their heart rate without medications is in the 190s or 200s. This may cause symptoms, but if we medicate to control that rate to between 60-100, it may also cause symptoms.

So we might give enough medication to control the rate to 110s, which minimizes the symptoms they experience but still puts them technically out of range. Their baseline, then, is in the 110s. Again, nothing to correct there, it's just normal for them to be out of range on that vital.

Or, someone might have dementia and be unable to answer all the questions that would make them A+Ox4, but maybe can only consistently answer 2 of them. We wouldn't necessarily be worried about that because we know that it's normal for them to be A+Ox2- their baseline, but we would be worried if suddenly they were A+Ox0.

You can also have other measurements besides vitals that are considered baseline stats. Like pain, or blood sugar, BMI, electrolyte levels, or pretty much any other lab value.

As far as what you are describing I don't know that I can give you specific baselines, as I don't know what his symptoms are or how they relate to vital signs. With chronic pain generally vitals eventually go back to normal (say someone rates their pain at a 5/10 consistently, over time their body normalizes around that pain level and other vitals may only go out of range if they have an acute spike in pain).

What I can give you is a few of the following:

Pain: All vital signs go up

Dehydration/blood loss/shock: BP and LOC goes down, everything else goes up

Kidney problems: BP and HR can change but in what direction is due to the specific problem.

Opioid overdose: RR goes down.

Heart problems: Change in HR and BP but directions can change depending on specific problem.

Lung problems: Usually RR and HR go up

Throwing up: everything goes up

Drug abuse and withdrawal: depends on the drug

#whump reference #writing reference #treatment #vital signs #baseline

[greetings-inferiors]

Eh robot girls are all right but why are you all so obsessed with them

#persona 3 reload spoilers #persona 3 spoilers #persona #persona 3 #persona 3 reload #I'm sop normal about her #The post about her not understanding why she's crying being her robot body noticing Makoto's vital signs slipping away #But the humanity he gave her not being able to notice it #has done irreparable damage to my psyche #aigis #aigis persona 3 #text post #randyposting

[chaoticdean]

Vital Signs (NOW COMPLETE)

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Rating: Explicit

Characters: Dean Winchester, Castiel (Supernatural), Claire Novak, Lee Webb, Missouri Moseley, Sam Winchester, Eileen Leahy, Balthazar (Supernatural), Gabriel (Supernatural), Max Banes, Charlie Bradbury, more characters to be added

Pairings: Dean/Castiel, Sam/Eileen, Dean & Lee, Dean & Claire

Tags: Alternate Universe - Modern Setting, Detective Dean Winchester, Professor Castiel (Supernatural), Coma, Loss, Lost Time, Depression, Getting Back Together, Castiel and Dean Winchester are Claire Novak's Parents, Parents Castiel and Dean Winchester, Background Case, 2000s, Chicago (City), Other Additional Tags to Be Added

Summary: It’s 2001. Dean Winchester is a detective within the Intelligence Unit of the Chicago Police Department. Bon Jovi’s “It’s My Life” is on every radio of the country, the Cubs haven't won the World Series in almost a century, and Georges W. Bush just got elected President of the United States. Dean has been dating Cas, his high school sweetheart, for almost ten years and together they raise a daughter, Claire, who’s about to turn 1.

Life, all things considered, is good.

It’s 2021. Dean Winchester wakes up from 20 years in a coma after taking a bullet into the head on a case gone wrong. 9/11 happened almost 20 years ago, the world is on fire, the Cubs won the World Series five years ago, and Bon Jovi put out 6 albums since “It’s my Life”. Dean’s baby daughter just turned 21, his brother married an incredible woman and has two kids he doesn’t know, and his boyfriend... Well, Cas is still by his side, but there’s stuff he’s keeping from Dean.

Of course, this would be enough to fill Dean’s plate if he didn’t also have to figure out who put a bullet into his head, 20 years back.

Author’s note: I know I said I would take some time off once "Glory Hallelujah" was finished, but I stopped writing for 2 months straight and then my mind started wiring.

This story has been hugely inspired by a French tv show that started to air in 2013 and finished in 2016. Though I took some storylines and aspects from the show, there also are some stuff I changed or flat-out created for this story. If you're interested in watching the series, it's called "Falco" and is probably available to watch with English subtitles somewhere (though it's one of the small numbers of tv shows that completely tore me apart and made me cry like a baby when it ended).

Going from there, if you do enough research, you'll probably find out that (spoilers) Falco dies at the end of the show. That's one of the things I didn't want, so rest easy: Dean isn't going anywhere in this story.

Contrary to pretty much all of my previous stories, I don't have a fix schedule for this, and a weekly, fixed update day is very unlikely. I'll try to update at least once every two or three weeks, but you guys know I'll get to the finish line anyway.

#hugely excited for this one #i actually started writing it over a year ago #it was supposed to be my dcbb this year before i dropped out #anyway it's gonna be heavy and painful but cathartic like it always is #vital signs fic #destiel #destiel fic #deancas #deancas fic #dean winchester #castiel #claire novak #chaoticdean #jus writes

[vitamin-zeeth]

Hold on I have to check the letterboxd reviews for the horrid henry movie right fucking now

#i love that movie i meed tp convince someone to watch it with me rn #its so fucking good GOD its a literal lile vital cutural touchstone for me its central to my worldview #that part where Peter goes and fucking destroys frere jaques in front of the school to buy his teacher time to investigate. changed lives. #wet floor sign #horrid henry #the horrid henry movie #or is it #horrid henry the movie #idk

[whumpy-daydreams]

Cardiac Surgery

masterlist

Decided to make a whole post about cardiac surgery because goddammit I spent two months in that department and it changed my psychology.

Open heart surgery is the most insane thing I've ever seen (and that's saying something)

First there's the monitoring:

five lead ecg

arterial blood pressure monitoring

two core body temperature probes (one down the throat, the other in the urethra)

central venous blood pressure monitoring

BIS monitor (measures brain activity)

AND THEN

defibrillator pads connected before surgery begins

catheter

central line (basically a cannula that goes in a BIG vein right to your heart)

multiple other cannulas

ALSO BYPASS! Putting people on bypass is insane and I still can't get my head around it.

The surgeon connects all the blood vessels that go into the heart to big plastic tubes which go to a bypass machine, which then pumps blood around the patient's body!

The weirdest thing about it is the heart rate goes to zero and the blood pressure is also non-existent. It can also cool down or heat up the blood which is important for:

AORTA surgery! The aorta is the super super big artery that delivers oxygenated blood from the heart to the rest of the body. However, if you need to disconnect the aorta, you're also taking blood away from the rest of the body.

This isn't a problem for most of the body, which can survive for an hour or two - but brain damage can start after only a couple of minutes. So to prevent this, we cool the patient down.

And by cool the patient down I mean temporarily kill the patient. Core body temperature is dropped to 20 degrees celsius (68 fahrenheit) to stop all brain function, and the heart is also stopped. This way the aorta can be operated on for up to 40 minutes.

In fact, in most open heart surgery you have to stop the heart, even if you don't also stop brain function. But that leaves the question - how do you start the heart again?

In any other situation this would be called a cardiac arrest and treated immediately with CPR and a defibrillator. But not in cardiac surgery! No. In cardiac surgery they don't use your typical defibrillator - they use metal paddles directly on the heart to get it going. No CPR for cardiac surgeons, only high voltage electricity.

(i really want to put a picture in but they're all really graphic. If you're up to seeing open heart surgery search for 'open chest defibrillation')

After surgery the patient isn't woken up immediately. They go to the ICU and stay anaesthetised for a few more hours to allow the heart to recover.

#heart surgery #tw medical #tw surgery #i love cardiac surgery but most of it is boring because it takes so long #youre just sat around for 8 hours because you cant see anything #its still really cool though #fucked up my perception of normal vital signs #brief guide to surgery #medical whump

[maihonhassan]

these lines hits different >>>

#urdu #urdu lines #urdu adab #urdu stuff #deep #urdu poetry #rekhta #urdu shayari #2 line poetry #fav #dark academia #desi academia #urdutextpost #urduthoughts #urdutumblr #pakistani songs #pakistani singer #pakistaniartist #pakistanimusic #vital signs #اردو پوسٹ #اردو زبان #اردو ادب #junaidjamshed #aitebaar #urdu shairi #urdu sad poetry #urdusadlines #urdusonglyrics #urdu sher

[daigah]

The use of they/them from all the agents for Valorants new agent makes me hopeful for a non binary character but really they're just probably keeping the gender vague for the reveal 😔

#it seems that they will be young and lore important tho sooo #also pink and light blue colour scheme with a butterfly motif? sign me up #i mean they all have “lore importance” but some definitely feel more filler and less vital yk? #coughs deadlock #i love her but she gets NO love from riot #we're finally getting her first non contract spray in the new bp #valorant

[random-fandom-whump]

White Collar S01E10 ↳ RFW's Favorite White Collar Whump Moments (✚)

#white collar #whumpedit #neal caffrey #peter burke #drugged #vulnerability #handcuffs #ep: vital signs #wc 1x10 #oh peter you so got played #though i 100% believe everything neal said was true #favorite white collar moments

[bumble21v2]

Trying to get back after my original account got hacked / deleted.

#ventilator #black beauty #vital signs #anesthesia

[eves-da-best]

Vital Signs - 1x4

Sarah's drunk and her friends/fellow med students are trying to sober her up quick for a test - I'm 😂😂😂😂😂😂

#apologies for the terrible audio quality #she's adorable omfg #sarah cartwright #eve best #vital signs

[jmrothwell]

In honour of your yellow moodboard, a yellow prompt for Willie: "I think I broke my leg."

Julie had practically given up on her homework when her phone rang, the screen displaying the caller may be potential spam. Normally she wouldn’t answer these but given the choice between potentially being able to troll some scammer or pull out her own hair, she chose the former. Not even bothering to hide her frustration from her greeting?

“Julie?” 

Her brows furrowed, incredibly tempted to hang up then but something about the vague familiarity of their voice kept her on the line. “Who is this?”

“It’s Willie.”

“Willie?” That got her to sit up straighter, automatically looking around her room for Alex even though she already knew he wasn’t there. “What? How did you call me?”

“Ghost trick.” He chuckled though it sounded strained. 

“Oh.” She did vaguely remember the guys mentioning Willie being able to mess with electronics. Even heard Carlos mention some supposed true stories of ghosts being able to talk through radios and phones, she just didn’t expect it to be true. “Uuuh, sorry but Alex isn’t here right now.”

“Actually,” Willie took a sharp breath that sounded like a hiss across the line. “I didn't want to panic him and I didn’t know who else to call.”

“Why? What’s going on?”

“I think. . I think I broke my leg.”

“What?” Julie’s brain briefly short circuited, wrapping her head around the sentence. She couldn’t have heard him right. “How?”

Another strained laugh and hiss of air. “Yeah, I landed this trick wrong, and didn’t catch myself properly.”

“But you’re a ghost” She practically screeches, interrupting his explanation

“So are the guys.” 

It’s a bizarrely valid argument in a conversation she never expected to have. Ever since the post Orpheum hug the guys had been toeing the line between life and death until it wasn’t clear if there even was a line there anymore. 

“Right.” She says with a sigh, there are more important things to focus on at the moment. “Can you still poof?”

“I haven’t tried, wasn’t sure where to poof to, y’know?”

“Yeah,” she agrees, not sure herself where they should even take him to get checked out. Would he even be visible to a doctor? Were there any ghost doctors? “Ok, how about you try poofing here, and if you can’t we may have to get the guys involved. Then we’ll figure out where to go from there.”

“Yeah, yeah ok.” He says and the line goes dead.

While she knows he didn’t want to worry Alex, she doubts she can figure this out on her own and informing Luke or Reggie meant it eventually getting back to Alex regardless. So while she shoots a 911 text to Flynn she mentally pulls for the guys and goes to warn her Dad of the potential impending freakouts.

#julie and the phantoms #willie & julie #Not Pictured: #Poor Willie probably broke his leg a while ago and has been dealing with some serious death related ptsd #Of Course everyone freaks out about the whole situation #there's a whole debate about taking him to the ER which ends with the lack of vital signs would probably complicate mattees #not to mention insurance and payment things #Eventually they call Carrie like Do you guys have a private doctor who offers house calls??

[3lji]

#I HAVE BEEN BLESSED WITH POLLS #CONGRATS TO YOU ALL I JUST BECOME TEN TIMES MORE ANNOYING #i didn’t have enough options so pls comment with which sign! I FIND THIS SO INTERESTING #will do all the gang #if OX does not give us this vital info we must take matters into our own hands #19 days #tianshan #he tian

[chaoticdean]

Chapter 5 of Vital Signs is out tonight! What are you most excited about? ❤️

#vital signs #it’s been so long since I’ve been so excited about an ongoing story #I truly hope I’m not the only one

[strange-wafflez]

*a classic*

#bastille #bastille dan #bastille kyle #dyle #what’s been bothering me for quite a while is… #if his ex is hidden under dan’s bed are they okey…? like vital signs wise… #also how can his ex be under both their beds at the same time lol

[eddie-rifff]

ive been going to these two record shops since i was 14 so almost 13 years and the owner of one of them helped get me into prog and every time he sees me these days hes like "what esoteric prog are you looking for today" and i have to be like..... gryphon :(

#i actually got vital by vdgg today there!! its been there since may which like how #vdgg usually gets snatched up #i guess because its live idk #not to go on a tangent but ill never forget the day he pointed out chris squires solo album #the one i eventually got signed <3 #i was having like sinus issues that day and i was sooooo out of it #and he pulled it out and handed it to me and i was like in a daze #i just looked at it in my hands #i remember where i was in the store too #weird. #a beast that can talk

[random-fandom-whump]

White Collar S01E10 ↳ RFW's Favorite White Collar Moments

#white collar #neal caffrey #peter burke #not whump #favorite white collar moments #made these more so i'd have them around for reaction gifs #ep: vital signs #wc 1x10 #adorable beans #neal YES 😝 #neal no 😠