I agree that the two have different target audiences but they can be used in conjunction with each other. Personally I wonder if I can get my O+ in decaf.
From the article you linked to: "The healthy volunteers were testing an anti-inflammatory drug."
This was not Polyheme! These were people who consented to an experimental presciption treatment. I have no idea how you can compare the two trials. Polyheme had to pass human trials before starting field trials. In those trials I imagine they administered it to healthy adults. This is the stage at which the linked study went so wrong. That drug never made it to the point where Polyheme is now. Also you are talking about national legalities and you link to a foreign country.
First off, I could simply cite Godwin's Law and declare victory, but instead I will answer all of your allegations.
Let's get something straight: even in the ambulance this is a trial. It is a trial after the medication has been proved safe, but it still counts as a trial. There is an alternative in the ambulance: saline! That alternative is used in almost all Advanced Life Support vehicles in the country. Also, when the medics unload their patient there is a doctor making the choice of treatment. He has far more training than we do (or the medics do) and can make the choice of what to use for treatment. Blood banks often run low on blood and this is a wonderful way to counter that. Are you absolutely sure that they even started fresh lines of Polyheme at the hospital? To me it seems like they may have just let the bag run out that had been attached en route. I would like to see the specific claims made in this case and some more links about this. I have heard of the field trial controversy in EMS journals, but I have read nothing of it in Emergency Medicine medical journals.
Put yourself in this position: you have a 19 year old female patient who was run over by a semi while crossing the street in the dark. You hear the siren approaching your hospital and you see blood on the floor of the ambulance as the doors fly open. The medics give you their (fairly) standardized report as they breath for her and hopelessly try to keep fresh bandages on her. You grab a scalpel and start putting in chest tubes and the doing other limited number of things that can be done in the ER. Do you stop and take the time to order the large bore IV that is delivering Polyheme removed? Are you telling me that by not cutting off the life-sustaining supply of fluid the doctor is now a NAZI?
Considering the things that EMTs, paramedics, doctors and nurses do without consent, I am surprised that this is such an issue for you. There was another EMS field trial that was suspended because it "lowered survivability." Why aren't you yelling about that one instead of this one that is saving lives as we type? The distinction you draw between pre-hospital care and definitive (hosptital) care puzzles me. Paramedics have two years of initial training and doctors have an insane amount. Paramagicians do truly amazing things that astonish me, but what makes them so much more competant?
I am very glad to see Nintendo willing to experiement with the ways that gamers interface with their devices. Although there have been many different devices made (microphone, DDR mat, Duck Hunt gun, etc.) the latest evolution of the standard controller has maintained hegemony. I wonder what users will think of these new interfaces. They might love them or feel odd because of the change from what they know. Since the big N is (generally) targeting a younger audience, the user base may not be as set in its ways and a new generation of gamers might grow up not as entrenched in the gamepad paradigm of device interaction.
Granted, there are areas that have horrible unemployment and very little economic opportunity, but I still think it is better than third world. In the multiple posts you have made on this issue, you have yet to describe in detail any such place. I am not saying that life is easy everywhere, I am just saying that it is not third world horrible.
If you read the literature on Polyheme, it is also designed for use in hospitals. Even though human blood transfusions may have been available, it makes sense that the trials would require it to be used in a hospital setting.
As a student of Emergency Health Services, most of my knowledge stops in the ambulance receiving bay. Aside from ER rotations, I have no firsthand experience in a hospital.
I actually prefer having two seperate devices. The LifeDrive can connect to your phone via Bluetooth to dial your contacts and such, and I do not really need more integration than that.
Agreed about the keyboard. I use an optional folding keyboard for typing. Works much better than thumb-typing.
I have always liked the Palm OS the most. I currently carry my LifeDrive with me everywhere I go and I am very happy with it. People need to learn that they cannot carry their desktop with them in the palm (had to) of their hand. Instead of scaling down desktop OS and apps, they need to start small.
I do understand that, but informed consent does apply in these trials. I do not see why this is such a big deal; there was a device that did not work in field trials and was pulled. That device should be the one under fire, not this wonderful liquid.
Do you have any idea what the alternative is? Pumping people full of saline in order to restore lost blood volume. Saline cannot carry any oxygen, meaning that it does little to assist perfusion. Polyheme carries oxygen just like real blood and can keep the patient's organs alive for the 10 minutes on scene and 6-20 minutes in the ambulance (over 20 minutes and you're generally calling a helo). Even though medics are trained to perform transfusions, it is too complicated to perform them in the field. Blood does not last very long and it is expensive and takes a lot of space to carry on an ambulance. It also must be stored in specific conditions. The medics would also need to check the patient's blood type on scene which wastes precious time. The Department of Transportation protocols give us (EMTs and Paramedics) 10 minutes to get off scene with a critical patient. That is not much time, considering that includes access, assessment, bandaging, and packaging. And that is without considering IV time!
In conclusion, the only difference between current protocol and Polyheme is that the fluid being administered will be red and will actually help carry O2 instead of being clear and doing nothing.
I am American, and darn proud of it. That does not mean that I always want to be in charge of everything, but I have yet to see a unique problem with the US being in control.
"The soldiers are not the problem, their superiors are."
Such a universally applicable statement. Just replace the word "soldiers" with whatever fits the situation, like coders, employees, middle management, geeks, etc. Damn those superiors!
I am taking an objective medical point of view on this thread. The same IV for administering PolyHeme could also be used in lethal injection, but let's stay on topic. My point is that the aforementioned technologies are poised to save lives regardless of whose lives are being saved.
Here is something with which I agree: "USA, not quite as bad as everywhere else on the planet."
I am familiar with the rural parts of the country, but they are far from third world. They generally have clean running water, working septic tanks or sewers, and often have electricity and telephone service. There is an ambulance and fire truck on call and often a medevac helo is also available. There are hospitals that, although not Level 1 Trauma Centers, are sanitary and employ properly trained personel. I consider these areas first world.
I agree that the two have different target audiences but they can be used in conjunction with each other. Personally I wonder if I can get my O+ in decaf.
This was not Polyheme! These were people who consented to an experimental presciption treatment. I have no idea how you can compare the two trials. Polyheme had to pass human trials before starting field trials. In those trials I imagine they administered it to healthy adults. This is the stage at which the linked study went so wrong. That drug never made it to the point where Polyheme is now. Also you are talking about national legalities and you link to a foreign country.
QED
Let's get something straight: even in the ambulance this is a trial. It is a trial after the medication has been proved safe, but it still counts as a trial. There is an alternative in the ambulance: saline! That alternative is used in almost all Advanced Life Support vehicles in the country. Also, when the medics unload their patient there is a doctor making the choice of treatment. He has far more training than we do (or the medics do) and can make the choice of what to use for treatment. Blood banks often run low on blood and this is a wonderful way to counter that. Are you absolutely sure that they even started fresh lines of Polyheme at the hospital? To me it seems like they may have just let the bag run out that had been attached en route. I would like to see the specific claims made in this case and some more links about this. I have heard of the field trial controversy in EMS journals, but I have read nothing of it in Emergency Medicine medical journals.
Put yourself in this position: you have a 19 year old female patient who was run over by a semi while crossing the street in the dark. You hear the siren approaching your hospital and you see blood on the floor of the ambulance as the doors fly open. The medics give you their (fairly) standardized report as they breath for her and hopelessly try to keep fresh bandages on her. You grab a scalpel and start putting in chest tubes and the doing other limited number of things that can be done in the ER. Do you stop and take the time to order the large bore IV that is delivering Polyheme removed? Are you telling me that by not cutting off the life-sustaining supply of fluid the doctor is now a NAZI?
Considering the things that EMTs, paramedics, doctors and nurses do without consent, I am surprised that this is such an issue for you. There was another EMS field trial that was suspended because it "lowered survivability." Why aren't you yelling about that one instead of this one that is saving lives as we type? The distinction you draw between pre-hospital care and definitive (hosptital) care puzzles me. Paramedics have two years of initial training and doctors have an insane amount. Paramagicians do truly amazing things that astonish me, but what makes them so much more competant?
Thank you for the data. I will admit that regions of some states have higher than 7.1% unemployment, but I repeat that they are not third world.
I am very glad to see Nintendo willing to experiement with the ways that gamers interface with their devices. Although there have been many different devices made (microphone, DDR mat, Duck Hunt gun, etc.) the latest evolution of the standard controller has maintained hegemony. I wonder what users will think of these new interfaces. They might love them or feel odd because of the change from what they know. Since the big N is (generally) targeting a younger audience, the user base may not be as set in its ways and a new generation of gamers might grow up not as entrenched in the gamepad paradigm of device interaction.
Granted, there are areas that have horrible unemployment and very little economic opportunity, but I still think it is better than third world. In the multiple posts you have made on this issue, you have yet to describe in detail any such place. I am not saying that life is easy everywhere, I am just saying that it is not third world horrible.
Wouldn't that necessarily disqualify you from calling yourself a Linux geek?
As a student of Emergency Health Services, most of my knowledge stops in the ambulance receiving bay. Aside from ER rotations, I have no firsthand experience in a hospital.
Agreed about the keyboard. I use an optional folding keyboard for typing. Works much better than thumb-typing.
Anyway, I do not view the Newtown as the winner, the way that TFA is written it is more that the Q1 is the loser.
You know, I could always use a spare! About your sig: after being an intern for a semester, I mostly agree with you.
At a low enough resolution it really is 12 inches!
I have always liked the Palm OS the most. I currently carry my LifeDrive with me everywhere I go and I am very happy with it. People need to learn that they cannot carry their desktop with them in the palm (had to) of their hand. Instead of scaling down desktop OS and apps, they need to start small.
I do understand that, but informed consent does apply in these trials. I do not see why this is such a big deal; there was a device that did not work in field trials and was pulled. That device should be the one under fire, not this wonderful liquid.
In conclusion, the only difference between current protocol and Polyheme is that the fluid being administered will be red and will actually help carry O2 instead of being clear and doing nothing.
I am American, and darn proud of it. That does not mean that I always want to be in charge of everything, but I have yet to see a unique problem with the US being in control.
Such a universally applicable statement. Just replace the word "soldiers" with whatever fits the situation, like coders, employees, middle management, geeks, etc. Damn those superiors!
They must be our new insect overlords!
Beautiful part of the world; I might take you up on that someday.
The only thing that worries me at all that this horrid piggybacker might sell some units is this: it made it to /.
Why thank you. I honestly thought of my sig randomly and logged onto the nearest computer to change it. Glad that /.ers get it.
Amen to that! Go Jesus! Stop abortion! Go Joel! America, fuck yeah! Quite possibly one of the greatest posts I have ever read on /.
I am taking an objective medical point of view on this thread. The same IV for administering PolyHeme could also be used in lethal injection, but let's stay on topic. My point is that the aforementioned technologies are poised to save lives regardless of whose lives are being saved.
I am familiar with the rural parts of the country, but they are far from third world. They generally have clean running water, working septic tanks or sewers, and often have electricity and telephone service. There is an ambulance and fire truck on call and often a medevac helo is also available. There are hospitals that, although not Level 1 Trauma Centers, are sanitary and employ properly trained personel. I consider these areas first world.
Boo authentication protocol. Horray beer!