Posts by David Smith4

It could be hives... maybe an allergic reaction to some medication they were given... can you describe those spots a bit more clearly? Like, does it look more like a rash, or are they raised above the skin level?

I mean, why the shock? It’s actually a success... honestly, it would have been a total failure if they hadn't managed to take out more than 50 of them.
🙂🙂

Well, maybe... who knows? I might just stumble onto something new this way... thanks!

First things first—no, I’m not even being hyperbolic here—what you experienced wasn't even a severe allergic reaction, let alone anaphylaxis. So, folks, please, let's not get ahead of ourselves with the terminology...
And secondly, what David Smith4 wrote there is a bit of a mess—don't take this the wrong way, but his "algorithm" isn't exactly accurate. Not even close, really. But hey, that's not even the main point; that chest pain she described—was it stabbing, pressure, burning...? How intense was it? How long did it last? There are so many variables involved that I won't even start listing them all right now...

That info above comes from the Emergency Medical Procedure manual by Dr. Van Dijk.
She had symptoms that could point toward an allergy...
Anyway, this is how we treat and handle anaphylaxis here in the States...
Anaphylaxis doesn't necessarily have to show every single symptom before the reaction hits...
I'm no doctor, obviously, but I've studied anaphylaxis extensively—plus, I actually went through it once myself and barely made it out. That experience is really what drove me to dive deep into studying it...

But okay... whatever. You probably know more about this than I do... Hehe... at the end of the day, the goal is just to help whoever is asking for it... cheers.

Question number two: since these are basically just respiratory issues—I mean, I can still breathe, it’s just this constant coughing—do I really need to go see my doctor?

A cough is often the very first sign that anaphylaxis is kicking in..
Next thing you know, you're struggling to breathe...
Then comes the respiratory failure..
And eventually... death..

Just grab your injections and go. You don't need to wait for a doctor appointment—just get yourself to the ER.. They'll know exactly what to do.

Honestly, just take some Synopen, Solu-Medrol, or Dexedrine—toss them all in one pile and deal with it, and that urticaria will finally clear up...
Seriously though, you really shouldn't mess around when it comes to this stuff..

Thanks for the reply,
Don't lecture me—I'm staying far away from allergy pills because they haven't done a damn thing for me yet. Maybe a better way to describe it would be... that sharp stabbing sensation just above my chest, on the left side. So, who's actually the best person to go see for that? I mean, what kind of specialist should I look for? I'd really love to avoid running into that one lady at the front desk again.

Hey, don't start lecturing me just yet... though it might start soon. You could probably see anyone, really. I'd guess maybe an allergist or an immunologist..
Just watch out so you don't end up with hives—you know, those red welts all over your body. There's a bit more detail below regarding anaphylaxis... you really shouldn't mess around with this stuff. I barely made it out myself once.

Symptoms:
1. Stage
- Itchy skin, redness
- Coughing
- Difficulty swallowing
- Nausea
2. Stage
- Tachycardia (rapid heart rate)
- Hypotension (low blood pressure)
- Dizziness
- Loss of consciousness/altered mental state
3. Stage
- Dilated pupils
- Anxiety
- Fear/Panic
- Respiratory collapse
- Cardiac arrhythmia
- Coma (complete loss of consciousness)

Resuscitation:

Treatment for someone in anaphylactic shock depends entirely on which stage they've reached. If someone experiencing anaphylaxis doesn't get immediate medical help, it can be fatal. Nowadays, you can actually get emergency kits prescribed for people with severe allergies. These kits typically contain Solu-Medrol, Dexamethasone, and epinephrine.
1. Level One Resuscitation
The first level applies to the initial stage of anaphylaxis. The patient is given Solu-Medrol and Dexamethasone via 0.5 mg ampules injected into the gluteal muscle. This process is repeated every 5 to 10 minutes until the person starts coming out of the anaphylaxis.
2. Level Two Resuscitation
The second level begins during the second phase of anaphylaxis if the person arrives in that condition or if the first stage of resuscitation fails. In this case, the dosage of Solu-Medrol and Dexamethasone is increased, and epinephrine is prepared. If the patient hasn't responded after the Solu-Medrol and Dexamethasone doses, epinephrine is administered.
3. Level Three Resuscitation
The final stage is for the last phase of anaphylaxis. Epinephrine is administered—0.5 ml at a 1:1000 dilution (0.5mg)—intramuscularly into either the deltoid or the quadriceps (since those muscles have great blood flow), though it can also be given directly into the heart. Epinephrine can be administered this way every 10 minutes. For children, the dose is 0.1 mg/kg. In cases of severe hypotension that doesn't respond to epinephrine, volume needs to be replaced through IV infusions (like a plasma expander or 0.9% saline via rapid infusion). Once the epinephrine is given, diphenhydramine is administered at 25-50 mg, along with H2 blockers and corticosteroids (methylprednisolone). If there is bronchospasm that doesn't react to that therapy, a bronchodilator inhaler is used alongside other emergency medical procedures to ensure the airways stay open.
EPINEPHRINE NEEDS TO BE GIVEN INTRAMUSCULARLY SO THAT MAXIMUM CONCENTRATION IS REACHED WITHIN JUST 5 MINUTES!
If an IV line is already available, the medication should be given directly intravenously, but don't waste time searching for one! When giving it intravenously, it should be a 0.5 ml bolus at a 1:10,000 dilution. This is vital when dealing with cardiac arrest during anaphylaxis!

Allergies...
It could just be the very first sign of anaphylaxis..
1. Stage one.. You mentioned coughing and some chest tightness,
Is it feeling like you're suffocating? Are you having trouble breathing at all?

It might just be a standard reaction..
It doesn't necessarily have to be anything serious..

Robert Kubica pulled it off. I’m not totally sold on all the arguments flying around, but let’s be real—it was pretty obvious that BMW Sauber wanted him to take the win. I mean, if Nick Heidfeld had won, nothing really changes for the standings, right? But by letting Kubica go through, he jumps into the lead and suddenly has a much better shot at grabbing more podiums than Nick ever would have. It feels like Nick was basically the sacrificial lamb here. Don't get me wrong, I’m a massive fan of BMW as a whole, but they had to make this call for the good of the entire team. So, I’m actually on the same page as Edward Howard2 on this one. Nick needed to secure that advantage for Robert, which is exactly what happened. There’s just a much higher probability that Robert will be back on that podium scoring points at the next race compared to Nick.

It was a smart move, sure, but I wouldn't exactly call it a "fair" decision by the Sauber team. But hey, that’s just how the game is played. In the end, there’s only room for one winner at the top.

Objectively speaking, BMW is ahead of Ferrari and McLaren.

That’s exactly why. Everyone thinks they're born winners—it’s hard to see anyone looking past the first and second place spots, isn't it?

It really just comes down to timing—when exactly is BMW going to pull ahead for good? Just a little reminder here that they actually held the lead at the start of the season... and hey, they're still very much in this fight.

Robert Kubica. He’s shown so much grit and pure speed lately—you can just see how badly he wants that win from his recent runs. Honestly, this forum feels like every other one out there... everyone is obsessed with nothing but Ferrari and McLaren. It would be refreshing if people actually looked at the rest of the grid objectively, you know? I mean, BMW is looking fantastic. Sure, they were struggling a bit with the aerodynamics earlier, but they seem to have sorted that out now. Kubica is constantly hovering around the podium or at least tucked into those top five spots. And Nick Heidfeld isn't lagging behind either—if I remember correctly, he even snagged a second-place finish last year. BMW is definitely a podium contender at this point. The only real question is who takes it and where. Personally? I’m putting my money on Kubica taking first or second. We really need to start giving the other teams some credit.

Another thing—say an officer spots a violation, but the driver doesn't even realize there's a cop around. They pull into a private driveway, park, turn off the engine, and head toward the front door... only to have the officer call them back out to the street to say they weren't wearing a seatbelt, or their headlights were off, or they weren't wearing a helmet on a motorcycle, and then issue a fine. Is that actually how things are supposed to work? Since the officer didn't technically pull the driver over, and since the vehicle and driver were on private property—meaning the officer had to be at a distance—isn't their observation a bit questionable? And if they didn't stop the driver while the violation was happening, couldn't this just be based on unconfirmed suspicion?

Well, here in the States, if there’s reasonable suspicion or actual evidence that someone is on private property trying to hide behind that excuse, an officer gets the authority to enter and proceed with questioning the person or inspecting the property. As for whether the officer's observation is "questionable"—not really, at least not from my perspective—because if we started doubting every observation, there wouldn't be much difference between a police officer and some guy on the street making random claims, right? And yeah, regarding that first point, I'm pretty sure they don't actually have to pull you over in the moment. They can follow you, watch what happens, and then hit you with the ticket once you finally come to a stop. I've actually dealt with that personally with the police here in America. Honestly, I don't have anything against it.

They didn't actually say anything to you at the time—they just commented on it afterward (honestly, how could anyone be that clueless about knowing when to step back $167?). That’s just our "fine" police department for you; instead of telling you to clear out immediately... what a complete disaster!!!!!

Oh, so you *heard* them say that? Like they actually gave you a heads-up...
I swear, the people spouting this kind of nonsense are the absolute best... lol

BMW Sauber F1 team

BMW is easily the best... at least if they actually start winning... I’m honestly getting so sick of everything revolving entirely around Ferrari and McLaren—can we please get some variety in the field? Just once?

And while I have you "experts" here... my memory is a bit fuzzy, but... didn't Sato ever end up picking up the Safety car during a race?

Honestly, I have to wonder why people even bother coming to a legal forum. Is it to get tips on how to dodge traffic tickets? Or just to make fun of the system? Let’s be real—traffic laws should just go out of style at this point. If anyone actually knew who you reported, they’d come after you themselves. You're out there driving drunk, young, inexperienced, and behind the wheel late at night after 11 PM, and then you have the nerve to complain? It really makes it harder for everyone when people act like this—it puts the whole police force in such a bad spot. Everyone just wants to wait for the statute of limitations to kick in. It's tough to pay even 100-$67 sometimes, and other times it's way more. I'm originally from the Netherlands, but our systems are pretty similar to what we have here in the States, and honestly, this whole situation is just ridiculous.

I think you might be misreading how the statute actually works—I mean, just because "physical force" is listed first doesn't necessarily mean it's the chronological order of operations, right? It’s more of a menu of options rather than a step-by-step manual... you really have to look at it through the lens of that other section, Section D.

Actually, it's ordered by application. It moves from basic physical strength and its use all the way up to specialized weaponry... basically, it scales from the least intense measures meant to ensure compliance toward the much heavier stuff.

Honestly, you just have to strike them—break every bone if necessary—rather than trying some fancy leverage technique or whatever else... it’s a good thing they didn't suggest just shooting him on sight immediately, right? I can't tell if this was written by Kirk or if it was somehow added later as an important note, but from where I'm sitting, a blunt strike is anything but "minimal force."

I only brought it up because everyone seems obsessed with using leverage or specific holds, when according to the law, a physical strike might actually be the required response. Maybe the officer misjudged the situation? But I mean, trying to apply a technical hold on some drunk, aggressive punk... that's just asking for trouble.

It’s not even really about the game itself—I mean, look—if I were in Capcom's shoes, I probably would have just walked away from the deal with those filmmakers altogether. It feels like the movie actually tanked the game's sales... Hehe... That's what happens when you try to make a film based on an IP but they don't actually share anything in common, right?

Look, if they’re speeding, you just pull them over, write the ticket, and move on with your day.
If they start getting verbally abusive, you take them down to the station for a sobriety test.
And if they actually get physical with you? You make the arrest and file the charges...

Law enforcement code of conduct

FBI use of force policy
_______________________
General Directive 305

B. An officer is permitted to use only those means of force authorized by police law, specifically:
1. physical strength
2. baton
3. restraints
4. vehicle stop devices
5. K9 units
6. chemical agents
7. mounted units (horses)
8. firearms
9. water cannons
10. specialized vehicles
11. specialized weaponry
12. explosive devices

D. Any force used must be proportionate to the severity of the offense and the legal objective being pursued (always opting for the minimum force necessary to achieve success)

XI. Use of Physical Force
A. An officer is entitled to use physical force for the purpose of:

1. overcoming an individual's resistance
a) who is disturbing public peace and order
b) who needs to be escorted, detained, or arrested

2. repelling an attack:
a) against themselves
b) against another person
c) against property they are securing

B. An officer shall apply their authority to use physical force in such a way that regarding that individual, they employ:
1. strikes
2. holds/grappling
3. other defensive or offensive techniques intended to compel obedience while inflicting the least amount of harm possible.

IMPORTANT: always approach with the lowest level of force and the least intrusive method (a hold rather than a strike)

C. An officer may consider any active or passive resistance that justifies the use of physical force as
opposition to commands issued by an officer for:
1. maintaining public peace and order
2. restoring broken peace and order
3. removing someone from a scene
4. temporary restriction of movement
5. escorting
6. detaining
7. arresting
8. performing other police duties
D. Active resistance exists when a person:
1. prevents an officer from performing their duties by using:

a) weapons
b) tools
c) other objects
d) physical strength

2. Incites others to resist

E. Passive resistance exists when a person:

1. fails to follow a command
2. adopts a posture that prevents the execution of police duties (for example, lying down, kneeling, etc.)

F. An officer shall cease the use of physical force once the attack or resistance has ended.