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Oriental Redneck |
Conspiracists in maximum overdrive. Q | |||
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Mired in the Fog of Lucidity |
Is that a simple hammer in the upper left corner of the left pic, that could be used to break glass? Or rather a piece of high tech apparatus that can only be launched from a .30 cal belt fed mechanism? My head is spinning. | |||
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Peace through superior firepower |
Not here, they won't be | |||
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Jack of All Trades, Master of Nothing |
As an ER nurse this article hits close to home for me. It's a situation that we all know can happen and pray that it never does. Controlled chaos is really the only words that can describe what was happening at UMC. https://mobile.nytimes.com/201...ooting-hospital.html Controlled Chaos at Las Vegas Hospital Trauma Center After Attack Outside the University Medical Center of Southern Nevada in Las Vegas on Monday. By daybreak 104 patients had arrived, and more as were expected. ISAAC BROKEN FOR THE NEW YORK TIMES By SHERI FINK OCTOBER 2, 2017 On Sunday night, Toni Mullan drove 110 miles an hour on side streets from home to get back to University Medical Center of Southern Nevada, where she had just worked a 12-hour shift as a clinical supervisor in the trauma resuscitation department. Her car was smoking as she pulled into a three-hour parking spot close to the trauma center. Ms. Mullan, 54, left her hazard lights blinking as she shut the car door and raced inside. Around a dozen patients had already arrived from the shooting scene at a music festival on the Las Vegas Strip. Two were dead and two had been “black tagged” — fully assessed and found to have injuries that were not survivable. Ms. Mullan’s daughter, Antoinette Cannon, 29, a trauma nurse who also works at the hospital, was standing out front with a physician assistant, taking injured patients out of vehicles as they drove up to the hospital and quickly assessing whose conditions were the most precarious. “The minute I got there, I looked at the situation and said ‘How am I going to utilize my resources?’ ” Ms. Mullan, a registered nurse, said in a telephone interview Monday morning. By daybreak, 104 patients had arrived. University Medical Center is the only level-one trauma center in Nevada and one of only a few free-standing trauma units in the nation. That means it is fully staffed with surgeons and trauma nurses day and night to handle injuries and mass casualties, from vehicle crashes that bring in 10 patients at a time to a 2015 episode in which a woman drove onto the Las Vegas Strip, sending 17 patients to the medical center. Last week, there had been 15 trauma cases in one night. But even with 11 trauma bays, three operating rooms, a CT scanner, a trauma intensive care unit and a pediatric intensive care unit all under one roof, the trauma center had never faced a torrent like this. For two or three hours, the patients came nonstop. The radio at the clerk’s desk blared with transmissions from paramedics. With the frequency overburdened, other paramedics resorted to calling in patients by phone. Many patients simply arrived in cars or, in one instance, several in the back of a truck. To an outsider, “it would look like a disaster zone, a chaotic scene, very chaotic,” Ms. Mullan said. “If a nonmedical person were to be sitting there watching this, they would think nothing was being accomplished.” But in fact much was being done. It had been a busy day, which meant some of the day shift was still present and stayed to work alongside the night shift. Pagers went off with a be-beep be-beep each time a severe trauma case was identified. Patients, most of them with gunshot wounds, were doubled up two stretchers to a trauma bay. At one point, beepers screeched as five trauma cases were clocked in at the same time. “We couldn’t hear each other talk, it was that crazy,” Ms. Mullan said. The injured also poured into other area hospitals. At Sunrise Hospital & Medical Center, within walking distance of the concert, 90 patients arrived in the first hours and by noon on Monday the total had reached 180. Of those, 124 “met the criteria for trauma activation,” said Dr. Jeffrey Murawsky, the hospital’s chief medical officer. They included patients with single and multiple gunshot wounds to the head, face, chest, body, arms and, in one case, a finger. By Monday afternoon, sixteen patients had died, some on arrival and others after being treated. Patients were sorted in the lobby of the emergency room on a scale of one to five, with one being the most critical, a system used daily. On Monday afternoon, operating teams at Sunrise were still at work. More than 50 patients had undergone surgery. Hospital leaders should “think about the unthinkable, practice the unthinkable, even in a limited way,” Dr. Murawsky said. Dignity Health-St. Rose Dominican received 61 patients at its three campuses, 32 of them to the Siena location, a level-three trauma center. As of Monday evening, five of those patients were in critical condition, one was in surgery, and at least 22 had been discharged, said Jennifer Cooper, a spokeswoman. None had died. Most had endured gunshot wounds, but others had been trampled while fleeing, or had been hurt climbing fences to escape the gunfire. Before patients came into the hospitals, medics had to extract them from the scene of the violence. At 10:08 p.m., the call came to the Clark County Fire Department, which covers the area where the shooting occurred. Not knowing whether the gunman or gunmen had been neutralized, emergency workers wore ballistic helmets and body protection. “They were exposed to significant trauma, things that are very very unusual — a lot of deaths, a lot of injury, a lot of hysteria in one place, a lot of tragedy, so quite frankly many of them will probably be dealing with this for the rest of their lives,” said Jeff Buchanan, a deputy fire chief with Clark County. Ultimately, 108 fire personnel worked on the scene, including those from neighboring fire departments. Mr. Buchanan, who served at a command post, was later sent to the scene of the concert, where only the dead remained. “It felt apocalyptic,” he said. “All the smatterings of blood, the blood footprints, just the pooling of bodily fluids, valuables strewn all over the place, phones, money, wallets, clothing just everywhere.” Private ambulance companies staged in four intersections to the north, south, east and west. AMR Las Vegas and MedicWest sent 120 trucks and more than 250 personnel, said Damon Schilling, a community affairs manager for both companies. Some of the first to appear were the “walking wounded,” people who were able to escape and had less grievous injuries. Ambulance crews tried to focus on transporting critical patients to nearby hospitals. At the trauma center at University Medical Center, workers rolled gurneys and wheelchairs outside so they wouldn’t take up space inside — a lesson Ms. Mullan said came from a recent training session with a doctor who had served after the Orlando Pulse nightclub shooting. Still, patients kept filling the trauma center. “We had them in the hallway, we had them everywhere,” Ms. Mullan said. “Wherever we could find a spot we did.” The next step was to open up more places to receive them — a recovery room, a preoperative area, and an ambulatory surgery center were staffed and made ready. A separate place was set aside for the patients with unsurvivable injuries to receive comfort care until they died. Two areas were established for patients with injuries that were not life-threatening. With staff and volunteers pouring in, these patients, too, received immediate care from a dedicated doctor. Teams reassessed intensive care patients, moving the less critical to make room for others. The trauma center repeatedly ran out of supplies including IV tubing and fluids, chest tubes, blood pressure cuffs, urinals and blankets, and “begged, borrowed and stole” them from other departments of the hospital. The cafeteria was turned into a respite area for families searching for loved ones. Many patients arrived at the hospital and others as unidentified “Does.” Ms. Mullan said as of Monday morning that the list of which patients were where was “still a work in progress.” In the end, Ms. Mullan said, the systems in place were able to flex with the extra burden and bring care to those who needed it. In the midst of the disaster, the trauma center even took in a burn victim and a pedestrian hit by a motor vehicle. For other hospitals that may be called on in future mass shootings, Ms. Mullan had advice. “Be prepared and practice,” she said. As she remained at the hospital late Monday morning, Ms. Mullan reflected on all the people who arrived to help, including workers who were not on shift and every hospital administrator. “I’ve been a nurse for 30 years, and this was by far the worst moment I’ve had, the worst injuries,” she said. “But it was the proudest moment.” My daughter can deflate your daughter's soccer ball. | |||
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Staring back from the abyss |
Why? ________________________________________________________ "Great danger lies in the notion that we can reason with evil." Doug Patton. | |||
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Fighting the good fight |
ER/Trauma staff are amazing. | |||
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Back, and to the left |
It's not something I wanted to see either. I wasn't looking for it, but I did wind up finding it. Let me see if I can find the link and I'll post the link . Updated to add: Fair warning: As expected, the guy ate the gun so, you know, if you don't want to see it, don't click the links. Looks like he used a revolver for this. It came from some Boston reporter's twitter page. | |||
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wishing we were congress |
http://wtvr.com/2017/10/03/ins...-mandalay-bay-suite/ Police entered the hotel to begin working their way to the shooter’s sniper nest. “A team of six officers that approached security, they went up the elevators after discussing the situation with the security and obtaining intelligence,” Lombardo said. “And they checked each floor by floor until they located where they believe to be the room,” the sheriff said. High up on the hotel’s residential floors, a first responder radioed in: “I’m inside the Mandalay Bay on the 31st floor, I can hear automatic fire coming from one floor ahead… one floor above us.” “Subsequently they approached the room, received gunfire, they backed off and SWAT responded,” Lombardo said. Las Vegas Metropolitan Police Department Undersheriff Kevin McMahill said once the first responders had “isolated this individual to the two rooms, our SWAT team used the explosive breaching to go in and confront the individual.” A SWAT officer is heard on police radio: “We need to pop this (door) and see if we get any type of response from this guy. See if he’s in here or if he’s actually moved somewhere else.” Once inside the room, police found the shooter dead, apparently from a self-inflicted gunshot. Lombardo said police believe Paddock “killed himself prior to our entry.” | |||
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Ammoholic |
These people aren't being thanked enough. Jesse Sic Semper Tyrannis | |||
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The Karmanator |
The Mandalay Bay is curved. Reflection is the most likely explanation. | |||
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Step by step walk the thousand mile road |
Youve got mail. I saw it earlier. Nice is overrated "It's every freedom-loving individual's duty to lie to the government." Airsoftguy, June 29, 2018 | |||
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Member |
From what I understand, the first officers on the scene took fire through the door, so that is the reason SWAT breached. Only person found in the room was dead, so unless the real perpetrators had magical vanishing machines, I don't think anyone else was there. __________________________ But I, being poor, have only my dreams; I have spread my dreams under your feet; Tread softly because you tread on my dreams. | |||
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Peace through superior firepower |
You actually think I was being serious? Of all the people you will encounter online, I am one of the least likely to accept any sort of conspiracy theory. That's no joke. I am in probably the top one percentile of people who reject such nonsense outright, and enthusiastically. Such crap always comes from loons or children who want to make the banality of the truth more interesting than ever it will be, by fabricating fairytales out of whole cloth. | |||
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The Main Thing Is Not To Get Excited |
yep, signed _______________________ | |||
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Festina Lente |
I accept this is an act of madness. However, there was no "snapping" here - unless it was a long time ago. Way too much planning. Time and investigation will reveal where ever he went to practice his bump-fire, how long ago the various purchases were made, what the exact financial condition he was in, and sources of income and avenues of spending. Threads need to be pulled on all his contacts. I fully expect to see his Ted Kaczynski-ish "manifesto" - this much crazy and planning, I expect we'll be treated to his message, however deranged. NRA Life Member - "Fear God and Dreadnaught" | |||
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safe & sound |
The people who deserve it the most are usually the ones demanding it the least. That's what real heroes do. They do what needs to be done because it needs doing, not because they want the attention or need the praise. I'm confident we will hear many more examples of true heroes in action as more of those involved begin to tell their stories. | |||
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Rule #1: Use enough gun |
That 4th floor shooter must be quite the marksman......since he was able to fire all those rounds without breaking any 4th floor windows. When a strong man, fully armed, guards his own house, his possessions are undisturbed. Luke 11:21 "Every nation in every region now has a decision to make. Either you are with us, or you are with the terrorists." -- George W. Bush | |||
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Member |
An attempt to explain what drives lone offenders. *************************** Knowing more by accident than on purpose. | |||
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Unflappable Enginerd |
That's pretty kind... __________________________________ NRA Benefactor I lost all my weapons in a boating, umm, accident. http://www.aufamily.com/forums/ | |||
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Member |
What about anti-depressant medications? The Columbine shooters had been on anti-depressants of some kind. I know that SSRI's and other meds can totally screw up one's thinking and emotions. Sandy Hook, I am pretty sure that kid was on meds. I would expect that many if not most of these crazy mass shooters were not in their right mind because of meds. Hopefully any information on what this guy was on will come out, and not be suppressed. I am not a conspiracy theorist, but I am sure that the heavy hand of Big Pharma would try to quash any mention of meds and side effects involved in mass shootings. Better to blame the gun than on what makes them billions. -c1steve | |||
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