Dat isch zwar noch oriiinnnaall DDR, aber halt auch kein Robotron.

And this is why you never get a massage or (even worse) chiro on your neck.

Ich hatte am Rettungswagen mal nen Praktikanten dessen Geburt ich als Einsatz hatte.

I am that old.

VMs and Clusters are nothing new,neither are KVM/QEMU.

But Proxmox has given the whole thing a huge boost,made it available for smaller deployments and hobbyists and generally pushed a lot of people away from MS, the cloud and towards digital sovereignty.

Yeah. LLMs are helpful IF you now what they are, what they can do, etc. and that you still have to check their solution.

For some things they are good and safe time.

Example: We currently work with a company who has understood this verx well: They provide doctors reports and also validate manually written ones. Their workflow basically is: The doctor orders a doctors report for patient A. The system checks witht the doctor that it has understood the major bullet points from the clinical information system and the order given by the doctor. (Basically a “yes” “no” answer system like “Patient was admited for chestpain?”) and then creates the report with a color coding in the version the doctor needs to check. (E.g. "white background for “we are 100% sure about the data as it comes directly from the clinical information system” aka names, dates, lab results, green for “very likely to be correct”, yellow for less than 99% certainity, orange for less than 90%,etc.) The system also has a mandatory “minimum verification time”, e.g. for a longer letter you will need more time to read it and can’t simply click okay without reading it. Nevertheless the doctor needs around 10-15% of their time for a report and overall satisfaction by the facilities receiving them has massively improved as they are more “standardized” in it’s format and they find the same information in the same parts every time.

For quality assurance a cetain degree of reports will be send “upwards” and the QA manager of the facility reads them as well, additionally some departments have implemented that if doctor A writes a report e.g. 5% goes to doctor B to check and vise versa.

Additionally the system also validates manually written reports (for training reasons med students and interns are not allowed to use it), e.g. “are you sure this patient had hypotension when admitted? He was given large amounts of a anti-hypertension drug within 5 minutes after being admitted”. This has significantly reduced errors in manual reports (we check a four digit number by now).

Whole thing runs locally (*) and does not need any outside connection at all and the model is open to the clients (they are actually encouraged to train it with their own data and to let their data security officers check it).

(*: This is actually an issue,sadly. As doctors reports are basically written all at the same time during the day and of course the model needs a fair share of ressources it needs a somewhat beefy appliance for it. While that is not an issue for a larger hospital it is not feasible for a smaller community hospital who barely manages it’s own IT infrastructure or even a small doctors office - but we found these to be the ones who would benefit the most from it. At the moment we don’t have a good answer for that beside hosting it elsewhere which would defeat the purpose and make it a privacy nightmare. We will see if these guys solve that before they fully introduce it into the market)

That saves time, money (even if it’s only for the larger facilities atm) and benefits patient care directly.

Yeah, and Eich is the a***e behind brave…

What part do you mean exactly? That we train technical rescue with the firies every year? That comes with the job - and it’s more “their part” - even the smaller volunteer fire departments do that at least once a year to keep up their skills with the heavy tools and we get train to work with them. It’s usually not that expensive either,as they use an old car that wouls be wrecked either way. Often they get them for free (as disposing a car can be expensive otherwise).

The total submersion training? That is much rarer and I only did that once, but it’s part of the training of the more specialist water rescue crews, afaik. The issue here are not the cost,but finding a suitable location - you can’t just use your community pool or nearvx lake so you either have a quarry with a lake or something like that (we did it in a army tank training ground, they have a pool to drive tanks through. Nowadays it’s almost impossible to get a permit to train there due to the hybrid warfare the fucking russkies do) We have a specialist training side that enables indoor training of helicopter based winch rescue from flood water/flooded buildings,etc. though. (Mainly focuses on mountain rescue,though and has a cold chamber,etc. as well) (https://bw-zsa.org/) (https://youtu.be/2qWJNgKVo18)

Similar training of an automobile club: https://youtu.be/T5l1ayTryhc

HUET for helicopter is mandatory for everyone who works with maritime helicopters, e.g. oil rig workers, maritime pilots,etc. Therefore they are fairly common. https://youtu.be/YyPzzLwpzvw

It’s very very very unlikely/next to impossiblr that you are able to destroy the front window in a modern car - even with tools that takes time and skill

With a back window you might have more luck,depending on the car,at least with a center punch tool, you might have a better chance - but that requires you to be able to a) be alert and uninjured enough to do so b) find your way there in total darkness, wrong orientation,etc. c) manage to apply the right amount of force.

Source: Am a paramedic,have to destroy windows once a year for our training with the firies, additionally have done “total submersion” training once. (Basically the same as what happend here. You get into a car,this car get spun on the roof, then slid down nto a pool/lake - with the difference that you have space on all sides, there is a rescue diver with you in the car and another two are next to it. It is still a fucking nightmare and MUCH worse than what I used to do to work on the helicopter - their HUET was much easier.

Das kann ich an Absurdität noch toppen.

Du brauchst im Grenzverkehr auf SBB Zügen eine Reservierung (oder brauchtest,k.a.,war während COVID). Like…For real brauchen, die haben dich ggf. vor die Tür gesetzt früher.

Ich kam mit einem Zug in München an und sollte weiter nach Zürich. Soweit so gut. 25 Minuten Umstieg am Münchner Hauptbahnhof sollten ja reichen. Kurz vorher gebucht, vielleicht 2 Wochen. Keine Baustellen, nix,passt.

Am Reisetag endet mein Zubringer (selbst ein ICE) dann auf einmal in München Ostbahnhof. Wohl schon geplant seit 2 Wochen,da die DB nicht genug Kapazität auf der Südumfahrung hat. Scheisse. Aber gut,mit der S-Bahn machbar.

Hahaha. Es ist natürlich Sonntag, die Stammstrecke ist wegen irgendeinem Kack gesperrt. Mit der vollkommen überlasteten U5 immer noch hart,aber machbar. Naja, hat Dank Gleisverlegung nicht gereicht, grad vor der Nase weg gefahren.

Das Absurde? Per Handy kannst du nicht einfach den einen noch möglichen nächsten Zug reservieren - zu kurzfristig. Naja, dann eben in das Reisezentrum der Deutschen Bahn. Zuerst dreist angelogen worden (“Sie brauchen keine Reservierung”, dann “wir können nie für die SBB reservieren” - Brudi was meinst du wie ich zu dem DB Ticket gekommen bin?), dann kommt der absurde Satz: “Ja da müssen sie morgen nochmal wieder kommen. Bei uns können für die SBB nur ein paar Leute und die sind nur Montag bis Donnerstag da”.

Das war mit weitem Abstand das Absurdeste was ich bei der Bahn bis jetzt gehört hab - und ich fahre momentan tlw. 5k pro Monat (gut,meist nicht mehr DB).

Netbox,especially when combinded with Plugins is so incredibly good and might,that’s it’s almost funny how good it is. What I do Plugin wise:

• Documents: not implemented yet by me,but one could store manuals,etc. directly within netbox.

• Lifecycle and Inventory: While it’s not as good as snipe-it (tbh, inventory is imho one of the worst plugins) it does the job for my small deployment

• Slurp it to scan automatically

• QR Code for obvious reasons

• Floorplan as well

Of course that sounds overkill for a small deployment, but I simply forget too many things after a few months otherwise and it’s something my family (wife is in IT and far more qualified than me) would need if something happens to me,so a proper documentation would be essential for that as well.

Just saying:

There are alternatives for LE,not for all things, but for a lot. Afaik not all of them do follow suit.

It’s not - they are keeping their data for their own goverment.

They are already spying on their own people for a LOONNGG time, have been spying legally on all data going in and out the country.

Basically they underdosed so hard that even 14 year old drug addict does take more - and very likely their stuff didn’t partially work at all, as they put it in tea. So… Most of them did only feel very good/bad/nauseated, some got unconscious.

The crazy part was me coming into that room seeing them and VERY MUCH reconsidering my life choices. I graduated a few weeks backs, just got pissed and spat on the call before and now that. And then panicing a bit and calling dispatch to "send me everything ". Which they did and ended up…a bit much… Like…very much too much.

Can’t remember the name and can’t tell either,sorry. That is a long time ago,20 years+ some.

When I was a freshly graduated paramedic I responded to a attempted mass suicide of a cult.(Around 15 people)

They thought the apocalypse would be coming… By inciting, well, basically an orgy,with all sexual inhibitions falling and humans sinning beyond belief. While some of their fears were at least somewhat relatable (like fathers laying their hand on their daughters) most of it was batshit crazy. They believed they need to kill themself before that happens so they would still get into heaven.

…they fucked that up,massively,as well. None died.

Nein,der Hintergrund ist ein anderer: Es geht hier um freiberufliche Hebammen die im Rahmen der Belegbetten arbeiten. Diese teilen sich ihre Dienstpläne selber ein.

Mit der Reform soll erreicht werden,dass diese flexibler reagieren und ihre Dienstplanungen dem Bedarf anpassen und v.a. kein Clustering mehr erfolgt (es gibt Fälle in denen dann eine Hebamme “ihre” 4 Geburten, eine andere eine Geburt und im NachbarKH gar keine Geburt betreut wurde). Bei einer Hebamme die megrere Geburten parallel betreut sinkt aber die Qualität und das Risiko für Fehler steigt enorm.

Das hier eingegriffen wurde ist richtig. Ich kann als Beruf nicht zuerst auf die Selbständigkeit pochen (was man getan hat - da die ärztlichen Belegbetten ja massiv zurück gegangen sind,stellen heute Hebammen die größte Gruppe an selbstständigen Dienstleistern in vielen KHs) und dann heulen wenn das wirtschaftliche Risiko zuschlägt und der Gesetzgeber Qualitätssicherungsmaßnahmen über den monetären Weg durchsetzt - wie bei jedem anderen Gesundheitsdienstleister auch.

Es steht jeder Hebamme frei in ein Beschäftigungsverhältnis zurück zu kehren - Stellenangebote dafür gibt es genug.

If you are in Europe: Pocketbook.

Reasonably open plattform, good support, works with almost everything.

Das ist mittlerweile x-Mal wiederlegt worden und ist auch eher ein Grund den Markt zu regulieren anstatt ihn in den Untergrund zu treiben.

Am Ende werden es sonst 100% sein. Und noch beschissenerem Bedingungen.

Jo. Sorry, war müde.

Am Ende: Ne Menge. Und es ist kulturell. China ist sehr konservativ, in den USA ist der Effekt umso ausgeprägter je religiöser.

Und in Saudi Arabien wird der Frau nicht mal ein periheres EKG (für die Laien: An den Extremitäten befestigt) geklebt ohne Zustimmung des Ehemannes, Vaters oder Bruder.

…auch wenn der nicht da ist.

…Und es gibt genug Leute die nein sagen.

Nach “grob richtig”. Brustbein findet man eigentlich immer. unteres Drittel nehmen,da das obere Ende.

Es ist am Ende Schnurzpiepegal ob du da ein wenig daneben liegt. Hauptsache man macht was und ist halbwegs am Brustbein.

Machen. Punkt.