The Night Mail

[Flying Fox 34F]

The Care in Community policy allowed the closure of the majority of the old Mental Hospitals up and down the country.  Operating costs were high.

Many sites were then sold off for property development.

Nowadays, there are private organizations operating suitable facilities, for example, persons with severe Autism!  HM Government spends a very large amount on these.

Finally, with regard to CPR, I was told by one Trainer, you will be very lucky if you bring someone back from the Brink!

 

Paul

[jamie92208]

12 hours ago, SM42 said:

Finally some modelling activity. 

 

Well not much really

 

I tinned a bit of wire and the rail to attach it to,  but due to a rather weak ( borrowed)  soldering iron no  further progress in connecting the two items. 

 

At least I remembered the basics. 

Heat and cleanliness. 

 

It's been a while since I soldered anything 

 

Andy

I had an outbreak of weak soldering iron disease a couple of years ago along with slow running trains on the layout.  I eventually traced this back to a faulty inverter that was supposed to be converting three phase current to single phase 230v AC.  This had been installed by a French Sparky.  I eventually found the problem.  The voltage it produced was only 140 volts.  My previous sparky has done a disappearing act so I got another in, a Brit. He sorted the problem and put a new consumer unit in for me.  I now use the old three phase wiring to distribute 230 and my soldeing irons actually solder.  I just need the motivation to use them. 

 

Jamie

Edited May 1 by jamie92208

[Hroth]

This should cheer iD up no end

 

https://www.bbc.co.uk/news/articles/c87z06r175no

 

Scientists are working to make white bread healthier....  🤪

 

[SM42]

28 minutes ago, jamie92208 said:

I had an outbreak of weak solder g iron disease a couple of years ago along with slow running trains on the layout.  I eventually traced this back to a faulty inverter that was supposed to be converting three phase current to single phase 230v AC.  This had been installed by a French Sparky.  I eventually fou d the problem.  The voltage it produced was only 140 volts.  My previous sparky has done a disappearing act so I got another in, a Brit. He sorted the problem and put a new consumer unit in for me.  I now use the old three phase wiri g to distribute 230 and my soldeing irons actually solder.  I just need the motivation to use them. 

 

Jamie

 

I think it was definitely the iron. 

 

It was not in the best condition to start with and probably could have benefited from a new clean tip and probably one of  a different shape.

 

The person I took over from wasn't getting very far with it ( more lack of understanding of how soldering works, especially the clean bit) and  I'm surprised he got a far as he did. 

 

It took a good 30 - 45 seconds to get enough heat in to get the solder to adhere. 

 

We gave up after managing to tin some  wires as it was just too frustrating.

 

Andy

[iL Dottore]

53 minutes ago, Flying Fox 34F said:

Finally, with regard to CPR, I was told by one Trainer, you will be very lucky if you bring someone back from the Brink!

 

Paul

Of the hundred or so patients I gave CPR to, only one was resuscitated and was (eventually) discharged from the hospital. And this was because the patient went into asystole (cardiac arrest) whilst on telemetry in the specialised CCU (Cardiac Care Unit). In most instances by the time CPR is started it’s already too late. 
 

To complicate matters further are the considerations of what underlies the cardiac arrest (many of the patients I attempted to resuscitate were oncology patients with end-stage metastatic disease). Most of the time in such patients any successes are merely temporary.

 

And one final observation: a great number of patients who end up needing CPR are elderly and what they don’t tell you about in CPR training is the audible crunch you hear (and feel) as the sternum separates from the ribs upon first compression on an elderly person’s chest…..

[Hroth]

I have heard that properly delivered CPR should result in rhe breaking of several ribs, notwithstanding the age of the patient...

 

[rockershovel]

17 hours ago, Happy Hippo said:

The trouble with that sort of response is that any armed response officer who has the misfortune to shoot is put through the wringer.

 

Typical sort of post incident 'debrief' probably goes like this.

 

'You discharged your weapon twice and wounded Mr X. when one shot would have been enough to disable him.... explain yourself!  You will be suspended from your role whilst a full investigation is carried out and you may subsequently find yourself on a charge of negligently wounding Mr X with intent to kill.'

 

However in the USA a similar debrief would go:

 

'Why did you discharge your firearm seven times when shooting Mr Y?'

 

'I got a stoppage Sir!'

 

'OK, fair point.'

The concept of "shoot to disable" is a fallacy among those unfamiliar with firearms. Any strike from a bullet is likely to lead to massive fractures, bleeding to death or various other complications. 

 

As for trying to hit a moving target, known or believed to be armed and dangerous, in a specific spot....

 

Last time we were in Florida I took my two sons to a firing range. It was an instructive experience for both of them (and I got to shoot a Winchester rifle like John Wayne, a lifelong ambition). 

 

The lawman who brought down Bonnie and Clyde favoured a BAR. Marksmanship among US law enforcement officers has never been a strong point. They do however operate under  a general presumption that any person they engage is likely to produce a lethal weapon. 

[Flying Fox 34F]

1 hour ago, Hroth said:

This should cheer iD up no end

 

https://www.bbc.co.uk/news/articles/c87z06r175no

 

Scientists are working to make white bread healthier....  🤪

 

That should make a Bear happier!!!!!!

 

Paul

[Hroth]

2 minutes ago, Flying Fox 34F said:

That should make a Bear happier!!!!!!

 

Paul

 

It depends on if Bear wants more roughage...

 

[rockershovel]

To clear up a few canards which have flapped their dusty wings....

 

Common Purpose is a registered Charity providing "leadership and personal development". It is quite easy to find if you look. It operates internationally and is certainly deeply secretive about some of its purposes. 

 

The concept of "Cultural Marxism" is also well documented and quite easy to find. It originates from Soviet efforts to study why they were unable to export the concept of "World Wide Workers Revolution" (particularly following the failure of the attempted German revolution in 1918-23). They bought a department in Frankfurt University, which subsequently dispersed among US Universities in equal fear of the NSDAP and its original, Soviet sponsors. 

 

The Fabian Society is also worth a read. Founded in the early 1930s, its aims and current members are well documented. 

 

Why anyone troubles to create conspiracy theories, considering some of the things which make no secret of their aims and existence, I'm not sure. 

 

[bbishop]

1 hour ago, Hroth said:

I have heard that properly delivered CPR should result in rhe breaking of several ribs, notwithstanding the age of the patient...

 

The aim is to go down about 5 - 6cm, so except for the elderly, one shouldn't be breaking ribs.

[Compound2632]

38 minutes ago, rockershovel said:

The Fabian Society is also worth a read. Founded in the early 1930s, its aims and current members are well documented. 

 

Founded in 1884, its members played a significant role in the founding of the Labour Representation Committee in 1900 and from that the Labour Party. It also played a large role in the founding of the London School of Economics in 1895. Early members included George Bernard Shaw and Beatrice and Sidney Webb; all highly critical of Marx. It is currently an organisation affiliated to the Labour Party and was a significant influence on 'New Labour'. 

 

Hardly a sinister organisation, unless your definition of sinister is anything to the sinister of Genghis Khan.

Edited May 1 by Compound2632

[bbishop]

1 hour ago, iL Dottore said:

Of the hundred or so patients I gave CPR to, only one was resuscitated and was (eventually) discharged from the hospital. And this was because the patient went into asystole (cardiac arrest) whilst on telemetry in the specialised CCU (Cardiac Care Unit). In most instances by the time CPR is started it’s already too late. 
 

To complicate matters further are the considerations of what underlies the cardiac arrest (many of the patients I attempted to resuscitate were oncology patients with end-stage metastatic disease). Most of the time in such patients any successes are merely temporary.

 

And one final observation: a great number of patients who end up needing CPR are elderly and what they don’t tell you about in CPR training is the audible crunch you hear (and feel) as the sternum separates from the ribs upon first compression on an elderly person’s chest…..

Shouldn't your end-stage patients have had DNARs?

 

I've got a fair number back.  I don't keep stats., but in the last 24 months, two back, one dead several hours, one probably already dead when he hit the floor.  It does help that I look after a defib and oxygen.

[bbishop]

6 minutes ago, Compound2632 said:

 

Founded in 1884, its members played a significant role in the founding of the Labour Representation Committee in 1900 and from that the Labour Party. It also played a large role in the founding of the London School of Economics in 1895. Early members included George Bernard Saw and Beatrice and Sidney Webb; all highly critical of Marx. It is currently an organisation affiliated to the Labour Party and was a significant influence on 'New Labour'. 

 

Hardly a sinister organisation, unless your definition of sinister is anything to the sinister of Genghis Khan.

Are you Shaw?

[Happy Hippo]

Nyda has been away in North Wales since Monday and I had hoped to get quite a bit of work done.

 

However, there is the issue of the throbbing finger.  Whenever I try to do anything that involves any slight bending or stretching of the affected digit, it complains.

 

Even some shooting yesterday afternoon had to be curtailed, because the slight gripping action of the left hand was enough to set things off.

 

I removed the majority of the padding on Sunday morning, and changed the dressing over the wound site at the same time.  Some years back I had a wound become infected, so I'm somewhat paranoid about making sure things are clean and tidy.  So after the dressing become wet yesterday evening, after a mis-handing incident with a watering can, I changed it again.

 

Inspecting  the finger tip, it looks as if it's recovering well, so I left it to get some fresh air prior to giving it a good clean up with anti-septic wipes and then a new sterile dressing.

 

On the current rate of muck that gravitates to the dresing cover, I'll be doing this at least twice more, before I go to get the stitches out next week.

 

I have communicated my problems with Nyda, who has said she is not surprised and I am to take it easy, so I'm going to finish writing this and go and find some more cake, coffee and suitable  railway related reading materiel.

 

I wonder if I might make it into the garage later on and select some suitable timber for a set of shelves that need to be put up in the unmentionable construction at the top of the garden.

 

Please note that this is only selection, and not the subsequent design and manufacture of.  I would hate people to (finger) point and accuse me of suffering from selective inability.

 

 

[Compound2632]

3 minutes ago, bbishop said:

Are you Shaw?

 

Doh. Corrected in post. 

[Happy Hippo]

5 minutes ago, bbishop said:

Shouldn't your end-stage patients have had DNARs?

 

I've got a fair number back.  I don't keep stats., but in the last 24 months, two back, one dead several hours, one probably already dead when he hit the floor.  It does help that I look after a defib and oxygen.

That's excellent, my track on CPR is 0-3.

 

Admittedly, these were all before the more readily availability of Defib equipment and oxygen which has improved casualty survivability.

 

I found it quite demoralizing and very upsetting, that despite my best efforts the casualty didn't make it.

 

I have the greatest respect for those in the emergency services who have to deal with all sorts of tragedies on a daily basis.

 

Although I know my first response training would kick in if the situation arose, I could not do it on a regular basis, as eventually, I'd end up a hopeless mess as I don't think I could put the incidents behind me and move on.

 

 

 

 

 

 

 

[Winslow Boy]

27 minutes ago, Happy Hippo said:

Nyda has been away in North Wales since Monday and I had hoped to get quite a bit of work done.

 

However, there is the issue of the throbbing finger.  Whenever I try to do anything that involves any slight bending or stretching of the affected digit, it complains.

 

Even some shooting yesterday afternoon had to be curtailed, because the slight gripping action of the left hand was enough to set things off.

 

I removed the majority of the padding on Sunday morning, and changed the dressing over the wound site at the same time.  Some years back I had a wound become infected, so I'm somewhat paranoid about making sure things are clean and tidy.  So after the dressing become wet yesterday evening, after a mis-handing incident with a watering can, I changed it again.

 

Inspecting  the finger tip, it looks as if it's recovering well, so I left it to get some fresh air prior to giving it a good clean up with anti-septic wipes and then a new sterile dressing.

 

On the current rate of muck that gravitates to the dresing cover, I'll be doing this at least twice more, before I go to get the stitches out next week.

 

I have communicated my problems with Nyda, who has said she is not surprised and I am to take it easy, so I'm going to finish writing this and go and find some more cake, coffee and suitable  railway related reading materiel.

 

I wonder if I might make it into the garage later on and select some suitable timber for a set of shelves that need to be put up in the unmentionable construction at the top of the garden.

 

Please note that this is only selection, and not the subsequent design and manufacture of.  I would hate people to (finger) point and accuse me of suffering from selective inability.

 

 

And how many complete - that's Complete, finger tips do you have?

 

Just asking in case anybody's forgotten.

[Michael Hodgson]

5 hours ago, AndyID said:

I wouldn't trust it anyway 😂

Not trusting the Frogs is official Foreign Office policy

[bbishop]

6 minutes ago, Happy Hippo said:

That's excellent, my track on CPR is 0-3.

 

Admittedly, these were all before the more readily availability of Defib equipment and oxygen which has improved casualty survivability.

 

I found it quite demoralizing and very upsetting, that despite my best efforts the casualty didn't make it.

 

I have the greatest respect for those in the emergency services who have to deal with all sorts of tragedies on a daily basis.

 

One really needs a defib.  Having typed that, one of my (our) successes was a respiratory arrest, whom we got back with oxygen and adrenaline.  

 

One needs a black sense of humour.  This can sometimes offend "civilians" but is one of our coping mechanisms.  So we were told not to attend the "several hours dead" with a laconic 'he's sitting in the smallest room'.  Then the two CFRs had to comfort the student paramedic who had just seen her first dead body.

[jamie92208]

1 hour ago, bbishop said:

One really needs a defib.  Having typed that, one of my (our) successes was a respiratory arrest, whom we got back with oxygen and adrenaline.  

 

One needs a black sense of humour.  This can sometimes offend "civilians" but is one of our coping mechanisms.  So we were told not to attend the "several hours dead" with a laconic 'he's sitting in the smallest room'.  Then the two CFRs had to comfort the student paramedic who had just seen her first dead body.

Yes a black sense of humour certainly is essential but has to be used cautiously.   The friend who I discovered dead in our village was also in the smallest room. I managed to stop myself from telling his family that he had 'done  an Elvis'.  However my previous professional experience halped me when conversing in French with the gendarmarie and having to explain why I had not attempted CPR.  

 

Jamie

Edited May 1 by jamie92208

[Michael Hodgson]

2 hours ago, Hroth said:

This should cheer iD up no end

 

https://www.bbc.co.uk/news/articles/c87z06r175no

 

Scientists are working to make white bread healthier....  🤪

 

The best thing since sliced bread is ..... bread made with all sorts of stuff that doesn't belong in a bread recipe?

 

I'm going to carry on putting wholemeal flour into my bread machine.

[Happy Hippo]

24 minutes ago, Winslow Boy said:

And how many complete - that's Complete, finger tips do you have?

 

Just asking in case anybody's forgotten.

I've just recounted them to make sure, and the answer is five.

[Happy Hippo]

4 minutes ago, Michael Hodgson said:

The best thing since sliced bread is ..... bread made with all sorts of stuff that doesn't belong in a bread recipe?

 

I'm going to carry on putting wholemeal flour into my bread machine.

Replacing the water with beer is a good start.

[Michael Hodgson]

58 minutes ago, Happy Hippo said:

Nyda has been away in North Wales since Monday and I had hoped to get quite a bit of work done.

 

However, there is the issue of the throbbing finger.  Whenever I try to do anything that involves any slight bending or stretching of the affected digit, it complains.

 

Sounds just like my back trouble.

The problem is getting it off my bed.