Sakusei Byoutou Zen-nennrei-ban - Vol. 3 Ch. 19
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It's more insane than the porn version at this point
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On the bright side at this point he won't have to worry about that anymore.
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PSA: Opioid toxicity
Morphine, fentanyl, oxycodone, and codeine among others are all drugs under the umbrella of narcotics or opioids, derived from or similar to the compounds found in the opium poppy. I don’t have an in-depth knowledge of pharmacology yet, but it binds to opioid receptors in the central nervous system (CNS) and the peripheral nervous system (PNS)—the enteric nervous system being a large portion of that. Prolonged narcotic use can cause gastric paralysis, opioid tolerance, and severe withdrawal when without.
Acute issues that arise from an overdose of opioids are a direct cause of severe respiratory depression and the hypoxia that results from it. As a first responder (or trained bystander for that matter), it is entirely possible to save a patient by ventilating them until the opiate is removed from the body by the renal system. A more expedient method of reversing opioid overdose is by means of an opioid antagonist such as naloxone hydrochloride (Narcan) in conjunction with ventilations. This drug binds more strongly to opioid receptors, kicking the opioid out and reversing the overdose without any other effects (acute withdrawal may occur, and patients are known to get violent when their high is taken away from them.) Do note that naloxone has a shorter half-life than all known opioids, and a patient subsequently refusing care after being resuscitated may re-overdose with the remaining drug in their system.
In practical terms:
-Perform level of consciousness check and do ABCs, checking for breathing rate/depth and colour of skin. Cyanosis (blue tinge to skin/lips) is a bad sign.
-Ventilate first and foremost if the means are available and respirations are inadequate (for sanitary reasons, a bag-valve mask (BVM) is the best option, and a pocket mask with a filter is the next best thing)
-If available, an oropharyngeal airway (OPA) will help keep the airway patent. Otherwise, a nasopharyngeal airway (NPA) will be ideal if the patient’s gag reflex is still intact.
-Those that are trained can start with smaller doses of naloxone and stop when respirations become adequate (follow your local protocols, but keeping the patient sedated but breathing on their own is the best outcome).
-If you are insane, you can slam the patient with 2mg of Narcan and run like hell as the patient will likely be upset. Otherwise, if you are an EMT/Paramedic, you can administer the naloxone to the patient as you come in the door and dump them onto the hospital staff (it’s their problem now).
Morphine, fentanyl, oxycodone, and codeine among others are all drugs under the umbrella of narcotics or opioids, derived from or similar to the compounds found in the opium poppy. I don’t have an in-depth knowledge of pharmacology yet, but it binds to opioid receptors in the central nervous system (CNS) and the peripheral nervous system (PNS)—the enteric nervous system being a large portion of that. Prolonged narcotic use can cause gastric paralysis, opioid tolerance, and severe withdrawal when without.
Acute issues that arise from an overdose of opioids are a direct cause of severe respiratory depression and the hypoxia that results from it. As a first responder (or trained bystander for that matter), it is entirely possible to save a patient by ventilating them until the opiate is removed from the body by the renal system. A more expedient method of reversing opioid overdose is by means of an opioid antagonist such as naloxone hydrochloride (Narcan) in conjunction with ventilations. This drug binds more strongly to opioid receptors, kicking the opioid out and reversing the overdose without any other effects (acute withdrawal may occur, and patients are known to get violent when their high is taken away from them.) Do note that naloxone has a shorter half-life than all known opioids, and a patient subsequently refusing care after being resuscitated may re-overdose with the remaining drug in their system.
In practical terms:
-Perform level of consciousness check and do ABCs, checking for breathing rate/depth and colour of skin. Cyanosis (blue tinge to skin/lips) is a bad sign.
-Ventilate first and foremost if the means are available and respirations are inadequate (for sanitary reasons, a bag-valve mask (BVM) is the best option, and a pocket mask with a filter is the next best thing)
-If available, an oropharyngeal airway (OPA) will help keep the airway patent. Otherwise, a nasopharyngeal airway (NPA) will be ideal if the patient’s gag reflex is still intact.
-Those that are trained can start with smaller doses of naloxone and stop when respirations become adequate (follow your local protocols, but keeping the patient sedated but breathing on their own is the best outcome).
-If you are insane, you can slam the patient with 2mg of Narcan and run like hell as the patient will likely be upset. Otherwise, if you are an EMT/Paramedic, you can administer the naloxone to the patient as you come in the door and dump them onto the hospital staff (it’s their problem now).
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It would be hilarious if we got a single panel if not line just being like "oh he died off screen we won't see him again" versus him being 'transferred' or so if not attached to some "milking machine" while the nurses were having this...misadventure 8D;
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Thank you for the chapter! I'm just here, enjoying the ride.
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you have NOT read the CG because that's the OG version.
The CG(which you can read in Korean or Japanese on hitomi.la) is where the VN(which pretty much is a faithful and better adaptation) came from, which got adapted into the manga and anime, got a fighting game, and well this all ages version
You can find the CG on Hitomi and the VN elsewhere on rule34video and the real insanity comes from the fact
Mako Tendo (head nurse), the OG 3 (Mia Tendo, Numajiri, and Kiritani) fucking are involved with selling and making illegal drugs (made by Amamiya and Otsuka) to criminal organizations. Also there's the whole Yamada going undercover with a hidden camera to produce evidence of said drug produxtion for Aizawa. Oh also the head nurse wants to use Yamada's cum as a drug ingredient since it has special properties.
Oh also we've diverged from the canon, but the food poisoning incident is in fact part of the original, though the way it's addressed is far different in the all ages version and arguably the point of divergence. I like how Mako actually fucking does more ruthless shit, though she could have just sent some nurses
into the crime tunnel (tunnel to some organized crime hideout )has connections with criminal orgnizations
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the main series goes far far far beyond Yamada and his silly balls..... though still he is checked on
(though the original CG has a very uh mid art style and isn't as dark for what the plot basically is, the VN is a pretty good adaptation of it and expands on the emotional aspect via voice acting, the H-manga also has a darker art style and i look forward to the next release of the H-manga.
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Dex-chan lover
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despite the weird pacing it's only been like a few hours in universe from the onset of the food poisoning incident, can't be that bad. After all, Yamada's cum
is going to be a key ingredient in some new drugs Amamiya is cooking up due to special chemical properties
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