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Spontaneous

Ivy Rosalia Jones, a young and beautiful doctor working at a suburban hospital, is determined to marry a man she met through a blind date, even though he is paralyzed. Originally, the marriage was meant to be symbolic, with both of them intending not to interfere in each other's affairs after the wedding. However, Ivy never expected that she would end up marrying the most influential man in the world. Shawn Dyxon Tate, Ivy's husband, has no intention of letting his beautiful wife go. Once she entered his life, he made a decision to spoil her and gave her the world she never had.

9.2

183 Chapters

Love at first sight(LAFS)

Is love hard to find? Bobby found his Soulmate at a glimpse of an eye. He attended a once in awhile beach party that led him into falling in love and finding his long awaited lady of his dreams. Who knew love would be this elementary to find. His associates teased him and he denied it but deep down they knew he was concealing his sensitiveness. Their love grew even stronger that it led into marriage and making up a family together. Love comes where you are, we don't look for it. It comes naturally.

Not enough ratings

22 Chapters

Accidentally Married

She was Dumped. He needed a bride. Jessica was to be married to her high school sweetheart and heartthrob Burke They decided to only go to the courthouse and do something small. Jessica gets dumped on her wedding day as Burke confesses to cheating on her. She is devastated. On the other hand, Xavier is the only grandson of the famous billionaire grandmaster. His grandfather who had been raising him since his parents died while he was still at a tender age is now nearing death. The grandfather wants his grandson to be married before he transfers ownership of the company to him. He doesn't care who the grandson marries he just wants him to settle down. Xavier had contracted a wife to get married to him. The strange girl who he had never seen before doesn't show up on the day of the wedding. Coincidentally, Jessica and Xavier happen to be together in the same courthouse at the same time. While Jessica overhears the conversation with Xavier over the phone she goes to propose marriage to him and then gets married to him. She was usually careful and ooverthoughteverything. She decided to do something spontaneous for the first time and it landed her into a marriage. She was going to get married either way. What happens when two people begin to spend time together? Read on to find out the thrilling love story between Jessica and Xavier

9.3

707 Chapters

BARREN BILLIONAIRE'S EX WIFE, MOTHER OF TRIPLETS.

Five years of their marriage crumbled when Eloise Blake first went to her husband's company only to discover that she wasn't the CEO's wife. She was unaware that the documents she came to deliver to her husband was her signed divorce paper.. When she was married to Damon, Eloise had stage four cancer and was told post cancer that she had the eggs of a 68year old post menopausal woman and that IVF wasn’t even an option for her because there was no way it would work. She could either adopt or have no kids at all. Eloise knowing fully well that this could be the reason that her husband's burning love for her suddenly quenched still didn't expect that much of a betrayal even after having a passionate night together a day before. In a bid to pay her husband back, she had a nightstand with a stranger. Four weeks after she left her old life behind, she discovers she’s pregnant with spontaneous Triplets with no medical help! it was like a miracle. five years later, Now a successful curator, she returns after her father’s death, only to find herself surrounded by her ex- husband who would do anything to win her heart back. Would she choose to go back to her ex-husband? what would happen when the stranger she had a night stand with five years ago suddenly showcases again. How would she discover who her triplet's daddy really is ?

128 Chapters

My Secret Husband

Anastacia Solei Alcaraz, a devoted daughter and caring sister, found herself unexpectedly thrust into a whirlwind of change. Growing up in modest circumstances, she took on the responsibility of supporting her family after her father's passing. However, fate took an unexpected turn when she became a personal assistant to a wealthy businessman, leading to an unforeseen marriage after a fateful night. Now faced with the repercussions of a spontaneous wedding and a life-altering mistake, Anastacia grapples with the question of whether love and commitment can overcome the chaos that has suddenly entered her carefully built world.

94 Chapters

HIS OUTRAGEOUS WOMAN

Will he give her the confidence she needs to further her career? Or will he spoil all her hard work? Samaire Grainger values her privacy and is determined to be the best at her job. But with a high-profile job opportunity on the line, she must go from the girl in the corner, the squeaky-clean wallflower, to a party girl, a heartbreaker, in just one week. To do that, she needs the help of Dominic Weston, her favorite client… and secret crush. He’s sexy, a notorious bachelor, and just the right bad boy to destroy this good girl’s reputation. Only Samaire didn’t count on Dominic’s spontaneous streak, or that his brand of improvising could turn their strictly professional relationship into something intensely personal… and incredibly hot. Now Samaire has to trust him with her future, her body, and her deepest secrets. And hope that by week’s end, she’ll have Dominic out of her system without breaking her heart in the process…

32 Chapters

How Does The Return Of Spontaneous Circulation Algorithm Guide Care?

3 Answers2025-09-04 22:28:38

Okay, picture this: a chaotic room, the monitor beeping, and a pulse that suddenly comes back — the return of spontaneous circulation (ROSC) algorithm is what turns that gut-level relief into organized care. I’ve seen it steer teams from frantic compressions to targeted treatment, step by step. First things first, it reminds you to confirm and document ROSC (pulse, blood pressure, EtCO2 rise) and record the time — that timestamp is gold for everything that follows.

Then the algorithm sorts immediate priorities: secure the airway, optimize breathing without hyperoxia (aim for SpO2 92–98%), get a 12-lead ECG within minutes, and check if the rhythm suggests an immediate coronary intervention (ST-elevation → urgent PCI). It also pushes for hemodynamic stability — titrate fluids and vasopressors to a MAP goal (usually about 65 mmHg), monitor EtCO2 and capillary refill, and consider advanced monitoring if available. Parallel to that, you treat reversible causes — the classic Hs and Ts (hypoxia, hypovolemia, hydrogen ion, hypo/hyperkalemia, tension pneumothorax, tamponade, toxins, thrombosis) — which the algorithm reminds teams not to forget.

Beyond the first hour, the algorithm nudges toward neuroprotection and prognostication: targeted temperature management for comatose patients (commonly 32–36°C), controlled ventilation, glucose control, seizure monitoring, and avoiding fever. It also highlights timing: get coronaries assessed within minutes if indicated, plan ICU transfer, document interventions and family communication, and delay definitive neuro-prognosis until after rewarming and sedation washout. For me, the value isn’t just the checklist — it’s how it creates a shared mental model so everyone knows the next move when adrenaline fades and critical decisions matter most.

How Do EMS Use The Return Of Spontaneous Circulation Algorithm?

3 Answers2025-09-04 10:15:25

When a patient goes from pulseless to pulsing again in the middle of a chaotic scene, everything suddenly slows down for me — that split second of relief is wrapped in a checklist. The return of spontaneous circulation algorithm acts like a playbook: first, confirm ROSC with a pulse check and a rise in end-tidal CO2, then stabilize what's fragile. Practically I’m juggling oxygenation, ventilation, and blood pressure right away. I’ll titrate oxygen so the patient isn’t hyperoxygenated, secure the airway as needed, and make sure capnography is showing meaningful numbers because the waveform tells you a lot faster than a stethoscope. Meanwhile I’m aiming for a systolic blood pressure that keeps the brain perfused — usually above about 90–100 mmHg — using fluids or a vasopressor drip if available.

The next chunk of steps is diagnostic and strategic: a 12-lead ECG as soon as practical to look for STEMI, decide whether the patient needs a direct-to-PCI center route, and treat reversible causes (the usual Hs and Ts). Temperature management is on the radar — discussions about targeted temperature management happen early, though active prehospital cooling has mixed evidence. Throughout I’m communicating with the receiving hospital, documenting times and interventions, and trying to hand over a clear story so their team can hit the ground running.

What Live For The Moment Quotes Inspire Spontaneous Travel?

6 Answers2025-08-27 15:22:28

My wanderlust usually hits at the strangest times — like during a rain-drenched Tuesday commute when my headphones play a track that smells like summer. I collect short mottos on my phone and one of my favorites is 'Not all those who wander are lost.' It’s the kind of line that makes me book a night train to nowhere specific, toss a cardigan and a paperback into a bag, and go.

Another line that actually pushed me to buy a last-minute plane ticket was 'Life is either a daring adventure or nothing at all.' That quote hums in the background when I choose the red-eye over the routine. Small, practical rituals help: I screenshot inspiring quotes, set them as my lock-screen, and when the urge hits I check cheap flights for weird hours.

If you want a few quick ones to carry in your pocket, try 'Collect moments, not things,' 'Say yes and figure it out later,' or 'Travel far enough, you meet yourself.' They’ve all saved me from indecision during those tiny, beautiful crises of boredom and routine.

How Does 'I, Pencil' Illustrate The Concept Of Spontaneous Order?

5 Answers2025-06-23 07:17:51

'I, Pencil' is a brilliant essay that shows how even a simple pencil is the product of countless unseen collaborations. Nobody alone knows how to make a pencil from scratch—not the logger who cuts the cedar, nor the miner who extracts graphite, nor the factory worker assembling it. Yet, through market forces and self-interest, all these people contribute without central planning. The pencil emerges as if by magic, but it’s really the result of decentralized coordination.

This spontaneous order highlights the power of capitalism. Prices signal where resources are needed, and competition drives innovation. No single mind orchestrates the process, yet the system adapts seamlessly. The essay underscores how complex systems thrive when individuals pursue their own goals within a framework of rules. It’s a humbling reminder that human cooperation, not top-down control, builds civilization.

Where Can I Read Spontaneous Combustion: Amazing True Stories Of Mysterious Fires Online?

3 Answers2025-12-29 00:37:34

I’ve had luck digging through niche forums and digital archives. Websites like Open Library or Archive.org sometimes host older, out-of-print titles like this one.

Another angle is checking used book marketplaces—sellers on AbeBooks or ThriftBooks occasionally list rare finds. The thrill of tracking down a physical copy adds to the charm, but if you’re set on digital, joining paranormal or true crime communities might lead to shared PDFs or scans. Just be prepared for a bit of a scavenger hunt—it’s part of the fun!

How Does The Return Of Spontaneous Circulation Algorithm Help?

3 Answers2025-09-04 14:43:32

When a heart and circulation come back, it’s not a single magic moment — it’s the start of another delicate phase, and that’s exactly where the return of spontaneous circulation algorithm shines for me. I used to think CPR was mostly about chest compressions and hoping for the best, but watching teams follow a clear ROSC pathway taught me how that moment is really a handoff from rescue to careful rebuilding. The algorithm gives structure: check airway and breathing, secure the tube or oxygenation, optimize blood pressure, obtain a 12-lead ECG if possible, and treat reversible causes like tension pneumothorax or hyperkalemia. Those steps feel like the checklist in a complicated cosplay prop build — precise, sequential, and oddly satisfying when everything clicks.

On a practical level, the algorithm reduces chaos. It helps the team prioritize what must happen in the first critical minutes: continuous monitoring, targeted oxygenation, avoiding hypotension, and deciding on immediate interventions like urgent PCI if a STEMI is suspected. It also highlights post-resuscitation care elements I don’t want teams to forget — targeted temperature management, glucose control, and neurological assessment. The algorithm balances technical tasks with communication: call for consults, notify cath lab, update the family. That kind of choreography improves chances of meaningful survival rather than just a heartbeat on the monitor.

Beyond protocols, I love that the algorithm supports decision-making under stress. It saves mental energy during the hectic rush after ROSC, helps less-experienced members contribute effectively, and creates a common language for the team. For those who like data, following ROSC algorithms correlates with better neurological outcomes in studies I’ve seen — not every restart leads to a good recovery, but following the pathway stacks the deck in the patient’s favor. If you’re involved during a resuscitation, learning the ROSC algorithm is one of the best ways to help, even if your main hobby is collecting figures and quoting anime in the break room.

When Should You Use The Return Of Spontaneous Circulation Algorithm?

3 Answers2025-09-04 06:04:32

Whenever I dig into emergency medicine threads or watch those tense resuscitation scenes in shows, I get curious about the exact moment the post-CPR playbook kicks in. The return of spontaneous circulation algorithm comes into play as soon as you have a sustained pulse and measurable blood pressure after a cardiac arrest—basically when the patient is no longer pulseless and there are signs of effective perfusion. In practice that means you stop the compressions and immediately switch focus to stabilizing what you just regained: secure the airway, confirm ventilation with capnography, check oxygenation but avoid hyperoxia, and start targeted hemodynamic support.

After that immediate stabilization, the algorithm helps you prioritize investigations and interventions. Get a 12-lead ECG right away to look for STEMI that might need urgent coronary reperfusion, draw blood for gas, electrolytes and toxicology, and consider targeted temperature management for comatose patients to protect the brain. Keep an eye on MAP, aiming for a reasonable perfusion pressure (often MAP ≥65 mmHg), use vasopressors if needed, and correct reversible causes—those classic Hs and Ts (hypoxia, hypovolemia, hyper-/hypokalemia, tamponade, thrombosis, toxins, etc.).

I like thinking of it as a checklist that morphs into individualized care: immediate stabilization, focused diagnostics, organ support, and planning for neurologic assessment down the road. It’s used in both in-hospital and out-of-hospital settings once ROSC is achieved, but the exact steps are tempered by context—how long the downtime was, whether the arrest was witnessed, comorbidities, and resources like cath lab availability. Reading case reports and guidelines like 'Advanced Cardiac Life Support' made this feel less abstract; in real life, the algorithm keeps you from getting tunnel vision and pushes you to look for fixable causes while protecting the brain and heart.

What Studies Support The Return Of Spontaneous Circulation Algorithm?

3 Answers2025-09-04 02:41:07

I've been nerding out over the research behind algorithms that try to predict or guide the return of spontaneous circulation (ROSC), and honestly there’s more solid, layered evidence than I expected. A big chunk of the literature comes from observational cohort studies that identify consistent predictors — things like initial rhythm (shockable rhythms enormously boost ROSC chances), witnessed arrest, bystander CPR, shorter no‑flow/low‑flow times, and early defibrillation. Those factors are baked into prediction tools such as the 'RACA' score, which was developed and later validated in large registry datasets to give clinicians an idea of expected ROSC rates across different systems.

On the intervention side, randomized trials have shaped algorithmic recommendations. The 'PARAMEDIC2' trial is especially important: it showed that epinephrine increases the odds of achieving ROSC and survival to hospital admission, even if long‑term neurologic outcomes are less clear. Small randomized work like the 'ARREST' trial suggested that extracorporeal CPR (ECPR/ECMO) for refractory ventricular fibrillation can improve survival in select patients, which is why some modern algorithms include ECPR eligibility criteria. Conversely, device trials such as 'LINC' and related mechanical‑CPR studies didn’t prove consistent survival gains, so algorithms don’t universally push mechanical devices as superior to high‑quality manual compressions.

There are also a lot of diagnostic/monitoring studies that inform algorithms: end‑tidal CO2 (etCO2) readings during CPR correlate with ROSC probability (a sudden rise often heralds ROSC), and point‑of‑care cardiac ultrasound showing organized motion strongly predicts a pulse return, while its absence suggests futility. Meta‑analyses and guideline summaries from bodies that synthesize all this evidence are where the algorithms keep getting refined, so you’ll see a mix of RCTs, registries, and observational meta‑analyses all contributing to the guidance I follow when thinking about ROSC pathways.

What Are The Most Shocking Cases In Spontaneous Combustion: Amazing True Stories Of Mysterious Fires?

3 Answers2025-12-29 02:44:16

Spontaneous combustion has always fascinated me because it straddles the line between science and the supernatural. One of the most chilling cases in 'Spontaneous Combustion: Amazing True Stories of Mysterious Fires' is the story of Mary Reeser, dubbed the 'Cinder Lady.' In 1951, her body was found almost entirely reduced to ashes in her apartment, yet the surroundings were barely touched. Only a foot in a slipper remained. The intensity of the heat required to achieve this—far beyond what a normal fire could produce—defies explanation. Theories range from the 'wick effect' (where the body acts like a candle) to more outlandish ideas like paranormal activity. What gets me is how little consensus there is even among experts.

Another bizarre case involves Dr. John Irving Bentley, a 92-year-old retired physician. In 1966, he was found as a pile of ash near a hole in his bathroom floor, with only his prosthetic leg intact. The confined burn pattern and lack of damage to nearby objects make this one especially eerie. The book delves into how these cases often share eerie similarities: victims are usually elderly, isolated, and the fires leave odd, localized destruction. It’s the kind of stuff that makes you side-eye your space heater.

Is Spontaneous Combustion: Amazing True Stories Of Mysterious Fires A Novel Or Nonfiction?

3 Answers2025-12-29 05:30:15

Oh, this one's a fascinating rabbit hole! 'Spontaneous Combustion: Amazing True Stories of Mysterious Fires' is actually nonfiction—though it reads like something straight out of a horror anthology. The book digs into bizarre historical cases where people supposedly burst into flames without any clear cause. Some accounts date back centuries, and the author presents them with this eerie, almost campfire-story vibe. I love how it straddles the line between skepticism and sensationalism, making you question whether there’s some wild scientific phenomenon or just a ton of urban legends.

What really hooked me was the way it explores cultural reactions to these stories. Medieval towns blaming witchcraft, Victorian newspapers spinning lurid tales—it’s like a time capsule of human fascination with the macabre. The book doesn’t definitively solve the mystery (shocker), but it’s a blast for anyone into weird history or paranormal deep dives. My copy’s full of sticky notes where I got sucked into googling extra details!