Our Emergency Department is led by physicians who are board-certified in emergency medicine and staffed by experienced nurses. Each year nearly 55,000 patients are treated in our Emergency Department. The Trauma Program is closely linked to BIDMC's Berenson Emergency Department, a state-of-the-art, 23,000 square-foot emergency facility that is not only one of the busiest emergency services in the Boston area, but also provides care for some of the most seriously ill and injured patients. trauma nurses, trauma nurse practitioners, and advanced practitioners.In addition to expertly trained trauma surgeons, our multidisciplinary team includes: Our trauma surgeons treat injuries sustained from: In addition to providing excellent, multidisciplinary care, the Division of Acute Care Surgery and Critical Care conducts research, participates in the training of medical students and general surgery residents, and offers an accredited Fellowship in Surgical Critical Care. To achieve verification as a Level I Trauma Center, an organization must meet or exceed a lengthy list of strict criteria established by the American College of Surgeons, and this status must be re-verified every three years. In recognition of its ability to provide the highest level of care to trauma patients and to serve as a regional trauma resource, Beth Israel Deaconess Medical Center is verified by the American College of Surgeons Committee on Trauma and designated by the Massachusetts Department of Public Health as a Level 1 Trauma Center. Level I Trauma Center The Level I Trauma Center at Beth Israel Deaconess Medical Center receives trauma patients from referring hospitals in the region, and provides a tertiary level of ICU care, delivering the highest level of multidisciplinary expertise for adult patients with all types and severity of traumatic injuries (except burns).Ī Level I Trauma Center offers the highest level of trauma care available, ensuring that patients receive the best possible care regardless of the severity of their injury.
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But the gameplay is far from that, if you have never played being a Taoist priest to slay creepy ghosts, you are welcome to experience this scary horror game which is full of Chinese elements, it will give you different surprises.Ĭommunicate with us via Facebook and Discord. You can get more special skills by equipping artifacts, refresh the attributes to get more bonuses. * Scary music and creepy atmosphere, bring headphones for a better experienceĮndless Nightmare 5: Curse is an epic scary game, it has added more horror game contents than previous scary games, cool spell effects, large map, various creepy ghosts and bosses, powerful weapons, richer resources, and a new element – artifacts. * A variety of ghosts, please destroy them one by one * 16 swords and 4 charms, you will find the preferred one * 3 game difficulties, challenge your limit * Larger map, more areas and instances can be explored * Fascinating and creepy plot, revealing the miserable past * Firstperson perspective, immersive experience * Full of Chinese style elements, you can appreciate the essence of Chinese culture * Exquisite 3D graphics, giving you a real visual effect * Defeat bosses to equip artifacts, get more skills and buffs * Upgrade swords and charms to increase attack Mahjong: The Curse of Ra 4+ Clever Mahjong puzzles UsedStar Designed for iPad 4.9 117 Ratings 1. * Learn Taoist spell, get more charms and enhance skills Open the Mac App Store to buy and download apps. * Collect pill recipe and resources, make items and pills * Obtain higher quality swords to make yourself stronger * Explore the Sunset village, discover clues and investigate the truth A tragic past that has been dusty for a long time is about to be revealed. Younger sister is missing, demons are rampant, you must investigate to save your sister and slay scary ghosts. You are a Taoist priest who is practicing in Xuanqing Temple, your peaceful life is broken. This weird village is called Sunset village, and the peaceful scene in the past no longer exists. The autumn wind is rustling, and it seems that the wronged ghosts are crying bitterly. There is a desolate village filled with scary evil spirits and graves. This is the fifth work in the Endless Nightmare series, welcome to enjoy the epic horror game! A related mobile app provided an attractive enough interface but needs at least one good patch to address remote control and app switching quirks.Įven without hardware local dimming, the UD27U maintained very good black levels for solid contrast performance in a dark room viewing environment. Sharp had no comment on when or if more options like Amazon Instant Video would be added. The UD27U smart TV features were barely passing for a modern 4K UHD television - Netflix is the only 4K video streaming option at this time. The UD27U also showed me every pixel of 720p stations like ABC and FOX unlike most 2014 Samsung televisions like the HU8550 4K UHD TV ( read my review) and the H6400 1080p LED TV ( read my review). Reception of over-the-air (OTA) TV stations was especially impressive in term of number of channels found and the TV's ability to maintain a stable signal lock. However, the Sony also costs about twice as much. The Sharp's impactful audio was nowhere as impressively rich-sounding as the Sony XBR-X900B 4K UHD TV ( read my review) with its gorgeous fixed fluid-magnetic speakers. The UD27U's 2.1-channel 35W speaker system ranks among the loudest I've heard, and high-quality audio samples were reproduced with good results. HDMI 1 adds ARC (audio return channel) support, and HDMI 4 is compatible with sources that require HDCP 2.2 content protection like the Sony FMP-X10 4K Media Player ( read my review). YouTube sets this cookie to store the video preferences of the user using embedded YouTube video.All four HDMI ports on the UD27U accept up to 4K60 video input with 4:2:0 chroma sub-sampling. YSC cookie is set by Youtube and is used to track the views of embedded videos on Youtube pages. The test_cookie is set by and is used to determine if the user's browser supports cookies.Ī cookie set by YouTube to measure bandwidth that determines whether the user gets the new or old player interface. Google DoubleClick IDE cookies are used to store information about how the user uses the website to present them with relevant ads and according to the user profile. This cookie is set by Facebook to display advertisements when either on Facebook or on a digital platform powered by Facebook advertising, after visiting the website.įacebook sets this cookie to show relevant advertisements to users by tracking user behaviour across the web, on sites that have Facebook pixel or Facebook social plugin. These cookies track visitors across websites and collect information to provide customized ads. DivX Software includes a free 15-day trial of DTS-HD plug-inĪdvertisement cookies are used to provide visitors with relevant ads and marketing campaigns. NOTE: DTS Plug-in for DivX Converter only works with Windows, however DTS Plug-in for DivX Player works with both Windows and Mac. DTS, DTS-HD, the Symbol, & DTS or DTS-HD and the Symbol together are registered trademarks and DTS-HD Master Audio is a trademark of DTS, Inc. Manufactured under license from DTS Licensing Limited. Depending on the DTS codec used to create the audio in your file, DTS may allow up to 7.1 discrete channels and a data savings that makes encoding faster with better quality. The DTS-HD Plug-in for DivX Software includes DTS-HD Master Audio™, which decodes all DTS codecs including DTS Digital Surround™, DTS Express™, and DTS Coreless lossless streams, with the DTS decoder. Play your videos anytime, anywhere on your DivX devices with DTS audio support.Play videos with DTS sound tracks in DivX Player for an even more cinematic experience.Convert your videos with multi-channel audio tracks into the DTS format.Whether enjoying entertainment at home or on the go, DTS aims to provide the finest audio experience possible no matter what device you are using. The DTS-HD Plug-in allows you to convert and play videos with DTS audio tracks for studio-quality sound. Enable the conversion and playback of DivX video with DTS-HD audio, including HEVC video content up to 4K. Get high-quality surround sound when you buy the DTS-HD® Plug-in for DivX Software (or DivX Pro). Most DMs are one-on-one, but users can start group direct messages (GDMs) that include up to 10 users. DM:ĭirect messages (DMs) are messages that users send privately to one another. Voice channels are like Skype and allow users to voice or video chat. Text channels are like instant messenger programs and allow users to post text chats and images as well as share files. Servers offer both text and voice channels, and channels are typically segmented into different topics. Channel:Ĭhannels are located within an individual server. Anyone can start a Discord server about any topic for free. Sometimes servers are large and open to the public. Most servers are relatively small and operate on an invite-only basis. Servers are the spaces on Discord set up by different communities. Understanding the different terms used on Discord will help you understand what your teen is talking about. Like most online communities, Discord has its own glossary and lingo. Most also include off-topic areas where users can chat about whatever is on their minds, like how their day is going or what they’ve been up to lately. Conversations in Discord usually center around the subject of the server. Your teen can find people interested in their current passion. The same applies to thousands of other activities, hobbies, and interests. They can learn about new models coming out, the best methods for building them, and trade with others once they finish a build. They can join a model plane server and chat with people around the world who also love building planes. For example, say your teen loves building model planes. Teens use Discord because it gives them a place where they can be themselves in a group that shares similar interests. If you can think of it, there’s probably a Discord server for it. There are servers for fans of TV shows and sports teams, members of clubs, and various hobbies. Discord calls itself Your place to talk and hang out – and it serves as just that.ĭiscord hosts innumerable servers where people can share their interests and hobbies. Many still use the service for in-game communication when playing online games, but it’s no longer reserved for game-related conversations. Since its introduction, though, new Discord communities have appeared daily. Discord was invented for online gamers as a free alternative to other VoIP services like Mumble, Teamspeak, and Ventrilo. Voice over IP (VoIP) services have long been used by teams playing online games since in-game voice communication features tend to be low quality and lack features. The service is home to thousands of communities of varying sizes, from families and class study sessions to mental health support and hobby-focused groups. It’s a text, audio, and video app used by millions of people around the world. We know your inquiring parental mind wants to know.ĭiscord is a free app that combines the messaging capabilities of instant messaging with the audio and video capabilities of Skype. How can you ensure your teen uses Discord safely? Today, your teen logs into Discord to talk with their friends, both those they met and know in real life – IRL in modern teen slang – and those they meet online. 20 years ago, you and your friends hurried home after school to chat with each other on AIM in blinding neon colors with abrasive notification sounds. They paved the way for the ubiquity of live chat today, from private messages with friends to receiving customer support on a brand website.ĭiscord is the 21st century version of AIM. America Online Instant Messenger (AIM), Yahoo! Messenger, and Microsoft Chat were some of the first household instant messaging programs. Twitter Facebook LinkedIn Email Pinterest RedditĬhat platforms have been an online staple since the advent of the World Wide Web. In that case, you can combine the Ultimate Rewards points you earn with your Chase Freedom or Freedom Flex card with those you earn from your more premium Ultimate Rewards-earning card, and they become fully transferable. Suppose you also have a premium product, such as the Chase Sapphire Preferred Card. For a no-annual-fee credit card, that’s a lot of value.Īlternatively, since the cash back you earn comes in the form of Ultimate Rewards points, you’re looking at a potential of up to 30,000 bonus Ultimate Rewards earned each year. Maximizing the cash-back categories each quarter, you’ll earn $75 in cash back quarterly and up to $300 per year. While that may not sound like a lot, that cash back adds up over time. Related: Check out our full Chase Freedom Flex card review How much cash back can I earn each quarter?Ĭhase limits the 5% back (or 5 points per dollar) to the first $1,500 spent in combined bonus categories each quarter you activate the bonus. So depending on the categories and whether you can maximize them, these two cards can offer quite a nice chunk of cash back or bonus points over the course of a year. The categories tend to repeat periodically - for instance, grocery stores, restaurants and gas stations are all common categories that you’ll notice frequently pop up on the cash-back calendar. However, you can activate your categories up until midway through the last month of the quarter. Generally, these categories are announced halfway through the month before the new quarter starts to give cardmembers time to activate new categories beforehand. Frequently asked questions about Chase Freedom and Chase Freedom Flex bonus categories How do rotating categories work?Įach quarter, Chase announces a group of bonus categories that will earn 5% cash back (or 5 points per dollar) throughout the upcoming three-month period. After you reach the maximum, you’ll earn 1% back on these purchases. Note that Chase limits the 5% back (or 5 points per dollar) to the first $1,500 spent in combined bonus categories each quarter you activate the bonus. Lowe's: Kick off that renovation or new design project you have been waiting to bring to life while earning more cash back on supplies and tools.Amazon: Whether it is spring cleaning supplies, a new outfit, electronics, and more, cardmembers can spring into the new season while earning cash back at this one-stop shop.The Points Guy will not share or sell your email. I would like to subscribe to The Points Guy newsletters and special email promotions. Chase Freedom and Freedom Flex Q2 2023 categoriesĪpril 1 through June 30, Chase Freedom and Chase Freedom Flex cardmembers can earn 5% cash back ( or 5 points per dollar) on spending in the following categories:Īs noted above, you must activate your card to unlock the bonus-earning potential in these categories. Whether you're ordering a fresh new wardrobe and spring cleaning supplies from Amazon or sprucing up your outdoor space with purchases from Lowe's, you'll have an extra bounce in your step knowing you're earning 5% on your spring purchases when you use your Freedom or Freedom Flex card. That applies even to purchases you’ve made on these cards since the start of the year - but you must activate the offer. Now, Chase Freedom (no longer available to new applicants) and Chase Freedom Flex℠ cardholders can activate to earn more on their spring purchases from Amazon and Lowe's.Īfter activation, cardmembers can earn 5% back (or 5 points per dollar spent) on up to $1,500 of spending in these categories during the eligible quarter, and 1% (or 1 point per dollar spent) after that. The primary dressings were removed 5 days post-autografting with satisfactory results after 5 weeks, autograft take was noted to be > 95% with further aesthetic improvements appreciated. During the first 24 and 48 post-operative hours, 7 mL of serosanginous fluid were drained, respectively. To prevent re-accumulation of fluid into this dead space, a 19F round Blake drain was placed in the dependent portion of the MLL, the overlying cutaneous defect was grafted with a 2:1 meshed split-thickness skin autograft, a negative pressure dressing was used to bolster the graft, and an abdominal binder was worn at all times. Upon further excision of necrotic adipose tissue, the underlying fascial-cutaneous separation (MLL) was discovered, and approximately 1.5 L of serosanguinous fluid was evacuated from this cavity. Upon return to the OR 5 days later for planned excision of allograft and placement of autograft, significant progression of burn depth and adipose necrosis was noted and the left flank was distended and edematous. The patient was taken to the operating room (OR) for an uncomplicated tangential excision and allografting of the abdominal friction burn. The burn service was consulted on hospital day 5 for management of her abdominal friction burns (TBSA 13%), of which 4% appeared to be full thickness on initial evaluation. Additional radiologic findings included a small bowel mesenteric hematoma, managed non-operatively, a small left flank hematoma, and six-rib fractures. Initial trauma evaluation revealed a left sided closed femur fracture, treated with intramedullary (IM) nailing, and a humerus fracture with open reduction internal fixation (ORIF). We describe a case of a full-thickness abdominal friction burn overlying, and complicated by, an MLL internal degloving injury.Ī 30-year-old obese (BMI 35.3) female was struck by a tow truck and dragged for 30 ft. The reported incidence of MLL’s in the literature ranges from 2 to 12% in the setting of pelvic fractures. Disrupted perforating vessels along fascial planes are the main source of continued fluid accumulation, and given the large capacity for fluid in the thigh, pelvic, and abdominal regions (especially in obese patients), patients with MLL may require larger volume resuscitation and may demonstrate ongoing blood or fluid requirements. MLLs occur when a sheering force creates an open space between the skin and fascia which, over time, fills with blood and/or serous fluid and then has the potential for infection or organization into more chronic cystic structures. Most MLLs and closed internal degloving injuries have been described in the orthopedic literature, typically associated with traumatic injuries to the extremities, pelvic region, or greater trochanter. The first report of a MLL was by the French physician Maurice Morel-Lavallee, in 1853, and was associated with pelvic trauma. Unlike friction burns to the skin, which are easy to recognize, many MLLs are often missed entirely at initial evaluation. Other names for these lesions are post-traumatic cysts, post-traumatic pseudocysts, Morel-Lavallee effusion, or Moral-Lavallee hematoma. Morel-Lavallee lesions (MLLs) are rare traumatic injuries caused by a shearing force, which cause internal degloving of soft tissue. A friction burn injury, such as road rash, occurs when skin is abraded by contact with a hard object and often involves both physical abrasion to skin and a burn from the heat generated by the friction. Most friction or flame burn injuries are appreciated during the primary trauma survey but may later be neglected or overlooked by more severe injuries. Surgeons must maintain a high index of suspicion when dealing with third degree friction burns as they may mask underlying injuries such as MLL, and a delay in diagnosis can lead to increased morbidity. MLL is a rare, often overlooked, internal degloving injury. The internal degloving caused significant devascularization of the overlying soft tissue and skin which required surgical drainage of hematoma, abdominal wall reconstruction with tangential excision, allografting, negative pressure wound therapy, and ultimately autografting. We present a 30-year-old female pedestrian struck by a motor vehicle who sustained multiple long bone fractures, a mesenteric hematoma, and full-thickness abdominal skin friction burn which masked a significant underlying abdominal MLL. MLL is often overlooked in the setting of poly-trauma therefore, clinicians must maintain a high degree of suspicion and be familiar with the management of such injuries, especially in obese poly-trauma patients. Morel-Lavallee lesions (MLLs) are rare internal degloving injuries typically caused by blunt traumatic injuries and most commonly occur around the hips and in association with pelvic or acetabular fractures. Or at least get a final say in the last survivor, considering the game just, decides for you, if you are both trying to hold on. We Were Here Too Total Mayhem Games Action & adventure Other Puzzle & trivia EVERYONE 10+ Fantasy Violence, Mild Blood Users Interact Online multiplayer on console requires Xbox Game Pass Ultimate or Xbox Live Gold (subscription sold separately). Granted, WWH is really well written and WWHF was less frustrating the WWH together, but I just can't find justification, or enjoyment in the way this one panned out, especially considering the fact that I had assumed that because we heard a boat in the distance that we could just, hold out. this however just made me wish there was a way to take back the time I had spent playing it, bc I really do not like the way this went. I generally don't consume visual media if I know the ending would be dissatisfying, but video games usually get a pass. I am however a bit puzzled by the betrayal at the end. I loved the game and the ending Is fantastic with Rudolph (love his name) the jester 'killing' the king. It didnt have to all be roses and daisies, but the way this one panned out really just left a bad taste in both my friend's and I's mouth. Hey, Im not sure if this has been discussed yet but I wanted to share my thoughts on the ending of the We were here forever instalment. The first time WWH made me feel like the ending was pointless, especially bc we thought that for once, we'd be able to, idk, both say there were there or whatever tf. Start your subscription to get access to more than 30,000 additional guides and more than 350,000 Homework Help questions answered by our experts.Honestly this genuinely just wasnt a very good ending in my opinion. After you complete the last puzzle in the Final Chapter, the person starting in THE FALLEN SANCTUARY must choose to. The job will provide Lucas the money he needs to send Christopher to college so that Christopher is certain to escape the Vietnam War draft. SPOILER - Contains information related to the ending of the game. It is after accomplishing this feat that he is offered a job by Coach Reed. It takes around 6-8 hours to unlock all of the achievements on Xbox One. Thirdly, Lucas is now doing much better, as we see when he hoists himself up all six marble steps to the library door in his wheelchair. Full list of all 22 We Were Here Together achievements worth 1,000 gamerscore. Swieteck has apparently repented of his criminal and violent behavior because he has returned to Doug his stolen Joe Pepitone jacket, and we learn that the police received an anonymous confession to the robberies, so Christopher Swieteck is no longer being charged. ”Ī second resolution concerns Doug’s father’s behavior. As they together watch Apollo 11 approach the moon on television, Doug can’t help but picture the two of them as adventurous Arctic terns, flying side by side, watching out for the “next spectacular thing that’s going to come into. Though Lil now has cancer and a “one in four” chance of surviving, Doug can’t help but feel confident about their future together. Doug has gained a lot confidence during the course of the story through his development as an artist and through all he did to restore the John James Audubon plates to the library’s book titled Birds of America. Abridged Adventure: Discover a way across the ravine. Iceolated: Get through the abandoned mine. Up Down Up Down: Reach the top of the excavation site. The Signal: Leave through the main gates and start the rescue mission. The most important resolution concerns how Doug feels about himself, his girlfriend Lil, and about their future. The following are the secret achievements player 2 can unlock and how to do just that. Since the story has multiple minor conflicts, multiple resolutions are needed to bring the story to a complete, satisfactory end. Since the story has multiple minor conflicts, multiple resolutions are needed to bring the story to a complete, satisfactory end. Buy We Were Here Together Xbox We Were Here Together Total Mayhem Games Action & adventure Other Puzzle & trivia TEEN Violence Users Interact Online multiplayer on console requires Xbox Game Pass Ultimate or Xbox Live Gold (subscription sold separately). Chapter 10 of Gary Schmidt’s Okay for Now reveals to us the story’s resolution. do NOT contact me with unsolicited services or offers. … Anything I can do to help facilitate (that), I’m all for it. Red one is broke to lead Both open selling due to lack of pasture 4000 a piece. The project consists of a new four-story, 80,00 square foot tower that will allow the. “It’s a relaxed, no-pressure space for kids. Highland Hospitals largest fundraising event gathered supporters for a new private bed modernization project. On the grounds, you’ll find a fitness center, swimming pool, BBQ cabana, bocce ball court, and more. Units include in-apartment washers and dryers, air conditioning, and private patios. “In our space … I see kids supporting each other all the time,” she said. Highland Gardens offers a premier Mountain View living experience, complete with deluxe amenities. Siriano said the garden is a respite from the pressures of school and the specter of bullying for youths. house located at 6147 Highland Gardens Dr, North Las Vegas, NV 89031 sold for 430000 on Sep 16, 2022. Siriano, a devoted volunteer, has helped make the garden a place that supports the growth of both plants and young people alike. Also doing her part is Anna Siriano, a Hilliard native who now lives in the Hilltop. You must login or register to add a new answer. Or send flowers directly to a service happening at Hamiltons Near Highland Memory Gardens. What are the reviews of Hiranandani Gardens Highland, Powai, Mumbai Question. See reviews, pricing, contact info, answers to FAQs and more. Here, at Highland Youth Garden, bees and butterflies flit among the foliage, doing their part to pollinate the flora. Get information about Hamiltons Near Highland Memory Gardens in Des Moines, Iowa. The Hilltop on Columbus’ West Side isn’t known for its lush landscapes, but venturing just a few blocks south of Broad Street on Highland Avenue at the right time of year brings you to a verdant oasis of fruits, vegetables and flowers. Highland Gardens Community Center is a small center that serves both the neighborhood and the elementary school next door. For over 35 years, Giant RV has been a leading name in the RV industry of Southern California. 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Historically, gasoline stocks build in the winter in anticipation of the peak summer driving demand.Īs it became apparent that the summer driving season would be significantly curtailed, RBOB futures prices started to decline at a faster pace than crude oil prices. RBOB futures is an important indicator for global gasoline as it is the only gasoline futures contract to trade electronically around the clock. The futures market for RBOB gasoline forecasted demand concerns early when prices traded at a 20-year low of $0.376 on March 23, 2020. The first indicator of the energy demand destruction from COVID-19 was seen in the New York Harbor RBOB gasoline futures contract (RBOB). The unprecedented global market fundamentals put intense stress on the oil industry in the first half of 2020. From there, the firm can elect to take the oil into storage or into a pipeline with connectivity to Midwest refineries and to the Gulf Coast market. A commercial company that elects to take delivery after the termination of the WTI futures contract must have storage and/or pipeline capacity connected to one of the NYMEX delivery locations in Cushing. The Enterprise terminal provides a key junction point in Cushing, capable of facilitating the transfer of tens of millions of barrels of crude oil every month. The WTI futures contract allows for delivery through Enterprise or Enbridge facilities in Cushing or at a facility that is connected to either. It is not just the storage or pipeline capacity that make Cushing the critical hub, but also the interconnectivity between a diverse mix of operators at Cushing. The outbound pipelines supply crude oil to the main refining centers in the gulf coast and Midwest. shale oil areas, including the Bakken, Niobrara and Permian producing areas. The inbound pipelines deliver crude oil streams produced in Canada and the U.S. The pipeline infrastructure in the Cushing market is expansive, with approximately 3.7 million barrels per day (bpd) of inflow pipeline capacity to Cushing and 3 million bpd of outflow capacity. Energy Information Administration (EIA), the working storage capacity in Cushing is 76 million barrels and 91 million barrels of total shell capacity as of September 2019. Today, Cushing is the key nexus of market fundamentals for the global crude oil market, with nearly two dozen pipelines and 20 storage terminals.Īccording to the U.S. When the WTI futures contract was first listed in 1983, Cushing was a vibrant hub for cash market trading of crude oil with a network of pipelines, refineries and storage terminals. |