What are the answers to nims -200.b ics

FL STATE FIREFIGHTER TEST 2023-2024 ACTUAL
EXAM 110 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATONALES (VERIFIED ANSWERS)
ALREADY GRADED A+

1. What is the mission of the fire service?

A. To provide a variety of services
B. To determine how fire loss occurs
C. To save lives and protect property
D. To regulate training of emergency responders - ANSWER- C. To
save lives and protect property
What NFPA® standard establishes basic training criteria for Firefighter I
and Firefighter II?
A. 1001
B. 1002
C. 1021
D. 1582 - ANSWER- A. 1001

1. A(an) ___ is a collection of rules enacted by law in a particular

jurisdiction.
A. code
B. policy
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C. standard
D. procedure - ANSWER- A. code

1. Which of the following BEST describes the action first taken after an

alert to the station?
A. Recording of incident information
B. Processing of postincident paperwork
C. Dispatching of emergency services responders
D. Training of emergency responders for annual certification -
ANSWER- C. Dispatching of emergency services responders

1. The use of ten-codes in radio transmissions was replaced when

agencies began to adopt which of the following?
A. Incident Action Plan (IAP)
B. Incident Command System (ICS)
C. National Fire Protection Association (NFPA®)
D. National Incident Management System (NIMS) - ANSWER- D.
National Incident Management System (NIMS)

1. What task may a telecommunications center be assigned during a

progress report?
A. Requesting multiple or special alarms
B. Providing periodic time transmissions
C. Warning personnel of impending hazard on scene
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D. Giving command in the absence of command staff - ANSWER- B.
Providing periodic time transmissions

1. Which of the following must be considered when deciding the size of

a collapse zone?
A. Local adopted building codes
B. Number of personnel on-scene
C. Type of building construction and safest location for personnel
D. Number of personnel on-scene and type of building construction -
ANSWER- C. Type of building construction and safest location for
personnel

1. What type of reaction absorbs energy as it occurs?

A. Kinetic
B. Potential
C. Exothermic
D. Endothermic - ANSWER- D. Endothermic

1. Which of the following BEST describes when SARs are used?

A. For assessing industrial accidents
B. For emergency medical incidents
C. For working with particulate-producing tools
D. For confined space rescues and technical rescue incidents -
ANSWER- D. For confined space rescues and technical rescue incidents
​

1. Which of the following SCBA components warns when the system

is reaching 20-25% of cylinder capacity?
A. Nose cup
B. Universal air coupling
C. Remote pressure gauge
D. End-of-service-time indicators - ANSWER- D. End-of-service-time
indicators

1. When donning SCBA, all straps on the harness assembly and

facepiece should be:
A. fully extended.
B. partially extended.
C. adjusted individually.
D. adjusted per local SOPs. - ANSWER- A. fully extended.

1. Which types of SCBA air cylinders are tested every five years?

A. Steel and aluminum
B. Fully wrapped KevlarTM
C. Fully wrapped fiberglass
D. Hoop-wrapped aluminum - ANSWER- A. Steel and aluminum

1. Which of the following BEST describes when an SCBA cylinder

needs to be replaced?
A. After first use of cylinder
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Lollipop: So, we singles are all now involved in the show!
​
Cork: What's it gonna be like?
​
Bracelety: Well, BlockyIC's show was about pranks, right? Shouldn't we carry on their tradition for their sake?
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Cork: I say the answer is a solid NO! This is OUR show now, and BlockyIC has no role in it any longer. We can do whatever we want with it!
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Bessie: Enough about your show, it's time for Cake at Stake at Fame!
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Leafy: The teams are gone! We are free on from now, but we look on, to the moment that we see; The next two slices of cake! A step closer to the prize brought on by Cake at Stake at Fame!
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Bessie: Now everyone, this episode's prize is eight crackers. If your ship is safe, you'll get two crackers. One ship won't get crackers, and will be eliminated. FireyLeafy and GelatinPB have immunity, so they're safe.
​
*catching*
​
Bessie: So it's either SoapBubble, SapphireRuby or CakeNeedle leaving the show. Let's show the votes!
​
TV:

SOAPBUBBLE..: 2 SAPPHIRERUBY: 1 CAKENEEDLE..: 1 

​
Firey: Wait, no drumroll?
​
Bessie: Because of budget cuts. So SoapBubble is guaranteed safe. SapphireRuby and CakeNeedle are in a two way tie, so we need a tie breaker.
​
Bubble: Well SapphireRuby is in my alliance, so it's CakeNeedle who has to go!
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Bessie: So goodbye CakeNeedle, or Lone Scar and Gamma for long.
​
Needle: Aw, seriously?!
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*flash*
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*zip*
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Bessie: Now with CakeNeedle gone, you are the final four!
​
Everyone: Yeah!
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Bessie: We're down to FireyLeafy, GelatinPB, SapphireRuby and SoapBubble. But reaching the final four means something else too.
​
Soap: And what's that?
​
Bessie: There is only one more elimination before the finale, that means this episode is Battle For a Love Potion: For A Limitless Hour's last contest. It will be a combination of all the previous contests, which has never been done before. It was interrupted by Leef being born in BFLP, the semifinalists fitting inside one Reddit poll in BFAMSMOL and Firey's castle almost being lost in TBOT. The ship that makes it through all the contests first will win the final immunity ticket. *fingersnap*
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Finnegan: Two points I want to tell you all first before we begin: First, both members of a ship MUST be present to complete the challenge. And second, if you die, you have to start all over again!
​
Sapphire: Alright, we got it!
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Bessie: Everyone on your marks,
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*Everyone scrambling*
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Finnegan: Get set,
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Bessie and Finnegan: ...GO!
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=E1: THREE LEGGED RACE TO RIP THE FINISH PLANE=
​
*Every ship ties their legs together with bronze rope, with the exception of FireyLeafy, who uses golden rope*
​
*Everybody running*
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Firey: So we're the fastest ship left now that Needle is out, but how are we gonna get through the finish plane?
​
Leafy: Maybe you can burn through it?
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PB: Hey Gelatin, we can just fly over the finish wall!
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Gelatin: Sure why not? *jumps onto PB* Ok, let's go!
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Firey: So this is the finish plane. *thud* So the finish plane is fireproof.
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Leafy: Well it seems we're stuck here. ...Wait! GelatinPB is flying over us!
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*Woosh*
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Gelatin: PB, we made it! We can now move onto episode 2's contest!
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PB: Yeah!
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TV:

[ A C T I V A T I N G _ S P E E C H _ S Y N T H E S I S ] > CHEATERS DETECTED! 

​
Gelatin: ...WHAT?!
​
*GelatinPB is vaporized on the spot*
​
Leafy: I can't use my shorts ring on that thing either! The maneuver is too complicated!
​
Sapphire: Ok FireyLeafy, the alliance is here!
​
Leafy: Great! Now poke through the finish plane so we can get out of here!
​
Sapphire: No problem!
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*poke*
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*disintegration*
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Gelatin: Look, PB! There's no ribbon wall anymore! We can just fly right through it!
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Bubble: Ok everyone, let's get through!
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*Everyone walks through the finish frame, then GelatinPB flies right through it*
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Soap: Huh, everyone is here!
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Gelatin: Then let's head on through the remaining contests!
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=E2: ENTER SARETY=
​
*everyone gets through*
​
Bubble: Wait, you know how rejoiners don't deserve to win?
​
Ruby: Yeah, what about it?
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Firey: I know what to do! We'll shove GelatinPB aside!
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Gelatin: But Firey, you also are a rejoiner too!
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Firey: But you don't have a connection to the Limitless Hour, I do! I deserve it! And I and Leafy deserve it alone!
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Gelatin: But Firey, you're just being hypocritical!
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*An argument ensues between FireyLeafy and GelatinPB, and while it happens, SoapBubble and SapphireRuby slip out and lock up Sarety behind them*
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=E3: ENTER THE BFLP ROCKET BASE=
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Ruby: Phew! Now we're safe from the rejoiners wining the season's final contest!
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Sapphire: We still have 19 episodes to get through, and we can't wait here for long.
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Soap: I say we should all stick together as close as possible.
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Ruby: Then it's a deal!
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Bubble: Deal!
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Sapphire: Let's reach to the last immunity ticket!
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=E4: DEVISE A PLAN FOR THE SHOW'S FUTURE=
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Bubble: Do we really have to devise a plan? We are on the cusp of the FALH finale!
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Soap: Just skip past it!
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=E5: FIND THE IMPOSTOR DRONE=
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Ruby: Hmm, Drone A is the fake!
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TV:
​
> INCORRECT! GET IT WRONG TWICE, AND YOU HAVE TO START ALL OVER AGAIN!
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Ruby: Uh, Bubble, you answer this one!
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Bubble: Well... um... Drone B is the fake?
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TV:
​
> CORRECT!
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*Drones A, B and C all shut down permanently*
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Soap: Well that was easy!
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=E6: STAY UP IN THE AIR=
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*Everyone ties red balloons around their waists*
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Ruby: Now we are up in the air! I suppose we get through to E7!
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Sapphire: Sure. Why not?
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=E7: TUG OF WAR=
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Bubble: Ok, I and Soap will be on one end of the rope, and SapphireRuby will be on the other. *pops*
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Soap: Well I guess you both automatically win!
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Ruby: Wait, why?
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Soap: Because a contestant needs BOTH of its members at the end to win the final immunity ticket!
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Sapphire: Well I guess you're right. Anyway, we are gonna go and win!
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=E8: NIM PILE GAME=
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TV:

******* 

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Ruby: Now how are we gonna get through this?
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Sapphire: Hold on, I see buttons! Right, Right, Right, Left!
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TV:

[ C L E A R ] 

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=E9: TIC TAC TOE=
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Sapphire: Now this stage is pretty much the same. Upper Left, Upper Right, Left, Right, Lower Left.
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TV:

X*O X*O X** [ C L E A R ] 

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=E10: REACH THE TOP OF THE TOWER=
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*SapphireRuby enters the tower*
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Ruby: I gotta say, you're a genius!
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Sapphire: Sure, kitty! *pet pet*
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Ruby: .w. meow! .w.
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=E11: TETRADS VOTING OFF EACH OTHER=
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Ruby: The only Tetrad left in the game is the final four itself! You know what this means?
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Sapphire: It's obvious, we pass!
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=E12: N/A=
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=E13: N/A=
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=E14: HOSTING SKILLS QUIZ=
​
TV:

> THERE IS ONLY ONE QUESTION. ANSWER IT CORRECTLY AND THE DOOR TO CONTINUE WILL OPEN. > WHAT IS THE LARGEST STABLE NUMBER OF CONTESTANTS THAT A SEASON CAN HAVE? 

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Sapphire: 42
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*door opens*
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=E15: HOST A SHOW=
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Cork: So this is where we come in.
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Ruby: .w. meow! .w. meow! .w.
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Cork: Aww! Too cute! You can move on!
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David: Oh, seriously?
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=E16: STARING CONTEST=
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*Ruby blinks*
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Sapphire: Well, that happened quickly!
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=E17: N/A=
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=E18: N/A=
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=E19: N/A=
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=E20: SPACESHIP RACE=
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Ruby: Now how are we going to complete this?
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Sapphire: I have an idea. We never go out of our ship.
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=E21: PLANS FOR THE BRB=
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Ruby: The BRB already got built, so pass.
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=E22: ESCAPE FROM THE MAGMA CHAMBER=
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Sapphire: Look down there! The other three ships are catching up! Ready to win the last immunity ticket?
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Ruby: Yes I am!
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*SapphireRuby flies their ship through the chamber's entrance and out the top*
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Bessie: *fingersnap* SapphireRuby wins the final immunity ticket.
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Ruby: Yay! .w.
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Finnegan: Enough cat faces!
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Bessie: So the final elimination will be between FireyLeafy, GelatinPB and SoapBubble.
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=STINGER=
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Firey: Gelatin, you know what would be funny?
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Gelatin: What?
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Firey: If you and PB got eliminated next episode, thus being the first AND the last ship to be eliminated from Battle For a Love Potion: For A Limitless Hour!
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Gelatin: Firey, that's not funny!

Also on my blog at flow.moe
Hello! Got back from GP Reno in a somewhat mediocre 72nd place, with a bunch of tales to tell instead of cash. This is the story of how I lost to a Hall of Famer, almost split with Dana Fischer, and became the greatest hero beat the #1 player in the world...

Day 0:

We drove in to Reno late Thursday, so we could hit the con on Friday. I played in the Sealed PTQ, with a medium as all hell GW deck getting me to drop as soon as I 3-2. I enter a Sealed Last Chance Trial to try and win some GP byes, going 3-0 with a sick WB Ashiok pool, and end up with a bye on round 4! Just look at that skill.

Day 1...

Sleeping in with byes is the best thing ever (though I'm also happy to see them go, as I'm always on the "earn them in LCTs" train). I register a pool that's medium-ish on rares (well, Aphemia goes up a lot in my estimation) but very deep in commons and uncommons:
Deck: Image
I don't remember much from my earlier rounds, mostly just ground a bunch of games with my escape creatures. Sometimes a curve out of Aphemia into Mire's Grasp just freerolls, too. I'm lucky enough to mostly dodge the Dream Trawlers and Kiora Bests the Sea Gods, and my opponents keep choosing the play for some reason, which I think is wrong in games 2 and 3 -- THB Sealed games are already slow and get slower after the more controlling player (i.e. me) puts in cheap creatures to interact.
[6-1] Round 7, I'm playing Allen Wu (@nalkpas) on some 4 color pile. G2 is long and grindy, with him recurring Atris once. My Atris splits:
Atris 1: Shadowspear, Island, Altar of the Pantheon. He's missed a land drop, currently on 3 lands + Caryatid; I've been beating down with random dorks -- think he was at 9 life. I show Shadowspear and he picks the other two -- apparently he was holding an Elspeth Conquers Death and wanted to hit it on time to stall my board, but I felt like Shadowspear might have accomplished approximately as much in terms of stabilizing, and definitely gone on to win a longer game.
Atris 2 (reanimated from from Elspeth Conquers Death): Rage-Scarred Berserker, Island, Deny the Divine. I show the Island + Deny, which he takes (using it to counter my Mire's Grasp on Atris). I'm pretty happy with this sequence, too, as it means he's just stalling, but my multiple escape creatures should be able to carry the late game.
We get to a point where he has Omen of the Stars for either Tyramet or a random dork; he picks Tyramet, which proves to be his undoing in a tight race, as I activate Tyramet repeatedly to undo his attack steps. I do misplay rather badly when I make Aspect of the Lamprey while he had 1 card in hand; I was pretty sure it was a land but mentally shortcutted to discard first to get information, not realizing it was the 5th card to escape his Cling to Dust. Even afterwards, I should have activated Tyramet in response to Cling on my noncreature to deny him a card draw... but in the end I narrowly win a race where Entrancing Lyre on his best creatures + lifelinking Underworld Charger carries the game and round.
Feels great to be locked for Day 2!
[6-2] Round 8, facing Eric Wei. He tells me that my previous opponent, Allen, was the top ranked player on MTGEloProject... Good thing nobody told me at the time or I'd have been a lot more nervous!
Interesting line in game 1:
Turn 4, he makes Archon of Sun's Grace. I respond with Venomous Hierophant, milling Pharika's Spawn, with 4 total cards in graveyard. Turn 5, he makes Elspeth's Nightmare (with no target on first chapter!). I put Aspect of Lamprey on Hierophant (he pitches two lands). Turn 6, he Duresses me, misses, and sees my hand of Pheres-Band Brawler and second Hierophant. He casts his own Hierophant.
Now my main options are:

• Brawler off his Archon immediately while he's tapped out.
• Escape Pharika's Spawn before it gets exiled to third chapter of Elspeth's Nightmare.

After some consideration, I opt for the second. He clearly didn't have another enchantment in hand or he would have just made a Pegasus instead of Hierophant (and also not just thrown out Elspeth's Nightmare like that); he has no reason to wait on hitting Constellation when I could have removal spell for the Archon. Plus, he's in W/B, which has fewer overall auras to pump his Archon I think. Even if he topdecks an enchantment creature or something, Pharika's Spawn is eating his current Pegasus (he needs is Hierophant to answer to my lifelinking Hierophant), so the cost of waiting to Brawl is just one more hit from his Archon.
Of course, he then topdecks Sentinel's Eyes and all I can do is stare at his no-longer-killable 4/5 flying lifelink vigilance monster.
[7-2] Round 9: playing Nate, my 3rd W opponent of the day -- I didn't expect this color combo to be so popular in Sealed. I definitely maindecked all my expensive cards under the impression that
G1: I'm at 15, he has Hero of the Nyxborn, 1/1 Soldier, 7/3 Cyclops. I'm Tyramet and Loathsome Chimera under Heliod's Punishment with 3ish counters, with Wolfwillow Haven on board. He Iroas's Blessings on Hero, I Final Death in response. He swings into me; what is my play...?

• Block the 2/1, go to 7?
• Block the 8/3?
• Take 10 down to 5, with the idea of double-blocking the 7/3 next turn with Wolf and Tyramet?

I picked the first line, which in retrospect is probably the worst line. I whiff on a draw, chump my Wolf into the 7/3, draw Pharika's Spawn which could help stabilize but ultimately take exactly lethal to a topdeck Sentinel's Eyes. I'm quickly developing ophthalmophobia...
Game 2 goes super late; We start game 3 with just a few minutes, and I'm playing speed chess as I'm pretty sure my deck is better overall.
I pass t2 with Aphemia in hand to try and guarantee one activation, which in retrospect seems a bit silly when he misses 2nd land drop. Nexus Wardens, Aphemia (under his Dreadful Apathy) + Mire's Grasp + Hierophant milling enchantments, Zombies start dropping his life total until he stonewalls me with an Akroan War. Now he has my Hierophant, while I've got a 2/2 Zombie, Loathsome Chimera and a Nexus Warden on board. My hand is Caryatid, Berserker, and Brawler -- all idiots who die in the War.
Normally I might just pass here, to reduce the impact of Akroan War, but under time pressure I slam down Berserker, pumping my Zombie and swinging. He trades off my Hierophant for my Chimera.
Next turn: He puts down the 7/3, and I make the forced attack with Nexus Warden, Berserker, and a 4/1 Mogis's Favorite Zombie. He's at 11 and decides to trade his 7/3 for my Berserker, instead of eating my Warden -- this feels pretty wrong to me, given that Akroan War is about to kill it anyways and my Warden will survive and return as a 3/3. I guess he was scared to go down to 2 life instead of 4, even if having a 7/3 lying around would probably have been worth the life.
We play a bit more Magic -- I think I can grind with the Chimera in graveyard, but there's literally seconds left on the clock. When hit time on his Turn 0, I feel like I can eke out a win over 3 combat steps, but on Turn 1 I topdeck Lamprey with sufficient creatures and mana to lethal him. Welp, cool.

Day 2!

Pod 1: I start on Elspeth's Nightmare over Hound and Final Death. Second pick a Catoblepas, and Black turns out not to be that open -- I'm basically trying to force it while seeing late Turtles and Tritons. Midway through pack 2 I consider switching to Blue, speculating on a relatively late Thassa's Intervention, but close-to-last pick Loathsome Chimera makes me reconsider. Pack 3 getting passed Nessian Boar feels pretty good, 'specially when the rest of my deck feels particularly unplayable. I think I tried too hard for Black, which my friends agree on after seeing my deck:
Deck: Image
[7-3] Round 10: facing Sam (@samdsherman), on B with multiple Portents and sac outlets. Game 1 he rolls me with monsters and auras. Game 2 I set up Nessian Boar + Catoblepas to set him to 5 total power, Plague Winding him (and even getting through for trample with Nylea's Forerunners, nice.)
Game 3 I mull to 6, but I think I have it locked after an Elspeth's Nightmare leaves him with a hand of Infuriate and Portent of Betrayal, while I've got Berserker on board and two Nylea's Huntmasters in hand. He topdecks Pharika's Spawn, though, trading that + Infuriate for Berserker, and I can foresee my loss as he Portents just to fuel Spawn. I whiff a few more draws and die to the Gorgon.
Turns out Sam had been passing to me, having opened a Phoenix and getting passed Spawn P1P2. No wonder Black was cut...
[7-4] Round 11: vs Brian, on what looks like Mono-Black but is actually B/w. Why was I fighting so many people for this color?
G1. We're both slamming monsters at each other; while I'm at 15, he sends a Berserker and Nyxborn into my Berserker and tapped Chimera. I consider trading, but decide I want to hold out for the devotion so my Catoblepas can actually kill something. When he plays Hierophant as his only blocker with Swamp and Plains up, I go for lethal -- but his Flicker of Fate keeps Hierophant alive. Suddenly my attacks don't look quite as good, and I lose the game in short order.
On the mull game 2, and just end up dying. I keep taking the play for whatever reason -- probably wrong.
[8-4] Round 12: Wtf, I got another bye -- the other 0-2 in our pod must have dropped. Definitely still think 7-4 is worth playing out, as a 2-1 in second draft probably means I cash. Time to retire this G/B deck never having won a match (in fairness, it felt like around a 1-2 deck in power level.)
Pod 2: I'm drafting in the Feature Match area, with Shuhei Nakamura and Dana Fischer in my pod. Feature Match doesn't actually mean anything, though -- no cameras, just some watchful judges.
I open a Calix and take it over nothing. Pick 2 is the white 3/1, and I'm suddenly very unenthusiastic about my chances in this draft. Spec on a Mire's Grasp pick 3, but the black doesn't show up and I stick to mediocre white and green cards -- at the end of pack 1 I have like 3 Indomitable Will's, with some blue cards late (most notably a Triton Waverider).
Pack 2 I waver a bit, picking up Staggering Insight over Commanding Presence while passing 2 Final Deaths. Try to wheel a Siona, opting for solid white cards like Transcendent Envoy and Daybreak Chimera. I find another Siona, but the first one doesn't come back. Hm...
Still haven't really settled on my colors going into Pack 3, but I highroll when an Archon of Sun's Grace smiles back at me. A couple picks later, I'm passed Nylea, which looks decent enough as a late-game card engine (and indestructible O-ring with Calix). Better than Eutropia, anyways? I fill out the rest of my deck with solid cards, and I'm reasonably excited to try this deck.
Deck: Image
[8-5] Round 13: Look at that, I'm playing Hall of Famer Shuhei Nakamura (@nakashu_) on UB control. I don't manage to do much round 1 -- a well-timed Stern Dismissal counters my Setessan Training, and his Ashiok sets my board to mostly empty. I concede on his first 2/3 attack, just to hide information about my deck.
I think through how to beat Ashiok, and settle on taking out a couple Indomitable Wills (weak to his removal) to put in Triton Waveriders and Staggering Insight -- on the theory that I really need to kill it in the air. I do mess up my splash, though, putting in an Island and Traveler's Amulet but only taking out one Plains, putting me at 18 mana sources for my already low-to-the-ground deck.
We get deck checked, and I chat with him a bit about Magic, my upcoming trip to Japan, etc. Turns out he was playing in Dreamhack, and of course he already has PT invites, but is playing in this GP just for the love of Magic. It's a little surreal to be making small talk with a famous pro just like every other opponent I played against today, but also quite pleasant, even if we have minor English miscommunications. I do wish I practiced a bit of my Japanese with him there.
Game 2 is quite a doozy. I'm on the play, and he passes turn 2 and goes to discard with one land in play. Even though he hits lands soon after, I feel like I should be quite ahead, and I spend the entire game on offense, fetching Staggering Insight to put on my Triton Waverider, and a Daybreak Chimera carries a Setessan Training. He's at 12 when I swing with both, I think Chumping a flyer under my Waverider. Then he passes with all his mana up.
I put him on Final Death, which he showed me last game, but Flicker of Fate targeting my Setessan Training doesn't draw a response from him. I put it back on the Chimera and swing again, and indeed my Waverider Finally Dies. My next attack takes him from 8 to 4, and I hope for lethal on the turn after -- but after flashing back Think Twice Glimpse of Freedom, he shows me a Stern Dismissal to buy a bit more time. I replay the Chimera, intending to kill him over two turns.
Then he plays his Ashiok, bouncing my Chimera. Okay, I've planned for this by holding a couple lands in my hand, so I reply it. Ashiok upticks, and I decide killing Ashiok is better than setting Shuhei to 1 -- even attacking straight into Shuhei, Ashiok's -3 will buy him yet another turn, so I might as well take Ashiok off the board.
He untaps, and casts Ashiok.
Didn't I just kill this thing...? I have to actually look at his graveyard to verify, yes, this is his SECOND copy of Ashiok, bouncing my Chimera yet again. I'm running out of lands in hand -- a topdecked Envoy joins my Chimera to present lethal, but he fogs the damage from Chimera (with a Chain to Memory, maybe?), and one more Ashiok -3 finally exiles Chimera for good. I find Nylea, but he starts suiciding in Nightmares and Wave-Tower Mystic. Suddenly those Nylea activations aren't looking like such a great idea... my Envoy dutifully pecks in for one damage at a time, bringing him down to 1 before he manages to mill me out completely. What a game!
We play one more match just for fun, and he rolls me again. Apparently he opened an Ashiok and got passed one in a later pack, which I'm super envious of, but he good-naturedly acknowledges what a strong deck he ended up with. In the end, my biggest regret is not getting him to sign my own copy of Ashiok...
[8-5-1] Round 14: Playing Ricky, on some U/W combination. My Heliod's Pilgrim eats his two Omen of the Sun tokens in combat with help from my first Indomitable Will; the second lets it devour his Daybreak Chimera. I'm seeing bomb after bomb, with my Calix drawing Nylea drawing Archon, and feel like I've got this game on lock. So when he plays a Brine Giant and a Protean Thaumaturge, I don't think too much, sticking his Giant under my Nylea.
Then he Dreadful Apathy's my Daybreak Chimera, and then Calix dies to his Daybreak Thaumaturge. Right, he can do that. Unfortunate -- but like, I still have Nylea on board and Archon in hand. I make my Archon, planning to leverage that into a win instead.
Then he copies my Archon. Turns out, he's heavier into Constellation than I am, with blue and white Omens chaining into each other.
Then he makes a Nadir Kraken. And his Thaumaturge is a second Kraken. At some point, I swing my Archon into his empty-ish board and his fourth Omen turns his Thaumaturge back into Archon, ambushing mine in combat...
Apparently Thaumaturge is really, really good.
Game 2, with less than half our time in round. I finally hit my dream curve of Turn 2 Wolfwillow Haven, Turn 3 Calix on an empty board. He can't answer the consistent stream of card advantage that follows it, and dies.
Game 3, with 8 minutes on the clock. I'm on the back foot this time, as Ricky pulls out Nadir Kraken and Thaumaturge while I'm struggling to hit lands. My saving Grace is a topdecked Archon, which he of course copies. Good thing I put in 2 Plummets!
Nadir Kraken keeps ticking up, and at some point Revoke its Dreadful Apathy from Existence -- but we hit turn 0 of time, and he counts my power on board before he passing with 10 tentacles (10tacles, amirite?).
I finally find my fifth land, run out Siona and pick Indomitable Will over Warbriar's Blessing. His swing out with 10tacles, Kraken, Brine Giant, and assorted 2 power guys runs into my line of Pegasi and random dorks, taking me from 10 to 3. But another Nylea grows my flock, to the point where his alpha on Turn 4 of time would not be lethal. He's at 21 life, though, so my flying lifelinking army won't be able to kill him either.
Now comes the uncomfortable tension. Honestly, I don't think I'm super favored to win this game -- I would need to continue drawing a stream of Auras or something like Calix to hold of his biggest creatures -- but he also has no fliers, so my Pegasi would end up carrying the game if that were to happen. At any rate, he's not willing to concede to me, and I think we would be able to prize at 9-5-1, so we end up with a draw.
[9-5-1] Round 15: I'm matched with Dana Fischer (@DanaFischerMTG), on Gr. Feels kind of nice getting to play a bunch of Magic celebs, maybe that means I'm getting somewhere. Before we start playing, though, I find out she's 8-6, whereas my record is a single point better at 8-5-1 -- and thus likelier to hit the top 64 cutoff to cash in $300.
I start talking to her about a prize split, but a judge drags me away before I figure out how to get myself DQ'd. So: yes, we can agree on a split before the game, 50-50 is pretty safe, I want to do something like 70-30 split for the winner of the game but Judge isn't sure if that's kosher, Dana seems eager to get started, let's just say 50-50 split and start.
Game 1: I'm feeling much better about the split when I mulligan a 1-lander into a six-lander, finally keeping Plains, Plains, Forest, Nyxborn Courser, Setessan Training, bottoming a Captivating Unicorn and Warbriar's Blessing. She leads with Caryatid into Nylea's Forerunners and I feel pretty dead.
A topdeck Daybreak Chimera curves decently after my Courser, and with Setessan Training it attacks past her Nexus Warden. She tries a block, followed by Return to Nature on my Training, and I have Flicker of Fate for the blowout. I had been planning on Flickering it onto the Courser to trade for the Forerunner, so I'm quite pleased about this turn of events. Relatively pleased, anyways, while her Warden of the Chained and Forerunner knock me down to 5.
She shows me a second Return to Nature destroying my Courser, and I'm basically forced into trading my Chimera and Lagonna-Band Storytellers into her Forerunner and Warden, going down to 3 in the meantime. I'm quite happy to have found an Archon, sticking that and a Setessan Skirmisher. She shows me a Nylea's Huntmaster, which she buffs on a Caryatid that goes into town; I'm happy trading off for my dork.
So my board is Archon and a Wolfwillow Haven to her Nexus Warden and Huntmaster. I decide that there's no way I can win if I trade of Archon for Huntmaster, so I start running Archon into her Warden just to gain 3 life a turn. I go up to 6, Huntmaster puts me to 2, I go back up to 5, then chump the Wolf under Huntmaster while her other two 1-powered dorks knock me to 3... Finally I get a lucky break, finding Dreadful Apathy to make a Pegasus and take out Huntmaster. Pegasi quickly bring the game out of reach, and I'm elated to have won on a mull to 5.
Game 2: Dana seems a bit flooded while I curve out, Siona and Heliod's Pilgrim both finding Auras. Her Nylea's Forerunner runs right into a double Indomitable Will, and I generate a bunch of tokens, using Dreadful Apathy to clear Nyxborn Colossus out of the way. She eventually finds a Klothys and starts draining me, but at that point I'm too wide for her monsters to handle.
We play another Game 3 just for fun (well, all the games are fun since the prize split). She mulls down to 4 and still almost kills me just with Klothys activations. I'm pretty sure I saw and passed that very same Klothys; my estimation of the card has gone up somewhat after seeing her put it to such good use.
It's nice chatting with her and her dad, Adam, talking about their sideboarding strategies, Adam's work at Riot, their sponsorship with ChannelFireball... and she even signs and gives me my own Dana token! Unfortunately, my friends break the news that I ended up 72nd place, a few ranks out of the money. I guess I'm not splitting cash with a famous Magic player today.

That's a wrap

Overall, my day 2 ended with a pretty disappointing result (1-3-1 in matches, plus a bye). At least Reno brings my MTGElo to 1701, just enough to start showing me my global ranking. I feel like I could have played a bit better pod 2, and definitely drafted better in pod 1, but getting to pit my skills against some renowned Magic players (and also just talk to them) was a super highlight of the weekend. Huge shoutout to my team this weekend (Richard, Michael, Karthik, Derek, and David) who helped me prep and kept me fed, and thanks for reading along!

A big thank you to the 236 persons that took a bit of their time to do this. While the sample size isn't that representative (6,25% of error for a 95% confidence) it's enough to have a poll for me!. Let's get on with the results!
First question: Hi. How are you? (because being polite is important)
Of 73 responses, 17 people said they were fine or at least they think so, 1 of them said: "I am quite fine, good sir." Your welcome simadam!. 16 people said they were good. 4 people don't know the difference between "how old are you" and "how are you" (http://i.imgur.com/ZFdkt0t.png)
Passing to the mixed/weird answers section:
"okay, how about you?" Way happier than i should be.
"Perpetually confused". Aren't we all?
"Melancholic" He must be a friend of the first one.
"Still breathing. Must be ok." Guys, do you need help?
"All good homes." Good, sturdy homes indeed. (maybe you meant homey)
"똥" It's a shitty life, man.
"A touch off balance"
"fuck off" So edgy.
"Eh" I said HOW ARE YOU?
"Yes" "no"
"Hungry" Don't remind me please. At least today i will have a pizza.
"noob" wat did you just say about me you cheeky m8? Fight me IRL 1v1.
"Bien, gracias." De nada, tio.
Second question: Hmm. Are you a boy or a girl? 146 (62,1%) are boys, 88 (37,4%) girls, 1 other. While not balanced is better than the reported 80% of male users (referring to people who use the site from time to time, not just passersby) who use reddit in general.
Third question: How old are you? As expected, an 83,1% of the sub is between 18 and 30 years old. No people is over 40, just are under 15, 19 are between 30-35 (interesting), 6 are between 35-40 and 13 (5,5%) are between 15-18.
Here the complete results for this two questions: http://i.imgur.com/8uAulF2.png
Fourth question: From where are you from? A 58,6% are either from North America (37,2%) or Europe (21,4%), probably more because this is english base than because of the hallyu wave; 34,2% are from East or Southeast Asia, 7 from other parts of Asia, 4 from South America, 1 pioner from Africa and 5 persons that claimed to be korean and are here instead the hundreds of korean sites from some reason (would love to see you comment on why) but most of them probably are lying or thought it would be cool what the option meant.
Also, i'm very sorry for not including Oceania but i'm very surprised not a single one person complained and they probably voted for "other parts of Asia"? This survey was a very rushed idea at seeing the 6000 number, i promise next time it will be way better.
Results for this question: http://i.imgur.com/LGBUqVp.png
Now let's get on the 4 big poll questions. At first i thought on limiting them to just pure variety (in our concept) shows but after some convincing i opened other 3 different categories that got less voted first because i didn't want them to be required and second they were added after around 70 votes. Next time i will take it in account. Nonetheless they have at least 100 votes. From less voted to more voted:

• Favorite music based (competion/audition) show this year. Drumroll,please!:

1st, MBC's "King of the mask singer"; congratulations! At 46 votes (from 100) it got a very clear lead 24 votes ahead of the second position. This show got the trend of the mix between music competition and guessing game going on (although you could argue is more of a twist on "Hidden singer" mechanics. But what isn't a version of something on the variety world?) with extremely high results on ratings, threatening the eternal king on that slot (Return of the superman) a lot of times.
The rest of the podium is: 2nd SBS's "Kpop Star 5" with 22 votes. 3rd it's a tie for Mnet shows between "I can see your voice" and "Unpretty rapstar"! with 17 votes. JUST 1 vote behind is "Show me the money" also from Mnet (Am i the only who gets that Mnet may be a music based channel?). Both Unpretty rapstar and Show me the money have been cult shows (more like "wtf are they doing" cult show reading the majority comments, never watched more than a couple of episodes) but that popularity didn't translated that well in this votes. Finally, JTBC's Hidden singer just convinced 11 people.
Please tell me next time if you want shows like Immortal songs included next time.

• Favourite reality show this year (119 votes):

1st for KBS's "Return of the superman" (58 votes). At first the KBS version of Dad, where are we going? now it took their place. Eternal king of ratings for KBS varieties and now a bit more disputed with 1N2D. The idea is just genius because people will never get tired of babies doing cute things and learning things in this complex world. Although less popular here, this show is by far the most seeing on kbs world youtube page and in other video streamers as well.
2nd for SBS's "Law of the jungle" (37 votes). With legend Kim Byung-man in the front this series about surviving in different places in the wild, they're the salvation of the SBS variety department that has been on a very low point for a long while. It even got an interesting spin-off last year called "Law of the city" that was based on going to New York and trying to get in a good living through finding low-paid part time jobs. I recommend to check it out.
3rd is for MBC's "Real Men" (14 votes) a good stable second option on the sunday's hottest variety slot, it's good memories for the male public all year and a craze every time a female special is on.
See the complete results of this two categories: http://i.imgur.com/i8d3PUY.png

• Favourite talk show this year (125 votes):

1st KBS's Happy together with 44 votes leads comfortably. Although is in low ratings and through a rough year with various format changes their availability online makes it a better option for overseas watchers. Now we will have to wait if the final revamp and new 5 persons hosting will be up to the standards on a already 14 years old show that has changed a lot.
2nd is for KBS's I'm a man (33 votes). We don't if it the man-brotherhood point of view dazzled 33 fans or if it was the hosting of Yoo Jae Suk, Noh Hong chul Kwon Oh Joong and Jang Dongmin, but the closeness and energy of the public (something relatively new for a korean talk show and difficult at first to deal with for yoo-nim) was something interesting for me. Unfortunately neither dedicating specials for women or changing the original spirit of the show was enough at the end of the season (another thing rather unheard on a public variety) because almost one year later (the show barely got in this year with 2 episodes. Otherwise i would have forgot it) there doesn't seem to be very possible to see a second season.
3rd place is for Jtbc's Abnormal summit (32 votes), just one vote behind. A couple of scandals, cast changes and the now cease of subs didn't stop these voters that loved to see the international points of view on different issues out of the typical roles foreigners have on variety shows.
Very sorry for not including "We got married" on the mix again. As it seems it will never end it will get in next year. All the results here: http://i.imgur.com/IcBdljO.png
Curiously enough the top winners in this 3 categories were also the first one i thought to put there (the options were shuffled while answering)

• Favourite variety show this year (236 responses). This has been the toughest competition with top three near each other until the third one drop off. The second was consistently catching up the first one but never could overpass it. For a while it seemed the third one was going to be eaten up by the 4rd and 5th one but it also escaped.

Another drumroll please!
1st is
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MBC'S INFINITY CHALLENGE! (115 votes) The story that most know is that Running man have always been the variety show most knew about while Infinity challenge was the most difficult to get into and rather unknown show but with consistent posting of new episodes here and dramafever and others taking in the subbing of this program got many into binge watching the episodes and to a rising international fandom. It would talk about it's qualities but as a super fan (see my flair) i will only say that IC is the definition of variety, a kind of good standard of quality that have suffered a bit due through 4 member changes in the past two years (3 out, 1 in).
2nd is for
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SBS's RUNNING MAN! (108 votes) The gateway drug to varieties for many, is something a lot of us are thankful for it, and that while almost everyone coincides in that it's just not the same than before (mainly stagnation of ideas and tiredness of putting new things every week for more than 5 years are taking an immense rating hit and the slot change isn't helping also) they still have some tricks up their sleeve. Also, it's still something you can watch no matter your mood due to the simplicity of it. The huge popularity of them in the rest of Asia is a proof on how something can join many different cultures. Look up to the possible future collaboration between them and the infinity challenge cast!
3rd is for
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KBS's 2 DAYS 1 NIGHT! (96 votes) and with this we have the big three channel flagship ones listed. In big problems at the end of the mythical 1st season and practically all the second season, the return of the then maknae PD style and the good selection of the cast of the third season have done very good high quality episodes and in korea, where "IC" has been the voted top variety for many years some already think that 1N2D is now the best.
4th place tvN's "The genius: Grand final" (84 votes)
5th place Jtbc's "Crime Scene S2" (71 votes)
Complete results: http://i.imgur.com/CavfuQc.png
The great omissions were "3 meals a day S2", "A song for you" and "Take care of your kitchen" because i didn't know where to put them or remembered too late.
As this post is really extremely long i will put the final question in the comments. Until the next survey, that's it, goodbye!

Verified? (This bot cannot verify AMAs just yet)
Date: 2014-02-01
Link to submission (Has self-text)

Questions	Answers
Was there any case so bad you thought you wanted to be done with it all? Thank you for doing what you do. I can't say how much I admire people like you.	Yes. I had a premie ( a premature baby) die on me, on Christmas day, while i was transporting him from the maternity to the hospital. There was just nothing i could do to save him, they caught the problem too late(he didn't have a diaphragma and his intestines migrated into his chest and compressed his lungs) and he was too small (900 grams) and too weak. I was devastated, i wasn't a real person for 2 months, just a zombie walking around. I was determined that if they made me transport another baby i would resign and start another job. Eventually i got over it.. I was young and not "dehumanized" like i am now, but even now children hold a special place, i always suffer for children, while adults do not move me almost at all anymore..
	PS: i might inadvertently use too much information describing medical stuff.. sorry, professional defect.
I was young and not "dehumanized" like i am now. What do you mean by dehumanized?	I see sick people as "cases". I don't get emotional about almost anything job related nowadays. i can eat a sandwich while 2 meters away behind a curtains some one is puking his his guts and blood out, and on the other side someone is dying and having CPR done. Or put the food down, go help, wash and come finish my meal. Children still hurt like hell tho. that i don't think i can ever get used to, especially since i have my own.
Sounds really difficult, how does this dehumanization affect your life outside of work?	I have very little tolerance for hearing people's small ailments and minor hurts. I frequently make a bit of fun of them. "Oh you cut your little finger.. aww man i feel for you. Let me show you this picture of this guy who had both his legs amputated by a train after being electrocuted on the bridge above it and falling 7 meters" Otherwise i'd like to think i'm a pretty normal guy.
	EDIT: might not have been to clear here. I am talking about off the job. like when some relative comes visiting my parents and keeps perstering me about his bad kneee etc. the post i replied to clearly states outside of work. -- On the job, i will listen to your minor problem as patiently as i can and try to treat you as best i can. Doesn't mean i can't think you are a moron for coming to the ER at 2 in the morning with a couch that you had for 2 weeks. ---
That settles it. At 2am i'm heading to the ER with my brand new couch.	Haha. caught me. not even gonna edit that one out.
What is the first thing you notice when you reach a scene?	Number of victims, number of resources i have (doctors, nurses, paramedics, untrained help, police to contain the area or divert traffic), then triage and get dirty.. and we roll from there. Usually all this is takes place while i'm running "from the choppa"/ ambulance to the scene and the first victim.
How much help is untrained help?	More of a nuisance.
Have you ever arrived at a fatal scene and there was music playing inside the car? If yes, what songs and did that stay with you in terms of triggering a memory of the accident when you would hear the song again?	No music yet( usually the car is too trashed), or i was too focused on the job to notice it. Also it's part of the protocol for one of the firemen to pop the hood and disconnect the battery to avoid fires.
You say that you sometimes transport to other countries, which country are you from and to which countries do you transport to and why?	I am from Romania. I've transported to/from Germany, Russia, Turkey, Hungary, but those are pretty rare. We have EC-135 (Eurocopter) as the main model, and sometimes we use older Mi-18 where there are many victims or EC's are unavailable. Here's some pics: Link to www.google.ro
What kind of helicopter are you flying with and what is the range? Does it have any equipment that is not standard for helicopters, besides the medical equipment?	The one numbered 334 is the one i've flown most of my mission hours in and actually holds a few records in regards to longevity and mission hours among EC-135's. the range? about 500 km.. 2.5 hrs is max with our load if i remember correctly. As for equipment, it's in a medical configuration, but i don't think there are any other mods. I do know pilots use NVG's for night missions.
Thanks for your reply and thanks for doing this kind of work. Do you transport to other countries because they have better or more specialized hospitals?	Yes and no. Usually it's newborns with congenital heart diseases (malformations), that need to operated in better specialized clinics. Other times it's our citizens that have been injured and need to be brought back home.
Hi there! Thanks for doing an AMA! Have you ever had to respond to a call, then when you actually got there (or saw the damage) thought to yourself, "Well this was completely unnecessary?"	Actually yes, quite a funny story. We got a call from aparently a desperate woman(dispatch talks to them , not us), about her husband that had "his eye hanging out by a thread". We got send as first responders ( usually we have a paramedic crew go first and call us if it's reall bad), got to 9th floor by elevator carrying all the heavy monitor and kits, then had to climb an extra floor on foot to find the aptment. while we were looking for door numbers, a guy we passed leaving he elevator goes "i think you are here for me?".. we of course rush back down, and notice he only has a small bruise under one eye, and is quite intoxicated. Turns out he was trying to open a PET bottle of fermented wine that had built quite a pressure, the cork popped him in the eye and he couldn't see for a few mins, so he called his wife who wasn;t home who got all hysterical. She actually arrived running from work all crying while we were ushering him into the ambulance.. We still laugh about that..
Why are ER doctors looked at as inferior? I would assume that being in emergency medicine would be more difficult than many other fields.	It is widely regaded as the most difficult. Drop rates (in my country at least) are about 50% in the first year, and almost 80% do not finish residency. That impression is because we don't "cure" patients usually. We diagnose, stabilize, start treatment, then move the patients to the department that needs to take further care for them( like surgery, intensive care). Thing is, they have to deal with 1 branch of medicine, wekinda hev to know them ALL.(or at least enough to get by).
Thank you for the job you do. How bad does the weather have to be to not go on a call and who makes that decision? Are there times when you think your efforts ate being done in futility and they actually make it?	The go/no go are handled exclusively by the pilots. We as medical crew are forbidden to try and influence their decision in any way( for example by insisting that it's a serious case that NEEDS saved, or it's a kid, or anything). There are several categories for weather that they have, and some limits on cloud height, visibility, chance of freeze.. and also both pilots need qualifications for that type of weather. They also need to consider the weather for when we return, or how much time we have before sunset. (Helis are forbidden to land at night unless it's an airport or helipad with appropriate facilities, and we have to take-off from a scene before sunset, which makes for some "interesting situations": Pilot: we need to go in 5 otherwise we sleep here. Me: i need to intubate and put a chest drain. no way i can go in 5 Pilot: ok, you have 6 mins. Me: ...
	Alot of times it's a futile effort..but you do it anyway. Once you get some experience, you can "read" a patient at pretty much a glance. But there have been unexpected survivals and some were really amazing and touching. That's part of what makes this job amazing.
I imagine that in emergency responses there often isn't a lot of room for error.	I drink and do alot of drugs.
Have you ever accidentally done or not done something that did or could have ended badly?	Just kidding. I used to smoke, alot, but i quit. The trick is to have some time to decompress, get a hobby, etc. I Snowboard, play computergames ( a bit too much, but then i was a gamer long before i was a doctor), and play airsoft.
How do you deal with that kind of pressure?	Regarding errors ,yes, of course. We are human, we make mistakes sometimes. Important thing is to realise and correct it before it's too late.
Could you share a story, if it isn't too personal, of a time you made a mistake?	I discharged a patient suspected of pneumothorax before waiting to get confirmation from the radiologist because i had looked at the xray and didnt see it, and he was ok clinically. I wrote it off as a cold. He had a small one tho, so next morning i tracked him down, found his grandma at his old adress, got his phone number and called him back to the hospital. He stayed under observation 2 days and got discharged. Would have been fine at home, but i couldn't go to sleep if i just let that go.
What computer games you play?	LoL mostly lately, don't have time for much now. Indie games off steam, i love the Fallout series, i used to Quake 1 alot, then CS.. anything "good" basically. RPG's, TBS mostly. I still have a special place in my heart and living room for Il2 Sturmovik ( ww2 plane combat sim), which i've played for 6 years.
	I'm one of those nostalgics that sigh about the "good old games" that had "feeling" and rarely get impressd witha game nowadays.
Small pneumonthorax, clinically fine, radiologically confirmed? Home with advice on seeking help is the normal treatment, isn't it?	Yes, that's correct, but then again, what if it enlarges and becomse tension pneumo? like i said i couldn't sleep if something like that happened by my fault.
Are there any scenes from first arrival at an incident that stick out in your memory?	I remember arriving at a multiple victim car crash on the freeway at night and looking around confused because there was no crashed car anywhere, just ambulances. had someone point it out to me, still didn;t see it. It was over 200 meters in the field, and we literally had to step carefully because there were still people thrown from the vehicle that hadn't been found.
Have you ever had a case so bad that you had to carry out medical measures that wouldn't usually be done near the incident scene?	Quite a few times. I've intubated while they were cutting the car around us, set chest drain on the tram line before geting him in the ambulance, intubated while transporting a patiend down stairs ( he coded).. i have many many stories, and it's that adrenaline rush that makes this an amazing job.
Thank you for doing this AMA! In situations as dire as these, what would you say the survival rate, or rate that they survive and have most of their brain functions is? I imagine it is very low but I'm not sure.	You would be surprised.. unless severe brain damage most of them survive.
What is a rapid response car?	In our case it's a Land Rover or Nissan Pathfinder that carries a fireman paramedic( who also drives), a doctor and a nurse ( and sometimes a trainee/volunteer). It's equipped with all the necessary equipment to provide advanced medical care for 1-x patients( monitodefib, ventilator, bags and masks, oxygen, etc.. even BIOHAZARD SUITS!) It get there fast, and then other ambulance arrive which can actually transport the victim/s.
Also, how has your job affected your spirituality?	I believe in a God, just not the church, or the way they portray Him. I'd say it hasn't really affected my spirituality.
, thank you for saving lives! Secondly, what has been your proudest moment on the job? And finally, any specific stories that you'd like to share, like the craziest thing, funniest thing, etc?	Saving a 700 gram 28week premie that was in cardiac arrest when i got to him. That was the trickiest intubation of my life, and under the most pressure. He lived at least for another 2 weeks at the hospital, haven't checked after because.. i don't really wanna know if he made it or not. He made it so far because of me.. thats enough for me.
Is there a certain injury you get called out for more often than others ?	If you can call Death an injury, i'd guess that's it. Cardiac Arrest is the most frequent call while on ambulance/RRC, car crashes while on HEMS.
If you are in the helicopter and on your way to an accident scene, if all victims die before you get there, does the helicopter turn around without landing and let an ambulance transport the bodies?	Yes we turn around. Ambulances don't transport dead people over here..
Have you ever had someone say to you "please don't let me die?"	Yes. But it's usually the ones not in danger of dying that say that ( or talk or scream). the silent ones are usually the most critical.
What path through medicine did you take (and what would a regular doc in your field) take to get where you are?	6 year medicine school ->horribly hard exam to pick your residency/specialty-> 5 year residency( on the job) horribly hard exam to become specialist 1 year specialist so far. And yet i've done so much compared to some other EMD that i feel old :D.
What is the most personally dangerous situation you've been in during your work?	Surrounded by about 200 angry gypsies with a relative of theirs dying in my ambulance.
	Also flying through a storm so bad the pilots thought the plane will break up..
A few questions; Does it ever get boring? Ever feel that "burn out" that drives so many EMS out of the profession? Ever had to use your skills while not on the clock? The classic "is there a doctor on board?" type scenario. Thanks.	So far its not boring at all. I did have an extrication while n vacation in a different country ( sweden). We were on a bus, i was sleeping, when my friend wakes me that he saw a crash ahead. i told the driver to slow as we passed, saw that it was bad, and asked to stop so i can help. he stopped, i went, was first there. Old man with severe trauma, in coma, GCS=9, and old lady screaming. Side impact, driver's door, other car fine. Another guy that was a paramedic there in Sweden stopped and came, together we emptied the backseat and i imobilised the man's neck while he took care of the old lady. Firefighters arrived, we talked, i told them to decap the car ( that's when they cut all the pillars and remove the top), so they threw a special blanket over us and they cut the car with me inside holding the old man's neck straight. Just after they were done, first ambulance arrived, and they brought strecher and cervical collar and we extricated him safely. after some oxygen he started to regain consciousnees enough that i was comfortable letting the paramedic ake him to hospital alone. Old lady was fine, just in shock. I then returned to the bus, not expecting it to be there, but there it was, waiting for over 50 minutes. I expected people to be rude about making them wait, like they would in my shitty country, but noone said anything. then a girl came and gave me a botttle of water and i realised i was pretty much full of blood, so i washed up and fell asleep again. 5 minutes before arriving in Stockholm the bus driver announed on the intercom that the passangers would like to thank me for what i did and how much they appreciated it. I was stunned. I realised then what a difference it is between a civilised country and my shitty one. It was an amazing experience.
What jobs did you do as a junior doc to end up in HEMS?	I did my job properly, did well in pre-hospital care ( ambulance, Rapid Response Car, neonate), and had quite a bit of luck :D if you're asking what my speciality is , it's Emergency Medicine, or Accidents & Emergency. And i started HEMS in my 4th year of residency, rest of prehospital care in my 3rd.
Where would one go to apply for such positions, also what and where did you go for your residency? Since you also work on helicopters and other aerial forms of transportation, is it like in the military (i.e. flight surgeons) where you have to be certified to work in these places? If there is, what kind of requirements are there? For example, a certain level of visual acuity, physical fitness, etc. 3.By being in places where danger is a common occurrence, have you and your fellow co-workers been in situations that you could have potentially died in?	1: I think it depends on your country. for mine, only Emergency Medicine does this kind of job, and only very few hospitals that are part of the SMURD program (it's short for Mobile Resuscitation, Extrication Emergency Service). I did my residency in one of these hospitals and i was accepted for prehospital care. 2: you need to be in good health, not take drugs or medicine, not be sick. There is a mandatory medical checkup before each HEMS shift, with BP, sats, heart rate and you need to fill some statement forms. There are no physical trials or limits except not being nauseous while flying and during heavy weatheheavy brutal manouvres.
How did you feel during the times when you weren't able to assist due to protocol? Were the consequences for any patients due to this?	I was aching to go in, like a horse chomping and pulling at the bit. You have to understand we are all adrenaline junkies, all the paramedics and nurses and doctors that do prehospital care. You just don't do this job if you aren't. That's why the usualy penalty for going in before cleared is they take you off prehospital care for a while ( could be forever or a long time if you fuck up badly). So that pretty much keeps us in line.
What was the most surprising accident you've encountered?	Guy that fell from the shower, on the toilet bowl, broke it and had the nastiest ASS cut i have ever seen. This was a big guy( not fat, big), mind you, and i could put my whole hand into the cut in one of his buttcheeks. Bled like hell too.. Porcelain is a deadly weapon, make no mistake about it.
What was your very first experience like? would you rather work like back then or right now, as you described "dehumanized"?	I walked into the ER on my first day, and there were a great many people yelling and screaming and being generally very agitated.. and i thought.. "what the hell have i gotten myself into". But after a couple of hours of being pushed around and being in everyone's way, i started to see the chemistry between them and how everyone was loud because they needed to be heard and how 5 severe cases were being treated at the same time and i was pretty much hooked.
	I miss the old cramped ER to be honest, now we have a huge new one but we are spread too thin and it's destryoing our ER dept..
Would you say that the quality of care has declined since the expansion?	Yes, too much of them, too few of us.
Do you take an active interest in following patients status after your care? The facts that first responders get little info after trauma cases doesn't lend much closure.	Not really to be honest. Or very rarely. I get enough knowing that i stabilized, diagnosed, and got him to where he needed to be alive, and that i did my job well. EM is a high risk/instant reward and i LOVE it that way.
Any interesting stories of jerry-rigging medical devices while in the field? Thanks for doing what you do.	We sometimes improvise, but usually because something fails, not because we don't have what we need. I for one used the secretions aspirator to vacuum the vacuum matress that hold a trauma patient straight and tight, i've used a flashlight held in my mouth to see better during intubating a chemical burn victim's throat. I'd love some sterile duct tape to be honest, the medical equivalent is not strong enough :D
How do you find time for yourself? What do you do to unwind/have fun in your free time?	I hardly do lately. especially with a 3 year old and an extra job besides this one. For fun i Internetz, play games, snowboard ( rarely when i get a chance), and play airsoft. used to love sports but no time now..
What's your 'extra job'?	Medical Hotline at a private clinic chain. people call here if they have some sort of medical "emergency" ( usually a nasty cold, or more likely their child has a fever) and i give medical advice, or send an ambulance if asked for or needed ( never so far).
What's your favorite kind of fruit?	Apples, and exotics.. always try anything new i find at the supermarket. But i unfortunatly rarely eat fruit anymore.. gotta work on that..
You okay there?	Too much typing :D edited the mistakes out.
How do you keep calm when the people around you are panicking? Any tricks you use that seem to work to help you stay focused on the job at hand.	Tunnel vision if you can.( unless you are coordinating then step back more, there is always the pull to get in on the action). Cut every insurmountable think into manageable slices and deal with each in turn, otherwise you are sure to panic.
You've my dream job. Hopefully I can get into Med school this year. Also, was it your objective from the beginning, or you just found yourself into this ?	It was my 3rd option after surgical and orthopedics, and i said, why not i'll try i for a year. Then i got hooked.
The other day I was working with an ER doctor who had just received a stroke sign patient. He could tell something was off when the guy said he had left sided paralysis and his face was fine and his fingers moved when touched. The doctor then took the guy's "weak" hand and repeatedly dropped it onto the guy's face. For those that don't know, if you're pretending to be asleep/weak and someone does that, your natural instinct is to move your arm so your hand doesn't hit your face. So the doctor did this over and over again, and every time the guy "defended" himself by moving his paralyzed hand. Turned into the ER version of "stop hitting yourself". So what's a go to hilarious ER story you've got?	I think the funniest is when we had a heroin OD who was almost in respiratory arrest, who we couldn't stimulate enough for him to breathe.. we were ready to intubate him, when one of the older doctors comes in, sees us, goes to the patiend , leans near and yell "POLICE" as loud as he could. The patient woke up instantly and almost jumped off the table. He ofcourse started drooping asleep a min or so in, so we spent that afternoon taking turns yelling POLICE near the guy so he would breathe :D good old times..
Hey EMD, do you ever show up on a scene and say "Please state the nature of the medical emergency?", like the EMH?	No i usually say "give me the laryngoscope and a 7.5 tube this guy is almost gone".
	We have a pretty bad ass dispatch(we do the dispatch as well) and system( usually paramedics go in first, they solve 90% of cases, if not we get called in), and we rarely get sent to cases that are not critical.
Is your job going to get mnore boring when everything drives itself?	No. Emergency medicine never gets old really, and pre-hospital care even less so. There is always something that amazes me each week..
How often do you scream: get to da choppa?	I was waiting for that :D Quite a lot actually, "private" joke with some of my pilots.
I'm wondering what your feelings are about patients who come in as a result of a suicide attempt. You obviously care a great deal about saving people; is it frustrating or infuriating when a patient comes in who has purposefully done great harm to himself? I ask because I tried to kill myself about a year ago when I was in a very dark place (trying to deal with my father's untimely death) and I remember the looks of disgust and disdain on the faces of some of the ER nurses. Like I was a waste of their time. The ER Doc, however, was more kind. Do you ever feel that way, like a person who comes in after trying to kill themselves is a waste of your time?	No, if he/she has really done harm... but it's tricky. Mostly what you interpreted as disgust, is.. i don't know how to say it... We have so many people( mostly women) trying to "kill themselves" to get attention, that we are sick of it. They don't really want to die, they just want attention, and so they take pills or lie about taking pills.. etc. we have 5-10 of these a day. Those are the ones that i feel are wasting my time. I had one time this girl that wanted to kill herself with Strepsils ( sore throat pills).. or with Omeprazol which is a gastric bandage.. The ones that Truly wanna die, they get it done. They jump, they get in front of a train, they really cut themselves.. I don't know what you did, or why, and i'm sorry you felt you had to resort to that, but there are better ways. Please seek help. I hope you get better.
Please tell me that you pumped their stomachs and shoved charcoal down their throats when they say they "swallowed pills" even though they didnt.	Of course :D.
What's your thoughts on nurses? and do you work with many male nurses?	Yes, we have quite a few. We work side by side, here in our Dept it's a very close relation, mostly first name basis, because who has time in the ER or in the field to be "propper". We are a team.
What's the most gruesome scene you've been to?	More than one. Decapitations, hangings( some really creepy in creepy houses with no power at nigh), car accidents with brains all over, amputations, disembowelments, crush injuries, buried alive, or just unbelievably filthy houses where people live. hard to pick just one.
Hello, and thanks for this AMA! I just wonder, on average how many cases do you normally have per week? Are there many cases in which you have to ride the helicopter? Who has to pay for the ride? I would guess it is the patients...is it very expensive for them??? Cheers	All medical services( except you know, private clinic and cosmetic) are free in this country. number of patients, depends on what i'm doing. Ambulance, might be 2-15 per 24 hr shift. helicopter, depends. i've had days of 8-10 flight hours( basically non stop during the daylight), ive had days with 0 minutes in the air.
Is the pay good in Romania? Have you ever thought about moving to another country?	Pay is shit. yes, in fact i will hopefully move to the UK soon.
Untrained people at the scene: what do we do? I don't want to stand around gawping, but I don't know if trying to help would be at all appropriate or needed. Basically, is memebers of the public trying to help any use or a big hinderance (we should all just go home)	Try to establich a perimeter, and have a clear way in-out for our access. There's too much you don't know that can hurt even if your intentions are good. Take charge and make people responsible. I found that phrases like " come on people, what if that was your relative there" work much better than threats or pleads. If some1 working there asks for your help, do EXACTLY as he told you. If unsure or didn't hear right, ASK AGAIN.
Hello! I am 23 year old RN about to hit the 1 year mark. The only emergencies I've been in have been codes on my floor. Granted codes are few and far between, I love the rush and the teamwork involved to save someone's life. I'm often worried that if I switch to the ER I'll absolutely hate it, yet I'm compelled to go because of the shear amount of experience and knowledge to gain. Do you have any pointers or suggestions for would be ER nurses? Is there any great advice or resources you would recommend?	Be calm, always ask again before administering a drug, even if i just told you to 2 mins ago because someone might have allready done it, and be as much part of the team as you can even if it means stepping down and letting someone else do "that thing".
Have you ever been the actual incident commander for a major incident? are you familiar with NIMS and ICS?	Don;t know what constitutes a major incident for you, but i have commanded a team of 4 doctor ambulances(not counting mine) and 7 paramedic ambulances and a multiple casualty crash on the freeway at night. It was HELL. Not familiar with those acronyms, sorry.
Have you ever arrived on scene to find someone you know has been injured? Also, you said you have two jobs - why is this?	I have 2 jobs because i need the money. I'd rather be home playing with my kid, but then again, i have to clothe and feed that kid :D.
Is it true that if the person is an organ donor and is barely alive, you kill them anyways to harvest their organs?	No. there are strict regulations for this. it's not my field though so i refrain from answering more as to not give you an even more wrong impression tha you allready have.
You arrive at a disaster area. You see identical twins with identical trauma (let's say penetrating zone 1 neck trauma). Their vitals are dropping at the same rate. You can only help one. How do you choose who lives?	Not sure about what penetrating zone 1 neck trauma means to you, but if i can IV line one fast and the nurse line the other and my paramedics move fast with my induction drugs, why the hell can;t i save both of them???
How do you deal with the patient's family when arriving to the scene? To them you are their only hope in the world,,	This is what separates a good EM from a great one. Dealing with relatives, passerbys, etc. You need to be in control all the time, i've had some scary situations, being threatened etc that i got me and my crew out safely by just controlling the situation and not giving an inch. sometimes you gotta be compasionate, sometimes even rude, sometimes firm. Reading the siuation and who you are talking to is crucial. (for example worst answer is to threaten a former inmate with calling the police).
For a student Nurse that wants to also get into the Rapid Response team, what advice would you give?	Be a team player. It's what i value most in my coworkers in this job. Ego gets people killed.
Hey allnighter. Posted something similar earlier: how do you decide which patient to treat first if there are several whose lives are in danger? Thanks for the AMA.	The one with the most chance to survive.
Salary?	I don't want to send you into shock. yes it's that low.

Last updated: 2014-02-05 07:36 UTC
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