Without Synapse migration it’s sadly still hard for longer established servers to migrate/impossible.
- 2 Posts
- 445 Comments
philpo@feddit.orgto
science@lemmy.world•Breathing tube insertion before hospital admission for major trauma saves livesEnglish
2·14 days agoThe issue is not “oh, that will not do good”,but more “does the risk outweight the benefit or not”.
Intubating a patient is always a delicate procedure, doing so with an emergency patient (who obviously has not fasted, has a acute reason for being intubated,etc.) is even more difficult and doing so prehospitally is even more risky. It’s dark, cramped, loud, there are other enviromental factors (I once failed because my hands were shaking to much from the cold), etc. And,in case of a medically assisted intubation before you can intubate you kick out the patients breathing reflexes so they will sure as hell die if you do not suceed. A so called “cannot oxygenate (=Cannot ventilate)/cannot intubate” situation is a nightmarish situation which gives seasoned anaesthesists nightmares. . This makes intubation a skill hard to master - you need around 100 intubations to learn it and 15 per year to keep that skill. Seperatly for adults and children. (The later is even hard to uphold for anaesthesists)
While out tooling has improved and made it FAR easier and safer (videolaryngoskopy, capnography,etc.) than 20 years ago, it is still debatable how safe it is when performed prehospitally. (A recent German study showed a first pass rate - the rate how sucessful a intubation is on first try- of 60% for all professions,including paramedics, anaesthesists,etc.)
Additionally it takes a lot of time - which will occupy a team. While in hospital more people can do other things at the same time. So it’s worth considering “hey,we take 10min of scene time to tube a patient. A hospital is 10 min away. Is jt worth to make a run there and tube then with a better enviroment, while other people can do labs,run blood,etc.?”
The question therefore is more than valid and not as easy to answer - it is always a consideration of patient status, location, resources and enviromental factors. (How bad is the patient? How hard will he be to intubate? How far away from hospital am I? Do I have a intensely trained team I work with every day or am I a solo responder working with a EMT crew that is barely holding it together? How sure am I that I can intubate this patient? How up to the task am I really? How is the truck,the scene?) It’s often a very tough decision. And I saw countless patients die from providers developing a “tuberitis” - the tube needs to go in, no matter what.
Don’t get me wrong - the UK for example has a lack of prehospitally available qualified providers who can properly intubate and I am a old fuck who in doubt will intubate the patient (unless it’s a child, no longer doing these). But I have far more training in that than the average provider. (Currently a high three digit count in the logbook, thanks to working in anaesthesia part time for years)
Source: Am a critical care paramedic, for almost 25 in EMS, have done research on this.
philpo@feddit.orgto
Selfhosted@lemmy.world•My thoughts shopping around for a wiki solutionEnglish
4·15 days agoXwiki is missing.
For me after a similar search it is the current winner. Even though it has it’d downsides. We came from Confluence and tested a LOT of systems. My spreadsheet of systems we considered has around 120 rows by now. (Not all pure wikis as we also moved away from jira and considered going down a “put the wiki into the servicedesk” route)
Pro:
-
It is well tested in a enterprise enviromentand mighty
-
It has all the features I personally found important for a company wiki, e.g. approval, versioning, templates, collaboration, integration api,etc.
-
It is fairly easy to extend it yourself
-
It is easy to host subwikis within the same installation with a self defined grade of independence - which is great for customer facing things,large projects with externals,etc.
-
The development community is big and enterprise focus and release cycles are good. (Not like a certain .js) There is very little chance it will stall suddenly as the wiki has been adopted by a lot of large companies which seem to support it.
-
It’s truely free,no “pay to get custom fields” bullshit.
-
It’s truely self hosted.
-
it can be hosted system side, if you are not into docker.
Contra:
-
It is written in bloody Java
-
(even though this sentence is redundant with the one above) It is a resource hog
-
The look and feel is a bit outdated unless you customise it yourself. Then it is reasonably good.But there are basically no paid templates,etc.
-
Paid support is only available through third parties it seems.
-
It can be, well, slow to update…like physically slow. It is not hard to update,not at all…press a few buttons…but sometimes it takes ages.
-
philpo@feddit.orgto
World News@lemmy.world•The economic cost of Brexit has just been laid bare – and it’s devastatingEnglish
3·19 days agoThe main point would be: UK would need to follow the same rules everyone else has to.
Because when the UK was still a member they had a shitton of special rules which they basically blackmailed the other members into. (E.g. London would have never gotten that big as a financial market without them ) They basically took all the benefits and only gave back as little as possible.
So. Sure,the UK can apply to become a member. But no more special rules.
Oh,that ends the privacy nightmare the UK has become? Well… Oh,that means you have to follow the same (very lenient and basic) rules in terms of taxation and tax evasion? Well… Oh,that means you have to take part in shared duties of ALL EU countries? Well…
Romania can do it, Portugal can do it, Poland can do it.
Well…
philpo@feddit.orgto
World News@lemmy.world•Climber on trial for leaving girlfriend to die on Austria's highest mountainEnglish
3·21 days agoThey had a helicopter overhead and he refused help and pushed upwards (which He had direct communications with a mountain policeman and turned help down.
There are multiple warning signs to turn back if you haven’t passed this point by X time. They were multiple hours late AND in adhorent conditions.
And yes, if there is a criminal law provision in Austrian (as well as German law), that gives people a duty to protect the ones with lesser ability to protect themselves in certain situations.
So the sentencing is totally right
philpo@feddit.orgto
Technology@lemmy.world•You probably can't trust your password manager if it's compromisedEnglish
1·25 days agoPersonal recommendation: Start with a selfhosting support software like Casa, Yuno or (my recommendation) Cloudron. Start hosting the app there with frequent backups and occasionally export into regular Bitwarden as a failsafe.
And when you are comfortable switch over to properly self hosted Vaultwarden.
philpo@feddit.orgto
Technology@lemmy.world•You probably can't trust your password manager if it's compromisedEnglish
6·25 days agoJust adding: Passkeys do migitate a lot of these issues as well.
philpo@feddit.orgto
Technology@lemmy.world•You probably can't trust your password manager if it's compromisedEnglish
16·25 days agoAt the point someone pulls off a valid MIM attack - which is basically a requirement here unless the whole BW/Vaultwarden server gets compromised- that is the least of someones problems. MIMs are incredibily hard these days.
philpo@feddit.orgto
Europe@feddit.org•German spy chief calls for more operational freedom to counter threatsEnglish
2·27 days agoSadly only a German source:
By now it is clear that the separation between his convoi and russian forces at one point was less than 20km. Kahl denied everything later on,but has been disproven multiple times and replaced by now. (By the former German ambassador to the Ukraine, coincidentally)
philpo@feddit.orgto
Europe@feddit.org•German spy chief calls for more operational freedom to counter threatsEnglish
4·28 days agoI would agree if they would use their existing laws sufficiently and not make themselves absolute fools by ignoring a upcoming ukraine war,almost getting their own boss getting captured by the Ruzzkies.
I wish I was joking.
philpo@feddit.orgto
Selfhosted@lemmy.world•Are you selfhosting your business with employees? What are the software that you are using?English
2·1 month agoWe kind of selfhost almost everything - while we operate a small server ourselves, the main burden is on a dedicated server setup. Basically a FreeIPA+Authentik+OpenCloud Stack as a base,with Redmine, Kimai, Zammad, Matrix, Jitsi and a few more apps. (Moodle, Seed DMS, Netbox, Zabbix, OPNsense, Vaultwarden, Forgejo, Ansible). Additionally we use a fair share of software remotely via RDP.
Backups are done onsite and to three different offsites, including cold storage backups.
As we all work fully remote this setup is also fairly adaptable and the switch to a (almost fully) Linux shop went far better than expected - my staff is fairly content with their setup (afaik).
The only thing I refuse to selfhost are email and VoIP.
philpo@feddit.orgto
Selfhosted@lemmy.world•What's your opinion on Ubiquiti/Unifi gear?English
1·1 month agoStill mediocre compared to OPN/pfsense, IPfire, VyOs,etc.
I must admit I can’t find the exact guide I used anymore. Especially not a English one.
But the official guide should help you: https://www.zabbix.com/de/integrations/proxmox
I think whatever I used was pretty close to it. If you have any issues send me a DM.
(And tbf, I use both the Agent2 and the API in a perverse mixture. And for some nodes IPMI on top of it. It’s really kinky,but it does the job)
philpo@feddit.orgto
Selfhosted@lemmy.world•What's your opinion on Ubiquiti/Unifi gear?English
2·1 month agoAbsolutely, but unlike Ubiquiti they did not keep them under the rug that long. (Nevertheless: Both are shit for firewalling. Put a OPNsense before it?)
Zabbix is extremly nice.
Why?
-
API Monitoring for Proxmox and Docker/Podman. Aka "you don’t need to setup monitoring for every container/LxC/VM. Do it once for the host,then everything gets autodiscovered.
-
Active and passive agents as well as SNMP, IPMI,etc. can be combined as you like. Also does Website/service/application/database monitoring, SSG/Telnet checks and nowadys can even do Prometheus and MQTT/Modbus
-
The proxy is really really worth it. It collects data from nodes you do not want exposed and relays them to the server. This includes all kind of inputs and is really easy to setup.
-
Due to it being around for two decades there are a shitton of templares for devices - and it’s fairly easy to do your own.
-
Unlike other systems (cough checkmk cough Grafana) there are no features that are only available to paying customers.
The most major downsides are the fact that it’s moderately to fairly ressource intensive to run in a small setup(but does consume less than others in large Setups) and it’s far less flashy dashboards. (Which are still powerful,though)
-
philpo@feddit.orgto
Selfhosted@lemmy.world•What's your opinion on Ubiquiti/Unifi gear?English
9·1 month agoNot a fan. Absolutely not.
They had multiple security incidents which they kept under the rugs for a long time, they have the tendency to EOL devices without warning (which then means you need to replace your sometimes 9month old device or your whole enviroment can’t be updated), their lock-in into their ecosystem is much more complete as they can’t be used properly without their enviroment.(e.g. Omada devices can work without the Omada stuff, with Unifi you will always need a controller for some functions).
So if you realy need SDN features like Unifi look at Omada,otherwise Mikrotik is a solid alternative. (And OPNsense for firewall)
My company is a part of critical infrastructure and we provide consulting in disasters (e.g. how to get a hospital back up and running). So we fall under European legislation to have certain precautions. And as I colocate in my companys rack…it’s easier. As the rack is in a room I rent to my company. (We are small and I am the founder,that makes it easier)
But yeah, we put a bit of thought in it. Waiting for Iris2 finally materialise so I can get rid of LTE finally.
I have a LTE Backhaul,but admittedly if the firewall itself craps out I would also be offline - but I can at least reboot it via a plain old GSM power plug. That thing does not directly reboot the firewall,though, but brings up a old raspberry (usb boot,I don’t trust sdcards) which then checks if outside connectivity is still available (so if the GSM power plug gets compromised it’s not an issue) and if not tries a shutdown or,if that is unsucessful, a powercut of the firewall. If that also doesn’t work it triggers a dry contact in the GSM plug which leads to the plug sending out a SMS so I know I am fucked and need to get someone with a key to the rack.
philpo@feddit.orgto
Technology@lemmy.world•World's largest particle accelerator begins warming thousands of local French residents with waste energy from the 16-mile Large Hadron ColliderEnglish
3·1 month agoDatacenter heat is actually a very good source for local heating networks and a lot of European countries either already mandate to consider it when feasible, have introduced legislation that will make it mandatory over the next years or are at least supporting it financially.
It’s actually fairly common to do so for a long time here - from waste incineration, steel mils, nuclear plants, etc.
Personally I heat my office from my server rack and my old job did heat one of their office buildings from the heat generated by the data center in the basement. (And funny enough also did partially cool it from that source)

Tbh, at the moment the maintainer seems to be have gotten the message - or at least tries to make it seem so. I would give him the benefit of doubt at this stage, at least for a while now.