Ohio Advance Directives Form: Fill & Download for Free

In America paramedics can pronounce death, at least in Ohio they can. I am a nurse and if I have a patient die it requires two nurses to verify the absence of vitals signs. I would then notify the Doctor immediately and the death would be pronounced over the telephone. If the person did not have any advanced directives (DNR) I would immediately initiate a code blue and start CPR. 911 would be called but I could not stop CPR until they've arrived. Usually they will continue CPR until they arrive at the ER. Many times, I've gotten a call at work informing us the person was pronounced dead when they arrived at the hospital. I have worked in settings where there aren't two nurses physically present and that is when I have called the paramedics to pronounce death of a patient.

The Minuteman ICBM fields are designed to soak up the bulk of a Russian (or Chinese) first strike. One warhead per missile, and one missile per hardened silo. The silos are hardened against anything except a direct hit, and they are spread out enough to require a direct hit for each and every silo. For the Russians to be sure, they would likely need to assign multiple warheads to every silo.There are 500 silos spread across 4 bases in the center of the country, which in theory would require 1,000 warheads to destroy at the very least. START limits both Russia and the US to 1,600 deployed warheads, which means Russia would need to expend at least 63% of its allotted warheads on taking out the ICBM fields in an area with low population, low military value and at a location that maximizes the warning time for the US.No need for a super advanced missile when it is largely designed to be used as cannon fodderEven if the Russians take out every silo, that still leaves a minimum of 4 Ohio class submarines out on permanent patrol and their roughly 264 warheads unaccounted for by the Russians, as well as 80 B-2 or B-52 strategic bombers capable of launching nuclear tipped cruise missiles or nuclear gravity bombs like the B61The Trident II missiles on the American Ohio class and British Vanguard class are arguably the most advanced and reliable ICBM’s in the world and represent the bulk of the “real” deterrent capabilities for the US (and all of the UK’s)EDIT: Just to clarify to comments I have gotten, the Minuteman III is not an obsolete missile by any means. It was designed to (and still can) carry 3 warheads, it is fully MIRV capable. It only carries one warhead currently because the total deployed warhead count is limited by treaty. It is better to have 500 warheads on 500 spread out missiles rather than having 500 warheads on only 167 missiles, though the second option sounds a bit cheaper to operate. The Russians have essentially chosen the latter of those two positions, their launchers are mostly road mobile rather than being positioned in hardened silos.

(Photos c CBS News)In 1989, this guy took a woman and her two daughters on his boat off St. Petersburg (Florida). They were tourists from Ohio. He raped each of them, then tied bricks around their necks and threw them overboard. Their bodies surfaced and the authorities were able to learn where to find the victims’ vehicle at the marina. Inside were Chandler’s handwritten directions to his boat. So many leads came in that the case remained unsolved until 1992.The FBI had a brilliant idea and posted five billboards in the St. Pete area showing the handwriting on the note. They received a dozen calls the first day. By the third day, the majority of people calling in were saying it was Oba Chandler’s handwriting. He did odd jobs, and some people had looked at their receipts or notes on price estimates.He was arrested and was executed in 2011 at the age of 65. The billboard technique became common usage after that incident. I still find that initial idea brilliant and hope the agent who came up with the idea advanced upwards without having his superiors taking credit for it.EDIT: 28 JUN 20 Whoever decided to change the wording to “mind blowing” needs to go answer this question their own way, or just make a comment using the word in the answer. This is a perfect example of why Quora should find a way to vet changes like this.