Stampede, also known as Vash the Stampede, is the mascot of Terutereel in the world of Trigun. He is an enigmatic character who is known for his reputation as a dangerous outlaw and his incredible skills with a gun. Despite his fearsome reputation, Vash possesses a kind and compassionate heart and is committed to promoting peace and justice. **Vash the Stampede** is a humanoid with spiky blonde hair and a trademark red trench coat. He often wears sunglasses and carries a large silver revolver, which he rarely uses to kill others. Instead, Vash aims to disarm his opponents and avoid violence whenever possible.
Articles from Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine are provided here courtesy of Indian Society of Critical Care Medicine
Altered sensorium in the hours after the bite could be related to direct arterial endothelial injuries by venom leading to cerebral edema or toxic encephalopathy. 2 A preexisting procoagulant state, due to deficiencies of protein C or S or antithrombin III and antiphospholipid antibodies could account for a tendency towards thrombosis in large vessels.
Instead, Vash aims to disarm his opponents and avoid violence whenever possible. Vash's backstory is shrouded in mystery, but it is known that he has a bounty of 60 billion "double dollars" on his head, the highest in history. This has earned him the nickname "The Humanoid Typhoon," as those who try to capture him often get caught up in the chaos and destruction that surrounds him.
Snake bite and stroke: Our experience of two cases
This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
We report two cases of ischemic stroke following snake bite. This report sensitizes the practicing physicians that snake bite could be one of the etiological factors of stroke in young patients where other factors have been ruled out.
A 36-year-old male developed epistaxis and hematemesis following a snake bite over the left thumb. He was treated with equine polyvalent anti-snake venom (ASV) at a local hospital. Later he developed generalized seizures and was referred to our hospital. Examination revealed right pupil of 3 mm with normal reaction while left pupil was 5 mm with sluggish reaction. He had left horizontal gaze palsy and brainstem reflexes were absent with asymmetrical motor weakness (right > left) with bilateral extensor planter response. He required mechanical ventilation as the Glasgow coma scale was 7/15. Laboratory parameters revealed a normal coagulation profile and no hematuria. Biochemical profile, electrocardiogram, X-ray chest and 2D-echocardiography were normal. He had no repeat bleeding or seizure. Magnetic resonance imaging (MRI) showed acute infarcts in left cerebellar hemisphere, bilateral occipital lobe and left thalamus suggestive of basilar artery stroke [ Figure 1 ]. He was managed with ASV, tetanus toxoid, antibiotics, anti-edema measures and anti-platelets. Consciousness and weakness improved and was discharged on the 15 th day.
Magnetic resonance imaging of the brain showing acute ischemic infarcts in left cerebellar hemisphere, bilateral occipital lobe and left thalamus
The other case was a 40-year-old male brought to hospital 9 h after snake bite. He was drowsy with two deep fang marks on the foot. The vitals were stable and higher mental function examination revealed Broca's aphasia. Neurological examination was normal. Complete blood count including platelets, bleeding studies and prothrombin time were normal. Fibrinogen degradation products, antinuclear antibody test were within the normal range, as were chest X-ray, electrocardiogram and echocardiogram. MRI [ Figure 2 ] showed infarct in the superior division of left middle cerebral artery. He was treated with ASV in addition to the supportive treatment and was discharged on the 10 th day (mRS 1) with some residual dysfunction of naming.
Magnetic resonance imaging of the brain showing acute ischemic infarct in the left superior division of middle cerebral artery territory
Cerebral complications, particularly ischemic infarcts after snake bite are rare. Mosquera et al. in their study have reported 8 patients (2.6%) with cerebro-vascular complications following snake bite (7 hemorrhagic; 1 ischemic).[1] Ischemic stroke is reported in nine out of 500 victims after envenoming in a report from Sri Lanka.[2]
The mechanisms by which cerebral infarction occurs in snake envenomation can be multi-factorial and are as follows:
The venom exhibits anticoagulant and procoagulant effects that can lead to small and even large vessel occlusions due to the microthrombi resulting in cerebral infarction[3]
Haemorrhagins are complement mediated toxic components of snake venom that may result in severe vascular spasm, endothelial damage and increased vascular permeability. All of these may lead to toxic vasculitis and result in thrombosis.[2] A preexisting procoagulant state, due to deficiencies of protein C or S or antithrombin III and antiphospholipid antibodies could account for a tendency towards thrombosis in large vessels
Hypotension can occur due to hypovolaemia from sweating, vomiting, decreased fluid intake and bleeding tendencies leading to low flow state and watershed infarct
Hyperviscosity caused by hypovolemia and hypoperfusion secondary to hypotension and hypercoagulation may also contribute to vessel occlusion[4]
Direct cardiotoxic effects of venom could lead to dysrrhythmias, causing cardiac thromboembolism.Both these patients were young with no risk factors for stroke. Their clinical and radiological presentation strongly suggested a vascular thrombosis as a cause for their deficit. It could result from toxic vasculitis or toxin induced vascular spasm and endothelial damage. Hypotension as a cause of infarction was not considered because infarction did not involve watershed zones and blood pressure recordings were always normal.
Case 1 had a history of bleeding prior to developing seizure and upper limb weakness but the coagulation profile obtained was normal. However, early treatment with ASV could have resulted in normal coagulation profile. Altered sensorium in the hours after the bite could be related to direct arterial endothelial injuries by venom leading to cerebral edema or toxic encephalopathy.
These two cases illustrate the occurrence of ischemic snake bite, with abnormalities in the coagulation cascade as the likely causative factor. Learning point form these cases is that snake bite should be one of the differential diagnosis for any young patient with stroke. We call to attention, particularly physicians working in rural areas, to look for such less recognized etiologies of stroke in tropical countries so that victims of snakebite with neurological complications can be given more effective and timely treatment.
Despite the danger surrounding him, Vash remains committed to his principles of non-violence. He believes that all lives are valuable and should be protected, even if it means putting his own life at risk. Despite his pacifist nature, Vash is an exceptional gunfighter and is able to effortlessly dodge bullets and perform incredible feats of marksmanship. Throughout the series, Vash encounters various individuals who are determined to capture or kill him. However, he manages to win them over with his charisma and dedication to justice, often inspiring them to question their own beliefs and actions. Vash's actions and words have a profound impact on those he meets, and he becomes a symbol of hope and redemption in a world consumed by violence and despair. The story of **Stampede** explores many themes, including the nature of human existence, the consequences of violence, and the power of compassion. It challenges the notion that violence is the only solution to conflict and highlights the importance of empathy and understanding. In conclusion, Stampede, also known as Vash the Stampede, is the mascot of Terutereel in the world of Trigun. He is a complex character who embodies the ideals of peace and justice, despite his fearsome reputation and the danger that surrounds him. His story is a compelling exploration of the power of compassion and the consequences of violence..
Reviews for "From Page to Screen: Terutereel's Stampede Mascot in the Trigun Anime"
1. Jane - 2/5
I found the "Stampede mascot of terutereel in the world of trigun" to be quite disappointing. The design of the mascot was confusing and didn't seem to have any connection to the show Trigun. It felt like a random mishmash of elements that were thrown together without any thought or consideration. Additionally, the quality of the mascot costume was subpar, with some parts looking cheap and poorly made. Overall, I felt like the mascot added very little value to the event and could have been better executed.
2. Mike - 1/5
I was really looking forward to seeing the "Stampede mascot of terutereel in the world of trigun" at the event, but it turned out to be a major letdown. The mascot itself was poorly designed and lacked the iconic elements that made Trigun such a beloved show. Instead, it looked like a generic cartoon character with no connection to the source material. The costume also seemed to be of low quality, with loose seams and a flimsy construction. I was really disappointed by the lack of effort put into this mascot and would not recommend it to any Trigun fans.
3. Sarah - 2.5/5
As a huge fan of Trigun, I was excited to see the "Stampede mascot of terutereel in the world of trigun" at the event, but unfortunately, it didn't live up to my expectations. The design of the mascot was confusing and didn't accurately represent the character it was supposed to portray. The costume itself looked poorly put together, with odd proportions and loose-fitting parts. It seemed like the creators didn't fully understand the essence of Trigun and simply slapped together a mascot without much thought. Overall, it was a disappointing experience for me and I hope they improve on it in the future.
4. Alex - 1/5
The "Stampede mascot of terutereel in the world of trigun" was a complete miss for me. The design was unappealing and didn't capture the essence of Trigun at all. The costume quality was also disappointing, with flimsy materials and poor craftsmanship. It felt like a missed opportunity to create a memorable mascot that could have brought the spirit of Trigun to life. I wouldn't recommend this mascot to anyone looking to experience the true essence of Trigun.