As workers talk with each other, you should come up with a list of things you want changed in your workplace. Write up a list of demands to present to your boss. One demand should be that anyone who agrees to strike won't be penalized later. Also ask that all employee insurance premiums and medical bills be reimbursed at the end of the strike. Your boss might welcome your demands but then never implement them. For this reason, you need to set a hard deadline. Give your boss a couple weeks to agree to your demands but then be prepared to strike if they aren't met. Always negotiate in good faith. There's no reason to strike if you can avoid it, and your employer might be willing to meet some or all of your demands. Your negotiation committee should take the lead. You might not be great at negotiating. A good negotiator should be patient, smart, and focused on details. They shouldn't be easily ruffled or intimidated. Talk to your national union, who might have negotiators who will come down and help you. Alternately, you might need to hire your own professional negotiator. Talk to your lawyer or contact a nearby law school for help. You can expect management to spread false rumors to create divisions in your ranks. For example, they might lie that the negotiation committee is being completely unreasonable. Keep your strikers in the loop about what is going on by using email and bulletins to communicate. Your union can also use social media to update employees. Your employer might try to force you back to work by getting an injunction. An injunction is a court order to stop doing something, in this case a strike. Typically, your employer will claim the strike is illegal. Rely on your legal team to fight the injunction. Work closely to document that your strike is legal and peaceful. Depending on your situation, this could take a day, weeks, or even months. You must also know that there is a possibility that your efforts will not work. Increase the pressure on your employer by picketing and waging a media campaign.
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One-sentence summary -- Create a clear list of demands. Set a deadline. Negotiate as much as possible before striking. Communicate with your strikers. Handle any injunctions that are thrown at you. Negotiate until you reach an agreement.

Either make your own dumpling skins (see the process above) or buy dumpling skins from an Asian market or the ethnic foods aisle of your grocery store. If you are not going to eat all of the dumplings at once, the best way to store them is uncooked, after you have assembled them. Place dumplings on a cookie sheet in the freezer until they are frozen, then transfer them into a large freezer bag or other airtight container. No need to defrost them when you are ready to cook them later. Cook the dumplings in a large non-stick pan that has a lid. Oil the pan and preheat it over medium-high heat. If you have allowed the bottoms of your dumplings to crisp, serve them with the crisped side facing up. Also serve with a dipping sauce or soy sauce.
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One-sentence summary -- Make or buy some dumpling skins. Store the dumplings uncooked. Preheat your pan. Serve dumplings warm.

If a pulmonary embolism is confirmed as the cause of obstructive shock, it is key to have this treated as soon as possible. Sometimes a "thrombolytic" (clot-busting) drug can be considered to treat a large pulmonary embolism. However, in cases of severe shock, surgery or a catheter removal is usually the fastest and most effective way to remove the PE and thus relieve the obstruction. If a tension pneumothorax is responsible for the onset of obstructive shock, insert a needle in the affected area for decompression. This procedure is called a "needle decompression." Following insertion of the needle, treatment of the pneumothorax, and stabilization of shock symptoms, you will get a chest tube for ongoing management to prevent any recurrence of the tension pneumothorax. This procedure also involves using a needle. However, in this case, the needle is used to remove fluid from the pericardial sac. Removal of the fluid (normally blood) from the pericardial sac in turn relieves the pressure on the heart, and removes the obstruction that was the underlying cause of shock. Of course, it is key to determine what caused the cardiac tamponade in order to have complete and lasting resolution of shock. The needle pericardiocentesis can be done repeatedly, if necessary, to alleviate pressure on the heart until the underlying cause is resolved. In other cases, a surgical procedure known as a pericardial window is done to relieve the accumulation of the fluid. If constrictive pericarditis (or a related condition) is responsible for obstructive shock, it is key to determine what is causing compression and tightening of the heart sac (called the "pericardium"). If this is unable to be resolved and treated promptly, the heart sac (pericardium) may need to be cut open surgically to relieve pressure on the heart, and to resolve the symptoms of obstructive shock. An intra-aortic balloon pump (IABP) can be used to help open the aortic valve. This, in turn, will allow blood to exit the heart and to more effectively supply the body's vital organs. The IABP intervention has been shown to relieve symptoms of obstructive shock when aortic stenosis is diagnosed as the underlying etiology (cause). The aortic valve should be evaluated, and replaced if it meets the criteria.
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One-sentence summary --
Remove the clot from a massive PE (pulmonary embolism). Use needle decompression and a chest tube to treat a tension pneumothorax. Opt for pericardiocentesis to treat a cardiac tamponade. Treat the underlying cause of constrictive pericarditis as needed. Treat severe aortic stenosis if this is the underlying cause of shock.