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Ken Davidoff (00:25:22) makes his debut on the podcast to promote his new book (with Harley A. Rotbart), 101 Lessons from the Dugout. Ken is a Michigan graduate and he and Steve talk a tad bit of college hockey while Ken mentions appearing on The Rich Eisen Show. Ken looks back on his time covering the Yankees and remembers the ACLS home run by David Justice, the wild moments during the 2001 World Series, and being there for the Derek Jeter flip play. Ken and Steve then get into the book. Ken explains how the project with Harley came together and discusses a few of the chapters and lessons that can be learned from the book. Steve starts the show with a packed First things First that includes the thrill of Italy winning the u17 Euros but the despair of not being a part of the World Cup. Also, the 2026 Braves reach 24 games over .500, the Sabres come away with 0 NHL awards, and Alvin Kamara makes a surprise appearance at Saints OTA's. The show ends with one last thing about time and the tricks it plays on us all. For more information follow the podcast on twitter @sports_casters Email: thesportscasters@gmail.com
Hello everyone we are settling in out here on the summer Happy Together Tour....6 down with 60 to go! Hope you enjoy our visit. We had an interesting question at info@cowsill.com (where you can write to the program) regarding our performance of the National Anthem at game 3 of the 2004 ACLS between the Red Sox and Yankees at Fenway Park in Boston. Most of the time we are asked what it was like to perform the anthem in such a setting, etc., but this person simply was asking how did we get there? How did we find ourselves standing at home plate in 2004 at Fenway Park.
Modern work can be frustrating and chaotic—if you don't have the right tools. From context engineering to multimodal search, go behind the scenes and hear how Dropbox engineers are building AI that actually understands you, so you can focus on the work that matters most. If you're new to Working Smarter, we've travelled from the F1 track to the bottom of a lake, and heard real stories from chefs, doctors, lawyers, and founders about how AI is helping them do more of what they love about their jobs. But in our third season, we're talking to the people behind the tools—the engineers and product leaders building helpful, time-saving AI features into the Dropbox experience you already know and trust. You'll hear all about their work on agents, inference, security, and, of course, how the people building AI use AI themselves. ~ ~ ~ Working Smarter is brought to you by Dropbox. Find, organize, and share your work—all in one place—with context-aware AI from Dropbox. You can listen to more episodes of Working Smarter on Apple Podcasts, Spotify, YouTube, Amazon Music, or wherever you get your podcasts. To read more stories and past interviews, visit workingsmarter.ai This show would not be possible without the talented team at Cosmic Standard: producer Ben Montoya, sound engineer Aja Simpson, technical director Jacob Winik, and executive producer Eliza Smith. Special thanks to our illustrator Fanny Luor, marketing consultant Meggan Ellingboe, and editorial support from Catie Keck. Our theme song was composed by Doug Stuart. Working Smarter is hosted by Matthew Braga. Thanks for listening!
This is episode one of a two-part series. Flight nurse Dave Repsher and his wife Amanda — also a nurse — join host Jana Price on Nurse Converse to share one of the most powerful survival stories in nursing.On July 3rd, 2015, Dave was working a shift on a Flight for Life helicopter when it crashed 32 seconds after takeoff. Covered in jet fuel and on fire, he suffered burns over 90% of his body. The pilot did not survive. Doctors did not expect Dave to make it through the night.Almost a year later, he walked out of the hospital alive.Jump Ahead: 02:09 — Introducing Dave and Amanda Repsher02:53 — Dave's path into nursing: from ski bum to flight nurse04:29 — Amanda's path: raft guide, EMT, paramedic, ICU nurse05:58 — How Dave and Amanda met at an ACLS class06:43 — Setting the scene: July 3rd, 2015, the helicopter crash27:55 — The lifetime impact of small acts by nurses30:26 — Arriving at the burn unit in Denver and being let into the "tub room"34:18 — Severe inhalation injuries and renal failure35:42 — The everyday battle for survival37:28 — "The perfect storm of good"39:08 — Dave wakes up after five and a half months42:53 — Amanda fills in what really happened: emergent thoracotomy and SVC syndrome49:58 — Wrap-up and tease for part twoIn part one of this incredible two-part conversation, Dave and Amanda walk through the day of the crash, what those first hours in the burn unit looked like, and how Amanda fought to be part of his care team. They share the small moments from nurses — a phone call, a hand on a shoulder, a tech explaining each burn degree — that changed everything. Dave also opens up about what it was like to wake up after five and a half months and beg his wife to let him die, not knowing the medical crisis that had just nearly killed him.This episode is for every nurse who has ever wondered if the small things they do for patients and families actually matter. They do. Sometimes for a lifetime.Listen to part one now. Part two coming soon. Learn more at nurse.org/nurseconverse.For more information, full transcript and videos visit Nurse.org/podcastJoin our newsletter at nurse.org/joinInstagram: @nurse_orgTikTok: @nurse.orgFacebook: @nurse.orgYouTube: Nurse.org
In this hard-hitting episode of the PFC Podcast, Dennis sits down with Doug, a cardiothoracic ICU physician, for a no-fluff deep dive into ACLS with a heavy focus on pulseless VT and VFib in austere, military, and prolonged field care environments.From deciding when CPR is worth it under fire or in a mass casualty scenario, to running a lean team code with minimal personnel, nailing high-quality BLS, working the H's and T's under chaos, post-ROSC pitfalls, antiarrhythmics, and the gut-wrenching decision of when to call it — this conversation delivers practical, experience-based wisdom you won't find in standard ACLS class.Whether you're a medic, PA, physician, or team leader operating far from a hospital, this episode gives you the mental framework and tactical edge to give your teammate the best possible shot at survival.Key Takeaways:Scene safety and triage realities — when not to start CPRHow one knowledgeable person can effectively run an entire code by delegating roles (CPR rotations, timer, airway, meds, defibrillator)Prioritizing actions in resource-limited environments: early high-quality CPR + epi > everything elseWhen and how to practically apply the H's and T's (especially hypovolemia, acidosis, hypoxia, and tension pneumo)Post-ROSC critical care: preventing rearrest, airway management, sedation, and treating the “two patients” (heart + brain)Amiodarone vs Lidocaine — when to use whatRealistic termination of resuscitation guidelines, the difference between witnessed vs unwitnessed arrest, and the value of objective outside input (telemedicine)The power of bringing the team in for closure when the fight is overChapters00:00 – Intro & Welcome00:57 – Can you really do CPR in the field? Safety, triage, and mass casualty realities02:57 – Running a code with minimal trained personnel – how one leader directs chaos06:02 – Essential team roles: CPR rotation, AED/pads, airway, access, and early epi09:08 – Making the H's and T's actually useful (hypovolemia, acidosis, hypoxia, tension physiology)16:53 – Post-ROSC care: Preventing rearrest, airway security, sedation, and neuroprotection20:41 – Antiarrhythmics – Amiodarone vs Lidocaine, dosing, and post-arrest infusions22:53 – The hard call: When to terminate resuscitation (witnessed vs unwitnessed, resources, hypothermia exception)28:19 – Emotional reality of coding teammates and giving families/teammates closure33:21 – Final pearls: Telemedicine, ultrasound/video for handoff, STEMI considerations, and medevac prep36:03 – Closing thoughts & resourcesFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
CardioNerds Drs. Dinu Balanescu, Billy-Joe Mullinax, and Mariana Garcia discuss systemic thrombolysis in pulmonary embolism with expert Dr. Allison Burnett. Audio editing by CardioNerds Academy intern, student doctor, Pace Wetstein. Pulmonary embolism is the third leading cause of cardiovascular death in the US, and high-risk PE carries a 30-day mortality risk as high as 30-50%. In this episode, we discuss the indications for systemic thrombolysis, including high-risk PE and cardiac arrest. We addressed how to appropriately select candidates for systemic thrombolysis, balancing the high risk of bleeding. Additionally, we discussed anticoagulation management and timing concurrent with lytic therapy, as well as the importance of multidisciplinary PERT teams. The 2026 American multi-society PE guidelines were published after this episode was recorded. Dr. Dinu Balanescu and Dr. Billy-Joe Mullinax are Co-chairs for the CardioNerds PE Series, developed in collaboration with the PERT Consortium. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Pulmonary Embolism PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls Risk stratification is crucial in acute pulmonary embolism care. Based on the ESC 2019 guidelines, low-risk PE patients are those who are normotensive with no evidence of right ventricular dysfunction. Intermediate risk includes two categories: intermediate-low, with normotensive patients who have a high PE score with negative biomarkers, and intermediate-high risk, which has elevated biomarkers or signs of RV strain. High-risk PE includes hemodynamically unstable patients (SBP
Young female athletes are considerably more likely to tear their anterior cruciate ligaments, or ACLs, than young men. Dr. Marie-Lyne Nault is an orthopedic surgeon and researcher specializing in pediatric sports medicine in Montreal. She explains why the risk is higher, and how women and teens can significantly reduce the risk of a tear. For transcripts of The Dose, please visit: lnk.to/dose-transcripts. Transcripts of each episode will be made available by the next workday. For more episodes of this podcast, click this link.
In this Part 2 or our 2-part EM Cases podcast series on Cardiac Arrest Update, Dr. Sheldon Cheskes and Dr. Rob Simard take us beyond the algorithms and into the real-world decision-making of cardiac arrest care. We answer questions like: Do vasopressin and steroids improve survival or just ROSC? Should we be giving amiodarone earlier—and is lidocaine just as good? When should we use calcium, bicarbonate, or magnesium, and when should we avoid them? What role does ketamine play in CPR-induced consciousness? How should we choose between supraglottic airways and endotracheal intubation? What are the pitfalls of waveform capnography (ETCO2) to help guide CPR quality, detect ROSC, and inform prognosis? What is the role of PoCUS and TEE during cardiac arrest? When should we terminate resuscitation—and how do ETCO2 and POCUS factor into that decision? Should we widen the criteria to consider thrombolytics and who should go to the cath lab, and should we be ordering whole-body CT after ROSC for everyone who isn't going to the cath lab or getting ECMO? And finally, what are the key post-ROSC targets that actually impact neurologic outcomes in cardiac arrest patients? and many more...Please consider a donation to EM Cases to support ongoing high quality Free Open Access Medical Education https://emergencymedicinecases.com/donation/
https://www.tadeclinicagem.com.br/guia/Confira a promoção especial para o plano anual do Guia TdC: Receba em casa o Card de Consulta Rápida no Plantão, com os temas: IOT, ACLS, ATB, ECG, trombólise e reposição eletrolítica.Receba em casa o porta-crachá (tirante para crachá) do TdC.Ganhe R$ 50 OFF (de 449 por 399,00)7 primeiros dias inteiramente grátisUse o CUPOM: GUIADZEROEsse tema foi abordado na edição 135 do Guia TdC. Para saber mais, acesse: https://www.tadeclinicagem.com.br/guia/478/atualizacao-da-esc-2025-sobre-a-diretriz-de-dislipidemias/
https://www.tadeclinicagem.com.br/guia/Confira a promoção especial para o plano anual do Guia TdC: Receba em casa o Card de Consulta Rápida no Plantão, com os temas: IOT, ACLS, ATB, ECG, trombólise e reposição eletrolítica.Receba em casa o porta-crachá (tirante para crachá) do TdC.Ganhe R$ 50 OFF (de 449 por 399,00)7 primeiros dias inteiramente grátisUse o CUPOM: GUIADZERONova temporada do Pipoca TdC no ar!
Richard Burnett is a sports performance coach with experience working across high-level athletic environments, including NFL Combine preparation, where he specializes in speed and power assessment, plyometric development, and preparing athletes for elite testing and competition. In this episode, Rich Burnett digs into reactive strength testing, jump feedback, and what really matters when evaluating plyometric ability in athletes. Rich explains the differences between tools like the Just Jump mat, force plates, and Plyomat, emphasizing that context and consistency matter more than chasing perfect numbers. The conversation then moves into single-leg RSI, asymmetries, NFL Combine prep, and how reactivity profiles can reveal sprint deficiencies. Rich also shares how he uses isometrics, band-assisted jumps, and single-leg testing to build faster, more explosive athletes with greater confidence and movement efficiency. Today's episode is brought to you by Hammer Strength. Use the code “LILAJUSTFLY10” for 10% off any Lila Exogen wearable resistance gear. For this offer, head to Lilateam.com Use code “justfly10” for 10% off the Vert Trainer View more podcast episodes at the podcast homepage. (https://www.just-fly-sports.com/podcast-home/) Timestamps 0:00 – Introduction to Jump Testing 4:55 – Context in Performance Metrics 8:11 – The Psychology of Feedback 11:59 – Transition to Combine Training 16:10 – The Importance of Single Leg Testing 20:06 – Analyzing Reactive Strength Index (RSI) 32:02 – Asymmetry in Athletic Performance 36:24 – Gamifying the Test 44:59 – Band-Assisted Techniques 55:30 – The Power of Isometrics 1:01:51 – Single Leg Reactivity Insights 1:07:08 – Exploring the Plyomat Richard Burnett Quotes "As long as you're using a piece of tech consistently and coaching well and all the things are the same, that's really what it's all about. That's why Mike Boyle still uses the same deal from 15 years ago and will continue to use the same one because he knows what it's telling him." "The more information you start to uncover the more context you need. Whether it's inflated or not, I know like a 40-inch standing vert on the Just Jump mat is legit. And I also know a 36-inch is good. It still provided us with some key context to allow us to track improvement." "I love RSI as a teaching tool. It's fantastic because a lot of kids don't understand. It's still gluing us in to what's going on with the athlete, how their strategies are. It's helping them understand plyometrics to begin with." "It's also from a symmetry thing, really enlightening to see the difference between a left leg and a right leg when you're testing them independently. You're like, 'wow, that is a massive difference.' And let's remember the fact that this athlete has had two ACLs on this side." "Single leg ground contact time and why you do some of these single leg reactivity drills in the first place because you're dealing with mass in your whole body on one leg. Contact time being rewarded in that sense is not necessarily a bad thing at all. And we're just seeing this clear separation of some of our athletes because of their ability to be more reactive on one leg." "DRI factors in automatically what your initial jump height is. I love it because they want to self-select that. As opposed to stepping off of a box that you just maybe don't feel as confident in, self-selecting that initial jump and then rebounding just feels more confident, feels more engaging and fun for kids." "What I had seen is a really high correlation with single leg max RSI and sprint ability in athletes. Higher than force plate jumps, higher than pretty much anything else." "The step further is now the cyclical five hop where I'm having to really tolerate all of this landing force from my own jump height that I'm creating on the single leg five hop RSI. That's the one that I'm wanting to really flesh out even more to know who's lacking reactivity." "The sprinting is enough for them to get that midfoot forefoot work but there's no real need to specify some sort of plyo around that when they're sprinting already and we sprint so much." About Richard Burnett Richard Burnett is a sports performance coach and the creator of Plyomat, an innovative training system designed to enhance plyometric development, coordination, and reactive strength across a wide range of athletes. With a coaching approach rooted in movement quality and progressive overload, Burnett has built a reputation for blending traditional jump training principles with creative, constraint-based environments that challenge timing, rhythm, and elastic output. His work emphasizes not just how high or far an athlete can jump, but how efficiently they can organize force, absorb impact, and transition between movements. Through Plyomat, Burnett has introduced a practical framework for integrating plyometrics into both high-performance and general athletic settings, offering coaches a scalable system that supports everything from foundational movement literacy to advanced explosive training. His ideas and methods have been adopted by coaches working in team sports, track and field, and youth development, particularly those looking to bridge the gap between structured strength training and dynamic, game-relevant movement.
https://www.tadeclinicagem.com.br/guia/Confira a promoção especial para o plano anual do Guia TdC: Receba em casa o Card de Consulta Rápida no Plantão, com os temas: IOT, ACLS, ATB, ECG, trombólise e reposição eletrolítica.Receba em casa o porta-crachá (tirante para crachá) do TdC.Ganhe R$ 50 OFF (de 449 por 399,00)7 primeiros dias inteiramente grátisUse o CUPOM: GUIADZEROAline Campos e Pedro Magno convidam João Pedro Noronha para discutir o novo Guideline de Tromboembolismo Pulmonar da AHA/ACC 2026. Referências: 1. Writing Committee Members* et al. “2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN Guideline for the Evaluation and Management of Acute Pulmonary Embolism in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.” Circulation, 10.1161/CIR.0000000000001415. 19 Feb. 2026, doi:10.1161/CIR.00000000000014152. Meyer, Guy et al. “Fibrinolysis for patients with intermediate-risk pulmonary embolism.” The New England journal of medicine vol. 370,15 (2014): 1402-11. doi:10.1056/NEJMoa13020973. Konstantinides, Stavros V et al. “2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS).” European heart journal vol. 41,4 (2020): 543-603. doi:10.1093/eurheartj/ehz4054. Zhang, Robert S et al. “Composite Pulmonary Embolism Shock Score and Risk of Adverse Outcomes in Patients With Pulmonary Embolism.” Circulation. Cardiovascular interventions vol. 17,8 (2024): e014088. doi:10.1161/CIRCINTERVENTIONS.124.0140885. Barco, Stefano et al. “Prognostic value of right ventricular dysfunction or elevated cardiac biomarkers in patients with low-risk pulmonary embolism: a systematic review and meta-analysis.” European heart journal vol. 40,11 (2019): 902-910. doi:10.1093/eurheartj/ehy8736. Kjaergaard, J et al. “Randomized trial of low-dose -, ultrasound assisted thrombolysis or heparin for pulmonary embolism.” Cardiovascular research, cvag038. 29 Jan. 2026, doi:10.1093/cvr/cvag0387. Dudzinski, David M et al. “Assessment of Right Ventricular Strain by Computed Tomography Versus Echocardiography in Acute Pulmonary Embolism.” Academic emergency medicine : official journal of the Society for Academic Emergency Medicine vol. 24,3 (2017): 337-343. doi:10.1111/acem.13108
https://www.tadeclinicagem.com.br/guia/Confira a promoção especial para o plano anual do Guia TdC: Receba em casa o Card de Consulta Rápida no Plantão, com os temas: IOT, ACLS, ATB, ECG, trombólise e reposição eletrolítica.Receba em casa o porta-crachá (tirante para crachá) do TdC.Ganhe R$ 50 OFF (de 449 por 399,00)7 primeiros dias inteiramente grátisUse o CUPOM: GUIADZERONova temporada do Pipoca TdC no ar!
Medical professionals and sports journalists have zeroed in on a problem that appears to affect women athletes at higher rates than men: ACL injuries. There's another trend in the data, as the Minnesota Star Tribune and New York Times recently pointed out. High school athletes are tearing their ACLs at higher rates than before, especially in girls' sports. A study by the National ACL Injury Coalition suggested the rates of serious knee injuries increased 32.3 percent in girls' sports over the 15 years between 2007 and 2022. That's almost double the 14.5 percent increase the study found in boys' sports. The ACL is a ligament that helps hold the knee in place. An injury usually means the end of an athlete's season; sometimes, it means surgery. For young athletes, it can also have particular social, emotional and economic impacts.For more, MPR News host Nina Moini talked with Jill Monson, lead physical therapist for the Complex Knee Injury Clinic at Twin Cities Orthopedics in Eagan.
According to reporting in the New York Times Magazine, young female athletes are 3 to 6 times more likely than boys to tear their ACLs. And the recovery period can be grueling. Surgery is usually involved, rehab can take a year or longer. Which is a lot of time, at that age, for players to remain on the sideline. But there are effective ways to prevent so many ACL tears. For example, FIFA, soccer’s governing body, has signed off on a series of exercises and warmups that have proven to reduce injury risk. Yet that injury prevention protocol hasn’t taken off in girls sports. Even though women’s sports are exploding in popularity, and more girls are playing sports, plenty of coaches and players don’t even know it’s possible to prevent these injuries. Why do so many teenage girl athletes tear their ACLs? And why do coaches, parents and players often fail to do the prevention work, strength exercises, etc. that might help protect vulnerable limbs? Guest: Seattle high schooler and soccer player Edie Welch Reporter Craig Welch Related stories: Why Are So Many Teen Girls Still Tearing Their A.C.L.s? - The New York Times Magazine Thank you to the supporters of KUOW, you help make this show possible! If you want to help out, go to kuow.org/donate/soundsidenotes- Soundside is a production of KUOW in Seattle, a proud member of the NPR Network.See omnystudio.com/listener for privacy information.
https://www.tadeclinicagem.com.br/guia/Confira a promoção especial para o plano anual do Guia TdC: Receba em casa o Card de Consulta Rápida no Plantão, com os temas: IOT, ACLS, ATB, ECG, trombólise e reposição eletrolítica.Receba em casa o porta-crachá (tirante para crachá) do TdC.Ganhe R$ 50 OFF (de 449 por 399,00)7 primeiros dias inteiramente grátisUse o CUPOM: GUIADZEROAline Campos, Caio Bastos e Jonatas Zanoveli conversam sobre clinicagens na diálise.- Indicações de hemodiálise- Tipos (intermitente, contínua e peritoneal)- 4 clinicagens sobre acessos para diálise Referências em breve.
https://www.tadeclinicagem.com.br/guia/Confira a promoção especial para o plano anual do Guia TdC: Receba em casa o Card de Consulta Rápida no Plantão, com os temas: IOT, ACLS, ATB, ECG, trombólise e reposição eletrolítica.Receba em casa o porta-crachá (tirante para crachá) do TdC.Ganhe R$ 50 OFF (de 449 por 399,00)7 primeiros dias inteiramente grátisUse o CUPOM: GUIADZERONova temporada do Pipoca TdC no ar!
https://www.tadeclinicagem.com.br/guia/Confira a promoção especial para o plano anual do Guia TdC: Receba em casa o Card de Consulta Rápida no Plantão, com os temas: IOT, ACLS, ATB, ECG, trombólise e reposição eletrolítica.Receba em casa o porta-crachá (tirante para crachá) do TdC.Ganhe R$ 50 OFF (de 449 por 399,00)7 primeiros dias inteiramente grátisUse o CUPOM: GUIADZERORaphael Coelho convida Djoni Moraes e Ana Carolina Malvaccini para discutir um caso de disfagia e polineuropatia.Referências em breve.
Hall of Fame hoops writer Michelle Smith joins Sarah to discuss her new book, “Life’s Work: How Tara VanDerveer and Stanford Women’s Basketball Changed the Sport Forever.” They get into how VanDerveer’s style changed with the times, how Smith’s "life's work" mirrors that of the coach she profiles, and the role Stanford hoops played in making the Bay Area a place where the Golden State Valkyries could thrive. Plus, the triumphant end of an Odyssey, a Rose blooms again, and it turns out we don’t need ACLs or MCLs. Order a copy of Michelle’s book here A how-to guide on rating and reviewing podcasts is here The latest college hoops poll is here Check out ESPN’s NCAA tourney bracketology here The U.S. Paralympic roster is here The full Paralympic schedule is here Leave us a voicemail at 872-204-5070 or send us a note at goodgame@wondermedianetwork.com Follow Sarah on social! Bluesky: @sarahspain.com Instagram: @Spain2323 Follow producer Alex Azzi! Bluesky: @byalexazzi.bsky.social Instagram: @AzziArtwork Follow producer Bianca Hillier! Bluesky:@biancahillier.bsky.social See omnystudio.com/listener for privacy information.
Du denkst, dein IoT-Kram ist harmlos: ein Thermometer, ein Staubsaugerroboter, ein bisschen Smart Home. Aber was, wenn genau diese Geräte der perfekte Tunnel aus deinem Netzwerk sind, weil sie selten sauber segmentiert werden, kaum jemand Egress Traffic prüft und Authentifizierung oft mit Autorisierung verwechselt wird?In dieser Episode nehmen wir drei Sicherheitsvorfälle auseinander und ziehen konkrete Learnings daraus:Den Aquarium-Thermometer-Case im Casino mit ungewöhnlichem Outbound Traffic, alternative Exfiltration Kanäle und die Frage, ob IoT wirklich das Einfallstor war oder eher der Exit. Ein Jeep Cherokee Hack von 2015, inklusive offenen Port 6667, DBus-Zugriff, Firmware ohne Signierung, CAN-Bus und einem Diagnosemodus, der plötzlich die Bremsen ausknipst. Ein MQTT Case rund um Staubsaugerroboter, Pub/Sub, Wildcards und fehlende ACLs, also Mandantenisolierung zum Weglaufen.Am Ende bleibt eine unbequeme, aber sehr praktische Checkliste: Segmentierung, Zero Trust, Least Privilege, Monitoring und Logging, Secure Boot und vor allem Egress Traffic als First Class Control.Und jetzt Hand aufs Herz: Was ist deine beste Ausrede, warum dein Netzwerk noch nicht segmentiert ist?Unsere aktuellen Werbepartner findest du auf https://engineeringkiosk.dev/partnersDas schnelle Feedback zur Episode:
https://www.tadeclinicagem.com.br/guia/Confira a promoção especial para o plano anual do Guia TdC: Receba em casa o Card de Consulta Rápida no Plantão, com os temas: IOT, ACLS, ATB, ECG, trombólise e reposição eletrolítica.Receba em casa o porta-crachá (tirante para crachá) do TdC.Ganhe R$ 50 OFF (de 449 por 399,00)7 primeiros dias inteiramente grátisUse o CUPOM: GUIADZERONova temporada do Pipoca TdC no ar!
In this episode, hosts Lois Houston and Nikita Abraham are joined by special guests Samvit Mishra and Rashmi Panda for an in-depth discussion on security and migration with Oracle Database@AWS. Samvit shares essential security best practices, compliance guidance, and data protection mechanisms to safeguard Oracle databases in AWS, while Rashmi walks through Oracle's powerful Zero-Downtime Migration (ZDM) tool, explaining how to achieve seamless, reliable migrations with minimal disruption. Oracle Database@AWS Architect Professional: https://mylearn.oracle.com/ou/course/oracle-databaseaws-architect-professional/155574 Oracle University Learning Community: https://education.oracle.com/ou-community LinkedIn: https://www.linkedin.com/showcase/oracle-university/ X: https://x.com/Oracle_Edu Special thanks to Arijit Ghosh, Anna Hulkower, Kris-Ann Nansen, Radhika Banka, and the OU Studio Team for helping us create this episode. ------------------------------------------------------------- Episode Transcript: 00:00 Welcome to the Oracle University Podcast, the first stop on your cloud journey. During this series of informative podcasts, we'll bring you foundational training on the most popular Oracle technologies. Let's get started! 00:26 Nikita: Welcome to the Oracle University Podcast! I'm Nikita Abraham, Team Lead: Editorial Services with Oracle University, and with me is Lois Houston, Director of Communications and Adoption with Customer Success Services. Lois: Hello again! We're continuing our discussion on Oracle Database@AWS and in today's episode, we're going to talk about the aspects of security and migration with two special guests: Samvit Mishra and Rashmi Panda. Samvit is a Senior Manager and Rashmi is a Senior Principal Database Instructor. 00:59 Nikita: Hi Samvit and Rashmi! Samvit, let's begin with you. What are the recommended security best practices and data protection mechanisms for Oracle Database@AWS? Samvit: Instead of everyone using the root account, which has full access, we create individual users with AWS, IAM, Identity Center, or IAM service. And in addition, you must use multi-factor authentication. So basically, as an example, you need a password and a temporary code from virtual MFA app to log in to the console. Always use SSL or TLS to communicate with AWS services. This ensures data in transit is encrypted. Without TLS, the sensitive information like credentials or database queries can be intercepted. AWS CloudTrail records every action taken in your AWS account-- who did what, when, and from where. This helps with audit, troubleshooting, and detecting suspicious activity. So you must set up API and user activity logging with AWS CloudTrail. Use AWS encryption solutions along with all default security controls within AWS services. To store and manage keys by using transparent data encryption, which is enabled by default, Oracle Database@AWS uses OCI vaults. Currently, Oracle Database@AWS doesn't support the AWS Key Management Service. You should also use advanced managed security services such as Amazon Macie, which assists in discovering and securing sensitive data that is stored in Amazon S3. 03:08 Lois: And how does Oracle Database@AWS deliver strong security and compliance? Samvit: Oracle Database@AWS enforces transparent data encryption for all data at REST, ensuring stored information is always protected. Data in transit is secured using SSL and Native Network Encryption, providing end-to-end confidentiality. Oracle Database@AWS also uses OCI Vault for centralized and secure key management. This allows organizations to manage encryption keys with fine-grained control, rotation policies, and audit capabilities to ensure compliance with regulatory standards. At the database level, Oracle Database@AWS supports unified auditing and fine-grained auditing to track user activity and sensitive operations. At the resource level, AWS CloudTrail and OCI audit service provide comprehensive visibility into API calls and configuration changes. At the database level, security is enforced using database access control lists and Database Firewall to restrict unauthorized connections. At the VPC level, network ACLs and security groups provide layered network isolation and access control. Again, at the database level, Oracle Database@AWS enforces access controls to Database Vault, Virtual Private Database, and row-level security to prevent unauthorized access to sensitive data. And at a resource level, AWS IAM policies, groups, and roles manage user permissions with the fine-grained control. 05:27 Lois Samvit, what steps should users be taking to keep their databases secure? Samvit: Security is not a single feature but a layered approach covering user access, permissions, encryption, patching, and monitoring. The first step is controlling who can access your database and how they connect. At the user level, strong password policies ensure only authorized users can login. And at the network level, private subnets and network security group allow you to isolate database traffic and restrict access to trusted applications only. One of the most critical risks is accidental or unauthorized deletion of database resources. To mitigate this, grant delete permissions only to a minimal set of administrators. This reduces the risk of downtime caused by human error or malicious activity. Encryption ensures that even if the data is exposed, it cannot be read. By default, all databases in OCI are encrypted using transparent data encryption. For migrated databases, you must verify encryption is enabled and active. Best practice is to rotate the transparent data encryption master key every 90 days or less to maintain compliance and limit exposure in case of key compromise. Unpatched databases are one of the most common entry points for attackers. Always apply Oracle critical patch updates on schedule. This mitigates known vulnerabilities and ensures your environment remains protected against emerging threats. 07:33 Nikita: Beyond what users can do, are there any built-in features or tools from Oracle that really help with database security? Samvit: Beyond the basics, Oracle provides powerful database security tools. Features like data masking allow you to protect sensitive information in non-production environments. Auditing helps you monitor database activity and detect anomalies or unauthorized access. Oracle Data Safe is a managed service that takes database security to the next level. It can access your database configuration for weaknesses. It can also detect risky user accounts and privileges, identify and classify sensitive data. It can also implement controls such as masking to protect that data. And it can also continuously audit user activity to ensure compliance and accountability. Now, transparent data encryption enables you to encrypt sensitive data that you store in tables and tablespaces. It also enables you to encrypt database backups. After the data is encrypted, this data is transparently decrypted for authorized users or applications when they access that data. You can configure OCI Vault as a part of the transparent data encryption implementation. This enables you to centrally manage keystore in your enterprise. So OCI Vault gives centralized control over encryption keys, including key rotation and customer managed keys. 09:23 Lois: So obviously, lots of companies have to follow strict regulations. How does Oracle Database@AWS help customers with compliance? Samvit: Oracle Database@AWS has achieved a broad and rigorous set of compliance certifications. The service supports SOC 1, SOC 2, and SOC 3, as well as HIPAA for health care data protection. If we talk about SOC 1, that basically covers internal controls for financial statements and reporting. SOC 2 covers internal controls for security, confidentiality, processing integrity, privacy, and availability. SOC 3 covers SOC 2 results tailored for a general audience. And HIPAA is a federal law that protects patients' health information and ensures its confidentiality, integrity, and availability. It also holds certifications and attestations such as CSA STAR, C5. Now C5 is a German government standard that verifies cloud providers meet strict security and compliance requirements. CSA STAR attestation is an independent third-party audit of cloud security controls. CSA STAR certification also validates a cloud provider's security posture against CSA's cloud controls matrix. And HDS is a French certification that ensures cloud providers meet stringent requirements for hosting and protecting health care data. Oracle Database@AWS also holds ISO and IEC standards. You can also see PCI DSS, which is basically for payment card security and HITRUST, which is for high assurance health care framework. So, these certifications ensure that Oracle Database@AWS not only adheres to best practices in security and privacy, but also provides customers with assurance that their workloads align with globally recognized compliance regimes. 11:47 Nikita: Thank you, Samvit. Now Rashmi, can you walk us through Oracle's migration solution that helps teams move to OCI Database Services? Rashmi: Oracle Zero-Downtime Migration is a robust and flexible end-to-end database migration solution that can completely automate and streamline the migration of Oracle databases. With bare minimum inputs from you, it can orchestrate and execute the entire migration task, virtually needing no manual effort from you. And the best part is you can use this tool for free to migrate your source Oracle databases to OCI Oracle Database Services faster and reliably, eliminating the chances of human errors. You can migrate individual databases or migrate an entire fleet of databases in parallel. 12:34 Nikita: Ok. For someone planning a migration with ZDM, are there any key points they should keep in mind? Rashmi: When migrating using ZDM, your source databases may require minimal downtime up to 15 minutes or no downtime at all, depending upon the scenario. It is built with the principles of Oracle maximum availability architecture and leverages technologies like Oracle GoldenGate and Oracle Data Guard to achieve high availability and online migration workflow using Oracle migration methods like RMAN, Data Pump, and Database Links. Depending on the migration requirement, ZDM provides different migration method options. It can be logical or physical migration in an online or offline mode. Under the hood, it utilizes the different database migration technologies to perform the migration. 13:23 Lois: Can you give us an example of this? Rashmi: When you are migrating a mission critical production database, you can use the logical online migration method. And when you are migrating a development database, you can simply choose the physical offline migration method. As part of the migration job, you can perform database upgrades or convert your database to multitenant architecture. ZDM offers greater flexibility and automation in performing the database migration. You can customize workflow by adding pre or postrun scripts as part of the workflow. Run prechecks to check for possible failures that may arise during migration and fix them. Audit migration jobs activity and user actions. Control the execution like schedule a job pause, resume, if needed, suspend and resume the job, schedule the job or terminate a running job. You can even rerun a job from failure point and other such capabilities. 14:13 Lois: And what kind of migration scenarios does ZDM support? Rashmi: The minimum version of your source Oracle Database must be 11.2.0.4 and above. For lower versions, you will have to first upgrade to at least 11.2.0.4. You can migrate Oracle databases that may be of the Standard or Enterprise edition. ZDM supports migration of Oracle databases, which may be a single-instance, or RAC One Node, or RAC databases. It can migrate on Unix platforms like Linux, Oracle Solaris, and AIX. For Oracle databases on AIX and Oracle Solaris platform, ZDM uses logical migration method. But if the source platform is Linux, it can use both physical and logical migration method. You can use ZDM to migrate databases that may be on premises, or in third-party cloud, or even within Oracle Cloud Infrastructure. ZDM leverages Oracle technologies like RMAN datacom, Database Links, Data Guard, Oracle GoldenGate when choosing a specific migration workflow. 15:15 Are you ready to revolutionize the way you work? Discover a wide range of Oracle AI Database courses that help you master the latest AI-powered tools and boost your career prospects. Start learning today at mylearn.oracle.com. 15:35 Nikita: Welcome back! Rashmi, before someone starts using ZDM, is there any prep work they should do or things they need to set up first? Rashmi: Working with ZDM needs few simple configuration. Zero-downtime migration provides a command line interface to run your migration job. First, you have to download the ZDM binary, preferably download from my Oracle Support, where you can get the binary with the latest updates. Set up and configure the binary by following the instructions available at the same invoice node. The host in which ZDM is installed and configured is called the zero-downtime migration service host. The host has to be Oracle Linux version 7 or 8, or it can be RCL 8. Next is the orchestration step where connection to the source and target is configured and tested like SSH configuration with source and target, opening the ports in respective destinations, creation of dump destination, granting required database privileges. Prepare the response file with parameter values that define the workflow that ZDM should use during Oracle Database migration. You can also customize the migration workflow using the response file. You can plug in run scripts to be executed before or after a specific phase of the migration job. These customizations are called custom plugins with user actions. Your sources may be hosted on-premises or OCI-managed database services, or even third-party cloud. They may be Oracle Database Standard or Enterprise edition and on accelerator infrastructure or a standard compute. The target can be of the same type as the source. But additionally, ZDM supports migration to multicloud deployments on Oracle Database@Azure, Oracle Database@Google Cloud, and Oracle Database@AWS. You begin with a migration strategy where you list the different databases that can be migrated, classification of the databases, grouping them, performing three migration checks like dependencies, downtime requirement versions, and preparing the order migration, the target migration environment, et cetera. 17:27 Lois: What migration methods and technologies does ZDM rely on to complete the move? Rashmi: There are primarily two types of migration: physical or logical. Physical migration pertains to copy of the database OS blocks to the target database, whereas in logical migration, it involves copying of the logical elements of the database like metadata and data. Each of these migration methods can be executed when the database is online or offline. In online mode, migration is performed simultaneously while the changes are in progress in the source database. While in offline mode, all changes to the source database is frozen. For physical offline migration, it uses backup and restore technique, while with the physical online, it creates a physical standby using backup and restore, and then performing a switchover once the standby is in sync with the source database. For logical offline migration, it exports and imports database metadata and data into the target database, while in logical online migration, it is a combination of export and import operation, followed by apply of incremental updates from the source to the target database. The physical or logical offline migration method is used when the source database of the application can allow some downtime for the migration. The physical or logical online migration approach is ideal for scenarios where any downtime for the source database can badly affect critical applications. The only downtime that can be tolerated by the application is only during the application connection switchover to the migrated database. One other advantage is ZDM can migrate one or a fleet of Oracle databases by executing multiple jobs in parallel, where each job workflow can be customized to a specific database need. It can perform physical or logical migration of your Oracle databases. And whether it should be performed online or offline depends on the downtime that can be approved by business. 19:13 Nikita: Samvit and Rashmi, thanks for joining us today. Lois: Yeah, it's been great to have you both. If you want to dive deeper into the topics we covered today, go to mylearn.oracle.com and search for the Oracle Database@AWS Architect Professional course. Until next time, this is Lois Houston… Nikita: And Nikita Abraham, signing off! 19:35 That's all for this episode of the Oracle University Podcast. If you enjoyed listening, please click Subscribe to get all the latest episodes. We'd also love it if you would take a moment to rate and review us on your podcast app. See you again on the next episode of the Oracle University Podcast.
We're joined by Michael Green, an elite-level physio who's worked in professional football across different clubs and projects, including time with the FA and supporting players through PFA rehab pathways. We get into what actually happens after a “routine knock” turns into months out, why ACL timelines are never as simple as fans want them to be, and why hamstrings are basically their own medical universe. Michael also tackles the big Spurs talking points: pitch surfaces, fixture congestion, intensity of playing style, rotation, injections and why you sometimes need weeks to know if they've worked. Plus, the bit nobody talks about enough: how stress, sleep and mental load can quietly push players towards injury. Learn more about your ad choices. Visit podcastchoices.com/adchoices
We're joined by Michael Green, an elite-level physio who's worked in professional football across different clubs and projects, including time with the FA and supporting players through PFA rehab pathways. We get into what actually happens after a “routine knock” turns into months out, why ACL timelines are never as simple as fans want them to be, and why hamstrings are basically their own medical universe. Mike also tackles the big Spurs talking points: pitch surfaces, fixture congestion, intensity of playing style, rotation, injections and why you sometimes need weeks to know if they've worked. Plus, the bit nobody talks about enough: how stress, sleep and mental load can quietly push players towards injury. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Xan Holt is an assistant professor of German and Scandinavian Studies at the University of Oregon. He talks about his work on German literature, film, and television; and his project focused on environmental humanities. He also talks about his teaching and the importance of language study for students. Nina Amstutz is an associate professor of the History of Art and Architecture at the University of Oregon. She discusses her ACLS-funded project "A Multispecies Framework for Art: The Bowerbird Across Disciplines, Cultures, and Time." "The Avian Sense for Beauty: A Posthumanist Perspective on the Bowerbird" Art History, 2021 "Rethinking the Animal in Art History: Charles Darwin, Karl Woermann, and the Bowerbird" Leuven University Press, 2025 "A multispecies framework for art: the bowerbird across disciplines" in "Methods for ecocritical art history" Edited by Olga Smith and Andrew Patrizio, Manchester University Press, 2026
Jason and Mike are joined by longtime NFL Insider/Hall of Fame voter Jason Cole drops in to talk about the Super Bowl and the newest HOF enshrines. Plus, Lindsey Vonn is proof that ACLs could be completely overrated!See omnystudio.com/listener for privacy information.
12 - Where were we…? 1210 - Side - associated with country music 1215 - NJ Republican Congressman Jon Bramnick joins us today. Why is Bramnick for both ICE and protestors being unmasked? Is the Senator concerned about family doxxing? Why does Jo not think this was a Biden/Trump issue? Is the Senator considering the social media factor in doxxing? Should people who have been here illegally for decades receive the same amount of respect as those who waited to come here legally? Why does Senator Bramnick think Republicans need to come more towards the middle? 1235 - Your calls. 1245 - Congressman Ryan Mackenzie joins us today. How does Ryan feel about Democrats holding the government hostage over their demand over ICE and immigration? Why does their need to be an investigation into Mark Tinsley and his election irregularities, not just for the Commonwealth, but for America? What are some of the recent accomplishments from the House recently? 1 - Did the NFL not hire more black head coaches in this most recent cycle because of slavery? 105 - Your calls. 120 - Why did the Washington Post blow up and gut most of their business? Will 10 million people watch the alternate halftime show? 135 - Is Lindsey Vonn risking her life going into the Olympics? They should put dudes in the NBA to shut up feminists. 140 - Your calls. 150 - Dom Giordano Presents: Progressive Women Gone Wild! Your calls. 2 - Dr. Nicholas DiNubile, aka Dr. Nick, joins us today. Which presidents did he advise? Dr. Nick commends Dom's famous broken ankle game and compares it to former Sixers Guard Eric Snow, as he used to be the team doctor. What is Dr. Nick's evaluation of Lindsey Vonn's injury? What is the downside of Lindsey skiing the giant slalom? Why are women tearing their ACLs more than women? 210 - Your calls. 215 - Dom's Money Melody! 225 - They found a secret biolab in Las Vegas owned by a Chinese citizen? 235 - Your calls. Chip Roy explodes on the House floor. 250 - The Lightning Round!
2 - Dr. Nicholas DiNubile, aka Dr. Nick, joins us today. Which presidents did he advise? Dr. Nick commends Dom's famous broken ankle game and compares it to former Sixers Guard Eric Snow, as he used to be the team doctor. What is Dr. Nick's evaluation of Lindsey Vonn's injury? What is the downside of Lindsey skiing the giant slalom? Why are women tearing their ACLs more than women? 210 - Your calls. 215 - Dom's Money Melody! 225 - They found a secret biolab in Las Vegas owned by a Chinese citizen? 235 - Your calls. Chip Roy explodes on the House floor. 250 - The Lightning Round!
Sal, Dabbundo, and House discuss Lindsey Vonn tearing her ACL, but still planning to compete. Next, they move on to NBA trades and their running list of Super Bowl prop bets. -NBA trades (4:37)-Lindsey Vonn's ACL tear(14:22)-Super Bowl props (19:39)-NBA today (38:01)-PGA today (43:38)-Best bets (50:15)Hosts: Cousin Sal, Anthony Dabbundo, Joe HouseProducers: Michael Szokoli, Stefan AndersonFollow Us On Instagram: https://www.instagram.com/ringergambling/Subscribe on YouTube: https://www.youtube.com/@ringergamblingThe Ringer is committed to responsible gaming. Please visit www.rg-help.com to learn more about the resources and helplines available. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Novidades do ACLS 2025 by Cardiopapers
Tobin ragebaits Leroy with draft board projections, as recent mocks show the Dolphins taking a corner who did not play this season due to a torn ACL, Leroy of course raises his voice. Tobin declares that we are all on Giannis' watch, as the gang continues to break down the possibility of Giannis landing on the Heat as the trade deadline approaches. Then it is time for Leroy to give out his Game Balls and Game Balls! Flying hair and Kel'el Ware?
Esse tema foi abordado na revisão 43 do Guia TdC. Para saber mais, acesse: https://www.tadeclinicagem.com.br/guia/517/acls-2025-consensos-americano-e-europeu/
It's YOUR time to #EdUp with Dr. Joy Connolly, President, American Council of Learned Societies (ACLS)In this episode, sponsored by the ELIVE 2026 Conference in Denver, Colorado, April 19-22, & the 2026 InsightsEDU Conference in Fort Lauderdale, Florida, February 17-19,YOUR cohost is Dr. LaNitra Berger, Associate Professor, History & Art History & Director of the African & African American Studies Program at George Mason UniversityYOUR host is Elvin FreytesHow did ACLS place over 40 scholars in jobs in 3 months during COVID when it typically takes 15 to 24 months & why does this prove humanities can pivot quickly?Why does the Public Humanities Graduate Fellows program break the myth of the English major barista by connecting PhD scholars with finance, law, healthcare & social work organizations?How can the new academy vision help scholars link arms around creativity & experimentation by co creating knowledge with communities outside academia & talking about humanities work with the same excitement we bring to students?Listen in to #EdUpThank YOU so much for tuning in. Join us on the next episode for YOUR time to EdUp!Connect with YOUR EdUp Team - Elvin Freytes & Dr. Joe Sallustio● Join YOUR EdUp community at The EdUp ExperienceWe make education YOUR business!P.S. Want to get early, ad-free access & exclusive leadership content to help support the show? Become an #EdUp Premium Member today!
Exploramos los hallazgos más recientes sobre compresiones manuales versus compresiones mecánicas en la reanimación cardiopulmonar. ¿Qué opción ofrece mejores resultados en pacientes con paro cardíaco? ¿Qué deben saber los proveedores de ACLS hoy?
Commercial real estate is hitting rock bottom. We will explain how to buy discounted distressed debt without owning a single office building.Today's Stocks & Topics: CF Industries Holdings, Inc. (CF), Market Wrap, Safe Route to Invest, Carrier Global Corporation (CARR), “CRE Distress: Where Are the Opportunities?”, IPOs, Waymo or Tesla, Axcelis Technologies, Inc. (ACLS), The Trade Desk, Inc. (TTD), Small Caps, Motorola Solutions, Inc. (MSI), Cash Holdings in Portfolios.Our Sponsors:* Check out ClickUp and use my code INVEST for a great deal: https://www.clickup.com* Check out Incogni: https://incogni.com/investtalk* Check out Invest529: https://www.invest529.com* Check out NordProtect: https://nordprotect.com/investalk* Check out Progressive: https://www.progressive.com* Check out Quince: https://quince.com/INVEST* Check out TruDiagnostic and use my code INVEST for a great deal: https://www.trudiagnostic.comAdvertising Inquiries: https://redcircle.com/brands
Blogpost asociado https://ecctrainings.com/te-atreverias-a-dar-tromboliticos-prehospitalarios-para-embolia-pulmonar-lo-que-revela-el-nuevo-estudio-y-como-prepararte-con-acls/" Referencia del estudio original: Harjola, J., Holmström, P., Sane, M., Hartikainen, J., & Harjola, V.-P. (2025). Prehospital fibrinolysis in high-risk pulmonary embolism – Observational data on clinical picture and outcome. Prehospital Emergency Care, 29(7), 1–8. https://doi.org/10.1080/10903127.2025.2582671 Recordatorio rápido: embolia pulmonar de alto riesgo Definición sencilla: EP de alto riesgo / masiva → se manifiesta como shock obstructivo o paro cardiaco. Fisiopatología en pocas palabras: Trombo grande en circulación pulmonar → aumento de poscarga del ventrículo derecho → falla del VD → colapso hemodinámico. Por qué es tan letal: Deterioro muy rápido, ventana terapéutica corta. Frecuentemente se presenta como paro fuera del hospital. Conectar con ACLS: La EP masiva está dentro de las "T" (tromboembolismo) en las causas reversibles del paro. Las guías ACLS contemplan el uso de trombolíticos cuando se sospecha fuertemente EP como causa del paro. ¿Cómo se ve clínicamente un paciente con EP de alto riesgo? Disnea súbita, dolor torácico, síncope, hipotensión, antecedentes de riesgo trombótico. Resumen del estudio de Harjola et al. Objetivo principal del estudio Explorar supervivencia y complicaciones hemorrágicas del uso de trombolíticos prehospitalarios para embolia pulmonar de alto riesgo. Diseño Datos de EMS del área metropolitana de Helsinki + hospital universitario. Periodo aproximado: 2007–2019. Inclusión: Pacientes con EP de alto riesgo sospechada clínicamente. Tratados con fibrinolisis intravenosa prehospitalaria. Diagnóstico de EP confirmado posteriormente por imagen o autopsia. Grupo comparador: Pacientes con EP de alto riesgo que no recibieron fibrinólisis prehospitalaria. Resultados clave Total de pacientes con EP de alto riesgo: 60. Grupo con trombolíticos prehospitalarios para embolia pulmonar: n = 23. 44% mujeres. Edad media: alrededor de 57 años. 74% se presentaron en paro cardiaco. 26% en shock obstructivo. Mortalidad: Mortalidad prehospitalaria aproximada: 35%. Mortalidad intrahospitalaria: alrededor de 27% de los que llegaron vivos. Mortalidad total combinada: cerca de 52%. Todas las muertes en este grupo fueron en pacientes que llegaron en paro cardiaco. Complicaciones: 2 pacientes con sangrado mayor. Ningún sangrado fatal. Supervivencia a 12 meses: Los pacientes trombolizados que salieron vivos del hospital seguían vivos a los 12 meses. Grupo sin trombolisis prehospitalaria: n = 37. Más añosos (edad media cercana a 72 años). Mayor proporción de paro cardiaco. Mortalidad a 12 meses más alta (≈ 76%, tendencia, p alrededor de 0.06). Comentario para desarrollar: Es un estudio observacional, con n pequeño, no podemos concluir causalidad, pero sí hay "señales" interesantes de posible beneficio. ¿Qué nos dice realmente este estudio? Mensajes principales La EP de alto riesgo fuera del hospital tiene una mortalidad muy alta aun con intervenciones agresivas. En este contexto crítico, los trombolíticos prehospitalarios para embolia pulmonar: Parecen relativamente seguros (pocas hemorragias mayores, ninguna fatal). Podrían ofrecer un beneficio en supervivencia, especialmente en pacientes seleccionados. Limitaciones para mencionar Serie de casos; no es ensayo aleatorizado. Número pequeño de pacientes trombolizados. Posible sesgo de selección: Pacientes más jóvenes y potencialmente con menos comorbilidades recibieron trombólisis. No responde preguntas como: Detalle exacto del protocolo. Diferencias entre equipos. Tiempos exactos desde el colapso hasta la trombólisis. Idea clave: No es un "permiso" para trombolizar a todo el mundo, pero sí una invitación seria a considerar que, en EP de alto riesgo, la inacción también tiene un costo muy alto. El reto práctico: decidir trombolisis en el campo Barreras en la vida real Diagnóstico presuntivo sin imagen: Dependemos de clínica, antecedentes, ECG, quizás eco focal. Miedo al sangrado: Especialmente hemorragia intracraneal. Falta de protocolos claros: Muchos sistemas de EMS no contemplan todavía trombolíticos prehospitalarios para embolia pulmonar. Falta de entrenamiento específico: No todos se sienten cómodos con indicaciones, contraindicaciones, dosis. Cómo ayuda ACLS aquí ACLS bien aprendido: Te obliga a pensar en H y T, no solo en adrenalina y ciclos. Te muestra dónde se colocan los trombolíticos prehospitalarios para embolia pulmonar dentro del algoritmo. Te entrena para liderar un equipo y tomar decisiones bajo presión. Conectar con los cursos de ECCtrainings: En nuestros ACLS discutimos escenarios de paro por EP masiva. Practicamos cómo tomar la decisión de administrar o no trombolítico. Simulamos la comunicación con el hospital receptor después de trombólisis. Caso clínico narrado Propuesta de caso Varón de 48 años. Disnea súbita, dolor torácico, antecedente de inmovilidad o TVP reciente. Hipotenso, taquicárdico, saturación baja, signos de shock. En la ambulancia entra en PEA. El equipo evalúa H y T → EP masiva muy probable. Protocolo local permite trombolíticos prehospitalarios para embolia pulmonar: Se administra el medicamento durante la RCP. Después de varios ciclos recupera pulso. Llega vivo al hospital, se confirma EP por imagen y sobrevive. Puntos a resaltar Valor de: reconocer el patrón clínico, tener protocolos, estar entrenado en ACLS. Conectar con la serie de Helsinki: "Son justamente este tipo de pacientes los que aparecen en la serie: altísimo riesgo, pero con posibilidad real de supervivencia si somos agresivos." Cómo prepararte tú y tu sistema Pasos sugeridos para líderes, educadores y clínicos de EMS Revisar la evidencia Usar este estudio como punto de partida para la discusión sobre trombolíticos prehospitalarios para embolia pulmonar. Evaluar la realidad local ¿Disponibilidad del medicamento? ¿Quién puede prescribir y administrar? ¿Qué soporte hospitalario hay (UCI, hemodinamia, ECMO)? Desarrollar protocolos claros Criterios de inclusión y exclusión. Algoritmo que integre ACLS y trombólisis. Entrenamiento formal No basta con escribir el protocolo; hay que entrenarlo en simulación. Cursos ACLS con escenarios específicos de EP. Simulaciones y revisión de casos Simulacros periódicos con roles definidos. Morbimortalidad / debriefing de casos reales o simulados. Comunidad: seguir la conversación en ECCnetwork ECCnetwork: Comunidad en línea para profesionales de emergencias, cuidado crítico, medicina táctica, etc. Espacios para discutir artículos, casos, protocolos, dudas. Invitar a que compartan: ¿Su sistema consideraría trombolíticos prehospitalarios para embolia pulmonar? ¿Qué barreras ven? ¿Experiencias que puedan comentar? Recursos adicionales y blogpost Recordar el blogpost: URL:
On an all new Reporting as Eligible, JR, Paul, and Special Guest/RAE question-asker extraordinaire Mark Podskarbi tackle the fallout from the Broncos game and immediately tear their ACLs in doing so. Have the guys calmed down? Is 2026 over too? Or does a lackluster field of competitive teams mean that hope is still alive, even this year? They also talk vacation destinations, middle names, meats, reasonable expectations, and of course, listener questions. (Also, you can check out Mark's pod here)
Frozen Tundra Frequencies - Talking Green Bay Packers 24/7/1265
On an all new Reporting as Eligible, JR, Paul, and Special Guest/RAE question-asker extraordinaire Mark Podskarbi tackle the fallout from the Broncos game and immediately tear their ACLs in doing so. Have the guys calmed down? Is 2026 over too? Or does a lackluster field of competitive teams mean that hope is still alive, even this year? They also talk vacation destinations, middle names, meats, reasonable expectations, and of course, listener questions. (Also, you can check out Mark's pod here) Hosted on Acast. See acast.com/privacy for more information.
Domonique and Charlie are joined by Bill Barnwell to break down an NFL Week 15 full of big games. They mourn the death of the Chiefs' dynasty and discuss the implications of torn ACLs from both Patrick Mahomes and Micah Parsons. Then, they praise the Broncos and Bills before talking about QB play from Trevor Lawrence, Matthew Stafford, Joe Burrow, and most importantly, Philip Rivers. 0:00 Welcome to the Domonique Foxworth Show 4:36 Chargers-Chiefs 23:23 Packers-Broncos 33:08 Bills-Patriots 47:42 Jets-Jaguars 55:19 Colts-Seahawks 1:04:04 Lions-Rams 1:10:11 Ravens-Bengals 1:19:13 Raiders-Eagles Learn more about your ad choices. Visit podcastchoices.com/adchoices
Domonique and Charlie are joined by Bill Barnwell to break down an NFL Week 15 full of big games. They mourn the death of the Chiefs' dynasty and discuss the implications of torn ACLs from both Patrick Mahomes and Micah Parsons. Then, they praise the Broncos and Bills before talking about QB play from Trevor Lawrence, Matthew Stafford, Joe Burrow, and most importantly, Philip Rivers. 0:00 Welcome to the Domonique Foxworth Show 4:36 Chargers-Chiefs 23:23 Packers-Broncos 33:08 Bills-Patriots 47:42 Jets-Jaguars 55:19 Colts-Seahawks 1:04:04 Lions-Rams 1:10:11 Ravens-Bengals 1:19:13 Raiders-Eagles Learn more about your ad choices. Visit podcastchoices.com/adchoices
This morning unpacks a wild Sunday: The Bills completed a massive 21-point comeback against the Patriots, but the league is reeling from likely torn ACLs for Patrick Mahomes and Micah Parsons. Jerry delivers updates on the Jets' 48-point embarrassment and the Vikings' win over the Cowboys, while Gio makes a bold Rams Super Bowl lock and debates the price players will demand for an 18-game season. Plus, Boomer makes an AFC title game prediction for the Texans and Broncos, we hear a critical review of JJ McCarthy, dive into the Mets signing Jorge Polanco, and close with the tragic breaking news involving director/actor Rob Reiner and his wife, Michelle.
It was a big NFL Sunday that saw the Bills pull off a comeback thriller against the Pats and the Jets suffer a humiliating 48-point collapse, but the big story is the brutal injury bug hitting two superstars: Patrick Mahomes and Micah Parsons both went down with likely torn ACLs. Jerry arrives with the Commanders' win over the Giants and the fallout from the Vikings beating the Cowboys, all before the crew reacts to Fernando Mendoza winning the Heisman—and the outrageous social media post from runner-up Diego Pavia.
Seth and Sean take a look around the NFL, specifically Patrick Mahomes and Micah Parsons tearing their ACLs and Philip Rivers nearly getting a win.
Seth and Sean lay out storylines from the Texans' win over the Cardinals, discuss Patrick Mahomes and Micah Parsons tearing their ACLs, Philip Rivers almost getting a win for the Colts, and the day's Headlines.
Seth and Sean lay out storylines from the Texans' win over the Cardinals, discuss Patrick Mahomes and Micah Parsons tearing their ACLs, Philip Rivers almost getting a win for the Colts, the day's Headlines, re-live the Texans' win over the Cardinals via the voice of the Texans Marc Vandermeer, give credit where it's due in Acknowledge Me, and assess if they should get their hopes up about Tank Dell after his post on social media.
Domonique and Charlie are joined by Bill Barnwell to break down an NFL Week 15 full of big games. They mourn the death of the Chiefs' dynasty and discuss the implications of torn ACLs from both Patrick Mahomes and Micah Parsons. Then, they praise the Broncos and Bills before talking about QB play from Trevor Lawrence, Matthew Stafford, Joe Burrow, and most importantly, Philip Rivers. 0:00 Welcome to the Domonique Foxworth Show 4:36 Chargers-Chiefs 23:23 Packers-Broncos 33:08 Bills-Patriots 47:42 Jets-Jaguars 55:19 Colts-Seahawks 1:04:04 Lions-Rams 1:10:11 Ravens-Bengals 1:19:13 Raiders-Eagles Learn more about your ad choices. Visit podcastchoices.com/adchoices
Domonique and Charlie are joined by Bill Barnwell to break down an NFL Week 15 full of big games. They mourn the death of the Chiefs' dynasty and discuss the implications of torn ACLs from both Patrick Mahomes and Micah Parsons. Then, they praise the Broncos and Bills before talking about QB play from Trevor Lawrence, Matthew Stafford, Joe Burrow, and most importantly, Philip Rivers. 0:00 Welcome to the Domonique Foxworth Show 4:36 Chargers-Chiefs 23:23 Packers-Broncos 33:08 Bills-Patriots 47:42 Jets-Jaguars 55:19 Colts-Seahawks 1:04:04 Lions-Rams 1:10:11 Ravens-Bengals 1:19:13 Raiders-Eagles Learn more about your ad choices. Visit podcastchoices.com/adchoices
With Patrick Mahomes and Micah Parsons both suffering torn ACLs, Zach dives into what the future looks like for both teams. Are the Bills the team to beat in the AFC? Zach makes a show announcement.
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