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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!
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?
Send us a textThe bums close out Season 5 with Episode 0143 — still walking on air after the Bears blow-out victory vs. woeful Cleveland; Week 16 injury report reads like a M.A.S.H. unit heading into Midwest Super Bowl Saturday vs. the Fucking Packers; Kevin Warren gets lit up like a Christmas tree (stupid ploy or not); Rocky has a Plan B that may surprise you (but not Paddy); speaking of Paddy, he hammers down a TNF IDNKT segment; NFL week in review is littered with torn ACLs; Old Man Rivers doesn't die on the field; and close the top as TJ Finley is the poster child for what's wrong with JV football.The bottom gets awfully boozy with a first ever TRIPLE review, featuring Mikerphone Brewing's “La Cuca Negra” (ABV 5.4%), a Mexican Style dark lager; OIB's 2020 Krampus Cookies (ABV 13.0%), a 12-year Barton Bourbon Barrel-aged Imperial Milk Stout w/ vanilla and chocolate nibs (yummy), and “Drumshanbo Single Pot Still Pinot Noir Cask Finish Irish Whiskey” (ABV 43% / 86 Proof), a very unique drop from The Shed Distillery in Drumshanbo, Ireland — we're drunk AF; Rocky gets a new pillow and also bemoans Spotify's Year in Review results; and close with a celebration of life for Robert Norman ‘Meathead' Reiner and Michele Single Reiner (very sad— and also fuck DJT). Better unbox the final podcast of the season before the Grinch steals it.Recorded on December 18th, 2025 at B.O.M.'s global headquarters, Paddy's Southside Cave, in Chicago, IL.
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.
While the action was great in Week 15, the injuries to star players was brutal. Ari Meirov breaks down what Patrick Mahomes' ACL tear means not only for the interim, but the future of the Chiefs. Ari gives what he thinks the Packers will be capable of achieving with Micah Parsons also done with an ACL tear. He discusses Joe Burrow's comments about his "happiness" or lack there of playing football, plus more thoughts about the Week 15 slate. ------------------------------------------------- NFL Spotlight is dedicated to shining a light on those in the NFL that deserve a spotlight with top-notch insight and research from Ari Meirov. Follow Ari on X: https://x.com/MySportsUpdate Follow Ben on X: https://x.com/BenAllenSports Follow The 33rd Team on X: https://x.com/The33rdTeamFB Learn more about your ad choices. Visit megaphone.fm/adchoices
This episode discusses the current guidelines for the treatment of adult cardiopulmonary arrest, reviews evidence-based algorithms aimed at improving outcomes of survival and discusses the role of pharmacologic therapies recommended for pulseless rhythms. CE for this episode expires on November 29, 2027. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.
Conversación con los autores del caso clínico publicado en International Journal of Emergency Medicine (2025) En este episodio del ECCpodcast, conversamos con los autores del caso "Cardiopulmonary resuscitation-induced consciousness in an elderly patient: a case report in the prehospital setting"—un fenómeno sorprendente y todavía poco comprendido: la conciencia inducida por RCP (CPRIC). Hablamos con Jose Daniel Yusty-Prada y Jose Luis Piñeros-Alvarez, quienes documentaron la historia de un paciente de 80 años que, sin haber recuperado pulso, comenzó a moverse, hacer sonidos y quitarse el equipo… durante las compresiones torácicas. Este caso abre una conversación fundamental sobre la fisiología, el manejo clínico, la ética y la capacitación necesaria para enfrentar CPRIC en entornos reales. Contexto del Caso El paciente colapsó en un área pública, rápidamente reconocido como un paro cardíaco presenciado. Los testigos iniciaron compresiones inmediatas, y un equipo BLS llegó con un AED, confirmando un ritmo desfibrilable. Durante los ciclos iniciales de RCP, el paciente comenzó a: flexionar las piernas, mover brazos, intentar remover el BVM y los parches, vocalizar sonidos, y mover la cabeza. Todo esto sin pulso palpable y sin signos de perfusión sostenida. Los movimientos desaparecían al detener las compresiones y reaparecían al reanudarlas: un patrón clásico de CPRIC. Esto provocó interrupciones prematuras por parte del equipo, dudas entre los testigos e incluso conflictos psicológicos en los rescatistas, quienes inicialmente pensaron que el paciente "despertaba". Finalmente, tras múltiples desfibrilaciones y sin sedación disponible en protocolo, se logró ROSC. ¿Qué es CPR-Induced Consciousness (CPRIC)? Los autores explican que CPRIC es un fenómeno real, probablemente subdiagnosticado, en el cual un paciente sin pulso presenta: Formas interferentes Intentar quitarse dispositivos Empujar a los rescatistas Movimientos coordinados Vocalizaciones Mover cabeza, brazos o piernas Formas no interferentes Parpadeo Mirada fija o seguimiento Suspiros Movimientos mínimos La evidencia señala que CPRIC ocurre más en: paros presenciados, ritmos desfibrilables, paro de causa cardiaca, CPR de alta calidad, y pacientes sin daño cerebral previo severo. Cada vez vemos más casos porque estamos dando mejor RCP, con mayor perfusión cerebral y más equipos con feedback. Retos del Caso: Técnica, logística y psicología Uno de los aspectos más valiosos del episodio es cuando los autores discuten cómo el fenómeno impacta al equipo. 1. Interrupciones prematuras Los movimientos llevaron al equipo a detener compresiones 30–40 segundos antes del análisis del AED, y esto puede comprometer el éxito de la desfibrilación. 2. Manejo de vía aérea Los movimientos orales hicieron imposible avanzar más allá del OPA + BVM. Intentar insertar una supraglótica se volvió riesgoso. 3. Interferencia del público Familiares y testigos gritaban que el paciente estaba "despertando" y pedían detener la RCP. Esto modificó la toma de decisiones del equipo. 4. Dilema ético y emocional Los autores describen la experiencia como "desconcertante", incluso sabiendo que el paciente estaba en VF refractaria. Sedación en CPRIC: ¿Cuándo? ¿Cómo? ¿Con qué? El artículo y los autores coinciden en que la evidencia actual favorece el uso de ketamina para manejar CPRIC interferente: 0.5–1 mg/kg IV o bolos de 50–100 mg Ventajas: No compromete presión arterial No deprime respiración Inicio muy rápido Ayuda en estrés psicológico post-evento Sin embargo: La mayoría de los sistemas en Latinoamérica no tienen protocolos Providers temen administrar sedación en pleno paro No existe guía formal de AHA o ERC ILCOR solo tiene un best practice statement Los autores recalcan que la sedación debe considerarse solo si CPRIC interfiere con las maniobras. Lecciones para EMS y emergencias Los autores destacan tres grandes enseñanzas: 1. CPRIC no es ROSC Si no hay pulso, no hay circulación espontánea, aunque el paciente hable o se mueva. 2. La educación pública es crucial Los testigos pueden ejercer presión equivocada. Es necesario explicar durante la escena qué está pasando. 3. Los sistemas deben crear protocolos ya Incluyendo: reconocimiento temprano decisiones sobre sedación documentación comunicación con familiares entrenamiento en simulación Por qué este caso es importante Este artículo es uno de los pocos reportes en un paciente geriátrico, resalta desafíos culturales en Latinoamérica y propone la urgente necesidad de estandarización internacional. CPRIC seguirá aumentando porque la RCP sigue mejorando. Y si no lo reconocemos, aumentarán: interrupciones innecesarias, conflictos en escena, mala calidad de RCP, y peor pronóstico. Llamado a la acción para la comunidad Si este episodio te hizo reflexionar: ðŸ'‰ Únete al ECCnetwork: https://ecctrainings.circle.so ðŸ'‰ Conoce nuestros cursos premium: ACLS, Manejo Avanzado de Vía Aérea, Emergency Nursing, Critical Care, TCCC-CMC www.ecctrainings.com ðŸ'‰ Lee el artículo completo: https://link.springer.com/article/10.1186/s12245-025-01032-w Yusty-Prada, J.D., Portuguez-Jaramillo, N.E. & Piñeros-Alvarez, J.L. Cardiopulmonary resuscitation-induced consciousness in an elderly patient: a case report in the prehospital setting. Int J Emerg Med 18, 230 (2025). https://doi.org/10.1186/s12245-025-01032-w
Accidental hypothermia is one of the Hs in ACLS's reversible H&T cause of cardiac arrest.Hypothermic patients aren't dead until they are warm and dead.As the body's temperature drops below 36° C, hypothermia may be classified as moderate or severe.Modifying the ACLS Adult Cardiac Arrest algorithm for patients with severe hypothermia.Following the ACLS algorithm for patients with a body core temperature above 30° C.Methods for rewarming patients with moderate vs severe hypothermia.Continuation of CPR and ACLS efforts until the patient's body core temp is above 36° C.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506/Pass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Send us your questions and comments!We break down the latest ACLS changes so you don't have to read 200 pages of guidelines. Fast, fun, and packed with the stuff that actually counts during a code.For more information about ROSC Healthcare - visit www.roschealthcare.com
The use of calcium channel blocker medications for tachycardias refractory to Adenosine and to lower the blood pressure of hypertensive stroke patients.Calcium is one of the ions that move across the cellular membrane during cardiac contraction and relaxation.The primary use of calcium channel blockers in ACLS.Use of calcium channel blockers for SVT refractory to Adenosine and A-Fib or A-Flutter with RVR.Contraindications of calcium channel blockers.Nicardipine use during the treatment of ischemic strokes.For more information on ACLS medications, tachycardia, or stroke check out the pod resource page at passacls.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506/Pass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Review the ACLS treatment goals and targeted temperature management (TTM) for post-arrest patients that have return of spontaneous circulation (ROSC).Post-arrest care and recovery are the final two links in the chain of survival.Identification of ROSC during CPR.Initial patient management goals after identifying ROSC.Indications for starting TTM.Monitoring the patient's core temperature.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506/Pass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Review the indications, contraindications, and safe administration of nitroglycerine to Acute Coronary Syndrome (ACS) patients with ischemic chest pain.Nitroglycerine's effects.Assessment of vital signs prior to administering nitro.Indications for use of nitroglycerine.Nitroglycerine's contraindications & considerations for use.Use of nitro with patients taking PDE inhibitors.Administration of nitroglycerine to patients with ischemic chest pain.Considerations for patients that took their home nitroglycerine.Monitoring patient's pain and vital signs after nitro administration.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506/Pass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Identification of Atrial Fibrillation (A-Fib) & Atrial Flutter on the ECG and the treatment of unstable and stable SVT patients with A-Fib/Flutter.The ECG characteristics of A-Fib and A-Flutter.Recognition and treatment of unstable patients in A-Fib/Flutter with rapid ventricular response (RVR).Suggested energy settings for synchronized cardioversion of unstable patients with a narrow complex tachycardia.Team safety when cardioverting an unstable patient in A-FIB/Flutter.Adenosine's role for stable SVT patients with underlying atrial rhythms.Treatment of stable patients in A-Fib/Flutter with RVR.For other medical podcasts that cover narrow complex tachycardias, visit the pod resource page at passacls.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506/Pass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Review of Tablets & Toxins as an ACLS H &T reversible causes of cardiac arrest with some specific, commonly encountered examples.The majority of toxins don't have a specific antidote. There are a few toxins for which we have emergency interventions and ACLS providers should be familiar with.Reviewing the patient's medical history for indicators that may lead us to suspect a tablet/toxin cause of cardiac arrest.Administration of Narcan for suspected narcotics overdose following the Opioid Associated Emergency algorithm.Other common ACLS Tablet Toxin scenarios with possible treatments.Medications commonly used to treat specific toxins that are regularly stocked on crash carts or carried in EMS med bags.ACLS providers that suspect a specific toxin should consult with their Pharmacy or call Poison Control for treatment directions.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506/Pass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn Poison Myths and Misconceptions on The Pharmacists Voice podcast:https://www.thepharmacistsvoice.com/podcast/poison-myths-and-misconceptions-discussion-part-1-of-5-with-angel-bivens-rph-and-wendy-stephan-phd/
Why we use algorithms.Generally speaking, if there's a change in a patient's condition, we should ensure we're using the correct algorithm.Three key points to remember when using ACLS algorithms.Walk through of an example mega code scenario with explanations of when and why we change to a different ACLS algorithm.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506/Pass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Review of when we should consider beta blocker use in ACLS's Acute Coronary Syndrome (ACS) & Tachycardia algorithms and when they're contraindicated.Beta blocking medications attach to Beta receptors to inhibit or “block” the effects of epinephrine (adrenaline)and norepinephrine in the body.The primary locations of Beta I, II, and III receptors.Effects of epinephrine & norepinephrine stimulation of beta receptors on the heart.Beta blockers effects on the heart.When we should consider the use of beta blockers in the Acute Coronary Syndrome (ACS)and Tachycardia algorithms.Contraindications to the use of beta blocker medications.More detailed information about beta blocker's mechanism of action and specific instances for their use can be found on the Pod Resource page at PassACLS.com. Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506/Pass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
A review of advanced airway use in ACLS's Adult Cardiac Arrest algorithm including: advantages, types, insertion, and monitoring ETCO2.When we should consider insertion of an advanced airway for patients in a shockable vs non-shockable rhythm.In addition to an endotracheal tube (ETT), other ACLS advanced airways.The advantages of using an advanced airway over basic airway maneuvers.Use of end tidal CO2 waveform capnography to confirm placement and assess the adequacy of CPR.Identification and management of a misplaced ET tube.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Indications & use of an antiarrhythmic infusion of Amiodarone or Lidocaine for cardiac arrest patients that have return of spontaneous circulation (ROSC).Our primary focus immediately following return of spontaneous circulation (ROSC).Post-arrest goals for O2 saturation, ETCO2, and BP/MAP.Indications for use of an antiarrhythmic after ROSC.Determining which antiarrhythmic to use post cardiac arrest.Administration of Amiodarone or Lidocaine after ROSC.The use of Amiodarone post arrest if no antiarrhythmics were administered prior to obtaining ROSC.Links to other medical podcasts that cover antiarrhythmics and other ACLS-related topics are on the Pod Resource page at PassACLS.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Hydrogen ions is on one of the Hs in ACLS's H&T reversible causes of cardiac arrest. When considering hydrogen ions as a cause, what we're looking at is the patient's pH, or acid/base balance, and conditions that affect it.The body's normal pH.Using patient history, ABGs, & labs to determine acidosis or alkalosis.Common conditions/causes that may lead us to suspect acidosis.Common conditions/causes that may lead us to suspect alkalosis.Correcting acidosis by changing the rate of ventilations.The indications, dose, and considerations for use of Sodium Bicarbonate.Treatment of alkalosis.Other podcasts that cover acid/base balance and conditions that cause acidosis or alkalosis can be found on the Pod Resource Page at PassACLS.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
BLS & ACLS's Adult Cardiac Arrest algorithm makes it easier to act as team leader during a code by following an If/Then methodology.Review of BLS steps for determining if rescue breathing or CPR is needed and use of an AED for patients in cardiac arrest.If the patient is in a non-shockable rhythm on the ECG such as PEA or asystole, we will go down the right side of the Adult Cardiac Arrest Algorithm.If the patient is in a shockable rhythm on the ECG such as V-Fib or V-Tach, we will go down the left side of the Adult Cardiac Arrest Algorithm.An example of a code's flow for shockable rhythms when an antiarrhythmic such as Amiodarone or Lidocaine is administered.We will follow the algorithm until the patient has ROSC or we call the code.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Review of aspirin's mechanism of action, indications, contraindications, and administration for patients with acute coronary syndrome (ACS) or stroke.Aspirin's mechanism of action & benefits for Acute Coronary Syndrome (ACS) patients.Contraindications and considerations for aspirin's use.The dose and route of administration of aspirin for ACS patients.The use of aspirin in the ACLS Stroke algorithm.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Review of lead II ECG characteristics, rules to identify first and third degree heart blocks, and treatment following the ACLS Bradycardia algorithm.To pass ACLS, you will need to be able to identify common rhythms on a monitor during your mega code and ECG strips on your written exam.Review of normal ECG morphology in lead II.Characteristics of first-degree heart block.Characteristics of third-degree (complete) AV block.Treatment of unstable patients in third degree block following the ACLS Bradycardia algorithm.Special considerations for use of Atropine when patients are in a third-degree heart block.The use of TCP, Dopamine, & Epinephrine drip for unstable bradycardic patients refractory to Atropine.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
Show notes at pharmacyjoe.com/episode1076. In this episode, I'll discuss 5 changes to the ACLS guidelines that hospital pharmacists should know about. The post 1076: Five changes to the ACLS guidelines that hospital pharmacists should know about appeared first on Pharmacy Joe.
Review of antiarrhythmic medications Amiodarone & Lidocaine for use in ACLS's Adult Cardiac Arrest, Post Arrest, and Tachycardia algorithms.The two first-line ACLS antiarrhythmics that are generally used.Lidocaine dosing and administration to patients in persistent V-Fib or pulseless V-Tach.Amiodarone dosing and administration to patients in persistent V-Fib or pulseless V-Tach.Use of antiarrhythmic infusions post-cardiac arrest to suppress ventricular ectopy.Amiodarone use & dosing for stable patients in V-Tach with a pulse.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Tema: Exploramos a fondo qué son los sistemas de cuidado de paro cardiaco, cómo se estructuran, y por qué son vitales para mejorar la supervivencia de pacientes que sufren un paro cardiorrespiratorio, tanto dentro como fuera del hospital. En este episodio cubrimos:
Puedes leer el blogpost completo en www.ecctrainings.com. 1. ¿Por qué estas guías son importantes? Representan la evolución más reciente en el manejo del paro cardíaco. Se enfocan en algo más allá del algoritmo: tecnología, calidad, equipo, y formación. ECCtrainings te entrena no solo en el "qué hacer", sino en el "cómo hacerlo mejor". 2. Avances clave:
Dave and Lefko are joined by Mariners Insider Shannon Drayer to get her thoughts on the end of the playoff run, the mood in the clubhouse following the ACLS game seven loss, and what she learned from the end of the season press conference, they discuss how important it is for the Mariners to resign John Naylor, and they wrap up the show by finding out what we learned today!
Bump and Stacy are joined by Mariners Insider Shannon Drayer to get her thoughts on the end of the playoff run, the mood in the clubhouse following the ACLS game seven loss, and what she learned from the end of the season press conference, they dive into the stats of the playoff run with Senior Manager of Baseball Communications Alex Mayer, and they wrap up the show by telling you what you need to know!
High Yield Antiarrhythmic Drugs Review:Class I (Sodium Channel Blockers)Class II (Beta Blockers)Class III (Potassium channel blockers)Class IV (Calcium Channel Blockers) for your PANCE, PANRE, Eor's and other Physician Assistant exams.Review for your PANCE, PANRE, Eor's, Physician Assistant exams, Medical, USMLE, Nursing Exams.►Paypal Donation Link: https://bit.ly/3dxmTql (Thank you!)Included in review: Pathophysiology of antiarrhythmics, cardiac action potential, phases 0–4, Phase 0 depolarization, Phase 1 initial repolarization, Phase 2 plateau, Phase 3 repolarization, resting membrane potential, cardiomyocytes, pacemaker cells, funny current (If), L-type calcium channels, T-type calcium channels, effective refractory period (ERP), conduction velocity, reentry, rate control, rhythm control, AV node, SA node, QT prolongation, torsades de pointes, post-MI arrhythmias, structural heart disease, supraventricular tachycardia, atrial fibrillation, atrial flutter, ventricular tachycardia, ventricular fibrillation, ACLS, catecholamines, cAMP, PKA, beta-1 receptors, calcium influx, nodal blockade, non-dihydropyridine vs dihydropyridine, Disopyramide, Quinidine, Procainamide, Lidocaine, Mexiletine, Flecainide, Propafenone, Metoprolol, Atenolol, Bisoprolol, Betaxolol, Esmolol, Acebutolol, Propranolol, Carvedilol, Labetalol, Nadolol, Pindolol, Timolol, Sotalol, Amiodarone, Dronedarone, Ibutilide, Dofetilide, Verapamil, Diltiazem, Amlodipine, Nifedipine, Nicardipine, Amiodarone adverse effects, blue-gray skin discoloration, interstitial lung disease, thyroid dysfunction, corneal microdeposits, hepatotoxicity, beta-blocker contraindications, asthma caution, bradycardia, AV block, cardiogenic shock, diabetes caution, CCB adverse effects, constipation, AV block, bradycardia.Become a supporter of this podcast: https://www.spreaker.com/podcast/cram-the-pance--5520744/support.