Podcasts about acls

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

With Cath dealing with personal space incursions up in the air this week, Liz and Carolyn can talk about whatever they want. There's torn ACLs, hangover-avoidance advice, who the real GOAT of netball is (according to some internet nonsense), Liz Watson's milestone and we're narrowing down that Grand Final location for the 2026 SSN season. It's a netball podcast, but it's so much more. Listen to the No Dribble Hottest Not Quite 100 on Spotify If you enjoyed this episode - FOLLOW and SUBSCRIBE to No Dribble, share with a fellow 'Netty Nut' and shoot us a 5 star review ⭐️⭐️⭐️⭐️⭐️ Buy Carolyn's book 'We Only Want What's Best' Join the conversation with Cath, Liz and Carolyn on Instagram Join the No Dribble Facebook Group (it's a hoot!)See omnystudio.com/listener for privacy information.

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?

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)

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

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.

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.

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.

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 take a look around the NFL, specifically Patrick Mahomes and Micah Parsons tearing their ACLs and Philip Rivers nearly getting a win.

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

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.

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:

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!