Podcasts about acls

Patients with a heart rate less than 60 are bradycardic. Some people can have a resting heart rate in the 40s without any compromise. For others, a heart rate of 50 or less could signify the need for immediate intervention and warrants additional assessment.Signs & symptoms that indicate a bradycardic patient is unstable.Monitoring oxygen saturation with pulse oximetry and indications for administration of oxygen. Calcium channel blockers and beta blocker medication as treatable causes of bradycardia.The indications and dosage of Atropine.Precautions for Atropine use in patients with second or third degree AV blocks.The use of transcutaneous pacing (TCP) for unstable bradycardic patients refractory to Atropine.The use and dosing of Dopamine and Epinephrine drips.For additional information about causes and treatment of bradycardia, check out the pod resources page at PassACLS.com.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

Two factors to cardiac arrest survivability that have been clearly shown to make the biggest difference is continuous high quality CPR and early defibrillation. The most common dysrhythmia present during the first few minutes of cardiac arrest is ventricular fibrillation. The chance of successful defibrillation decreases every minute that passes. How our chance of successfully defibrillating a patient into a perfusing rhythm significantly changes when good CPR is delivered vs when it isn't.Examples of in-hospital and out-of-hospital cardiac arrest (OHCA) outcomes when CPR is performed until defibrillation vs defibrillation without CPR. The role of the CPR coach.Three tips to aid us in limiting CPR interruptions so we can maintain a chest compression fraction (CCF) of at least 80%.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

The chain of survival for ACLS is the same as was learned in your BLS class.The beginning steps of the Cardiac Emergency and Stroke chain of survival are the same.1. Recognizing the symptoms of a cardiac emergency or stroke;2. Activating an emergency response by calling 9-1-1, or a specialized code team if in the healthcare setting;3. Rapid assessment including 12 lead ECG for cardiac patients or FAST assessment for suspected stroke emergencies; 4. Provide ALS care and transport to the most appropriate facility; for5. Early reperfusion.ACLS's timed goals for first medical contact to PCI for STEMI and door-to-needle for ischemic stroke.Areas with strong EMS relationships, well-defined transport protocols, andspecialized teams that care for the patient in the hospital have significantlybetter patient outcomes. The cardiac arrest chain of survival adds: high quality CPR, early defibrillation, and advanced resuscitation as the next critical links followed by post arrest care and recovery.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

Heart muscle contraction and repolarization is dependent on Sodium, Calcium, Magnesium, and Potassium ions crossing cellular membranes.When a patient's potassium levels get too low or too high hypokalemia or hyperkalemia results respectively.Two things that may lead us to suspect hypo or hyperkalemia include:the patient's medical history; and changes to the T wave on the ECG.Medical conditions that cause potassium imbalance.ECG changes seen in hypo and hyperkalemia.Critical lab values that would indicate a need for treatment.Emergent, ACLS interventions for hypokalemia and hyperkalemia.Additional information on hypo and hyperkalemia can be found on Ninja Nerd podcast. Check out the pod resources page at passacls.com.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

In this episode, our guest panel discusses training jiu jitsu when you're over 40.Panel Guests:Melissa Lozano BarberinoAlmine BartonHosted by: Shama KoMelissa Lozano Barberino is a brown belt under Travis Tooke. She works as a Travel Advisor and personal trainer. She is a single mother and trains BJJ almost daily. She is a ten year survivor of breast cancer - the catalyst behind her training & the reason why she prioritizes physical fitness and emotional well being. Her battle with recovery and the complications the had surrounding surgery are the reason why she continues to renegotiate her schedule daily for Jiu Jitsu .Although she has suffered many injuries in BJJ (2 torn ACLs), she says it have given so much more than its taken. She has become a World Champion and PanAms Champ at every belt level since white and can accredit that to simply refusing to stop showing up.Almine Barton has been a licensed acupuncturist for 22 years & a certified fitness trainer for 23 years. She's been rock climbing for 20 years, & climbing ice for 10 years. She's been training BJJ for 8.5 years, & is the founder of “Hips & Grips Climbing & JiuJitsu Camps.” She lives with her boyfriend & 2 huskies in Bend, OR., where she trains & is an avid climber at “Smith Rock State Park.Learn more about Girls in Gis:Homepage: https://www.girls-in-gis.comEvents: https://www.girls-in-gis.com/events/Shop: http://www.girls-in-gis.com/shop/Donate: http://www.girls-in-gis.com/donate/Facebook Group: https://www.facebook.com/groups/GirlsinGisFacebook Official: https://www.facebook.com/GirlsinGisTwitter: @_girls_in_gis_Instagram: https://www.instagram.com/girlsingis/Youtube: https://www.youtube.com/c/girlsingis

When treating patients having an MI or stroke, more minutes equals more dead cells. Because the majority of strokes are the ischemic type, the treatment for stroke is similar to an MI – to reestablish perfusion to the ischemic tissues. Review the first four steps in the Stroke Chain of Survival.Time criteria for the administration of tPA or EVT of LVO strokes.Stroke benchmarks for door to:assessment;starting a non-contrast CT; andadministration of tPA (door-to-needle).EMS interaction with stroke teams and destination protocols to reduce time to definitive care.Remember that timed goals for cardiac patients start with point of first medical contact while stroke benchmarks start at arrival to the hospital.Additional information about timed goals for stroke and how EMS affects outcomes can be found on the PassACLS.com Pod Resources page.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

Adenosine is the first IV medication given to stable patients with sustained supraventricular tachycardia (SVT) refractory to vagal maneuvers.Common causes of tachycardia.Symptoms indicating a stable vs unstable patient. Cardiac effects of Adenosine. Indications for use in the ACLS Tachycardia algorithm.Considerations and contraindications. Adenosine as a diagnostic for patients in A-Fib or A-Flutter with RVR.Dosing and administration.Other podcasts that cover common ACLS antiarrhythmics in more detail and another covering Brugata Criteria used to differentiate V-Tach from SVT with an aberrancy.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

To pass the written ACLS exam and mega code, students need to be able to identify basic ECG dysrhythmias, including the two types of second-degree heart block.One method of ECG rhythm identification is to ask a series of questions such as: What's the rate (150);Is the rhythm regular or irregular;What's the shape and frequency of P waves and QRS complexes; andWhat's the P-R interval and is it constant?ECG characteristics of a second-degree Mobitz type I (Wenckebach).Identification of unstable bradycardia and it's treatment with Atropine.ECG characteristics of a second-degree Mobitz type II.Possible effect of using Atropine on patients with a second-degree type II AV block. Treatment of unstable patients refractory to Atropine using TCP, Dopamine, or Epinephrine drip.Starting dose and titration of Dopamine and Epinephrine drips.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

Scott St. Clair, Premium Product Group Manager at IBD, rejoins the show to stress the importance of selling. With many former leaders down 70% or more, how do you protect your portfolio from taking such big drawdowns? He shares some portfolio management rules that rely on incremental rather than all-or-nothing decisions. Charts are also critical. We finish with a look at stocks like Schlumberger (SLB), APA (APA) and Axcelis Technologies (ACLS). For the video version, visit investors.com/podcast.

When treating patients with Acute Coronary Syndrome (ACS), MONA is an acronym sometimes used to help us remember the initial interventions.The O in MONA is Oxygen.When should we administer oxygen to ACS patients.When is O2 administration unnecessary. Monitoring patient's oxygen saturation (SaO2) using a pulse oximeter.Review two common ACLS mega code scenarios.Oxygen administration during CPR and post cardiac arrest.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

Links: Amazon NAT Gateway Now Allows You to Select Private IP Address for Network Address Translation Amazon S3 Glacier improves restore throughput by up to 10x when retrieving large volumes of archived data Amazon Time Sync is now available over the internet as a public NTP service AWS re:Post launches a community leaderboard Announcing the new Applications widget on AWS Console Home Amazon S3 request-level information on use of access control lists (ACLs) coming to S3 server access logs and AWS CloudTrail  Know Before You Go: An AWS Partner's Guide to re:Invent 2022 Introducing our final AWS Heroes of the year – November 2022 Now Open–AWS Region in Spain Introducing Amazon EventBridge Scheduler Migrate ROW CHANGE TIMESTAMP from IBM Db2 for z/OS to Amazon RDS for PostgreSQL or Amazon Aurora PostgreSQL-Compatible Edition You can now assign multiple MFA devices in IAM 

Along with early defibrillation, high quality CPR with minimal interruptions is one of the two factors that has been shown to improve cardiac arrest outcomes. How do we know if high quality, effective CPR is being performed? The CPR coach as a new position of the code team. Objective measures of high-quality CPR include:Compression rate of 100-120 per minute;Compression depth of at least 5 cm;Allowing for full chest recoil;Maintaining an ETCO2 of at least 10 mm Hg; andKeeping interruptions to less than 10 seconds to obtain a chest compression fraction (CCF) of 80%.The advantages and use of real-time feedback devices to monitor the rate, depth, and chest recoil of CPR compressions.The use of end tidal waveform capnography.A no tech way to monitor effective CPR if no feedback devices are available.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

Stephanie is a critical care nurse and has been practicing for the past 10 years at numerous hospitals including; Hinsdale, Memorial in South Bend, IN, Good Samaritan, Alexian Brothers, and is currently working at Stroger/Cook County Hospital in Chicago, IL. She is certified in CPR, ACLS, NIHSS, ATCN, and CCRN.  Stephanie focuses on patient centered and family-centered care. As an ICU nurse, Stephanie has managed a diverse patient population including trauma, violent trauma, burns, neurosurgical, post-cardiothoracic surgery, stroke, post-surgical, post-arrest, and most recently acutely ill COVID-19 patients.   Stephanie has a bachlors degree in Biology from DePaul University and a bachlors degree in Nursing from Chamberlain University.Healthcare Simulation Middle East : https://www.healthcaresimulationmiddleeast.org/

The 2020 ACLS guidelines updated the dose for administration of Atropine and Dopamine for the treatment of unstable bradycardia. The signs & symptoms of unstable bradycardia.Atropine's new dose and maximum.The use of atropine when a patient is in a second degree type II or third degree heart block.ECG changes that indicate subsequent doses of atropine are likely to be ineffective.The 2020 update to the starting dose of Dopamine.The use of Dopamine for bradycardia as an interim until TCP vs hypotension.The use of Atropine and Dopamine in patients with myocardial ischemia.Podcasts with additional (advanced-provider level) information about Atropine, Dopamine, and bradycardia can be found on the Pass ACLS pod resources page.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

The tongue is the most common airway obstruction in an unconscious patient. Insertion an oropharyngeal airway helps keep the patient's tongue from falling to the back of the pharynx and causing an airway obstruction. The oropharyngeal airway is sometimes called an OPA or simply an oral airway.Indications for using an oral airway.Contraindication for an oral airway and an alternative that can be used instead. Measuring an OPA and possible complications from inserting one that's too small or too large. Two techniques to properly insert an OPA and avoid complications. The use of an oral airway during CPR. The use of an OPA as a bite block after a patient has an advanced airway placed.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

Hypoxia is a state of low oxygen levels in the blood. Determining hypoxia using a pulse oximeter or arterial blood gasses (ABGs).A goal of ACLS is to recognize signs of hypoxia and provide timely treatment to prevent an arrest. Examples of some things that might lead us to think of hypoxia as a cause of cardiac arrest.Why we should not rely on pulse ox to give accurate readings during CPR.Delivering ventilations with near 100% oxygen concentration using a BVM attached to supplemental O2 and a reservoir.Using end tidal waveform capnography to assess the quality of CPR.Changes to ventilation rates, tidal volume, and O2 concentration affects a patient's oxygen, carbon dioxide, and pH. The danger of over ventilating a patient in cardiac arrest.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

ECG characteristics of supraventricular tachycardia (SVT) vs. sinus tachycardia. Signs & symptoms that indicate a patient is unstable. Treatment of unstable SVT using a biphasic vs monophasic defibrillator. Consideration for team safety while performing synchronized cardioversion. Stable patients in SVT.For more on narrow complex tachycardias, check out the pod resource page at passacls.com.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

When working to resuscitate a patient in sudden cardiac arrest, Epinephrine is the first IV medication we administer. When do we give the first dose of epinephrine for patient is in shockable vs non-shockable rhythm. When to give the first dose of epinephrine and its frequency for patients in asystole or PEA following the right side of the Adult Cardiac Arrest algorithm. When to give the first dose of epi and its frequency for patients in V-Fib or pulseless V-Tach following the left side of the Adult Cardiac Arrest algorithm.Example chronology of events for a scenario where a patient is found unresponsive, pulseless, and only gasping/agonal breathing. Administration of epi via the IO or endotracheal route in the absence of a patent IV.The maximum cumulative dose of epinephrine that can be administered to patients in cardiac arrest. When do we stop administering epinephrine.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

If you are a cardiac nurse, this is your nightmare case!  Cardiac Tamponade is a surgical emergency that requires you know more than ACLS to save this patient.  The signs and symptoms are subtle and takes an astute clinician to figure it out.In this episode we discuss all the classic textbook assessment findings from Beck's Triad to pulsus paradoxus as well as some of the more subtle clues of declining cardiac output. We talk through when you need a pericardiocentesis and when it's time to crack the chest and perform an open arrest.And who better to discuss this case than the person who taught me about cardiac tamponade, my boss and former Cardiac ICU Nurse; Brian McCain.If you want to be prepared for the absolute worst case scenario for your post cardiac surgery patient, than you're gonna want to take notes on this one.

If a person suddenly develops symptoms such as weakness, slurred or garbled speech, loss of balance, or a massive & severe headache; it's possible they could be having a stroke.The Cincinnati Prehospital Stroke Scale uses the acronym FAST to assess Facial droop – Arm Drift - Speech – and Time.There are several conditions that can mimic a stroke.Identification & Treatment of hypoglycemia or hyperglycemia.Identification & Treatment of hypoxia using a pulse oximeter.Some seizures, electrolyte imbalance, sepsis, brain tumors, and Bell's Palsy can also mimic a stroke.Prehospital providers should transport suspected stroke patients to a stroke center following their local protocols.Hospital providers should active their stroke team to ensure rapid assessment and treatment.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

Most ACLS medications are given IV push. But, what happens if we can't get an IV?When IV access isn't available, we should consider administering our IV medications via intraosseous (IO)or endotracheal tube (ETT) route.Why IO is better for than ETT as an alternative route.The locations we should place an IO when running a code and a location we should avoid.The ACLS medications that can be given intraosseous.Where you can find more information about intraosseous access during resuscitation efforts.In the absence of an IV or IO, some medications may be given down the endotracheal tube.The disadvantages of medication administration via ETT.Review of the medications that can be given down the tube and how they should be given. Medications should not be given down the tube when anything other than an endotracheal tube is used as an advanced airway.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

The chain of survival for a cardiac emergency and stroke start the same:1. preparedness & recognition of an emergency; 2. activation of EMS; 3. delivery of Advanced Life Support; and4. transporting to the most appropriate facility.Depending on where you live, Emergency Medical Services (EMS) may provide prehospital Advanced Life Support (ALS).ALS ambulances are staffed with paramedics who have training in ACLS skills. Paramedics can perform an assessment, obtain a medical history, and provide life-saving care within minutes of recognition.Why EMS "Destination Protocols" for suspected stroke and STEMI make adifference. ACLS's timed benchmarks for:point of first medical contact to PCI for ST elevation MI;door to tPA for ischemic stroke; andonset of symptoms to EVT for LVO strokes.EMS may bypass a close hospital to transport a STEMI or suspected stroke patient to a more appropriate hospital - one capable of 24/7 PCI or a certified stroke center; because time is heart muscle or brain cells.Check out the Pod Resource page at passacls.com for links to the "EMS On Air" podcast for links to episodes that look at EMS's role in stroke outcomes in the rural vs urban area. Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

On this week's Ball & Chain, Rebecca and Steve are celebrating the start of college basketball season. Rebecca has a conversation with Paige Bueckers about torn ACLs. While Steve revisits his profile of now World Series-winning manager Dusty Baker. All that plus Viewer Mail on the 229th edition of the Ball & Chain Podcast.

Performing good CPR, and delivering a shock as soon as possible to a patient in Ventricular Fibrillation or pulseless V-Tach are the two most critical interventions that have been shown to increase survival from sudden cardiac arrest. To aid in the rapid delivery of a shock, an Automated External Defibrillator (AED) should be used in settings where a full monitor/defibrillator isn't available. Research has demonstrated significantly better out of hospital cardiac arrest survival outcomes in communities with robust public CPR training and public access/first responder AEDs. Why an AED makes a difference. The general use of AED including: indications for use; attaching the AED pads; following verbal prompts; and safely administering a shock. Following the Adult Cardiac Arrest algorithm while using an AED. Contraindications to AED use.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

Considered one of the nation's top orthopedic surgeons, especially when it comes to knees. We had a brief sit down with Dr. Bert Mandelbaum as we talked ACLs, Prevention/Surgeries, Sharks, and the aging process.Dr. Mandelbaum was between trips to Qatar; where he is the Team Physician for the USA Men's World Cup Soccer team. He was in between surgeries/ post OP but found the time to chat with us and what a chat it was.We look forward to Part 2 at the beginning of the year. Until then, sit back and enjoy the amazing Dr. Bert Mandelbaum.

For apneic patients without a carotid pulse or pulseless patients with only gasping/agonal respirations, we will follow the Adult Cardiac Arrest algorithm. For pulseless patients that the AED doesn't advise a shock, the patient's ECG shows asystole, or a non-perfusing organized rhythm (PEA), we will follow the right side of the algorithm. Initial steps are aimed at delivery of high quality CPR to keep the brain and vital organs alive. Epinephrine administration.Placement of an advanced airway. Considering possible reversible H & T causes of cardiac arrest including three common causes of PEA and their emergent interventions. When we should discontinue resuscitation efforts and call the code.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

Providing good, high quality, CPR with minimal interruptions and early defibrillation are two keys to improved cardiac arrest outcomes. A training tool used in many CPR and ACLS classes is to use a song (or a song list) with a tempo of 100 to 120 beats per minute to help the person doing chest compressions maintain an adequate rate. Characteristics of good songs that will help us. Advantages & disadvantages of using a song during CPR. Selected songs from various genres and time periods from AHA's "Be The Beat" playlist on Spotify. https://open.spotify.com/playlist/2mU2FNAhSOtQwW0hBgQMaK (https://open.spotify.com/playlist/2mU2FNAhSOtQwW0hBgQMaK) Connect with me: Website:  https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your ACLS class!

A patient's medical history will help us identify things that may be causing (or contributing) to their current condition as well as guide our decisions so we provide the safest evidence-based care possible. Examples of information obtained in a medical history that will impact the treatment we provide.  E.g. Not giving nitro to patients taking PDE inhibitors. There are several mnemonics and memory aids that people use to guide their history taking. Review the SAMPLE PQRST medical history format. Connect with me: Website:  https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your ACLS class!

Although magnesium can be used in the treatment of other medical conditions such as eclampsia, asthma, & digitalis toxicity; for ACLS, magnesium is primarily used to treat Torsades de Pointes. Identification of torsades on the ECG. Administration of a magnesium infusion for stable patients vs slow IV push for patients in cardiac arrest. Procainamide use for stable patients with a monomorphic wide-complex tachycardia. Procainamide dosing and when to stop the infusion. Tip for determining whether magnesium or Procainamide should be used when treating stable patients with V-Tach. For more information on antiarrhythmics, check out the Pod Resource Page at passacls.com. The podcast episodes from Ninja Nerd and Coffee Break HEMS are great. Connect with me: Website:  https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your ACLS class!

When a patient loses excessive amounts of fluids, we say that they are in a state of hypovolemia. The most obvious cause of hypovolemia is from bleeding. Bleeding can be internal or external and caused by trauma, pathology, or iatrogenic. Classic signs & symptoms of hypovolemic shock. Volume replacement with crystalloids vs blood. Connect with me: Website:  https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your ACLS class!

The Candid BOYS (foreshadowing) are discussing the hot topic of the week! Does that pesky fatigue play a roll in our athletes tearing their ACLs or HECK any injury for that matter! Also the anti-heros talk THE BOYS, admin meetings? and are they really dressed up for Halloween? https://www.healthyroster.com/ Human Kinetics %20 Off Promo: CANDIDCEU SmartTools.com %10 OFF Promo: CANDID10 See What Kevan's Clinic is About! MasterDryNeedling $75 Off Promo: Members Only ;) Medbridge Education Promo: CANDID

MONA is the acronym sometimes used to help us remember the interventions to consider for patients with Acute Coronary Syndrome or ACS. Morphine's use in the Acute Coronary Syndrome (ACS) algorithm. Why Morphine is helpful for patients with ACS. Contraindications and considerations for the safe administration of Morphine. Morphine as an alternative to nitro for patients with chest pain that take PDE inhibitors. Side effects of Morphine administration. Narcan can be given as an antidote to Morphine if needed. Common dosing & administration of Morphine. Monitoring of the patient's level of consciousness, pain, blood pressure, and respirations after administration. Connect with me: Website:  https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your ACLS class!

After a month off, Royce's Thoughts, Moved by Mardis, is back! Thanks to a torn ACL repair, we couldn't record but we are back in action.  We get into the World Series match-up and get right into Royce's Yankees.  We talk about the surprising Seattle Seahawks and Royce is even watching College Football now! Royce Ranks 'em covers the top 5 surprising NBA teams in the early season. To Leave Royce a MR Detail Worx VOICEmail call: ‪(502) 694-6025‬ Be sure to check out Royce's Youtube page https://www.youtube.com/channel/UCOcPtN_znQlZ-uxVmcz1MdQCheck out our Sponsors:Moving with Mardis There's never been a better time to buy, sell, or invest in real estate, are you ready to make a move?www.movingwithmardis.com | (502) 822-6683 | smardis@movingwithmardis.comMR Detail WorxOur mission at MR DetailWorx is simple: to provide high-quality services in a timely manner.www.mrdetailworx.com | (502) 741-9570 | jgrant@mrdetailworx.com Intro music track Prod. by Danya Vodovoz, Royalty-Free Music https://www.youtube.com/watch?v=N4ex28rjYDk

Even good CPR is far less efficient at circulating blood than a functioning heart. The indicators of high-quality CPR that were identified at the 2012 AHA CPR Quality Summit in order of importance include: Chest compression fraction (CCF); Chest compression rate; Chest compression depth; Allowing for full recoil; and Adequate ventilations. Using real-time feedback devices and ETCO2 to assess CPR quality. Three tips to limit pauses in CPR compressions to 10 seconds or less include: Continuing chest compressions while charging the defibrillator; Continuing chest compressions during intubation; and Performing other activities during scheduled pauses. Limiting interruptions to chest compressions to less than 10 seconds so we can maintain a CCF of 80% requires teamwork and communication. The Pharmacist's Voice Podcast: https://www.thepharmacistsvoice.com/podcast/10-poisoning-prevention-tips-for-halloween-2022/ (10 Poisoning prevention tips for Halloween 2022). **American Cancer Society (ACS) Fundraiser This is the fourth year that I'm participating in Real Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission. I hope you'll consider contributing. Every donation makes a difference in the fight against breast cancer! http://main.acsevents.org/goto/paultaylor (Paul Taylor's ACS Fundraiser) THANK YOU! Connect with me: Website:  https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your ACLS class!

Epinephrine and Dopamine are adrenergic agonist used in several ACLS algorithms. The use of epinephrine for severe anaphylaxis or unstable bradycardia. Review epinephrine's effects on blood vessels and bronchioles. Why epinephrine is helpful for patients with anaphylaxis. Using an epi drip for unstable bradycardia. Epinephrine administration every 3-5 minutes during cardiac arrest. Starting and epinephrine or Dopamine drip for patients that have ROSC. Review the effects of Dopamine based on mcg/kg/min dosing. Monitoring the patient and titrating epi & Dopamine drips to prevent harm. For more information on ACLS medications, check out the pod resource page at passacls.com. The Pharmacist's Voice Podcast: https://www.thepharmacistsvoice.com/podcast/10-poisoning-prevention-tips-for-halloween-2022/ (10 Poisoning prevention tips for Halloween 2022). **American Cancer Society (ACS) Fundraiser This is the fourth year that I'm participating in Real Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission. I hope you'll consider contributing. Every donation makes a difference in the fight against breast cancer! http://main.acsevents.org/goto/paultaylor (Paul Taylor's ACS Fundraiser) THANK YOU! Connect with me: Website:  https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your ACLS class!

Providing rescue breathing to apneic patients with a palpable pulse. Normal end tidal CO2 for patients with a pulse. Identification of cardiac arrest and our immediate actions. Providing artificial ventilations during CPR without an advanced airway vs with an advanced airway in place. Using quantitative waveform capnography to confirm placement of an advanced airway, assess the quality of CPR, and identify ROSC. The effects of hyperventilating patients in cardiac arrest. **American Cancer Society (ACS) Fundraiser This is the fourth year that I'm participating in Real Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission. I hope you'll consider contributing. Every donation makes a difference in the fight against breast cancer! http://main.acsevents.org/goto/paultaylor (Paul Taylor's ACS Fundraiser) THANK YOU! Connect with me: Website:  https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your ACLS class!

When a patient's core body temperature drops below 96.8 F (36 C), they are hypothermic.  As the body's temperature drops below 36 C, hypothermia may further be classified as moderate or severe: moderate if the patient's body core temp is between 30-34 C; and         severe if it's below 30 C. Hypothermic patients aren't dead until they are warm and dead. 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. **American Cancer Society (ACS) Fundraiser This is the fourth year that I'm participating in Real Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission. I hope you'll consider contributing. Every donation makes a difference in the fight against breast cancer! http://main.acsevents.org/goto/paultaylor (Paul Taylor's ACS Fundraiser) THANK YOU! Connect with me: Website:  https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your ACLS class!

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 is for the treatment of stable, narrow complex tachycardias refractory to Adenosine and to lower the blood pressure of ischemic stroke patients with severe hypertension. 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 check out the pod resource page at passacls.com. **American Cancer Society (ACS) Fundraiser This is the fourth year that I'm participating in Real Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission. I hope you'll consider contributing. Every donation makes a difference in the fight against breast cancer! http://main.acsevents.org/goto/paultaylor (Paul Taylor's ACS Fundraiser) THANK YOU! Connect with me: Website:  https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your ACLS class!

The surprising 'new way' to treat torn ACLs...

While running a code, the thing we hope for is Return of Spontaneous Circulation (ROSC), followed by recovery so the patient can return to a normal life.    ACLS's Post-Cardiac Arrest Care algorithm provides us with evidence-based guidance for the initial stabilization phase as well as continued management activities. Our primary focus immediately following ROSC is aimed at ensuring adequate perfusion of the body's vital organs. Management of O2 and CO2 concentrations. Administration of Atropine for symptomatic bradycardia. Maintaining a systolic BP of at least 90 and MAP of 65 mm Hg or more. Use of Dopamine, Levophed, and Epinephrine drips to maintain blood pressure. Starting targeted temperature management (TTM) for 24 hours based on the patient's level of consciousness. **American Cancer Society (ACS) Fundraiser This is the fourth year that I'm participating in Real Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission. I hope you'll consider contributing. Every donation makes a difference in the fight against breast cancer! http://main.acsevents.org/goto/paultaylor (Paul Taylor's ACS Fundraiser) THANK YOU! Connect with me: Website:  https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your ACLS class!

Nitroglycerine is vasodilator that affects peripheral blood vessels and coronary arteries. Because of its widespread dilation effects on blood vessels, nitro can quickly lower a patient's blood pressure, sometimes to the point of making a patient hypotensive. Assessment of vital signs prior to administering nitro to ensure patient safety. Indications for use of nitroglycerine. Effects of nitro on patients taking PDE inhibitors. Nitroglycerine's contraindications & considerations for use. Administration of nitroglycerine to patients with ischemic chest pain. Monitoring patient's pain and vital signs after nitro administration. Considerations for patients that took their home nitroglycerine. **American Cancer Society (ACS) Fundraiser This is the fourth year that I'm participating in Real Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission. I hope you'll consider contributing. Every donation makes a difference in the fight against breast cancer! http://main.acsevents.org/goto/paultaylor (Paul Taylor's ACS Fundraiser) THANK YOU! Connect with me: Website:  https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your ACLS class!

In this episode I start by endorsing my longtime family friend John Gentile in his run for Westminster city council district 1.  I then dive in to the show starting with talking some of the biggest topics in the NFL right now such as is there a QB controversy in New England and is it time to panic in Green Bay.  After I move over to the MLB and give my ALCS and NLCS previews.  Then move over to the NBA for my NBA season preview and finally finish with my top NFL and College Football bets for the weekend.  

In atrial fibrillation (A-Fib) and atrial flutter (A-Flutter) the electrical impulse for cardiac contraction is in the atria but isn't the normal pacemaker of the heart, the SA node. The ECG characteristics of A-Fib and A-Flutter. Recognition and treatment of unstable patients in A-Fib/Flutter with rapid ventricular response (RVR). Team safety when cardioverting an unstable patient in A-FIB. Adenosine's role for stable SVT patients with atrial rhythms. Treatment of stable patients in A-Fib/Flutter with RVR. **American Cancer Society (ACS) Fundraiser This is the fourth year that I'm participating in Real Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission. I hope you'll consider contributing. Every donation makes a difference in the fight against breast cancer! http://main.acsevents.org/goto/paultaylor (Paul Taylor's ACS Fundraiser) THANK YOU! Connect with me: Website:  https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your ACLS class!

As an ACLS provider you do not need to be familiar with all of the different signs of various types of poisoning.  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. **American Cancer Society (ACS) Fundraiser This is the fourth year that I'm participating in Real Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission. I hope you'll consider contributing. Every donation makes a difference in the fight against breast cancer! http://main.acsevents.org/goto/paultaylor (Paul Taylor's ACS Fundraiser) THANK YOU! Connect with me: Website:  https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your ACLS class!

The ACLS algorithms are designed to make it easier to remember the key interventions we should deliver, and the order in which they should be delivered, to provide the best evidence-based care possible. 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: 1.  If a patient's condition changes, we should do an assessment and use the algorithm that matches the patient's current state. 2.  If an action was already done, we don't need to repeat it. 3.  We only do actions that are clinically appropriate and within our scope of practice. Walk through of an example mega code scenario with explanations of when and why we change to a different ACLS algorithm.  **American Cancer Society (ACS) Fundraiser This is the fourth year that I'm participating in Real Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission. I hope you'll consider contributing. Every donation makes a difference in the fight against breast cancer! http://main.acsevents.org/goto/paultaylor (Paul Taylor's ACS Fundraiser) THANK YOU! Connect with me: Website:  https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your ACLS class!

Beta blocking medications attach to Beta receptors to inhibit or “block” the effects of epinephrine (adrenaline)and norepinephrine in the body. Review the primary locations of Beta I, II, and III receptors. Effects of epinephrine & norepinephrine stimulation of beta receptors in the heart. Beta blockers affects 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 use can be found on the Pod Resource page at PassACLS.com. **American Cancer Society (ACS) Fundraiser This is the fourth year that I'm participating in Real Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission. I hope you'll consider contributing. Every donation makes a difference in the fight against breast cancer! http://main.acsevents.org/goto/paultaylor (Paul Taylor's ACS Fundraiser) THANK YOU! Connect with me: Website:  https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your ACLS class!

The MSUM Dragons Podcast is sponsored by: MSUM junior running back Tyson Powell had his first competitive season of college football ripped away by COVID and by an ACL tear.  Not the worst time for an injury like that but a long road to recovery laid ahead.  Then, when the new season brought football back...another devastating ACL tear in the other leg.  Faced with a difficult decision and a hard road either way, Powell decided to come back.  He decided it was worth it to go through all that work again for a shot at playing college football for the Dragons.   Then...after 2 years...it happened.  What did that feel like?  Was it worth it?  What'd he learn?  All that in this episode of the MSUM Dragons Podcast.  

This episode we are reviewing the use of advanced airways in the Adult Cardiac Arrest algorithm. 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 include the Laryngeal Mask Airway (LMA) and the Laryngeal Tube airway. 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. **American Cancer Society (ACS) Fundraiser This is the fourth year that I'm participating in Real Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission. I hope you'll consider contributing. Every donation makes a difference in the fight against breast cancer! http://main.acsevents.org/goto/paultaylor (Paul Taylor's ACS Fundraiser) THANK YOU! Connect with me: Website:  https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your ACLS class!

Craig Morgan is in-studio with us today talking about his new memoir 'God, Faith, Country,' his thoughts on aliens, the best advice Garth Brooks gave him and more! Plus, a listener who is a vet called in to talk to Bobby about Stanley's torn ACLs. She helps answer his questions and gives some good pet parent advice. Mailbag: A listener is dating a new guy who loves his Mercedes so much, he couldn't pay their last dinner bill because he just has his car detailed. Do you think this guy will ever love her as much as he loves his car?See omnystudio.com/listener for privacy information.

Bobby talks to Eddie about his daily sign at his house where he leaves a message to his boys. Amy noticed something weird in his latest sign. A caller has a story on why we should play the lottery. We shake things up with our lottery pool and it makes Lunchbox very upset. Why the US was ranked as the 4th best country in the world. A voicemail asks us for random show updates. We get an answer on how many ACLs that dog's have and if they have 4 legs or 2 arms and 2 legs??See omnystudio.com/listener for privacy information.