Podcasts about Acute

This podcast is sponsored by YARAL Pharma.  In this episode, we are focusing on the management of hypothyroidism -- a treatable, but not curable condition – and will explore unique challenges for patients with hypothyroidism in long-term care – from tolerability and formulation considerations to consistent dosing and patient needs. Dr. Tamara Ruggles is not affiliated with YARAL Pharma. All views and opinions regarding hypothyroidism are solely her own and are not attributable to YARAL or the Pharmacy Podcast Network. IMPORTANT SAFETY INFORMATION for levothyroxine sodium capsules INDICATION AND USAGE Levothyroxine sodium capsules are L-thyroxine (T4) indicated for adults and pediatric patients 6 years and older with: Hypothyroidism - As replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism Pituitary Thyrotropin (Thyroid-Stimulating Hormone, TSH) Suppression - As an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well differentiated thyroid cancer Limitations of Use: Levothyroxine sodium capsules are not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient patients as there are no clinical benefits and overtreatment with Levothyroxine sodium capsules may induce hyperthyroidism. Levothyroxine sodium capsules are not indicated for treatment of transient hypothyroidism during the recovery phase of subacute thyroiditis WARNING: NOT FOR THE TREATMENT OF OBESITY OR FOR WEIGHT LOSS Thyroid hormones, including levothyroxine sodium capsules, either alone or with other therapeutic agents, should not be used for the treatment of obesity or for weight loss. In euthyroid patients, doses within the range of daily hormonal requirements are ineffective for weight reduction. Larger doses may produce serious or even life-threatening manifestations of toxicity, particularly when given in association with sympathomimetic amines such as those used for their anorectic effects. Contraindications Uncorrected adrenal insufficiency Warnings and Precautions Cardiac adverse reactions in the elderly and in patients with underlying cardiovascular disease: Initiate Levothyroxine sodium capsules at less than the full replacement dose because of the increased risk of cardiac adverse reactions, including atrial fibrillation Myxedema coma: Do not use oral thyroid hormone drug products to treat myxedema coma Acute adrenal crisis in patients with concomitant adrenal insufficiency: Treat with replacement glucocorticoids prior to initiation of levothyroxine sodium capsules treatment Prevention of hyperthyroidism or incomplete treatment of hypothyroidism: Proper dose titration and careful monitoring is critical to prevent the persistence of hypothyroidism or the development of hyperthyroidism Worsening of diabetic control: Therapy in patients with diabetes mellitus may worsen glycemic control and result in increased antidiabetic agent or insulin requirements. Carefully monitor glycemic control after starting, changing, or discontinuing thyroid hormone therapy Decreased bone mineral density associated with thyroid hormone over-replacement: Over-replacement can increase bone reabsorption and decrease bone mineral density. Give the lowest effective dose Adverse Reactions Common adverse reactions with levothyroxine therapy are primarily those of hyperthyroidism due to therapeutic overdosage. They include the following: General: fatigue, increased appetite, weight loss, heat intolerance, fever, excessive sweating Central Nervous System: headache, hyperactivity, nervousness, anxiety, irritability, emotional ability, insomnia Musculoskeletal: tremors, muscle weakness Cardiovascular: palpitations, tachycardia, arrythmias, increased pulse and blood pressure, heart failure, angina, myocardial infarction, cardiac arrest Respiratory: dyspnea Gastrointestinal (GI): diarrhea, vomiting, abdominal cramps, elevations in liver function tests Dermatologic: hair loss, flushing Endocrine: decreased bone mineral density Reproductive: menstrual irregularities, impaired fertility Adverse Reactions in Children Pseudotumor cerebri and slipped capital femoral epiphysis have been reported in children receiving levothyroxine therapy. Overtreatment may result in craniosynostosis in infants and premature closure of the epiphyses in children with resultant compromised adult height. Seizures have been reported rarely with the institution of levothyroxine therapy. Hypersensitivity Reactions Hypersensitivity reactions to inactive ingredients (in this product or other levothyroxine products) have occurred in patients treated with thyroid hormone products. These include urticaria, pruritis, skin rash, flushing, angioedema, various GI symptoms (abdominal pain, nausea, vomiting and diarrhea), fever, arthralgia, serum sickness and wheezing. Hypersensitivity to levothyroxine itself is not known to occur. Drug Interactions: Many drugs and some foods can exert effects on thyroid hormone pharmacokinetics (e.g., absorption, synthesis, secretion, catabolism, protein binding, and target tissue response) and may alter the therapeutic response to Levothyroxine sodium capsules. Administer at least 4 hours before or after drugs that are known to interfere with absorption. See full prescribing information for drugs that affect thyroid hormone pharmacokinetics and metabolism. To report SUSPECTED ADVERSE REACTIONS, contact Yaral Pharma Inc. at 1-866-218-9009, or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. For Full Prescribing Information, including Boxed Warning, go to www.yaralpharma.com/levothyroxine-pi.

Lexi, a perinatal therapist and mother of three, has lived with cluster headaches since adolescence. These headaches evoke intense, cyclical neurological pain for hours on end. In today's Healing Heroine episode, Lexi, Hero Nicole Kim, and Chandler trace the long diagnostic journey, the limits of conventional care, and the ways energy-based practices helped Lexi notice early warning signs and soften the severity of her headaches.Nicole and Lexi explore how consistent yoga, sound work, and Thai bodywork create impactful shifts in the nervous system. This episode is for anyone curious about integrating Western medicine with somatic practices to reclaim steadiness and agency in the midst of chronic pain.What You Will Learn[00:08:57] How moving during COVID and juggling childcare, work, and a new community contributed to loneliness and stress in daily life.[00:13:00] Cluster headaches as a neurological condition tied to trigeminal nerve misfiring and hypothalamic/circadian rhythms, often presenting seasonally and with intense pain.[00:16:30] The lengthy diagnostic path — multiple specialists, imaging, and the moment Lexi self-identified her condition in college.[00:18:30] Acute treatments (triptan injections, oxygen, verapamil) can reduce pain quickly, but responses vary and some patients remain treatment-resistant.[00:20:30] Why Lexi became open to complementary approaches (nature, intranasal oils, emerging research like psilocybin) alongside medical care.[00:23:30] How connection with a practitioner — Nicole's sequencing, intention, and presence — made somatic practices feel safe and effective for Lexi.[00:31:15] The experience of a palpable energy release during Thai bodywork that felt like a meaningful shift in tension and affect.[00:39:30] The value of tracking symptoms and responding early — combining Western tools with yoga, sound, and bodywork helped soften episodes and create more days of steadiness.Let's Connect!Follow The Healing Heroes on Instagram & LinkedIn.Nicole KimWebsiteChandler StroudWebsite | LinkedIn | InstagramMixing and editing provided by Next Day Podcast.

Episode OverviewWhat happens when your business partner destroys two years of work in a single day? Most people would spiral for months. High priestess and spiritual business coach Inara Griffin bought a new company in 30 days. This conversation reveals what mastery actually looks like when everything falls apart, how to transmute rage into bliss in three weeks, and why the squeeze is getting tighter for those who aren't available for evolution.Key Timestamps00:00 Introduction and Inara's background as a high priestess04:30 Being born awake and following the spiritual path from childhood07:00 Multiple business iterations and knowing when the end is nigh11:30 The business partnership that violated her own intuition14:00 The day her partner destroyed two years of work16:45 Week one: Pure shock and the beginning of the transmutation19:20 Allowing the darkest feelings to move through without suppression21:00 The ceremony of writing and burning her darkest fears23:15 Building capacity and learning from past initiations26:30 The big fat NO that changed everything29:40 Acute pain vs chronic suffering and the importance of channeling emotion32:50 Creating Serenity: the new vision that emerged from the ashes35:10 Commercial vs soul-aligned business models38:00 Soul calling, healing, and what it means to make a difference41:15 Partnership, collaboration, and win-win-win business43:30 The necessity of confrontation and handling conflict46:00 Why having a hater means you're successful✨ Wake and Activate! A 7-Day Challenge to Raise Your Frequency, Get Unapologetically Activated and Make The Bold Moves You've Been Waiting On.Saturday, 10/4/25!https://offers.therawandwildhearts.co...✨ Connect with Inarra Aryane Griffin  / inarraaryanegriffyn  ✨ Lori's Instagramhttps://www.instagram.com/lorireisingchannelsFacebookhttps://www.facebook.com/lorireising-1YouTubehttps://www.youtube.com/@LoriReisingWork with Lori!https://therawandwildhearts.com/Channel October 2025!https://offers.therawandwildhearts.com/channel

We review the diagnosis, risk stratification, & management of acute pulmonary embolism in the ED. Hosts: Vivian Chiu, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Acute_Pulmonary_Embolism.mp3 Download Leave a Comment Tags: Pulmonary Show Notes Core Concepts and Initial Approach Definition: Obstruction of pulmonary arteries, usually from a DVT in the proximal lower extremity veins (iliac/femoral), but may be tumor, air, or fat emboli. Incidence & Mortality: 300,000–370,000 cases/year in the USA, with 60,000–100,000 deaths annually. Mantra: “Don't anchor on the obvious. Always risk stratify and resuscitate with precision.” Risk Factors: Broad, including older age, inherited thrombophilias, malignancy, recent surgery/trauma, travel, smoking, hormonal use, and pregnancy. Clinical Presentation and Risk Stratification Presentation: Highly variable, showing up as anything from subtle shortness of breath to collapse. Acute/Subacute: Dyspnea (most common), pleuritic chest pain, cough, hemoptysis, and syncope. Patients are likely tachycardic, tachypneic, hypoxemic on room air, and may have a low-grade fever. Chronic: Can mimic acute symptoms or be totally asymptomatic. Pulmonary Infarction Signs: Pleuritic pain, hemoptysis, and an effusion. High-Risk Red Flags: Signs of hypotension (systolic blood pressure < 90 mmHg for over 15 minutes),

Dr. Lindsey Hughey // www.ptonice.com 

Stephan von Düring, MD, and Eddy Fan, MD, PhD, join CHEST® Journal Podcast Moderator Matt Siuba, DO, MS, to discuss their research into the association between mechanical power within the first 24 hours and ICU mortality in adult patients with acute hypoxemic respiratory failure who are mechanically ventilated.  DOI: 10.1016/j.chest.2025.03.012 Disclaimer: The purpose of this activity is to expand the reach of CHEST content through awareness, critique, and discussion. All articles have undergone peer review for methodologic rigor and audience relevance. Any views asserted are those of the speakers and are not endorsed by CHEST. Listeners should be aware that speakers' opinions may vary and are advised to read the full corresponding journal article(s) for complete context. This content should not be used as a basis for medical advice or treatment, nor should it substitute the judgment used by clinicians in the practice of evidence-based medicine. 

In today's VETgirl online veterinary continuing education podcast, we're diving into a hot topic: managing pancreatitis in dogs. More specifically, we're taking a closer look at an outpatient treatment protocol. Let's face it, treatment for pancreatitis can be prolonged and expensive, often requiring hospitalization, intravenous (IV) fluids, antiemetic therapy, nutritional support, analgesics, anti-inflammatory therapy, and 24/7 care, and that's not always possible for some clients and patients. But what if there were a practical, cost-conscious alternative that could be managed outside the hospital for the more mild to moderate cases that strikes a balance between effective clinical care and financial feasibility for clients?Sponsored By: Ceva Animal Health

En este episodio del ECCpodcast, exploramos el SCAPE, o “Sympathetic Crashing Acute Pulmonary Edema”. Este síndrome representa una forma dramática de edema agudo de pulmón mediado por un colapso súbito de la función cardiopulmonar, con un componente simpático dominante que desencadena una cascada crítica de deterioro. A lo largo del episodio, desglosamos la fisiopatología, el diagnóstico diferencial, el manejo clínico y las estrategias avanzadas de intervención para SCAPE. Este artículo resume y amplía los puntos clave discutidos, con la intención de ofrecerte un recurso educativo robusto, ya seas médico, paramédico, enfermero o profesional de atención crítica. ¿Qué es SCAPE? SCAPE (Sympathetic Crashing Acute Pulmonary Edema) se refiere a una forma de edema pulmonar agudo con características distintivas: Inicio súbito: El paciente suele estar previamente normotenso o hipertenso, sin antecedentes inmediatos de insuficiencia cardiaca congestiva descompensada. Activación simpática intensa: Elevaciones abruptas en la presión arterial y frecuencia cardíaca desencadenan un círculo vicioso de congestión pulmonar y deterioro ventilatorio. Hipoxia severa y ansiedad extrema: El paciente se presenta en franca angustia respiratoria, luchando por aire y con sensación inminente de muerte. Esta condición es potencialmente reversible con un tratamiento rápido y apropiado, lo cual contrasta con otras causas de edema pulmonar en pacientes con falla sistólica crónica. Fisiopatología de SCAPE: Una tormenta simpática SCAPE no es simplemente edema pulmonar. Es el resultado de una descarga adrenérgica descontrolada, en muchos casos precipitada por un evento hipertensivo agudo o crisis de ansiedad. Hipertensión severa repentina → aumento de la poscarga → disfunción ventricular izquierda transitoria. Esto causa congestión pulmonar aguda, en minutos, con extravasación de líquido en los alvéolos. El resultado: edema pulmonar con dificultad respiratoria extrema, hipoxia, y ansiedad severa. En lugar de una descompensación progresiva de insuficiencia cardíaca, aquí vemos una crisis hemodinámica inducida por una tormenta simpática, en pacientes que usualmente tienen una fracción de eyección normal. Presentación clínica: El paciente que “se estrella” frente a ti El paciente con SCAPE puede presentarse con: Disnea súbita y severa Sibilancias generalizadas (puede confundirse con un cuadro asmático) Presión arterial muy elevada, típicamente ≥180 mmHg sistólica Frecuencia respiratoria y cardíaca elevadas Sudoración profusa, ansiedad extrema Rales bilaterales hasta vértices Uso de músculos accesorios Saturación de O₂ marcadamente reducida Estos signos deben diferenciarse de otras causas de disnea aguda como EPOC, asma, TEP, síndrome ansioso o neumonía. Diagnóstico diferencial: ¿Es SCAPE o no? El diagnóstico de SCAPE es principalmente clínico. Algunos elementos clave para distinguirlo incluyen: Diagnóstico diferencial Diferenciador clave Asma No hay historia asmática, no hay respuesta a broncodilatadores EPOC No hay hipersecreción crónica ni patrón obstructivo previo TEP No suele haber hipertensión severa ni edema pulmonar radiológico Neumonía Inicio más insidioso, fiebre, consolidación localizada Ansiedad No explica rales ni saturación baja sostenida El hallazgo de rales bilaterales, taquicardia, hipertensión severa, y signos de hipoxia crítica, especialmente en ausencia de historia de ICC, apunta fuertemente a SCAPE. Tratamiento inmediato: Qué hacer en los primeros 5 minutos En SCAPE, cada minuto cuenta. El manejo temprano es vital para revertir el curso clínico. El tratamiento se enfoca en tres pilares fundamentales: 1. Ventilación no invasiva (VNI) inmediata Iniciar CPAP o BiPAP en cuanto se identifica el cuadro. CPAP de inicio: 10 cmH₂O Mejora la oxigenación, recluta alvéolos colapsados, y reduce la precarga. Reduce la necesidad de intubación orotraqueal. 2. Nitroglicerina en bolos y goteo No es una hipertensión “de fondo” — se trata de una crisis aguda. Bolos de nitroglicerina IV de 400-800 mcg cada 2-3 minutos son preferibles al goteo lento. Luego se inicia goteo continuo a dosis altas (100-200 mcg/min). Objetivo: reducir rápidamente la poscarga. 3. Evitar intubación temprana La intubación agrava el cuadro si no se ha optimizado primero la poscarga. El uso agresivo de VNI y vasodilatadores puede evitar la necesidad de intubación en la mayoría de los casos. ¿Y los diuréticos? Un error común es administrar furosemida o torasemida como primer paso. En SCAPE: El paciente no tiene sobrecarga de volumen, sino redistribución aguda de fluidos por hipertensión. El diurético puede empeorar la hipotensión posterior. Puede considerarse después de estabilizar la presión y la oxigenación, no antes. Rol del ultrasonido en SCAPE El ultrasonido pulmonar y cardíaco a pie de cama puede ser útil: Pulmonar: líneas B difusas bilaterales, indicativas de edema intersticial. Cardíaco: disfunción ventricular izquierda, cavidades no dilatadas (útil para diferenciar de ICC crónica). El uso del ecógrafo puede reforzar el diagnóstico clínico y guiar intervenciones tempranas. Perlas prácticas del ECCpodcast Durante el episodio, se destacan múltiples “perlas clínicas” útiles para el manejo operativo de SCAPE: La mayoría de los pacientes con SCAPE tienen FEVI normal: no son pacientes con ICC descompensada. La sibilancia no siempre es asma: los rales y sibilancias en SCAPE vienen de edema, no de broncoespasmo. La nitroglicerina en bolo es tu mejor aliada: no temas usar dosis elevadas bajo monitoreo. No pierdas tiempo con diuréticos ni con salbutamol en estos casos. Usa CPAP agresivamente desde el inicio. No intubes a menos que hayas fallado en revertir el cuadro con VNI + nitro. Contexto prehospitalario: ¿Qué puede hacer el paramédico? Desde la perspectiva de atención prehospitalaria: Iniciar CPAP tan pronto como se identifique el cuadro. Administrar nitroglicerina sublingual en dosis repetidas, si no se cuenta con acceso IV. Monitorear la presión constantemente. SCAPE requiere agresividad controlada, no intervención ciega. Notificar al hospital del cuadro clínico temprano para que se preparen con VNI e intervenciones avanzadas. Conclusiones del episodio SCAPE representa una emergencia hipertensiva de alta mortalidad si no se trata de forma rápida y dirigida. El abordaje debe ser: Rápido Guiado por la fisiopatología Alejado de viejos esquemas de manejo de ICC Centrado en VNI + nitroglicerina Recursos adicionales Algoritmo de manejo de SCAPE en formato PDF Infografía resumen de SCAPE para descargas clínicas Referencias a estudios y guías clínicas mencionadas

TARGET-FIRST: Early Aspirin Discontinuation After PCI in Acute MI Patients

Join Dr. Christine Gall from Colette Health as she explores how virtual care platforms are transforming acute care delivery in hospitals and health systems. Starting with virtual observation as the entry point for falls prevention and patient safety, Dr. Gall will discuss how Colette Health's comprehensive virtual care solution expands into virtual nursing for admissions, discharges, transfers, and clinical support. Discover how hospitals are leveraging virtual care technology to enhance patient safety, optimize nursing workflows, and address staffing challenges while maintaining high-quality care standards in acute care environments. Christine Gall, DrPH, MS, BSN, Chief Nursing Officer, Colette HealthMegan Antonelli, Founder & CEO, HealthIMPACT Live

Richard B. Lipton, MD - Overcoming the Disconnects Between Recommendations and Reality in Acute Migraine Treatment: Patient and Provider Perspectives on Communication and Collaboration

Richard B. Lipton, MD - Overcoming the Disconnects Between Recommendations and Reality in Acute Migraine Treatment: Patient and Provider Perspectives on Communication and Collaboration

Welcome to PICU Doc on Call, the podcast where we break down real-life cases from the pediatric intensive care unit and share practical insights for clinicians everywhere! I'm Dr. Monica Gray, and I'm joined by my co-host, Dr. Pradip Kamat.Today, we're diving into a fascinating case: a 13-year-old boy who suddenly developed muscle weakness and was found to have severe hypokalemia. After some detective work, he was diagnosed with familial hypokalemic periodic paralysis, a rare but important condition to recognize in the PICU.We'll discuss the genetic underpinnings, classic clinical features, and common triggers associated with this disorder. Additionally, we'll guide you through the differential diagnosis, key management strategies, such as potassium supplementation, and explain why genetic testing is so crucial. We'll also cover essential considerations for anesthesia and cardiac monitoring in these patients.Whether you're a pediatric intensivist or just interested in acute neuromuscular care, stick around for some practical pearls you can use on your next shift!Show Highlights:Clinical case discussion of a 13-year-old male patient with muscle weakness and hypokalemiaDiagnosis and management of familial hypokalemic periodic paralysisGenetic basis and mutations associated with hypokalemic periodic paralysis (CACNA1S and SCN4A)Physiological mechanisms underlying hypokalemic periodic paralysisCommon clinical presentations and triggers for episodes of muscle weaknessDifferential diagnoses for muscle weakness and hypokalemia in pediatric patientsLaboratory investigations to confirm hypokalemic periodic paralysisTreatment options for hypokalemic periodic paralysis, including potassium supplementation and prophylactic medicationsImportance of avoiding triggers and coordinating care with anesthesiaReferences:Fuhrman & Zimmerman - Textbook of Pediatric Critical Care Chapter 68: Weimer M et al. Acute neuromuscular disease and disorders page 840Rogers Textbook of Pediatric Intensive Care Medicine: Management of Sodium and Potassium Disorders. Pages 1876- 1883Reference 1: Weber F, Lehmann-Horn F. Hypokalemic Periodic Paralysis. 2002 Apr 30 [Updated 2018 Jul 26]. In: Adam MP, Feldman J, Mirzaa GM, et al., editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2025. Available from: https://www.ncbi.nlm.nih.gov/books/NBK1338/Reference 2: Channelopathies. Clin Exp Pediatr. 2014;57(1):1-18. Published online January 31, 2014**DOI: https://doi.org/10.3345/kjp.2014.57.1.1**Reference 3: Statland JM, Fontaine B, Hanna MG, Johnson NE, Kissel JT, Sansone VA, Shieh PB, Tawil RN, Trivedi J, Cannon SC, Griggs RC. Review of the Diagnosis and Treatment of Periodic Paralysis. Muscle Nerve. 2018 Apr;57(4):522-530.

Welcome to Season 2 of the Orthobullets Podcast.Today's show is CoinFlips, where expert speakers discuss grey zone decisions in orthopedic surgery. This episode will feature doctors Grant Garrigues, Peter Chalmers, Joseph Abboud, & Christopher Klifto. They will discuss the case titled "⁠⁠Acute Rotator Cuff Tear in 64M⁠⁠."Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Twitter⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube

Virtual Care in Acute Settings: From Observation to Nursing - Technology Solutions for Hospital Risk Prevention Join Dr. Christine Gall from Colette Health as she explores how virtual care platforms are transforming acute care delivery in hospitals and health systems. Starting with virtual observation as the entry point for falls prevention and patient safety, Dr. Gall will discuss how Colette Health's comprehensive virtual care solution expands into virtual nursing for admissions, discharges, transfers, and clinical support. Discover how hospitals are leveraging virtual care technology to enhance patient safety, optimize nursing workflows, and address staffing challenges while maintaining high-quality care standards in acute care environments. Visit www.digitalhealthtalks.com next week to listen to the extended version of this interview. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Trends in Risk Factor Prevalence and Incidence of Acute Myocardial Infarction in Young Adults.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Cardiogenic Shock With Acute Myocardial Infarction Among Older Adults in the United States.

This episode I'm joined again by the brilliant Ian Watson. Ian is one of those rare teachers who can tilt your view a few degrees and suddenly the whole landscape looks different. We go new places together. From the day a book literally fell off a shelf in Watkins and opened the door to Australian Bush Flower Essences, to the lost Arborivital tinctures of Dr Thomas Cooper that may well have inspired Dr Bach. It's a tour through forgotten treasure and living practice.We talk about why simplicity beats overload. What Hahnemann might say about where homeopathy sits today. LM potencies and why higher isn't always higher. Ferrum phos as the great clarifier when an acute is just brewing. Hawthorn as a classic heart tonic with stories that give you chills. Dowsing, remedy machines, and how on earth any of this works in the first place. And we circle back to why acute prescribing can be the most preventative medicine we have.Ian is also guest teaching on my new practitioner-level PIHAP course. The link to my new Academy is in the show notes, along with Ian's books. Settle in for a grounded, generous conversation that moves from hidden corners of homeopathic history to the simple truths that change lives today.Key takeawaysSimplicity over overload: depth with polychrests.Potencies: LMs designed to minimise aggravations; and “higher” ≠ harsher.Ferrum phos: clarifies vague acutes and often resolves the “something's brewing.”Hawthorn (Crataegus) tincture: a time-tested heart ally with jaw-dropping cases.Arborivital tinctures & Bach: the living-plant, sunlight-infused lineage.Inner authority: insight changes behaviour faster than information.Acute prescribing as prevention: treat the spark, avoid the wildfire.We also talk aboutVaccine-linked themes showing up unexpectedly in polychrest prescribingWhy some methods fade (unless a new generation carries the torch)Gentle prescribing: reducing aggravations without losing momentumDowsing and machine-made remedies — what works, what to watchResources MentionedIan's website: Click here'The Blue Book' The Homeopathic Miasms - A Modern View by Ian Watson- USA, UK, Australia'The Green Book' A Guide to the Methodologies of Homeopathy by Ian Watson - USA, UK, AustraliaWant the inside scoop on Lisa's game-changing Practitioner-level course launching in January 2026? Sign up hereSend us a textJoin Lisa's brand new global homeopathy community for homeopathy lovers here.

In the final part of this three-part series, Dr. Justin Abbatemarco and Drs. John Chen and Smathorn Thakolwiboon discuss how to approach discontinuation of immunotherapy in clinical practice.  Show reference:  https://www.neurology.org/doi/10.1212/WNL.0000000000213903   

Steve Gruber discusses news and headlines 

Send us a textIn this episode of PT Snacks podcast, we dive deep into scaphoid fractures, a common yet often mismanaged injury in younger and active individuals. Listeners will learn about the anatomy of the scaphoid bone, the typical mechanisms of injury, common diagnostic challenges, and both conservative and surgical treatment options. We explain the importance of recognizing and adequately managing these fractures to prevent complications like avascular necrosis and non-union. Tune in to enhance your knowledge and clinical skills regarding this significant topic in physical therapy.00:00 Introduction and Welcome00:44 Topic Overview: Scaphoid Fractures01:21 Anatomy of the Scaphoid03:29 Mechanisms and Risk Factors04:27 Diagnosis and Imaging05:11 Differential Diagnosis05:59 Symptoms and Clinical Examination06:36 Treatment Options07:40 Conclusion and Additional ResourcesReferencesSteinmann S, et al. Scaphoid fractures and nonunions: diagnosis and treatment. J Orthop Sci. 2006.Rhemrev S, et al. Current methods of diagnosis and treatment of scaphoid fractures. Int J Emerg Med. 2011.Clementson M, et al. Acute scaphoid fractures: guidelines for diagnosis and treatment. EFORT Open Rev. 2020.Krasin E, et al. Review of the current methods in the diagnosis and treatment of scaphoid fractures. Postgrad Med J. 2001.Krimmer H, et al. [Scaphoid fractures—diagnosis, classification and therapy]. Unfallchirurg. 2000.Clementson M, et al. [Scaphoid fractures – Guidelines for diagnosis and treatment]. Lakartidningen. 2019.Pickrell BB, et al. Update on management of scaphoid fractures. Plast Reconstr Surg. 2024.Go to PT Final Exam using this link to access great studying options to conquer the NPTE!Support the showStay Connected! Make sure to hit follow now so you don't miss an episode! Got questions? Email me at ptsnackspodcast@gmail.com or leave feedback HERE. You can also join the email list HERE Need CEUs Fast?Time and resources short? Medbridge has you covered: Get over $100 off a subscription with code PTSNACKSPODCAST: Medbridge Students: Save $75 off a student subscription with code PTSNACKSPODCASTSTUDENT—a full year of unlimited access for less! Prepping for the NPTE? Get all the study tools you need to master it at PT Final Exam. Use code PTSnacks at checkout to get a discount! Want to Support the Show?Help me keep creating free content by: Sharing the podcast with someone who'd benefit. Contributing directly via the link...

Show notes at pharmacyjoe.com/episode1063. In this episode, I'll discuss the risk of hypotension when giving IV furosemide for acute decompensated heart failure. The post 1063: Should you worry about hypotension when giving IV furosemide for acute decompsensated heart failure? appeared first on Pharmacy Joe.

In part two of this three-part series, Dr. Justin Abbatemarco and Drs. John Chen and Smathorn Thakolwiboon discuss a long-term maintenance approach for MOGAD.  Show reference:  https://www.neurology.org/doi/10.1212/WNL.0000000000213903  

In this episode of The Bloodline with Blood Cancer United, Elissa and guest co-host, Kristen Parker, speak with Dr. Anand […] The post Acute Promyelocytic Leukemia (APL): Advances, Hope, and Healing first appeared on The Bloodline with Blood Cancer United Podcast.

Broadcast from KSQD, Santa Cruz on 9-18-2025: Dr. Dawn opens by establishing her psychobiology background and introducing the neurohormonal axis connecting mind and body. She describes revolutionary research published in Nature Neuroscience showing that simply seeing sick people in virtual reality triggers actual immune responses. The study used VR avatars displaying infection symptoms approaching participants, measuring brain activity with EEG and fMRI while analyzing blood samples for immune cell changes. The research demonstrates that infectious avatars approaching in virtual reality activate the same immune pathways as actual flu vaccination. Brain areas including the salience network and peripersonal space system detect potential threats and communicate with the hypothalamus to trigger white blood cell activation. Proximity matters - threats 20 feet away don't trigger responses, but approaching threats do. Dr. Dawn explains the sophisticated methodology, including 128-channel EEG monitoring and flow cytometry analysis of immune markers. Participants showed faster reaction times when infectious avatars approached compared to neutral ones, demonstrating subconscious threat assessment. The study reveals built-in disgust responses that evolved to protect against pathogens. She comments on how her medical training rewire the protective disgust reaction through repeated exposure.. She transitions to discussing stress effects on gastrointestinal function, explaining how the gut-brain axis operates through the vagus nerve and neurohormonal pathways. The adrenal glands produce both immediate epinephrine responses and longer-term cortisol release, with chronic stress leading to digestive disruption, increased intestinal permeability, and microbiome changes that can trigger food sensitivities and autoimmune conditions. Dr. Dawn details the difference between acute and chronic stress responses in the gut. Acute stress redirects energy from digestion for fight-or-flight responses, while chronic stress causes mast cell activation, histamine release, mucus layer thinning, and bacterial overgrowth. These changes can lead to irritable bowel syndrome, increased food allergies, and even celiac disease in genetically susceptible individuals. The discussion covers various brain networks including the default mode network active during rest, the central executive network for problem-solving, and the salience network that switches between them when detecting important stimuli like threats, food, or reproductive opportunities. Functional MRI studies show these networks' activity patterns and their connections to immune system regulation through the hypothalamus. Dr. Dawn emphasizes practical implications for modern life, warning that constant screen exposure and doom-scrolling activate chronic stress responses unnecessarily. She recommends avoiding phones upon waking, spending time outdoors, wearing amber glasses for evening screen use, and practicing specific breathing techniques - inhaling for 5 counts, holding for 5, exhaling for 5, holding for 5 - to regulate nervous system activation and reduce inflammatory responses.

Ann Collins, PA, Blood Cancer United, Washington, DC, Kelly Laschinger, MSN, RN, CPNP, CPHON, Blood Cancer United, Washington, DC, Sarah K. Tasian, MD, Children's Hospital of Philadelphia, Philadelphia, PA Recorded on September 9, 2025 Ann Collins, PA Project Leader, Pediatric Acute Leukemia Master Clinical Trial (PedAL) Blood Cancer United Washington, DC Kelly Laschinger, MSN, RN, […]

EASY LISTENING DEP'T.: Hamstringing the FBI's ability to investigate financial fraud doesn't seem like things backfiring for the Trump administration exactly. Seems more like one of their more successful integrated policy initiatives. Please visit, read, and support INDIGNITY! https://www.indignity.net/

Despite being in a Rent Pressure Zone, monthly fees for on-campus accommodation at DCU increased by almost 7 per cent this year through service charges. Joining Newstalk Breakfast to discuss more on student accommodation is Bryan O'Mahony, President of AMLÉ formerly known as Union Students of Ireland, who will be addressing the Oireachtas Committee on Higher Education on this later today

In this powerful episode, Lindsey gets vulnerable about the connection between trauma and eating disorders, sharing why sometimes it's okay to look at our past to catapult us into our future. If you've experienced trauma and are wondering how it connects to your eating disorder, this episode will provide hope, healing insights, and practical steps forward. Discover the 6 essential things to remember about your past that can transform your recovery journey and help you move from survival to thriving. Note: This episode addresses sensitive topics around trauma. Lindsey emphasizes that as a recovery coach, she focuses on the here and now of recovery, while encouraging professional therapy support for trauma processing. Key Topics Covered:

Could sepsis be healthcare's new frontier?During the next live edition of the popular Internet broadcast, Talk Ten Tuesday, James S. Kennedy, MD, will report on his recent attendance at The Unite for Sepsis symposium, sponsored by the San Diego-based Sepsis Alliance (https://www.sepsis.org). The event was held in Chicago and attracted clinicians, researchers, technologists, and government officials who collaborated to address and solve sepsis' prevalent and high morbidity and mortality. Dr. Kennedy is expected to report on new technologies and clinical approaches to sepsis and how health information management (HIM) professionals can address sepsis-related diagnosis and data integrity.As an added feature, the legendary Rose T. Dunn, past president and interim CEO for the American Health Information Management Association (AHIMA) and current COO for First Class Solutions, will report on RADV audits.The popular Internet broadcast will also feature these additional instantly recognizable panelists, who will report more news during their segments:• CDI Report: Cheryl Ericson, Senior Director of Clinical Policy and Education for the vaunted Brundage Group, will have the latest clinical documentation integrity (CDI) updates.• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.

This week, we are diving into skin problems with horses. Skin problems are hard to ignore. They are right in your face, so they grab your attention instantly. Types of Skin Problems in HorsesSkin issues range from dry, flaky skin to severe allergic reactions. Horses may suffer from hives, sweet itch, infections like rain rot or mud fever, and chronic itchy skin. These conditions may appear as sudden, alarming outbreaks or develop into persistent, long-term struggles.Why Skin Problems Demand AttentionUnlike hidden health issues, skin problems are visible and alarming, often pushing owners to act quickly. Acute flare-ups can appear to be emergencies, and chronic flare-ups may frustrate owners when topical treatments and medications only provide temporary relief.Beyond the SurfaceThe skin is an organ and part of the immune system. When reactions occur externally, it is a sign of deeper imbalances, such as inflammation, immune dysfunction, or a toxin overload that can also affect internal systems.Digestive ProblemsDigestive problems often correlate with skin flare-ups. Ulcers, leaky gut, and poor liver function can raise histamine levels, leading to hives, itching, and chronic skin irritation. When the liver and gut cannot properly eliminate toxins, issues frequently surface in the skin.The Role of HistaminesHistamine release is a natural immune response that can cause symptoms like swelling, itching, and hives. Horses with gut issues often produce excess histamine, making them more prone to skin outbreaks. Treating your horse only with antihistamines can suppress symptoms, but that does not solve the root cause.Diet and AllergensSome feeds can trigger skin reactions. Allergies or intolerances (such as to alfalfa) may take years to appear as acute symptoms. Long-term toxic buildup from feed, medication, or supplements can overload detox pathways and weaken skin health.Liver HealthThe liver plays a central role in detoxification. Over time, medications, poor nutrition, or stress can overwhelm the liver, leading to chronic skin problems. Supporting liver health is the key to sustainable recovery.TriggersHormone imbalances and stress can affect skin health. Stress-related cortisol and adrenaline spikes increase histamine production, sometimes also triggering ulcers and hives. Managing stress is critical for restoring balance.Long-Term SolutionsQuick fixes rarely last. Holistic management focuses on supporting digestion, detox pathways, nutrient balance, and emotional well-being. Owners may need to experiment and make gradual adjustments to find lasting solutions.Key TakeawaysSkin health reflects whole-body health. A methodical approach that addresses gut health, liver function, diet, hormones, and stress will lead to lasting improvements, whereas symptom-only treatments will keep horses stuck in recurring cycles.Links and resources:Connect with Elisha Edwards on her website Join my email list to be notified about new podcast releases and upcoming webinars.Free Webinar Masterclass: Four Steps to Solving Equine Metabolic Syndrome NaturallyRegister for my self-paced course, Resolving Equine Metabolic Syndrome...

Why are we still treating acute uncomplicated diverticulitis with antibiotics? There is plenty of evidence from several randomized controlled trials demonstrating that symptomatic management alone yields similar results. If we should continue prescribing antibiotics for acute uncomplicated diverticulitis, which patients should undergo treatment and when? Join Drs. Jared Hendren, Elissa Dabaghi, Joseph Trunzo, Ajaratu Keshinro, and David Rosen as they discuss the management of uncomplicated diverticulitis while reviewing groundbreaking literature. Hosts: -Jared Hendren, MD Institution: Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio - Elissa Dabaghi, MD Institution: Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio - Joseph Trunzo, MD Institution: Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio Social Media Handle: X/Twitter @joseph_trunzo - Ajaratu Keshinro, MD Institution: Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio Social Media Handle: X/Twitter- @AJKesh - David Rosen, MD Institution: Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio Social Media Handle: X/Twitter- @davidrrosenmd Learning Objectives: By the end of this episode, listeners will be able to: 1.     Identify criteria for managing acute uncomplicated diverticulitis without antibiotics based on recent literature 2.     Define uncomplicated and complicated diverticulitis 3.     Discuss nuanced management decisions of patients with uncomplicated diverticulitis to determine when antibiotics may be appropriate for management References: 1.     Azhar, N., Aref, H., Brorsson, A., Lydrup, M.‑L., Jörgren, F., Schultz, J. K., & Buchwald, P. (2022). Management of acute uncomplicated diverticulitis without antibiotics: Compliance and outcomes – a retrospective cohort study. BMC Emergency Medicine, 22(1), Article 28. https://doi.org/10.1186/s12873‑022‑00584‑X  2.     Mora‑López, L., Ruiz‑Edo, N., Estrada‑Ferrer, O., Piñana‑Campón, M. L., Labró‑Ciurans, M., Escuder‑Perez, J., Sales‑Mallafré, R., Rebasa‑Cladera, P., Navarro‑Soto, S., Serra‑Aracil, X., & DINAMO‑study Group. (2021). Efficacy and safety of nonantibiotic outpatient treatment in mild acute diverticulitis (DINAMO‑study): A multicentre, randomised, open‑label, noninferiority trial. Annals of Surgery, 274(5), e435–e442. https://doi.org/10.1097/SLA.0000000000005031 3.     Daniels, L., Ünlü, Ç., de Korte, N., van Dieren, S., Stockmann, H. B., Vrouenraets, B. C., Consten, E. C., van der Hoeven, J. A., Eijsbouts, Q. A., Faneyte, I. F., Bemelman, W. A., Dijkgraaf, M. G., & Boermeester, M. A. (2017). Randomized clinical trial of observational versus antibiotic treatment for a first episode of CT‑proven uncomplicated acute diverticulitis. British Journal of Surgery, 104(1), 52‑61. https://doi.org/10.1002/bjs.10309 4.     Chabok, A., Påhlman, L., Hjern, F., Haapaniemi, S., & Smedh, K.; AVOD Study Group. (2012). Randomized clinical trial of antibiotics in acute uncomplicated diverticulitis. British Journal of Surgery, 99(4), 532–539. https://doi.org/10.1002/bjs.8688 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Dr. Justin Abbatemarco talks with Drs. John Chen and Smathorn Thakolwiboon about the outcomes following plasma exchange in MOGAD and explore how the findings from this study can inform patient care. Read the related article in Neurology®. Disclosures can be found at Neurology.org. 

In the latest episode of Making Cents of Money, learn about the habits that can impact your financial decisions and how stress plays a role in spending. Show Notes: American Psychological Association. (2015, February 4). American Psychological Association survey shows money stress weighing on Americans' health nationwide. Retrieved from https://www.apa.org/news/press/releases/2015/02/money-stress American Psychological Association. (2023). Stress in America 2023: A nation recovering from collective trauma. Retrieved from https://www.apa.org/news/press/releases/2023/03/stress-in-america Falconier, M. K., & Epstein, N. B. (2011). Couples experiencing financial strain: What we know and what we can do. Family Relations, 60(3), 303–317. Gelman, A., & Kliger, D. (2021). Effect of time-induced stress on financial decision making in real markets. PloS One, 16(11), e0123740. Heo, W., Cho, S. H., & Lee, P. (2020). APR Financial Stress Scale: Development and validation of a multidimensional measurement. Journal of Financial Therapy, 11(1), 2. https://newprairiepress.org/jft/vol11/iss1/2/ Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. Springer Publishing Company. Narayan, A. (2024). The impact of financial stress on workplace harassment and discrimination. Management Science, 70(4), 2447–2458. Ong, A. D., Sturgeon, J. A., Arewasikporn, A., Okun, M. A., Davis, M. C., & Zautra, A. J. (2015). The psychosocial context of financial stress: Implications for inflammation and psychological health. Psychosomatic Medicine, 77(2), 187–194. Porcelli, A. J., & Delgado, M. R. (2009). Acute stress modulates risk taking in financial decision making. Psychological Science, 20(3), 278–285. Shafir, E., Mullainathan, S., & Shafir, E. (2013). Scarcity: Why having too little means so much. Times Books. Van Boven, L., & Gilovich, T. (2003). To do or to have? That is the question. Journal of Personality and Social Psychology, 85(6), 1193–1202. Wilke, J., & Boden, J. M. (2021). Financial scarcity and financial avoidance: A prospective study. Journal of Economic Psychology, 87, 102408. Mental Health Crisis Resources: Illinois Department of Central Management Services' Crisis Resources: https://cms.illinois.gov/benefits/stateemployee/bewell/mental-health/crisis.html Relevant Podcast Episodes: • Money in Relationships: https://soundcloud.com/idfpr/money-and-relationships • Financial Socialization: https://soundcloud.com/idfpr/episode-99-financial-socialization • Investing: https://soundcloud.com/idfpr/episode-57-investing-to-reach-financial-goals • Budgeting: https://soundcloud.com/idfpr/mcom-ep20-budgeting-final • Probably Inflation: https://soundcloud.com/idfpr/episode-30-inflation

Join me regularly as I dive deep into Nurse Practitioner workflow, entrepreneurship, wealth-building strategies, day trading insights, and invaluable resources specifically tailored for Nurse Practitioners and healthcare professionals ready to take charge of their financial future.✨ FREE PDFs Included: https://drive.google.com/drive/folders/1kSL6jTzabuFSleSIZNcJo6F4BG_qtd3n?usp=sharingPractical strategies for maximizing NP income

In this episode, Eric outlines the acute programming variables for any training regimen, and then discusses how coaches should prioritize each of these components for safe, effective programs.Support our Sponsor: 1stPhorm

John McFall — surgeon, Paralympic medalist, father of three, and ESA parastronaut selectee — joins Markus to explore how human spaceflight changes when we design for ability, not assumptions. From winter survival in the Pyrenees to EVA realities and cosmic radiation, John shares what it takes to open space to everyone.Cosmic Timeline[00:00:00] Squeezing life's juice — John's credo[00:03:00] Coffee breaks as medalist, surgeon, astronaut[00:06:00] Accident at 19 → sport, surgery, ESA call[00:09:00] Do we need legs in space?[00:12:20] Winter survival in Pyrenees snow caves[00:15:00] Basic training: survival, centrifuge, classrooms[00:24:00] Rethinking excellence — Apollo vs today[00:30:00] Why EVAs are brutally physical[00:33:00] Floating “prisons” & Skylab lessons[00:36:00] Pressure of being ESA's first parastronaut[00:40:00] Designing space for adaptive bodies[00:44:00] ESA, NASA, and Europe's timing[00:46:00] Starship iteration vs ESA caution[00:50:00] Radiation: cosmic rays, flares, Vigil mission[00:54:00] Acute vs chronic radiation risks[01:00:00] Espresso for the mind: “Go the extra mile”[01:02:00] Closing: inclusivity as space's next leapKey Discussion PointsTraining, no exceptions. From snow caves in the Pyrenees to centrifuge drills, John meets the same standards as his peers.Rethinking excellence. Apollo's muscle-bound explorers vs. today's reality of EVA suits, radiation risks, and teamwork.Radiation: the big wall. Acute vs. chronic effects, why long-term missions demand breakthroughs, and ESA's Vigil solar-weather mission.Design from scratch. Building adaptive spacecraft and systems that work for every kind of astronaut.Inspiration for kids. Why seeing John in a flight suit could empower the next generation of dreamers.Music for the JourneyJohn's pick for our Spotify playlist This Playlist for the Aspiring Space Traveler: A live 16-minute version of Status Quo's “4500 Times” (Milton Keynes, 1979).Espresso for the Mind“Always go the extra mile. Life will reward you.” Words from John's parents after his accident — a mantra he carries into every challenge.Links to ExploreESA Parastronaut Initiative ESA Astronaut Training overview ESA Vigil Space Weather Mission ESA News on John McFall's selectionSend us a textYou can find us on Spotify and Apple Podcast!Please visit us at SpaceWatch.Global, subscribe to our newsletters. Follow us on LinkedIn and Twitter!

In the final instalment, Stephanie Rutledge explores alcoholic hepatitis and long-term mental wellness. Covering acute clinical crises, experimental therapies, and future treatment guidelines, she highlights how hepatology can better integrate mental health and substance use care to transform patient outcomes.  Timestamps:  0:33 – Acute alcoholic hepatitis  3:08 – Patients with alcohol use disorder  4:32 – Medical advancements  6:25 – Prevention  10:45 – Current research  13:01 – Advice for young clinicians 

You waited and waited.Finally, the big day came, and just as quickly, day turned into evening – and there you were with cloudy vision, halos, and difficulty reading. Not to mention the occasional glare.You and about 25 percent of patients experience a common complication following cataract surgery (or, more precisely, “posterior capsule opacity,” or PCO). The good news: the standard treatment is YAG laser capsulotomy (CPT® 66821).The legendary Rose T. Dunn, past president and interim CEO for the American Health Information Management Association (AHIMA) and current COO for First Class Solutions, will return to the Talk Ten Tuesdays broadcast to report on this treatment and topic.The popular Internet broadcast will also feature these additional instantly recognizable panelists, who will report more news during their segments:• MyTalk: Angela Comfort, veteran healthcare subject-matter expert, will co-host the broadcast. Comfort is the Assistant Vice President of Revenue Integrity for Montefiore Health.• CDI Report: Cheryl Ericson, Senior Director of Clinical Policy and Education for the vaunted Brundage Group, will have the latest clinical documentation integrity (CDI) updates.• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.

Do you know why seizures should be stopped within minutes? Credit available for this activity expires: 9/8/26 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/1002885?ecd=bdc_podcast_libsyn_mscpedu

Dr. Bradley Ong discusses a newly FDA-approved nasal powder formulation for treating debilitating migraine attacks.

Hello Poison Friends! We have discussed quite a few heavy metals, but not all of them. While we did mention Antimony awhile back, we did not give it the attention it deserves, so this would be a great time to do so. Before getting too deep into Antimony, however, a review on purging with emetics and the history there concerning the "rebalancing of humors" as well as the more modern "ridding oneself of toxins," is in order. One emetic that is more recent in our history is Ipecac. Technically, or medicinally, it went by the name Syrup of Ipecac. Parents, here in America at least, were told by the American Association of Pediatricians to keep a bottle in their homes at all times in case of children accidentally poisoning themselves. What we have learned since the late 1990s however is that not only is Ipecac not really effective at treating poisoning cases, but it is also toxic and can lead to its own complications including irritation of the GI tract and airways, seizures, and heart problems. There are now more efficient and safe ways to treat cases of poisoning that do not involve forced vomiting. Throughout history, people have leaned on various toxic substances to cause themselves to vomit or that would induce diarrhea as a way of healing or keeping oneself healthy. It doesn't sound pleasant but what they used made it even less so. Antimony does cause GI distress including vomiting and diarrhea and can also lead to muscle weakness, gastric ulcers, seizures, kidney disease, cardiovascular diseases, neurological disease, respiratory distress, and blistering of the skin if topically applied. It has also been found to be carcinogenic. Acute use at high dosages, or chronic use at any dose, could lead to poisoning and death. People used Antimony medicinally (as Tartar emetic, namely) for a number of different ailments including epilepsy, syphilis, tuberculosis, and GI distress of all sorts. It was even used for alcoholism, and in some countries, it still is. In centuries past, they even had accessories to go along with their toxic medicine. So let's go through the history of these substances and you know some interesting and familiar names will pop up along the way including a Biblical character/Babylonian king, Isaac Newton, a King of France, and a founding father with a penchant for excessive bleeding and purging. Thank you to all of our listeners and supporters! Please feel free to leave a comment or send us a DM for any questions, suggestions, or just to say, "hi."Support us on Patreon:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/thepoisonersalmanac⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Merch-⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://poisonersalmanac.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow us on socials:The Poisoner's Almanac on IG-⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/poisoners_almanac?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw==⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube-⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://youtube.com/@thepoisonersalmanac-m5q?si=16JV_ZKhpGaLyM73⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Also, look for the Poisoner's Almanac TikTok- ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.tiktok.com/@poisonersalmanacp?_t=ZT-8wdYQyXhKbm&_r=1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Adam-⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.tiktok.com/@studiesshow?is_from_webapp=1&sender_device=pc⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Becca-⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.tiktok.com/@yobec0?is_from_webapp=1&sender_device=pc⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Reference: Jessen et al. Pharmacological interventions for the acute treatment of hyperkalaemia: A systematic review and meta-analysis. Resuscitation 2025 Date: August 6, 2025 Guest Skeptic: William Toon is a paramedic who, this past May achieved over 50 years of continuous EMS certification. His professional path has taken him from front-line paramedic to national presenter, expert witness, flight […] The post SGEM#484: The Warrior – Pharmacological Interventions for the Acute Treatment of Hyperkalemia first appeared on The Skeptics Guide to Emergency Medicine.

Program notes:0:53 Who needs a beta blocker after MI1:53 Those with mild reduction of ejection fraction2:53 Confined to those with 40-50% ejection fraction3:15 Revascularization in NSTEMI4:20 Composite outcome5:20 Closes gap, do FFR6:20 May not be physiologically significant6:40 Is lifelong anticoagulation needed after ablation7:41 Occurred less in those who stopped8:30 RSV, cardiac events and hospitalizations9:30 Lower hospitalization in those who got the vaccine10:30 Acute respiratory illness hospitalization11:30 Less benefit with existing CVD or immunocompromise12:15 Several RSV vaccines13:16 End

Host Pierce Salguero sits down with Richard Saville-Smith, an independent scholar of madness, religion, and psychiatry. We discuss Richard's book Acute Religious Experiences (2023), which argues that frameworks from Mad Studies can get us out from under the academy's current habit of either pathologizing or sanitizing religious experiences. Along the way, we talk about the power struggle between psychiatry & the humanities, the influence of Queer Studies on Richard's work, and his reinterpretation of Jesus as a madman. If you want to hear scholars and practitioners engaging in deep conversations about the dark side of Asian religions and medicines, then subscribe to Black Beryl wherever you get your podcasts. Also check out our members-only benefits on Substack.com to see what our guests have shared with you. Enjoy the show! Resources mentioned in this episode: Acute Religious Experiences: Madness, Psychosis and Religious Studies (2023) Become a paid subscriber on blackberyl.substack.com to unlock our members-only benefits, including PDFs of some of these resources. Pierce Salguero is a transdisciplinary scholar of health humanities who is fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University's Abington College, located near Philadelphia. www.piercesalguero.com. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/psychoanalysis

After recovering from her battle with Acute Lymphoblastic Leukemia in the late 1990's Shannon Hartey had a number of late effects that bothered her until 2020. By that time Shannon was in her early 30's  and these late effects got so bad, that Shannon was unable to know from day to day whether the intense  pain level that she was receiving in her head for a variety of reasons  combined with other cognitive issues that can happen to her at any time , will allow her to have even a normal day. The alternative, which happens regularly, takes her to a health level that is so difficult, it can make her life totally miserable on many levels. What Shannon has been diagnosed with, all because of her treatment for ALL which she received after this form of Pediatric Blood Cancer was discovered when she was 6 years old in 1994, is known as SMART SYNDROME. These late effects are almost totally unheard of, and have been very difficult for some of the best oncologists and doctors to have an answer for. 

Host Pierce Salguero sits down with Richard Saville-Smith, an independent scholar of madness, religion, and psychiatry. We discuss Richard's book Acute Religious Experiences (2023), which argues that frameworks from Mad Studies can get us out from under the academy's current habit of either pathologizing or sanitizing religious experiences. Along the way, we talk about the power struggle between psychiatry & the humanities, the influence of Queer Studies on Richard's work, and his reinterpretation of Jesus as a madman. If you want to hear scholars and practitioners engaging in deep conversations about the dark side of Asian religions and medicines, then subscribe to Black Beryl wherever you get your podcasts. Also check out our members-only benefits on Substack.com to see what our guests have shared with you. Enjoy the show! Resources mentioned in this episode: Acute Religious Experiences: Madness, Psychosis and Religious Studies (2023) Become a paid subscriber on blackberyl.substack.com to unlock our members-only benefits, including PDFs of some of these resources. Pierce Salguero is a transdisciplinary scholar of health humanities who is fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University's Abington College, located near Philadelphia. www.piercesalguero.com. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

Today I sit down with Richard Saville-Smith, an independent scholar of madness, religion, and psychiatry. We discuss Richard's book Acute Religious Experiences (2023), which argues that frameworks from Mad Studies can get us out from under the academy's current habit of either pathologizing or sanitizing religious experiences. Along the way, we talk about the power struggle between psychiatry & the humanities, the influence of Queer Studies on Richard's work, and his reinterpretation of Jesus as a madman.   If you want to hear scholars and practitioners engaging in deep conversations about the dark side of Asian religions and medicines, then subscribe to Black Beryl wherever you get your podcasts. Also check out our members-only benefits on Substack.com to see what our guests have shared with you. Enjoy the show!Resources mentioned in this episode: Acute Religious Experiences: Madness, Psychosis and Religious Studies (2023)Become a paid subscriber on blackberyl.substack.com to unlock our members-only benefits, including downloading:Chapter 10 from Richard's book, which presents his D.R.E.A.D. framework for acute religious experiences.

On this episode, we define acute mania and describe its clinical presentations, underlying causes, and pathophysiology. We evaluate current guidelines and evidence-based treatment strategies for managing acute mania, including pharmacologic and nonpharmacologic interventions. We also compare and contrast the efficacy, safety profiles, and appropriate use of mood stabilizers, antipsychotics, and adjunctive therapies in the management of acute manic episodes. Cole and I are happy to share that our listeners can claim ACPE-accredited continuing education for listening to this podcast episode! We have continued to partner with freeCE.com to provide listeners with the opportunity to claim 1-hour of continuing education credit for select episodes. For existing Unlimited (Gold) freeCE members, this CE option is included in your membership benefits at no additional cost! A password, which will be given at some point during this episode, is required to access the post-activity test. To earn credit for this episode, visit the following link below to go to freeCE's website: https://www.freece.com/ If you're not currently a freeCE member, we definitely suggest you explore all the benefits of their Unlimited Membership on their website and earn CE for listening to this podcast. Thanks for listening! If you want to support the podcast, check out our Patreon account. Subscribers will have access to all previous and new pharmacotherapy lectures as well as downloadable PowerPoint slides for each lecture. If you purchase an annual membership, you'll also get a free digital copy of High-Powered Medicine 3rd edition by Dr. Alex Poppen, PharmD. HPM is a book/website database of summaries for over 150 landmark clinical trials.You can visit our Patreon page at the website below:  www.patreon.com/corconsultrx We want to give a big thanks to Dr. Alex Poppen, PharmD and High-Powered Medicine for sponsoring the podcast..  You can get a copy of HPM at the links below:  Purchase a subscription or PDF copy - https://highpoweredmedicine.com/ Purchase the paperback and hardcover - Barnes and Noble website We want to say thank you to our sponsor, Pyrls. Try out their drug information app today. Visit the website below for a free trial: www.pyrls.com/corconsultrx We also want to thank our sponsor Freed AI. Freed is an AI scribe that listens, prepares your SOAP notes, and writes patient instructions. Charting is done before your patient walks out of the room. You can try 10 notes for free and after that it only costs $99/month. Visit the website below for more information: https://www.getfreed.ai/  If you have any questions for Cole or me, reach out to us via e-mail: Mike - mcorvino@corconsultrx.com Cole - cswanson@corconsultrx.com

Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3093: Carbohydrates and insulin have been unfairly painted as the main villains in weight gain, but as Sam Lynch explains, their roles are far more nuanced. Insulin's fat-storage effects are short-lived, storing carbs as fat is surprisingly inefficient, and calorie surplus, not carbs alone, is the real driver of long-term fat gain. Understanding these mechanisms helps shift the focus from demonizing food groups to managing overall energy balance. Read along with the original article(s) here: https://fitnitiative.co.uk/2023/02/08/carbs-and-insulin-are-they-to-blame/ Quotes to ponder: "Storing carbs as fat is difficult. It's an expensive process called De Novo Lipogenesis." "Acute fat storage doesn't equate to total fat gain if you're not in a calorie surplus." "If carbs are so bad because they raise insulin, then what about protein? That raises insulin too." Learn more about your ad choices. Visit megaphone.fm/adchoices