Podcasts about Acute

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Best podcasts about Acute

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Latest podcast episodes about Acute

Finding Your Way Through Therapy
E.228 What Happens When We Stop Keeping Pain A Secret

Finding Your Way Through Therapy

Play Episode Listen Later Oct 29, 2025 50:43 Transcription Available


Send us a textSome conversations ask you to sit up a little straighter. This one asks you to relax your shoulders, tell the truth, and feel what you've been carrying. We dive into the messy overlap of trauma and grief in first responder and military cultures, where silence is rewarded and honesty is too often punished, and we share a different path built on authenticity, peer support, and practical skills.Blythe Landry joins us to map the line between privacy and secrecy, and why crossing it keeps people sick. We talk about ethical self-disclosure—when a helper shares only to serve the client—and how human presence beats formal scripts and stiff suits for building trust. You'll hear why fit-for-duty vibes can re-trigger rank-based fear, why plain language matters, and how showing up as a person first invites others to do the same. We also confront the system costs of looking away: moved abusers, muted reports, moral injury, and the downstream mix of suicide risk, substance use, gambling, overwork, and other behavioral addictions that masquerade as coping.Grief work sits at the center. Acute grief isn't a two-week arc; it softens when people gain tools, witness, and meaning. We break down how trauma shapes worldview and therefore grief, and why evidence-based skills plus an honest community can turn pain into purpose without sugarcoating the loss. Blythe shares a trauma-informed grief coaching track designed for grievers and peer supporters—exactly the kind of culture-fit training that spreads healing inside agencies that need it most.If you serve, love someone who serves, or lead a team where the unspoken rule is “suck it up,” this conversation offers a better rule: say what's true, get support, and refuse secrecy. Subscribe, share this with a teammate, and leave a review with one insight you'll bring back to your crew. Your words might be the reason someone reaches out.Reach Blythe through her website at https://www.blythelandry.com/Freed.ai: We'll Do Your SOAP Notes!Freed AI converts conversations into SOAP note.Use code Steve50 for $50 off the 1st month!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showYouTube Channel For The Podcast

The Medbullets Step 2 & 3 Podcast
Oncology | Acute Myelogenous Leukemia (AML)

The Medbullets Step 2 & 3 Podcast

Play Episode Listen Later Oct 28, 2025 11:48


In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Acute Myelogenous Leukemia (AML)⁠⁠⁠⁠⁠ from the Oncology section at ⁠⁠⁠⁠Medbullets.com⁠⁠⁠⁠⁠⁠Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets

Cardionerds
431. Atrial Fibrillation: Acute Management of Atrial Fibrillation with Dr. Jonathan Chrispin

Cardionerds

Play Episode Listen Later Oct 24, 2025 18:40


Dr. Naima Maqsood, Dr. Kelly Arps, and Dr. Jake Roberts discuss the acute management of atrial fibrillation with guest expert Dr. Jonathan Chrispin. Episode audio was edited by CardioNerds Intern Dr. Bhavya Shah. This episode reviews acute management strategies for atrial fibrillation. Atrial fibrillation is the most common chronic arrhythmia worldwide and is associated with increasingly prevalent comorbidities, including advanced age, obesity, and hypertension. Atrial fibrillation is a frequent indication for hospitalization and a complicating factor during hospital stays for other conditions. Here, we discuss considerations for the acute management of atrial fibrillation, including indications for rate versus rhythm control strategies, treatment targets for these approaches, considerations including pharmacologic versus electrical cardioversion, and management in the post-operative setting. CardioNerds Atrial Fibrillation PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls A key component to the management of acute atrial fibrillation involves addressing the underlying cause of the acute presentation. For example, if a patient presents with rapid atrial fibrillation and signs of infection, treatment of the underlying infection will help improve the elevated heart rate. Selecting a rate control versus rhythm control strategy in the acute setting involves considerations of comorbid conditions such as heart failure and competing risk factors such as critical illness that may favor one strategy over another. Recent data strongly supports the use of rhythm control in heart failure patients. Patients should be initiated on anticoagulation prior to pursuing a rhythm control strategy. There are several strategies for rate control medications with therapies including beta-blockers, non-dihydropyridine calcium channel blockers, and digoxin. The selection of which agent to use depends on additional comorbidities and the overall clinical assessment. For example, a patient with severely decompensated low-output heart failure may not tolerate a beta-blocker or calcium channel blocker in the acute phase due to hypotension risks but may benefit from the use of digoxin to provide rate control and some inotropic support. Thromboembolic prevention remains a cornerstone of atrial fibrillation management, and considerations must always be made in terms of the duration of atrial fibrillation, thromboembolic risk, and risks of anticoagulation. While postoperative atrial fibrillation is more common after cardiac surgeries, there is no major difference in management between patients who undergo cardiac versus non-cardiac procedures. Considerations involve whether the patient has a prior history of atrial fibrillation, surgery-specific bleeding risks related to anticoagulation, and monitoring in the post-operative period to assess for recurrence. Notes 1. Our first patient is a 65-year-old man with obesity, hypertension, obstructive sleep apnea, and pre-diabetes presenting for evaluation of worsening shortness of breath and palpitations. The patient has no known history of heart disease. Telemetry shows atrial fibrillation with ventricular rates elevated to 130-140 bpm. What would be the initial approach to addressing the acute management of atrial fibrillation in this patient? What are some of the primary considerations in the initial history and chart review? An important first step involves taking a careful history to understand the timing of symptom onset and potential underlying causes contributing to a patient's acute presentation with rapid atrial fibrillation. Understanding the episode trigger determines management by targeting reversible causes of the acute presentation and elucidating whether the episode is triggered by a cardiac or non-c...

Dr. Chapa’s Clinical Pearls.
AFLP vs Preeclampsia with Severe/HELLP

Dr. Chapa’s Clinical Pearls.

Play Episode Listen Later Oct 24, 2025 30:28


Here is a real-world clinical case with a tricky differential: Our team recently readmitted a patient 6 days postpartum/post C-section (which was done for ICP and fetal macrosomia at close to 4500 grams, with A2GDM). She had elevated blood pressures, a frontal headache, some midepigastric pain/RUQ discomfort. Pretty clear picture right: sounds like preeclampsia (PreE) with severe features based on BP elevation and symptoms. So, we started her on mag-sulfate per protocol. Well, her transaminases were in the 400-600s, which was significantly higher than they were at delivery. They then peaked the next day at 900! OK, it still meets criteria for PreE with severe features. But could this also be postpartum Acute fatty Liver of Pregnancy (AFLP)? The clinical picture of these 2 conditions may overlap but there are distinct differences here. AFLP is potentially fatal, so we have to get that diagnosis correct. How can we distinguish AFLP from PreE with severe features or HELLP? Listen in for details.1. https://www.preeclampsia.org/the-news/health-information/acute-fatty-liver-of-pregnancy-can-be-confused-with-preeclampsia-and-hellp-syndrome2. Yemde A Jr, Kawathalkar A, Bhalerao A. Acute Fatty Liver of Pregnancy: A Diagnostic Challenge. Cureus. 2023 Mar 26;15(3):e36708. doi: 10.7759/cureus.36708. PMID: 37113350; PMCID: PMC10129069.3. Maalbi O, Elachhab N, Elkabbaj A, Arfaoui M, Hindi S, Lahbabi S, Oudghiri N, Tachinante R. Management of Acute Fatty Liver of Pregnancy: A Retrospective Study of 12 Cases Compared With Data in the Literature. Cureus. 2025 Jun 11;17(6):e85753. doi: 10.7759/cureus.85753. PMID: 40656400; PMCID: PMC12247011.4. Siwatch S, De A, Kaur B, et al. Safety and Efficacy of Plasmapheresis in Treatment of Acute Fatty Liver of Pregnancy-a Systematic Review and Meta-Analysis.Frontiers in Medicine. 2024;11:1433324. doi:10.3389/fmed.2024.1433324.5. Sarkar M, Brady CW, Fleckenstein J, et al.6. Reproductive Health and Liver Disease: Practice Guidance by the American Association for the Study of Liver Diseases.Hepatology (Baltimore, Md.). 2021;73(1):318-365. doi:10.1002/hep.31559.STRONG COFFEE PROMO: 20% Off Strong Coffee Company https://strongcoffeecompany.com/discount/CHAPANOSPINOBG

Synapsen. Ein Wissenschaftspodcast von NDR Info
(136) Atmen - die unterschätzte Superkraft

Synapsen. Ein Wissenschaftspodcast von NDR Info

Play Episode Listen Later Oct 24, 2025 69:38


Sie ist eine fundamentale Kraft des Körpers, über die wir viel zu selten nachdenken. Dabei kann unsere Atmung unser Leben verändern. Buchstäblich unser ganzes Leben hängt davon ab. Wir atmen rund 20.000 mal am Tag ein und aus - meistens, ohne viel darüber nachzudenken. Es scheint offensichtlich zu sein, warum wir überhaupt atmen - ohne würden unsere Körper versagen und wir würden einfach tot umfallen. Aber was macht die Atmung mit unserem Gehirn? Inwiefern profitiert auch unsere psychische Gesundheit von der Atmung? Host Beke Schulmann und Autorin Sarah Emminghaus gehen diesen Fragen auf den Grund. Und sie stellen sich die Frage: Unterschätzen wir den Faktor Atem für unsere Gesundheit? HINTERGRUNDINFORMATIONEN: Nature-Überblicksarbeit zum Zusammenhang zwischen Atmung und Hirnaktivität: Tort, ABL, Laplagne, DA, Draguhn, A. et al. Global coordination of brain activity by the breathing cycle. Nat. Rev. Neurosci. 26, 333–353 (2025). https://doi.org/10.1038/s41583-025-00920-7 Übersichtsarbeit zu Vor- und Nachteilen von “Mouth Taping”: Rhee J, Iansavitchene A, Mannala S, Graham ME, Rotenberg B. Breaking social media fads and uncovering the safety and efficacy of mouth taping in patients with mouth breathing, sleep disordered breathing, or obstructive sleep apnea: A systematic review. PLoS One. 2025;20(5). https://doi.org/10.1371/journal.pone.0323643 Studie zu Meditation und langsamer Atmung: Bernardi NF, Bordino M, Bianchi L, Bernardi L. Acute fall and long-term rise in oxygen saturation in response to meditation. Psychophysiology. 2017;54(12):1951-1966. https://doi-org/10.1111/psyp.12972 Studie von Sylvain Laborde über den Einfluss von langsamer Atmung auf den Schlaf: Laborde S, Hosang T, Mosley E, Dosseville F. Influence of a 30-Day Slow-Paced Breathing Intervention Compared to Social Media Use on Subjective Sleep Quality and Cardiac Vagal Activity. J Clin Med. 2019;8(2):193. https://doi.org/10.3390/jcm8020193 Studie zu Zusammenhang zwischen Depressionen und Herzratenvariabilität: Galin S, Keren H. The Predictive Potential of Heart Rate Variability for Depression. Neuroscience. 2024;546:88-103.https://do.org/:10.1016/j.neuroscience.2024.03.013 Studie zu Atmung als individueller Fingerabdruck: Soroka T, Ravia A, Snitz K, et al. Humans have nasal respiratory fingerprints. Curr Biol. 2025;35(13):3011-3021.e3. https://do.org/:10.1016/j.cub.2025.05.008 Überblicksstudie über Zusammenhang zwischen Langsam-Atmung und Herzratenvariabilität: Laborde S, Allen MS, Borges U, et al. Effects of voluntary slow breathing on heart rate and heart rate variability: A systematic review and a meta-analysis. Neurosci Biobehav Rev. 2022;138:104711. https://doi.org/10.1016/j.neubiorev.2022.104711 Hier geht's zur Synapsenseite: https://www.ndr.de/nachrichten/podcastsynapsen100.html Hier geht's zu ARD Gesund: https://www.ndr.de/ratgeber/gesundheit Habt ihr Feedback oder einen Lifehack aus der Welt der Wissenschaft? Schreibt uns gerne an synapsen@ndr.de.

NDR Info - Logo - Das Wissenschaftsmagazin
(136) Atmen - die unterschätzte Superkraft

NDR Info - Logo - Das Wissenschaftsmagazin

Play Episode Listen Later Oct 24, 2025 69:38


Sie ist eine fundamentale Kraft des Körpers, über die wir viel zu selten nachdenken. Dabei kann unsere Atmung unser Leben verändern. Buchstäblich unser ganzes Leben hängt davon ab. Wir atmen rund 20.000 mal am Tag ein und aus - meistens, ohne viel darüber nachzudenken. Es scheint offensichtlich zu sein, warum wir überhaupt atmen - ohne würden unsere Körper versagen und wir würden einfach tot umfallen. Aber was macht die Atmung mit unserem Gehirn? Inwiefern profitiert auch unsere psychische Gesundheit von der Atmung? Host Beke Schulmann und Autorin Sarah Emminghaus gehen diesen Fragen auf den Grund. Und sie stellen sich die Frage: Unterschätzen wir den Faktor Atem für unsere Gesundheit? HINTERGRUNDINFORMATIONEN: Nature-Überblicksarbeit zum Zusammenhang zwischen Atmung und Hirnaktivität: Tort, ABL, Laplagne, DA, Draguhn, A. et al. Global coordination of brain activity by the breathing cycle. Nat. Rev. Neurosci. 26, 333–353 (2025). https://doi.org/10.1038/s41583-025-00920-7 Übersichtsarbeit zu Vor- und Nachteilen von “Mouth Taping”: Rhee J, Iansavitchene A, Mannala S, Graham ME, Rotenberg B. Breaking social media fads and uncovering the safety and efficacy of mouth taping in patients with mouth breathing, sleep disordered breathing, or obstructive sleep apnea: A systematic review. PLoS One. 2025;20(5). https://doi.org/10.1371/journal.pone.0323643 Studie zu Meditation und langsamer Atmung: Bernardi NF, Bordino M, Bianchi L, Bernardi L. Acute fall and long-term rise in oxygen saturation in response to meditation. Psychophysiology. 2017;54(12):1951-1966. https://doi-org/10.1111/psyp.12972 Studie von Sylvain Laborde über den Einfluss von langsamer Atmung auf den Schlaf: Laborde S, Hosang T, Mosley E, Dosseville F. Influence of a 30-Day Slow-Paced Breathing Intervention Compared to Social Media Use on Subjective Sleep Quality and Cardiac Vagal Activity. J Clin Med. 2019;8(2):193. https://doi.org/10.3390/jcm8020193 Studie zu Zusammenhang zwischen Depressionen und Herzratenvariabilität: Galin S, Keren H. The Predictive Potential of Heart Rate Variability for Depression. Neuroscience. 2024;546:88-103.https://do.org/:10.1016/j.neuroscience.2024.03.013 Studie zu Atmung als individueller Fingerabdruck: Soroka T, Ravia A, Snitz K, et al. Humans have nasal respiratory fingerprints. Curr Biol. 2025;35(13):3011-3021.e3. https://do.org/:10.1016/j.cub.2025.05.008 Überblicksstudie über Zusammenhang zwischen Langsam-Atmung und Herzratenvariabilität: Laborde S, Allen MS, Borges U, et al. Effects of voluntary slow breathing on heart rate and heart rate variability: A systematic review and a meta-analysis. Neurosci Biobehav Rev. 2022;138:104711. https://doi.org/10.1016/j.neubiorev.2022.104711 Hier geht's zur Synapsenseite: https://www.ndr.de/nachrichten/podcastsynapsen100.html Hier geht's zu ARD Gesund: https://www.ndr.de/ratgeber/gesundheit Habt ihr Feedback oder einen Lifehack aus der Welt der Wissenschaft? Schreibt uns gerne an synapsen@ndr.de.

Pets Who Thrive!
Animal Emergencies Pt2: A Guide to Acute Homeopathic Remedies with Dr. Todd Cooney

Pets Who Thrive!

Play Episode Listen Later Oct 23, 2025 46:17


Coming up this week on Pets Who Thrive Radio. Dr. Todd Cooney joins Tammy to discuss homeopathic remedies for acute animal emergencies. They discuss specific conditions these remedies address, like cuts, labor problems, kennel cough, abscesses, bone fractures, and more, while sharing personal experiences and practical tips for animal care. It's all this week on Pets Who Thrive Radio with Tammy King! 

PEM Currents: The Pediatric Emergency Medicine Podcast
BRUE: Brief Resolved Unexplained Events

PEM Currents: The Pediatric Emergency Medicine Podcast

Play Episode Listen Later Oct 22, 2025 14:32


BRUE, Brief Resolved Unexplained Events, are a common and anxiety-provoking condition that presents to the Emergency Department. In this episode we explore the definition of BRUE, contrast it with ALTE, and walk through evidence-based approaches to risk stratification. We'll explore the original AAP framework and two subsequent prediction models to see where the recommendations stand today. This is a classic example of scary event / well child that you will see in the Emergency Department. Learning Objectives By the end of this episode, you will be able to: Define BRUE and contrast it with the older concept of ALTE. Recognize evolving risk stratification criteria Apply evidence-based strategies for evaluation and counseling of infants with BRUE, including safe discharge decisions and the role of home monitoring. References Tieder JS, Bonkowsky JL, Etzel RA, et al. Brief resolved unexplained events (formerly apparent life-threatening events) and evaluation of lower-risk infants: Executive summary. Pediatrics. 2016;137(5):e20160591. doi:10.1542/peds.2016-0591 Carroll AE, Bonkowsky JL. Acute events in infancy including brief resolved unexplained event (BRUE). In: McMillan JA, ed. UpToDate. Waltham, MA: UpToDate Inc. https://www.uptodate.com (Accessed October 2025). Carroll AE, Bonkowsky JL. Use of home cardiorespiratory monitors in infants. In: McMillan JA, ed. UpToDate. Waltham, MA: UpToDate Inc. https://www.uptodate.com (Accessed October 2025). Carroll AE, Bonkowsky JL. Sudden infant death syndrome: Risk factors and risk reduction strategies. In: McMillan JA, ed. UpToDate. Waltham, MA: UpToDate Inc. https://www.uptodate.com (Accessed October 2025). Carroll AE. Patient education: Brief resolved unexplained event (BRUE) in babies (The Basics). In: UpToDate. Waltham, MA: UpToDate Inc. https://www.uptodate.com (Accessed October 2025). Nama N, Neuman MI, Finkel MA, et al. Risk prediction after a brief resolved unexplained event. JAMA Pediatr. 2023;177(12):1263–1272. doi:10.1001/jamapediatrics.2023.4197 Nama N, Neuman MI, Finkel MA, et al. External validation of brief resolved unexplained events prediction rules for serious underlying diagnosis. JAMA Pediatr. 2024;178(4):398–407. doi:10.1001/jamapediatrics.2024.0114    

Behind the Case: An ACG Case Reports Journal Podcast
Cystic Artery Pseudoaneurysm as a Complication of Acute Cholecystitis Presenting as Gastric Outlet Obstruction

Behind the Case: An ACG Case Reports Journal Podcast

Play Episode Listen Later Oct 22, 2025 22:27


Talk Ten Tuesdays
Misinformation and Misdirection are Lurking

Talk Ten Tuesdays

Play Episode Listen Later Oct 21, 2025 28:19


Have you been told that Medicare and Medicare Advantage (MA) patients who have difficulties with activities of daily living (ADLs) are appropriate for inpatient status if their hospital stay crosses a second midnight? What direction have you received about “discharge effectuation?” Are your physicians keen on placing the majority of their patients into inpatient status because they want to prevent delivery of an expensive hospital bill? During the next live edition of Talk Ten Tuesdays, Dr. Juliet Ugarte Hopkins, the Chief Medical Officer for Phoenix Medical Management, will report on issues that have captured her interest as she discusses these, and other hot topics of misdirection and misinformation often encountered in the healthcare landscape.The popular broadcast will also feature these 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.

Health and Medicine (Video)
The Grieving Process and Tips to Help

Health and Medicine (Video)

Play Episode Listen Later Oct 21, 2025 8:11


Danielle K. Glorioso, LCSW, explores the complex nature of grief, emphasizing that it is a lifelong, evolving response to loss rather than something to “get over.” She explains the differences between acute grief, integrated grief, and prolonged grief disorder. Drawing on both professional expertise and personal loss, Glorioso offers practical strategies for coping, supporting others, and finding hope while honoring the memory of loved ones. Series: "Stein Institute for Research on Aging" [Health and Medicine] [Show ID: 41121]

Mental Health and Psychiatry (Audio)
The Grieving Process and Tips to Help

Mental Health and Psychiatry (Audio)

Play Episode Listen Later Oct 21, 2025 8:11


Danielle K. Glorioso, LCSW, explores the complex nature of grief, emphasizing that it is a lifelong, evolving response to loss rather than something to “get over.” She explains the differences between acute grief, integrated grief, and prolonged grief disorder. Drawing on both professional expertise and personal loss, Glorioso offers practical strategies for coping, supporting others, and finding hope while honoring the memory of loved ones. Series: "Stein Institute for Research on Aging" [Health and Medicine] [Show ID: 41121]

Mental Health and Psychiatry (Video)
The Grieving Process and Tips to Help

Mental Health and Psychiatry (Video)

Play Episode Listen Later Oct 21, 2025 8:11


Danielle K. Glorioso, LCSW, explores the complex nature of grief, emphasizing that it is a lifelong, evolving response to loss rather than something to “get over.” She explains the differences between acute grief, integrated grief, and prolonged grief disorder. Drawing on both professional expertise and personal loss, Glorioso offers practical strategies for coping, supporting others, and finding hope while honoring the memory of loved ones. Series: "Stein Institute for Research on Aging" [Health and Medicine] [Show ID: 41121]

University of California Audio Podcasts (Audio)
The Grieving Process and Tips to Help

University of California Audio Podcasts (Audio)

Play Episode Listen Later Oct 21, 2025 8:11


Danielle K. Glorioso, LCSW, explores the complex nature of grief, emphasizing that it is a lifelong, evolving response to loss rather than something to “get over.” She explains the differences between acute grief, integrated grief, and prolonged grief disorder. Drawing on both professional expertise and personal loss, Glorioso offers practical strategies for coping, supporting others, and finding hope while honoring the memory of loved ones. Series: "Stein Institute for Research on Aging" [Health and Medicine] [Show ID: 41121]

Health and Medicine (Audio)
The Grieving Process and Tips to Help

Health and Medicine (Audio)

Play Episode Listen Later Oct 21, 2025 8:11


Danielle K. Glorioso, LCSW, explores the complex nature of grief, emphasizing that it is a lifelong, evolving response to loss rather than something to “get over.” She explains the differences between acute grief, integrated grief, and prolonged grief disorder. Drawing on both professional expertise and personal loss, Glorioso offers practical strategies for coping, supporting others, and finding hope while honoring the memory of loved ones. Series: "Stein Institute for Research on Aging" [Health and Medicine] [Show ID: 41121]

UC San Diego (Audio)
The Grieving Process and Tips to Help

UC San Diego (Audio)

Play Episode Listen Later Oct 21, 2025 8:11


Danielle K. Glorioso, LCSW, explores the complex nature of grief, emphasizing that it is a lifelong, evolving response to loss rather than something to “get over.” She explains the differences between acute grief, integrated grief, and prolonged grief disorder. Drawing on both professional expertise and personal loss, Glorioso offers practical strategies for coping, supporting others, and finding hope while honoring the memory of loved ones. Series: "Stein Institute for Research on Aging" [Health and Medicine] [Show ID: 41121]

The Brian Keane Podcast
#559: Dr. Aimie Apigian on The Biology of Trauma: How The Body Holds Fear, Pain and Overwhelm and How To Heal It!

The Brian Keane Podcast

Play Episode Listen Later Oct 20, 2025 54:05


Dr Aimie Apigian is a double board-certified physician in preventive and addiction medicine with master's degrees in biochemistry and public health.  Beyond her foundational medical training, she is also a functional medicine physician with specialized training in neuro-autoimmunity, nutrition, and genetics for addictions, mental health, mood, and behavioral disorders.  Her extensive training in trauma therapies, including the Instinctual Trauma Response Model, Somatic Experiencing, NeuroAffective Touch, and Sociometric Relational Trauma Repair, have formed her knowledge and services in trauma, attachment, and addiction medicine, focusing on trauma at a cellular level.  Her USA Today and Amazon best-selling book The Biology of Trauma: how the body holds fear, pain and overwhelm and how to heal it is available now.   Timestamps (may vary 2-4 minutes based on your podcast platform) 03:01 Introduction to Trauma and Healing 05:55 Understanding Trauma vs. Stress 09:00 Capacity and Trauma Responses 11:59 Navigating the Healing Journey 14:48 Acute vs. Chronic Trauma 17:47 The Biology of Trauma 20:32 Creating a Sense of Safety 23:53 The Loop of Stress and Overwhelm 26:28 Finding Calm and Aliveness 29:49 The Role of Emotional Literacy 32:33 Micro Moments of Safety   The Biology of Trauma book:  https://www.amazon.ie/Biology-Trauma-Body-Holds-Overwhelm/dp/1637746237/ref=asc_df_1637746237?language=en_IE&mcid=23cabbc4926137ad953a7630d7753b0e&tag=ieshopgode-21&linkCode=df0&hvadid=743331779725&hvpos=&hvnetw=g&hvrand=8769390994613108495&hvpone=&hvptwo=&hvqmt=&hvdev=c&hvdvcmdl=&hvlocint=&hvlocphy=1007877&hvtargid=pla-2335066486041&psc=1&language=en_IE&gad_source=1   (Facebook) www.facebook.com/draimie/   (Website) THA About 2025 - Dr. Aimie Apigian - The Biology of Trauma Professional   (LinkedIn) www.linkedin.com/in/dr-aimie-apigian   (Youtube) www.youtube.com/@DrAimieApigian   (Instagram) www.instagram.com/draimie/

HSS Presents
Acute to Chronic Pain Transition

HSS Presents

Play Episode Listen Later Oct 14, 2025 24:28


In this episode of HSS Presents, anesthesiologist Dr. Jeffrey Ciccone speaks with physiatrist and pain management specialist Dr. Faye Rim about preventing the transition from acute to chronic pain after surgery. They explore risk factors such as inflammation, central sensitization, opioid tolerance, and psychosocial influences, while highlighting the importance of proactive screening and multimodal pain strategies. Dr. Rim shares how HSS's transitional pain service identifies high-risk patients, coordinates perioperative care, and incorporates novel therapies—including ketamine infusions, nerve catheters, and new sodium channel blockers. The conversation emphasizes early intervention, individualized treatment, and system-level changes to improve recovery and reduce long-term disability.

Talk Ten Tuesdays
LIVE FROM AHIMA: 2025 AHIMA Conference

Talk Ten Tuesdays

Play Episode Listen Later Oct 14, 2025 28:02


Join us this coming Tuesday, Oct. 14, when Talk Ten Tuesday will bring you an exclusive interview with two nationally recognized healthcare leaders: Thea Campbell and Mackenzie Higgins. Thea Campbell is the 2026 AHIMA President-Elect and Mackenzie Higgins is the 2025 AHIMA Emerging Star award recipient.The popular broadcast will also feature these 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.

Pharmacy Podcast Network
Hypothyroidism in Long-Term Care: The Pharmacist's Role | YARAL Pharma

Pharmacy Podcast Network

Play Episode Listen Later Oct 9, 2025 47:51


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.

The Healing Heroes
Yoga, Sound, & Energy Healing for Cluster Headaches: Lexi's Story | Healing Heroines

The Healing Heroes

Play Episode Listen Later Oct 8, 2025 51:26


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.

Talk Ten Tuesdays
Revenue Cycle Roundup: Exclusive News Broadcast

Talk Ten Tuesdays

Play Episode Listen Later Oct 7, 2025 28:02


The revenue cycle helps keep hospital revenue flowing. But sometimes, it seems to sputter out, as if not all the cylinders are firing. And that is why the producers of Talk Ten Tuesdays have invited longtime ICD10monitor editorial consultant Dennis Jones, senior director of revenue cycle at the famed Jefferson Health, to be the special guest during the next live edition of the weekly Internet radio broadcast.The popular broadcast will also feature these 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.

Hello Diabetes
Acute Risks and Long-Term Challenges in Diabetes

Hello Diabetes

Play Episode Listen Later Oct 3, 2025 27:52


At the beginning of the program, Dr. Sunil Gupta explained that the complications of diabetes are of two types: acute complications, such as hypoglycemia (low blood sugar) and diabetic ketoacidosis especially in Type 1DM, both of which can cause sudden and immediate danger. Chronic complications develop slowly over time and affect the eyes, kidneys, heart, brain, and nerves. Hypoglycemia occurs when blood sugar falls below 70 mg/dl, and the main causes could be drug-induced, like insulin or sulfonylurea group of drugs, skipping of the meal, excessive exercise, vomiting or diarrhea, and due to use of drugs like painkillers (analgesics) or a few antibiotics along with glucose-lowering drugs. However, the risk of hypoglycemia has become lower with the use of newer medications compared to older ones. In response to audience questions, it was emphasized that the decision to stop or reduce medication should always be made under the supervision of a doctor. People with prediabetes (HbA1c 5.7–6.4%) can often avoid developing diabetes altogether through timely lifestyle changes. If diabetes runs in the family, the risk of children developing it at an early age is significantly higher. The importance of an annual health check-up covering the eyes, heart, kidneys, and feet was stressed, described as the “greatest gift” a person with diabetes can give themselves is of “Good Health.” When anemia coexists with diabetes, fatigue and complications tend to worsen, making it essential to identify the underlying cause and provide treatment. In cases of leg pain or neuropathy, vitamin deficiencies, blood vessel health, and side effects of a few medicines like statin should all be carefully evaluated. Expert- Dr Sunil Gupta Anchor- Mrs. Kalyani Gokhale  Podcast: 27/06/2025 Recorded at: Akashwani Nagpur Episode: 78

The Raw and Wild Hearts Podcast
Betrayed and Badass with Inarra Aryane Griffin

The Raw and Wild Hearts Podcast

Play Episode Listen Later Oct 2, 2025 55:43


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

Core EM Podcast
Episode 214: Acute Pulmonary Embolism

Core EM Podcast

Play Episode Listen Later Oct 2, 2025


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),

#PTonICE Daily Show
Episode 1972 - PEACE, LOVE, & reframing acute soft tissue injury

#PTonICE Daily Show

Play Episode Listen Later Oct 1, 2025 33:34


Dr. Lindsey Hughey // www.ptonice.com 

CHEST Journal Podcasts
The Association Between Mechanical Power Within the First 24 Hours and ICU Mortality in Mechanically Ventilated Adult Patients With Acute Hypoxemic Respiratory Failure: A Registry-Based Cohort Study

CHEST Journal Podcasts

Play Episode Listen Later Oct 1, 2025 27:38


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. 

VETgirl Veterinary Continuing Education Podcasts
Outpatient Protocol for Managing Acute Canine Pancreatitis Using a Novel Wearable Pain Device | VETgirl Veterinary Continuing Education Podcasts

VETgirl Veterinary Continuing Education Podcasts

Play Episode Listen Later Sep 30, 2025 13:29


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

ECCPodcast: Emergencias y Cuidado Crítico
SCAPE - Sympathetic Crashing Acute Pulmonary Edema

ECCPodcast: Emergencias y Cuidado Crítico

Play Episode Listen Later Sep 30, 2025 19:33


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

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

CRTonline Podcast

Play Episode Listen Later Sep 30, 2025 15:23


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

PICU Doc On Call
Burgers, Fries, and Weak Thighs - A Case of Familial Hypokalemic Periodic Paralysis

PICU Doc On Call

Play Episode Listen Later Sep 28, 2025 21:17


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.

The Orthobullets Podcast
CoinFlips | Shoulder & Elbow | Acute Rotator Cuff Tear in 64M

The Orthobullets Podcast

Play Episode Listen Later Sep 27, 2025 53:48


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

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More
Digital Health Talks: Virtual Care in Acute Settings From Observation to Nursing

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More

Play Episode Listen Later Sep 26, 2025 28:33


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/

JACC Speciality Journals
Trends in Risk Factor Prevalence and Incidence of Acute Myocardial Infarction in Young Adults | JACC: Advances

JACC Speciality Journals

Play Episode Listen Later Sep 24, 2025 2:24


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.

JACC Speciality Journals
Cardiogenic Shock With Acute Myocardial Infarction Among Older Adults in the United States | JACC: Advances

JACC Speciality Journals

Play Episode Listen Later Sep 24, 2025 2:40


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.

Neurology Minute
Outcomes Following Acute Plasma Exchange for MOGAD - Part 3

Neurology Minute

Play Episode Listen Later Sep 23, 2025 3:15


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   

The Steve Gruber Show
Steve Gruber | Tylenol is the Largest Cause of Acute Liver Failure

The Steve Gruber Show

Play Episode Listen Later Sep 23, 2025 2:50


Steve Gruber discusses news and headlines 

PT Snacks Podcast: Physical Therapy with Dr. Kasey Hogan
149. Scaphoid Fractures: Scaphoid Fractures & the High Cost of Poor Management

PT Snacks Podcast: Physical Therapy with Dr. Kasey Hogan

Play Episode Listen Later Sep 23, 2025 9:37 Transcription Available


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...

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
1063: Should you worry about hypotension when giving IV furosemide for acute decompsensated heart failure?

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

Play Episode Listen Later Sep 22, 2025 3:41


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.

Neurology Minute
Outcomes Following Acute Plasma Exchange for MOGAD - Part 2

Neurology Minute

Play Episode Listen Later Sep 22, 2025 1:55


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  

The Bloodline with LLS
Acute Promyelocytic Leukemia (APL): Advances, Hope, and Healing

The Bloodline with LLS

Play Episode Listen Later Sep 22, 2025 27:44


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.

Ask Doctor Dawn
Mind-Body Connection: How Thoughts Trigger Immune Responses and Stress Affects the Gut

Ask Doctor Dawn

Play Episode Listen Later Sep 19, 2025 61:52


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.

Treating Blood Cancers
Pediatric acute leukemias: focus on clinical trials for treatment

Treating Blood Cancers

Play Episode Listen Later Sep 19, 2025 38:07


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, […]

INDIGNITY MORNING PODCAST
Episode 536: Indignity Morning Podcast No. 536: Acute malnutrition.

INDIGNITY MORNING PODCAST

Play Episode Listen Later Sep 17, 2025 10:50


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/

Her Best Self | Eating Disorders, ED Recovery Podcast, Disordered Eating, Relapse Prevention, Anorexic, Bulimic, Orthorexia
EP 239.5:  From Trauma to Triumph ~ 6 Things Your Past Can Teach You **Must Listen Fav!**

Her Best Self | Eating Disorders, ED Recovery Podcast, Disordered Eating, Relapse Prevention, Anorexic, Bulimic, Orthorexia

Play Episode Listen Later Sep 16, 2025 16:54


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:

Talk Ten Tuesdays
Sepsis: The New Frontier

Talk Ten Tuesdays

Play Episode Listen Later Sep 16, 2025 31:48


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.

Behind The Knife: The Surgery Podcast
Journal Review in Colorectal Surgery: Management of Acute Uncomplicated Diverticulitis With or Without Antibiotics

Behind The Knife: The Surgery Podcast

Play Episode Listen Later Sep 15, 2025 30:29


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

Neurology® Podcast
Outcomes Following Acute Plasma Exchange for MOGAD

Neurology® Podcast

Play Episode Listen Later Sep 15, 2025 17:36


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. 

Elite Baseball Development Podcast
Pinch Hit Friday #50 - Prioritization of the Acute Program Variables

Elite Baseball Development Podcast

Play Episode Listen Later Sep 12, 2025 7:42


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

Neurology Minute
Dihydroergotamine Nasal Powder

Neurology Minute

Play Episode Listen Later Sep 8, 2025 2:41


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