Podcasts about Acute

Acute Coronary Syndromes (ACS) Special Guest: Nick Servati, PharmD, BCCP 04:55 – Pathophysiology/Clinical presentation 12:40 – “MONA” myths 20:05 – P2Y12 pretreatment 24:25 – Thrombolytics in ACS 30:35 – Anticoagulation 38:55 – Vasopressors/Inotropes 49:50 – IV antiplatelet agents 60:10 – STEMI pharmacotherapy checklist 66:00 – Future research/Take-home points Reference List: https://pharmacytodose.files.wordpress.com/2023/09/acute-coronary-syndromes-references.pdf PharmacyToDose.Com  @PharmacyToDose  PharmacyToDose@Gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

With support from our colleagues at Thrombolex, this session provides an overview of pharmaco-mechanical thrombolysis and what the data tell us

Trauma is a person's emotional response to a distressing experience. Few people can go through life without encountering some kind of trauma. Unlike ordinary hardships, traumatic events tend to be sudden and unpredictable, involve a serious threat to life—like bodily injury or death—and feel beyond a person's control. Most important, events are traumatic to the degree that they undermine a person's sense of safety in the world and create a sense that catastrophe could strike at any time. Parental loss in childhood, auto accidents, physical violence, sexual assault, military combat experiences, the unexpected loss of a loved one are commonly traumatic events. Tune in and learn how to recognize trauma and work through it!

Today's episode of SOTF Radio was recorded in June of 2023 with the group 3FTL, Jennifer and Brian Halley. 3FTL is a comprehensive mental health treatment team providing support, guidance, and accountability for first responders. We exist to save the lives of those who save us. 3FLT programs created and customized to help first responder's heal from: · Acute and Delayed Stress · Anxiety · Depression · Grief · Post Traumatic Stress Disorder (PTSD) · Substance Abuse · Suicidal Ideation Join us as we dive into their driving motivations behind starting 3FTL and what the future holds for this incredible organization. Brought to you by TenCate and Emergency Networking.

In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Acute Intermittent Porphyria⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠from the Heme section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets

Get ready for a fantastically entertaining and informative show with Dr. Judd Brandeis of the Brandeis MD Male Rejuvenation Center in San Ramon, California. One very important point you will hear Dr. Judd make is how easy it is for us to go to the doctor when we have an issue with any other body part and identify exactly what's going on, but when it comes to male performance, there can be a lot of anxiety, shame, humiliation, and attachment to ego involved. It's time to talk about it though, especially in a way that feels comfortable to address, and in this episode, you will learn about men's health and performance from a true expert. You will hear Dr. Judd's opinion on using pills to enhance performance, learn why your erectile health is a strong red flag for your overall physical health, hear about my experience at Dr. Judd's clinic, and so much more!   TIMESTAMPS: Dr. Brandeis's specialty is a holistic approach to men's sexual health. [01:33] Cialis and Viagra are very good drugs doing more than you think. [04:38] Chronic inflammation is bad, Acute inflammation is what our bodies use to heal and rebuild tissue. [07:53. The GAINSWave procedure breaks up plaque formation in blood vessels and stimulates the growth of new blood vessels in the penis. [09:11] Every time you are in REM sleep, and you start to dream, you should be getting an erection. [12:23] The reason you don't get an erection could be that your blood vessels are getting clogged. [14:07] If there is trouble in the bedroom, ten years down the road you might have heart problems.  [17:05] This is a very sensitive topic for men to talk about.  It is kind of a sense of self, sense of manliness. [20:36] If you don't take good care of yourself in your twenties and thirties and forties, in the fifties and sixties and seventies, you're gonna pay the price. [25:05] The Emnsculpt is a machine that uses high-intensity focused electromagnetic waves to sculpt the body. [30:38] The Vo2 max test is the most sensitive indicator of someone's cardiovascular health. [39:15] There can be some men who come for help whose vascular health and ultra sound look good but who have unsatisfying sexual function. [46:51] It's literally a function of blood flow whether we get an erection. [50:59] One important chapter in the book is what men need to know about menopause. [53:32] There are some things one can do to help with premature ejaculation. {56:21]   LINKS: Brad Kearns.com Brad's Shopping page B.rad Whey Protein Isolate Superfuel (Now Available in Cocoa Bean) Brandeis MD Clinic GAINSWave 21stCenturyMan.com   Join Brad for more fun on: Instagram: @bradkearns1 Facebook: @bradkearnsjumphigh Twitter: @bradleykearns YouTube: @brad.kearns TikTok: @bradkearns   We appreciate all feedback, and questions for Q&A shows, emailed to podcast@bradventures.com. If you have a moment, please share an episode you like with a quick text message, or leave a review on your podcast app. Thank you! Check out each of these companies because they are absolutely awesome or they wouldn't occupy this revered space. Seriously, I won't promote anything that I don't absolutely love and use in daily life: Peluva: Comfortable, functional, stylish five-toe minimalist shoe to reawaken optimal foot function. Mito Red Light: Photobiomodulation light panels to enhance cellular energy production, improve recovery, and optimize circadian rhythm. Use code BRAD for 5% discount! Plunge: Sensational custom-designed home cold plunge with filtered, circulating water, custom temperature setting, and sleek design. Save $150 with code BRAD. Also enroll in my Cold Plunge online course! B.rad Whey + Creatine Superfuel: Premium quality, all-natural supplement for peak performance, recovery, and longevity. New Cocoa Bean flavor! Brad's Macadamia Masterpiece: Mind-blowing, macadamia nut butter blend Online educational courses: Numerous great offerings for an immersive home-study educational experience Primal Fitness Expert Certification: The most comprehensive online course on all aspects of traditional fitness programming and a total immersion fitness lifestyle. Save 25% on tuition with code BRAD! Male Optimization Formula with Organs (MOFO): Optimize testosterone naturally with 100% grassfed animal organ supplement Shopping Page For Discounts And Navigation To The Best Products I have a newly organized shopping experience at BradKearns.com/Shop. Visit here and you can navigate to my B.rad Nutrition products (for direct order or Amazon order), my library of online multimedia educational courses, great discounts from my affiliate favorites, and my recommended health&fitness products on Amazon.See omnystudio.com/listener for privacy information.

Iago e Gabriel conversam sobre os principais aspectos do diagnóstico de uma pericardite aguda! Referências: Chiabrando JG, Bonaventura A, Vecchié A, et al. Management of Acute and Recurrent Pericarditis: JACC State-of-the-Art Review. J Am Coll Cardiol 2020; 75:76. Spodick DH. Differential characteristics of the electrocardiogram in early repolarization and acute pericarditis. N Engl J Med 1976; 295:523 Ginzton LE, Laks MM. The differential diagnosis of acute pericarditis from the normal variant: new electrocardiographic criteria. Circulation 1982; 65:1004. Yehuda Adler, Philippe Charron, Massimo Imazio, Luigi Badano, Gonzalo Barón-Esquivias, Jan Bogaert, Antonio Brucato, Pascal Gueret, Karin Klingel, Christos Lionis, Bernhard Maisch, Bongani Mayosi, Alain Pavie, Arsen D Ristić, Manel Sabaté Tenas, Petar Seferovic, Karl Swedberg, Witold Tomkowski, ESC Scientific Document Group , 2015 ESC Guidelines for the diagnosis and management of pericardial diseases: The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC) https://doi.org/10.1093/eurheartj/ehv318

In this episode of our Liver Series, we will discuss a couple of liver diseases that may occur during pregnancy: intrahepatic cholestasis of pregnancy (ICP) and acute fatty liver of pregnancy (AFLP). Intrahepatic cholestasis is a liver condition that occurs late in pregnancy. It's caused by a backup of bile acids in the liver. Acute fatty liver is a rare, but serious liver disease that occurs in the third trimester and is caused by a buildup of fat in the liver. Join Dr. Niket Sonpal as he goes over signs and symptoms of ICP and AFLP as well as the different treatments to help your patient out. He will also talk about the importance of early diagnosis and treatment for these conditions. September 11, 2023 — Do you work in primary care medicine? Primary Care Medicine Essentials is our brand new program specifically designed for primary care providers to increase their core medical knowledge & improve patient flow optimization. Learn more here: Primary Care Essentials —

Trial of the Week: Phenobarbital for Acute Alcohol Withdrawal Special Guest: Joseph Lam, PharmD Joseph Lam joins me to highlight the 2013 trial published in the Journal of Emergency: Phenobarbital for acute alcohol withdrawal: a prospective, randomized, double-blind, placebo-controlled study. Joe shares his experience in the trial and all he did behind the scenes. Plus, we discuss the role of phenobarbital at that time, what this study found, what do we still need to know on this topic, and much more.  Reference list: https://pharmacytodose.files.wordpress.com/2023/09/phb-in-aws-references.pdf PharmacyToDose.Com  @PharmacyToDose  PharmacyToDose@Gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Leigh Sharpless discusses her paper, "Variation in Endpoints in FDA Medication Approvals: A Review of Acute and Preventive Migraine Medications". Show References: https://n.neurology.org/content/101/10/e989 https://directory.libsyn.com/episode/index/id/27962343

Hello ! Thanks for reading the show notes! I will be in Iowa City this Thursday night! Come out to the show See JL Cauvin and I co Headlining City Winery In Pittsburgh PA on Oct 11 Stand Up is a daily podcast. I book,host,edit, post and promote new episodes with brilliant guests every day. Please subscribe now for as little as 5$ and gain access to a community of over 740 awesome, curious, kind, funny, brilliant, generous souls. S.E. Cupp is the host of "SE Cupp Unfiltered," Saturdays at 6pm on CNN the program is a primetime show covering contemporary issues. SE is also a regular political commentator on CNN and ABC's The View. She is a practical conservative with a fierce independent streak who brings her distinct outlook to each network's programming and special political coverage. Cupp joined HLN in April 2017 and hosts a 5 p.m. panel show live out of New York with radio personalities, political pundits, comedians and journalists on the most topical stories impacting the country. Leveraging her experiences as a frequent contributor on CNN, MSNBC, Fox News Channel and C-SPAN and programs like Real Time with Bill Maher and The View, Cupp delivers her passionate voice and fresh perspective on everything from politics, media, sports to popular culture. Leading up to her move to HLN, Cupp was the host of "S.E. Cupp's Outside With Insiders," a digital series on CNN.com in which she took political insiders to the great outdoors. From 2013 to 2014 Cupp co-hosted "Crossfire" on CNN, the relaunched political debate program with panelists Newt Gingrich, Stephanie Cutter and Van Jones. Prior to joining CNN as a host and political commentator, Cupp co-hosted MSNBC's roundtable show, "The Cycle." Pete on Tik Tok Pete on YouTube Pete on Twitter Pete On Instagram Pete Personal FB page Stand Up with Pete FB page All things Jon Carroll  Follow and Support Pete Coe  

Welcome back to Happy Whole You Podcast! Today, I want to dive deep into a topic that's close to my heart – sleep. I used to think I could get away with minimal sleep in my 20s, driven by a belief that exercise trumped rest. But as I've aged, I've come to realize just how crucial sleep is for our well-being. In this episode, I'll discuss the differences between insomnia and various forms of sleep deprivation, from acute to chronic. Sharing my personal experience with early morning exercise classes and the challenges they pose to sleep; I'll emphasize the importance of crafting a calming nightly routine and introduce you to some natural sleep aids. As we embark on this journey towards better sleep, remember – a well-rested you is a healthier, happier you. And stay tuned for exciting updates, including a new co-host joining us on the Happy Whole You Podcast!   “I wanted to bring this to your attention because sleep deprivation is a real thing. I've struggled with it myself. I struggle with the balance of the exercise and waking up early and getting the sleep and all the things so I encourage you all get your night routine down, make sure your room is dark.”   Understanding the spectrum of sleep issues is essential Acute sleep deprivation, resulting from occasional late nights or activities, can lead to errors, memory lapses, and even accidents Balancing early morning exercise routines with adequate sleep is a challenge many face Establishing a calming nightly routine is key to ensuring quality sleep Connect with me:   Email: annamarie@happywholeyou.com / info@HappyWholeYou.com Website: www.happywholeyou.com / https://linktr.ee/happywholeyou Instagram: @happywholeyou Facebook: Happy Whole You LinkedIn: Anna Marie Frank Venmo: @happywholeyou

Drs. Wilson and Arnold discuss the latest research that went into their development of a protocol for managing Acute Liver Failure

Dr. Nayantara Coelho-Prabhu, Mayo Clinic gastroenterologist specializing in the care of patients with gastrointestinal bleeding and endoscopy, talks through many aspects of acute GI bleeding. She helps to clarify the prioritization of medications, when to incorporate imaging, broadens our differentials for upper and lower GI bleeding, gives mindblowing advice on stool guiac testing and SO much more in this over-stuffed (or should we say constipated) chapter of Always on EM. There is also a special cameo from Dr. Luke Wood going over how to insert a Minnesota tube (esophageal balloon tamponade device)!   CONTACTS X - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch Email - AlwaysOnEM@gmail.com   RECOMMENDATION: Dieulafoy lesion video from New England Journal of Medicine: https://youtu.be/tzJQDen1nug?si=zOmywZ1VN3VvA004    REFERENCES: Drescher MJ, Stapleton S, Britstone Z, Fried J, Smally AJ. A call for reconsideration of the use of fecal occult blood testing in emergency medicine. Journal of Emerg Med. 2020. 58(1)54-58 Mathews BK, Ratcliffe T, Sehgal R, Abraham JM, Monash B. Fecal Occult Blood testing in hospitalized patients with upper gastrointestinal bleeding. Journal of Hospital Medicine. 2017. 12(7)567-569 Harewood GC, McConnell JP, Harrington JJ, Mahoney DW, Ahlquist DA. Detection of occult upper gastrointestinal bleeding: performance in fecal occult blood tests. Mayo Clin Proc. 2002 Jan;77(1):23-28 Blatchford O, et al. A risk score to predict need for treatment for upper gastrointestinal haemorrhage. Lancet 2000. Oct 14;356(9238):1318-21 Blatchford O, Davidson LA, Murray WR, Blatchford M, Pell J. Acute upper gastrointestinal haemorrhage in west of scotland: case ascertainment study. BMJ 1997. Aug 30;315(7107):510-4 Chen IC, Hung MS, Chiu TF, Chen JC, Hsiao CT. Risk scoring systems to predict need for clinical intervention for patients with nonvariceal upper gastrointestinal tract bleeding. Am J Emerg Med. 2007 Sep;25(7):774-9 Laine L, Barkun AN, Saltzman JR, Martel M, Leontiadis GI. ACG Clinical Guideline: Upper Gastrointestinal and Ulcer Bleeding. Am J Gastroenterol. 2021 May 1;116(5):899-917 Roberts I, Shakur-STill H, Afolabi A, et al. Effects of High-dose 24-h infusion of tranexamic acid on death and thromboembolic events in patients with acute gastrointestinal bleeding (HALT-IT): an international randomised, double-blind, placebo-controlled trial. Lancet 2020. 395(10241):1927-1936 Aziz M, Haghbin H, Gangwani MK, Weissman S, Patel AR, Randhawa MK, Samikanu LB, Alyousif ZA, Lee-Smith W, Kamal F, Nawras A, Howden CW. Erythromycin improves the quality of esophagogastroduodenoscopy in upper gastrointestinal bleeding: a network meta-analysis. Dig Dis Sci 2023. Apr;68(4):1435-1446 Abraham NS, Barkun AN, Sauer BG, et al. American College of Gastroenterology-Canadian Association of Gastroenterology Clinical Practice Guideline: Management of anticoagulants and antiplatelets during acute gastrointestinal bleeding and the periendoscopic period. Am J Gastroenterol 2022;00:1-17 Vigano GL, Mannucci PM, Lattuada A, Harris A, Remuzzi G. Subcutaneous desmopressin (DDAVP) shortens the bleeding time in uremia. Am J Hematol 1989. May;31(1):32-5 Chavez-Tapia NC, Barrientos-Gutierrez T, Tellez-Avila FL, Soares-Weiser K, Uribe M. Antibiotic prophylaxis for cirrhotic patients with upper gastrointestinal bleeding. Cochrane Database Syst Rev 2010. Sep 8;2010(9):CD002907 Gao Y, Qian B, Zhang X, Liu H, Han T. Prophylactic antibiotics on patients with cirrhosis and upper gastrointestinal bleeding: A meta-analysis. PLoS One 2022. Dec 22;17(12):e0279496 Steffen R, Knapp J, Hanggi M, Iten M. Use of the REBOA catheter for uncontrollable upper gastrointestinal bleeding with hemorrhagic shock. Anaesthesiologie 2023. May;72(5):332-337 Sato M, Kuriyama A. Countering hemorrhagic shock due to duodenal variceal rupture with resuscitative endovascular balloon occlusion of the aorta. Am J Emerg Med 2023. Feb;64:204.e1-204.e3

This 16th episode of The Pain Beat highlights the work of a vibrant consortium of pain researchers working on a project known as Acute to Chronic Pain Signatures (A2CPS). A2CPS is focused on the identification of biomarkers to predict which patients will transition from acute to chronic pain, and which patients living with chronic pain can improve their quality of life with management (see related PRF news story). The Pain Beat invited several Primary Investigators from A2CPS to talk about the work of the consortium, and how listeners of The Pain Beat can get involved themselves! Podcast participants include: Kathleen Sluka, PT, PhD, FAPTA, A2CPS Principal Investigator; University of Iowa, USA John Burns, PhD, A2CPS Principal Investigator; Rush University Medical Center, Illinois, USA Chad Brummett, MD, A2CPS Principal Investigator; University of Michigan, USA Michael Olivier, PhD, A2CPS Principal Investigator; Wake Forest University, North Carolina, USA. Stephani Sutherland, PhD, A2CPS Communications Director; Johns Hopkins University, Maryland, USA (moderator)

In this episode, we delve into a new horizon in the management of acute agitation. We discuss dexmedetomidine, a drug that's been around since 1999, recently reformulated into a sublingual film and FDA approved for treating agitation associated with schizophrenia or bipolar I or II disorder. We explore the results from a recent randomized trial and its potential for transforming psychiatric care. Faculty: Jim Phelps, M.D. Host: Richard Seeber, M.D. Learn more about our membership here Earn 0.5 CMEs: Quick Take Vol. 47 Sublingual Dexmedetomidine for the Treatment of Acute Agitation in Adults With Schizophrenia or Schizoaffective Disorder: A Randomized Placebo-Controlled Trial

Commentary by Dr. Valentin Fuster

In this episode, Dr. Zanotti discusses the management of acute-on-chronic liver failure (ACLF) in the ICU. He is joined by Dr. Nanchal, a practicing critical care physician with an interest in liver disease. He is a Professor in the Division of Pulmonary and Critical Care Medicine, at the Medical College of Wisconsin, in Milwaukee. Dr. Nanchal is also the lead author of the Society of Critical Care Medicine's Guideline for the Management of Adult Acute and Acute-on-Chronic Liver Failure in the ICU. Additional Resources Executive Summary for Guideline for the Management of Adult Acute and Acute-on-Chronic Liver Failure in the ICU: Neurology, Peri-transplant Medicine, Infectious Disease, and Gastroenterology Considerations: https://journals.lww.com/ccmjournal/pages/articleviewer.aspx?year=2023&issue=05000&article=00010&type=Fulltext Guideline for the Management of Adult Acute and Acute-on-Chronic Liver Failure in the ICU: Neurology, Peri-transplant Medicine, Infectious Disease, and Gastroenterology Considerations: https://journals.lww.com/ccmjournal/pages/articleviewer.aspx?year=2023&issue=05000&article=00011&type=Fulltext Guideline for the Management of Adult Acute and Acute-on-Chronic Liver Failure in the ICU: Cardiovascular, Endocrine, Hematologic, Pulmonary, and Renal Considerations: https://journals.lww.com/ccmjournal/Fulltext/2020/03000/Guidelines_for_the_Management_of_Adult_Acute_and.29.aspx Previous Episodes of Critical Matters on the Topic of Acute-on-Chronic Liver Failure: https://soundphysicians.com/podcast-episode/?podcast_id=342&track_id=953807698 https://soundphysicians.com/podcast-episode/?podcast_id=342&track_id=965563996 Books Mentioned in this Episode: Noise: A Flaw in Human Judgement. By Daniel Kahneman, et al: https://bit.ly/3sqfRin Seven Brief Lessons on Physics. By Carlo Rovelli: https://bit.ly/45jv82N Anaximander: And the Birth of Science. By Carlo Rovelli: https://bit.ly/3sqgqbZ

In this week's episode, we'll review a detailed safety profile of acalabrutinib versus ibrutinib in patients with previously treated chronic lymphocytic leukemia, discuss a report that leukocyte inflammation contributes to trauma-induced coagulopathy by oxidation and degradation of fibrinogen, and finally, discuss a pharmacokinetic-pharmacodynamic analysis that shows higher abatacept exposure decreases occurrence of acute graft versus host disease (GVHD) after allogeneic hematopoietic stem cell transplantation (HSCT) from an unrelated donor. 

The USMLEs love their acute coronary syndromes. This stuff also shows up on multiple shelf exams. This podcast goes on a deep, high yield dive into this topic and emphasizes common exam scenarios that should help you garner easy points. Audio Download

Dr. Christina Prevett // #ICEPelvic // www.ptonice.com  In today's episode of the PT on ICE Daily Show, #ICEPelvic Division Leader Christina Prevett breaks down two recent studies, one that is VERY new to challenge beliefs on prolapse, the pelvic floor and strength training. Take a listen to learn how to better serve this population of patients & athletes. If you're looking to learn more about our live pregnancy and postpartum physical therapy courses or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. Are you looking for more information on how to keep lifting weights while pregnant? Check out the ICE Pelvic bi-weekly newsletter! EPISODE TRANSCRIPTION 00:00 INTRO Hey everyone, Alan here. Before we get into today's episode, I'd like to take a moment to introduce our show sponsor Jane. If you don't know about Jane, Jane is an all-in-one practice management software with features like online booking, scheduling, documentation, and a PCI-compliant payment solution. The time that you spend with your patients and clients is very valuable, and filling out forms during their appointment time can quickly take away from the time that you all have together. That's why the team at Jane has designed online intake forms that your patients can complete from the comfort of their own homes. And to help them remember to fill out their forms, Jane has your back, with a friendly email reminder sent 24 hours before their appointment. This means they arrive ready to start their appointment, and you can arrive ready to help. Jane's online intake forms are fully customizable to ensure you're collecting everything you need ahead of time, whether that's getting a credit card on file, insurance billing details, or a signed consent form. You can build out your intake forms from scratch or use templates from Jane's template library and customize it further to meet your practice needs. If you're interested in learning more, head on over to jane.app slash guide. Use the code ICEPT1MO at signup to receive a one-month grace period on your new account. Thanks everyone. Enjoy today's episode of the PT on ICE Daily Show. 01:22 CHRISTINA PREVETT Hello everybody and welcome to the PT on ICE Daily Show. My name is Christina Prevett. I am one of the team within our pelvic health division. If you are interested in learning more about our pelvic health division, we have a online newsletter that goes out every two weeks that focuses on the research, which I'm going to talk about today, in pelvic health. One of the things that is so exciting, but maybe a little bit overwhelming about being in public health and being in this area of exercise and rehab in the pelvic health space is that it is constantly changing. The research is coming out at a very fast pace, fast being relative because research is very slow, but we try and focus in on getting that research to your inboxes every two weeks. You can go to PTonICE.com slash resources and sign up for that newsletter. I am writing it this week and it goes out on Thursday. Also all of our online content, our next online cohort, and all of our upcoming live courses, our two-day live course is in that email newsletter. I hope that you all sign up to get all that research straight to your inbox. 02:48 ACUTE EFFECTS OF RESISTANCE TRAINING Today I'm going to be talking about a new study that came out of Carrie Bowes' lab, talking about the acute effects of resistance training on the pelvic floor. And so before I do that, I kind of want to set the stage for you all around some of the thoughts in pelvic health around heavy strength training. Where we have started this journey was that one of the risk factors for pelvic organ prolapse or descent of one or more of the vaginal walls towards the vaginal opening is that occupational heavy lifting. So individuals who lift heavy weights for their job, consistently lifting heavy weights, were shown to be at risk for more objective descent of one or more of those walls compared to those that didn't. And that because we didn't have any research on resistance training was extrapolated and said, well, maybe we shouldn't do any strenuous heavy lifting as females in order to mitigate or prevent the risk of pelvic organ prolapse from occurring. That was kind of the thought. Since then, we have really pushed back against that narrative and said, well, that doesn't really make a lot of sense because it's very different to go in for eight hours a day doing lifting versus, you know, the 30 to 90 minutes that individuals are doing. In your job, you can't control if you're feeling bad or feeling weak and just take a rest day or modify the way that you're doing your exercise. So again, there isn't really that comparison. 04:24 ACUTE CHANGES TO THE PELVIC FLOOR And now we're starting to get more and more research come out that's talking about kind of this acute change to the pelvic floor that we're seeing with different amounts of strength training or different types of strength training. So Carrie Bo came out with a study and what she was doing was she was taking individuals who were resistance trained. So on average, these were individuals who had never had kids. They were Nellie Parris. And so I never had a delivery and were trained resistance trained athletes. So they had on average about two years of experience. They were then put into a crossover design. So what that means was they took half the individuals and got them to strength train first and then took half the individuals and got them to rest first and then kind of compared. So what they were trying to look at was after a high load resistance training session, what was the impact on the pelvic floor? The thoughts were one of two camps. There's two camps in this space. One is that individuals who strenuously lift are going to have bigger pelvic floor muscles, stronger pelvic floor muscles. And the other is that it may actually create damage over time that they're going to see a big change in symptoms or change in vaginal descent. So you kind of have individuals in both of these camps and we're trying to figure out which hypothesis is correct. And so they took, they did a one rep max or a perceived or rate of perceived exertion that was very high in the squat and the deadlift on one day. And then they got them to come back the next day. So after that one rep max test, they kind of flushed out, let the body recover, came back in. Half the group started with a rest window. So took pelvic floor muscle strength measures at the beginning pre, then half of them rested and did a post and then half of them did a four by four strength training session between 75 and 85% of their one rep max on the squat and the deadlift with reps in reserve between one and three and then did a post assessment and then they flipped, they flipped them. So what they saw was that there was no big differences, no statistically significant differences between the rest pre post, but then also the resistance training pre post. And I think that's really interesting because one of the things that we kind of explain around our, our thoughts around heaviness or prolapse are things like that it's a fatigue issue or so maybe it isn't fatigue or maybe it is, but doing a supine assessment, which is our traditional way of conceptualizing pelvic floor muscle strengthening, isn't sufficient to look at this type of, of fatigue, like to really evaluate this type of fatigue in individuals who are experiencing these symptoms. So that was really interesting. The other thing was that, you know, they did see some individuals who complained of urinary incontinence in this sample around 28%, I believe. And so those individuals, the study wasn't powered enough to be able to subgroup those that experienced incontinence versus those that didn't, but there, what it was not just on individuals who were symptom free. I think that's a pro to this study because we can say, well, of course there isn't any fatigue or any downstream effects of individuals who've never experienced pelvic floor dysfunction, but that's not the case in this study. There was a significant cohort of these individuals who did experience leaking with lifting and the study just wasn't powered enough to subgroup this out. So the first step was to kind of take a full circle approach and say, was there any differences? And then the next step is going to say, is there any differences for individuals who do experience pelvic floor dysfunction versus those that don't? And then the next step is those that are multiparous or multiparous, like multiparous, we kind of, tomato, tomato, those who have had vaginal deliveries before or have given birth before vaginally versus those that haven't. And so this is kind of setting up this conversation around the way that we message things. So another study was done in 2016 and I just found it because it was in the discussion section of this paper around vaginal descent. So Carrie said the Bowe study was looking at pelvic floor muscle strengthening, pelvic floor muscle strength and assessment. 09:23 VAGINAL DESCENT AND EXERCISE The next question is around vaginal descent and are you more likely to experience symptoms of prolapse or heaviness post resistance training? And so this study was done in 2016, I believe it was published out of Janet Shaw and Ingrid lab that was looking at CrossFit athletes, those who experience, sorry, those who participate in strenuous exercise. So they got CrossFitters and they got them to do pre-post on the pop cue versus those that participate in non-strenuous exercise. So let's kind of break this study down too, because I think it's important. So in this second, this, I guess it was the first study, what the group from Nygaard and Shaw's lab did was they took individuals who were CrossFitters, got to check their pelvic floor muscle strength and the pop cues. The pop cue is an objective assessment of prolapse that has good reliability that looks at the different segments of the different walls of the vagina. And then as they do a strain maneuver, they see what the range of motion or the amount of each segment of each component of the wall are, and then create a grade based on the most amount of movement in whichever section of the vaginal wall that may be. So they took individuals who were CrossFitters and then they took individuals who participated in non-strenuous, non-high impact exercise and got them to come into the lab. And then the strenuous group was, they did a pelvic floor muscle strength exam and then the pop cue and then in the non-strenuous group, they did the same thing. And then they got the CrossFit group, the strenuous group to do a 20 minute AMRAP of sit-ups, heavy deadlifts. There was an impact movement in there and kind of went for 20 minutes. And then they got the non-strenuous group to do 20 minutes of an exercise of their choice at a self-selected pace. And then they did the pop cue again. Here's something that's really interesting. So the strenuous group was participating in CrossFit for over two years. They had an extensive history of strenuous exercise versus the non-strenuous group. And they kind of conceptualized this based on looking at what they did for exercise and the amount of loading in their bones to try and get some sort of measure of impact, which I thought was kind of brilliant. And they compared them. Strenuous group had done a lot more loading of their bones and musculature and therefore loading of their pelvic floor compared to the other group. And what they saw was that before their pre-exercise, descent in pelvic floor muscle strength was not different. Was not different. So this created preliminary research that the strength, individuals who are participating in strength training for several years, so it was like on average 22 months plus or minus, and they had to have at least, I think, a year of doing CrossFit regularly, three to four times per week to be able to get into the study in the first place, that there was no difference in vaginal descent. They had, there was no differences between the two. So that kind of goes against this argument that resistance training is going to cause a prolapse, resistance training in general for individuals who haven't had a vaginal birth yet. So I think that's interesting. And then post-partum, or post-exercise rather, they did see differences in descent in both groups. So both groups saw a difference in descent immediately post-exercise, which again, I think is really interesting because this does not support that resistance training and high impact is going to lead to prolapse down the line. Now again, we have a lot of work to do within this space. This was one study. I'm not going to just start shouting from the rooftops that all of a sudden, you know, we know all of the things that we need to know. I'm not saying that, but the fear focused language that is coming into this space around resistance training and avoiding Valsalva and all these types of things isn't founded objectively. So the other interesting thing was that there was only one individual, even though there was a change in descent, right? There was some changes pre-post-exercise and they didn't re, they didn't kind of follow them further and further forward. I would have loved to see them do multiple time points to see how long it took before that changed or kind of returned to baseline. There wasn't anything that, that was looking at what, what that change of symptoms were. 12:57 RESISTANCE TRAINING & PROLAPSE And there was only one person with subjective symptoms of prolapse. So again, we're, we're seeing this disconnect between objective signs and subjective experiences, which I think again is really interesting because we are focusing a lot on the grade, like what grade do you have? What grade do you have? And the evidence isn't really supporting that we, that should be our focus. If you are thinking surgical routes, if it is coming past the level of the Hymen, absolutely, because then we're going to say, is this impacting your quality of life? Is there sufficient imaging data to see that a surgery, for example, would be warranted? For individuals in the conservative space, again, we're, we're, we're questioning, does the objective signs matter? And, you know, we can't answer that question, but it is an interesting thought experiment and we're starting to have more evidence accumulate that, you know, there is a big disconnect. And yes, our body is going to change and show signs of fatigue with things like impact, but what's the cost benefit? What is the risk of telling people that they shouldn't be getting strong for their 60-year-old self, for their 70-year-old self, for their 85-year-old self, when we know that strength is such a huge, huge component of independence in later life? So it is so exciting, kind of going through Carrie Bowes where she didn't see any change in pelvic floor muscle strength to some of the research coming out of the Nygaard and Shaw lab that are talking about changes in pelvic organ support with heavy lifting and long-term heavy lifting. I think we're starting to get more and more data that the fear-focused messages aren't warranted, that we're going to start treating the symptoms and that we can expect changes to the pelvic floor when the pelvic floor gets a workout. Again, I don't think for anybody in the ice fitness forward community that that is necessarily a surprising finding, but it is definitely pushing some of the narratives in pelvic health and I think pushing them in a really necessary direction to try and change this narrative around the fear-focused language of resistance training in the pelvic floor. If you are interested in those studies, I'll post their DOIs below in the comment section. I am so excited to be talking about this research. Again, if you are a research nerd like me and you want to see the new studies that are coming out in this space, which these two studies are going to be in our newsletter this next week, I encourage you to go to ptonice.com slash resources to look for the pelvic newsletter. I am really excited to see some of the changes happening within our course and I just can't wait to continue connecting with you all about research in the pelvic health space. All right. Have a great day, everyone, and I will talk to you soon.  16:40 OUTRO Hey, thanks for tuning into the PT on Ice Daily Show. If you enjoyed this content, head on over to iTunes and leave us a review and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ICE content on a weekly basis while earning CUs from home, check out our virtual ICE online mentorship program at ptonice.com. While you're there, sign up for our hump day hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.

On this week's episode of Field Notes: An Exploration of Functional Medicine, Dr. Rob Downey is joined by Dr. Heidi Hanna to discuss stress, how it impacts the brain and body, and tips for how we can be more resilient to stress.   [05:30] How can stress bring out the best in us? [14:00] How can people deal with stressful things that come their way without getting swept up into a stressed state? [17:13] Questioning breathing techniques. [21:56] “Quick wins” to trick your brain. [26:49] Acute stress in trying times. [35:56] Acknowledging stress as opposed to fighting it. Dr. Heidi Hanna is the Chief Energy Officer of Synergy Brain Fitness, a company providing brain-based health and performance programs to individuals and organizations, a Senior Researcher with the Brain Health Initiative, and a Fellow and Advisory Board Member for the American Institute of Stress. Dr. Heidi is also an instructor at Harvard at a regular lecturer at Canyon Ranch Resort and Spa. She is a NY Times bestselling author who has written seven books, including The Sharp Solution, Stressaholic, Recharge and What's So Funny About Stress? Dr. Heidi has been featured at many global conferences including the Fortune Magazine Most Powerful Women in Business Summit, ESPN Leadership Summit and the Million Dollar Round Table. Her clients have included Google, Starbucks, Microsoft, Principal Insurance, Morgan Stanley, Ameriprise and WD40 as well as the PGA Tour and the National Football League. Dr. Heidi is also a National Board Member and Certifed Humor Professional with the Association for Applied and Therapeutic Humor although she won't admit she's funny.

Peter Hughes, Psychiatric Nurses Association, warns that the closure of 16 psychiatric beds at St James's Hospital, Dublin, will impact mental health services.

Several measures of blood pressure (BP) control have been used including time to reach target BP, maintaining BP within target range, reducing BP fluctuation, achieving goals with monotherapy and avoiding multiple anti-hypertensive agents, achieving goals with minimum dose adjustments, avoiding discontinuation due to side effects, and preventing hypotension. There are multiple methods of quantifying these measures. The clinical relevance of various measures particularly relationship with acute kidney injury, and death or disability in patients with acute stroke or traumatic brain injury is not well understood. A better understanding of these measures is essential to identify the ideal therapeutic agent and for comparison of effectiveness between various antihypertensive agents. Dr Nick Morris is joined by Dr Ali Seifi, Director of Neuro ICU at University of Texas Health whose session at the Meeting focused on the need to review existing data to evaluate the relationship between various measures of BP control and acute kidney injury and death or disability in stroke patients.

Acute shortages of trainee specialists are fuelling burnout among senior hospital doctors, whose own ranks are thinning. After decades of an ad hoc approach to critical workforce training - and a reluctance by some health boards to pick up the tab - there's finally a plan, or at least a plan to make a plan. But will it be too late for those vulnerable specialties already on life-support? Ruth Hill reports.

Cervical radiculopathy is a common condition of the neck that can result in a multitude of symptoms radiating in the arm, including muscle weakness. Acute weakness with the bench press can be a sign that something is impinging a nerve in your neck but when addressed appropriately, you can regain your strength effectively.   Chris Rzany experienced the acute onset of pec and triceps weakness in his bench press from one day to the next. He knew something was wrong and needed medical attention when he could barely bench press the empty bar where previously he was bench pressing 260lbs.   In an effort to preserve his physical health he sought immediate medical attention from an orthopedist, underwent imaging, and other testing, with no conclusive diagnosis to the root cause of his cervical radiculopathy.   Through his recovery journey there were ups and downs, relapses of his symptoms, but eventually, with the brief help from PRS Clinical Coach, Dr. Rori Alter, Chris was able to understand the root of his injury, his training program.   In this episode of the PRS Podcast, Chris and Dr. Rori Alter sit down and discuss his journey from severe cervical radiculopathy back to the powerlifting platform and hitting a raw powerlifting bench press PR.   In this episode you'll learn how volume, intensity, frequency, recovery, and novel stimuli played into his injury. And he'll also discuss how he stopped the relapse/remission cycle through monitoring training intensity.    Connect with Chris: IG - @crzany75 Email  - chris_rzany@yahoo.com     If you're enjoying our podcast, please leave us a review on Apple or Spotify.   Join our Facebook Community for free form checks, live Q&As & more: https://www.facebook.com/groups/PRS.Barbell.Mastery    Got questions or guests you'd like to hear on the show? Submit them here: https://forms.gle/7Vu2HmgHoeQY9xM59  Check out the Clinical Barbell Coaching Institute to learn more about the PRS education opportunities! https://bit.ly/43VjRFz Get in touch with the show! Web: https://www.progressiverehabandstrength.com Email: podcast@progressiverehabandstrength.com Rori IG: @rorimegan_prs Alyssa IG: @alyssahope_prs Bre IG: @breannejulia_prs  

This is the fourth episode in a series of episodes on Long Covid . We have covered the science, functional medicine strategies, and treatment options. And this episode brings it all together. I welcome on Dr. Julie Barter who has seen and treated over 1000 cases of Acute and Long-Covid. We speak about: Covid-19 similarity to treating Lyme disease and co-infections Micro coagulation and Long-Covid Heparin injections IL-4 , TNF-Alpha and other immune activation features of Covid-10 Treatments that are used in the outpatient setting Just as the world is engaged in the new-normal and many people have "moved-on" from Covid-19; we still have a significant part of our population still struggling with long-covid . This episode provide hope and guidance in directions to address for current cases of long-covid and future cases to come. About our guest Dr. Julie Barter, ND currently practices in Whitefish, Montana, serving the Flathead Valley and surrounding regions as a natural and functional medicine expert. Working with people of all ages, she specializes in women's health, chronic fatigue, chronic pain, food allergies, digestive, hormonal and environmental concerns, and chronic illnesses with a special focus on Lyme disease and its co-infections. She is the area's only Lyme and mold-literate physician capable of offering a full range of treatment options. She also works with many long COVID patients with great success. She has been trained and mentored in the area of Lyme disease and associated infections by some of the country's best internists, including nearly two years of clinical training with Daniel Kinderleher, MD. She is an active member of ILADS. (International Lyme and Associated Diseases Society)  She has extensive experience in resolving most common health complaints with functional medicine approaches, including clinical nutrition, herbal medicine, homeopathic remedies, IV therapies and injection therapies for relieving aches and pains.  She is fully versed in pharmaceuticals as well. She enjoyed busy private clinical practices in Maine and Colorado before relocating to Montana.   As a graduate of the National College of Natural Medicine in Portland, Oregon, an accredited four-year medical school program, Dr. Julie Barter underwent outstanding clinical training. She completed internships in internal medicine, environmental medicine, gynecology, and acute care for underserved populations. Naturopathic medical school training was not enough to give her all the expertise she desired in physical medicine, so she also attended Western States Chiropractic College for adjusting and biomechanics classes. Social Links Website: www.nfmedicine.com --- Support this podcast: https://podcasters.spotify.com/pod/show/adam-rinde/support

Dr. Christian Huckfeldt, DPT discusses how pitching can influence shoulder range of motion in overhead throwing athletes.

CardioNerds co-founder Dr. Amit Goyal and episode leads Dr. Jaya Kanduri (FIT Ambassador from Cornell University) and Dr. Jenna Skowronski (FIT Ambassador from UPMC) discuss Complications of acute myocardial infarction with expert faculty Dr. Jeffrey Geske. They discuss various complications of acute MI such as cardiogenic shock, bradyarrythmias, left ventricular outflow tract obstruction, ruptures (papillary muscle rupture, VSD, free wall rupture), and more. Show notes were drafted by Dr. Jaya Kanduri. Audio editing by CardioNerds Academy Intern, student doctor Tina Reddy. The CardioNerds Beyond the Boards Series was inspired by the Mayo Clinic Cardiovascular Board Review Course and designed in collaboration with the course directors Dr. Amy Pollak, Dr. Jeffrey Geske, and Dr. Michael Cullen. CardioNerds Beyond the Boards SeriesCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes - Complications of Acute Myocardial Infarction Sinus tachycardia is a “harbinger of doom”! The triad for RV infarction includes hypotension, elevated JVP, and clear lungs. These patients are preload dependent and may need fluid resuscitation despite having an elevated JVP. Bradyarrythmias in inferior MIs are frequently vagally mediated. The focus should be on medical management before committing to a temporary transvenous pacemaker, such as reperfusion, maintaining RV preload and inotropy, avoiding hypoxia, and considering RV-specific mechanical circulator support (MCS). Worsening hypotension with inotropic agents (e.g., dobutamine, epinephrine, dopamine, norepinephrine) after a large anterior-apical MI should raise suspicion for dynamic left ventricular outflow tract obstruction due to compensatory hyperdynamic basal segments. The myocardium after a late presentation MI is as “mushy as mashed potatoes”! Need to look out for papillary muscle rupture, VSD, and free wall rupture as potential complications. Papillary muscle rupture can occur with non-transmural infarcts, and often presents with flash pulmonary edema. VSDs will have a harsh systolic murmur and are less likely to present with pulmonary congestion. Free wall rupture can present as a PEA arrest. All of these complications require urgent confirmation on imaging and early involvement of surgical teams. Notes - Complications of Acute Myocardial Infarction How should we approach cardiogenic shock (CS) in acute myocardial infarction (AMI)? Only 10% of AMI patients present with CS, but CS accounts for up to 70-80% of mortality associated with AMI, usually due to extensive LV infarction with ensuing pump failure. Physical examSinus tachycardia is considered a “harbinger of doom”, when the body compensates for low cardiac output by ramping up the heart rateThe presence of sinus tachycardia and low pulse and/or blood pressure in a patient with a large anterior MI should raise suspicion for cardiogenic shockBe wary of giving IV beta blockers in this situation as negative inotropes can precipitate cardiogenic shock (Commit Trial) When interpreting a patient's blood pressure in the acute setting, it is helpful to know their baseline blood pressure and if they have a significant history of hypertension. Patients

In this episode, I explain how ketamine causes rewiring of brain circuits and dissociative states to relieve symptoms of depression and post-traumatic stress disorder (PTSD). I explain how ketamine impacts both the brain's glutamate and its endogenous opioid pathways, which together regulate mood and well-being. I discuss how ketamine therapy is used clinically to treat major depression, bipolar depression, obsessive-compulsive disorder (OCD), suicidality and other psychiatric challenges. I also describe how ketamine causes the subjective effects of dissociation and euphoria and, at higher doses, is an anesthetic. I compare the different routes of ketamine administration, dosages and forms of ketamine, and if micro-dosing ketamine is effective. I also highlight the potential risks of recreational ketamine use (and the colloquial term ‘K-holes'). This episode should interest anyone interested in ketamine, treatments for depression, neuroplasticity mechanisms, psychiatry and mental health. For the full show notes, visit hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman ROKA: https://roka.com/huberman Eight Sleep: https://eightsleep.com/huberman LMNT: https://drinklmnt.com/huberman ROKA: https://roka.com/huberman Supplements from Momentous https://www.livemomentous.com/huberman Timestamps (00:00:00) Ketamine (00:02:29) Sponsors: ROKA & Eight Sleep (00:05:13) Ketamine & PCP; Clinical & Recreational Use (00:09:00) Depression & Current Treatments (00:15:17) Preclinical Models of Depression & Ketamine; “Learned Helplessness”  (00:22:11) Ketamine & Clinical Uses; Depression & Suicidality  (00:28:32) Ketamine & Other Psychiatric Challenges; Relief & Durability  (00:33:24) Sponsor: AG1 (00:34:29) NMDA Receptor & Neuroplasticity (00:41:36) Excitatory & Inhibitory Communication, Seizure, NMDA Receptors & Ketamine (00:48:26) How Ketamine Functions in Brain; Acute & Long-Term Effects (00:55:36) Brain-Derived Neurotrophic Factor (BDNF) & Ketamine Therapy (01:02:28) Sponsor: LMNT (01:03:40) Ketamine & Opioid Pathway  (01:10:00) Divergent Mechanisms of Immediate & Long-Term Effects (00:15:45) Habenula, Pro-Depressive Behaviors & Ketamine Therapy (01:20:36) Ketamine & Context-Dependent Strategy; Reward Pathway (01:22:45) Dissociative States (01:26:04) Doses & Routes of Administration; “K-holes”; Risk & Caution (01:32:25) Ketamine Forms; R-, S- vs R/S- Ketamine; Micro-Dosing (01:38:24) Ketamine: Effects & Therapy (01:40:40) Zero-Cost Support, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Momentous, Social Media, Neural Network Newsletter Title Card Photo Credit: Mike Blabac Disclaimer

In this Management Case Study from the 2022 Midyear Clinical Meeting, content matter experts describe the process for developing an enterprise-wide acute hospital at home (AHH) program and identify the risks and benefits of AHH for the healthcare organization.as well as patients and caregivers. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

My guest says that if left untreated, a migraine can persist anywhere from 4 to 72 hours and frequency might vary from person to person. Migraines might hit once a month or numerous times a month.My guest represents the Center for Interventional Pain Management which is a nationally recognized center of excellence for treating and managing complex chronic pain. The Center provides comprehensive multidisciplinary inpatient and outpatient treatment options tailored to individual patient needs. They feel that the whole person must be treated, not just the pain & they work as a team to help you reduce or eliminate your pain.https://painmd.tv/http://www.yourlotandparcel.org

Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial. Jones CMP, Day RO, Koes BW, et al. Lancet. Published Ahead of Print. doi:10.1016/S0140-6736(23)00404-X Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight

Patreon.com is where we’re putting all our best protocols for health conditions, exclusive content, live monthly Q&As and more. 3 plans to choose from. Come join the community, you’ll be glad you did. Episode Summary In this week’s show with Dr. Luis Garcia MD we discussed how biomagnetism can help with chronic degenerative diseases as […]

With Otto Smiseth & Lars-Egil Hammersboen, University of Oslo, Oslo - Norway Link to paper Link to editorial

Are you up to speed on rapid diagnostic testing for upper respiratory infections? Credit available for this activity expires: 7/27/2024 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/994790?ecd=bdc_podcast_libsyn_mscpedu

Acute agitation, particularly in patients with schizophrenia and bipolar disorder, occurs frequently, resulting in multiple visits to the emergency department each year. The management of acute agitation occurs in various departments throughout the hospital and health system. This educational activity will discuss currently recommended patient-centered approaches to care, which includes both nonpharmacologic and pharmacologic treatments. Guideline-recommended approaches that improve the patient experience as well as improve future interactions between patients and healthcare professionals will also be discussed. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

In this first episode on trauma, we interview Sharon K. Ball. Licensed therapist and enneagram professional who specializes in trauma and the enneagram. Sharon is the author of Reclaiming You: Using the Enneagram to Move from Trauma to Resilience. [1:10] Abram asks Sharon for her “top strength in her Myers-briggs finder” (?)[2:00] Clarifying some terms: trauma and resilience[4:15] The 4 Types of Trauma: Chronic, Insidious, Acute, & Complex[9:30] Big T vs. little t trauma[12:00] How important is it to label one's type of trauma?[16:10] The difference between a stressful experience and a traumatic one[22:30] On being trauma informed…and not reducing people to a type[27:40] Finding specific practices for our type[29:45] The triad of resilience/trauma resolution[33:00] The difference between an enneagram type as a coping strategy vs. a trauma response. [36:20] How knowing your type can engage your trauma work[39:05] How can we honor each other and arrive at a greater sense of unity? Follow Sharon's work: @sharonkball // www.ninepaths.com—Fathoms | An Enneagram Podcast: “Discovering our inner depths, one fathom at a time.”—Co-hosts: Seth Abram, Seth Creekmore, Lindsey Marks, Drew MoserProduction/Editing: Seth CreekmoreFollow us on Instagram: @fathoms.enneagramFollow Abram: @integratedenneagramFollow Creek: @_creekmoreFollow Drew: @typetrailenneagramFollow Lindsey: @lindseyfaithdm

In this radiology lecture, we review the ultrasound appearance of acute cholecystitis, including gangrenous and emphysematous cholecystitis! Key teaching points The post Ultrasound of Acute Cholecystitis appeared first on Radiologist Headquarters.

Elliott Kirk Gozansky, MD, PhD from New York University Langone Health and Grossman School of Medicine summarizes his chest imaging article published in the RadioGraphics journal. Chest CT Angiography for Acute Aortic Pathologic Conditions: Pearls and Pitfalls. Ko et al. RadioGraphics 2021; 41:399–424.

We discuss one of the most frequent listener questions. How do you manage acute and chronic non cancer pain including perioperative pain in patients maintained on buprenorphine? We review the SAMHSA guidelines, Tip 54, and review of the literature and case reports discussing patient outcomes and suggested protocols. Hosted by Darlene Petersen, MD and Paula Cook, MD. Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles or email us at theaddictionfiles@gmail.com No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

Contributor: Travis Barlock MD Educational Pearls: Clinical picture: A patient comes in with altered mental status, tachycardia, fever, elevated T4, and low TSH. What's the diagnosis?... Thyrotoxicosis secondary to Graves' Disease. How do you treat thyrotoxicosis? First, give a beta-blocker such as propranolol. This suppresses the elevated adrenergic activity. Second, give a thionamide such as propylthiouracil (PTU) or methimazole. This decreases the synthesis of new thyroid hormone. PTU is preferred because it also blocks the conversion of T4 to T3. Third, give an iodine solution such as potassium iodide. This blocks the release of thyroid hormone through a mechanism called the Wolff-Chaikoff effect. Note, this should be given about an hour after the PTU/methimazole to ensure iodine cannot be taken up and used to synthesize more thyroid hormone in individuals with toxic adenoma or toxic multinodular goiter. Fourth, give a glucocorticoid such as hydrocortisone. This will reduce thyroid hormone conversion from T4 to T3 and treat any concurrent adrenal insufficiency. References Abuid J, Larsen PR. Triiodothyronine and thyroxine in hyperthyroidism. Comparison of the acute changes during therapy with antithyroid agents. J Clin Invest. 1974 Jul;54(1):201-8. doi: 10.1172/JCI107744. PMID: 4134836; PMCID: PMC301541. Cooper DS, Saxe VC, Meskell M, Maloof F, Ridgway EC. Acute effects of propylthiouracil (PTU) on thyroidal iodide organification and peripheral iodothyronine deiodination: correlation with serum PTU levels measured by radioimmunoassay. J Clin Endocrinol Metab. 1982 Jan;54(1):101-7. doi: 10.1210/jcem-54-1-101. PMID: 6274892. Das G, Krieger M. Treatment of thyrotoxic storm with intravenous administration of propranolol. Ann Intern Med. 1969 May;70(5):985-8. doi: 10.7326/0003-4819-70-5-985. PMID: 5769631. Nayak B, Burman K. Thyrotoxicosis and thyroid storm. Endocrinol Metab Clin North Am. 2006 Dec;35(4):663-86, vii. doi: 10.1016/j.ecl.2006.09.008. PMID: 17127140. Tsatsoulis A, Johnson EO, Kalogera CH, Seferiadis K, Tsolas O. The effect of thyrotoxicosis on adrenocortical reserve. Eur J Endocrinol. 2000 Mar;142(3):231-5. doi: 10.1530/eje.0.1420231. PMID: 10700716. Summarized by Jeffrey Olson, MS2 | Edited by Jorge Chalit, OMSII

In this MASScast episode Dr. Helms shares his recent experience cutting down to and competing in the 83kg category - a weight class lower than his typical - in the midst of his bodybuilding contest prep, and how he maintained the vast majority of strength from the start to the finish of this process. Then, he does a deep dive on the topic of muscle fiber-type specific hypertrophy, with a focus on a new systematic review that asked the question of whether blood flow restriction training can cause it. For more MASS science-based content check out https://massresearchreview.com (en español https://revistamass.com/) 00:00 They said he couldn't do it… but first, reviewing (non-AI) reviews 16:12 Eric's meet recap 30:40 Weight cuts for Powerlifting 37:49 Discovering what weight class to compete in 47:22 The timeline of moving down a weight class and explaining coefficients 1:05:01 Fiber-type specific hypertrophy and some applications  Schoenfeld 2023 Fiber-Type-Specific Hypertrophy with the Use of Low-Load Blood Flow Restriction Resistance Training: A Systematic Review https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10204387/  Bjørnsen 2019 Type 1 Muscle Fiber Hypertrophy after Blood Flow-restricted Training in Powerlifters https://pubmed.ncbi.nlm.nih.gov/30188363/  Grgic 2020 The Effects of Low-Load Vs. High-Load Resistance Training on Muscle Fiber Hypertrophy: A Meta-Analysis https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7706639/  1:22:21 Contrasting results   Hansen 2020 Effects of alternating blood flow restricted training and heavy-load resistance training on myofiber morphology and mechanical muscle function https://pubmed.ncbi.nlm.nih.gov/32324471/  Davids 2021 Acute cellular and molecular responses and chronic adaptations to low-load blood flow restriction and high-load resistance exercise in trained individuals https://pubmed.ncbi.nlm.nih.gov/34554017/ Sieljacks 2019 Six Weeks of Low-Load Blood Flow Restricted and High-Load Resistance Exercise Training Produce Similar Increases in Cumulative Myofibrillar Protein Synthesis and Ribosomal Biogenesis in Healthy Males https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6548815/ Bjørnsen 2019 Delayed myonuclear addition, myofiber hypertrophy, and increases in strength with high-frequency low-load blood flow restricted training to volitional failure. https://pubmed.ncbi.nlm.nih.gov/30543499/ Bjørnsen 2021 Frequent blood flow restricted training not to failure and to failure induces similar gains in myonuclei and muscle mass.  1:33:17 Applications of BFR for trained individuals 1:42:43 Closing out another monster MASScast Episode

What is pain? No, not the suffering we experience in a race or hard workout, but ACTUAL pain? Physical therapist Dr. Megan Waples, PT, DPT of @perfectstridept joins the show today to talk to us about pain! What is pain? Is pain always a bad thing? The difference between the "pain of racing" vs injury-related pain Is where you feel pain always where the issue is? Is inflammation always bad? Considering RICE for injury management Acute injury vs overuse injury vs chronic injury Chronic pain & cortical smudging Why it's emotionally challenging to rehab an injury Ways to "hack" your brain when you're going through rehab Talking about chronic pain Lifestyle factors that can help recovery Dr. Megan Waples (PT, DPT) is a former collegiate cross country and track athlete (Emory University) who now works with endurance athletes at Perfect Stride Physical Therapy in New York City. She has a special interest in helping runners get back to training pain-free. https://perfectstridept.com/megan-waples/

Show notes at pharmacyjoe.com/episode834. In this episode, I ll discuss expectations for the onset of action of IM medications used for acute agitation. The post 834: Expectations for the onset of action of IM medications used for acute agitation appeared first on Pharmacy Joe.

I am thrilled to announce a monumental milestone in our podcast journey! At the time of this recording, our latest podcast reached an astounding 4 million downloads! With continued support and enthusiasm from our dedicated listeners, we hope to surpass 6 million downloads by the end of this year! Today, I am delighted to dive into an intriguing topic as we explore the latest collaboration between MD Logic Health and myself. Joining me on the podcast is Scott Emmons, the esteemed COO of MD Logic Health and a fellow health entrepreneur. For this episode, our focus centers on Alpha GPC, a groundbreaking cobranded supplement that will redefine the landscape of brain health, exercise performance, and neuroprotection. This remarkable supplement will captivate your attention as we explore its multifaceted benefits and synergistic mechanisms alongside creatine monohydrate. Acting as a precursor to acetylcholine, Alpha GPC plays a pivotal role in cognition, learning, memory, and attention, with the ability to traverse the formidable blood-brain barrier. Brace yourself for an in-depth discussion on the cutting-edge research surrounding these mechanisms and their profound implications. Mark your calendar, as Alpha GPC will be launched in July 2023, accompanied by exclusive pre-sale incentives you will not want to miss! IN THIS EPISODE YOU WILL LEARN: What is Alpha GPC, and how does it work? The benefits of green tea and coffee for Alpha GPC. Key areas in terms of benefits for Alpha GPC. Little tricks to make your coffee taste great. Keeping your wits about you as you get older. The effect of caffeine on the mitochondria. The remarkable physical benefits of Alpha GPC. How Alpha GPC elevates human growth hormone. The efficacy of Alpha GPC on physical endurance. Why recovery is more important than the exercise. How Alpha GPC impacts the brain. I chose to incorporate Alpha GPC as my third product due to my personal experience with its remarkable benefits. Over the past six months, intermittent use of Alpha GPC has provided me with enhanced mental clarity without the need for caffeine. I have also noticed improved information retention and memory, complementing my lifestyle practices such as quality sleep, exercise, nutrition, and intermittent fasting. Connect with Cynthia Thurlow • Follow on Twitter, Instagram & LinkedIn • Check out Cynthia's website Connect with Scott Emmens MD Logic Health On LinkedIn On Instagram (@longevityprotocol) Relevant research: Effect of a new cognition enhancer, alpha-glycerylphosphorylcholine, on scopolamine-induced amnesia and brain acetylcholine - PubMed (nih.gov) Alpha-Glycerylphosphorylcholine Increases Motivation in Healthy Volunteers: A Single-Blind, Randomized, Placebo-Controlled Human Study - PMC (nih.gov) Evaluation of the effects of two doses of alpha glycerylphosphorylcholine on physical and psychomotor performance - PubMed (nih.gov) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4595381/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4595381/#:~:text=Acute%20supplementation%20with%20caffeine%20or,large%20individual%20variability%20between%20subjects. https://academic.oup.com/ajcn/article/110/6/1416/5540729 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8235064/

Buckle up, PGY-1's! Intern year is starting whether you're ready or not. Don't fret, BTK has your back to make sure you dominate the first year of residency.  You've been a doctor for about 3.5 seconds, and suddenly that bright eyed, bushy-tailed medical student on service is looking to you for advice? Don't fret, in this episode we'll give you some tips for how to handle it. Hosts: Shanaz Hossain, Nina Clark Tips for new interns: REMEMBER HOW INTERNS DO AND DO NOT TEACH - Nobody, not even the med students, expect you to be an expert in everything or give a fully-planned formal lecture - You WILL however spend a ton of time working with students on your team – and via modeling and teachable moments, you can help them learn how it's done! MODELING - Remember how hard everything has been in the few days since you started residency? Think about all the information you've picked up, tips and tricks you're developing for efficiency, and best practices you're learning in the care of your patients. ALL of these are things you can pass on to students. - Presentations, case prep, answering questions from senior members of the team are ALL excellent opportunities to teach (and show students how you learn yourself, so they can do it independently). TEACHABLE MOMENTS - Find small topics that you know or are getting to know well – things like looking at a CXR, CT scan, etc. - Once you're getting more comfortable caring for specific disease processes, think about high yield lessons for students: - Acute trauma evaluation and management (ABCDE's), appendicitis, diverticulitis, benign biliary disease all make great 5 minute chalk talks that you can have in your back pocket IN THE OR - Watch students practice skills, and try to give some feedback and tips that you use (you learned knot tying and suturing more recently than ANYONE else in the OR and probably have some tips that you're still using to improve) - If you're not sure where or why the student is struggling with a particular skill (like tying a knot), model doing it yourself in slow motion while watching them do it – often the side by side comparison can help you identify where they're going astray BE THE RESIDENT YOU WISH YOU HAD - Refer to EVERYONE with respect - Model being a kind, conscientious, and curious physician - Try to find universal lessons and crossover topics that non-surgeons need to know - A great student makes their interns look even better – be explicit about how they can be successful, then advocate for them to have opportunities to show everything they're learning! Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our new how-to video series on suture and knot-tying skills – https://behindtheknife.org/video-playlists/btk-suture-practice-kit-knot-tying-simulator-how-to-videos/

Patron party tonight at 9PM EST! Patreon.com/thebpdshow