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In this edition of the CTSNet podcast, The Lifeline, host and nurse educator Jill Ley, Clinical Professor at the University of California San Francisco School of Nursing, Founder of the Essentials of Cardiac Surgical Resuscitation, and former Cardiac Surgery Clinical Nurse Specialist at California Pacific Medical Center in San Francisco, CA, USA, speaks with expert guest T. Sloane Guy, Director of Minimally Invasive and Robotic Cardiac Surgery at the Georgia Heart Institute. Together, they delve into crisis management after minimally invasive cardiac procedures. Chapters 00:00 Intro 01:19 Min Inv Approach vs Protocol 03:06 Potential Emergencies, Bleeding 06:44 Adjusting Bleeding Parameters 09:56 Limb Ischemia 11:10 Cardiac Arrest 13:35 Pacing vs Sternotomy 15:07 Arrythmias, Defibrillation 15:51 Tamponade 16:49 Tension Pneumothorax 17:05 Stroke 17:50 Myocardial Infarction 18:27 Bleeding in Pleural Space 19:24 Nurse Response to Bleeding 21:53 Case of Persistent Bleeding 22:48 Chest X-Ray Check 24:22 LV Dysfunction in Post-Op Period The discussion covers critical topics such as the cardiac surgical resuscitation algorithm, managing port-side and groin bleeding, and Dr. Guys' protocols for these situations. They emphasize the importance of monitoring for bleeding in unexpected areas, such as the abdomen, checking pulses, and the significance of practicing with surgical saws before emergencies arise. Additional topics include tamponade, stroke management, the importance of pacing, chest wall bleeding, and protocols for addressing left ventricular dysfunction in the postoperative period. Every month, The Lifeline features intensive care specialists sharing their expert insights into the rapid and effective management of critically ill cardiac surgical patients. Don't miss next month's episode! Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
Williamsville South student survives going into cardiac arrest at school on May 21 full 575 Wed, 10 Jun 2026 08:30:00 +0000 5H7riEN3Ld9ShWsE5cAgRnk2fs0g1XDO news,wben,williamsville,williamsville central school district WBEN Extras news,wben,williamsville,williamsville central school district Williamsville South student survives going into cardiac arrest at school on May 21 Archive of various reports and news events 2024 © 2021 Audacy, Inc. News https://play
Williamsville District Medical Director Christine Hall on the actions taken to save the life of Ian Toutounji after going into cardiac arrest on May 21 full 170 Wed, 10 Jun 2026 08:30:00 +0000 9ZU59VvAmdrDQ5ohYe1XALz91Pj2UoNc news,wben,williamsville,williamsville central school district WBEN Extras news,wben,williamsville,williamsville central school district Williamsville District Medical Director Christine Hall on the actions taken to save the life of Ian Toutounji after going into cardiac arrest on May 21 Archive of various reports and news events 2024 © 2021 Audacy, Inc.
Pediatric cardiologist at Golisano Children's Hospital of Buffalo, Rebecca Pratt on the actions taken to save the life of Ian Toutounji after going into cardiac arrest full 125 Wed, 10 Jun 2026 08:30:00 +0000 Z9ag67ifKncj1II8twrhsI1WZU3Rdiwo news,cardiac arrest,wben,williamsville,williamsville central school district,golisano children's hospital of buffalo WBEN Extras news,cardiac arrest,wben,williamsville,williamsville central school district,golisano children's hospital of buffalo Pediatric cardiologist at Golisano Children's Hospital of Buffalo, Rebecca Pratt on the actions taken to save the life of Ian Toutounji after going into cardiac arrest Archive of various reports and news events 2024 © 2021 Audacy, Inc.
Are medical advancements closing or widening medical disparities? Eugene Manley, Jr., Ph.D., founder and CEO of the STEMM & Cancer Health Equity Foundation, breaks down why equity is still not completely measurable in clinical trials, what proper representation in studies is, and how certain demographics are at a disadvantage for biomarker tests compared to other groups with host Deborah Borfitz. Their conversation explores whether health equity in cancer trials is different compared to commonly occurring diseases and if basket and umbrella trials may help the move the needle. Plus, the latest news on a pioneering phage therapy service, a unique cardiac arrest pilot study, new primary endpoints for cancer trials, and trial disruptions threatening diversity. Listen and let us know in a review: where do you think our time and resources are most needed for equity? Show Notes News Roundup Compassionate use phage therapy Article in Nature Medicine Press release from Monash University Sudden cardiac death research Study in Prehospital Emergency Care News on the University of Cincinnati website New endpoints for cancer trials Consensus paper in The Lancet Oncology News on the Medical University of Vienna website USC and Tempus strategic collaboration News on the Keck School of Medicine of USC website Trial disruptions threaten diversity Article in the Journal of Medical Internet Research Misinterpreting effects of Alzheimer's drugs Research letter in JAMA Neurology News from Brown University School of Public Health Guest Eugene Manley, Jr., Ph.D., founder and CEO of the STEMM & Cancer Health Equity Foundation The Scope of Things podcast explores clinical research and its possibilities, promise, and pitfalls. Clinical Research News senior writer, Deborah Borfitz, welcomes guests who are visionaries closest to the topics, but who can still see past their piece of the puzzle. Focusing on game-changing trends and out-of-the-box operational approaches in the clinical research field, the Scope of Things podcast is your no-nonsense, insider's look at clinical research today.
In the second session of the Depth Over Daises Conference, Pastor Cheryl shares a message about the importance of the heart.
According to a new survey conducted by the American Red Cross, 8 out of 10 people believe it's very important to know CPR and how to use an AED, yet only a quarter of Americans feel confident performing CPR or using an AED. We spoke to Richard Branigan, CEO of the American Red Cross Connecticut & Rhode Island Region, about the importance of CPR and AED Awareness Week. We also talked about prepping for hurricane season.To get CPR & AED Training: https://www.redcross.org/take-a-class
Jim Spaulding (Cardiac Care & Safety Inc owner/operator), a 28-year veteran of such matters, steps in-studio during "National CPR & AED Awareness Week" with oodles of insight, information and stories to enlighten and encourage the WFIL audience on how a person can be prepared to help save lives. You can find out more at www.cardiaccareinc.com. We continue sketching out a WFIL Station Family map as well, inviting listeners from as many cities & towns in the WFIL audience to text in and let us know where they're listening (partly for fun and partly as an encouragement that each of us is not alone but part of a bigger family (the "capital C" Church) :).See omnystudio.com/listener for privacy information.
In this hard-hitting episode of the PFC Podcast, Dennis sits down with Doug, a cardiothoracic ICU physician, for a no-fluff deep dive into ACLS with a heavy focus on pulseless VT and VFib in austere, military, and prolonged field care environments.From deciding when CPR is worth it under fire or in a mass casualty scenario, to running a lean team code with minimal personnel, nailing high-quality BLS, working the H's and T's under chaos, post-ROSC pitfalls, antiarrhythmics, and the gut-wrenching decision of when to call it — this conversation delivers practical, experience-based wisdom you won't find in standard ACLS class.Whether you're a medic, PA, physician, or team leader operating far from a hospital, this episode gives you the mental framework and tactical edge to give your teammate the best possible shot at survival.Key Takeaways:Scene safety and triage realities — when not to start CPRHow one knowledgeable person can effectively run an entire code by delegating roles (CPR rotations, timer, airway, meds, defibrillator)Prioritizing actions in resource-limited environments: early high-quality CPR + epi > everything elseWhen and how to practically apply the H's and T's (especially hypovolemia, acidosis, hypoxia, and tension pneumo)Post-ROSC critical care: preventing rearrest, airway management, sedation, and treating the “two patients” (heart + brain)Amiodarone vs Lidocaine — when to use whatRealistic termination of resuscitation guidelines, the difference between witnessed vs unwitnessed arrest, and the value of objective outside input (telemedicine)The power of bringing the team in for closure when the fight is overChapters00:00 – Intro & Welcome00:57 – Can you really do CPR in the field? Safety, triage, and mass casualty realities02:57 – Running a code with minimal trained personnel – how one leader directs chaos06:02 – Essential team roles: CPR rotation, AED/pads, airway, access, and early epi09:08 – Making the H's and T's actually useful (hypovolemia, acidosis, hypoxia, tension physiology)16:53 – Post-ROSC care: Preventing rearrest, airway security, sedation, and neuroprotection20:41 – Antiarrhythmics – Amiodarone vs Lidocaine, dosing, and post-arrest infusions22:53 – The hard call: When to terminate resuscitation (witnessed vs unwitnessed, resources, hypothermia exception)28:19 – Emotional reality of coding teammates and giving families/teammates closure33:21 – Final pearls: Telemedicine, ultrasound/video for handoff, STEMI considerations, and medevac prep36:03 – Closing thoughts & resourcesFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this special three-part series, we move beyond the acute management of cardiac arrest and into the far less frequently discussed phase of survival: what comes after return of spontaneous circulation. While clinical focus often centres on early defibrillation, high-quality CPR, and post-resuscitation care, these episodes explore a different but equally important question: what does recovery actually look like for patients and families once they leave the resuscitation bay?Across three conversations, we hear from survivors whose cardiac arrests occurred in dramatically different contexts, yet whose recovery journeys share striking common themes: uncertainty, identity change, psychological impact, and the long shadow of a life-threatening event. We also explore the role of bystanders, pre-hospital clinicians, and system-level coordination in shaping not only survival, but long-term outcomes.In Part 1, Paul Swindell reflects on his sudden cardiac arrest in 2014, the immediate pre-hospital response, and the complex recovery that followed. Paul discusses the physical rehabilitation process alongside the less visible psychological challenges, including adjustment to a new baseline of health and the development of advocacy work through Sudden Cardiac Arrest UK.https://podcasts.apple.com/ee/podcast/surviving-cardiac-arrest-part-1-paul-swindell-and/id1441215901?i=1000680776156In Part 2, Zoe Hitchcock shares her experience of a cardiac arrest in central London caused by underlying cardiomyopathy, resulting in ventricular fibrillation. Zoe walks through the events leading up to her collapse on Oxford Street, the coordinated pre-hospital response, including HEMS involvement, and her transfer to St Mary's Hospital. She reflects on the long-term emotional impact, shifts in perspective, and the way her understanding of family, health, and resilience has evolved since the event.https://podcasts.apple.com/de/podcast/surviving-cardiac-arrest-part-2-zoe-hitchcocks-story/id1441215901?i=1000681711888In Part 3, Noah Baron Cohen, joined by his father Erran Baron Cohen, recounts a sudden collapse during exercise at school in North London in 2016. The episode reconstructs the timeline from initial collapse through resuscitation, emergency response, and subsequent hospital care. Erran provides a parallel perspective as a parent navigating the immediate crisis and the prolonged rehabilitation journey that followed. Together, they explore recovery, family impact, and the enduring psychological and emotional consequences of sudden cardiac arrest.https://podcasts.apple.com/us/podcast/surviving-cardiac-arrest-with-noah-and-erran/id1441215901?i=1000567431898Taken together, these episodes reinforce a central principle of resuscitation medicine: survival is a system outcome. Yet beyond the system lies the individual experience, complex, non-linear, and often underrepresented in clinical discourse. This series aims to bridge that gap by bringing survivor voices into the foreground of the cardiac arrest narrative.
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From Cardiac Arrest to Purpose: Building Resilience & Me Power with Dr. LaNysha Adams What happens when life forces you to stop… and rebuild from within? In this inspiring episode of The Hurricane H Show, we sit down with Dr. LaNysha Adams, award-winning author, educator, and wellness advocate, to explore resilience, leadership, and the power of personal transformation. After surviving sudden cardiac arrest, Dr. Adams emerged with a renewed mission to help others reconnect with purpose, wellness, and self-leadership through her powerful Me Power framework. From burnout and professional transitions to emotional wellness and intentional growth, this conversation offers practical insight for anyone seeking clarity, resilience, and a stronger connection to themselves. Whether you're navigating career pressure, personal challenges, or simply searching for greater balance, this episode delivers powerful perspective and actionable wisdom. Download Me Power How to radically question your labels | LaNysha Adams | TEDxAsburyPark #Resilience #Leadership #MentalWellness #PersonalGrowth #SelfLeadership REVIEW Dr. Adams, thank you for being on the show. Your story is both inspiring and deeply relatable, showing how adversity can become a catalyst for growth and purpose. What stood out most is your ability to blend personal experience with practical guidance in a way that empowers people to take action in their own lives. Your Me Power framework brings clarity, encouragement, and real value to today's conversations around wellness and leadership. This was a meaningful and impactful discussion. boxcast.tv Link: https://boxcast.tv/view/from-cardiac-arrest-to-purpose-building-resilience--me-power-with-dr-lanysha-adams-
THE EMBC NETWORK featuring: ihealthradio and worldwide podcasts
From Cardiac Arrest to Purpose: Building Resilience & Me Power with Dr. LaNysha Adams What happens when life forces you to stop… and rebuild from within? In this inspiring episode of The Hurricane H Show, we sit down with Dr. LaNysha Adams, award-winning author, educator, and wellness advocate, to explore resilience, leadership, and the power of personal transformation. After surviving sudden cardiac arrest, Dr. Adams emerged with a renewed mission to help others reconnect with purpose, wellness, and self-leadership through her powerful Me Power framework. From burnout and professional transitions to emotional wellness and intentional growth, this conversation offers practical insight for anyone seeking clarity, resilience, and a stronger connection to themselves. Whether you're navigating career pressure, personal challenges, or simply searching for greater balance, this episode delivers powerful perspective and actionable wisdom. Download Me Power How to radically question your labels | LaNysha Adams | TEDxAsburyPark #Resilience #Leadership #MentalWellness #PersonalGrowth #SelfLeadership REVIEW Dr. Adams, thank you for being on the show. Your story is both inspiring and deeply relatable, showing how adversity can become a catalyst for growth and purpose. What stood out most is your ability to blend personal experience with practical guidance in a way that empowers people to take action in their own lives. Your Me Power framework brings clarity, encouragement, and real value to today's conversations around wellness and leadership. This was a meaningful and impactful discussion. boxcast.tv Link: https://boxcast.tv/view/from-cardiac-arrest-to-purpose-building-resilience--me-power-with-dr-lanysha-adams-
At FDIC International 2026, our panel of EMS providers and critical‑care physicians break down ventilation during cardiac arrest: what the science supports, where practice still fails, and practical fixes you can use tomorrow. We cover why bag‑valve‑mask ventilation is a high‑risk skill (and best performed as a two‑person procedure), how over‑ and under‑ventilation change intrathoracic pressure and cardiac output, and why properly opening the airway and achieving a seal are fundamental. We discuss supraglottic airways, intubation pitfalls, CPAP and high‑flow strategies, the pros and cons of mechanical ventilators in the field, and the role of objective feedback devices. The panel emphasizes regular, low‑cost simulation training, equipment readiness, pit‑crew coordination, and the hard truth: patients die from poor ventilation more often than from the absence of intubation.
Join Dr. Jeff Jarvis for part II of his interview with podcase friend and frequent contributor, now-Dr Tanner Smida where we discuss his defense of his PhD. Dr Smida discusses four papers that inform cardiac arrest resuscitation, as well as lessons he learned about conducting well-designed observational studies. Although his dissertation was built around only 4 papers, here is Dr Smida's entire bibliography:1. Smida T, Willson C, Salerno J, Weiss L, Salcido DD. Can you get there from here? An analysis of walkability among PulsePoint CPR alert dispatches. Resuscitation. 2020 Mar 1;148:135-139. 2. Patterson PD, Weiss LS, Weaver MD, Salcido DD, Opitz SE, Okerman TS, Smida TT, Martin SE, Guyette FX, Martin-Gill C, Callaway CW. Napping on the night shift and its impact on blood pressure and heart rate variability among emergency medical services workers: study protocol for a randomized crossover trial. Trials. 2021 Mar 16;22(1):212. 3. Smida T, Koller AC, Menegazzi JJ, Salcido DD. Early cytotoxic lymphocyte localization to the brain following resuscitation in a porcine model of asphyxial cardiac arrest: A pilot study. Resusc Plus. 2021 Apr 28;6:100125. 4. Smida T, Salerno J, Weiss L, Martin-Gill C, Salcido DD. PulsePoint dispatch associated patient characteristics and prehospital outcomes in a mid-sized metropolitan area. Resuscitation. 2022 Jan;170:36-43. 5. Smida T, Menegazzi JJ, Crowe RP, Weiss LS, Salcido DD. Association of prehospital hypotension depth and dose with survival following out-of-hospital cardiac arrest. Resuscitation. 2022 Sep 30;180:99-107. 6. Smida T, Menegazzi JJ, Crowe RP, Bardes J, Scheidler JF, Salcido DD. Association of prehospital post-resuscitation peripheral oxygen saturation with survival following out-of-hospital cardiac arrest. Resuscitation. 2022 Dec;181:28-36. 7. Smida T, Menegazzi J, Crowe R, Scheidler J, Salcido D, Bardes J. A Retrospective Nationwide Comparison of the iGel and King Laryngeal Tube Supraglottic Airways for Out-of-Hospital Cardiac Arrest Resuscitation. Prehosp Emerg Care. 2023 Feb 13:1-7. 8. Smida T, Menegazzi J, Scheidler J, Martin PS, Salcido D, Bardes J; CARES Surveillance Group. A retrospective comparison of the King Laryngeal Tube and iGel supraglottic airway devices: A study for the CARES surveillance group. Resuscitation. 2023 Apr 28:109812. 9. Smida T, Price BS, Scheidler J, Crowe R, Wilson A, Bardes J. Stay and play or load and go? The association of on-scene advanced life support interventions with return of spontaneous circulation following traumatic cardiac arrest. Eur J Trauma Emerg Surg. 2023 May 10. 10. Smida T, Menegazzi JJ, Crowe RP, Salcido D, Martin PS, Scheidler J, James Bardes. The Association of Combined Prehospital Hypotension and Hypoxia With Outcomes Following Out-of-Hospital Cardiac Arrest Resuscitation. Prehosp Emerg Care. 2023 Jul 26:1-9. 11. Smida T, Menegazzi JJ, Crowe RP, Salcido DD, Bardes J, Myers B. The Association of Prehospital End-Tidal Carbon Dioxide with Survival Following Out-of-Hospital Cardiac Arrest. Prehosp Emerg Care. 2023 Sep 26:1-7. 12. Smida T, Bonasso P, Bardes J, Price BS, Seifarth F, Gurien L, Maxson R, Letton R. Reverse shock index multiplied by the motor component of the Glasgow Coma Scale predicts mortality and need for intervention in pediatric trauma patients. J Trauma Acute Care Surg. 2024 Jan 26. 13. Suchko S, Smida T, Crowe RP, Menegazzi JJ, Scheidler JF, Shukis M, Martin PS, Bardes JM, Salcido DD. The association of clinical, treatment, and demographic characteristics with rearrest in a national dataset. Resuscitation. 2024 Mar;196:110135. 14. Smida T, Crowe R, Jarvis J, Ratcliff T, Goebel M. A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Prehosp Emerg Care. 2024 Feb 28:1-23. 15. Smida T, Crowe RP, Martin PS, Scheidler JF, Shukis M, Price BS, Bardes JM. A retrospective, multi-agency ‘target trial emulation' for the comparison of post-resuscitation epinephrine to norepinephrine. Resuscitation. 2024 April16. Smida T, Crowe RP, Merrill PW, Scheidler JF. A Simpler Method for Choosing Adult i-gel Size: An Evaluation of Real-World Prehospital Data. Air Med J. 2024 May-Jun;43(3):259-261. 17. Niemann B, Zarfoss E, Victory J, Smida T, Petros K, Sestito M, Bardes J. Evaluation of Oral Vasoactive Medications to Maintain Mean Arterial Pressure in Spinal Cord Injury. J Surg Res. 2024 Aug 12;302:339-346. 18. Smida T, Price BS, Mizener A, Crowe RP, Bardes JM. Prehospital Post-Resuscitation Vital Sign Phenotypes are Associated with Outcomes Following Out-of-Hospital Cardiac Arrest. Prehosp Emerg Care. 2024 Aug 15:1-8. 19. Smida T, Voges L, Crowe R, Scheidler J, Bardes J. Prehospital Transcutaneous Cardiac Pacing in the United States: Treatment Epidemiology, Predictors of Treatment Failure, and Associated Outcomes. Prehosp Emerg Care. 2024 Sep 4:1-8. 20. Smida T, Dayal S, Bardes J, Scheidler J. Association of Prehospital Rearrest With Outcome Following Out-of-Hospital Cardiac Arrest: A Systematic Review and Meta-Analysis of Observational Studies. Prehosp Emerg Care. 2024 Oct 18:1-9. 21. Smida T, Cheskes S, Crowe R, Price BS, Scheidler J, Shukis M, Martin PS, Bardes J. The association between initial defibrillation dose and outcomes following adult out-of-hospital cardiac arrest resuscitation: A retrospective, multi-agency study. Resuscitation. 2025 Jan 23:110507. 22. Smida T, Crowe R, Price BS, Scheidler J, Martin PS, Shukis M, Bardes J. A retrospective 'target trial emulation' comparing amiodarone and lidocaine for adult out-of-hospital cardiac arrest resuscitation. Resuscitation. 2025 Jan 23:110515. 23. Nordstrom NK, Smida T, Bardes JM, Brown C, Wilson A. A contemporary analysis of prehospital crystalloid resuscitation after trauma. Injury. 2025 Jul 15:112614.24. Kimbrell JM, Kreinbrook JA, Stebel J, Smida T, Shekhar AC, Rodriguez D, Mara A, Mullen J, Miele A, Vega J. Delays to chest compressions and defibrillation after prehospital rearrest. Am J Emerg Med. 2025 Dec;98:118-123. 25. Smida T, Kimbrell JM, Kreinbrook JA, Gan GH, Odom W, Bouthillet T, Walsh B, Shukis M, Scheidler J, Martin PS, Moskowitz A, Counts CR, Bardes J. The prevalence of sustained electrical capture during prehospital transcutaneous pacing: a multicenter observational study. Resuscitation. 2025 Dec 22:110934. 26. Smida T, Harvey W, Bonasso P, Price BS, Martin PS, Bardes J. The ability of statewide prehospital pediatric blood transfusion protocols to predict early in-hospital blood product administration: A National Trauma Data Bank analysis. J Trauma Acute Care Surg. 2026 Jan 20. 27. Smida T, Handyside R, Crowe R, McDonald A, Scheidler J, Bardes J. Factors associated with successful intravenous access in the prehospital setting. Prehosp Emerg Care. 2026 Feb 25:1-12.28. Smida T, Handyside R, Crowe R, Merrill PW, Scheidler J, Bardes J. A retrospective comparison of plunger-type and band-type mechanical chest compression devices for prehospital resuscitation. Prehosp Emerg Care. 2026 Feb 25:1-12. 29. Kreinbrook JA, Kimbrell JM, Gan GH, Odom W, Shukis M, Bardes J, Smida ...
About our Guests: Catherine Ross, MD, is a pediatric critical care physician in the Division of Medical Critical Care at Boston Children's Hospital (BCH) and Assistant Professor at Harvard Medical School. She serves on the joint American Heart Association (AHA) and American Academy of Pediatrics national writing group for Pediatric Advanced Life Support 2025 guidelines as well as the AHA Emergency Cardiovascular Care Science Subcommittee and Pediatric Emphasis Group. Her research interests lie in pediatric resuscitation, specifically in designing and implementing high-quality randomized controlled trials in the pre- and intra-arrest periods. Specific areas of interest include peri-arrest bolus epinephrine, intra-arrest drug management, and massive pulmonary embolism in children.Ryan Morgan is a pediatric intensivist and Associate Professor at the Children's Hospital of Philadelphia, where he is the Associate Director of the CHOP Resuscitation Science Center and the Associate Division Chief for Faculty Affairs. He was a writing group member for the 2025 AHA/AAP PALS Guidelines and currently serves on the International Liaison Committee on Resuscitation's Pediatric Life Support Task Force. Ryan's research focuses on intra-arrest physiology and on using physiology to guide resuscitation therapies. He is currently leading PEDICA, an NHLBI-funded study underway across 22 hospitals in the pediRES-Q network examining the physiologic effects of epinephrine during pediatric cardiac arrest.Selected References: Cardiac Arrest Pharmacopeia, Critical Care Clinics, 2025Peri-arrest bolus epinephrine practices amongst pediatric resuscitation experts - PMC Resusc Plus. 2022 Physiologic response to pre-arrest bolus dilute epinephrine in the pediatric intensive care unit - PMC Resuscitation. 2018 The physiologic response to epinephrine and pediatric cardiopulmonary resuscitation outcomes - PubMed Crit Care. 2023 Comparison of vasopressin to epinephrine during pediatric in-hospital cardiac arrest: survival and physiologic responsiveness - PubMed Pediatric Research. 2025Epinephrine Dosing Intervals Are Associated WQuestions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!
Moderator: BobbieJean Sweitzer, M.D. Participants: Michael Furdyna, M.D. and Grace Lim, M.D., M.Sc. Articles Discussed: Frequency and Management of Maternal Peripartum Cardiac Arrest During Anesthetic Care: A Multicenter Retrospective Cohort Analysis Maternal Cardiac Arrest: Big Data, Rare Events, and Moving from Incidence to Insight Transcript
Welcome to the Prehospital Emergency Care Podcast! In this episode, hosts Jeremiah Escajeda, Greg Muller, and Ariana Weber discuss four of the sixteen articles from the Prehospital Trauma Compendium. In 2025, the Prehospital Trauma Compendium introduced crucial guidelines and insights regarding the management of traumatic injuries in prehospital settings. This episode summarizes four significant articles that focus on the use of blood products, vasopressors, tranexamic acid, (TXA), and care for patients in traumatic cardiac arrest. If you're an EMS professional or a medical provider involved in trauma care, these insights are vital for improving patient outcomes. Featured Articles Brown, J. B., Yazer, M. H., Kelly, J., Spinella, P. C., DeMaio, V., Fisher, A. D., … Guyette, F. X. (2025). Prehospital Trauma Compendium: Transfusion of Blood Products in Trauma – A Position Statement and Resource Document of NAEMSP. Prehospital Emergency Care, 1–10. https://doi.org/10.1080/10903127.2025.2476195 Orpet, R. E., Barrett, W. J., Kaucher, K. A., Colwell, C. B., & Lyng, J. W. (2024). Prehospital Trauma Compendium: Vasopressors in Trauma – a Position Statement and Resource Document of NAEMSP. Prehospital Emergency Care, 1–7. https://doi.org/10.1080/10903127.2024.2437656 Barrett, W. J., Kaucher, K. A., Orpet, R. E., Campion, E. M., Goodloe, J. M., Fischer, P. E., … Lyng, J. W. (2025). Prehospital Trauma Compendium: Tranexamic Acid in Trauma – A Joint Position Statement and Resource Document of NAEMSP, ACEP, and ACS-COT. Prehospital Emergency Care, 1–8. https://doi.org/10.1080/10903127.2025.2497056 Breyre, A. M., George, N., Nelson, A. R., Ingram, C. J., Lardaro, T., Vanderkolk, W., & Lyng, J. W. (2025). Prehospital Trauma Compendium: Prehospital Management of Adults with Traumatic Out-of-Hospital Circulatory Arrest – A Joint Position Statement and Resource Document of NAEMSP, ACS-COT, and ACEP. Prehospital Emergency Care, 1–15. https://doi.org/10.1080/10903127.2024.2428668 As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@aweberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaeljukim) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD
Join Dr. Jeff Jarvis as he interviews podcase friend and frequent contributor, now-Dr Tanner Smida for the first of a two-part interview where we discuss his defense of his PhD. Dr Smida discusses four papers that inform cardiac arrest resuscitation, as well as lessons he learned about conducting well-designed observational studies. Although his dissertation was built around only 4 papers, here is Dr Smida's entire bibliography:1. Smida T, Willson C, Salerno J, Weiss L, Salcido DD. Can you get there from here? An analysis of walkability among PulsePoint CPR alert dispatches. Resuscitation. 2020 Mar 1;148:135-139. doi: 10.1016/j.resuscitation.2019.12.038. Epub 2020 Jan 18. PMID: 31962177.2. Patterson PD, Weiss LS, Weaver MD, Salcido DD, Opitz SE, Okerman TS, Smida TT, Martin SE, Guyette FX, Martin-Gill C, Callaway CW. Napping on the night shift and its impact on blood pressure and heart rate variability among emergency medical services workers: study protocol for a randomized crossover trial. Trials. 2021 Mar 16;22(1):212. doi: 10.1186/s13063-021-05161-4. PMID: 33726840; PMCID: PMC7962082.3. Smida T, Koller AC, Menegazzi JJ, Salcido DD. Early cytotoxic lymphocyte localization to the brain following resuscitation in a porcine model of asphyxial cardiac arrest: A pilot study. Resusc Plus. 2021 Apr 28;6:100125. doi: 10.1016/j.resplu.2021.100125. PMID: 34223383; PMCID: PMC8244478.4. Smida T, Salerno J, Weiss L, Martin-Gill C, Salcido DD. PulsePoint dispatch associated patient characteristics and prehospital outcomes in a mid-sized metropolitan area. Resuscitation. 2022 Jan;170:36-43. doi: 10.1016/j.resuscitation.2021.11.007. Epub 2021 Nov 11. PMID: 34774964.5. Smida T, Menegazzi JJ, Crowe RP, Weiss LS, Salcido DD. Association of prehospital hypotension depth and dose with survival following out-of-hospital cardiac arrest. Resuscitation. 2022 Sep 30;180:99-107. doi: 10.1016/j.resuscitation.2022.09.018. Epub ahead of print. PMID: 36191809.6. Smida T, Menegazzi JJ, Crowe RP, Bardes J, Scheidler JF, Salcido DD. Association of prehospital post-resuscitation peripheral oxygen saturation with survival following out-of-hospital cardiac arrest. Resuscitation. 2022 Dec;181:28-36. doi: 10.1016/j.resuscitation.2022.10.011. Epub 2022 Oct 19. PMID: 36272616.7. Smida T, Menegazzi J, Crowe R, Scheidler J, Salcido D, Bardes J. A Retrospective Nationwide Comparison of the iGel and King Laryngeal Tube Supraglottic Airways for Out-of-Hospital Cardiac Arrest Resuscitation. Prehosp Emerg Care. 2023 Feb 13:1-7. doi: 10.1080/10903127.2023.2169422. Epub ahead of print. PMID: 36652451.8. Smida T, Menegazzi J, Scheidler J, Martin PS, Salcido D, Bardes J; CARES Surveillance Group. A retrospective comparison of the King Laryngeal Tube and iGel supraglottic airway devices: A study for the CARES surveillance group. Resuscitation. 2023 Apr 28:109812. doi: 10.1016/j.resuscitation.2023.109812. Epub ahead of print. PMID: 37120129.9. Smida T, Price BS, Scheidler J, Crowe R, Wilson A, Bardes J. Stay and play or load and go? The association of on-scene advanced life support interventions with return of spontaneous circulation following traumatic cardiac arrest. Eur J Trauma Emerg Surg. 2023 May 10. doi: 10.1007/s00068-023-02279-9. Epub ahead of print. PMID: 37162554.10. Smida T, Menegazzi JJ, Crowe RP, Salcido D, Martin PS, Scheidler J, James Bardes. The Association of Combined Prehospital Hypotension and Hypoxia With Outcomes Following Out-of-Hospital Cardiac Arrest Resuscitation. Prehosp Emerg Care. 2023 Jul 26:1-9. doi: 10.1080/10903127.2023.2238820. Epub ahead of print. PMID: 37494278.11. Smida T, Menegazzi JJ, Crowe RP, Salcido DD, Bardes J, Myers B. The Association of Prehospital End-Tidal Carbon Dioxide with Survival Following Out-of-Hospital Cardiac Arrest. Prehosp Emerg Care. 2023 Sep 26:1-7. doi: 10.1080/10903127.2023.2262566. Epub ahead of print. PMID: 37751228.12. Smida T, Bonasso P, Bardes J, Price BS, Seifarth F, Gurien L, Maxson R, Letton R. Reverse shock index multiplied by the motor component of the Glasgow Coma Scale predicts mortality and need for intervention in pediatric trauma patients. J Trauma Acute Care Surg. 2024 Jan 26. doi: 10.1097/TA.0000000000004258. Epub ahead of print. PMID: 38273438.13. Suchko S, Smida T, Crowe RP, Menegazzi JJ, Scheidler JF, Shukis M, Martin PS, Bardes JM, Salcido DD. The association of clinical, treatment, and demographic characteristics with rearrest in a national dataset. Resuscitation. 2024 Mar;196:110135. doi: 10.1016/j.resuscitation.2024.110135. Epub 2024 Feb 7. PMID: 38331343.14. Smida T, Crowe R, Jarvis J, Ratcliff T, Goebel M. A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Prehosp Emerg Care. 2024 Feb 28:1-23. doi: 10.1080/10903127.2024.2321285. Epub ahead of print. PMID: 38416867.15. Smida T, Crowe RP, Martin PS, Scheidler JF, Shukis M, Price BS, Bardes JM. A retrospective, multi-agency ‘target trial emulation' for the comparison of post-resuscitation epinephrine to norepinephrine. Resuscitation. 2024 April; doi: 10.1016/j.resuscitation.2024.110201. Epub ahead of print.16. Smida T, Crowe RP, Merrill PW, Scheidler JF. A Simpler Method for Choosing Adult i-gel Size: An Evaluation of Real-World Prehospital Data. Air Med J. 2024 May-Jun;43(3):259-261. doi: 10.1016/j.amj.2024.03.011. Epub 2024 Apr 5. PMID: 38821710.17. Niemann B, Zarfoss E, Victory J, Smida T, Petros K, Sestito M, Bardes J. Evaluation of Oral Vasoactive Medications to Maintain Mean Arterial Pressure in Spinal Cord Injury. J Surg Res. 2024 Aug 12;302:339-346. doi: 10.1016/j.jss.2024.07.059. Epub ahead of print. PMID: 39137515.18. Smida T, Price BS, Mizener A, Crowe RP, Bardes JM. Prehospital Post-Resuscitation Vital Sign Phenotypes are Associated with Outcomes Following Out-of-Hospital Cardiac Arrest. Prehosp Emerg Care. 2024 Aug 15:1-8. doi: 10.1080/10903127.2024.2386445. Epub ahead of print. PMID: 39088816.19. Smida T, Voges L, Crowe R, Scheidler J, Bardes J. Prehospital Transcutaneous Cardiac Pacing in the United States: Treatment Epidemiology, Predictors of Treatment Failure, and Associated Outcomes. Prehosp Emerg Care. 2024 Sep 4:1-8. doi: 10.1080/10903127.2024.2393768. Epub ahead of print. PMID: 39150824.20. Smida T, Dayal S, Bardes J, Scheidler J. Association of Prehospital Rearrest With Outcome Following Out-of-Hospital Cardiac Arrest: A Systematic Review and Meta-Analysis of Observational Studies. Prehosp Emerg Care. 2024 Oct 18:1-9. doi: 10.1080/10903127.2024.2408628. Epub ahead of print. PMID: 39321386.21. Smida T, Cheskes S, Crowe R, Price BS, Scheidler J, Shukis M, Martin PS, Bardes J. The association between initial defibrillation dose and outcomes following adult out-of-hospital cardiac arrest resuscitation: A retrospective, multi-agency study. Resuscitation. 2025 Jan 23:110507. doi: 10.1016/j.resuscitation.2025.110507. Epub ahead of print. PMID: 39855423.22. Smida T, Crowe R, Price BS, Scheidler J, Martin PS, Shukis M, Bardes J. A retrospective 'target trial emulation' comparing amiodarone and lidocaine for adult out-of-hospital cardiac arrest resuscitation. Resuscitation. 2025 Jan 23:110515. doi: 10.1016/j.resuscitation.2025.110515. Epub ahead of print. PMID: 39863130.23. Nordstrom NK, Smida T, Bardes JM, Brown C, Wilson A. A contemporary analysis of pr...
In this Part 2 or our 2-part EM Cases podcast series on Cardiac Arrest Update, Dr. Sheldon Cheskes and Dr. Rob Simard take us beyond the algorithms and into the real-world decision-making of cardiac arrest care. We answer questions like: Do vasopressin and steroids improve survival or just ROSC? Should we be giving amiodarone earlier—and is lidocaine just as good? When should we use calcium, bicarbonate, or magnesium, and when should we avoid them? What role does ketamine play in CPR-induced consciousness? How should we choose between supraglottic airways and endotracheal intubation? What are the pitfalls of waveform capnography (ETCO2) to help guide CPR quality, detect ROSC, and inform prognosis? What is the role of PoCUS and TEE during cardiac arrest? When should we terminate resuscitation—and how do ETCO2 and POCUS factor into that decision? Should we widen the criteria to consider thrombolytics and who should go to the cath lab, and should we be ordering whole-body CT after ROSC for everyone who isn't going to the cath lab or getting ECMO? And finally, what are the key post-ROSC targets that actually impact neurologic outcomes in cardiac arrest patients? and many more...Please consider a donation to EM Cases to support ongoing high quality Free Open Access Medical Education https://emergencymedicinecases.com/donation/
From over-worked medics to bent coppers, for the last 30 years Jed Mercurio has been responsible for some of the UK's most successful TV series, including Cardiac Arrest, Bodies and Bodyguard. But Line of Duty is arguably his biggest hit, and recording has started for the much-anticipated seventh series.The award-winning screenwriter, director and producer grew up in a working-class family in Staffordshire. His parents, Italian immigrants, were keen he fit in, but friends say Jed was unique from the get-go with big dreams and a determination to be the best.He initially trained to be a doctor and demonstrated his sharp, witty writing in a medical school magazine. Half-way through his medical training, he joined the RAF and was taught to fly fighter jets, before pivoting to screenwriting.Mark Coles looks back at his career so far.Producer: Ben Carter Researcher: Helena Warwick-Cross Editor: Justine Lang Sound engineer: James Beard. Production co-ordinators: Maria Ogundele and Sabine Schereck.
In this EM Cases update on cardiac arrest management, Dr. Sheldon Cheskes and Dr. Rob Simard join Anton to walk us through the evolving science and bedside practicalities of cardiac arrest management in the wake of the 2025 ACLS Guidelines. They answer questions such as: What are the most common failures in CPR quality, and how can we recognize and correct them in real time? Should we employ head up CPR, and if so how? How should we interpret ETCO₂ during cardiac arrest, and why shouldn't we chase a single number? How can we minimize peri-shock pauses and optimize defibrillation success at the bedside? Is the traditional two-minute CPR cycle too rigid, and should we be shocking earlier in cases of refibrillation? What is the evidence behind dual sequential external defibrillation (DSED), and when should we use it? After 3 shocks or earlier? How does hyperventilation during cardiac arrest harm patients, and what strategies can reliably prevent it? What is compression-adjusted ventilation (CAV), and how can it improve ventilation consistency during resuscitation? What is the optimal dose of epinephrine in patient with Ventricular Fibrillation? and many more... Please donate to EM Cases to ensure ongoing Free Open Access Medical Education here: https://emergencymedicinecases.com/donation/ This is a deep dive into the critical inflection points in resuscitation where small changes in technique and decision-making may have the greatest impact on outcomes.
What do we really know about treating refractory ventricular fibrillation? And why are we still waiting to use strategies that might actually work? In this episode, we talk to Sheldon Cheskes about the evolving science of cardiac arrest, with a focus on refractory and recurrent ventricular fibrillation. We explore the evidence behind double sequential external defibrillation (DSED), how it compares to standard defibrillation, and what the DOSE VF trial has changed in practice. This is not just about adding another shock. It's about understanding why defibrillation fails, how vector and energy delivery matter, and when a different approach might improve outcomes. We also discuss: The difference between refractory and recurrent VF — and why it matters What DSED and vector change actually do in physiological terms Why guidelines have been slow to move despite emerging evidence The role of antiarrhythmics, adrenaline, and sequence of care Practical considerations for introducing DSED into real systems What comes next — from smarter detection to post-arrest recovery This is a conversation grounded in real-world resuscitation. It challenges current practice without overselling the evidence. Key Learning Points Refractory VF (persistent after multiple shocks) and recurrent VF (returns after ROSC) are distinct clinical problems with different implications Double sequential external defibrillation (DSED) may improve outcomes in refractory VF by altering current pathways and myocardial depolarisation Timing matters — waiting too long to escalate may reduce the chance of success Current guidelines remain cautious, reflecting the balance between evidence and implementation risk Defibrillation strategy is only one part of a complex system that includes high-quality CPR, drug therapy, and post-resuscitation care Why This Matters Cardiac arrest survival remains low. Small improvements in early resuscitation can have large system-wide effects. Understanding when standard care is failing — and what to do next — is where expertise matters. Learning from podcasts? If podcasts form part of your CPD, you can log your listening time across all podcasts on MedPod Learn — not just St Emlyn's — and generate structured reflection. The app is free to download, includes a one-month free trial, and offers globally adjusted pricing. If you are already listening, you may as well make it count.
Join our Science of Sport Supporters Club, and get all the perks mentioned on the show, including access to our listener community and their great questions and insights, and also our Live Sport chat, which resume this weekend with the Milan San Remo races. Make a monthly pledge to become a member!In this Spotlight, we run our eye and offer our insights on the world of sport, covering a range of sporting events. We start with the Six Nations, which went beyond the wire in a spectacular tournament that shows the health of "the product". We discuss the ongoing Cape Epic, where the pairs format throws up some pacing and tactical challenges for unbalanced teams. And we preview the year's first Monument, where Tadej Pogacar will have to test and challenge Mathieu van der Poel's durability and 5-min power to win the elusive title. We discuss the requirement for Pogacar and UAE to extend the efforts above FTP and even VO2max to climbs even before the Cipressa, in order to make van der Poel vulnerable to a five minute effort on the decisive Poggio climb.Switching to running, we briefly discuss the remarkable 2:10 performance by Fotyen Tesfay in Barcelona, and why it's the de factor WR, but may be as questioned as the incumbent WR by Ruth Chep'ngetich. Another dramatic finish in Los Angeles, a marathon decided by 0.01s where the 'loser' went the wrong way, and didn't, apparently, take in a single gram of carbohydrates in the race.While on the subject of dramatic finishes, recent research shows that the odds of a cardiac arrest are significantly higher in the final kilometer of running races (20km and half marathon). We compare that to triathlons, where the odds of cardiac arrests are way higher in the first part of the race, in the swim. We discuss the physiology and emotional reasons for these risk increases.We then move into the resistance training space, to talk briefly about the American College of Sports Medicine's position stand on resistance training. It says what many people know, but challenges what a lot of people think, and the reaction has been enlightening!And finally, a few short results and discussion points from around the world of sport, including an unprecedented reversal of an entire tournament result, and a rare "defeat" (on a technicality) for Johannes Klaebo in cross-country skiingLinksRelevant to the discussion on recovery after high intensity efforts, here's an article on how our 'battery' is recharged, or reconstitutedArticle on Fotyen's 2:10:51 marathonGood insights on Fotyen from Letsrun.comThe research out of Paris showing the higher risk of cardiac events in the final kilometer of racesA similar study on cardiac arrests in triathlonThe LA Marathon finish and race are discussed in this articleThe ACSM Position Stand on Resistance TrainingStuart Phillips' posts on the ACSM Position Stand on Resistance Training Hosted on Acast. See acast.com/privacy for more information.
In this edition of EMS One-Stop, Rob Lawrence is joined by Bob Davies and Hilary Gates to explore the mission behind Six Minutes to Live, a growing movement focused on improving survival from sudden cardiac arrest. | MORE: ‘Six Minutes to Live': Mini-documentary spotlights cardiac arrest care crisis The conversation begins with the stark reality that every minute without CPR and defibrillation reduces survival by 10%, and then widens into a larger discussion about injustice, geography and system performance. Bob reflects on his landmark USA Today investigation into EMS disparities across the country, while Hilary explains why this issue remains deeply personal and why communities, not just medical systems, must be part of the solution. The episode then turns from problem to action. Hilary and Bob describe how Six Minutes to Live is using storytelling, advocacy, community partnerships and public training to drive change, especially through bystander CPR education, school-based training and public access defibrillation. From Santa Cruz to the Resuscitation Academy in Seattle, the emphasis is on making the simple feel possible: hands-only CPR, early defibrillation and empowering ordinary people to act. The result is more than a nonprofit or a campaign. As Rob notes, this is a movement. Memorable quotes “For every minute that a person's heart has stopped, their chance of survival decreases by 10%.” — Hilary Gates “Life and death is defined by geography.” — Bob Davies “There are vulnerable, voiceless people living on the margins who need a voice.” — Hilary Gates “The main way that people save more lives is they care.” — Bob Davies “Every podcast that Hillary and I are involved with is actually sponsored by R&D. Rip off and duplicate, show up, take our stuff, go and save lives with it.” — Rob Lawrence Additional resources Six Minutes to Live Six Minutes to Live mini documentary Episode timeline 01:34-02:14 – Rob Lawrence introduces the episode and welcomes Hilary Gates and Bob Davies. 02:21-03:21 – Hilary Gates shares her background as an educator turned paramedic and cofounder of Six Minutes to Live. 03:48-08:14 – Bob Davies recounts his experience as a paramedic and journalist, including his USA Today investigation into EMS performance disparities. 08:24-10:50 – Rob asks what has changed in 20 years; Bob discusses the enduring formula, new technology and the energy of younger clinicians. 11:08-13:02 – Hilary explains why Six Minutes to Live was founded and frames cardiac arrest survival as an issue of injustice and community responsibility. 13:13-17:08 – Rob asks what Six Minutes to Live is and how it fits among other advocacy organizations; Bob and Hilary describe its role as a connector and storyteller. 18:04-18:39 – Rob resets the conversation and asks what the organization is doing now. 18:50-20:47 – Hilary describes the Santa Cruz partnership, community CPR training and support from donors and local agencies. 21:12-23:47 – Bob highlights their upcoming workshop at the Resuscitation Academy in Seattle and the power of systems that care enough to measure and improve. 24:00-25:20 – Rob offers a transatlantic explainer connecting Eisenberg, Utstein and UK ambulance response standards. 25:24-28:41 – Hilary discusses community myths about CPR and AEDs, and the need to simplify action for laypeople. 28:48-31:02 – Bob outlines what is next: documentaries, deep listening, connecting voices and helping movements grow organically. 31:17-33:01 – Rob and Hilary talk about creating local champions, liability concerns and getting communities to act. 33:13-34:47 – Rob asks the closing question; Hilary urges EMS clinicians to become local champions for simple lifesaving actions. 35:22-37:20 – Bob closes with a call for EMS professionals to confront the “little secrets” they know and act on them. Email editor@ems1.com to share feedback.
Welcome to the Prehospital Emergency Care Journal Podcast! In this Deep Dive episode, host Maia Dorsett speaks with Aaron E. Robinson, Sarah K. S. Knack, and Michael C. Perlmutter about their paper, Trends in Prehospital First-Attempt Use of Supraglottic Airways in Non-Cardiac Arrest Patients: A Descriptive Study. The conversation explores how airway management in EMS may be evolving, including growing interest in supraglottic airways as a first-line approach rather than solely a rescue device. The authors discuss key airway concepts—such as RSI, DSI, and rapid sequence airway—and review what their national dataset reveals about current practice patterns. Along the way, they examine variations in medication strategies, including the continued use of sedation-only approaches and airway placement without neuromuscular blockade or medications. The discussion raises important questions about how EMS clinicians balance speed, safety, and skill maintenance when managing critically ill airways in the field. Featured Article Robinson, A. E., Knack, S. K. S., Driver, B. E., Prekker, M. E., Perlmutter, M. C., Bunting, A. J., … Puskarich, M. A. (2026). Trends in Prehospital First-Attempt Use of Supraglottic Airways in Non-Cardiac Arrest Patients: A Descriptive Study. Prehospital Emergency Care, 1–8. https://doi.org/10.1080/10903127.2025.2593579 As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@aweberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaeljukim) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD
How can cardiac arrest data be used to create quality education for EMS clinicians? In this episode, hosts Maia Dorsett, Rob Lawrence and Hilary Gates are joined by quality improvement experts Kerby Johnson, Clinical Quality Research Coordinator for the Office of the Medical Director at Fort Worth Fire Department EMS, and paramedic Kevin Gustina from Perinton EMS to explore how systems can use data to drive smarter education and better cardiac arrest outcomes. From the power of the Cardiac Arrest Registry to Enhance Survival (CARES) to monitor-level insights and process measures, the group discusses how agencies—large and small—can turn performance data into meaningful training. They share real-world lessons, down to the seemingly small tweaks, on improving time to first shock, high-quality CPR and team-based resuscitation. The conversation highlights how looking at your data and being purposeful about simulation and team practice can transform teams. Because in resuscitation, neurologically-intact outcomes is what matters. Ginger Locke highlights the episode's key points with her "Mindset Minute." Mentioned in the episode: CARES https://mycares.net/ Utstein Guidelines https://www.sciencedirect.com/science/article/abs/pii/S030095722100126X Mechanical Chest Compression Research https://pmc.ncbi.nlm.nih.gov/articles/PMC8328162/ The EMS Educator is published on the first Friday of every month! Be sure to turn on your notifications so you can listen as soon as the episode drops, and like/follow us on your favorite platform. Check out the Prodigy EMS Bounty Program! Earn $1000 for your best talks! Get your CE at www.prodigyems.com. Follow @ProdigyEMS on FB, YouTube, TikTok & IG.
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Book your free call to break through your Keto plateau here: https://www.ketobodybuilding.com/callThe path to a powerful physique isn't found in crash diets, it's built through sustainable discipline. Extreme dieting creates a toxic cycle, but you can break free from these myths to build real strength and a resilient mindset.In episode 863 of the Savage Perspective Podcast, host Robert Sikes talks with guest Stephen Covert about their journeys in natural bodybuilding. They explore how intense competition prep can challenge your relationship with food and how Stephen found a deeper connection to his faith during the most difficult parts of training. This honest conversation covers the realities of gaining muscle, the big difference between competing and living a healthy lifestyle, and how fatherhood changes your perspective on fitness and life. Learn why having a strong purpose is the key to lasting success.Register For My FREE Masterclass: https://www.ketobodybuilding.com/registration-2Get Keto Brick: https://www.ketobrick.com/Subscribe to the podcast: https://open.spotify.com/show/42cjJssghqD01bdWBxRYEg?si=1XYKmPXmR4eKw2O9gGCEuQChapters:0:00 - The "Cardiac Arrest" Burger: A Post-Show Diet Disaster1:23 - Faith, Fatherhood & Fitness: How Do You Balance It All?2:05 - The "Nick Bare" Effect: Can You Be Jacked with a Newborn?2:55 - How a Broken Collarbone Led to a Fitness Transformation5:04 - Gaining 40lbs After College: The TikTok That Changed Everything6:24 - What Is Natural Bodybuilding?7:08 - How Bodybuilding Forges Unbreakable Discipline9:55 - The #1 Motivator to Actually Reach Your Fitness Goals10:41 - The Dangers of Extreme Weight Loss (80 lbs in 12 Weeks)12:07 - How Crash Dieting Leads to Disordered Eating14:06 - Why Everyone Should Live Like a Bodybuilder14:48 - Navigating Faith in the "Me First" Fitness Industry16:09 - The Stairmaster Sermon: Finding God During Morning Cardio17:42 - How to Stay Grounded When Social Media Praises You18:38 - Vanity vs. Modesty: A Christian's Guide to Bodybuilding20:54 - How a Brutal Prep Season Can Strengthen Your Faith22:23 - The Ultimate Litmus Test for Your Intentions24:32 - From Partying at a Christian School to a Spiritual Awakening28:27 - Why Every Man Needs a Battle to Fight29:48 - How a Fiancée Reacts to a Bodybuilding Prep33:04 - A Message from Robert Sikes on Keto & The Savage Perspective34:43 - Training with Your Kids: Building a Healthy Family Legacy35:13 - Prepping for a Show with Your Spouse: The Unspoken Challenges37:08 - How Pregnancy Changes a Female Competitor's Mindset38:38 - The Toxic "Bounce Back" Culture for Postpartum Mothers40:59 - The Best Part of Being a New Father43:21 - What Is the Keto Diet?45:20 - Can You Build Muscle Without Carbs? The Truth About Keto Gains47:35 - Should You Try an Ironman?49:06 - The Power of "Suffering Together" to Build Real Connection50:45 - The "Savage Retreat" Mud Run M.E.A.T.up52:37 - Full Circle: Coaching the Brother Who Got You Into Fitness55:09 - Why Having Your Family Is Everything57:53 - Where to Find Stephen Covert58:38 - The Story Behind the Famous "Keto Brick"
Just days after Christmas, 27-year-old Offaly camogie player Aisling Brennan collapsed suddenly while at a friend's house. With no warning signs and at the peak of her fitness, she had suffered a cardiac arrest. CPR from those around her and a defibrillator shock within minutes saved her life before she was airlifted to hospital and placed in an induced coma.Now back training and urging others to learn CPR, Aisling joins Seán to discuss.
In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the February 2026 Emergency Medicine Practice article, Emergency Department Diagnosis and Management of Acute Coronary Occlusion00:00 - Introduction & Welcome01:21 - Episode Overview: Acute Coronary Occlusion02:06 - Why This Topic Matters: Statistics & New Guidelines03:35 - Nomenclature: ACO vs STEMI/NSTEMI06:15 - Differential Diagnosis for STEMI07:41 - Pre-Hospital Care & EMS Role11:37 - Patient History & Presenting Symptoms12:28 - Physical Examination Findings14:54 - EKG: The Most Important Test17:00 - STEMI Definition & Criteria20:32 - STEMI Equivalents: Scarbosa Criteria22:40 - Smith Modified Scarbosa Criteria24:10 - Hyperacute T Waves25:30 - Posterior STEMI28:40 - De Winter Sign29:38 - Non-STEMI EKG Findings31:30 - AVR ST Elevation32:47 - Wellens Syndrome33:54 - Reciprocal ST Segment Changes36:15 - Inferior MI Patterns37:54 - Laboratory Testing39:51 - Imaging: Chest X-Ray & Echocardiography42:25 - Supplemental Oxygen: What the Evidence Shows44:50 - Analgesia & Pain Management46:35 - Pharmacotherapy: Aspirin & Antiplatelet Agents49:18 - Reperfusion Therapies & Thrombolytics53:05 - Cardiac Arrest in STEMI Patients53:55 - Closing Remarks & CME InformationSubscribers, take the CME test here.Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net
Friends and family have paid tribute to a popular restaurant manager – saying the “inspiring” young woman died “far too young”. Charlotte Redsell was a much-loved and well respected boss at Fish 55 in Rochester but the community was rocked by her death last October at the age of just 26. Also in today's podcast, a killer captured on CCTV shouting "I've got a nice surprise for you" as he swung a machete-style blade at his victim before chasing him to his death has been jailed for 16 years. Chris Maclean could also be heard yelling "Game over" after the pursuit of Jay Gerrett in Sittingbourne tragically ended with him falling from a height of 13ft down an embankment and retaining wall into the path of a passing car on the road below. A window cleaner whose heart stopped nine times while he was working at a pub admits it is a “miracle” he is still alive. Joe Carver suffered a cardiac arrest while on a job in November 2025 – he spokes to us and says it was the wake up call he needed. You can hear from a Kent teen who only last summer left school but is now running her own business. 18-year-old Daisy Webb has opened The Boat and Bean cafe bar in Wateringbury after deciding university was not for her. And in football, after a disappointing 3-nil defeat last time out, Gillingham head to Barrow this weekend. They've dropped to 16th in the league two table and are 12 points off the play-offs – we've spoken to defender Robbie McKenzie ahead of the match. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
The Hidden Lightness with Jimmy Hinton – McKinney has become one of the nation's first “4-Minute Cities,” meaning an automated external defibrillator (AED) is never more than four minutes away when a cardiac emergency strikes. Those four minutes can mean the difference between life and death, brain damage and full recovery, tragedy and another chance...
Wed, Feb 18 8:29 PM → 8:31 PM Thompson Cardiac Arrest Radio Systems: - Connecticut State Police, CT Fire,EMS, QVEC, Middlesex, Valley Shore, Etc
Dr Remle Crowe returns to the podcast to discuss three new papers with Dr Jarvis: Two papers on epinephrine in cardiact arrest (including one on trauma!) and one on pulse oximetry in hypoxemic patients with darker skin. We might nerd out a bit on methodology, tacos, and have a few book recommendations.Citations: Martin DS, Doidge JC, Gould D, et al.: The impact of skin tone on performance of pulse oximeters used by NHS England COVID Oximetry @home scheme: measurement and diagnostic accuracy study. BMJ. 2026;January 14;392Witt CE, Shatz DV, Robinson BRH, et al.: Epinephrine in Prehospital Traumatic Cardiac Arrest—Life Saving or False Hope? Prehospital Emergency Care. 2026;January 2;30(1):153–61.Lilien EJ, Ashburn NP, George TS, et al.: Single Dose Epinephrine Protocol Is Associated With Improved Survival of Older Adults With Out‐Of‐Hospital Cardiac Arrest. Academic Emergency Medicine. 2025Perez CP: Invisible Women: Data Bias in a World Designed for Men. New York, NY, Abrams Press, 2019.O'Neil C: Weapons of Math Destruction: How Big Data Increases Inequality and Threatens Democracy. New York, NY, Crown Publishing Group, 2017. • 6. Perkins GD, Ji C, Deakin CD, et al.: A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. N Engl J Med. 2018;August 23;379(8):711–21.
Thu, Feb 5 7:19 PM → 7:20 PM Medic 21 responding to a cardiac arrest at 1631 Euclid street NW Radio Systems: - DC Fire and EMS
In resuscitative trauma surgery every second counts. Can time and lives be saved by moving interventions closer to the point of injury? In this episode, we discuss a recent journal article on prehospital resuscitative thoracotomy as a treatment for traumatic cardiac arrest. Opening the chest on the street, who should do it, why should we do it, and for whom?• Hosts: Mr Prashanth Ramaraj. General Surgery trainee, Edinburgh rotation. @LonTraumaSchool Dr Roisin Kelly. Major Trauma Junior Clinical Fellow, Royal London Hospital. Mr Max Marsden. Resuscitative Major Trauma Fellow, Royal London Hospital. @maxmarsden83 Mr Christopher Aylwin. Consultant Trauma & Vascular Surgeon, Royal London Hospital and Co-Programme Director MSc Trauma Sciences at Queen Mary University of London. @cjaylwin Mr Zane Perkins. Consultant Trauma & UGI Surgeon, Royal London Hospital and Prehospital Surgeon at London's Air Ambulance. @ZBPerkins • Learning objectives: A) To be aware of the steps of a resuscitative thoracotomy (RT)B) To understand the rational for prehospital (PH) trauma interventions.C) To understand the timelines required to optimise success in PH RT.D) To be familiar with the training governance for clinicians undertaking PH RT.E) To recognise that PH RT is predominantly an intervention for cardiac tamponade.F) To understand the contexts in which PH RT might be successful as a standardised intervention.• References: Perkins ZB, Greenhalgh R, Ter Avest E, Aziz S, Whitehouse A, Read S, Foster L, Chege F, Henry C, Carden R, Kocierz L, Davies G, Hurst T, Lendrum R, Thomas SH, Lockey DJ, Christian MD. Prehospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest. JAMA Surg. 2025 Feb 26;160(4):432–40. doi: 10.1001/jamasurg.2024.7245. PMID: 40009367; PMCID: PMC11866073. https://pubmed.ncbi.nlm.nih.gov/40009367/ ter Avest, E., Kocierz, L., Alvarez, C. et al. Improving decision-making for prehospital Resuscitative Thoracotomy in traumatic cardiac arrest: a data-driven approach. Crit Care 29, 485 (2025). https://doi.org/10.1186/s13054-025-05705-z. https://pubmed.ncbi.nlm.nih.gov/41233917/ 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/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate 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-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
Thu, Jan 22 3:18 PM → 3:29 PM STA61 STA65 Cardiac Arrest 76 Furnace St Killingly Radio Systems: - Connecticut State Police, CT Fire,EMS, QVEC, Middlesex, Valley Shore, Etc
This terrible scenario is rare, but can happen. Make sure you are confident in your knowledge of how to give these patients the best care possible, should you find yourself running this call.
You can do everything right and still get blindsided.In this episode of the Smart Nutrition Made Simple Show, I sit down with Tommy Dolan, a former elite rugby athlete, husband, and father who has survived multiple near-death experiences, including a melanoma diagnosis and sudden cardiac arrest.This conversation is not about fear. It is about perspective. We talk about discipline, training, health, and responsibility. We also brought up what really matters when your body reminds you that control is limited. If you train hard and take your responsibilities seriously, this episode will resonate.Tune in now.Timestamp:00:00 – Episode Preview02:15 – Meet Tommy Dolan07:37 – Life After Sport12:02 – Discipline and Work Ethic17:07 – Early Near-Death Experiences24:51 – Cancer and Perspective27:47 – Cardiac Arrest and Survival36:40 – Control and Identity41:56 – Training and Aging51:21 – Sustainable Living1:03:14 – Nutrition and Hormones1:11:31 – Final TakeawaysTommy Dolan's integrative health partner:Joi + Blokes — men's hormone optimization and personalized care.Links & Resources:Connect with Ben on Instagram: https://www.instagram.com/bodysystemscoaching/Learn more about Ben's coaching program: www.bodysystems.comSubscribe to the Smart Nutrition Made Simple Show on Apple Podcasts - https://podcasts.apple.com/us/podcast/the-smart-nutrition-made-simple-show-with-ben-brown/id1244912234 Spotify - https://open.spotify.com/show/4H8vUlwYvKcAXZOv84sFgT YouTube - https://www.youtube.com/@bodysystemscoaching Book Free Nutrition Strategy Call - https://bodysystems.com/free-strategy-call/
In this (rather delayed!) October round-up, Iain Beardsell and Simon Carley catch up on recent St Emlyn's blog posts and papers that continue to shape emergency and resuscitation practice. The discussion moves across trauma, analgesia, cardiac arrest physiology, emergency department systems, and antimicrobial stewardship—less about novelty, more about what actually holds up on shift. Trauma and haemorrhage The episode opens with a discussion of the FIRST-2 trial, examining fibrinogen concentrate and prothrombin complex concentrate versus fresh frozen plasma in severe traumatic haemorrhage. Despite promising physiological theory, the trial shows no meaningful reduction in blood product use compared with standard care, reinforcing the ongoing role of FFP in early trauma resuscitation. Upper limb injuries and regional anaesthesia The team explore the SUPERB trial comparing supraclavicular brachial plexus blocks with Bier's blocks for upper limb reductions. Both techniques provide excellent analgesia. The conversation reflects on changing practice, procedural sedation pressures, ultrasound access, and how physical space—not evidence—often dictates what we do. Cardiac arrest: signals worth paying attention to Three recent cardiac arrest papers are reviewed, focusing on physiological markers rather than new devices: End-tidal CO₂ as a CPR quality target Ventilation strategies during arrest, including chest-compression-synchronised ventilation Cerebral oximetry as a potential prognostic signal These are not definitive answers, but they point towards cardiac arrest management that is more physiological and less ritualistic. Emergency department systems: repair, not reinvention A reflective discussion on “designer repair” challenges the idea that emergency departments need constant transformation. Instead, the focus shifts to recognising and supporting the clinicians quietly holding fragile systems together every day—and why fixing small, broken things often matters more than grand redesigns. Sepsis and antibiotics The episode closes with a critical look at broad-spectrum antibiotic use in suspected sepsis. Observational data suggest significant overtreatment and real harm, reinforcing the need to pause, think, and choose the right antibiotic—not just the fastest one. This episode is a reminder that good emergency medicine is rarely about silver bullets. It's about judgement, physiology, and paying attention to what actually works in the real world. About MedPod Learn MedPod Learn is a medical podcast player designed to help turn listening into structured learning, with tools to support reflection, CPD, and appraisal. Available on the App Store and Google Play.
We get that from Dr Thoraiya Kanafani as we discuss celebrating pacing your peaks and trusting your own path. Dubai Health's Dr Sara Kazim shares what's in place to ensure safety of crowds celebrating New Year's Eve in the city. We also discuss how common heart diseases and cardiac arrest are among teens following the tragic death of a 17-year-old student in Sharjah. Hollie Mayes guides us on how to declutter properly, especially when emotions are hindering you. And are experiential gifts better presents for kids?See omnystudio.com/listener for privacy information.
This is your morning All Local update for November 27,2025.
Accidental hypothermia is one of the Hs in ACLS's reversible H&T cause of cardiac arrest.Hypothermic patients aren't dead until they are warm and dead.As the body's temperature drops below 36° C, hypothermia may be classified as moderate or severe.Modifying the ACLS Adult Cardiac Arrest algorithm for patients with severe hypothermia.Following the ACLS algorithm for patients with a body core temperature above 30° C.Methods for rewarming patients with moderate vs severe hypothermia.Continuation of CPR and ACLS efforts until the patient's body core temp is above 36° C.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506/Pass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
For The Other Side NDE Videos Visit ️ youtube.com/@TheOtherSideNDEYT Purchase our book on Amazon The Other Side: Stories From the Afterlife https://a.co/d/23Bbbsa Mark's early years were marked by sensitivity and a sense of not belonging. But when his body failed, he was shown something far greater—a vision of connection beyond fear and judgment. Through that encounter, he learned that every moment, even pain, holds purpose. Decades later, he still carries the message he was given: love is what brings us home. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
Show notes at pharmacyjoe.com/episode1077. In this episode, I'll discuss the AHA/NCS scientific statement on critical care management of patients after cardiac arrest. The post 1077: Sedation and Analgesia Statements From the AHA/NCS Scientific Statement on Critical Care Management of Patients After Cardiac Arrest appeared first on Pharmacy Joe.
This week on Health Matters, we return to Courtney Allison's conversation with sports cardiologist Dr. Sonia Tolani, who explains how exercise changes the heart. These changes are easy to see in elite athletes, Dr. Tolani gives a behind-the-scenes look at the screening process for athletes to ensure their safety in high-level competition. She also describes how teams can prepare for emergency response, and the life-saving measures that everyone should know when it comes to caring for our hearts. ___Dr. Sonia Tolani received her medical degree with honors from New York University School of Medicine. She completed her internship, medical residency and her fellowship in cardiovascular medicine at Columbia University Medical Center in New York City. Dr. Tolani's areas of expertise include consultative cardiology, preventative medicine and women's heart disease including the treatment of gestational hypertension and preeclampsia. She is board-certified in Internal Medicine, Cardiology and Echocardiography. Dr. Tolani is the co-Director of the Columbia Women's Heart Center, a unique program focusing on providing state of the art treatment and preventative care to women of all ages. In addition to her clinical work, Dr. Tolani is also working on developing digital tools to better educate health care providers about heart disease in women and to improve heart disease awareness in women globally.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine.To learn more visit: https://healthmatters.nyp.org
Right on the heels of the release of the 2025 AHA guidelines, including one on preferentially using IVs over IOs, comes two RCTs in the same edition of NEJM that compare intial attempts with IVs to IOs in out of hospital cardiac arrest. Dr Jarvis discusses these two papers while answer a listeners question, and tries to put this, and early epinephrine, into context. And he might throw in some commentary about the AHA's recommendations on mCPR and Heads Up CPR.Citations:1. Couper K, Ji C, Deakin CD, et al. A Randomized Trial of Drug Route in Out-of-Hospital Cardiac Arrest. N Engl J Med. 2025;392(4):336-348. doi:10.1056/NEJMoa24077802. Vallentin MF, Granfeldt A, Klitgaard TL, et al. Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest. N Engl J Med. 2025;392(4):349-360. doi:10.1056/NEJMoa2407616
At first, it looked like age catching up with former police chief Rick Young: confusion, fatigue, a flutter in the chest. No one suspected that the woman he had trusted for decades was quietly planning his death. This week on Pathology with Dr. Priya, a Zone 7 series, Sheryl McCollum and Dr. Priya Banerjee discuss the case of Marcy Oglesby, who, over several months, secretly mixed over-the-counter eye drops into Young's food and drinks. When his body was later discovered inside a storage unit, toxicology revealed lethal levels of tetrahydrozoline, the active ingredient in common eye drops. Dr. Priya explains how this drug attacks the cardiovascular system, why it is almost undetectable without targeted testing, and what makes poisonings like this so difficult to identify until it's far too late. Highlights (0:00) Welcome to Pathology with Dr. Priya: A Zone 7 series—Sheryl McCollum introduces the Marcy Oglesby case and the death of retired Police Chief Richard “Rick” Young (0:45) How Oglesby slowly poisoned her partner with tetrahydrozoline-laced food and drinks (2:15) Dr. Priya explains why eye-drop poisonings are rare and absent from most toxicology panels (6:00) Early symptoms: numbness, confusion, fluctuating blood pressure, and blue lips (8:00) Why doctors might miss the signs of tetrahydrozoline poisoning and attribute symptoms to age or heart disease (10:00) The estimated lethal dose and how even a small mouthful can cause heart-block death (13:45) Trust, dependency, and opportunity: the dynamics that let the poisoning continue undetected (20:30) What Rick Young likely endured in his final days: chest pain, dizziness, and slow suffocation (25:45) Closing reflections and Dr. Priya’s reminder that every case is a lesson About the Hosts Dr. Priya Banerjee is a board-certified forensic pathologist with extensive experience in death investigation, clinical forensics, and courtroom testimony. A graduate of Johns Hopkins, she served for over a decade as Rhode Island’s state medical examiner and now runs a private forensic pathology practice. Her work includes military deaths, NSA cases, and high-profile investigations. Dr. Priya has also been featured as a forensic expert on platforms such as CrimeOnline and Crime Stories with Nancy Grace. She is a dedicated educator, animal lover, and proud mom. Website: anchorforensicpathology.comTwitter/X: @Autopsy_MD Sheryl McCollum is an Emmy Award–winning CSI, a writer for CrimeOnline, and the Forensic and Crime Scene Expert for Crime Stories with Nancy Grace. She works as a CSI for a metro Atlanta Police Department and is the co-author of the textbook Cold Case: Pathways to Justice. Sheryl is also the founder and director of the Cold Case Investigative Research Institute (CCIRI), a nationally recognized nonprofit that brings together universities, law enforcement, and experts to help solve unsolved homicides, missing persons cases, and kidnappings. Email: coldcase2004@gmail.comTwitter/X: @ColdCaseTipsFacebook: @sheryl.mccollumInstagram: @officialzone7podcast