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Neurodiversity is something paramedics encounter every day, whether we consciously identify it or not. It is present in the child who will not tolerate the blood pressure cuff, the adult who cannot answer questions in sequence, or the patient who appears agitated under blue lights but settles in a quiet room. Autism and ADHD are not rare edge cases; they are common neurodevelopmental differences that shape how people process information, regulate emotion, experience sensory input, and respond to stress.Both are frequently hidden. Many adults remain undiagnosed. Others mask extensively, particularly in public or professional settings, meaning the first time their coping strategies fail may be during illness, injury, or crisis. In the pre-hospital environment, defined by urgency, noise, bright lighting, unfamiliar touch, and compressed decision-making, those coping mechanisms can collapse quickly. What follows may look like resistance, inconsistency, hostility, or disengagement. In reality, it is often cognitive overload or dysregulation.Autism and ADHD also overlap significantly. Executive dysfunction, sensory sensitivity, communication differences, emotional lability, and difficulties with working memory can coexist. For paramedics operating under time pressure, rapid behavioural interpretation becomes almost automatic: cooperative or not, intoxicated or sober, compliant or difficult. When neurodivergence is not considered, behaviour is framed as intentional rather than neurological.Today on the Pre-hospital Care Podcast, I'm joined by David Birch to unpack this in practical terms. We explore how ADHD and autism actually present on scene, beyond stereotypes, and why behaviours such as poor eye contact, restlessness, blunt communication, or inconsistent histories are so often mislabelled as non-compliance or intoxication. We examine the clinical risk of those assumptions, from premature diagnostic closure to inappropriate use of sedation or restraint.Most importantly, we discuss what paramedics can do differently. Not complex protocols or lengthy interventions, but small, deliberate, patient-centred adjustments: simplifying language, reducing sensory load where possible, allowing processing time, offering clear structure and predictability, and reframing behaviour through a neurodiversity-informed lens. You can see more from David's lectures on YouTube here: https://www.youtube.com/watch?v=CkzXbjG7uiY&t=594s
Today on the Pre-hospital Care Podcast, we dive into the growing role of high-fidelity simulation in improving clinical performance, team coordination, and patient outcomes in pre-hospital care systems. Simulation has moved beyond an educational luxury to become a strategic tool for preparing clinicians for the unpredictable and high-stakes nature of pre-hospital emergency medicine. In this episode, we explore not only the advantages of realistic experiential training but also the critical role of targeted debriefing and video-assisted debriefs in cementing learning, enhancing psychological safety, and driving measurable performance improvements.Our guest is Ben King, Founder and Chief Executive Officer of Best Practice Medicine, a clinician-founded, Montana-based organisation dedicated to experiential healthcare education, high fidelity simulation, travel paramedicine, and EMS response services. Ben is widely recognised as a thought leader in resuscitative medicine, team dynamics, and human performance under stress, and has been a driving force in expanding the use of high-fidelity simulation to prepare providers for real-world clinical complexity. You can find Best Practice Medicine here: https://bestpracticemedicine.com/
On this episode of the Wood Care Podcast, Caleb sits down with Richard Hochanedel, owner of Deck Revive and inventor of the Stain Paddle. Rich brings over 28 years of experience in the wood care industry, starting in 1998 as a side hustle before eventually transitioning into a full-time business. Today, Deck Revive serves customers across Kansas, with a strong reputation built on repeat clients and referrals. In this episode we discuss: • Growing a staining business through referrals and repeat customers • Building partnerships with other contractors to generate leads • Navigating a challenging 2025 season with weather and economic shifts • Transitioning to more efficient products and processes • The story behind inventing the Stain Paddle to improve application quality Rich also shares his approach to customer education, why he prefers oil-based stains for long-term performance, and how proper process and communication lead to better results. With decades of experience, Rich offers practical advice for contractors looking to build a long-term, sustainable business — including investing in quality equipment, staying committed through early challenges, and solving problems in the field.
For US veterans, support for continued engagement in hepatitis B (HBV) care has been lacking. Listen in as Richelle M. Gaiter, DMSc, MPAS, Med, shares her experiences with HBV care as an Air Force veteran and what can be done to improve HBV care for veterans and civilians alike. Topics include: Key barriers to HBV care for US veterans What has improved in the last decade Strategies for improved engagement in care Get access to all of our new podcasts by subscribing to the Decera Clinical Education Infectious Diseases Podcast on Apple Podcasts, YouTube Music, or Spotify. Link to program page:https://bit.ly/4vAqSJT Presenter: Richelle M. Gaiter, CMSGT Retired USAFR, DMSc, MPAS, Med Family Medicine, Prevention, Patient Education Crescent City, California Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
On this episode of the Wood Care Podcast, Caleb sits down with Jeff Konopack of Deck Medic to talk about building a scalable deck care business. Jeff began his career in exterior painting before transitioning into specialized deck restoration, where he quickly realized the importance of creating systems, processes, and data-driven decision-making to grow the business. Over time, those systems helped transform the operation into a franchise model, allowing proven methods and processes to be shared with other operators. In this episode, we discuss: • Transitioning from general exterior painting to deck restoration • Creating repeatable business systems and quoting processes • Employee retention strategies in a seasonal industry • Commission-based team leadership and accountability • Building long-term customer relationships through maintenance services Jeff also shares why communication is the most important skill for contractors—whether it's managing customer expectations or building trust with employees. For Jeff, the goal isn't just landing a single job, but building long-term clients who return for maintenance every few years. He also encourages contractors to focus on building brand equity through five-star reviews, continuous education, and networking within the industry.
Are we willing to get rid of anything in our lives that is holding us back from all that God intends for us to be? Visit rollinghills.org/worship to learn how you can interact with other listeners on the Soul Care Blog.
On this episode of the Wood Care Podcast, Caleb sits down with Justen Coelho Meneses, a contractor with more than a decade of experience in the wood staining industry. Justen shares the evolution of his company — originally launched as Making All Things New before rebranding to Omaha Deck and Fence Staining for 2026. In this episode we discuss: Rebranding a staining company for long-term growth The challenges contractors faced during the 2025 season Adjusting marketing strategies when leads suddenly slow down Managing crews and maintaining accountability in the field Strategic decisions heading into 2026 This episode is packed with insight for contractors looking to grow their business while navigating an increasingly competitive market.
On this episode of the Wood Care Podcast, Caleb sits down with Ian Whitcomb, owner of Patriot Stain & Seal based in Oklahoma City. Ian entered the fence staining industry in 2015 as a side hustle, purchasing a used stain trailer and working evenings and weekends while serving as a 22-year military veteran and airline pilot. With some local advertising in his first year, he generated over $100,000 in revenue while still working another career. Today, the business has grown into a highly efficient operation generating between $450,000 and $675,000 annually. In this episode we discuss: • Building a staining business while working a full-time career • Operational systems that allow small crews to work efficiently • Labor strategies that retain skilled workers • Remote quoting using digital tools like Google Earth • Transitioning from traditional marketing to a 100% digital strategy • Using AI to streamline administrative and marketing tasks Ian also shares insights on business systems, CRM integration, job costing, and why contractors must know their numbers to stay profitable in a competitive market. This episode is packed with practical insight for contractors looking to build a scalable wood care business while improving operations and efficiency.
Just like we know that the winter ahead will not last, we have that same certainty about our future home. Visit rollinghills.org/worship to learn how you can interact with other listeners on the Soul Care Blog.
Send us Fan MailSeason 3 starts here. We're telling the full story — how a non-lawn care guy ended up with a lawn care podcast, why it works, and why you should absolutely care. Plus, it's a good story.
Kassaundra McKnight-Young, Chief Nursing Informatics Officer at Zebra Technologies, spoke with Doug Green, Publisher of Technology Reseller News, during the HIMSS conference about how technology is transforming clinical workflows and improving patient care through real-time data access. McKnight-Young emphasized the critical role of nursing informatics in bridging the gap between clinical practice and technology. By equipping frontline caregivers with mobile devices and real-time data, healthcare organizations can improve decision-making, reduce administrative burden, and enhance patient outcomes. “When clinicians have access to the right information at the right time, it directly impacts the quality of care they can deliver,” she said. Zebra Technologies focuses on enabling real-time visibility across healthcare environments, providing tools that support communication, data capture, and workflow optimization at the point of care. These solutions help ensure that clinicians can access accurate patient information quickly, reducing delays and minimizing the risk of errors. The discussion also highlighted the growing importance of integrating technology seamlessly into clinical workflows. Solutions must be intuitive and reliable so that healthcare professionals can focus on patient care rather than navigating complex systems. As healthcare organizations continue their digital transformation journeys, conversations at HIMSS underscored the need for technologies that empower clinicians, improve operational efficiency, and support better patient outcomes through timely, actionable data. Learn more about Zebra Technologies: https://www.zebra.com/us/en
Do you ever find yourself unwilling to ask God for something because it just seems too big, too crazy, or more than you deserve? Visit rollinghills.org/worship to learn how you can interact with other listeners on the Soul Care blog.
On this episode of the Wood Care Podcast(previously known as the Stain & Seal Experts' Podcast), we sit down with Chris Olsen of Madison Stain & Seal. Chris shares how he started his staining business about five years ago after realizing a traditional education path wasn't for him. At just 27 years old, Chris took an unconventional route into business — beginning with videography, photography, and storytelling, including wedding videography, which he often did for free early on to build his portfolio and experience. This episode is about transitioning career paths, learning in the first year, and building momentum in your local market.
As we spend time with Jesus, we slowly become more and more like Jesus. Jesus knows this will take time. Visit rollinghills.org/worship to learn how you can interact with other listeners on the Soul Care blog.
God is not done with us - we are constantly being transformed and built up. We are an ongoing process and it is a good thing! Visit rollinghills.org/worship to learn how you can interact with other listeners on the Soul Care Blog.
Recent advances in primary biliary cholangitis (PBC) care have resulted in a new focus on personalized care and symptom management. Tune in to learn from patient advocate, Maria G. Morais, RN, how you can integrate patient insights and priorities into treatment plans for PBC. Topics covered include:The Canadian PBC Society Survey: Comorbidities and Treatment GoalsDefining and Achieving Goal-Driven Care for PBCRecent Advances in PBC ManagementNewer Agents for Second-line Treatment of PBCPresenters:Maria G. Morais, RNPBC Transplant PatientVP Patient AdvocacyCanadian PBC SocietyToronto, CanadaLink to full program:https://bit.ly/44ySoL3Get access to all of our new podcasts by subscribing to the CCO Infectious Disease Podcast on Apple Podcasts, YouTube Music, or Spotify. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
We need to light to see where we are going, similarly we need light to show us the correct path spiritually. The Word of God can do that for us. Visit rollinghills.org/worship to learn how you can listen to the full episode.
Sometime what seems like a roadblock or delay, can actually be a part of God's sovereign design. Visit rollinghills.org/worship to learn how you can interact with other listeners on the Soul Care Blog.
God sees us as his children, but has that sunk in as a truth about ourselves or do think of ourselves as less than that? Visit rollinghills.org/worship to learn how you can interact with others on the Soul Care Blog.
In this episode of the PFC Podcast, Dennis engages with Patrick, Mason, and Jonathan to discuss the emerging research on cadaveric blood and its potential applications in military medicine. The conversation explores the historical context of deceased donor blood, the pressing need for alternatives in blood supply during large-scale combat operations, and the ethical considerations surrounding blood donation from deceased individuals. The team shares their preliminary findings and outlines future research directions, emphasizing the importance of collaboration in advancing this critical area of trauma care.TakeawaysBlood is essential for trauma care in combat situations.Current blood supply systems may not meet future demands.Historical use of deceased donor blood shows promise.Ethical considerations are crucial in cadaveric blood research.Research methodologies must be robust and thorough.Collaboration is key to advancing medical research.Understanding the limitations of blood supply is vital.The potential for cadaveric blood to save lives is significant.Military personnel may support blood donation after death.Future research will focus on improving blood safety and efficacy.Chapters00:00 Introduction to Cadaveric Blood Research04:49 The Need for Cadaveric Blood in Combat09:47 Historical Context of Deceased Donor Blood14:16 Research Findings on Cadaveric Blood19:33 Ethical Considerations in Blood Donation29:22 Future Directions in Cadaveric Blood ResearchFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
What banner do we want people to see flying above our head? Is it something from our own agenda or is it God's banner? Visit rollinghills.org/worship to learn how you can interact with other listeners on our Soul Care Blog.
In this episode of the PFC Podcast, Dennis and Max delve into the complexities of hemorrhagic shock, discussing its classifications, the importance of understanding compensated versus uncompensated shock, and the vital signs that indicate a patient's condition. They explore resuscitation strategies, emphasizing the need for careful assessment and decision-making in trauma care. Special considerations for different populations, including children, pregnant women, and the elderly, are also highlighted, providing valuable insights for medical professionals in emergency situations.TakeawaysUnderstanding the progression of hemorrhagic shock is crucial.Compensated shock allows the body to maintain organ perfusion despite blood loss.Classifications of shock help in assessing the severity of blood loss.Vital signs are key indicators in evaluating a patient's condition.Resuscitation decisions should be based on multiple data points, not just one.Children have different vital sign norms and require special attention.Pregnant women can compensate for blood loss better than non-pregnant individuals.Elderly patients may not tolerate shock as well due to comorbidities.Communication with EMS about blood loss at the scene is vital.Continuous reassessment of the patient is essential in trauma care.Chapters00:00 Introduction to Hemorrhagic Shock02:57 Understanding the Classes of Hemorrhagic Shock05:51 Compensated vs. Uncompensated Shock08:40 The Importance of Blood Loss Assessment11:57 Physiological Responses to Blood Loss14:47 Evaluating Shock: Key Indicators17:57 Tachycardia and Its Implications20:51 Blood Pressure and Compensation Mechanisms23:42 Understanding Pulse Pressure Dynamics36:01 Understanding the Four Gears of Compensation39:23 Assessing Orthostasis in Trauma Patients43:53 The Importance of Urine Output in Trauma46:42 Mental Status Changes in Trauma Patients49:38 Classifying Shock: From Compensated to Decompensated01:00:19 The Transition from Class Two to Class Three Shock01:10:19 Class Four Shock: The Final Stage of Decompensation01:12:14 Assessing Hemorrhage Control and Decision Making01:19:54 Understanding Classifications of Shock01:31:42 Special Considerations for Pediatric and Elderly PatientsFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Recent advances in primary biliary cholangitis (PBC) care have resulted in a new focus on personalized care and symptom management. Tune in to learn from patient advocate, Maria G. Morais, RN, how you can integrate patient insights and priorities into treatment plans for PBC. Topics covered include:The Canadian PBC Society Survey: Comorbidities and Treatment GoalsDefining and Achieving Goal-Driven Care for PBC Recent Advances in PBC ManagementNewer Agents for Second-line Treatment of PBCPresenters:Maria G. Morais, RNPBC Transplant PatientVP Patient AdvocacyCanadian PBC SocietyToronto, CanadaLink to full program:https://bit.ly/44ySoL3Get access to all of our new podcasts by subscribing to the CCO Infectious Disease Podcast on Apple Podcasts, Google Podcasts, or Spotify. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
When a paramedic in Kentucky faced a dying patient and a vial of antivenom, he had to make a split-second decision that could save a life… or end his career.In this episode of The Standard of Care Podcast, hosts Samantha Johnson and Nick Adams unpack one of the most talked-about EMS legal stories of the year: a paramedic who administered a rare antivenom under physician direction, only to find himself facing potential loss of his license.They break down the legal and ethical dilemmas behind the scope of practice, the real-world limits of medical direction, and what administrative law really means for providers in the field. Whether you're an advanced clinician, a medic early in your career, or just starting in EMS, this episode offers insights that can protect your license — and your patients.Listen now wherever you get your podcasts!KEY TAKEAWAYSScope vs. survival: Following the book may not always match the field reality — but understanding the limits of your practice can be the difference between being cleared and being called before the board.Medical direction matters: Acting under direct physician orders may protect you legally, but not always administratively — and that nuance can decide the fate of your license.Administrative law 101: The state board doesn't have discretion to ignore complaints; every case gets investigated. Knowing this process is essential to defending your practice.Culture check: Heroic instincts can lead to dangerous freelancing. True professionalism lies in humility, documentation, and system adherence.Protect your license: When facing an investigation, don't go it alone. Hire an attorney familiar with administrative law. You wouldn't run a resuscitation solo — don't handle your legal defense solo either.SHOWNOTESGivot, D. (2025, October 7). When Doing the Right Thing Breaks the Rules. EMS1. https://www.ems1.com/ems-protocols/when-doing-the-right-thing-breaks-the-rules Hawkins, T. (2025, September 28). Facebook Comment. October 10, 2025, https://www.facebook.com/tiffany.heilmann/posts/this-is-the-best-breakdown-i-have-seen-/10108839286161953/ Abo, B. (2025). Venom / Toxinology. Venom / Toxinology & Wildlife. https://www.abo911.org/venom-toxinology Williams, A. (2025, September 28). Expert Weighs in as Ky.. EMS Team Under Fire for Administering Antivenom. https://www.wkyt.com. https://www.wkyt.com/2025/09/28/expert-weighs-ky-ems-team-under-fire-administrating-anti-venom/
In this episode of the PFC podcast, Dennis and Bryce discuss the challenges and strategies of training non-medics in medical skills. Bryce shares his experiences as an 18 Delta Special Forces medic, emphasizing the importance of engaging team members in medical training to enhance patient care and operational effectiveness. The conversation covers the benefits of mentorship, fostering curiosity among team members, and the significance of cross-training. They also delve into the progression of medical training, the importance of understanding vital signs, and offer advice for new medics entering the field.TakeawaysTraining non-medics is essential for effective patient care.Engagement through competition can motivate team members.Proficiency in medical skills enhances team reputation.Mentorship plays a crucial role in developing skills.Curiosity among team members leads to better learning.Cross-training improves overall team performance.Understanding vital signs is critical for decision-making.Progressive training helps in skill retention and application.Effective communication with medical providers is vital.New medics should focus on building confidence and competence.Chapters00:00 Introduction to Medical Training for Non-Medics02:52 Engaging Non-Medics in Medical Training05:43 Operational Benefits of Training Non-Medics09:04 The Role of Mentorship in Medical Training11:58 Encouraging Curiosity and Learning14:52 Cross-Training and Its Importance17:46 Progression in Medical Training20:55 Vital Signs and Patient Assessment23:53 Advice for New MedicsFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Are we choosing to sit on the bus while we miss out on the experiences that God has planned for us? Visit rollinghills.org/worship to learn how you can interact with others on the Soul Care Blog.
In this episode of the PFC Podcast, Dennis speaks with Justin Ball, a licensed clinical social worker and former Green Beret, about the complexities of combat stress and mental health. They discuss the importance of recognizing maladaptive stress responses, the concept of limbic hijack, and the significance of co-regulation techniques in high-stress situations. Justin introduces the SABRE method for managing stress and emphasizes the impact of home life on mental health. They also explore the challenges of dealing with failure, imposter syndrome, and the importance of daily calm practices, especially during the transition out of military service. The conversation concludes with resources for mental health support within the military community.TakeawaysCombat stress can lead to maladaptive behaviors.Limbic hijack can impair decision-making in emergencies.Co-regulation is essential for managing stress in others.The SABRE method provides a structured approach to calming techniques.Daily practices of calm can help maintain mental health.Retirement can be a challenging transition for veterans.Understanding personal limits is crucial for mental well-being.Imposter syndrome affects many in the military community.Home life stress can significantly impact mental health.Resources like Soft Network can aid in finding mental health support.Chapters00:00 Introduction to Combat Stress and Mental Health01:21 Justin's Background and Experience04:50 Recognizing Maladaptive Stress Responses11:10 Understanding Limbic Hijack and Emotional Responses17:46 Co-Regulation Techniques in High-Stress Situations21:50 The SABRE Method for Managing Stress34:38 Identifying Signs of Emotional Distress41:31 The Impact of Home Life on Mental Health49:15 Dealing with Failure and Imposter Syndrome01:00:59 The Importance of Daily Calm Practices01:07:10 Navigating Retirement and Transitioning Out01:38:02 Resources for Mental Health SupportFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC podcast, Dennis, Andrew, and Rick delve into the complexities of triage in emergency medicine, particularly in mass casualty situations. They discuss the importance of understanding triage categories, share real-life experiences, and emphasize the role of leadership and resource management in effective triage. The conversation also highlights the need for integrated training that encompasses security and command aspects, as well as the necessity of adapting training scenarios to prepare for the realities of mass casualty events. The episode concludes with reflections on how to improve triage processes and training methodologies.TakeawaysTriage is chaotic and unpredictable, requiring intuitive methods.In mass casualty situations, focus on immediate life threats first.Leadership is crucial in managing triage and patient movement.Dynamic triage requires continuous reassessment of patient conditions.Training should include realistic scenarios where not all patients survive.Effective communication and coordination are essential in triage.Incorporate security measures in triage training.Training should align with both medical and non-medical goals.Utilize available resources efficiently during triage.Commanders must be involved in triage decision-making processes.Chapters00:00 Introduction to Triage and Its Importance02:27 Understanding Triage Categories07:11 Real-Life Triage Experiences09:43 The Role of Leadership in Triage19:32 Dynamic Triage and Resource Management29:04 Integrating Security and Command in Triage38:40 Training for Mass Casualty Scenarios50:40 Final Thoughts on Triage and TrainingFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, host Dennis speaks with Steve Schauer, a lieutenant colonel in the US Army and a critical care fellow, about his research on calcium levels in trauma patients. They discuss the importance of understanding calcium derangements, the challenges of correlating civilian and military trauma, and the impact of pre-hospital care on calcium levels. Steve shares insights from his study, including data collection methods, patient enrollment, and the physiological implications of calcium in trauma care. The conversation also covers the prioritization of interventions in trauma management, the role of TXA, and the need for ongoing research in this critical area of medicine.TakeawaysCalcium derangements are common in trauma patients.Pre-hospital care can significantly affect calcium levels.Understanding the correlation between civilian and military trauma is challenging.Data collection in trauma studies is complex and requires careful planning.TXA is crucial for preventing the breakdown of clots in trauma patients.Calcium administration must be approached cautiously in trauma care.Blood products are the top priority in trauma management.The physiological role of calcium in coagulation is critical.Future research is needed to clarify the role of calcium in trauma care.Medicine is constantly evolving, and practitioners must stay updated.Chapters00:00 Introduction to Calcium Study in Trauma02:48 Understanding Calcium Derangements in Trauma Patients05:47 Challenges in Correlating Civilian and Military Trauma08:32 Pre-Hospital Factors Affecting Calcium Levels11:31 Data Collection and Patient Enrollment14:29 Retrospective Data Insights on Calcium Levels17:04 Calcium Administration in Trauma Care20:16 Prioritizing Interventions in Trauma Management23:25 The Role of TXA in Trauma Care26:19 Physiological Implications of Calcium in Trauma29:17 Final Thoughts and Future Research DirectionsFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Jesus is asking us to follow Him, so we can be more like Him. Every day. All day. And that is hard. Visit rollinghills.org/worship to learn how you can interact with other listeners on the Soul Care Blog.
By Adam Turteltaub With a rising focus on value-based care, and a new program seeking to make the approach mandatory, we spoke with Ed White (LinkedIn), Partner at Nelson Mullins. Previous efforts to move toward value-based models, such as Accountable Care Organizations (ACOs), faced significant barriers due to regulatory frameworks like the Stark Law and Anti-Kickback Statute. These laws were designed to prevent financial incentives from influencing medical decisions, but they also limited the ability of hospitals and physicians to collaborate in ways necessary for effective value-based care implementation. Recognizing these constraints, CMS and the Office of Inspector General (OIG) collaborated in 2020 to issue new regulations aimed at facilitating the transition to value-based care. The next step in the transition is the new Transforming Episode Accountability Model or TEAM program, which will become mandatory in 2026. This program includes 740 hospitals across the country and targets five specific surgical procedures. Participating hospitals must coordinate care with a range of providers—including specialists, primary care physicians, labs, durable medical equipment (DME) providers, hospice agencies, and others. The TEAM program is designed to last for five years, during which time hospitals are responsible for ensuring that patients are connected to appropriate post-discharge care, including follow-up with primary care providers. The goal is to reduce complications, avoid emergency room readmissions, and promote better health outcomes—all while keeping costs below a CMS-established target price. To drive efficiency, the TEAM program introduces three financial risk “tracks”: Upside-only track – Hospitals can earn shared savings if costs come in below the target price. Moderate risk (upside/downside) track – Hospitals can either earn savings or incur penalties depending on performance. Full-risk track – This track will offer both greater risks and rewards. According to industry consultants, two-thirds of participating hospitals are expected to lose money in the early phases of the TEAM program. Hospitals must rethink their compliance, care coordination, and partnership strategies in the wake of these changes. Listen in to learn more about what this all means for your compliance program both today and in the future.
In this episode of the PFC Podcast, Dennis and Mike Hetzler delve into the intricacies of mission planning, particularly in the context of medical operations in foreign environments. They emphasize the importance of thorough preparation, understanding local medical infrastructures, and the necessity of proactive planning to ensure successful outcomes in high-stakes situations. The conversation covers various aspects of pre-deployment planning, including site surveys, gathering medical intelligence, and the critical need for validation of resources. The speakers share personal experiences and lessons learned, highlighting the importance of communication, collaboration, and attention to detail in military medicine.TakeawaysPlanning and preparation are crucial for success in medical missions.Assumptions can lead to critical failures in planning.Validating medical resources on the ground is essential.Pre-deployment site surveys provide vital information for mission success.Understanding local medical infrastructure is key to effective operations.Proactive planning helps mitigate risks in high-stress environments.Communication with local facilities is necessary for effective patient care.Rehearsing evacuation plans ensures readiness for emergencies.Civilian transportation options can complicate medical evacuations.Attention to detail can make the difference between success and failure. Chapters00:00 Introduction to Mission Planning and Preparation03:00 Understanding the Importance of Pre-Mission Analysis06:00 Planning for Medical Operations in Foreign Environments08:55 The Role of Intelligence in Medical Planning11:37 Navigating Medical Resources and Facilities14:47 Confirming Medical Assets and Avoiding Assumptions17:45 Creating a Common Operating Picture for Medical Operations20:29 The Importance of Communication and Coordination23:46 Enhancing Host Nation Medical Capabilities26:40 Utilizing Running Sketches for Effective Planning27:40 Proactive Risk Mitigation in Medical Operations29:44 Assessing Medical Facility Capacity32:18 Understanding Patient Movement Requests35:47 Navigating Civilian Transportation for Medical Evacuations40:26 The Importance of Rehearsals and Planning52:18 Professionalism in Medical PreparednessFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Dennis and Mike discuss the complexities of providing medical care in austere environments, focusing on the importance of understanding requirements, building relationships, and executing effective educational processes. They emphasize the need for thorough planning, cultural awareness, and continuous assessment to ensure successful outcomes in humanitarian missions.TakeawaysUnderstanding the requirement is critical for success.Building a common language enhances collaboration.Cultural interpretation is essential in medical missions.Assessment should be continuous throughout the process.Planning and preparation account for 80% of success.Under promise and over deliver to manage expectations.Engaging with local partners is vital for effective training.Utilizing local resources can enhance understanding.Measuring both performance and effectiveness is necessary.Perfecting the basics is crucial for impactful education.Chapters00:00 Introduction to the Podcast and Guest01:43 Understanding Requirements in Humanitarian Medical Care05:09 Analyzing the Environment and Common Language12:14 Building Relationships in Medical Missions20:15 Executing the Educational Process38:59 Measuring Success and Effectiveness in Training49:38 Final Thoughts and Key TakeawaysFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
This conversation explores the advancements in point-of-care ultrasound for combat abdominal trauma, particularly in the context of the ongoing war in Ukraine. The speaker discusses the limitations of traditional ultrasound protocols and introduces innovative approaches to enhance diagnostic accuracy. Through case studies, the importance of timely detection of injuries is emphasized, along with the necessity of training combat medics in ultrasound techniques. The discussion also highlights the challenges faced in modern warfare and the critical role of ultrasound in improving patient outcomes.TakeawaysUltrasound is crucial for emergency trauma diagnosis in combat situations.The FAST protocol is not sufficient for all types of injuries.Innovative ultrasound techniques can improve diagnosis of colon injuries.Timely detection of injuries can significantly reduce mortality rates.Training for combat medics in ultrasound is essential for effective care.The new FAST-U protocol enhances the standard FAST protocol.Portable ultrasound devices are vital in combat zones.Understanding retroperitoneal injuries is key to trauma management.Collaboration and support are necessary for effective medical training.Combat medicine education needs more recognition and resources.Chapters00:00 Introduction to Combat Ultrasound00:37 The Importance of Ultrasound in Combat Trauma02:32 Challenges of Modern Warfare and Trauma06:07 Innovations in Ultrasound Protocols12:19 Case Studies and Practical Applications16:56 Training and Support for Combat Medics19:02 Understanding Retroperitoneal Injuries27:20 Enhancing Diagnostic Accuracy with FAST-U35:02 Future Directions in Combat MedicineFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
The conversation delves into the complexities of providing medical care in remote areas, particularly focusing on the challenges faced in replicating hospital procedures. It emphasizes the critical nature of understanding hemorrhagic shock and the importance of timely resuscitation techniques, including blood transfusions, to improve patient outcomes.TakeawaysThere are limitations in replicating hospital care in remote areas.Non-compressible torso hemorrhage is a significant concern in trauma care.Many potentially survivable deaths occur due to inadequate resuscitation.The MARCH algorithm is essential in trauma management.Recognizing hemorrhagic shock is crucial for effective treatment.Airway, respiration, and circulation are fundamental in resuscitation.Starting blood transfusions early can save lives.Remote medical care requires adaptation of hospital protocols.Training for remote care must address unique challenges.Effective communication is key in emergency medical situations.Chapters00:00 Introduction to Combat Medicine and Remote Resuscitation00:52 Innovations in Hemorrhage Control: The ERAPTOR CourseFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Even when we're called into “active service,” our strength is not in our resources and abilities, but rather our strength is in Jesus Christ and His power. Visit rollinghills.org/worship to learn how you can interact with other listeners on the Soul Care Blog.
In this episode of the PFC Podcast, Dennis interviews Jennifer Gurney, an Army general surgeon specializing in trauma and burn care. They discuss the evolution of burn resuscitation practices, particularly the historical use of plasma and its potential benefits over crystalloid solutions. Gurney emphasizes the importance of plasma in treating burn shock, the timing and dosage of plasma administration, and the challenges faced in burn resuscitation. The conversation highlights the need for a shift back to plasma therapy to improve patient outcomes in burn care.TakeawaysBurn resuscitation has evolved significantly over the years.Historical use of plasma in burn care was effective but fell out of favor due to safety concerns.Current practices often rely too heavily on crystalloid solutions, which can lead to complications.Plasma therapy can address the plasma deficit seen in burn shock.The anti-inflammatory properties of plasma can aid in recovery.Timing of plasma administration is crucial for effective resuscitation.Monitoring clinical parameters is essential for determining fluid needs.Dried plasma could revolutionize burn resuscitation in the field.Over-resuscitation with crystalloid can lead to long-term complications.A return to plasma therapy may improve outcomes for burn patients.Chapters00:00 Introduction to Burn Resuscitation00:59 Historical Context of Plasma Use05:11 The Case for Plasma in Burn Resuscitation11:08 Understanding Resuscitation Endpoints14:44 Timing and Dosage of Plasma Administration19:54 Practical Considerations in Burn CareFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Colonel Stacey Shackelford discusses the critical aspects of managing abdominal trauma, particularly in battlefield settings. The conversation covers the statistics of battlefield casualties, current practices in trauma management, innovations in hemorrhage control, surgical techniques, and the challenges faced in trauma care. The discussion also emphasizes the importance of post-operative care and the need for future research in trauma medicine.Takeaways90% of casualties died before reaching a surgical hospital.Two thirds of pre-hospital deaths were from torso hemorrhage.Advanced pre-hospital care options are limited.RoboA and other techniques are being explored for hemorrhage control.Retropartennial packing is primarily for pelvic fractures.Basic skills in trauma care are essential for success.Chest tubes may play a larger role in reducing hemorrhage.Ongoing resuscitation and electrolyte management are critical post-surgery.Team dynamics are crucial in trauma surgery.More clinical exposure for medics is necessary for better outcomes.Chapters00:00 Introduction to Abdominal Trauma02:38 Understanding Battlefield Casualties05:21 Current Practices in Trauma Management08:42 Innovations in Hemorrhage Control11:21 Surgical Techniques and Decision Making14:30 Challenges in Trauma Care17:14 Post-Operative Care and Complications20:10 Future Directions in Trauma ResearchFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Dennis and Noel discuss the complexities of maritime irregular warfare, drawing on historical insights and personal experiences. They explore the challenges faced in maritime operations, the importance of experience, and the role of innovation and technology in modern warfare. The conversation emphasizes the need for effective communication within command structures and the necessity of preparing the next generation for the unique challenges of maritime IW.TakeawaysThe podcast serves as a platform for storytelling and knowledge sharing.Historical insights can provide valuable lessons for current operational challenges.Maritime operations face unique unpredictability due to environmental factors.Experience is crucial in adapting to the complexities of maritime warfare.Effective turnover processes are essential for operational continuity.Innovation should be preemptive rather than reactive during conflicts.Morale significantly impacts operational effectiveness in combat situations.Training and iteration are key to identifying gaps in capabilities.Good decision-making requires a combination of intelligence, knowledge, and context.Honesty in reporting and communication is vital for future improvements.Chapters00:00 Introduction to Maritime Irregular Warfare00:56 Historical Insights and Lessons Learned03:51 Challenges of Maritime Operations09:15 The Role of Experience in Maritime Warfare11:58 Innovation and Technology in Warfare17:43 Communication and Command Structure26:41 Preparing the Next Generation for Maritime IWFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Mikola, a self-medic from a special forces unit, shares his experiences and challenges faced in the medical field during the ongoing conflict in Ukraine. He discusses the complexities of medical evacuation processes, the importance of stabilization points, and the evolving threats posed by enemy tactics, particularly the use of drones. The conversation highlights the need for adaptability, thorough planning, and continuous training to ensure effective medical care in combat situations.TakeawaysThe frontline in Ukraine is over 3,600 kilometers long.Medical evacuation processes are complex and vary by region.Stabilization points are crucial but often under-resourced and dangerous.Drones have changed the dynamics of medical care on the battlefield.Planning for medical missions must include contingencies for facility destruction.Training and supply challenges are ongoing issues for medics.The use of armored transport is essential for casualty evacuation.Communication and teamwork are vital in high-stress environments.Casualty numbers can fluctuate dramatically based on enemy activity.Anticipating enemy tactics is crucial for medics' safety. Chapters00:00 Introduction to the PFC Podcast00:55 Challenges Faced by Medics in Ukraine06:43 Medical Evacuation Processes Explained12:01 The Role of Stabilization Points17:59 Adapting to Evolving Threats22:50 Training and Supply Challenges28:55 Conclusion and Reflections on Combat MedicineFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
It is easy to wear are own armor, but the armor that God has given us is meant to display HIS strength and HIS character. Visit rollinghills.org/worship to learn how you can interact with other listeners on the Soul Care Blog.
In this episode of the PFC Podcast, Dennis interviews Jessica, known as the Combat Midwife, who shares her extensive experience in both paramedicine and midwifery. The conversation delves into the critical issues surrounding postpartum hemorrhage, the mismanagement of obstetrics, and the importance of proper labor management. Jessica emphasizes the need for understanding the physiological process of birth and the risks associated with unnecessary interventions. She also discusses the significance of positioning during labor, the delivery of the placenta, and the risks of infection postpartum. Additionally, Jessica introduces the resources available for further education in maternal care.TakeawaysJessica is both a paramedic and a midwife.Postpartum hemorrhage is a leading cause of maternal death.Mismanagement in obstetrics often leads to complications.Birth is a natural physiological process that should not be micromanaged.Less than 10% of births require medical intervention.Proper positioning during labor is crucial for a successful delivery.The delivery of the placenta should be handled with care to avoid complications.Postpartum care is essential to prevent infections and other issues.The Combat Midwives Emergency OB Kit is designed for use in austere environments.Education and resources are available for those interested in maternal care.Chapters00:00 Introduction to the Combat Midwife01:28 Understanding Postpartum Hemorrhage04:37 The Mismanagement of Obstetrics06:14 Categories of Postpartum Hemorrhage15:13 Advice for Managing Labor19:11 The Importance of Positioning During Labor21:03 Delivery of the Placenta27:34 Postpartum Care and Infection Risks36:06 Addressing Postpartum Hemorrhage and Infection45:42 The Combat Midwife's Emergency OB Kit48:41 Resources and Courses for Further LearningFor more information Connect with The Combat Midwife™:Email: ask@combatmidwife.comWebsite: https://combatmidwife.comClasses & Kits: Workshops & KitsInstagram: @CombatMidwifeYouTube: Combat Midwife on YouTubeFacebook: Combat Midwife on FacebookX: @CombatMidwifeDiscount Code for your followers: PFCFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Dennis and Kevin dive deep into the complexities of ketamine, exploring its pharmacodynamics, pharmacokinetics, and practical applications in emergency medicine. They discuss the drug's disassociative properties, its analgesic effects, and the importance of individualized dosing based on patient physiology. The conversation also touches on the risks of catecholamine depletion and the management of side effects, particularly in trauma patients. Throughout the discussion, Kevin shares valuable insights and practical advice for medics and healthcare professionals using ketamine in real-life scenarios.TakeawaysKetamine is an NMDA receptor antagonist with various effects on the body.It can cause profound analgesia and disassociation at different doses.S-ketamine is preferred for its more intense analgesic effects and quicker recovery.Dosing should be individualized based on patient condition and physiology.Ketamine can lead to catecholamine depletion, especially in trauma patients.Smaller doses are safer for patients with compromised vital signs.Analgesic effects can be achieved without full disassociation at lower doses.Managing side effects is crucial, especially in the 'party zone' of ketamine use.Always have a plan for potential complications when using ketamine.Refer to clinical practice guidelines (CPGs) for best practices.Chapters00:00 Understanding Ketamine: Basics and Mechanisms09:17 Pharmacokinetics of Ketamine: How It Works15:58 Dosing Ketamine: Individualized Approaches25:23 Analgesic Properties of Ketamine: Beyond Disassociation31:39 Managing Side Effects: The Party Zone and Hallucinations39:19 Catecholamine Depletion: Risks and Considerations43:05 Practical Advice for Medics: Using Ketamine SafelyFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Dennis and Max discuss the evolving landscape of modern combat injuries, focusing on neck and upper chest injuries. They delve into the anatomy of the neck, the importance of understanding different zones for surgical intervention, and effective hemorrhage control techniques. The conversation emphasizes the critical role of teamwork in trauma care and the necessity of airway management in emergency situations. A case study of a traumatic incident illustrates the practical application of these concepts in real-world scenarios.Link to Video Kentucky Ballistics: https://www.youtube.com/watch?v=1449kJKxlMQ&t=983sTakeawaysModern combat injuries have evolved, necessitating updated medical responses.Neck and upper chest injuries present unique challenges in trauma care.Understanding the anatomy of the neck is crucial for effective treatment.Zone classification helps determine surgical approaches to neck injuries.Upper extremity junctional injuries are particularly difficult to manage.Effective hemorrhage control requires teamwork and quick decision-making.Airway management is critical in trauma situations, especially with neck injuries.Hands-on techniques, such as packing and suturing, are essential skills for medics.Training and preparation are key to successful trauma interventions.Real-world case studies highlight the importance of timely medical responses.Chapters00:00 Introduction to Modern Combat Injuries02:43 Understanding Neck and Upper Chest Injuries05:38 Anatomy of the Neck: Zones and Surgical Considerations09:50 Upper Extremity Junctional Injuries15:36 Management of Hemorrhage in Neck Injuries21:37 Airway Management in Trauma26:24 Effective Hemorrhage Control Techniques30:35 The Importance of Teamwork in Trauma Care36:22 Surgical Interventions and Techniques42:25 Case Study: Kentucky Ballistics Incident48:27 Conclusion and Key TakeawaysFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
This podcast episode explores the innovative use of maggot therapy in wound care, discussing its historical context, benefits, and applications in various medical settings, particularly in austere environments. The conversation highlights the importance of maggot therapy as a cost-effective and efficient treatment option, especially in the face of rising antimicrobial resistance. The speakers emphasize the need for proper sourcing, preparation, and application techniques for maggot therapy, as well as the potential for integrating this method into modern medical practices.TakeawaysMaggot therapy has historical roots dating back thousands of years.Maggots effectively debride wounds and promote healing.Maggot therapy is cost-effective, especially in low-resource settings.Chronic wounds often develop biofilms that resist antibiotics; maggots can help.Maggots can be used in both chronic and acute wounds, including burns.Maggot therapy can be implemented in austere environments with proper training.Specific fly species are required for effective maggot therapy.Maggots can be sourced locally in various environments.Maggot therapy can be a sustainable alternative to antibiotics in combat situations.Documentation and sharing of experiences are crucial for advancing maggot therapy.Chapters00:00 Introduction to Maggot Therapy01:16 Historical Context of Maggot Therapy04:41 Benefits of Maggot Therapy08:39 Application in Various Wound Types11:14 Maggot Therapy in Austere Environments15:32 Sourcing and Preparing Maggots23:33 Application Techniques for Maggot Therapy29:32 Patient Management and Treatment Regimens35:06 Future of Maggot Therapy in Medicine43:51 Conclusion and Call to ActionFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Staying in tune with the Holy Spirit is vital in how we stay in sync with the role that God has given each of us, but how do we do that? Visit rollinghills.org/worship to learn how you can interact with other listeners on the Soul Care Blog.
In this episode of the PFC Podcast, Dennis and Alex delve into the topic of forced vital capacity in the context of chest trauma. They discuss a research paper that explores the assessment of forced vital capacity for risk stratification of blunt chest trauma patients in emergency settings. The conversation covers the importance of understanding chest wall injuries, clinical guidelines for treatment, challenges in diagnosing rib fractures, and the implications of the study's findings on patient outcomes and resource allocation in military medicine.TakeawaysForced vital capacity is crucial for assessing chest trauma.Chest wall injuries can significantly impact patient outcomes.Pain management is a key component of treatment strategies.Clinical guidelines help in managing chest injuries effectively.Risk stratification is essential for resource allocation in trauma care.The study highlights the importance of forced vital capacity measurements.Understanding patient dispositions is vital in emergency settings.Challenges exist in diagnosing rib fractures in the field.The study's methodology raises questions about its applicability.Future research is needed to refine treatment approaches for chest trauma.Chapters00:00 Introduction to the Podcast00:30 Exploring Forced Vital Capacity02:02 Understanding Chest Trauma04:56 The Importance of Chest Wall Injuries08:37 Clinical Guidelines and Treatment Algorithms10:21 Challenges in Diagnosing Rib Fractures12:33 Pain Management and Treatment Strategies16:25 Dispositions and Resource Allocation19:02 Risk Stratification in Chest Injuries22:39 Forced Vital Capacity and Its Relevance27:16 Study Overview and Methodology32:29 Outcomes and Implications of the Study36:41 Critical Analysis of the Research46:38 Reflections on the Study's Impact52:12 Conclusion and Future DirectionsFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Dennis and Doug discuss the critical aspects of analgesia and sedation in emergency and critical care settings. They emphasize the importance of patient safety, comfort, and effective communication among medical teams. The conversation covers decision-making processes for sedation, the types of medications used, and the significance of sedation wake-up trials to assess patient status. The hosts also address the management of over-sedation and the need for clear communication in patient assessments.TakeawaysKeep the patient alive as the top priority.Sedation may be necessary for patient safety.Decision-making for sedation involves assessing comfort and safety.Different medications serve specific purposes in sedation and analgesia.Light to moderate sedation can help minimize PTSD risks.Daily sedation wake-up trials are essential in critical care.Communication using standardized scales aids in patient assessment.Over-sedation management requires a systematic approach.Medazolam and Propofol are preferred sedatives in critical care.Start sedation at lower doses and adjust based on patient response.Chapters00:00 Priorities in Analgesia and Sedation04:16 Decision-Making for Sedation Needs07:47 Understanding Sedative Medications14:32 Guiding Sedation Management in Critical Care20:49 Sedation Wake-Up Trials26:46 Communication and Neuro Exam in Sedation31:25 Managing Over-Sedation and EmergenciesFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Remember when we used to use stacked shocks for ventricular arrhythmias or load patients up with high doses of epinephrine and bicarb? Over the last 25 years, resuscitation guidelines have evolved and it's our job to stay updated on the current protocols.Here to help us break down what's changed and what still works is Dr. Ashish Panchal, Chair of Emergency Cardiovascular Care for the AHA and host of the In the Heart of Care podcast. We discuss how a common cardiac arrest scenario would be treated from 2000 to today, highlighting key guideline changes like the shift to neuroprotective strategies, high-quality CPR, and post-arrest care.Tune in to stay current and hear how science continues to shape the way we save lives!Topics discussed in this episode:How AHA guidelines are developedDr. Panchal's research and impactEarly 2000s resuscitation guidelines“Save the brain” approach in the 2010sHow medication use has evolved, like epinephrineThe current focus on high-performance CPR and neuroprotective strategiesPost-arrest care and survivorshipBalancing clinical trends with scientific validationHow nurses can stay current on AHA guidelinesCheck out the In the Heart of Care Podcast here:https://rqipartners.com/podcast/Mentioned in this episode:CONNECT