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In this episode of The TMA Connection, Tim sits down with Patrice Bullock for a heartfelt and powerful conversation about turning unimaginable loss into meaningful purpose. Patrice shares her personal journey following the loss of her son, Bailey, and how that experience led to the creation of Bailey's Heart & Soul Foundation. What began as grief became a mission — to educate communities, raise heart health awareness, and equip people with life-saving tools like CPR and AED training. Patrice opens up about motherhood, healing, and how purpose can be found even in life's darkest moments. She also discusses the importance of community, awareness, and taking action to help prevent future tragedies. This episode is a moving reminder that while loss can change everything, it can also spark impact, hope, and lasting change. Subscribe to The TMA Connection on your favorite podcast platform or watch the full episode on YouTube by searching "The TMA Connection." Don't forget to like, comment, and share — your support helps spread stories that matter.
Mon, Dec 29 9:32 PM → 10:47 PM Dispatched for Unconcsious Person turned into CPR. Radio Systems: - Stafford Fredericksburg
In this meaningful episode, Zach Dawson and Bob Springer sit down with Becky Savage, a nurse, mother, and the founder of the 525 Foundation. Becky shares the heart-wrenching story of a single night in 2015 that changed her family forever: the loss of her two eldest sons, Nick and Jack, to accidental drug overdoses during graduation party season.Becky describes the harrowing morning she discovered her sons and the "out of body experience" of performing CPR on her own child while paramedics responded to a second 911 call from the same house. We discuss the hidden dangers of prescription drug misuse, the "gap in knowledge" that still exists today, and how Becky and her husband moved forward by focusing on their two younger sons while turning their grief into a mission of advocacy.We also dive deep into the origins of the 525 Foundation - named after Nick and Jack's hockey numbers - and how a simple idea from her then 11-year-old son grew into a nationally recognized nonprofit. Becky explains the foundation's "Wise Up" program, which provides parents and educators with the facts and conversation starters needed to bridge the communication gap with youth. Join us for an essential conversation on prevention, education, and the life-saving power of simply starting a dialogue.
In this end-of-year special, Chris Cebollero and Kelly Grayson wrap 2025 with their trademark mix of humor, insight and zero sugarcoating. From venomous bites to venomous behavior, the Inside EMS duo continue counting down the top EMS stories that had the industry buzzing this year — and occasionally cringing. As always, the guys don't shy away from the tough stuff, but they make sure to end on a note of gratitude for the everyday EMS pros out there doing the job with compassion, competence and quiet heroism. Quotable takeaways “Every day, EMS providers go out there, do their jobs and bring some kindness and some comfort to a really bad day for their patients. And I think we need to look forward to more of that in 2026.” “Sometimes we've done things that maybe we shouldn't have, because it isn't in our scope of protocols, but I think we make a difference. Where's the line?” “Most of the advantages of mechanical CPR are not advantages at all.” The top EMS1 stories of 2025 Representatives Glenn Thompson and John Mannion introduced the EMS Counts Act Social Security Fairness Act signed into law, boosting retirement benefits for first responders Kentucky EMTs face KBEMS hearing for administering antivenom after mamba bite Elkhart firefighter appeals loss of paramedic duties after nurse's harassment complaint American Heart Association's 2025 CPR guidelines: Choking, opioids & survival chain Ill. city council makes $500 lift assist fee permanent Warren-Wentworth Ambulance shuts down after entire staff quits 'Shut the f**k up!': North Babylon Fire Chief Peter Alt on leave after video shows him cursing at patient Orange County fire chiefs demand removal of EMS director for halting blood transfusions, ketamine use Colo. paramedic charged with manslaughter after sedating, restraining man National EMS Advisory Council board members terminated Enjoying Inside EMS? Email theshow@ems1.com to share feedback or suggest guests for an upcoming episode.
A CPR tradition turns 10 this year. The Colorado Matters Holiday Extravaganza returns with bluegrass, mariachi, comedy and storytime. And as always, we pay homage to Judy Garland. Whether you celebrate Christmas, Hanukkah, Kwanzaa, or simply value togetherness, this audio gift is for you!
What if losing half your business in a betrayal led you to make $120,000 in 60 days on a platform everyone ignores? In this episode, Anthony Simonie shares how being adopted by his grandparents literally saved his life and how that experience shaped everything from his approach to entrepreneurship to his decision to adopt both of his children, Miles and Daisy. After his nine-month-old son Miles stopped breathing and Anthony performed CPR not knowing if his son would survive, his business partner exploited that crisis by drawing up a fraudulent amendment that gave away half of Anthony's half of their seven-figure business. That betrayal could have crushed him. Instead, it led Anthony to discover LinkedIn's hidden goldmine. Within 30 days, he generated $60,000 in new business plus $60,000 in recurring revenue, for $120,000 total. He did it again the next 30 days with the exact same numbers, proving it wasn't luck but a duplicatable system. Now, having helped over 1,000 clients leverage LinkedIn to build databases of affluent prospects, land strategic partnerships, and get booked on podcasts, Anthony has turned relationship-building into a science. Anthony reveals why his five-foot-tall Italian grandmother's persistence shaped his entrepreneurial DNA, how his daughter Daisy (his niece whose parents both committed suicide within five months) is now thriving, and why Tim Tebow's words hit him like a lightning bolt: "You can be successful without having any significance." [00:05:40] Raised by Grandparents, Saved by Adoption Adopted and raised by grandparents, literally saved Anthony's life Grandparents stepped up when they should've been enjoying retirement Both of Anthony's kids (Miles and Daisy) are adopted because adoption was a blessing for him Five-foot-tall Italian grandmother wouldn't let anyone leave without a meal, haircut, and promise to go to church [00:07:00] Learning Entrepreneurship at Craft Shows Grandmother was an artist making ceramic and wooden crafts Anthony helped her set up and break down at craft shows Watched her overcome challenges as they came She taught persistence and perseverance that stuck with him forever [00:08:00] The Pharmaceutical Sales Path Finished high school, walked onto college baseball team (paid for school for couple years) Became pharmaceutical sales rep like his stepdad, seemed like helping people Got job at Schering-Plough, did well but wasn't happy Started learning pharmaceutical goods may not be so good for us [00:10:00] The Foreclosure Cleaning Business Buddy said "We've got this little side business cleaning out foreclosed properties" At first thought "I don't think I wanna clean houses" Had moment of "I'm just done" with corporate job Started business, expanded from Missouri to Los Angeles (brother in charge), then Phoenix [00:11:00] The Dan Kennedy Event That Changed Everything Same friend took him to Dan Kennedy marketing event in St. Louis Eyes opened watching people make money helping others understand their business Friend said "Why don't we do it together, you be the face" Anthony had already turned cleaning business into real business with systems [00:11:40] First Year: Over $1 Million Partnered up, grew business in first year to over $1 million Had to learn everything: copywriting, email, webinars, buying traffic At first loved the money, but then started receiving messages from people he was helping "You saved my marriage. You helped save me from losing my home." Hundreds of them. [00:12:40] When It Became More Than Money First time felt complete: "This is so much more than just the money" People appreciate you, like you for what you're doing to help them Attorneys, physicians, everyone was losing businesses during that time Learning how to make income by doing something in large demand that people didn't know existed [00:15:40] Losing Everything Was the beginning of everything falling apart Used to a certain quality of life, now worried about son and business blows up Lost interest in the business, couldn't do it anymore, business died Partner had franchised business to double dip, his franchise failed too [00:17:20] LinkedIn Saves the Day Anthony: "LinkedIn? Are you trying to help me get a job? I'm not looking for a job" Took skills he'd learned and applied them to LinkedIn platform Created an offer, first 30 days sold $60,000 plus $60,000 recurring = $120,000 Thought maybe he got lucky, then did exact same thing next 30 days with same numbers [00:18:20] Helping Over 1,000 Clients Realized he had something duplicatable Close circle started asking what he was doing, started sharing it Years later, helped over 1,000 clients leverage LinkedIn Building databases of affluent prospects, referral partnerships, getting on podcasts, strategic partnerships [00:19:00] Every Successful Entrepreneur Has Been Crushed You're gonna have ups and downs in business If you have fortitude to stick it out and learn from challenges, you grow When you talk to people at measurable level of success, all have been through steep challenges Sometimes way worse than Anthony's experiences [00:23:40] Not An Agency, Highly Customized Not a one-size-fits-all agency approach Very highly customized and specific strategy depending on who you are, what you offer, who you serve Usually at capacity, takes on one or two new clients per month Recently launched "done with you" program to teach people how to run the play themselves [00:28:40] The God Thing Anthony and Jill were thinking about adopting again Friend sent invitation to dinner for adoption agency Right during that timeframe, all the tragedy happened with Daisy "It was a God thing... put on our hearts for specific reason: to step up and take care of Daisy" [00:30:40] Tim Tebow's Words: Success Without Significance At mastermind, got to watch Tim Tebow speak One thing stuck: "You can be successful without having any significance" Never heard it phrased that way before If all entrepreneurs adopt that mindset, we can change the world better than any politician [00:32:20] Starting the Real Estate Fund Works with lots of real estate syndicators and operators Asked: How else can I serve these people outside of helping them make more money? Started real estate fund to protect capital and provide hedge against inflation Helps people grow their capital while protecting it [00:35:00] Nobody Is Self-Made Doesn't believe anybody's self-made When people say "I'm a self-made millionaire" they're not being honest Even just your mother deciding to go through with birth, that person helped you There's abundance of opportunity, money, success out there for everybody [00:40:20] Remember Why You Do What You Do We live in world that's so distracted, separated, at odds Take time every day and remember why you do what you do, who you do it for What's the purpose, what's the passion, how does it impact world around us Entrepreneurs can change the world, but it starts under our own roof [00:42:40] Turn Off The News for 30 Days Challenge: Turn off news for next 30 days Watch how your mind clears up and you start focusing on things that matter You'll become more productive, have more pep in your step If you're business owner, you need that clarity to continue with what you're compelled to do KEY QUOTES "You can be successful without having any significance." - Tim Tebow (as shared by Anthony) "I don't believe anybody's self-made. Even just your mother deciding to go through with the birth, that person helped you." - Anthony Simonie "We as entrepreneurs can change the world in my humble opinion, but that starts with us. It starts under our own roof." - Anthony Simonie CONNECT WITH ANTHONY SIMONIE
The world of prehospital medicine is constantly evolving, driven by new research, technological advancements, and a shared commitment to improving patient care and provider well-being. As EMS professionals, staying informed about these developments goes beyond a professional obligation; it is an opportunity to improve our practice, champion our profession, and ultimately make a greater impact on saving lives. In this article, we will explore some of the latest research findings that are reshaping our field, from workplace culture to cutting-edge technology. The Culture of Care: Supporting EMS Providers Our work is demanding, both physically and emotionally, and the culture within our agencies plays a critical role in our well-being. A recent systematic review in the International Journal of Environmental Research and Public Health revealed that many EMS providers avoid using organizational mental health services due to stigma and a perception that these programs lack genuine care. The study emphasizes the need for person-centered support and a cultural shift that normalizes seeking help as a sign of strength (Johnston et al., 2025). This cultural component also impacts retention. Another study in the same journal found that agencies with collaborative, team-oriented "clan" cultures had significantly lower turnover rates compared to those with rigid or chaotic structures. For leaders in EMS, fostering a supportive environment is not just about morale. It is a strategic imperative for retaining skilled clinicians (Kamholz et al., 2025). Professional Recognition: Breaking Barriers Across the globe, paramedics are striving for recognition as integrated healthcare professionals. A qualitative study in BMC Health Services Research identified common barriers, including outdated legislation, inconsistent regulation, and insufficient funding. While the pandemic temporarily highlighted our capabilities, the momentum has waned. The study calls for targeted policy reforms and investments in education and leadership to solidify our role in the broader healthcare system (Feerick et al., 2025). Physical Demands and Injury Prevention The physical toll of our work is undeniable. A scoping review in Applied Ergonomics confirmed that musculoskeletal injuries, particularly to the back, are rampant in EMS. Tasks like handling stretchers and patient extractions are among the most strenuous. The review also highlighted fitness disparities, with male paramedics generally showing more strength but less flexibility than their female counterparts. These findings underscore the need for targeted injury prevention programs and realistic physical standards to keep us safe throughout our careers (Marsh et al., 2025). Advancements in Cardiac Arrest Care When it comes to cardiac arrest, every second counts. A study in Resuscitation reinforced the value of bystander CPR, showing that dispatcher-assisted CPR significantly improves outcomes for untrained bystanders. For those with prior CPR training, acting independently yielded even better results. This highlights the importance of public CPR education alongside dispatcher support (Tagami et al., 2025). On the scene, our interventions matter immensely. Research in The Journal of Emergency Medicine found that for traumatic cardiac arrest patients, aggressive interventions like prehospital thoracostomy can be lifesaving (McWilliam et al., 2025). Meanwhile, a study in Critical Care Medicine revealed that extracorporeal CPR (ECPR) significantly improves outcomes for patients with refractory ventricular fibrillation, emphasizing the need for early transport to specialized centers. The Role of Technology in EMS Technology is poised to revolutionize EMS, from dispatch to diagnosis. A study in The American Journal of Emergency Medicine demonstrated that large language models (LLMs) like ChatGPT could prioritize ambulance requests with remarkable accuracy, aligning with expert paramedic decisions over 76 percent of the time. This proof of concept suggests that AI could one day enhance resource allocation in dispatch centers (Shekhar et al., 2025). On the diagnostic front, machine learning is opening new possibilities. For example, a study in Bioengineering showed that analyzing photoplethysmography waveforms could estimate blood loss in trauma patients, offering a non-invasive way to guide resuscitation (Gonzalez et al., 2025). Similarly, research in Medical Engineering & Physics explored using multidimensional data to differentiate ischemic from hemorrhagic strokes in the field, potentially enabling more targeted prehospital care (Alshehri et al., 2025). Addressing Disparities in Care Equity in EMS is a cornerstone of our profession, yet recent studies highlight troubling disparities. Research in JAMA Network Open found that ambulance offload times were significantly longer in communities with higher proportions of Black residents (Zhou et al., 2025). Another study in JAMA Surgery revealed that Black and Asian trauma patients were less likely to receive helicopter transport compared to White patients. These findings are a call to action for all of us to examine our systems and biases to ensure equitable care for every patient (Mpody et al., 2025). Looking Ahead The research discussed here represents just a fraction of the advancements shaping EMS today. From improving workplace culture and injury prevention to leveraging AI and addressing systemic inequities, these findings have real-world implications for our protocols, training, and advocacy efforts. As EMS professionals, we have a responsibility to stay informed and apply these insights to our practice. For a deeper dive into these topics and more, I invite you to listen to the podcast, EMS Research with Professor Bram latest episode, https://youtu.be/rt_1AFzSLIk "Research Highlights and Innovations Shaping Our Field.” References Alshehri, A., Panerai, R. B., Lam, M. Y., Llwyd, O., Robinson, T. G., & Minhas, J. S. (2025). Can we identify stroke sub-type without imaging? A multidimensional analysis. Medical Engineering & Physics. https://doi.org/10.1016/j.medengphy.2025.104364 Feerick, F., Coughlan, E., Knox, S., Murphy, A., Grady, I. O., & Deasy, C. (2025). Barriers to paramedic professionalisation: A qualitative enquiry across the UK, Canada, Australia, USA and the Republic of Ireland. BMC Health Services Research, 25(1), 993. https://doi.org/10.1186/s12913-025-10993-7 Gonzalez, J. M., Holland, L., Hernandez Torres, S. I., Arrington, J. G., Rodgers, T. M., & Snider, E. J. (2025). Enhancing trauma care: Machine learning-based photoplethysmography analysis for estimating blood volume during hemorrhage and resuscitation. Bioengineering, 12(8), 833. https://doi.org/10.3390/bioengineering12080833 Johnston, S., Waite, P., Laing, J., Rashid, L., Wilkins, A., Hooper, C., Hindhaugh, E., & Wild, J. (2025). Why do emergency medical service employees (not) seek organizational help for mental health support?: A systematic review. International Journal of Environmental Research and Public Health, 22(4), 629. https://doi.org/10.3390/ijerph22040629 Kamholz, J. C., Gage, C. B., van den Bergh, S. L., Logan, L. T., Powell, J. R., & Panchal, A. R. (2025). Association between organizational culture and emergency medical service clinician turnover. International Journal of Environmental Research and Public Health, 22(5), 756. https://doi.org/10.3390/ijerph22050756 Marsh, E., Orr, R., Canetti, E. F., & Schram, B. (2025). Profiling paramedic job tasks, injuries, and physical fitness: A scoping review. Applied Ergonomics, 125, 104459. https://doi.org/10.1016/j.apergo.2025.104459 McWilliam, S. E., Bach, J. P., Wilson, K. M., Bradford, J. M., Kempema, J., DuBose, J. J., ... & Brown, C. V. (2025). Should anything else be done besides prehospital CPR? The role of CPR and prehospital interventions after traumatic cardiac arrest. The Journal of Emergency Medicine. https://doi.org/10.1016/j.jemermed.2025.02.010 Mpody, C., Rudolph, M. I., Bastien, A., Karaye, I. M., Straker, T., Borngaesser, F., ... & Nafiu, O. O. (2025). Racial and ethnic disparities in use of helicopter transport after severe trauma in the US. JAMA Surgery, 160(3), 313–321. https://doi.org/10.1001/jamasurg.2024.5678 Shekhar, A. C., Kimbrell, J., Saharan, A., Stebel, J., Ashley, E., & Abbott, E. E. (2025). Use of a large language model (LLM) for ambulance dispatch and triage. The American Journal of Emergency Medicine, 89, 27–29. https://doi.org/10.1016/j.ajem.2025.05.004 Tagami, T., Takahashi, H., Suzuki, K., Kohri, M., Tabata, R., Hagiwara, S., ... & Ogawa, S. (2025). The impact of dispatcher-assisted CPR and prior bystander CPR training on neurologic outcomes in out-of-hospital cardiac arrest: A multicenter study. Resuscitation, 110617. https://doi.org/10.1016/j.resuscitation.2025.110617 Zhou, T., Wang, Y., Zhang, B., & Li, J. (2025). Racial and socioeconomic disparities in California ambulance patient offload times. JAMA Network Open, 8(5), e2510325. https://doi.org/10.1001/jamanetworkopen.2025.10325
The recipients of this year’s Fexco Kerry Heroes awards have been announced. Over the last month listeners to Radio Kerry were invited to nominate the individuals or groups they considered made them proudest to be from the county over the past year. The eight recipients received awards which are sponsored by Fexco and created by dsigns of Tralee. Forbairt na Dromoda Teo, a community social enterprise in the Iveragh Gaeltacht, saved the local shop and pub, when the group bought The Inny Tavern and foodstore, thereby providing a vital social space for the community. Dingle Coast Guard volunteers were honoured for their dedication, bravery and commitment to safety. Lisselton’s Padraic Kissane, a financial advisor, confronted the banks and made them face up to their role in the tracker mortgage scandal, which led to over €1 billion in refunds and compensation to home owners. Jerh O’Donoghue founded the Social Action Group in Rathmore in 1975 to give young people an opportunity to become involved and help their community. The group’s achievements include developing a day care centre, meals on wheels, and raising over a quarter-of-a-million euro to help those in developing nations. The Kerry senior football team and management were also chosen for winning the All-Ireland and bringing Sam Maguire back to the Kingdom. Killarney’s Seán O’Sullivan saved his son, Seán Óg’s life when the 24-year-old collapsed and had a cardiac arrest last April. Sean Senior is now an advocate for widespread CPR training. Anthony O’Carroll from Ballyduff is honoured for his courage and hard work after a life-changing motor bike injury, which had left him with multiple and complex fractures as well as a brain injury. His mother Mary describes him as a warrior. Marian Barnes is recognised for her work in founding Recovery Haven, to support people diagnosed with and recovering from cancer.
Hawaii Matters, Hana Hou is a listen back with excerpts featuring past guests and this episode includes:Molly Schmidt, CEO of the American Red Cross, Pacific Islands Region, recognizes the works of volunteerism on a grassroots level and how it can inform an individual to do more for their community. She shares the need for everyday people to brush up on their CPR certification, take a babysitting course, and visit the Hawaii Red Cross website to discover what you excel at to be of service in your neighborhood, starting at home. Molly Schmidt speaks on the history and a few significant public figures of Hawaii Red Cross, and shares her personal experiences when working with other agencies during the 2004 Indian Ocean tsunami and the 2023 Maui Wildland Fires. Kathy With a K is your host. (original air date: September 28, 2025) "Hawaii Matters", a public service community program that airs on Sundays at 6:30 a.m. Hawaii across Pacific Media Group Oahu radio stations: KDDB 102.7 Da Bomb | KQMQ HI93 | KUMU 94.7 KUMU | KPOI 105.9 The WaveTo be featured or for inquiries on "Hawaii Matters", please email: kathywithak@1059thewavefm.com
A CPR tradition turns 10 this year. The Colorado Matters Holiday Extravaganza returns with bluegrass, mariachi, comedy and storytime. And as always, we pay homage to Judy Garland. Whether you celebrate Christmas, Hanukkah, Kwanzaa, or simply value togetherness, this audio gift is for you!
The last full week of work in 2025 comes to an end today! We'll be around next Monday through Wednesday, but we'll both be off on Christmas & the day after. Same thing the following week for New Year's. In the news this morning, an absolute tragedy involving NASCAR Champion Greg Biffle & his family as they all died in a plane crash yesterday along with three others. Also in the news, the Brown University shooter has been found dead in NH, Wisconsin judge Hannah Dugan was found guilty of obstruction. And in more positive news…the $1.5 Billion Powerball drawing is tomorrow! To talk a bit more about the Greg Biffle disaster, we got Doc on the phone just after 8am, thanks to County Materials in Holmen. Elsewhere in sports, Week 16 in the NFL kicked off last night with a thrilling win in overtime for the Seahawks, the Bucks lost to the Raptors last night, the Badger volleyball team's run to a championship came to an end at the hands of Kentucky last night, and the Badger men's basketball team takes on Villanova tonight in Milwaukee. We also talked about the Bowl Game schedule and the entertainment at February's NBA All-Star weekend. Plus, more details about the firing of Ohio University's coach, and the details on next year's "Patriot Games". We let you know what's on TV and in theaters this weekend, and if you're planning on traveling for the holidays…here's some solid advice from the TSA. Discussed some of the worst gifts to get during the holidays. Had a story about a grandmother in Virginia who's trying to track down a woman who performed life-saving CPR on her back in November after she suffered a heart attack while in a park. And God bless strippers! They do the Lord's work! And in today's edition of "Bad News with Happy Music", we had stories about a guy on the run from the cops who hid in a nativity scene, a trucker who found a bunch of cocaine in his truck, a grocery store in Montreal that was robbed by a bunch of people dressed as Santas & elves, a baby Jesus statue from a town's nativity scene was stolen & then returned, and a former trooper in Missouri admitted trying to find nude pics on the phones of women he'd pull over.See omnystudio.com/listener for privacy information.
In October, 2025 the American Heart Association issued updated CPR guidelines, first full revision of lifesaving resuscitation guidance since 2020. In this podcast Henry Mayo cardiology nurse practitioner Tamar Avakian discusses the new CPR guidelines.
In this week's episode, Christianity will put the PR in CPR, Kirk Cameron gets eschatological and makes quite a mess, and president of American Atheists Nick Fish will be here to talk about serious stuff. --- To make a per episode donation at Patreon.com, click here: http://www.patreon.com/ScathingAtheist To buy our book, click here: https://www.amazon.com/Outbreak-Crisis-Religion-Ruined-Pandemic/dp/B08L2HSVS8/ If you see a news story you think we might be interested in, you can send it here: scathingnews@gmail.com To check out our sister show, The Skepticrat, click here: https://audioboom.com/channel/the-skepticrat To check out our sister show's hot friend, God Awful Movies, click here: https://audioboom.com/channel/god-awful-movies To check out our half-sister show, Citation Needed, click here: http://citationpod.com/ To check out our sister show's sister show, D and D minus, click here: https://danddminus.libsyn.com/ Report instances of harassment or abuse connected to this show to the Creator Accountability Network here: https://creatoraccountabilitynetwork.org/ --- Guest Links: Learn more about the work Nick Fish is doing with American Atheists here: https://www.atheists.org/about/our-vision/ Learn more about the fundraiser Noah is doing for the Creator Accountability Network here: Canlivestream.org --- Headlines: Despite desperate religious claims, the US is NOT in the midst of a youth revival: https://www.pewresearch.org/religion/2025/12/08/religion-holds-steady-in-america/ Lauren Witzke claims God sent Noah's flood because angels gave humanity pharmaceuticals: https://www.peoplefor.org/rightwingwatch/lauren-witzke-claims-god-sent-noahs-flood-because-angels-gave-humanity https://en.wikipedia.org/wiki/Lauren_Witzke Several major US retailers placed on 'Naughty List' for failure to embrace Christmas this year: https://www.christianpost.com/news/several-major-us-retailers-placed-on-naughty-list.html Kirk Cameron changes stance on doctrine of Hell: https://www.christianpost.com/news/kirk-cameron-changes-stance-on-doctrine-of-hell.html
Dave and Chuck the Freak talk about The Grinch Who Stole Bitches, Power Ball, emailer sexted co-worker by mistake, woman was putting razor blades in bread at Walmart, rats found crawling in produce section at grocery store, woman lost job after video of altercation with staff at restaurant goes viral, rub and tug bust, update on Sherrone Moore, Nick Reiner's court appearance, Jane's Addiction officially broken up, Charlie Puth mad about loud SpaceX launches, James Cameron gave CPR to rat, turds found on jetway, box of free weed outside of school, restaurant employees stage fake robbery with ChatGPT, raccoon fell through ceiling at fancy Wisconsin restaurant, man set up hidden camera in Tennessee Dollar Store, man planted hidden camera in woman's vents, private investigator's list of 5 jobs people most likely to cheat, doctor gave guy vasectomy when in for gallbladder surgery, camel at church Christmas performance kicks woman, strippers raise money for Christmas, man set record singing Christmas carols for 42 straight hours, $5M house for free but you have to move it, and more!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Dave and Chuck the Freak talk about The Grinch Who Stole Bitches, Power Ball, emailer sexted co-worker by mistake, woman was putting razor blades in bread at Walmart, rats found crawling in produce section at grocery store, woman lost job after video of altercation with staff at restaurant goes viral, rub and tug bust, update on Sherrone Moore, Nick Reiner’s court appearance, Jane’s Addiction officially broken up, Charlie Puth mad about loud SpaceX launches, James Cameron gave CPR to rat, turds found on jetway, box of free weed outside of school, restaurant employees stage fake robbery with ChatGPT, raccoon fell through ceiling at fancy Wisconsin restaurant, man set up hidden camera in Tennessee Dollar Store, man planted hidden camera in woman’s vents, private investigator’s list of 5 jobs people most likely to cheat, doctor gave guy vasectomy when in for gallbladder surgery, camel at church Christmas performance kicks woman, strippers raise money for Christmas, man set record singing Christmas carols for 42 straight hours, $5M house for free but you have to move it, and more!
Don't have time to listen to the entire Dave & Chuck the Freak podcast? Check out some of the tastiest bits of the day, including The Grinch That Stole Bitches, emailer sexted co-worker on accident, James Cameron gave a rat CPR, and more!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Don't have time to listen to the entire Dave & Chuck the Freak podcast? Check out some of the tastiest bits of the day, including The Grinch That Stole Bitches, emailer sexted co-worker on accident, James Cameron gave a rat CPR, and more!
Instagram is coming to your TV, James Cameron saved a rat's life with CPR and going to bed before midnight on New Year's Eve is more common than ever.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Today, Colorado musicians pay homage to Judy Garland, who inspired our annual Colorado Matters Holiday Extravaganza. The CPR tradition began after Sr. Host Ryan Warner watched Garland's 1963 Christmas special. Enjoy covers by Isaac Slade, Neyla Pekarek, Beth Malone, and Ryan himself (cringe).
Welcome to Episode 51 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Segment 1 Rodríguez, M. Á., Quintana-Cepedal, M., Cheval, B., Thøgersen-Ntoumani, C., Crespo, I., & Olmedillas, H. (2025, October 7). Effect of exercise snacks on fitness and cardiometabolic health in physically inactive individuals: Systematic review and meta-analysis. British Journal of Sports Medicine. Advance online publication. https://doi.org/10.1136/bjsports-2025-110027 Rodgers, L. (2025, October 17). As pickleball continues to gain players, injuries are increasing. JAMA. https://doi.org/10.1001/jama.2025.18833 Segment 2 Baos, S., Lui, M., Walker-Smith, T., Pufulete, M., Messenger, D., Abbadi, R., Batchelor, T., Casali, G., Edwards, M., Goddard, N., Abu Hilal, M., Alzetani, A., Vaida, M., Martinovsky, P., Saravanan, P., Cook, T., Malhotra, R., Simpson, A., Little, R., Wordsworth, S., Stokes, E., Jiang, J., Reeves, B., Culliford, L., Collett, L., Maishman, R., Chauhan, N., McCullagh, L., McKeon, H., Abbs, S., Lamb, J., Gilbert, A., Hughes, C., Wynick, D., Angelini, G., Grocott, M., Gibbison, B., & Rogers, C. A. (2025). Gabapentin for pain management after major surgery: A placebo-controlled, double-blinded, randomized clinical trial (the GAP Study). Anesthesiology, 143(4), 851-861. https://doi.org/10.1097/ALN.0000000000005655 NEJM Journal Watch. (2024, December 30). Growing evidence of harms associated with gabapentinoid drugs. JWatch. https://www.jwatch.org/na58203/2024/12/30/growing-evidence-harms-associated-with-gabapentinoid-drugs Moeindarbari, S., Beheshtian, N., & Hashemi, S. (2022). Cerebral vein thrombosis in a woman using oral contraceptive pills for a short period of time: A case report. Journal of Medical Case Reports, 16, Article 260. https://doi.org/10.1186/s13256-022-03473-w Peckham, A. M., Evoy, K. E., Ochs, L., & Covvey, J. R. (2018). Gabapentin for off-label use: Evidence-based or cause for concern? Substance Abuse: Research and Treatment, 12, 1178221818801311. https://doi.org/10.1177/1178221818801311 The 2 View: Emergency Medicine PAs & NPs. (2025, January 22). 41 – RCVS and CVT, CPR care science, prehospital tourniquets, blood pressure [Audio podcast episode]. Fireside. https://2view.fireside.fm/41 Strahan, A. E., Rikard, S. M., Schmit, K. M., Zhang, K., Guy, G. P., Jr., & [Additional Authors]. (2025). Trends in dispensed gabapentin prescriptions in the United States, 2010 to 2024. Annals of Internal Medicine. Advance online publication. https://doi.org/10.7326/ANNALS-25-01750 Segment 3 Brown, R. F., Lopez, K., Smith, C. B., & Charles, A. (2025). Diverticulitis: A review. JAMA, 334(13), 1180-1191. https://doi.org/10.1001/jama.2025.10234 Carr, S., & Velasco, A. L. (2024, July 25). Colon diverticulitis. In StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK541110/ Bob Tubbs on Emergency Radiology: https://youtu.be/Jg1JG67eoJQ Our social media: TikTok: https://www.tiktok.com/@ccmecourses Instagram: https://www.instagram.com/ccmecourses Facebook: https://www.facebook.com/CenterForMedicalEducation LinkedIn: https://www.linkedin.com/in/rickbukata Our podcasts: The 2 View Podcast (Free): Subscribe on Apple Podcasts https://apple.co/3rhVNZw Subscribe on Google Podcasts: http://bit.ly/2MrAHcD Subscribe On Spotify: http://spoti.fi/3tDM4im Risk Management Monthly Podcast (Paid CME): https://www.ccme.org/riskmgmt ** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional. emergencymedicine #cme
What if one unexpected medical emergency at the airport accidentally handed you the most liberating night of your life?In this true cabin crew story, Andy - a long-haul flight attendant - starts his day expecting nothing more than a routine winter trip to Delhi. But when an elderly passenger collapses on the jet bridge, Andy jumps in to help, performs CPR, and is promptly taken off the flight and sent home.Most people would be annoyed. Andy? He walks through his front door and discovers a surprise that changes everything… in the best possible way.What follows is a wonderfully chaotic, funny, and freeing chain of events that could only happen to someone who works in aviation. From relationship revelations to a very unexpected Christmas twist, Andy's day goes from stressful to side-splittingly memorable, all because of a moment he never saw coming. His sliding doors moment!This episode explores: Real-life cabin crew medical moments (the kind we all have) Sliding-door days that flip life on its head LGBTQ+ themes handled with warmth and humour The messy, relatable reality of crew life How one “ruined” shift can sometimes set you freeA Flight to Freedom is proof that sometimes the universe hands you exactly what you need… even if it looks like a day from hell at first.Music Credits for Flight to FreedomHome for the Holidays - Chris HaugenMelancholia – GodmodeChristmas Village - Aaron KennyThis is Not a Christmas Song - NEFFEXSound Effects by Send us a text! If you'd like a reply, please leave an email or numberWe would really appreciate it if you take 1 minute to leave a quick review. It really helps our podcast become more visible on all the platforms so we can reach more people! Thank you. Kaylie has written 6 other fictional novels about the lives of cabin crew! Amazon UKAmazon USABarnes and NobleSupport the showThe Red Eye Podcast is written by Kaylie Kay, and produced and narrated by Ally Murphy.To subscribe to the monthly newsletter and keep up to date with news, visit www.theredeyepod.com. Or find us on Facebook, YouTube, TikTok & Instagram @theredeyepod, for behind the scenes stories and those funny short stories that only take a minute or less!If you'd like to support the podcast you can "buy us a beer" and subscribe at https://www.buzzsprout.com/2310053/support, we'd be happy to give you a shout out on our newsletter!Ally Murphy is a former flight attendant, and a British voice over artist based in the USA, visit www.allymurphy.co.ukKaylie Kay is a flight attendant and author based in the UK. You can find more of her work at www.kayliekaywrites.comTo buy The Red Eye's first book click on the following links:Amazon UK Amazon USABarnes and Noble Other E Book Platforms
Over 5 million people worldwide have been trained in the American College of Surgeons Stop the Bleed program. The program aims to make these life-saving skills as common as CPR. Following the Brown University shooting claiming the lives of two students and leaving nine others injured, we talk about the importance of trauma response skills from hospitals to the everyday bystander. We spoke with Dr. Shea Gregg, Chair of Surgery at SVMC and Chair of CT State Trauma Committee.
Master cardiovascular disease prevention! Learn how to apply the new PREVENT risk calculator, use the CPR framework for risk reclassification, and interpret ApoB and Lp(a) in modern lipid management. We're joined by Dr. Laurence Sperling to break down what's new in ASCVD risk assessment and prevention. Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Case 1 from Kashlak Risk assessment framework ApoB and Non-HDL cholesterol Lipoprotein(a) and its importance The PREVENT risk score and its implications Statins and other lipid lowering therapies The role of diet and lifestyle in lipid management Case 2 from Kashlak Familial Hypercholesterolemia diagnosis and management Key takeaways Outro Credits Producer, Writer, Shownotes, Infographic, and Cover art: Ben Furman, MPH Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Leah Witt, MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Laurence Sperling, MD Disclosures Dr. Sperling reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: Bucksbaum-Siegler Institute If you want to learn more about what the Bucksbaum-Siegler Institute is doing and to nominate someone for the Clinical Excellence Award—you can check them out today. Visit bucksbauminstitute.uchicago.edu. Sponsor: Grammarly Sign up for FREE and experience how Grammarly can elevate your professional writing from start to finish. Visit Grammarly.com/podcast. Sponsor: Continuing Education Company Use promo code Curb30 to get 30% off all online courses and webcast. Visit CMEmeeting.org/curbsiders to learn more. Sponsor: Freed Use code: CURB50 to get $50 off your first month when you subscribe!
In today's VETgirl online veterinary continuing education podcast, we dig into the latest evidence on prognostic indicators during Cardiopulmonary Resuscitation (CPR) in dogs and cats. Using data from the RECOVER registry, this 2025 JVECC study sheds light on which factors can help predict return of spontaneous circulation (ROSC) and survival to discharge, giving us practical tools to guide our decision-making in the heat of resuscitation. Tune in to hear how this data can help set realistic expectations for veterinary staff and for pet owners, and shape how we approach veterinary CPR!
Mara Gergolet parla dei passi avanti nel vertice di Berlino sulla pace. Alberto Giulini spiega perché la Corte d'Appello del capoluogo piemontese ha deciso il rilascio del religioso egiziano trattenuto nel Cpr di Caltanissetta dal 24 novembre. Paolo Mereghetti ricorda il regista di «Stand by Me», «Harry, ti presento Sally» e «Misery non deve morire», ucciso a coltellate insieme alla moglie nella loro villa di Los Angeles.I link di corriere.it:I colloqui di Berlino sull'Ucraina: che cosa è successoLa Corte di Appello ordina il rilascio dell'imam Mohamed Shahin: «Non è un pericolo». Il Viminale valuta il ricorsoIl regista Rob Reiner e la moglie morti accoltellati nella loro villa a Los Angeles: arrestato il figlio Nick. «Acceso litigio fra padre e figlio»
Colorado, like the rest of the country, is experiencing more, and worse, climate disasters, wrecking havoc on people's homes — and their homeowner's insurance rates. In the wake of devastating hail storms and massive wildfires, Coloradans face rising premiums, less choice and availability, and in some cases, getting dropped by insurers altogether. The state is now one of the top ten most expensive in the country for homeowners insurance. And escalating the issue is climate change. CPR's Bente Birkeland and Rocky Mountain PBS' Andrea Kramar look at what's happening with the home insurance market in Colorado, and what state lawmakers are trying to do to make sure that, when the flames approach or the hail falls, Coloradans don't lose everything.Plus stay tuned for a full-length documentary on this reporting. “Undercovered” airs on Rocky Mountain PBS Thursday, Jan. 15 at 7 p.m. MST, and will be available to stream on the free RMPBS+ app and Youtube.Purplish is produced by listener-supported CPR News and the Capitol News Alliance, a collaboration between KUNC News, Colorado Public Radio, Rocky Mountain PBS, and The Colorado Sun, and shared with Rocky Mountain Community Radio and other news organizations across the state. Funding for the Alliance is provided in part by the Corporation for Public Broadcasting.Purplish's producer is Stephanie Wolf. Sound designed and engineered by Shane Rumsey. Theme music is by Brad Turner. CPR's executive producer of podcasts is Megan Verlee.
Kurt Bramer from Advanced CPR Solutions comes back for a final look at Head-Up CPR as we pull all the pieces from the earlier four episodes together. Dr. Joe Holley is back to bring in the latest research into the process as well. We will tie all this back to the global health disaster that is sudden cardiac arrest. Recent research from across the emergency medical community has pointed to impressive improvements in both return of spontaneous circulation (ROSC) as well as survival to discharge and neurologically intact survival when compared to conventional supine CPR performance. We’ll have links below to some of those studies and papers. Research Bibliography for Head-Up CPR Studies The episode is co-hosted again by our regular hosts, Sam Bradley and Jamie Davis. Elevated CPR Series Episode One Elevated CPR Series Episode Two Elevated CPR Series Episode Three Elevated CPR Series Episode Four CARES Registry for Cardiac Arrest Stats Follow up on more of these segments as we continue to look at the current research trends in future episodes and what is on the horizon for the future. The episode was co-hosted by Sam Bradley and Jamie Davis. Scroll down for Podcast Discussion Summary Thank you as always to Paragon Medical Education Group for their long-term support of the Disaster Podcast. Dr. Joe Holley and the team at Paragon continue to provide excellent and customized disaster response training to jurisdictions around the U.S. and internationally as well. Podcast Discussion Summary Head-Up CPR Research Update Jamie and Sam discussed the upcoming podcast episode, which will focus on wrapping up the last four episodes about head-up CPR and recent research. They mentioned the challenges of implementing new approaches in rural systems with volunteer staff. Sam noted that Dr. Joe and Kurt Bramer have been working on presenting the information in a way that can be applied responsibly. Joe briefly mentioned that SENA teams were activated to assist with floods in Seattle. The main focus of the episode will be on the latest data on head-up CPR, including improved physiology, survival rates, and neurological function, particularly for non-shockable rhythms like asystole. Advantages of Head-Up CPR Studies Sam, Kurt, and Joe discussed the significance of two seminal studies on head-up CPR. The 2016 preclinical animal study showed significant improvement in perfusion when compared to standard CPR, with a synergistic effect when using additional devices like the ITD and suction cup. The 2022 independent registry analysis demonstrated that head-up CPR resulted in a five times greater likelihood of neurologically intact survival compared to conventional CPR, even up to 20 minutes post-cardiac arrest. Joe explained that the bundled care approach for cardiac arrest patients involves multiple components, including appropriate ventilation, high-quality CPR, and post-resuscitation care, all of which contribute to improved outcomes. Bystander CPR System Implementation The discussion focused on the importance of proper implementation of bystander CPR, AEDs, and advanced techniques like impedance threshold devices and suction cup CPR to improve patient outcomes, particularly neurologic ones. Kurt emphasized the need for a system-wide approach, from first responders to hospital care, highlighting successful partnerships like Louisville’s, where continuity of care is prioritized. Jamie inquired about best practices for implementing this system-wide approach, to which Kurt responded with examples from different regions, noting that while ideal partnerships exist, proactive agencies can still achieve good outcomes even with less supportive hospitals. Cardiac Arrest Resuscitation Bundle Implementation The team discussed the importance of addressing multiple aspects of cardiac arrest resuscitation simultaneously, as highlighted by Joe, who emphasized that successful outcomes require implementing all elements of the care bundle equally. Jamie inquired about training approaches, to which Joe responded that effective training involves both initial instruction and ongoing feedback through quality improvement processes, stressing that successful resuscitations require adherence to the entire bundle rather than just some components. Prioritizing Tasks in Resuscitation Joe and Kurt discussed the importance of prioritizing tasks during resuscitation, emphasizing the need to focus on the overall process rather than individual steps. They highlighted the benefits of the Head-Up CPR model, which organizes priorities and reduces chaos during medical emergencies. Kurt explained that this method allows for more efficient and coordinated delivery of therapies, leading to better patient outcomes. Head-Up CPR Survival Benefits The group discussed two significant studies on CPR techniques. Kurt presented findings from a 2023 preclinical study showing that early administration of head-up CPR resulted in a 40% 24-hour survival rate compared to 9% for delayed conventional CPR. Joe highlighted an observational study from 2024 showing that head-up CPR improved survival rates for non-shockable rhythms from 2.8% to 7.6%, representing a nearly 3-fold improvement. Both studies suggested that head-up CPR could significantly enhance survival chances, particularly when administered early. Non-Perfusible Rhythm Blood Flow Method The group discussed a new methodology for perfusing patients with non-perfusible rhythms, which allows for continued blood flow and preserves neurological status. Joe explained that this could open up windows for interventions like ECMO or cardiac catheterization while CPR is underway. Kurt shared anecdotal evidence from agencies that have gained confidence in staying longer during arrests, leading to increased rates of ROSC in non-shockable rhythms. The group also touched on the importance of proper ventilation during CPR, with Joe highlighting the lack of focus on this aspect in many clinical trials. Head-Up CPR Survival Benefits Joe explained the concept of pressure-volume loops in CPR, demonstrating that head-up CPR generates greater blood flow and pressures compared to standard CPR. Kurt presented data from two studies comparing outcomes between CARES and head-up CPR data, showing improved survival rates for head-up CPR patients over one and five-year periods. The research suggests that head-up CPR may lead to better patient outcomes, though these findings were not included in the 2025 American Heart Association guidelines. Cardiac Arrest Economic Impact Discussion The group discussed the economic impact of cardiac arrests, with Kurt noting that the total cost per person in the US is approximately $4,000 annually, highlighting the need for improved resuscitation techniques. Jamie emphasized the importance of community contributions from survivors, while Joe provided recommendations for enhancing CPR quality, including the use of the Lucas 3.1 device with its enhanced lift feature and avoiding overly tight cervical collars during CPR to maintain blood flow. Improving Sudden Cardiac Arrest Response The meeting focused on sudden cardiac arrest, emphasizing its global impact as a leading cause of death. Kurt and Joe discussed the need for first response agencies and emergency managers to explore research and improve care delivery to enhance patient survivability. Joe highlighted the importance of understanding the physiology of cardiac arrest and considering new approaches, as current CPR methods have not changed in 50 years. Jamie suggested applying disaster management strategies to sudden cardiac arrest to improve outcomes. Joe mentioned upcoming procedural cadaver labs and ongoing work on superglottic studies and new airway management tools. Kurt provided contact information for further discussions and was invited to return for future updates on research. Podcast Series Conclusion and Future Plans The group discussed the conclusion of a podcast series on medical topics, with Kurt expressing gratitude for the opportunity to share his message and Jamie inviting him back for future episodes. They agreed to continue the conversation on social media and the Disaster Podcast website, with Kurt planning to draft questions for potential CEU credits. The group the role of specialized training, with Jamie highlighting the sponsorship of the Disaster Podcast by Paragon Medical Education Group. Catch the full episode using the player above or on your favorite podcast platform, and don't forget to subscribe to the Disaster Podcast for weekly insights from leaders in disaster response and research!
Neurologists are privileged to act as guides for patients as they navigate the complex course of serious neurologic illnesses. Because of the impact on quality of life, personhood, and prognosis, neurologists must be able to conduct serious-illness conversations to improve rapport, reduce patient anxiety and depression, and increase the likelihood that treatment choices agree with patient goals and values. In this episode, Teshamae Monteith, MD, FAAN speaks with Jessica M. Besbris, MD, author of the article "The Approach to Serious-Illness Conversations" in the Continuum® December 2025 Neuropalliative Care issue. Dr. Monteith is the associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. Besbris is an assistant professor of neurology and internal medicine, and the director of the neuropalliative care, at Cedars-Sinai Medical Center in Los Angeles, California. Additional Resources Read the article: The Approach to Serious-Illness Conversations Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @headacheMD Guest: @JessBesbris Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Monteith: Hi, this is Dr Teshamae Monteith. Today I'm interviewing Dr Jessica Besbris about her article on the approach to serious illness conversation, which is found in the December 2025 Continuum issue on neuropalliative care. How are you? Dr Besbris: I'm doing great. Thank you so much for having me here today. Dr Monteith: Well, thank you for being on our podcast. Dr Besbris: My pleasure. Dr Monteith: Why don't we start off with you introducing yourself? Dr Besbris: Sure. So, my name is Jessica Besbris. I am a neurologist with fellowship training in palliative care, and I am currently at Cedars Sinai Medical Center in Los Angeles, where I am the director of our neuropalliative care program. Dr Monteith: Excellent. So, how did you get involved in that? Dr Besbris: Like, I think, many neurologists, I always knew I wanted to be a neurologist---or, I should say, from the moment I decided to be a doctor I knew that that was the type of doctor I wanted to be, a neurologist. So, I went into medical school with the aim of becoming a neurologist. And very quickly, when I started my clinical years, I was exposed to patients who were living with very serious illnesses. And I found myself really drawn to opportunities to help, opportunities to make people feel better, opportunities to improve quality of life in situations that on the face of it seemed really challenging, where maybe it seemed like our usual treatments were not necessarily the answer or were not the only answer. And so, I pretty quickly recognized that taking care of patients with serious illness was going to be a big part of my life as a neurologist and that palliative care was the way I wanted to help these patients and families. Dr Monteith: And you mentioned you're leading the group. So, how many colleagues do you have in the program? Dr Besbris: We have a very large palliative care group, but within neuropalliative care, it's myself and one other physician, a nurse practitioner, and a social worker. Dr Monteith: Okay, well, I know you guys are busy. Dr Besbris: Yes, we are very happy to be busy. Dr Monteith: Yes. So, let's talk about the objectives of your article. Dr Besbris: Sure. So, the goal of this article is to impress upon neurologists that it really is all of our jobs as neurologists to be having these conversations with our patients who are affected with serious illness. And then, in most areas of neurology, these conversations will come up. Whether it's giving a life changing diagnosis, or talking about treatment choices, or treatment not going the way that we had hoped, or even sometimes progression of disease or end-of-life care. These topics will come up for most of us in neurology, and really, we're hoping that this article not only makes the case that neurologists can and should be having these conversations, but that there are skills that we can teach in this article and with other resources to improve the skill level and sense of confidence that neurologists have when they enter into these conversations. Dr Monteith: Great. I read that there are some developments in the field, on organizational levels, about really making these skills part of standard of care in terms of education. So, can you speak to that? Dr Besbris: Yes. So, there have been a couple of really landmark papers and changes in the educational landscape that I think have really brought neuropalliative care in general, and serious illness conversation in particular, to the forefront. So, there were the position statements released by the American Academy of Neurology in 1996 and 2022, both of which really said, hey, all neurologists should be doing this and receive training on how to have these conversations and provide this care. And the ACGME, the Accreditation Council for Graduate Medical Education, also requires neurology residency programs to learn how to communicate with patients and families, assess goals, and talk about end-of-life care. So, there's a real structural imperative now for neurologists to learn early on how to have serious illness conversations with their patients. Dr Monteith: Great. If there's anything for our listeners to get out of this conversation, what are the essential points? Dr Besbris: If you only take away one or two things from this conversation, I hope that they're that this is an awesome responsibility to be in a moment with a patient going through something challenging, to meet them in that moment with thoughtful, honest, empathic conversations about who they are and what's important to them. And that, just like any other procedure, these are skills that can be taught so that you can feel really confident and comfortable being in these moments. Dr Monteith: Excellent. Wow. Okay, I feel your energy and your empathy already. And so, why don't we just talk about skills? What is the best way to deliver tough news? I read this wonderful chart on SPIKES protocol. Dr Besbris: Yeah, the SPIKES protocol is one really well-known way to deliver serious news. And what's nice about SPIKES is it gives a mnemonic. And as neurology learners, we all love a good mnemonic to help you really center yourself when you're entering into these conversations so that you have a structured format to follow, just like with any procedure. So, the SPIKES protocol stands for Setting: so, making sure you have the right environment; Perception, or assessing what your patient or surrogate decision maker knows already so that you know where to begin; receiving an Invitation to deliver serious news. And then K stands for Knowledge, delivering in a clear and concise way the information that you want to make sure the family or patient walk away with. E for exploring Emotion; and S for really Summarizing what's been discussed and Strategizing on next steps. I think that having these kinds of conversations, it's just like being expert in anything. When you first start learning, it's helpful to have a set of very concrete steps you can follow. And you might even think through the mnemonic as you get ready to walk into that room. And as you become more expert, the flow becomes more natural. And maybe what you do before walking in to prepare is just honing what is that headline? What is that concise statement that I'm really going to give? And the rest may start to feel more natural and less protocolized. Dr Monteith: And there are a few other mnemonics. There's the NURSE mnemonic, which I like. You know, there's a balance between saying things and sounding kind of… you know, sometimes they're like, well, how could you understand what I'm going through? Have you been through something like this? And people shy away, and they're afraid to kind of be a part of these conversations. So how do we approach that with this, a NURSE mnemonic in a way that's kind of sincere? Dr Besbris: Absolutely. So, the NURSE mnemonic, unlike SPIKES, is not a step-by-step protocol. So, NURSE is a mnemonic, but you don't go through each letter and sort of give a naming statement and then an understanding statement and then a respecting statement and so on. Nurse is really a toolkit of different types of statements that we can give in response to emotions so that when you find yourself in a situation where a patient or family member is tearful, is scared, is angry, is expressing feelings, you have some phrases ready that feel authentic to you and that you feel are going to meet the moment and allow you to empathically respond to those emotions. Because until we do that, we really can't move further in this conversation with our patients and families feeling heard and respected. So, that NURSE mnemonic, those Naming, Understanding, Respecting, Supporting and Exploring statements, are really examples of statements that we can use to meet that moment with empathy and understanding and without implying that we have walked in their shoes. We want to avoid being presumptuous and really focus on just being present and empathic. Dr Monteith: So, let's just kind of run through, I think it's really important. Let's run through some of these examples. Maybe if someone's crying hysterically, how would we respond to that? Dr Besbris: So, this is an opportunity for Naming. And I made this one, I think, in the chart, a little bit obvious, meaning that we recognize when someone is crying that they are feeling probably very sad. This is an opportunity for us to name and thus normalize that emotion. I just think something as simple as, I think anyone would be really sad hearing this. These responses are not intended to fix this emotion. I'm not trying to get someone to stop crying or to, you know, necessarily not feel sad. It's really just to say, yeah, it's normal that you're feeling sad. It's okay. I'm here with you while you're feeling sad. And I'm going to be with you no matter what you're bringing to the table. Dr Monteith: Yeah. Let's go through just a couple of others. I mean, these are really good. Dr Besbris: Sure. Maybe Respecting. Dr Monteith: Yeah. So, my Dad is a fighter. Only God, not doctors, can know the future. Dr Besbris: Yeah. So, I love giving these examples with our learners because these statements, things like my Dad is a fighter or God will bring me a miracle or you don't know the answer. Only God knows what's going to happen, I think that they give a lot of doctors a feeling of confrontation, a feeling of anxiety. And I think there are a few reasons for that. And I think one of the main ones is that they're statements that imply that we as doctors are not all-powerful and it's our patients or families sort of looking for a different locus of control, whether it's internal fortitude or a higher power. They're looking to something other than us, and maybe that makes us feel a little bit uncomfortable. And I think that sometimes physicians think that these statements imply that someone doesn't even understand what's going on. But maybe they're coming to this from a place of denial. And I would argue that when someone comes to you with a statement like my dad is a fighter or, you know, I'm looking to God to bring me a miracle or to show me the future. I think that what they're really saying is, wow, I'm really hearing that things are serious, so much so that I'm reaching for these other resources to give me strength and hope. I don't think anyone asks for a miracle if they think that a miracle is not needed, if the problem is easy to fix. And so, rather than come to these types of statements from a confrontational place of I'm the doctor and I know best, I think this is a great opportunity to show some respect and give some respecting statements. Your dad is a fighter. I don't think he could have come this far without being a fighter. Or, you know, I am so grateful that you have your faith to lean on during times like these to give you strength. These are also nice opportunities for exploring statements. For example, I'm so grateful to learn more about your dad. Can you tell me what it is that he has been fighting for all of this time? Dr Monteith: I love that. It's like a follow-up, and also validating. Dr Besbris: Yeah, it's validating. And it allows us to learn a little bit more about this person and to learn, well, is he fighting for a life that we can still achieve with our interventions to lead into the next part of a conversation? Or, is God is going to bring me a miracle? Well, tell me what a miracle looks like for you. I can't tell you how many times I thought someone was going to tell me that a miracle would be cure. And sometimes that is what comes up. But other times I hear, a miracle would be, you know, my loved one surviving long enough for the rest of the family to gather. And, you know, that is certainly something we can work towards together. Dr Monteith: So, why don't we talk a little bit about approach to goals of care discussions? They are tough, and let's just put it into perspective to the critical care team. It's time, the person's been in the ICU, the family wants everything thrown at medically. And it's to the point that the assessment is that would be medical futility. Dr Besbris: Lots to unpack there. Dr Monteith: I wanted to make it hard for you. Dr Besbris: No, no, this is good! I mean, this is something- I work in a, you know, almost one thousand-bed hospital with a massive critical care building. And so, these are not unusual circumstances at all. First of all, I would just say that goals of care conversations are not only about end-of-life care. And I make that point a few different times in the article because I think when people imagine goals of care, and one of the reasons that I think clinicians may sometimes shy away from goals of care discussions, is that they think they have to be sad, they have to be scary, they have to be about death and dying. And I would argue that, really, goals of care discussions are about understanding who a person is, how they live their life, what's most important to them. Most of these conversations should be about living. How are we going to together achieve a quality of life that is meaningful for you and treatments that are going to fit your needs and your preferences? But there is a little slice of that pie in the pie chart of goals of care discussions that is in the arena of end-of-life care. For example, ICU care with, really, the highest levels of intensity of care, and having to talk about whether that still is meeting the moment from the perspective of goals as well as the perspective of efficacy. So, from the goals standpoint, I approach these conversations just like any other goals of care conversation. Usually at this point, we're speaking to family members and not our patients because in a neurocritical care unit, if someone is that sick, they probably are incapacitated. And so, it's a moment to really sit down with family and say, please tell me about the human being lying in that bed. They can't introduce themselves. What would they tell me about themselves if they could speak right now? What kinds of things were important to them in the course of their treatment? What kind of a life did they want to live or do they want to live? So that then we can reflect on, well, can our treatment achieve that? And this process is called shared decision making. This is really where we take in data from the family, who are experts in the patient, and then our own expertise in the illness and what our treatments can achieve, and then bring all of that information together to make a recommendation that aligns with what we believe is right for a particular patient. So, in the example that you gave, the extreme circumstance where someone is receiving maximal intensive care and we're starting to reach the point of futility, I think that we need to first really understand, well, what does futility mean for this particular patient? Is it that we as healthcare providers would not value living in the state this person is in? Or is it that the treatments truly cannot physiologically keep them alive or meet their stated goals? If it's the first one, that I wouldn't want to be on machines unconscious, you know, at the end of my life, well, I have to set that aside. It's really about what this patient wants. and if the family is telling you they valued every breath, every moment, and if we have care that can achieve that, we should continue to offer and recommend that care. And as healthcare providers, it is so important that we do explain when treatments are not going to be able to physiologically meet a patient's needs or achieve their goals. And that's where we can say, I'm going to continue to do everything I can, for example, to, you know, keep your loved one here for these meaningful moments. And we are at a point where performing CPR would no longer be able to restart his heart. And I just wanted to let you know that that's not something that we're going to do because I have an obligation not to provide painful medical treatments that will not work. So, my approach to futility is really different than my approach to shared decision-making because in the context of objective futility, it's not about necessarily- it's not about decision-making, it's not about shared decision-making as much as it is explaining why something is simply not going to work. Does that make sense? Dr Monteith: Absolutely. And what I love in your article is that, you know, you go beyond the skills, but also potential communication challenges---for example, patients' neurologic status, their ability to understand complex communication, or even cultural differences. So, can you speak about that briefly? Dr Besbris: Absolutely. In the world of neurological serious illness, it is incredibly common for our patients to face challenges in communication. That might be because they are aphasic, because they have a motor speech deficit, it might be because they're intubated, it might be because their capacity is diminished or absent. And so, there are a lot of challenges to keeping patients in these conversations. And in the article, I summarize what those challenges can look like and some strategies that we can use to continue to engage our patients in these conversations to the greatest extent possible and also turn to their surrogate decision makers where the patients themselves are no longer able to participate or participate fully. In terms of cultural considerations, I mean, there could be an entire article or an entire Continuum just on cultural considerations in neurology and in serious illness communication. And so, the key points that I really tried to focus on were exploring from a place of cultural humility what the beliefs and practices of a particular patient and family are in their cultural context, to ask questions to help you understand how those cultural differences may impact the way you approach these conversations. And being sensitive to folks with limited English proficiency, to ensure that we are using medical interpreters whenever possible. Dr Monteith: Excellent. Well, there's so much in the article. There's already so much that we just discussed, but our listeners are going to have to go to the article to get the rest of this. I do want to ask you to just kind of reflect on, you know, all the different cases and experiences that you have, and just, if you can give us a final remark? Dr Besbris: I can think of a number of cases that I've seen in my work as both an inpatient and outpatient neuropalliative provider where I've seen patients after strokes in the hospital with uncertain prognosis, whose families were struggling with a decision around feeding tubes. And where we have made a determination based on goals; for example, to pursue what's called a time-limited trial, to say let's place a feeding tube, let's meet again in the clinic in a few months after some rehab and let's just see, is this meeting this patient 's goals and expectations? I have been pleasantly surprised by the number of patients who have walked into my office after a period of rehabilitation who have regained the ability to eat, who are living an acceptable quality of life, and who have expressed gratitude for the work that I did in eliciting their goals, helping support their families. And some of whom have even come in and said, now that I'm doing better, I'd really like to do an advance directive to better guide my family in the future. People asking for more goals of care discussions, having seen how successful and helpful these conversations have been. Dr Monteith: Great. That's really life-altering for that patient, the family, so many people. Thank you so much for the work you do and for writing this great article and sharing all of this that we really need to learn more about. Dr Besbris: It's been a privilege. Thank you so much for talking with me today. Dr Monteith: Today I've been interviewing Dr Jessica Besbris about her article on the approach to serious illness conversation, which is found in the December 2025 Continuum issue on neuropalliative care. Be sure to check out Continuum Audio episodes from this and other issues. And thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.
Thanks to our Partner, NAPA Autotech Training and Pico TechnologyWatch Full Video EpisodeIn this episode, Matt shares a personal Thanksgiving story that turned into a real medical emergency. A long-time family friend suddenly becomes unresponsive at the dinner table, and Matt walks through the moment he had to decide whether to act, despite not being “formally” current on CPR.He talks candidly about what it felt like to drag her to the floor, check for breathing, make the call to start chest compressions, hear ribs crack—and then watch her come back. From there, he connects the experience to life in an automotive shop: CPR and first-aid readiness, AEDs, fire extinguishers, panic, freezing, and why “somebody will know what to do” is not a plan.It's a conversation about preparedness, stress, and how our greatest weapon really is the thought we choose when everything suddenly goes sideways.Episode HighlightsOpening with the quote: “Our greatest weapon against stress is our ability to choose one thought over another.”Matt fighting a cold and joking about his “Nat King Cole” voice.Thanksgiving at his parents' house: Family and close friends gathered, including a 75-year-old family friend (“Jane”) who's been part of the family's holidays for years.Jane says she's really dizzy; Matt gets up to escort her to the living room.Her chin suddenly drops to her chest, she becomes unresponsive, cold, and clammy.The decision point:Matt checks for airway, tries to feel for a pulse, listens for breathing—only hears gurgling.Admits he doesn't fully trust his own ability to feel a pulse with his heart pounding.The mental calculus: If you can't be sure, what else is there to do but chest compressions?Starting chest compressions:Dragging her to the floor and focusing completely on her while the rest of the room “disappears.”Locking his elbows, using the beat of “Stayin' Alive” as a guide.First compression: feeling and hearing the sternum/ribs crack—and taking that as feedback that he's at the right depth.Before the second compression, her eyes fly open and she lets out a sound.The immediate emotional whiplash:First feeling isn't relief, but anger and self-doubt: “Did I just overreact?” “Did I crack her ribs for nothing?” “Was this some dramatic hero move I didn't need to make?”Reorienting to the reality that she was unresponsive and now is awake, talking, and oriented.EMS arrives:Very low blood pressure at the house (around 70/40).Hooked up to a 4-lead, showing atrial fibrillation with PVCs.Matt nerds out on the waveforms and explains AFib and PVCs in plain terms.EMTs jokingly ask if he's a doctor because of how well he reads the traces.Later imaging reveals:A cracked or stress-fractured sternum from compressions.Multiple blood clots in her lungs.The doctor tells her that sternum fractures are common with CPR and adds:Don't be mad at him — he saved your life.For Matt, the key relief is not the “hero” label, but confirmation that he did the right thing by acting.Connecting it back to shops and real life:Afterward, Matt starts calling around trying to set up CPR and first-aid training.Hard question: if he drops at the shop, who's going to act?Extending the concern beyond employees: what about customers?Preparedness checklist for shops:Is there an AED on-site, and does anyone actually know how to use it?Has anyone at the shop had recent CPR and first-aid training?Do...
It's a consequential week in the Supreme Court as justices hear a case that could reorient the bounds of executive authority and overturn a ninety year precedent that insulates independent government agencies from political interference from the president.President Trump has tested those bounds of his executive power on everything from tariffs and trade to immigration to government spending. It's now up to the Supreme Court to determine just how far that authority can stretch, and that's why Amy wanted to talk to our guest today, Josh Gerstein, a reporter at Politico, who covers the intersection of law and politics -- which these days feels like just about everything under the sun.Amy and Josh talked about the dynamics in this Supreme Court, how they may rule on these upcoming cases, including ones like the Voting Rights Act. We recorded this conversation on Thursday, December 4th, right before the court announced they were taking up the birthright citizenship case and before they issued their stay on Texas' redistricting map. You can watch part of the conversation our YouTube channel: https://www.youtube.com/@thecookpoliticalreportSign up for our free weekly newsletter, In Brief: https://www.cookpolitical.com/in-brief-sign-upInterested in subscribing to CPR? Go to: www.cookpolitical.com/subscribeListeners can use the discount code"ODD10" to save 10% on any subscription. This offer is available only to new subscribers.
A Utah father's “family hike” up the steep and strenuous Broads Fork Trail in the Uinta-Wasatch-Cache National Forest turned into a horrific, life-threatening ordeal for his three young children when he refused to turn back as a storm rolled in, ultimately leaving them exposed, injured, and stranded overnight at high elevation. Search-and-rescue crews later found the children hypothermic and unresponsive, and investigators uncovered disturbing details, including the father ignoring repeated warnings, pushing the kids toward a nearly 9-mile summit, and even leaving his 8-year-old to perform CPR on her brother in the dark. This episode breaks down the timeline, the rescue, and the shocking decisions that turned a mountain trail into a nightmare.Support the show!For bonus content join our Patreon!patreon.com/CrimeOfftheGridFor a one time donation:https://www.buymeacoffee.com/cotgFor more information about the podcast, check outhttps://crimeoffthegrid.com/Check out our Merch!! https://in-wild-places.square.site/s/shopFollow us on Instagram https://www.instagram.com/crimeoffthegridpodcast/ and (1) Facebook Sources:https://www.ksl.com/article/51411042/extremely-selfish-dad-charged-with-taking-young-kids-on-dangerous-hike-that-ended-in-a-rescue https://gephardtdaily.com/local/father-who-took-children-on-mountain-hike-in-snowstorm-arrested-for-alleged-child-torture-intentional-abuse/ https://www.abc4.com/news/crimes-against-children/father-big-cottonwood-hiker-missing-toture/amp/https://www.fox13now.com/news/local-news/northern-utah/utah-father-who-went-missing-with-3-children-on-hike-charged-with-child-torture-abuseources:
Great Restoration and Revival (3) (audio) David Eells – 12/7/25 Do you know why God speaks to us in parables as in Jesus, the Man-child's day? He said, To hide these things from the wise and prudent that He may reveal them unto babes… I want to share with you some revelations to help you and encourage you to be spiritually prepared for tribulation and the outpouring of the latter rain anointing. Terrorism, Spiritual Invasion and Apostasy Don Lett - 06/22/2008 (David's notes in red) For we wrestle not against flesh and blood, but against principalities, against powers, against the rulers of the darkness of this world, against spiritual wickedness in high places. (Eph.6:12) (At first, this appears to be a physical terrorist attack, but the further you read on, the more it is revealed to be a spiritual invasion and attack on the U.S. and Christians.) Somehow, I found out about a terrorist attack that was going to occur on an Air Force base where I was staying. Although this base seemed like a normal civilian area. (The U.S. is the eagle of the “Lion with Eagles Wings” of Babylon. It is called this partially because of its air superiority. I believe the U.S. is the air force base in the “normal civilian area”.) I was in a bathroom hiding, and I could see that a group of Caucasian, American-looking men had captured most of the leadership on the base. (The enemy looks like average Americans but has a foreign ideology and spirit.) I looked behind me and saw that the General of the base was incapacitated and a little bloody. He wasn't able to stop this attack. The terrorists were looking for him but couldn't find him. I decided that he was OK and that he would be safely hidden in this bathroom. (The corporate beast spirit body from the pit has infiltrated and captured the minds of most of the leadership of the U.S. and is using them for their one world order purposes against the saints.) In another room to my rear, I could see a baby being watched by an adult. They were safe for the time being in a glass room, but I had no idea what was getting ready to take place. (The alien terrorist attack is happening to raise up this dragon/beast entity over the U.S. and bring down the freedoms we have known in the past. The baby is the newborn corporate Man-child that the beast entity wants to extinguish, as Herod attempted in the Gospels and the dragon will attempt in the Rev.12 end-time parallel. However, this baby, although visible, is safely caught up to heavenly places in Christ. The beast that is taking over all nations is the real terrorist that will make war against the saints.) I was scared, but I also noticed there was an escape route to the rear. I had to warn the authorities on base. I went straight to the guard shack at the check-in point. When I told the guards that I needed to talk to someone immediately about something that was going to occur, an MP car pulled up. They suggested that I inform the MPs who were in the car. They rolled down their window, and I leaned down to begin to tell them about the terrorists. But then I remembered that part of the plan was to infiltrate the base with other terrorists. I wasn't sure if these were real MPs or terrorists in disguise. I asked the MPs in the guard shack if they had ever seen these individuals before. They said no. (We really don't know who can receive our warning of this invasion. Some whom we think are brethren we find out are really the enemy.) I went and spoke to another MP whom they did recognize. As I was explaining to him about the terrorists, several people from my past were walking by and casually listening with interest, but not alarm, like J____. The MP seemed interested but not alarmed either. But it appeared that he would take someone to investigate these claims. (Most authorities will not take this spiritual alien invasion seriously, and others have already been taken over by it.) Next thing you know, I was sitting at a long table with a group of other civilians who were eating. Most of them, it seems, knew that I had found out about this terrorist attack. Some family members then began to brag about T___, who they said was getting these amazing words from God. The method that she was getting this word was from occult spiritualism or witchcraft-type practice. (Many times masquerading as Christian gifts.) They thought of her as a white witch. When they explained this to me, I told them right away that this is not the way that God works and that she was being influenced by a familiar spirit, but they didn't believe me. Just then, a very old friend from my past, S____, began to tell me what a hypocrite I am because of something I had done to him when I was a teenager (30 years or so ago). I told him that I was sorry and explained to him about forgiveness and how I had completely forgotten about this incident that had held him in captivity for so long. I asked him to let it go. (Many will be taken in because they are turned over to the tormentors for their own unforgiveness.) I turned my attention back to T____. My family members continued to press me about how God was speaking through her and that she was a good witch. And I reiterated that God didn't work this way. I told them that if they would meet with me outside, I would lay hands on her and cast this demon out. They still didn't believe me, but decided to meet with me, probably to prove that she was getting the word from God. (Many today pay no attention to the source of knowledge and power in these fakes since they are infiltrated with the enemy, but if we hold fast to the scriptures, we will know them.) While walking to meet with her, I got mixed up in a Catholic procession. They were singing “Amazing Grace”, but I could not get in tune with the way they were singing it. I tried several times and eventually got frustrated and stopped walking and singing with them. (The righteous will not assimilate into the larger end-time Universal, meaning Catholic, religion of the new world order that turns grace into lasciviousness.) I ended up in a different room. I noticed T____ walking with the group as they were walking in a line up a ramped corridor. The wall between us had an opening about one foot high at the neck so that I could see the faces of those walking. T____ was walking with them. I remembered that she looked pretty, but something was very odd about her countenance. Everyone seemed to be walking in an almost trance-like state. (Those who are into the witchcraft of rebellion to the Word will be assimilated by the alien spirits.) I had to go downstairs to meet with her and found myself on an elevator with a bunch of other people. This elevator was wide open without even a handrail. As I was going down the elevator, I was praying that God could do this work through me. I was concerned that I had not been close enough to God lately to cast this powerful demon out. (Closeness to the Lord enables us to be useful in the deliverance of our brethren.) When I came downstairs, there were a lot of activities. A lot of people I knew were playing basketball. I wanted to join them, but I had to take care of this first. I was still very concerned that I wouldn't be able to cast this demon out. Several people stopped me on the way to that side of the room to say hi. I quickly said hi and continued to move toward my cousin. (Most are caught up in the game of competition and scoring points between the sects of Christianity and are unaware of the spiritual alien invasion in their midst.) When I finally made my way past the basketball court, more acquaintances whom I had not seen in a while wanted to say hi. I gave a friend of mine a hug and said hi, and continued to move on. Finally, I got face-to-face with T___. I told her that I was going to lay hands on her, and just as I began to lay hands on her, a very shapely woman, whom I had never met, dressed in a turquoise stretchy dress that was cut very low at the breasts and high on the thighs, came out of nowhere and approached me to hug me. None of this made any sense to me that such a beautiful lady, whom I had never seen before, would come up to me and decide to hug me. I knew this had to be the work of the enemy. (The harlot of apostate Christianity seeks to seduce those who seek to deliver its adherents.) I thought about some of David Eells' teachings, and I held my hand out and said, “Lord, take this demon away from me”. (Or maybe, “Don't allow this demon to touch me”.) I was astonished by what happened next. This lady was lifted off the ground about an inch or two and slid backward about 10 to 15 feet and landed in a chair. She had her back arched, and you could see spiritual demonic activity above her chest. This startled me so much that I awoke from the dream. (The Word will cause the elect to recognize strong delusions of apostasy.) My Interpretation: The Air Force base is the U.S. “This building (the Pentagon) will be attacked 3 million times today”. It is protected by the Air Force from cyberattacks. Terrorists are not Muslims; they are ordinary-looking Americans. Christian babies are somewhat protected, but they are totally unaware of the dangers. They are protected for a time, but the room is made of glass. These people have infiltrated a large part of our police forces (and government organizations). People will listen mostly out of interest but not out of concern. People have no problem listening to false prophets, but don't believe the Word of God. Satan will attempt to divert us from our mission by using: False prophets Past wrongs you committed Family members False religions You question your confidence in your walk with the Lord Extra-curricular activities Friends Lusts The Personality Profiles: J____- nominal but professing Christians, with very little biblical knowledge and virtually no relationship with Christ S____ - former Christian having fallen from the faith. Atheist or agnostic at best T____ - little or no biblical knowledge, professing a relationship with God The Cross Revives the Church Eve Brast - 10/04/2016 (David's notes in red) I dreamed that my son Elijah and I were making our way through crowds of frustrated people in an airport. (Elijah represents the John the Baptist ministry calling God's people to repentance.) (Without repentance God's people cannot live in heavenly places above this world. (Mal.4:5) Behold, I will send you Elijah the prophet before the great and terrible day of Jehovah come. 6 And he shall turn the heart of the fathers to the children, and the heart of the children to their fathers; lest I come and smite the earth with a curse. The children don't know their fathers in the faith. All they have known is Babylonian false prophets and haven't grown up.) The people were angry and frustrated because an announcement had been made overhead that all flights were "delayed" and no one knew why. (Flights being delayed are representative of earthly bondages continuing.) Why do earthly bondages continue? They don't know their need because they don't know their spiritual fathers. (Eph.1:3) Blessed be the God and Father of our Lord Jesus Christ, who hath blessed us with every spiritual blessing in the heavenly places in Christ... All of our needs are supplied in heavenly places by abiding in Christ, Who is the Word. When we do not depart from the Word, we are a heavenly creation with heavenly benefits. Right behind John's repentance came Jesus and the church fathers.) (I asked Father for a word concerning the announcement of the delayed flights in the airport and received (Isa.1:25) I will turn my hand on you, thoroughly purge away your dross, and will take away all your tin. 26 I will restore your judges as at the first, and your counselors (Fathers) as at the beginning. Afterward you shall be called 'The city of righteousness, a faithful town'.) As we came up to the last terminal (time is running out), an older woman with blonde hair that had streaks of gray throughout, wearing a head covering, came up to us and pleaded with us to come and help her daughter, who was being a rebellious teenager. She was concerned because her daughter would not obey her concerning staying home and helping her clean the house and her bedroom. (Representing sanctification or "holiness without which no man shall see the Lord".) She kept sneaking out of the house to hang out with her friends at the mall and go shopping. (This woman represents the original church whose daughter has gone astray [in immature rebellion]. I believe there is one daughter in this dream because she represents the elect of God who will return to the true church. (Time is running out for the rebels to escape the power of this world before the judgments come. (Rom.2:3) And reckonest thou this, O man, who judgest them that practise such things, and doest the same, that thou shalt escape the judgment of God? (The rebellious teenager/church is about to miss her plane to safety.) (Luk.21:34) But take heed to yourselves, lest haply your hearts be overcharged with surfeiting, and drunkenness, and cares of this life, and that day come on you suddenly as a snare: 35 for so shall it come upon all them that dwell on the face of all the earth. (Meaning those not in heavenly places in Christ.) 36 But watch ye at every season, making supplication, that ye may prevail to escape all these things that shall come to pass, and to stand before the Son of man. (Heb.2:3) how shall we escape, if we neglect so great a salvation? which having at the first been spoken through the Lord, was confirmed unto us by them that heard. (Heavenly places is to be caught up to the throne of God's authority over this cursed world.) 4 God also bearing witness with them, both by signs and wonders, and by manifold powers, and by gifts of the Holy Spirit, according to his own will. 5 For not unto angels did he subject the world to come, whereof we speak. 6 But one hath somewhere testified, saying, What is man, that thou art mindful of him? Or the son of man, that thou visitest him? 7 Thou madest him a little lower than the angels; Thou crownedst him with glory and honor, And didst set him over the works of thy hands: 8 Thou didst put all things in subjection under his feet. (To be in the heavens is to have everything worldly and all of the curse under your feet.) For in that he subjected all things unto him, he left nothing that is not subject to him. But now we see not yet all things subjected to him. (Whose fault is that? Jesus said that we have heavenly authority over this earth and its curse in (Mat.16:19) I will give unto thee the keys of the kingdom of heaven: and whatsoever thou shalt bind on earth shall be bound in heaven; and whatsoever thou shalt loose on earth shall be loosed in heaven. (Rev.3:21) He that overcometh (the teenager rebellion and lust), I will give to him to sit down with me in my throne, as I also overcame, and sat down with my Father in his throne.) While the woman was lamenting to us about the daughter, I noticed an escalator off to the side of the terminal. I noticed that there were many people packed onto the downside (falling away) and only two or three individuals going up on the upside (those ascending to heavenly throne authority) to the next level. (Only one out of the four bore fruit in the parable of the sower.) (We are called to heavenly places, which are in Christ. Much of the church is earth-bound because they have not learned to abide in Christ, Who is the Word.) Then the woman's voice came back into my focus and hearing as Elijah was agreeing that we would go with her to her house and help her daughter. (The Bride will bring repentance to the rebellious church but not before some judgment arrives.) The scene changed as we found ourselves standing at the entrance to the daughter's bedroom from within the house. The mother was opening the door and gesturing for us to enter. Her daughter's room looked like a shop at the mall. (Love of the earthly stops one from receiving love of the heavenly places.) Shoe displays and mannequin torsos were displaying risqué teen clothing. (Many are in idolatry [and lust] with the world.) The mother explained that the daughter was hardly ever home, choosing to be at the mall and with her friends over home life with the family. (The heavenly family has been departed from, for earthly pursuits. We all know people like this who are full of excuses, but they will find out too late that they didn't eat their Word.) Elijah and I (Eve, the Bride) began to walk around the room to get an idea of what to say to the daughter and how to help her. I noticed a white door with glass panes in the top half, and on the other side of the room, which led into the room from the outside. There was a short hall entryway between the room and the door. (The door is Christ and represents salvation.) I noticed some activity going on in the entryway. (This is where most of the Church stops, not bearing the fruit of Christ in their soul and ministry.) David was busy doing something. Then Michael came up to us and began explaining about a project that David had been working on for a while for this girl. Michael showed me a few of the nails that he had helped gather for the project. He had quite a few gathered in a small silver metal bucket near the wall of the entryway. (The nails are to hold our flesh on our cross so that we may have the resurrection life of Christ in heavenly places of throne authority.) (David and Michael are representative of the Man-child ministers who have been prepared and are preparing for this end-time harvest.) Suddenly, a bunch of the Local UBM brethren came into the room in the same direction that Elijah and I had entered. I saw that everyone was cooperating with one another to transform the daughter's room. (The apostate Church will see a role model in the Bride that they never did in their leadership.) I saw M. L. consulting with the other ladies to alter all the clothing into more appropriate things for the daughter to wear. (The mature don't flash flesh, they crucify it. Modesty is a necessity.) The men were discussing how to move around some of the shelves (too many of God's things are on shelves) and bring in appropriate furniture for a bedroom. (To rest in faith in God's promises.) (Being in one accord and one Spirit with body ministry for our little sister.) (It appears a little sister was matured and glorified. (Psa.45:13) The king's daughter within the palace is all glorious: Her clothing is inwrought with gold. 14 She shall be led unto the king in broidered work: The virgins her companions that follow her Shall be brought unto thee. 15 With gladness and rejoicing shall they be led: They shall enter into the king's palace. 16 Instead of thy fathers shall be thy children, Whom thou shalt make princes in all the earth. And it appears that she became a spiritual mother to many.) Then the door to the outside opened, and David stepped over the threshold carrying a large, lightweight transparent cross over his right shoulder. (The Davids will first bear the cross to death of themselves so that they may give it to others. (Heb.12:2) looking unto Jesus the author and perfecter of our faith, who for the joy that was set before him endured the cross, despising shame, and hath sat down at the right hand of the throne of God.) Michael said excitedly, "There it is. That's the project!" I asked Father for a word concerning David and Michael and the project and received 1 Timothy 2:5 (context: 5,6). (1Ti.2:5) For there is one God, one mediator also between God and men, himself man, Christ Jesus, 6 who gave himself a ransom for all; the testimony to be borne in its own times. (Just as Jesus paid the price for us to be freed, so will He do it in the Man-child, and much fruit will be borne. (Joh.12:24) Verily, verily, I say unto you, Except a grain of wheat fall into the earth and die, it abideth by itself alone; but if it die, it beareth much fruit.) David knelt down and gently laid the cross down with the foot at the threshold and the head where the room began. He reached over the cross and pulled the bucket of nails toward him as Michael went over and handed him a heavy hammer. As David pulled the nails out of the bucket, they began to light up a beautiful sky blue like neon signs. He nailed them in groups of three at all four points on the cross. (Giving others an example of death to self. There were 12 blue nails representing discipleship. This cross bridges the gap so that those who are without can enter the house. (Representing the now-holy house and place of heavenly provision. No cross, no crown.]) Once David had finished, the daughter came home, and as she stood looking in amazement at the entryway, she couldn't believe that David had cared enough to do that for her. She was so touched that she had to come in and see the rest of the room. (The Church's eyes will be opened through the crucifixion of the Man-child, and they will enter into the Kingdom life.) She was amazed at how we had all worked together to transform her room, and she really liked what she saw. Everything was so new to her as she walked around admiring the transformation. I went over to her as she stood in front of some shelves that the men had restored. I watched her pick up some sort of tool off the shelf, wondering what it was. It had a part of it that glowed blue like the nails in the cross. I began to explain to her what it was and how to use it. Her face was filled with wonder as I watched her transform before my eyes into a young boy with beautiful blonde hair. (The transformation of our little sister into Christlikeness through our witness and examples. Showing her how to use the tools of the Gospel in order to overcome.) Then I woke up. I asked Father for a verse or text for this dream and received by random John 20:19 (context: 19-23). (Joh.20:19) When therefore it was evening, on that day, the first day of the week, and when the doors were shut where the disciples were, for fear of the Jews, Jesus came and stood in the midst, and saith unto them, Peace be unto you. 20 And when he had said this, he showed unto them his hands and his side. (Proofs of crucifixion and resurrection.) The disciples therefore were glad, when they saw the Lord. 21 Jesus therefore said to them again, Peace be unto you: as the Father hath sent me, even so send I you. (Through spiritual crucifixion and resurrection.) 22 And when he had said this, he breathed on them, and saith unto them, Receive ye the Holy Spirit (The great power of God to lose our life to gain Jesus' life and ministry.): 23 whose soever sins ye forgive, they are forgiven unto them; whose soever sins ye retain, they are retained. Spiritual Food for the Tribulation Janie McManus - 04/30/2009 (David's notes in red) Generally, I wake up early, by 6:00 AM, to pray and read the Word, but this morning when I awoke, I wanted to sleep some more. It was my day off and I had a long list of things to do, and I thought, Oh no, what will happen if I stay in bed? Then I sensed the Holy Spirit say, “Sleep. I want to give you a gift”. I drifted off into sleep and dreamed I was within a group of people being herded along urban streets, and jostling among folks. (This is in the hard times of tribulation when the World Beast will take charge of people's lives.) I realized that I was not among people I knew, but we seemed about the same middle, lower-middle class crowd -- no one too fancy, and basically healthy. So I am standing in the middle of all these sacks of grain, and we have to move, suddenly, like we were being driven, so I asked the ones around me, “Can you help me carry these sacks?” (The Word we need to live by), and they laughed, saying, “No need to drag that along; we get plenty to eat”. (Those who set aside obedience to the scripture.) But I figured, this is perfectly good grain, and I am not going to just throw it away, so I loaded my pack and pockets, and we walked and jogged on. (Revival among the poor, outside the camp of mainstream churchianity, who will “load up” on the grain of God's Word.) Soon we stopped, out on this country road, and long board tables were set out, and we were instructed to line up on the sides, and then plates were put in front of us filled with this mush, which, on closer inspection, was filled with maggots. Looking up and down the length of the table, I saw people just pick up the plates and start shoveling it in. (The Beast and their false prophets will feed their corrupt teachings to the spiritually starving.) Needless to say, I was NOT hungry, so I wandered away from the table and snatched a few grains to chew on. Immediately, I could hear the boots of these uniformed troops as they rushed up to the table to see if the food was eaten and all the plates were empty, except mine. In a gruff voice, they asked, “Whose plate is this?” and everyone who had been alongside me turned and pointed to me, but the troops just stormed past me, as though I wasn't there. (Martial law will enforce the harlot's wishes on the multitudes, as in Jesus' day. Our site has testimonies of people being invisible to the enemy as they served the Lord. Jesus passed through the midst of those who would kill Him. Peter passed two trained guards as an angel led him out of prison.) This wearying trek of meals and marching kept being repeated, and I just munched on my grain and shared with anyone who asked for some. (The righteous will carry the Word to those hungry for life.) At first, everyone liked the sweet taste, but they didn't like chewing it, so they spit it out, preferring the gruel. (The clean beasts chew the cud until the Word is thoroughly digestible and useful to the body.) The ones who did eat from both sources became sort of shadowy and wispy (spiritual), but also fearful, and they began to hide. (Those who begin to mix the Word in with their traditions become more spiritual, but their corrupt lives are condemned, and they fear the Lord without an understanding of grace.) Then they refused to eat what I offered and they became “solid” (fleshly) again but everyone had sort of an oily, flabby, fleshy muscle tone, and they wheezed in an unhealthy way. (Those who hear the Word and turn back to walk in the flesh will be cursed. (2 Pet.2:20) For if, after they have escaped the defilements of the world through the knowledge of the Lord and Savior Jesus Christ, they are again entangled therein and overcome, the last state is become worse with them than the first. 21 For it were better for them not to have known the way of righteousness, than, after knowing it, to turn back from the holy commandment delivered unto them. 22 It has happened unto them according to the true proverb, The dog turning to his own vomit again, and the sow that had washed to wallowing in the mire.) Eventually, we came to a small strip mall that had already been looted, and all the folks rushed into the ransacked stores to see if there was anything they could yet steal. Some were stuffing CDs and techno things into their packs, which was dumb, since they had no electricity or batteries. (The mall represents the buying and selling of the merchants of Babylonish Christianity. They don't know that they have been plundered of anything useful and what is left is useless and powerless.) In the strip mall, I saw that there was a Christian bookstore and, although the windows were smashed, the shelves had been swept clear (no knowledge of God left) and piles of books were on the floor. (What knowledge was there was on the lowest level. The smashed windows represent no clear vision.) I went and picked up a book off the floor and, when I lifted it, all this ash fell out; I looked at the pages, and they were completely empty. When I sifted through the ashes, I found a few little stones. When I licked one off, it proved to be a tiny diamond, hard and translucent. (The only value in the teachings of Babylon is when they quote the scriptures. Nothing else will endure the fires of tribulation.) I wrestled with whether I ought to pocket the tiny diamonds or leave them behind. I searched for some Bibles but found none. (The Word will not be found in the government-approved churches.) I went up to a full bookshelf and opened a standing book. Instantly, the printed words crumbled and slid off the page -- all of them except some bold-print quotes. Suddenly, these leapt off the page and coiled up like microfilm (hidden treasures) and fell at my feet. I realized these words were direct Bible quotes and they were the tiny diamonds. So I scooped up as many as I could gather before the marching orders were barked out. (The Bible will be treasured by the hungry and destroyed by the wicked.) The people were gathering out in the front parking lot of the mall, so I went out to join them. They saw all the diamonds I had, tackled me and looted me! They were shaking me down and gulping down the diamonds by the fistful, without even chewing them, and then left me on the curb, in the middle of nowhere, and went on. (Those apostates who hear but do not digest the Word of truth will persecute the righteous. (Mat.7:6) Give not that which is holy unto the dogs, neither cast your pearls before the swine, lest haply they trample them under their feet, and turn and rend you.) I saw that the back door of the store was standing open, and I dragged myself over to the door. There was an enormous interior space that was floored like a warehouse, and there were people in low wheelchairs scooting back and forth, from one end of the mall to the other. I felt afraid for them, realizing that they were the ones who would be culled from the herd, but I “understood” that these were below the radar: “In their weakness, God's strength is made perfect”; so, even though they were physically handicapped, they were rather healthier than the others. (Those whom the world considers crippled and unworthy of its company, God chooses and protects. (1 Cor.1:26) For behold your calling, brethren, that not many wise after the flesh, not many mighty, not many noble, [are called]: 27 but God chose the foolish things of the world, that he might put to shame them that are wise; and God chose the weak things of the world, that he might put to shame the things that are strong; 28 and the base things of the world, and the things that are despised, did God choose, [yea] and the things that are not, that he might bring to nought the things that are: 29 that no flesh should glory before God.) On the far end, there was a kindly woman who was feeding the handicapped handfuls of the diamonds. The kindly woman was spry and very old (strength and maturity); she came up and asked me if I was a Christian. I said yes, and then she asked, “How do you know?” I began sobbing and saying, “I was hungry and thirsty” (I felt like a little child who was over-tired). I then said, “Because I only want to eat diamonds” (You know you are a Christian when you hunger and thirst for the pure Word. (Mat.18:3) and said, Verily I say unto you, Except ye turn, and become as little children, ye shall in no wise enter into the kingdom of heaven. 4 Whosoever therefore shall humble himself as this little child, the same is the greatest in the kingdom of heaven.) This made me cry even more because I felt I had given the wrong answer. I started wailing and weeping and saying, “I gave all the grain I had to the others, and they hate me. I try to walk with them and I share what I have, and I don't make trouble”. (Many “on fire Christians” have had the sad experience of trying but failing to fit in among the apostates and being persecuted for it.) I went on and on about all the stuff I had done, knowing it all sounded so foolish, and I was overcome with exhaustion and was sobbing uncontrollably. (Failure to reach many lost souls with the true Word will be a grief to many saints.) She gently put her hand on my shoulder and said, “You must go on now”. Suddenly, she paused, turned and asked me, “Do you know how to get more diamonds whenever you want?” Before I answered, she held up a single page of NT scripture for me to see. The page was almost sheer, and the lettering was moving like tiny rivulets of water (as “living water”) and she asked me, “Do you recognize any of this?” I began crying and with such intense joy that it hurt, and I could not even see through my tears. I reached up to try and grab the whole page to try to stuff it in my mouth, but she would not let me lay hold of it. (Reading it too fast and missing the details.) Laughing, she said, “No, you sit still and read the words so you can hear what they say and see what they mean”. Calming myself down, I sat to read, and whenever I came to words I knew, they suddenly froze and became like a sticker or label. (As we meditate on the Word, it becomes real to us -- digested into our being.) She said, “Peel them off and eat that,” so I did just that. Some passages I ate 10 or 15 times, but immediately after peeling off the label/passage, they were replaced. So, like a hungry man, I gorged myself and thought I could eat until I fell asleep. She said, “Now, you can keep eating whenever you want, or you can lug the grain sack around”. I was puzzled and asked, “Where will I carry it?” and she said, “It is in your mind and in your heart, but you must stand still and look for it and ask for it; there it will be”. (There is a time when we only carry the Word of God in our hand, but as we digest it, the Holy Spirit is able to bring it up out of our hearts to meet the needs around us.) Then she again said, “You must go on now”. Now I was greatly strengthened, rested and fed. I even began to wake up, ready to conquer the day, but I heard her voice say, “Wait, there is more”, and I fell into sleep again, into the same dream. I was being dragged out of the crowd in the middle of a campground by some of the people I had fed earlier, and they began dragging me toward the troops. I didn't feel a bit afraid and I wasn't resisting. I said to them, “Let's just stand here; they can come over to us”, which they did immediately! (The apostate church will use the beast government to persecute those whose doctrine doesn't please their flesh.) The troops asked, “Where is she?” and the others said, “Right here, between us”, which I thought was odd; they would have had to be blind not to see me. (God will, in some cases, physically blind the wicked to protect His saints. They are “hidden with Christ in God”. The spiritual blindness of the OT law and the letter of the Word “veils” the eyes and mind of apostate persecutors.) So they instructed the ones holding me to restrain me, but I calmly stood up straight and tall, and watched as one of the troops lifted an enormous sword (like in the movie Braveheart) high above his head, and in slow motion watched it drop to the crown of my head. It sliced me right in half, all the way to my ankles, and there at my feet were all my clothes and all around my feet was a pile of these diamonds, like I was some sort of grain sack that had been slit open. (Just as Jesus was “the Word made flesh”, so it will be with His disciples. The persecution will reveal this to those who have eyes to see.) I felt the embarrassment of a dream when you are completely naked, yet no one even saw me, so I stood still. The ones holding my arms let go of me and dove on top of my clothing and started tearing them, eating them, ripping them up, and passing them around. (When Jesus was naked and crucified, they parted His garments. The garments of the righteous represent the “righteous acts of the saints”, as in Rev.19:8,14. The apostates devour the righteous through their denigrating words and accusations. (Gal.5:15) But if ye bite and devour one another, take heed that ye be not consumed one of another.) Oddly, everyone wanted some of the fabric, and everyone was gobbling up the diamonds, but completely forgot about me. (In the same way, they will criticize the truths of the Word that the saints have become, but God will reprobate them.) When they turned away to march on, I noticed that no longer were they people, but almost like half-pig, half-human, and the feces that fell behind them were loaded with the diamonds -- unchewed, undigested, and unharmed -- just dirty. (Like sows that had washed, they return to wallow in the mire. The church world and its greedy leadership have polluted the truths of God's Word. They have not digested the true meaning of the Scriptures. Please read all of Eze.34. Verse (Eze.34:18) Seemeth it a small thing unto you to have fed upon the good pasture, but ye must tread down with your feet the residue of your pasture? and to have drunk of the clear waters, but ye must foul the residue with your feet? 19 And as for my sheep, they eat that which ye have trodden with your feet, and they drink that which ye have fouled with your feet.) I reached out, hesitant to touch the “stuff” but saw my hand was covered in a white glove, so I looked for something to put the rescued diamonds in and wondered where I would get water to wash them off. I squatted down and saw (to my relief) that my knees were covered in this satiny, sheer curtain-like fabric, and low down I could hear water trickling. (The humble may go to their knees to find wisdom from God to turn the polluted hearts of the deceived to the pure Word. The white glove represents works of righteousness, as you take the clean water of the Word and Spirit.) I noticed then that ALL OVER the ground lay bodies of dead people. I was horrified and astounded. So I stood up and began to sing. The more I sang, the more clearly I could see the bodies. Some were being eaten by grubs, but others were rather like fertile ground, and when I flipped them over, they were filled with earthworms. In those bodies, I “planted” some of the diamonds, just out of curiosity. Suddenly, I watched the diamonds unfurl, and all the letters began sprouting roots and tendrils; they were alive! I became engrossed in putting out the diamonds, like one planting seeds by hand in a furrow. (The true gospel saves, heals, delivers, and resurrects those who are dead in sin.) When I looked back, the field was filling with people coming out of the ground, who immediately turned to begin tilling the ground and planting bodies! We were all quite busy and a multitude was coming alive. (The sowers of the Word will sow the seed and bring forth life in others, who in turn go to work in the field.) I woke myself up, shook off sleep, got out of bed, and went to start a load of laundry, thinking, ‘Now that was weird!' (We have been exhorted by this dream to clean up the garments of our works so that we are not partakers of the defilements of Babylon by their religious spirits. (Exo.19:10) And Jehovah said unto Moses, Go unto the people, and sanctify them to-day and to-morrow, and let them wash their garments... (Num. 8:21) And the Levites purified themselves from sin, and they washed their clothes... (31:24) And ye shall wash your clothes on the seventh day, and ye shall be clean; and afterward ye shall come into the camp.) I have a little box of scripture verses that are about 70 years old, from my grandmother's house, next to my washing machine. So, waiting for the water to fill the tub, I chose a card at random to read; it was (Mat. 7:7) Ask, and it will be given to you; seek, and you will find; knock, and it will be opened to you. Wolves and the John the Baptist Revival Eve Brast - 04/27/2016 (David's notes in red) Wolves of all kinds wait to pick off the new believers in this revival before they can mature. Pray for them, brethren, and do spiritual warfare against the demonic enemies. This repentance revival must succeed, or a great curse will come upon this country. John the Baptist came in the spirit of Elijah, according to Jesus. (Mal.4:5) Behold, I will send you Elijah the prophet before the great and terrible day of Jehovah come. (6) And he shall turn the heart of the fathers to the children, and the heart of the children to their fathers; lest I come and smite the earth with a curse. Are these apostate leaders the children's fathers? No, the early Church fathers are their fathers. And the Man-child, Bride, and witnesses are their fathers. This revival will point them to these fathers. I dreamed I had just given birth to my son Elijah on top of a large white round table in the center of a cafeteria. My husband was standing to my right and holding my hand. (Her husband represents the Lord.) He was so happy and proud of his new son. We both knew the baby was very special. (I believe this represents the Bride birthing through prayer the John the Baptist revival, which precedes Jesus in the Man-child reformers.) Then, some cafeteria workers posing as hospital nursery employees came to take Elijah to the nursery and asked us if we wanted him circumcised. (Cafeteria workers are they who feed spiritual or, in this case not spiritual food. They are acting as though they are ordained to take care of this revival, to cut away the flesh, but it is they who are flesh. The false leaders always try to hijack any true revival trying to impose their unscriptural foolishness. We must do warfare against this.) My husband emphatically said, “No. That's not necessary anymore”. So they left the room with Elijah. I assumed they would take care of him. (We bind this leaven masquerading as Christianity from this repentance revival.) I then went and got in line with some other people to get a tray of food. The cafeteria workers all had disposable white hair nets. A young, tall, lanky guy and a short woman put various food items on my plate and handed me the tray. I saw that they had put shredded pork on my plate, and I said, “I'm not allowed to eat pork. My husband doesn't allow it”. (This is spiritual. Our Lord does not allow us to partake of their unclean fleshly nature, words, spirits and teachings. Like pigs, their god is their belly.) When my hand touched the tray, I had an open vision. I saw Elijah lying on the floor in pain in another room. The cafeteria workers who had posed as hospital nursery workers had circumcised him and botched the procedure in addition. They had also stuffed pork into his mouth and he was lying there half choked from it. (These apostate ministries cutting off what they call “flesh” from this revival. Their unscriptural, overindulgent lives prove they do not know what flesh is. Adding their pork as a type of their unclean demon doctrines to choke the revival.) When the vision ended, I was back over at the table where I had given birth to Elijah. I was telling my husband what they had done to him, and then the “nursery worker” came up with the dried foreskin in her hand. She had a strange necklace around her neck with many others hanging from it, and she placed Elijah's dried foreskin onto her necklace, too. It was like a bizarre trophy necklace or something. (The demons in the false revival people want to claim this revival as their own for selfish ambition.) My husband was so angry that they did this to his son. I hurried into the room where they had left him to suffer and choke to death. I quickly picked him up and performed the infant version of the Heimlich maneuver on him that I had learned in a CPR class that I took at the hospital. (They must not be cut off from the breath of the Spirit.) I took a white baby blanket and wrapped him up in it, and carried him out of that cafeteria building and walked with him on a white covered concrete walkway over to the large UBM warehouse next door. (Just as John said in (Joh.3:30) He must increase, but I must decrease. The John the Baptist revival will morph into the Man-child revival of the Unleavened Bread and signs and wonders. But for God's people to escape the judgments promised, there must be repentance. This revival must succeed.) THE CONDITION FOR PROPHECY TO COME TO PASS OR NOT AND THE CURSE (Jer.18:1) The word which came to Jeremiah from Jehovah, saying, (2) Arise, and go down to the potter's house, and there I will cause thee to hear my words. (3) Then I went down to the potter's house, and, behold, he was making a work on the wheels. (4) And when the vessel that he made of the clay was marred in the hand of the potter, he made it again another vessel, as seemed good to the potter to make it. (5) Then the word of Jehovah came to me, saying, (6) O house of Israel, cannot I do with you as this potter? saith Jehovah. Behold, as the clay in the potter's hand, so are ye in my hand, O house of Israel. (This pot has to be handled roughly to get the clay back in a moldable form. This remolding of the clay historically has involved judgment until the clay is repentant.) (7) At what instant I shall speak concerning a nation, and concerning a kingdom, to pluck up and to break down and to destroy it; (8) if that nation, concerning which I have spoken, turn from their evil, I will repent of the evil that I thought to do unto them. (9) And at what instant I shall speak concerning a nation, and concerning a kingdom, to build and to plant it; (10) if they do that which is evil in my sight, that they obey not my voice, then I will repent of the good, wherewith I said I would benefit them. (11) Now therefore, speak to the men of Judah, and to the inhabitants of Jerusalem, saying, Thus saith Jehovah: Behold, I frame evil against you, and devise a device against you: return ye now every one from his evil way, and amend your ways and your doings. (12) But they say, It is in vain; for we will walk after our own devices, and we will do every one after the stubbornness of his evil heart. Great Holy Spirit Revival & Escape Eve Brast - 05/04/2016 (David's notes in red) I dreamed I was in the spirit, floating right above the waters of the Red Sea. (This is after the Passover that brought death to the Egyptians and freedom to God's people just before the wilderness tribulation on the other side of the sea.) I was looking toward the bank on the shore, which was dark. (The way of escape from Pharaoh's army or martial law is not clear.) I saw a small tongue of fire come down out of heaven and alight on top of the waters. (The tongue of fire is the baptism of the Holy Spirit. (Act.2:3) And there appeared unto them tongues parting asunder, like as of fire; and it sat upon each one of them. (4) And they were all filled with the Holy Spirit, and began to speak with other tongues, as the Spirit gave them utterance. This individual tongue of fire is the anointed Man-child from Heaven. This is the Man-child revival that follows the John the Baptist revival. Like Moses they are to bring the people into and through the wilderness tribulation.) Suddenly, all the waters were set on fire and they parted with great force and power as if Moses himself had struck them with his staff! (Jesus in the Man-child by His Word and anointing will divide the sea and make a way of escape from Pharaoh's army and his FEMA camps, as Moses did. (Exo.14:16) And lift thou up thy rod, and stretch out thy hand over the sea, and divide it: and the children of Israel shall go into the midst of the sea on dry ground.) They became two flaming walls of fire, and between them, the tongue of fire landed on the dry seabed, and it lit up the shoreline. (The anointed Man-child made the way of escape clear when it looked impossible.) I could then see a set of 12 stone steps (representing the 12 tribes of New Testament Spiritual Israel) leading down from the top of the shoreline to the seabed. Then all these modern-day people from all the different denominations were lit up in the dark, and they began descending the steps to go across. A man who was also dressed in modern-day clothing was the first to descend and was at the head of them to go into the wilderness and on to the Promised Land. Then I woke up. (What would it take to unify all the true people of God to seek Him and spiritually leave Egypt, as a type of the world, and head toward the promises of the Promised Land? The John the Baptist repentance revival would have wised up many to the bondage of the Pharisees and Sadducees and their dead religion by then. Pharaoh had made slaves of the people of God, somewhat like our Pharaoh, and fierce judgments had fallen on the worldly at Passover. Could this be engineered economic collapse, earthquakes, volcanic activity, and martial law? The judgments on Egypt so the people can escape. I asked the Lord, “Will martial law come?” and got two heads for “yes”. I asked, “Can it be overturned by our faith?” and got two tails for “no”. And this was fulfilled for we are in it now. Pharaoh's army was about to bring them into bondage when God divided the Red Sea. At this point, they were unified by the baptism of the Holy Spirit. (1Co.10:1) For I would not, brethren, have you ignorant, that our fathers were all under the cloud, and all passed through the sea; (2) and were all baptized unto Moses in the cloud [baptism of the Holy Spirit] and in the sea [water baptism].) I asked the Lord, if we went the Trump route, would the earthquakes not come and He said, “No”. In other words, the quakes are coming. They are a sign of the coming Man-child reformers. White Glove Inspection Sandy Shaw - 2/11/18 (David's notes in red) At the beginning of this dream, I am standing in front of an extraordinarily large white house. In real life, there is no way that you would see a house this large on Earth. (At this time, there are no people who this white house can represent but the Bride. Certainly not the larger Church. But the Bride's job is to bring this purity to the Church as did Jesus' early disciples.) The steps leading up to the door were made of gold. (The steps of Gold are the most valuable steps a person could take to go through the door who is Jesus.) But the top step had an adjoining white marble floor that ran throughout the whole house. There are two pillars that start where the gold ends. There were two double doors, bright white (Lampros garment of the Bride) made of a substance that I didn't know. (This entrance represents righteous acts Rev.19:8 And it was given unto her that she should array herself in fine linen, bright [Greek: Lampros] and pure: for the fine linen is the righteous acts of the saints. The gold plates around the door handles had an intricate design around the edges. The handles were of round crystal. I opened the doors and in front of me is a huge room. And I strained my eyes to see how far it goes. Then I looked to the left of me, and there were hundreds of doors to the rooms and the same on the right. I'm wearing a white robe with white gloves to the elbows. (The Bride cleaning her house, representing righteous Works) I went to the first door and went to the upper right-hand corner, and then went diagonally down to the left corner. I opened the door and went into the room and closed the door. And did it again on the opposite side. Then I opened the door. And then I inspected the walls. I took my finger and by my height, I slid it across to the corner. (The white glove inspection. If dirt comes up on the finger, there is unrighteousness in the house of the Bride.) Then, from the wall, I bent down to inspect the floor. It passed inspection, so I walked to the bed, bent down, and put my hand under the bed and then I stood up. Then I looked at the bed. (Representing the rest through faith) It was made up of white satin-like fabric. I can see my handprint from kneeling down, so I took my hands and smoothed out the wrinkle that I had made. (The Bride is the first of the Church to be without spot and wrinkle.) The three white pillows were soft and very inviting. Then I walked to the nightstand and gave it the white glove test. There was a beautiful crystal vase. In it were a dozen white roses all at the perfect stage of openness. (Fruit born through water of the Word – A present from the Groom. Rev. 22:1 And he showed me a river of water of life, bright as crystal, proceeding out of the throne of God and of the Lamb, The fragrance of them was throughout the whole room. Then I looked to see the amount of water in the vase. The only color in this dream was the stems. Then I walked to the window and pushed aside the curtain. The window was so clear that you couldn't see it. (Pure of sight) Then I took my finger and went from the upper right corner to go diagonally to the left. There were two windows in the room. They were open an inch each. A slight breeze was coming in. (Breath of the Holy Spirit) Now there was a coolness that blended with the warmness, and you felt it together to make a perfect temperature. I then checked the curtains, and then I walked to the door. I turned around to look at the room for the last time. I noticed that the curtains were barely moving with a slight breeze. Then I remembered to look up at the ceiling. There was no ceiling...just a beautiful deep blue. (Heavenly perspective. Son shining in.) I did this in all the rooms on the right and on the left. In the huge room, I ran my finger over the floor while walking to the kitchen. The kitchen has a white swivel door. Everything is still white. The first thing I saw was a row of ovens. (To bake the pure unleavened Bread of the Word and Body of the Bride.) I know that there are forty ovens. I walk over to give them the test. Then from there I went to the four vintage farmhouse sinks, and they passed inspection. Then I went to the four huge refrigerators, and I opened them. There was no food in them. (To be pure and white, you must have eaten the food of the bread and wine of the life of Jesus.) Inside was only a rectangular glass container that held water with a silver spigot. (Silver kills contaminants in Water. The Water of the Word must be clean of leaven.) All four refrigerators were the same. Then I did the floor test again. There was a door on the right side of the kitchen that went into a very small hall. This led into a big room. At the other end of the room was a huge chair that looked like it was made for a giant. A man was sitting in it with pure white hair and garment. (Rev.1:13 and in the midst of the candlesticks one like unto a son of man, clothed with a garment down to the foot, and girt about at the breasts with a golden girdle. 14 And his head and his hair were white as white wool, white as snow; and his eyes were as a flame of fire.) I walked slowly and said very softly, “Sir,” and he said, “Yes.” The inspection is done.” And he said, “OK.” Then I woke up. My feeling was one of total relief and acceptance from Him, and He was pleased. I received by faith at random this text for this dream: Finger was on vs 26, “he made.” Acts 17:24 The God that made the world and all things therein, he, being Lord of heaven and earth, dwelleth not in temples made with hands; 25 neither is he served by men's hands, as though he needed anything, seeing he himself giveth to all life, and breath, and all things; 26 and he made of one every nation of men to dwell on all the face of the earth, having determined their appointed seasons, and the bounds of their habitation; 27 that they should seek God, if haply they might feel after him and find him, though he is not far from each one of us: 28 for in him we live, and move, and have our being; as certain even of your own poets have said, For we are also his offspring. 29 Being then the offspring of God, we ought not to think that the Godhead is like unto gold, or silver, or stone, graven by art and device of man. 30 The times of ignorance therefore God overlooked; but now he commandeth men that they should all everywhere repent: Worldwide Holy Spirit Outpouring Samuel Paguaga - 09/21/2010 (David's notes in red) I think this dream tops all my spiritual dreams in its intensity and revelation. In it, I was in a small gathering of sorts. We were talking and then praying. A bit more had happened before that, but I think the point of this event is that none of what had happened before this mattered. All of a sudden, it was like when you step out of your home straight into the sun at noon. I was overwhelmed with light/energy, not as much as to blind the eyes, but more of a light/energy that penetrated to every cell and fiber of my body. I felt I was no longer physical or fleshly but a new being. As I looked straight forward in front of me, the physical world began to fade, but not because it was disappearing; it was because I began to perceive it in a new way, with new senses, and everything became almost transparent. I looked up and began to speak words in a new language. I was confessing something. Although I could not understand the words, I could feel them in my being. The words were energizing and vibrating my being, my frequency, my entity, my spirit. It was as if all of me became one: my spirit with my mind and my body. As I began to speak, my perception of my surroundings grew. I could feel, perceive, and see all those around me who were experiencing the same thing. First, the two people beside me; then, outwardly, the people in the place; then the whole block; then the city, and then the whole Earth. We, disciples of Christ, were all one and not because we perceived each other, but because we were confessing the same words and because the same flow of energy and power of the Holy Spirit was flowing through us. Although there was a worldwide outpouring, only the vessels of glory, the vessels of light, were filled to the seal. (This could be the first-fruits outpouring at the beginning of the tribulation.) I could feel the power and energy flowing through me, vibrating every part of my being. I spoke words and feelings became more and more intense, so much so that I could not even begin to describe them. I saw everything as white, yellowish, and orange lights, as if everything was transparent. I felt one with the source, at one with the words, and as one with everyone confessing these words. All these feelings of oneness occurred at three distinct levels. All of this along with a feeling of peace; it was as if this was a new nature, and I knew what it was. I experienced the whole thing even when I awoke. It seemed like I knew what was happening. I knew what the source was, what the energy and power was, and the meaning of the words. I woke up shortly afterward, possibly on the last word spoken, although in the dream it seemed like from that point on things would not be the same. As I awoke, I could almost feel the vibration of energy in my being as it dispersed into the normality of my awakened state. I always wondered, what does it mean to be one with God and His Christ and His Spirit ... and now I know.
A Utah father, Micah Smith, took his three young children on what prosecutors now call a “not well planned,” “ill-prepared,” and “extremely dangerous” hike into Big Cottonwood Canyon. Hours later, two children are unconscious from hypothermia, one appears dead when rescuers arrive, and the story Micah Smith tells doesn't match what investigators later uncover. According to the indictment, Micah Smith pushed toward the top of Broads Fork despite rain, fog, wind, and kids who repeatedly begged to go home, and he taught his 8-year-old daughter CPR because he knew help was too far away. Let's examine the route, the behavior, the marital strains, the mental-health indicators, the previous suicide-related police encounter, and the troubling allegations prosecutors are laying out against Micah Smith.#MicahSmith #BigCottonwoodCanyon #BroadsForkTrail #SaltLakeCounty #UtahCrime #ChildTorture #ChildAbuse #TrueCrime #ProfilingEvil #MappingEvil #GIS #Esri #CourtTV #WasatchMountains #SearchAndRescue #Parenting #MentalHealth #DomesticStrain The Hike That Terrorized Micah Smith's Children | Profiling Evil=======================================Email your questions to: ProfilingEvil@gmail.com========================================LOOKING FOR WAYS TO SUPPORT PROFILING EVIL?
Kurt Bramer from Advanced CPR Solutions returns again this week to continue the series on Head-Up CPR and other promising sudden cardiac arrest treatments. There are three previous episodes in this series. Elevated CPR Series Episode One Elevated CPR Series Episode Two Elevated CPR Series Episode Three After the severe weather update from disaster meteorologist Dan DePodwin, the Disaster Podcast team focuses on the science and physiology of Head-Up CPR. They ask why this approach provides for better protection of neurological function during a cardiac arrest. Dr. Joe Holley does an excellent job of describing the specific concepts of pressure gradients in blood flow to and from the heart during CPR in various patient positions. Kurt outlines what he calls the Four Rules of Head-Up CPR that are essential components for successful resuscitation during cardiac arrest treatment. These rules come from Dr. Joanna Moore’s Editorial The Do’s and Don’ts of Head Up CPR: 1) Use of Suction Cup CPR and an ITD 2) A Priming Period is Needed 3) Cannot Lift the Patient Too High 4) You Cannot Lift the Patient Too Quickly CARES Registry for Cardiac Arrest Stats Follow up on more of these segments as we continue to look at the current research trends in future episodes and what is on the horizon for the future. The episode was co-hosted by Sam Bradley and Jamie Davis. Scroll down for Podcast Discussion Summary Thank you as always to Paragon Medical Education Group for their long-term support of the Disaster Podcast. Dr. Joe Holley and the team at Paragon continue to provide excellent and customized disaster response training to jurisdictions around the U.S. and internationally as well. Podcast Discussion Summary Episode Opening segment and Weather update The meeting began with a discussion about travel weather for the country and record cold in many parts of the upper midwest and northeast with Dan DePodwin. The group then transitioned to their main topic, the physiology of CPR, with Dr. Joe Holley focusing our attention on the specific anatomy and process inside the body during CPR. Head-Up CPR Techniques Discussed Kurt and Joe discussed the importance of adhering to the “four rules” of head-up CPR, which were derived from a published editorial by Dr. Moore. They emphasized that studies showing no improved outcomes often violate these rules, highlighting the significance of proper technique. Jamie Davis, the host of the Disaster Podcast, introduced the episode, which would focus on the science and physiology of elevated CPR, while Sam and Dan briefly discussed the early winter weather conditions across the United States. Head-Up CPR Research Advances The discussion focused on head-up CPR, a novel research advancement in resuscitation aimed at improving neurologic survival. Kurt explained its origins, highlighting a case study involving a ski hill cardiac arrest patient who survived due to an elevated head position, which was later recognized as a critical factor. The conversation also touched on a study conducted in South Korea, where researchers developed a modified EMS stretcher to accommodate patients in high-rise buildings with small elevators, leading to the question of the optimal CPR position. Initial findings from animal studies suggested that a head-up position could reduce intracranial pressure, potentially improving outcomes during CPR. CPR Physiology and Blood Flow Joe explained the physiology of CPR, focusing on how differences in pressure inside the body create blood flow. He described how chest compressions increase intrathoracic pressure, pushing blood towards the brain and other areas of lower pressure. He emphasized that over-ventilation and incomplete chest recoil can be detrimental during CPR, as they prevent blood from flowing back into the heart. He also noted that patients who exhibit “guppy breathing” during resuscitation have a better chance of successful resuscitation. CPR Vacuum Technology and Physiology Joe explained the physiology of blood flow during CPR, focusing on the importance of preload and the manipulation of pressure differences between the thoracic cavity and the brain. He described how the ITD16 device creates a vacuum in the chest to enhance blood flow to the brain and reduce intracranial pressure. Joe also discussed the concept of “head-up CPR,” which combines enhanced vacuum with gravity assistance to improve blood flow and neuroprotective outcomes. Head-Up CPR Techniques and Safety Sam and Kurt discussed the importance of using proper equipment and techniques for head-up CPR, as outlined by Dr. Joanna Moore’s “four rules.” Kurt emphasized that suction cup CPR in conjunction with an ITD or rescue pod is crucial for effective and safe head-up CPR. He also stressed the need for a priming period, avoiding excessive head elevation, and slow head-up positioning to prevent blood from draining from the head faster than CPR can pump it back in. Kurt noted that studies claiming head-up CPR doesn’t work often violate these rules, highlighting the significance of adhering to the correct procedures. Head-Up CPR: A Novel Approach The team discussed the importance of proper technique in head-up CPR, emphasizing that it requires a bundled care approach with specific parameters to be effective. Joe and Kurt shared a case study of a retired fire chief who successfully underwent head-up CPR, highlighting the potential benefits of this novel approach. The discussion also touched on the concept of using a combination of therapies in resuscitation, similar to the drug cocktail approach used in treating HIV. Success Stories in Advanced CPR The meeting focused on sharing and discussing remarkable cases of successful CPR, particularly highlighting the concept of “head-up” CPR, which has shown improved outcomes. Kurt and Joe shared several stories of patients who experienced significant neurologic recoveries after cardiac arrests, with survival rates and recovery rates significantly higher than national averages. The discussion emphasized the potential of advanced CPR techniques to improve survival and neurologic outcomes, with Joe noting that two of his services have seen similar success rates. The group the role of specialized training, with Jamie highlighting the sponsorship of the Disaster Podcast by Paragon Medical Education Group. Catch the full episode using the player above or on your favorite podcast platform, and don't forget to subscribe to the Disaster Podcast for weekly insights from leaders in disaster response and research!
賴清德近期提出強化防衛韌性特別條例及預算規劃,預計未來8年內投入1.25兆元,應對中共對台發動的統戰和滲透。從國安會掌握到的情資看來,中共對台的非軍事化侵略究竟有多嚴重?特別編列1.25兆元聚焦打造「台灣之盾」,和過往戰略有何不同?習近平下令共軍2027年做好攻台準備,特別預算卻分8年執行,是否根本就緩不濟急?2027對全球和中國有何特殊意義?總統府、國安會、軍方都傳出有人員被中共滲透,賴清德提出恢復軍事法庭,但遭到藍白在立院阻擋,以目前國會僵持之勢,國防預算能過關嗎?民進黨是否考慮比照蔡英文任內的四大公投,動員府院黨之力向全民宣講,訴諸民意反制立院?國民黨高舉的九二共識,為何應該定為不可逾越的紅線?國民黨副主席蕭旭岑提出的的「一國兩區」天真在哪?個別中配煽動武統,政府在言論標準的認定上是否雙標?美國對台軍售武器延遲到貨,川普上任後一度暫停批准對台軍售,直到最近才有進展,疑美論甚囂塵上,台灣政府有何作為?民防小橘書引發熱議,如何幫助民眾準備應對危機?精彩訪談內容,請鎖定@華視三國演議! 本集來賓:#林飛帆 #矢板明夫 主持人:#汪浩 以上言論不代表本台立場 #國防預算 #台灣之盾 #統戰 #一國兩制 電視播出時間
Maney came across an article where a man in India found a snake unconscious and gave it mouth-to-mouth CPR. He brought it back to life! We asked each other what animal we'd give CPR to. Plus, Maney wants to know why LauRen is not in the holiday spirit yet, and our "Momtern" tells us which age is harder to parent, toddler or teenager? Listen every week to the Wrap Party for an unscendored ML podcast! See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
The Center for Medical Simulation Presents: DJ Simulationistas... 'Sup?
Dr. Catherine Allan, Director of the Cardiac Care Unit and Inpatient Cardiology at the Cleveland Clinic joins us to talk about readiness for teams to perform pediatric ECMO, a high-risk, high-complexity therapy that staff might only see a third as often as they see patients on ventilators. ECMO can also be called for during CPR, which greatly increases the time pressure and complexity of the procedure. During ECPR, there is not only the ICU resuscitation microteam but also the surgical team and the perfusion team, leading to potentially having up to 20 people working in the room when running an ECPR case. We discuss how leaders can help connect seemingly imposed efforts like checklists and huddles to what it is that frontline workers are trying to achieve and are meaningful to them, and how simulation program designers must do the same in order to make sure that training is not a top-down checklist but rather a mutually owned process that gets teams where they believe they need to go. Host & Co-Producer: Chris Roussin, PhD, Senior Director, CMS-ALPS (https://harvardmedsim.org/chris-roussin/) Producer: James Lipshaw, MFA, EdM, Assistant Director, Media (https://harvardmedsim.org/james-lipshaw/) Consulting and readiness with CMS-ALPS: https://harvardmedsim.org/alps-applied-learning-for-performance-and-safety Dare to Be Ready on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP Dare to Be Ready on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Roger Roach saved his father's life after he suffered a heart attack while they were hunting. Roger has saved hundreds of lives, giving CPR more than 300 times during his 30-year Air Force & Law Enforcement career. On this episode, Roger and Travis discuss the value of CPR & First Responder Emergency Training for hunters. They share real-life hunting horror stories and explain how you can prepare yourself right now to save a life in the field. Presented by: Walton's (waltons.com/) OnX Maps (onxmaps.com/) Aluma Trailers (alumaklm.com) GAIM Hunting & Shooting Simulator (https://alnk.to/74wKReb) Hunt Huron (HuntHuronsd.com), Federal Premium Ammunition (federalpremium.com/) Hunt North Dakota (helloND.com/) Lucky Duck Premium Decoys (luckyduck.com/) & Samaritan Tire (samaritantire.com/)
Denver's public transit agency RTD has had a rough couple of years. Almost a full year of track maintenance and slowdowns led to a nearly 20% decline in light rail ridership, but ridership across the network overall is down, too. With even more light rail maintenance expected in the next few years, RTD's budget is projected to hit multi-billion deficits in the early 2030s. So what's the plan to get back on track? And if the answer is more money, who will pay? RTD CEO and General Manager joins producer Paul Karolyi to discuss what she thinks the biggest problems are, her plan for the budget deficit, and what she does when her train is late. Paul referenced Nate Minor's reporting for CPR about the senior leaders who left RTD in recent years and quoted the emailed statement Johnson shared with the Denver Post for this recent story. Johnson quoted some recent data on ridership numbers and talked about RTD's new tap-to-pay technology. For even more news from around the city, subscribe to our morning newsletter Hey Denver at denver.citycast.fm. Follow us on Instagram: @citycastdenver Chat with other listeners on reddit: r/CityCastDenver Support City Cast Denver by becoming a member: membership.citycast.fm What do you think should be done to improve RTD? We want to hear from you! Would you pay higher sales taxes? Or would you prefer to pay more at parking meters? Or do you think RTD is going well enough as it is? Text or leave us a voicemail with your name and neighborhood, and you might hear it on the show: 720-500-5418 Learn more about the sponsors of this December 3rd episode: Warren Village The People Park Colfax Ave BID Multipass Ballpark Denver Looking to advertise on City Cast Denver? Check out our options for podcast and newsletter ads at citycast.fm/advertise
#200: Holiday magic rarely arrives tidy, and that's exactly why this week felt so good. I switched my usual Nashville trek to host my aunt in Huntsville, crammed a work sprint into a pre-holiday marathon, and wrestled a nine-foot tree into a gold-and-pink glow that made the whole house exhale. One guest room makeover became a full-blown decor spiral—because once one corner shines, the rest of the house starts asking for equal treatment.We chased the Galaxy of Lights on a clear night, and my aunt—fresh from two knee replacements—crushed a walk through the botanical garden like a champ. The next day, we tested D-Box seats for Wicked and discovered that vibrating, tilting chairs plus a musical equals chaotic amusement with adjustable settings. Between laughs and leaning seats, I took her to my go-to Huntsville gems that feel like community: small rooms, familiar faces, and food that tastes like someone's watching over the details.Midweek, a family health scare turned us into advocates. Without airing private details, we sat at the table where care plans are decided and remembered how heavy it is when no one knows a patient's wishes. That's why I'm asking you to have the hard conversations now: CPR or not, intubation preferences, hospice versus rehab, who holds medical power of attorney, and where those documents live. Plans can change, but clarity spares families heartache when time is short. After a reset drive home, I did a double Thanksgiving—early with family, late with chosen family—and listened to my body when it said to sit down.Also, a PSA for the loyal listeners: I'm selling chairs, not retiring. The podcast room is getting a glow-up, and the stories aren't slowing down. If you love holiday recaps, cozy decor talk, candid health wisdom, and a little chaos with your cranberry sauce, you'll feel right at home here. Tap follow, share this episode with someone who needs the nudge to plan their care wishes, and leave a review with your spiciest D-Box seat take.You can now send us a text to ask a question or review the show. We would love to hear from you! Follow me on social: https://www.instagram.com/babbles_nonsense/
We’re back! Joey traveled back from Iowa, Nancy spent time at home, and Karly slept a ridiculous number of hours over the break. Today is the last day of class for Professor Nancy's UT class. Instead of holding real class, she is taking all the students to Main Event. Monday Morning Wake Up Call with 10-Year-Old Oakley and 9-Year-Old Kendall! Karly had to call 911 while working at Fantasy of Trees on Saturday. A man collapsed outside and needed CPR and an AED. It was really scary, and it made her want to renew her CPR/AED certification. Hot Tea: Lane Kiffin is officially going to coach LSU Football. 600 frozen turkeys were spoiled due to a truck breaking down the night before Tracy Lawrence was supposed to give them out to families in Nashville. He put out a call for the community to bring spare turkeys, and they brought over 2,000! Riley Green let Charles Barkley come on stage with him at a show in Auburn. Charles praised Auburn and had some choice words for Alabama. Joey and his wife Jhasta were super excited about the new season of Stranger Things. Joey wanted to watch it with Jhasta, but she watched it without him because he fell asleep. Americans spent a BUNCH of money on Black Friday. Nancy went shopping a little but left because the crowd was too much. Most “sales” aren’t even worth the hassle! Lucky 7 Joey survived Thanksgiving at his mom’s house, even after the drama last week. His mom had agreed to eat at 3pm, but the food was not ready then and they ended up eating way later. Plus, some other drama! We are having our 3rd annual Kidsgiving toy drive this Saturday! One Minute with Voice of the Vols, Mike Keith! See omnystudio.com/listener for privacy information.
As part of our Hidden Killers 2025 Year in Review series, we revisit one of the most surreal and unsettling trials in modern American true crime — the Arizona murder trial of Lori Vallow Daybell, the so-called Doomsday Mom who's decided to defend herself in court while accused of orchestrating the murder of her fourth husband, Charles Vallow. This episode pulls listeners straight into the Chandler, Arizona home where it all happened: two bullets, one body, and forty-seven silent minutes before anyone called for help. Tony Brueski and Defense Attorney Bob Motta (Defense Diaries) dissect the prosecution's opening narrative — one of delusion, greed, and cold calculation — and the defense's bizarre self-representation strategy that's turning the courtroom into a psychological sideshow. Prosecutors allege Lori conspired with her brother, Alex Cox, to kill Charles for a $1 million life insurance payout and to clear the way to marry her apocalyptic “soulmate,” Chad Daybell. The evidence? Texts invoking scripture to justify murder (“I will be like Nephi”), phone records revealing coordination, and chilling forensic details showing Charles was shot twice — the second bullet fired downward after he collapsed. Firefighters testified the scene looked staged: no CPR, no struggle, and an eerily spotless floor. Lori, meanwhile, was running errands — Burger King, Walgreens, dropping off her son — as her husband's body cooled on the tile. But this isn't just about evidence; it's about ego and delusion on trial. Motta breaks down Lori's decision to act as her own lawyer — fumbling through legal jargon, cross-examining witnesses who seem to know more law than she does, and repeatedly trying to exclude “inconvenient” evidence from the record. As he puts it, Lori's courtroom presence is “less Harvard Law, more hostage to her own hubris.” The prosecution, for its part, is playing this round differently — keeping the talk of “zombies” and dark spirits to a minimum while focusing on motive, money, and manipulation. The goal: strip away the spiritual theatrics and reveal the human greed underneath.
Hidden Killers With Tony Brueski | True Crime News & Commentary
As part of our Hidden Killers 2025 Year in Review series, we revisit one of the most surreal and unsettling trials in modern American true crime — the Arizona murder trial of Lori Vallow Daybell, the so-called Doomsday Mom who's decided to defend herself in court while accused of orchestrating the murder of her fourth husband, Charles Vallow. This episode pulls listeners straight into the Chandler, Arizona home where it all happened: two bullets, one body, and forty-seven silent minutes before anyone called for help. Tony Brueski and Defense Attorney Bob Motta (Defense Diaries) dissect the prosecution's opening narrative — one of delusion, greed, and cold calculation — and the defense's bizarre self-representation strategy that's turning the courtroom into a psychological sideshow. Prosecutors allege Lori conspired with her brother, Alex Cox, to kill Charles for a $1 million life insurance payout and to clear the way to marry her apocalyptic “soulmate,” Chad Daybell. The evidence? Texts invoking scripture to justify murder (“I will be like Nephi”), phone records revealing coordination, and chilling forensic details showing Charles was shot twice — the second bullet fired downward after he collapsed. Firefighters testified the scene looked staged: no CPR, no struggle, and an eerily spotless floor. Lori, meanwhile, was running errands — Burger King, Walgreens, dropping off her son — as her husband's body cooled on the tile. But this isn't just about evidence; it's about ego and delusion on trial. Motta breaks down Lori's decision to act as her own lawyer — fumbling through legal jargon, cross-examining witnesses who seem to know more law than she does, and repeatedly trying to exclude “inconvenient” evidence from the record. As he puts it, Lori's courtroom presence is “less Harvard Law, more hostage to her own hubris.” The prosecution, for its part, is playing this round differently — keeping the talk of “zombies” and dark spirits to a minimum while focusing on motive, money, and manipulation. The goal: strip away the spiritual theatrics and reveal the human greed underneath.
Conversación con los autores del caso clínico publicado en International Journal of Emergency Medicine (2025) En este episodio del ECCpodcast, conversamos con los autores del caso "Cardiopulmonary resuscitation-induced consciousness in an elderly patient: a case report in the prehospital setting"—un fenómeno sorprendente y todavía poco comprendido: la conciencia inducida por RCP (CPRIC). Hablamos con Jose Daniel Yusty-Prada y Jose Luis Piñeros-Alvarez, quienes documentaron la historia de un paciente de 80 años que, sin haber recuperado pulso, comenzó a moverse, hacer sonidos y quitarse el equipo… durante las compresiones torácicas. Este caso abre una conversación fundamental sobre la fisiología, el manejo clínico, la ética y la capacitación necesaria para enfrentar CPRIC en entornos reales. Contexto del Caso El paciente colapsó en un área pública, rápidamente reconocido como un paro cardíaco presenciado. Los testigos iniciaron compresiones inmediatas, y un equipo BLS llegó con un AED, confirmando un ritmo desfibrilable. Durante los ciclos iniciales de RCP, el paciente comenzó a: flexionar las piernas, mover brazos, intentar remover el BVM y los parches, vocalizar sonidos, y mover la cabeza. Todo esto sin pulso palpable y sin signos de perfusión sostenida. Los movimientos desaparecían al detener las compresiones y reaparecían al reanudarlas: un patrón clásico de CPRIC. Esto provocó interrupciones prematuras por parte del equipo, dudas entre los testigos e incluso conflictos psicológicos en los rescatistas, quienes inicialmente pensaron que el paciente "despertaba". Finalmente, tras múltiples desfibrilaciones y sin sedación disponible en protocolo, se logró ROSC. ¿Qué es CPR-Induced Consciousness (CPRIC)? Los autores explican que CPRIC es un fenómeno real, probablemente subdiagnosticado, en el cual un paciente sin pulso presenta: Formas interferentes Intentar quitarse dispositivos Empujar a los rescatistas Movimientos coordinados Vocalizaciones Mover cabeza, brazos o piernas Formas no interferentes Parpadeo Mirada fija o seguimiento Suspiros Movimientos mínimos La evidencia señala que CPRIC ocurre más en: paros presenciados, ritmos desfibrilables, paro de causa cardiaca, CPR de alta calidad, y pacientes sin daño cerebral previo severo. Cada vez vemos más casos porque estamos dando mejor RCP, con mayor perfusión cerebral y más equipos con feedback. Retos del Caso: Técnica, logística y psicología Uno de los aspectos más valiosos del episodio es cuando los autores discuten cómo el fenómeno impacta al equipo. 1. Interrupciones prematuras Los movimientos llevaron al equipo a detener compresiones 30–40 segundos antes del análisis del AED, y esto puede comprometer el éxito de la desfibrilación. 2. Manejo de vía aérea Los movimientos orales hicieron imposible avanzar más allá del OPA + BVM. Intentar insertar una supraglótica se volvió riesgoso. 3. Interferencia del público Familiares y testigos gritaban que el paciente estaba "despertando" y pedían detener la RCP. Esto modificó la toma de decisiones del equipo. 4. Dilema ético y emocional Los autores describen la experiencia como "desconcertante", incluso sabiendo que el paciente estaba en VF refractaria. Sedación en CPRIC: ¿Cuándo? ¿Cómo? ¿Con qué? El artículo y los autores coinciden en que la evidencia actual favorece el uso de ketamina para manejar CPRIC interferente: 0.5–1 mg/kg IV o bolos de 50–100 mg Ventajas: No compromete presión arterial No deprime respiración Inicio muy rápido Ayuda en estrés psicológico post-evento Sin embargo: La mayoría de los sistemas en Latinoamérica no tienen protocolos Providers temen administrar sedación en pleno paro No existe guía formal de AHA o ERC ILCOR solo tiene un best practice statement Los autores recalcan que la sedación debe considerarse solo si CPRIC interfiere con las maniobras. Lecciones para EMS y emergencias Los autores destacan tres grandes enseñanzas: 1. CPRIC no es ROSC Si no hay pulso, no hay circulación espontánea, aunque el paciente hable o se mueva. 2. La educación pública es crucial Los testigos pueden ejercer presión equivocada. Es necesario explicar durante la escena qué está pasando. 3. Los sistemas deben crear protocolos ya Incluyendo: reconocimiento temprano decisiones sobre sedación documentación comunicación con familiares entrenamiento en simulación Por qué este caso es importante Este artículo es uno de los pocos reportes en un paciente geriátrico, resalta desafíos culturales en Latinoamérica y propone la urgente necesidad de estandarización internacional. CPRIC seguirá aumentando porque la RCP sigue mejorando. Y si no lo reconocemos, aumentarán: interrupciones innecesarias, conflictos en escena, mala calidad de RCP, y peor pronóstico. Llamado a la acción para la comunidad Si este episodio te hizo reflexionar: ðŸ'‰ Únete al ECCnetwork: https://ecctrainings.circle.so ðŸ'‰ Conoce nuestros cursos premium: ACLS, Manejo Avanzado de Vía Aérea, Emergency Nursing, Critical Care, TCCC-CMC www.ecctrainings.com ðŸ'‰ Lee el artículo completo: https://link.springer.com/article/10.1186/s12245-025-01032-w Yusty-Prada, J.D., Portuguez-Jaramillo, N.E. & Piñeros-Alvarez, J.L. Cardiopulmonary resuscitation-induced consciousness in an elderly patient: a case report in the prehospital setting. Int J Emerg Med 18, 230 (2025). https://doi.org/10.1186/s12245-025-01032-w
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Dave and Chuck the Freak talk about guy in public with vaginas all over his shirt, lady with hairy back, emailer had guy message her about her pale skin, Uncle mocks TSA while trying to do their jobs, continued Foot Report, woman’s leg disappeared during surgery, man thanks doctor who saved his life, family saved from capsized boat, Facebook Marketplace meetup robbery, retired police horse, kid saved stepdad with CPR, UofM and OSU rivalry trash pick-up, Kate Beckinsale’s daughter had eggs in his butt, Guy Fieri’s quad exploded, fan pulled hair out of Lenny Kravitz’s head, scammer posing as Jason Momoa, Scarlett Johansson will be in next Exorcist movie, AMC popcorn pass, leader of lotto group ran off with winners, Hot or Not?: woman gropes guy in sauna, pair of old men approached and exposed themselves to undercover cops, Chili’s greeter attacked, guy tried to rob same bank he robbed in 2016, wife admitted to sending all of family’s money to streamer, man served own foot as taco, guy shot after while shooting rats with buddy, Ask Dave & Chuck The Freak, every time BF goes down he has sneezing episode, panties found in car, employee followed her to parking lot, she wants him to sell his Mustang, Porch Pirate ring, and more!
Lern shines in today's daily show as she shares the family traditions, characters, and chaotic holiday stories that shaped her — including the jaw-dropping reveal that she still has relatives who show up to Thanksgiving literally dressed as pilgrims (and even a “Native American” costume cameo). The room erupts as the crew breaks down this Southern Illinois cultural moment, turning it into one of the most unforgettable conversations of the episode.It also happens to be Lern's Week, with her announcement of being inducted into the Illinois State University WZND Radio Hall of Fame — the first Rizz Show cast member to enter any Hall of Fame.Between Fell Hall memories, her early DJ shifts, and the emotional weight of returning home, the crew celebrates her with the full Rizz Show energy.Add in Thanksgiving debates, casserole controversies, etiquette fights, parade lip-sync conspiracies, awkward family announcements, and the classic Rizzuto Show pile-on, and you've got a perfect mix of sarcastic humor, weird news vibes, and all the daily-podcast fun you've come to expect from the Rizz crew's daily show.Follow The Rizzuto Show → https://linktr.ee/rizzshowConnect at → https://1057thepoint.com/RizzShowWatch the daily show live on YouTube from 6a-10a → https://www.youtube.com/@therizzutoshowHear The Rizz Show daily from 6a-10a on 105.7 The Point | Hubbard Radio | St. Louis, MODaily Show Notes: A New Survey Says 40% Of Americans Want To Skip This Traditional Thanksgiving SideDebate rages about best time for Christmas tree trimming as Americans sound off | Fox NewsShould You Eat Before Your Thanksgiving Meal? What Dieititians SayTurkey population down to lowest in 40 years, wholesale prices soar 40 percent: reports | New York PostThanksgiving Foods You Might Want to Skip on OzempicEvolution Festival will not host a 2026 event | St. Louis MagazineMan accused of lighting woman on fire in western NCPolice arrest alleged frisky thieves who broke into Scottsdale restaurantExperts On Why Volcano Hayli Gubbi Erupted After 12,000 YearsTexas bank robber arrested after trying to rob same branch nearly a decade later | New York PostWhen Rebecca the Raccoon Ruled the White House | TimelessWatch: Texas bus driver named the world's oldest at 95 - UPI.com15-year-old helps save stepdad with CPR he learned in school: 'He was heroic' - ABC NewsMinnesota couple Zach Zarembinski Isabelle Richard engaged in same hospital they were treated for comas as teens | New York PostCould owning a cat bring health risks? Study suggests it may double the chances of a ‘serious mental health condition'Billikens Overpower Purdue Fort Wayne, 91-60 - Saint Louis UniversitySee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
This week, Kristin and I dig into my long-overdue skin check, a gift from my mom (because nothing says “happy birthday” like preventative medicine). We talk about awkward gown moments, dermatologists who multitask like superheroes, and why apparently I'm not famous in derm circles. Then we get a little more serious about why it takes forever to get a doctor's appointment, how the physician shortage is affecting care, and what it really looks like behind the scenes when you're trying to squeeze emergency patients into a full clinic. And because no episode is complete without chaos, we end with heart anatomy roulette, everything from ejection fraction to pericardial tamponade to “who decided to name it heart block?” Takeaways: What happens when your doctor wields liquid nitrogen like John Wick. Why Kristin wears SPF indoors and Will's toothpaste-based sunscreen hack gone wrong. What happens when patients can't get in anywhere and how ophthalmologists end up triaging headaches. The chaotic cardiology review that covers everything from ejection fraction to pericardial tamponade. The CPR conversation that turns unexpectedly sentimental (and slightly morbid). — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Today's episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out. To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit aka.ms/knockknockhi. Go to http//www.cozyearth.com and use code KNOCKKNOCK for 40% off best-selling temperature-regulating sheets, apparel, and more. Trust me—you'll feel the difference the very first night. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
Send us a textThe first voice on a 911 call carries a lot more than a headset. In this candid, unfiltered conversation with veteran dispatcher and recovery coach Lisa Trusas, we pull back the curtain on what really happens at the console: juggling multiple emergencies at once, coaching panicked parents through CPR, catching danger in a whisper, and making judgment calls with lives on the line. Lisa's story reframes dispatch as the heart of public safety—where police, fire, and EMS meet—and where the weight of uncertainty often lingers after the line goes dead.We dig into the human cost of the work and the culture that shapes it. Lisa lays out the “double stigma” dispatchers face—expected to be as tough as sworn personnel while being dismissed as civilians when they seek help. We compare how fire and police approach debriefs and mental health, why dispatchers are too often left out of critical incident reviews, and how Massachusetts' mandatory behavioral health training is a step forward. Along the way, we discuss the “300-call syndrome,” the risk of missing red flags after too many routine hang-ups, and the practical skills that matter most: active listening, reading background noise, trusting instincts, and knowing when to insist on a second unit.This conversation also honors the rare moments of closure that keep people going—the infant saved over the phone who grows up and stays in touch—and the quieter calls that reveal unmet needs, like elders who call because they're lonely. If you care about first responder mental health, emergency communications, crisis intervention, and trauma-informed practice, this is a grounded, real-world look at where help truly begins: the first call. Subscribe, share with a colleague, and leave a review to support more honest conversations about the people who hold the line before anyone arrives.Freed.ai: We'll Do Your SOAP Notes!Freed AI converts conversations into SOAP note.Use code Steve50 for $50 off the 1st month!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showYouTube Channel For The Podcast
We speak to a woman who saved the life of a kayaker, after spotting him floating face down in Idaho's Snake River. Rachelle Ruffing says knowing CPR allowed her to 'make a miracle' which has changed her, and everyone should learn how to do it. She says she still finds it hard to believe that the man made a full recovery and that attending his recent wedding was a privilege.Also: the Afghan women's football team returns to the international stage, four years after the players fled the Taliban. FIFA changed the venue of the tournament to allow them to take part. Conservationists find a way to save a rare albatross by getting birds from another species to act as foster parents for their eggs. We hear how old home movies are being rescued so people can relive precious family moments decades later. Plus, after the fat bears of Alaska, we find out about the squirrels bulking up for winter in Texas; and we meet the man who can charm animals with his music, even stopping a herd of rhinos in their tracks.Our weekly collection of inspiring, uplifting and happy news from around the world.