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We chat with Leeah Sloan, PA-C, co-chair of the Critical Care APP Steering Committee for the American College of CHEST Physicians (CHEST), about the newly available CHEST critical care certification for APPs. The Vandalia CAMC Charleston APP critical care fellowship Learn more at the Intensive Care Academy!
Critical Care (Star Trek: Voyager, S7 E5) was recommended by Marky See He/Him, who said: Hi Folks,I am loving the show. Growing up, my Dad and I weren't very close, he was much more inclined to sports where I am cut from a much nerdier cloth. We do however share a love of Sci Fi and I remember vividly sitting down together to watch Voyager when it came out.Inspired by the Joy of Trek, I set out to rewatch Voyager as I haven't watched an episode since the early 00s.As a teen, I loved Voyager for the danger, action and adventure, but on the rewatch I have really enjoyed the study of humanity portrayed by characters like Seven and The Doctor.I love this episode as it adds to the numerous other discussions and the theme of whether or not The Doctor is a sentient being or just a piece of very smart technology. Building on his morals being overwritten in Equinox so he could experiment on Seven, his memory being erased in latent image so he could keep functioning and now in climax Critical Care, choosing a path of action that could actually cause harm to a patient in a tiered system of health care that sadly is not unfamiliar to us 23 years after it was aired.Critical Care first aired on November 1, 2000, written by story by Kenneth Biller and Robert Doherty, teleplay by James Kahn, and directed by Terry WindellThe Doctor's program is stolen and he is forced to work in an alien hospital, where he skillfully manipulates the system to provide ethical medical care.The Joy of Trek is hosted by Khaki & Kay, with editing & production by Chief Engineer Greg and music by Fox Amoore (Bandcamp | Bluesky)Send us your recommendations, or support us on Patreon.Find us at joyoftrek.com · Twitter · Facebook
In this episode of the Pre-hospital Care Podcast, we explore a cutting-edge innovation that's transforming how HEMS clinicians are trained for high-stakes, life-saving procedures, such as thoracotomy, resuscitative hysterotomy, and other HALO interventions. We're joined by Jamie, founder of Maxres, and Lily, a Critical Care Doctor, to discuss how immersive headset training is being introduced into clinical education, starting with the Thames Valley Air Ambulance.Jamie brings a unique perspective from his time as a pilot and helicopter flight instructor in the Royal Air Force, where he experienced first-hand the value of scenario-based, immersive learning. Combined with Lily's background as a prehospital critical care doctor, their expertise is helping shape a new frontier in clinical preparedness for the most complex and time-critical interventions.Together, we unpack how the MaxRes system works, the science behind its development, and the real-world impact it's having on clinical performance, confidence, and decision-making. We also look to the future, exploring how this technology could revolutionise pre-hospital education, expand into new clinical domains, and deliver highly realistic, repeatable, and effective training experiences.Whether you're a critical care paramedic, HEMS doctor, educator, or healthcare innovator, this episode offers an exciting look at where pre-hospital training is heading and how technology developed for the skies is now making a difference on the ground. Further information on MaxRes can be found here: https://maxres.ai/This episode is sponsored by PAX: The gold standard in emergency response bags.When you're working under pressure, your kit needs to be dependable, tough, and intuitive. That's exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They've partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.PAX doesn't chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.Learn more at pax-bags.com
Watch the NEJM In Studio video of this interview at NEJM.org. Rohan Khazanchi is a research affiliate at the FXB Center for Health and Human Rights at Harvard University and a resident in the Harvard Medicine-Pediatrics Residency Program. Harleen Marwah, the interviewer, is a recent Editorial Fellow at the Journal. R. Khazanchi and Others. Reform and Remedy for Imprecision and Inequity — Ending the Race-Based Evaluation of Occupational Pulmonary Impairment. N Engl J Med 2025;393:508-514.
Every spring for over 50 years, the Trauma, Critical Care, and Acute Care Surgery conference, best known simply as the MATTOX conference, is held in Las Vegas (https://www.trauma-criticalcare.com/). The conference is unique in that it is entirely focused on practice-changing clinical education. It's a damn good time too! A favorite feature is the annual debates. Today, we are featuring a showdown between Drs. Teddy Puzo and Joseph Dubois as they battle it out over the use of a DIRECT TO OR TRAUMA RESUSCITATION STRATEGY. You can listen on the podcast or watch the debate with accompanying slides on our website or app. Let's get ready to RUMMMBLLLEEEE! Video Link: https://www.youtube.com/watch?v=-DTTGBaLcHo TRAUMA SURGERY VIDEO ATLAS: https://app.behindtheknife.org/course-details/trauma-surgery-video-atlas Preparing for the deadliest injuries is challenging, and currently available resources are limited. That is why we created the Behind the Knife Trauma Surgery Video Atlas. Be ready for the most complex injuries, like penetrating trauma to the neck, audible bleeding from the IVC, and pelvic hemorrhage, with 24 scenarios. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
In today's episode, we connect with Dr. Aahd Kubbara to discuss the intricacies of lung function and targeted biological therapies for asthma. Dr. Kubbara is a practicing pulmonologist and intensivist at the University of Minnesota Medical Center, where he also serves as an Assistant Professor of Medicine, Pulmonary, Allergy, Critical Care, and Sleep and Associate Program Director of the Pulmonary and Critical Care Fellowship. Hit play to discover: The types of inflammatory diseases that can lead to lung scarring. The consequences of untreated asthma over years of time. What pulmonary fibrosis is, and how to treat it. The potential impacts of normalizing chronic health symptoms. How seasonal asthma is typically triggered and how to mitigate it. Dr. Kubbara brings a wealth of experience to his field, including a year in Critical Care at the Mayo Clinic in Rochester, and another year in Academic Pulmonary and Critical Care at the University of Nevada, Reno. He also spent a year practicing community Pulmonary and Critical Care at both Mayo Clinic Eau Claire and Aspirus Wausau Hospital. In addition, he completed an advanced fellowship in Interstitial Lung Disease and Vasculitis at the Mayo Clinic. To learn more about Dr. Kubbara and his work, click here! Episode also available on Apple Podcasts: http://apple.co/30PvU9C Keep up with Julian R. Gershon Jr. socials here: Instagram: https://www.instagram.com/aahd_kubbara/?hl=en X : https://x.com/aahdkubbara
This episode's Community Champion Sponsor is Ossur. To learn more about their ‘Responsible for Tomorrow' Sustainability Campaign, and how you can get involved: CLICK HEREEpisode Overview: The fight to save critically ill patients has remained largely unchanged for over 70 years- until now. Our next guest, Doug Evans, is revolutionizing critical care as President and CEO of Lungpacer Medical. With over three decades of medical device innovation and 300+ issued patents, Doug's personal mission was born from tragedy when his 14-year-old son required mechanical ventilation during his cancer battle. This heartbreaking experience drove Doug to tackle ventilator-induced diaphragm dysfunction, a condition that affects millions and contributes to the staggering 50% mortality rate among ventilated patients. Through groundbreaking neurostimulation technology, Doug and his team achieved the impossible—FDA approval for the first device designed to strengthen patients' diaphragms while on ventilation. Join us to discover how Lungpacer's pioneering AeroPace System is transforming outcomes, reducing ventilator dependency, and offering hope to families facing their darkest hours. Let's go!Episode Highlights:Personal Mission Born from Tragedy: Doug founded Lungpacer Medical after his 14-year-old son Cameron required mechanical ventilation during his cancer battle, driving his commitment to improve outcomes for critically ill patients.Historic FDA Breakthrough: In December 2024, Lungpacer's AeroPace System became the first and only FDA-approved device designed to strengthen the diaphragm in mechanically ventilated patients.Proven Clinical Results: The AeroPace System reduces ventilator time by 3 days, decreases 30-day ventilator dependency risk by 35%, and cuts re-ventilation risk by 60%.Life-Saving Patient Impact: Doug shared the powerful story of their first U.S. patient who had given up hope and wanted life support removed, but was saved through their technology and went home for the holidays.Next-Generation Innovation: The investigational AeroNova System promises continuous diaphragm stimulation with every breath, potentially improving not just muscle strength but also lung, brain, and heart function.About our Guest:Doug Evans brings over three decades of medical device innovation to his role as President and CEO of Lungpacer Medical Inc. As a serial entrepreneur and inventor, Doug has developed more than 3 00 issued patents covering pioneering devices that have revolutionized healthcare for over 15 million patients worldwide. Doug's journey with Lungpacer began with the heartbreaking experience of his 14-year-old son's struggle with mechanical ventilation during his cancer battle. After losing his son, Doug committed himself to solving the clinical challenges that affect millions of critically ill patients who depend on mechanical ventilation to survive. His determination has led to the development of revolutionary neurostimulation technology that works "like lifting weights to build strength" for patients' diaphragms while they remain on mechanical ventilation. This breakthrough approach addresses ventilator-induced diaphragm dysfunction, a major barrier to patient recovery that contributes to the staggering mortality rates in intensive care units. Doug's personal mission drives Lungpacer's vision: to free patients from prolonged mechanical ventilation and preserve their overall health during critical illness.BeforeLungpacer, Doug's career has spanned leadership roles across...
Every spring for over 50 years, the Trauma, Critical Care, and Acute Care Surgery conference, best known simply as the MATTOX conference, is held in Las Vegas (https://www.trauma-criticalcare.com/). The conference is unique in that it is entirely focused on practice-changing clinical education. It's a damn good time too! A favorite feature is the annual debates. Today, we are featuring a showdown between Drs. Ryan Dumas and Bellal Joseph (@TopKniFe_B) as they battle it out over the use of TRAUMA VIDEO REVIEW. You can listen on the podcast or watch the debate with accompanying slides on our website or app. Let's get ready to RUMMMBLLLEEEE! Video Link: https://app.behindtheknife.org/video/mattox-conference-pro-con-debate-2025-trauma-video-review TRAUMA SURGERY VIDEO ATLAS: https://app.behindtheknife.org/course-details/trauma-surgery-video-atlas Preparing for the deadliest injuries is challenging, and currently available resources are limited. That is why we created the Behind the Knife Trauma Surgery Video Atlas. Be ready for the most complex injuries, like penetrating trauma to the neck, audible bleeding from the IVC, and pelvic hemorrhage, with 24 scenarios. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
Roger Seheult, MD of MedCram examines a new study that confirms near infrared light can affect mitochondria in areas of the body that are not directly exposed. See all Dr. Seheult's videos at: https://www.medcram.com/ (This video was recorded on July 14th, 2025) Roger Seheult, MD is the co-founder and lead professor at https://www.medcram.com He is Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine and an Associate Professor at the University of California, Riverside School of Medicine. MEDCRAM WORKS WITH MEDICAL PROGRAMS AND HOSPITALS: MedCram offers group discounts for students and medical programs, hospitals, and other institutions. Contact us at customers@medcram.com if you are interested. MEDIA CONTACT: Media Contact: customers@medcram.com Media contact info: https://www.medcram.com/pages/media-c... Video Produced by Kyle Allred FOLLOW US ON SOCIAL MEDIA: https://www.facebook.com/MedCram https://twitter.com/MedCramVideos https://www.instagram.com/medcram DISCLAIMER: MedCram medical videos are for medical education and exam preparation, and NOT intended to replace recommendations from your doctor.
Explore the vital role of Advanced Practice Providers (APPs) in critical care with Alex Hodson, a seasoned critical care physician assistant. Learn about the dynamics of high-functioning healthcare teams, the training pipeline for APPs, and the importance of feedback and teamwork. Gain insights into the challenges and rewards of working in high-stress environments and understand how multidisciplinary and multi-professional collaboration shapes effective patient care.
The final instalment of our series “Perioperative Pain Management” is a panel discussion where we answer the question: What are the various challenges and strategies in managing perioperative pain, particularly with regard to opioid use? The discussion covers the complexities of opioid de-escalation in preoperative periods, the benefits and risks of opioid-free anesthesia, and the use of multimodal approaches. We also touch on the coordination of patient care across multiple specialties and the impact of intraoperative practices on postoperative pain management and long-term opioid use. The session emphasizes the importance of patient education, consistent communication, and empowered collaboration among healthcare providers. The speakers on the panel are; Tim Miller, Professor of Anesthesiology at Duke University Medical Center, Fauzia Hasnie, Consultant Lead, Opioid Multidisciplinary Pain Management Clinic, Joint Lead, Combined Sickle-Opioid Virtual Multidisciplinary Clinic Guy's & St Thomas' NHS Foundation Trust, and Esteban Salas Rezola, Specialist in Anaesthesiology, Resuscitation and Pain Therapy at Hospital General Alicante. Chaired by John Whittle, Clinical Academic working in Perioperative Translational Medicine at UCL and Honorary Consultant in Perioperative Medicine, Anaesthesia and Critical Care at University College Hospitals London. The three presentations which accompany this piece are here: https://topmedtalk.libsyn.com/perioperative-pain-management-the-opioid-epidemic-and-opioid-reduction-strategies https://topmedtalk.libsyn.com/perioperative-pain-management-opioid-reduction-service https://topmedtalk.libsyn.com/perioperative-pain-management-opioid-sparing-analgesia-strategies-guided-by-nol-index
In this episode, host Shane Turner gets insight into the world of specialized transport with Lisa Owen, a clinical nurse specialist at the University of Rochester Medical Center. Lisa oversees a unique team dedicated to transporting patients with acute cardiogenic shock and advanced heart failure, requiring sophisticated mechanical support. Lisa shares the rigorous training, teamwork, and communication strategies that equip her team to handle these high-risk transports effectively.You'll learn about the ongoing education and collaboration with surgeons, intensivists, and device representatives that are crucial for maintaining high standards of patient care. Plus, Lisa offers valuable lessons and continuous improvement efforts that set her team apart in the field of critical care transport.In this episode:Shane Turner, RN, CFRN, NRP, FP-C, CMTE, Chattanooga, TNLisa Owen, MS, RN, CCRN, ACCNS-AG, Acute Shock Program Coordinator URMC, Rochester, NY
In the Star Trek: Voyager episode, Critical Care, the Doctor is forced to confront a system where medical care is doled out based on social status. Good thing that's just science fiction. No parallels to the modern world at all. Mission Log administers Critical Care. Hosted by John Champion and Norman Lao SPECIAL OFFER - take 10% off your first order at Factory Entertainment with code "missionlog" at checkout! Be sure to visit Facotry Entertainment at San Diego Comic Con (July 24-27, 2025) and Star Trek Las Vegas (August 7-10, 2025). Welcome to Mission Log, a Roddenberry Entertainment podcast, where we explore the Star Trek universe one episode at a time. Each week, Mission Log examines a single episode of Star Trek, diving into its ethical subtext, metaphors, and cultural significance. From the show's most iconic moments to its hidden gems, we analyze what makes Star Trek one of the greatest science fiction sagas of all time. In every episode of Mission Log we… Recap the story and analyze key moments. Discuss the morals, messages, and meanings of the dilemmas presented. Debate whether the episode holds up and if the themes are still relevant. Join the Conversation: For as little as $1 a month, you can gain access to our exclusive Discord Community! There, we continue the discussion with dedicated channels and weekly video chats with the hosts. Become a member of our Patreon today! https://www.Patreon.com/MissionLog SPECIAL THANKS the supporters of this week's show: Chris Garis, Julie Miller, Stuart, Michael Park, Paul Shadwell, Matt Esposito, Alan Simonis, Mike Richards, David Takechi, Mike Schiable, VADM Erickson, and Lars Seme Thanks to all of our Patreon Supporters https://www.missionlogpodcast.com/sponsors/ Want to share your thoughts on an upcoming episode? Email us at MissionLog@Roddenberry.com for a chance to be featured during the episode. Follow us on Social Media: INSTAGRAM https://www.instagram.com/RoddenberryEntertainment THREADS https://www.threads.net/@roddenberrypodcasts FACEBOOK https://www.facebook.com/MissionLogPod Did you know we're on YouTube? Find the video versions of your favorite shows like Mission Log: Prodigy, The Orville, as well as exclusive content only available on YouTube. Subscribe now: https://www.youtube.com/@RoddenberryEntertainment?sub_confirmation=1 Our shows are part of the Roddenberry Entertainment family. For more great shows and to learn more about how we live the legacy of Gene Roddenberry, creator of Star Trek, follow us here: RODDENBERRY PODCASTS https://www.instagram.com/roddenberrypodcasts RODDENBERRY ENTERTAINMENT https://www.instagram.com/roddenberryofficial THE RODDENBERRY FOUNDATION https://www.instagram.com/theroddenberryfoundation THIS EPISODE IS SPONSORED BY: Listeners like you - Support Mission Log on Patreon for early access to shows and the Mission Log Discord! Subscribe and Stay Updated: Never miss an episode! Subscribe on your preferred podcast player, leave a review, and join Mission Log on the journey of weekly deep dives into the Star Trek universe. Technical Director - Earl Green Producer - John Champion Associate Producer - Jessica Lynn Verdi Executive Producer - Eugene “Rod” Roddenberry Roddenberry Entertainment | All Rights Reserved
In the Star Trek: Voyager episode, Critical Care, the Doctor is forced to confront a system where medical care is doled out based on social status. Good thing that's just science fiction. No parallels to the modern world at all. Mission Log administers Critical Care. Hosted by John Champion and Norman Lao SPECIAL OFFER - take 10% off your first order at Factory Entertainment with code "missionlog" at checkout! Be sure to visit Facotry Entertainment at San Diego Comic Con (July 24-27, 2025) and Star Trek Las Vegas (August 7-10, 2025). Welcome to Mission Log, a Roddenberry Entertainment podcast, where we explore the Star Trek universe one episode at a time. Each week, Mission Log examines a single episode of Star Trek, diving into its ethical subtext, metaphors, and cultural significance. From the show's most iconic moments to its hidden gems, we analyze what makes Star Trek one of the greatest science fiction sagas of all time. In every episode of Mission Log we… Recap the story and analyze key moments. Discuss the morals, messages, and meanings of the dilemmas presented. Debate whether the episode holds up and if the themes are still relevant. Join the Conversation: For as little as $1 a month, you can gain access to our exclusive Discord Community! There, we continue the discussion with dedicated channels and weekly video chats with the hosts. Become a member of our Patreon today! https://www.Patreon.com/MissionLog SPECIAL THANKS the supporters of this week's show: Chris Garis, Julie Miller, Stuart, Michael Park, Paul Shadwell, Matt Esposito, Alan Simonis, Mike Richards, David Takechi, Mike Schiable, VADM Erickson, and Lars Seme Thanks to all of our Patreon Supporters https://www.missionlogpodcast.com/sponsors/ Want to share your thoughts on an upcoming episode? Email us at MissionLog@Roddenberry.com for a chance to be featured during the episode. Follow us on Social Media: INSTAGRAM https://www.instagram.com/RoddenberryEntertainment THREADS https://www.threads.net/@roddenberrypodcasts FACEBOOK https://www.facebook.com/MissionLogPod Did you know we're on YouTube? Find the video versions of your favorite shows like Mission Log: Prodigy, The Orville, as well as exclusive content only available on YouTube. Subscribe now: https://www.youtube.com/@RoddenberryEntertainment?sub_confirmation=1 Our shows are part of the Roddenberry Entertainment family. For more great shows and to learn more about how we live the legacy of Gene Roddenberry, creator of Star Trek, follow us here: RODDENBERRY PODCASTS https://www.instagram.com/roddenberrypodcasts RODDENBERRY ENTERTAINMENT https://www.instagram.com/roddenberryofficial THE RODDENBERRY FOUNDATION https://www.instagram.com/theroddenberryfoundation THIS EPISODE IS SPONSORED BY: Listeners like you - Support Mission Log on Patreon for early access to shows and the Mission Log Discord! Subscribe and Stay Updated: Never miss an episode! Subscribe on your preferred podcast player, leave a review, and join Mission Log on the journey of weekly deep dives into the Star Trek universe. Technical Director - Earl Green Producer - John Champion Associate Producer - Jessica Lynn Verdi Executive Producer - Eugene “Rod” Roddenberry Roddenberry Entertainment | All Rights Reserved
In the Star Trek: Voyager episode, Critical Care, the Doctor is forced to confront a system where medical care is doled out based on social status. Good thing that's just science fiction. No parallels to the modern world at all. Mission Log administers Critical Care. Hosted by John Champion and Norman Lao SPECIAL OFFER - take 10% off your first order at Factory Entertainment with code "missionlog" at checkout! Be sure to visit Facotry Entertainment at San Diego Comic Con (July 24-27, 2025) and Star Trek Las Vegas (August 7-10, 2025). Welcome to Mission Log, a Roddenberry Entertainment podcast, where we explore the Star Trek universe one episode at a time. Each week, Mission Log examines a single episode of Star Trek, diving into its ethical subtext, metaphors, and cultural significance. From the show's most iconic moments to its hidden gems, we analyze what makes Star Trek one of the greatest science fiction sagas of all time. In every episode of Mission Log we… Recap the story and analyze key moments. Discuss the morals, messages, and meanings of the dilemmas presented. Debate whether the episode holds up and if the themes are still relevant. Join the Conversation: For as little as $1 a month, you can gain access to our exclusive Discord Community! There, we continue the discussion with dedicated channels and weekly video chats with the hosts. Become a member of our Patreon today! https://www.Patreon.com/MissionLog SPECIAL THANKS the supporters of this week's show: Chris Garis, Julie Miller, Stuart, Michael Park, Paul Shadwell, Matt Esposito, Alan Simonis, Mike Richards, David Takechi, Mike Schiable, VADM Erickson, and Lars Seme Thanks to all of our Patreon Supporters https://www.missionlogpodcast.com/sponsors/ Want to share your thoughts on an upcoming episode? Email us at MissionLog@Roddenberry.com for a chance to be featured during the episode. Follow us on Social Media: INSTAGRAM https://www.instagram.com/RoddenberryEntertainment THREADS https://www.threads.net/@roddenberrypodcasts FACEBOOK https://www.facebook.com/MissionLogPod Did you know we're on YouTube? Find the video versions of your favorite shows like Mission Log: Prodigy, The Orville, as well as exclusive content only available on YouTube. Subscribe now: https://www.youtube.com/@RoddenberryEntertainment?sub_confirmation=1 Our shows are part of the Roddenberry Entertainment family. For more great shows and to learn more about how we live the legacy of Gene Roddenberry, creator of Star Trek, follow us here: RODDENBERRY PODCASTS https://www.instagram.com/roddenberrypodcasts RODDENBERRY ENTERTAINMENT https://www.instagram.com/roddenberryofficial THE RODDENBERRY FOUNDATION https://www.instagram.com/theroddenberryfoundation THIS EPISODE IS SPONSORED BY: Listeners like you - Support Mission Log on Patreon for early access to shows and the Mission Log Discord! Subscribe and Stay Updated: Never miss an episode! Subscribe on your preferred podcast player, leave a review, and join Mission Log on the journey of weekly deep dives into the Star Trek universe. Technical Director - Earl Green Producer - John Champion Associate Producer - Jessica Lynn Verdi Executive Producer - Eugene “Rod” Roddenberry Roddenberry Entertainment | All Rights Reserved
In this episode of the PFC Podcast, Brock shares his journey into critical care medicine, emphasizing the importance of mentorship, essential knowledge for paramedics, and the challenges faced in the field. He discusses the rigorous training and experiences required to excel in flight medicine, the significance of the FPC certification, and the learning curve associated with transitioning from military to civilian roles. Brock also highlights the value of community involvement and the lessons learned throughout his career, providing insights for aspiring medics.TakeawaysThis presentation is for guys on active duty.I want to impart on y'all, this is giving me a very good opportunity to be a mentor.The FPC is a foundation for your practice.You have to have three years experience as a paramedic.The big thing in critical care medicine, they're very heavy on airway management.Every interview I have done, they've all been different.There is no shortcuts to the three-year requirement or patient contacts.I wanted a very diverse resume.We are side of these patients that are extremely sick with sepsis.I would absolutely go to a college and take the class.Chapters00:00 Introduction to Critical Care Medicine02:31 Pathway to Becoming a Critical Care Medic05:09 Essential Knowledge for Critical Care07:48 Flight Interview Process and Expectations10:50 Post-Hire Experiences and Learning Curve13:27 Challenges in Critical Care and Patient Management15:51 Mentorship and Community Involvement18:32 Lessons Learned and Future DirectionsThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Brett has been an RN since 2007 and became an Acute Care Nurse Practitioner in 2011. Both degrees are from Texas Tech University Health Sciences Center. Most of his career has been in Critical Care, covering Intensive Care Units, both in person and by telemedicine. Over time, Brett noticed his patients, largely, were in a managed decline by their providers and their laundry lists of medication. He began to question the legitimacy of his chosen specialty. In 2024, Brett transitioned to the opposite end of the spectrum and started working with patients on diet and lifestyle to give them a better opportunity to avoid hospitalization. Timestamps: 00:00 Trailer 00:37 Introduction 04:07 ICU nursing journey 09:26 Reevaluating nutritional approaches 10:06 Challenging medical norms during COVID 15:07 Rapid integration into clinical practice 19:43 Diminished fulfillment in ICU work 23:08 Healthcare's focus on treatment over prevention 24:34 Improving health through diet awareness 30:24 Nutritional guidance through online resources 32:23 Chronic health and autoimmune issues 37:55 Balancing western medicine and wellness 38:46 Optimizing health through metabolic improvement Join Revero now to regain your health: https://revero.com/YT Revero.com is an online medical clinic for treating chronic diseases with this root-cause approach of nutrition therapy. You can get access to medical providers, personalized nutrition therapy, biomarker tracking, lab testing, ongoing clinical care, and daily coaching. You will also learn everything you need with educational videos, hundreds of recipes, and articles to make this easy for you. Join the Revero team (medical providers, etc): https://revero.com/jobs #Revero #ReveroHealth #shawnbaker #Carnivorediet #MeatHeals #AnimalBased #ZeroCarb #DietCoach #FatAdapted #Carnivore #sugarfree Disclaimer: The content on this channel is not medical advice. Please consult your healthcare provider.
On this episode of the ATS Breathe Easy podcast, meet the newly-elected ATS President, Raed Dweik, MD, MBA, ATSF. Host Amy Attaway, MD, MS, talks with Dr. Dweik on his vision for the ATS, and what he is most excited for in the fields of respiratory health, critical care, and how the ATS is braced to help members face ongoing challenges. Did you miss the ATS 2025 International Conference? Or were you unable to attend some key sessions? Go to conference.thoracic.org/program/conference-highlights/ to purchase your ATS Conference Highlight Package. Be sure to check out the Out of the Blue podcast from the American Journal of Respiratory and Critical Care Medicine, which takes you out of the pages of the Blue Journal and into the minds of the most brilliant researchers in the fields of respiratory, critical care, and sleep medicine. Tune in wherever you listen to podcasts!
if you have any feedback, please send us a text! Thank you!Welcome to another episode of Vital Times, the CSA podcast! I'm your host, Dr. Rita Agarwal, and today we're revisiting an important topic: mentorship. We've discussed mentoring before, but its significance in the lives and careers of anesthesiologists makes it worth exploring again.Strong mentorship can have a transformative impact, especially for early career anesthesiologists. Yet, despite its many benefits, building effective mentorship programs continues to be a challenge. In this episode, we'll focus on how mentorship can help young professionals truly thrive.We're joined by two outstanding guests:Dr. Titi Aina-Jones, Associate Professor of Anesthesiology at Texas Children's Hospital. She trained at the University of Connecticut, University of Florida, and Boston Children's Hospital, and is currently pursuing a Master's in Medical Education at the University of Pennsylvania.Dr. Ioana Pasca, Associate Professor at Riverside and Loma Linda University Medical Center in the Department of Anesthesiology, Critical Care, and Neurocritical Care. She also serves as Associate Program Director and Director of Neuroanesthesia at Riverside University Health System, and like Dr. Aina-Jones, is currently enrolled in the Medical Education Master's Program at the University of Pennsylvania.
Roger Seheult, MD of MedCram explores new data comparing the effects of hot tub, traditional sauna, and infrared sauna. See all Dr. Seheult's videos at: https://www.medcram.com/ (This video was recorded on July 3rd, 2025) Roger Seheult, MD is the co-founder and lead professor at https://www.medcram.com He is Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine and an Associate Professor at the University of California, Riverside School of Medicine. MEDCRAM WORKS WITH MEDICAL PROGRAMS AND HOSPITALS: MedCram offers group discounts for students and medical programs, hospitals, and other institutions. Contact us at customers@medcram.com if you are interested. MEDIA CONTACT: Media Contact: customers@medcram.com Media contact info: https://www.medcram.com/pages/media-c... Video Produced by Kyle Allred FOLLOW US ON SOCIAL MEDIA: https://www.facebook.com/MedCram https://twitter.com/MedCramVideos https://www.instagram.com/medcram DISCLAIMER: MedCram medical videos are for medical education and exam preparation, and NOT intended to replace recommendations from your doctor. #nb181 #h5n1 #covid
On this edition of the ATS Breathe Easy: The Latest, host Patti Tripathi and Foundation for Sarcoidosis Research President and CEO Mary McGowan discuss sarcoidosis research and the Champions for Change movement to encourage companies to allow employees to use paid time off to enroll in clinical trials. To learn more, go to ignorenomore.org. Did you miss the ATS 2025 International Conference? Or were you unable to attend some key sessions? Go to conference.thoracic.org/program/conference-highlights/ to purchase your ATS Conference Highlight Package. Be sure to check out the Out of the Blue podcast from the American Journal of Respiratory and Critical Care Medicine, which takes you out of the pages of the Blue Journal and into the minds of the most brilliant researchers in the fields of respiratory, critical care, and sleep medicine. Tune in wherever you listen to podcasts!
In this podcast, Series 4, Chapter 3, Dr. Barsuk interviews Dr. Brian Garibaldi, Professor of Medicine in the Division of Pulmonary and Critical Care at Northwestern Feinberg School of Medicine. Dr. Garibaldi also serves as the Charles Horace Mayo Professor and the Director of the Northwestern Center for Bedside Medicine. Drs. Barsuk and Garibaldi discuss training in bedside medicine using simulation.
Substack is where I discovered Dr. MeiLan Han! I was browsing through and was pleasantly surprised to read an article, and learn that she wrote a book called, Breathing Lessons. And to top it off, she's from my home state of Michigan. I also learned the Dr. Han's book was “a passion project during the pandemic.”I'm delighted to share a conversation with Dr. MeiLan Han, one of the country's most respected voices in lung health and a tireless advocate for people living with chronic respiratory conditions.Dr. Han is a Professor of Medicine and Chief of Pulmonary and Critical Care at University of Michigan Health. She's not only cared for patients at the bedside but has devoted her career to understanding lung disease at its roots, with a special focus on chronic obstructive pulmonary disease (COPD), a condition that remains widely under-recognized and underfunded. Through her research, Dr. Han is helping to uncover how diseases like COPD affect the lungs in different ways, with the goal of making treatment more precise, more effective, and more personalized.Her journey began at the University of Washington and continued through specialized training at the University of Michigan, where she also earned a Master's degree in Biostatistics and Clinical Study Design. Today, she leads research funded by the National Institutes of Health (NIH), serves on national advisory boards for the COPD Foundation and the American Lung Association, and contributes to global guidelines that shape how lung disease is diagnosed and treated.Dr. Han also serves as Deputy Editor of the American Journal of Respiratory and Critical Care Medicine, helping to guide the direction of clinical practice and research in pulmonary medicine.If you or someone you love is living with a chronic lung condition, Dr. Han's insight is not only encouraging, it's essential. I'm so grateful to bring her voice to this platform. How many breathes do we take in a lifetime? It's fascinating to discuss and you'll hear the answer in our podcast.Lung health, do you think about it?To get her book: https://www.amazon.com/Breathing-Lessons-Doctors-Guide-Health-ebook/dp/B08X2ZFGNZ/ref=tmm_kin_swatch_0 Please like, subscribe, and comment on our podcasts!Please consider making a donation: https://thebonnellfoundation.org/donate/The Bonnell Foundation website:https://thebonnellfoundation.orgEmail us at: thebonnellfoundation@gmail.com Watch our podcasts on YouTube: https://www.youtube.com/@laurabonnell1136/featuredThanks to our sponsors:Vertex: https://www.vrtx.comViatris: https://www.viatris.com/en
In this episode of ACEP Nowcast, host Amy Faith Ho, MD, MPH, FACEP, interviews Paul Jansson, MD, MS, FACEP, to discuss critical care and push-dose vasopressors in the ED. Additional links: Read the first installment of Critical Care Time by Dr. Jansson. Read more on ACEPNow.com. Revisit ACEP Nowcast podcast episodes. Catch up on all of ACEP Now in past issues.
Is this a real emergency?In this episode of Explain This, Andy Rogers, PA-C and Bo McGregor, FNP talk about what constitutes an Emergency Room visit. Tune in for the break down of Quick Care vs. Urgent Care vs. ER, on into Critical Care.What did you think of this episode of the podcast? Let us know by leaving a review!Connect with Performance Medicine!Check out our new online vitamin store:https://performancemedicine.net/shop/Sign up for our weekly newsletter: https://performancemedicine.net/doctors-note-sign-up/Facebook: @PMedicineInstagram: @PerformancemedicineTNYouTube: Performance Medicine
A generation ago, a big clot in the brain meant paralysis or worse. Today, doctors can diagnose clots on AI-enabled brain scans; provide life-saving, targeted medications; or snake a catheter from a patient's groin into the brain to vacuum out the clot. If they intervene in time, they can watch speech and movement return before the sedatives wear off. How did that happen—and what's still missing?In this episode of From Our Neurons to Yours, Stanford neuroscientist and neurocritical care specialist Marion Buckwalter, MD, PhD retraces the 70-year chain of curiosity-driven research—biochemistry, imaging, materials science, AI—behind today's remarkable improvements in stroke care. She also warns what future breakthroughs are at stake if support for basic science stalls.Learn MoreBuckwalter Lab siteHistory of Stroke Care:Tissue Plasminogen Activator for Acute Ischemic Stroke (NINDS) On the development of the first-gen clot-busting drug, tPA Optimizing endovascular therapy for ischemic stroke (NINDS) On the development of mechanical clot clearance using thrombectomy.Mechanical Thrombectomy for Large Ischemic Stroke (Neurology, 2023) A literature meta-analysis shows that thrombectomy improves stroke outcomes by 2.5X, on top of 2X improvements from clot-busting drugsThe uncertain future of federal support for scienceThe Gutting of America's Medical Research: Here Is Every Canceled or Delayed N.I.H. Grant (New York Times, 2025)Trump Has Cut Science Funding to Its Lowest Level in Decades (New York Times, 2025)We want to hear from your neurons! Email us at at neuronspodcast@stanford.edu or... Send us a text!Thanks for listening! If you're enjoying our show, please take a moment to give us a review on your podcast app of choice and share this episode with your friends. That's how we grow as a show and bring the stories of the frontiers of neuroscience to a wider audience. Learn more about the Wu Tsai Neurosciences Institute at Stanford and follow us on Twitter, Facebook, and LinkedIn.
What is evidence-based medicine and why should healthcare consumers care? What role does cognitive bias play in everyday healthcare decisions? What separates a quality, informative research paper from dubious, low quality research papers? As a healthcare consumer, how can you tell the difference? To help answer these questions, we have Dr. Brandon Temte joining us today on the Balancing Act Podcast. Brandon is the outgoing Chief Pulmonary and Critical Care fellow at the University of Wisconsin, where he will be staying as faculty in the fall of this year. Tune into episode 199 for an update on Brandon's story (he is our FIRST repeat guest) and his thoughts and guidance on how to navigate through the mis- and disinformation that is seemingly everywhere on the internet. https://www.andrewtemte.com/
This World Shared Practice Forum reviews the Global PARITY study, a comprehensive research initiative aimed at understanding and addressing pediatric critical illness in resource-constrained settings. The discussion highlights the methodology, challenges, and key findings of the study, emphasizing the high prevalence of critical illnesses such as pneumonia, sepsis, and malaria among children in low socio-demographic index regions. The authors stress the importance of basic critical care interventions and the need for global health equity, advocating for the integration of critical care into health systems worldwide. LEARNING OBJECTIVES - Understand the methodology and challenges of conducting the Global Parity Study in resource-constrained settings. - Identify the most common pediatric critical illnesses and their prevalence in low socio-economic regions. - Recognize the importance of basic critical care interventions in improving health outcomes for critically ill children. - Appreciate the role of global health equity and the need for integrating critical care into health systems. - Explore the potential impact of research findings on policy decisions and resource allocation in healthcare. AUTHORS Teresa Kortz, MD, MS, PhD Associate Professor of Clinical Pediatrics University of California, San Francisco Adrian Holloway, MD Associate Professor Pediatrics University of Maryland School of Medicine, Department of Pediatrics Traci Wolbrink, MD, MPH Senior Associate in Critical Care Medicine Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Associate Professor of Anesthesia Harvard Medical School DATE Initial publication date: June 23, 2025. ARTICLE REFERENCED Kortz TB, Holloway A, Agulnik A, et al. Prevalence, aetiology, and hospital outcomes of paediatric acute critical illness in resource-constrained settings (Global PARITY): a multicentre, international, point prevalence and prospective cohort study. Lancet Glob Health. 2025;13(2):e212-e221. doi:10.1016/S2214-109X(24)00450-9 TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/sf6v5frcmb9j5pt3vrrss67/Kortz__Holloway_PWSP_June_2025_Transcript Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support or control any related videos in the sidebar; these are placed by YouTube. We apologize for any inconvenience this may cause. CITATION Kortz TB, Holloway A, Wolbrink TA. Global PARITY Study: Pediatric Critical Illness Insights. 06/2025. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/global-parity-study-pediatric-critical-illness-insights-by-t-kortz-a-holloway-openpediatrics.
Episode 88 – Serotonin Syndrome - What you need to know! Serotonin Syndrome, also known as Serotonin Toxicity, is the most severe side effect of serotonergic medication and can potentially be fatal if not treated and managed. Therefore, understandably, many vets are very cautious when it comes to prescribing serotonergic agents and especially when combining serotonergic agents such as an SSRI and, for example, trazodone. · But, how frequent is this side effect in practice? · What are the signs you should be looking out for? · What can you teach your caregivers to do in terms of monitoring to screen for mild signs of Serotonin Syndrome? · What medications, aside from psychopharmaceutical medications, can cause Serotonin Syndrome? · What are the Differential Diagnoses for Serotonin Syndrome? · And how do you treat a pet with Serotonin Toxicity? I talk about all this and more in this episode! Here are the studies I mention in the episode: 1. Indrawirawan, Y., & McAlees, T. (2014). Tramadol toxicity in a cat: Case report and literature review of serotonin syndrome. Journal of Feline Medicine and Surgery, 16(7), 572–578. https://doi.org/10.1177/1098612X14539088 2. Pugh, C. M., Sweeney, J. T., Bloch, C. P., Lee, J. A., Johnson, J. A., & Hovda, L. R. (2013). Selective serotonin reuptake inhibitor (SSRI) toxicosis in cats: 33 cases (2004-2010). Journal of Veterinary Emergency and Critical Care, 23(5), 565–570. https://doi.org/10.1111/vec.12091 3. Thomas, D. E., Lee, J. A., & Hovda, L. R. (2012). Retrospective evaluation of toxicosis from selective serotonin reuptake inhibitor antidepressants: 313 dogs (2005-2010). Journal of Veterinary Emergency and Critical Care, 22(6), 674–681. https://doi.org/10.1111/j.1476-4431.2012.00805.x If you'd like to learn more about Veterinary Psychopharmacology, then my PSYCHOACTIVE course is for you! Follow the link below to get access to PSYCHOACTIVE – PRACTICAL VETERINARY PSYCHOPHARMACOLOGY Use SUMMER50 for a 50% Discount this summer 2025! https://katrin-jahn.mykajabi.com/psychoactive If you liked this episode of the show, The Pet Behaviour Chat, please LEAVE A 5-STAR REVIEW, like, share, and subscribe! Facebook Group: Join The Veterinary Behaviour Community on Facebook You can CONNECT with me: Website: Visit my website Trinity Veterinary Behaviour Instagram: Follow Trinity Veterinary Behaviour on Instagram Trinity Veterinary Behaviour Facebook: Join us on Trinity Veterinary Behaviour's Facebook page Trinity Veterinary Behaviour YouTube: Subscribe to Trinity Veterinary Behaviour on YouTube LinkedIn Profile: Connect with me on LinkedIn Thank you for tuning in!
Send us a textA blood-soaked pillow and a 14-year-old's helplessness forever shaped Lisa Coleman's approach to healthcare. Now Director of Critical Care at Jackson Memorial Hospital, Lisa shares the pivotal moment that ignited her nursing career and the values that guide her leadership journey.Stepping into the Follow Brand Podcast, Lisa reveals the leadership challenges she navigated during the COVID-19 pandemic while managing a 30-bed critical care unit. With constantly changing protocols and diminishing staff resources, she created a culture of resilience that enabled her team to provide exceptional patient care despite unprecedented obstacles. This crisis management experience solidified her identity as a strategic leader who balances operational excellence with genuine empathy.Lisa's leadership philosophy—"less noise, more voice"—empowers team members while ensuring clear communication in high-stakes environments. Through mentorship, she's transformed struggling nurses into confident practitioners, witnessing their growth over decades. This commitment to developing others has inspired her to create a formal mentorship program at Jackson Health System, designed to cultivate the next generation of nursing executives. The podcast explores how Lisa's Brand Blueprint Strategy assessment revealed she's already performing at the Chief Nursing Officer level, validating her capabilities and providing a framework for continued growth. For aspiring healthcare leaders, Lisa offers powerful guidance: "Be courageous to step out and take on those roles that you may not feel you're meant to be in." Subscribe to hear how trauma-informed leadership is reshaping healthcare from bedside to boardroom.Thanks for tuning in to this episode of Follow The Brand! We hope you enjoyed learning about the latest marketing trends and strategies in Personal Branding, Business and Career Development, Financial Empowerment, Technology Innovation, and Executive Presence. To keep up with the latest insights and updates from us, be sure to follow us at 5starbdm.com. See you next time on Follow The Brand!
Send us a textWhat drives a 14-year-old girl watching her father in critical care to become a healthcare leader? For Lisa Coleman, Director of Critical Care at Jackson Memorial Hospital, it was witnessing blood on her father's pillow go unattended—a moment that crystallized her commitment to compassionate, thorough patient care.Twenty-three years into her nursing career and twelve years in leadership, Coleman's journey reveals the remarkable path from bedside nurse to healthcare executive. Her leadership during COVID-19 showcased her ability to implement innovative protocols while fostering team resilience amid constantly changing guidelines and critical staffing shortages. Rather than crumbling under pressure, she discovered her capacity to balance operational demands with emotional support for her team.Coleman's leadership philosophy—"less noise, more voice"—perfectly captures her approach to creating environments where every team member feels heard while maintaining laser focus on patient outcomes. She doesn't need to be the loudest voice in the room to make an impact. Instead, she creates psychological safety that encourages innovation while driving accountability. This balanced approach has positioned her to perform at the chief nursing officer level, something she realized through brand development work that helped her recognize her executive capabilities.Mentorship forms the cornerstone of Coleman's leadership legacy. From mentoring a struggling nurse who eventually became an advanced nurse practitioner to developing a formal mentorship program at Jackson, she's committed to building the next generation of healthcare leaders. Her advice to aspiring healthcare professionals comes from hard-earned wisdom: approach this field with passion and purpose, not just for financial gain, because you're responsible for human lives.Ready to elevate your leadership journey? Follow Lisa at Lisa_cold1 on social platforms where she welcomes both questions and advice—embodying the continuous learning mindset that has defined her remarkable career.Thanks for tuning in to this episode of Follow The Brand! We hope you enjoyed learning about the latest marketing trends and strategies in Personal Branding, Business and Career Development, Financial Empowerment, Technology Innovation, and Executive Presence. To keep up with the latest insights and updates from us, be sure to follow us at 5starbdm.com. See you next time on Follow The Brand!
This week we speak with Professor Vladimiro Vida of U. Padua about a recent ECHSA large scale study assessing surgical outcomes of newborn cardiac surgery in Europe. What trends have become apparent in the past 10 years and why are outcomes generally better overall in this complex patient group? Why have outcomes for single ventricle surgery not improved as much as other newborn surgeries? Is there a relationship between center volume and outcomes? What interventions might result in improvements in outcomes of Norwood palliation? Dr. Vida provides his insights this week. https://doi.org/10.1016/j.athoracsur.2024.07.023
In this podcast, Anne E. O'Donnell, MD, discusses the latest advances and treatment strategies for patients with non–cystic fibrosis bronchiectasis (NCFBE), including:Airway clearance as a foundation of NCFBE managementStrategies to address inflammation and exacerbationsEmerging therapies in clinical developmentHow to individualize treatment to NCFBE phenotypes and endotypesPresenterAnne E. O'Donnell, MDProfessor of MedicineThe Nehemiah and Naomi Cohen Chair in Pulmonology Disease ResearchChief, Division of Pulmonary, Critical Care and Sleep MedicineGeorgetown University Medical CenterWashington, DCProgram page:https://bit.ly/4mZbYsm
Today we do a round-up of some of the recent semaglutide trials. Does semaglutide ever miss? But what about tirzepatide, which causes even more weight loss?We also review two new critical care trials, FLUID and the UK-ROX, new platelet transfusion guidelines, and a new retrospective study of apixaban vs rivaroxaban vs warfarin. Oral Semaglutide for Diabetes with Cardiovascular Disease or CKD (SOUL)Semaglutide for Peripheral Artery Disease (STRIDE)Semaglutide for MASH (ESSENCE)Semaglutide vs Tirzepatide for Obesity (SURMOUNT-5)Normal Saline vs Lactated Ringers (FLUID)Conservative Oxygen Targets in Mechanically Ventilated Patients (UK-ROX)Platelet Transfusion GuidelinesApixaban vs Rivaroxaban vs Warfarin Music from Uppbeat (free for Creators!): https://uppbeat.io/t/soundroll/dope License code: NP8HLP5WKGKXFW2R
Step into the intense and deeply human world of critical care with Dr. Vajrapu Rajendra, Head of Internal Medicine & Critical Care at Gleneagles Aware Hospitals. Recipient of the prestigious Vaidya Ratna Award (2019) by the Health Minister of Telangana, Dr. Rajendra shares practical insights into the ethical dilemmas families face in ICU settings. Known for his compassionate approach and clear communication, he offers a perspective that bridges medical precision with emotional understanding. For those seeking guidance or support, to connect with Dr. Rajendra, you can reach him anytime through TALHospitals.Tune into TALRadio English on Spotify, Apple Podcast for this insightful episode.Host : SuhasiniExpert : Dr. Vajrapu Rajendra, Head of Internal Medicine & Critical Care at Gleneagles Aware HospitalsYou Can Reach Dr.Vajrapu Rajendra @linkedin.com/in/rajendra-vajrapu-rajendra-07b99368#TALRadioEnglish #TALHospitals #CriticalCare #DrVajrapuRajendra #ICUEthics #FrontlineMedicine #CompassionateCare #HealthcareHeroes #EthicalDilemmas #LifeInICU #MedicalInsight #DoctorsDayHonoree #GleneaglesAwareHospitals #TouchALife #TALRadio
For more information about Hamilton Medical Center's NICU, visit www.vitruvianhealth.com/services/nicu or call 706.272.6000.This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.
BUFFALO, NY – June 9, 2025 – A new #research paper was #published in Volume 16 of Oncotarget on May 20, 2025, titled “Cigarette smoke and decreased DNA repair by Xeroderma Pigmentosum Group C use a double hit mechanism for epithelial cell lung carcinogenesis.” In this study, led by first author Nawar Al Nasralla and corresponding author Catherine R. Sears, from the Division of Pulmonary, Critical Care, Sleep and Occupational Medicine, Indianapolis and the Richard L. Roudebush Veterans Affairs Medical Center, researchers investigated how cigarette smoke and reduced DNA repair capacity contribute together to the development of lung cancer. They found that when a critical DNA repair protein called XPC is decreased and lung cells are exposed to cigarette smoke, the combination causes extensive damage and significantly increases cancer risk. Non-small cell lung cancer (NSCLC) develops through both genetic and environmental factors. This study focused on how cigarette smoke affects the body's natural ability to repair DNA. The researchers studied the role of XPC, a protein essential for recognizing and repairing harmful DNA changes caused by tobacco smoke. They found that low levels of XPC — commonly seen in lung cancer patients — made lung cells less capable of repairing DNA. This made the cells unstable and more likely to become cancerous. These changes were most pronounced in normal lung cells, suggesting that the earliest stages of disease occur before cancer is even detected. The findings support a “double hit” model, where both cigarette smoke and reduced DNA repair work together to drive cancer development. In laboratory experiments, normal lung cells with low XPC levels showed more damage and cell death after cigarette smoke exposure. By contrast, lung cancer cells were more resistant to smoke damage, even when XPC was low, indicating that critical changes had likely occurred earlier in the disease process. “Our study suggests that cigarette smoke exposure leads to decreased XPC mRNA expression, exacerbates total and oxidative DNA damage, hinders NER, and may contribute to lung cancer development.” The study also showed that DNA repair ability declined significantly in healthy cells after smoke exposure, but this effect was not seen in cancer cells. In addition, the researchers confirmed that XPC gene activity was lower in actual lung tumor tissue compared to nearby healthy lung tissue. This pattern was consistent across both adenocarcinoma and squamous cell carcinoma, the two main types of NSCLC. These results add to our understanding of how lung cancer begins at the molecular level. By showing how cigarette smoke and reduced DNA repair combine to create genetic instability, the research points toward new strategies for prevention. A better understanding of XPC's role could help identify high-risk individuals and inform future efforts to stop lung cancer before it begins. DOI - https://doi.org/10.18632/oncotarget.28724 Correspondence to - Catherine R. Sears - crufatto@iu.edu Sign up for free Altmetric alerts about this article - https://oncotarget.altmetric.com/details/email_updates?id=10.18632%2Foncotarget.28724 Subscribe for free publication alerts from Oncotarget - https://www.oncotarget.com/subscribe/ Keywords - cancer, DNA repair, DNA damage, lung adenocarcinoma, squamous cell carcinoma, Xeroderma Pigmentosum Group C (XPC) To learn more about Oncotarget, please visit https://www.oncotarget.com and connect with us: Facebook - https://www.facebook.com/Oncotarget/ X - https://twitter.com/oncotarget Instagram - https://www.instagram.com/oncotargetjrnl/ YouTube - https://www.youtube.com/@OncotargetJournal LinkedIn - https://www.linkedin.com/company/oncotarget Pinterest - https://www.pinterest.com/oncotarget/ Reddit - https://www.reddit.com/user/Oncotarget/ Spotify - https://open.spotify.com/show/0gRwT6BqYWJzxzmjPJwtVh MEDIA@IMPACTJOURNALS.COM
Not A-Fib Podcast : Gwenny Winkler on Critical Care, Coaching and Embracing Growth Veteran flight nurse and educator Gwenny Winkler shares her journey from accelerated nursing programs to helicopter EMS and becoming a sought-after critical care instructor. Gwenny opens up about the steep learning curve when transitioning from emergency department nursing to flight nursing and the rapid evolution of tools like blood transfusions and advanced ventilators in air medical transport. She dives into her passion for education through social media, emphasizing the importance of understanding the “why” behind protocols, not just memorizing facts. Gwenny offers insights on coaching across all experience levels, tackling EMS culture challenges, and balancing professional identity with personal life. She also discusses her unique approach to engaging learners with authentic, down-to-earth content on TikTok and Instagram.
Disclaimer: This episode contains a discussion on domestic violence, which can also be known as intimate partner violence or narcissistic abuse, attempted homicide and gun violence. Listener discretion is advised.In this episode of Nurse Converse, Forensic Nurse Examiner Leah Helmbrecht is joined by Tamara Sawyers, a Clinical Nurse Educator and survivor of domestic violence, and Nadirah Burgess, Trauma Program Manager at Northside Hospital. Tamara bravely shares her personal story of surviving a near-fatal domestic violence incident and how that experience now shapes her work in trauma care. The conversation explores how personal and professional roles intersect in supporting survivors, and Northside Hospital's partnership with the Trauma Survivors Network to provide long-term recovery support. Together, they highlight the power of empathy, survivor-informed care, and community connection in helping trauma patients heal and rebuild their lives.>>This Nurse Survived Domestic Violence—Now She's Changing How Hospitals Help VictimsIf you or someone you know is in a domestic violence relationship, please reach out to the National Domestic Violence Hotline at 1-800-799-7233 or text the word START to 88788. Jump Ahead to Listen:[00:01:08] Domestic violence survivor's advocacy.[00:05:51] Empathy in trauma nursing.[00:10:18] Trauma team structure and roles.[00:14:16] Supporting trauma survivors post-hospital.[00:19:35] Speak up about abuse.[00:22:06] Trauma Survivor Network implementation.[00:25:14] Trauma survivor network support.Connect With Leah on social media:Instagram: offtheclocknurseTikTok: offtheclocknurseFB: Off The Clock Nurse TravelsFor more information, full transcript and videos visit Nurse.org/podcastJoin our newsletter at nurse.org/joinInstagram: @nurse_orgTikTok: @nurse.orgFacebook: @nurse.orgYouTube: Nurse.org
We see fever every day in the ICU but what's the best approach to diagnosis and when do we need to go on a Zebra hunt? In this episode, we're joined by Dr. Luis Tatem, a physician triple-boarded in Internal Medicine, Infectious Diseases, and Critical Care — plus certified in Tropical Medicine from the London School of Hygiene & Tropical Medicine. We explore the diagnostic and therapeutic approach to fever in the ICU, including practical pearls for evaluating fevers in patients returning from global travel. We then walk through high-yield case vignettes that illustrate diseases like malaria, dengue, typhoid, leptospirosis, and more. Hosted on Acast. See acast.com/privacy for more information.
Welcome to the Sustainable Clinical Medicine Podcast! In this inspiring episode, Dr. Sarah Smith sits down with Ellen Tsai, a pediatric critical care physician educator and coach with a rich and varied career spanning over two decades. Ellen shares her journey from the high-intensity world of pediatric critical care to her work in bioethics, legal medicine, and now physician coaching. They dive deep into strategies for sustaining well-being in demanding medical fields, building strong team dynamics, and the importance of honest, compassionate communication with families facing tough decisions. Ellen also opens up about her own experience with burnout, the role coaching played in her recovery, and how she continues to support fellow physicians navigating similar challenges today. Whether you're interested in practical tips for creating a more sustainable clinical day, curious about the intersection of medicine and ethics, or seeking inspiration for your own path in healthcare, this episode is full of insights you won't want to miss. Here are 3 key takeaways from this episode: Investing in Team Communication & Safe Learning: Effective care in high-stress environments depends on open collaboration and psychological safety. Creating a space where team members—especially trainees—can ask questions and admit when they don't know something is essential for both patient outcomes and professional growth. Embracing the “Gray Zone” of Bioethics: Ellen Tsai's experience teaching bioethics reminds us that medicine is full of ambiguous, emotionally charged situations. Cultivating curiosity, empathy, and respect for differing values helps clinicians support families while navigating complex decisions—sometimes, just “having the conversation” is more important than reaching a quick decision. Proactive Self-care & Seeking Support: Burnout often surfaces quietly and insidiously. Ellen Tsai's candid discussion of her own journey highlights the need for early recognition, reaching out for help, and the value of coaching. She also emphasized that medical-legal events can be devastating, but do not define your competence or worth as a physician. Ellen Tsai Bio: I am a Certified Executive Coach and a Master Certified Physician Development Coach. I am a solo entrepreneur coach with a focus on coaching early-career professionals and physicians at all career stages. My goal is to help people achieve their fullest potential, both personally and professionally. -------------- Would you like to view a transcript of this episode? Click here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.
Roger Seheult, MD of MedCram explains the new NB.1.8.1 SARS CoV-2 variant that is spreading to the United States, the role of interferon, and how this might relate to the HHS announcement that it is cutting off funding for a Moderna H5N1 Vaccine. See all Dr. Seheult's videos at: https://www.medcram.com/ (This video was recorded on June 1st, 2025) Roger Seheult, MD is the co-founder and lead professor at https://www.medcram.com He is Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine and an Associate Professor at the University of California, Riverside School of Medicine. MEDCRAM WORKS WITH MEDICAL PROGRAMS AND HOSPITALS: MedCram offers group discounts for students and medical programs, hospitals, and other institutions. Contact us at customers@medcram.com if you are interested. MEDIA CONTACT: Media Contact: customers@medcram.com Media contact info: https://www.medcram.com/pages/media-c... Video Produced by Kyle Allred FOLLOW US ON SOCIAL MEDIA: https://www.facebook.com/MedCram https://twitter.com/MedCramVideos https://www.instagram.com/medcram DISCLAIMER: MedCram medical videos are for medical education and exam preparation, and NOT intended to replace recommendations from your doctor. #nb #h5n1 #covid
This World Shared Practice Forum Podcast episode features a discussion on the article "Building Global Collaborative Research Networks in Pediatric Critical Care: A Roadmap," published in Lancet Child and Adolescent Health in February 2025. The conversation, led by Dr. Jeff Burns with guests Professor Luregn Schlapbach and Professor Padmanabhan Ramnarayan, explores the challenges and strategies for creating effective global research networks in pediatric critical care. The speakers highlight the importance of collaboration, the need for a robust evidence base, and the potential of large data models to drive the future of precision medicine and improve patient outcomes. LEARNING OBJECTIVES - Understand the current landscape and challenges of pediatric critical care research - Identify the key components and benefits of global collaborative research networks - Learn about the action plans and goals for advancing global pediatric critical care research AUTHORS Luregn Schlapbach, MD, PhD, Prof, FCICM Head, Department of Intensive Care and Neonatology University Children's Hospital in Zurich, Switzerland Padmanabhan "Ram" Ramnarayan, MBBS, MD, FRCPCH, FFICM Professor of Paediatric Critical Care Imperial College London Jeffrey Burns, MD, MPH Emeritus Chief Division of Critical Care Medicine Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anesthesia Harvard Medical School DATE Initial publication date: May 26, 2025. ARTICLE REFERENCED Schlapbach LJ, Ramnarayan P, Gibbons KS, et al. Building global collaborative research networks in paediatric critical care: a roadmap. Lancet Child Adolesc Health. 2025;9(2):138-150. doi:10.1016/S2352-4642(24)00303-1 TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/at/7hptjhbmtkv8sqx7m86934/202505_WSP_Schlapbach_and_Ramnarayan_Transcript-3864x5000-258ba60.pdf Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Schlapbach LJ, Ramnarayan P, Burns JP. Building Global Pediatric Research Networks. 05/2025. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/building-global-pediatric-research-networks-by-l-schlapbach-p-ramnarayan-openpediatrics.
Aarti Sarwal, MD, FAAN, FNCS, FCCM, professor of neurology at Virginia Commonwealth University Health System, explores the nuanced intersection of neurology and critical care, offering practical insights for clinicians across disciplines. Dr. Sarwal shares her perspective on the unique challenges of managing neurocritically ill patients, particularly when impairment presents challenges in administering a neurologic examination. She emphasizes that “the brain is the barometer of critical illness,” urging clinicians to prioritize daily neurologic evaluations and integrate neuromonitoring even in non-neurologic ICU populations. Listeners will gain an overview of tools such as continuous EEG, transcranial Doppler, emboli monitoring, and multimodal neuromonitoring platforms, including the role of neuro-ultrasound in expanding point-of-care capabilities. This episode also highlights the need for multidisciplinary collaboration and a shared decision-making model that extends across the continuum of care—from early ICU admission to post-discharge recovery. Listeners will appreciate Dr. Sarwal's reflections on neuroprognostication and the ethical dimensions of care withdrawal, particularly the danger of therapeutic nihilism in patients whose outcomes are uncertain. Referencing a 2023 review she coauthored (Crit Care Med. 2023;51:525-542), Dr. Sarwal outlines a practical framework for neuromonitoring that integrates structural, electrical, vascular, and metabolic insights. This conversation provides a timely and inclusive look at the future of neurocritical care—where technology, teamwork, and training converge to support better patient outcomes.
Join the University of Washington Surgical Palliative Care Team for their final episode of this series — a dual journal review and clinical challenges discussion on assessing medical decision-making capacity. Using Dr. Paul Applebaum's foundational framework, the team outlines the four key criteria for evaluating capacity and brings the topic to life through two contrasting standardized patient scenarios. This episode highlights why capacity assessment is not only relevant but essential for surgeons navigating complex, high-stakes decisions. Hosts: Dr. Katie O'Connell (@katmo15) is an associate professor of surgery at the University of Washington. She is a trauma surgeon, palliative care physician, director of surgical palliative care, and founder of the Advance Care Planning for Surgery clinic at Harborview Medical Center, Seattle, WA. Dr. Ali Haruta is an assistant professor of surgery at the University of Washington. She is a trauma and emergency general surgeon and palliative care physician. Ali recently completed fellowships in palliative care at the University of Washington and Trauma and Critical Care at Parkland. Dr. Lindsay Dickerson (@lindsdickerson1) is a PGY6 general surgery resident at the University of Washington with an interest in surgical oncology. Dr. Virginia Wang is a PGY3 general surgery resident at the University of Washington. Learning Objectives: 1. Decipher the distinction between the terms “capacity” and “competence”. 2. Describe the four criteria for assessing medical decision-making capacity presented in Dr. Paul Applebaum's article “Assessment of Patients' Competence to Consent to Treatment.” 3. Apply the capacity assessment framework to real-world clinical scenarios in surgical practice. References: 1. Applebaum, PS. Assessment of Patients' Competence to Consent to Treatment. New England Journal of Medicine 2007; 357(18):1834-1840. https://pubmed.ncbi.nlm.nih.gov/17978292/ 2. Special thank you to Mr. Mark Fox for his acting contribution to this episode. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
We are podcasting today directly from ATS 2025 in San Francisco! Every year, in collaboration with the ATS Critical Care Assembly, we highlight some of the scientific symposium programming from the conference. Today, Furf and Monty sit down with the … Continue reading →
Cutting-edge medical advances are unlocking new ways to slow aging and enhance health. Plasmapheresis removes harmful inflammatory molecules, toxins, and cellular waste from plasma, helping to reduce biological aging and improve resilience. Muse cells, a powerful form of stem cell therapy, show promise in regenerating tissue and treating complex conditions like ALS and stroke. And peptides—small, naturally occurring signaling molecules—support healing, immune balance, and cellular repair, offering practical tools for longevity and optimized health. In this episode, I talk with Dr. Darshan Shah, Dr. Adeel Khan, and Dr. Edwin Lee about medical advancements that are the ultimate longevity biohacks. Dr. Darshan Shah is a board-certified surgeon, longevity medicine expert, author, and founder of Next Health—the world's largest Health Optimization and Longevity clinic. He has performed over 20,000 surgical procedures and advised thousands on extending healthspan and lifespan. A prodigy in medicine, Dr. Shah earned his MD at 21 and trained at the Mayo Clinic. He has since launched multiple health ventures, authored a book, and patented medical devices. Committed to ongoing learning, he holds alumni status at Harvard Business School and Singularity University. Dr. Shah is a sought-after speaker on health and longevity. Dr. Adeel Khan, M.D. is a cell and gene therapy specialist with a visionary approach that is changing the way we perceive healthcare worldwide. Khan has cemented his reputation as a regenerative medicine expert and a driven entrepreneur. Dr. Edwin Lee is a board-certified endocrinologist, author, and international speaker specializing in hormonal balance, regenerative, and functional medicine. He founded the Institute for Hormonal Balance in Orlando in 2008 and completed fellowships in Critical Care and Endocrinology at the University of Pittsburgh. Dr. Lee is the lead investigator of an IRB-approved senolytic study exploring compounds like Dasatinib, Quercetin, and Fisetin, and recently published the first human trial using BPC157 for knee pain. He is an assistant professor at the University of Central Florida College of Medicine, co-founder of the Clinical Peptide Society, and founder of SavePeptides.org. His latest book is The Fountain of Youth with Peptides. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN10 to save 10%. Full-length episodes can be found here: This Breakthrough Blood Therapy Could Add Years To Your LifeStem Cells & Peptides: The Secret to Reversing Chronic Pain and Aging?How Peptides Enhance Healing and Longevity
Welcome to 5 Minutes of Peace with Laurinda Stanton, author of Rising, a New Era, registered nurse, and owner of Truth in Revelations Wellness.Laurinda's Website In today's meditation, Laurinda shares a divine message of hope, love, and awakening—a reminder that we are all part of a greater creation, infinitely connected and filled with light. As the world evolves, we are called to release fear, embrace inner peace, and recognize the divine perfection within ourselves.Listen as she guides us to let go of illusions, trust in the unfolding of life, and shine our unique light into the universe.✨ Key Takeaways:The Earth is our cradle, preparing us for growth and transformation.Suffering is an illusion—peace and joy exist within.We are divine beings, one with creation, and filled with limitless light.Love is the essence of all things—choose to shine brightly.Find more from Laurinda Stanton at: truthandrevelations.comLaurinda Stanton is a Registered Nurse, an author, faith-centered counselor and wellness coach that uses many tools to facilitate self-healing and optimize quality of life. Laurinda loves to share knowledge and integrates a body, mind and spirit approach that includes hypnotherapy, reiki, sound healing techniques, and several other holistic and natural modalities to help others to heal themselves from within. After 16 years working in Critical Care, she now blends her knowledge of the medical sciences with the intuitive quantum energies of healing to guide others to a more healthful, happy and joyful existence. Thank you for sharing these moments of peace with us today.