Podcasts about Critical care

Emergency Department and Critical Care Services are often incorrectly coded because the documentation lacks clarity. Terry discusses the elements necessary to have compliant ER documentation and also what CC services need to make sure they are supported for billing. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post ER and Critical Care Services Coding appeared first on Terry Fletcher Consulting, Inc..

Roger Seheult, MD of MedCram deep dives into infrared light interacting with mitochondria. (This video was recorded on September 26th, 2026) Roger Seheult, MD is the co-founder and lead professor at: 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-contact Video Produced by Kyle Allred Edited by Daphne Sprinkle of Sprinkle Media Consulting, LLC FOLLOW US ON SOCIAL MEDIA: Facebook:  www.facebook.com/MedCram Twitter/X: www.twitter.com/MedCramVideos Instagram: www.instagram.com/medcram DISCLAIMER: MedCram medical videos are for medical education and exam preparation, and NOT intended to replace recommendations from your doctor.

This is a Visual Rounds episode — a more foundational crossover from the YouTube side of Trauma ICU Rounds.Shock is not simply hypotension.In this episode, we work through a physiology-first approach to shock: oxygen delivery, cardiac output, arterial oxygen content, MAP versus perfusion, compensated shock, mixed shock, and the four major shock states — hypovolemic, cardiogenic, obstructive, and distributive.The goal is to move beyond simply naming a shock category and instead understand what part of the circulation is failing, what physiology is dominant, and how that should shape the first moves in resuscitation.Topics include:Recognizing shock before profound hypotension developsOxygen delivery: DO₂ = cardiac output × arterial oxygen contentCardiac output, preload, contractility, and afterloadThe importance of hemoglobin and oxygen-carrying capacityMAP versus tissue perfusionCompensated and mixed shockHypovolemic, cardiogenic, obstructive, and distributive shockInitial resuscitation and mechanism-specific treatmentThis episode is intentionally foundational and provides the framework for deeper Trauma ICU Rounds episodes on individual shock states and resuscitation.If you find this kind of physiology-first critical care teaching useful, subscribe to Trauma ICU Rounds on YouTube for the full Visual Rounds series.More resources: traumaicurounds.caExplore Trauma ICU Rounds:https://www.traumaicurounds.caFollow:Instagram: https://www.instagram.com/traumaicuroundsTikTok: https://www.tiktok.com/@traumaicuroundsYouTube: https://www.youtube.com/@traumaicuroundsTrauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols.

Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net.Today on the emDOCs cast, Cameron Upchurch covers distal radial arterial lines. To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play Send us Fan Mail

Norepinephrine first, titrate up, add vasopressin when the dose gets high, reach for a third agent when things get desperate. That stepwise approach is how most of us treat septic shock. What if all three went in together, early? In this episode of the eCritCare Podcast, Dr Swapnil Pawar is joined by Professor Giovanni Landoni (San Raffaele Hospital, Milan) and Dr Žiga Kalamar (Medical ICU, University Medical Centre Maribor, Slovenia) to discuss the TRICYCLE trial, published in Critical Care in 2026. TRICYCLE randomised 79 patients with septic shock to early simultaneous norepinephrine, vasopressin and angiotensin II at balanced starting doses, or to conventional stepwise vasopressor escalation. In this conversation: Why septic shock involves several broken vasoconstrictor pathways at once, and why one drug titrated to high doses may not be the answer Why a phase II mechanistic trial chose renin, not blood pressure or mortality, as its primary outcome The results: faster falls in renin and lactate, a 3-point SOFA improvement at 72 hours, and numerically lower mortality The striking drop in tachyarrhythmias, and the beta-adrenergic explanation behind it What went hard: strict inclusion criteria and running three infusion pumps to protocol A post hoc hint that high-renin patients may benefit most, and why phenotyping is still a long way off Angiotensin II cost and access, and what that means for resource-limited settings Next steps: a bigger trial powered on AKI or arrhythmias, and the idea of a meta-trial run across many small sites Read this episode on Substack: https://critcareedu.substack.com/p/tricycle-trial-multimodal-vasopressors-septic-shock Paper: Kalamar Ž, Landoni G, Gorenjak M, et al. Early multimodal vasopressor strategy in septic shock: results of the TRICYCLE randomized controlled trial. Crit Care. 2026. doi:10.1186/s13054-026-06323-z

Thank you for tuning in to Bone Chilling Tales to Keep You Awake Podcast. Feel free to check out our sister podcasts, A Truly Haunted Podcast and True Whispers a True Crime Podcast. See you on the next dreadful episode. #scarystories #realstories #horrorpodcasts are #horrorpodcasts #horrorpodcast #horror #horrormovies #podcast #horrorfilms #horrorfilm #podcasts #horrormovie #film #films #movies #movie #horrorcommunity #horrorfamily #damnedmovies #moviesofthedamned #horrorobsessed #horrorfans #halloween #horrornerd #horrorfanatic #horrorpod #horrorfan #slasher #paranormal #horrorjunkie #horrorpodcaster #horrorgram #horrorcomedy #scarystories #scary #creepy #horrorstories #horror #scaryfacts #creepypasta #creepyfacts #creepystories #creepyfact #scaryfact #horrormovies #halloween #conspiracytheory #conspiracy #horrorstory #scarymovie #scaryposts #conspiracytheories #scarythreads #spooky #scaryvideo #horrorfacts #paranormal #horrorfan #horrors #scarymemes #haunted #horrorfact #ghost   Warning: This podcast may be: frightening · scaring · hair-raising · terrifying · petrifying · spine-chilling · bloodcurdling · chilling · horrifying · alarming · appalling · daunting · formidable · fearsome · nerve-racking · unnerving · eerie · sinisterBecome a supporter of this podcast: https://www.spreaker.com/podcast/bone-chilling-tales-to-keep-you-awake--4731503/support.

Interstitial Lung Disease (ILD) is difficult to diagnose and treat. At first, the disease could look like a variety of other disorders, such as fibrosis or autoimmunity. Once a diagnosis is made, a decision on how aggressively to treat it can mean the difference between irreversible lung damage or overly impacting your patient's quality of life. We caught up with Dr. Robert Hallowell, a Pulmonary and Critical Care physician at the Massachusetts General Hospital and Director of the Interstitial Lung Disease Program at the Pulmonary Ambulatory Clinic. Dr. Hallowell tells us how he evaluates ILD 

Watch the show on television by downloading the SuperCrowd.tv Channel app to your Roku or Amazon Fire TV or e360tv channel app to your Roku, LG or Amazon Fire TV. You can also see it on YouTube.Devin: What is your superpower?Jessica: I think just not being afraid to try something.Healthcare frequently operates in crisis mode. Jessica Queen, Founder and CEO of Triage360, sees chaos as an opportunity to transform patient care. During this episode, Jessica shared how her invention provides a much-needed fix for an overwhelmed system.Triage360 is an autonomous triage system designed to monitor vital signs, prioritize critical patients, and simplify decision-making under pressure. “The faster we get care, the more lives we save,” Jessica explained. The device, sleek and adhesive, affixes to a patient's chest, instantly measures key vitals, and assigns triage priorities. Real-time data allows a central base station to rank and rerank patients continuously, ensuring the sickest are treated first.The goal isn't to replace providers but to give them the tools to manage overflow effectively. “In the middle of chaos, we can have super cognitive overload,” Jessica said. “This is just there to help.”The inspiration for Triage360 came from Jessica's personal experiences as an ER nurse navigating tragic moments born from what she called “failure to rescue.” It wasn't always a lack of skill or effort—often, it was limited information or inadequate resources leading to devastating outcomes. “I've walked in and found patients who didn't make it, simply because we didn't know they were going downhill,” she said.Jessica's journey from nurse to tech entrepreneur exemplifies grit and vision. After losing colleagues to the moral injury of preventable tragedies, she said, “I refused to let this be the status quo.” She built her company step by step, leveraging community support, securing grants, and assembling a team to bring Triage360 to life.With growing interest from industries beyond hospitals, including the military and disaster response organizations, Triage360 promises to improve outcomes on battlefields, in disaster zones, and potentially even in space.Triage360 highlights how innovation, rooted in compassion, can drive meaningful change. Jessica exemplifies what it means to dream big—and execute boldly.tl;dr:Jessica Queen introduced Triage360, a device that prioritizes patients during emergencies to save more lives.The system autonomously monitors vitals, ranks patients, and supports overwhelmed healthcare providers in decision-making.Jessica's drive stemmed from personal experiences as an ER nurse witnessing preventable tragedies.Triage360 has drawn global attention, from disaster response organizations to battlefield applications in Ukraine.Perseverance, fearlessness, and bold outreach have propelled Jessica into solving big problems with innovative solutions.How to Develop Fearless Action As a SuperpowerJessica's superpower is fearlessly taking action. As she explained during this episode, “I think just not being afraid to try something” is her defining strength. She lives by Eleanor Roosevelt's advice to “do something every day that scares you.” Whether reaching out to global leaders or presenting to high-stakes audiences, Jessica's ability to move past fear allows her to build bold solutions that save lives.Jessica's willingness to act reached global proportions when she messaged Roman Kuzov, medical commander of Ukraine's Donbas region, on LinkedIn. Despite the urgent challenges he faced, Roman responded immediately, recognizing the life-saving potential of Triage360. Their subsequent conversations—and eventual in-person meetings—have positioned Jessica's technology to make an impact in one of the world's most chaotic environments.Tips for Developing Fearless Action as a Superpower:Take one small step daily that pushes you out of your comfort zone.Remember that the people you admire are human too; treat them as approachable.Don't fear rejection; take no as redirection, not defeat.Surround yourself with a supportive team to help you persevere through setbacks.Believe that your efforts can change lives, motivating you to keep moving forward.By following Jessica's example and advice, you can make fearless action a skill. With practice and effort, you could make it a superpower that enables you to do more good in the world.Remember, however, that research into success suggests that building on your own superpowers is more important than creating new ones or overcoming weaknesses. You do you!Guest ProfileJessica Queen (she/her):Founder, Triage360Website: triage360.comX/Twitter Handle: @triage_360Company Facebook Page: facebook.com/profile.php?id=61584567013037Instagram Handle: @triage360Other URL: aequitasinvest.comAbout Triage360: Omedus is the creator of the Triage360 system, the world's first autonomous triage system built for chaos. From ER to in the field, to a busy post-operative floor, Triage360 looks at all patients in the area and reports who is the most critical with real time updates. Triage360 allows responders to be everywhere at once, ensuring the most critical patients come first. Biographical Information: Jessica Queen is nurse practitioner who has spent 20 years at bedside managing chaos from the med surg units to cardiology to ER. Her time at bedside revealed the real issue with caring for patients always came down to too many of them and not enough providers to be everywhere at once. Refusing to accept this as the way it is, Jessica set out to create a system that allows her and other providers to always see all the patients at the same time and know every change as its happening in real time so no patients are lost to failure to rescue. She is a fierce patient advocate and enjoys the challenge of bring bedside knowledge into real products to change how healthcare works.Personal Facebook Profile: facebook.com/jessica.queen.362060LinkedIn: linkedin.com/in/jessqueenSuperCrowd Career Path Job PostingsSustainable Investing Co-op — Wellington Management · Greater Boston · Remote OK · 19.00–35.00/hrHousing Affordability Breakthrough Challenge - Program Manager, National Programs — Enterprise Community Partners · Portland, OR · 83,000–95,000/yrHead of Impact, Americas — Intrepid Travel · Golden, CO · Remote OK · 80,000–90,000/yrManager, Project on Impact Investing — Harvard Business School · Boston, MA · Remote OK · 69,500–113,700/yrSupport Our SponsorsOur generous sponsors make our work possible, serving impact investors, social entrepreneurs, community builders and diverse founders. Today's advertisers include SuperGreen Live and supercrowd.tv. Learn more about advertising with us here.Max-Impact Members(We're grateful for every one of these community champions who make this work possible.)Alisa Evans, Mission Enrollment | Brian Christie, Brainsy | Cameron Neil, Lend For Good | Carol Fineagan, Independent Consultant | Eric Coury, Arthia AI | Joey Hayes, thru | John Berlet, CORE Tax Deeds, LLC. | Justin Starbird, The Aebli Group | Ken Steele, Rotarian | Lory Moore, Lory Moore Law | Marcia Brinton, High Desert Gear | Mark Grimes, Networked Enterprise Development | Mike Babbit | Coledger Solutions | Mike Green, Envirosult | Nick Degnan, Unlimit Ventures | Paul Lovejoy, Stakeholder Enterprise | Pearl Wright, Global Changemaker | Scott Thorpe, Philanthropist | Sharon Samjitsingh, Health Care Originals | Add Your Name HereUpcoming SuperCrowd Event CalendarIf a location is not noted, the events below are virtual.Join the SuperCrowd Impact League! You can be recognized for making impact investments via Reg CF. See how your activity compares to your peers. It's free. Win valuable prizes. Start now!SuperCrowd Impact Member Networking Session: Impact (and, of course, Max-Impact) Members of the SuperCrowd are invited to a private networking session on October 13th at 8:00 PM ET/5:00 PM PT. Mark your calendar. We'll send private emails to Impact Members with registration details. Upgrade to Impact Membership today!SuperGreen Live is where climate solutions meet the capital and community needed to scale them. This global virtual gathering brings together entrepreneurs, investors, sustainability leaders and changemakers to explore practical solutions for building a greener future. Expect inspiring conversations, innovative companies, investment opportunities and actionable ideas—all designed to help turn climate ambition into meaningful progress. Join the growing community working to accelerate solutions for people and the planet on February 4, 2027. Learn more at SuperGreenLive.org.Visit Our Complete Community Event CalendarIf you would like to submit an event for us to share with the 10,000+ changemakers, investors and entrepreneurs who are members of the SuperCrowd, click here.Manage the volume of emails you receive from us by clicking here.We share educational information—not investment advice. Some links may generate compensation. See our full disclosure.We use AI to help us write compelling recaps of each episode. Get full access to Superpowers for Good at www.superpowers4good.com/subscribe

In this World Shared Practice Forum Podcast, co-authors Dr. Barry Markovitz and Ms. Ann Schrooten discuss their book, Shared Struggles: Stories from Parents and Pediatricians Caring for Children with Serious Illness. They share personal experiences and narratives from families and clinicians to explore the unique partnership between families and healthcare providers caring for children with serious illness and medical complexity. Lastly, they highlight the importance of communication, empathy, trust, and humility in building meaningful relationships that support children and their families throughout their care journey. LEARNING OBJECTIVES - Describe the role of parent-physician partnerships in caring for children with serious illness and medical complexity - Recognize strategies for effective communication with children who are nonverbal and the importance of incorporating parents' expertise in clinical decision-making - Discuss how empathy, compassion, and active listening contribute to trust and help build therapeutic relationships between healthcare providers and families - Examine the value of shared decision-making in delivering family-centered pediatric and palliative care AUTHORS Barry Markovitz, MD, MPH Professor of Pediatrics University of Utah Spencer Fox Eccles School of Medicine Intermountain Primary Children's Hospital Ann F. Schrooten, JD Attorney Fitzgibbons Law Offices, P.L.C 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: September 22, 2026. REFERENCES - Schrooten A, Markovitz BP. Just Because I Can't Talk Doesn't Mean I Have Nothing to Say. Pediatr Crit Care Med. 2025;26(6):e860-e861. - Schrooten AF, Markovitz BP, eds. Shared Struggles: Stories from Parents and Pediatricians Caring for Children with Serious Illnesses. Copernicus Books; 2021. TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/8w9gnk94ctgww7bq3b3qszs7/20260917_WSP_Markovitz_and_Schrooten_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 CITATION Markovitz BP, Schrooten A, O'Hara J, Burns JP. Pediatric Medical Complexity: Shared Insights. 09/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/pediatric-medical-complexity-shared-insights-by-b-markovitz-and-a-schrooten-openpediatrics

 The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. This is the second of a two-part podcast series dedicated to special pathogens.  In this part,  we will discuss a case with our subject matter experts. To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play Send us Fan Mail

Roger Seheult, MD of MedCram partners with Neuronic to explore their newest helmet offering. See all Dr. Seheult's videos at: https://www.medcram.com/ (This video was recorded on September 12th, 2026) Roger Seheult, MD is the co-founder and lead professor at: 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-contact Video Produced by Kyle Allred Edited by Daphne Sprinkle of Sprinkle Media Consulting, LLC FOLLOW US ON SOCIAL MEDIA: Facebook:  www.facebook.com/MedCram Twitter/X: www.twitter.com/MedCramVideos Instagram: www.instagram.com/medcram DISCLAIMER: MedCram medical videos are for medical education and exam preparation, and NOT intended to replace recommendations from your doctor.

What if the biggest improvements to your health aren't hiding inside another supplement, expensive biohack, or complicated protocol, but in the signals you're sending your body every single day? In this special episode of the SuperLife Podcast, Darin walks through his personal daily routine from the moment he wakes up, explaining not only what he does, but why he does it. From getting outside before touching his phone to morning light, hydration, meditation, breathwork, journaling, cacao, movement, food, and eventually shutting off the breaker to his bedroom at night, Darin breaks down the practices he has built into the rhythm of his life. But this isn't a prescription to copy Darin's routine. It's an invitation to understand the biological signals behind it and build your own. Darin's central idea is simple: food is information, light is information, breath is information. Every input you give your body becomes a set of instructions your cells have to respond to. Drawing from research on circadian biology, hydration, meditation, nervous system regulation, expressive writing, cacao flavanols, resistance training, cardiovascular health, and longevity, Darin explains how simple behaviors compound over decades. The healthiest and longest-lived people he has encountered around the world didn't necessarily follow elaborate protocols. Their health was embedded into a rhythm of light, movement, real food, darkness, and sleep. This is a practical look inside the habits Darin actually uses, and a reminder that your health isn't created by one massive intervention. It's built through the seemingly insignificant decisions you repeat every day. What You'll Learn What Darin does from the moment he wakes up each morning Why he goes outside before looking at his phone How morning light helps synchronize your circadian rhythm and nighttime sleep Why hydration comes before coffee or other stimulants How meditation and conscious breathing can change your relationship with stress Why Darin considers breath one of the fastest ways to influence your nervous system How journaling can help process emotions, gratitude, grief, and mental stress Why cacao has become part of Darin's morning ritual How resistance training and aerobic movement support long-term health Why Darin believes health is ultimately about creating a biological rhythm rather than blindly following someone else's protocol Chapters 00:00:03 – Welcome to SuperLife 00:00:34 – Sponsor: Bite 00:02:49 – What Darin does before touching his phone every morning 00:03:11 – Why your biology is waiting for the signal of morning light 00:03:44 – The purpose behind Darin's daily routine 00:04:12 – Why you shouldn't simply copy someone else's protocol 00:04:37 – Food, light, and breath are information 00:05:06 – How the modern day disrupts your natural biology 00:05:51 – The danger of stacking small "fatal conveniences" for decades 00:06:20 – Why Darin built his life around biological rhythm 00:06:47 – Darin's morning hydration routine 00:07:11 – Why Darin wakes up between 4 and 5 A.M. 00:07:38 – Morning sunlight, no sunglasses, and no screens 00:07:48 – Your body's master circadian clock 00:08:40 – What research says about morning sunlight and sleep 00:09:21 – The cheapest thing you can do tonight for better sleep 00:09:44 – Why Darin drinks water before anything else 00:10:22 – Darin's daily meditation practice 00:10:54 – What research shows about mindfulness, anxiety, depression, and pain 00:11:33 – Sponsor: Fatty15 00:15:14 – Training yourself not to be hijacked by the modern world 00:15:43 – Your breath is the steering wheel of your nervous system 00:16:33 – The five-minute breathing practice that changed mood and respiratory rate 00:17:13 – How conscious breathing can shift your nervous system 00:17:42 – Darin's journaling and gratitude practice 00:18:15 – Journaling through grief after losing his mother 00:18:44 – What expressive writing research reveals about mental health 00:19:17 – Why an unprocessed thought can become physiological stress 00:19:30 – The sequence Darin follows before consuming anything stimulating 00:19:39 – Why cacao is part of Darin's morning ritual 00:20:06 – Darin reveals the cacao project he's developing 00:20:32 – The massive COSMOS cacao study 00:21:36 – Cacao and potential cognitive benefits 00:22:13 – Flavanols, nitric oxide, theobromine, magnesium, and polyphenols 00:22:50 – What to avoid when choosing cacao 00:23:19 – Darin's approach to resistance training 00:23:43 – Why movement doesn't need to be complicated 00:24:19 – Resistance training and longevity 00:24:54 – The powerful combination of strength training and aerobic activity 00:25:17 – Why walking may be one of the simplest longevity tools 00:25:46 – Muscle, blood sugar, myokines, and grip strength 00:26:15 – How injury changed Darin's relationship with training 00:26:51 – Training to experience more of life 00:27:14 – The principle the entire episode builds toward: food is information 00:27:26 – What you've learned from Darin's morning routine 00:27:49 – What Darin eats every day and his nighttime routine 00:28:18 – Continue Darin's complete daily protocol on Patreon Thank You to Our Sponsors: Bite Toothpaste: Go to trybite.com/DARIN20 or use code DARIN20 for 20% off your first order. Fatty15: Get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com/DARIN and using code DARIN at checkout. Join the SuperLife Patreon: This is where Darin now shares the deeper work: - weekly voice notes - ingredient trackers - wellness challenges - extended conversations - community accountability - sovereignty practices Join now for only $7.49/month at https://patreon.com/darinolien Connect with Darin Olien: Website: darinolien.com Instagram: @darinolien Book: Fatal Conveniences Platform & Products: superlife.com New Show: Roadmap to Happiness Key Takeaway "Your health isn't built from one perfect supplement, workout, meal, or morning routine. It's built from the information you repeatedly give your body. Light is information. Breath is information. Food is information. Movement is information. Darkness is information. Every day, your cells are listening to the signals you send them, whether you're consciously choosing those signals or allowing the modern world to choose them for you. You don't need to copy my routine. Understand why these practices matter, listen to your own body, and build a rhythm that works for your life. Because the seemingly insignificant things you do every morning, every afternoon, and every night eventually become your biology." Bibliography/Sources Morning Light Anderson, et al. (2025). Does sunlight exposure predict next-night sleep? A daily diary study among U.S. adults. Journal of Health Psychology . https://pubmed.ncbi.nlm.nih.gov/39077837/ Silva, et al. (2025). The role of sunlight in sleep regulation: Analysis of morning, evening and late exposure. BMC Public Health . https://link.springer.com/article/10.1186/s12889-025-24618-8 Meditation, Breath, Journaling Balban, et al. (2023). Brief structured respiration practices enhance mood and reduce physiological arousal. Cell Reports Medicine, 4(1), 100895 . https://www.cell.com/cell-reports-medicine/fulltext/S2666-3791(22)00474-8 Goyal, et al. (2014). Meditation programs for psychological stress and well-being: A systematic review and meta-analysis. JAMA Internal Medicine, 174(3), 357–368 . https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1809754 Pennebaker, J. W., & Beall, S. K. (1986). Confronting a traumatic event. Journal of Abnormal Psychology, 95(3), 274–281 . Smyth, et al. (2018). Online positive affect journaling… a preliminary randomized controlled trial. JMIR Mental Health, 5(4), e11290 . Cacao Sesso, et al. (2022). Effect of cocoa flavanol supplementation for the prevention of cardiovascular disease events: COSMOS. The American Journal of Clinical Nutrition, 115(6), 1490–1500 . https://ajcn.nutrition.org/article/S0002-9165(22)00275-1/fulltext Vyas, et al. (2023). Cocoa extract and cognitive function: COSMOS clinic subcohort. The American Journal of Clinical Nutrition, 117(1), 40–52 . https://ajcn.nutrition.org/article/S0002-9165(23)66275-6/fulltext Resistance Training Saeidifard, et al. (2019). The association of resistance training with mortality. European Journal of Preventive Cardiology, 26(15), 1647–1665 . https://pubmed.ncbi.nlm.nih.gov/31104484/ Shailendra, et al. (2022). Resistance training and mortality risk: A systematic review and meta-analysis. American Journal of Preventive Medicine, 63(2), 277–285 . https://pubmed.ncbi.nlm.nih.gov/35599175/ Fruit, Nuts, Plant Diversity Aune, et al. (2016). Nut consumption and risk of CVD, cancer, all-cause mortality. BMC Medicine, 14, 207 . Aune, et al. (2017). Fruit and vegetable intake and the risk of CVD, cancer and all-cause mortality. International Journal of Epidemiology, 46(3), 1029–1056 . McDonald, et al. (2018). American Gut. mSystems, 3(3), e00031-18 . Tempeh Effects of fermented soy on cognition in older adults: RCT. (2025). . https://pmc.ncbi.nlm.nih.gov/articles/PMC12472887/ Stephanie, et al. (2018). Tempeh consumption enhanced beneficial bacteria in the human gut . https://www.researchgate.net/publication/328100975 Baru Nut Baru almond oil supplementation in hemodialysis patients: RCT. (2021). Clinical Nutrition . https://www.sciencedirect.com/science/article/abs/pii/S0965229920303575 de Souza, et al. (2019). Baru almonds increase the activity of glutathione peroxidase in overweight and obese women: RCT. Nutrients, 11(8), 1750 . https://www.mdpi.com/2072-6643/11/8/1750 Phenolic and flavonoid content, antioxidant capacity of baru almond. (2021). . https://pmc.ncbi.nlm.nih.gov/articles/PMC8181485/ Pumpkin Seeds Dotto, J., & Chacha, J. (2020). Pumpkin seeds as a functional food ingredient. Scientific African, 10, e00575 . U.S. Department of Agriculture. (n.d.). FoodData Central: Pumpkin seed kernels, dried . Avocado HAT: Life's Essential 8 ancillary. (2025). Journal of the American Heart Association . https://www.ahajournals.org/doi/10.1161/JAHA.124.039130 Lichtenstein, et al. (2022). HAT: 1 avocado/day vs habitual diet on visceral adiposity. Journal of the American Heart Association . https://pubmed.ncbi.nlm.nih.gov/35861827/ Unlu, et al. (2005). Carotenoid absorption enhanced by avocado. The Journal of Nutrition, 135(3), 431–436 . Evening Light, Sleep Environment Gooley, et al. (2011). Room light before bedtime suppresses melatonin onset. The Journal of Clinical Endocrinology & Metabolism, 96(3), E463–E472 . https://pubmed.ncbi.nlm.nih.gov/21193540/ Greco, et al. (2023). Eye mask during overnight sleep improves episodic learning and alertness. Sleep, 46(3) & Sleep, 46(8) . https://academic.oup.com/sleep/article/46/3/zsac305/6912219 https://academic.oup.com/sleep/article/46/8/zsad105/7143720 Hu, et al. (2010). Earplugs and eye masks on nocturnal sleep, melatonin and cortisol. Critical Care, 14(2), R66 . Mason, et al. (2022). Light exposure during sleep impairs cardiometabolic function. Proceedings of the National Academy of Sciences, 119(12) . https://www.pnas.org/doi/10.1073/pnas.2113290119 World Health Organization. (2018). Environmental noise guidelines for the European region . RF-EMF and Sleep Does radiofrequency radiation impact sleep? Double-blind, randomised, placebo-controlled crossover pilot. (2024). Frontiers in Public Health . https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1481537/full Loughran, et al. (2005). Mobile phone EMF and human sleep. NeuroReport, 16(17), 1973–1976 . Mohler, et al. (2012). RF-EMF exposure and sleep quality: Prospective cohort. PLOS One, 7(5), e37455 .

Ella N.I. Christoph, MD, joins CHEST® Critical Care Podcast Moderator Dan Fein, MD, to discuss her research into how clinicians and families experience patient and family engagement in the ICU.  This episode is part of a new series exploring articles published in our open access journal CHEST Critical Care.  DOI: 10.1016/j.chstcc.2026.100272 Disclaimer: The purpose of this activity is to expand the reach of CHEST content through awareness, critique, and discussion. All articles have undergone peer review for methodologic rigor and audience relevance. Any views asserted are those of the speakers and are not endorsed by CHEST. Listeners should be aware that speakers' opinions may vary and are advised to read the full corresponding journal article(s) for complete context. This content should not be used as a basis for medical advice or treatment, nor should it substitute the judgment used by clinicians in the practice of evidence-based medicine.  

This week we review a recent work assessing the impact of birth day of the week on neurological outcomes amongst newborns undergoing CHD surgery. Why might certain days of the week be associated with higher degrees of white matter injury in the brain of newborns who have had congenital heart surgery? What are the potential mechanisms for this? What might be the unintended consequences of ‘controlling' birth day of the week? We speak with the Associate Division Chief for Research within the Division of Cardiac Anesthesiology at Children's Hospital of Philadelphia and author of this week's work, Dr. Jennifer Lynch.  DOI: 10.1016/j.xjon.2026.101700

CDI, coding, and clinical medicine are involved in a tug-of-war over a complex, life-threatening medical emergency that seems resistant to all forms of consensus. I'm talking about sepsis of course, and on today's show I got to talk about sepsis with someone as qualified as anyone in the world to do so. Steven Simpson, MD, is Professor of Medicine at the University of Kansas in the Division of Pulmonary, Critical Care, and Sleep Medicine. He has done research in all areas of severe sepsis, from molecular and cellular mechanisms to translational and quality improvement studies. He is currently chair of the board of directors for the Sepsis Alliance and an author of the 2016, 2021, and 2025 reviews and updates of the Surviving Sepsis Campaign Guidelines. I'm also joined by James Kennedy, MD, CCS, a familiar name and voice for anyone involved in CDI and coding circles. Listen in as we cover: Dr. Simpson's deep and rich background in sepsis, including early clinical days with septic patients, working with Drs. Bone and Balk who created Sepsis-1, and his role on the Sepsis Alliance. Co-authoring the 2026 Surviving Sepsis Guideline that defines sepsis as a “life-threatening acute organ dysfunction to infection”: His stance on sepsis-2 and sepsis-3. The politics of definition and diagnosis: Who gets to write these definitions. The struggle: Reconciling sepsis-2 with sepsis-3, further complicated by CMS' use of sepsis-2 in its new sepsis readmission measure. What's the right answer for this, if there is one? Looming sepsis proposal to create codes for “impending sepsis,” the role of AI-technologies (e.g., Sepsis ImmunoScore, TriVerity) in identifying these patients, and what the University of Kansas is doing to identify and intervene on infected patients before they evolve into organ dysfunctions. Plans for future work for other sepsis-related concepts, payers and denials, and a pair of songs for the Off the Record Spotify playlist.

In this 342nd episode I welcome Dr. Tara Ramaswamy to the show to discuss her work looking at the benefits of having anesthesiologists run rapid response teams. We discuss how best to organize these teams, how to train and prepare them, and what the future holds. Our Sponsors:* Check out CocoaVia and use my code ACCRAC for a great deal: https://www.cocoavia.com* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Quince and use my code quince.com/ACCRAC for a great deal: https://www.quince.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This video provides an overview of pediatric septic shock, including definitions, pathophysiology, management, and the use of the sepsis bundle to guide timely management.‌ LEARNING OBJECTIVES • Describe patients who present with signs and symptoms of septic shock, including exam features that support early recognition and assessment. ‌‌• Review the arterial oxygen content formula and strategies to optimize oxygen delivery to the tissues. • Apply current sepsis definitions to clinical care to identify, evaluate, and guide the management of patients with suspected sepsis or septic shock.‌ • ‌‌Explain the role of the sepsis bundle in optimizing timely management, improving adherence to evidence-based interventions, and supporting better patient outcomes.‌ AUTHORS Jill O'Hara, MD, MPH Assistant in Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine‌ Boston Children's Hospital Kate Madden, MD, MMSc‌ Assistant in Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine‌ Boston Children's Hospital DATES Initial Publication: September 4, 2026. 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 O'Hara JE, Brodie K, Madden K. Pediatric Septic Shock. 09/2026. OPENPediatrics. Online Video. https://on.soundcloud.com/xB071iR4TUcWNxUBIj.

Host: Prof. Marcus Schultz (Switzerland)Speaker: Prof. Vincenzo Russotto (Italy)

Welcome back to the tasty morsels of critical care podcast. This is part 2 of infective endocarditis, this time covering the highlights of endocarditis management from the ICU perspective. Once the diagnosis is made and checked that the diagnosis is solid (remember there are published criteria about how to reach the diagnosis) then you should be reaching for some antibiotics. The guidelines have multiple, tedious tables describing antibiotic combos for native and prosthetic valves all guided by knowing what bug you are dealing with. If you are at the stage where you know what bug it is you will almost have a specialist in infection giving advice so I think this is somewhat beyond the scope of the ICU exam setting. Having a broad overview that of what bugs are gram +ve and gram -ve I think is key and will allow you to put together an appropriate reigime in any septic scenario, not just IE. As such i’m not going to go into detail. I suspect the more relevant scenario for us will be the crashing patient with an eaten out valve lesion at 2am and we’re the first person to be considering the diagnosis and have no micro to guide us. If you find yourself in such a situation then ceftriaxone and amoxcillin and some vancomycin will cover all the bases included prosthetics for the first 12 hours till help is available. This will cover all the commonest bugs of staph, strep, e faecalis and prosthetics. If you want to cover the weird culture -ve bugs then I have one, somewhat predictable word for you – doxycycline. If they’re in crit care they’ll almost undoubtedly be septic and any of your arsenal of sepsis interventions is probably appropriate and again beyond the scope of this post. The major modifiable part of your sepsis resus here will be determined by the echo. Are you dealing with severe, torrential AR then keeping the BP a little lower and diastolic period a little shorter with a tachycardia might be in your benefit. Have you got torrential MR from a perf or flail – then a balloon may be helpful. Again, the physiological management of a bad valve pending surgery is great fun but also beyond the scope of this post. So perhaps time would be better spent thinking about surgical indications in IE. The guidelines again have fairly clear indications here but many patients fall foul of the usual problem of having surgical disease when they are not surgical candidates. You can split surgical indications into 3 categories heart failure – this is the commonest indication and is driven by the degree of valve destruction and the heart’s ability to compensate for this. Cardiogenic shock and pulmonary oedema are obvious signs here. control of infection – the guidelines suggest surgery indicated if cultures not clear at 7-10 days or appropriate therapy. But these surgeries are often sensibly deferred to avoid putting what should be a life long valve into an infected patient. Persistent septic shock (even if cultures cleared) is another similar indication control of emboli – the guidelines would suggest very large vegetations (>30mm) should be operated on, even smaller veg (>10mm and other indications) could have surgery. However the risk of surgery is highest in few days before and after starting antibiotics and tails off signficantly at 2 weeks. As such you can imagine that many feel more comfortable with conservative management in this scenario. Be aware that the guidelines use the words “urgent” and “emergency” differently from what we might expect with “emergency” not meaning “right now” but “within 24 hrs”. There are often multiple good reasons for deferring theatre when there is the opportunity to optimise someone for a challenging bypass run. Intracranial emboli with bleeds also pose a big challenge when you’re proposing giving someone 30000 units of heparin. Lots of painful but necessary MDT discussion needed. Finally a common question appears regarding whether or not you anticoagulate to prevent the emboli causing strokes. . We do it when we find clot in the heart so why not veg (which inevitably have clot and infection in them). The guidelines give a reasonably clear answer with anticoagulation not recommended as a prophylaxis strategy.  To give a direct quote from the ESC guidance “To date, no data support initiation of either antithrombotics nor anticoagulants for treatment or prevention of stroke in IE.” In distinction  continuing anticoagulation in someone on it for pre existing reasons (eg a fib) does not seem especially high risk. Reading: – Fowler, V. G. et al. The 2023 Duke-International Society for Cardiovascular Infectious Diseases Criteria for Infective Endocarditis: Updating the Modified Duke Criteria. Clin. Infect. Dis. 77, 518–526 (2023). – Delgado, V. et al. 2023 ESC Guidelines for the management of endocarditis. Eur. Hear. J. 44, 3948–4042 (2023).

Sign up for weekly webinars: https://imahealth.org/weekly-webinars/Some of medicine's most important lessons come from looking beyond our own healthcare system.Dr. Joseph Varon took us inside the 30th Asia Pacific Symposium on Critical Care and Emergency Medicine in Bali, sharing conversations with physicians and experts from around the world.Joined by Dr. Ryan Cole, IMA Head of Medical and Scientific Affairs, he explored what these global perspectives can teach us about better, more patient-centered care.In this episode:• Global lessons from critical care and the pandemic• AI, telemedicine, and emerging medical technology• Innovation in emergency and toxinology care• Transparency, scientific integrity, and patient-centered medicineWatch the full episode.The Independent Medical Alliance (formerly FLCCC) is a healthcare nonprofit on a mission to restore trust, integrity, and the doctor-patient relationship. Get involved by clicking below:• Donate: Support IMA: Donate for Advancements in Patient Care https://imahealth.org/donate/• Follow: Connect with Us - https://imahealth.org/contact/• Weekly Webinars: - https://imahealth.org/category/weekly-webinars/• Treatment Protocols: - https://imahealth.org/treatment-protocols/• Medical Disclaimer: https://imahealth.org/about/terms-and-conditions/

In this World Shared Practice Forum Podcast, Drs. Danielle DeCourcey and Sabrina Derrington provide their insight on the methodology and development of the 2026 Guidelines on the Care and Management of Pediatric and Neonatal Intensive Care Patients at the End-of-Life, sharing actionable guidance for clinicians at the bedside. The authors review GRADE methodology and provide context behind the conditional recommendations. The speakers reflect on next steps including implementation, research, and addressing disparities in end-of-life care. LEARNING OBJECTIVES - Understand the design and methodology for the 2026 pediatric and neonatal end-of-life guidelines - Describe GRADE methodology and its impact on the guideline's recommendations - Discuss practical applications of the guidelines for clinicians AUTHORS Danielle D'Emilia DeCourcey, MD, MPH Associate Chief, Division of Medical Critical Care Boston Children's Hospital Associate Professor of Pediatrics Harvard Medical School Sabrina Derrington, MD, MA, HEC-C, FAAP Director of the Center for Bioethics Children's Hospital Los Angeles Associate Professor of Clinical Pediatrics Keck School of Medicine, University of Southern California (USC) 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: August 25, 2026. ARTICLES REFERENCED & ADDITIONAL REFERENCES - Derrington S, Broden Arciprete EG, Lin MC, et al. Executive Summary of Society of Critical Care Medicine 2026 Guidelines on the Care and Management of Pediatric and Neonatal Intensive Care Patients at the End of Life. Pediatr Crit Care Med. 2026;27(4):487-493. - The Correspondent by Virginia Evans - Pilgrim at Tinker Creek by Annie Dillard TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/v66vz9xj5t6qtmjwjkcrmr7/202608_WSP_Derrington_and_DeCourcey_Transcript 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 DeCourcey DD, Derrington S, O'Hara JE, Burns JP. Pediatric End-of-Life Guidelines & Insights. 08/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/pediatric-end-of-life-guidelines-and-insights-by-d-decourcey-and-s-derrington-openpediatrics.

Emergency laparotomies are performed on thousands of Australians each year for critical conditions like bowel obstruction and peritonitis. It's a high-risk procedure with a mortality rate of 6.9%. Now, for the first time in Australia, a national clinical care standard has been published by Australian Commission on Safety and Quality in Health Care. It's to support clinicians and healthcare services to deliver best care and improve patient outcomes. To talk to us about the standard is Professor David Watters AM OBE. He is a Distinguished (Alfred Deakin) Professor at Deakin University and Barwon Health, and Director of Surgery at Safer Care Victoria. I'm also joined by Dr Chuan-Whei Lee, Staff Specialist and Joint Clinical Lead of Perioperative Medicine at the Royal Melbourne Hospital, and Clinical Senior Lecturer in the Department of Critical Care at the University of Melbourne.“The MJA acknowledges the Traditional Owners and Custodians of the land on which we live and work across Australia.  This podcast was recorded on the lands of the Wangal people. I pay my respects to their Elders past and present.” 

This week we speak with Ms. Sharon Welsh BSN, RN about a novel project she has embarked upon called CLEAR CHD PHYSIOLOGY (on Instagram chdphysiology.icu) which is a physiology-based site intended to teach bedside critical care nurses about CHD physiology. What signs or symptoms are important and what is their meaning? Why is nursing at the bedside of a sick postoperative newborn so much more difficult than it was at the start of Ms. Welsh's career? How does Ms. Welsh use AI to create a flexible learning tool for RN's and all interested in congenital heart physiology? Ms. Welsh provides the answers this week. 

In this episode, Charles Powell, MD, MBA, Chief Executive Officer, Mount Sinai Respiratory Institute; Regional Medical Director, Mount Sinai Hospital Doctors Faculty Practice; System Division Chief, Pulmonary, Critical Care and Sleep Medicine, Mount Sinai Health System, discusses advances in respiratory care, lung cancer risks linked to air pollution, AI in clinical practice, and emerging approaches to preventing chronic disease.

For years, doctors have warned that antibiotic resistance is one of the greatest public health threats of our time. Now, as home medical kits containing prescription antibiotics become more widely marketed, Dr. Peter Papadakos , Professor of Anesthesiology and Critical Care at the University of Rochester, is concerned about their dangers to an unknowing public. AND, August is Spinal Muscular Atrophy Awareness Month, and while SMA was once considered one of the most devastating genetic diseases affecting children, the last decade has brought remarkable breakthroughs. Jamie Gibson, Chief Development Officer at CureSMA.Org discussed it with me.See omnystudio.com/listener for privacy information.

Send us Fan MailDr. Michele Frazer, DVM, is a board-certified equine veterinarian at Hagyard Equine Medical Institute in Lexington, Kentucky — one of the world's oldest and most respected equine veterinary practices — where she holds dual diplomate status in two of the most demanding specialties in veterinary medicine. A diplomate of both the American College of Veterinary Internal Medicine and the American College of Veterinary Emergency and Critical Care, Dr. Frazer represents the kind of deep, specialized expertise that the most complex equine cases demand. Her passion for horses and the equine industry was always present, but her specific desire to become an equine veterinarian crystallized in a memorable moment: watching Seattle Slew win the Triple Crown. From that spark, she built a career at the highest levels of equine medicine. Her professional interests center on neonatal medicine and the treatment and research of Lawsonia intracellularis, a bacterial pathogen that causes significant disease in young horses and remains an active area of veterinary research. Dr. Frazer describes her first week at Hagyard as her favorite memory of her veterinary career — a dream come true because of the people, the horses, and the extraordinary location in the heart of the Thoroughbred world. Outside of work, she is an enthusiastic supporter of the arts and shares her life with an impressive menagerie that includes horses, llamas, dogs, cats, saltwater fish, rabbits, and lizards.Berry Porter is one of the most respected and inspiring professionals in American hunter-jumper sport — a trainer, judge, volunteer leader, and community builder whose career is as much a story about what is possible in this sport as it is about what he has accomplished within it.Porter's introduction to the hunter-jumper world came through a pony ride as a young child in the Houston area — a single moment that set the course of his life. At 22, he attended his first hunter-jumper competition at the Great Southwest Equestrian Center in Katy, Texas, arriving without a groom — cleaning all the stalls himself, arriving at 3 or 4 am to do chores before stepping into his role as professional rider and trainer. That combination of humility and relentless work ethic has defined everything he has built since. Berry Porter is the head trainer at Brookside Pine Farms in Conroe, Texas, where he has developed many riders from the beginner level, progressing to compete in the collegiate ranks and succeed at the top levels of equestrian competition. He once watched Frank Madden, Stacia Klein Madden, Andre Dignelli, and Missy Clark on television and thought they were rock stars — and now has those same professionals on speed dial while his students go toe-to-toe with theirs at championship shows. His competitive accomplishments are substantial. At the 2025 Platinum Performance/USEF Show Jumping Talent Search Final — East, Porter took Leading Trainer honors after coaching riders Eleanor Rudnicki and Emily Jurnovoy to the top two finishes. His contributions to the governance of the sport are equally significant. Porter voluntarily serves on the USHJA Hunter Working Group and the Joint Equitation Task Force, and in December 2025 was awarded the USHJA President's Distinguished Service Award at the USHJA Evening of Equestrians — an honor bestowed upon members who have gone beyond the call of duty to bring the sport to a new level. In May 2026, he was named a recipient of the Ethos Award presented by Ethos Award Equestrian, Inc., which celebrates and elevates the contributions of Black and Brown equestrians who are creating meaningful change and inspiring a more inclusive future in the sport. Porter was among the initial members of the USHJA Diversity Task Force, formed in 2020, and has consistently approached conversations about race and access in equestrian sport with the levelheadedness, generosity, and fundamental optimism that characterize everything he does. Berry Porter is, in every sense, a professional whose presence in this sport makes it measurably better.Eleanor Rudnicki is one of the most compelling success stories in American hunter-jumper sport — a young professional from Conroe, Texas whose journey from a small local barn and a cart-bred pony to the winner's circle of the nation's most prestigious equitation finals is the kind of story the sport tells about itself at its best, and one she actually lived.Her start in the sport was far from glamorous. Growing up in Texas, she began at a small local barn with a pony originally bred to pull a cart — and that same pony, through hard work and persistence, carried her all the way to Pony Finals. The barn where she learned to ride focused primarily on jumpers, but Eleanor was drawn early and irrevocably to the hunters and equitation. She moved to Berry Porter's Brookside Pine Farm in Conroe, Texas at age twelve, and that partnership would prove to be the foundation of everything that followed.What distinguished Eleanor throughout her junior career was not just talent but an extraordinary ability to catch ride — to get on a horse she had barely met and produce a performance that looked like years of partnership. Many of the horses she rode were new to either the equitation or hunter ring, and she fell in love early with the experience of feeling their progression and growth. That versatility produced results across the country at the highest levels of junior competition. In 2019, she won the THIS National Children's Medal Final, and that same year emerged victorious in the Hamel Foundation National Horse Show 3'3" Equitation Championship — impressively, during her first year competing in the equitation ranks and her first indoors season, on a horse she had ridden for the first time only one week prior. She went on to win the ASPCA Maclay at the Kentucky Summer Horse Show and captured the Overall Grand Championship in the 3'6" Junior Hunter National Championship — West in 2023, earning scores of 90 across all three phases on a catch ride.The crowning achievement of her junior career came at the 2025 Platinum Performance/USEF Show Jumping Talent Search Finals — East, where she and Qwantreau, a 2016 Belgian Warmblood gelding, were crowned champions after navigating a technical 1.15m course featuring bending lines, unrelated distances, and an open water jump. The win made her the top finisher in one of the most coveted equitation-to-jumper transition competitions in the country and confirmed what the industry had known for years — that Eleanor Rudnicki was ready for whatever came next.Now competing as a professional, she manages horses, clients, and staff while transitioning into the open jumper ranks, with her sights set on five-star shows and ultimately the U.S. Equestrian Team. The cart pony from Texas has taken her a very long way, and she is just getting started.theplaidhorse.comThank you so much for joining us today on the Plaidcast. This podcast is a labor of love, and every single episode exists because of this incredible community of riders, trainers, barn managers, parents, and horse lovers who show up in the barn, in the ring, and right here with us.At The Plaid Horse, our commitment goes far beyond the show ring. We believe deeply in the power of literacy and education and that every rider, at every level, deserves access to knowledge, stories, and ideas that make them a better horseperson and a better human being. Reading matters. Learning matters. And the stories we tell each other in this sport matter more than we sometimes realize.Whether you are a junior rider picking up your first copy of The Plaid Horse  Magazine, a professional trainer looking for inspiration, or someone who simply loves horses and everything this world stands for then this community is for you. You belong here.We build this together. Every article, every episode, every conversation is an opportunity to learn something new, to feel less alone in the challenges of this sport, and to be reminded of why we fell in love with horses in the first place.Until next time, keep reading, keep learning, keep riding, and remember that the horse world is better when we build it together. I will see you at the ring!

Obstructive sleep apnea affects approximately one in four adults and is especially common among patients with neurologic disorders, including stroke, Parkinson disease, dementia, epilepsy, and neuromuscular conditions. In this episode, Dr. Stephanie Stahl discusses why neurologists should routinely screen for OSA, highlights key symptoms and risk factors, reviews important considerations when interpreting sleep studies, and outlines current treatment options beyond CPAP. Learn how recognizing and treating sleep apnea can improve quality of life, optimize management of neurologic disease, and reduce long-term health risks. In this episode, Aaron L. Berkowitz, MD, PhD, FAAN, speaks with Stephanie M. Stahl, MD, FAASM, author of the article "Obstructive Sleep Apnea" in the Continuum® August 2026 Sleep Neurology issue. Dr. Berkowitz is a Continuum® Audio interviewer and a professor of neurology in the Department of Neurology at the University of California, San Francisco, in San Francisco, California. Dr. Stahl is an Associate Professor of Clinical Medicine and Sleep Medicine Fellowship Program Director at Indiana University School of Medicine in Indianapolis, Indiana, where she also serves as Sleep Laboratory Medical Director in the Division of Pulmonary, Critical Care, Sleep, and Occupational Medicine. Additional Resources Read the article: Obstructive Sleep Apnea 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: @AaronLBerkowitz  Full episode transcript available here Dr Berkowitz: Obstructive sleep apnea is very common. It can cause or contribute to common neurologic symptoms, such as headache and impaired cognition, and it's a risk factor for stroke. And yet, if you're like me, you may not know too much more about sleep apnea than that. Today, I have the pleasure of talking to sleep expert Dr. Stephanie Stahl to learn what every neurologist should know about OSA.  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 Berkowitz: This is Dr. Aaron Berkowitz. Today I'm interviewing Dr. Stephanie Stahl about her article on obstructive sleep apnea. This article appears in the 2026 Continuum issue on Neurology of Sleep. Welcome to the podcast, Dr. Stahl, and could you please introduce yourself to our audience?  Dr Stahl: Yeah. Thank you for having me. I'm a sleep medicine physician and neurologist and medical director of the Indianapolis Sleep Lab at Indiana University Health. I serve as the director of the Sleep Medicine Fellowship program. I'm faculty advisor for our very first student interest group in sleep medicine at Indiana University School of Medicine. I'm also actively involved in some national leadership roles, including the incoming chair of the American Academy of Sleep Medicine's Education Committee and co-chair of the Academy's Inter-Scorer Reliability Gold Standard Panel. So, I really appreciate this opportunity. I look forward to our discussion.  Dr Berkowitz: Me too, and we appreciate the opportunity too to get to talk to you. You have so much expertise in this area, and I certainly encourage our listeners to look at your article, which is very comprehensive and up to date, and I learned a ton from it. I didn't get much exposure to sleep neurology as a trainee, and I've always worked in academic centers where we have a sleep group and we can refer patients there. So, I have to admit, sleep may probably be the area of neurology I know the least about, and felt like I was learning something new from pretty much every line of your article, and I know our readers will too. So, your article has a lot of excellent detail for our readers on the diagnosis and treatment of this very common condition. But I'd like to keep our interview relatively high level today and focus on the essentials for the practicing general neurologist. So, to start, can you just give us a sense of what obstructive sleep apnea is, and what every neurologist should know about it?  Dr Stahl: Yeah. So obstructive sleep apnea is characterized by either partial or full obstructions in the upper airway. That may sound pretty simple, but this leads to a whole bunch of issues. It leads to oxygen desaturations, arousals from sleep, leading to sleep fragmentation. This can then lead to sympathetic nervous system activation, cerebral hypoperfusion, leading to a whole bunch of symptoms or neurologic conditions.  Dr Berkowitz: Great. And you mentioned this in your article, but just to emphasize, how common is obstructive sleep apnea in the general population?  Dr Stahl: Yeah. So, about a quarter of the general population have obstructive sleep apnea. Much more common in many neurologic conditions.  Dr Berkowitz: Yeah, so very common disorder. We are seeing patients with it quite frequently, whether that's the reason they are seeing us in neurology or not. And this leads to my next question, which is what neurologic symptoms or presenting concerns of a patient should make us think about OSA and the differential diagnosis, and what factors based on the history or the exam or the context would make you suspicious for OSA as the cause of a neurologic symptom? In other words, the patient's presenting with classic symptoms of OSA, and that's why they're seeing a neurologist or seeing a primary care doctor, but is coming for evaluation of, say, headache or other symptoms. And what symptoms would make you think of wanting to consider OSA, and then what aspects of the history or otherwise would make you want to evaluate the patient for OSA?  Dr Stahl: I think a really important takeaway is for neurologists to know that obstructive sleep apnea is very common in neurologic conditions and has that potential to worsen a lot of these conditions or their associated symptoms. And so, it should be on our radar. There are certainly some basic questions and signs and symptoms that we can ask patients about or, or take a look at on exam. And so particular symptoms include snoring. Anybody that snores loudly or frequently, that's a strong risk factor for obstructive sleep apnea. If someone's seeing them stop breathing in their sleep, if they are waking up a lot throughout the night. There are some other symptoms that we may not necessarily attribute upfront to obstructive sleep apnea, such as nocturia, nocturnal reflux, night sweats. There are some daytime symptoms, of course, too, like unrefreshing sleep, daytime sleepiness, morning headaches, an important one in neurology. And then we take a look at the patient's exam. And so, some things that neurologists might want to be thinking about are people with obesity are certainly at a risk for obstructive sleep apnea. But it's also very important to know that someone does not need to have obesity in order to have obstructive sleep apnea. We look at neck size, other morphologic characteristics, such as how much that we can see in the back of their mouth. Can we see their uvula? Does their tongue size appear large in their mouth? And then some other risk factors too, such as male gender, older age, family history, post-menopausal state in women. All that being said, though, sometimes in neurologic conditions, we don't have all of those symptoms or risk factors to be thinking about. And so, in certain neurologic conditions such as stroke where obstructive sleep apnea is very common and has the potential to increase the risk of another stroke, we may need to be thinking about testing these patients even with minimal symptoms or other risk factors.  Dr Berkowitz: That's very helpful. So, you mentioned their headache might be the presenting symptom, right, to a neurologist, and we should certainly be thinking about obstructive sleep apnea as a potential diagnosis, even the cause of the patient's headache, particularly you said patients with morning headache. I often try to think about in patients presenting with, for memory loss, or other cognitive concerns, and that may be due more to inattention from poor sleep, so asking about sleep and symptoms of sleep apnea in those contexts. Are there any other presenting neurologic symptoms not particularly related to sleep? I'm thinking of headache, memory loss, other symptoms that would make you think, "Oh, I should actually screen this patient for sleep apnea also."  Dr Stahl: Yeah, other symptoms to think about in pediatrics, hyperactivity, people that have impaired vigilance, as you alluded to, that poor attention. Sometimes people get misdiagnosed with ADHD, and it's actually just a manifestation of obstructive sleep apnea.  Dr Berkowitz: You alluded to this, Dr. Stahl, that stroke, for example, patients are at higher risk of developing sleep apnea as a result of stroke, and it's also a risk factor for stroke. What other neurologic conditions, primary neurologic diseases, put patients at a higher risk of OSA? And again, similar to the last question I asked you, what are some clues that we should evaluate for? We might be following a patient for their post-stroke care over time and not necessarily thinking about diagnosing a separate condition in them since we're following them for their stroke or their degenerative disease. What are the conditions that put patients at a higher risk of OSA as a result of the condition, and then when would you think about screening them for it?  Dr Stahl: Some particular neurologic conditions where obstructive sleep apnea are very common, in addition to stroke and, and TIA, include Parkinson disease. It can worsen a lot of the motor, cognitive symptoms, sleep disruption that we can see in Parkinson disease. Very common in all causes of dementia, but in particular Alzheimer disease and Lewy body dementia. Very common in neuromuscular conditions. We should definitely have obstructive sleep apnea and all forms of sleep-disordered breathing high on our radar. In conditions like myotonic dystrophy. Charcot-Marie-Tooth is another one where obstructive sleep apnea is very common. Myasthenia gravis, it can worsen the symptoms of that. In particular, a pearl is if somebody has morning weakness in myasthenia gravis, obstructive sleep apnea should be high on your radar. And also, as you mentioned, any forms of headaches. There are some other things too. If somebody has poor seizure control, especially nocturnal seizures, you might have obstructive sleep apnea on your radar as well.  Dr Berkowitz: So, I think you've covered essentially every category of neurologic disease, right? We have cerebrovascular, movement, neurodegenerative, neuromuscular, epilepsy, all conditions where either the disorder itself, such as stroke or the, correct me if I'm wrong, the neurodegenerative disease puts the patient at risk. Or the patient may be at risk for exacerbations of their disease, as you mentioned in myasthenia. I love that pearl. Not fatiguable at the end of the day, but if the patient with myasthenia is telling you they're feeling weaker at the beginning of the day, then think about obstructive sleep apnea and that obstructive sleep apnea worsening control of epilepsy due to poor sleep. So really a lot of bidirectional interactions with this common condition. Okay, so if we're concerned about obstructive sleep apnea, again, myself, a general neurologist speaking perhaps on behalf of other general neurologists, we see a patient with headache or reporting memory loss that we find to be impaired attention, or we see exacerbation of their underlying primary neurologic disease. As you mentioned, we think, "Oh, I've listened to this podcast. I've read Dr. Stahl's article. I should probably be thinking about OSA in this patient, and I should order a sleep study." Now, I admit when I get the sleep study back, I scroll to the bottom, I see they do have obstructive sleep apnea, I'm going to send them over to a sleep specialist. But for the general neurologist, what are some high-yield pearls and some pitfalls to be aware of when we get sleep studies for obstructive sleep apnea, and we are looking at the results? Dr Stahl: The first thing is to understand that there are two main types of sleep studies: in-lab polysomnography and home sleep apnea test. In-lab studies are typically what we consider the more accurate type of study. Main reason for that is that we have EEG, so we can see if someone is awake versus asleep. Most home sleep apnea tests do not utilize EEG, and so when we're looking at respiratory events, apneas or hypopneas, we're looking at over the total recording time rather than the total sleep time. So, we know we're going to capture some time where a person is awake, where we don't have sleep apnea events, and that can be a big amount of time in people with insomnia, poor sleep efficiency. And as a result of that, it can lead to an underestimation of the apnea-hypopnea index. That's really important for people to understand that that means we can end up with a false negative home sleep apnea test, or it can put them in a category of lower severity than what they actually have. And so, if you get a home sleep study report back that's negative for sleep apnea and you remain concerned, you need to go on to do an in-lab study, where about twenty to fifty percent of people will go on to have a positive in-lab study. You can also get false positives with home sleep apnea tests too, and so ideally, we should only be doing home sleep apnea tests in people that are at high risk of having obstructive sleep apnea to decrease our chance of false positive study. When we get that sleep study report, what's important to take a look at? So the main number that we look at currently is the apnea-hypopnea index. The number of apneas, which are full obstructions in that upper airway, or hypopneas, partial obstructions in the upper airway where either there's an oxygen desaturation or an arousal associated with that. Less than five is considered to be normal. Anything five or more gives them a diagnosis of obstructive sleep apnea, and then we stratify them based on the AHI. But it's important to take a look at more than just the apnea-hypopnea index. And while my eyes too on various reports like echocardiograms want to jump to the impression, it is important to take a look at that full report, see what their oxygen levels averaged and what they dipped down to. The arousal index, which is how many times a patient may have woken up briefly throughout the night. Take a look at the histogram, usually an image at the bottom of their report that shows what sleep fragmentation may have been like so that you can take that all in and make that decision. How important are these study findings, and is this a person that would benefit from treatment?  Dr Berkowitz: That's a fantastic overview of sleep studies and some of the highlights to look out for, even if we won't be understanding every detail as you would to know most importantly the caveats about home sleep testing having a fairly high percentage of false negative and false positive results. So being wary if our suspicion is high, and that test is normal or inconclusive to get an in-lab sleep study. And if our suspicion is low or maybe we haven't ordered the test and the patient has had it done elsewhere, and the history doesn't really match up to know that there are false positives on the home studies as well, and again, an in-lab study to settle the diagnosis. Is that right?  Dr Stahl: Yes.  Dr Berkowitz: Okay. Now, for most neurologists, probably if we diagnose OSA, we will be referring the patient to a sleep specialist like yourself for treatment. I think we're all familiar with CPAP and patients being on CPAP. Your article mentions a number of treatment modalities I admit I have not heard of before or maybe heard of in passing, acknowledging most general neurologists are not going to be prescribing or knowing with the nuance that you do as an expert how to decide which treatment a patient would most benefit from or most qualify for. So, can you just give us a broad overview, again, for the general neurologist acknowledging we might see a patient whose past medical history says OSA being treated with fill in the blank. What are the different treatment modalities, and how do you think, just so we can learn from you in broad brush strokes, about particular treatments for particular patients?  Dr Stahl: As you mentioned, most people are familiar with positive airway pressure or PAP therapy, and that does remain our most efficacious treatment. The way I explain it to patients is why PAP therapy is the most effective treatment is it's the only treatment that can take all of the tissues of that upper airway and open them up. Whereas all of our other treatments, we're going to target smaller spaces of that upper airway. So, our first option is if we can get somebody on PAP therapy, we know that that's going to be the best option for the majority. PAP therapy works by basically acting as an air splint to open up the air tissues. Know that masks are not interchangeable. There are masks that cover the nose and go over the nose and mouth and under the nose. Full face masks that cover the nose and mouth, they do typically require higher pressures, also tend to be less comfortable for a lot of patients as well. In addition to different PAP masks, there's different modalities of positive airway pressure therapy too. There are machines that auto-adjust, some that provide fixed pressure, bi-level PAP that provides a higher inspiratory pressure, lower expiratory pressure. Then outside of PAP therapy, there are, as you alluded to, a lot of options and more, continuing to come down the pipeline as well. Mandibular advancement devices or a form of oral appliances has been around for a while. This is device that somebody wears in their mouth. It's preferably customized for their teeth and titratable, meaning that they can make adjustments that pulls their mandible forward in relation to the maxilla in order to pull those tongue tissues further away from the back of the upper airway. That's ideally managed by a qualified sleep dentist or someone that specializes in oral appliance management. Other treatments include surgical options, including hypoglossal nerve stimulation, which is an implanted device that causes the tongue to protrude repetitively throughout their sleep period to hopefully open up the airspace. There's some other surgical options too that open up various places of the upper airway. There's a daytime treatment of obstructive sleep apnea, transoral neuromuscular electrical stimulation that changes the muscle fiber type of the tongue. And then there's some adjunctive treatments that can be helpful too, such as positional therapy, oral facial myofunctional therapy that helps a person breathe better through their nose and may help train the upper airway muscles.  Dr Berkowitz: Great. Well, that's a very helpful overview, and again, I refer our listeners to your article, which talks about all of those modalities in very comprehensive detail. So, Dr. Stahl, as we wrap up our conversation, you have a captive audience of neurologists and neurology trainees here. What would you like to leave us with that every neurologist should know about obstructive sleep apnea?  Dr Stahl: The most important, again, is for neurologists to know that obstructive sleep apnea is so common in your patient population, and it can have a significant negative impact on quality of life and health, including many neurologic conditions. And at the same time, obstructive sleep apnea is very treatable. We have so many options nowadays that we can usually get someone onto adequate treatment. And treatment has that potential to improve several neurologic symptoms and disorders, even at times when you don't think that there's an opportunity to improve symptoms such as say in, headache. So, neurologists really should be screening for signs and symptoms of obstructive sleep apnea, as well as considering testing in high-risk, potentially asymptomatic or minimally symptomatic patients.  Dr Berkowitz: That's a fantastic overview of some of the many pearls that you shared with us today, as well as in your article. So, thank you so much again. Today, I've been interviewing Dr. Stephanie Stahl about her article on obstructive sleep apnea. This article appears in the August 2026 Continuum issue on neurology of sleep. Be sure to check out Continuum Audio episodes from this and other issues. And thank you so much to our listeners for joining today, and thank you again, Dr. Stahl.  Dr Stahl: Thank you again for having me.  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.  

Clinicians and medical providers rely on data to tailor care plans to their patients. Aartik Sarma, MD, University of California, San Francisco, Pat Lyons, MD, Oregon Health & Science University, and host Lekshmi Santhosh, MD, the University of California, San Francisco, discuss the use of data science in critical care medicine and how it has evolved over time. They dive into how new technologies benefit ICU patients, and how the medical infrastructure can be further improved.

What does it really take to match into a medical fellowship as an IMG?In this episode of Med School Minutes, we sit down with Dr. Brandon Gordon, Saint James School of Medicine alumnus and Pulmonary & Critical Care fellow at the University of Florida Jacksonville, to discuss the journey from medical school to residency, chief residency, and fellowship.Dr. Gordon shares what he learned navigating the fellowship application process, including why connections matter, how research and quality improvement projects can strengthen your application, and what fellowship programs are really looking for during interviews.In this episode, we discuss:• How fellowship applications differ from residency• The importance of research, case reports, and QI projects• How networking can help you land fellowship interviews• Why social media can be a valuable networking tool• Whether becoming a chief resident can improve your chances• What fellowship interviews are really evaluating• Fellowship and visa considerations for international graduates• Why physicians choose to subspecializeWhether you're currently in medical school, preparing for residency, or already thinking about your next step after residency, this episode offers practical insight into what it takes to pursue fellowship training as an IMG.

Key Points Gamification in medical education can deeply engage learners and improve clinical skills. Rapid Sequence alternates between game blocks, where learners act in clinical scenarios, and teaching blocks, where insights are shared. True expertise is about developing effective cognitive strategies, not just accumulating knowledge. Building mental models involves not just learning, but practicing decision-making in complex environments. The learning environment should foster psychological safety and encourage growth through reflection and feedback. REBEL Rundown Introduction Welcome back to Rebel MIND, the podcast where we sharpen the person behind the practitioner. MIND stands for Mastering Internal Negativity during Difficulty. This series emphasizes productivity, provider performance, and team optimization to ensure we are at our best during high-pressure situations. In this episode, we introduce an innovative teaching tool called Rapid Sequence, aimed at revolutionizing how clinicians learn critical care through gamified experiences. With host Dr. Mark Ramzy, we invite Drs. Sarah Crager, and Ryan Ernst, to explore what it takes to become an expert and how gamification can transform learning in the medical field. Cognitive Question What does it truly mean to be an expert in emergency and critical care medicine? What Is Rapid Sequence?? It’s a gamified clinical case simulation tool consisting of different “blocks” where you have individual learners that can work through cases in non-multiple choice format. You’re basically working on shifts, seeing multiple patients with your team.There’s a cast of characters, interruptions, distractions, and you enter orders just like you would as if you were on shift, and then the cases advance to see the outcome of your decisions, good or badFor more information check it out the Rapid Sequence website here. Use the following Promo Code: REBEL2026 at checkout page to receive a 20% off couponFigure 1: Screenshot from Rapid Sequence showing the initial dashboard Learning Must Be An Active Not Passive Process An important part of the process when acquiring new skills or information is making it an active processIt is not just passively listening, but actively participating, providing answers that aren’t multiple choice, and then responding to the outcomeThis provides the engagement, and increases both the comprehension and retainability of new conceptsWhen you then apply those same concepts in future times of questioning (or in Rapid Sequence's case “Blocks”) it helps expedite active recall through spaced repetition How This Applies to the Emergency Department or ICU? In high-stakes environments like the ED or ICU, clinicians must make fast, informed decisions often without complete data. Rapid Sequence provides a simulated space where clinicians can make mistakes without risk to real patients, receive feedback, and build the cognitive resilience needed for actual shifts, mirroring the chaotic nature of these departments. Immediate Action Steps for Your Next Shift **Embrace Gamified Learning**: Engage with or seek out platforms like Rapid Sequence that offer a practice ground for real-world medical scenarios.**Develop Mental Models**: Start by breaking down complex cases into mental models that you can refer back to during your shift. **Prioritize Feedback and Reflection**: After each shift, allocate time to reflect on decisions and seek peer feedback to refine your cognitive strategies.**Foster a Safe Learning Environment**: Encourage open discussions in your team where all members can express uncertainties and learn from one another. Conclusion Embracing innovative teaching methodologies such as gamification can lead to significant improvements in clinical education and practice. By integrating tools like Rapid Sequence in training, healthcare professionals can not only enhance their skills but also foster a culture of continuous learning and psychological safety. Clinical Bottom Line Effective medical education isn’t about rote memorization—it’s about developing the ability to think critically and adapt rapidly in ever-changing environments. Gamified tools offer an engaging path to achieve true expertise, ensuring clinicians are well-equipped to provide the best patient care possible. Meet the Authors Sara Crager, MD Associate Professor, Critical Care and Emergency Medicine UCLA, Los Angeles, CA Ryan Ernst, MD Assistant Professor of Emergency Medicine, Section Chief of Global EM University of Utah, Salt Lake City, UT Showing Slide 1 of 2 The post REBEL MIND – Teaching Towards Expertise with Gamification appeared first on REBEL EM - Emergency Medicine Blog.

Dr Jason van der Velde, Prehospital Emergency Medicine and Critical Care doctor in Cork; Grace Boland, Fine Gael TD for Dublin Fingal West; and Michael Sheridan, motoring journalist

Roger Seheult, MD of MedCram explains the ways permanent daylight saving time would affect health. See all Dr. Seheult's videos at: https://www.medcram.com/ (This video was recorded on July 18th, 2026.) Roger Seheult, MD is the co-founder and lead professor at: 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-contact Video Produced by Kyle Allred Edited by Daphne Sprinkle of Sprinkle Media Consulting, LLC FOLLOW US ON SOCIAL MEDIA: Facebook:  www.facebook.com/MedCram Twitter/X: www.twitter.com/MedCramVideos Instagram: www.instagram.com/medcram DISCLAIMER: MedCram medical videos are for medical education and exam preparation, and NOT intended to replace recommendations from your doctor.

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. Bryan A. Cotton, MD, MPH and Marty A. Schreiber, MD, FACS, FCCM, FCRST (Hon), COL, MC, USAR as they debate REBOA as a Life-Saving Intervention in Hemorrhagic Shock.  You can listen on the podcast or watch the debate with accompanying slides on our website or app.  Let's get ready to RUMMMBLLLEEEE!  TRAUMA SURGERY VIDEO ATLAS: https://behindtheknife.org/premium/trauma-surgery-video-atlasPreparing 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://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

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. Carlos V.R. Brown, MD, FACS and Katie W. Russell, MD as they debate WHETHER OR NOT PEDIATRIC PANCREATIC INJURIES CAN BE MANAGED NON-OPERATIVELY.  You can listen on the podcast or watch the debate with accompanying slides on our website or app.  Let's get ready to RUMMMBLLLEEEE!  TRAUMA SURGERY VIDEO ATLAS: https://behindtheknife.org/premium/trauma-surgery-video-atlasPreparing 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://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

In this episode, Dennis sits down with Brock, a civilian critical care flight paramedic who flies Medevac in the States, to break down what it actually takes to move a sick patient from point A to point B — and why drone evacuations are nowhere near as simple as the headlines suggest.They cover the real decision matrix behind scene calls versus interfacility transports, why time-sensitive patients (STEMI, stroke, major trauma) get priority, and the constant safety calculus of weather, maintenance, and crew fatigue. Brock reveals the shocking frequency of “stable” hospital patients who decompensate the moment transport begins — and why the dynamic environment of movement, vibration, and altitude changes everything.They also tackle the hard questions around drone evac: What kind of patient is actually stable enough to fly without a provider? What technology gaps (remote vent/pump titration, redundant IV access, real-time monitoring) must be solved before drones can handle true critical care? And why drone resupply might be the capability we should be training on right now.If you're a medic, planner, or leader betting on unmanned systems to solve evacuation problems in austere or contested environments, this conversation is your reality check.Key Takeaways:Scene crews decide destination based on capability; interfacility decisions are physician-driven.Over-triage happens — CCT assets sometimes get used for patients who could go ground.The “3 to go, 1 to say no” rule keeps aircraft missions safe (weather, maintenance, fatigue).Patients stable in the static hospital environment frequently decompensate once transport starts.True ICU-level patients on vents and drips currently require human titration that drones can't provide.Drone resupply is already viable and should be trained aggressively now.Realistic logistics training prevents dangerous “training scars” in younger medics.Chapters00:00 – Welcome & Why Drone Evacs Are the New Hotness (But Not That Simple)00:27 – Guest Intro: Brock, Civilian Critical Care Flight Paramedic01:59 – Scene Calls vs Interfacility Transports: Who Actually Decides?03:45 – Over-Triage Problem: Using CCT Assets on Patients Who Could Go Ground04:46 – Key Decision Factors: Time-Sensitive Patients (STEMI, Stroke, Trauma, Burns)06:56 – Aircraft Safety Culture: Weather, Maintenance Packages & Crew Fatigue (“3 to Go, 1 to Say No”)09:31 – Ground Critical Care Trucks as Backup When Weather Grounds Flights11:12 – Drone Evacs: What Kind of Patient Is Stable Enough for Unmanned Transport?13:32 – The Core Problem: Static Hospital vs Dynamic Transport Environment15:57 – Why Patients Decompensate in Transport (Real Examples from the Street)18:48 – What Drone Critical Care Would Actually Require (Remote Titration, Redundancy, Monitoring)21:44 – When It's Safer to Leave the Patient Where They Are22:48 – Drone Resupply: Already Working and Why We Need to Train It Now27:03 – Logistics Nightmares in Critical Care Transport28:50 – Training Scars: Why Realistic Logistics Training Matters for Medics29:58 – Closing Thoughts & Where to Find More PFC ContentFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

Episode 142 – Using Trazodone with SSRIs and TCAs   Can trazodone be safely used in combination with and SSRI or TCA without causing signs of Serotonin Syndrome? This is one of the most frequently asked questions I hear, especially from GP vets.   Have a listen as I chat through my thoughts on this topic and refer back to one of the original studies on trazodone from 2008 where it was used as an augmenting agent for patients already on an SSRI or TCA to further improve signs of fear or anxiety.   I also talk about medication doses, and I mention 2 further papers where dogs and cats ingested their caregivers' anti-depressant medication and only 25% developed clinical signs consistent with SS.   Here are the papers I mention in the episode: Gruen, M.E. and Sherman, B.L., 2008. Use of trazodone as an adjunctive agent in the treatment of canine anxiety disorders: 56 cases (1995–2007). Journal of the American Veterinary Medical Association, 233(12), pp.1902-1907.   Pugh, C.M., Sweeney, J.T., Bloch, C.P., Lee, J.A., Johnson, J.A. and 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), pp.565-570.   Thomas, D.E., Lee, J.A. and 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), pp.674-681.   If you would like to learn more about Veterinary Psychopharmacology, then my PSYCHOACTIVE course is for you: https://katrin-jahn.mykajabi.com/psychoactive   If you liked this episode of the show, Veterinary 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!

In this podcast, recorded at the Top Articles of 2025 Session at PEDICRITICON 2025, Dr. Traci Wolbrink interviews Drs. Ashish Agarwal and Ramesh Kumar Ramachandran about two randomized controlled trials. These studies comparing 0.9% normal saline with Ringer's lactate in diabetic ketoacidosis and the efficacy of high flow nasal cannula versus nasal prong bubble CPAP in bronchiolitis. The conversation reveals challenges in resource-limited settings, emphasizing the importance of protocol adherence, mentorship, and resource management. Valuable insights into fluid management, respiratory support, and research execution are offered for healthcare professionals keen on advancing clinical practice and research knowledge. Learning Objectives - Recognize the limitations of using normal saline in diabetic ketoacidosis - Understand the physiological benefits of balanced fluids like Ringer's Lactate - Identify the logistical challenges in conducting trials in resource-limited settings - Appreciate the role of teamwork and protocol adherence in research success AUTHORS Ashish Agarwal, MD Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India Ramachandran Rameshkumar, MD, DM, FRCPCH Division of Pediatric Critical Care, Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India Pediatric Intensive Care Unit, Department of Pediatrics, Mediclinic City Hospital, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates Traci Wolbrink, MD, MPH‌ Co-Director, OPENPediatrics 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: July 1, 2026. ARTICLES REFERENCED Agarwal A, Jayashree M, Nallasamy K, Dayal D, Attri SV. 0.9% Saline versus Ringer's lactate as initial fluid in children with diabetic ketoacidosis: a double-blind randomized controlled trial. BMJ Open Diabetes Res Care. 2025;13(2):e004623. https://pubmed.ncbi.nlm.nih.gov/40194836/ Maya M, Rameshkumar R, Selvan T, Delhikumar CG. High-Flow Nasal Cannula Versus Nasal Prong Bubble Continuous Positive Airway Pressure in Children With Moderate to Severe Acute Bronchiolitis: A Randomized Controlled Trial. Pediatr Crit Care Med. 2024;25(8):748-757. https://pubmed.ncbi.nlm.nih.gov/38639564/ TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/szcrpthcfg3w4398gkvf9ch/202606_Pedicriticon_Podcast_2025_Transcript 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 Agarwal A, Rameshkumar R, Wolbrink TA. PEDICRITICON 2025: Top Articles in PICU Research. 07/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/pedicriticon-2025-top-articles-in-picu-research.

For more information regarding this CME/CE activity and to complete the CME/CE requirements and claim credit for this activity, visit:https://www.mycme.com/courses/emerging-agents-in-pulmonary-arterial-hypertension-10829Program DescriptionThis enduring educational activity provides a comprehensive update on late stage agents being researched for the management of pulmonary arterial hypertension (PAH). Led by expert faculty, the program shifts the clinical focus from traditional vasodilators to novel investigational therapies that directly target the underlying cellular pathways responsible for pulmonary vascular remodeling and disease progression. Clinicians will gain critical insights into the mechanisms of action, latest clinical trial data, and real-world practice implications of these emerging therapeutic classes to better address unmet needs in contemporary care.At the conclusion of this activity, participants should be better able to:Discuss clinical trial data and potential clinical utility of emerging agents in PAH.Accredited ProvidersThe National Association for Continuing Education in partnership with the Association for Pulmonary Advanced Practice Providers (APAPP).Accreditation StatementThe National Association for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.The National Association for Continuing Education designates this enduring material for a maximum of 0.25 Physicians should claim only the credit commensurate with the extent of their participation in the activity. The National Association for Continuing Education is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 121222. This activity is approved for 0.25 contact hours (which includes 0.25 hours of pharmacology).Intended AudiencePulmonology clinicians (physicians, nurse practitioners, and physician associates), cardiology clinicians, and primary care clinicians caring for patients with or at risk for PAH.FacultyIoana Preston, MDDirector Pulmonary Hypertension CenterLahey Hospital and Medical CenterUMASS Chan Medical SchoolBurlington, MADr. Preston has disclosed the following financial relationships:Consultant: Gossamer Bio, Insmed, Janssen Pharmaceuticals, Keros Therapeutics, Liquidia Technologies, Merck & Co./Acceleron Pharma, Respira Technologies, United Therapeutics CorporationContracted Research: Gossamer, Janssen Pharmaceuticals, Merck & Co./Acceleron Pharma, Novartis, United Therapeutics CorporationData and Safety Monitoring Board (DSMB): Tectonic TherapeuticAll of her disclosures are related to PH.Jean Elwing, MDProfessor of Medicine, University of Cincinnati College of MedicineDirector, Pulmonary Hypertension Program, University of Cincinnati Pulmonary, Critical Care and Sleep MedicineCincinnati, OHDr. Elwing has disclosed the following financial relationships:Consultant: Gossamer Bio (pulmonary hypertension), Insmed (pulmonary hypertension), Liquidia (pulmonary hypertension), United Therapeutics (pulmonary hypertension)Speaker: Merck (pulmonary hypertension)Contracted Research: Acceleron/Merck (pulmonary hypertension), Gossamer Bio (pulmonary hypertension), Inhibikase (pulmonary hypertension), Insmed (pulmonary hypertension), Lung LLC (pulmonary hypertension), Novartis (pulmonary hypertension), NS Pharma (pulmonary hypertension), Pharmosa/Liquidia (pulmonary hypertension), Pulmovant (pulmonary hypertension), Regeneron (pulmonary hypertension), United Therapeutics (pulmonary hypertension)These relationships ended within the last 24 months:Consultant: Inhibikase (pulmonary hypertension), Janssen/Actelion/Johnson & Johnson (pulmonary hypertension), Merck (pulmonary hypertension)Advisor/Advisory Board: Gossamer Bio (pulmonary hypertension), Inhibikase (pulmonary hypertension), Merck (pulmonary hypertension), United Therapeutics (pulmonary hypertension)Speaker: United Therapeutics (pulmonary hypertension)All of the relevant financial relationships listed for these individuals have been mitigated.Nurse Planner and Peer ReviewerMarjorie Crabtree, DNP, FNP, ANPHaymarket Medical EducationSteering CommitteeNurse Practitioner Healthcare FoundationAccredited Provider Program DirectorBellevue, WADr. Crabtree has no relevant conflicts of interest with any ACCME-defined ineligible company.Accredited Provider DisclosureNACE staff have no relevant financial relationships to disclose.Commercial SupportersThis activity is supported by an independent educational grant from Insmed and an independent educational grant from Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc.Please visit  http://naceonline.com to engage in more live and on demand CME/CE content.

In this World Shared Practice Forum Podcast, first authors Drs. Frances Balamuth and Chanu Rhee describe the objectives and methodology for their study “National Estimates of Pediatric Sepsis in US Hospitals Using Clinical Data” published in the March 2026 edition of JAMA. They discuss the process of modifying the Phoenix Sepsis Criteria to an electronic health record-based Pediatric Sepsis Event (PSE) definition and the methods for validating this definition. The authors share salient findings from their study, noting the limitations, and share their hopes for the future direction of sepsis surveillance research. LEARNING OBJECTIVES - Understand the derivation for the Pediatric Sepsis Event definition for electronic health record-based pediatric sepsis surveillance - Review the validation process for the Pediatric Sepsis Event definition - Compare the Pediatric Sepsis Event definition to the Phoenix Sepsis Criteria - Discuss the results and limitations of the electronic health record-based study design - Express the goals for the future direction of pediatric sepsis surveillance research AUTHORS Frances Balamuth, MD, PhD, MSCE Professor of Pediatrics, Chief of Pediatric Emergency Medicine University of Pennsylvania Perelman School of Medicine Children's Hospital of Philadelphia Chanu Rhee, MD, MPH Associate Professor of Population Medicine Harvard Medical School and Harvard Pilgrim Health Care Institute 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, 2026. ARTICLES REFERENCED Rhee C, Balamuth F, Dysart K, et al. National Estimates of Pediatric Sepsis in US Hospitals Using Clinical Data. JAMA. 2026;335(15):1321-1331. https://pubmed.ncbi.nlm.nih.gov/41865411/ TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/swj4kvkgg686b6p9whmbht/20260622_WSP_Rhee_and_Balamuth_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 CITATION Balamuth F, Rhee C, O'Hara JE, Wolbrink TA. National Estimates of Pediatric Sepsis. 06/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/new-national-estimates-of.

*** Learn how the TALK tool enhances team communication in critical care settings. Discover its benefits, implementation strategies, and key takeaways for healthcare professionals.Article referenced: Iago Enjo-Perez, Cristina Diaz-Navarro, Esther Leon-Castelao, Miquel Sanz-Moncusí, Inma Carmona-Delgado, Javier Pérez-Dueñas, Rocío Ponce-Muñoz, Sara Fernandez-Mendez, Jose-Ramón Alonso-Viladot, Jose María Nicolàs-Arfelis, Pedro Castro; Use of the TALK Tool for Interprofessional Team Self-Debrief During Everyday Opportunities for Learning in Critical Care. Am J Crit Care 1 May 2026; 35 (3): 171–181. doi: https://doi.org/10.4037/ajcc2026814The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics.Suzanne McMurtry Baird, DNP, RN is the Nursing Director for  Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us:Patreon: patreon.com/CCOBYouTube: @CriticalCareOBPodcastInstagram: https://www.instagram.com/criticalcareob/Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112aCCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/Twitter/X: https://twitter.com/OBCriticalCareCCOB Facebook: ...

Welcome to episode 124 of Mogil's Mobcast. Today's guest is Dr. Anthony Esposito. Dr. Esposito is a pulmonologist and the co-director of the Northwestern Scleroderma Program. Interstitial lung disease is the leading cause of death in scleroderma patients, and one of the first manifestations many will develop. In fact, four out of five scleroderma patients will show it on their very first CT scan. Dr. Esposito shares important information we all need to hear.”

Roger Seheult, MD of MedCram explores two new rooftop ICU facilities and tries out the MiEye light sensor. See all Dr. Seheult's videos at: https://www.medcram.com/ (This video was recorded on June 9th, 2026) Roger Seheult, MD is the co-founder and lead professor at: 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-contact Video Produced by Kyle Allred Edited by Daphne Sprinkle of Sprinkle Media Consulting, LLC FOLLOW US ON SOCIAL MEDIA: Facebook:  www.facebook.com/MedCram Twitter/X: www.twitter.com/MedCramVideos Instagram: www.instagram.com/medcram DISCLAIMER: MedCram medical videos are for medical education and exam preparation, and NOT intended to replace recommendations from your doctor.

Stephanie Lee, PharmD, and Isabel A. Mangaoang, PharmD, join CHEST® Critical Care Podcast Moderator Gretchen Sacha, PharmD, BCCCP, FCCM, to discuss their research into the sedation gap that can occur in patients who are critically ill and undergoing bedside procedural paralysis.  This episode is part of a new series exploring articles published in our open access journal CHEST Critical Care.  BRIDGE THE GAP DOI: 10.1016/j.chstcc.2026.100237 MIND THE GAP DOI: 10.1016/j.chstcc.2024.100089 Disclaimer: The purpose of this activity is to expand the reach of CHEST content through awareness, critique, and discussion. All articles have undergone peer review for methodologic rigor and audience relevance. Any views asserted are those of the speakers and are not endorsed by CHEST. Listeners should be aware that speakers' opinions may vary and are advised to read the full corresponding journal article(s) for complete context. This content should not be used as a basis for medical advice or treatment, nor should it substitute the judgment used by clinicians in the practice of evidence-based medicine.  

SummaryThis episode explores the ethical, legal, and practical implications of virtual critical care in healthcare, highlighting recent cases and regulatory challenges. Hosts Sean and Terry discuss the boundaries of telehealth, the moral dilemmas faced by providers, and the importance of appropriate, compliant virtual care practices.Key TopicsEthical dilemmas in virtual critical careLegal and malpractice considerations in telehealthImpact of COVID-19 on virtual healthcare practices

Hospital-acquired bacterial pneumonia (HABP) and ventilator-associated bacterial pneumonia (VABP) are serious conditions that often affect critically ill patients in ICUs. These infections carry a high risk of mortality and are frequently caused by multidrug-resistant bacteria like MRSA. On this episode of the ATS Breathe Easy podcast, Scott Micek, PharmD, University of Health Sciences and Pharmacy in St. Louis, explains to host Eddie Qian, MD, Vanderbilt University, why treating HABP/VABP needs to be tailored to the patient, how rapid diagnostics have pros and cons, and the importance of balancing aggressive early treatment with careful reassessment. This episode is sponsored by Innoviva Specialty Therapeutics.

This week we speak with 2 pioneers in the field of pediatric cardiac critical care, Dr. Anthony Rossi and Dr. Gil Wernovsky. Both were present at the very start of the field of cardiac critical care for children. What was it like in an era before transesophageal echocardiography or even postoperative echo? Why was the advent of the bidirectional cavo-pulmonary anastomosis such a game changer in the care of children with heart disease? What do Drs. Rossi and Wernovsky think were the most important improvements to care for children with heart disease in their 35+ year careers? What about care today troubles these intensive care gurus? This is a rare opportunity to speak with two who have seen and done it all in cardiac critical care for children.For those interested to hear Dr. Rossi speak about goal directed therapy, take a listen to episode 21 and episode 200 of this podcast!

At the SOAP meeting in Montreal, Desiree Chappell and Monty Mythen interview Dr. Marie Louise Meng, Assistant Professor of Anesthesiology at Duke University Department of Anesthesiology and her former cardio-obstetric fellow Liliane Ernst, assistant professor in the Obstetric and Gynecologic Anesthesia section Wake Forest University. The conversation focuses on cardio-obstetric anesthesia, hemodynamics, monitoring, and patient-centered care. Meng describes building multidisciplinary "pregnancy heart teams" to plan management for complex cardiac disease in pregnancy and reduce birth trauma. Ernst discusses research using the Premier database on preexisting atrial fibrillation in pregnancy (about 25 per 100,000 deliveries) and associated management and outcomes. They review cases including mechanical circulatory support with an Impella to prolong pregnancy and highlight knowledge gaps about placental perfusion and pulsatility, including Fontan physiology. Meng outlines individualized hemodynamic monitoring for labor and C-sections, emphasizes recognizing hypertensive instability, and details preeclampsia with severe features, its end-organ criteria, incidence, disparities, postpartum follow-up challenges, and potential use of remote monitoring and noninvasive cardiac output/SVR monitoring to guide therapy. Monty Mythen, founding editor-in-chief of TopMedTalk, is now Senior Vice President, Scientific Liaison, BD Advanced Patient Monitoring. He is also Emeritus Professor of Anaesthesia and Critical Care, University College London, UK. Desirée Chappell, former co-editor-in-chief of TopMedTalk, is now Director of Medical Affairs and Medical Science Liaison, BD Advanced Patient Monitoring. She is also a CRNA at NorthStar Anesthesia, USA. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - EBPOM World Congress 2026

The claim that real change is enabled by grassroots, community-based movements might seem a distant ideal, but Dr Geraldine Fela shows such assertions are far from hypothetical. Critical Care: Nurses on the Frontline of Australia's AIDS Crisis (UNSW Press, 2024) shows that grassroots movements were what made Australia's response to the AIDS epidemic better than elsewhere. HIV and AIDS devastated communities across Australia in the 1980s and 1990s. In the midst of this profound health crisis, nurses provided crucial care to those living with and dying from the virus. They negotiated homophobia and complex family dynamics as well as defending the rights of their patients. Bringing together stories from across the country, historian Geraldine Fela documents the extraordinary care, compassion and solidarity shown by HIV and AIDS nurses. Critical Care unearths the important and unexamined history of nurses and nursing unions as caregivers and political agents who helped shape Australia's response to HIV and AIDS. In addition to this NBN interview Geraldine Fela has a podcast episode on the ABC Rewind series, 'Blood Prejudice and Nursing' Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

Listener discretion is advised! References: Buttner & Arlanger. (May 3, 2022). ST depression does not localise. Available: https://litfl.com/st-depression-does-not-localise/ Cannon, J. W., Khan, M. A., Raja, A. S., et al. (2017). Damage control resuscitation in patients with severe traumatic hemorrhage. Journal of Trauma and Acute Care Surgery, 82, 605-617. Kabra, R., Acharya, S., Kamat, S., & Kumar, S. (2022). ST-Segment Elevation in Lead aVR With Global ST-Segment Depression: Never Neglect Left Main Coronary Artery (LMCA) Occlusion. Cureus. Lee, G.-K., Hsieh, Y.-P., Hsu, S.-W., Lan, S.-J., & Soni, K. (2019). Value of ST‐segment change in lead aVR in diagnosing left main disease in Non‐ST‐elevation acute coronary syndrome—A meta‐analysis. Annals of Noninvasive Electrocardiology, 24. Morrison, C. A., Carrick, M. M., Norman, M. A., et al. (2011). Hypotensive Resuscitation Strategy Reduces Transfusion Requirements and Severe Postoperative Coagulopathy in Trauma Patients With Hemorrhagic Shock: Preliminary Results of a Randomized Controlled Trial. Journal of Trauma: Injury, Infection & Critical Care, 70, 652-663. Rossaint, R., Afshari, A., Bouillon, B., et al. (2023). The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition. Critical Care, 27. Tamura, A. (2014). Significance of lead aVR in acute coronary syndrome. World Journal of Cardiology, 6(7), 630. Uthamalingam, S., Zheng, H., Leavitt, M., Pomerantsev, E., Ahmado, I., Gurm, G. S., & Gewirtz, H. (2011). Exercise-Induced ST-Segment Elevation in ECG Lead aVR Is a Useful Indicator of Significant Left Main or Ostial LAD Coronary Artery Stenosis. JACC: Cardiovascular Imaging, 4, 176–186. Weymouth, W., Long, B., Koyfman, A., & Winckler, C. (2019). Whole Blood in Trauma: A Review for Emergency Clinicians. The Journal of Emergency Medicine, 56, 491-498. Wang, A., Singh, V., Duan, Y., Su, X., Su, H., Zhang, M., & Cao, Y. (2020). Prognostic implications of ST‐segment elevation in lead aVR in patients with acute coronary syndrome: A meta‐analysis. Annals of Noninvasive Electrocardiology, 26.

This week we feature a collaboration episode between the Pediheart Podcast and the PedsCrit Podcast in which pediatric critical care experts Drs. Alice Shanklin of Northwell Medical Center and Dr. Zac Hodges of UT Southwestern discuss the evaluation and management of heart block in children. What should the clinician be thinking when encountering a previously healthy child with heart block? When is pacing indicated and how should it be performed? Who is a candidate for transvenous or transcutaneous pacing, who is not and why? Drs. Pass, Shanklin and Hodges review many aspects of this in an episode from the PedsCrit Podcast. https://www.pedscrit.com/