Podcasts about critical care unit

Welcome to the MassDevice Fast Five medtech news podcast, the show that keeps you up-to-date on the latest breakthroughs in medical technology. Here's what you need to know for today, Dec. 8, 2023. Check out the show notes at massdevice.com/podcast. Beta Bionics became the second company in as many days to launch an automated insulin pump with the Dexcom G7 CGM. Fast Five hosts Jim Hammerand and Sean Whooley dive into the latest news and break down the key features of the iLet bionic pancreas. Distalmotion selected a former Zimmer Biomet executive to take over as its new CEO. The hosts look into the background of the new figure in the corner office and discuss the Dexter surgical robot platform as the company prepares for its next phase of growth. BD has a new alternative to the traditional venous blood drawing method following FDA clearance for its MiniDraw device. Hammerand and Whooley explain what sets this device apart from other methods and why it could usher in a new era of diagnostics. Medtronic made waves earlier this year when it agreed to acquire insulin patch pump maker EOFlow, but that deal is now off after the medtech giant terminated their acquisition agreement. The hosts discuss the reasons behind Medtronic's decisions and the potential ramifications on the insulin delivery market. Edwards is the latest big-name medtech company to join the spin-off trend, announcing plans to spin its critical care business. Hammerand and Whooley take a look at Edwards' reasoning behind the decision and the areas in which the company now plans to focus once it completes the separation.

Adrian Wootton has just completed his amazing 3 Year Long 500 Mile Canal Run, All for Leighton Hospital charity. The Cat 107.9FM and PJ from the Thursday's Perfect Afternoon Show have supported Adrian with his amazing feat from the start to finish line with an interview 11 months ago and a live interview with Adrian last Thursday just after finishing his last run in Birmingham. In the interview Adrian talks about the challenges of running the 500 miles and the task as a whole. Adrian said his biggest challenge was overcoming the difficulties involved in not running over the same ground twice. As there are only so many canal paths close to his home here in South Cheshire he has had to travel further afield as time has gone on. Initially he could easily complete a local ten mile run but towards the end he was travelling hundreds of miles and sometimes only able to complete a short distance. Eleven months from our first interview he has completed his huge task and you can donate here now  https://donate.giveasyoulive.com/fundraising/canalrun500  I am sure you will agree Adrian really deserves our support as it is an amazing local charity and an amazing challenge. Please visit The Cat's brand new website www.thecat.radio  for the podcast and interview and to listen again to Thursday's show. Adrian would like to thank Susan his amazing wife and PJ from the Cat for their support. Just £35 from his £500 Target! 

Dr. Kwadwo Kyeremanteng, Department Head of the Critical Care Unit at the Ottawa Hospital, talks about the value of implementing new technologies, experiencing racism in the healthcare system, and the importance of prioritizing love and compassion. Get full access to NPC Healthbiz Weekly at healthbiz.substack.com/subscribe

Mackenzie Moir, Policy Analyst at the Fraser Institute, joins the show to break down their latest analysis ranking countries with universal health care. Canada is not doing well..Dr. Lennox Huang - Chief Medical Officer and Staff Physician in the Critical Care Unit at SickKids joins The Rush to outline the issues he's seeing as Ontario hospitals deal with a surge of respiratory diseases.

Ten years before the deaths of a heavily pregnant woman in her 20s and her baby at Palmerston North Hospital's intensive care, concerns were raised about the unit. A 2012 review released to RNZ said it was outdated even then, with not enough beds and not enough space. Te Whatu Ora MidCentral says while a refurbished unit with slightly greater capabilities is expected to be up and running next year, a complete replacement could be more than seven years away. Our Manawatū reporter Jimmy Ellingham has been looking at the story and spoke to Māni Dunlop.  

As part of the BJPsych Open COVID-19, Healthcare and Healthcarers thematic series, authors Esther Murray and Richard Williams discuss their recent BJPsych Open paper "Let us do better: learning lessons for recovery of healthcare professionals during and after COVID-19" with Piyush Pushkar and are joined by Morwenna Maddock, a Senior Sister in a Critical Care Unit who worked through the pandemic and experienced first hand the stressors of providing care in difficult circumstances. Authors: Esther Murray, Kenneth R. Kaufman and Richard Williams Read the Open Access article here: https://doi.org/10.1192/bjo.2021.981 View the COVID-19, Healthcare and Healthcarers themed series here: https://www.cambridge.org/core/journals/bjpsych-open/bjpsych-open-covid-19-healthcare-and-healthcarers-themed-series Follow us on Twitter @TheBJPsych #BJPOpen Disclaimer: BJPsych Open is not responsible for statements made by podcast contributors. Unless so stated, the content of this podcast does not necessarily reflect the views of the Editor-in-Chief or the Royal College of Psychiatrists.

Life can twist upside down in an instant, and you feel shaken. God is not shaken even when your world is in turmoil, and you don't know how to move forward. You can rest in His unshakable faithfulness and presence. In this episode, Michelle talks about how her husband ended up in the Critical Care Unit at the hospital and how God helped her through those moments when life was uncertain. What causes you to feel shaken? Michelle will offer you some reflection questions, a scripture reading, and a prayer that will help you remember who you are as God's child. You can rest in His capable hands, safe and secure.  

Eighteen months into the pandemic, healthcare workers in hospitals and intensive care units in Oregon are still at it. They are tired, frustrated and feeling forgotten. It's a tense time and unvaccinated Oregonians continue to show up at their doors, some failing to believe in the very virus that sent them there in the first place. On the latest episode of Beat Check with The Oregonian, Jeff Manning and Beth Nakamura talk about their recent trip into a critical care unit at Providence Portland Medical Center. We talked about what they saw, how it felt to be in that ward right now, what healthcare workers had to say and much more. See acast.com/privacy for privacy and opt-out information.

Ep 17: Find Your Nursing Soulmate- Barbara Dossey, PhD, RN, AHN-BC, FAAN, HWNC-BC Highlights“One of the great joys in this profession of Nursing is having found like-minded soulmates. As I continue, one of the joys is tapping in with like-minded brothers and sisters, finding those special few that…I can put an idea out there and they won't think I'm crazy.”Find a soulmate, who will listen to you, who appreciates what you share, and who will take the time to ask you questions. This is who will keep you steady.Explore who you are and what your purpose is. Get clear on your core values.It is a privilege to listen to the story of a patient.Consider writing down all your ideas, then once a month, lay them all out in a mind map. You will see the threads that connect your small threads and ideas into one larger idea.Emotional resilience is learning how to downregulate and be in touch with emotions.Evelyn Underhill's 5 phases of mysticism and why Florence Nightingale is a 19th century mystic.We don't have to have all the pieces; we just need to begin.Why having a soft front and a strong back coupled with grounded self-practices helps us stay in the essence of compassion and empathy and not fall into sympathy and pity.Nurse Coaches don't have to fix anything.How one step can contribute to the long vision of Nurse Coaching and bigger ideas like the United Nation's 17 Sustainable Development Goals.One goal Barbie is working towards now and why she put her red handled 5 pound weights on her desk.Links from Podcast Interview17 Sustainable Development Goals United NationsAmerican Association of Critical Care NursesDossey and Dossey WebsiteEvelyn Underhill MysticismFlorence Nightingale's voice recorded in July 1890 by Thomas Alva Edison's assistant in LondonHealthy People Healthy NationHealthy Nurse Healthy NationIntegrative Health and Wellness Assessment ToolIntegrative Nurse Coach AssociationIntegrative Nurse Coach AcademyNightingale Initiative for Global HealthTheory of Integral Nursing

Chloé Temtchine, an award-winning singer/songwriter lived with Pulmonary Hypertension for 12 years. On August 5, 2020, after suffering a cardiac arrest, being in a coma for four days, and on life support (ECMO) for almost a month, Chloé received a life-saving, double-lung transplant. The surgery was performed at UCLA by the incredible Dr. Abbas Ardehali.In 2013, Chloé had just finished an album with Smash Mouth's Grammy-nominated Greg Camp. All set to go on a world tour with Camp, Chloé suffered congestive right-heart failure and was rushed to the ER. She was told she had Pulmonary Arterial Hypertension (PAH), a rare and fatal lung condition, little time left to live, and that she would have to be on oxygen for the rest of her life.To say that Chloé's world was turned upside down in an instant is not an overstatement. She had spent the previous five years dealing with a variety of physical symptoms (shortness of breath, chest pain, dry cough, body aches, racing heartbeat, fatigue, and water retention) that left many respected and acclaimed doctors at some of the most prestigious medical institutions perChloeplexed. During this time, Chloé was diagnosed with everything from pulmonary embolism to sarcoidosis to autoimmune disease. One physician even suggested that she see a psychiatrist. All of them were wrong.Chloé's story, though, is not about the years of doctor-hopping, misdiagnoses, or landing in the Critical Care Unit. It's about what happened afterwards and where she is today.Chloé left the hospital, in 2013, determined to do everything possible to boost her health and beat the odds in order to extend her lifespan. She took control of her destiny and completely altered her lifestyle, utilizing Five Key Principles: Nutritional Lifestyle, Exercise, Mindset, Creative Expression, Family & Friends.Seven years after being released from the critical care unit and many, many, many days more than doctors thought possible, Chloé was writing music, performing, and using her talent to inspire and empower those affected with PAH and other chronic illnesses. In that time, she released three albums: Be Brave, Strangers, and Lead Me Home. Chloé wrote the song Be Brave shortly after she was released from the hospital's critical care unit. Over 150,000 copies were downloaded within the first 90 days of its release. She just completed her fourth album, titled You Save Me, and is working on her fifth album. Once out of the hospital, Chloé jumped right back into songwriting mode. By 2014, Chloé (who sings with a paralyzed vocal cord and who sang with her oxygen tank that she affectionately named Steve Martin) debuted Be Brave, a song about making the choice to live despite life's challenges. See acast.com/privacy for privacy and opt-out information.

On this episode of Tips and Tricks: Follow Your Dreams, I speak with Dr. Katina Kennedy. Dr. Davis-Kennedy was a Registered Nurse (RN) for four years in the Medical Surgical Trauma and Critical Care Unit. She is currently a certified Family Nurse Practitioner (FNP) practicing Primary Care Medicine, Teen and Women's Health at Dr. Katina Health and Wellness, Inc. In order to feed her unfilled appetite for promoting health and wellness she spends her extra time getting others to be physically active and maintain a healthy lifestyle. Dr. Davis-Kennedy was featured on TV One's Sister Circle talking about Health and keeping an active life. She has also been featured on Out Loud with Claudia Jordan, The Cool Soror Podcast with Rashan Ali, The Voice with Jawan Strader on NBC 6, The Get Up Morning Show with Erica Campbell, Essence Magazine with Charlie Pen, Black Love Magazine, The Bronze Magazine and The South Florida Times. She is an advocate for getting and staying physically fit and for managing and treating chronic diseases such as High Blood Pressure, High Cholesterol, Diabetes, and much more. She's joined by people in her community when she instructs multiple exercise classes and camps in order to build awareness and encourage a healthier lifestyle. Not only is Dr. Davis-Kennedy a Nursing Professor, Family Nurse Practitioner, Health Educator and Fitness Motivator, but she also shows her passion for health by being a Healthy-Living Motivational Speaker and Author of the book "Let's Talk Sex and STD's". Dr. Davis-Kennedy has also branched out into a whole new world with her new line of lubricant "Sextivia". Tune in to catch 3 juicy tips on how to get started living your dreams. The goal is to move from Standing to Stepping into your Purpose. *Like, Share, Subscribe* For more about Dr. Davis-Kennedy, you can access her personal website: drkatinakennedy.com Follow her on all of her Social Media: Instagram: DrKatina_drk Youtube: https://www.youtube.com/channel/UCIK-D1DgHAL__gmNoo_E-mg Twitter: drkatinakennedy LinkedIn: https://www.linkedin.com/in/drkatinakennedy Facebook: facebook.com/drkatinakennedy --- Send in a voice message: https://anchor.fm/danielle-shelton/message Support this podcast: https://anchor.fm/danielle-shelton/support

Dr. Jimmy LaRowe Website: https://www.empoweredby3.com/ Facebook: https://www.facebook.com/jimmy.larowe Instagram: https://www.instagram.com/jimmylarowe/ This episode we go deep into Dr. LaRowe's story and overcoming a major car accident that has led him to becoming a Doctor of Occupational Therapy and Coaching people back to health and pushing them to their potential. Jimmy LaRowe is a Doctor of Occupational Therapy at Angels of Mercy and Paragon Home Health. Jimmy LaRowe received his doctorate degree from Huntington University, Fort Wayne. Jimmy is published in the Journal of Hand Therapy, with his article titled “Exploring the Needs of Certified Hand Therapists Regarding Electronic Applications,” from which he was honored to present at the American Society of Hand Therapists (ASHT) conference in 2017. He received his bachelor's degree from Wabash College (liberal arts education) with a major in psychology and minor in rhetoric. He was a 4 year varsity letter wrestler at Wabash College, in which the Max Servie's Desire Award title was changed to the Jimmy LaRowe Desire Award in 2014 at Wabash College for overcoming adversity from a car accident in 2011. Throughout Jimmy's career as a Doctor of Occupational Therapy ENMMC, he has been privileged with the opportunity to rebuild the Occupational Therapy (OT) program at ENMMC with the Director of Rehab in the setting of Outpatient and Inpatient Acute (i.e., MedSurg, Critical Care Unit, and Mental Health) in Roswell, NM. Jimmy is currently the CEO of EmpoweredBy3 Wrestling Academy, CEO of Whole You Coaching, Certified Functional Capacity Evaluator, Director and Coach of Iron Wills Bootcamp, and Coach at Iron Wills Fitness Studio. Amid all of these experiences, Jimmy has been honored to study the best to pursue excellence in the realm of life skills and personal growth to empower others to empower themselves. In this episode we discuss: - Mindset needed for recovery - Overcoming obstacles - Empowering Self -The Choice we have to love and be happy - And much more! Let's connect and CONQUER! Download! Subscribe to this Podcast Leave a Review! Follow me on IG: @MoussaMikhail https://www.instagram.com/moussamikhail/ Watch on Youtube:

On any given day, Critical Care Nurses may be called upon to assist with or admit complex, critically injured polytrauma patients into the adult Critical Care Unit. It is essential that nurses possess a solid and accurate understanding of best practice trauma resuscitation principles. This session identifies current, evidence-based practice guidelines for Critical Care Nurses for the restoration of hemodynamic stability and avoidance of complications, following the admission of the adult polytrauma patient to Critical Care. The “ABCDE” approach to trauma patients, shock, oxygenation, ventilation, fluid resuscitation, coagulopathies, and damage-control surgery, is described and discussed.

I had the wonderful opportunity to sit down with Jennifer LaBanca. This was no ordinary interview! To keep the questions spicy, we challenge ourselves to a sushi roll challenge: as the surprise rolls kept coming, the spicier the tasting got!  Jen is the co-owner and CNO at Boost Hydration. She has over a decade of experience in nursing and formerly worked full time in the Critical Care Unit at St. Joseph Hospital.

Chiesi USA proudly sponsors the Neurocritical Care Society.  Chiesi USA is dedicated to investing in research and development initiatives that deliver value-added medical solutions in acute severe hypertension cases, including a dihydropyridine calcium channel blocker. Learn more at chiesiusa.com. On this episode, Dr. Mike Brogan is joined by Dr. Taylor Purvis to discuss her article, "Burnout and Resilience Among Neurosciences Critical Care Unit Staff." NCS offers free CE credits for the NCS Podcast Series episodes. Listen to any of the posted episodes, complete a five question survey, and claim your credits here! Credits are available for physicians, pharmacists, nurses, and non-physicians. The NCS Podcast is the official podcast of the Neurocritical Care Society. Our senior producer is Bonnie Rossow. Our host is Fawaz Almufti, and our production staff includes Ramani Balu, Michael Brogan, Joshua Levine, Sarah Stern-Nezer, Benjamin Miller, Starane Shepherd, and Chris Zammit. Our administrative staff includes Bonnie Rossow and Angel Gindele. Music by Mohan Kottapally.

In the fourth episode of the COVID-19 series of How Healthcare Happens, Bryn talks to Dr Julie Highfield, a Consultant Clinical Psychologist on the Critical Care Unit at the University Hospital of Wales about the psychological impacts of COVID-19 on patients, their relatives, the healthcare staff who treat them, and society as a whole.

All Local Midday for April 17th, 2020

Today, I'm back with another COVID-19 related emergency episode. This episode was recorded on Friday, March 27. The news changes quickly these days, so please consider the date and changes in the situation as you listen to this episode.  If you'd like to support the podcast, I'd so appreciate it if you head over to HippocraticHustle.com/Patreon. You can find information there about how you can support the show. If you have any questions or concerns, please send emails to carrie@HippocraticHustle.com. Finally, please tell everyone you know about the show! Episodes are coming out fast and furious, and I'm hoping it helps you, even just a little, as we all fight this pandemic together. Please subscribe and share this with other doctors and medical professionals.  I'm here with Ann Bittinger, a healthcare attorney with The Bittinger Law Firm, who represents physicians in their employment and practice matters, to talk about COVID-19 and the law.  There are a million things we could talk about as the pandemic takes hold, and impacts us physicians in so many ways, but today we are going to focus on six pertinent questions. The questions we will review are: Do hospitals have to provide physicians with PPE and what happens if they don't? Do physicians have to have to go to work and see patients? How are physicians going to paid if they are on wRVU models and can't do elective procedures? Can my employer reassign me to the Critical Care Unit or ER or another department? What can physicians and practice owners do as the financial impact of the pandemic leaves them unable to make payroll? What can I do via telemedicine?   Links we discussed in the show: OSHA Training video Mentioned by Ann Wear your PPE video! Thanks again for listening to the show. It's amazing what I am reading about the physicians on the front line. PLEASE wear your PPE and take care of yourselves first. We need to keep you healthy and available to help fight the pandemic together. So, stay strong, stay brave, and keep fighting the fight. Support the show here: hippocratichustle.com/Patreon Thank you for listening to the Hippocratic Hustle! I know that time is your most valuable resource so I really appreciate you spending some of it with me. If you enjoyed today's show, please share it! If you'd like to help me improve and grow the podcast, send your suggestions to: Carrie@HippocraticHustle.com Lastly, don't forget to subscribe to the podcast, so you won't miss an episode!

In 2013, Chloé Temtchine, a YouTube sensation and award-winning singer/songwriter, had just finished an album with Smash Mouth’s Grammy-nominated Greg Camp. All set to go on a world tour with him, Chloé suffered severe shoulder & chest pain and was rushed to the ER; she was in congestive heart failure. She was told she had Pulmonary Arterial Hypertension (PAH), a rare and fatal lung condition, little time left to live, and that she would have to be on oxygen for the rest of her life. It’s an understatement to say that Chloé’s world was turned upside down in an instant. She had spent the previous five years dealing with a variety of physical symptoms (shortness of breath, chest pain, dry cough, racing heartbeat, fatigue, and water retention) that left many respected and acclaimed doctors at some of the most prestigious medical institutions perplexed. Chloé’s doesn’t want her story to be about the years of doctor-hopping, misdiagnoses, or landing in the Critical Care Unit. She wants it to be about what happened afterward and where she is today. Seven years after being released from the critical care unit and many, many, many days more than doctors thought possible, Chloé is writing music, performing, and using her talent to inspire and empower those affected with PAH and other chronic illnesses. In that time, she released three albums: Be Brave, Strangers, and Lead Me Home. Chloé wrote the song Be Brave shortly after she was released from the hospital's critical care unit. Chloé donates proceeds from sales to the Pulmonary Hypertension Association. The video for her single “Breathe” features several children with PAH & the overarching message that sometimes you have to lose your breath to breathe. She just completed her fourth album, titled You Save Me, set to be released in tandem with Chloé’s 2020 Smile Tour.

Today, Mika gives listeners an update regarding life in Charleston amid the COVID-19 pandemic and she invites her friend and Registered Nurse, Tamisha Hardee, MSN to help bust Coronavirus myths and share her experiences treating patients in a Critical Care Unit in a Philadelphia, PA area hospital. Here's a link to a great resource list created by Eileen Waldron: bit.ly/COVID19ResourceList Additional Links: -South Carolina Emergency Management Division https://www.scemd.org/ - Charleston County School District: https://www.ccsdschools.com/ -The Post and Courier COVID-19 Tracker, www.postandcourier.com/health/covid19/ -Lowcountry Foodbank, www.lowcountryfoodbank.org/covid-19-response/ -Xfinity COVID-19, corporate.comcast.com/covid-19 New to the show? Check out this previous episode: bit.ly/CharlestonCOVID19Update2 I run on love & community support: bit.ly/SupportCAN , $mikagadsden on CashApp Get exclusive content by supporting this podcast via Patreon: patreon.com/ChsActNet Follow the Charleston Activist Network on Social Media: FB: @charlestonactivistnetwork IG: @charlestonactivistnetwork Twitter: @ChsActNet Email Mika: Tamika@charlestonactivistnetwork.com Website: www.charlestonactivistnetwork.com

In this episode, host Jana Short interview Melanie Pigeon. Melanie Pigeon is no stranger to the medical field, having spent 10 years in a Critical Care Unit as a Registered Nurse, she was responsible for patients with an array of chronic diseases and acute illnesses. The ICU taught her the importance of health prevention and being an advocate for her patients. The last 4 years Melanie ran her own clinic as a wellness nurse, providing her patients with preventative strategies and empowering them with the tools to improve their health and well-being. With 15 years as an RN and 5 additional years in the healthcare field, Melanie has 20 years of experience to share. In addition, she has accomplished a Bachelor of Science in both Nursing and Health Sciences, with an emphasis in alternative therapies. Battling with Lupus as a chronically ill patient herself has also given Melanie another perspective on how to care for patients and their needs. Her career and passion for health and well-being has sent her on a journey to educate and provide patients with a well thought out plan and face time with her personally.  They discuss: -A resource for controlling autoimmune disease or chronic illness/symptoms -First-hand knowledge from an autoimmune suffer-er -Simple but straight forward tips or habits that must be followed to heal and maintain health. -A registered nurse and fellow chronic illness sufferer open for questions and willing to provide the knowledge I have used for myself and many others. Melanie's special offer for OMHTIH listeners:  Visit Melanie on her website and schedule a one-on-one consult complete with the tools to a healthier you and learn how to enroll in her Facebook group for FREE, for ongoing education and direct contact with Melanie herself. One-on-one FREE intro package included with free essential oil. https://linktr.ee/melaniewellnessrn Find out more about Melanie on our website, www.bestholisticlife.com

  We talked about his background as a paramedic and currently working as a Trauma Surgery PA. We laid down so many points for anyone looking into getting into the medical field. We covered so many topics during our chat he wondered if there was any value to it, but I know due to his background and personality we were covering really important information when we were chatting. This is the whole reason for Maybe Medical! Please visit Maybemedical.com to leave comments and please rate us on your podcast feed to get the word out! Thank you Tyson!       Physician Assistant Stats:* Physician Assistants practice medicine on teams with physicians and other healthcare workers. They examine, diagnose, and treat patients autonomously and as part of a team in all various specialties of medicine.   2017 Median Pay: $104,860 per year ($50.41 per hour)   Educational Degree: Masters Degree   Number of US jobs in 2016:106,200   10 Year Job Outlook: 37% growth, much faster then avg.     *Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Physician Assistants, (visited August 5, 2018).     Terms Covered in Episode M.D. (Doctor of Medicine) - Requires completion of a (usually) four year graduate medical school training program to become a Physician.  They examine patients; take medical histories; prescribe medications; and order, perform, and interpret diagnostic tests. They counsel patients on diet, hygiene, and preventive healthcare.   Psychiatry - Medical specialty focusing on Mental and Behavioral Health.   Salary - Opposite of hourly pay.  Salary is paid no matter how little or excess work is performed.  Does not fluctuate based on productivity or hours worked unless previously agreed upon.   Production Bonus - Extra pay for seeing more then the require amount of patients, or some variation of productivity.   Attending Cosign - Legal signature and acknowledgement of a Physician Assistant's note.  Agreeing with their interpretation of diagnostics, medical diagnosis, and treatment plan.  Requirement of number of cosigned notes varies by state with many asking 10% of charts be reviewed by the Supervising Physician.   Reimbursement - Payment for services and medical supplies from insurance companies.   Third-Party Reimbursement   RVU (Relative Value Units) - Measure of value used in the US to determine services provided by practitioners to gauge the value, and thus the reimbursement from insurance companies, for care given to patients. Trauma Surgery - Surgical field dealing with acute traumatic injuries such as falls, motor vehicle crashes, gunshots, blunt and penetrating injuries, etc.   "Scut Monkey" - Slang term for an inexperienced medical student.  Responsible for much of the paperwork and other undesirable duties...also the subtitle of an EXCELLENT book.  Seriously, buy it!   Discharge - To be released from the hospital and given specific follow up instructions, support services, and pertinent medications. Admit - To be brought in to the hospital for medical care, surgical care, or recovery.   OR (Operative Room) - Where surgeries take place. ICU (Intensive Care Unit, Critical Care Unit, or Intensive Therapy/Treatment Unit) - Part of the hospital with the sickest patients requiring the most intervention from both staff and equipment.   May consist of intubated, sedated, and ventilated patients.   Pre/Post Op - The phase just prior to or after surgery for a patient   Inpatient/Outpatient - Inpatient is someone staying, at minimum, overnight in the hospital, outpatient generally refers to a clinic patient.   Level One Trauma Center - A Level I Trauma Center is capable of providing total care for every aspect of injury – from prevention through rehabilitation and includes teaching residents and medical students in all fields.   Resident - Physicians who have graduated from an accredited medical school and hold a medical degree who are now enrolled in a post graduate medical program, with varying years, with the focus on a specific medical/surgical field.   Chest Tube - A tube placed in the chest cavity to evacuate blood, pus (exudate), or air.   “Bronchs” (Bronchoscopy) - Surgical technique of visualizing the inside of the airways for diagnostic and therapeutic purposes using a flexible camera/suction device (bronchoscope) inserted into the airway (mouth, nose, trachea) of a sedated patient.   Supervising Physician - Each PA has a Supervising Physician on state record who has partnered for medical care.   Subspecialty - Specific medical or surgical focus.  For example bariatric surgery instead of general surgery or pediatric neurology instead of pediatrics.   EMT/Paramedic - Emergency medical technicians and paramedics care for the sick or injured in emergency medical settings by responding to emergency calls, performing medical services, and transporting patients to medical facilities as needed.   ER Tech - Staff who work in all aspects of patient care under the supervision of the Practitioners and Nursing staff.   Many have a paramedic/firefighting background.   “Ride-a-long” - Volunteer position to ride with EMS staff seeing the real world day to day duties of their career.   On Scene - On location of the medical event.   Aaron - Super Amazing Guy and Critical Care Nurse Practitioner.   Certificate Program - Generally around a two year program at a local community college.   EMS (Emergency Medical Services) - Services that treat illnesses and injuries that require an urgent medical response, providing out-of-hospital treatment and transport to definitive care.   Paramedics, Police, Firefighters, etc.   Undergrad - Generally refers to a Bachelor program (four to five years) after high school.   Monitor Tech - Trained technicians who observe and interpret a patient's heart status and other vital signs remotely in the hospital.   Phlebotomist - Staff skilled at drawing blood/obtaining labs.   ER (Emergency Room, Emergency Department, Emergency Ward, Accident & Emergency Dept) - Department that must provide initial treatment for a broad spectrum of illnesses and injuries, some of which may be life-threatening and require immediate attention that arrive unplanned by walk-in, private vehicle, or ambulance.   Urgent care - Walk-in clinics focused on the delivery of acute care in a dedicated medical facility outside of a traditional emergency room. Urgent care centers treat injuries and illnesses that are not serious enough to require an emergency department visit.   Auger - A large helical drill bit used often for drilling earth or wood.   Prerequisites - Classes you may need to take before further applying to a program.   Usually a focus on science/math for the medical flied.   Bachelor’s Degree - On average four to five year University Program to pursue a degree in a specific field.   Intubate - When an ET Tube, or similar artificial airway, is placed, either in an emergency, where there is loss of respiratory function, or planned such as in surgeries.   MI (Miocardial Infarction) - "Heart Attack" refers to a blocked coronary artery that has caused, or is moments away from causing, irreversible cardiac (heart) tissue damage.   Mapping Navajo Nation: Vice News Tonight on HBO (watch it!)   Protocols - Specific guidelines that allow EMS to treat patients en route to the hospital based on the medical situation and skill of staff.   EMS Transfers - Often non-emergent transfers from one medical facility to another.  May be as simple as a hospital to nursing home transfer a few mins away, or a half day trip to a metropolis with better medical services.   Pension - A regular payment made during a person's retirement from an investment fund to which that person or their employer has contributed during their working life.   Colleen - Supportive Wife and Amazing Flight Nurse   Travel RN - Nurse who travels for limited contracts working in all variety of places and roles.   On average 8 to 13 week contracts.   Wake Forest Physician Assistant Program   PAEA - Physician Assistant Education Association   List of PA Programs   PA History   Prescription - Legal written order for prescribed medications from a medical practitioner and dispensed by a pharmacy.   Surgical Programs   American College of Surgeons List of Surgical Specialties   A1c (Hemoglobin A1c) - A blood test that measures your average blood glucose, or blood sugar, level over the past 3 months.  Hemoglobin is a protein found inside red blood cells that carries oxygen to the body.  Used during the evaluation and treatment of diabetes.   Diabetes -  Refers to a group of diseases that result from an inability to utilize or produce insulin (naturally produced hormone) and thus unable to process glucose (sugar) appropriately.  This leads to a large variety of complications.   Byetta - A medication used for type 2 diabetics that promotes insulin secretion by the pancreas.   Vascular - A surgical subspecialty focusing on arteries, veins and lymphatic circulation using medical therapies, minimally invasive procedures, and surgical intervention.   Orthopedics - Branch of surgery concerned with conditions involving the musculoskeletal system.   Plastic Surgery - Surgical field specializing in restoration, reconstruction, or alteration of the human body.   Transplant Surgery - Surgical specialty in which an organ is removed from one body and placed in the body of a recipient, to replace a damaged or missing organ.   List of PA Residency Programs   Montefiore PA Surgical Residency   Consult - When asked to weigh in officially with your medical opinion from your specialty on a patient managed by another team.   Didactic Phase - Refers to the classroom aspect of medical education.  The opposite would be clinical phase working with actual patients.   “Steps” - Refers to the USMLE   Schwartz's Principles of Surgery   Staff PA - Hospital employed Physician Assistant.   CT Surgery - Cardiothoracic surgery deals with issues of the thorax, generally the heart and lungs.   Vein Harvest - Generally endoscopic removal of a vein to replace a coronary artery (cardiac bypass).   "Pimping" - Refers to the process of getting questioned, sometimes spontaneously, on random medical topics until failure by your preceptor.   Pathophysiology - The processes associated with disease or injury.   Neurosurgery - Surgery dealing with the Nervous System (brain and spine).   Pathology - The area of medical focused on conditions typically observed during a disease state.   Foreign Body - An object that is not supposed to be there.   IM (Internal Medicine) - The medical specialty dealing with the prevention, diagnosis, and treatment of adult diseases. AKA “Internists.”   Hospitalist - Practitioners who focus on the treatment of hospitalized patients.   Follow up - The scheduled visit to see how the patient is progressing in their recovery or disease state after a hospital discharge or clinic visit.   Pneumothorax - AKA “Collapsed lung” is when air leaks into the space between the lungs and chest wall.  This may be due to blunt or penetrating trauma, or spontaneous due to congenital (developmental) or disease origin.  Treatment is a chest tube.   OR Device Rep - Professional representative who assists and educates the surgeon during a procedure with an expertise in their area and their company’s equipment (knee replacements, defibrillators, etc).   Each and every episode of Maybe Medical is for educational purposes only, not to be taken as medical advice.  The opinions of those involved are of their own and not representative of their employer.  

Dorothy Wade works as a chartered health psychologist in the Critical Care Unit at UCH. She is registered as a practitioner psychologist with the Health and Care Professions Council, and has a PhD in psychology and health care evaluation from University College London. She is available to support patients, families and staff in Critical Care. […]

Dorothy Wade works as a chartered health psychologist in the Critical Care Unit at UCH. She is registered as a practitioner psychologist with the Health and Care Professions Council, and has a PhD in psychology and health care evaluation from University College London. She is available to support patients, families and staff in Critical Care. […] The post CCP Podcast 041: PTSD in Critical Care. appeared first on Critical Care Practitioner.

Rounding out the trifecta of wonderful nurse guests this month on Maybe Medical is Flight Nurse Colleen R.! We covered how she feels you need to be able to fly by the seat of your pants to perform in her role, as well as have an emergency and critical care background. We talked about work and home partnerships and how to balance it all while supporting each other. She was extremely inspirational and I can not express my gratitude enough for her taking the time to sit down with us. Thank you Colleen!   Registered Nurses* Registered nurses (RNs) provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and emotional support to patients and their family members.   2017 Median Pay: $70,000 per year ($33/hour)   Educational Degree: Initially Associate's Degree or Bachelor's Degree   Number of US jobs in 2016: 2,955,200   10 Year Job Outlook: 15% growth, much faster then avg.   *Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Registered Nurses, on the Internet at https://www.bls.gov/ooh/healthcare/registered-nurses.htm (visited November 16, 2018).       Terms Covered in Episode American Nurses Association Trauma Surgery - Surgical field dealing with acute traumatic injuries such as falls, motor vehicle crashes, gunshots, blunt and penetrating injuries, etc. Pulmonology - A medical specialty that deals with diseases involving the respiratory tract. Consult - When asked to weigh in officially with your medical opinion from your specialty on a patient managed by another team. Perforated Bowel - Opening in the intestines due to trauma (knife, bullet, etc) or disease (infection, cancer, etc).  Is a surgical emergency.  Yuck. Sepsis - A potentially life-threatening condition caused by the body's response to an infection. Ventilator - To move breathable air into and out of the lungs, to provide breathing for a patient who is physically unable to breathe, or breathing insufficiently. "Coding" - What we casually use to describe a cardiopulmonary arrest in which there is a sudden loss of function of the heart or loss of respiratory function that requires immediate intervention in a life or death situation. IR (Interventional Radiology) -  A subspecialty of radiology that uses minimally invasive, image-guided procedures to diagnose and treat diseases in nearly every system or organ of the body. CVA (Cerebral Vascular Assault, Stroke) – Possible permanent damage to the brain from a loss of blood flow from either rupture of a blood vessel or obstruction from a tumor, clot, plaque, etc. MI (Miocardial Infarction) - "Heart Attack" refers to a blocked coronary artery that has caused, or is moments away from causing, irreversible cardiac (heart) tissue damage. ET (Endotracheal) Tube - A tube of varied sizes that is inserted into the trachea for establishing and maintaining a patient's airway. Choose Your Own Adventure Books ER (Emergency Room, Emergency Department, Emergency Ward, Accident & Emergency Dept) - Department that must provide initial treatment for a broad spectrum of illnesses and injuries, some of which may be life-threatening and require immediate attention that arrive unplanned by walk-in, private vehicle, or ambulance. ICU (Intensive Care Unit, Critical Care Unit, or Intensive Therapy/Treatment Unit) - Part of the hospital with the sickest patients requiring the most intervention from both staff and equipment.  May consist of intubated, sedated, and ventilated patients. Bachelor's Degree - On average four to five year University Program to pursue a degree in a specific field. Sacred Heart University College of Nursing Bridge Program - A postgraduate program that is usually shorter then traditional programs that take into account previous experience. Physical Therapist - An important medical provider and part of the rehabilitation team to help assist with treatment, recovery, and overall well being of patients with chronic conditions, illnesses, or injuries. Prerequisites - Classes you may need to take before further applying to a program.  Usually a focus on science/math for the medical field. PA (Physician Assistant) - Providers who practice medicine on teams with physicians and other healthcare workers. They examine, diagnose, and treat patients autonomously and as part of a team in all various specialties of medicine. On average a Master's level degree of education. NP (Nurse Practitioner) - A nurse practitioner is trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose illness and disease, prescribe medication and formulate treatment plans.  They may work in a solo practice independently or they may work within part of a hospital system.  They graduate from a Master's or Doctorate level medical program. ASN/ADN - Associate’s Degree in Nursing.  Usually around two years. EMT/Paramedic - Emergency medical technicians and paramedics care for the sick or injured in emergency medical settings by responding to emergency calls, performing medical services and transporting patients to medical facilities as needed. ER Techs - Staff who in all aspects of patient care under the supervision of the Practitioners and Nursing staff.  Many have a paramedic/firefighting background. Travel RN - Nurse who travels for limited contracts working in all variety of places and roles.  On average 8 to 13 week contracts. Smart Pumps Compact Nursing States NCLEX (National Council Licensure Examination) - A standardized exam that each state board of nursing uses to determine whether or not a candidate is prepared for practice. Wake Forest School of Medicine PA Program Harborview Medical Center King County Medic One "Board & Collared" - Refers to the practice of placing a patient on scene on a very hard and rigid backboard to immobilize them and place a neck collar on them to prevent any head movement in the event of a spine injury while they are transported to the hospital.  They are incredibly uncomfortable. Intubated - When an ET Tube, or similar artificial airway, is placed, either in an emergency, where there is loss of respiratory function or planned such as in surgeries. First Responder - Generally refers to the first on scene in an event.  May be police officers, firefighters, or paramedics for example. "Packaged" - Patient is ready to be transported.  IVs are in, airway is secure if one is present, patient is strapped in, paperwork is read.  Let's roll!   EZ-IO - Used to gain access for medications or fluids when unable to get a line in a blood vessel.  Using a drill a hollow bore is inserted into the broad side of a bone.  Yeah, you drill into bone. "Push Line" - An IV that gives you access for medications that need to be administered over a short amount of time.  Pain meds, sedatives, cardiac meds, etc.   Vasopressors - Class of Antihypotensive medications that are used to raise blood pressure by contracting blood vessels.   EJ - An IV placed into the external jugular of the neck.   Central Line - Larger then an traditional IV placed into veins in the neck, chest, groin, or through veins in the arms.   EMS (Emergency Medical Services) - Services that treat illnesses and injuries that requiring an urgent medical response, providing out-of-hospital treatment and transport to definitive care.  Paramedics, Police, Firefighters, etc.   Level One Trauma Center - A Level I Trauma Center is capable of providing total care for every aspect of injury – from prevention through rehabilitation and includes teaching residents and medical students in all fields.   Med/Surg/Floor Nursing - Refers to what you would think of "general hospital patients." Those with pneumonia, new cardiac issues, skin infections, etc that do not require focal subspecialty involvement (cardiac, neuro, ortho, etc) or critical care support.   Nocturnist - Hospital-based practitioner who only works overnight.   Admit - To be brought in to the hospital for specific medical care.  Entails obtaining a medical history, making a medical diagnosis, writing orders for treatment and other diagnostic procedures, diet, activity, etc.   Post-Op/Recovery Room - The period right after surgery.   GI (Gastroenterology) - The branch of medicine focused on the digestive system.   Orthopedics - Branch of surgery concerned with conditions involving the musculoskeletal system.   Neurology - The area of medicine focused on the nervous system.  This includes the nerves, brain, and spine.   Potassium - A naturally occurring mineral and electrolyte consumed in our diet.  Involved in metabolism, hormone secretion, blood pressure control, fluid and electrolyte balance, and more.  Normal standard range is around 3.5-5mEq/L. Critical Values - Any values considered to be too high or low and requires immediate medical attention to prevent further issues. "Bagging" - The act of using a manual balloon like bag that is squeezed for each breath to a patient. "Titrate a Drip" - To adjust the flow rate or dose delivered of medication in a IV or central line. Peggy Sue - Badass Patient Advocate "Shake and Bake" - Hyperthermic Intraperitoneal Chemotherapy is a highly concentrated, heated chemotherapy treatment that is delivered directly to the abdomen during surgery. Patient Advocacy - Doing what is best for the patient in all facets of care provided. Listening to and understanding their needs. Multi System Organ Failure - A cascading domino like effect where multiple organ systems start to shut down due to injury/illness. Krista Haugen and Survivors’s Network Post Resuscitation - The fragile period after performing CPR or similar resuscitation of a patient. M&M (Morbidity and Mortality Meeting) - Where we dissect individual challenging cases to identify what other choices could have been made for possible alternate outcomes. Off-Label - Using a medication that may not necessarily be the indication that it was originally intended for.  For example Demerol that is a pain medication is excellent for post-operative rigors (shakes).  A small dose works like magic...fun! IV Fluids - Intravenous fluids are given through an IV, central line, or IO and usually consist of normal saline or lactated ringer's solution. Levophed (norepinephrine bitartrate) - Medications used to raise blood pressure in critical patients. Used to be referred to as "Leave 'em dead" as any patient sick enough to require norepinephrine to manage their shock, then they were most likely going to die.  Very commonly used nowadays. Epinephrine - Endogenous hormone that is given to patient's to treat a number of conditions including anaphylaxis, cardiac resuscitation, and bleeding.  Inhaled epinephrine is used to help treat symptoms of croup.  Is used in the ICU and cardiac unit to help maintain a high enough blood pressure.   PRBC (Packed Red Blood Cells) – Blood that is transfused after finding the right compatible blood type for the patient.   Plasma – Fluid in blood that is responsible for carrying red blood cells, white blood cells, platelets, etc. Is often used during blood transfusion to help stop the active bleeding by adding pro-clotting factors.   Credo Cube   Transfusion Guidelines Airlift NorthWest   MONA - Morphine, Oxygen, Nitroglycerin, and Aspirin are all meds that should be administered to a patient experiencing chest pain.   Emergency Nurse Association   Balloon Pumps - Intra-Aortic Balloon Pumps use a thin flexible tube that is inserted into the aorta of the heart to pump blood artificially in a heart-like fashion.   ECMO (Extra Corporeal Membrane Oxygenation) - Treatment that uses a pump to circulate blood through an artificial lung back into the bloodstream of a very ill patient.  Provides heart-lung bypass support outside of the body.  You are damn near dead at this point   Skills Lab/”Sims” - Focused area to learn new medical techniques or further practice known skills.   Society of Critical Care Medicine PFCCS - Pediatric Fundamental Critical Care Support ACLS - Advanced Life Support PALS - Pediatric Advanced Life Support Certification NRP - Neonatal Resuscitation Program ATLS - Advanced Trauma Life Support Certification   CCRN - Critical Care Registered Nurse CEN - Board Certification of Emergency Nurses Each and every episode of Maybe Medical is for educational purposes only, not to be taken as medical advice.  The opinions of those involved are of their own and not representative of their employer.  

When chatting with Sam it reminded me how much I missed the ER.  She gave us a wonderful perspective on how it is to work in the ER and what traits would make an ideal ER RN.  We discussed the various routes to become a nurse and she shared her personal pros and cons with us about nursing in the emergency setting.   Thank you Sam!   Registered Nurses* Registered nurses (RNs) provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and emotional support to patients and their family members.   2017 Median Pay: $70,000 per year ($33/hour)   Educational Degree: Initially Associate's Degree or Bachelor's Degree   Number of US jobs in 2016: 2,955,200   10 Year Job Outlook: 15% growth, much faster then avg.   *Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Registered Nurses, on the Internet at https://www.bls.gov/ooh/healthcare/registered-nurses.htm (visited November 16, 2018).   Terms Covered in Episode American Nurses Association UC College of Nursing   CNA (Certified Nursing Assistant) - Takes care of patients under the supervision of Licensed Practicing Nurses and Registered Nurses in a facility. Microbiology - The study of microorganisms, encompasses numerous sub-disciplines including virology, parasitology, mycology and bacteriology.   Satellite clinic - A facility owned by a hospital, but operated at a distant site.   Urgent care - Walk-in clinics focused on the delivery of acute care in a dedicated medical facility outside of a traditional emergency room. Urgent care centers treat injuries and illnesses that are not serious enough to require an emergency department visit.   Pediatrics Medicine - A branch of medicine that involves the medical care of infants, children, and adolescents. BSN - Bachelor of Science in Nursing, more schooling then Associate's. Usually four to five years. ASN/ADN - Associate’s Degree in Nursing.  Usually around two years.   NP (Nurse Practitioner) - A nurse practitioner is trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose illness and disease, prescribe medication and formulate treatment plans.  They may work in a solo practice independently or they may work within part of a hospital system.  They graduate from a Master's or Doctorate level medical program. Med/Surg/Floor Nursing - Refers to what you would think of "general hospital patients." Those with pneumonia, new cardiac issues, skin infections, etc that do not require focal subspecialty involvement (cardiac, neuro, ortho, etc) or critical care support.   Drug Reps - Pharmaceutical Representatives are professionals that work for the companies that manufacture, market, and sell medications that work with clinics, hospitals, and other health care facilities to educate about new products and continue to support current products.   PureWick External Female Catheter

I've known Tiffany for quite a long time now and she truly is like a sister to me.  I was so excited to have her on the show, but I've never once worked with her.  Despite this, she is such a wonderful person that if I ever was to be sick, injured, or my family needed care I would be so fortunate if she was the nurse.  She has been caring for people her entire life, even when not her responsibility.  I hope you feel as inspired as I am after listening to her.   As we discussed here is a wonderful Florence Nightingale quote:   The most important practical lesson that can be given to nurses is to teach them what to observe, how to observe, what symptoms indicate improvement, what the reverse, which are of importance, which are of none, which are the evidence of neglect, and of what kind of neglect.   Thank you Tiffany!       Registered Nurses* Registered nurses (RNs) provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and emotional support to patients and their family members.   2017 Median Pay: $70,000 per year ($33/hour)   Educational Degree: Initially Associate's Degree or Bachelor's Degree   Number of US jobs in 2016: 2,955,200   10 Year Job Outlook: 15% growth, much faster then avg.   *Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Registered Nurses, on the Internet at https://www.bls.gov/ooh/healthcare/registered-nurses.htm (visited November 16, 2018).   Terms Covered in Episode American Nurses Association   Palliative Medicine - An interdisciplinary approach to specialized medical and nursing care for people with life-limiting illnesses. It focuses on providing relief from the symptoms, pain, physical stress, and mental stress at any stage of illness.   Geriatrics Medicine - A specialty that focuses on health care of elderly people. It aims to promote health by preventing and treating diseases and disabilities in older adults.   Pediatrics Medicine - A branch of medicine that involves the medical care of infants, children, and adolescents.   NP (Nurse Practitioner) - A nurse practitioner is trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose illness and disease, prescribe medication and formulate treatment plans. They may work in a solo practice independently or they may work within part of a hospital system.  They graduate from a Master's or Doctorate level medical program.   Travel RN - Nurse who travels for limited contracts working in all variety of places and roles.  On average 8 to 13 week contracts.   Autonomy - Being able to work independently.   CNA (Certified Nursing Assistant) - Takes care of patients under the supervision of Licensed Practicing Nurses and Registered Nurses in a facility.   Personal Home Care - Providing medical care in a home setting.  Either in a group facility, as a visitor to an individual home, or as a live in caregiver providing 24/7 support.   Pharmacy Tech - A health care provider who performs pharmacy-related functions working under the direct supervision of a licensed pharmacist.   Corpsman - An enlisted member of a military medical unit.   Prerequisites - Classes required to set an educational foundation prior to enrolling in more focal studies.   Bachelor's Degree - On average four to five year University Program to pursue a degree in a specific field.   LPN (Licensed Practicing Nurse, aka Licensed Vocational Nurse) - Provides nursing centered patient care as part of a medical team.  Requires less years of education with less responsibilities on average compared to a Registered Nurse.   ASN/ADN - Associate’s Degree in Nursing   BSN - Bachelor of Science in Nursing, More schooling then Associate's.   ER Techs - Staff who in all aspects of patient care under the supervision of the Practitioners and Nursing staff.  Many have a paramedic/firefighting background.   Antimicrobial - An agent that kills microorganisms or stops their growth.   Oncology - Oncology is a branch of medicine that deals with the prevention, diagnosis, and treatment of cancer.   ICU (Intensive Care Unit, Critical Care Unit, or Intensive Therapy/Treatment Unit) - Part of the hospital with the sickest patients requiring the most intervention from both staff and equipment.  May consist of intubated, sedated, and ventilated patients.   CCU (Cardiac Care Unit) - Part of the hospital that focuses on postoperative cardiac surgical patients and those who have suffered from cardiac events or other variety of cardiac related disease processes.   ER (Emergency Room, Emergency Department, Emergency Ward, Accident & Emergency Dept) - Department that must provide initial treatment for a broad spectrum of illnesses and injuries, some of which may be life-threatening and require immediate attention that arrive unplanned by walk-in, private vehicle, or ambulance.   CABG (Coronary Artery Bypass Graft Surgery) - "Bypass" surgery is a surgical procedure to restore normal blood flow to an obstructed coronary artery.   MI (Miocardial Infarction) - "Heart Attack" refers to a blocked coronary artery that has caused, or is moments away from causing, irreversible cardiac (heart) tissue damage.   Epinephrine - Endogenous hormone that is given to patient's to treat a number of conditions including anaphylaxis, cardiac resuscitation, and bleeding.  Inhaled epinephrine is used to help treat symptoms of croup.  Is used in the ICU and cardiac unit to help maintain a high enough blood pressure.   Dobutamine - Inotrope class of cardiac medication used in the treatment of adults with weakened cardiac function due to poor effort of cardiac contractions (pumping of the heart) that may result from cardiac disease or cardiac surgery.  Helps the heart to beat stronger and more efficiently.   Dopamine - Medication used as a stimulant for low blood pressure, cardiac arrest, or slow heart rate.   Vasopressors - Class of Antihypotensive medications that are used to raise blood pressure by contracting blood vessels.   Insulin - Hormone naturally produced by the body to help process carbohydrates that is given via injection to diabetics who are unable to either produce, or are no longer as sensitive to, their insulin.   Massive Transfusion Protocol - Protocol that a hospital system has when need of large quantities of blood and blood products are needed to be transfused for a patient with significant blood loss that may still be ongoing.   Florence Nightingale - Founder of Modern Nursing   Certified Breastfeeding Specialist - Specialized healthcare provider who work with mom and their baby to assist in feeding and help those experiencing breastfeeding problems, such as latching issues, painful nursing, or low milk production.   Prenatal Care - Care being provided to those pregnant or planning to become pregnant.   Acute Care - The opposite of long term care.  Providing care for expected temporary illness or injury.   Foley Catheter - A tube that is inserted through the urethra to the bladder to empty urine.  May be left in place and a bag attached to it.   Skills Lab - Focused area to learn new medical techniques or further practice known skills.   Colostomy - A surgical procedure that brings one end of the large intestine out through an opening (stoma) made in the abdominal wall. Poop and liquid moving through the intestine empties via the stoma into a bag attached to the abdomen.   Oregon State Board of Nursing   Latching - The application and placement of the child's mouth to the nipple/breast to form an appropriate connection for feeding.   Colostrum - The nutrient rich first form of milk produced immediately following delivery of the newborn and contains antibodies to protect the newborn against disease.   Breast Pumping - Using a machine to mild the breasts for milk to be used at a later date or if there is issues with the infant latching on to the nipple for adequate feedings.   Torticollis - A rare, and often temporary, condition in which the neck muscles contract, causing the head to twist to one side.   Teddy Bear Constipation - Your teddy bear is "overstuffed."   Each and every episode of Maybe Medical is for educational purposes only, not to be taken as medical advice.  The opinions of those involved are of their own and not representative of their employer.

September 29, 2018 Marty Breedan Virginia Ex-Cop now Prophetic Voice to America 09/29/18 - Dr. June interviewed Marty about his experience with God and his role in preparing the church for judgment. About Marty: After going CODE BLUE twice in July 2015 from acute respiratory failure and an extended hospital stay , including 3 weeks in the Critical Care Unit, several weeks in progressive care, then moved to the University of Virginia Transitional care Facility to learn how to walk, talk and swallow again, and 4 months of home recovery. Marty Breeden returned from from deaths final door and shares the stirring messages and warnings he received from the Lord Jesus personally . He knows the return of Christ is NEARER THAN MOST BELIEVE!! *Marty is a retired Deputy Sheriff in Page County Virginia where he is married to his wife of 25 years, Diana and he resides in the Shenandoah Valley. Marty has 2 daughters Mallarie and Mathea * He has just recently started doing outreach ministry through evangelism sharing his testimony and others messages concerning end times events and the lateness of the hour  

I had such a fun time chatting on the phone with Dan about medicine.  Total recorded time was 2 hours that I had to edit down to this current episode.  His story from childhood to how he became one of the administrators for a surgical group in one of the biggest hospital systems in California is enriching.  He is a true inspiration.  Thanks Dan! Physician Assistant Stats:* Physician Assistants practice medicine on teams with physicians and other healthcare workers. They examine, diagnose, and treat patients autonomously and as part of a team in all various specialties of medicine.   2017 Median Pay: $104,860 per year ($50.41 per hour)   Educational Degree: Masters Degree   Number of US jobs in 2016:106,200   10 Year Job Outlook: 37% growth, much faster then avg.     *Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Physician Assistants, (visited August 5, 2018).     Terms Covered in Episode Navy A School   Corpsman - Enlisted medical specialist   Lipoma - Overgrowth of adipose tissue (fat) creating a benign tumor often located between skin and muscle layer.   Eugene Stead Jr. MD   CT Surgery - Cardiothoracic surgery deals with issues of the thorax, generally the heart and lungs.   Trauma Surgery - Surgical field dealing with acute traumatic injuries such as falls, motor vehicle crashes, gunshots, blunt and penetrating injuries, etc.   ICU (Intensive Care Unit, Critical Care Unit, or Intensive Therapy/Treatment Unit) - Part of the hospital with the sickest patients requiring the most intervention from both staff and equipment.  May consist of intubated, sedated, and ventilated patients.   Call - To be available on your “off time” for phone calls, patient visits, surgeries, emergencies, etc that varies by job.   Open Surgery - Traditional way of surgery going through the layers of the body to operate.   Endoscopic Surgery - Surgery utilizing cameras, smaller openings and temporary ports in the body to pass through instruments in a tight space allowing for less pain and quicker recovery.   Vein Harvest - Generally endoscopic removal of a vein to replace a coronary artery (cardiac bypass)   Bypass - Surgical procedure to restore blood flow to the heart after an obstruction occurs.   Cardiac Graft   BP (Blood Pressure) - Force of blood against the arterial walls.   Recovery - Phase after surgery when anesthesia is wearing off and patient is being monitored before being sent home with family or admitted to the hospital.   Punch Biopsy - Small round biopsy (cut) taken to identify the cause of abnormal tissue.   Hernia - Bulging of an organ (intestines) through an abnormal opening.   ENT Surgery - Ear, Nose, and Throat.  Various procedures involving the head.   MBA - Masters of Business   UCSF Neuroscience   Medicare - Government provided healthcare insurance to those over 65, young people with disabilities, and people with end stage renal disease.   401k - Retirement plan.   Western Governors University   Bedside Manner - approach or attitude towards a patient.   Neurosurgery - Surgery dealing with the Nervous System (brain and spine).   Trauma LVL 1 Center - Hospital able to provide total care for every aspect of injury.  Large facility with all types of staff including Residents.   Cerebral Stenosis - When artery inside the brain that becomes blocked by plaque or disease.   TPA (Tissue Plasminogen Activator) - Protein involved in the breakdown of blood clots.   Aneurysm - Ballooned and weaker area of an artery.   CVA (Cerebral Vascular Assault) - Stroke.  Damage to the brain from a loss of blood flow.   Ischemic CVA - loss of blood flow from a blockage.   Hemorrhagic CVA - loss of blood flow from a blockage a ruptured aneurysm.   Elective Surgery - Nonemergent scheduled surgery   Discectomy - Surgical removal of whole or part of a intervertebral disc.   Fusions - Surgery to join two or more vertebrae together.  Done for fractures, deformities, instabilities, slipped vertebrae, or herniated disk.   ACDF (Anterior Cervical Discectomy & Fusion) - Discectomy of the cervical spine (neck) with fusion to decompress the spinal cord and nerve roots of the cervical spine.   Neuroaxis (Neuraxis) - Central Nervous System   Tumor - Abnormal growth of cells   Resection - to surgically remove   Spine Stabilization - Surgery to stabilize the spine with more flexible materials then traditional fusion.   Angio - technique used to visualize inside blood vessels.   MRI (Magnetic Resonance Image) - Medical Imaging using magnets to see deep layers of the body.   Space Occupying Lesion - abnormal mass in the brain usually due to cancer, but may be abscess (infection) or hematoma (blood).   Glioblastoma - Rare very aggressive and fatal cancer of the brain or spine.   Code Yellow - Phrase used over PA system of hospital when Trauma Patient is coming to the ER.  To alert the hospital to assemble the Trauma Team and support staff to receive the patient.   Hypotensive - lower then normal blood pressure.   Chest Tube - tube placed in the chest cavity to evacuate blood, pus, or air.   Central Line - Larger then an traditional IV placed into a main vein of the body. Thoracotomy - Opening into the chest wall.   Finochietto (Rib Spreader) - Used to get a better window/view into the chest cavity the pushes the ribs aside.   Pericardial massage - Manually pumping the heart with a hand in the chest cavity.   Each and every episode of Maybe Medical is for educational purposes only, not to be taken as medical advice.  The opinions of those involved are of their own and not representative of their employer.

Transitioning from a Registered Nurse on the Medical Surgical Unit/Tele Floor to the Intensive Care Unit is a HUGE change, but heres a Hint (Time Management) Medical-surgical nursing has evolved from an entry-level position to an adult health specialty which I noticed is no longer viewed as stepping-stone but is the solid rock and the backbone of every nursing community. Then when you get the chance go into the Critical Care Unit and here is my personal experience my fellow Nurses. IF YOU WOULD LIKE ME TO

Guest: Eyal Herzog, MD, FACC Host: Jason Birnholz, MD So small, it is called the ‘pocket ultrasound,' Dr. Eyal Herzog, director of the cardiac care unit at St. Luke's-Roosevelt Hospital Center in New York, discusses with host Dr. Jason Birnholz the results of his research on the handheld portable ultrasound unit in the cardiac care department. Dr. Herzog reports no significant differences in image quality compared to the larger, high-end machine. The portability of the handheld has the capacity to improve care by increasing the speed at which we can assess critically ill patients.

Host: Bill Rutenberg, MD Guest: Brian Berman, MD Complementary and Alternative Medicine (CAM) practices including acupuncture and relaxation therapy used more traditionally to prevent and treat chronic disease are new to the ICU. In this segment, our guest Dr. Brian Berman, Professor of Family Medicine and the founder and director of the University Of Maryland Center for Integrative Medicine talks about the CAM treatments and studies currently in progress at the Shock Trauma Center at the University of Maryland. He and his research team are working with the ICU team to determine if they can make a difference in patient outcomes using markers such as decreased inflammation, pain reduction, lesser need for narcotics and stress reduction. Join host Dr. Bill Rutenberg to learn more about this interesting work.