Podcasts about Decompression

Max Trescott and Rob Mark launch the first episode of NTSB News Talk, diving into NTSB agency news, recent accidents and newly published NTSB reports to help pilots better understand accident causes and improve decision-making in the cockpit. Please help us improve the show by sending us your feedback here. To hear future episodes of NTSB News Talk, Follow or Subscribe to the show in your podcast app. They begin with a surprising administrative shake-up: the unexplained termination of NTSB Vice Chairman Alvin Brown . Rob questions the lack of transparency, pointing out how an independent agency like the NTSB should not be subject to political scapegoating without clear justification. Max brings up that the NTSB is hiring . Next, they turn to cockpit video recorders—a long-recommended safety item by the NTSB. While commercial pilots and unions resist them on privacy grounds, Max and Rob argue that video can play a vital role in understanding pilot behavior and causes of crashes, especially in general aviation where data is often limited. Rob references Matt Thurber's editorial advocating for video recorders and highlights tools like CloudAhoy that already allow post-flight review. The hosts then discuss several accidents. One involved a Cessna 207 in Alaska that crashed during a go-around, possibly due to a dog on the runway. They examine when it's safer to land versus abort, and why go-around procedures—rarely practiced—are often poorly executed, even by experienced pilots. Two Citabria crashes raise density altitude concerns. One near Big Creek, Idaho , ended with no survivors; the other, in Wyoming, occurred during a flight to spread ashes . A partial engine power loss, high terrain, and low climb capability proved fatal. Both hosts emphasize how critical it is for instructors to teach performance limitations in high-elevation operations, especially in underpowered aircraft. Max talked about a Fireboss firefighting seaplane that ditched in the Atlantic, killing the pilot, while on a ferry flight to the Azores. He mentioned that experience ferry pilot Sarah Rovner talked in detail about ferry piloting issues in episode 379 of the Aviation News Talk podcast. Another incident highlights poor weather decision-making. A Piper PA-28 crashed near Mount Equinox, Vermont after entering icing conditions in IMC. The non-instrument-rated pilot, traveling with family on a ski trip, stalled and crash-landed. The hosts explain how "get-there-itis" and poor weather avoidance can prove fatal, and caution against pressing on in marginal conditions—especially with passengers aboard. The episode's deep dive analyzes the fatal accident of N611VG, a Citation 560 over Virginia. The pilot lost cabin pressure at high altitude and became incapacitated due to insufficient supplemental oxygen. The aircraft, operating Part 91, had numerous maintenance discrepancies—including an empty oxygen bottle and neglected pressurization issues. The pilot and passengers perished. Rob emphasizes that maintenance negligence is a silent killer, and guests aboard privately owned aircraft may have no idea about their true safety risks. Max and Rob conclude with a discussion on high-altitude emergency procedures, including explosive decompression response. They urge pilots to practice rapid descents to VMO and recognize the signs of hypoxia before it's too late. Finally, they encourage all pilots—regardless of experience—to schedule a flight review with an instructor to refresh skills like go-arounds and emergency descents. This debut episode delivers clear, actionable safety lessons and insider insight into real-world aviation accidents. It's a must-listen for pilots, CFIs, aircraft owners, and anyone serious about flight safety and learning from the NTSB's findings. Mentioned on the Show Please help us improve the show by sending us your feedback here.

Nonsteroidal anti-inflammatory drugs (NSAIDs) are the commonly used drugs in reducing pain, inflammation, and fever. And the question that rises is whether it is possible to relieve back pain without relying on NSAIDs. And, yes, it is possible to find relief from back pain without relying on NSAIDs. Alternative methods for managing back pain include physical therapy, exercise, stretching, heat or cold treatment, and mindfulness practices like yoga or meditation. In some cases, lifestyle changes such as improving posture, reducing weight, or managing stress can also help alleviate pain. Working with a healthcare practitioner can be very beneficial if the pain is persistent. Home care Home care remedies that can help relieve back pain, including heat and cold therapy, and gentle and low-impact exercises, like swimming and walking, can help strengthen the muscles supporting your spine to improve flexibility. Maintaining a straight posture while sitting and standing and a suitable sleeping position can prevent additional strain on your back. Also, gentle massage on the affected area can reduce muscle tension risks of future injury. Chiropractic Care Chiropractic care includes spinal adjustments by a professional to realign the spine, relieve nerve pressure, and reduce the pain. You can also embrace soft tissue therapy techniques such as massage to help alleviate tension and improve circulation, thus reducing back pain. In addition, chiropractors often provide activities that strengthen muscles to support the spine, enhancing flexibility and promoting better posture. Comprehensive care with movement The simple activities we engage in daily, including walking and stretching, can help with back pain without the need for NSAIDs. The comprehensive therapy combines physical activities to strengthen the core, improve flexibility, and promote proper posture. Such activities include low-impact ones like swimming, walking, and stretching regularly. However, you must be mindful of tai chi and yoga practices to alleviate back strain. ·         Decompression therapy  Using a specialized decompression table, a chiropractor will apply gentle traction to create intervertebral spaces for the compressed disks to retract and ease pressure on the surrounding nerves. Please do not lose this golden opportunity for your long-sought back pain and sciatica relief. Please book an appointment with our chiropractor for the best back pain and sciatica remedies. Long-term use of NSAIDs is not good as such drugs may lead to complications such as gastrointestinal complications, kidney issues, cardiovascular risks such as a surge in the risk of stroke and heart attack, and reduced effectiveness in treating chronic pain. Instead of using NSAIDs for back pain and sciatica relief, you can use physical therapy, proper home and work ergonomics, heat or cold therapies, and lifestyle modification. And if you need more guidance on how you can relieve back pain without NSAIDs and understanding why using NSAIDs long-term is not good, talk to Dr. Jason Jones at our Chiropractic office in Elizabeth City, NC, for assistance!

Is back pain and sciatica interfering with the quality of your daily life? We have good news for you as we have back pain and sciatica relief near you! Prevention is always better than cure, so do not wait until surgery is the only remaining option for sciatica and back pain relief! Dr. Jason Jones Chiropractor Care is readily available to offer you the natural treatment needed to alleviate pain and restore your general productivity. Be sure to schedule an appointment with our Chiropractor, Jason Jones, today at our Chiropractic office in Elizabeth City, NC. The chiropractor will guide you in restoring your body's balance while relaxing the muscles, relieving you from aggravating back pain and sciatica. After chiropractic care with Dr. Jason Jones, you can rest assured of becoming more energetic and delighted as you carry on your daily activities. The major areas that the chiropractic care for back by Dr. Jason Jones will address include: ·         Mechanism of action This entails using manual adjustments in manipulating the spine, such as sensations using needles and pins, to rectify misalignments that may be causing pain after compressing nerves. ·         Treatment approach Dr. Jason Jones will conduct a comprehensive body examination to determine the source of the pain. Such examinations include your posture assessment, nerve function, and ability to sustain a range of motion. He will then apply targeted adjustments to the affected segments. After the encounter with the doctor, you will have reduced pains, enhanced spine motion, become more flexible with better muscle tone, and improved overall productivity. Among the non-surgical back pain and sciatica relief treatments the doctor will tackle include: ·         Decompression care Using a specialized decompression table, our chiropractor will apply gentle traction to create intervertebral spaces for the disks that had been compressed to retract and ease pressure on the surrounding nerves. Please do not lose this golden opportunity for your long-sought back pain and sciatica relief. ·         Practice home care Did you know that the solution to your chronic back pain and mild sciatica could just be next to you, at your home? Home care activities, such as applying heat and cold packs, regular walking and stretching, relaxing your shoulders, and sitting or walking straight, go an extra mile in alleviating pain. ·         Advise on comprehensive care with movement Based on your condition, the chiropractor will advise you on comprehensive care with movement activities such as physical activity, exercises, low-impact activities, and core strengthening activities. These will help you become more flexible, improve your core, and correct your posture and alignment. Can't wait to feel good again? Please book an appointment with our chiropractor, Dr. Jason Jones, for better chiropractic care. Whether you are living with back pain or sciatica, there is a solution for you after booking an appointment with our chiropractor.  

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Are you experiencing mild to severe pains along the regions with nerves interconnecting with the sciatic nerve? You may be suffering from sciatica. Such pain, tingling, or irritation can extend to the lower back, hips, butts or legs, with some individuals experiencing it as far as on the feet and toes. Treating or managing sciatica entails alleviating the pain or irritation and enhancing mobility. If you are a victim of sciatica, you need not worry because some of the treatment options are easy therapies that you can do on yourself. Such tips include the following;  Chiropractic therapy This therapy involves performing several spinal manipulations to align the spinal cord. Such manipulations help detect and reduce the misalignments of the spine that may interfere with the sciatic nerve, hence relieving pain. Chiropractic therapy techniques include soft tissue therapy and posture correction, among others. Decompression therapy If you are experiencing back pain associated with health conditions such as spinal stenosis, degenerative disc disease, or herniated discs, there is hope for you. All you need is for the doctor to use a specialized traction table to slowly stretch your spine and create negative pressure within the discs. This allows the compressed discs to retract and relieve pressure on nearby nerves, thus resulting in pain relief and healing. An appointment with our chiropractor will get you the best back pain and sciatica remedies. Home care                             Home care therapy has become rampant in modern society. It is highly preferred because everyone can take good care of their loved ones and monitor their progress. Finding relief from sciatica at home can be effective with a combination of self-care strategies, including stretching exercises, heat and cold therapy, maintaining good posture, staying active, and mindful relaxation techniques such as meditation. Comprehensive care with movement You're already covered if you are seeking to relieve sciatica pain through comprehensive care with movement. An appointment with our chiropractor will help you get the proper guidance on the most effective strategies, such as: Stretching exercises Stretching exercises significantly impact sciatica nerve relief because of the relaxation effect of stretching your muscles. Stretches such as the hamstring and knee-to-chest stretch will bring positive results and sciatica relief.  Strengthening Exercises These exercises help by targeting muscles that support the spine and pelvis, a good example being the bridges. Low-Impact Aerobic Activities Engage in low-impact exercises such as walking, swimming, or cycling. These can improve circulation and reduce inflammation without putting too much strain on your back. Yoga and Pilates You can incorporate yoga and Pilates into your routine to improve flexibility, strength, and body awareness. These practices can be beneficial in relieving sciatica pain. Other helpful activities include posture, body mechanics, and heat and ice therapy. If symptoms persist, kindly book an appointment with Dr. Jason Jones at our Chiropractic office in Elizabeth City, NC to receive the most personalized care based on your needs.  

Many high performers and achievers push themselves so hard that they unwittingly damage their performance ability over time.  It doesn't have to be this way. Learning how to decompress daily and weekly is a key element of creating sustainable high performance AND improved clarity and happiness.   Show Notes: My new Audio Club 2025 has just launched. Get access to 12 high impact, long form audios over a year. Get all details here I'm playing around on Substack - If you're an entrepreneur, CEO or aspiring one you should find it interesting. Access for free here.    Get Inspired Every Monday Morning & Join The Community:  For free delivery of my weekly email join my mailing list at www.shanecradock.com My best-selling book The Inner CEO: The Inner CEO is available to buy in ebook, paperback, hardback and audio formats. All details are here: www.theinnerceo.com Connect With Me:  Have you been inspired from something you've heard on my podcast or do you have a question?  I'd love to hear from you.  Email me at support@shanecradock.com Follow:  Follow me on Instagram, Facebook, LinkedIn and X 

Decompression Lesson by Frank MacKay

In this episode of the PFC Podcast, Dennis and Max delve into the complexities of recovery and behavioral health following traumatic experiences in combat. Max shares his personal journey from the whirlwind of returning home after a helicopter crash to the challenges of processing trauma and the importance of support systems. The conversation highlights the need for better medical evacuation processes and the critical role of behavioral health in recovery, emphasizing the significance of brotherhood and professional support in navigating the aftermath of trauma. In this conversation, the speaker shares their profound journey through trauma, mental health challenges, and the importance of coping mechanisms and therapy. They discuss the experience of feeling detached from reality, the role of unpredictability in healing, and the significance of EMDR therapy in processing traumatic memories. The conversation also emphasizes the need for leaders to recognize mental health issues in their peers and the importance of supporting one another in the healing process. Ultimately, the speaker highlights personal growth through adversity and the ongoing commitment to mental health as a lifelong journey.TakeawaysThe rapid return home after combat can disrupt mental processing.Brotherhood among soldiers is crucial for emotional recovery.Experiences in medical facilities can vary greatly in quality.Decompression time is essential for transitioning from combat to home.Seeing traumatic events on video can trigger intense emotional responses.Psychotic breaks can occur when processing trauma is rushed.Support systems need to be more humanized and effective.Behavioral health can lead to stronger outcomes if managed well.Professional therapists play a vital role in recovery.Recovery is an ongoing process, similar to physical rehabilitation. The mind can create a simulation of reality, leading to feelings of detachment.Unpredictable experiences can help ground individuals in reality.Coping mechanisms, like doing unpredictable actions, can aid in mental health recovery.Therapy can lead to significant improvements in mental health over time.Trauma can manifest in various ways, including PTSD and depression.EMDR therapy can help individuals process traumatic memories effectively.Leaders have a responsibility to recognize and address mental health issues in their teams.Mental health should be treated with the same seriousness as physical health.Personal growth often comes from facing and overcoming adversity.Supporting one another is crucial in the journey of healing.Chapters00:00 Introduction to Recovery and Behavioral Health03:02 The Whirlwind of Returning Home05:56 The Importance of Brotherhood in Recovery08:59 Experiences in Germany: A Mixed Bag11:50 The Need for Decompression After Combat14:48 The Transition to Walter Reed18:07 The Emotional Rollercoaster of Homecoming20:50 The Struggles of Processing Trauma24:07 The Impact of Seeing the Crash Video26:58 The Psychotic Break: A New Reality29:48 The Need for Better Support Systems32:49 Revamping the Medical Evacuation Process36:13 The Role of Behavioral Health in Recovery39:09 The Importance of Professional Support41:52 Conclusion: Moving Forward with Hope48:46 Navigating the Simulation of Life51:23 Coping Mechanisms and Unpredictability54:12 The Journey to Normalcy56:04 Understanding Trauma and Its Effects01:02:29 EMDR and Healing from Trauma01:10:05 Leadership and Mental Health Awareness01:18:56 Growth Through Adversity01:29:42 Supporting Each Other in HealingThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

At 55 years old, Joey was living with 7 herniated discs and had been in chronic pain for almost 20 years. He suffered from:✅ L5-S1, L4-L5, L3-L4, L2-L3, L1-L2 (ALL 5 lumbar discs herniated!)✅ T12-L1, T11-T12 (thoracic-lumbar herniations)His pain first started in 2007, when a debilitating back spasm left him stuck on the ground, unable to move.For nearly two decades after, he dealt with severe back pain and sciatica flare-ups every 6-7 months. He tried everything to get better:❌ Epidural injections – only temporary relief❌ Physical therapy – generic exercises, no lasting change❌ Decompression therapy – expensive and ineffective❌ Inversion tables & back braces – no long-term results❌ Surgery consultations – told he'd be in and out of the hospital for lifeWith nothing working, Joey assumed this was just his reality—until he took a chance on the Whealth Limitless Program.How Whealth Limitless Changed EverythingAt first, Joey was skeptical (like most of our members) —he had already tried so much without success.But within just a few weeks, he started feeling a difference.And in a few months, he was completely pain-free for the first time in over a decade. Now, he's:✅ Back to playing golf after 14 YEARS away from the sport✅ Running his landscaping business PAIN-FREE✅ Waking up without thinking about his back pain✅ Living life without fear of flare-upsJoey is proof that you CAN heal—even with multiple herniations and decades of pain.

In this episode of The Christ Cycle, Maurice Harker explores two essential phases of Christ's journey: decompression and rejuvenation. Christ regularly withdrew from the crowds to seek solitude, prayer, and renewal, demonstrating that even the Son of God needed moments of rest and reflection. His example teaches us the necessity of stepping back from life's demands to restore our energy, gain clarity, and reconnect with our divine purpose.We'll discuss how decompression helps prevent burnout, strengthens spiritual resilience, and fosters emotional balance. We'll also examine the practice of rejuvenation—how Christ recharged through solitude, scripture, and communion with God, and how we can apply these principles in our own lives. Discover how to create your own "desert place" for solitude, set healthy boundaries, and embrace Christlike renewal in your daily journey.Want to read the book: ⁠https://bit.ly/TheChristCycleAudioBook

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We'd be lying if we didn't admit we've giggled over our guest's business name.It's actually downright brilliant. Equal parts funny and straight to the point.Jenn Lormand is bringing some fire today mixed with humor, hope, and healing.She's a published researcher, exercise physiologist, and author.  AND she's been living and thriving with Stage 2 prolapse for the last ten years. After being told an invasive surgery was her only hope following her third birth, Jenn was determined to create her own solution. Together with her Tighten Your Tinkler cofounder (PT + manual integrative therapist Christina Walsh), Jenn developed a new movement-based protocol that allowed her to reverse her pelvic floor symptoms.Before going online in 2019, Jenn and her business partner Christina helped hundreds of New Orleans women reduce and eliminate pelvic floor issues. The Journal of Women's Health Physical Therapy featured their research, confirming the effectiveness of their protocol at ending pee leaks, back pain, and painful sex – WITHOUT kegels or trendy internal vaginal devices.The Tinkler mission is to inspire hope and healing – helping women to heal holistically so they can show up fully present for their lives through at-home programs that are non-invasive and kegel-free.What is Prolapse and How to Recognize It (01:40)The First Step When You Recognize Prolapse or Pelvic Floor Dysfunction (05:45)Every Woman's Body Has a Unique Story (06:30)More detailed notes to come...For more from Tighten Your Tinkler... (This list contains affiliate links that will save you money but also result in compensation for The Deliberate Day).Root Cause Quiz: https://www.surveymonkey.com/r/tinklerquiz Decompression position: https://www.tightenyourtinkler.com/backandhipreliefTYT Website: https://www.tightenyourtinkler.comSignature Program sales page: (Use code DELIBERATE for $50 off!)https://www.tightenyourtinkler.com/signatureprogram Instagram:https://www.instagram.com/tighten.your.tinkler/ YouTube:https://www.youtube.com/@tightenyourtinkler Find the complete podcast notes on our website.To find The Deliberate Day on Instagram, click here.Looking for items shared in our podcasts?! Get the Editable Homeschool Clipboard Template here! Here's our Homeschool Plan Like A Mother Guide! For the 12 Week Planner, click here! (Use code PODCASTMOM for 20% off!) Get your FREE Meal Planning Kit here. For the Favorites List, go here.

Disclaimer: We are not professionals. This podcast is opinioned based and from life experience. This is for entertainment purposes only. Opinions helped by our guests may not reflect our own. But we love a good conversation.Become a supporter of this podcast: https://www.spreaker.com/podcast/2-be-better--5828421/support.

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Why are they changing MARCH to Resus before managing the Chest? Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-214-TCCC-Updates-e2to67f Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

In this episode of the PFC Podcast, Dennis and John discuss the ongoing updates and changes within the Tactical Combat Casualty Care (TCCC) guidelines. They delve into the role of the TTC Committee, the importance of literature reviews in developing algorithms for trauma care, and the proposed changes to the March algorithm, emphasizing the need for resuscitation before decompression. The conversation also covers the overhaul of the analgesic section, the recommendations for antibiotics, and the role of TXA in treating hemorrhagic shock. Additionally, they touch on the significance of triage in mass casualty situations and the future directions of the committee's work. Takeaways TCCC is continuously updated to reflect new research. Resuscitation should be prioritized over decompression in trauma care. The March algorithm may undergo significant changes to improve outcomes. Analgesic options are being re-evaluated due to supply issues. Rocephin is being recommended as a primary antibiotic. TXA is crucial for managing hemorrhagic shock in trauma patients. Triage protocols are essential for effective mass casualty management. The committee is open to innovative ideas and solutions. Training and education are vital for implementing new guidelines. Future meetings will focus on finalizing and voting on proposed changes. Chapters 00:00 Introduction to the PFC Podcast 02:46 Understanding the TTC Committee and Its Role 06:06 Literature Review and Algorithm Development 09:00 Resuscitation vs. Decompression in Trauma Care 12:07 Proposed Changes to the March Algorithm 15:06 Analgesic Section Overhaul and Alternatives 18:09 Antibiotic Recommendations and Changes 20:54 TXA and Its Role in Hemorrhagic Shock 23:51 Triage in Mass Casualty Situations 26:45 Future Directions and Upcoming Votes 30:06 Conclusion and Final Thoughts Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

In this episode of Go Gaddis Real Estate Radio, brought to you by Modern Traditions Realty Group, we highlight the beautiful Chattahoochee Reserve in Duluth, share tips for decompressing after the holiday season, and dive into Cleve and Tammie's New Year's resolutions for 2025. Plus, discover how our Seller Confidence Plan can help you start the year off right if you're thinking about selling your home. Segment Teaser: Explore Chattahoochee Reserve in Duluth, unwind after the holidays with helpful tips, and find inspiration in Cleve and Tammie's New Year's resolutions. Cleve Gaddis: Helping listeners go from real estate novice to expert, ensuring that home buying and selling can be done with total confidence and without the usual worries of life's biggest investments. Let's Talk: Visit GoGaddisRadio.com to ask questions, leave comments, push back, share your ideas, and explore our Neighborhood Spotlight. Don't forget to subscribe to our podcast! Neighborhood Spotlight – Chattahoochee Reserve in Duluth: Discover the charm and amenities of Chattahoochee Reserve, a sought-after neighborhood in Gwinnett County. Find active listings at SureMLS.com. Tammie and Cleve Discussion – Holiday Decompression and New Year's Resolutions: With the holiday rush behind us, how do Cleve and Tammie decompress? Tune in as they share their favorite strategies for relaxing and resetting. Plus, get inspired by their New Year's resolutions for 2025, focused on personal growth and professional success. Seller Confidence Plan: Thinking about selling your home? Call us before listing with anyone else to learn how our Seller Confidence Plan can help you sell quickly and for up to $28,000 more. Join us for an episode full of neighborhood insights, holiday recovery tips, and motivation for the year ahead! If you have a question for Cleve, click here : https://gogaddisradio.com/ask-a-question If you are looking to buy or sell your home with Cleve, click here : https://moderntraditionsrealty.net/contact If you are looking to join a real estate team, click here : https://moderntraditionsrealty.net/careers

This week the boys continue their talk on decompression and the evolution of dive tables and computer generated decompression algorithms based on decompression models. The discussion centers on an article from the late and great Dr Robert William (Bill) Hamilton where he discusses the changes undergone in the world of decompression theory and practice during the technical revolution in diving of the late 80's to 2000's. As we travel deeper into the rabbit hole of decompression Dr Bill Hamilton's contribution to diving cannot be understated. Learn what he had to say about the changing world of decompression and scuba diving!

What interests or passions would you pursue if you incorporated frequent sabbaticals into your lifestyle?We talk about the transformative power of sabbaticals and self-discovery with our special guest, Lyndall Farley, a sabbatical coach who has taken an impressive 11 sabbaticals herself. This episode explores strategic approaches to taking time off work, the importance of planning ahead, and the essential role of support networks.What are the impacts of the pandemic on personal reflection, the increasing adoption of sabbaticals in the corporate world, and the benefits of disconnecting from the constant demands of work? Lyndall shares insightful stories, including how sabbaticals can aid in transitioning to retirement, improve work-life balance, and provide clarity in one's career and personal life.Whether you're considering a short break or a longer sabbatical, or just curious about how to find purpose beyond professional achievements, this episode is packed with valuable insights. Tune in as we uncover how stepping away from the 'hamster wheel' can rejuvenate not only your career but your entire outlook on life. Key Moments00:00 Exploring role of a sabbatical coach.04:31 Reflecting post-pandemic: career breaks and life priorities.09:57 Successful but burnt-out professional seeking sabbatical.13:09 Life design clarified career and work-life balance.16:12 Decompression fosters recovery and self-rediscovery.20:30 Prepare family, business, build connections for future.22:40 Unexpected life events require immediate adaptation.26:08 Entrepreneur seeks validation through business success.29:15 Corporate career lacks enduring personal connections.35:02 Optimal EQ work requires undistracted focus, ideally sabbatical.37:28 Discuss burnout costs, prevention, and sabbaticals.42:04 Sabbaticals retain employees, delaying natural exit points.43:13 Successful family member fears mindless work burnout.48:38 Traveling to foster kids' empathy and growth.52:15 Prioritize a break over hiring a coach.54:30 Prefer workforce with periodic, strategic recharge breaks.Lyndall FarleySabbatical Coach and Consultantwww.beyondabreak.com – Coaching and Consultingwww.gobreakspace.com – Community Lyndall Farley is an experienced Sabbatical Coach and Consultant passionate about the transformative benefits of extended breaks from work. Through her private coaching practice and membership community - BreakSpace, she guides people to intentionally design a break then helps them recharge and reimagine their next chapter in life and work. Lyndall also works with companies setting up sabbatical programs to boost employee wellbeing and retention by providing consulting, workshops, sabbatical toolkits and employee coaching. Lyndall is a true believer in the power of sabbaticals. She has taken 11 sabbaticals (solo and with her family) and has now guided hundreds of people on their sabbatical journeys. Since the beginning of her career, Lyndall was using sabbaticals to step back, recharge and reflect, so that she could return and leap forward with her next big challenge. She spent 10+ years working for a global consulting firm specialising in Organisational Change Management before training as a coach and launching her business. In 2024 she was awarded a MSc. in Psychology and Neuroscience from King's College London and combines all this knowledge and experience into her coaching approach.Lyndall is Australian and has travelled to over...

In this episode of Go Gaddis Real Estate Radio, brought to you by Modern Traditions Realty Group, we highlight the beautiful Chattahoochee Reserve in Duluth, share tips for decompressing after the holiday season, and dive into Cleve and Tammie's New Year's resolutions for 2025. Plus, discover how our Seller Confidence Plan can help you start the year off right if you're thinking about selling your home. Segment Teaser: Explore Chattahoochee Reserve in Duluth, unwind after the holidays with helpful tips, and find inspiration in Cleve and Tammie's New Year's resolutions. Cleve Gaddis: Helping listeners go from real estate novice to expert, ensuring that home buying and selling can be done with total confidence and without the usual worries of life's biggest investments. Let's Talk: Visit GoGaddisRadio.com to ask questions, leave comments, push back, share your ideas, and explore our Neighborhood Spotlight. Don't forget to subscribe to our podcast! Neighborhood Spotlight – Chattahoochee Reserve in Duluth: Discover the charm and amenities of Chattahoochee Reserve, a sought-after neighborhood in Gwinnett County. Find active listings at SureMLS.com. Tammie and Cleve Discussion – Holiday Decompression and New Year's Resolutions: With the holiday rush behind us, how do Cleve and Tammie decompress? Tune in as they share their favorite strategies for relaxing and resetting. Plus, get inspired by their New Year's resolutions for 2025, focused on personal growth and professional success. Seller Confidence Plan: Thinking about selling your home? Call us before listing with anyone else to learn how our Seller Confidence Plan can help you sell quickly and for up to $28,000 more. Join us for an episode full of neighborhood insights, holiday recovery tips, and motivation for the year ahead! If you have a question for Cleve, click here : https://gogaddisradio.com/ask-a-question If you are looking to buy or sell your home with Cleve, click here : https://moderntraditionsrealty.net/contact If you are looking to join a real estate team, click here : https://moderntraditionsrealty.net/careers

This week the boys get back to work after a little Christmas break. Picking up where Haldane left off we get into more changes of the traditional dive tables. Hempleman and the Royal Navy start to look more at diffusion than perfusion, bubbles are discovered by doppler and new thinking emerges from Hawaii, new names like Hills, Yont, Spencer begin to evolve the game of decompression even more.

In this episode of the Tactical Living Podcast, hosts Coach Ashlie Walton and Sergeant Clint Walton tackle one of the most critical challenges faced by law enforcement officers: decompressing after a high-stress shift (Amazon Affiliate). The demands of the job don't end when the shift is over, and carrying the weight of the day home can take a toll on mental health, relationships, and overall well-being. You'll learn five practical strategies to transition from the intensity of work to home life, allowing you to mentally and emotionally “switch off” and focus on personal restoration and family connection. Why Decompression is Crucial for First Responders: Understand how the high-stress nature of law enforcement impacts your mental health and relationships, and why actively transitioning out of “work mode” is essential. Five Practical Examples and Remedies for Decompression: 1. Create a Transition Ritual: Example: Develop a post-shift routine, such as listening to calming music or an uplifting podcast on your drive home. Why It's Beneficial: Establishing a ritual signals to your brain that it's time to shift gears and leave work stress behind. 2. Physical Activity as a Stress Release: Example: Go for a run, hit the gym, or do yoga immediately after work to channel pent-up tension into physical movement. Why It's Beneficial: Exercise releases endorphins, reduces cortisol levels, and helps clear your mind after a demanding day. 3. Change Out of Your Uniform Promptly: Example: As soon as you get home, swap your uniform for comfortable, casual clothes. Why It's Beneficial: Physically removing the uniform creates a mental boundary between work and home life. 4. Communicate with Your Partner: Example: Take five minutes to share highlights or challenges of your day with your partner, then agree to shift the focus to family time. Why It's Beneficial: Sharing helps release emotional weight, while setting limits prevents the day's stress from dominating your evening. 5. Practice Mindfulness or Meditation: Example: Spend 10 minutes doing a breathing exercise or using a meditation app like Calm or Headspace. Why It's Beneficial: Mindfulness helps ground you in the present moment, reducing anxiety and improving emotional control. How to Separate Work from Home Life: Learn how setting boundaries between work and personal life can help you recharge emotionally and physically. The Role of Family Support: Discover how involving your family in your decompression routine can strengthen your relationships and create a healthier home environment. Long-Term Benefits of a Decompression Routine: Understand how consistent decompression habits lead to improved mental health, better job performance, and a stronger connection to your loved ones. Why This Matters: The stress of law enforcement doesn't have to follow you home. Developing intentional decompression habits can help you manage stress, improve relationships, and maintain a sense of balance. By focusing on these practical strategies, you can ensure that when the badge comes off, you're truly able to rest, recover, and reconnect. Listen now to learn how to switch off after a high-stress shift and create a healthier work-life balance!     Secure your firearm with my buy one get one free affiliate code from STOPBOX http://stopboxusa.com/LEOWARRIORS All viewpoints discussed in this episode are for entertainment purposes only and are simply our opinions based off of our own experience, background and education. Want to be a guest on Tactical Living? Send Ashlie Walton a message on PodMatch, here: https://www.podmatch.com/hostdetailpreview/1594754484675x841981803913560400 #policepodcast #policeofficer #leowarriors #thinbluelineusa #firstresponder #lawenforcementpodcast #LawEnforcement #LEOWarriors    ⩥ PLEASE SUBSCRIBE TO OUR YOUTUBE CHANNEL ⩤ https://geni.us/wAtlvPu     CLICK HERE for Amazon's Today's Deals on TACTICAL GEAR: https://geni.us/KmvaOVM (Affiliate Link) (Ad) Some product links are affiliate links which means if you buy something by clicking on one of our links, we'll receive a small commission.   CLICK HERE to join our free Police, Fire, Military and Families Facebook Group: https://geni.us/YM5tsB   Check out our website and learn more about how you can work with LEO Warriors by going to: https://www.leowarriors.com/   Like what you hear? We are honored. Drop a review and subscribe to our show.    The Tactical Living Podcast is owned by LEO Warriors, LLC. None of the content presented may be copied, repurposed or used without the owner's prior consent.   For PR, speaking requests and other networking opportunities, contact LEO Warriors: EMAIL: ashliewalton555@gmail.com. ADDRESS: P.O. Box 400115 Hesperia, Ca. 92340 ASHLIE'S FACEBOOK: https://www.facebook.com/police.fire.lawenforcement   ➤➤➤➤➤➤➤➤➤➤➤➤➤➤➤➤➤➤ This episode is NOT sponsored.   

Back again by popular demand, here are more tales from Burning Man's oral history project, an ambitious endeavor to track down and talk with people who helped shape the culture as we now know it.Stuart and Andie share stories of early technology on the playa, and on the internet.Andie Grace aka Actiongrl interviews from the vantage of having co-created Burning Man's world of communications, from Media Mecca to this very podcast.Brian Behlendorf - technologist and open-source software pioneer. He developed Burning Man's online presence and connected people through the venn diagram of luminaries from SF Raves, to Wired Magazine to the Apache Software Foundation.David Beach - designer, creative director, and instigator of the impossible with early dynamic content on the web. He helped create Burning Man's first live streaming and web presence.Scott Beale - documentarian, founder of Laughing Squid, subculture super-connector of various tentacles of the meta-scene.Stuart Magrum - zinester, cacophonist, billboard liberator, Minister of Propaganda, Director of the Philosophical Center, publisher of the first on-site newspaper of Burning Man (the Black Rock Gazette), and always in the same place at the same time as the characters in these stories of Burning Man's media experiments.Andie GraceBrian BehlendorfDavid BeachScott BealeStuart MangrumLaughing Squid: Burning Man 1996 Netcastdispatch2023.burningman.orgjournal.burningman.org/philosophical-centerburningman.org/programs/philosophical-centerBurning Man Live: A People's History of Burning Man - Volume 2Burning Man Live: A People's History of Burning Man - Volume 1 LIVE.BURNINGMAN.ORG

Artist: Irene Zhadan (Moscow, Russia) Name: LIVE@DECOMPRESSION | STUDIO 54 - SG | 2024 Genre: Electronic Release Date: 24.12.2024 Exclusive: Deep House Moscow Irene Zhadan: @irenezhadan Instagram: instagram.com/irenezhadan CONTACT (DHM): Email — deephousemoscow@hotmail.com Follow us: www.facebook.com/deephousemsk/ www.instagram.com/deephousemoscow/ vk.com/deephousemsk/

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Need a little space to breathe? Just press play!

Join Phil Kitromilides & Sid Lowe in Spain for this week's TSFP discussing an action-packed matchday 16 in LALIGA, including Atleti 4-3 Sevilla, Girona 0-3 Madrid and Betis 2-2 Barça. For weekly Q&A and Bonus Pods, the TSFP Newsletter, our latest series Regional Rankings and details of how to gift a Patreon subscription for Christmas, head to patreon.com/tsfp! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Offering decompression from post-election intensity, Jack shares a guided meditation helping us maintain a mindful loving presence amidst it all.This episode is brought to you by Betterhelp. Give online therapy a try at betterhelp.com/heartwisdom and get on your way to being your best self.“The seasons turn, elections come and go, whole nations and civilization arise for a time and pass. You are the witness to consciousness, the loving awareness that sees the mystery of arising and passing, and holds it all with love.” – Jack KornfieldIn this fresh episode, Jack leads a guided meditation on:Decompressing from the intensity of the electionTaking your noble seat amidst life's Eight Worldly Winds and play of oppositesFeeling a stable and centered presence wherever you areResting in a quiet, open, mindful loving awarenessFeeling a true sense of loving kindness right hereBecoming consciousness itself, vast, timeless, spaciousWitnessing the arising and passing of all, and holding it all in love“With loving kindness, notice the energy of the mind—the stream of thoughts and plans, ideas, worries, imaginings, analysis, understandings, stories, images—a river of thoughts, feelings, images, and words. You can hold it all in loving kindness and say, ‘Thank you for all that work, I'm okay just now, you can relax.'” – Jack KornfieldThis episode was originally recorded for the Spirit Rock Meditation Center Monday Night Dharma Talk and Guided Meditation Livestream on 11/11/24. Learn more about Spirit Rock's offerings at SpiritRock.org. Join Jack's next livestream at JackKornfield.com/eventsSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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In this episode, I am thrilled to share an enlightening conversation with Deanna Hansen, a true pioneer in the field of fascia decompression. Deanna is the creator of Fluid Isometrics™ and Block Therapy™, two groundbreaking techniques that blend diaphragmatic breathing and deep tissue work to release adhesions, improve circulation, and even reverse the aging process. In this episode, Deanna shares her expertise on fascia, the connective tissue that touches every part of our body and holds the key to physical, emotional, and energetic health. Deanna's insights are practical, transformative, and accessible, making this a must-listen for anyone looking to feel more aligned, vibrant, and empowered in their body. You can find links to Deanna's Block Therapy Program, social media, and more in the show notes! If you enjoyed this episode, please leave a review. Your feedback helps us continue bringing important conversations to the forefront of health and wellness! For the full show notes please visit my website: www.drchristineschaffner.com/Episode266  

A great suggestion from a listener brings this topic of decompressing after a trial. We need to not only process the quality of our runs, but also the emotions of the trial. Our dogs need to decompress too - they're just better at finding balance. Let's create some new habits. Support this podcast by saying thanks with a “virtual” coffee (or in my case, slice of pizza!). https://www.buymeacoffee.com/theqcoach The 2025 planner is out!! WooHoo! https://www.theqcoach.com/dogged Got a question for me? Or a topic idea? You can even be anonymous. Drop me a note: https://www.theqcoach.com/askQ Don't forget, if you want more support, check out the Q-membership! https://www.theqcoach.com/q-membership Get on my email list: https://www.theqcoach.com/fb-sign-up-page Music by Alex_MakeMusic from Pixabay.

If you've been down the road of pills, doctor visits, or even surgery with little to no success, I feel you—it's frustrating. But here's the good news: you don't have to stay stuck in pain. This video is all about helping you take back control with some super simple, at-home decompression exercises designed to ease your back pain, safely and naturally. We're diving into spinal decompression and traction techniques that anyone can do—no fancy equipment or gym memberships required. These moves are perfect for creating space in your spine, relieving pressure, and setting you up for a pain-free, active life. Imagine hiking, kayaking, playing with your kids or grandkids, or just doing chores without worrying about your back flaring up. Sounds like a dream, right? Here's What You'll Learn: ✅ How decompression exercises work their magic to relieve pressure and reduce pain. ✅ Easy-to-follow moves you can do right now (yes, even in your PJs). ✅ Why these techniques are a game-changer for lasting relief and spinal health. Who This Video is For: If you're...

We're licking our wounds after a tough election, but today's episode is all about the escape we all need! Join us as we let off some steam with epic pet peeve rants, dive into a cozy hygge-inspired connection game, and spend some heart-to-heart time sharing the things that keep us grounded. Plus, our classic rants and raves round out the episode with plenty of laughs. Take a break with us, unwind, and remember—some things just don't matter.

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Decult, a safe space for former cult members, government officials, cult experts, human rights activists, LGBTQ+, mental health care works, skeptics, therapists, psychologists, psychotherapists, medical doctors, lawyers, film directors, satire artists, & trafficking advocates. Decult Cult Awareness Conference exposed how religious cults today are a growing problem. Recap of the groundbreaking Decult Cult Awareness Conference, the first of its kind in the world to address pervasive harm.Support & Learn:Complete Decult conference video package:https://events.humanitix.com/decult-cult-awareness-conference-ticketsI highlight key moments from the conference, including insights from renowned speakers such as Janja Lalich PhD who developed a concept called Bounded Choice describing how coercive control works on intelligent people.Bounded Choice:https://www.lalichcenter.org/what-is-bounded-choiceTake back your life:https://www.lalichcenter.org/take-back-your-lifeWitness Underground Rockumentary had its' international premiere at Decult, a powerful documentary exploring the experiences of former Jehovah's Witnesses who deprogrammed themselves through self-education and the power of self-expression and music to allow themselves to do free thinking sufficient to get out.Links to watch:Https://WitnessUnderground.comI was invited to speak on a panel called "Rock the Watchtower" hosted by Radio New Zealand investigative reporter Anusha Bradley along with activists Lara Kaput and Shayne Mechen.The Decult conference, organized by journalist and author of Cult Trip, Anke Richter, aimed to create a unique opportunity to better understand and prevent cultic harm in the future. It laid the groundwork for improved support systems and awareness.Consider supporting the initiative by purchasing access to all 20 of the full Decult key-notes and panel discussions. This comprehensive package will allow you to explore topics such as kids in cults, online radicalization, and the unique challenges faced by LGBTQ+ individuals in cult/high-control groups. As a decult speaker and former cult member, I was excited to share my unique perspective and our documentary. The conference provided a safe space for former cult members to share their experiences and find support and for professionals to upskill.Attendees heard powerful stories from those who successfully navigated mind control and gained insights into the process of religious indoctrination methods and personal deconstruction. The conference also addressed critical issues surrounding human rights, offering valuable perspectives for those struggling to break free from indoctrination. #Decult2024 #DecultConference #CultAwareness #FormerCultMembers #ReligiousCultsToday #CultSurvivors #HighControlGroups #BoundedChoice #JanjaLalich #WitnessUnderground #ReligiousDeconstruction #HumanRightsAndReligion #CultDocumentary2024 #LeavingReligion #CultSpeakingPanel #FreedomFromCult #ReligiousTrauma #ExJW #CultEducation #MentaSupport the showSubscribe to the newsletter for weekly episodes: https://bit.ly/WitnessUndergroundWatch now:http://WitnessUnderground.comhttps://tubitv.com/movies/100018684/witness-undergroundhttps://vimeo.com/ondemand/witnessundergroundSupport:https://Patreon.com/WitnessUndergroundhttps://YouTube.com/@WitnessUndergroundReach out directly: XJWdoc@gmail.com-Scott

The boys tonight engage in a post election discussion. We let out a lot of pent up feelings we've had since Tuesday night. We absolutely understand if you don't need this right now and need to skip this week. The next episode will Discuss Fallout 76, and the following gameclub is Satisfactory. We hope you all stay safe out there. 

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Every now and then, I do an episode intended to be listened to over and over; something you can come back to.  Let's take a pause and savor the time nature intended us to hibernate. **KINDLY leave a REVIEW by simply clicking here and scrolling to the bottom until you see “WRITE A REVIEW”  If you didn't start listening at Episode 1, I invite you to start from the beginning.  There are too many jewels to miss. JOIN ME: ~ Get my weekly newsletter  "Little Bits of Home Functionality." Intentionally short, you'll get a video and a thought that poses questions about your space and your reason. ~ On Instagram  ~ On Facebook  ~ My boards on Pinterest  ~ On TikTok  ~ Schedule time with me HERE or visit me through my Home Coaching & Real Estate Website www.SpaceAndReason.com    Legal Disclosure: Kristina Browning is a licensed Realtor in the State of Oregon with 503 Properties. “Home Functionality Coach” and "Create a Home that Thrives" are registered Trademarks of Kristina Browning.

Minimally Invasive Spine Surgery for Lumbar Decompression or Disc Herniation by AORNJournal

In this insightful episode, Dr. FJ delves into the strategic approach for attracting the right patients for decompression therapy, focusing on those with stenosis, disc issues, and radiculopathies. Dr. FJ emphasizes the importance of clearly communicating the benefits of decompression therapy—faster healing and reduced treatment time—while also outlining the costs of not opting for it, such as prolonged recovery and increased treatment duration. Dr. FJ advises practitioners to detach emotionally from the outcome and offer decompression therapy to all suitable candidates, regardless of their initial interest. He highlights the therapy's potential to significantly boost collections and revenue, noting its delegable nature, which can streamline practice operations. The episode also covers essential tips for building trust with patients, simplifying the offering process, and leveraging collective learning for continuous improvement. Dr. FJ concludes with a call to action for practitioners to maintain high standards, focus on patient benefits, and support one another in the pursuit of excellence. Action Items: Refine marketing strategies to target patients with stenosis and disc issues. Clearly explain the benefits and potential costs of decompression therapy. Offer decompression therapy impartially to suitable candidates. Leverage delegation to enhance practice efficiency and revenue. If you have questions, join us for our next Q&A via zoom on October 15th and 11am EST. This Q&A is free to join!   Ask a Question for a Future Episode! Apply to work with our coaches! Join Susan's monthly CA webinars Join us at our next seminars! Join the Rhino Digital Training!

Recorded live in Fire Island Pines

Where are my fellow control freaks? Such an interesting and way more helpful perspective to rethink and redefine perfectionism. You know when you read a book and it's so groundbreaking and helpful, you can't help but tell all your friends, post about it? Well, I was the recipient of essentially being attacked on all sides that I needed to read this award-winning book, The Perfectionists' Guide to Losing Control by Katherine Morgan Schafler. Katherine is a seasoned psychotherapist and former in-house therapist for Google, with a BA in psychology from Berkeley and 2 masters from Columbia University and I've got her incredibly refreshing and game-changing approach broken down today. We talk about self-punishment vs. discipline. We talk about adaptive and maladaptive perfectionism and why restoration and resting feels like failure to perfectionists - and my favorite, control vs. power. I really am super excited for you to hear it and can't wait to hear what type of perfectionist are you!Timestamps:[00:10:01] Redefining Perfectionism[00:13:14] Gender bias in language.[00:17:22] Perfectionism and power seeking.[00:23:10] Five types of perfectionism.[00:27:21] Parisian Perfectionists and Relationships.[00:31:26] Knowing your type of perfectionism and collaborating with others[00:34:10] Self-worth and self-esteem.[00:39:03] Rethinking self-punishment and discipline.[00:42:14] Emotional education and self-compassion.[00:50:07] Resisting rest and restoration[00:54:12] Restoring and emptying out.[00:58:37] The Power of Play.[01:02:07] Presence and Power.[01:07:37] Gray rocking techniqueKatherine Morgan Schafler - Guest Links:The Perfectionists Guide to Losing Control - A Path to Peace and PowerWhat kind of Perfectionist are you? Take the QuizKatherine Morgan Schafler - IGReferences mentioned:Schedule a FREE breakthrough call with me Want to take these ideas and apply them to your life? Let's do it!DOWNLOAD the free PDF - 40 Simple Ways to Add Energy To Your Day- get a quick burst of energy right now and KEEP IT!Surprisingly True Useful Fun Fact Research Be sure to rate, review, and follow this podcast on your player and also, connect with me IRL for more goodness and life-changing stuff.AllisonHare.comFollow me on Instagram, LinkedIn, Facebook, and YouTube.Schedule a FREE breakthrough call with me Want to take these ideas and apply them to your life? Let's do it!DOWNLOAD the free PDF - 40 Simple Ways to Add Energy To Your Day- get a quick burst of energy right now and KEEP IT!GET the Effectiveness Booster - Shift your priorities to what matters most in less than a minute!Reb3l Dance Fitness - Try it at home! Free month with this link.Personal Brand - need help building yours? Schedule a call with me here and let's discuss.Feedback and Contact:: allison@allisonhare.com

Alan Fredendall // #TechniqueThursday // www.ptonice.com  In today's episode of the PT on ICE Daily Show, ICE Chief Operating Officer Alan Fredendall discusses the difference between myofascial decompression & cupping, if myofascial decompression works or not, and how to elevate the use of myofascial decompression in practice Take a listen to the podcast episode or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about courses designed to start your own practice, check out our Brick by Brick practice management course or our online physical therapy courses, check out our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION ALAN FREDENDALLMyofascial decompression. What is it? How does it work? Does it work? And how can you elevate what you're currently doing practice if you're already implementing this style of soft tissue treatment? WHAT IS MYOFASCIAL DECOMPRESSION? So let's take it from the top and let's talk about what is myofascial decompression, sometimes abbreviated MFD. and how is it different from cupping? So you may consider these in your mind to be synonymous and that is very very wrong. Why? Calling myofascial decompression cupping is really a misnomer because if we dig deep people have been cupping each other for many many many thousands of years. It comes from eastern medicine and you may have seen it in practice, maybe you do it in practice, maybe you've seen it on social media or the internet, and you see people laying in a static position, sometimes with their whole body covered in plastic or glass cups, right? And so that is cupping, that is sitting in a static position, that is using things like meridian or chi points, the idea that maybe we're removing toxins from the body, and you may even heard of something called wet cupping, where we pull blood to the surface with a cup, and then maybe we puncture it with a needle or a knife and we draw blood out of people. So all of that is kind of in the sphere of the term cupping. And what's very, very, very different about myofascial decompression is that we are using some sort of pump, manual or automatic, to get a decompressive effect through the tissue. And in the context of myofascial decompression, we are always, always, always, always, including movement. We are never having people lay statically with just cups on their body. We are not educating them that we're removing toxins from their body or altering their chi or anything like that. And certainly, hopefully, you are not cutting people open and using the decompressive pressure of the cups to suck blood out of their body, right? And so that is the difference between cupping and myofascial decompression. Both use plastic or glass cups, but they come from very, very different paradigms in why we're using it, what we're doing, and the effect that we're hoping to have. So with myofascial decompression, we know now with MRI studies that when we put these cups on, if we have enough pressure, we know that we can put hundreds of millimeters of mercury of pressure through this cup, and that we can sometimes reach the level of the bone. And so we are decompressing not only just the skin and the fascia beneath the skin, but down to the level of the muscle, fascia between levels of muscle, and even deeper levels of muscle all the way down to the bone. And so thinking about the various levels, when you look at your forearm, for example, what is between you and the outside layer of your skin and the bone? Several layers of tissue. We have our epidermis, we have our dermis, we have super fascial tissue and fascia, we have deep fascia, and then we get into the fascia in and around the muscle. We have the epimysium, we have the paramycium, and we have the endomysium. And that we know with a large enough cup and enough pressure from one of our pressure guns that again we can reach the level of the bone. So we're using higher pressures combined with movement to create this decompressive and sometimes sheer force effect on the tissue, combining the decompression with the movement, that is myofascial decompression. And that is how much different it is from traditional maybe Eastern medicine, quote unquote, just cupping. So the second question that we often get and the second point I want to make is often, does it work? There is a lot of myths on social media and the internet that this is not doing anything, that this could never cause a change in tissue. and that is team Patently Untrue. Certainly, if you do this wrong, you can be very ineffective with this style of treatment, but if you do it right, it can be very, very effective. So I wanna give a shout out to Dr. Chris DiPrato. He's a physical therapist out in the Bay Area of California. You may have heard of him. He owns the company Cup Therapy. He teaches myofascial decompression courses. We had the pleasure of taking one of his courses a couple weeks ago when he was here in Michigan, and we had a great time. In particular, I love to learn all the research he had to share. And some of that research around does this actually work is pretty mind opening. And my point with today's podcast is that when we elevate our techniques, we elevate the efficacy and the efficiency of our techniques as well. And again, certainly, if you do this wrong or sloppy, you will have a minimum effect on the tissue. But if you do it right, you can have a profound effect on the soft tissue of the body. DOES IT ACTUALLY WORK? And Chris shares that in his course when he seeks to answer the question, does it actually work? Chris has used cups with myofascial decompression on embalmed cadavers. He has used them on fresh or what may be called wet cadavers. And he has used them on live living people in an MRI tube and looked at what is happening to the tissue when we have a large cup with a lot of pressure in it. What do we see? And what he has seen over the years doing these studies himself of having people in MRI tubes is that with a large enough cup and enough pressure, again, we can begin to decompress multiple layers of tissue, fascia, muscle all the way down to the level of the bone, which is pretty significant. And that in general, the more hydrated the tissue, the more decompressive effect we have seen. So when he has tested this on embalmed cadavers where all of the body water, liquid blood, everything is removed and the tissue is essentially dried out, we see a minimal effect when we use this technique. But when we use it on a fresh or wet cadaver or a living person that still has blood, all the sorts of fluid that we have inside of our body, that we get a much more profound effect. And more importantly, looking at these MRI studies, we see that not only do we see that effect in the moment, but that we see that effect for at least three to five days after we have done the myofascial decompression. So what is it? It is a technique using high pressure with movement to create a decompressive effect and some sheer force on the body. And does it work? Yes, if you do it right. So that's what I want to spend the rest of this podcast episode discussing. INTERLUDE Before I do that, I just want to introduce myself. My name is Alan. I have the pleasure of surfing as our chief operating officer here at ICE and a faculty member in our fitness athlete and practice management divisions. This is Technique Thursday. On Thursdays, we either cover leadership topics or we cover technique topics. Today is a technique topic today. And it is Technique Thursday, which also means it is Gut Check Thursday. This week's Gut Check Thursday comes from our own fitness athlete faculty member, Joe Hinesco, who sent me a nice little number for you all to do this week. It is every two minutes, hop on a fan bike, an echo or a salt bike, hammer out 20 calories for the guys or 15 for the ladies. And then any remaining time in that two minute window, you're going to do max repetitions of a barbell thruster. with the prescribed weight of 95 for guys and 65 for ladies. The goal there getting hopefully at least 10 thrusters every round and your workout is finished when you hit 75 thrusters. So the moment you hit that 75th thruster you are done with the workout. So it rewards an aggressive start, it rewards somebody who can be aggressive on the bike but still hop off and pick up that barbell and do big sets of thrusters. So If you try that and you hated it, send all that shade towards Joe. He's the one that came up with this workout, so send that his way. And then I just want to plug again, Chris DePrato cuptherapy.com. He has live and online courses, a level one course, a level two course, both live and online. And if you finish today's episode and you want to learn more about this, maybe you're like me and you kind of just started doing this without any formal training. I promise you, if you take his courses, you will come away with a lot of very actionable stuff that's going to do nothing but elevate these techniques in your own clinical practice. So let's talk about this. PRACTICAL APPLICATION Let's talk about practical application. First things first, if you have done cuffing before, You have probably seen clear cups. What's the difference? We also have cups. These are rock pods. We have these in the clinic as well. What is the main difference? The main difference is that I cannot control the pressure with something like a rock pod. All I can do is essentially stick it on my skin and get whatever pressure comes out of it, right? That might be not enough pressure to do anything and I may have to reset it. And then I basically am just getting lucky maybe with enough pressure for the patient to maybe feel something. But this is not ideal. It does not have a way for us to control the pressure. It does not have a way for us to objectively measure how much pressure we're using. And most importantly, we can't see through this, right? We can't see the tissue. We can't see what's happening underneath the tissue. There is some important stuff that can happen inside of a clear cup that you'll want to see. and I won't steal Chris's thunder, I'll have you take his course to learn that, but it's really important that we have a clear cup, and that we have some sort of control over the pressure, that we have some sort of pump gun, automatic or manual, to pump up the pressure, and really be sure we're just not getting a random application every time we put on a cup like a rock pot. So what does that look like? We have a manual gun, right? It has a trigger here, you connect it to the cup, and you pull pressure out, right? You decompress. And then with this style of cup, you just squeeze to let the air out. Now, what's great about Chris and Cup Therapy that has really made me feel good about this technique is they have solved the problem of how much pressure exactly am I using so that I can be sure if I repeat this treatment in the future, or maybe somebody else has to repeat this treatment for me, they're using the same pressure as me. Lo and behold, the automatic pressure gun, right? So you can see right here, if you're listening on the podcast, you can't see anything. So go over to our YouTube channel, or our Instagram page and watch me on the video. But what you'll see here is we have a pressure gauge, right? And it's measured in millimeters of mercury. It goes from zero up to 760 millimeters of mercury. And as you apply the cup, you will see the pressure gauge change. And that can dial you in more on how much pressure you're putting through the cup. And again, let you hopefully repeat that treatment in the future. And also be sure you're reaching the levels of tissue depth that you want to be working at. So this is a very, very great tool. This is brand new as of this year, I believe. So if you've taken his course before, you'll want to jump on cuptherapy.com and buy one of these. But this is very, very, very, very nice. And so I'm going to put this on myself. I'm going to put some, just some free up, and then I'm going to show you all how great it is with this auto pressure gun. So just putting some lotion over the area where I'm going to apply the cup. I'm going to apply the hose to the cup like so, and then I'm going to squeeze the pressure gun. Doing this one handed is super tough, but I think we can get it. There we go. And so you can hear the gun working a bit. And now as I take the hose off, you can see some pretty darn good pressure, right? A lot of tissue deformation right there, a couple of inches of skin fascia and muscle pulled into the cup. And I can tell you, this is a very different feeling than just having something like a rock pod or otherwise just a squeeze application silicone cup. This is right on the border between discomfort and pain. However, it is enough pressure that I could move those muscles. I could do a bicep curl. I could do pull-ups. I could move my forearm through whatever range of motion I wanted to, and you can see that cup is not going anywhere, and that comes down to making sure that we have enough pressure through the cup that we're reaching not only enough pressure that we can move with the cup on, but again, that we're reaching the levels of tissue depth that we want to achieve. And that is very, very easy to do with the automatic pressure gun. Let's talk about those pressures. What are they? If we really want to reach deep muscle or reach even the levels of intermuscular tissue and fascia, we need to have a lot of pressure through these cups. We need to have 300 to 600 millimeters of mercury. What is the problem with a cup like this? Or what is the problem with the manual gun? I have no idea what pressure I'm at, right? Hence the importance of the pressure gauge on the new automatic gun. Going down in pressures, if I just want to reach the level of the deep fascia, the pressure comes down a bit, 200 to 400 millimeters of mercury. And then if I want to stay superficial, even maybe if I just want to promote some lymph flow, maybe a patient has some swelling or some lymphedema, I can keep the pressure really light, 40 to maybe 150 millimeters of mercury. Again, how can I be sure I'm keeping pressure light enough to only promote lymph flow? Well, with something like a silicone cup or even the manual gun, I have no idea how heavy or how light my pressure is. And so again, it reinforces the need for that automatic pressure gun. And now I would say the key here, and again, the difference between myofascial decompression and cupping is that when we have these cups on, we're doing some sort of movement, right? Chris will take you through a whole protocol in his course of how to get the cups on and how to slowly introduce movement to an area, especially maybe if it's very restricted or very painful, but also different applications using lighter or deeper pressures to inhibit or facilitate different muscles. For example, he's a big fan of putting cups with heavy pressure on the traps for somebody who does a really contrived trap shrug when they lift overhead. And if you want to maybe isolate the deltoids or the upper back, and sort of think about turning the traps off a bit, we can stick some cups on the trap and really put a lot of pressure through those cups. It's going to be really hard to engage and move those traps, and it's going to promote movement through the muscles that we want to target. Again, maybe the deltoids or the upper back. And he has a number of different examples and circuits scenarios for you in his class but the key is the pressure matters and we can't know what pressure we're at if we don't have an objective way to measure it and then track it over time and for me that was a big game-changer what I learned is I was simply not using enough pressure using something like a silicone cup or or using something like a clear cup, but with just the manual gun. Simply not putting enough pressure into the cup to get the treatment effects that I was looking for. And certainly, probably not being light enough on the other end, if I wanted to do something like promote lymph flow, or I just wanted to have some cups on some muscles to facilitate muscle activation, I was probably going too light for deeper structures and too hard for more superficial structures. or movement facilitation. And again, the automatic gun with the pressure gauge changed all of that. SUMMARY So what is myofascial decompression? It is not cupping. It is using pressure, specifically various ranges of pressure depending on the level of tissue that we want to target. always combined with movement to promote movement through that muscle, movement through that tissue. That is very different from cupping where people typically lay in a static position, have a number of different cups applied to them, usually with no idea how much pressure is being put through that cup. Does it work? Yes, if you do it right, it works. As with most things in life, if you do it wrong, it won't work very well. And so understanding that if we have enough pressure through a large enough cup, we can move through several layers of tissue, including all the way down to the level of the bone, which is probably much more of a pronounced effect than maybe we ever thought possible. How can we get better at this? I would recommend if you haven't yet that you take Chris's course. You learn where to put these cups to target different muscles, to target different movement patterns, and that more importantly than anything else, you get yourself that automatic gun either from Chris's website or that you get with the level two course where you have that objective pressure grade knowing that different levels of pressure will target different structures and have different treatment effects. So it's really important we know what those are and what we're trying to achieve with that patient in front of us. us. So I hope this was helpful. Big shout out again to Chris. I reached out to him before doing this episode and just ran this by him and we really appreciate all of his collaboration. You'll notice that ICE does not have a myofascial decompression course. We think Chris is doing it better than anybody else and if it's not broke, don't fix it. So just go see Chris if you want to learn more about this. He runs a fantastic course, very evidence-based, Very movement focused, which you know, anything from us here at ICE, that's what we're all about. So just go see Chris if you want to learn more about this. I hope you all have a wonderful Thursday. Have fun with Gut Check. I don't think you will. Again, if you hate it, just send Joe those nasty messages. Just pass me right on by and go right to Joe. And I hope you have a wonderful weekend and a fantastic Thursday. Bye everybody. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.  

Dr. Lindsey Hughey // #TechniqueThursday // www.ptonice.com  In today's episode of the PT on ICE Daily Show, Extremity Management division leader Lindsey Hughey explains the rationale behind myofascial decompression or "cupping" for patellar tendinopathy and provides a technique demonstration. Take a listen to the podcast episode or check out the full show notes on our blog at www.ptonice.com/blog. Check out our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION LINDSEY HUGHEYPT on ICE Daily Show, waiting for YouTube and Instagram to catch up. So we are live on both. How's it going? I am joining you again this week on the PT on ICE Daily Show. Welcome. I'm Dr. Lindsey Hughey. I currently serve as one of the division leads at extremity management. And today I want to share with you a myofascial decompression technique for patellar tendinopathy. So today is either Technique Tuesday or Leadership Thursday. So we're bringing Technique Thursday to you all live. My model today is Daniel, my son. So what I want to unpack is a little bit about how do we know someone has patellar tendinopathy and who this might be appropriate for. with patellar tendinopathy, show you the technique, literally just demo it for you live, what you do, and then we'll chat also like how do you know the treatment worked. So we'll talk a little bit about our test retest options for patellar tendinopathy. And then we'll call it a morning technique Thursday, not Tuesday. Great to be with you all again. So first things first, someone with patellar tendinopathy is going to complain of a recent spike in load. Usually it's energy storage and release activities like jumping, sprinting. The other complaint, vice versa, they might have is that a dramatic de-load where they haven't, maybe it's their off season and then they stopped loading completely. this might flare up that patellar tendon. They will complain of pain with energy storage movements, and they'll specifically complain of pain right at the patellar tendon, where that inferior border of the patella sits to the tibial tubercle. When you palpate that as the clinician, that will be tender to palpation. Often when they extend their knees, so you're doing manual muscle testing of quadriceps, that will also cause their symptoms to blip. Having them do a one-legged squat on a slant board is another load test that will often bring on symptoms. The person with moderate to high irritability, patellar tendinopathy, often has coinciding hypertonicity throughout their quadriceps. So when you palpate, it's not just that patellar tendon that is bothering them. Like their quad also is kind of guarded around that knee joint. So myofascial decompression can be a great adjunct to treatment. If you've heard any podcasts that I've done on tendinopathy, you know, that load is our love language, or if you've been at our course, you know that. So ultimately, the teller tendinopathy is going to be healed by high tensile loading that involves loading the local tendon, the local muscle, quadriceps, the chain, and then off eventually gets into energy surge and release. So know this treatment technique that I'm about to show you is just an adjunct to care that creates a modulating window of opportunity to load that person better. So consider it's moderate to high irritability human. And so that's someone that like not just is their activity or sport starting to get interrupted. It's usually our basketball or volleyball players, but also like daily life is starting to get aggravated. They're not sleeping as well. Their performance has dropped. These folks need that treatment that kind of takes that edge off. So without further ado, you kind of understand who the person with teller tendinopathy is, who would be good to execute this treatment on. I want to show it to you. So I'm going to kind of move the camera around just a tiny bit. so that you can really see the quadriceps. So we're going to do one of two things. We'll make sure we've exposed the area. I want to not only get myofascial decompression to the quadriceps and hit each part, but I also want to decompress that patella and the patellar tendon. So to first decompress the patellar tendon and the patella, I'm going to use a silicone cup. So these silicone cups are awesome. The way we'll apply these is we're going to create negative pressure. So you really want to squish this in and then apply firm pressure down with your body, being mindful that this could be an irritating area. The way I would explain it to the patient is we're using this cup to just kind of offload that bone, that patella, and then offload the patellar tendon a bit. So I'm going to create that negative suction and compression. If you have very hairy patients, you're going to want to put some lubricant like a Biotone around that. Just a little bit will go a long way, but again, more hair endowed folks might need a little bit more. So we're going to go here. I'm going to create that negative pressure, I'm going to press down, and then if I've done a good job creating that suction, there'll actually be a little dip or dimple in the silicone cup. The cups I'm using today are from Chris DiPrato and his team. They are amazing cup therapy if you follow them on social media. I love their products. This comes in their kit, this silicone cup, and then their curved cups. These are actually their newest ones are what I'm going to use to hit the vastus lateralis, to hit vastus medialis, and then I really want to get after rectus femoris. I want to make sure I hit all three parts. You can't really get that intermedius without a needle. So we're going to hit those main more superficial areas. So we're going to hit that vastus lateralis first. And then I'm going to place that curved cup and then create suction with our gun. And there's various guns. This is a manual pump that you can use. There's ones with gauges and then electronic gauges. We want about 300 to 600 millimeters of mercury if you do have that pressure gauge that actually gives you a reading. So we'll hit vastus lateralis in two different spots. So one here and then one a little higher. I'll step away so you can see. Then we're going to want to go vastus medialis. So now I'm just on that inner part of the quadriceps. And then we want to hit that rectus femoris and I can hit here and then I can even do one more a little bit higher. I want to show you just there's, these are the newest curve cups. These are awesome as well. So I wanted to show you that. We'll go a little higher and we're really trying to hit that muscle belly here, not tendon. So then this is attached to patient. And I'm not just going to leave him sit here. So I promised him I wouldn't actually make him move. So I'm just going to talk through this. But I'd actually have him do some knee extension with those on. So mod to hired ability, we want to create an analgesic response. So we'll have them do some isometrics, shooting for that 45 second hold, trying to do five reps. So we'd start with just probably doing like a quad set where he'd like push his knee down and then maybe lift a little bit or combine it with a straight leg raise. That would be like level one. As soon as we can get him up and weight-bearing, I want to do like a wall sit or a Spanish squat with these on. So he's in this decompressed, he, they, she, whoever your patient is, decompressed state, and they're still loading. So it's not a static laying there thing or treatment. So once cups are applied, right, I do some kind of active treatment. I've named a few. Lowest level would be that knee extension with a lift and or just doing a nice quad set, then getting to a wall sit or a Spanish squat in a reduced range. We usually start about 60 degrees. And then we take the cups off, right? Reassess the soft tissue. Daniel's probably like, please take these cups off, mom. What we'll do is reassess the soft tissue, but not just the soft tissue. I want to see, is there less hypertonicity? I want to see, is the tendon, after I've palpated it, become a little less tender to palpation? In addition, I want to probably test a load test, like that slant board, if we had just tested that. And you may even see a change in motor response. So if you took your dynamometer, took a quadriceps reading, and then also got an NPRS, did this treatment, Then retested using your dynamometer, you often will see not only a change in pain, but you can even see motor uptick. So an increase in that strength measurement just because pain has now dampened. So this treatment doesn't take a long time, but can be super effective for our patients with that mod to high irritability where life is starting to get interrupted by their patellar pain. SUMMARY Thank you for joining me this morning to learn one of my favorite techniques that I'll use for my folks with patellar tendinopathy. I hope you all have beautiful clinical Thursdays, whatever you do in the clinic, and will consider using this with your patient. If you want to learn more about research concerning patellar tendinopathy and how to load your folks well, join us on a weekend soon in extremity management. So we will be in not only North Dakota, but also in South Carolina, August 24th, 25th. So you have two opportunities coming up, and that'll be our last opportunity of the summer. So really jump in if you haven't yet. And if you want to learn a little bit about some myofascial decompression techniques, our colleague Chris DiPrato, we're a big fan of his courses. We also integrate that in our courses as well. So thanks again for joining me. Cheers. Happy Thursday, everyone. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.  

Now, this is a CHALLENGING one! Ever have those patients who have been everywhere, had everything done to them (injections, surgeries, acupuncture) and nothing helped?  Well, this is your lucky day because this episode really takes us down the chain from head to toe with someone who had low back pain. Pretty standard, right?  But this was FAR from standard. Hint: her low back was not the source of her problem. Why do you think that is? Remember, we bring all of our compensations to our life events. And our movement and injury history sets us up and our dominant patterning keeps us there.   Visit our website: toughtotreat.com   A glance at this episode: [0:01] Complex medical history and treatment options [7:06] Chronic pain and potential causes [12:14] Pelvic issues and postural compensations [18:41] Pelvic and foot issues, possible nervous system impairment [23:21] Decompression techniques for a patient with nervous system issues [26:31] Yoga and physical therapy for a patient with neck pain [29:13] Treating a patient with chronic pain using movement patterns and cranial work [35:07] Standing and carrying issues, loading exercises suggested [40:07] Exercises for back pain relief, including cycling, Nordic walking, and rock climbing [42:28] Using yoga and rock climbing to improve standing tolerance for a client with chronic pain [47:30] Treating patient with chronic pelvic pain Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript  

CardioNerds cofounders, Dan Ambinder joins Drs. Aishwarya Pastapur, Oyinkansola Osobamiro, and Rafik Issa from the University of Michigan for drinks in Ann Arbor. They discuss the following case of pericardial decompression syndrome. Expert commentary is provided by Dr. Brett Wanamaker. Notes were drafted by Dr. Aishwarya Pastapur and Dr. Rafik Issa. The episode audio was engineered by CardioNerds Intern student Dr. Atefeh Ghorbanzadeh. A woman in her 50s with a past medical history of stage IV lung cancer (with metastatic involvement of the liver, bone, and brain), previous saddle pulmonary emboli, pericardial effusion, and malignant pleural effusions presents with dyspnea. She was found to have a pericardial effusion with tamponade physiology relieved by pericardiocentesis. We discuss the management of cardiac tamponade, indications for pericardiocentesis, how to monitor for post-pericardiocentesis complications, and what to keep on your differential diagnosis for decompensation after pericardiocentesis. We discuss the epidemiology, pathophysiology, diagnosis, and management of pericardial decompression syndrome. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Case Media - Pericardial Decompression Syndrome Pearls - Pericardial Decompression Syndrome Diminished heart sounds, a low-voltage EKG with electrical alternans, elevated jugular venous pressure/pulsations (JVP), and the presence of pulses paradoxes are important findings that could suggest tamponade. McConnell sign is strongly concerning for right ventricular failure and pulmonary hypertension, potentially due to acute pulmonary embolism. Mechanical thrombectomy for pulmonary embolism is not feasible if the emboli are diffusely scattered without a central lesion to target. For patients who experience decompensation following pericardiocentesis, consider perforation, tamponade re-accumulation, or pericardial decompression syndrome (PDS). When possible, avoid draining more than 1L of pericardial fluid at once to minimize the risk of PDS. Notes - Pericardial Decompression Syndrome What is Pericardial Decompression Syndrome (PDS), and how does it present? Pericardial decompression syndrome is a rare, life-threatening syndrome occurring in about 5-10% of cases with paradoxical worsening of hemodynamics after pericardial drainage. The clinical presentation ranges from pulmonary edema to cardiogenic shock to death, occurring a few hours to days after a successful pericardiocentesis. What is the underlying mechanism for PDS? The pathophysiology behind PDS is debated, but there are three proposed mechanisms: Paradoxical Hemodynamic Derangement: After pericardiocentesis, venous return to the RV rapidly increases, resulting in RV expansion and potentially septal deviation towards the LV. Subsequently, the LV experiences decreased preload while still facing increased afterload as a compensatory response to obstructive shock, leading to decompensation.Myocardial Ischemia: Increased intrapericardial pressure may impair coronary perfusion, leading to myocardial ischemia. Upon pericardiocentesis, there is myocardial stunning with increased demand due to increased venous return and cardiac output Sympathetic Withdrawal: Withdrawal of sympathetic activation after drainage of pericardial fluid can trigger cardiovascular collapse What are the risk factors for developing PDS, and how can we mitigate those risks for prevention? Generally, patients with long-standing pericardial effusion with chronic compression of the heart, such as those with malignant pericardial effusions, are more vulnerable to developing PDS after pericardioc...