Podcasts about ecg

On today's episode of ECG, Ellie organises a huge name guest, Guy asks infuriating questions about pokemon cards, and Chris does his best to convince the team that playing Elden Ring is a good idea Hosted on Acast. See acast.com/privacy for more information.

The guys kick things off with some classic pre-show chaos (storms, Starlink, “Wicked” talk, hay and horses) before shifting into a real conversation about health and fitness in the fire service. Freddy frames it as a “new year” topic—less about resolutions and more about lifestyle consistency—and Matt shares his on-duty heart attack story as a reminder that being “in shape” doesn't automatically equal being protected. They dig into nutrition habits, added sugar, energy drinks, sleep, accountability apps, and the idea that the goal isn't a number on the scale—it's being capable on the worst call of your career.Key Topics & MomentsWeather, Starlink, and Farm LifeWind gusts, Starlink shifting in the yard, and the dream of stable internet for streaming youth sports.Doug's day includes hay pickup and a farrier visit (hoof care)—Matt learns a new word.Quick ShoutoutHappy Birthday to “GG” (the outro celebrity) — the crew encourages listeners to comment birthday wishes.Patreon UpdatesThe crew thanks new and ongoing Patreon supporters and starts a “virtual turnout drill” segment:Subscriber spotlight questions like sunrise vs sunset, favorite sandwich, and bucket list.Merch store is still live, with the tease that Patreon members may get exclusive items.SponsorsUnkie's SeasoningTom / The Burnbox (including mention of their latest box and the “calendar”)Main Topic — Fitness, Diet, and Being ReadyFreddy sets the tone: our job isn't compatible with “fitness rollercoasters.” Staying ready matters because you never know which run will test you.Matt's On-Duty Heart Attack (Oct 18, 2022)Matt shares he had a heart attack on duty with no warning signs, despite being active and in good shape.He believes his fitness level helped him survive and recover.He talks about how it changed his mindset around diet, sugar, lifestyle, and annual health checkups.He mentions deeper cholesterol metrics like ApoB and Lp(a) and encourages listeners to talk with their cardiologist—especially with family history.The “Skinny but Unhealthy” TrapMatt describes being the “fattest skinny guy you ever met” (lots of sugar, sweets, and junk).Discussion of insulin resistance as something worth learning about and paying attention to.Freddy's Reset: Sleep, Energy Drinks, Added SugarFreddy shares his own weight swings and what derailed him: school schedules, stress, poor sleep, energy drinks.He's rebuilding with:30 minutes of daily movementZone 2 cardioCutting energy drinks and sodaReducing added sugarsUsing protein powder in coffee as a “mocha” hackDaily pushups + squats challenge (and the struggle of wanting instant results)Doug's Take: Whole Foods > Processed FoodsDoug leans into the “back to basics” approach:More whole foods, fewer lab-made processed foodsWater over sodaBlack coffee and cutting sugar where possibleHe gives a nod to Megan at RescueRD as a resource for nutrition guidance (and suggests having her back on).Apps & Tools MentionedBevel (Freddy): fitness tracking, calories/macros, accountabilityMyFitnessPal (Freddy): previous trackerYuka (Matt): barcode scanner that rates foods and highlights additives/ingredientsEncouragement to take advantage of wellness programs: labs, ECG, treadmill, etc.Snail Mail HighlightsListener Zach shares his 2026 word(s): Seek and Trust (faith, academy prep, baby #3, trusting the process).Colt shares appreciation for the ICS conversation and downloads What3Words after the episode.Quotes to Pull for Clips“This job isn't compatible with rollercoasters. You've gotta stay ready.”“Make it a lifestyle. If you stop, you feel off.”“I was the fattest skinny guy you ever met.”“If you've got family history—get a cardiologist. Once a year.”“You were treating the monitor, not the patient.”Call to ActionWhat lifestyle change are you making in 2026?Not a “resolution”—a real, achievable shift that makes you better for your department, your family, and yourself.Drop yours in the comments.

Think you know the Health app? Think again. This episode unpacks Apple's quiet rollout of powerful and important features, from crash detection to real-time medication reminders, that are quietly transforming the way you can track your wellbeing. • Dive into emergency SOS, medical ID, and safety alerts • Apple Watch-exclusive notifications: heart rate, crash, fall, and walking steadiness • Hypertension and blood pressure notifications arrive for Apple Watch users • Cardio fitness, ECG, and irregular rhythm alerts explained • Court drama and a workaround for Apple's blood oxygen feature • Monitoring vitals, hearing safety, and sleep apnea detection • AFib history versus irregular rhythm notifications • Health data trends and fresh health records notifications • Sleep tracking, wind down routines, and schedule-based alerts • Medication reminders with smart time zone adjustments • Mental wellbeing tracking with state-of-mind check-ins and depression/anxiety quizzes • Walking steadiness notifications and quick access to the checklist Host: Mikah Sargent Download or subscribe to Hands-On Apple at https://twit.tv/shows/hands-on-apple Want access to the ad-free audio and video and exclusive features? Become a member of Club TWiT today! https://twit.tv/clubtwit Club TWiT members can discuss this episode and leave feedback in the Club TWiT Discord.

Think you know the Health app? Think again. This episode unpacks Apple's quiet rollout of powerful and important features, from crash detection to real-time medication reminders, that are quietly transforming the way you can track your wellbeing. Dive into emergency SOS, medical ID, and safety alerts Apple Watch-exclusive notifications: heart rate, crash, fall, and walking steadiness Hypertension and blood pressure notifications arrive for Apple Watch users Cardio fitness, ECG, and irregular rhythm alerts explained Court drama and a workaround for Apple's blood oxygen feature Monitoring vitals, hearing safety, and sleep apnea detection AFib history versus irregular rhythm notifications Health data trends and fresh health records notifications Sleep tracking, wind down routines, and schedule-based alerts Medication reminders with smart time zone adjustments Mental wellbeing tracking with state-of-mind check-ins and depression/anxiety quizzes Walking steadiness notifications and quick access to the checklist Host: Mikah Sargent Download or subscribe to Hands-On Apple at https://twit.tv/shows/hands-on-apple Want access to the ad-free audio and video and exclusive features? Become a member of Club TWiT today! https://twit.tv/clubtwit Club TWiT members can discuss this episode and leave feedback in the Club TWiT Discord.

Think you know the Health app? Think again. This episode unpacks Apple's quiet rollout of powerful and important features, from crash detection to real-time medication reminders, that are quietly transforming the way you can track your wellbeing. Dive into emergency SOS, medical ID, and safety alerts Apple Watch-exclusive notifications: heart rate, crash, fall, and walking steadiness Hypertension and blood pressure notifications arrive for Apple Watch users Cardio fitness, ECG, and irregular rhythm alerts explained Court drama and a workaround for Apple's blood oxygen feature Monitoring vitals, hearing safety, and sleep apnea detection AFib history versus irregular rhythm notifications Health data trends and fresh health records notifications Sleep tracking, wind down routines, and schedule-based alerts Medication reminders with smart time zone adjustments Mental wellbeing tracking with state-of-mind check-ins and depression/anxiety quizzes Walking steadiness notifications and quick access to the checklist Host: Mikah Sargent Download or subscribe to Hands-On Apple at https://twit.tv/shows/hands-on-apple Want access to the ad-free audio and video and exclusive features? Become a member of Club TWiT today! https://twit.tv/clubtwit Club TWiT members can discuss this episode and leave feedback in the Club TWiT Discord.

Episode 210: Heat Stroke BasicsWritten by Jacob Dunn, MS4, American University of the Caribbean. Edits and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice. Definition:Heat stroke represents the most severe form of heat-related illness, characterized by a core body temperature exceeding 40°C (104°F) accompanied by central nervous system (CNS) dysfunction. Arreaza: Key element is the body temperature and altered mental status. Jacob: This life-threatening condition arises from the body's failure to dissipate heat effectively, often in the context of excessive environmental heat load or strenuous physical activity. Arreaza: You mentioned, it is a spectrum. What is the difference between heat exhaustion and heat stroke? Jacob: Unlike milder heat illnesses such as heat exhaustion, heat stroke involves multisystem organ dysfunction driven by direct thermal injury, systemic inflammation, and cytokine release. You can think of it as the body's thermostat breaking under extreme stress — leading to rapid, cascading failures if not addressed immediately. Arreaza: Tell us what you found out about the pathophysiology of heat stroke?Jacob: Pathophysiology: Under normal conditions, the body keeps its core temperature tightly controlled through sweating, vasodilation of skin blood vessels, and behavioral responses like seeking shade or drinking water. But in extreme heat or prolonged exertion, those mechanisms get overwhelmed.Once core temperature rises above about 40°C (104°F), the hypothalamus—the brain's thermostat—can't keep up. The body shifts from controlled thermoregulation to uncontrolled, passive heating. Heat stroke isn't just someone getting too hot—it's a full-blown failure of the body's heat-regulating system. Arreaza: So, it's interesting. the cell functions get affected at this point, several dangerous processes start happening at the same time.Jacob: Yes: Cellular Heat InjuryHigh temperatures disrupt proteins, enzymes, and cell membranes. Mitochondria start to fail, ATP production drops, and cells become leaky. This leads to direct tissue injury in vital organs like the brain, liver, kidneys, and heart.Arreaza: Yikes. Cytokines play a big role in the pathophysiology of heat stroke too. Jacob: Systemic Inflammatory ResponseHeat damages the gut barrier, allowing endotoxins to enter the bloodstream. This triggers a massive cytokine release—similar to sepsis. The result is widespread inflammation, endothelial injury, and microvascular collapse.Arreaza: What other systems are affected?Coagulation AbnormalitiesEndothelial damage activates the clotting cascade. Patients may develop a DIC-like picture: microthrombi forming in some areas while clotting factors get consumed in others. This contributes to organ dysfunction and bleeding.Circulatory CollapseAs the body shunts blood to the skin for cooling, perfusion to vital organs drops. Combine that with dehydration from sweating and fluid loss, and you get hypotension, decreased cardiac output, and worsening ischemia.Arreaza: And one of the key features is neurologic dysfunction.Jacob: Neurologic DysfunctionThe brain is extremely sensitive to heat. Encephalopathy, confusion, seizures, and coma occur because neurons malfunction at high temperatures. This is why altered mental status is the hallmark of true heat stroke.Arreaza: Cell injury, inflammation, coagulopathy, circulatory collapse and neurologic dysfunction. Jacob: Ultimately, heat stroke is a multisystem catastrophic event—a combination of thermal injury, inflammatory storm, coagulopathy, and circulatory collapse. Without rapid cooling and aggressive supportive care, these processes spiral into irreversible organ failure.Background and Types:Arreaza: Heat stroke is part of a spectrum of heat-related disorders—it is a true medical emergency. Mortality rate reaches 30%, even with optimal treatment. This mortality correlates directly with the duration of core hyperthermia. I'm reminded of the first time I heard about heat stroke in a baby who was left inside a car in the summer 2005. Jacob: There are two primary types: -nonexertional (classic) heat stroke, which develops insidiously over days and predominantly affects vulnerable populations like children, the elderly, and those with chronic illnesses during heat waves; -exertional heat stroke, which strikes rapidly in young, otherwise healthy individuals, often during intense exercise in hot, humid conditions. Arreaza: In our community, farm workers are especially at risk of heat stroke, but any person living in the Central Valley is basically at risk.Jacob: Risk factors amplify vulnerability across both types, including dehydration, cardiovascular disease, medications that impair sweating (e.g., anticholinergics), and acclimatization deficits. Notably, anhidrosis (lack of sweating) is common but not required for diagnosis. Hot, dry skin can signal the shift from heat exhaustion to stroke. Arreaza: What other conditions look like heat stroke?Differential Diagnosis:Jacob: Presenting with altered mental status and hyperthermia, heat stroke demands a broad differential to avoid missing mimics. -Environmental: heat exhaustion, syncope, or cramps. -Infectious etiologies like sepsis or meningitis must be ruled out. -Endocrine emergencies such as thyroid storm, pheochromocytoma, or diabetic ketoacidosis (DKA) can overlap. -Neurologic insults include cerebrovascular accident (CVA), hypothalamic lesions (bleeding or infarct), or status epilepticus. -Toxicologic culprits are plentiful—sympathomimetic or anticholinergic toxidromes, salicylate poisoning, serotonin syndrome, malignant hyperthermia, neuroleptic malignant syndrome (NMS), or even alcohol/benzodiazepine withdrawal. When it comes to differentials, it is always best to cast a wide net and think about what we could be missing if this is not heat stroke. Arreaza: Let's say we have a patient with hyperthermia and we have to assess him in the ER. What should we do to diagnose it?Jacob: Workup:Diagnosis is primarily clinical, hinging on documented hyperthermia (>40°C) plus CNS changes (e.g., confusion, delirium, seizures, coma) in a hot environment. Arreaza: No single lab confirms it, but targeted testing allows us to detect complications and rule out alternative diagnosis. Jacob: -Start with ECG to assess for dysrhythmias or ischemic changes (sinus tachycardia is classic; ST depressions or T-wave inversions may hint at myocardial strain). -Labs include complete blood count (CBC), comprehensive metabolic panel (electrolytes, renal function, liver enzymes), glucose, arterial blood gas, lactate (elevated in shock), coagulation studies (for disseminated intravascular coagulation, or DIC), creatine kinase (CK) and myoglobin (for rhabdomyolysis), and urinalysis. Toxicology screen if history suggests. Arreaza: I can imagine doing all this while trying to cool down the patient. What about imaging?-Imaging: chest X-ray for pulmonary issues, non-contrast head CT if neurologic concerns suggest edema or bleed (consider lumbar puncture if infection suspected). It is important to note that continuous core temperature monitoring—via rectal, esophageal, or bladder probe—is essential, not just peripheral skin checks. Arreaza: TreatmentManagement:Time is tissue here—initiate cooling en route, if possible, as delays skyrocket morbidity. ABCs first: secure airway (intubate if needed, favoring rocuronium over succinylcholine to avoid hyperkalemia risk), support breathing, and stabilize circulation. -Remove the patient from the heat source, strip clothing, and launch aggressive cooling to target 38-39°C (102-102°F) before halting to prevent rebound hypothermia. -For exertional cases, ice-water immersion reigns supreme—it's the fastest method, with immersion in cold water resulting in near-100% survival if started within 30 minutes. -Nonexertional benefits from evaporative cooling: mist with tepid water (15-25°C) plus fans for convective airflow. -Adjuncts include ice packs to neck, axillae, and groin; -room-temperature IV fluids (avoid cold initially to prevent shivering); -refractory cases, invasive options like peritoneal lavage, endovascular cooling catheters, or even ECMO. -Fluid resuscitation with lactated Ringer's or normal saline (250-500 mL boluses) protects kidneys and counters rhabdomyolysis—aim for urine output of 2-3 mL/kg/hour. Arreaza: What about medications?Jacob: Benzodiazepines (e.g., lorazepam) control agitation, seizures, or shivering; propofol or fentanyl if intubated. Avoid antipyretics like acetaminophen. For intubation, etomidate or ketamine as induction agents. Hypotension often resolves with cooling and fluids; if not, use dopamine or dobutamine over norepinephrine to avoid vasoconstriction. Jacob: What IV fluid is recommended/best for patients with heat stroke?Both lactated Ringer's solution and normal saline are recommended as initial IV fluids for rehydration, but balanced crystalloids such as LR are increasingly favored due to their lower risk of hyperchloremic metabolic acidosis and AKI. However, direct evidence comparing the two specifically in the setting of heat stroke is limited. Arreaza: Are cold IV fluids better/preferred over room temperature fluids?Cold IV fluids are recommended as an adjunctive therapy to help lower core temperature in heat stroke, but they should not delay or replace primary cooling methods such as cold-water immersion. Cold IV fluids can decrease core temperature more rapidly than room temperature fluids. For example, 30mL/kg bolus of chilled isotonic fluids at 4 degrees Celsius over 30 minutes can decrease core temperature by about 1 degree Celsius, compared to 0.5 degree Celsius with room temperature fluids. Arreaza: Getting cold IV sounds uncomfortable but necessary for those patients. Our favorite topic.Screening and Prevention:-Heat stroke prevention focuses on public health and individual awareness rather than routine testing. -High-risk groups—elderly, children, athletes, laborers, or those on impairing meds—should acclimatize gradually (7-14 days), hydrate preemptively (electrolyte solutions over plain water), and monitor temperature in exertional settings. -Communities during heat waves need cooling centers and alerts. -For clinicians, educate patients with CVD or obesity about early signs like dizziness or nausea. -No formal "screening" exists, but vigilance in EDs during summer surges saves lives. -Arreaza: I think awareness is a key element in prevention, so education of the public through traditional media like TV, and even social media can contribute to the prevention of this catastrophic condition.Jacob: Ya so heat stroke is something that should be on every physician's radar in the central valley especially in the summer time given the hot temperatures. Rapid recognition is key. Arreaza: Thanks, Jacob for this topic, and until next time, this is Dr. Arreaza, signing off.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! References:Gaudio FG, Grissom CK. Cooling Methods in Heat Stroke. J Emerg Med. 2016 Apr;50(4):607-16. doi: 10.1016/j.jemermed.2015.09.014. Epub 2015 Oct 31. PMID: 26525947. https://pubmed.ncbi.nlm.nih.gov/26525947/.Platt, M. A., & LoVecchio, F. (n.d.). Nonexertional classic heat stroke in adults. In UpToDate. Retrieved September 7, 2025, from https://www.uptodate.com/contents/nonexertional-classic-heat-stroke-in-adults. (Key addition: Emphasizes insidious onset in at-risk populations and the role of urban heat islands in exacerbating classic cases.) Heat Stroke. WikEM. Retrieved December 3, 2025, from https://wikem.org/wiki/Heat_stroke. (Key additions: Details on cooling rates for immersion therapy, confirmation that anhidrosis is not diagnostic, and fluid titration to urine output for rhabdomyolysis prevention.)Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

As the year wraps, Rob Lawrence welcomes back the “EMS Avenger” Jimmy Apple for a fast-moving, end-of-year pulse check on the EMS universe — through the lens of social media, research and what frontline clinicians are actually saying when the mic is on and the comments are open. Building on last week's data-and-trends conversation , this episode pivots into “the world according to Jimmy Apple” and his alter ego, the EMS Avenger, exploring what's made providers lean in, push back or flat-out declare “enough is enough.” | SHARE YOUR STORY: A call for real stories from the EMS field, station and beyond  From burnout and workforce conditions to AI-assisted ECG interpretation and the rise of microlearning, the conversation lands on a central theme: the future of EMS isn't just protocols — it's people, technology and how we choose to learn, adapt and debate. Jimmy also names his “paper of the year” on spinal immobilization, explains how he handles disagreement without falling into “quicksand arguments,” and previews a packed 2026 speaking calendar — plus a relaunch of his podcast. Memorable quotes “If we can just verify that you're retaining the information, that's much more important than the veracity of how long it took you to get that information.” — Jimmy Apple “You can catch more flies with honey than you can with vinegar.” — Jimmy Apple “That's the future; is that literally, we're going to swipe it, absorb it and swipe away again.” — Rob Lawrence “My paper of the year is the paper that was published on spinal mobilization … It does not support the use of backboards as anything other than an extrication tool.” — Jimmy Apple “I think that a big push that I'm making this year is to really start talking about the EMS provider as the person.” — Jimmy Apple Episode timeline 00:56 — Rob welcomes listeners, references year-in-review data and notes ambulance thefts continue to trend. 01:38 — Rob brings Jimmy back and asks for a quick summary of Jimmy's year and growing reach, and the top themes Jimmy has seen. 04:12 — Jimmy identifies provider conditions and mindset as the dominant theme and describes discussion of collapse/collapsing systems. 06:12 — Jimmy explains social media as the pulse point and highlights burnout, anger and provider frustration. 06:52 — Jimmy pivots to technology's growing role and EMS resistance to tech encroachment in practice. 07:23 — Rob connects the tech thread to conference observations (Axon, AI). Jimmy gives examples (AI 12-lead, apps) and argues tech advancement shouldn't be rejected due to “skill deterioration” fears. 09:34 — Rob asks Jimmy's “how do you explain complex concepts quickly?” Jimmy uses the Michelangelo anecdote to describe stripping concepts to essentials; critiques padded, time-gated education. 12:29 — Jimmy argues for education credit models that recognize microlearning and self-directed learning if retention can be verified. 14:04 — Rob asks for standout research; Jimmy discusses RSI/induction agent considerations, pressors debate and prehospital antibiotics. 16:47 — Rob and Jimmy preview NAEMSP's annual meeting (“research Disney”), value of posters, networking and clinical depth. 18:26 — Jimmy names spinal immobilization evidence review as his “paper of the year” and explains its conclusions. 21:36 — Rob asks how Jimmy handles disagreement/detractors with a larger platform — Jimmy describes disagreement as healthy, focuses on respectful pushback and staying anchored in data. 29:00 — Final question: Jimmy emphasizes “provider as person,” healing the clinician and a sponsored podcast relaunch in January. Additional resources Meet the EMS Avenger: Saving lives with kindness and content. TikTok sensation and pediatric critical care paramedic Jimmy Apple shares his rise in EMS education, battling misinformation with heart and hustle Jimmy Apple's “paper of the year:” Millin MG, Innes JC, King GD, Abo BN, et al. “Prehospital Trauma Compendium: Prehospital Management of Spinal Cord Injuries — A NAEMSP Comprehensive Review and Analysis of the Literature.” Prehosp Emerg Care. 2025 Aug. Connect with Jimmy Apple, better known as The EMS Avenger: TikTok — Jimmy offers short-form, evidence-based EMS content here: @emsavenger Instagram — Engage with in-depth reels, visuals, and professional updates: @emsavenger X (formerly Twitter) — Follow EMS commentary, conversation, and boosts: @EMSAvenger Facebook — Join the group for discussions and shared insights: EMS Avenger community Apple Podcasts — Listen to “EMS Avenger: 20 Minutes to Save the World”: Weekly podcast series AAA & AIMHI EMS Media Log: EMS Intel Enjoying the show? Contact the EMS One-Stop team at editor@EMS1.com to share ideas, suggestions and feedback.

Join Shaun Pitts on EMSconnect On Shift as he sits down with Dr. Travis Dierks for an essential deep dive into ECG interpretation. Whether you're an EMT, paramedic, or just looking to strengthen your cardiac knowledge, this episode breaks down rhythm strips and ECG fundamentals in a clear, practical way.Dr. Dierks shares expert tips for identifying key patterns, avoiding common pitfalls, and translating what you see on the monitor into confident, real-world patient care decisions. By the end of this episode, you'll be more confident reading those strips, spotting critical rhythms, and understanding the story behind the ECG.Tune in, sharpen your skills, and learn to truly read between the lines.LISTEN to all of "The Fractured Saints" here: https://open.spotify.com/artist/4TLc8SGP9pX4MaaLz1b8TW?si=8gFJ-mMHRyCQTClDVzKjHASupport the show

CardioNerds (Dr. Colin Blumenthal, Dr. Kelly Arps, and Dr. Natalie Marrero) discuss anti-arrhythmic drugs in the management of atrial fibrillation and atrial flutter with electrophysiologist Dr. Andrew Epstein. We discuss two major classes of anti-arrhythmic drugs, class IC and class III, as well as digoxin. Dr. Epstein explains their mechanisms of action, indications and specific patient populations in which they would be particularly helpful, efficacy, adverse side effects, contraindications, and key drug-drug interactions. We also elaborate on defining clinical trials and their clinical implications. Given the large burden of atrial fibrillation and atrial flutter in our patient population and the high prevalence of anti-arrhythmic drug use, this episode is sure to be applicable to many practicing physicians and trainees. Audio editing by CardioNerds academy intern, Grace Qiu.  Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Atrial Fibrillation PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls Anti-arrhythmic drugs should not be thought of as an alternative to ablation but, instead, should be considered an adjunct to catheter ablation.   Class IC anti-arrhythmic drugs, flecainide and propafenone, are highly efficacious for acute cardioversion and a great option for patients with infrequent episodes of AF who do not have a history of ischemic heart disease.    Class III anti-arrhythmic drugs like ibutilide, sotalol, and dofetilide, are highly effective for acute conversion; however, they require hospitalization for close monitoring during initiation and dose titration given the risk of prolonged QT.   Amiodarone should not be used as a first line agent given its toxicities, prolonged half-life, large volume of distribution, and drug-drug interactions.   Dr. Epstein notes that, “All drugs are poisons with a few beneficial side effects,” when highlighting the many adverse side effects of anti-arrhythmic drugs, particularly amiodarone, and the importance of balancing their benefit in rhythm control with their side effect profile.   Notes Notes: Notes drafted by Dr. Natalie Marrero. What are the Class IC anti-arrhythmic drugs and what indications exist for their use?   Class IC anti-arrhythmic drugs are anti-arrhythmic drugs that work by blocking sodium channels and, thereby, prolonging depolarizing.   Class IC anti-arrhythmic drugs include flecainide and propafenone.   Class IC anti-arrhythmic drugs are good agents to use in patients that have infrequent episodes of AF and do not want daily dosing as these agents can be used by patients when they feel palpitations and desire acute conversion back to sinus rhythm (“pill in the pocket” approach).    What are the adverse consequences and/or contraindications to using a class IC agent?  Class IC anti-arrhythmic agents are contraindicated in patients with a history of ischemic heart disease based on increased mortality associated with their use in these patients in the CAST trial.   Given the results of the CAST trial, providers should screen annually for ischemia via a functional stress test in patients on these drugs at risk for coronary disease.   These drugs can increase 1:1 conduction of atrial flutter and, therefore, require concomitant use of a beta blocker.   These agents are generally well-tolerated without any organ toxicities; however, they can precipitate heart failure in patients with cardiomyopathies, cause sinus node depression, and unmask genetic arrythmias such as a Brugada pattern.   What are the class III agents and what are indications for their use?   Class III agents are drugs that block the potassium channel, prolonging the QT, and include Ibutilide, Sotalol, and Dofetilide.    Class III agents can be considered in patients with or without a history of ischemic heart disease that desire effective acute chemical cardioversion and are willing to go to the hospital for close monitoring during dose initiation and titration.   Other specific circumstances in which one can use these agents, specifically Ibutilide, are in patients with recurrent atrial fibrillation and Wolf Parkinson White (due to slowed conduction via the accessory pathway).  What are the adverse consequences and/or contraindications to using a class III agent?  Ibutilide, Sotalol, and Dofetilide prolong the QT and increase the risk of torsade de pointes, which is why they require ECG monitoring in-patient during drug initiation and dose titration.    These agents are generally well-tolerated.   Sotalol should be avoided or used cautiously in patients with left ventricular dysfunction, while dofetilide can be used and has dose-response beneficial effects in patients with left ventricular dysfunction.   Both sotalol and dofetilide are renally cleared with specific creatinine clearance cutoffs (CrCl < 20 for dofetilide and CrCl

In this video we cover the different types of heart block as well as heart block ECG interpretation, including 1st degree, 2nd degree which has two types- Mobitz 1 or Wenckebach and Mobitz 2, as well as 3rd degree heart block also known as complete heart block. We also look at causes, symptoms and treatment options for each type of heart block. PDFs available here: https://rhesusmedicine.com/pages/cardiologyConsider subscribing (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Buy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps:0:00 Normal Cardiac Conduction Pathway1:07 First Degree Heart Block / 1st Degree AV Block  - ECG1:30 First Degree Heart Block  / 1st Degree AV Block -  Causes2:36 Second Degree Heart Block - Mobitz 1 / Wenckebach - ECG3:15 Second Degree Heart Block - Mobitz 1 - Causes4:01 Second Degree Heart Block - Mobitz 2 - ECG4:25 Second Degree Heart Block - Mobitz 2 - Causes5:29 Third Degree Heart Block / Complete Heart Block - ECG6:06 Third Degree Heart Block / Complete Heart Block - CausesLINK TO SOCIAL MEDIA: https://www.instagram.com/rhesusmedicine/References:Life in the Fast Lane (LITFL), 2024. First-Degree Heart Block • ECG Library Diagnosis. [online] Available at: https://litfl.com/first-degree-heart-block-ecg-library/. Life in the Fast Lane • LITFLOldroyd, S.H., 2023. First-degree atrioventricular block. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. [online] Available at: https://www.ncbi.nlm.nih.gov/books/NBK448164/. NCBIMedscape, 2024. First-Degree Atrioventricular Block. eMedicine Overview. [online] Available at: https://emedicine.medscape.com/article/161829-overview#a7. Medscape eMedicineLife in the Fast Lane (LITFL), 2024. AV Block: 2nd degree, Mobitz I (Wenckebach Phenomenon). [online] Available at: https://litfl.com/av-block-2nd-degree-mobitz-i-wenckebach-phenomenon/. Life in the Fast Lane • LITFLLife in the Fast Lane (LITFL), 2024. AV Block: 2nd degree, Mobitz II (Hay block). [online] Available at: https://litfl.com/av-block-2nd-degree-mobitz-ii-hay-block/. Life in the Fast Lane • LITFLDisclaimer: Please remember this podcast and all content from Rhesus Medicine is for educational and entertainment purposes only and is not a guide to diagnose or to treat any form of condition. The content is not to be used to guide clinical practice and is not medical advice. Please consult a healthcare professional for medical advice.

Takotsubo Cardiomyopathy, also known as Broken Heart Syndrome, Stress Cardiomyopathy or Apical Ballooning Syndrome, is a condition that impairs the heart's ability to contract effectively. Takotsubo means octopus trap in Japanese, which is the shape the left ventricle resembles in this condition. We look at Takotsubo Cardiomyopathy pathology and symptoms, diagnosis including ECG changes as well as treatment. PDFs available here: https://rhesusmedicine.com/pages/cardiologyConsider subscribing (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Timestamps:0:00 What is Takotsubo Cardiomyopathy? 0:36 Takotsubo Cardiomyopathy Pathology / Causes1:59 Takotsubo Cardiomyopathy Risk Factors2:54 Takotsubo Cardiomyopathy Symptoms3:14 Takotsubo Cardiomyopathy Diagnosis 4:14 Takotsubo Cardiomyopathy Treatment & Prognosis LINK TO SOCIAL MEDIA: https://www.instagram.com/rhesusmedicine/ReferencesAhmad, S.A., Khalid, N. & Ibrahim, M.A., 2023. Takotsubo Cardiomyopathy. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. [online] Available at: https://www.ncbi.nlm.nih.gov/books/NBK430798/. NCBICardiomyopathy UK, 2025. Takotsubo Cardiomyopathy | Cardiomyopathy UK. [online] Available at: https://www.cardiomyopathy.org/about-cardiomyopathy/types-cardiomyopathy/takotsubo-cardiomyopathy. cardiomyopathy.orgWikipedia, 2025. Takotsubo cardiomyopathy. [online] Available at: https://en.wikipedia.org/wiki/Takotsubo_cardiomyopathy. WikipediaDisclaimer: Please remember this video and all content from Rhesus Medicine is for educational and entertainment purposes only and is not a guide to diagnose or to treat any form of condition. The content is not to be used to guide clinical practice and is not medical advice. Please consult a healthcare professional for medical advice.

Acute Coronary Syndrome refers to a spectrum of conditions including Unstable Angina, Non ST Elevation Myocardial Infarction and ST Elevation Myocardial Infarction. In this video we look at the pathology behind acute coronary syndrome, the differences between Unstable angina, NSTEMI and STEMI, as well as the signs and symptoms, diagnosis (including ECG changes!) and treatment of each. PDFs available here: https://rhesusmedicine.com/pages/cardiologyConsider subscribing (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Buy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps:0:00 What is Acute Coronary Syndrome - Acute Coronary Syndrome Definition0:25 Coronary Artery Anatomy1:17 Acute Coronary Syndrome Pathology - Atherosclerosis 2:08 Acute Coronary Syndrome Pathology - Unstable Angina vs Non ST Elevation Myocardial Infarction vs ST Elevation Myocardial Infarction3:00 Acute Coronary Syndrome Risk Factors3:23 Signs and Symptoms of Acute Coronary Syndrome4:17 Acute Coronary Syndrome Diagnosis - ECG STEMI5:45 Acute Coronary Syndrome Diagnosis - ECG NSTEMI and Unstable Angina6:42 Acute Coronary Syndrome Diagnosis - Cardiac Troponin I 7:11 Acute Coronary Syndrome Diagnosis - Imaging7:42 Treatment of Acute Coronary SyndromeLINK TO SOCIAL MEDIA: https://www.instagram.com/rhesusmedicine/ReferencesBritish National Formulary (BNF), 2015. Acute coronary syndromes – treatment summary. [online] Available at: https://bnf.nice.org.uk/treatment-summary/acute-coronary-syndromes.html. BNFTeachMeAnatomy, 2025. Heart vasculature. [online] Available at: https://teachmeanatomy.info/thorax/organs/heart/heart-vasculature/. TeachMeAnatomy+1DeVon, H.A., 2020. Typical and atypical symptoms of acute coronary syndrome. Journal of the American Heart Association, 9:e015539. [online] Available at: https://www.ahajournals.org/doi/10.1161/JAHA.119.015539. AHA JournalsWarren, A., 2020. Acute coronary syndrome: risk factors, diagnosis and treatment. The Pharmaceutical Journal. [online] Available at: https://pharmaceutical-journal.com/article/ld/acute-coronary-syndrome-risk-factors-diagnosis-and-treatment. The Pharmaceutical JournalLife in the Fast Lane (LITFL), 2021. Acute coronary syndromes. [online] Available at: https://litfl.com/acute-coronary-syndromes/. Life in the Fast Lane • LITFLDisclaimer: Please remember this podcast and all content from Rhesus Medicine is for educational and entertainment purposes only and is not a guide to diagnose or to treat any form of condition. The content is not to be used to guide clinical practice and is not medical advice. Please consult a healthcare professional for medical advice.

This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to⁠ outcomesrocket.com Accessible, AI-driven heart care is rapidly becoming both possible and essential. In this episode, Priya Abani, CEO of AliveCor, discusses how her team is reimagining cardiac care through patient-centric design, affordability, and advanced clinical AI. She explains that patients are whole people, not conditions, and this principle drives tools that fit naturally into daily life rather than episodic clinical encounters. Priya highlights innovations such as portable ECG devices, AI models that detect 35 cardiac conditions, and systems that integrate blood pressure and ECG trends for proactive monitoring. Looking ahead, she shares their vision for 24/7 AI-powered continuous care, enabling earlier interventions, seamless physician collaboration, and personalized preventive cardiology. Tune in and learn how continuous, AI-enabled heart care is reshaping the patient experience! Resources Connect with and follow Priya Abani on LinkedIn. Follow AliveCor on LinkedIn and visit their website! Learn more about Kardia 12L here.

In this episode of the Prehospital Care Podcast, we explore a compelling personal medical narrative by Dr Sarah Spelsberg titled “The Not Really an Asthma Attack.” The story centres on a challenging case encountered in a remote island emergency department and highlights the complexity of clinical decision-making when patients do not present in textbook fashion. Dr Spelsberg recounts the case of a 41-year-old man who arrived in severe respiratory distress, initially appearing to be suffering from a life-threatening asthma exacerbation. Standard treatment was commenced, and early investigations, including an ECG and chest X-ray, were undertaken, yet the patient failed to improve as expected.As the clinical picture evolved, it became clear that the initial diagnosis did not fully explain the patient's condition. Further assessment raised concern for a more serious and potentially life-threatening pathology, with features suggesting pericarditis, possibly in the context of a recent viral illness. The narrative captures the difficulty of managing a complex, non-classical presentation in a resource-limited setting, where access to specialist support is constrained, and decisions carry significant risk.Recognising the limits of local capability and the need for specialist input, the team made the critical decision to arrange a medevac transfer to the mainland for cardiology review. Sarah reflects on the case as a powerful reminder of diagnostic humility, the importance of reassessing assumptions when a patient's trajectory does not fit expectations, and the professional responsibility to continue expanding one's medical knowledge. The story resonates strongly with pre-hospital and emergency clinicians, underscoring the realities of uncertainty, vigilance, and adaptive clinical reasoning in high-stakes care. You can read the piece here: https://roguemed.medium.com/the-not-really-an-asthma-attack-c359b8370bbb

Blogpost asociado  https://ecctrainings.com/te-atreverias-a-dar-tromboliticos-prehospitalarios-para-embolia-pulmonar-lo-que-revela-el-nuevo-estudio-y-como-prepararte-con-acls/" Referencia del estudio original: Harjola, J., Holmström, P., Sane, M., Hartikainen, J., & Harjola, V.-P. (2025). Prehospital fibrinolysis in high-risk pulmonary embolism – Observational data on clinical picture and outcome. Prehospital Emergency Care, 29(7), 1–8. https://doi.org/10.1080/10903127.2025.2582671 Recordatorio rápido: embolia pulmonar de alto riesgo Definición sencilla: EP de alto riesgo / masiva → se manifiesta como shock obstructivo o paro cardiaco. Fisiopatología en pocas palabras: Trombo grande en circulación pulmonar → aumento de poscarga del ventrículo derecho → falla del VD → colapso hemodinámico. Por qué es tan letal: Deterioro muy rápido, ventana terapéutica corta. Frecuentemente se presenta como paro fuera del hospital. Conectar con ACLS: La EP masiva está dentro de las "T" (tromboembolismo) en las causas reversibles del paro. Las guías ACLS contemplan el uso de trombolíticos cuando se sospecha fuertemente EP como causa del paro. ¿Cómo se ve clínicamente un paciente con EP de alto riesgo? Disnea súbita, dolor torácico, síncope, hipotensión, antecedentes de riesgo trombótico. Resumen del estudio de Harjola et al. Objetivo principal del estudio Explorar supervivencia y complicaciones hemorrágicas del uso de trombolíticos prehospitalarios para embolia pulmonar de alto riesgo. Diseño Datos de EMS del área metropolitana de Helsinki + hospital universitario. Periodo aproximado: 2007–2019. Inclusión: Pacientes con EP de alto riesgo sospechada clínicamente. Tratados con fibrinolisis intravenosa prehospitalaria. Diagnóstico de EP confirmado posteriormente por imagen o autopsia. Grupo comparador: Pacientes con EP de alto riesgo que no recibieron fibrinólisis prehospitalaria. Resultados clave Total de pacientes con EP de alto riesgo: 60. Grupo con trombolíticos prehospitalarios para embolia pulmonar: n = 23. 44% mujeres. Edad media: alrededor de 57 años. 74% se presentaron en paro cardiaco. 26% en shock obstructivo. Mortalidad: Mortalidad prehospitalaria aproximada: 35%. Mortalidad intrahospitalaria: alrededor de 27% de los que llegaron vivos. Mortalidad total combinada: cerca de 52%. Todas las muertes en este grupo fueron en pacientes que llegaron en paro cardiaco. Complicaciones: 2 pacientes con sangrado mayor. Ningún sangrado fatal. Supervivencia a 12 meses: Los pacientes trombolizados que salieron vivos del hospital seguían vivos a los 12 meses. Grupo sin trombolisis prehospitalaria: n = 37. Más añosos (edad media cercana a 72 años). Mayor proporción de paro cardiaco. Mortalidad a 12 meses más alta (≈ 76%, tendencia, p alrededor de 0.06). Comentario para desarrollar: Es un estudio observacional, con n pequeño, no podemos concluir causalidad, pero sí hay "señales" interesantes de posible beneficio. ¿Qué nos dice realmente este estudio? Mensajes principales La EP de alto riesgo fuera del hospital tiene una mortalidad muy alta aun con intervenciones agresivas. En este contexto crítico, los trombolíticos prehospitalarios para embolia pulmonar: Parecen relativamente seguros (pocas hemorragias mayores, ninguna fatal). Podrían ofrecer un beneficio en supervivencia, especialmente en pacientes seleccionados. Limitaciones para mencionar Serie de casos; no es ensayo aleatorizado. Número pequeño de pacientes trombolizados. Posible sesgo de selección: Pacientes más jóvenes y potencialmente con menos comorbilidades recibieron trombólisis. No responde preguntas como: Detalle exacto del protocolo. Diferencias entre equipos. Tiempos exactos desde el colapso hasta la trombólisis. Idea clave: No es un "permiso" para trombolizar a todo el mundo, pero sí una invitación seria a considerar que, en EP de alto riesgo, la inacción también tiene un costo muy alto. El reto práctico: decidir trombolisis en el campo Barreras en la vida real Diagnóstico presuntivo sin imagen: Dependemos de clínica, antecedentes, ECG, quizás eco focal. Miedo al sangrado: Especialmente hemorragia intracraneal. Falta de protocolos claros: Muchos sistemas de EMS no contemplan todavía trombolíticos prehospitalarios para embolia pulmonar. Falta de entrenamiento específico: No todos se sienten cómodos con indicaciones, contraindicaciones, dosis. Cómo ayuda ACLS aquí ACLS bien aprendido: Te obliga a pensar en H y T, no solo en adrenalina y ciclos. Te muestra dónde se colocan los trombolíticos prehospitalarios para embolia pulmonar dentro del algoritmo. Te entrena para liderar un equipo y tomar decisiones bajo presión. Conectar con los cursos de ECCtrainings: En nuestros ACLS discutimos escenarios de paro por EP masiva. Practicamos cómo tomar la decisión de administrar o no trombolítico. Simulamos la comunicación con el hospital receptor después de trombólisis. Caso clínico narrado Propuesta de caso Varón de 48 años. Disnea súbita, dolor torácico, antecedente de inmovilidad o TVP reciente. Hipotenso, taquicárdico, saturación baja, signos de shock. En la ambulancia entra en PEA. El equipo evalúa H y T → EP masiva muy probable. Protocolo local permite trombolíticos prehospitalarios para embolia pulmonar: Se administra el medicamento durante la RCP. Después de varios ciclos recupera pulso. Llega vivo al hospital, se confirma EP por imagen y sobrevive. Puntos a resaltar Valor de: reconocer el patrón clínico, tener protocolos, estar entrenado en ACLS. Conectar con la serie de Helsinki: "Son justamente este tipo de pacientes los que aparecen en la serie: altísimo riesgo, pero con posibilidad real de supervivencia si somos agresivos." Cómo prepararte tú y tu sistema Pasos sugeridos para líderes, educadores y clínicos de EMS Revisar la evidencia Usar este estudio como punto de partida para la discusión sobre trombolíticos prehospitalarios para embolia pulmonar. Evaluar la realidad local ¿Disponibilidad del medicamento? ¿Quién puede prescribir y administrar? ¿Qué soporte hospitalario hay (UCI, hemodinamia, ECMO)? Desarrollar protocolos claros Criterios de inclusión y exclusión. Algoritmo que integre ACLS y trombólisis. Entrenamiento formal No basta con escribir el protocolo; hay que entrenarlo en simulación. Cursos ACLS con escenarios específicos de EP. Simulaciones y revisión de casos Simulacros periódicos con roles definidos. Morbimortalidad / debriefing de casos reales o simulados. Comunidad: seguir la conversación en ECCnetwork ECCnetwork: Comunidad en línea para profesionales de emergencias, cuidado crítico, medicina táctica, etc. Espacios para discutir artículos, casos, protocolos, dudas. Invitar a que compartan: ¿Su sistema consideraría trombolíticos prehospitalarios para embolia pulmonar? ¿Qué barreras ven? ¿Experiencias que puedan comentar? Recursos adicionales y blogpost Recordar el blogpost: URL:

In this episode of the INS Infusion Room, host Derek speaks with Carla Dillard about her extensive experience in nursing and the recent changes in the scope of practice for nurses in Louisiana. They discuss the introduction of electrocardiogram (ECG) technology for confirming catheter placements, the challenges faced in advocating for this change, and the successful presentation to the Louisiana Board of Nursing. Ms Dillard emphasizes the importance of data-driven advocacy and collaboration among nurses to improve patient care and outcomes.

“Com o 5G na ambulância, num traslado de 20 minutos entre a casa do paciente e o hospital, conseguimos acelerar a preparação do time de revascularização em 27 minutos. Para um paciente com suspeita de infarto, isso é vida”. No 16º episódio do Hipsters.Talks, PAULO SILVEIRA, CVO do Grupo Alun, conversa com CONRADO TRAMONTINI, gerente de inovação do Hospital Sírio Libanês, sobre como tecnologia salva vidas, a complexidade dos sistemas hospitalares e por que hospitais precisam funcionar mesmo quando todos os sistemas caem. Uma conversa sobre inovação em saúde, desde padrões globais até a garagem de inovação do hospital. Prepare-se para um episódio cheio de conhecimento e inspiração!

About Priya Abani:Priya Abani is the CEO, president, and a board member at AliveCor, where she leads the company's mission to advance patient-centric remote cardiac care using cutting-edge AI and machine learning. With over 20 years of experience driving innovation across global technology organizations, she has built and scaled high-performing teams, launched industry-shaping products, and forged strategic partnerships that accelerate growth. Her leadership has earned recognition across the health tech landscape, including being named one of The Healthcare Technology Report's Top 50 Healthcare Technology CEOs of 2022. Priya also serves on the Board of Directors for Jacobs and the Board of Trustees for TIAA, extending her influence across various sectors and shaping the future of technology, healthcare, and infrastructure.Things You'll Learn:AI-powered cardiac monitoring is enabling earlier detection of subtle abnormalities that patients and clinicians often miss, improving the likelihood of timely intervention. These tools empower patients to monitor their own health without waiting for episodic visits.Affordability is crucial for expanding access, enabling individuals in underserved regions to utilize medical-grade ECG technology at home. This reduces unnecessary hospital visits and helps bridge geographical care gaps.Portable devices and continuous monitoring shift cardiac care from reactive to proactive. Real-time data sharing creates a tighter feedback loop between patients and clinicians.New clinician-facing tools offer advanced diagnostics in a pocket-sized form, enabling high-quality cardiac assessments to be performed anywhere. This supports healthcare workers who lack access to full clinical equipment.AI models trained on massive ECG datasets are evolving from simple detection tools into comprehensive health companions for the whole person. They synthesize patterns, prompt actions, and help guide personalized preventive care.Resources:Connect with and follow Priya Abani on LinkedIn.Follow AliveCor on LinkedIn and visit their website. Learn more about Kardia 12L here.

I needed a self-meter, so I spoke with my neighbor, who introduced me to her friend claiming to work at ECG. I gave him 2,500 cedis to help me get one, but I have yet to hear from him.

My Story   Talk 33  Life after Mattersey (3) India Our last trip beyond Europe during the years following our departure from Mattersey was to India in 2010. Like my first trip to Ethiopia in 2005, this came about through Arto Hamalainen, the Overseas Missions Director for the Pentecostal churches in Finland. One of their missionaries had asked him to recommend someone who would come and teach about the Holy Spirit and Arto suggested me. The Finns said that they would cover my airfare and, as Eileen had never visited India, I was happy to pay for her. Our destination was Machilipatnam on the eastern coast of India, stopping briefly to minister at Mumbai before flying home. However, as several of our former Mattersey students were from India, we decided that we'd like to visit them as well, if at all possible. So I contacted Lawrence Arumanayagam in Coimbatore and Victor Palla in Palakonda and they were keen to have us come. So an itinerary was arranged for us to arrive at each place on a Monday and then stay for six days before moving on the following Sunday evening or Monday. I made it clear that it was important for me to abide by the Sabbath principle of resting one day in seven. Apart from that, they could arrange as much ministry as they liked during our stay with them. However, it turned out that they were all so keen to make the most of our visit that they organised ministry for all six days and counted on us travelling on to the next place on the day we were supposed to be resting! So the itinerary turned out as follows: Friday 19th February – travel to London Heathrow Saturday 20th – depart Heathrow Sunday 21st – arrive Mumbai at 1a.m. (local time) – attend church in Mumbai and preach in the evening Monday 22nd – fly to Machilipatnam Tuesday to Sunday – ministry in Machilipatnam Sunday 28th – evening, fly to Hyderabad (staying overnight at the airport) Monday March 1st – travel  on to Palakonda Tuesday to Sunday – ministry in Palakonda Monday 8th – travel to Coimbatore via Chennai and Bangalore Tuesday to Sunday – ministry in Coimbatore Monday 15th – travel on to Mumbai Tuesday-Wednesday – ministry in Mumbai Thursday 18th March – fly home. I have taken space to include this itinerary to show how busy our schedule was and to indicate what was probably the reason for the health challenges I subsequently faced and which I will describe later. But first let me briefly mention some of the highlights of the trip. Machilipatnam Although we were already tired from our long journey to Mumbai we needed to be up by 4.50 on Monday morning to catch the 6.50 flight to Bangalore where we changed planes and flew on to Vijayawada where we were met by Pauli, our Finnish host. We were so grateful for the comfortable taxi he had hired to take us on to Machilipatnam. Pauli and his wife accommodated us throughout our stay in a comfortable room in their home and fed us well. From Tuesday to Friday I was teaching every morning and afternoon and developed a sore throat, partly due, I suspect, to the dry heat. However, on the Saturday there was no meeting until the evening, and we were taken to visit some of the local villages and a vast beach where people were in the sea dressed in their everyday clothes. This was a very poor area which had been badly affected by the Tsunami a few years earlier. We were also interested to visit the Hyny Bible College, named after the first missionary from Finland, 'Mother' Hyny. Once again I am grateful to Eileen's journal which brings back happy memories of the Sunday morning meeting: For the first half of church children from orphanages sit on the floor. They come for Sunday School and then stay for the meeting. They are so still and well behaved. They have Bibles and some take notes. They gave us garlands again… After a quick lunch we were back in a taxi again speeding our way to Vijayawada airport. Our stay had been brief and very busy, but despite our tiredness we were grateful for the opportunity the Lord had given us to visit these wonderful people and to share his word with them. Palakonda Palakonda is also on the east coast of India, but further north. The quickest way to get there was to fly inland to Hyderabad in central India and then northeast to Visakhapatnam. This would require an overnight stop at Hyderabad airport where fortunately a comfortable bedroom was available at a very reasonable price. At Visakhapatnam we were greeted by Victor Palla and one of his associate pastors. Victor was one of our former students having taken both our undergraduate and MA courses. He knew Bob Hyde well as they had both been at Mattersey together and our church in Brixham was supporting Victor and the thirty churches he had planted in the Palakonda area after leaving college. The taxi journey on to Palakonda took a further three hours and we were grateful for the large ensuite airconditioned bedroom Victor and Lydia provided for us throughout our stay. The hospitality was lavish and the food both plentiful and excellent. It's so difficult not to eat too much when people are so generous. There was only one problem. Palakonda is famous for its malaria carrying mosquitos and both of us were bitten while we were there despite Victor's efforts to zap the invaders with an amazing racquet powered by batteries that electrocuted them. However, thanks to prayer and the antimalarial tablets we were taking, neither of us contracted the dreaded disease. During the course of the week we ministered in numerous meetings in Palakonda and the surrounding villages. In one of them we were told how the church had started with a family becoming Christians. The rest of the villagers worshipped a tree. The Christian family wanted to cut it down but were afraid of the people. Then Christians from another village came and after praying cut the tree down. The villagers expected something bad to happen to these Christians, but when nothing of the kind happened, they all became Christians. But the highlight of our visit was undoubtedly the day we left at 10am for a meeting with ten churches in the beautiful hills surrounding Palakonda. We travelled by Jeep on extremely bumpy roads at an average speed of 10mph passing through villages that hadn't changed for centuries. We finally arrived at a village where a large banner with our names on it welcomed us. Leaving the Jeep there we were led up a rocky, dusty path to the church where some 400 people were sitting outside it on the ground under a leafy shelter. We sat on chairs with our backs to the church building and the girls came and washed Eileen's feet and we were both given beautiful garlands to wear. The meeting started with lots of singing followed by prayer, after which I preached. This was followed by a meal where the people sat in rows on the ground and were served with a rice dish on disposable plates made from sown leaves. In her journal Eileen commented:             The whole time was special. Amazing atmosphere. And the same day, after returning to Palakonda for a short rest, we were driven to a village after dark where 200 had gathered for another meeting where, after a firework display, I was asked to preach again. We returned to Palakonda extremely tired, but very happy. It was very much the same the entire week and by the time we moved on to Coimbatore I was beginning to feel the need of a good rest. But what a privilege it had been to have fellowship with Victor and Lydia and to share the word of God with so many wonderful people in the Palakonda area whose way of life is very different from ours but with whom we have so much in common. Coimbatore After a busy week in Palakonda, the following Monday we flew on to Coimbatore via Chennai (formerly Madras) to be greeted by Lawrence and Getzi Arumanayagam and were made very welcome in their lovely modern apartment. On the Tuesday we were straight into teaching sessions both morning and afternoon in their beautiful church. I was pleased to see that the congregation was much larger than it had been when I had visited them in 1986. The teaching sessions continued on the Wednesday. They started well until something happened that I had never experienced before. In the middle of preaching I suddenly began to feel unwell. Eileen, who was sitting on the front row, said afterwards that she thought I was going to have a stroke or a heart attack. I asked if I could sit down for a moment and the people, suspecting that I was suffering from dehydration, kindly brought me some fluids and chocolate. After a few minutes I was feeling a bit better and was able to resume preaching although I remained seated to do so. Looking back on it, I'm sure that it was because of overwork and the extreme heat. I hadn't had a rest day since we left England and India was even hotter than usual that year. But the experience had seriously affected my confidence. The next day, realising that I needed a rest, Lawrence and Getzi decided to take us for an overnight stay in Ooty where the temperature is a few degrees lower because of its altitude. Eileen said it felt almost cold at times, but I was so grateful for it. We had a delightful two days there and I began to feel better. We took the opportunity to visit the Livsey Children's Home built in memory of Helga Mosey.  Helga had come to our youth camp in the New Forest back in the seventies and was one of the passengers on Pan Am flight 103 destroyed by a bomb while flying over the Scottish town of Lockerbie in 1988. Her parents John and Lisa were well known to us, and the home had been built from part of the proceeds of the compensation they had received. The trip to Ooty did us good and I thought that I had got over whatever it was that had caused the problem on Wednesday. However, on Saturday morning I was feeling so unwell that I was unable to attend a graduation service where I was expected to preach. Instead, Lawrence phoned a Christian doctor at the hospital who arranged an immediate appointment for me. They took my blood pressure and gave me an ECG and some tablets for vertigo, but could find nothing wrong with me. Encouraged by the news, on Sunday I was feeling somewhat better and managed to preach three times, at 6.30am in Zion Church where Lawrence's father was the pastor, at 9.30am in Bethel City Cathedral led by Pastor David Prakasam, another of our former students, and again in the afternoon at the students' graduation where Eileen and I presented their certificates. Mumbai On Monday we flew back to Mumbai where the temperature was five degrees hotter than usual. Our hosts were Yukka and Lily, Finnish missionaries who, hearing that I was to visit India, had asked if we could fit in a couple of days of seminars before we returned to England. We were accommodated in a comfortable hotel room, but once again I began to feel unwell and ate very little breakfast. I was beginning to feel I just wanted to get home to England, but the flight wasn't until Thursday. However, when Biju Thampi, another of our former Mattersey students, called me and asked if he and his wife, Secu, could take us to lunch, we were keen to see him and we agreed to go. They arrived at 12 and before lunch took us to see a little of what they were doing for some of the many homeless children of the area. There were dozens of children on a piece of wasteland in the shadow of a viaduct where people regularly dumped their rubbish. Biju's ministry involved sending buses to these children where they provide them with a meal and give them a basic education. He told us moving stories of how they had been able to help these children and of miracles that had happened among them, and we decided to hand over all our remaining rupees to him as a small contribution to this vital work. By contrast, immediately afterwards they took us to a high-class hotel not far from the rubbish dump where we were treated to a delightful lunch. After what we had seen we almost felt guilty eating it. Our time with Biju and Secu had been all too brief, but as I was scheduled to teach in the afternoon, we had to say goodbye. Yukka had hired the Catholic Centre and arranged seminars for us from  3.30 to 5.00, and 5.30-7.00 that day with two further sessions scheduled for the Wednesday starting at 9.30. People had travelled great distances to be there to hear me talk about the gifts of the Holy Spirit. Unfortunately it was extremely hot and there was no air conditioning in the building and I soon began to feel unwell again. Realising I had a problem, during the break Yukka arranged for me to sit in his car with its air conditioner on and I was able to continue teaching for the first part of the next session. But sadly I had to finish 30 minutes earlier than planned and they rushed me back to the hotel and sent for a doctor who told me that there was nothing seriously wrong with me and that it was all probably due to the heat. Although that was reassuringly good to hear, it did not, of course, solve the immediate problem. The first session was at 9.30 and the temperature was no cooler and I was unable to complete the seminars. I apologised profusely and the people were very understanding despite their disappointment. They promised that if we ever came again they would be sure to hire an air-conditioned building. The next day we flew back to England, disappointed that a wonderful trip had finished as it had but intensely relieved to be going home where, hopefully, I would soon be back to normal. But I was soon to discover that my recovery would take far longer than expected. There would be new challenges to face for both of us. But that will be the subject of our next talk.

This week Saturday Mornings Show” host Glenn van Zutphen and co-host Neil Humphreys we celebrate the amazing, record-breaking, Singaporean distance running star, Soh Rui Yong, who made history at the Standard Chartered Singapore Marathon 2025 by clinching both the national half-marathon and marathon titles in back-to-back races. On December 6, Soh took the half-marathon crown in 1:14:58, and just a day later, he returned to the Padang to win the marathon in 2:46:23—his sixth consecutive national marathon title. The feat was far from easy. Soh recalls the toll of running over 63km in 24 hours, battling disrupted sleep and depleted energy levels. “I’m never doing that again,” he admitted after edging out compatriot Aaron Tan by just four seconds. Yet despite the exhaustion, Soh remains optimistic as he looks ahead to the SEA Games in Thailand, even as he faces uncertainty following an “abnormal” ECG result. We explore what this double victory means for his career, his resilience in the face of challenges, and his ambitions for the 10,000m gold medal and beyond. See omnystudio.com/listener for privacy information.

🧭 REBEL Rundown 📝 Introduction Welcome to the Rebel Core Content Blog, where we delve into crucial knowledge for emergency medicine. Today, we share insightful tips from PEM specialist Dr. Elise Perelman, shedding light on respiratory challenges in infants, toddlers, and young children during the viral season. Understanding that most cases involve typical viruses, we aim to equip you with diagnostic pearls to identify more serious pathologies. Click here for Direct Download of the Podcast. 🔍 Recognizing Respiratory Patterns Pearl #1: Look at Your PatientBegin exams from the doorway. Observing patterns such as accessory muscle usage can reveal a patient’s respiratory effort. Specify whether the work of breathing occurs during inspiration, expiration, or both. Inspiratory work indicates difficulty getting air in, while expiratory work suggests trouble pushing air out. Silent tachypnea may point to other issues, like acidemia or pneumothorax. 🩺 Localizing Sounds for Accurate Diagnosis Pearl #2: Localize the SoundBreathing noises signal varied respiratory issues. Stridor, often heard on inspiration, results from obstructions above the thoracic inlet. Conversely, wheezing, generally linked to exhalation, indicates obstructions in the lower airways. Watch for signs like ‘silent chest’—a dangerous, severe obstruction, and distinguish grunting as a bodily mechanism to prevent alveolar collapse. Correctly identifying the sound assists in determining the appropriate intervention. 💉 Tailoring Treatment for Effective Results Once a sound is localized, treatments vary. We explore Soder from nasal congestion, typically needing supportive care and suctioning. Stridor from conditions like croup is eased with interventions to reduce airway swelling, such as steroids or inhaled epinephrine. Conversely, wheezing in infants is often due to bronchiolitis—not bronchospasms—and over-treatment is to be avoided. Supportive measures including suction, hydration, and oxygen are preferred unless improvement warrants bronchodilators. 🌬️ Intervening with Severe Asthma In severe cases of asthma or bronchiolitis, where standard at-home treatments fail, immediate adjunct therapies like intramuscular epinephrine become essential. Administering this quickly can alleviate obstruction when inhalants aren’t effective due to low air movement. 🦓 Navigating the Zebras of Respiratory Cases When recognizing Zebras—uncommon cases overshadowed by routine diagnoses—remain vigilant for histories or presentations that don’t conform. Conditions like pneumonia, bacterial tracheitis, and even myocarditis may mimic more common issues. 📌 Conclusion As attending physicians, our role extends beyond conventional treatment—it’s about discerning the atypical from the typical. Dr. Perelman urges continual reassessment, emphasizing reliance on observational skills as much as technological aid. Keeping keen on respiratory nuances ensures we catch those outlier cases, paving the way for adept medical care despite the overwhelming prevalence of viral infections.Stay tuned for more pearls and insights in our future posts, as Dr. Perelman shares further strategies for effective pediatric emergency care. For more resources, continue exploring our faculty’s valuable contributions on our site. Until then, stay safe and perceptive in your practice. Post Peer Reviewed By: Mark Ramzy, DO (X: @MRamzyDO), and Marco Propersi, DO (X: @Marco_Propersi) 👤 Guest Elise Perlman MD Pediatric Emergency Medicine​ Assistant Professor, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Meet The Team 🔎 Your Deep-Dive Starts Here REBEL Core Cast – Pediatric Respiratory Emergencies: Beyond Viral Season Welcome to the Rebel Core Content Blog, where we delve ... Pediatrics Read More REBEL CAST – IncrEMentuM26 Speaker Spotlight : Drs. Tarlan Hedayati, Jess Mason and Simon Carley Host Dr. Mark Ramzy shines a spotlight on three distinguished ... Resuscitation Read More REBEL Core Cast 145.0: Understanding QTc Prolongation: Causes, Risks, and Management The QT interval is a vital part of ECG interpretation, ... Procedures and Skills Read More REBEL Core Cast 144.0: Tourniquet Tips In this episode of the Rebel Core Content podcast, Swami ... Procedures and Skills Read More REBEL CAST – IncrEMentuM26 Speaker Spotlight : George Willis and Mark Ramzy 🧭 REBEL Rundown 📝Introduction In this exciting episode of REBEL ... Endocrine, Metabolic, Fluid, and Electrolytes Read More REBEL Core Cast – DKA: Beyond the Basics Part 2 – SCOPE DKA-Trial Managing diabetic ketoacidosis (DKA) requires careful consideration of fluid therapy, ... Endocrine, Metabolic, Fluid, and Electrolytes Read More The post REBEL Core Cast – Pediatric Respiratory Emergencies: Beyond Viral Season appeared first on REBEL EM - Emergency Medicine Blog.

This is CC Pod - the Climate Capital Podcast. You are receiving this because you have subscribed to our Substack. If you'd like to manage your Climate Capital Substack subscription, click here.Disclaimer: For full disclosure, Magnefy is a portfolio company at Climate Capital. Our guest host, Dimitry Gershenson, is the co-founder and CEO of one of our portcos, Enduring Planet. CC Pod is not investment advice and is intended for informational and entertainment purposes only. You should do your own research and make your own independent decisions when considering any investment decision.But first: Network Fund & Climate Angels→Invest in the Network Fund. Large fund access with micro-fund minimums. Q4 fund now open; the Q3 fund (closed) invested in 11 companies alongside Prelude, At One, Voyager, and more.→Join Climate Angels. Sessions w/ top investors, discounted CC Syndicate carry, community & more.Don't miss an episode from Climate Capital!CC Pod's latest episode features Joseph Kao, founder and CEO of Magnefy, a Stanford spinout transforming how predictive maintenance is done across the power grid, in conversation with guest host Dimitry Gershenson.Magnefy's technology uses non-invasive high-frequency magnetic sensing paired with edge AI to detect early-stage failures in transformers, switchgear, and generators months or even years before they occur. The company's solution helps utilities and mission-critical operators prevent costly outages and reduce maintenance expenses by up to 70%.Magnefy draws from deep expertise in materials science, resource efficiency, and circularity to tackle the challenge of aging power infrastructure. With 65% of transformers now over 35 years old, their innovation comes at a crucial time as grids face increasing pressure from electrification and data center demand.Magnefy's sensors can be easily clamped to cables without de-energizing equipment, acting like an ECG for transformers by capturing high-resolution data to uncover hidden risks. Beyond hardware, the company has evolved into a software-first platform, integrating AI-driven analytics, digital twins, and a maintenance copilot to turn raw sensor data into actionable insights.Their mission is clear: to make the power grid smarter, safer, and ready for the energy transition ahead.To learn more about Magnefy, visit https://magnefy.com/. Get full access to Climate Capital at climatecap.substack.com/subscribe

On the latest episode of the ECG podcast, Ellie walks us through her Christmas shopping list, Guy gets briefly addicted to Minecraft and Chris mentions an excellent segment but then doesn't actually do the segment… Also, we have 2x headsets to give away on Instagram @extremelycasualgamerspodcast Hosted on Acast. See acast.com/privacy for more information.

Dor torácica na emergência é o "pão de cada dia", mas também o maior pesadelo se algo passar despercebido. Você está seguro para dar alta? Sabe identificar os "equivalentes isquêmicos" que não aparecem como supra clássico?No episódio de hoje do DozeCast, Mateus Prata e Plínio Wolff recebem um time de peso: Dra. Thaysa Louzada (Cardiologista e Ecocardiografista/IDPC) e Dr. José N. Alencar (Eletrofisiologista e autor do Tratado de Eletrocardiografia).Dissecamos a Diretriz Brasileira de Dor Torácica para te dar segurança no plantão. Discutimos desde o tempo porta-ECG até os conceitos mais modernos de Oclusão Coronariana Aguda (OCA) que mudam o jogo na interpretação do eletro.Neste episódio, você vai aprender:A regra dos 10 minutos: Impacto na mortalidade e gestão de tempo.ECG Normal exclui SCA? O conceito de ECG "preocupante".OCA (Oclusão Coronariana Aguda): De Winter, Aslanger, Wellens e o fim do paradigma apenas do "Supra".Estratificação de Risco: HEART Score, Troponina e a zona cinzenta.Diagnósticos diferenciais letais: Dissecção de Aorta e TEP (Escores ADD-RS e Wells).Quando pedir AngioTC, Cintilo ou Eco? A investigação funcional e anatômica.Prepare o fone, pegue o café e vem com a gente dominar a sala de emergência!#Cardiologia #DorToracica #EmergenciaMedica #ECG #DozeCast #MedicinaBaseadaEmEvidencias #SBC _______________Assine agora! Revisões didáticas de Cardiologia, semanalmente na DozeNews PRIME: a maneira mais leve e rápida de se manter atualizado(a), através do link ⁠dozeporoito.com/prime

“We are not meant to force ourselves into monochromatic, one-tone grinds that look and feel the same every single day.” - Winnie da SilvaHigh-performing leaders love a good challenge, so here's one: can you actually sit still without feeling guilty? Most of us can't, and there's a reason for that. Pushing through isn't always strength, but sometimes the moment you slip into self-neglect without even noticing. In this episode, I wrap up our month-long series on “excellence without exhaustion” by taking a deeper look at how awareness, rhythm, and tiny experiments can shift the entire way we lead. I also share a personal conversation with my daughter that completely reframed how I think about rest… and honestly, it stopped me in my tracks.You'll hear me discuss:How my daughter's off-hand comment revealed a deeply ingrained family belief that “doing” equals worthWhy rest can't just be about recovering so you can work harder againThe difference between pushing through as a strength and pushing through as a liabilityThe subtle early signals our bodies give us when stress is building and why catching them mattersWhat natural biological rhythms look like and how they can guide smarter, more sustainable performanceHow forcing our bodies to match our calendars erodes creativity, wisdom, and compassionWhy tiny experiments (not big overhauls) create real and lasting changeThe simple nighttime practice I use to stop rumination in its tracksHow revitalization becomes an act of humility and even a spiritual resetQuestions you can start using today to notice your patterns, shift your rhythm, and build rest back into your leadershipWinnie da Silva on LinkedIn | On the Web | Substack | YouTube | Email - winnie@winnifred.orgLearn More About SapiensOverview of Sapiens - A short video introduction to Sapiens and their mission to help people in intense jobs manage stress and sustain performance.Video: The Diagnostics Journey - See what it's like to go through the full Sapiens Stress & Resilience Diagnostic and Human Performance Journey.Sneak Peek: Sapiens Workshop - Get a behind-the-scenes look at a real Sapiens workshop with a CFO team.Mentioned StudiesImpact of long exhales on down-regulating the nervous system and improving moodImpact of microbiome composition on social decision makingThe connection between stress and empathyLink between empathy and inflammationSpecial Offer for ListenersJan-Philipp Martini, founder and CEO of Sapiens, is offering Transformative Leadership Conversations listeners a 20% discount on the Sapiens Stress & Resilience Diagnostic and Habit-Change Program, valid through the end of 2025.It's a four-month journey that begins with a comprehensive at-home diagnostic — including stress-hormone and cortisol analysis, ECG monitoring, and recovery analytics — followed by three months of expert-guided habit coaching and monthly progress tracking.Whether stress has already started to take a toll — on your body, your work, or your relationships — or you're simply curious about how your body responds under pressure, this program can help you understand what's happening beneath the surface and make small, data-informed changes that build lasting performance and wellbeing.If you'd like to learn more or see if this program is right for you, you can book a free 15-minute discovery call with a member of the Sapiens team using this link:???? Book a ConsultationWhen you sign up, use the podcast code - TLC — and visit www.be-sapiens.com for full details.

On the latest episode of ECG, the team celebrate winning Best Entertainment Podcast at the latest podcast awards, Ellie plays Minecraft… sort of and Guy promises to play a game but probably won't. Hosted on Acast. See acast.com/privacy for more information.

Identification of Atrial Fibrillation (A-Fib) & Atrial Flutter on the ECG and the treatment of unstable and stable SVT patients with A-Fib/Flutter.The ECG characteristics of A-Fib and A-Flutter.Recognition and treatment of unstable patients in A-Fib/Flutter with rapid ventricular response (RVR).Suggested energy settings for synchronized cardioversion of unstable patients with a narrow complex tachycardia.Team safety when cardioverting an unstable patient in A-FIB/Flutter.Adenosine's role for stable SVT patients with underlying atrial rhythms.Treatment of stable patients in A-Fib/Flutter with RVR.For other medical podcasts that cover narrow complex tachycardias, visit the pod resource page at passacls.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506/Pass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

"Chronic stress is anti-correlated with all the things you want to have as a leader. It's anti-correlated with empathy, it's anti-correlated with creativity, and it's anti-correlated with complex decision making.” - Jan-Philipp Martini“If you can get more insight into what drives you, you can handle yourself — and your leadership — much better.” – Martin RedigoloStress has a funny way of showing up long before we notice it - our bodies feel it first, and our calendars catch up later.In this episode, I bring Martin Redigolo and Sapiens founder Jan-Philipp Martini together so we can connect the dots between the science, the story, and the real human experience of leading under pressure. Martin actually went through the full Sapiens Stress & Resilience Diagnostic, and he shares what the process was like, what surprised him, and how the results shifted the way he understands himself as a leader.And because Jan-Philipp is with us too, we dig into the “why” behind the data - how stress shows up in the body, what most leaders overlook, and how small, realistic habit shifts can make a huge difference in how you feel and how you perform.This conversation pulls the whole series together in a way that's super grounded, practical, and honestly… eye-opening.You'll hear me discuss:How Martin's diagnostic unfolded and the parts of the process that were surprisingly simple (and surprisingly revealing)The moments when the data challenged what he thought he knew about his own stressHow the ECG and cortisol analysis make invisible stress completely visibleThe three core questions the Sapiens report answers for every leaderThe subtle patterns in your day that can drive fatigue or restlessness without you realizing itWhy it matters to work with your biology before trying to change your mindsetHow chronic stress quietly undermines things like empathy, creativity, and decision-makingThe shifts Martin is making now - at work and at home - because of what he learneda few habit changes that are simple, doable, and grounded in real sciencewhat sustainable leadership actually looks like when you're aiming for excellence without exhaustionResourcesJan Philipp Martini on Sapiens | LinkedInMartin Redigolo on Web | LinkedInBook a 15-minute free demo consultation - LinkResearch: How We Measure Stress Using Body Data and Self-Assessments: Read hereWinnie da Silva on LinkedIn | On the Web | Substack | YouTube | Email - winnie@winnifred.orgLearn More About SapiensOverview of SapiensA short video introduction to Sapiens and their mission to help people in intense jobs manage stress and sustain performance.Video: The Diagnostics JourneySee what it's like to go through the full Sapiens Stress & Resilience Diagnostic and Human Performance Journey.Sneak Peek: Sapiens WorkshopGet a behind-the-scenes look at a real Sapiens workshop with a CFO team.Mentioned StudiesImpact of long exhales on down-regulating the nervous system and improving moodImpact of microbiome composition on social decision makingThe connection between stress and empathyLink between empathy and inflammationSpecial Offer for ListenersJan-Philipp Martini, founder and CEO of Sapiens, is offering Transformative Leadership Conversations listeners a 20% discount on the Sapiens Stress & Resilience Diagnostic and Habit-Change Program, valid through the end of 2025.

The QT interval is a vital part of ECG interpretation, reflecting the heart's electrical recovery after each beat. When prolonged, it can set the stage for torsades de pointes. Understanding how to measure and correct the QT interval, identify high-risk medications, and act quickly when TdP occurs is essential for every clinician. This guide walks you through the physiology, interpretation, common causes, and emergency management of QTc prolongation to keep your patients safe. The post REBEL Core Cast 145.0: Understanding QTc Prolongation: Causes, Risks, and Management appeared first on REBEL EM - Emergency Medicine Blog.

BLS & ACLS's Adult Cardiac Arrest algorithm makes it easier to act as team leader during a code by following an If/Then methodology.Review of BLS steps for determining if rescue breathing or CPR is needed and use of an AED for patients in cardiac arrest.If the patient is in a non-shockable rhythm on the ECG such as PEA or asystole, we will go down the right side of the Adult Cardiac Arrest Algorithm.If the patient is in a shockable rhythm on the ECG such as V-Fib or V-Tach, we will go down the left side of the Adult Cardiac Arrest Algorithm.An example of a code's flow for shockable rhythms when an antiarrhythmic such as Amiodarone or Lidocaine is administered.We will follow the algorithm until the patient has ROSC or we call the code.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

Review of lead II ECG characteristics, rules to identify first and third degree heart blocks, and treatment following the ACLS Bradycardia algorithm.To pass ACLS, you will need to be able to identify common rhythms on a monitor during your mega code and ECG strips on your written exam.Review of normal ECG morphology in lead II.Characteristics of first-degree heart block.Characteristics of third-degree (complete) AV block.Treatment of unstable patients in third degree block following the ACLS Bradycardia algorithm.Special considerations for use of Atropine when patients are in a third-degree heart block.The use of TCP, Dopamine, & Epinephrine drip for unstable bradycardic patients refractory to Atropine.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

Im Triathlon-Chat geht es heute natürlich um die 70.3 WM in Marbella. Wir tippen bei den Männern und Frauen das Podium und schauen in die große Pushing Limits Glaskugel, wie sich das Rennen entwickeln könnte und wer eine Rolle spielen wird.Anzeige: CURREX ⁠⁠⁠⁠⁠⁠⁠bietet für jede Sportart die perfekte Einlegesohle. Von Laufen über Radfahren bis hin zum Wandern! Inzwischen schwören zahlreiche Profis auf CURREX, darunter Frederic Funk, Carolin Lehrieder, David Schönherr und Alex „Sockensieggi“ Siegmund.  Aber warum eigentlich? Nicht nur das erfahrt ihr unter⁠⁠ ⁠⁠ ⁠⁠⁠⁠⁠www.currex.de/pushinglimits⁠⁠⁠⁠⁠⁠⁠⁠⁠, hier sichert ihr euch auch mit dem Code PUSHINGLIMITS10 satte 10 Prozent Rabatt beim nächsten Einkauf im Onlineshop von CURREX.>>> Hier geht's direkt zur⁠⁠⁠⁠⁠ ⁠⁠⁠⁠Page von CURREX⁠⁠⁠⁠⁠⁠⁠!⁠⁠Anzeige: WHOOP ​Jetzt einen Monat kostenlos testen. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠join.whoop.com/pushinglimits⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠The most advanced WHOOP devices yet, built to give you deeper insights into your health, performance, and longevity.3 new memberships Introducing 3 software tiers: One, Peak, and Life. Each experience is tailored to your goals—whether you want to improve fitness, monitor key vitals, or optimize longevity.14+ day battery lifeAlmost triple the current battery day life and a wireless PowerPack means you'll never miss a beat.7% smaller7% smaller than current WHOOP 4.0, making it sleeker and easier to wear than ever before.Advanced health sensing capabilities WHOOP MG features a “scalloped” indent that enables ECG functionality, included exclusively with the Life membership. WHOOP Life also features new Blood Pressure Insights and AFib detection (EMA cleared April 2025).⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠join.whoop.com/pushinglimits⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

In this episode, we introduce the Risk Control Continuum - a practical, evidence-based framework for managing risk in the backcountry. He explores how environmental, psychosocial, and operational hazards trigger physiological, functional, and cognitive drift, leading to cascades of failure. Listeners learn the HEAT and ECG checklists for detecting and reversing control loss, and how structured decision gates and route planning maintain safety, awareness, and performance in adverse environments. To view the shownotes for this episode of the Backpacking Light Podcast, click here.

What if the wisdom you seek exists outside the limits of your own mind? What if communication with non-physical entities is not just lore, but a fundamental human capacity now being rigorously tested by science?Welcome to Beyond the Veil, the podcast that dives deep into the most enduring mysteries of consciousness: channeling and mediumship.Channeling, broadly defined, is the communication of information to or through a physically embodied human being, from a source that is said to exist on some other level or dimension of reality than the physical as we know it, and that is not from the normal mind (or self) of the channel. This capacity stretches back thousands of years to the practices of shamans in aboriginal cultures and includes figures identified as channels such as Moses, Muhammad, Merlin, Nostradamus, and Emanuel Swedenborg. Even the roots of all the world's great religions contain channeling phenomena.Today, the scientific community is taking up the challenge using rigorous controlled methods. Researchers employ proxy sitters and apply stringent blinding protocols—including double, triple, and even quintuple-blind conditions—to eliminate all conventional explanations, such as rater bias, fraud, or cold reading, when evaluating anomalous information.The findings are compelling. Controlled studies using blinded evaluations have demonstrated statistically significant results indicating Anomalous Information Reception (AIR). In one study focusing on readings provided by mediums, the results were highly significant, yielding a z score of -3.89 (p < 0.0001).However, the question of how this anomalous information is received remains fiercely debated. Is accurate knowledge proof of the survival of consciousness—meaning the personality of the deceased persists beyond death? Or is it evidence for Super-Psi, suggesting the medium is tapping into a non-local psychic reservoir, a universal mind or group consciousness? Since the theoretical limits of living psychic ability are currently unknown, distinguishing between survival and Super-Psi is incredibly difficult. Adding to the complexity are the physiological realities. Research comparing trance and non-trance states generally finds no substantive differences in EEG, ECG, or galvanic skin response (GSR). However, voice analysis reveals marked changes, including significantly slower speech pace and lower valence (a measure of positive vs. negative attitude) during the channeling state. Psychologically, channelers often score higher on paranormal belief and experience and sensitivity, yet their scores for dissociative or psychotic symptoms remain below clinical cutoffs. The content of these communications, ranging from “ageless wisdom” and the “nature of reality” to specific suggestions for advancing channeling research, challenges our entire worldview. Join Beyond the Veil to explore the frontiers of human consciousness, examine the strict science used to validate these claims, and seek answers to the fundamental question: Is our mind merely a local phenomenon, or are we interdependent parts of an overall single Universal Mind?Listen now, and decide what truly lies beyond the veil.

Every other week I'm republishing one of my most popular or impactful episodes and adding an update, new insight, or context that will help you benefit from it even more. This week I'm highlighting Episode 101, which is all about first, second and third-degree heart blocks.  Together, we'll cover:  -key ECG elements of each heart block -the many names for the second-degree blocks (why are there so many???) -causes of heart blocks -nursing assessments and interventions -an easy way to keep it all straight ___________________ ⁠Full Transcript⁠ - Read the article and view references ⁠FREE CLASS⁠ - If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES...you can thrive in nursing school without it taking over your life! ⁠Clinical Success Pack⁠ - One of the best ways to fast-track your clinical learning is having the right tools. This FREE pack includes report sheets, sheets to help you plan your day, a clinical debrief form, and a patient safety cheat sheet.  Med Surg Solution⁠ - Are you looking for a more effective way to learn Med Surg? Enroll in Med Surg Solution and get lessons on 57 key topics and out-of-this-world study guides.  ⁠Study Sesh⁠ - Change the way you study with this private podcast that includes dynamic audio formats that help you review and test your recall of important nursing concepts on-the-go. Free yourself from your desk with Study Sesh! ⁠All Straight A Nursing Resources⁠ - Check out everything Straight A Nursing has to offer, including free resources and online courses to help you succeed throughout nursing school!

This episode recorded live at Becker's 31st Annual The Business and Operations of ASCs features Kayla Schneeweiss-Keene, ASC Administrator, Mann Eye Institute, and Kevin Dowdy, Associate Principal, ECG. They explore the growth of office-based surgery suites, cost and efficiency differences with ASCs, and how physicians and payers are shaping the next phase of outpatient care.

Review of hypokalemia & hyperkalemia as reversible H&T causes of cardiac arrest including: medical conditions, ECG changes, lab values, and treatment.Heart muscle contraction and repolarization is dependent on Sodium, Calcium, Magnesium, and Potassium ions crossing cellular membranes.When a patient's potassium levels get too low or too high, hypokalemia or hyperkalemia results respectively.Two things that may lead us to suspect hypo or hyperkalemia.Medical conditions & medications that can cause potassium imbalance.ECG changes seen in hypo and hyperkalemia.Critical lab values that would indicate a need for treatment.Emergent, ACLS interventions for hypokalemia and hyperkalemia.Additional information on causes of hypo and hyperkalemia can be found on Ninja Nerd podcast. Check out the pod resources page at passacls.com.**American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support! Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

On this week's show we look at some 1960s and 1970s TV shows that received their series finally in a movie at least ten years after going off the air. We also take a look at five home automation trends for this year and beyond. We also read your emails and take a look at the week's news. News: MTV is Shutting Down Its Last Music Channels, Marking the End of an Era Taylor Swift Eras Tour docuseries, concert film head to Disney+ Apple TV+ Is Getting Rid Of The Plus 47 Years Ago: Rescue from Gilligan's Island Makes TV History On October 14, 1978, television history was made with the premiere of Rescue from Gilligan's Island, the first-ever TV series adapted into a made-for-TV movie. Airing 47 years ago today, this film brought back the beloved cast of the iconic 1960s sitcom Gilligan's Island, reuniting fans with the stranded castaways for a nostalgic adventure. The movie picked up where the series left off, following the bumbling Gilligan and his fellow survivors as they finally escaped their tropical island—only to face new comedic challenges adjusting to modern life. Starring the original cast, including Bob Denver as Gilligan and Alan Hale Jr. as the Skipper, the film captured the charm and humor that made the show a cultural staple. This groundbreaking adaptation paved the way for future TV-to-movie transitions, proving that beloved series could find new life on the small screen. Rescue from Gilligan's Island remains a milestone in TV history, reminding us of the enduring appeal of these lovable castaways. Here are a few other series that got a series finale years after it's TV run ended: Star Trek (ended in 1969) - Star Trek: The Motion Picture (1979) – Relaunched the crew on a new mission, effectively serving as a big-screen continuation and soft finale to the original era's story. Get Smart (ended 1970) -  The Nude Bomb (1980) – Maxwell Smart returns for a solo mission against a mad bomber, providing a comedic capstone to his career. The Munsters (ended 1966) - Munsters' Revenge (1981 TV movie) – The family thwarts a crime ring, reuniting the original cast for a proper send-off. The Adams Family (ended 1966) - Halloween with the New Addams Family (1977 TV movie) – A reunion special where Gomez and Morticia host a haunted party, offering light-hearted closure. Five Smart Home Trends for 2025 and Beyond According to the National Association of Home Builders, two-thirds of consumers desire a connected home. Smart home technology is increasingly impacting property value while homes without such features may soon be worth less. At the annual CEDIA smart home technology expo in Denver, professionals like Kyle Steele, president of Global Wave Integration, and interior designer Toni Sabatino emphasized the importance of staying updated on smart home innovations. They both highlight insights from CEDIA and recent research, offering ideas for your smart home. Today we take a look at the five trends they see for 2025 and beyond. Increasing Seamless IntegrationFor the aesthetics committee, Smart home tech is evolving to blend invisibly into home aesthetics, with slimmer designs, refined finishes, and hidden features in shading, lighting, audio, and furnishings. This shift turns gadgets into design elements, like concealed speakers or artful LED walls, prioritizing user experience over visibility. But underneath it all, seamless integration will enable devices from various brands, such as lights, thermostats, cameras, and voice assistants, to work together as a unified system. This allows unified control via a single app or voice command, intuitive automation based on triggers and a smooth user experience with minimal setup, no delays, and reliable performance. New devices will integrate easily, and a robust network like Wi-Fi 6 supports the ecosystem, enabling complex routines regardless of device brands. Partnering ExpandsCollaborations between tech integrators and designers are growing to make solutions more accessible, especially for non-tech-savvy users like older homeowners. Designers act as bridges, explaining privacy-focused systems, while expos highlight products for storage, entertainment, and monitoring to enhance client value. Wellness TrendingHealth and wellness features are becoming mainstream, including circadian lighting, air/water purification, biophilic elements, and acoustic treatments. These systems promote energy-efficient, livable spaces aligned with natural rhythms, which may be a selling point for those focused on healthier home environments. Products such as smart scales, sleep analyzers, and blood pressure monitors will seamlessly integrate with home automation platforms enabling automations like adjusting room lighting based on sleep patterns detected by sleep sensors or dimming lights if weight trends indicate fatigue. Similarly,  on-demand ECG readings through their mobile app can connect to the automation system to send notifications to family members, doctors and in extreme cases to first responders creating a proactive smart home that responds to vital health data in real time. SecuritySecurity remains a top priority, driving demand for video doorbells, whole-house systems, and cybersecurity measures amid hacking risks. Industry reports project strong growth in global smart home security, urging professionals to educate homeowners on secure setups like strong passwords. Multi-TaskingProducts now multitask across needs like security, comfort, entertainment, and energy savings like smart shading for automated vacation modes or TVs that double as art displays like Samsung's The Frame. Emerging "smart surfaces," such as charging countertops, reflect this versatile, lifestyle-fitting approach.

Is your smartwatch just a fun gadget, or a serious medical device?  In this episode, Jonathan Wolf is joined by Dr. Malcolm Findlay, a leading consultant cardiologist, to explore the powerful health data available on your wrist. They decode the most misunderstood metric, Heart Rate Variability (HRV), and reveal how your wearable can provide clinical-grade insights into your heart's health. Dr. Findlay explains the counter-intuitive science behind HRV — why more ‘wobble' in your heartbeat is a sign of good health — and breaks down the two opposing nervous systems that control it. He shares the latest on how these devices can accurately detect serious conditions like atrial fibrillation and why he, as a cardiologist, trusts the ECG function on a consumer smartwatch to make diagnoses. For listeners who track their own data, this episode is a practical guide to what your numbers actually mean. Dr. Findlay explains how to interpret your personal HRV trends, what constitutes a significant change, and when you should use the ECG feature. He also debunks common myths about heart rate zones, revealing the level of exercise intensity that truly benefits your long-term health. The episode concludes with an empowering look at how this technology is shifting control into our own hands. Can a simple alert from your watch really help prevent a catastrophic event like a stroke? Discover which metrics matter most and how to use them to guide your wellness journey.

Confused by Apple's ever-expanding Watch lineup? Mikah and Rosemary cut through the specs and hype to help you decide which Apple Watch (SE 3, Series 11, or Ultra 3) is actually worth your money! Get honest advice about brightness, battery, bands, and who should actually skip this year's upgrade Apple's latest Apple Watch lineup explained: SE 3, Series 11, Ultra 3 Key Apple Watch features: displays, sensors, health tracking compared Choosing the right case size and reusing Apple Watch bands Pricing and material differences across Apple Watch models Always-On displays, chip parity, and precision finding detailed Health features: ECG, hypertension, blood oxygen—who needs which model? Battery life breakdown for SE3, Series 11, Ultra 3, and what "all day" means SE3 vs. Series 11: What features justify upgrading? Ultra 3 advantages: screen size, battery, ruggedness, satellite SOS, diving Sizing issues with Ultra 3 for smaller wrists Upgrade recommendations: who should buy which Apple Watch? Feedback: iPhone battery life obsession and deep power-saving tips Troubleshooting group iMessage notification bugs with multiple devices App Caps: Cassette Home Video Player app brings VHS nostalgia to iPhone Hosts: Mikah Sargent and Rosemary Orchard Contact iOS Today at iOSToday@twit.tv. Download or subscribe to iOS Today at https://twit.tv/shows/ios-today Want access to the ad-free video and exclusive features? Become a member of Club TWiT today! https://twit.tv/clubtwit Club TWiT members can discuss this episode and leave feedback in the Club TWiT Discord.

Confused by Apple's ever-expanding Watch lineup? Mikah and Rosemary cut through the specs and hype to help you decide which Apple Watch (SE 3, Series 11, or Ultra 3) is actually worth your money! Get honest advice about brightness, battery, bands, and who should actually skip this year's upgrade Apple's latest Apple Watch lineup explained: SE 3, Series 11, Ultra 3 Key Apple Watch features: displays, sensors, health tracking compared Choosing the right case size and reusing Apple Watch bands Pricing and material differences across Apple Watch models Always-On displays, chip parity, and precision finding detailed Health features: ECG, hypertension, blood oxygen—who needs which model? Battery life breakdown for SE3, Series 11, Ultra 3, and what "all day" means SE3 vs. Series 11: What features justify upgrading? Ultra 3 advantages: screen size, battery, ruggedness, satellite SOS, diving Sizing issues with Ultra 3 for smaller wrists Upgrade recommendations: who should buy which Apple Watch? Feedback: iPhone battery life obsession and deep power-saving tips Troubleshooting group iMessage notification bugs with multiple devices App Caps: Cassette Home Video Player app brings VHS nostalgia to iPhone Hosts: Mikah Sargent and Rosemary Orchard Contact iOS Today at iOSToday@twit.tv. Download or subscribe to iOS Today at https://twit.tv/shows/ios-today Want access to the ad-free video and exclusive features? Become a member of Club TWiT today! https://twit.tv/clubtwit Club TWiT members can discuss this episode and leave feedback in the Club TWiT Discord.

Confused by Apple's ever-expanding Watch lineup? Mikah and Rosemary cut through the specs and hype to help you decide which Apple Watch (SE 3, Series 11, or Ultra 3) is actually worth your money! Get honest advice about brightness, battery, bands, and who should actually skip this year's upgrade Apple's latest Apple Watch lineup explained: SE 3, Series 11, Ultra 3 Key Apple Watch features: displays, sensors, health tracking compared Choosing the right case size and reusing Apple Watch bands Pricing and material differences across Apple Watch models Always-On displays, chip parity, and precision finding detailed Health features: ECG, hypertension, blood oxygen—who needs which model? Battery life breakdown for SE3, Series 11, Ultra 3, and what "all day" means SE3 vs. Series 11: What features justify upgrading? Ultra 3 advantages: screen size, battery, ruggedness, satellite SOS, diving Sizing issues with Ultra 3 for smaller wrists Upgrade recommendations: who should buy which Apple Watch? Feedback: iPhone battery life obsession and deep power-saving tips Troubleshooting group iMessage notification bugs with multiple devices App Caps: Cassette Home Video Player app brings VHS nostalgia to iPhone Hosts: Mikah Sargent and Rosemary Orchard Contact iOS Today at iOSToday@twit.tv. Download or subscribe to iOS Today at https://twit.tv/shows/ios-today Want access to the ad-free video and exclusive features? Become a member of Club TWiT today! https://twit.tv/clubtwit Club TWiT members can discuss this episode and leave feedback in the Club TWiT Discord.

Confused by Apple's ever-expanding Watch lineup? Mikah and Rosemary cut through the specs and hype to help you decide which Apple Watch (SE 3, Series 11, or Ultra 3) is actually worth your money! Get honest advice about brightness, battery, bands, and who should actually skip this year's upgrade Apple's latest Apple Watch lineup explained: SE 3, Series 11, Ultra 3 Key Apple Watch features: displays, sensors, health tracking compared Choosing the right case size and reusing Apple Watch bands Pricing and material differences across Apple Watch models Always-On displays, chip parity, and precision finding detailed Health features: ECG, hypertension, blood oxygen—who needs which model? Battery life breakdown for SE3, Series 11, Ultra 3, and what "all day" means SE3 vs. Series 11: What features justify upgrading? Ultra 3 advantages: screen size, battery, ruggedness, satellite SOS, diving Sizing issues with Ultra 3 for smaller wrists Upgrade recommendations: who should buy which Apple Watch? Feedback: iPhone battery life obsession and deep power-saving tips Troubleshooting group iMessage notification bugs with multiple devices App Caps: Cassette Home Video Player app brings VHS nostalgia to iPhone Hosts: Mikah Sargent and Rosemary Orchard Contact iOS Today at iOSToday@twit.tv. Download or subscribe to iOS Today at https://twit.tv/shows/ios-today Want access to the ad-free video and exclusive features? Become a member of Club TWiT today! https://twit.tv/clubtwit Club TWiT members can discuss this episode and leave feedback in the Club TWiT Discord.

In this fascinating episode with Will Ahmed, founder of WHOOP (you can click here to get 1 month free on your membership), you’ll get to discover how his company is redefining health tracking through continuous 24/7 physiological monitoring, actionable coaching, and innovations like ECG readings and noninvasive blood pressure insights. Will Ahmed is the Founder and CEO of WHOOP, which has developed next-generation wearable technology for optimizing human performance and health. WHOOP members include professional athletes, Fortune 500 CEOs, fitness enthusiasts, military personnel, frontline workers, and a broad range of people looking to improve their performance. Ahmed is a member of the Board of Fellows of Harvard Medical School, where he provides counsel to the Dean and faculty on topics related to the strength and health of the institution. Ahmed was named to the 2021 Sports Business Journal 40 Under 40 list as well as 2020 Fortune 40 Under 40 Healthcare list and previously named to the Forbes 30 Under 30 and Boston Business Journal’s 40 Under 40. Ahmed founded WHOOP as a student at Harvard College, where he captained the Men’s Varsity Squash Team and graduated with an A.B. in government. WHOOP, the human performance company, offers a wearable health and fitness coach to help people achieve their goals. The WHOOP membership provides best-in-class wearable technology, actionable feedback, and recommendations across recovery, sleep, training, and health. WHOOP serves professional athletes, Fortune 500 CEOs, executives, fitness enthusiasts, military personnel, frontline workers, and anyone looking to improve their performance. Discount Codes: You can click here to get 1 month of WHOOP for free (membership only). Full show notes: bengreenfieldlife.com/WHOOP5 Episode Sponsors: LVLUP Health: I trust and recommend LVLUP Health for your peptide needs as they third-party test every single batch of their peptides to ensure you’re getting exactly what you pay for and the results you’re after! Head over to lvluphealth.com/BGL and use code BEN15 for a special discount on their game-changing range of products. Ketone-IQ: Ketone-IQ delivers science-backed performance fuel that increases power output by 19%, reduces fatigue by 10%, and naturally boosts EPO production for better oxygen delivery—trusted by elite athletes like Jon Jones and Olympic champions. Save 30% on your subscription plus get a free gift with your second shipment at Ketone.com/BENG. Quantum Upgrade: Recent research has revealed that the Quantum Upgrade was able to increase ATP production by a jaw-dropping 20–25% in human cells. Unlock a 15-day free trial with the code BEN15 at quantumupgrade.io. MASA Chips: Introducing the best guilt-free snack on the market: classic, seed oil free tortilla chips with only 3 natural ingredients. Go to masachips.com/greenfield and get 25% off your first order! Timeline Nutrition: Give your cells new life with high-performance products powered by Mitopure, Timeline's powerful ingredient that unlocks a precise dose of the rare Urolithin A molecule and promotes healthy aging. Go to shop.timeline.com/BEN and use code BEN to get 20% off your order.See omnystudio.com/listener for privacy information.

Maple-derived compounds, especially epicatechin gallate (ECG), stop cavity-causing bacteria from attaching to your teeth and forming plaque Unlike chemical mouthwashes, maple polyphenols are safe to swallow, making them a better option for children and adults Green and black tea also contain ECG, giving you an easy daily source of natural cavity protection Reducing sugary and acidic drinks cuts off the main fuel that bacteria use to erode enamel and cause decay Homemade eggshell toothpaste and oil pulling with coconut oil provide simple, natural ways to strengthen teeth and reduce harmful bacteria

Every other week I'm republishing one of my most popular or impactful episodes and adding an update, new insight, or context that will help you benefit from it even more. This week I'm highlighting Episode 152, which is all about sinus rhythms. So, if ECG interpretation makes you nervous, hit play on this episode! Full Transcript – Read the article and view references FREE CLASS – If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES…you can thrive in nursing school without it taking over your life! Med Surg Solution - Are you looking for a more effective way to learn Med Surg? Enroll in Med Surg Solution and get lessons on 57 key topics and out-of-this-world study guides.  Study Sesh – If you loved the podquiz in this episode, you'll love Study Sesh! Change the way you study with this private podcast that includes dynamic audio formats (like podquizzes!) that help you review and test your recall of important nursing concepts on-the-go. Free yourself from your desk with Study Sesh!  Straight A Nursing App – Study on-the-go with the Straight A Nursing app! Review more than 5,000 flashcards covering a wide range of subjects including Fundamentals, Pediatrics, Med Surg, Mental Health, Maternal Newborn, and more! Available for FREE in the Apple App Store and Google Play Store.