Podcasts about ecg

Antiarrhythmic medications are some of the most complex and high-risk drugs pharmacists encounter in clinical practice. In this episode, we break down the most important concepts pharmacists need to understand about antiarrhythmics, including the major drug classes and the clinical situations where these medications are commonly used. A major focus of the discussion is medication safety. Many antiarrhythmics carry risks such as QT prolongation, proarrhythmia, and significant drug–drug interactions. Pharmacists play a critical role in identifying these risks, monitoring electrolytes and ECG changes, and recognizing situations where therapy adjustments are necessary. We also highlight why certain medications require inpatient initiation and careful monitoring. The episode also covers practical clinical pearls, including the unique toxicity profile and interaction potential of amiodarone, how to think about rate control versus rhythm control strategies in atrial fibrillation, and the most common medication-related problems pharmacists should watch for. Whether practicing in ambulatory care, hospital, or long-term care settings, understanding antiarrhythmics can help pharmacists prevent serious complications and improve patient outcomes. Be sure to check out our free Top 200 study guide – a 31 page PDF that is yours for FREE! Support The Podcast and Check Out These Amazing Resources! NAPLEX Study Materials BCPS Study Materials BCACP Study Materials BCGP Study Materials BCMTMS Study Materials Meded101 Guide to Nursing Pharmacology (Amazon Highly Rated) Guide to Drug Food Interactions (Amazon Best Seller) Pharmacy Technician Study Guide by Meded101

On this weeks episode of ECG, producer JP helps plan a dungeons and dragons podcast, Chris has a huge pokemon announcement and Guy reveals he can speak Goblin-ese Hosted on Acast. See acast.com/privacy for more information.

https://www.tadeclinicagem.com.br/guia/Confira a promoção especial para o plano anual do Guia TdC: Receba em casa o Card de Consulta Rápida no Plantão, com os temas: IOT, ACLS, ATB, ECG, trombólise e reposição eletrolítica.Receba em casa o porta-crachá (tirante para crachá) do TdC.Ganhe R$ 50 OFF (de 449 por 399,00)7 primeiros dias inteiramente grátisUse o CUPOM: GUIADZERORaphael Coelho convida Djoni Moraes e Ana Carolina Malvaccini para discutir um caso de disfagia e polineuropatia.Referências em breve.

Atrial fibrillation (AF) can be asymptomatic and, sometimes, the condition is only identified when a person has had an AF-related stroke. For this reason, according to GP Dr Chris Arden, ‘we need to be far more proactive and more opportunistic' about identifying AF in primary care. This could involve performing pulse checks at flu clinics or chronic disease clinics, focusing on elderly patients given they are most at risk of developing AF.Dr Chris Arden talks to Dawn Liz Powell, in this Clinical Update podcast episode, about the diagnosis and management of AF in primary care. He discusses the pros and cons of single-lead ECGs, how to mitigate the risk of bleeding in people on direct oral anticoagulants (DOACs), and when to refer.Educational objectivesAfter listening to this podcast, healthcare professionals should be better able to:Review the opportunities for AF case findingReflect on the role of lifestyle factors including alcohol consumption in triggering AF in susceptible individualsDiscuss the emerging role of single-lead ECG technologies identifying AFHow to mitigate the risk of bleeding in people on DOACsRecognise the importance of continuing anticoagulation in frail, older peopleYou can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.MIMS Learning Live Digital: 9–12 March 2026Register for FREEMIMS LearningRegister for a FREE accountAtrial fibrillation: diagnosis, case-finding and assessmentAtrial fibrillation: the ABC approach to managementConfidence in Obesity CareStroke: clinical reviewMIMSDirect oral anticoagulants for the prevention of stroke Hosted on Acast. See acast.com/privacy for more information.

In this episode of JACC This Week, Dr. Carolyn Lam and Dr. Harlan Krumholz spotlight a mini-focus issue on hypertrophic cardiomyopathy (HCM), a field undergoing rapid transformation. The discussion centers on the MAPLE-HCM trial comparing aficamten and metoprolol in symptomatic obstructive HCM, highlighting multidomain response analysis and what it means to measure meaningful improvement. Beyond gradients and biomarkers, the conversation explores a critical question: when physiologic surrogates improve, how should we interpret patient-centered outcomes? Framed by the Editor's Page, "What Does Improvement Mean?", this episode examines the evolving role of myosin inhibitors, disease modification, and the tension between surrogate markers and real-world clinical benefit. Additional highlights include disaggregation of Asian ethnicities in heart failure quality-of-care research and emerging evidence on AI-driven ECG models to predict incident heart failure—underscoring JACC's commitment to precision, equity, and innovation. This issue reflects a broader shift across cardiology: transforming once-static diseases into treatable chronic conditions guided by rigorous evidence.

https://www.tadeclinicagem.com.br/guia/Confira a promoção especial para o plano anual do Guia TdC: Receba em casa o Card de Consulta Rápida no Plantão, com os temas: IOT, ACLS, ATB, ECG, trombólise e reposição eletrolítica.Receba em casa o porta-crachá (tirante para crachá) do TdC.Ganhe R$ 50 OFF (de 449 por 399,00)7 primeiros dias inteiramente grátisUse o CUPOM: GUIADZERONova temporada do Pipoca TdC no ar!

On today's bonus episode of ECG, the gang brainstorm a name for their new Minecraft pub, and Chris heads back to Westeros Hosted on Acast. See acast.com/privacy for more information.

The JournalFeed podcast for the week of 23-27, 2026.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday's Spoon Feed:Patients presenting with anginal symptoms and a new right bundle branch block (RBBB) on ECG or RBBB-specific high-risk features should prompt emergent evaluation for reperfusion therapy.Thursday's Spoon Feed:Meningococcal disease is a rapidly progressive infection associated with high mortality that often begins with nonspecific symptoms; early recognition, early antibiotics, and aggressive resuscitation are critical to improving outcomes.

On this weeks episode of ECG, Guy ditches the anecdotes and focuses on gaming, Chris fires up about Ash's mum, and Ellie promises to play a new game! Hosted on Acast. See acast.com/privacy for more information.

On today's bonus episode of ECG, Guy pounds the pavement in the lands between, and Chris and Ellie make an extremely punishing flat white. Hosted on Acast. See acast.com/privacy for more information.

Fertility care is undergoing a significant shift as new diagnostic technologies offer deeper insight into reproductive health. OTO Fertility focuses on predicting the likelihood of IVF success before treatment begins, giving couples clarity at a stage where uncertainty has traditionally dominated the process. The system uses a wearable device that captures physiological signals and converts them into predictive metrics, offering a noninvasive method for understanding fertility readiness.The challenge addressed by this technology is substantial. IVF remains expensive, time‑consuming, and emotionally demanding, yet the success rate for a single transfer remains low. Many couples undergo multiple cycles without clear guidance on their likelihood of success. By providing predictive insight before treatment, the system aims to reduce unnecessary cycles, lower financial burden, and support more informed decision‑making.Physiological Monitoring and Predictive ModelingThe OTO Fertility device performs medical‑grade ECG and EEG measurements, capturing data from multiple physiological systems. These include cardiac activity, central and autonomic nervous system responses, hormonal regulation patterns, and energy supply indicators. Dozens of body signals are synthesized into a set of metrics that correlate with fertility outcomes. These metrics are then combined into a single index that reflects the couple's overall fertility readiness.Both partners participate in the process, allowing the system to evaluate male and female factors independently and together. This dual‑side approach supports a more complete understanding of fertility challenges, including those that may not be detected through traditional testing. The system also supports natural conception by identifying physiological patterns that can be optimized without clinical intervention.Personalized Guidance Through AIOnce the fertility index is generated, the system provides personalized recommendations designed to improve physiological readiness. These recommendations are based on lifestyle factors that influence fertility, including activity levels, rest, recovery, nutrition, sleep, and stress management. The guidance is tailored to each individual and delivered through the accompanying application, creating a structured pathway for improvement.The use of AI allows the system to adapt recommendations as new data is collected. Daily measurements support continuous monitoring, enabling couples to track progress and understand how their bodies respond to changes. This dynamic approach contrasts with traditional fertility diagnostics, which often rely on static snapshots taken at a single point in time.Broader Fertility Insights and Lifecycle SupportThe technology also provides insight into previously unexplained fertility challenges. A significant portion of infertility cases fall into the unexplained category, where standard tests show no clear cause. By analyzing physiological patterns across multiple systems, the device offers a new layer of understanding that can help clarify these cases.The system extends beyond conception, offering support during pregnancy and postpartum. This continuity allows couples to remain engaged with their physiological health throughout the entire fertility journey. The solution is delivered in partnership with treating physicians and virtual clinics, integrating seamlessly into existing care pathways.ConclusionOTO Fertility introduces a predictive diagnostic system designed to improve IVF outcomes and support natural conception through physiological monitoring and AI‑driven guidance. By providing insight into fertility readiness, offering personalized recommendations, and addressing both partners' health, the system creates a more informed and supportive pathway for couples seeking to build their families. As fertility challenges continue to rise globally, technologies that deliver clarity, personalization, and noninvasive insight are becoming essential components of modern reproductive care.Interview by Don Baine, The Gadget Professor.Sponsored by: Get $5 to protect your credit card information online with Privacy. Amazon Prime gives you more than just free shipping. Get free music, TV shows, movies, videogames and more. Secure your connection and unlock a faster, safer internet by signing up for PureVPN today.

Fertility care is undergoing a significant shift as new diagnostic technologies offer deeper insight into reproductive health. OTO Fertility focuses on predicting the likelihood of IVF success before treatment begins, giving couples clarity at a stage where uncertainty has traditionally dominated the process. The system uses a wearable device that captures physiological signals and converts them into predictive metrics, offering a noninvasive method for understanding fertility readiness.The challenge addressed by this technology is substantial. IVF remains expensive, time‑consuming, and emotionally demanding, yet the success rate for a single transfer remains low. Many couples undergo multiple cycles without clear guidance on their likelihood of success. By providing predictive insight before treatment, the system aims to reduce unnecessary cycles, lower financial burden, and support more informed decision‑making.Physiological Monitoring and Predictive ModelingThe OTO Fertility device performs medical‑grade ECG and EEG measurements, capturing data from multiple physiological systems. These include cardiac activity, central and autonomic nervous system responses, hormonal regulation patterns, and energy supply indicators. Dozens of body signals are synthesized into a set of metrics that correlate with fertility outcomes. These metrics are then combined into a single index that reflects the couple's overall fertility readiness.Both partners participate in the process, allowing the system to evaluate male and female factors independently and together. This dual‑side approach supports a more complete understanding of fertility challenges, including those that may not be detected through traditional testing. The system also supports natural conception by identifying physiological patterns that can be optimized without clinical intervention.Personalized Guidance Through AIOnce the fertility index is generated, the system provides personalized recommendations designed to improve physiological readiness. These recommendations are based on lifestyle factors that influence fertility, including activity levels, rest, recovery, nutrition, sleep, and stress management. The guidance is tailored to each individual and delivered through the accompanying application, creating a structured pathway for improvement.The use of AI allows the system to adapt recommendations as new data is collected. Daily measurements support continuous monitoring, enabling couples to track progress and understand how their bodies respond to changes. This dynamic approach contrasts with traditional fertility diagnostics, which often rely on static snapshots taken at a single point in time.Broader Fertility Insights and Lifecycle SupportThe technology also provides insight into previously unexplained fertility challenges. A significant portion of infertility cases fall into the unexplained category, where standard tests show no clear cause. By analyzing physiological patterns across multiple systems, the device offers a new layer of understanding that can help clarify these cases.The system extends beyond conception, offering support during pregnancy and postpartum. This continuity allows couples to remain engaged with their physiological health throughout the entire fertility journey. The solution is delivered in partnership with treating physicians and virtual clinics, integrating seamlessly into existing care pathways.ConclusionOTO Fertility introduces a predictive diagnostic system designed to improve IVF outcomes and support natural conception through physiological monitoring and AI‑driven guidance. By providing insight into fertility readiness, offering personalized recommendations, and addressing both partners' health, the system creates a more informed and supportive pathway for couples seeking to build their families. As fertility challenges continue to rise globally, technologies that deliver clarity, personalization, and noninvasive insight are becoming essential components of modern reproductive care.Interview by Don Baine, The Gadget Professor.Sponsored by: Get $5 to protect your credit card information online with Privacy. Amazon Prime gives you more than just free shipping. Get free music, TV shows, movies, videogames and more. Secure your connection and unlock a faster, safer internet by signing up for PureVPN today.

Join Dr Thomas Bond and Dr Daniel Ng as we share the first of our 2 episodes covering VT. Episode one will tell you everything you need to know about how to manage a patient on call when you are handed a "dodgy" ECG that turns out to be VT! Don't miss out on key strategies to handle this on-call emergency.

[Ep63] During this month's episode, we ask six medical questions to five different AI tools. Listen in to find out which questions were a problem. Here's What We Asked02:26 - Q1: What is a normal PR interval on an ECG?03:08 - Q2: What is the medication, Lisinopril?03:51 - Q3: How is Adenosine administered and how does it work on a person's heart?06:14 - Q4: What studies have been done, with adults, relating to adenosine administration methods?09:07 - Q5: If a patient has a crooked smile, a weak grip in their right hand, and no arm drift, what is their LAMS score?12:23 - Q6: When does the American Heart Association recommend giving epinephrine when a deceased patient starts the arrest in a shockable rhythm?Episodes Mentioned in this PodcastEp14 - Adenosine | Do you use the single or double-syringe method?Do you have ideas for future guests or topics on this podcast? Maybe you have some thoughts on how to improve the show? If that sounds like you, take a moment to answer the 3 questions on our anonymous feedback survey!Podcast artwork was made with the awesome resources from CanvaMusic and Sound FX for the show obtained from Pixabay and Pond5Email the show at hfconversations@gmail.comClosed Captioning Resources:Podnews article (for Apple/Android phones and Google Chrome browsers)Microsoft Windows article (live captions for Windows users)Apple article (live captions for Mac users)Disclaimer:The thoughts and opinions expressed in this podcast belong solely to those saying them, and do NOT represent the positions, strategies or opinions of Trinity Health or Mount Carmel Health System. This podcast is intended for educational and entertainment purposes only. Nothing in this podcast establishes a patient care relationship with you, the listener. The host(s) and guests of this show are NOT your healthcare provider and if you need medical attention, seek an appropriate and qualified professional. 

Ya no es solo un reloj para ver notificaciones; se ha convertido en una herramienta médica y deportiva de precisión. En este video analizamos a fondo cómo puedes sacarle el máximo provecho para transformar tu rendimiento físico y tu bienestar diario. Deporte de Élite: Cómo utilizar las nuevas métricas de Carga de Entrenamiento y las zonas de frecuencia cardíaca para evitar el sobreentrenamiento. Salud Cardiovascular: Todo sobre las notificaciones de hipertensión, el sensor de oxígeno en sangre y cómo el ECG de tu muñeca puede detectar signos tempranos de fibrilación auricular. Gestión de Calorías: Cómo entender el gasto calórico basal vs. activo y por qué tu Apple Watch es clave para ajustar tu déficit o superávit calórico en tiempo real. Suplementación Estratégica: ¿Cuándo tomar tu Creatina, proteoina o Glutamina? Te enseñamos a configurar recordatorios inteligentes basados en tus picos de entrenamiento para maximizar la absorción y recuperación muscular. Recomendaciones de Comida: Qué comer según la intensidad de tu entrenamiento detectada por el reloj. Estrategias de carga de hidratos y comidas post-entreno. Salud y Suplementos: El uso de la Glutamina para la salud intestinal y cómo la Creatina afecta (o no) a tus niveles de hidratación monitorizados por el sensor del Apple Watch. #NutricionDeportiva #Creatina #SuplementacionPro #CaloriasInteligentes #FitnessLifestyle #AppleWatchTips #Glutamina #HealthTech #NutricionFuncional #BiohackingEspaña #Apple #culturismo #Fitness #applewatch * GRUPO APPLELIANOS FITNESS https://t.me/+gy9SR_ysekM0YmM0 * ️‍♀️ https://apps.apple.com/es/app/rutinas-gym-gravl/id6450921637 https://www.yazio.com/es/app-ios https://seoxan.es/crear_pedido_hosting Codigo Cupon "APPLE" PATROCINADO POR SEOXAN Optimización SEO profesional para tu negocio https://seoxan.es https://uptime.urtix.es PARTICIPA EN DIRECTO Deja tu opinión en los comentarios, haz preguntas y sé parte de la charla más importante sobre el futuro del iPad y del ecosistema Apple. ¡Tu voz cuenta! ¿TE GUSTÓ EL EPISODIO? ✨ Dale LIKE SUSCRÍBETE y activa la campanita para no perderte nada COMENTA COMPARTE con tus amigos applelianos SÍGUENOS EN TODAS NUESTRAS PLATAFORMAS: YouTube: https://www.youtube.com/@Applelianos Telegram: https://t.me/+Jm8IE4n3xtI2Zjdk X (Twitter): https://x.com/ApplelianosPod Facebook: https://www.facebook.com/applelianos Apple Podcasts: https://apple.co/39QoPbO

On this week's episode of ECG, Chris inspires the next generation of broadcasters, Guy supports NZ owned businesses and Ellie is scared of answering the phone. Hosted on Acast. See acast.com/privacy for more information.

On today's bonus episode of ECG, the team discuss Japan, time travel and invisible elephants. Hosted on Acast. See acast.com/privacy for more information.

Pour les adolescents passionnés de sciences, les classes préparatoires scientifiques (CPGE) représentent une voie d'excellence, exigeante mais particulièrement formatrice. Elles ouvrent l'accès à de nombreuses grandes écoles d'ingénieurs, écoles spécialisées, ENS ou encore à l'université. Encore faut-il bien comprendre les différentes filières, leurs attendus et leurs débouchés pour faire un choix post-bac éclairé.✅ DANS CET ÉPISODE NOUS ABORDONS :Ce que sont les CPGE scientifiques et à qui elles s'adressentLes différentes filières : MPSI, PCSI, PTSI, BCPST, MP2I, TSI, TB, TPCLes profils d'élèves et les qualités nécessaires pour réussir en prépa scientifiqueLes spécialités à choisir au lycée pour candidater sereinementLe niveau académique attendu et les critères de sélectionLe fonctionnement de Parcoursup pour les prépas scientifiquesLes concours, les écoles accessibles et les débouchés après une CPGELa réalité de la vie en prépa : rythme, encadrement et organisation

“We’re empowering health-care providers with unprecedented clinical depth in a compact portable form factor,” AliveCor CEO Priya Abani says about the development of its AI-enabled electrocardiogram (ECG) sensors, which provide medical-grade heart data anytime and anywhere. In this Vanguards of Health Care episode, Abani sits down with BI analyst Matt Henriksson for an in-depth discussion about the expansion of AliveCor’s Kardia 12L device, which gives physicians a smaller, more portable ECG option. The company has widened the device’s indications to 39 cardiac conditions, established a new Category III reimbursement code and continues to train its algorithm using 1 million ECGs. Abani also talks about how her time at Amazon.com influenced her perspective on the interaction of technology and the human experience.See omnystudio.com/listener for privacy information.

On this weeks episode of ECG, Chris and Ellie shower Guy with praise after his amazing social media campaign, and the team do their best to inspire the gamers of the future. Hosted on Acast. See acast.com/privacy for more information.

On today's bonus episode of ECG, we chat to Jared - our new producer - about his “interesting” approach to Arc Raiders… Hosted on Acast. See acast.com/privacy for more information.

As we continue to observe Heart Month, we are engaging in meaningful and necessary conversations that deepen our understanding of heart health, reinforcing why early intervention is key. This episode of the Doctors Hospital podcast features expert perspectives and pivotal insights on the assessment, management, and ongoing care of cardiac conditions from cardiologist Dr. Ran Eliaz; ECG/END manager, Renaldo Clarke; and profusionist, Antoine Roberts. The overarching message continues to be that early intervention is key! We also share some exciting news as we continue to strengthen our capacity to provide rapid, reliable, and advanced cardiac services to those we serve. Tune in for more details. Need a heart check? Schedule an ECG or Echocardiogram today for a discounted price. Call 302-4681 to book your appointment.

On this weeks episode of ECG, Guy commits to a huge social media campaign, Ellie plugs her new side hustle and Chris convinces his wife to invest in Pokemon. Hosted on Acast. See acast.com/privacy for more information.

I never thought heart disease would be part of my story. At 42, in the best shape of my life, I was diagnosed with mitral valve prolapse and severe regurgitation. What started as a strange episode during a workout turned into months of fear, waiting, uncertainty, and eventually heart surgery. This is Part 1 of My Heart Story. In this episode of Anatomy of a Leader, I share what it was really like to be diagnosed with a heart condition at 42 — from early symptoms and medical tests to the emotional impact of living with uncertainty while raising young children and running a business. This is the beginning of a deeper series about fear, vulnerability, healing, and what happens when your body forces you to slow down and listen.This is not medical advice. This is my real story — shared in the hope that it helps someone feel less alone, recognise symptoms earlier, or feel brave enough to get checked.In this episode I talk about: – Mitral valve prolapse diagnosis – Heart palpitations and symptoms – ECG and echocardiogram experience – Waiting for cardiology appointments – Anxiety and fear after diagnosis – Exercising with a heart condition – Women's heart health being underdiagnosed – Why “being strong” can make illness lonelier00:00 Thought Heart Disease Was an Old Man's Problem00:51 I Was Physically Fit & Healthy01:20 The Workout That Changed Everything01:56 Why I Nearly Ignored The Symptoms03:14 Going To The GP03:45 ECG Referral & Experience06:11 Echo Referral & Experience 09:03 Hearing “Mitral Valve Prolapse”09:50 Waiting, Fear & Not Knowing13:00 Anxiety vs Heart Condition13:23 Tachycardia, A&E & Health System14:21 Symptoms of Mitral Valve Prolapse 16:12 Exercise Regularly & Monitor17:49 Exercising With A Heart Condition18:39 Loss Of Control & Trust20:38 Women's Heart Health Being Missed23:10 What I Wish I'd Known25:15 If You're Ignoring Symptoms — Please ListenFollow Maria Hvorostovsky:IG: https://www.instagram.com/anatomyofaleader/IG: https://www.instagram.com/mariahvorostovsky/LinkedIn: https://www.linkedin.com/in/mariahvo/TikTok: https://www.tiktok.com/@mariahvorostovsky/Website: https://www.anatomyofaleader.com/Artwork and video by https://www.londonbeautyphotographer.com/If you're living with a heart condition, supporting someone who is, or ignoring symptoms because life feels too busy — this episode is for you.

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.

Can electrode design support both signal stability and sustainability? José Näf explains how Nahtlos electrodes reduce waste and skin irritation while delivering high-quality data over time. In this fourth episode, Dr. Olli Tikkanen and José Näf explore the technical and environmental details of electrode design for long-term HRV and ECG measurements. José discusses how offset connectors, biocompatible foil materials, and breathable adhesives improve comfort and data quality. He also explains the sustainability advantages of Nahtlos' packaging and activation system, which extends product shelf life and cuts down on disposable waste. The conversation expands into practical tips on cable management, adhesive reactions, and how to reduce motion artifacts during physical activity. They also touch on emerging opportunities in long-term EMG monitoring and multi-sensor wearable setups. This episode gives practical guidance for researchers, developers, and clinicians aiming for long-duration, high-quality physiological data. __________   This podcast episode is sponsored by Fibion Inc. | Better Sleep, Sedentary Behaviour and Physical Activity Research with Less Hassle --- Collect, store and manage SB and PA data easily and remotely - Discover ground-breaking Fibion SENS --- SB and PA measurements, analysis, and feedback made easy.  Learn more about Fibion Research --- Learn more about Fibion Sleep and Fibion Circadian Rhythm Solutions. --- Fibion Kids - Activity tracking designed for children. --- Collect self-report physical activity data easily and cost-effectively with Mimove. --- Explore our Wearables,  Experience sampling method (ESM), Sleep,  Heart rate variability (HRV), Sedentary Behavior and Physical Activity article collections for insights on related articles. --- Refer to our article "Physical Activity and Sedentary Behavior Measurements" for an exploration of active and sedentary lifestyle assessment methods. --- Learn about actigraphy in our guide: Exploring Actigraphy in Scientific Research: A Comprehensive Guide. --- Gain foundational ESM insights with "Introduction to Experience Sampling Method (ESM)" for a comprehensive overview. --- Explore accelerometer use in health research with our article "Measuring Physical Activity and Sedentary Behavior with Accelerometers ". --- For an introduction to the fundamental aspects of HRV, consider revisiting our Ultimate Guide to Heart Rate Variability. --- Follow the podcast on Twitter https://twitter.com/PA_Researcher Follow host Dr Olli Tikkanen on Twitter https://twitter.com/ollitikkanen Follow Fibion on Twitter https://twitter.com/fibion https://www.youtube.com/@PA_Researcher

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.

Can electrode systems self-regulate moisture to keep data quality high for 10 days? José Näf explains how Nahtlos' innovative design improves both signal stability and skin comfort in long-term ECG and HRV tracking. In this third episode, Dr. Olli Tikkanen continues the deep dive with José Näf into how advanced electrode technology is addressing the long-standing issues in long-term heart rate variability and ECG measurement. José introduces Nahtlos' breakthrough: a hybrid electrode with a water reservoir and a semi-permeable membrane that mimics natural sweating, maintaining low impedance and high-quality signals for up to 10 days. They also explore how breathable adhesives, biocompatible conductive textiles, and precise material selection reduce skin irritation and improve patient comfort. José shares the testing process, from self-experimentation to hospital trials, and how their team developed their own standards for evaluating signal quality. This episode gives a rare behind-the-scenes look at how wearable ECG technology evolves from lab innovation to clinical use.   __________   This podcast episode is sponsored by Fibion Inc. | Better Sleep, Sedentary Behaviour and Physical Activity Research with Less Hassle --- Collect, store and manage SB and PA data easily and remotely - Discover ground-breaking Fibion SENS --- SB and PA measurements, analysis, and feedback made easy.  Learn more about Fibion Research --- Learn more about Fibion Sleep and Fibion Circadian Rhythm Solutions. --- Fibion Kids - Activity tracking designed for children. --- Collect self-report physical activity data easily and cost-effectively with Mimove. --- Explore our Wearables,  Experience sampling method (ESM), Sleep,  Heart rate variability (HRV), Sedentary Behavior and Physical Activity article collections for insights on related articles. --- Refer to our article "Physical Activity and Sedentary Behavior Measurements" for an exploration of active and sedentary lifestyle assessment methods. --- Learn about actigraphy in our guide: Exploring Actigraphy in Scientific Research: A Comprehensive Guide. --- Gain foundational ESM insights with "Introduction to Experience Sampling Method (ESM)" for a comprehensive overview. --- Explore accelerometer use in health research with our article "Measuring Physical Activity and Sedentary Behavior with Accelerometers ". --- For an introduction to the fundamental aspects of HRV, consider revisiting our Ultimate Guide to Heart Rate Variability. --- Follow the podcast on Twitter https://twitter.com/PA_Researcher Follow host Dr Olli Tikkanen on Twitter https://twitter.com/ollitikkanen Follow Fibion on Twitter https://twitter.com/fibion https://www.youtube.com/@PA_Researcher

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.

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.

Does clothing material affect ECG signal quality? José Näf explains how electrostatic effects, electrode placement, and connector design influence long-term HRV and ECG data accuracy. In this second episode, Dr. Olli Tikkanen continues his discussion with José Näf, co-founder of Nahtlos, diving deeper into the practical challenges of long-term ECG and HRV monitoring. José shares critical insights on how connector types, electrode placement, and impedance changes over time affect signal quality. From the role of electrostatic interference caused by clothing materials to the importance of correct electrode positioning along the heart's axis, this episode is packed with knowledge for researchers and clinicians. The conversation also highlights how to avoid common mistakes in multi-day measurements, especially when working with older patients or when user instructions aren't clear. Whether you're building wearables or planning long-term studies, this talk will help you get more reliable data. __________ This podcast episode is sponsored by Fibion Inc. | Better Sleep, Sedentary Behaviour and Physical Activity Research with Less Hassle --- Collect, store and manage SB and PA data easily and remotely - Discover ground-breaking Fibion SENS --- SB and PA measurements, analysis, and feedback made easy.  Learn more about Fibion Research --- Learn more about Fibion Sleep and Fibion Circadian Rhythm Solutions. --- Fibion Kids - Activity tracking designed for children. --- Collect self-report physical activity data easily and cost-effectively with Mimove. --- Explore our Wearables,  Experience sampling method (ESM), Sleep,  Heart rate variability (HRV), Sedentary Behavior and Physical Activity article collections for insights on related articles. --- Refer to our article "Physical Activity and Sedentary Behavior Measurements" for an exploration of active and sedentary lifestyle assessment methods. --- Learn about actigraphy in our guide: Exploring Actigraphy in Scientific Research: A Comprehensive Guide. --- Gain foundational ESM insights with "Introduction to Experience Sampling Method (ESM)" for a comprehensive overview. --- Explore accelerometer use in health research with our article "Measuring Physical Activity and Sedentary Behavior with Accelerometers ". --- For an introduction to the fundamental aspects of HRV, consider revisiting our Ultimate Guide to Heart Rate Variability. --- Follow the podcast on Twitter https://twitter.com/PA_Researcher Follow host Dr Olli Tikkanen on Twitter https://twitter.com/ollitikkanen Follow Fibion on Twitter https://twitter.com/fibion https://www.youtube.com/@PA_Researcher  

Dry electrodes often promise convenience, but why do they so often fail in long-term heart monitoring? José Näf breaks down the science and business behind electrode design for ECG and HRV tracking. In this episode, Dr. Olli Tikkanen is joined by José Näf, founder of Nahtlos, to explore the challenges and innovations in electrode design for long-term ECG and heart rate variability monitoring. José shares his entrepreneurial journey from computer vision startups to building advanced medical wearables in collaboration with EMPA, a Swiss materials research institute. José details the strengths and weaknesses of wet gel, solid gel, and dry electrodes, and introduces a hybrid electrode technology designed for long-term use without sacrificing comfort or signal quality. From material compatibility to managing skin reactions and motion artifacts, this episode offers practical insight into real-world problems researchers and developers face in health tech. ____________   This podcast episode is sponsored by Fibion Inc. | Better Sleep, Sedentary Behaviour and Physical Activity Research with Less Hassle --- Collect, store and manage SB and PA data easily and remotely - Discover ground-breaking Fibion SENS --- SB and PA measurements, analysis, and feedback made easy.  Learn more about Fibion Research --- Learn more about Fibion Sleep and Fibion Circadian Rhythm Solutions. --- Fibion Kids - Activity tracking designed for children. --- Collect self-report physical activity data easily and cost-effectively with Mimove. --- Explore our Wearables,  Experience sampling method (ESM), Sleep,  Heart rate variability (HRV), Sedentary Behavior and Physical Activity article collections for insights on related articles. --- Refer to our article "Physical Activity and Sedentary Behavior Measurements" for an exploration of active and sedentary lifestyle assessment methods. --- Learn about actigraphy in our guide: Exploring Actigraphy in Scientific Research: A Comprehensive Guide. --- Gain foundational ESM insights with "Introduction to Experience Sampling Method (ESM)" for a comprehensive overview. --- Explore accelerometer use in health research with our article "Measuring Physical Activity and Sedentary Behavior with Accelerometers ". --- For an introduction to the fundamental aspects of HRV, consider revisiting our Ultimate Guide to Heart Rate Variability. --- Follow the podcast on Twitter https://twitter.com/PA_Researcher Follow host Dr Olli Tikkanen on Twitter https://twitter.com/ollitikkanen Follow Fibion on Twitter https://twitter.com/fibion https://www.youtube.com/@PA_Researcher

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.

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

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.

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.

🧭 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.

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.

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!