Podcasts about ecmo

How do we measure what truly matters in acute care — and why does it finally feel possible to do it well? In this week's episode, co-hosts Dr. Nicole Neveau and Dr. Leo Arguelles sit down with Dr. Caitlyn Crandall and Dr. Lindsey Fresenko, two contributors to the new clinical practice guideline, “A Core Set of Outcome Measures to Assess Physical Function for Adults Participating in Physical Therapist Treatment in the Hospital.” Together, they unpack how this Core Outcome Measures (COMs) Set was built, what makes each measure clinically feasible, and how the guideline is already reshaping evaluation, communication, and discharge planning across hospital-based physical therapy. Caitlyn and Lindsey share what surprised them during development, how psychometric rigor and real-world feasibility shaped the final set, and why standardized measurement doesn't replace clinical reasoning — it strengthens it. They also preview their upcoming APTA Acute Care webinar and reflect on how a shared measurement language can help clinicians advocate for staffing, demonstrate value, and elevate patient care. Whether you're an ICU therapist, med-surg clinician, educator, or student, this conversation offers a clearer, more confident path for integrating outcome measures in acute care. Today's Guests: Dr. Caitlyn Crandall, PT, DPT, CCS, RYT Email: caitlyn.crandall@unchealth.unc.edu LinkedIn: https://www.linkedin.com/in/caitlyn-crandall-dpt Instagram: @CaitlynCrandall   Dr. Lindsey Fresenko, PT, DPT, PhD Email: lindsey.fresenko@utoledo.edu Publications: • PTJ CPG: https://academic.oup.com/ptj/article/105/6/pzaf076/8140951 • CC&E Journal: https://journals.lww.com/ccejournal/fulltext/2024/12000/rehabilitation_and_social_determinants_of_health.8.aspx Guest Quotes: Caitlyn: “These outcome measures aren't meant to replace clinical decision-making — they're meant to support it.” Lindsey: “The importance of having an evidence-based core outcome measure set is now utilizing it in practice.” Caitlyn: “Parts of these outcome measures are already what we're doing. The COMs help organize and standardize it.” Rapid Responses: What's the dumbest way you've injured yourself? • Caitlyn: “I fell off my horse — he stopped, I kept going.” • Lindsey: “I stepped on my own pinky toe in middle school and broke it.” You know you work in acute care when… • Caitlyn: “You've led a parade down the hallway with ECMO, an IABP, and half the team following behind.” • Lindsey: “Carrying socks in your pocket is an everyday thing.” Links: A Core Set of Outcome Measures to Assess Physical Function for Adults Participating in Physical Therapist Treatment in the Hospital- https://pubmed.ncbi.nlm.nih.gov/40403754/

The Silent Rise of Chronic Pulmonary Embolism and the Tech That's Changing Everything From portable ECMO to catheter breakthroughs, the treatment of pulmonary embolism has come a long way. Dr. Richard Channick takes us behind the scenes of cutting-edge interventions and shares the empowering truth: even community hospitals now have lifelines to expert centers. The care you need might be closer than you think. Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Follow us on social @phaware Engage for a cure: www.phaware.global/donate #phaware Share your story: info@phaware.com #phawareMD #CTEPH @rchannick @UCLAHealth  

Join us for an “In The Know” special edition where our experts discuss the Neonatal ECMO Program at Children's Health and how it's providing lifesaving support to the smallest patients.  Learn more about Dr. Gillory.  Learn more about Dr. Makkar.

In Part 2 of the conversation, Giuseppe Savoja, Western Europe Senior Business Director, Cardiac Surgery Business, Medtronic, shares how ECMO has transformed over the decades and explores how clinicians and industry can work together to support the most vulnerable patients in intensive care. Guest bio Giuseppe Savoja is Senior Business Director for Cardiac Surgery in Western Europe at Medtronic, where he leads the business with a focus on transformation, growth, and patient impact. With 20+ years in the medical device industry and leadership roles across Europe and Asia, he brings a blend of engineering expertise, commercial experience and a passion for developing high-performing teams. Born in Rome and having lived around the world, he's now back in the Italian capital with his family. Outside work, Giuseppe enjoys windsurfing, snowboarding, sailing and motorbiking. Follow us on Instagram: @emj.gold

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Zara Shirazi, a congenital cardiac surgery post-fellow at the National Institute of Cardiovascular Diseases, about advancing pediatric cardiac surgery in Pakistan using what she learned from her fellowship in Austria. Chapters 00:00 Intro 02:28 Vince TAVR Roundtables 03:05 Foreign Body, Case of the Month 03:49 JANS 1, Temporary MCS Guidelines 13:50 JANS 2, Parenting as a CT Surgeon 16:20 JANS 3, Utilization of Long Distance Donors 18:20 JANS 5, Multi-A Grafting in Redo CABG 20:58 Career Center 21:20 Video 1, Pulm & Tricuspid Endocarditis 22:35 Video 2, Valvular Heart Disease Guidelines 27:05 Video 3, Thoraflex Hybrid Graft Insertion 28:16 Zara Shirazi Interview 39:30 Upcoming Events 42:42 Closing They explored the advantages of working in a hospital in Pakistan compared to Austria, as well as the different techniques and operations, such as extracorporeal membrane oxygenation (ECMO). Dr. Shirazi also shared her experiences as a fellow in Austria and the valuable insights she gained from that experience. Additionally, she discussed her vision for the growth of her unit over the next five years and provided an overview of what a typical surgical week looks like in Pakistan.   Joel also highlights recent JANS articles on the EACTS/STS/AATS guidelines on temporary mechanical circulatory support in adult cardiac surgery, the unique challenges and positive impacts on children raised by cardiothoracic surgeon mothers, evolving changes in center-level utilization of longer distance donors in heart transplantation, and multiarterial grafting in redo coronary artery bypass grafting.  In addition, Joel explores pulmonary and tricuspid valve endocarditis, an interview with Drs. Borger and Marin-Cuartas on the guidelines for the management of valvular heart disease, and Thoraflex Hybrid graft insertion in a patient with Marfan syndrome. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) EACTS/STS/AATS Guidelines on Temporary Mechanical Circulatory Support in Adult Cardiac Surgery   2.) Parenting From the OR: The Unique Challenges and Positive Impacts on Children Raised by Cardiothoracic Surgeon Mothers  3.) Evolving Changes in Centre-Level Utilization of Longer Distance Donors in Heart Transplantation  4.) Multiarterial Grafting in Redo Coronary Artery Bypass Grafting: Type of Arterial Conduit and Patient Sex Determine Benefit  CTSNet Content Mentioned  1.) Pulmonary and Tricuspid Valve Endocarditis: A Late Sequelae of Unrepaired Double Chambered Right Ventricle in an Adult  2.) Guidelines for the Management of Valvular Heart Disease: An Interview With Drs. Borger and Marin-Cuartas  3.) Thoraflex Hybrid Graft Insertion in a Patient With Marfan Syndrome  Other Items Mentioned  1.) Adapting Global Innovations to Local Realities: Advancing Pediatric Cardiac Surgery in Pakistan—Lessons From Austria  2.) Roundtable: Perfecting TAVR Removal | Skills Sharpening With Vince Gaudiani   3.) Case of the Month: The Case of a Foreign Body  4.) Resident Video Competition  5.) The Cardiac Recovery Room  6.) Career Center   7.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week, Isabel is joined by Giuseppe Savoja, Western Europe Senior Business Director, Cardiac Surgery Business at Medtronic, for a deep-dive into the evolution and future of ECMO, innovation in critical care and the realities of leading in the MedTech space. In Part 1 of the interview, Giuseppe talks about what attracted him to the medical device industry, what his day-to-day role involves and what advice he would give to anyone considering joining the MedTech sector. Guest bio Giuseppe Savoja is Senior Business Director for Cardiac Surgery in Western Europe at Medtronic, where he leads the business with a focus on transformation, growth, and patient impact. With 20+ years in the medical device industry and leadership roles across Europe and Asia, he brings a blend of engineering expertise, commercial experience and a passion for developing high-performing teams. Born in Rome and having lived around the world, he's now back in the Italian capital with his family. Outside work, Giuseppe enjoys windsurfing, snowboarding, sailing and motorbiking. Follow us on Instagram: @emj.gold

Kristen Pyrc, M.D. and Wini King welcome a truly inspiring mother-daughter duo to Raising Joy: Emerson Bucci and her mother, Ashlee. In an episode that celebrates the power of the human spirit, they share Emerson's incredible journey of survival and recovery.In August 2024, at just 12 years old, Emerson faced a very rare and life-threatening allergic reaction to the common antibiotic Bactrim. Her lungs were severely compromised, leading to a 36-day stay in the ICU at Cook Children's and being placed on ECMO life support.Tune in to hear:·         The terrifying process of searching for a diagnosis, the family's emergency transfer, and the very real possibility of a lung transplant.·         How Emerson, despite being on life support, remained fully awake and even did schoolwork.·         The inspiring story behind Emerson's life-affirming catchphrase, "I got this," which became the family's mantra and even inspired a special tattoo.·         Emerson's deep faith and remarkable maturity in viewing her ordeal as "temporary".·         How this experience has inspired Emerson to pursue a future career as a physical therapist to help others walk their own road to recovery.This conversation is a powerful testimony to family love, perseverance, and the miracle of hope.

Send us a textIn this CHNC 2025 episode, The Incubator speaks with Dr. Sandy John (Seattle Children's) and Dr. Kelsey Montgomery (Riley Children's Hospital) about the collaborative work of the CDH Focus Group within the consortium. They discuss a national effort to evaluate bivalirudin versus heparin for ECMO anticoagulation in infants with congenital diaphragmatic hernia—a shift driven by promising anecdotal evidence but lacking robust data. Through shared cases, systematic review, and consensus guideline development, the group aims to unify practice and elevate research quality. The conversation highlights how real-time collaboration accelerates learning, improves care consistency, and fosters innovation across Level IV NICUs nationwide.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textWhat does it take to learn to sit again, then stand, then chase the horizon at the Ironman World Championship? We sit down with endurance athlete and keynote speaker Elmar Sprink to trace the steps from sudden cardiac arrest and seven months on ECMO to a disciplined, data‑driven comeback fueled by routine, empathy, and stubborn hope. Elmar opens up about the invisible work of recovery—why he treated hospital life like a training plan, how a visitor spreadsheet kept his spirits up, and the role therapy and humor played when the outcome was uncertain.We unpack the nuts and bolts of training after a heart transplant: threshold testing to set safe zones, the difference denervated hearts can make to heart rate response, and why indoor cycling and carefully staged swim returns protect against infection while rebuilding fitness. Elmar explains how steady training lowered his blood pressure and reduced medications, and he shares the small, daily wins—like a perfect cappuccino—that kept his motivation alive. Along the way, he reflects on gratitude for his unknown donor and the ritual of honoring that gift at every finish line.Anna also spotlights creative sparks and community momentum: new children's stories in the Living with CHD series that portray everyday family life with honesty, plus highlights from the SV-ONE conference where scientists, clinicians, and advocates collaborate for single ventricle care. We share upcoming inclusion goals, from an ASL episode to a new German episode featuring Elmar, and we talk candidly about organ donation advocacy—what messaging moves people, and how real stories can shift culture and save lives.If you're navigating CHD, recovery, or any long road back, this conversation offers a clear playbook: start small, be consistent, protect your body, lean on your people, and celebrate the quiet victories. Subscribe, share this episode with someone who needs a lift, and leave a review with your biggest takeaway—we'd love to hear what small win you're chasing this week.Support the showAnna's Buzzsprout Affiliate LinkBaby Blue Sound CollectiveSocial Media Pages:Apple PodcastsFacebookInstagramMeWeTwitterYouTubeWebsite

El Hospital Regional de Málaga activa el protocolo ECMO para pacientes pediátricos

Send us a textShari and Bill Hall ( https://familiesfightingflu.org/family-story/the-hall-family/ ) are a really remarkable couple whose story shines a light on just how far-reaching the effects of influenza can be — not only for the person who gets sick, but for the loved ones who care for them.What began as an ordinary illness became a life-changing experience for the Hall family, one that tested their strength, deepened their compassion, and opened their eyes to the true impact of flu.Through this amazing journey, they've become powerful advocates for awareness and prevention — reminding us all that influenza isn't “just the flu.” It's an extremely serious illness that can touch every part of life, from health and family to community and hope.Shari and Bill's experience is both deeply personal and universally relevant, and it underscores why sharing these stories matters, because behind every statistic about influenza, there are real people — families, caregivers, and survivors — whose lives have been changed.#Influenza #Vaccine #FluShot #TheHallFamily #ShariHall #BillHall #Advocacy #AutoimmuneInjury#SystemicInflammation #MicrovascularInjury #ExtracorporealMembraneOxygen #ECMO #LifeSupport #Hospitalization #Bronchitis #CardiacArrest #Amputation #Rehabilitation #NerveDamage #Recovery #Caregiving #FamiliesFightingFlu #ICU #CSLSeqirus #ProgressPotentialAndPossibilities #IraPastor #Podcast #Podcaster #ViralPodcast #STEM #Innovation #Technology #Science #ResearchSupport the show

Title:  “The Ripple Effect: Maggie Luken's Journey of Loss, Love, and Life”  

El Dr. Víctor Gómez Saviñón, cirujano cardiotorácico y miembro del equipo ECMO del Hospital Galenia, explica en este episodio qué es la oxigenación por membrana extracorpórea (ECMO), una terapia avanzada que brinda soporte vital a pacientes en estado crítico cuando el corazón o los pulmones no pueden funcionar adecuadamente. Conoce cómo este tratamiento puede marcar la diferencia en la recuperación y salvar vidas.El Dr. Víctor Gómez Saviñón te invita a escuchar el #podcast para conocer más del tema. ¡No te pierdas sus recomendaciones! ¡Disfruta del episodio 288 y continúa escuchando cada uno de nuestros #PodcastsMédicos  preparados especialmente para ti!➡️ ENLACES DE INTERÉSOtros episodios de Actitud Saludable | Asma y pruebas respiratorias

In this 320th episdode I welcome Drs. Essandoh and Cody back to the show to discuss the latest data and guidelines around the use of the Impella device and how it compares to IABP and ECMO.Our Sponsors:* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code accrac50off for a great deal: https://www.factor75.com* Check out Truelearn: https://tinyurl.com/ACCRACTL* Check out Uncommon Goods: https://uncommongoods.com/ACCRACAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

NSW Ambulance has seen promising results from a new trial called PRECARE, which aims to revolutionise out-of-hospital cardiac arrest survival ratesSee omnystudio.com/listener for privacy information.

In this World Shared Practice Forum podcast, Dr. Robinder Khemani, co-author of the PALICC-2 guidelines, discusses the real-world application of pediatric ARDS management strategies. Through a case-based conversation, Dr. Khemani shares nuanced insights on intubation timing, ventilator settings, neuromuscular blockade, and rescue therapies, including ECMO. He also introduces the REDvent trial, a novel approach to lung and diaphragm protective ventilation. This content is ideal for clinicians, respiratory therapists, and healthcare educators seeking to deepen their understanding of evidence-informed, physiology-driven care in pediatric acute respiratory distress syndrome. LEARNING OBJECTIVES - Analyze the clinical decision-making process for intubation in pediatric ARDS - Apply PEEP titration techniques to assess lung recruitability in patients with PARDS - Evaluate the role of neuromuscular blockade in maintaining lung protective ventilation - Identify appropriate advanced rescue therapies based on PARDS phenotypes - Explore the principles and outcomes of the REDvent trial in ventilator management AUTHORS Robinder "Roby" Khemani, MD, MsCI Professor of Pediatrics, Vice Chair of Research University of Southern California, Department of Anesthesiology and Critical Care Medicine Children's Hospital Los Angeles Jeffrey Burns, MD, MPH Emeritus Chief Division of Critical Care Medicine Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anesthesia Harvard Medical School DATE Initial publication date: October 28, 2025. ARTICLE REFERENCED Khemani RG, Bhalla A, Hotz JC, et al. Randomized Trial of Lung and Diaphragm Protective Ventilation in Children. NEJM Evid. 2025;4(6):EVIDoa2400360. doi:10.1056/EVIDoa2400360 TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/at/47wbxnvxtcpvv54p48gc2v/202510_WSP_Khemani_Transcript.pdf Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Khemani RG, Burns JP. Practical Strategies for Management of Patients with Pediatric ARDS. 10/2025. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/practical-strategies-for-management-of-patients-with-pediatric-ards-by-r-khemani-openpediatrics.

In this episode of The Pulling Curls Podcast, hosts Hilary Erickson and Dr. Janene Fuerch, a neonatologist at Stanford, dive into what every pregnant family should know about the NICU (Neonatal Intensive Care Unit). They discuss why it's important to understand NICU basics—even if you're planning a smooth delivery—and share practical tips on how to cope if your baby needs extra care, including ways to stay connected, manage stress, and support bonding. The episode also highlights exciting innovations aimed at making NICU stays safer and more comfortable for babies and families, plus insights on hospital levels and advocacy for neonatal advancements.   Big thanks to our sponsor Laborie -- LifeBubble® Umbilical Catheter Securement System LifeBubble is made of a Soft Medical Grade Silicone to minimize skin irritation, Reduces the Risk of Catheter Migration and Early Discontinuation, and Protects the Insertion Site of our most vulnerable patients. Find them on Instagram @laborie_ob Today's guest is Janene Fuerch, MD. She is a Clinical Associate Professor of Pediatrics, Division of Neonatal and Developmental Medicine, Associate Director of the Biodesign Innovation Fellowship Program at Stanford University, and Co-Director of Impact1 where she mentors and advises entrepreneurs in the pediatric and maternal space through all aspects of medical device development, from identifying clinical needs to commercialization. Her specific areas of investigational interest include the development and commercialization process of neonatal, pediatric and maternal health medical devices. She is a national leader in neonatal resuscitation, ECMO, device development and has been an AHRQ, FDA and NSF funded investigator. But her work extends outside of the academic realm to industry having co-founded EMME (acquired by Simple Health 2022) an award-winning reproductive health company, medical director for Novonate (acquired by Laborie 2023) a neonatal umbilical catheter securement company and notable consultant for Vitara (EXTEND - artificial environment to decrease complications of prematurity), Laborie, Ceribell, Novocuff and Avanos™. Janene is passionate about improving the health of children and newborns through medical device innovation and research. Links for you: Previous Laborie Episode on Forceps (260) Timestamps: 00:00 NICU Challenges: Bonding & Separation 06:55 Choosing the Right Hospital Level 09:47 Bonding with Baby After Separation 14:06 NICU Innovation: Challenges and Opportunities 15:14 Umbilical Catheter Infection Solution 18:17 NICU Bonding and Communication Tips 21:59 Premature Baby Care Innovations 25:04 Prioritizing Investment in Children's Future Keypoints: Many families are surprised when their baby needs to go to the NICU, so it's important for all pregnant families to know some basics about what to expect. The NICU can range from having just a couple of extra staff in the delivery room to having 15 people if a baby needs help, making the birth experience much more intense and involved. Planning ahead with your partner about who will go with the baby in case of separation can help make a stressful situation a little easier. About 10% of babies need some help breathing at birth, but most recover quickly; only a small percentage require NICU care beyond the basic interventions. NICUs are graded by levels (I-IV), and knowing what level your hospital offers can help families prepare—higher-level NICUs can treat more complex issues but aren't always necessary for uncomplicated births. If your hospital isn't a level III or IV, babies needing higher-level care may need to be transferred, which could mean temporary separation from parents; hospitals always work to reunite families as quickly as possible. NICU nurses are passionate, skilled, and deeply care about the babies and their families, creating a loving and safe environment even during stressful times. Parents can support their recovery and milk production by getting rest and using NICU technologies (like webcams) to stay connected—it's okay to take breaks and trust the NICU staff. Emerging technologies like Labry's Life Bubble are making NICU stays safer and more comfortable, allowing parents to hold their babies even when special catheters are in place. Skin-to-skin contact in the NICU is highly beneficial for both babies and parents, helping with bonding, milk production, and even neurodevelopment; parents are encouraged to ask staff about timing and any concerns about wires or tubes. Producer: Drew Erickson Keywords: NICU, neonatal intensive care unit, premature babies, neonatologist, types of NICU levels, level 1 NICU, level 2 NICU, level 3 NICU, level 4 NICU, hospital delivery, separation from baby, bonding with baby, skin-to-skin contact, umbilical catheters, infection prevention, NICU innovations, Labry, Life Bubble, technology in NICU, neonatal health, maternal health, NICU nurses, milk production, pumping breast milk, trauma of NICU stays, baby monitoring, necrotizing enterocolitis, artificial womb therapy, premature birth complications, hospital transfer, parental tips for NICU, emotional impact of NICU  

Today we are exploring cardiac surgery in elderly patients.This podcast is sponsored by Macquarie University Hospital, part of Macquarie University Health – a trailblazer in healthcare, education and research.Professor Michael Vallely is a leading cardiothoracic surgeon who has clinical and academic interests in minimising the invasiveness of cardiothoracic surgery and is a world authority on total arterial, anaortic, off-pump coronary artery bypass surgery. He also has interests in minimally invasive cardiac surgery (MICS and Da Vinci robotic surgery), transcatheter (TAVI and Mitra-Clip) cardiac surgery, thoracic aortic surgery, geriatric cardiac surgery, and hybrid procedures including the use of ECMO.Dr Nargis Shaheen is a consultant geriatrician with a special interest in perioperative medicine working at Macquarie University Hospital and Concord Hospital. She is a member of the ANZCA perioperative care working group and is involved in perioperative medicine teaching.

Maternal safety changes when we stop relying on heroics and start building systems. We open the door to the 2025 APSF Stolting Conference series with a fast, practical tour of what truly reduces morbidity and mortality: collaboration across anesthesia, obstetrics, cardiology, and nursing; open‑source AIM bundles; early warning tools; and standards that compress time-to-treatment when minutes matter. Along the way, we confront the three deadly D's—denial, delay, dismissal—and replace them with teamwork, tools, timeliness, and trust.We dig into the history that got us here, from case reports and confidential inquiries to robust maternal mortality review committees and rapid-cycle data that power real change. Then, we zero in on the leading cause of pregnancy-related death—cardiovascular disease—and why risk spikes in the postpartum period. A vivid case of peripartum cardiomyopathy shows how quickly decompensation unfolds and why anesthesia must be in the room early: shaping plans, managing hemodynamics, placing monitors, coordinating with cardiology and OB, and, when needed, activating ECMO. We highlight actionable steps like antenatal anesthesia consults for high‑risk patients, postpartum telemetry monitoring, and pregnancy heart teams that make escalation the rule, not the exception.Progress is real for hemorrhage and hypertension, but disparities remain stark for Black, Hispanic, and Asian Pacific Islander patients. We talk about implicit bias, access, and respectful care, and we share multilingual urgent maternal warning signs so patients and clinicians recognize danger sooner. The ASA's recommendations give a clear roadmap for anesthesiologist leadership—on review committees, quality teams, simulation programs, and implementation of SOAP and ACOG frameworks—so that safety becomes predictable.If this conversation sparks ideas for your unit, we'd love to hear them. Subscribe, share with a colleague who works on labor and delivery, and leave a review telling us the one system change you'll champion this month.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/276-maternal-care-transformed/© 2025, The Anesthesia Patient Safety Foundation

Whether you are a thoracic surgeon and you are going to break through the ceiling on survival for mesothelioma, an adult cardiac surgeon tackling structural valve deterioration, or a community cardiothoracic surgeon improving outcomes for ECMO patients, identifying and building a niche is exciting and rewarding. In this blog article, hear from Dr. Brian Bateson on how you can successfully build a niche with care, passion, and understanding.

Show NotesIn this special live episode from the 2025 North American Congress of Clinical Toxicology (NACCT), Ryan takes you inside the conference to hear directly from the researchers themselves. Covering 11 abstracts that span high-stakes management decisions, surprising case reports, and challenges to toxicology dogma, this year's highlights feature everything from amlodipine overdoses to naturopathic misadventures, metformin-associated blindness, and more. The show kicks off with a foreword from Ryan and Dr. Jon Cole (abstract co-chair for AACT) discussing some of their favorite research from the conference. If you couldn't make it to NACCT or just want to catch up on some of the most impactful new research in our field, this episode will give you a front-row seat. Check below for links to the published abstracts, the full list of studies discussed, and timestamps for where you can hear each one.Link to published abstract manuscriptForeword with Dr. Jon Cole 10:24 #7. Is beta blocker toxicity associated with hypoglycemia?Lead author: Dr. Megan Audette, MD17:58 #237. V-A ECMO as a treatment for vasoplegic shock in amlodipine poisoning: a comparisonLead author: Dr. Daniel Tirado, MD27:59 #247. Blocked but not beaten: ECMO's role in severe amlodipine toxicity – a poison center case seriesLead author: Dr. Carlos Saldarriaga, MD28:39 #26. Amlodipine double-dose therapeutic errors reported to Poison CentersLead author: Johanne Freeman30:19 #27. Dosing on the edge: unpacking inadvertent amlodipine ingestions reported to a single poison centerLead author: Dr. Tiana Patriarca, PharmD33:44 #292. Intravenous administration of sodium zirconium cyclosilicate resulting in deathLead author: Dr. Stephen Thornton, MD Researcher interviews43:57 – #21. Quantitative analysis of amlodipine removal by plasmapheresisGuest: Dr. Keahi Horowitz, MD – Acute and Intensive Care Research Award winner48:14 – #23. Relationship between reported ingestion dose and outcome in amlodipine poisoningGuest: Dr. Colleen Cowdery, MD51:18 – #24. Management of severe amlodipine toxicity with high-dose calcium aloneGuest: Dr. Vincent Ma, MDHigh dose norepinephrine in amlodipine overdose Case report of calcium death 56:37 – #70. Iatrogenic exposure to long-acting buprenorphine injectable in an opioid-naïve patientGuest: Dr. Conor Young, MD59:52– #182. Left in the dark: a case of blindness in the setting of metformin toxicityGuest: Dr. Madison Bombard, MD61:52 – #169. Just because it's natural doesn't mean it's safe: a case of pediatric toxicity from topical and herbal remediesGuest: Dr. Aria Darling, MD64:12 – #203. Serotonin syndrome after vaping MoocahGuest: Dr. Connor Murphy, MD66:47 – #307. Intravenous ozone autohemotherapy: a retrospective observational case seriesGuest: Nicole McLarty 71:06 – #134. Do they really need n-acetylcysteine? Exploratory analysis of outcomes in patients with elevated liver function

Explicit. Mawi and Shelly discuss hemorrhoidectomies that go to ECMO, throat pressure that when released resuscitates patients, and septic guts gone wild. Join the hosts for their usual banter and story telling behind the scenes. Shelly loses it on a Mawi story and has to go Explicit. 

Could hospital employment be your path to practicing 100% interventional radiology (IR)? In this episode of BackTable, host Dr. Ally Baheti sits down with Dr. Ryan Trojan, an interventional radiologist at INTEGRIS Health in Oklahoma City, to discuss the pros and cons of hospital employment contracts in IR.---This podcast is supported by:Medtronic Emprinthttps://www.medtronic.com/emprint---SYNPOSISThe physicians take a deep dive into the evolving employment models in the IR landscape. Dr. Trojan shares his journey from a private IR-DR blended practice to becoming directly employed by a hospital, highlighting the financial challenges, contract negotiations, and administrative dynamics along the way. He explains the growing loss of IR talent to lucrative diagnostic contracts and emphasizes the importance of advocating for IR's value to hospital systems, from decreasing length of stay to supporting ECMO, trauma, and transplant services. The discussion covers financial security, administrative support, and the benefits of having aligned goals with the hospital in order to grow an IR practice. Dr. Trojan also addresses common misconceptions about IR and private practice, detailing how the landscape is likely to change over the coming years, and offers advice on navigating employment contracts. ---TIMESTAMPS00:00 - Introduction03:02 - Transition to Hospital Employment12:15 - Advocating for IR's Value16:07 - Contract Structures and Compensation Models25:07 - Benefits and Downsides of the Employed Model28:27 - Negotiating Contracts and Fair Market Value41:12 - Conclusion---RESOURCESDr. Trojan's contact information:ryan.trojan@integrishealth.org

Chris interviews Melissa Fix, BSN, is the program manager for temporary mechanical circulatory support (MCS) at Keck Medical Center, University of Southern California. She specializes in the care of patients with advanced heart failure, cardiogenic shock, and complex cardiothoracic surgical needs, with a particular focus on advancing a nurse-led ECMO model. This episode was made possible through grant funding from Abbott.

Join Peter Brindley and Leon Byker as they host David Bertoni, an ED physician and ECMO clinical lead, and Jorian 'Joe' Kippax, a trauma specialist and reservist, for an incredible story of a remote river rescue in Tasmania. The team responds to a distress call from a trapped rafting party in the Franklin River, one of Tasmania's most remote and formidable areas. The rescue involves complex logistical challenges, a field amputation, and the use of ECMO technology amidst perilous conditions. The patient, after 20 hours trapped in frigid water, undergoes a harrowing yet successful rescue and recovery. This episode offers a gripping recount of teamwork, medical ingenuity, and human resilience.00:00 Introduction and Guest Overview00:40 Setting the Scene: Remote River Rescue01:39 The Rescue Operation Begins03:13 Challenges and Techniques in the Rescue07:25 Field Amputation and Extraction18:35 Transport and ECMO Preparation23:20 Hospital Arrival and ECMO Procedure26:18 Patient Recovery and Reflections30:45 Conclusion and Final Thoughts

In this episode, Dr. Harlan Krumholz introduces the September 16, 2025 issue of JACC, which features studies that challenge conventional clinical thinking, including a detailed ECMO physiology study showing that higher ECMO flow does not uniformly raise pulmonary capillary wedge pressure, suggesting the need for individualized management. A novel analysis of the ISCHEMIA trial revealed distinct angina symptom trajectories, emphasizing that recovery is not binary and supporting a more personalized approach to treatment and monitoring. A landmark target trial emulation found that statins significantly reduce cardiovascular risk in patients with type 1 diabetes—filling a key evidence gap. Additional highlights include a call to redefine early cardiogenic shock, a nuanced review of moderate secondary mitral regurgitation, and an editorial reaffirming JACC's commitment to independent, transparent science in alignment with new "Gold Standard Science" principles.

Welcome back to September's Papers of the Month. We've got three cracking studies for you this time, each tackling really core questions in pre-hospital and emergency care and each giving us plenty to chew over when it comes to the evidence base and what it means for our practice. First up, we're heading down under to Sydney with the PRECARE pilot feasibility study on pre-hospital extracorporeal CPR for refractory cardiac arrest. Now, we all know survival from refractory OHCA is pretty dismal with conventional CPR alone, and that the big limiting factor with ECPR is time to flow. So could we meaningfully shorten that window by bringing ECMO to the roadside rather than the hospital? This study tested whether pre-hospital physicians could safely and effectively deliver ECPR on scene and the results are some of the fastest low-flow times yet reported. But of course, feasibility is only one piece of the puzzle… Next, we're back in the UK with a service evaluation from Devon Air Ambulance looking at endotracheal intubation by critical care paramedics during cardiac arrest. Airway management in OHCA has always been a hot topic, with long-running debates over supraglottic devices versus intubation, and questions about who should be putting a tube in. This six-year dataset explores how structured education, theatre placements, and the introduction of video laryngoscopy have changed practice and whether CCPs can consistently meet the ERC's benchmark of 95% success, or more, within two attempts.  And finally, we're heading to Switzerland with a study on the HOPE score in hypothermic cardiac arrest. Hypothermia remains one of those rare but high-stakes presentations where patients in cardiac arrest can sometimes make remarkable recoveries if we select the right ones for extracorporeal rewarming. The HOPE score is designed to guide those decisions by predicting survival. This study takes a retrospective cohort across two hospitals and asks: does the score actually deliver in real-world practice, and can it help avoid futile attempts at ECLS? So, three papers, ECMO on the roadside, paramedic-led intubation in cardiac arrest, and the precision of the HOPE score. As ever, plenty to think about for both the evidence and our day-to-day practice. Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon & Rob

I see the worst case scenarios as an ICU doctor- today's episode introduces you to someone whose fruity nicotine-containing e-cigarette landed her on something called ECMO. It is a scary story of ICU survivorship and also an incredible one of resilience. Petrea McKeithen is a young mother and ECMO survivor and has generously shared her story with the American Lung Association and now with you!So what can you do?Find out if your county or state has a comprehensive flavored tobacco ban. You can learn more about why this is important in the “Breaking States Free from Flavored Tobacco and Why it Matters” episode from Season Five. Look back through the Air Health Our Health podcast feed for a host of episodes on the history and chemistry of menthol, of flavoring chemicals, of targeting kids, etc. Look up who represents you in your county or state and reach out to them asking about what they intend to do to make flavored tobacco harder to obtain.If you or someone you know has gone through a stay in the ICU, learn more about potential after effects at ICUdelirium.org and how you can support them both during their ICU stay and afterwards.Consider a donation to the American Lung Association or the Campaign for Tobacco Free kidsAlso, this podcast is a labor of love. You don't hear ads, I don't make any money on it. It exists to spread the word about steps people can take to help keep their communities healthy. You can help by spreading the word. Please consider leaving the podcast a 5 star review wherever you listen to help spread the word. Please also share an episode you found helpful with a friend or on social media. -----------------------------------------------------------------------------------------Visit blog post for more information, or go to airhealthourhealth.org.Follow and comment on Facebook page and Instagram. Record a question or comment on the podcast site or send an e-mail via the website.  

Thoracic anesthesia is one of the most complex and high-stakes specialties in medicine, where the airway may literally be open on the table, and every breath depends on seamless teamwork. In this episode of Anesthesia Alchemy, Lynn and Garry welcome Dr. Melissa Puskac, a CRNA and thoracic anesthesia expert, to unpack the challenges and breakthroughs that define this field. From carinal resections and sleeve lobectomies to esophagectomies and mediastinal mass surgeries, Dr. Puskac explains how modern techniques like cross-field ventilation, high-frequency jet ventilation (HFJV), and ECMO are transforming survival and recovery. Here's some of what you'll hear in this episode:  

In this reposted episode, Courtney shares her journey of receiving her daughter Annie's Trisomy 21 diagnosis, navigating the NICU, and walking through open-heart surgery complicated by pulmonary hypertension. She talks about the power of community, the unexpected strength she discovered in herself, and how vulnerability and advocacy have shaped her motherhood. Courtney reminds us that love, connection, and collective wisdom can carry families through the hardest seasons while celebrating Annie's resilient and joyful spirit. Resources mentioned in this episode: Annie Louise Foundation – A resource hub for parents and caregivers Follow Courtney on Instagram Read Courtney's most recent blog post about how the Annie Louise Foundation helped with Central Texas Flood relief in Kerrville, TX

UAB's adult ECMO program, which offers advanced heart and lung support, continues to expand in both reach and capability. Keith Willie, M.D., medical director of the ECMO and Advanced Lung Diseases Program, discusses technology that improves patient mobility, new referral partnerships, and the multidisciplinary care model behind each case. Learn how ECMO is used as a bridge to recovery, transplant, or decision.  Learn more about Keith Wille, MD, MSPH 

In the second half of this two part episode, Dr. David Leon unpacks some of the most hotly debated topics in resuscitation—fluids, blood products, ECMO, and post-arrest care. He breaks down the pros and cons of crystalloids (yes, even the “pasta water” debate), explains why lactated Ringer's is often preferred over normal saline, and dips into the use of albumin and colloids. Dr. Leon also discusses the promise and challenges of extracorporeal life support (ECLS), the evolving role of targeted temperature management (TTM), and even peeks into what advances the future might hold. It's a thoughtful, forward-looking conversation every resuscitationist should hear. What do you think of Dr. Leon's tips? Are you using these tools in your practice? We'd love to hear from you. Share them with us on social media @empulsepodcast or connect with us on ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guest: Dr. David Leon, Assistant Professor of Emergency Medicine and Anesthesia at UC Davis Resources: American Heart Association (AHA) Algorithms Perman SM, Elmer J, Maciel CB, Uzendu A, May T, Mumma BE, Bartos JA, Rodriguez AJ, Kurz MC, Panchal AR, Rittenberger JC; American Heart Association. 2023 American Heart Association Focused Update on Adult Advanced Cardiovascular Life Support: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2024 Jan 30;149(5):e254-e273. doi: 10.1161/CIR.0000000000001194. Epub 2023 Dec 18. PMID: 38108133. **** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

Thank you for tuning in to Episode 303 of the Down Cellar Studio Podcast. Full show notes with photos can be found on my website. This week's segments included:   Off the Needles, Hook or Bobbins On the Needles, Hook or Bobbins From the Armchair Knitting in Passing In my Travels KAL News Ask Me Anything On a Happy Note Quote of the Week   Off the Needles, Hook or Bobbins   Gabriella's Unicorn Pattern: Shy Little Unicorn by Ana Paula Rimoli Hook: C (2.75 mm) Yarn: Red Heart Super Saver (white), Knit Picks Brava Worsted (cotton candy & various solids) Ravelry Project Page Total for Stash Dash: 116 meters   Sum-Sum-Summertime socks Yarn: Woolens & Nosh SW Targhee Sock in the colorway Sum-Sum-Summertime Pattern: OMG Heel Socks by Megan Williams ($5 knitting pattern available on Ravelry) Needles: US 1.5 (2.5 mm) Ravelry Project Page About the Colorway- thinner stripes- 2 colors of aqua, lime green, pink and an orange/peachy yellow. CC mini in lime Total for Stash Dash: 293.3 meters   Stash Dash Total for this episode: 8,715.2 meters   On the Needles, Hook or Bobbins   Hot pink spinning Fiber: Mountain Vewe Coopworths Fiber in hot pink (no specific colorway name)- three 4oz bumps Ravelry Project Page Twist direction: singles = Z plied = S This means when I'm spinning, my wheel is spinning clockwise and when plying my wheel is moving counter-clockwise. Progress: ~1/2 way through first bump. 1st bobbin full and the second is started I've now spun in July and August so I've only missed 2 months so far this year.   Log Cabin Blanket Pattern: Log Cabin Square by Julie Harrison. Free crochet pattern available on Ravelry. Video tutorial available on the Little Woollie Makes YouTube Channel Yarn: Legacy Fiber Artz Minis (mostly from Advent calendars 2023 & 2024) Hook: I (5.5 mm) Ravelry Project Page Inspired by Rachel (treehousefiberarts on Instagram) and Sue & Chelsea (Legacy Fiber Artz on Instagram). Check out the Floss Toss Ravelry Group for details on their Scrappy Blanket CAL. Ends December 21st (but you don't have to finish. 2 prize drawings will be done). My color placement is inspired by this project/pattern available on Ravelry.     From the Armchair   Famous Last Words by Gillian McAllister. Amazon Affiliate Link. My Friends by Fredrik Backman. Amazon Affiliate Link.   Note: Some links are listed as Amazon Affiliate Links. If you click those, please know that I am an Amazon Associate and I earn money from qualifying purchases.   Knitting in Passing   I shared a story about a little girl in the nail salon who asked her mom if they could come talk to me because she wants to learn to knit.   In My Travels Travel packing tips Packing cubes- here's an Amazon affiliate link to the set I purchased 6 years ago and still love! I always pack some clothes pins/ metal or wood that I use for snacks/drink mix pouches and/or to keep curtains closed in hotel. I have a standard packing list in Evernote that I customize for each trip. It saves so much time and frustration. Pack a travel power strip- to keep all of those chraging cords in one place (also less likely to leave one behind) Knitting project approach At least 2 socks/stockinette hats for waiting, sitting etc. A project that occupies my brain and makes a long flight go by easier. Queue the audiobooks & download podcasts   KAL News   Splash Pad Final Winners were announced!   Pigskin Party '25 Sponsor Sign Up is Open- click here for details Key Dates: Registration starting Thursday August 20, 2025 KAL Starts- Thursday September 4, 2025 KAL Ends- Monday February 9, 2026 Form Teams- starting Monday August 25, 2025 Virtual Kick Off- Friday September 5 & Saturday September 6   Ask Me Anything   Tune in to hear the answers to these questions: Pat- loonyhiker asked: I know you have probably told this before, but I'd love to hear how you and your honey met. I also would love to hear how your parents met. (bonus audio of my parents talking about this by the pool in 2017) Sandy, sjh801 asked:  Favorite children's book? Both as a child and now as an adult. Children's Book (purely for sentimental reasons): Walk Rabbit Walk by Colin McNaughton. Amazon Affiliate Link. Hardcover available for ~$20 & paperback for around $7 Adult book: Pillars of the Earth by Ken Follett. Amazon Affiliate Link.John Lee does the audiobooks for what is now this series of books. Book 1 of 5 now in this series. I love them all. Dianne, woohoogirl asks: Do you have a Dream project that you'd really like to make that you just haven't made the time, or plans, for yet? The Traveler by Andrea Mowry ($9 knitting pattern available on Ravelry & the Drea Renee Knits website). This may be my favorite version:a handspun Traveler knit by Emily Curtis. Check out her Instagram post. Click here for a post about the handspun yarn Carrie, Gooberdawn asks: Do you have a project you have created that you feel most proud of? If so, which one and why? ETA: it doesn't have to be yarn-related. Laura, LauraKnitsPA asks: What is one book you would read over and over, and one movie you would watch over and over? Book- The Invisible Life of Addie LaRue by V.E. Schwab. Amazon Affiliate Link Movie: You've Got Mail Dani, stitchintime82-  Any updates on designing? I've enjoyed your patterns and am wondering if you have any plans to make more patterns.   On a Happy Note I was able to get my Apple watch to charge again after I thought it was dead. Oikos yogurt shake/drinks with 23g of protein. My friend Nathan had a heart and kidney transplant just over 1 year ago. He's still learning to walk again after ECMO caused major nerve damage in his legs- and we just went to see the musical he directed. Sometimes this world feels so dark right now but this made me incredibly happy. The night we had tickets for the show, we lost power, so we made it a full date night and went for dinner too. A visit from my cousin Gayle. We enjoyed a great pool day on Sunday and dinner in our town Monday night followed by a walk along the harbor. Gayle chose Mom's Trickle shawl as the item she wanted of hers. I took a photo of her and Google photos turned it into a pop-out. Trickle Shawl- Ravelry | LoveCrafts I gifted Gayle the pair of Stranger Things 2 socks from DVD as an early birthday gift and she sent me a cute photo of her wearing them the next morning. Great customer service from an Etsy maker to order pins. I had fun putting together photos Millie, Teaghan and Rhiannon asked me to take a couple weekends ago at the pool of them jumping off the diving board and making their bodies into the shape of the letters of the alphabet. Fun memories!   Quote of the Week “It's not hotels and nightclubs I crave, or even spectacular beaches -- it's isolation and solitude, time away from the human world and a chance to measure life on a different kind of yardstick.” ― Peter S. Adler   ------ Thank you for tuning in. Remember show notes for this episode can be found at www.downcellarstudio.com/# If you have a moment to leave a review on Apple Podcasts, I'd greatly appreciate it. I can be found on Ravelry as BostonJen and I'd love it if you came over to join our lively and engaged Down Cellar Studio Ravelry Group. Check me out on Instagram at BostonJen1 if you want to see what I'm up to between episodes. Check out my Down Cellar Studio YouTube Channel Email me at downcellarstudio@gmail.com   For website: Thank you for tuning in!   Contact Information: Check out the Down Cellar Studio Patreon! Ravelry: BostonJen & Down Cellar Studio Podcast Ravelry Group Instagram: BostonJen1 YouTube: Down Cellar Studio Facebook: https://www.facebook.com/downcellarstudio Sign up for my email newsletter to get the latest on everything happening in the Down Cellar Studio Check out my Down Cellar Studio YouTube Channel Knit Picks Affiliate Link Bookshop Affiliate Link Yarnable Subscription Box Affiliate Link FearLESS Living Fund to benefit the Blind Center of Nevada Music -"Soft Orange Glow" by Josh Woodward. Free download: http://joshwoodward.com/ Note: Some links are listed as Amazon Affiliate Links. If you click those, please know that I am an Amazon Associate and I earn money from qualifying purchases.  

When to Say Enough. The Difficulty of Recognizing Futility in the Patient on ECMO.

In this episode, Dr. Sergio Zanotti discusses ECPR–Extracorporeal Cardiopulmonary Resuscitation. ECPR is still be considered a niche therapy, but its relevance and availability are increasing. He is joined by Dr. Adam Green, a practicing intensivist at Cooper University Health Care and an Associate Professor of Medicine at Cooper Medical School of Rowan University (CMSRU). Dr. Green is the director of research for the division of Critical Care and has authored over 50 peer-reviewed publications. He has been part of the ECMO team at Cooper since its inception. Additional resources: Extracorporeal cardiopulmonary resuscitation for refractory cardiac arrest. The Lancet Respiratory Medicine 2025: https://www.sciencedirect.com/science/article/pii/S2213260025001225 Effect of Intra-arrest Transport, Extracorporeal Cardiopulmonary Resuscitation, and Immediate Invasive Assessment and Treatment on Functional Neurologic Outcome in Refractory Out-of-Hospital Cardiac Arrest. JAMA 2022: https://jamanetwork.com/journals/jama/fullarticle/2789313 Association between increasing institutional experience with ECPR and outcomes in patients with out-of-hospital cardiac arrest: A nationwide multicenter observational study in Japan (the JAAM–OHCA registry) RESUSCITATION 2025: https://www.resuscitationjournal.com/article/S0300-9572(24)00862-1/fulltext Early Extracorporeal CPR for Refractory Out-of-Hospital Cardiac Arrest. N Eng J of Med 2023: https://www.nejm.org/doi/full/10.1056/NEJMoa2204511 Books mentioned in this episode: The Perfect Predator: A Scientist's Race to Save Her Husband from a Deadly Superbug. By S. Strathdee and T Patterson: https://amzn.to/3Hxjmez

Massive Hemorrhage of an ECMO Patients - Requiring Six Full MTP's

Join us for a continuation of our conversation with perfusionist Jordan Brimhall and Brandon Lowe, RRT, NPS, lead ECMO specialist at Emory in Atlanta. We discuss multidisciplinary collaboration in pediatric ECMO programs. Hosts: Deanna Todd Tzanetos, MD, MSCI (Norton Children's/UofL) and Chris Knoll, MD (Phoenix Children's). Guests Jordan Brimhall MS, CPP, FPP (Phoenix Children's) Brandon Lowe, RRT, NPS (Emory) Editing/Production (Deanna Todd Tzanetos, MD, MSCI)

Contributors: Col. (Dr.) Stacy Shackelford Dr. Sean Keenan Paramedic Alan Moreland Dr. Chris Tems Kara Napolitano From military-inspired trauma protocols to behavioral health alternatives and cardiac resuscitation, EMS is evolving fast. Our Medical Minutes from EMSAC highlight the growing need for prehospital providers to think critically, act quickly, and adapt to new approaches in trauma, crisis response, and patient advocacy. Educational Pearls: What was covered & recorded at EMSAC 2024 by EMM? Col. (Dr.) Stacy Shackelford, U.S. Air Force trauma surgeon and Director of the Joint Trauma System, emphasized the critical importance of early hemorrhage control and timely transfusions in prehospital trauma care. She highlighted military studies showing that interventions within 30 minutes can dramatically increase survival, underscoring the value of rapid response and frontline readiness. Dr. Sean Keenan, retired Army emergency physician and EMS doctor, introduced the concept of prolonged field care—managing critically injured patients in environments where evacuation is delayed. He discussed how this model, developed in the military, is now being taught to civilian EMS providers in rural areas. Paramedic Alan Moreland from Denver's STAR Program (Support Team Assisted Response) explained how alternative response teams, pairing paramedics with clinical social workers, are reshaping how we respond to behavioral health emergencies, reducing reliance on police or ambulance transport and focusing on trauma-informed care. Dr. Chris Tems, an emergency physician working with ECMO (extracorporeal membrane oxygenation), shared data on using ECMO for refractory cardiac arrest. With a survival rate of 87.5% in select emergency department cases, he highlighted ECMO's growing role in cardiac resuscitation for patients not responding to CPR. Kara Napolitano, of the Laboratory to Combat Human Trafficking, outlined the role EMS plays in recognizing human trafficking. She offered key indicators to look for and encouraged providers to stay alert to the signs of exploitation, emphasizing EMS's role in early intervention.   Recorded by: Steven Fujaros, Brian Parga, & Ahmed Abdel-Hafiz Summarized by: Steven Fujaros

In episode 247 of Outside the Round, host Matt Burrill sits down with the legendary Colt Ford for a raw, reflective, and inspiring conversation. Colt opens up about surviving a life-threatening health scare, his journey back to the stage, and how it's deepened his appreciation for music and life. From the early days of blending country and hip-hop to collaborating with artists like Brantley Gilbert, Colt shares stories of hustle, heartbreak, and hard-earned success. They dive into the power of staying authentic, building a loyal fanbase without chasing trends, and the pride Colt feels seeing artists he helped mentor thrive today. With new music in the works, renewed purpose, and a lifetime of stories, Colt proves he's not just back—he's better than ever. Follow on Social Media:Colt Ford (Guest): @coltfordmusic Matt Burrill (Host): @mattburrilll Outside The Round (Podcast): @outsidetheround Raised Rowdy (Network): @raisedrowdy   Chapters (00:00:00) - Colt Ford on CMA Fest(00:02:59) - Gavin at his last ever concert(00:06:21) - Cole Ford on Starting His Own Label(00:10:07) - Brentley on his New Album(00:13:09) - Cole Ford on His Contribution to the Music(00:16:32) - Charlie Daniels on His Comments About His Career(00:20:22) - Colton Ford on His Love for Jamie Johnson(00:24:28) - Walker Hayes on Winning a Grammy(00:26:53) - Jason Aldean on His Mental Health(00:30:33) - Luke on His Recovery From COVID(00:34:21) - Tyler Ford on His Mental Health(00:37:21) - Brantley on Falling Down On The Cruise(00:42:15) - Chris Jansen on ECMO(00:46:15) - Colt Ford on His Fight(00:50:21) - Living on a Heart Surgery Ward(00:53:23) - Colt Ford on His Condition in the Hospital(00:56:37) - David Bowie on His Time in the Dark(00:57:05) - Toby Keith on His Icon status(01:00:24) - Eddie on His Heart Surgery(01:04:36) - Bob Rock on His Cancer Treatment(01:08:33) - Brantley on His Brother's Hospitalization(01:12:13) - Brantley on The Tattoos Tour(01:15:43) - Ric Flair Thanks His Crew(01:18:11) - Colt Ford on His New Music(01:21:49) - Taylor Phillips(01:22:35) - Jay Webb on his New Album(01:24:57) - Colt Jones on His New Album(01:28:45) - Don Lewis Played at Country Concert(01:31:25) - Colt Ford on His New Music

A severely ill Flu A patient, fully intubated, and fighting for every breath requires the AMPED team for transport for possible ECMO. Under even the best of circumstances, this type of patient requires extensive care and presents many challenges. But what happens when extreme weather causes problems with the team's equipment, making care even more challenging? Find out how our team dealt with and overcame these challenges to help ensure our patient's recovery and survival.   Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:   Matt Johnson, NRP Flight Paramedic     Anna Schmick, BSN, RN, CFRN Flight Nurse    Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

In this week's Article On-the-Go, Lindsey Joyce, MSN, RN, CNOR, shares a humorous glimpse into her experiences as a nurse on call in the CVOR. Known among her colleagues for her “black cloud” reputation, Lindsey recounts rushing into ECMO emergencies in the middle of the night, sometimes in pajamas or flip flops, with no time to spare and lives on the line. She captures the organized chaos of setting up lifesaving procedures outside the OR, the importance of rapid teamwork, and the reality that in moments like these, appearance and routine take a back seat to the urgency of patient care. ----- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #operatingroom #ornurse #scrubtech #surgery #perioperative

Stressful events can hijack cognition, cloud judgment, and leave emotional residue that can fuel long-term burnout. For acute care clinicians, those moments of emotional overwhelm, when heart rate spikes and the thinking brain goes offline, can have consequences that last far beyond the shift. While long-term resilience is essential, it's often the just-in-time strategies that determine whether we break down or rise to the moment. In this episode, we explore the physiology and psychology of real-time emotional regulation with Scott Weingart, MD, co-creator of the Beat the Stress Fool protocol. Finally, we uncover how practices like gratitude flooding and negative visualization can inoculate against burnout and offer emotional integrity in the most harrowing moments of care.

In this episode of the Zambezi Belle podcast, Sharon Chipamba shares her incredible journey of battling COVID-19 while pregnant, her miraculous recovery, and the profound impact of faith and community support during her trials. She discusses her experiences with IVF, the challenges of motherhood, and the importance of finding peace and purpose in life. Sharon's testimony serves as a reminder of resilience, the power of prayer, and the miracles that can emerge from difficult circumstances.Takeaways:- Sharon's journey through COVID-19 while pregnant was filled with challenges and miracles.- The importance of community support during difficult times cannot be overstated.- Faith played a crucial role in Sharon's recovery and perspective on life.- Sharon's experience with IVF highlights the emotional and physical toll of fertility struggles.- The power of prayer was evident in Sharon's recovery process.- Sharon's testimony emphasizes the significance of finding peace amidst chaos.- Building a home while pregnant and sick tested Sharon and her husband's relationship.- Sharon's daughter is a living testament to God's miracles and love.- The journey of motherhood is filled with ups and downs, but it's rewarding.- Sharon's story encourages others to cultivate their relationship with God.#Sharon Chipamba, #COVID-19, #pregnancy, #testimony, #faith, #ECMO, #motherhood, #resilience, #prayer, #miracles #christianencouragement #christianmotivation #christianfaith #faithjourney #ivf #ivfjourney #ivfsuccess #infertility #trustgod

Learning Objectives:By the end of this series, listeners should be able to discuss:The physiologic rationale supporting the use of airway pressure release ventilation (APRV) in ARDS. The patient populations most likely to benefit from APRV.Key published evidence that informs our use of APRV in critical care.An expert approach to managing a patient with APRV.Next steps in research that will direct our understanding of the use of APRV in pediatric critical care.About our Guest: Dr. Palen Mallory is an assistant professor of pediatrics at Duke University and a pediatric intensivist at Duke Children's Hospital. She completed medical school at Virginia Commonwealth University, a pediatric residency at Emory University, and a critical care fellowship at Vanderbilt University. She is interested in respiratory care research, including ECMO, respiratory failure, and ARDS.Selected References:Mallory, P., & Cheifetz, I. (2020). A comprehensive review of the use and understanding of airway pressure release ventilation. Expert Review of Respiratory Medicine, 14(3), 307–315. https://doi.org/10.1080/17476348.2020.1708719Frawley, P. M., & Habashi, N. M. (2004). Airway pressure release ventilation and pediatrics: Theory and practice. Critical Care Nursing Clinics of North America, 16(3 SPEC. ISS.), 337–348. https://doi.org/10.1016/J.CCELL.2004.04.003Fredericks, A. S., Bunker, M. P., Gliga, L. A., Ebeling, C. G., Ringqvist, J. R. B., Heravi, H., Manley, J., Valladares, J., & Romito, B. T. (2020). Airway Pressure Release Ventilation: A Review of the Evidence, Theoretical Benefits, and Alternative Titration Strategies. Clinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine, 14. https://doi.org/10.1177/1179548420903297APRV Guideline - EMCrit Project. (n.d.). Retrieved March 30, 2025, from https://emcrit.org/squirt/aprv/Andrews P, Shiber J, Madden M, Nieman GF, Camporota L, Habashi NM. Myths and Misconceptions of Airway Pressure Release Ventilation: Getting Past the Noise and on to the Signal. Front Physiol. 2022 Jul 25;13:928562. doi: 10.3389/fphys.2022.928562. PMID: 35957Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.

Learning Objectives:By the end of this series, listeners should be able to discuss:The physiologic rationale supporting the use of airway pressure release ventilation (APRV) in ARDS. The patient populations most likely to benefit from APRV.Key published evidence that informs our use of APRV in critical care.An expert approach to managing a patient with APRV.Next steps in research that will direct our understanding of the use of APRV in pediatric critical care.About our Guest: Dr. Palen Mallory is an assistant professor of pediatrics at Duke University and a pediatric intensivist at Duke Children's Hospital. She completed medical school at Virginia Commonwealth University, a pediatric residency at Emory University, and a critical care fellowship at Vanderbilt University. She is interested in respiratory care research, including ECMO, respiratory failure, and ARDS.Selected References:Mallory, P., & Cheifetz, I. (2020). A comprehensive review of the use and understanding of airway pressure release ventilation. Expert Review of Respiratory Medicine, 14(3), 307–315. https://doi.org/10.1080/17476348.2020.1708719Frawley, P. M., & Habashi, N. M. (2004). Airway pressure release ventilation and pediatrics: Theory and practice. Critical Care Nursing Clinics of North America, 16(3 SPEC. ISS.), 337–348. https://doi.org/10.1016/J.CCELL.2004.04.003Fredericks, A. S., Bunker, M. P., Gliga, L. A., Ebeling, C. G., Ringqvist, J. R. B., Heravi, H., Manley, J., Valladares, J., & Romito, B. T. (2020). Airway Pressure Release Ventilation: A Review of the Evidence, Theoretical Benefits, and Alternative Titration Strategies. Clinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine, 14. https://doi.org/10.1177/1179548420903297APRV Guideline - EMCrit Project. (n.d.). Retrieved March 30, 2025, from https://emcrit.org/squirt/aprv/Andrews P, Shiber J, Madden M, Nieman GF, Camporota L, Habashi NM. Myths and Misconceptions of Airway Pressure Release Ventilation: Getting Past the Noise and on to the Signal. Front Physiol. 2022 Jul 25;13:928562. doi: 10.3389/fphys.2022.928562. PMID: 35957Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.

In this episode of the Winners Find A Way show, host Trent M. Clark sits down with Tino Dietrich, a German-born entrepreneur and COVID survivor, to explore how hitting rock bottom physically can ignite a new path toward purpose, clarity, and entrepreneurial rebirth. After being placed on ECMO during a severe battle with COVID-19, Tino faced a near-death experience that completely changed the trajectory of his life. He dropped 90 pounds, found joy and purpose in golf, and launched Snyders Golf USA—a thriving business born from his second chance. Now, Tino's on a mission to help others “unfog” their own lives through his upcoming book, Unfogged. If you've ever faced life's biggest challenges and wondered how to rebuild with purpose, honesty, and fire in your belly, this episode is your blueprint.

In this episode, Dr. Sergio Zanotti focuses on the nuances of mechanical ventilation in patients with severe asthma. Previously, he explored the medical management of acute asthma exacerbations. Today, he takes a deeper dive into ventilatory strategies tailored to this high-risk population. He's joined by Dr. Emily Damuth, a dual-trained emergency medicine and critical care physician. Dr. Damuth is an Assistant Professor of Medicine and Emergency Medicine at Cooper Medical School of Rowan University and practices clinically in both the Emergency Department and Intensive Care Unit at Cooper University Hospital in Camden, New Jersey. She is also an Assistant Program Director for the Critical Care Medicine Fellowship and is actively involved in the ECMO program. A passionate educator, she teaches mechanical ventilation through lectures and simulation and has received multiple teaching awards for her contributions to medical education. Additional resources: Links: Management of Life-Threatening Asthma. O. Garner, et al. CHEST 2022; https://pubmed.ncbi.nlm.nih.gov/35218742/ Extracorporeal Membrane Oxygenation for Refractory Asthma Exacerbations With Respiratory Failure. J. Zakrajsek, et al. CHEST 2023: https://pubmed.ncbi.nlm.nih.gov/36191634/ Ventilator Graphics and Respiratory Mechanics in the Patient With Obstructive Lung Disease. R. Dhand. Respiratory Care 2005: https://pubmed.ncbi.nlm.nih.gov/15691394/ Books mentioned in this episode: Seabiscuit: An American Legend. By Laura Hillenbrand: https://bit.ly/3EY24pJ Pisto: The Life of Pete Maravich. By Mark Kriegel: https://bit.ly/3GIarq6 Good Inside: A Practical Guide to Resilient Parenting Prioritizing Connection Over Correction. By Becky Kennedy: https://bit.ly/4iSTnes