Podcasts about ecmo

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.  

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

Witam Państwa, nazywam się Jarosław Drożdż, pracuję w Centralnym Szpitalu Klinicznym Uniwersytetu Medycznego w Łodzi, skąd nagrywam podcast Kardio Know-How. W tym odcinku mikrofon oddajemy grupie zdolnych rezydentów z Kliniki Kardiologii Uniwersyteckiego Szpitala Klinicznego we Wrocławiu.W tym odcinku podcastu lek. Daiwa Wilczewska przedstawia przypadek 34-letniego pacjenta, który doznał pozaszpitalnego zatrzymania krążenia w trakcie akupunktury – mechanizmem była migotanie komór, a leczenie podjęto w ramach programu WOHCA z zastosowaniem ECMO. Diagnostyka wykazała dysjunkcję pierścienia mitralnego oraz wypadanie płatków mitralnych, przy braku włóknienia i zmian zapalnych w rezonansie serca, co zasugerowało arytmogenny zespół związany z dysjunkcją. Pacjent został zabezpieczony podskórnym kardiowerterem-defibrylatorem, a 10 miesięcy później doszło do kolejnego epizodu migotania komór skutecznie przerwanego przez urządzenie. Źródło arytmii zlokalizowano w okolicy mięśni brodawkowatych lewej komory i przeprowadzono skuteczną ablację z użyciem mapy elektroanatomicznej i echokardiografii wewnątrzsercowej. W aktualnych wytycznych leczenie farmakologiczne w tego typu przypadkach pozostaje ograniczone, a postępowanie powinno być indywidualizowane, z uwzględnieniem możliwości zastosowania chinidyny w wybranych sytuacjach. Obecnie pacjent pozostaje pod obserwacją, bez nawrotu arytmii, co daje nadzieję na długoterminową stabilizację. Szczegółowy TRANSKRYPT do odcinka.Podcast jest przeznaczony wyłącznie dla osób z profesjonalnym wykształceniem medycznym.

En agosto se cumple un año desde que el Servicio Extremeño de Salud incorporase la unidad ECMO móvil. Una técnica de sopote vital que permite mantener la función circulatoria de pacientes con insuficiencia respiratoria o cardíaca aguda. En el Hospital Universitario de Badajoz han hecho un balance muy positivo de su primer año de actividad.Escuchar audio

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 St Emlyn's Podcast, Iain Beardsell and Simon Carley revisit January's  blog posts and podcasts, covering several seminal studies relevant to emergency and pre-hospital care. Topics include the Sub 30 Feasibility Study on pre-hospital ECMO, comparisons of pre-hospital versus in-hospital emergency anaesthesia, variations in maintenance of pre-hospital anaesthesia in trauma patients, and the effectiveness of physician-led pre-hospital teams. They also discuss the economic implications of advanced pre-hospital interventions and highlight reviews from the London Trauma Conference. 00:00 Introduction and January Recap 01:58 Pre-Hospital ECPR Study: The Sub 30 Study 07:09 Emergency Anaesthesia: Pre-Hospital vs. Emergency Department 13:55 Maintenance of Pre-Hospital Anaesthesia: Variations in Practice 16:57 Physician-Led Pre-Hospital Teams: Do They Improve Outcomes? 22:12 Additional Insights and Upcoming Content

當金曲歌后徐佳瑩發現在 Uber Eats 上（應該）都點得到，居然狂點一波！雖然點不到白馬和失落沙洲，但香水、辣椒或其他吃的用的都點得到～快上 Uber Eats 想要的都點點看⮕ https://fstry.pse.is/7jpjda —— 以上為 KKBOX 與 Firstory Podcast 廣告 —— **面對美英即將敲定汽車關稅調降協議，日本首相石破茂 5 月 11 日在富士電視台節目中表態強硬，針對日美間的關稅談判，他明言日本政府「一直要求取消關稅」，並不會接受「10% 就滿足」的論調。石破茂強調，雖然美英協議可被視為模式參考，但日方追求的是實質性取消，而非象徵性調整。石破茂進一步表態，日本在對美談判中將堅守農業底線，明言「不會為了汽車而犧牲農業」。他指出，近期國內大米價格上漲，政府將視情況考慮增加進口作為穩定糧價的選項之一，但這並不意味著開放市場的單向讓步，而是整體大米政策需重新檢討，包含提升農戶收入與國內競爭力。 **日本前經濟產業大臣西村康稔睽違多年訪台，受訪談及最難忘行程，他秒答「足底按摩」，雖然痛得令人想尖叫，但真的能消除疲勞，遺珠則是未能如願嚐到台南著名牛肉湯，希望有機會帶家人再次來台旅遊。被問及本次訪台目的，西村康稔說明，他擔任新冠疫情應對大臣時，從台灣收到口罩、葉克膜（ECMO）、血氧機等支援，受到極大幫助；而他在經產大臣任期內推動台積電進駐熊本的招商工作，台灣也提供支援，想藉此行表達感謝之意，此行也是為了要強化供應鏈的韌性。 **日本前經濟安全保障擔當大臣高市早苗，持續推動經濟安全保障，加上首相石破茂支持率下降，近來聲勢看漲。夏季東京都議會和參議院選舉結果，將是日本能否出現女首相的觀察重點。身為日本前經濟安全保障擔當大臣，高市當然十分關注安保相關議題，在去年7月出版的《日本的經濟安全保障——守護國家國民的黃金法則》一書中，她從強化供應鏈韌性、選定特定重要物資、加強安全查核制度等各種角度，來喚起日本國民注意。在台灣，她也特別強調安保，尤其是經濟安保的重要性。 #寶島聯播網 #寶島全世界 #矢板明夫 #陳文甲 #石破茂 #高市早苗 #西村康稔 #萬國博覽會 #台灣館 ❤️歡迎訂閱、收看、收聽，按讚、分享 【版權屬寶島聯播網所有，未經授權，不得轉載、重製，有需求請來信告知】 小額贊助支持本節目： https://open.firstory.me/user/clw4248xv113d01wg7s4h2xnq 留言告訴我你對這一集的想法： https://open.firstory.me/user/clw4248xv113d01wg7s4h2xnq/comments Powered by Firstory Hosting

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 of Deep Cuts: Exploring Equity in Surgery, Dr. Carmelle Romain and Dr. Kylie Callier provide an overview of the field of pediatric surgery. We cover key aspects of pediatric surgery, from common pediatric conditions to the factors that attract surgeons to the subspecialty. We also examine which populations of children lack access to surgery, and the reasons behind these barriers.  Finally, we highlight what the University of Chicago is doing to improve access for children and parents in Chicago's South Side. Dr. Carmelle Romain is a pediatric surgeon and Assistant Professor in the Department of General Surgery. She attended medical school at Brown University and completed her residency and fellowship training at Vanderbilt University and Miami Children's Hospital. In addition to her clinical practice, Dr. Romain is an active researcher examining how telehealth can expand access for pediatric patients.Dr. Kylie Callier is a 3rd-year surgery resident at UChicago Medicine and a fellow at the Maclean Center for Clinical Medical Ethics. She is an aspiring pediatric surgeon and attended medical school at Texas Tech University. Her research interests include pediatric trauma and pediatric ECMO, a life-supporting treatment for critically ill children with heart and/or lung failure. Deep Cuts: Exploring Equity in Surgery comes to you from the Department of Surgery at the University of Chicago, which is located on Ojibwe, Odawa and Potawatomi land.Our executive producer is Tony Liu. Our senior producers are Alia Abiad, Caroline Montag, and Chuka Onuh. Our production team includes Megan Teramoto, Ria Sood, Ishaan Kumar, and Daniel Correa Buccio. Our senior editor and production coordinator is Nihar Rama. Our editorial team also includes Beryl Zhou. The intro song you hear at the beginning of our show is “Love, Money Part 2” from Chicago's own Sen Morimoto off of Sooper Records. Our cover art is from Leia Chen.A special thanks this week to Dr. Jeffrey Matthews — for his leadership, vision, and commitment to caring for the most vulnerable in our communities. Let us know — what have you most enjoyed about our podcast. Where do you see room for improvement? You can reach out to us on Instagram @deepcutssurgery. Find out more about our work at deepcuts.surgery.uchicago.edu.

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

Send us a textToday we dive into the life-saving (and often intimidating!) technology known as ECMO. Written by: Dr. Pavan Malhi (Internal Medicine Resident)Reviewed by: Dr. Liang Chen (General Internist & Critical Care Medicine Fellow) & Dr. Jed Lipes (Intensivist, General Internist)Support the show

In this month's episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. Jose Fernandes from the Department of Clinical Perfusion at Royal Papworth Hospital, Cambridge, UK, about extracorporeal membrane oxygenation (ECMO). Chapters 00:00 Introduction 01:47 History 04:46 Basics 09:58 Circuit 14:09 Cannulation 22:44 Indications for Use 28:14 VV ECMO 32:18 VA ECMO 36:44 Monitoring 42:31 Complications 47:03 ECMO CPR 49:17 Trainee Tips 50:57 Guest Advice They discuss cannulation, general indications and contraindications, venovenous (VV) ECMO, venoarterial (VA) ECMO, peripheral VA ECMO, and central VA ECMO. They also explore monitoring, cardiac function monitoring in VA ECMO, complications, ECMO cardiopulmonary resuscitation (CPR), and important tips for trainees.   The Atrium is a monthly podcast presenting clinical and career-focused topics for residents and early career professionals across all cardiothoracic surgery subspecialties. Watch for next month's one-year anniversary episode with a very special guest.   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.

In this episode, Dr. Rahul Damania, Dr. Pradip Kamat, and Dr. Monica Gray dive into a critical case involving a five-week-old baby facing acute respiratory failure due to pertussis. They chat about how this condition shows up, how it's diagnosed, and the best ways to manage it, especially considering the serious complications it can cause in infants, like pulmonary hypertension and the potential need for ECMO. The conversation underscores the importance of catching it early and providing supportive care, while also highlighting how crucial vaccination is in preventing pertussis. Tune in to learn how severe this disease can be and why staying alert in pediatric care is so important.Show Highlights:Clinical case of a five-week-old infant with acute respiratory failure and pertussis diagnosisEpidemiology and public health impact of pertussis, including vaccination rates and outbreak patternsPathophysiology of pertussis and its effects on respiratory health, particularly in infantsClinical presentation of pertussis, including stages of the disease and atypical symptoms in infantsDiagnostic approaches for pertussis, including laboratory findings and PCR testingManagement strategies for severe pertussis, including supportive care and antibiotic therapyPotential complications associated with pertussis, especially in young infantsDifferential diagnosis considerations for pertussis and distinguishing features from other infectionsImportance of vaccination in preventing pertussis and reducing morbidity and mortalityECMO as a treatment option for severe cases and its associated challenges, and outcomesWe welcome you to share your feedback, subscribe & place a review on our podcast! Please visit our website picudoconcall.org.References:Fuhrman & Zimmerman - Textbook of Pediatric Critical Care Chapter and Rogers texbook of Pediatric intensive care -both do not have any Pertussis mentioned in their index.Rowlands HE, Goldman AP, Harrington K, Karimova A, Brierley J, Cross N, Skellett S, Peters MJ. Impact of rapid leukodepletion on the outcome of severe clinical pertussis in young infants. Pediatrics. 2010 Oct;126(4):e816-27. doi: 10.1542/peds.2009-2860. Epub 2010 Sep 6. PMID: 20819895.Lauria AM, Zabbo CP. Pertussis. [Updated 2022 Oct 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519008/Berger JT, Carcillo JA, Shanley TP, Wessel DL, Clark A, Holubkov R, Meert KL, Newth CJ, Berg RA, Heidemann S, Harrison R, Pollack M, Dalton H, Harvill E, Karanikas A, Liu T, Burr JS, Doctor A, Dean JM, Jenkins TL, Nicholson CE; Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Collaborative Pediatric Critical Care Research Network (CPCCRN). Critical pertussis illness in children: a multicenter prospective cohort study. Pediatr Crit Care Med. 2013 May;14(4):356-65. doi: 10.1097/PCC.0b013e31828a70fe. PMID: 23548960; PMCID: PMC3885763.Cousin, V.L., Caula, C., Vignot, J. et al. Pertussis infection in critically ill infants: meta-analysis and validation of a mortality score. Crit Care 29, 71 (2025). https://doi.org/10.1186/s13054-025-05300-2Domico M, Ridout D, MacLaren G, Barbaro R, Annich G, Schlapbach LJ, Brown KL. Extracorporeal Membrane Oxygenation for Pertussis: Predictors of Outcome Including Pulmonary Hypertension and Leukodepletion. Pediatr Crit Care Med. 2018 Mar;19(3):254-261. doi:...

In this episode, Dr. Valentin Fuster dives into the complex and high-stakes world of cardiogenic shock, spotlighting new clinical trials, expert consensus guidance, and cutting-edge insights from machine learning. From evaluating the impact of intra-aortic balloon pumps to rethinking mechanical support strategies, the episode delivers a powerful update on one of cardiology's most urgent challenges.

The ACGME is planning to add a year to Emergency Medicine residency training. Emergency medicine stands at a crossroads.  Should EM residency training be standardized at four years?On the show today are three Emergency Medicine residency program directors.  Together, we discuss the history of 3- vs. 4-year EM programs, the evolving demands of emergency medicine, and what a fourth year could mean for future physicians, the healthcare system, and the patients we serve. From rural workforce implications to the shifting landscape of ultrasound, addiction medicine, and EMS, we discuss the nuances of a moment of transformation in medical training.We close the episode with a reading of Roald Dahl's powerful and heartbreaking essay on vaccine-preventable illness, and a sobering look at the 2025 resurgence of measles and pertussis.Sameer Desai is the program director for the EM residency at UK and was previously the associate and an assistant EM residency program director.Chris Belcher is the associate program director for UK EM.  After residency, he spent 4 years in active duty Air Force service in San Antonio working with Air Force and Army EM residents and flying ICU and ECMO patients around the world.Blake Davidson is an assistant program director for UK EM.  After residency, he spent a year completing an EMS fellowship in Alabama. He also serves as the Medical Director of UK Transport.***********If you have any feedback, show/interview recommendations, or want to collaborate on the show, please reach out!Email: Tama.TheMDM@gmail.comInstagram: TheMDM.podcastTwitter: theMDMpodcast***********Host: Tama Thé | Pediatric Emergency MedicineProducer: Melissa Puffenbarger | Pediatric Emergency MedicineCommunications Director: Katrianna Urrea | MD CandidateMusic: Spencer Brown

It's well known that many of the problems we encounter on a daily basis in medicine are related to ineffective communication. When caring for the critically ill, it's vital that such lapses in communication are minimized. Join us along with Genae Christensen- a current MS-2, active critical care flight nurse and prior ECMO program coordinator as we delve into some important communication pitfalls and pearls. We will cover topics such as the authority gradient and how to navigate that, where misunderstandings may stem from, and how using structured communication systems may help you stay out of trouble. Give us a listen, let us know YOUR thoughts, share the show with your friends, and leave us a review! Hosted on Acast. See acast.com/privacy for more information.

In this episode, Dr. Kristen Nordenholz breaks down some of the causes and differential for right heart failure in EM. This ties in with the prior podcast from CoACEP with Dr. Tems talking about the indications for ECMO.

In this month's episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. Thomas D'Amico about VATS lobectomy. Chapters 00:00 Introduction 01:47 Background 04:11 Indications 04:51 Preoperative Assessment 07:12 Setup 08:21 Patient Positioning 11:26 Basics 13:36 D'Amico's Port Placement 16:46 Uniportal 22:03 Steps 22:44 Anterior-Posterior Order 25:45 Anatomy 26:45 Instruments 30:54 Pleural Dissection 31:33 Inferior Pulmonary Ligament 31:39 Pulmonary Vein 32:01 Artery/Bronchus Dissection 33:38 Nodal Resection 36:25 Tips & Tricks 38:48 Specimen Removal 39:10 Closure 40:02 Postoperative Care 45:01 Outcomes 45:31 CT Surgery Training Advice They discuss the set-up, patient positioning, port placement, dissection of hilar structures, tips and tricks, and more. They also discuss preoperative assessment, nodal resection, specimen removal, closure, and outcomes.   The Atrium is a monthly podcast presenting clinical and career-focused topics for residents and early career professionals across all cardiothoracic surgery subspecialties. Watch for next month's episode on ECMO.   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.

Following the discussion on ECLS in AMI and cardiogenic shock, we go on to discuss eCPR for cardiac arrest specifically. This episode was recorded live at the Critical Care Canada Forum 2024 as part of our special series on cardiac intensive care. Our guest is Dr. Darryl Abrams, Associate Medical Director and Director of Research for the Medical ECMO Program at New York-Presbyterian/Columbia University. Dr. Abrams joins us for an in-depth discussion on the current state and future direction of extracorporeal cardiopulmonary resuscitation, or eCPR.We dive into the complex world of eCPR in refractory cardiac arrest, starting with a breakdown of the three landmark trials that have shaped the field: the ARREST trial, the Prague OHCA trial, and the INCEPTION trial. Each study offers a unique perspective, from the dramatic early findings of ARREST to the pragmatic design of Prague OHCA and the sobering multicenter outcomes of INCEPTION. A major theme throughout the episode is the role of system design. Dr. Abrams emphasizes the importance of minimizing low-flow time, rapid cannulation, and consistent team expertise—factors that can make or break the success of eCPR. We also explore the ethical and practical considerations that come with rolling out such a resource-intensive intervention, including the balance between innovation and equity. Is it fair that access to eCPR may depend on geography or institutional resources? And how do we make meaningful improvements in survival when only a few centers can offer this advanced care?The episode closes with a practical lens: how should clinicians approach building an ECMO program? What are the essential pieces that need to be in place before considering eCPR? And how do you select patients in a way that balances risk, benefit, and system capacity?Chapters:Introduction and guest welcomeSetting the scene: What is eCPR and why now?The ARREST trial: Small study, big impactThe Prague OHCA trial: Early randomization, broader populationThe INCEPTION trial: Multicenter reality and negative resultsComparing the evidence: Why do outcomes differ?Low-flow time and speed of cannulationThe role of meta-analyses and what they do (and don't) tell usOpportunity cost: What are we giving up to fund eCPR?Duration of support: How long is too long?Will there be another trial? Challenges of equipoiseBuilding a responsible eCPR programPatient selection: Who qualifies and why?Cannulation techniques and adjunct devicesSystem design: U.S. vs. Canada vs. U.K.Ethical concerns and access inequitiesGuidelines and final takeaways

Podcast summary of articles from the February 2025 edition of the Journal of Emergency Medicine from the American Academy of Emergency Medicine.  Topics include ECPR, supraglottic airway devices, environmental factors in out of hospital cardiac arrest, pediatric admissions, Bechet's disease, and auricular hematomas.  Guest speaker is Dr. John Bennison.

In this World Shared Practice Forum Podcast, Dr. Graeme MacLaren shares his expert insight on the outcomes of central versus peripheral cannulation techniques for Extracorporeal Membrane Oxygenation (ECMO) in pediatric patients with refractory septic shock as published in the February issue of Pediatric Critical Care Medicine. The discussion focuses on the implications of ECMO modality choices, the conditions affecting cannulation strategy, and how institutional resources can impact patient outcomes. LEARNING OBJECTIVES - Differentiate between central and peripheral venoarterial ECMO strategies in pediatric septic shock - Analyze key papers in the literature to provide context for decision-making around ECMO deployment in refractory septic shock - Identify factors influencing the success and outcome of ECMO in refractory pediatric septic shock cases - Apply considerations for patient selection and institutional resource availability in ECMO planning AUTHORS Graeme MacLaren, MBBS, MSc, FRACP, FCICM, FCCM, FELSO Director of Cardiothoracic Intensive Care, National University Hospital, Singapore Clinical Director of ECMO, National University Heart Centre, Singapore Adjunct Professor, Department of Surgery, National University of Singapore Past President, Extracorporeal Life Support Organization Jeffery 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: March 24, 2025. ARTICLES REFERENCED 1) MacLaren, Graeme MBBS, MSc, FELSO, FCCM. Cannulation Strategies for Extracorporeal Membrane Oxygenation in Children With Refractory Septic Shock. Pediatric Critical Care Medicine ():10.1097/PCC.0000000000003707, February 10, 2025. | DOI: 10.1097/PCC.0000000000003707 2) Totapally A, Stark R, Danko M, et al. Central or Peripheral Venoarterial Extracorporeal Membrane Oxygenation for Pediatric Sepsis: Outcomes Comparison in the Extracorporeal Life Support Organization Dataset, 2000-2021. Pediatr Crit Care Med. Published online January 23, 2025. doi:10.1097/PCC.0000000000003692 3) Schlapbach LJ, Chiletti R, Straney L, et al. Defining benefit threshold for extracorporeal membrane oxygenation in children with sepsis-a binational multicenter cohort study. Crit Care. 2019;23(1):429. Published 2019 Dec 30. doi:10.1186/s13054-019-2685-1 4) Bréchot N, Hajage D, Kimmoun A, et al. Venoarterial extracorporeal membrane oxygenation to rescue sepsis-induced cardiogenic shock: a retrospective, multicentre, international cohort study. Lancet. 2020;396(10250):545-552. doi:10.1016/S0140-6736(20)30733-9 TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/at/84gbxthfmhvp7v9fsnjb87mh/0320425_WSP_MacLaren_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. CITATION MacLaren G, Burns JP. Pediatric ECMO Cannulation Strategies in Refractory Septic Shock. 03/2025. OPENPediatrics. https://soundcloud.com/openpediatrics/pediatric-ecmo-cannulation-strategies-in-refractory-septic-shock-by-g-maclaren-openpediatrics.

In this episode of 3 Pie Squared - ABA Business Leaders, we welcome Melanie Thurston, a critical care nurse, author, and dedicated mother to a child with autism. Melanie shares her personal journey navigating the challenges of raising a child with autism, balancing professional life, and building strong caregiver relationships. She discusses the importance of supporting parents during the ABA intake process, reducing barriers for caregivers, and fostering collaboration between ABA providers and families. Melanie also touches on critical topics such as the impact on siblings, transitioning into adulthood, and the emotional journey parents face. Her heartfelt insights provide invaluable lessons for ABA business owners, clinicians, and caregivers striving to create meaningful, supportive relationships. About Our Guest: Melanie Thurston is a critical care nurse specializing in cardiovascular intensive care and ECMO life support. She is also an author, sharing her experiences as a parent of a child with autism to inspire and support other families navigating similar journeys. Her book, Mom, I'm Mater: My Life as an Autism Mom, provides a raw and heartfelt account of life as a special needs parent. Learn more about Melanie and her work at booksbymelaniethurston.com. Resources and Support:

In this episode of PICU DOC on Call, Dr. Rahul Damania and Dr. Pradip Kamat chat about a challenging case involving a 15-year-old girl dealing with acute myocarditis and worsening respiratory failure. They explore the intricate dance between the heart and lungs, especially how positive pressure ventilation can affect heart function. They cover important topics like cardiac output, preload, and afterload, and discuss the delicate balance needed to manage myocarditis effectively. The episode offers practical tips for optimizing care for critically ill children, underscoring the importance of personalized treatment plans and teamwork in pediatric critical care. Tune in!Show Highlights:Clinical case of a 15-year-old girl with acute myocarditis and respiratory failureImportance of understanding cardiopulmonary interactions in pediatric critical careEffects of positive pressure ventilation on cardiac functionKey concepts of cardiac output, preload, and afterload in the context of myocarditisChallenges of managing hemodynamic instability in critically ill pediatric patientsDifferences between spontaneous breathing and positive pressure ventilationStrategies for optimizing preload and fluid management in myocarditis patientsTailoring ventilatory support and transitioning to invasive mechanical ventilationMonitoring for arrhythmias and managing myocardial function with inotropic supportImportance of frequent assessments and collaboration with cardiac ICU teams for patient careManagement StrategiesOptimizing Preload:Volume depletion is common in patients with hypotension and tachycardia. A careful fluid challenge is important to restore circulatory volume, but fluid overload should be avoided, especially with impaired left ventricular function.Tailoring Ventilatory Support:Adjust BiPAP settings to improve oxygenation without overloading the heart with excessive positive pressures.Use the optimal level of PEEP to recruit alveoli while maintaining adequate venous return to the heart.Supporting Myocardial Function:Inotropic support (e.g., milrinone) may be necessary to improve myocardial contractility. Milrinone also provides vasodilation, which can reduce afterload but must be used cautiously due to its potential to lower blood pressure.Frequent Reassessments:Bedside echocardiography and regular monitoring of biomarkers (lactate, BNP) and clinical status are essential for ongoing evaluation.In severe cases, advanced therapies like ECMO may be required if the patient's hemodynamic status continues to deteriorate.

After 51 days of sedation and immobility in the ICU and on ECMO, Angela Leggett spent almost 2 decades battling post-ICU PTSD. She shares with us her journey and the impact of UCF Restores to give her a new chance at quality of life! UCF RestoresWww.DaytonICUConsulting.com

In this episode, we drop in on the Colorado ACEP Leadership Symposium with a talk by Dr. Chris Tems as he poses the question on whether ECMO is the future of EM cardiac arrest resuscitation.

In this episode, we start out with an RSI featuring intern Lauren Brown discussing obstructive sleep apnea and its anesthetic implications. Next, we talk to ECMO expert Mohsin Zaidi about resuscitation in the most challenging- and sometimes dramatic- circumstances.

“I was almost not here. In 2015, I was in a coma, on ECMO (life support). I was given last rites, my family told to let me go as doctors said they had done all they could. A prayer blanket was laid on me after my head was shaved and my brain scanned for activity. The prognosis? If I lived, I would probably be in a vegetative state, but that living probably would not happen as I had less than 1% chance of living.My CO2 level was over 200 (normal is 20-30). My blood was poison to myself. September 26 th, 2015 was one of my weekends to die. Family and friends came in from all over the world to continue prayers but realistically say “good-bye”. My daughter kept telling everyone I would live, which was treated as a faithful delusion.Now that I survived an unsurvivable situation, as a spiritual person, it inspired me to respect my body more and learn about our powerful bodies and spirit. This experience has strengthened my faith and has inspired me to pursue postgraduate studies, and complete a Doctoral degree in genetics and osteopathic medicine. I do believe we were created with the ability to heal or improve our bodies and overcome environmental issues which damage or change our DNA. I feel called to share my amazing story in order to help empower others spiritually and scientifically.I believe that when we all respect the earth and respect our bodies we have a winning symbiotic relationship.“God breathed life. The universe nourished. Man flourished.” - ELhttps://www.url1111.com/https://linktr.ee/lessthan1percent  https://www.pastliveshypnosis.co.uk/https://www.patreon.com/ourparanormalafterlife

Contributor: Aaron Lessen, MD Educational Pearls: Colchicine is most commonly used for the prevention and treatment of gout There is research investigating the anti-inflammatory and cardioprotective effects of colchicine  This drug has a narrow therapeutic index: a small margin between effective dose and toxic dose Colchicine overdoses can be unintentional or intentional and are associated with poor outcomes Phase 1: 10 - 24 hours after ingestion Patient looks well but may have mild symptoms mimicking gastroenteritis Phase 2: 24 hours - 7 days after ingestion Multiple organ dysfunction syndrome (MODS) Phase 3: recovery is usually within a few weeks of ingestion Treatment for colchicine overdose Treat early and aggressively Gastrointestinal decontamination with activated charcoal and orogastric lavage  Dialysis and ECMO for MODS treatment References Finkelstein Y, Aks SE, Hutson JR, Juurlink DN, Nguyen P, Dubnov-Raz G, Pollak U, Koren G, Bentur Y. Colchicine poisoning: the dark side of an ancient drug. Clin Toxicol (Phila). 2010 Jun;48(5):407-14. doi: 10.3109/15563650.2010.495348. PMID: 20586571. Gasparyan AY, Ayvazyan L, Yessirkepov M, Kitas GD. Colchicine as an anti-inflammatory and cardioprotective agent. Expert Opin Drug Metab Toxicol. 2015;11(11):1781-94. doi: 10.1517/17425255.2015.1076391. Epub 2015 Aug 4. PMID: 26239119. Summarized by Meg Joyce, MS1 | Edited by Meg Joyce & Jorge Chalit, OMS3 Donate: https://emergencymedicalminute.org/donate/  

On this week's episode of Critical Care Time, we sit down with two brilliant early-career ECMOlogists for an “intro-plus” to VV and VA ECMO. Not only do we cover the basics, but we couldn't help ourselves and went on some deep dives along the way that you guys will hopefully find interesting! With the help of our good friends Nick Villalobos and Kha Dinh, we review indications for ECMO, approaches to configuration and management, touch on some of the complications and… even spend some time demystifying the European unit for girth! We hope you guys will have as much fun listening to this as we did producing it. If so, leave us a review and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.

A pinkie promise is a promise you cannot break, and it's one our patient in this month's episode made to his wife when he was stricken with a life-threatening COVID infection. She made him promise that he would pull through the ordeal, and he did... but not without many bumps in the road.    Our team not only battled our patient's COVID, but also a nasty case of pneumonia that ultimately led to him needing to be placed on ECMO, which, as you know, is usually a last resort. Listen in as they transported him prone, which our team had never done before in 20+ years of experience, dealt with an unexpected hailstorm during transport and find out how our patient ended up doing after a lung transplant.   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:     Jeff Dickson, NRP, FP-C     The Wilkins Family 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

Welcome to our first episode recorded at the London Trauma Conference 2024. In this episode, hosts Iain Beardsell and Natalie May are joined by Matt Hooper from Adelaide to discuss his unique career path, from emergency medicine to pre-hospital and retrieval medicine, intensive care, and more recently, palliative and end-of-life care. The conversation centres around the principles of end-of-life care, particularly in acute and traumatic scenarios, and how these can be integrated with life-saving efforts. Key points include the challenges of shifting focus from survival to quality of death, the importance of recognizing and supporting witnesses and caregivers, and the concept of 'compassionate resuscitation.' Practical tools such as the 'pause' are also explored, aiming to humanize highly charged medical environments and potentially prevent burnout and PTSD among healthcare providers. 00:00 Introduction and Guest Welcome 01:00 Key Messages on Death and Palliative Care 02:12 Challenges in End-of-Life Care 03:20 Improving Quality of Death and Relationships 04:32 Emotional Impact on Care Providers 06:41 Navigating End-of-Life Conversations 12:17 Practical Applications in Intensive Care 16:41 The Pause: A Tool for Reflection 21:58 Conclusion and Final Thoughts The Guest - Matt Hooper Matt is an accomplished intensive care specialist with a diverse background in emergency medicine, prehospital & retrieval medicine, and palliative care. Notable for his leadership in developing critical care service models, he founded South Australia's MedSTAR Emergency Medical Retrieval Service. He has also co-authored a highly regarded case-based text book and held key teaching and examining roles nationally and internationally in prehospital and retrieval medicine. With a strong focus on high-performance teams working within high acuity, high consequence environments, Matt's expertise has also extended to human factors in healthcare, cardiothoracic intensive care, ECMO, and clinical ultrasound. More recently however, he has pivoted towards palliative and end of life care, pursuing a Master's degree at Cardiff University and consulting at Mary Potter Hospice in Adelaide. He is passionate about exploring new and innovative ways to prevent potentially avoidable suffering and enhance end of life outcomes for patients in acute care clinical environments.

If you thought ARDS was a long episode... get ready for a marathon! This week on Critical Care Time, Cyrus and Nick take on the unenviable task of trying to cover everything you need to know about cardiogenic shock - at least in broad strokes - in ONE episode! That's right, this is your one-stop-shop for all things cardiogenic shock. While we will have some deep dives on RV and LV failure, as well as ECMO and other mechanical circulatory support options - this episode has a little bit of it all to wet your whistle and then some! We deconstruct the epidemiology of cardiogenic shock, do a deep dive on the SCAI classes of cardiogenic shock, talk pathophysiology (duh!) and then move on to treatment considerations - both medical and mechanical - followed finally by some cases to cement all the learning. We know this is a long one so feel free to listen/watch in chunks. However you decide to enjoy it, we are certain you will walk away from it ready to conquer the next CGS case you come across! Once you've finished this epic - leave us a review and let us know how we did! Hosted on Acast. See acast.com/privacy for more information.

SHOW NOTES 2:25 – heart transplant at age 29, no previous cardiac issues3:00 – post-partum cardiomyopathy3:30 – placed on a Life Vest and a low ejection fraction4:30 – a 49-day stay in the hospital5:15 – the fear of leaving one's children behind, without a mom6:15 – emergency room, to a two-week stay, to “we've done all we can for you”7:00 – options and prognosis regarding Cassidy's heart8:30 – praying and deciding to move forward with a heart transplant9:45 – ECMO10:15 – shifting one's perspective during and after a heart transplant11:00 – Cassidy's mom, cardiomyopathy, and her heart transplant months after Cassidy's12:00 – the wait for a heart, and testing for the best match, for improved outcomes13:00 – antibodies after pregnancy can affect transplant success14:20 – a ten-hour surgery14:50 – the new heart needs to wake up16:00 – the importance of family and a support system17:30 –Dr. Allene Magill, an influential leader in education, and in Cassidy's life19:00 – Cassidy's decision to change her career path change21:00 – Shifting plans to find the “sweet spot” for one's work22:30 – teaching and learning, equal importance23:00 – organ donors changes lives and save lives25:00 – donor family and recipient interaction25:30 – a donor's organ can be classified as high-risk26:00 – How does life change when you have someone else's heart replace your own?27:15 – Piedmont Cartersville, Piedmont Atlanta, Samsky Heart Failure Clinic28:00 – great teachers…29:15 – Matt Fox, Becky Reynolds30:00 – Cassidy's closing comments LINKSCardiomyopathyECMOEjection FractionLifeVestTM - Cleveland Clinic pageLifeVestTM - Zoll pageLVADOrgan Donation - American Society of TransplantationOrgan Donation - Donate LifeOrgan Donation - UNOSPiedmont CartersvillePiedmont AtlantaSamsky Heart Failure CenterFairmount Elementary SchoolRed Bud Middle SchoolSonoraville High School   Music for Lead. Learn. Change. is Sweet Adrenaline by Delicate BeatsPodcast cover art is a view from Brunnkogel (mountaintop) over the mountains of the Salzkammergut in Austria, courtesy of photographer Simon Berger, published on www.unsplash.com.Professional Association of Georgia EducatorsDavid's LinkedIn pageLead. Learn. Change. the book

In this World Shared Practice Forum podcast, Dr. Dennis Daniel discusses pediatric extracorporeal life support (ECLS) with experts Drs. Peta Alexander and Ryan Barbaro. They explore the differences between pediatric and adult extracorporeal cardiopulmonary resuscitation (ECPR), highlighting differing causes of cardiac arrest and the interpretation of recently published studies. The discussion also covers supply chain issues affecting ECMO availability, the importance of standardized, evidence-based practices to identifying ECMO-associated complications, and opportunities for future research into ECMO use and outcomes. LEARNING OBJECTIVES - Identify the key differences between pediatric and adult extracorporeal cardiopulmonary resuscitation (ECPR), focusing on technical challenges and typical causes of cardiac arrest - Discuss the challenges facing standardization of pediatric ECMO care, including supply chain issues and approaches to capturing and classifying ECMO-associated complications - Describe areas of need and opportunity for future research in pediatric ECMO AUTHORS Peta Alexander, MBBS, FRACP, FCICM Senior Associate Cardiologist Director of ECMO Program Boston Children's Hospital Associate Professor in Pediatrics Harvard Medical School Ryan Barbaro, MD, MSc Service Chief of Pediatric Critical Care Medicine Director of Pediatric ECMO C.S. Mott Children's Hospital Clinical Associate Professor in Pediatric Critical Care University of Michigan Dennis Daniel, MD ECMO Medical Director, Medical-Surgical ICU Associate Director, OPENPediatrics Boston Children's Hospital DATE Initial publication date: January 27, 2025. ARTICLES REFERENCED AND ADDITIONAL RESOURCES - Alexander PMA, Di Nardo M, Combes A, et al. Definitions of adverse events associated with extracorporeal membrane oxygenation in children: results of n international Delphi process from the ECMO-CENTRAL ARC. Lancet Child Adolesc Health. 2024;8(10):773-780. https://pubmed.ncbi.nlm.nih.gov/39299748/ - UK collaborative randomised trial of neonatal extracorporeal membrane oxygenation. UK Collaborative ECMO Trail Group. Lancet. 1996;348(9020):75-82. https://pubmed.ncbi.nlm.nih.gov/8676720/ - Biomarkers of Brain Injury in Critically-Ill Children on Extracorporeal Membrane Oxygenation (ECMOhttps://reporter.nih.gov/project-details/10545733 - TITRE - Trial of Indication-based Transfusion of Red Blood Cells in ECMO, https://www.childrenshospital.org/clinical-trials/nct05405426 - ASCEND study: https://chear.org/our-research/projects/ascend-ards-children-and-ecmo-initiation-strategies-impact-neuro-development TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/at/bzpc2445cxrk9zch4wqvjjs5/012525_WSP_Updates_in_Pediatric_ECMO.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 Alexander PMA, Barbaro RP, Daniel D. Updates in Pediatric ECMO: Challenges and Opportunities. 01/2025. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/updates-in-pediatric-ecmo-challenges-and-opportunities-by-p-alexander-r-barbaro-openpediatrics.

Send us a Text Message (please include your email so we can respond!)Episode 56! In this episode we spend a few minutes talking about making decisions on ECMO initiation but spend most of the episode talking about ADAPT-Sepsis or "Biomarker-Guided Antibiotic Duration for Hospitalized PatientsWith Suspected Sepsis" published by Dark et al in JAMA 2024 and presented at the CCR Down Under Conference.ADAPT-Sepsis (pubmed): https://pubmed.ncbi.nlm.nih.gov/39652885/ADAPT-Sepsis (JAMA): https://jamanetwork.com/journals/jama/article-abstract/2828036If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

Date: December 2o, 2024 Reference: Kotani et al. Positive single-center randomized trials and subsequent multicenter randomized trials in critically ill patients: a systematic review. Crit Care. 2023  Guest Skeptic: Dr. Scott Weingart is an ED Intensivist from New York. He did fellowships in Trauma, Surgical Critical Care, and ECMO. He is a physician coach concentrating […] The post SGEM#465: Not A Second Time – Single Center RCTs Fail To Replicate In Multi-Center RCTs first appeared on The Skeptics Guide to Emergency Medicine.

Send us a Text Message (please include your email so we can respond!)Episode 55 and Happy New Year! In this episode we talk broad strokes about the CCR Down Under Conference and the trials that were presented, then Todd and Eddie go over a bunch of articles from the year 2024 that they didn't have time to go over or want to re-emphasize for whatever reason. Big show and we hope you enjoy!TIGHT K: https://pubmed.ncbi.nlm.nih.gov/39215972/PROPHY VAP: https://pubmed.ncbi.nlm.nih.gov/38262428/REVISE: https://pubmed.ncbi.nlm.nih.gov/38875111/Point (withdrawal of ECMO): https://pubmed.ncbi.nlm.nih.gov/39663030/Counterpoint: https://pubmed.ncbi.nlm.nih.gov/39663031/DanGer SHOCK: https://pubmed.ncbi.nlm.nih.gov/38587239/Intubation in physiologic difficult airway guidelines: https://pubmed.ncbi.nlm.nih.gov/39162823/If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

In this special holiday bonus episode, Ryan takes a look back at some of the most captivating episodes of The Poison Lab from 2022. Get ready for an ultimate test of your toxicology differential diagnosis skills as we compile all the "Stump the Toxicologist" segments into one streamlined, binge-worthy episode. Explore eight unique poisoning cases, be sure to check the show notes for a description of each case. time stamp of where it begins, and links to the original episodes, where you can dive deeper into the discussions and unravel the mysteries behind these intriguing cases! Case Teasers and Time StampsEpisode 13, March 2nd, 2022: Dr. Howard Greller0:06:19 Case 1: A 19-year-old male collapses at home and presents to the ED unresponsive, tachycardic, and hypotensive, with a wide QRS complex on EKG and a serum lactate of 20. 0:22:58 Case 2: A 16-year-old female presents to the ED 9 hours after ingesting 100 tablets of an unknown medication in a suicide attempt. She presents with vomiting, lethargy, bloody diarrhea, and a metabolic acidosis. An abdominal x-ray shows numerous radiopaque tablets in her GI tract. She is treated with a redacted antidote and whole bowel irrigation, but her condition worsens and she develops liver failure. She is transferred to a tertiary care center for a liver transplant, but recovers. On day 12, she develops a lower GI bleed and bowel perforation and dies. 0:34:42 Case 3: A seven-month-old child presents with crying, cough, vomiting, and respiratory distress. 0:37:42 Case 4: A 32-year-old male with a history of alcohol use and depression presents to the ED seven hours after ingesting two handfuls of an unknown medication and alcohol in a suicide attempt. He is initially anxious and tremulous, but has normal vital signs and labs, aside from an elevated ethanol level. He has a seizure nine hours after ingestion. His EKG shows a widened QRS, and he becomes hypotensive. He is intubated, placed on vasopressors, and undergoes extracorporeal membrane oxygenation (ECMO) and targeted temperature management (TTM), but dies three days later. Episode 15, July 6th, 2022: Dr. Josh Trebach0:46:11 Case 1: Two British medical students present to the ED after developing nausea, vomiting, paresthesias, myalgias, pruritus, and cold allodynia 12 hours after sharing a meal. Their neurological symptoms persisted for 4 weeks and the cold allodynia for 10 weeks.0:54:18 - 1:05:23 Case 2: A 16-year-old female presents to the ED unresponsive and cyanotic after intentionally ingesting a substance purchased online. Her oxygen saturation is in the 70s and a methemoglobin level is greater than 30%. 1:05:25 - 1:10:18 Case 3: A 48-year-old female, and co-author of the published case report, presents to the ED 10 minutes after eating a “peppery” tuna steak. She is tachycardic, hypotensive, flushed, and has conjunctival erythema. She also experiences abdominal pain, nausea, vomiting, diarrhea, headache, and chest pain. Her EKG shows tachycardia with ST depression. She requires phenylephrine to maintain her blood pressure. She is treated with famotidine and discharged from the hospital 43 hours later. 1:10:20 – 1:13:16 Case 4: A 63-year-old female presents to the ED 12 hours after ingesting five capsules of a weight loss product. She is bradycardic and has nausea, vomiting, and hyperkalemia.Episode 17, November 9th, 2022: Dr. Emily Kieran1:16:35 Case 1: A 34-year-old female presents to a clinic in West Bengal, India, with a three-year history of skin changes. She has hypo-pigmented macules on a background of hyperpigmentation, creating a “raindrop” like appearance on her...

Send us a textIn this conversation, Dr. Kyle Willse, a pediatric intensivist, shares insights on the Pediatric Intensive Care Unit (PICU).  The discussion is meant to provide a basic understanding as to how the  PICU operates and to help parents be an advocate for their children.   A must listen for anybody who has a child or a loved one in the PICU.Kyle Willse, DO, is board certified in Pediatrics and in Pediatric Critical Care.  For the past 5 years, he has worked at Cedars-Sinai hospital as an attending in the pediatric and congenital cardiac intensive care unit.  His comments in the podcast are his individual thoughts and opinions and do not represent Cedars Sinai.    Dr Jessica Hochman is a board certified pediatrician, mom to three children, and she is very passionate about the health and well being of children. Most of her educational videos are targeted towards general pediatric topics and presented in an easy to understand manner. For more content from Dr Jessica Hochman:Instagram: @AskDrJessicaYouTube channel: Ask Dr JessicaWebsite: www.askdrjessicamd.com-For a plant-based, USDA Organic certified vitamin supplement, check out : Llama Naturals Vitamin and use discount code: DRJESSICA20-To test your child's microbiome and get recommendations, check out: Tiny Health using code: DRJESSICA Do you have a future topic you'd like Dr Jessica Hochman to discuss? Email Dr Jessica Hochman askdrjessicamd@gmail.com.The information presented in Ask Dr Jessica is for general educational purposes only. She does not diagnose medical conditions or formulate treatment plans for specific individuals. If you have a concern about your child's health, be sure to call your child's health care provider.

      Can a career in military medicine offer unexpected opportunities to innovate and shape the future of healthcare? Join us as we explore this intriguing question with Air Force Neurologist Lieutenant Colonel Adam Willis, MD. From his initial fascination with physics to his pivotal role in supporting operational medicine, Adam recounts his unique journey and the moment that brain-computer interface technology ignited his passion for neurology. Discover how neurologists make crucial contributions in managing traumatic brain injuries and seizures in combat zones while addressing the longer-term challenges of headaches, sleep disruptions, and cognitive performance.     In this episode, we unravel the complexities of trauma patient evacuation and the innovative strides being made to enhance survival rates. Adam sheds light on the "golden hour" concept and the development of groundbreaking technologies that ensure rapid access to care. As an insider at DARPA through the Service Chiefs Fellowship Program, Adam shares how his experiences have spurred projects to revolutionize field intensive care medicine. Learn about his work on a game-changing intravascular cannula project, which promises to transform medical care from the injury site through evacuation.     Finally, dive into the world of DARPA with insights into projects like SNAP, which seeks to assess warfighters' readiness using non-invasive biomarkers. Adam's story serves as a reminder of the power of commitment and proactivity in military medicine careers. Individuals can unlock doors to additional training and career advancement by aligning personal goals with the organization's mission. Hear how seizing unexpected opportunities and embracing new challenges can lead to meaningful contributions to the future of military medicine.   Chapters: (00:04) Neurology in Military Medicine (15:39) Advances in Trauma Patient Evacuation (23:16) Revolutionizing Field Intensive Care Medicine (28:01) Innovating Military Technology With DARPA (40:48) Commitment and Innovation in Military Medicine   Chapter Summaries: (00:04) Neurology in Military Medicine    Air Force neurologist discusses role in military medicine, managing TBI and seizures, and innovative intravascular cannula for polytrauma patients. (15:39) Advances in Trauma Patient Evacuation   Maximizing survival from traumatic injuries through rapid patient movement and exploring innovative projects at DARPA. (23:16) Revolutionizing Field Intensive Care Medicine    Collaboration between DARPA and industry to develop a miniaturized, non-anticoagulated ECMO-like system for extending the golden hour in emergency medical situations. (28:01) Innovating Military Technology With DARPA     DARPA program manager crafts questions to harness innovation, funded by DoD, SNAP project for non-invasive warfighter readiness assessment. (40:48) Commitment and Innovation in Military Medicine     Commitment and proactivity in military medicine careers can lead to opportunities for training and advancement.   Take Home Messages: Career Flexibility and Innovation: The journey from a physics background to a career in military neurology demonstrates the importance of being open to unexpected career paths. Embracing new technologies, such as brain-computer interfaces, can lead to groundbreaking roles in fields like military medicine. Neurology's Critical Role in Combat Medicine: Neurologists play a vital role in managing traumatic brain injuries and seizures in combat situations. Their expertise extends beyond acute care, addressing post-TBI issues like headaches and cognitive disruptions, which are essential for maintaining operational readiness. Advancements in Trauma Evacuation: Innovations in trauma care, such as extending the "golden hour," are crucial for improving survival rates from traumatic injuries. Technologies that facilitate rapid and scalable patient movement to definitive care can significantly impact outcomes. Integration of Technology and Medicine: The collaboration between military medicine and advanced research agencies, like DARPA, showcases the potential of integrating artificial intelligence and biotechnology to revolutionize trauma care. Projects like SNAP, which use non-invasive biomarkers, highlight the future of assessing warfighter readiness. Importance of Commitment and Networking: Aligning personal ambitions with organizational missions, seizing opportunities, and proactive networking are key strategies for career advancement in military medicine. Taking initiative and being open to new challenges can lead to significant contributions in the field.   Episode Keywords: Military Medicine, Combat Neurology, Brain-Computer Interface, Traumatic Brain Injury, Battlefield Innovation, DARPA, Adam Willis, Trauma Care, Intravascular Cannula, SNAP Initiative, Artificial Intelligence, Biotechnology, Military Healthcare, Neurocritical Care, Trauma Patient Evacuation, Field Intensive Care, Military Technology, Warfighter Readiness Hashtags: #MilitaryMedicine #CombatNeurology #BattlefieldInnovation #BrainInjuryCare #DARPA #TraumaCareTech #NeuroInnovation #OperationalMedicine #MilitaryHealthcare #WarfighterReadiness   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast