Podcasts about Fluid

We're ex-convicts, no one will marry us now. We're doomed to a life of observing the need to fix bridges, inhabiting a dead town, fearing dentist technology, bowling alone, refusing to trust the neighbors, Wet Banditing our own house, vomiting all over the wall, observing a fluid town, stealing husband's secret savings, losing a lot in translation, interpreting a poster, panty-raiding ourselves, sneaking out of an inn, refusing to tell a fortune, and drinking to numb the pain. I don't seem to be in good shape today, come back some other time. 00:00:00 The Server Has a Tattoo 00:04:14 Intro 00:06:22 World Map 00:09:32 Nayla 00:13:01 Nayla Buildings 00:28:37 Aiedo 00:36:54 Aiedo Buildings 00:45:43 Big Market 00:57:12 Jail 00:58:28 Real Net 01:02:20 Outro Patreon: patreon.com/retroam Bluesky: @retrogradeamnesia.bsky.social YouTube: www.youtube.com/@RetrogradeAmnesia E-Mail: podcast@retrogradeamnesia.com Website: www.retrogradeamnesia.com  

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

Un viaggio tra i suoni attuali ed i successi che hanno fatto la storia della House Music e dell'old style inglese

Bumper to Bumper Radio, the car guys on KTAR, 92.3 FM in Phoenix, AZ, broadcast every Saturday from 11:00 am ...

Is rust proofing your vehicle worth it? Are block heaters necessary? Why a car wash is worth the investment. How important is it to flush transmission fluid? What to know when warming up your vehicle. Changing the thermostat. What does limping mode mean for a vehicle? How coolant loss could happen without a leak? What happens when oil never gets changed. Ask our car care expert Nick Stoffel of Lloyds Automotive. Visit lloydsautomotive.net 651-228-1316.

MOOD, MELODIC, FLOWING, FLUID, DEEP AND ELECTRIC TRACKS CHOSEN TO KEEP MY HEAD IN THE CLOUDS... TEMPO A BIT SLOWER & DEEPER #125-127BPM ALTO - ADAM BEYER, LAYTON GIORDAN, JT'S SPECIAL EDIT GOLDEN - RHEA SILVIA GODDESS - CAMELPHAT, KOTI R, YELLOWITZ LIGHTBEAM - TINLICKER ORDINARY THINGS - SOLIQUE, SPADA REDEMPTION - SPADA WINDOW - LATE NIGHT ALUMNI, LIPLESS, MYRNE HEAL ME, SAVE ME - GRIGORE SOLAR - EZEQUIEL ARIAS REMISSION - KASABLANCA, LANE 8 TIME - KASABLANCA USED TO - ROMAIN GARCIA YOU FEEL IT - GRIGORE, SERVE COLD HOUSE OF MAGIC - DINO LENNY PERCEPTION - JEROME ISMA-AE RAINBOW RACER - LEV A FEELING I MISS - CASSIAN, MATT RYDER RELENTLESS - NICK MUIR, JOHN DIGWEED, SPENCER BROWN CLOUDS - TIEFSTONE SAVE ME - CAMELPHAT, MARTEN LOU

Powracamy na 10 jubileuszową edycję Festiwalu Silesius, tym razem w towarzystwie trzech poetek: Bianki Rolando, Ewy Jarockiej i Zu Witkowskiej. O ich najnowsze książki z wierszami pytał krytyk i pisarz Karol Maliszewski.Udanego słuchania! 

Ever feel like life's flame is flickering out? Whether it's a bad day, a tough quarter, or a rocky relationship, what's your go-to lighter fluid to reignite your fire?

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 24.

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 23.

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 22.

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 21.

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 20.

Dr Steve, Lexi and Dr Scott Discuss: Unexplained circumstances in medicine Nursing home smell explained (the answer will surprise you) Implantable defibrillators Food and anxiety Lucid Dreaming from GaaaLaaaGaaaa Please visit: ⁠⁠⁠STUFF.DOCTORSTEVE.COM⁠⁠⁠ (for dabblegames at cost and more!) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠simplyherbals.net/cbd-sinus-rinse⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (the best he's ever made. Seriously.) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠instagram.com/weirdmedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠x.com/weirdmedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠fightthedabbler.com⁠⁠⁠ (help Karl and Shuli win their LOLsuit) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠youtube.com/@weirdmedicine ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠(click JOIN and ACCEPT GIFTED MEMBERSHIPS. Join the "Fluid Family" for live recordings!) CHECK OUT THE ROADIE COACH stringed instrument trainer! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠roadie.doctorsteve.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (the greatest gift for a guitarist or bassist! The robotic tuner!) see it here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠stuff.doctorsteve.com/#roadie⁠⁠⁠⁠⁠⁠⁠ GET YOUR COPY OF "WET BRAIN: THE GAME OF TROLLS AND LOSERS!" get it here: ⁠⁠⁠⁠⁠⁠⁠ dabblegames.myshopify.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (a most-fun party game!) DABBLEDICE: Second Edition available NOW! Only $3.50 plus shipping! each shipment comes with some awful tchotchke! we're getting out of the dabbleverse business so everything is sold at COST Also don't forget: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Cameo.com/weirdmedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Book your old pal right now because he's cheap! "FLUID!") Most importantly! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠CHECK US OUT ON PATREON! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ALL NEW CONTENT! Robert Kelly, Mark Normand, Jim Norton, Gregg Hughes, Anthony Cumia, Joe DeRosa, Pete Davidson, Geno Bisconte, Cassie Black ("Safe Slut"). Stuff you will never hear on the main show ;-) Learn more about your ad choices. Visit podcastchoices.com/adchoices

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 19.

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 18.

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 17.

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 16.

Explore Your Personality: https://PersonalityHacker.com    Joel and Antonia explore the dynamic nature of personality type, challenging the idea that it's static or defined by stereotypes. Using metaphors like pinned butterflies and coloring books, they show how type is a fluid, developmental system that evolves over time. They discuss why real mastery means shifting focus from the system to the individual, and how our cognitive functions reflect deep, irresistible patterns of attention.

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 15.

The world of college football is a lot more fluid than it used to be as far as players and transfers go. We get some of your takes on the situation as well.

In this episode of the Fluid Power Forum, we dive into the evolution of electrohydraulic equipment with our guests, Jason Looman and Andy Gray from Scanreco Group. Join us as we explore the role of human-machine interfaces (HMIs) in enhancing operator experience and safety in smart equipment. Discover how everything from operator feedback to AI-driven designs are shaping the future of fluid power technology. Be sure to listen in for insights on how these innovations are transforming the landscape and what it means for industry professionals. Subscribe to the Fluid Power Forum today to never miss an episode. The podcast is available on all of your favorite podcast platforms, including Apple Podcasts, Spotify, and iHeart Radio. Additionally, we're launching Fluid Power Forum Plus, offering premium, members-only content designed just for our listeners. When you sign up on the NFPA website, you'll unlock a host of rewards, ranging from exclusive content to live panels and networking receptions. Connect with our host, Eric Lanke, at elanke@nfpa.com. Connect with our guests, Jason Looman, at jason.looman@scanreco.com, and Andy Gray, at andy.gray@scanreco.com.   Find and share more interesting fluid power technologies and unique applications using #onlyfluidpowercan and follow podcast and other fluid power industry-related updates at @TheNFPA. #FluidPowerForum #HMIs #operatorexperience

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 14.

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 6.

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 12.

Dr Steve and Dr Scott Discuss: Lexi Arnold, 21 year old competitive driver (watch for the pink #5) driving and safety a bunch of n00b questions about Nascar from Dr Steve watch out for Lexi as she hits the big tracks by 2028 Facebook: LexiArnoldRacing Please visit: ⁠⁠⁠STUFF.DOCTORSTEVE.COM⁠⁠⁠ (for dabblegames at cost and more!) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠simplyherbals.net/cbd-sinus-rinse⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (the best he's ever made. Seriously.) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠instagram.com/weirdmedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠x.com/weirdmedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠fightthedabbler.com⁠⁠⁠ (help Karl and Shuli win their LOLsuit) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠youtube.com/@weirdmedicine ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠(click JOIN and ACCEPT GIFTED MEMBERSHIPS. Join the "Fluid Family" for live recordings!) CHECK OUT THE ROADIE COACH stringed instrument trainer! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠roadie.doctorsteve.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (the greatest gift for a guitarist or bassist! The robotic tuner!) see it here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠stuff.doctorsteve.com/#roadie⁠⁠⁠⁠⁠⁠⁠ CHECK OUT DABBLEGAMES (because we "dabble" in gaming) dabblegames.myshopify.com DABBLEDICE: Second Edition available NOW! Only $3.50 plus shipping! each shipment comes with some awful tchotchke! we're getting out of the dabbleverse business so everything is sold at COST Also don't forget: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Cameo.com/weirdmedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Book your old pal right now because he's cheap! "FLUID!") Most importantly! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠CHECK US OUT ON PATREON! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ALL NEW CONTENT! Robert Kelly, Mark Normand, Jim Norton, Gregg Hughes, Anthony Cumia, Joe DeRosa, Pete Davidson, Geno Bisconte, Cassie Black ("Safe Slut"). Stuff you will never hear on the main show ;-) Learn more about your ad choices. Visit podcastchoices.com/adchoices

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 11.

Fluid and electrolyte emergencies are the silent killers you might not notice until your patient crashes. In this episode, Kevin and Dr. Lisa Wolf break down the classic (and not-so-classic) presentations of hypo/hypernatremia, hypokalemia, hyperkalemia, and calcium derangements—and how they impact perfusion, mental status, and cardiac rhythm. Follow us on: Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/  YouTube: https://www.youtube.com/channel/UCJTnz4phtCTjojTIDJo2afA?view_as=subscriber  Twitter: @AoenPodcast Instagram: https://www.instagram.com/artofemergencynursing/  To support the show: Leave an honest review on iTunes. Your ratings and reviews greatly contribute to the success of the podcast, and I appreciate each and every one of them. Subscribe on Apple Podcasts, Google Podcasts, or your preferred podcast platform to never miss an episode. Thank you for being a part of our AOEN community!

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 10.

Advent 2025 Day 10 is from one of our favorite breweries. We've enjoyed quite a few beers from them this year. Funky Fluid Gelato XTREME: Berries and Cream doesn't disappoint. It continues their hits with a pastry sour of raspberries, blackcurrants and blueberries with an extra marshmallow and vanilla kick. #beer #craftbeer #drinks #advent2025 #funkyfluid #pastrysour

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 9.

We Have Another Winner Amongst The Group | Windshield Washer Fluid Is A Hot Topic | What's In Lew's Trunk? | OttaWHAT? | The Greatest Competitor Of All Time Maybe? | The Little Things In Life Matter | How To Write A Christmas Card? | Another Concert Pet Peeve

Céline Schmitt, UNHCR's Spokesperson in Syria, outlines the humanitarian situation in Syria, one year after former President Bashar Al Assad was deposed as leader.

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 8.

Chris Can't Have Nice Things | Root Canal Or Work Party? | Windshield Washer Fluid Is Important | Weiner In The Rain? | Something We Love Is Under Attack | The Jays Get Some Global Love | Worst Things At Concerts | Wayne Gretzky Gets The Gears | Taking The Phone In The Shower

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 7.

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 6.

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 5.

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 4.

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

Do retinal fluid fluctuations quietly erode long-term vision? In episode 2 of a 3-part roundtable series, moderator Jay Sridhar, MD joins guests Maggie Runner, MD, and Veeral Sheth, MD, MBA, to translate key data into clinic-ready tactics. They unpack how volatility—not just volume—of fluid correlates with outcomes, which fluid compartments matter most, and why durability reduces “yo-yo” anatomy. Drs. Sridhar, Runner, and Sheth are paid consultants of EyePoint Pharmaceuticals; however, the statements made are the opinions of Drs. Sridhar, Runner, and Sheth for educational purposes only; their statements are not intended as medical advice or the opinion of EyePoint.

Can smarter strategies to tame retinal fluid fluctuations actually improve long-term vision? In episode 3 of this miniseries, host Jay Sridhar, MD, and panelists Durga Borkar, MD, MMCi, and Christina Weng, MD, MBA, examine the data linking sustained delivery of therapy, reductions in retinal thickness changes, and positive long-term vision outcomes. After the break, the trio looks ahead to sustained TKI therapy via EYP-1901 (Duravyu, EyePoint Pharmaceuticals) by examining data from the DAVIO-2 study. Drs. Sridhar, Borkar, and Weng are paid consultants of EyePoint Pharmaceuticals; however, the statements made are the opinions of Drs. Sridhar, Borkar, and Weng for educational purposes only; their statements are not intended as medical advice or the opinion of EyePoint.

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 3.

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 2.

I sat down with Oliver Mann — 30+ years deep in the journaling world, a keeper of stories, a guide for the brave — to explore the REAL reason journaling works.Spoiler: it's not the pen. It's not the page.It's YOU. Your courage. Your SELF-honesty. Your willingness to stop hiding from your own reflection.This conversation is an initiation into radical authenticity — the kind that doesn't perform, doesn't pretend, doesn't negotiate its OWN truth.We go into masculine + feminine energies, the myth of “doing it right,” the lies judgment tells us, + the liberation that comes from writing what you're REALLY thinking.If you're ready to stop performing + start becoming, this episode is your invitation to write yourSELF free. Write your truth. OWN your truth. Become the one who transforms your OWN life — word by word, breath by breath, page by page.SOME WORDS ARE GIFTS:Journaling is a TOOL — but YOU are the transformation.Authenticity requires dropping judgment, masks, + performance.Self-awareness means nothing without action to match it.Masculine + feminine energies are FLUID — not fixed — and learning your inner rhythm creates inner harmony.Your humanity is not a flaw… It's the curriculum.⭐️YOUR SUPPORT MATTERS: Please: Subscribe + leave 5⭐️Star rating +review HEREEnjoy! xRxFIND ME ON:️INSTAGRAMSUBSTACKYOUTUBEXTHREADSFIND OLIVER ON:IGWEBOLIVER'S 5-DAY WRITING CHALLENGE: ⁠https://www.shadowjournaling.com/new-story-challenge⁠CHECK OUT: My Beautiful Guided + Illustrated Journal YOU ARE THE PATH: https://www.roxannesaffaie.com/journal My Upcoming Self-Directed Journaling Webinar: https://roxannesaffaie.myflodesk.com/webinarFREE RESOURCES:

This holiday season, Radio Free Skaro is presenting a Fluid Links Advent Calendar! Every day from December 1 until December 24, we'll discuss one topic from our list provided by you, the listeners. Today: Day 1.

In this bonus conversation with Rob Drummond from back in June, he and I get into the fascinating concept of "languaging" — the idea that speaking is an active process we use to constantly shape and project our identities. Rob explains how our "speaking identities" are incredibly fluid, changing based on context, audience, and even the language we're using. Rob Drummond - https://bsky.app/profile/robdrummond.bsky.socialRob's book, "You're All Talk"

Dr Steve and Dr Scott Discuss: Dr Steve was WRONG about Tim Sabean! Questions from the Fluid Family on youtube.com/@weirdmedicine how not to die from colon polyps why does a UTI make dementia worse? fatty liver: Sugar vs drugs vs genetics and more! Please visit: ⁠⁠STUFF.DOCTORSTEVE.COM⁠⁠ (for dabblegames at cost and more!) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠simplyherbals.net/cbd-sinus-rinse⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (the best he's ever made. Seriously.) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠instagram.com/weirdmedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠x.com/weirdmedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠fightthedabbler.com⁠⁠ (help Karl and Shuli win their LOLsuit) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠youtube.com/@weirdmedicine ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠(click JOIN and ACCEPT GIFTED MEMBERSHIPS. Join the "Fluid Family" for live recordings!) CHECK OUT THE ROADIE COACH stringed instrument trainer! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠roadie.doctorsteve.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (the greatest gift for a guitarist or bassist! The robotic tuner!) see it here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠stuff.doctorsteve.com/#roadie⁠⁠⁠⁠⁠⁠ GET YOUR COPY OF "WET BRAIN: THE GAME OF TROLLS AND LOSERS!" get it here: ⁠⁠⁠⁠⁠⁠ dabblegames.myshopify.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (a most-fun party game!) DABBLEDICE: Second Edition available NOW! Only $3.50 plus shipping! each shipment comes with some awful tchotchke! we're getting out of the dabbleverse business so everything is sold at COST Also don't forget: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Cameo.com/weirdmedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Book your old pal right now because he's cheap! "FLUID!") Most importantly! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠CHECK US OUT ON PATREON! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ALL NEW CONTENT! Robert Kelly, Mark Normand, Jim Norton, Gregg Hughes, Anthony Cumia, Joe DeRosa, Pete Davidson, Geno Bisconte, Cassie Black ("Safe Slut"). Stuff you will never hear on the main show ;-) Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr Steve and Dr Scott Discuss: The demise of Normal World with Dave Landau Q-Collar science HANS device Inspire implantable device for Sleep Apnea HCG for low testosterone Please visit: ⁠STUFF.DOCTORSTEVE.COM⁠ (for dabblegames at cost and more!) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠simplyherbals.net/cbd-sinus-rinse⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (the best he's ever made. Seriously.) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠instagram.com/weirdmedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠x.com/weirdmedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠fightthedabbler.com⁠ (help Karl and Shuli win their LOLsuit) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠youtube.com/@weirdmedicine ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠(click JOIN and ACCEPT GIFTED MEMBERSHIPS. Join the "Fluid Family" for live recordings!) CHECK OUT THE ROADIE COACH stringed instrument trainer! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠roadie.doctorsteve.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (the greatest gift for a guitarist or bassist! The robotic tuner!) see it here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠stuff.doctorsteve.com/#roadie⁠⁠⁠⁠⁠ GET YOUR COPY OF "WET BRAIN: THE GAME OF TROLLS AND LOSERS!" get it here: ⁠⁠⁠⁠⁠ dabblegames.myshopify.com⁠⁠⁠⁠⁠⁠⁠⁠⁠ (a most-fun party game!) DABBLEDICE: Second Edition available NOW! Only $3.50 plus shipping! each shipment comes with some awful tchotchke! we're getting out of the dabbleverse business so everything is sold at COST Also don't forget: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Cameo.com/weirdmedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Book your old pal right now because he's cheap! "FLUID!") Most importantly! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠CHECK US OUT ON PATREON! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ALL NEW CONTENT! Robert Kelly, Mark Normand, Jim Norton, Gregg Hughes, Anthony Cumia, Joe DeRosa, Pete Davidson, Geno Bisconte, Cassie Black ("Safe Slut"). Stuff you will never hear on the main show ;-) Learn more about your ad choices. Visit podcastchoices.com/adchoices

Hour 2 starts with Stephen A. raving about Victor Wembanyama. Can he win his first MVP this season? Nico Fired - Shams joins to give us the lowdown on who is truly at fault for the Mavs trading Luka Doncic. It's Fluid! - Stephen A. gives us his top 5 NFL teams after week 10. CC and Jeff disagree! Big Blue Blues - Who should be the Giants next head coach? Learn more about your ad choices. Visit podcastchoices.com/adchoices