Podcasts about Fluid

Dr Steve and Dr Scott discuss: 1. Scott literally wrote this in the show notes: "Something about dabblecom, was napping" 2. Is there a difference between medical school today and in the past? 3. Virus talk 4. TCM and Ayurvedic 5. How sensitive is the human touch 6. Alzheimer's and beta amyloid, cancer protection, all kinds of sh!t 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 TROY SMITH ARTWORK FROM "WET BRAIN: THE GAME OF TROLLS AND LOSERS!" get it here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ dabblegames.myshopify.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (a most-fun party game!) each shipment comes with some awful tchotchke! 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

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

The Concept of Scrum Fluid TeamsFluid Scrum Teams are a concept introduced by Willem-Jan Ageling, where a stable group of individuals (e.g., 20 members) self-organize into smaller, temporary teams each Sprint to address specific objectives. This approach allows for flexibility and adaptability, as team compositions change based on the current needs of the projects at hand.How to connect with AgileDad:- [website] ⁠https://www.agiledad.com/⁠- [instagram] ⁠https://www.instagram.com/agile_coach/⁠- [facebook] ⁠https://www.facebook.com/RealAgileDad/⁠- [Linkedin] ⁠https://www.linkedin.com/in/leehenson/

Fluid therapy is one of those things we do every single day in practice.  We hang the bag, we set the rate, we check the pump, we monitor the patient. It feels routine - maybe even safe. But the reality is this: fluids are a drug, with complications and contraindications just like any other. They are not 'just supportive care.' They are pharmacologically active solutions that can either help our patients recover, or contribute to complications if we don't use them in the right way. So in this episode of the Medical Nursing Podcast, I'm breaking down the most recent AAHA fluid therapy guidelines - giving you all the need-to-know information so you can give great care to patients receiving IV fluids, and hopefully busting a few fluid therapy myths while we're at it. --- BRAND NEW ways to learn with me:

Ray hits hard with brake pad, brake fluid and tire tread checks as part of normal maintenance. Carl Anthony tells us about his new writing gig at www.HowToGeek.com which is more than just an informational car site. New car component longevity gets questioned by a caller, and Chris gets to vacillate about the prospects of a new Caddy Eldorado.

We explore what low amniotic fluid really means at different stages of pregnancy and when to act, when to watch, and how to personalise decisions. We share why routine induction for isolated low fluid may not improve outcomes and how to navigate monitoring, growth checks, and timing of birth.• defining oligohydramnios and anhydramnios• how gestation changes risk• ruling out ruptured membranes with history and tests• expert scans, infections, and maternal factors• why fluid matters for lung development• isolated low fluid late in pregnancy• induction evidence and unplanned caesarean risk• growth surveillance and timing around due date• continuous heartbeat monitoring considerations• practical reassurance and shared decision-makingWant to know more:https://obgyn.onlinelibrary.wiley.com/doi/10.1111/tog.70021Subscribe, rate, and review on your podcast app. Recommend The ObsPod to anyone who might find it interesting. Find the programme notes for links. Contact us on Twitter and Instagram @theObspod or email theObspod@gmail.com. If you can, support the show via Buy Me A Coffee.Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...

TJH 909: Bioactive Seed Fluid Today on episode 909 of the Jamhole, our heroes discuss the phrase that pays when you've given up, Hugh Hefner's scrapbooks and journals, the difference between frats and cults, an Unfit for Contact Incident Report, a cat food recall, Snoop Dogg, a mugshot shawty worthy dentist, and much much more! The Jamhole - Stay hungry, stay foolish.

BIA & HRV Explained: The New Way Doctors Are Measuring Healing, Stress & ResilienceWhat if healing didn't have to be based on guesswork?What if you could actually see how your body is responding to stress, detox, nutrition, and emotional regulation—in real time?In this episode of Connecting with the Thom's, we introduce two powerful diagnostic tools that are changing the way health is assessed and supported:BIA (Bioelectrical Impedance Analysis) and HRV (Heart Rate Variability).These tools allow practitioners and individuals to move beyond symptom-based care and into precision, terrain-based medicine—where we measure capacity, resilience, and readiness before pushing the body further.We explore how BIA and HRV help reveal:⚡ Cellular hydration, integrity, and electrical balance

Chronic lymphoedema may not just be about fluid. It may be about cholesterol.

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

Dante Lauretta describes how upon reaching asteroid Bennu the team found a hazardous rocky surface instead of expected sand, detailing the difficulty selecting the Nightingale landing site where the spacecraft sank into fluid-like material, collecting so much the container began leaking.R

In Hour 2, the guys talk about Travis Hunter's fluidity on continuing to keep his two-way status in the NFL after Liam Coen's recent comments. Plus the guys go over the Texans practice plans, we unveil a new segment called "The Worst Thing We've Heard This Week", and more!!See omnystudio.com/listener for privacy information.

EPISODE 141: The Blackbyrds were at the cutting edge of jazz fusion, R&B and funk in the 1970s, pushing the boundaries of Black popular music forward in one of the most musically fertile decades of the past century. Established by legendary jazz trumpeter Donald Byrd in 1973, the band's success includes several highly touted albums, film scores (1975's "Cornbread," "Earl and Me"), as well as supporting such iconic artists as B.B. King. Herbie Hancock, Gladys Knight & the Pips, Roberta Flack and more. The Blackbyrds' self-titled debut album put the group on the map with "Do It, Fluid," a funky laid-back party anthem.  The group followed that initial success with a string of albums over the next five years, including FLYING START (1974), which yielded their biggest hit, the Grammy-nominated "Walking in Rhythm," and CITY LIFE (1975), which contained the hit "Happy Music" and the iconic "Rock Creek Park," which remains one of the most sampled jazz-funk tracks to this day, as well as such hits as “Supernatural Feeling,” Grammy-nominated “Unfinished Business,” “Time is Movin',” “Dreaming About You” and “Flyin' High,” among many others. Under the leadership of original drummer and vocalist, Keith Killgo, the band continues to record, tour and perform globally.  The Blackbyrds current lineup includes original founding members Keith Killgo (drums and vocals) and Joe Hall (bass), Paul Spires (vocals), Dominique Toney (vocals), daughter of original band keyboardist Kevin Toney, Roberto Villeda (keyboards), Charles Wright (guitar), Thad Wilson (trumpet), Marshall Keys (saxophone) and Sean Anthony (percussion). blackbyrdsmusic.comContact us: makingsoundpodcast.comFollow on Instagram: @makingsoundpodcastFollow on Threads: @jannkloseJoin our Facebook GroupPlease support the show with a donation, thank you for listening!

Dr Steve and Dr Scott discuss: Cardiac tamponade c!rcumcisi0n and infection foamy urine what do they do with your body parts after surgery? why is teleportation stupid? what do different sputum colors mean? 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 TROY SMITH ARTWORK FROM "WET BRAIN: THE GAME OF TROLLS AND LOSERS!" get it here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠ dabblegames.myshopify.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (a most-fun party game!) each shipment comes with some awful tchotchke! 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

In this episode of the PFC Podcast, Dr. Lee Cancio, a surgeon and director of the U.S. Army Institute of Surgical Research Burn Center, discusses the complexities of white phosphorus burns. He explains the mechanisms of injury, initial care, and the urgency of treatment for such injuries. The conversation delves into surgical interventions, wound management, and the importance of monitoring patients for complications like hypocalcemia. Dr. Cancio emphasizes the need for a thorough understanding of these injuries to provide effective care in combat and austere environments.TakeawaysWhite phosphorus is a significant concern in combat medicine.Understanding the mechanisms of injury is crucial for treatment.Immediate immersion in water is essential for managing burns.Hypocalcemia can occur rapidly and is life-threatening.Surgical intervention may be necessary for severe injuries.Monitoring for ongoing burning is critical in patient care.Whole blood is not ideal for burn shock resuscitation.Fluid resuscitation should be adjusted based on burn depth.Knowledge of injuries helps in making informed decisions.Prolonged field care requires constant assessment and monitoring.Chapters00:00 Introduction to White Phosphorus Burns02:48 Understanding White Phosphorus and Its Uses05:39 Mechanisms of Injury from White Phosphorus08:11 Initial Care and Management of White Phosphorus Injuries11:00 Urgency in Treatment and Evacuation13:53 Surgical Interventions and Wound Management16:51 Case Studies and Practical Applications19:49 Post-Injury Care and Monitoring22:15 Final Thoughts on White Phosphorus InjuriesFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

Episode 1892 - brought to you by our incredible sponsors: Quince -  Refresh your winter wardrobe with Quince. Go to Quince.com/HARDFACTOR for free shipping on your order and 365-day returns. Factor - Head to factormeals.com/hardfactor50off and use code hardfactor50off to get 50% off your first Factor box PLUS free breakfast for 1 year. *Offer only valid for new Factor customers with code and qualifying auto-renewing subscription purchase. Make healthier eating easy with Factor. LUCY -  100% pure nicotine. Always tobacco-free. LUCY's the only pouch that gives you long-lasting flavor, whenever you need it. Get 20% off your first order when you buy online with code (HARDFACTOR).  00:00:00 Timestamps 00:01:00 What happened in 1892? 00:03:40 We missed National Fart Day 00:06:20 Super Bowl commercials and the Puppy Bowl death  00:10:00 Strip club hiding as a coffee shop in Garden Grove gets shut down  00:19:10 Waymos that get stuck are helped out remotely by Philippine workers  00:22:20 Pakistan's deadly kite festival returned after 19 year ban 00:26:50 Man gets remanded for tricking everyone into drinking his pee And much more Thank you for listening and supporting the pod! Go to patreon.com/HardFactor to join our community, get access to Discord chat, bonus pods, and much more - but Most importantly: HAGFD!! Learn more about your ad choices. Visit megaphone.fm/adchoices

In reality, water doesn't glitch out. It can't instantly change direction or spurt randomly into the sky. But on a purely mathematical level, such things are possible. On this episode of The Quanta Podcast, host Samir Patel speaks with staff writer Charlie Wood about the equations that describe our rivers, whirlpools, and breezes — and the “unstable blowups” that mathematicians are probing them for. This topic was covered in a recent story for Quanta Magazine. Each week on The Quanta Podcast, Quanta Magazine editor in chief Samir Patel speaks with the people behind the award-winning publication to navigate through some of the most important and mind-expanding questions in science and math.

Why do some golf swings stick while others fall apart under pressure? The answer may lie in your brain chemistry. In this episode, we explore the crucial role of neurotransmitters in golf performance, with a special focus on dopamine and motor learning. We're joined by Dr Keith Wallace and Steven Yellin for a fascinating conversation on how the brain learns movement, builds repeatable golf swings, and performs under pressure. How Dopamine spikes can influence your golf game Why your reactions to your shots are so important How do you RECOVER from a poor shot Keeping dopamine at optimal levels Not letting Cortisol overwhelm you Developing TRUST in yourself The quality of the SPACE in your mind BEFORE the shot The crucial role of ATTENTION Not allowing your mind to get to the outcome before the ball A really great and thought provoking session What happens when time gets distorted during the motion To find out more about Steven Yellin go to https://stevenyellin.com/ To find out more about Dr Keith Wallace go to https://www.miu.edu/academic-departments/physiology-and-health To become a Certified Mind Factor coach go to www.themindfactor.com To join us on the Mind Caddie journey go to www.mindcaddie.golf Shop with code : MINDFACTOR10 at checkout for 10% OFF your next order at www.fenixxcell.com @fenixxcell  

In this episode of the PFC Podcast, Dr. DeMello discusses the complexities of managing burn injuries in a pre-hospital setting. He emphasizes the importance of following established guidelines, understanding the nuances of fluid resuscitation, and the critical role of pain management. The conversation also covers the indications for escharotomy, the significance of cooling burns, and common mistakes made in burn management. Dr. DeMello shares valuable insights from his extensive experience in military medicine, highlighting the need for compassion and effective communication in trauma care.TakeawaysBurns are a major cause of panic in trauma situations.Follow the MARCH guidelines for initial assessment.TBSA calculations are often overestimated in pre-hospital settings.Fluid resuscitation should be based on available resources.Pain management is crucial and should prioritize patient comfort.Escharotomy should be performed with careful planning and timing.Cooling a burn can significantly reduce its severity if done promptly.Compassionate care can greatly improve patient outcomes.Monitoring urine output is essential for assessing kidney function.Avoid common mistakes like neglecting the back in assessments.Chapters00:00 Introduction to Burns and Trauma Care02:07 Initial Assessment and Management of Burns05:58 Fluid Resuscitation Strategies09:58 Pain Management in Burn Patients21:57 Escharotomy: Indications and Techniques34:10 Cooling Burns and Managing Hypothermia40:10 Common Mistakes in Burn ManagementFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

What if the real future-of-work crisis isn't about technology replacing humans—but organizations pushing out workers just when their wisdom is needed most? In this episode, Kate O'Neill and Dan Pontefract explore the urgency of rethinking age in the workplace, longevity, and designing meaningful work for six-decade careers. Topics covered: Age and longevity in the workforce Fluid vs. crystallized intelligence The demographic “age debt” challenge AI and human intelligence collaboration Multidirectional, time-flexible careers Rethinking succession planning and wisdom transfer Designing learning ecosystems Evolution of purpose throughout a career Concrete steps leaders can take to turn age debt into dividends Connect with Dan PontefractWebsiteLinkedInYouTubeInstagramTikTokDan’s new book – “The Future is Grey” Episode Chapters:00:05 Welcome and Introduction00:36 The Real Crisis: Age and Work02:01 Dan's Wake-Up Call: Fired at 5003:39 Longevity vs Organizational Blind Spots06:10 Lessons from Japan: The Age Canary07:14 Chief Longevity Officers: Action or Gray Washing?09:42 Fluid & Crystallized Intelligence in the Age of AI14:10 Rivers, Rocks, and Rubies: Beyond Generational Stereotypes18:09 Building Multi-Directional Careers22:00 “Gray” Means Embracing the In-Between22:44 Succession Planning vs Wisdom Transfer26:46 Learning Ecosystems for All Ages30:06 How Purpose Evolves Over Time33:01 3 Steps for Leaders: Actionable Guidance37:11 How to Use Rivers, Rocks, & Rubies in Practice39:11 Dan's Personal “Gray” Future42:01 What's Next for Dan and Final Thoughts43:26 Closing and Where to Connect

Dr Steve and Dr Scott discuss: the spectrum of breast milk why a tracheostomy after 14 days on the vent? Hypermobile spectrum disorder Vabbing: Pheremones or BS? Coffee as laxative 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 BUY the Troy Smith Dabbleverse Artwork! get it here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠ dabblegames.myshopify.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (a most-fun party game!) each shipment comes with some awful tchotchke! 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

🧭 REBEL Rundown 📝Introduction Welcome to this special edition of the REBEL Cast, where we unravel key highlights and educational insights from the IncrEMentuM Conference in Spain. This event is a cornerstone for advancing emergency medicine education, drawing esteemed speakers and participants from around the globe. As emergency medicine gains traction in Spain, this conference has become an essential platform for knowledge exchange and professional growth. Today, host Dr. Mark Ramzy shines a spotlight on two phenomenal educators: Drs. Sara Crager and Ryan Ernst who shared their expertise and experiences at this transformative gathering last spring. Click here for Direct Download of the Podcast. 🤔What's IncrEMentuM? A new conference and a pivotal gathering for emergency medicine professionals worldwide, has become an essential platform for education, collaboration, and advocacy, especially in light of emergency medicine’s recent recognition as a specialty in Spain. The conference is praised for its outstanding production quality, engaging speakers, and its capacity to foster a global community of emergency care professionals. ️What's an Essential Question? Essential questions are open-ended, thought-provoking, and intellectually engaging inquiries that inspire deeper exploration into topics. In the context of medical education, they challenge practitioners to think critically and reflect on their practice deeply. By focusing on essential questions, medical educators aim to inculcate a culture of continuous learning and curiosity, ensuring that medical professionals stay adaptable and insightful in their approach to patient care. 🎮Rapid Sequence (no not the intubating style...)  The Rapid Sequence game is an innovative tool that Sara and Ryan designed to enhance the learning experience for emergency medicine clinicians. It mimics real-life scenarios requiring rapid decision-making in high-pressure situations, such as those faced in emergency medical settings. This clinical case-based game aims to improve cognitive and procedural skills, allowing participants to hone their ability to respond effectively under pressure, thereby enhancing their real-world clinical performance.You can try it out for free on their website here!Their work was featured in the September 2025 edition of Annals of Emergency Medicine as a 2025 ACEP Abstract 🌳The Arboretum Teaching Collective An arboretum is a space that cultivates a wide variety of diverse, unique, and symbiotic growth. Arboretum provides a creative space to decrease barriers, open opportunities, and support the development of extraordinary teachers. The Arboretum Teaching Collective is a non-profit organization dedicated to supporting emergency medicine education in countries where it is a new or evolving specialty.  Their aim to facilitate the development of expert teachers by reducing barriers, providing opportunities, and curating talent.  Their goal is to create a community of educators around the globe who share a vision of bringing excellent, innovative emergency medicine teaching to where it is most needed.  Their approach is driven by curiosity, humility, and sustainability.If you want to learn more and get involved, check out the Arboretum Teaching Collective Website Here ️ See you in Spain! The upcoming conference aims to gather world-class educators once more and promises an enriching experience for all attendees. Drs. Sara Crager and Ryan Ernst, along with many others, will be there at the event. For more information on the IncrEMentuM Conference and to register, visit their website! See you there! Sara Crager, MD Associate Professor, Critical Care and Emergency Medicine UCLA, Los Angeles, CA Ryan Ernst, MD Assistant Professor of Emergency Medicine, Section Chief of Global EM University of Utah, Salt Lake City, UT Mark Ramzy, DO Co-Editor-in-Chief Rutgers Health / RWJBH, Newark, NJ 🔎 Your Deep-Dive Starts Here REBEL CAST – IncrEMentuM26 Speaker Spotlight : Drs. Sara Crager and Ryan Ernst Host Dr. Mark Ramzy shines a spotlight on two phenomenal ... Resuscitation 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 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 Incrementum Conference 2026: Revolutionizing Emergency Medicine in Spain In this special episode of Rebel Cast, we spotlight the ... Read More The post REBEL CAST – IncrEMentuM26 Speaker Spotlight : Drs. Sara Crager and Ryan Ernst appeared first on REBEL EM - Emergency Medicine Blog.

In this New Year's talk, Hogen reflects on impermanence as the ground of freedom, showing how the fluid, flickering nature of body, mind, and world makes transformation always possible. Through the traditional elements of letting go, clarifying vow, and living with ethical integrity, he points to the deep creativity inherent in each moment and the unique aspiration alive in every person. By trusting direct experience, releasing fixed self-images, and aligning our actions with our deepest heart, we discover that a new year is not merely a date on a calendar, but an ever-present opportunity to awaken, to serve, and to allow the world itself to become a place of greater clarity, kindness, and possibility. ★ Support this podcast ★

If you're an injured runner we can help you get back to running pain-free.Click the link to book a free call with ushttps://matthewboydphysio.com/booking/Running Fundamentals Coursehttps://matthewboydphysio.com/running-fundamentals-course/Instagramhttps://www.instagram.com/matthewboydphysio/SummaryThis episode focuses on the importance of hydration and electrolyte replenishment for runners. Matthew Boyd discusses how to develop a personalized hydration strategy, emphasizing the need to understand individual sweat rates and sodium loss. He provides practical advice on how to create an electrolyte fluid and the significance of tracking hydration habits to enhance performance during training and races.TakeawaysHydration and electrolytes are crucial for runners.Most runners lack a specific hydration strategy.Proper hydration becomes vital in hot or long workouts.Fluid loss through sweat varies significantly among runners.The average runner sweats about one liter per hour.Replenish about half of the fluid lost during runs.Sodium is the key electrolyte to focus on.Electrolyte products should contain about a thousand milligrams of sodium.Track hydration habits to improve performance.Practice hydration strategies to prepare for race day.

Drug detection times in saliva vary wildly—heroin vanishes in one hour while methadone lingers for ten days. Your metabolism, usage frequency, and consumption method dramatically influence these windows, creating a complex timeline that catches most people completely off guard.Learn more: https://12panelnow.com/oral-swabs/ 12 Panel Now City: Boynton Beach Address: 801 N Congress Ave. Ste 101 Boynton Beach FL 33426 Website: https://12panelnow.com Phone: +1 561 897 9238 Email: thestaff@12panelnow.com

The science is finally catching up to what clinicians have long known: more fluids aren't always the answer to septic shock. In this episode, host Sarah Lorenzini and Jaclyn Bond MSN-LM, MBA-HM explain what the ANDROMEDA-SHOCK 2 trial reveals about physiology-guided sepsis resuscitation and why fixed-volume fluid strategies can lead to avoidable harm.They break down how dynamic fluid responsiveness testing helps teams stop guessing, and how tools like FloPatch support real-time assessment of carotid flow time and stroke volume. You'll leave with a clearer idea of when to give fluids, when to stop, and how to justify the decision.Topics discussed in this episode:The purpose and key findings of the ANDROMEDA-SHOCK 2 studyWhy dynamic measures of fluid responsiveness matter more than static vitalsWhat recent meta-analysis data shows about physiology-guided fluid strategiesCarotid flow time: what it is, how it's measured, and how it guides decisionsHemodynamic assessment and bedside limitationsHow FloPatch supports real-time assessment so you can make individualized fluid decisionsSEP-1 2026 guideline updates and why it's better for patientsHow to apply these principles to your workflow Website: www.flosonicsmedical.com See FloPatch in action: https://hubs.ly/Q03-68Hg0Mentioned in this episode:CONNECT

Dr Steve and Dr Scott discuss: board certification: scam or necessity altered sleep states "virgin" birth in science: parthenogenesis rising from the dead Ehler Danlos and TMJ pressure turned out to be an abscess mold exposure: scam or reality 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

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/. 

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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.

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.

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.

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"