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ACOG, the American College of Obstetricians and Gynecologists, recently published EMS guidelines for treatment of hypertension in pregnancy/pre-eclampsia, eclampsia, and postpartum hemorrhage. Drs. Jenna White and Christopher Zahn join Dr Jarvis to discuss the science behind these recommendations as well as how to implement them into our practice. Citations:1. https://www.acog.org/programs/obstetric-emergencies-in-nonobstetric-settings2. Vuncannon, D. M.; Platner, M. H.; Boulet, S. L. Timely Treatment of Severe Hypertension and Risk of Severe Maternal Morbidity at an Urban Hospital. American Journal of Obstetrics & Gynecology MFM 2023, 5 (2), 100809. https://doi.org/10.1016/j.ajogmf.2022.100809.3. Gupta, M.; Greene, N.; Kilpatrick, S. J. Timely Treatment of Severe Maternal Hypertension and Reduction in Severe Maternal Morbidity. Pregnancy Hypertension 2018, 14, 55–58. https://doi.org/10.1016/j.preghy.2018.07.010.
Maternal-fetal medicine fellow Frank I. Jackson discusses his article "Affordable postpartum hemorrhage solutions every OB/GYN should know." Frank explains how postpartum hemorrhage remains a leading cause of maternal mortality, especially in low-resource settings where advanced devices like the JADA® System are inaccessible. He introduces two innovative, low-cost techniques—FOCUS (Foley catheter for uterine suction) and STUT (suction tube uterine tamponade)—that replicate the life-saving mechanism of expensive devices but with tools found in nearly every labor ward. Frank shares evidence from recent clinical trials, describes practical steps for implementation, and emphasizes why every obstetric provider should learn these methods. Listeners will gain actionable knowledge on how to apply simple, affordable interventions that can save lives globally. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's part of Microsoft Cloud for Healthcare, built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
In part 2 of the Trauma and Burn Anesthesia series, we discuss hemorrhage management in trauma, covering the causes and treatment of trauma-induced coagulopathies and the significance of essential lab values such as thromboelastography (TEG), blood gases and PT/INR/PTT. The discussion integrates key concepts from trauma anesthesia, including the lethal triad and diamond of death, underscoring how hypothermia, acidosis, coagulopathy, and hypocalcemia interact to worsen outcomes. Listeners are introduced to advanced diagnostics like TEG for real-time assessment of coagulation, and learn best practices for addressing hyperfibrinolysis with antifibrinolytics such as tranexamic acid to optimize resuscitative care and reduce mortality.Want to learn more? Create a FREE account at www.atomicanesthesia.com⚛️ CONNECT:
In this episode of the PFC Podcast, Dennis interviews Jessica, known as the Combat Midwife, who shares her extensive experience in both paramedicine and midwifery. The conversation delves into the critical issues surrounding postpartum hemorrhage, the mismanagement of obstetrics, and the importance of proper labor management. Jessica emphasizes the need for understanding the physiological process of birth and the risks associated with unnecessary interventions. She also discusses the significance of positioning during labor, the delivery of the placenta, and the risks of infection postpartum. Additionally, Jessica introduces the resources available for further education in maternal care.TakeawaysJessica is both a paramedic and a midwife.Postpartum hemorrhage is a leading cause of maternal death.Mismanagement in obstetrics often leads to complications.Birth is a natural physiological process that should not be micromanaged.Less than 10% of births require medical intervention.Proper positioning during labor is crucial for a successful delivery.The delivery of the placenta should be handled with care to avoid complications.Postpartum care is essential to prevent infections and other issues.The Combat Midwives Emergency OB Kit is designed for use in austere environments.Education and resources are available for those interested in maternal care.Chapters00:00 Introduction to the Combat Midwife01:28 Understanding Postpartum Hemorrhage04:37 The Mismanagement of Obstetrics06:14 Categories of Postpartum Hemorrhage15:13 Advice for Managing Labor19:11 The Importance of Positioning During Labor21:03 Delivery of the Placenta27:34 Postpartum Care and Infection Risks36:06 Addressing Postpartum Hemorrhage and Infection45:42 The Combat Midwife's Emergency OB Kit48:41 Resources and Courses for Further LearningFor more information Connect with The Combat Midwife™:Email: ask@combatmidwife.comWebsite: https://combatmidwife.comClasses & Kits: Workshops & KitsInstagram: @CombatMidwifeYouTube: Combat Midwife on YouTubeFacebook: Combat Midwife on FacebookX: @CombatMidwifeDiscount Code for your followers: PFCFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
We're back with another special series, diving into one powerful theme at the heart of home birth journeys. This time: First Time Birth Stories. What helped you when you were preparing for home birth? For Paige, “Ina May's Guide to Childbirth” and Doing It At Home podcast were two of the biggest resources in her journey. In Paige's submitted audio story, she walks us through her preconception journey as well as the planning for home birth and the birth of her son, Cole. Themes and topics from Paige's story: Unexplained infertility and struggling to conceive IUI process Exploring a birthing center option Finding a midwife Support from husband Different positions during birth Postpartum hemorrhage Healing and recovery Addressing questions and comments around home birth Links From The Episode: Ina May's Guide to Childbirth: https://amzn.to/41gwx8F Offers From Our Awesome Partners: Needed: https://needed.sjv.io/XY3903 - use code DIAH to get 20% off your first-time, one-time order More From Doing It At Home: Doing It At Home book on Amazon: https://amzn.to/3vJcPmU DIAH YouTube: https://bit.ly/3pzuzQC DIAH Merch: https://www.teepublic.com/stores/doingitathome Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode of the PFC Podcast, Dennis and Max discuss the evolving landscape of modern combat injuries, focusing on neck and upper chest injuries. They delve into the anatomy of the neck, the importance of understanding different zones for surgical intervention, and effective hemorrhage control techniques. The conversation emphasizes the critical role of teamwork in trauma care and the necessity of airway management in emergency situations. A case study of a traumatic incident illustrates the practical application of these concepts in real-world scenarios.Link to Video Kentucky Ballistics: https://www.youtube.com/watch?v=1449kJKxlMQ&t=983sTakeawaysModern combat injuries have evolved, necessitating updated medical responses.Neck and upper chest injuries present unique challenges in trauma care.Understanding the anatomy of the neck is crucial for effective treatment.Zone classification helps determine surgical approaches to neck injuries.Upper extremity junctional injuries are particularly difficult to manage.Effective hemorrhage control requires teamwork and quick decision-making.Airway management is critical in trauma situations, especially with neck injuries.Hands-on techniques, such as packing and suturing, are essential skills for medics.Training and preparation are key to successful trauma interventions.Real-world case studies highlight the importance of timely medical responses.Chapters00:00 Introduction to Modern Combat Injuries02:43 Understanding Neck and Upper Chest Injuries05:38 Anatomy of the Neck: Zones and Surgical Considerations09:50 Upper Extremity Junctional Injuries15:36 Management of Hemorrhage in Neck Injuries21:37 Airway Management in Trauma26:24 Effective Hemorrhage Control Techniques30:35 The Importance of Teamwork in Trauma Care36:22 Surgical Interventions and Techniques42:25 Case Study: Kentucky Ballistics Incident48:27 Conclusion and Key TakeawaysFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Sponsor: Use code BIRTHHOUR for up to 40% off your first order (including their already discounted plans and subscriptions) at thisisneeded.com. The Birth Hour Links: Know Your Options Online Childbirth Course (code 100OFF for $100 OFF!) Beyond the First Latch Course (comes free with KYO course) Access archived episodes and a private Facebook group via Patreon!
Massive Hemorrhage of an ECMO Patients - Requiring Six Full MTP's
In this update to the 7 T's of Massive Hemorrhage Protocols with Dr. Jeannie Callum and Dr. Andrew Petrosoniak, we explore the most current, evidence-informed strategies for bleeding patients, from polytrauma to obstetrical, drawing on the latest clinical trial data and real-world experience. We answer the questions: What is the evidence based alternative to FFP in EDs where FFP is not readily available? How accurate are decision scores in helping decide the trigger for MHP activation? Why is testing fibrinogen levels and giving fibrinogen concentrates so important in massive hemorrhage? How should we tailor our MHP to the GI bleed patient? To the obstetrical patient? and many more... Please donate to EM Cases to ensure ongoing Free Open Access Medical Education at https://emergencymedicinecases.com/donation/.
We're launching a special series of episodes, each centered on one powerful theme in the home birth journey. This first set — Water Birth Stories — gathers real experiences and insights to support, inspire, and immerse you in the magic of water birth! How can you take your power back after it feels like a previous birth experience took it away? Today's story with Karine Halle features details of trauma from a hospital birth for her first child and how she was determined to have a home birth for her second. In between her first and second birth, she felt called into doula work and became passionate about supporting families in the birth experience. For her second pregnancy and birth, she did everything she could to put the odds on her side to have her dream birth. *Please note that this conversation contains mention of suicidal thoughts Things we talk about in this episode: Postpartum rage GBS positive Gestational Diabetes testing Body work for birth: chiropractic care, massage, yoga, exercise Links From The Episode: The Birth Hour: https://thebirthhour.com/ Birthful: https://birthful.com/ Evidence Based Birth Podcast: https://evidencebasedbirth.com/evidence-based-birth-podcast/ Babies are Not Pizzas: https://amzn.to/3UGYtPi Ina May: https://amzn.to/3tfHuI2 Hypnobirthing: https://hypnobirthing.com/ The First Forty Days: https://amzn.to/3WMDtbK Birthing from Within: https://amzn.to/3tfHOqe The Fourth Trimester: https://amzn.to/3NOSUvE Business of Being Born: https://www.thebusinessof.life/ Offers From Our Awesome Partners: Needed: https://bit.ly/2DuMBxP - use code DIAH to get 20% off your order or DIAH100 for $100 off a Complete Plan More From Doing It At Home: Doing It At Home book on Amazon: https://amzn.to/3vJcPmU DIAH YouTube: https://bit.ly/3pzuzQC DIAH Merch: https://bit.ly/3qhwgAe Learn more about your ad choices. Visit megaphone.fm/adchoices
Want to know what dictators' autopsy was published on the front page of the newspaper, why he hated doctors and what that had to do with his death? What leeches were used for in 1950? Listen to find out!Send us a text
Want to know why cocaine is used in the operating room? What toxin has been used in bombs, impregnated into clothing and sprayed on salad bars? What rat poison is treated with vitamins? Listen to find out!Send us a text
EMS Research: Severe Hemorrhage Technology Developed by Military Researchers Severe hemorrhage is one of the toughest challenges faced in the prehospital environment, especially when every second counts and resources are limited. But a recent study on the use of 25% human serum albumin (HSA) in trauma care could change how responders approach these critical moments. The study was led by United States Air Force Scientist Alex Penn, PhD. The findings from his team suggest that this concentrated protein solution can stabilize blood pressure, reduce the need for additional fluids, and improve circulation in ways traditional methods cannot. For paramedics, this could mean a shelf-stable, easy-to-use solution that saves more lives in the toughest conditions, revolutionizing pre-hospital care as we know it.
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Recovery of brain hemorrhage from Jason's perspective—treatments, setbacks, and mindset shifts that shaped his healing journey. The post From Paralysis to Progress: One Man's Quest to Recover After Brain Hemorrhage appeared first on Recovery After Stroke.
In this episode of the MamasteFit Podcast's Birth Story Friday, Grace Ann shares her experiences of having two home births, including dealing with a postpartum hemorrhage. Midwives expertly managed the situation, ensuring the safety of both mother and baby. Grace Ann highlights the importance of having midwives capable of handling emergencies and discusses her preparation, labor, and postpartum journeys. The hosts, Gina and Roxanne, perinatal fitness trainers, birth doulas, and healthcare professionals, emphasize the significance of understanding emergency plans with your care provider when opting for home births.Check out our episode all about Community Birth here!: https://spotifycreators-web.app.link/e/wk1uGVZ0XTb00:00 Introduction to Grace Ann's Home Birth Story00:17 Meet the Hosts: Gina and Roxanne01:21 Grace Ann's Birth Preparation Journey02:20 Choosing Home Birth and Finding a Midwife05:45 End of Pregnancy and Beginning of Labor07:59 Labor Progression and Early Contractions10:43 Support Techniques During Labor11:57 Challenges and Frustrations in Labor14:52 Pushing Phase and Delivery20:27 Postpartum Hemorrhage and Midwife's Response23:20 Postpartum Recovery and Reflections23:57 Postpartum Challenges and Recovery24:55 Second Pregnancy and Unexpected Bleeding28:28 Labor and Delivery of Second Child38:11 Postpartum Experience with Second Child40:22 Reflections on Home Birth and Advice44:45 Podcast Conclusion and Resources——————————Get Your Copy of Training for Two on Amazon: https://amzn.to/3VOTdwH
In this episode of the PFC Podcast, host Dennis engages with Andy Fisher to discuss the controversial topic of needle decompression in Individual First Aid Kits (IFACs). They explore the historical context of IFAC contents, the effectiveness of needle decompression, and the challenges in identifying tension pneumothorax in the pre-hospital setting. The conversation also delves into the training and decision-making processes in combat medicine, assessment techniques for pneumothorax, and potential alternatives to needle decompression. In this conversation, the speakers delve into the evolving perspectives on thoracostomy and its application in pre-hospital settings, particularly in combat medicine. They discuss the implications of tension physiology in hemothorax and the prevalence of massive hemothorax in recent years. The conversation also revisits treatment protocols for chest injuries, emphasizing the need for a shift towards simple thoracostomy over needle decompression. Finally, they evaluate the use of pigtail catheters versus traditional chest tubes, weighing the pros and cons of each in emergency situations.TakeawaysNeedle decompression is debated in the context of IFACs.Historical context shows that needle decompression was not originally included in official DOD lists.Hemorrhage is the leading cause of mortality in trauma cases.Tension pneumothorax is rare, occurring in only 1.1% of cases.Identifying tension pneumothorax in pre-hospital settings is challenging.Medics should rely on objective data for decision-making.Training often prioritizes speed over thorough assessment.Prophylactic interventions for tension pneumothorax may not be effective.Chest tubes are not always life-saving interventions.Exploring alternatives like finger thoracostomy may be beneficial. Evolving views on thoracostomy emphasize its selective use.Needle decompression may be overused in practice.Tension physiology can occur with blood accumulation in the chest.Massive hemothorax is increasingly recognized in trauma cases.Up to 49% of combat casualties require chest tubes.Simple thoracostomy should be prioritized over needle decompression.Patient monitoring is crucial in pre-hospital settings.Pigtail catheters may not be suitable for pre-hospital use.Chest tubes are preferred for their reliability in emergencies.Comfort for the patient is important but should not compromise urgent care.Chapters00:00 Introduction to the Podcast and Guest01:01 Debate on Needle Decompression in IFACs03:20 Historical Context of IFAC Contents06:40 Effectiveness of Needle Decompression09:09 Challenges in Identifying Tension Pneumothorax12:00 Training and Decision-Making in Combat Medicine16:21 Assessment Techniques for Pneumothorax21:29 Interventions for Tension Pneumothorax25:19 Exploring Alternatives to Needle Decompression25:50 Evolving Perspectives on Thoracostomy31:38 Understanding Tension Physiology in Hemothorax36:41 Revisiting Treatment Protocols for Chest Injuries43:12 Evaluating Pigtail Catheters vs. Chest TubesThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Dr. Nadia Khalil and Dr. Jean Bouchart discuss the diagnostic approach to intracerebral hemorrhage, the causes of cerebral small vessel disease, and the interpretation of biomolecular tests. Show reference: https://www.neurology.org/doi/10.1212/WNL.0000000000209796
In honor of Pride Month, this episode of The Birth Trauma Mama Podcast features a powerful and deeply personal conversation with Alejandra- a queer parent, birth trauma survivor, and passionate advocate for inclusive, affirming perinatal care. Alejandra shares about her family, their journey through infertility and IVF, and a traumatic birth experience involving preeclampsia, an emergency cesarean, a NICU stay, and a near-fatal postpartum hemorrhage.Together, Kayleigh and Alejandra explore the intersections of identity, trauma, and healing. They shed light on the systemic challenges queer families often face in reproductive healthcare and the strength and resilience it takes to survive and thrive in the aftermath.What You'll Hear in This Episode:
Dr. Nadia Khalil talks with Dr. Jean Bouchart about the diagnostic approach to intracerebral hemorrhage, the causes of cerebral small vessel disease, and the interpretation of biomolecular tests. Read the related article in Neurology® Resident & Fellow Section. Disclosures can be found at Neurology.org.
Moderator: BobbieJean Sweitzer, M.D. Participants: Jessica R Ansari, M.D., M.S. and Craig M. Palmer, M.D. Articles Discussed: Uterine Tone Numeric Rating Score as an Early Indicator of Major Postpartum Hemorrhage During Cesarean Delivery: A Prospective Observational Study Predicting the Unpredictable: A New Approach to Predict Postpartum Hemorrhage from Uterine Atony Transcript
Sponsor: Use code BIRTHHOUR for up to 40% off your first order (including their already discounted plans and subscriptions) at thisisneeded.com. The Birth Hour Links: Know Your Options Online Childbirth Course (code 100OFF for $100 OFF!) Beyond the First Latch Course (comes free with KYO course) Access archived episodes and a private Facebook group via Patreon!
Postpartum hemorrhage is one of the top five causes of maternal mortality—and when it happens, nurses are often the ones who recognize it and initiate prompt treatment. In this episode, we're diving into how to recognize and respond to this high-risk situation with confidence. You'll learn the pathophysiology behind postpartum hemorrhage as well as the major causes so you can know who's most at risk. And, we'll use the LATTE method to break it down like a pro. If you're heading into your OB clinical or prepping for exams, this is an episode you won't want to miss!
Oliver Glasner is the current manager of Crystal Palace. He previously lead Eintracht Frankfurt to Europa League glory. With a career rooted in resilience and personal growth, he brings a refreshing perspective on what it means to lead a team and overcome challenges.In this episode, Oliver shares his insights on what it takes to build a successful team, emphasising the importance of trust, respect, and creating an environment where everyone feels valued. With a focus on teamwork and unity, he also delves into how fostering confidence and communication on and off the pitch leads to stronger performance. This episode is all about mindset, growth, and what it really takes to lead, with heart, purpose, and a bit of risk.
Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Association of Intramyocardial Hemorrhage With Inflammatory Biomarkers in Patients With ST-Segment Elevation Myocardial Infarction.
The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
Show notes at pharmacyjoe.com/episode1018. In this episode, I'll discuss andexanet vs. prothrombin complex concentrate for reversal of factor Xa inhibitor-related intracranial hemorrhage. The post 1018: Balancing Risk vs Benefit – Andexanet vs. Prothrombin Complex Concentrate for Reversal of Factor Xa Inhibitor-Related Intracranial Hemorrhage appeared first on Pharmacy Joe.
Julie, Stephanie and Suzanne address listener questions posted about obstetric hemorrhage. We talk about transfusion thresholds, vital signs in hemorrhage, QBL, postpartum monitoring and many other aspects of hemorrhage management and recognition.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Instagram: https://www.instagram.com/criticalcareob/Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112aCCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/Twitter/X: https://twitter.com/OBCriticalCareCCOB Facebook: https://www.facebook.com/clinicalconceptsinobstetricsDr Ma...
In this Listener Episode, I sit down with Priya as she shares her deeply personal and emotional journey through birth trauma, emergency medical interventions, and the unimaginable grief of losing her baby in the NICU. Priya opens up about experiencing a traumatic birth, the unexpected complications that followed, and the physical and emotional toll it took on her postpartum experience.What You'll Hear in This Episode:Priya's birth trauma experience and emergency medical interventionsFacing a postpartum hemorrhage and its impact on recoveryNavigating the NICU stay and the heartbreak of infant lossPTSD, anxiety, and the mental health struggles that followedThe emotional toll of grieving while recovering postpartumHow Priya found support, advocacy, and resources to aid in healingAdvice for those recovering from traumatic birth and infant lossPriya's story is one of heartbreak, resilience, and healing, tune in now to hear her journey and find support for your own.
For this episode we are joined by EBM guru, Dr. Brian Locke, who deftly breaks down all of our statistics questions. Is half dose DOAC as good as full dose DOAC for preventing VTE, and does it reduce bleeding risk? Can procalcitonin reduce duration of antibiotics for infections without compromising mortality rates? Can LLMs like GPT-4 help physicians manage patients better? Can reinforcement learning models predict when to start vasopressin in patients with septic shock? What is the risk of resuming anticoagulation in patients with atrial fibrillation and prior intracerebral hemorrhage? Is high flow nasal cannula as good as non-invasive ventilation for different types of respiratory failure? We answer all these questions and more!Half Dose DOAC for Long Term VTE Prevention (RENOVE)Biomarker-Guided Antibiotic Duration (ADAPT-Sepsis)GPT-4 Assistance for Physician PerformanceOptimal Vasopressin Initiation for Septic Shock (OVISS)DOACs for A fib after ICH (PRESTIGE-AF)High Flow Nasal Cannula vs NIV for Respiratory Failure (RENOVATE)Music from Uppbeat (free for Creators!): https://uppbeat.io/t/soundroll/dope License code: NP8HLP5WKGKXFW2R
We're still on a break from the Midwifery Wisdom Podcast but will be back with new episodes in just a few weeks!In the meantime, enjoy these clips from the Q&A section of our latest Teachable e-course, Preventing and Treating Hemorrhage.This in-depth course is perfect for anyone looking to refresh their knowledge and stay up to date on the latest hemorrhage management protocols in the community birth setting.Resources:Preventing and Treating Hemorrhage E-CourseBoundaries for Birthworkers E-Course
Commentary by Dr. Jian'an Wang
Interview with David J. Seiffge, MD, author of Location and Timing of Recurrent, Nontraumatic Intracerebral Hemorrhage. Hosted by Cynthia E. Armand, MD. Related Content: Location and Timing of Recurrent, Nontraumatic Intracerebral Hemorrhage
Interview with David J. Seiffge, MD, author of Location and Timing of Recurrent, Nontraumatic Intracerebral Hemorrhage. Hosted by Cynthia E. Armand, MD. Related Content: Location and Timing of Recurrent, Nontraumatic Intracerebral Hemorrhage
Send us a textIntraventricular Hemorrhage and Survival, Multimorbidity, and Neurodevelopment.Rees P, Gale C, Battersby C, Williams C, Carter B, Sutcliffe A.JAMA Netw Open. 2025 Jan 2;8(1):e2452883. doi: 10.1001/jamanetworkopen.2024.52883.PMID: 39761048 As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Our favorite horror writer is back at it again! This week we read Witchcraft for Wayward Girls by Grady Hendrix, a truly harrowing mixture of pregnancy horror, social horror, and eels. In this episode, as you can probably imagine, we talk a lot about abortion rights, fucked up pregnancy stuff, and infanticide. Like honestly probably way too much discussion of infanticide, oopsie, sorry about that. Proceed with caution accordingly. More pregnancy/motherhood/baby horror recs: Nestlings by Nat CassidyImmaculate (2024)The First Omen (2024)Huesera: The Bone Woman (2022) (Note from Cyrus: I forgot to mention this one on the episode but IT'S SO GOOD PLEASE WATCH IT. One of the rare movies that actually made me scream aloud)And lastly, if you want to read/listen to Cyrus's story mentioned at the end of this episode, it's not about pregnancy but it is very much horror: Hemorrhage on Pseudopod.org (not .com as we say on the podcast, I'm a fool)Support the show
This recording features audio versions of March 2025 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Safety and Effectiveness of Early Primary Stent Placement for Hepatic Artery Stenosis in Liver Transplant Recipients ReadThe LAVA Study: A Prospective, Multicenter, Single-Arm Study of a Liquid Embolic System for Treatment of Peripheral Arterial Hemorrhage ReadVenous Stents Placed for Postthrombotic Syndrome: The Role of Inflow Disease on Patency ReadProstatic Artery Embolization: Mid- to Long-Term Outcomes in 1,075 Patients ReadArtificial Intelligence-Driven Patient Selection for Preoperative Portal Vein Embolization for Patients with Colorectal Cancer Liver Metastases ReadA Decade Long Analysis of Healthcare Disparities and Uterine Artery Embolization: An Exploration of Social Determinants of Health ReadAlso make sure to check out the issue's special content dedicated to the SIR 50th Anniversary.JVIR and SIR thank all those who helped record this episode. To sign up to help with future episodes, please contact our outreach coordinator at millennie.chen.jvir@gmail.com. Host:Sonya Choe, University of California Riverside School of MedicineAudio editor:Hannah Curtis, Loma Linda University School of MedicineOutreach coordinator:Millennie Chen, University of California Riverside School of MedicineAbstract readers:Brian Tangsombatvisit, University of California San Francisco School of MedicineMatthew Kim, University of California San Francisco School of MedicineCrystal Chin, Touro College of Osteopathic MedicineDave Enriquez, University of California Riverside School of MedicineDaniel Roh, Loma Linda University School of MedicineLauren Lee, Washington State University Elson S. Floyd College of MedicineSIR thanks BD for its generous support of the Kinked Wire.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show
In this episode, we review the high-yield topic of Intracranial Hemorrhage from the Neurology section.FollowMedbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
Author : Cyrus Amelia Fisher Narrator : A.J. Fitzwater Host : Kat Day Audio Producer : Chelsea Davis “Hemorrhage” was originally published in the Book of Queer Saints Volume 2 CW: self-harm, drug abuse, addiction, physical abuse and coercive control Hemorrhage by Cyrus Amelia Fisher It's a dumb fight to pick, but I only learn […]
Send us a textIn this deeply personal and emotional episode, host Deborah Niemann shares the heartbreaking story of her goat, Coco, who experienced a uterine rupture and hemorrhage during a challenging kidding in 2013. Deborah takes listeners on a journey through Coco's life, from her birth to her tragic passing after giving birth to quintuplets. This episode not only honors Coco's memory but also provides valuable insights into the risks of uterine tears and hemorrhages in goats, how to recognize the signs, and what steps can be taken to prevent or address such emergencies.Key TakeawaysUterine ruptures can occur during difficult births, especially when there is excessive pressure or improper handling during interventions.Goats are horizontal animals, so internal bleeding may not be visible externally. Instead, blood collects in the abdomen.Warning signs include mental absence, lethargy, pale eyelids (indicating anemia), and disinterest in kids or milking.Lessons Learned from Coco's ExperienceRecognizing Symptoms: If a goat seems mentally absent or unresponsive after kidding, check for anemia by examining their eyelids. Pale eyelids can indicate severe blood loss.Importance of Veterinary Relationships: Having an established relationship with a vet ensures quicker access to help during emergencies.University veterinary hospitals can provide 24-hour care and specialized expertise if local vets are unavailable.Risks of Certain Tools and Procedures: Tools like kid pullers (wire nooses) can be effective but carry risks of causing uterine tears if not used carefully.Procedures like fetotomies (cutting up a fetus for removal) are especially risky in small goats like Nigerians due to limited space in their uterus.Postpartum Care: Small uterine tears can heal naturally but may lead to infections.Severe tears often require surgical intervention or result in fatal hemorrhaging.Preventative Measures: Avoid breeding smaller does with larger bucks to reduce the risk of oversized kids causing birthing complications.Always ensure hands are clean, nails are trimmed short, and gloves are worn when assisting with kidding to minimize risks of tears or infections.Resources MentionedDeborah's book: Goats Giving Birth Previous podcast episodes: Blood Transfusion in GoatsAnemia in GoatsSee full show notes here >> https://thriftyhomesteader.com/uterine-rupture-and-hemorrhage-in-goats/ To see the most recent episodes, visit ForTheLoveOfGoats.comWant to support the content you love?Head over to -- https://thrifty-homesteader.ck.page/products/love-goats-tip-jarThanks for listening!No one ever said raising goats was easy, but it doesn't have to cost a fortune or drive you crazy! You just need the right information. Click here to learn more about our Goats 365 membership.
Get help with Nursing School or NCLEX! Join our FREE Training, "Love Your Nursing Content Review," live on February 12 & 13 with Professor Regina. We'll cover everything from Pregnancy to STDs for Nursing School. (http://www.ReMarNurse.com/LOVE) Join us with the #1 Instructor on the planet Professor Regina M. Callion MSN, RN as we discuss the NCLEX teaching points on the subject of Pleural Effusion, a condition characterized by the accumulation of excess fluid in the pleural space surrounding the lungs. Learn about its meaning and importance, the different types such as transudative and exudative, and explore the common causes including heart failure and infections. Discover the key symptoms like shortness of breath and chest pain, and understand how healthcare professionals diagnose this condition using imaging studies and thoracentesis. We'll also discuss various treatment options from medications to surgical interventions, along with essential nursing interventions for effective patient care. Don't forget to like, comment, and subscribe for more informative content on nursing and healthcare topics. Download the ReMar V2 App: ►For iOS: https://apps.apple.com/us/app/remar-v2/id6468063785 ►For Android: https://play.google.com/store/apps/details... ► Find JOBS: http://ReMarNurse.com/jobs ► NCLEX for Africa - http://ReMarNurse.com/KENYA ► Get NCLEX V2: http://www.ReMarNurse.com ►NCLEX V2 Free Trial - http://ReMarNurse.com/free ► FOLLOW ReMar on Instagram: https://www.instagram.com/ReMarNurse/ ► LIKE ReMar on Facebook: https://www.facebook.com/ReMarReview/ ► Subscribe Now on YouTube - http://bit.ly/ReMar-Subscription
In the December 2024 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss managing alcohol withdrawal in the emergency department and evaluation and management of spontaneous intracranial hemorrhage. As always, you'll also hear about the hot topics covered in CDEM's regular features, including a boy with pharyngitis and a rash in Clinical Pediatrics, a reverse total shoulder arthroplasty dislocation in Orthopedics and Trauma, a zipper injury in The Critical Procedure, diagnosis and treatment of sexually transmitted infections in The LLSA Literature Review, and a newborn with bloody stool in The Critical Image.
Internal manual aortic compression is a procedure that may be used intraoperatively in the management of massive pelvic bleeding. But what about EXTERNAL aortic compression? In February's 2025 AJOG (Grey Journal), under their Surgeon's Corner section, there will be a very nice video recap of an easy to adopt maneuver which may “buy time” in OB hemorrhage cases as surgical intervention is being planned. This is called the EAC maneuver. First described in 1994, this technique has regained the spotlight as rates of PPH have been on the rise. How is EAC done? Does it work? If so, why is this not part of the OB Hemorrhage bundle? Listen in for details.
In this episode of the Pediatric and Developmental Pathology, our hosts Drs. Mike Arnold (@MArnold_PedPath) and Dr. Jason Wang speak with Dr. Philip Katzman of the University of Rochester Medical Center and Jonathan Hecht of Beth Israel-Deaconess Medical Center about their article in Pediatric and Developmental Pathology: Triaging and Evaluation of Products of Conception in Abortions and Post-Partum Hemorrhage Hear their tips for trainees about handling POC specimens, and what is different about first trimester specimens than term placentas. Featured public domain music: Summer Pride by Loyalty Freak
If you're struggling today, remember that with just one touch, Jesus will answer you with renewed hope, a brighter joy and profound peace. -------- Thank you for listening! Your support of Joni and Friends helps make this show possible. Joni and Friends envisions a world where every person with a disability finds hope, dignity, and their place in the body of Christ. Become part of the global movement today at www.joniandfriends.org Find more encouragement on Instagram, TikTok, Facebook, and YouTube.
Send us a textAnnouncement: Between now and year-end, we will be releasing a 50/50 mixture of new episodes interspersed with old-favorites, due to the sudden loss of Cynthia's husband in November. We have a new episode coming next week, and will be back to our usual production schedule by New Year's. If you'd like to donate a gift to the GoFundMe that was set up for Cynthia and her family, you may do so here. Thank you to everyone for your beautiful messages, gifts and prayers.Please keep an eye out for new content and an expanded Down to Birth platform on Patreon, including a new Community feature where listeners can post questions for us and each other. To join and gain instant access to our entire library of video content, go to our Patreon and sign up.Onto the show:In this episode, we have Barbara Harper on the podcast with us. Barbara is a midwife, author, and the founder of WaterBirth International, which she founded exactly 40 years ago. She is a world-expert in birthing and to this day travels the globe educating obstetricians, nurses and midwives on physiologic birth.Few mothers are given the opportunity to birth their placentas in the water, but is it really necessary to move women post-birth into a bed to complete the third stage (placental birth) of labor? In order to explain whether this is the right choice for any mother and baby, Barbara walks us through the most common causes of postpartum hemorrhage, how to prevent it, and the critical understanding of newborn transitional physiology: what she says is literally the most important moment in any human being's life.Is fundal massage necessary? When is the optimal time to cut the cord? What is the case for keeping the cord attached until the placenta is fully birthed? Is manual extraction of the placenta ever justified? These are some of the questions we answer in today's episode with Barbara.Barbara HarperWaterbirth International#100 | The Benefits of Water Birth: Interview With Barbara Harper of Waterbirth International#122 | Provider Green Lights: Interview with Barbara Harper on Holistic, Respectful & Supportive Birth Providers**********Our sponsors:Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.Postpartum Soothe -- Herbs and padsicles to heal and comfort.Needed -- Our favorite nutritional products for before, during, and after pregnancy.Use promo code: DOWNTOBIRTH for all sponsors.Support Cynthia's family here: https://www.gofundme.com/f/support-cynthia-overgards-family-after-tragic-loss Connect with us on Patreon for our exclusive content.Email Contact@DownToBirthShow.comInstagram @downtobirthshowCall us at 802-GET-DOWN Work with Cynthia: 203-952-7299 HypnoBirthingCT.com Work with Trisha: 734-649-6294 Please remember we don't provide medical advice. Speak to your licensed medical provider for all your healthcare matters.
"Preview: BRAZIL: Colleague Ernesto Araújo presents the conspiracy thinking around the shower fall by President Lula da Silva that is said to have resulted in a 'small brain hemorrhage.' More later." 1928 Rio de Janeiro
On this month's EM Quick Hits podcast: Kevin Wasko on post-tonsillectomy hemorrhage management, Brit Long on assessment and management of post-CABG surgical incision infections, Anand Swaminathan on evidence, pitfalls and tips on using Bougies, Leah Flannigan on when to suspect vascular injury in patients with low energy mechanism pelvic fractures, Andrew Petrosoniak on debriefing after cases: why, when and how... Do you learn a lot from EM Cases? Please consider a donation to ensure EM Cases continues to provide you high quality Free Open Access Medical Education here: https://emergencymedicinecases.com/donation/
In this episode, my guest is Dr. Gary Steinberg, MD, PhD, a neurosurgeon and a professor of neurosciences, neurosurgery, and neurology at Stanford University School of Medicine. We discuss brain health and brain injuries, including concussion, traumatic brain injury (TBI), stroke, aneurysm, and transient ischemic attacks (TIA). We discuss key and lesser-known risk factors for brain health and explain how certain treatments and medications can improve brain health and cognitive function. We also cover novel mechanisms to improve recovery after concussions and brain injury, including the use of stem cells, temperature (mild hypothermia), and vagus nerve stimulation. Dr. Steinberg also describes new advances in neurosurgery and minimally invasive brain augmentation. This episode ought to be of interest to anyone seeking actionable tools to improve their brain health and for those seeking to improve recovery after a brain injury such as concussion, stroke, aneurysm, or TBI. For show notes, including referenced articles and additional resources, please visit hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman Eight Sleep: https://eightsleep.com/huberman ROKA: https://roka.com/huberman AeroPress: https://aeropress.com/huberman LMNT: https://drinklmnt.com/huberman Timestamps 00:00:00 Dr. Gary Steinberg 00:01:44 Sponsors: Eight Sleep, ROKA & AeroPress; Subscribe on YouTube, Spotify & Apple 00:06:16 Stroke, Hemorrhage & Blood Clot 00:10:25 Blood Clots & Risk Factors, Medications, Smoking, Cholesterol 00:16:19 Heart & Brain Health; Neurosurgery & Brain Function 00:23:27 Current Technology & Neurosurgery, Minimally Invasive Techniques 00:28:13 Transient Ischemic Attacks (TIA); Spinal Cord Strokes 00:33:23 Stroke Risk: Alcohol, Cocaine & Other Drugs 00:38:24 Sponsor: AG1 00:39:55 Traumatic Brain Injury (TBI), Concussion: Sports, Testing & Recovery 00:46:45 Statins; TBI & Aspirin; Caffeine & Stroke Risk 00:48:31 Exploratory MRI: Benefits & Risks 00:51:53 Blood Pressure, Lifestyle Factors; Tool: Feeling Faint, Hydration; Sleep 00:59:52 Sponsor: LMNT 01:01:27 Chiropractic Neck Adjustment & Arterial Obstruction; Inversion Tables 01:05:16 Kids, Tackle Football, Soccer, Boxing; Mild Concussion 01:10:49 Nerve Regeneration, Stem Cells, Stroke Recovery 01:17:36 Stem Cells, Immune System, Activity 01:21:27 Injury & Recovery, Restraint Therapy 01:23:46 Neuroprotection After Injury; Mild Hypothermia 01:34:59 Platelet-Rich Plasma (PRP), Stem Cell Therapy 01:42:27 Scientific Advancements & Clinical Translation, FDA & Industry 01:47:40 Vagal Stimulation 01:53:17 Zero-Cost Support, Spotify & Apple Reviews, YouTube Feedback, Social Media, Neural Network Newsletter Disclaimer