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Whole blood is the current bright, shiny thing in EMS medicine. It works in the hospital and is what our patients are bleeding out onto the road so it just seems to make sense that we should put back what they're loosing. But… is it any better than blood components? That's the question the authors of TOWAR tried to answer. One of those authors, Dr Frank Guyette, joins us for a two episode interview about this trial and about trials in general. Dr Guyette is an EM and EMS physician, medical director for STATMedEvac, and Professor of Emergency Medicine at University of Pittsburgh. He is also a research leaders with the LITES network, the parent network for the TOWAR trial. We discuss the challenges of conducting large, multi-center randomized controlled trials in episode I, including funding and the ethics of prehospital research. In episode II, we'll jump into the details of the TOWAR trial itself.Reference:1. Sperry JL, Guyette FX, Cotton BA, et al.: Prehospital Resuscitation with Type O Whole Blood for Trauma and Hemorrhage. N Engl J Med. doi: 10.1056/NEJMoa2602167 (Epub ahead of print).
Looking to strengthen your veterinary dentistry skills and improve patient outcomes? Access our FREE RACE-accredited online veterinary dentistry course and join thousands of veterinary professionals advancing their dental knowledge. https://ivdi.org/free --------------------------------------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM --------------------------------------------------------------------------------------- This week's episode tackles some of the most challenging extraction scenarios encountered in veterinary practice. Dr. Brett Beckman answers clinician-submitted questions on managing ankylosed roots, performing mandibular canine extractions safely, preventing jaw fractures, and handling complications when fractures occur during surgery. Drawing from decades of clinical and teaching experience, Dr. Beckman explains the surgical principles behind difficult extractions, including bone removal strategies, handpiece positioning, patient luxation techniques, and when referral is the best option. The discussion also highlights the importance of deliberate skill development, cadaver practice, and case selection as veterinarians build confidence in advanced dental procedures. What You'll Learn in This Episode
Our Summer Series' are off and running, and this week we will talk about Mark's story of the healing of the Woman with the Hemorrhage, the tale of The Velveteen Rabbit, and the power of love to connect, and heal, and transform. There's a lot to imagine as we take up some of our favorite stories this week, both Biblical and "secular." Join us if you can.
Send us a Text Message (please include your email so we can respond!)Episode 93! In this episode we go over TOWAR or "Prehospital Resuscitation with Type O Whole Blood for Trauma and Hemorrhage" by Sperry et all published in NEJM and "Remote Multicomponent Rehabilitation in Intensive Care Unit Survivors" published by O'Neill et al in JAMA both in May 2026 and presented at the ATS International Conference! Then we talk a little bit about some current events with Hantavirus and sepsis that has hit the news cyclesTOWAR (NEJM): https://www.nejm.org/doi/full/10.1056/NEJMoa2602167iRehab (JAMA): https://jamanetwork.com/journals/jama/fullarticle/2849320If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!
Sami from Saskatoon, SK is a naturopathic doctor and joins us on this episode of Moony Birth Stories. Sami was followed by the midwives throughout her pregnancy, but when her water broke at 34 weeks + 3 days she was transferred to the care of OB's for delivery. Sami went on to have an unmedicated delivery that was augmented with pitocin. Her daughter spent 22 days in the NICU as well. At around 6 weeks postpartum, Sami experienced bleeding and retained products of conception which led to a D&C. Find us on Instagram: @moonybirthstoriespodcast @alivitrihSupport the show
Happy Spring! And welcome to the May Q&A!We start with a listener email we loved, followed by a discussion on creativity and why it matters, especially in the early years of motherhood when it can feel completely out of reach.Then we get into your questions.We talk about postpartum hemorrhage and how it's defined, including whether 500 cc of blood loss is truly cause for concern, and the use of Pitocin and Cytotec in that context, particularly for VBAC mothers. We also revisit RhoGAM and walk through when it may or may not be necessary, especially if you're not planning future pregnancies.One listener asks how to handle being the only one in the family making different choices around birth and parenting. We share our thoughts on boundaries, restraint, and when saying less is often the stronger position.In quickies, we cover induction at 42 weeks, complete placenta previa, vitamin D for breastfed babies, pelvic floor therapy access, low libido in pregnancy, newborn weight checks, birth combs, and how to get through the third trimester in the summer.Finally, when one fan asked our opinion on which of us may be the better driver, one of us shares an old story of getting a reckless driving ticket!**********Send us Fan Mail Cozyearth: Use code DTB for 20% offNeeded
Whole blood is the current bright, shiny thing in EMS medicine. It works in the hospital and is what our patients are bleeding out onto the road so it just seems to make sense that we should put back what they're loosing. But… is it any better than blood components? That's the question the authors of TOWAR tried to answer. One of those authors, Dr Frank Guyette, joins us for a two episode interview about this trial and about trials in general. Dr Guyette is an EM and EMS physician, medical director for STATMedEvac, and Professor of Emergency Medicine at University of Pittsburgh. He is also a research leaders with the LITES network, the parent network for the TOWAR trial. We discuss the challenges of conducting large, multi-center randomized controlled trials in episode I, including funding and the ethics of prehospital research. In episode II, we'll jump into the details of the TOWAR trial itself.Reference: 1. Sperry JL, Guyette FX, Cotton BA, et al.: Prehospital Resuscitation with Type O Whole Blood for Trauma and Hemorrhage. N Engl J Med. doi: 10.1056/NEJMoa2602167 (Epub ahead of print).
Dr. Samantha Do returns to Healthful Woman to talk about post-partum hemorrhage, which she says is “one of the most common [complications] that we think about for all patients.” She and Dr. Fox review causes for bleeding after delivery, how doctors treat these patients, and more.
In this March recap episode, Sophia, Eva, and Aly share personal updates, behind-the-scenes practice conversations, and three very different birth stories.They discuss:a prolonged labor ending in hospital transfer + C-sectioninformed consent and newborn antibioticsa peaceful birth after pregnancy losspostpartum hemorrhage management at homebalancing intervention with autonomy in birth workwedding planning, concerts, and midwifery student lifeA candid look inside real midwifery care, decision-making, and community support.Connect with us on IG @bornwildpodcastSome of Sophia's favorite recommendations: ▶︎Afterease Tincture by Wish Garden Herbs: ▶︎Sitz Bath Herbs by Motherlove Organics: ▶︎HIRO diapers: ▶︎Mioberry Organic Muslin Swaddle sets & more: Save 15% with code: Bornwild15Connect with Sophia ▶︎https://www.bornwildmidwifery.com/00:28 Personal life updates02:18 Concert stories + family life05:32 Midwifery skills + training07:22 Long labor + hospital transfer10:46 Informed consent + newborn antibiotics14:01 Birth after pregnancy loss17:46 Fast second birth story22:26 Postpartum hemorrhage managementThis podcast is intended for educational and informational purposes only. The views and experiences shared by guests are their own and do not constitute medical, legal, or professional advice.We are not providing medical or legal guidance, nor are we encouraging listeners to engage in any practice that may be unsafe or unlawful in their jurisdiction. Birth choices, medical care decisions, and midwifery practices are highly regulated and vary by state and country.Listeners are encouraged to consult with qualified, licensed professionals and to research the laws applicable to their location before making any health or birth-related decisions.By listening to this podcast, you acknowledge that you are responsible for your own decisions and actions.The show notes may contain affiliate links. IF you click and purchase product or service I might be compensated. Thank you for your support.
In this episode of the NCS Podcast Hot Topics series, host Eric Lawson, MD, is joined by Adam Arthur, MD, neurosurgeon at the University of Tennessee and Semmes Murphey Clinic in Memphis, Tennessee, to discuss the article "Minimally Invasive Surgery Versus Medical Management Alone for Intracerebral Hemorrhage: The MIND Clinical Trial," published in JAMA Neurology. Their conversation explores the MIND trial's evaluation of minimally invasive hematoma evacuation compared with best medical management for patients with intracerebral hemorrhage. Dr. Arthur reviews the trial's design, primary outcomes and early termination, and explains how findings from the ENRICH trial influenced enrollment and feasibility considerations. He also explores key considerations such as the importance of hematoma location, evacuation thresholds and timing, while reflecting on what the trial's negative primary outcome may still reveal about the future of surgical intervention and more individualized approaches for ICH patients. The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.
JEMS Development Editor Mike Brown interviews Hannah Herbst, founder and CEO of Golden Hour Medical, about a compact, automatic tourniquet designed to guide anyone through life‑saving hemorrhage control. The device uses audio‑visual prompts and a simple three‑step interface to let a bystander or first responder apply, monitor, and adjust pressure on arm or leg wounds. It initially inflates to 300 mmHg and can be increased in roughly 20 mmHg increments; an internal sensor monitors pulse absence and informs reassessment. The cuff detaches for multi‑patient use, and the unit recharges via USB‑C — batteries last about two years between charges with monthly status updates. Golden Hour pairs the product with online training and a small trauma first‑aid kit. Quick favor: take our 3-minute (anonymous) listener survey to help shape what we cover next: https://sprw.io/stt-lfjMN
Uterine hemorrhage remains a significant complication following abortion loss and in the postpartum period and contributes to substantial morbidity and mortality among pregnant patients. Although some FDA approved devices are on the market (Bakri balloon and Jada vacuum), they may be cost prohibited in some settings and/or some uterine cavities may be very small for either option, like after a mid-second trimester or early third trimester PPH. But every delivery unit has some form of suction tool and wall suction ability. This is where FOCUS*, STUT, and/or U-CaVIT come into play. And now there is new data on this from the AJOG (epub, April 2026). Listen in for details. (*Shout Out to Dr. Frank Jackson for his work on this as well).1. Singata-Madliki et al. Suction Tube Uterine Tamponade Versus Uterine Balloon Tamponade for Treatment of Refractory Postpartum Hemorrhage: A Randomized Clinical Feasibility Trial. International Journal of Gynaecology and Obstetrics: The Official Organ of FIGO. July 2025. (South Africa)2. Hofmeyr GJ, Singata-Madliki M. Novel Suction Tube Uterine Tamponade for Treating Intractable Postpartum Haemorrhage: Description of Technique and Report of Three Cases. BJOG : An International Journal of Obstetrics and Gynaecology. 20203. Jackson FI, Dilena NJ, Abelman SH, Blitz MJ, Gerber S. Hemorrhage management using a Foley catheter for uterine suction. Am J Obstet Gynecol. 2025 Nov;233(5):503-504. 4. ACOG Practice Bulletin No. 183: Postpartum Hemorrhage. Obstetrics and Gynecology. 2017. 5. Ranieri E, Kalimeris S, Ochsenbein N, Haslinger C, Vacuum-Induced Tamponade Using Urological Catheters for Postpartum Hemorrhage, American Journal of Obstetrics and Gynecology (2026), doi: https://doi.org/10.1016/j.ajog.2026.04.026
Hemorrhage is the leading cause of preventable death on the battlefield. More than 90% of service members who die from uncontrolled bleeding do so before reaching a medical facility. At GovCIO Media & Research's Defense IT Summit, Jacques Reifman explained how APPRAISE, an AI-enabled decision support system, helps combat medics triage casualties near the point of injury and assess hemorrhage risk. By analyzing patterns in vital signs, including heart rate and blood pressure, APPRAISE can estimate the likelihood of hemorrhage, helping medics prioritize treatment and evacuation decisions in real time. Reifman said training large AI models for military medicine can be challenging because available medical datasets are often small and limited to controlled laboratory studies. To overcome that constraint, researchers use mathematical models to generate synthetic data, creating simulated patients that allow AI systems to train on much larger datasets.
In this episode of the NCS Podcast Hot Topics series, host Richard Choi, DO, FNCS, is joined by Wendy Ziai, MD, professor of neurology and critical care medicine at Johns Hopkins University, to discuss the article "Prophylactic Anti-Seizure Medication in Patients with Lobar Intracerebral Hemorrhage", recently published in Neurocritical Care. Their conversation explores the ongoing debate surrounding prophylactic antiseizure medication use in patients with lobar intracerebral hemorrhage. They review current guideline recommendations, highlight limitations in the existing evidence and consider the challenge of balancing seizure prevention with the risk of adverse effects. Dr. Ziai reviews key findings from prior trials as well as the featured study, which demonstrated lower rates of early seizures among patients who received prophylaxis. She also addresses questions related to patient selection, nonconvulsive status epilepticus and long-term cognitive outcomes. The discussion further considers the role of continuous EEG monitoring in the first 48 hours and how future study designs may help clarify which patients, if any, are most likely to benefit. The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.
A randomized trial in the New England Journal of Medicine found prehospital whole blood transfusion did not improve 30-day mortality over standard component therapy in traumatic hemorrhage, supporting current transfusion protocols. A large population-based study showed patients with positive fecal occult blood tests who did not complete follow-up colonoscopy had significantly higher colorectal cancer incidence and more advanced-stage disease. Finally, a study in Nature Medicine of nearly 15,000 individuals found antibiotic exposure reduced gut microbial diversity for up to 4–8 years, with clindamycin and fluoroquinolones causing the most persistent disruption.
Your call center isn't losing people by accident.It's bleeding them out.In this episode of CX Riot Radio, we break down the Headset Hemorrhage... the slow, quiet burnout happening in customer service teams everywhere.Too many companies treat agents like replaceable hardware… plug them in, track the metrics, and expect performance.But your CSRs aren't machines.They're human operators dealing with emotional, high-pressure work every single day.And when the system is broken, no amount of AI or automation will fix it.It just makes the problem scale fasterHere's the LinkTree: https://linktr.ee/caffcx
Evan Singleton joins Bobby and Eddie in studio to talk about the long road from pro wrestling dreams to becoming one of the strongest men on the planet. He opens up about suffering a near-death brain hemorrhage early in his career, how that ended one chapter of his life, and how he eventually found a new purpose in strongman competition. Evan also shares what it really takes to train at that level, what everyday people get wrong in the gym, and the one lift he thinks is basically pointless for most people. It’s a wild, inspiring, and surprisingly funny conversation with the man known as “The Strongest Man on Earth.” Follow Evan HERE Download the DraftKings Sportsbook App today: https://dkng.co/bobbysports If you or someone you know has a gambling problem, crisis counseling and referral services can be accessed by calling 1-800-GAMBLER (1-800-426-2537) (IL/IN/MI/NJ/PA/WV/WY), 1-800-NEXT STEP (AZ), 1-800-522-4700 (CO/NH), 888-789-7777/visit http://ccpg.org/chat (CT), 1-800-BETS OFF (IA), 1-877-770-STOP (7867) (LA), 877-8-HOPENY/text HOPENY (467369) (NY), visit OPGR.org (OR), call/text TN REDLINE 1-800-889-9789 (TN), or 1-888-532-3500 (VA).21+ (18+ WY). Physically present in AZ/CO/CT/IL/IN/IA/LA/MI/NJ/ NY/PA/TN/VA/WV/WY only. N/A in NH/OR/ON. New customers only. Valid 1 per new customer. Min. $5 deposit. Min $5 wager. $200 issued as eight (8) $25 free bets. Ends 9/19/22. See http://draftkings.com/sportsbook for details. Follow the Show: @25WhistlesSports Follow the Crew: @MrBobbyBones @ProducerEddie @KickoffKevin @MikeDeestro @BrandonRayMusicSee omnystudio.com/listener for privacy information.
Evan Singleton joins Bobby and Eddie in studio to talk about the long road from pro wrestling dreams to becoming one of the strongest men on the planet. He opens up about suffering a near-death brain hemorrhage early in his career, how that ended one chapter of his life, and how he eventually found a new purpose in strongman competition. Evan also shares what it really takes to train at that level, what everyday people get wrong in the gym, and the one lift he thinks is basically pointless for most people. It’s a wild, inspiring, and surprisingly funny conversation with the man known as “The Strongest Man on Earth.” Follow Evan HERE Download the DraftKings Sportsbook App today: https://dkng.co/bobbysports If you or someone you know has a gambling problem, crisis counseling and referral services can be accessed by calling 1-800-GAMBLER (1-800-426-2537) (IL/IN/MI/NJ/PA/WV/WY), 1-800-NEXT STEP (AZ), 1-800-522-4700 (CO/NH), 888-789-7777/visit http://ccpg.org/chat (CT), 1-800-BETS OFF (IA), 1-877-770-STOP (7867) (LA), 877-8-HOPENY/text HOPENY (467369) (NY), visit OPGR.org (OR), call/text TN REDLINE 1-800-889-9789 (TN), or 1-888-532-3500 (VA).21+ (18+ WY). Physically present in AZ/CO/CT/IL/IN/IA/LA/MI/NJ/ NY/PA/TN/VA/WV/WY only. N/A in NH/OR/ON. New customers only. Valid 1 per new customer. Min. $5 deposit. Min $5 wager. $200 issued as eight (8) $25 free bets. Ends 9/19/22. See http://draftkings.com/sportsbook for details. Follow the Show: @25WhistlesSports Follow the Crew: @MrBobbyBones @ProducerEddie @KickoffKevin @MikeDeestro @BrandonRayMusicSee omnystudio.com/listener for privacy information.
In this episode, Sam Ashoo, MD and Dr. Dana Klavansky, MD discuss the March 2026 Emergency Medicine Practice article, Emergency Department Evaluation and Management of Severe Traumatic Brain InjuryIntroduction & Welcome (0:15)Guest Introduction (0:55)Epidemiology of Severe TBI (2:37)Pathophysiology: Primary vs. Secondary TBI (4:24)Types of Hemorrhage and Hematomas (5:25)Classification (7:31)Mild vs. Moderate vs. Severe TBIImpact Loading vs. Inertial LoadingDifferential Diagnosis (9:22)Prehospital Care (9:42)Emergency Department History (13:33)Diagnostics (15:13)CT Scan and the A-B-B-B-C ApproachRepeat CT TimingBedside Ultrasound for Optic Nerve Sheath DiameterPupillometryBiomarkersTreatment (24:52)Airway ManagementVentilation and CO2 TargetsHyperosmolar Therapy: Hypertonic Saline and MannitolCerebral Perfusion PressureBlood Pressure GoalsTemperature ManagementCoagulopathy ManagementSeizure Prophylaxis and EEG MonitoringTiered ICP Management (35:29)Surgical Indications (38:40)Prognosis (40:33)Special Topics (41:30)Sports Injuries and CTETranexamic Acid (CRASH-3 Trial)Wrap-Up (43:46)Subscribers, take the CME test here. Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net
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In this episode, we review the high-yield topic of Germinal Matrix and Intraventricular Hemorrhage from the Neurology Disease section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
This INSIGHTS episode revisits a core topic from Neurocritical Care ON CALL®, originally released in August 2023. Listen to the fifth episode of the NCS INSIGHTS series focused on intracerebral hemorrhage. The INSIGHTS series is hosted by Casey Albin, MD, and Salia Farrokh, PharmD, and covers topics from Neurocritical Care ON CALL®, the only up-to-date, comprehensive resource dedicated exclusively to the practice of neurocritical care. Learn more about ON CALL®. This episode is sponsored by Ceribell. Time is brain when it comes to seizures. Ceribell point-of-care EEG empowers the bedside team to detect or rule out seizure activity in minutes. To learn more, visit ceribell.com. The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.
A study published in Nature Communications, published Feb 19, 2026, found that “pregnancy physically alters a woman's brain, with a second pregnancy bringing even more profound effects.” The researchers “performed brain scans on 110 women. Some were first-time mothers, others second-time moms, and some nulliparous women. Results showed that during a first pregnancy, the greatest changes occur in the structure and activity of the ‘default mode network' – the brain system responsible for self-reflection and mind wandering. Are these changes bad? Are they associated with long term hard? Are they adaptive? It's a complex question, with real answers. Listen in for details.1. Straathof, M., Halmans, S., Pouwels, P.J.W. et al. The effects of a second pregnancy on women's brain structure and function. Nat Commun 17, 1495 (2026). https://doi.org/10.1038/s41467-026-69370-82. de Lange AG, Kaufmann T, van der Meer D, et al. Population-Based Neuroimaging Reveals Traces of Childbirth in the Maternal Brain. Proceedings of the National Academy of Sciences of the United States of America. 2019.3. Aleknaviciute J, Evans TE, Aribas E, et al.)Long-Term Association of Pregnancy and Maternal Brain Structure: The Rotterdam Study. European Journal of Epidemiology. 2022.4. Jung JH, Lee GW, Lee JH, et al. Multiparity, Brain Atrophy, and Cognitive Decline. Frontiers in Aging Neuroscience. 2020.5. Hu A, Xiong L, Wei H, et al. Association of Menarche, Menopause, and Reproductive History With Cognitive Performance in Older US Women: A Cross-Sectional Study From NHANES 2011-2014. BMC Public Health. 2025.6. Orchard ER, Ward PGD, Sforazzini F, et al. Relationship Between Parenthood and Cortical Thickness in Late Adulthood. PloS One. 20207. Hoekzema E, Barba-Müller E, Pozzobon C, et al. Pregnancy Leads to Long-Lasting Changes in Human Brain Structure. Nature Neuroscience. 2017.8. de Lange AG, Barth C, Kaufmann T, et al. Women's Brain Aging: Effects of Sex-Hormone Exposure, Pregnancies, and Genetic Risk for Alzheimer's Disease. Human Brain Mapping. 2020.Visit our SPONSOR's LINK to learn more about the Hemorrhage view CS Drape: https://www.perspectivemedical.org/
In this episode of the Neurocritical Care Society Podcast Hot Topics series, host Richard Choi, DO, FNCS, speaks with Wendy Ziai, MD, MPH, professor of neurology and critical care medicine at Johns Hopkins University, about the article The Association Between Hourly Systolic Blood Pressure Variability and Outcomes in Patients With Intracerebral Hemorrhage Is Time-Dependent: A Post Hoc Analysis of the ATACH-2 Trial, recently published in Neurocritical Care. Their discussion explores why blood pressure variability — not just absolute blood pressure targets — may play a critical role in outcomes following acute intracerebral hemorrhage. Dr. Ziai reviews key findings from ATACH-2 and INTERACT trials, the physiologic mechanisms that may link variability to hematoma expansion and neurologic deterioration and why the timing of variability within the first 8 to 12 hours appears especially important. They also examine the unresolved question of causation versus association, implications for antihypertensive management in the ICU and how emerging trials focused on variability may shape future practice. The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.
After a lifetime of striving for control, a woman is thrust into unimaginable loss when a potentially catastrophic twin pregnancy collides with restrictive laws, forcing her to rebuild her life from the ground up. Today's episode featured Helen. Helen and her husband, Zach, began The Marigold Foundation, whose mission is to lead the way in providing financial aid to families that are facing a complex medical diagnosis or the loss of an infant or neonate. To learn more or to donate, please visit themarigoldfoundation.org. The Marigold Foundation's Instagram @marigoldfoundation Producers: Whit Missildine, Andrew Waits, Sara Marinelli Content/Trigger Warnings: Pregnancy loss, Infant loss / neonatal death, Stillbirth / miscarriage, Complicated / high-risk pregnancy, Prolonged labor and medical distress, Medical trauma, Restrictive abortion laws / lack of medical intervention, Hemorrhage, Eating disorder, Suicide attempt / overdose, Self-harm, Grief and bereavement, Religious / spiritual distress, Mental health treatment and therapy, Traumatic medical procedures, Discussions of death and mortality, explicit language Social Media:Instagram: @actuallyhappeningTwitter: @TIAHPodcast Website: thisisactuallyhappening.com Website for Andrew Waits: andrdewwaits.comWebsite for Sara Marinelli: saramarinelli.com Support the Show: Support The Show on Patreon: patreon.com/happening Wondery Plus: All episodes of the show prior to episode #130 are now part of the Wondery Plus premium service. To access the full catalog of episodes, and get all episodes ad free, sign up for Wondery Plus at wondery.com/plus Shop at the Store: The This Is Actually Happening online store is now officially open. Follow this link: thisisactuallyhappening.com/shop to access branded t-shirts, posters, stickers and more from the shop. Transcripts: Full transcripts of each episode are now available on the website, thisisactuallyhappening.com Intro Music: “Sleep Paralysis” - Scott VelasquezMusic Bed: Uncertain Outcomes ServicesIf you or someone you know is struggling with the effects of trauma or mental illness, please refer to the following resources: National Suicide and Crisis Lifeline: Text or Call 988 National Alliance on Mental Illness: 1-800-950-6264National Sexual Assault Hotline (RAINN): 1-800-656-HOPE (4673)See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Dr. Jack Cush reviews the news and reports from the past two weeks on RheumNow.Com
In part two of Alina's story, she shares the fast hospital delivery of her daughter. Alina is a social worker that delivered at the Regina General Hospital. She went into labour spontaneously and went on to have a quick unmedicated delivery. During this birth she did experience a postpartum hemorrhage. Find us on Instagram: @moonybirthstoriespodcast @alivitrihShop 15% off with code DOULAALI at Everydae Health prenatal & postnatal supplement: https://www.everydaehealth.com/DOULAALISupport the show
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
In 2018, Andrew Davie survived a ruptured brain aneurysm and hemorrhage. Now…he recently graduated with a clinical mental health counseling degree, practices as a Licensed Graduate Professional Counselor LGPC, consults for James Mason University about brain injury assessments, and, before her passing, cared for his mother while she had ALS. He learned how to turn a terrible situation into something good with the desire to help others who may be struggling. Andrew Davie has worked in theater, finance, and education. He taught English and creative writing at the middle, high school, and college levels for students with learning difficulties and ADHD. He taught English as a second language in the United States and abroad in Hong Kong. He has written short stories and novellas, co-hosts a music review show, and volunteers. During the second year of his recovery, when the physical part tapered off and the emotional part began, he decided to publish a book that would somehow transform his life, and it didn't. But...that's not the end of the story. Even though his ability to experience emotional connections was blunted, the thought of being in a romantic relationship and starting a family suddenly seemed impossible. But he persevered and became a success. His story will encourage and inspire you to succeed at every challenge. Remind yourself that even moving an inch a day is still progressing! XXXX Read His Book Series Here From Beyond: In the aftermath of the second opium war in Southeast Asia, Declan Malcolm, the newly elected captain, must navigate the treacherous high seas. Meanwhile, Civil War veterans Ridley and Dranoff are adjusting to post-reconstruction and become mercenaries for hire. Their paths cross by chance, but soon a celebration of good fortune turns into a fight against a supernatural foe. Further Beyond: Phineas O'Hanlon has spent the last few years of his life attempting to discover the cause of the reanimation. While reading over a journal from ancient Rome, O'Hanlon is visited by two law enforcement agents. As secrets are uncovered, can O'Hanlon discover the reason behind the resurrection of the deceased and move on with his life? Remote Beyond: On a small farm, four survivors of an apocalypse fend off the undead. As Tyler and his crew adjust to the new normal, the story covers ancient Rome, Norfolk, England, in the swinging '60s, Egypt in 524 B.C., and one of the original American colonies. But will the answer to the resurrection of the undead ever be discovered? Connect with Andrew Here INSTAGRAM FACEBOOK X YouTube
In this episode, we review the high-yield topic of Subconjunctival Hemorrhage from the Ophthalmology section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
America's fentanyl crisis reveals a deeper sickness: the soul without God. Kevin and Bill confront the worldview that treats man as cosmic dust, debate the proper jurisdiction of church and state, and point to Christ as the only One who can heal hearts and nations. Revival, not regulation, is the cure for a despairing people.
A new MP3 sermon from Generations Radio is now available on SermonAudio with the following details: Title: Band-Aids on a Hemorrhage – Why Government Can’t Fix the Drug Crisis Speaker: Kevin Swanson Broadcaster: Generations Radio Event: Radio Broadcast Date: 11/13/2025 Length: 26 min.
A new MP3 sermon from Generations Radio is now available on SermonAudio with the following details: Title: Band-Aids on a Hemorrhage – Why Government Can’t Fix the Drug Crisis Speaker: Kevin Swanson Broadcaster: Generations Radio Event: Radio Broadcast Date: 11/13/2025 Length: 26 min.
In this episode, we review the high-yield topic of Parenchymal Hemorrhage from the Neurology section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
Welcome back to our 2025 Stoelting Conference Podcast Series. Fever isn't the fail-safe it's made out to be—especially in pregnancy. We walk through the subtle ways maternal sepsis hides in plain sight, why a quarter of those who died never had a fever, and how early warning tools, rapid antibiotics, and source control change the odds. From there, we pivot to maternal hemorrhage and show how quantifying blood loss with calibrated drapes plus a treatment bundle outperforms the old habit of visual estimation. We dig into TXA timing for high‑risk cesarean patients, the evidence gaps on transfusion strategies, and how placenta accreta spectrum demands regionalized teams and rehearsed playbooks.The conversation then turns to venous thromboembolism, still a leading cause of maternal mortality. Risk climbs five- to six-fold and peaks postpartum, so we stress reassessment at prenatal intake, during any antepartum admission, at delivery, and before discharge. We compare heparin and low molecular weight heparin in real-world settings, highlight extremely low neuraxial hematoma risk when following ASRA guidance, and share concrete workflow tactics: pre-delivery anesthesia consults, unit-wide alerting, anticoagulant hold triggers, and pre-procedure huddles that keep patients safe while preserving neuraxial options.Threaded through each segment is a practical theme: faster recognition, standardized bundles, and tight communication save mothers' lives. If you're building a safer unit, start with tools that measure what matters, empower nurses to escalate, and remove delays between suspicion and action. Subscribe, share with your team, and leave a review with one change you'll make this week—what will you implement first?For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/277-transforming-maternal-care-faster-sepsis-recognition-smarter-hemorrhage-response-and-safer-vte-prevention/© 2025, The Anesthesia Patient Safety Foundation
JEMS Product Pod: TRAUMAGEL is Revolutionizing Hemorrhage Control JEMS Development Editor Mike Brown welcomes Joe Landolina, co-founder and CEO of Cresilon, alongside Sean Allen, Director of Education for TRAUMAGEL, to dive into a breakthrough in hemorrhage control technology. TRAUMAGEL, a plant-based, easy-to-use hemostatic gel, stops moderate to severe external bleeding within seconds without the need for finger packing or complex dressings. Developed over 15 years and backed by a successful animal health platform, this innovative product adapts dynamically to wounds—crucial for moving patients—and supports natural clot formation without disrupting it. Sean shares firsthand insights on field use and training, highlighting TRAUMAGEL's potential to reduce tourniquet necessity and simplify emergency care. The team also explores real-world applications, including rural trauma cases and gunshot wounds, emphasizing this gel's transformative impact on prehospital hemorrhage management.
Interview with Helen Kim, PhD, author of Risk of Future Hemorrhage From Unruptured Brain Arteriovenous Malformations: The Multicenter Arteriovenous Malformation Research Study (MARS). Hosted by Cynthia E. Armand, MD. Related Content: Risk of Future Hemorrhage From Unruptured Brain Arteriovenous Malformations
Interview with Helen Kim, PhD, author of Risk of Future Hemorrhage From Unruptured Brain Arteriovenous Malformations: The Multicenter Arteriovenous Malformation Research Study (MARS). Hosted by Cynthia E. Armand, MD. Related Content: Risk of Future Hemorrhage From Unruptured Brain Arteriovenous Malformations
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.
In this episode of The Birth Trauma Mama Podcast, I'm joined by Diane for a powerful and emotional retelling of her son Tommy's birth and the long, complicated postpartum recovery that followed. What began as a smooth induction and quick delivery turned into a life-threatening postpartum hemorrhage, a diagnosis of placenta accreta, and an eventual hysterectomy, weeks after birth.Diane walks us through the cascade of events, from being dismissed when she sensed something was wrong to advocating for the testing that ultimately revealed retained placenta with an accreta component. She shares the fear of facing major surgery, the relief of trusting her intuition, and the ways she has found healing through EMDR therapy, support groups, and reconnecting with her body.Her story is a testament to the power of self-advocacy, the importance of listening to birthing people, and the long tail of emotional recovery after medical trauma.What You'll Hear in This Episode:
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
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!
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
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!