Loss of blood escaping from the circulatory system
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In an incredible twist of irony, this month's case focuses on our flight crew loading into their helicopter to be dispatched to... a patient who has fallen out of a helicopter. From a height of approximately 40 feet and at a speed of 30 knots, our patient has an abundance of injuries, which requires our team to remember their axiom: "Slow is smooth, and smooth is fast." This episode also introduces an important question: How do we intervene in different kinds of shock? Our patient had three different kinds: Hemorrhagic, neurogenic, and obstructive shock. Listen in as our guest, along with our panel, deconstructs one of the rarest cases in AMPED history. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Matthew Habbe NREMT-P. Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN
In this episode, host Dr. Amber Luong speaks with Drs. William Li and Joanne Rimmer. They discuss the recently published Original Article: “The Effect of Systemic Bevacizumab on Epistaxis-Related Outcomes in Hereditary Hemorrhagic Telangiectasia: A Systematic Review and Meta-Analysis.” The full manuscript is available as open access in the International Forum of Allergy and Rhinology. […]
If you're struggling, consider therapy with our sponsor. Visit https://betterhelp.com/almanac for a discount on your first month of therapy.If you have questions about the brand relating to how the therapists are credentialed, their privacy policy, or therapist compensation, here is an overview written by the YouTube creators behind the channel Cinema Therapy that goes into these topics: https://www.reddit.com/r/cinema_therapy/comments/1dpriql/addressing_the_betterhelp_concerns_headon_deep/ Hello Poison Friends! We've managed to get through Marburg so now it is time to discuss Ebola. There are six ebola viruses out there, three of which are most commonly seen infecting humans and we need to cover the similarities in symptoms to Marburg as well as a few differences. For one, Ebola is typically deadlier (especially Zaire Ebola Virus). We are going through the short history of the disease (compared to say, Smallpox) and the first few cases seen in humans. These cases led to outbreaks of what then was a new virus with horrifying symptoms leading to high numbers of casualties and those attempting to treat it in rural African communities had no idea how it spread or how to stop it. Thank you to all of our listeners and supporters! Please feel free to leave a comment or send us a DM for any questions, suggestions, or just to say, "hi."Support us on Patreon:patreon.com/thepoisonersalmanacMerch-https://poisonersalmanac.com/Follow us on socials:The Poisoner's Almanac on IG-https://www.instagram.com/poisoners_almanac?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw==YouTube-https://youtube.com/@thepoisonersalmanac-m5q?si=16JV_ZKhpGaLyM73Also, look for the Poisoner's Almanac TikTok- https://www.tiktok.com/@poisonersalmanacp?_t=ZT-8wdYQyXhKbm&_r=1Adam-https://www.tiktok.com/@studiesshow?is_from_webapp=1&sender_device=pcBecca-https://www.tiktok.com/@yobec0?is_from_webapp=1&sender_device=pc
If you're struggling, consider therapy with our sponsor. Visit https://betterhelp.com/almanac for a discount on your first month of therapy.If you have questions about the brand relating to how the therapists are credentialed, their privacy policy, or therapist compensation, here is an overview written by the YouTube creators behind the channel Cinema Therapy that goes into these topics: https://www.reddit.com/r/cinema_therapy/comments/1dpriql/addressing_the_betterhelp_concerns_headon_deep/ Hello Poison Friends! I have been looking forward to sharing the horrors of Marburg and Ebola viruses with you, but there is a lot of info so we are discussing Marburg first then Ebola next week. Just a trigger warning: Some of the descriptions of this virus and what it does to the body may be gruesome. Marburg is relatively new as a virus among humans (compared to others like smallpox or rabies), but it is a monster. It is believed to have originated in Uganda in Africa, perhaps originally transmitted via fruit bats. The world came to know about it, however, during a 1967 outbreak in Germany, brought there by infected monkeys being used at a vaccine company there. It typically starts with a throbbing headache and muscle pains, then soon causes massive clotting then hemorrhaging throughout the body. Obviously the symptoms of such are horrid, and death typically occurs within a few weeks. With an average death rate at 25% (higher in some outbreaks), it has been devastating when outbreaks occur. So let's go into more details about the virus, where the virus came from, its short history thus far, and some significant cases and outbreaks.Thank you to all of our listeners and supporters! Please feel free to leave a comment or send us a DM for any questions, suggestions, or just to say, "hi."Support us on Patreon:patreon.com/thepoisonersalmanacMerch-https://poisonersalmanac.com/Follow us on socials:The Poisoner's Almanac on IG-https://www.instagram.com/poisoners_almanac?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw==YouTube-https://youtube.com/@thepoisonersalmanac-m5q?si=16JV_ZKhpGaLyM73Also, look for the Poisoner's Almanac TikTok- https://www.tiktok.com/@poisonersalmanacp?_t=ZT-8wdYQyXhKbm&_r=1Adam-https://www.tiktok.com/@studiesshow?is_from_webapp=1&sender_device=pcBecca-https://www.tiktok.com/@yobec0?is_from_webapp=1&sender_device=pc
In this newscast, I look at a new report of a rare case of Crimean-Congo Hemorrhagic fever (CCHF) in Greece. I look at the disease, geography and measures and recommendations put in place by Greek authoroties.
In this conversation, Dennis and Ryan Maves delve into the complex world of hemorrhagic fevers, discussing various viral infections such as Ebola, Lassa fever, and dengue. They explore the symptoms, diagnosis, and treatment options available for these dangerous pathogens, emphasizing the importance of supportive care and proper waste management. The discussion also highlights the challenges faced in resource-limited settings and the need for medical intelligence and preparedness when dealing with potential outbreaks.TakeawaysViral hemorrhagic fevers are highly dangerous pathogens.Ebola is a prototype for understanding these diseases.Symptoms often start as nonspecific febrile illnesses.Diagnosis can be challenging due to overlapping symptoms.Supportive care is crucial for patient survival.Fluid management is a key aspect of treatment.Preventative measures are essential in endemic areas.Waste management is critical in handling infected materials.Medical intelligence plays a vital role in outbreak preparedness.Expertise and resources are available for managing these diseases.Chapters00:00 Introduction to Hemorrhagic Fevers03:07 Understanding Viral Hemorrhagic Fevers05:48 Symptoms and Diagnosis of Hemorrhagic Fevers14:46 Treatment and Supportive Care24:01 Preventative Measures and Waste Management32:00 Expertise and Resources for CareThank 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
Targeted, image-guided interventions can make a big difference for patients with hereditary hemorrhagic telangiectasia (HHT). Learn how in this week's BackTable episode featuring Dr. Clifford R. Weiss (Director of the Johns Hopkins Vascular Anomalies Center and HHT Center of Excellence) and host Dr. Michael Barraza. --- SYNPOSIS Dr. Weiss delves into the complexities and multisystem nature of HHT, emphasizing the significance of early diagnosis and multidisciplinary care. He goes on to explain the clinical criteria for diagnosing HHT, the role of genetic and imaging screenings, and the evolving approaches to treating pulmonary arteriovenous malformations (AVMs) in adults and children. The doctors discuss the potential impact of anti-angiogenic medications on the future management of HHT. The episode closes with a nod to the pivotal role that HHT Centers of Excellence play, and the ongoing dedication to improving patient outcomes through collaborative care and innovative research. --- TIMESTAMPS 00:00 - Introduction 03:57 - Diagnosing and Screening for Hereditary Hemorrhagic Telangiectasia (HHT) 07:37 - Treatment Approaches for HHT 12:12 - Embolization Techniques and Safety Measures 19:02 - Future of HHT Treatment and Research 22:30 - Conclusion and Final Thoughts --- RESOURCES The Johns Hopkins Hereditary Hemorrhagic Telangiectasia (HHT) Center of Excellence: https://www.hopkinsmedicine.org/interventional-radiology/hht
On this very contagious episode of BFGE, Emma endures 98 minutes of Herman Yau's infamous Category III Hong Kong shocker "Ebola Syndrome." The film tells the rags-to-riches story of Kai, a psychopathic and unhygienic restaurant worker who contracts Ebola from one of his victims only to start two deadly outbreaks in South Africa and Hong Kong.Also in this episode:Emma stuns with her knowledge of the deadly disease by crushing the official Ebola Virus Quiz that Sarah made up on her commute home from work.Sarah tells the true grisly story of the 1985 Macanese "Pork Bun Murders" that inspired the film.The ladies debate whether Emma's OCD is outside the realm of reasonableness.Come catch the bug with us!Like our stupid lil movie parties? Please drop us a rating on spotify/apple and follow us on instagram at: https://www.instagram.com/brutalfilmgirlpod/
Hemorrhagic virus? Check. Deadly disease? Check. Mosquito-borne? Check. Affected by animal movement, human activity, and environmental change? Check. Rift Valley Fever has all the markings of a classic TPWKY episode. This week, we're doing a deep dive on this deadly virus, taking a One Health approach to explore the intricate relationships between animals, humans, and the environment to understand how this virus moves across the landscape. We trace the various paths this virus takes: through the organisms it infects, across the globe as it spreads, and over time as it appears to be evolving to be deadlier. Tune in to learn more about Rift Valley fever and what we might see with this pathogen in the years to come. Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAu Learn more about your ad choices. Visit megaphone.fm/adchoices
"Stroke recovery isn't the end of your vision—it's the beginning of discovering how your brain can adapt and thrive." In this powerful and insightful episode, Jessica delves into the effects of a stroke on vision and explores how vision therapy can help stroke survivors regain confidence, independence, and joy in their daily lives.Key Highlights from the Episode:Understanding Stroke and Vision Loss: Jessica explains the two main types of strokes—ischemic and hemorrhagic—and how they can lead to vision issues.What Vision Therapy Can Do: While damaged brain cells cannot be regrown, we discuss how vision therapy leverages neuroplasticity to retrain the brain, expand the visual field, and improve processing skills.A Story of Hope and Resilience: an inspiring case study of a stroke survivor who overcame significant visual challenges to rediscover joy in his life, even though he couldn't achieve his initial goal of driving again.Jessica emphasizes the importance of assembling a strong rehab team that includes behavioral optometrists and vision therapists to address both the physical and cognitive aspects of vision loss after a stroke.If you or someone you love is navigating stroke recovery, this episode offers a message of hope and practical solutions. Reach out to 4D Vision Gym to learn more about in-office and digital programs designed to support stroke survivors.(00:00) Intro(00:39) Understanding Strokes and Their Impact on Vision(01:10) Types of Strokes: Ischemic and Hemorrhagic(02:12) Recognizing Stroke Symptoms: The FAST Test(04:10) Visual Complications Post-Stroke(07:10) Eye Movement Disorders and Visual Neglect(09:21) Stroke Rehabilitation and Brain Plasticity(10:36) The Role of Behavioral Optometrists(18:31) Patient Story: Overcoming Stroke Challenges(23:30) There is HopeRESOURCESwww.nhlbi.nih.gov/health/strokewww.OVDRA.org/Visual Disturbances due to StrokeCheck out our Digital Programs4D Built for LifeStart your FREE TRIAL today 4D Built to Read Digital ProgramConcussion RecoveryBuilt to DriveFollow us at 4D Vision Gym on Facebook and Instagram @4dvisiongymvt for the latest news and updates. DM us if you have any Vision Therapy related questions - you may hear the answer in a future episode!If you enjoyed this show, please rate, review, and subscribe on Apple Podcasts, Spotify, or wherever you get your podcasts. We really appreciate your support!Send us a screenshot of your review and receive 10% off any one of our 4D Vision Gym products or services. And if your friends or family are experiencing inexplicable challenges, refer them to this podcast and tell them, “It Could Be Your Eyes.”
Hemorrhagic Stroke Clinical Presentation Labs, Studies, and Physical Exam Findings Treatment Ischemic Stroke Risk Factors Clinical Presentation Labs, Studies, and Physical Exam Findings Treatment Comparison of Hemorrhagic vs. Ischemic Stroke Feature Hemorrhagic Stroke Ischemic Stroke Cause Vessel rupture, bleeding Vessel occlusion, ischemia Frequency 15% 85% Symptoms Headache, nausea, vomiting, AMS Focal neurologic deficits Imaging CT […] The post 124 Strokes and TIAs appeared first on Physician Assistant Exam Review.
In this episode, Drs. Ataya and Justice provide an overview of diagnostic criteria, workup evaluations, and medical treatment, including surgical options, for HHT nosebleeds. They also discuss future direction of HHT research and treatment options.
Matthew A. Borgman, M.D. is a Professor of Pediatrics in the Division of Pediatric Critical Care at the University of Texas Southwestern. Dr. Borgman graduated from Uniformed Services University (USU), he completed Pediatric Residency at Brooke Army Medical Center in 2007, followed by a fellowship in Critical Care at Boston Children's Hospital. He is a prolific author in pediatric trauma management which has helped redefine the care of injured children. He is also the former national chair of the Pediatric Trauma Society Research Committee and has co-authored the 2022 Pediatric Traumatic Hemorrhagic Shock Consensus Conference Recommendations. Learning Objectives:By the end of this podcast, listeners should be able to:Define pediatric hemorrhagic shock and massive transfusion.Develop a guideline-based clinical approach to managing a child with hemorrhagic shock.Explore an expert's approach to managing a child with hemorrhagic shock where the evidence might not be clear. References:Russell et al. Pediatric traumatic hemorrhagic shock consensus conference recommendations. J Trauma Acute Care Surg. 2023 Jan 1;94(1S Suppl 1):S2-S10. Spinella et al. Transfusion Ratios and Deficits in Injured Children With Life-Threatening Bleeding. Pediatr Crit Care Med. 2022 Apr 1;23(4):235-244. Gaines et al. Low Titer Group O Whole Blood In Injured Children Requiring Massive Transfusion. Ann Surg. 2023 Apr 1;277(4):e919-e924. Moore et al. Fibrinolysis Shutdown in Trauma: Historical Review and Clinical Implications. Anesth Analg. 2019 Sep;129(3):762-773.Roberts et al. The CRASH-2 trial: a randomised controlled trial and economic evaluation of the effects of tranexamic acid on death, vascular occlusive events and transfusion requirement in bleeding trauma patients. Health Technol Assess. 2013 Mar;17(10):1-79. Dewan et al. CRASH-3 - tranexamic acid for the treatment of significant traumatic brain injury: study protocol for an international randomized, double-blind, placebo-controlled trial. Trials. 2012 Jun 21;13:87.Spinella et al. Survey of transfusion policies at US and Canadian children's hospitals in 2008 and 2009. Transfusion. 2010 Nov;50(11):2328-35.Whitton TP, Healy WJ. Clinical Use and Interpretation of Thromboelastography. ATS Sch. 2023 Jan 9;4(1):96-97. MATIC-2: Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.
Dr. Jodie Roberts and Dr. Amra Sakusic discusses the relationship between reversal therapy and ischemic stroke, between duration off anticoagulation and risk of ischemic strokes or systemic embolism. Learn more about the Neurology Practice Current section and fill out the survey now. Show reference: https://survey.alchemer.com/s3/7969148/Practice-Current-When-do-you-start-anticoagulation-therapy-for-patients-with-both-ICH-and-AF https://www.neurology.org/doi/10.1212/WNL.0000000000209664
استفاده از وازوپرسورها در شوک هموراژیک
Today, we're delving into a critical topic that you'll undoubtedly encounter in the field: hemorrhagic shock. By the end of this podcast, you'll have a comprehensive understanding of what hemorrhagic shock is, why it's so dangerous, and why rapid recognition and treatment are crucial. This knowledge will be fundamental to your ability to save lives in emergency situations.
VISIT US AT NCLEXHIGHYIELD.COM No matter where you are in the world, or what your schedule is like, access the entire course at www.NCLEXHighYieldCourse.com The NCLEX High Yield Podcast was featured on Top 15 NCLEX Podcasts! Make sure you JOIN OUR NEW VIP FACEBOOK GROUP! https://nclexhighyield.com/blogs/news/nclex-high-yield-quick-links A topic that confuses many, but listen to how Dr. Zeeshan breaks this bad boy down! Many people get overwhelmed with all the information that's out there, we keep it simple! Join us weekly for FREE Zoom Sessions and be one of the many REPEAT test takers that passed the exam by spending NO MONEY with NCLEX High Yield! NCLEX High Yield is a Prep Course and Tutoring Company started by Dr. Zeeshan in order to help people pass the NCLEX, whether it's the first time , or like the majority of our students, it's NOT their first time. We keep things simple, show you trends and tips that no one has discovered, and help you on all levels of the exam! Follow us on Instagram: @NCLEXHighYield or check out our website www.NCLEXHighYield.com Make sure you join us for our FREE Weekly Zoom Sessions! Every Wednesday 3PM PST / 6PM EST. Subscribe to our newsletter at nclexhighyield.com --- Support this podcast: https://podcasters.spotify.com/pod/show/nclexhighyield/support
A Blood Biomarker-Based Diagnosis of Reperfused Hemorrhagic ST-Elevation Myocardial Infarction Predicts Acute Outcomes
Hemorrhagic disease of the newborn (HDNB) was first identified over a century ago, and presents as unexpected bleeding, often with gastrointestinal hemorrhage, ecchymosis and, in many cases, intracranial hemorrhage. In newborns, HDNB is typically caused by vitamin K deficiency as neonates are innately deficient in vitamin K secondary to very little vitamin K transferred through the placenta to fetuses in utero, limited liver storage of vitamin K, and low amounts of vitamin K in breast milk. IM administration of vitamin K for prevention of vitamin K deficiency bleeding (VKDB) has been a standard of care since the American Academy of Pediatrics recommended it in 1961. Despite the success of prevention of VKDB with vitamin K administration, the incidence of VKDB appears to be on the rise. This increase in incidence of VKDB is attributable to parental refusal as well as lowered efficacy of alternate methods of administration. Can parents decline this injection for their babies? In this episode, we will review IM Vit K neonatal administration and discuss the controversial data regarding Vit K oral supplementation.
In this milestone 20th episode, we delve into the critical topic of stroke, featuring a special guest, Midnight Med. Join us as we uncover the high-yield features of stroke, covering both ischemic and hemorrhagic strokes. Midnight Med, renowned for their insightful medical content, takes us on an in-depth exploration of ischemic stroke, highlighting key aspects, diagnostic approaches, and management strategies. Tune in as they share their expertise and provide valuable insights. Meanwhile, we tackle the complexities of hemorrhagic stroke, examining its distinct characteristics, risk factors, and treatment modalities. Don't miss out on this exciting episode! Check out Midnight Med's Instagram @midnightmed1200, and give us a follow at 5.min.medicine if you haven't already. Give their Spotify a follow: Midnight Med Podcast. Access to all podcast scripts will be coming soon FREE to our new website (also featuring a shop for medical students). Listen now and empower yourself with knowledge to better understand and manage stroke.
Dr. Gaby Frank, a hospitalist and medical director of Denver Health Hospital Authority's Biocontainment Unit and a professor of medicine at the University of Colorado School of Medicine, and Candice Hoffmann discuss Crimean-Congo hemorrhagic fever virus.
Newborn infants need intramuscular injections of Vitamin K in order to produce critical clotting factors. If they don't get it they can have potentially life threatening bleeding. PEMBlog @PEMTweets on… sigh “X” (Twitter) My Instagram My Mastodon account @bradsobo References Transcript Note: This transcript was partially completed with the use of the Descript AI Welcome […]
In this podcast episode, the host discusses the topic of Epizootic Hemorrhagic Disease (EHD) and its distinction from Blue Tongue disease. The conversation covers the background and introduction of the topic, the symptoms, and effects of EHD, the spread and transmission of the disease, the seasonal impact on EHD when to worry about animal deaths, and the separation of EHD and Blue Tongue. Takeaways Epizootic Hemorrhagic Disease (EHD) is a viral disease that affects ruminant animals, particularly white-tailed deer. Symptoms of EHD include lethargy, disorientation, lameness, excessive salivation, foaming at the mouth, blood discharge from the nose, and sores on the nose and mouth. Gnats and mosquitoes primarily spread EHD, and its transmission decreases in colder weather. Animal deaths in late summer and early fall may be attributed to EHD, but it is not a major concern during winter.
Music: Spark Of Inspiration by Shane Ivers - https://www.silvermansound.comLicensed under Creative Commons Attribution 4.0 International Licensehttps://creativecommons.org/licenses/by/4.0/Music promoted by https://www.chosic.com
Listen in as we explore the world of military medicine, focusing on hemorrhagic shock and its relationship with damage control surgery and resuscitation. Joined by Colonel Dr. Jeremy Cannon, we unravel the dangers of time and shock to the human body, the importance of whole-blood resuscitation in combat casualty care, and how to diagnose and respond to severe cases of shock. The discussion also brings to light the ABC score, a helpful tool developed by Brian Cotton and Tim Nunez to distinguish between subtle and severe cases of shock. In the second part of our discussion, we tackle the vital role of damage control resuscitation in treating hemorrhagic shock. We talk about the performance measures, the one-to-one-to-one ratio for blood products, the importance of calcium and TXA administration, and the benefits of using whole blood. Joined by Dr. Cannon, we also go through the opening sequence of surgery and the process of packing the four quadrants. As we wrap up, we take a look at the resources available for military surgeons and those interested in military medicine, highlighting WarDocs, a platform that showcases the gripping reality of war and medicine. Don't miss out on this enlightening discussion! --------- EPISODE CHAPTERS --------- (0:00:00) - Military Hemorrhagic Shock and Damage Control Principles (0:12:40) - The Concept of Damage Control Resuscitation (0:23:40) - Military Surgeons Curriculum and Resources
Coco Wham is a paramedic at the Denver Health Paramedic Division. She is also a 4th year medical student and has a masters in integrated sciences. She is an author on a recent study in the American Journal of Surgery with our previous guest, Dr. Eric Campion. Their latest study looked at prehospital ETCO2 values and if they were predictive of death and need for massive transfusion as compared to commonly accepted measurements, such as systolic blood pressure and shock index. The new study is titled, "Prehospital ETCO2 is predictive of death in intubated and non-intubated patients." We discuss this study with her and what's next for this research. We also touch on why prehospital providers should get involved with research.
Dr. Eric Campion is an attending trauma surgeon at Denver Health Medical Center in Denver, Colorado. He has several studies published on the utilization of End Tidal CO2 (ETCO2) in critically injured hemorrhagic shock patients. As a former paramedic, Dr. Campion has also been studying this data's application to the prehospital setting. In this episode we discuss the results of two specific studies which lead to his most recent study with Paramedic Courtney "Coco" Wham. There will be a companion episode released later this month!
The boycott of women football players, Vox out of Congress, EU Ukrainian grain ban, the dark side of AI, Cow Covid, multilingual parliament proceedings, and much more.Thanks for tuning in!Let us know what you think and what we can improve on by emailing us at spain@rorshok.com Like what you hear? Subscribe, share, and tell your buds.Wanna avoid ads and help us financially? Follow the link:https://bit.ly/rorshok-donateOops! It looks like we made a mistake.In 5:07 the reader said "and" instead of "on," and in 6:15 he said "critical" instead of "crucial." In 7:38, the reader should have said "Hemorrhagic", and in 7:40 and 7:56, he should have spelled out the acronym "EHE" in Spanish.Sorry for the inconvenience!
Join Drs. Tatiana Cardenas, Liz Dauer and Zaffer Qasim chat with Drs. Paula Ferrada and Sharven Taghavi about ED vs OR intubation in patients with hemorrhagic shock. They address ABC vs CAB, the physiology of intubation of patients in shock and reconsidering the dogma. Supplemental Material: Ferrada P, Dissanaike S. Circulation First for the Rapidly Bleeding Trauma Patient-It Is Time to Reconsider the ABCs of Trauma Care. JAMA Surg. 2023 May 17. doi: 10.1001/jamasurg.2022.8436. Epub ahead of print. PMID: 37195675.
Hemorrhagic stroke accounts for approximately half of strokes during pregnancyand is a leading cause of disability which underscores the need for quickintervention if suspected. Julie Arafeh shares SCANME, a cognitive aid forperinatal stroke recently discussed in the first Annual Virtual Conference onObstetric Life Support (OBLS) by Dr. Eliza Miller and found in the OBLS Manual.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.www.clinicalconceptsinob.comTwitter: @OBCriticalCareInstagram: @criticalcareOBLinkedIn: Clinical Concepts in ObstetricsFacebook: Clinical Concepts in Obstetrics
In this week's episode we're joined by Troy Woodard, MD, a rhinologist and skull base surgeon in our Head & Neck Institute, who shares updates in the multidisciplinary management of hereditary hemorrhagic telangiectasia (HHT). Listen as he shares our innovative approach to this condition, as well as additional techniques in the field of skull base surgery.
Rabbits, hares and pikas belong to a family of animals called “Lagomorphs” or order Lagomorpha. Rabbits and hares belong to the family Leporidae and pikas belong to the family Ochotonidae. While rabbits and hares have long ears, a short tail and very strong hind limbs that give them that characteristic bounding motion, pikas are smaller, have shorter, rounded ears, no external tail to speak of and smaller hind limbs that give them more of a scampering motion. Lagomorphs are small to medium-sized herbivores that tend to live underground. At one time, they were included in the Order Rodentia since both orders possess a set of incisors that grow throughout their lives. However, lagomorphs also have a second pair of incisors that are set directly behind the growing pair in the upper jaw. This trait is specific to lagomorphs. Now, thanks to species gene coding, we know that these two orders have very distinct and separate evolutionary histories. Rabbits are an important part of the ecosystems that they inhabit. Without them, many prey animals wouldn't survive. This disease could kill off a necessary food source for coyotes, hawks, eagles, bears and other prey animals. You can reach me on the website at www.causeofdeath100secs.net or you can email me at Jackie@causeofdeath100secs.net. My Link Tree can be found at: https://linktr.ee/CauseofDeathpod Rabbit Hemorrhagic Disease Show Notes: https://www.aphis.usda.gov/publications/animal_health/fs-rhdv2.pdf https://www.avma.org/resources-tools/animal-health-and-welfare/animal-health/rabbit-hemorrhagic-disease https://cwhl.vet.cornell.edu/disease/rabbit-hemorrhagic-disease http://publichealth.lacounty.gov/vet/RHDV.htm https://datcp.wi.gov/Pages/Programs_Services/RabbitHemorrhagicDisease.aspx https://tpwd.texas.gov/huntwild/wild/diseases/rabbit-hemorrhagic/ https://veterinaryresearch.biomedcentral.com/articles/10.1186/1297-9716-43-12 https://www.cfsph.iastate.edu/Factsheets/pdfs/rabbit_hemorrhagic_disease.pdf https://veterinaryresearch.biomedcentral.com/articles/10.1186/s13567-015-0245-5#:~:text=RHDV%20is%20a%20non%2Denveloped,capsid%20subunit%2C%20the%20VP60%20protein. https://pubmed.ncbi.nlm.nih.gov/9541616/ https://www.sciencedirect.com/topics/pharmacology-toxicology-and-pharmaceutical-science/rabbit-hemorrhagic-disease#:~:text=Viral%20haemorrhagic%20disease%20(or%20rabbit,and%20faeces%20from%20infected%20rabbits. https://veterinaryresearch.biomedcentral.com/articles/10.1186/1297-9716-43-12#:~:text=Transmission%20of%20RHDV%20may%20occur,vector%2Dborne%20transmission%20by%20scavenging https://www.cfsph.iastate.edu/Factsheets/pdfs/rabbit_hemorrhagic_disease.pdf https://veterinaryresearch.biomedcentral.com/articles/10.1186/1297-9716-43-12 https://tpwd.texas.gov/huntwild/wild/diseases/rabbit-hemorrhagic/ https://datcp.wi.gov/Pages/Programs_Services/RabbitHemorrhagicDisease.aspx http://publichealth.lacounty.gov/vet/RHDV.htm https://cwhl.vet.cornell.edu/disease/rabbit-hemorrhagic-disease https://www.avma.org/resources-tools/animal-health-and-welfare/animal-health/rabbit-hemorrhagic-disease https://www.aphis.usda.gov/publications/animal_health/fs-rhdv2.pdf https://www.britannica.com/animal/lagomorph Darkcast Network – Promo by Yours Truly Support my sponsors! It ensures that Sweet Pea can eat! This month's sponsor is True Leaf Market. For the last fifty years, True Leaf Market has offered a huge selection of non-GMO seeds including vegetables, grains, flowers, cover crops, specialty seeds, sprouting and microgreen seeds and, of course, my favorite, herbs. I want you to succeed in your gardening ventures, too, so I'm teaming up with True Leaf through June 30 to offer you $10 off any order of $50 or more when you use promo code COD10. Go to www.trueleafmarket.com and use the promo code COD10 for $10 off any order of $50 or more and don't forget you'll also get free shipping on orders of $75! This offer is only available through June 30, so get your seeds today! The True Crime and Paranormal Podcast Festival is coming up from August 25th to the 27th in Austin, Texas and I'll be there representing another podcast that I'm heavily involved with. Stop by the True Consequences booth and meet Eric Carter-Landin and I! Get your tickets to the True Crime and Paranormal Podcast Festival at https://www.truecrimepodcastfestival.com Use promo code: Consequences for 15% off your ticket Podcast Promos: ODFM Misty Mysteries Music: There is No Sequel by Philip Ayers You can reach me on: Instagram: @CauseofDeathpod FB: @COD100Secs Twitter: @CauseofDeath10 TikTok: @causeofdeath100secs Please don't forget to rate and review on any of the platforms found here: www.causeofdeath100secs.net You can support Cause of Death here: Subscribe on Apple Subscriptions Patreon: https://www.Patreon.com/JackieMoranty Ko-Fi: https://www.ko-fi.com/causeofdeathluckycharmsunplugg Merch can be found at: https://www.teepublic.com/user/causeofdeathluckycharmsunplugged Please share this podcast with everyone you know. Cause of Death is a proud member of the Darkcast Network. Find us at @darkcastnetwork on Twitter and @DarkcastNetwork on Facebook. I am also a proud member of the Ossa Collective Network. Cause of Death can be found on all major podcast platforms. Tags: #CauseofDeath100secs #CauseofDeath #100SecondstoMidnight #Prevention #WildlifeConservation #Research #Eradication #Research #Microbiology #RHDV #RabbitHemorrhagicDisease #Environment #FoodChain #EcosystemsThis show is part of the Spreaker Prime Network, if you are interested in advertising on this podcast, contact us at https://www.spreaker.com/show/4804878/advertisement
In this episode, we review the high-yield topic of Hereditary Hemorrhagic Telangiectasia from the Cardiovascular section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets
HIGH YIELD 1: Top Weird Drug Reactions Review for the USMLE Step 1 exam The podcast discusses high yield weird drug side effects that are unexpected. Cyanopsia (blue vision) with sildenafil (PDE-5 inhibitor) Hepatic necrosis with halothane (inhaled anesthetic) Tendon/cartilage damage with fluoroquinolones (antibiotics) Cinchonism with quinidine (class IA antiarrhythmic) Hemorrhagic cystitis with cyclophosphamide and ifosfamide (chemotherapeutic agents) Muscle pain and rhabdomylitis from statin use (cholesterol lowering med) Tartive dyskinesia with antipsychotics Fanconi syndrome from expired tetracyclines (antibiotics)
MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021. Originally released: May 31, 2018 Unfortunately, stroke is all too common. Nearly 1 million new strokes are diagnosed in the United States each year. And this means that complications of stroke--even if rare--may also be common. One such complication is hemorrhagic transformation. This week, Dr. Ava Liberman reviews a clinical case of hemorrhage following ischemic stroke. Produced by James E Siegler. Music by Ghost, Kevin McLeod, and Scott Holmes. Voiceover by David Manly. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision-making. REFERENCES Benjamin EJ, Virani SS, Callaway CW, et al. Heart Disease and Stroke Statistics-2018 Update: A Report From the American Heart Association. Circulation 2018;137(12):e67-492. Erratum in: Circulation 2018;137(12 ):e493. PMID 29386200 Frontera JA, Lewin JJ 3rd, Rabinstein AA, et al. Guideline for Reversal of Antithrombotics in Intracranial Hemorrhage: A Statement for Healthcare Professionals from the Neurocritical Care Society and Society of Critical Care Medicine. Neurocrit Care 2016;24(1):6-46. PMID 26714677 Prabhakaran S, Gupta R, Ouyang B, et al. Acute brain infarcts after spontaneous intracerebral hemorrhage: a diffusion-weighted imaging study. Stroke 2010;41(1):89-94. PMID 19892994 We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode's original release date.
In this episode, we review the high-yield topic of Hereditary Hemorrhagic Telangiectasia (Osler-Weber-Rendu Syndrome) from the Cardiovascular section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets --- Send in a voice message: https://anchor.fm/medbulletsstep1/message
Ep. 52 - Rabbit Hemorrhagic Disease Virus 2 one year laterDr. Amanda Jones joins the podcast to give an update on Rabbit Hemorrhagic Disease Virus 2 (RHDV2). She is the owner of Central Texas Rabbit Herd Management in Killeen, Texas and an associate veterinarian for Animal Emergency Services of Killeen. Dr. Jones also serves as a consultant for Medgene Labs, the maker of the only USDA authorized vaccine in the United States.This episode marks one year of The Family Pet Podcast. We thought it fitting that we link back to our inaugural episode as we review the progress made against RHDV2.Here are links to information we talked about today:You can learn more about the RHDV2 vaccine at the Medgene Labs website. If you live in Tennessee, the Department of Agriculture has a list of RHDV2 Approved Vets. Join the North Americans RHDV2 Group at their Facebook page. Learn more about the Central Texas Rabbit Herd Management at their Facebook page.Got a question for Michael and Stephen? Run across something interesting you want to share with the show? Do you have a topic idea for a future episode? Send it to us at thefamilypetpodcast@gmail.com.
In this episode, host Alyssa Watson, DVM, talks with Britt Thevelein, DVM, DACVECC, about her recent Clinician's Brief article, “Therapy Protocols for Acute Hemorrhagic Diarrhea Syndrome in a Dog.” Dr. Thevelein covers typical presentations, expected hematologic changes, and why calling it “HGE” is a thing of the past. She also emphasizes that fluid therapy is the most important aspect of treatment and explains why metronidazole can be considered almost entirely unnecessary.Resource:https://www.cliniciansbrief.com/article/acute-hemorrhagic-diarrhea-syndrome-treatment-dogContact us:Podcast@briefmedia.comWhere to find us:Youtube.com/@clinicians_briefCliniciansbrief.com/podcastsFacebook.com/clinciansbriefTwitter: @cliniciansbriefInstagram: @clinicians.briefThe Team:Alyssa Watson, DVM - HostAlexis Ussery - Producer & Multimedia Specialist
00:00 Pathophysiology13:27 Decision to initiate massive transfusion28:18 Massive transfusion product composition35:21 Metabolic derangements39:51 Pressors in hemorrhagic shock?47:54 Approach to refractory shock
What do I need to know about strokes?Strokes are largely preventable, and knowing the signs is critical.Strokes are the number five cause of death and a leading cause of disability in the United States. They occur for 2 reasons: a clot or obstruction of blood flow to the brain (called “Ischemic") and when a blood vessel ruptures ("hemorrhagic"). Both cause death in regions of the brain from lack of oxygen and blood flow. Regardless of type, the likelihood is you either know someone or will know someone who suffers a stroke. Fortunately, the American Stroke Association says 80% of strokes are preventable.Senior Services Expert Lori Williams dives into the factors we can control, such as lifestyle, to prevent a stroke. She also shares the signs someone is having a stroke so you can quickly recognize them in your loved one. Noticing these signs are vital – as Lori can attest. This week, she gets personal and shares her own experience over Christmas when her husband Mark, suffered a stroke. You can remember the signs of a stroke with the acronym F.A.S.T.:- F: Face drooping- A: Arm weakness- S: Speech slurring / difficulty- T: Time to call 9-1-1Stroke risk factors include smoking, obesity, high blood pressure, diets high in saturated fat and/or cholesterol, physical inactivity, atrial fibrillation, carotid artery disease, diabetes, race, and more. Risk of stroke also increases with age for both males and females, and if you have family members who had strokes before age 65. Once you have a stroke, you're also more at risk for having more – all the more reason to focus on prevention.As Lori knows firsthand, it can be scary if you're with someone who could be having a stroke. However, knowing the signs can help with quick treatment - especially important if your loved one is having an ischemic stroke, because the hospital can administer a clot-buster medication. If you or your loved one does have a stroke, recovery is possible: the brain can create new pathways to help you regain your abilities. Topics discussed:- Signs of strokes- Ischemic stroke- Hemorrhagic stroke- Stroke risk factors- High blood pressure- Stroke prevention- Clot bustersTakeaways from this episode:- Remember the acronym F.A.S.T.: Face drooping, Arm weakness, Speech slurring / difficulty – if those are present, Take action by calling 9-11.- Other signs of a stroke include trouble walking or understanding speech, dizziness, loss of balance, and severe headaches without a clear cause.- Make sure your blood pressure is in the health range, which is under 120/80.- Smoking while on birth control pills greatly increases your risk of stroke.- Race is a risk factor of stroke: African Americans have a much higher risk of dying from a stroke than Caucasians.- Women have more strokes and die from strokes more often than men, though they're usually older when they have their first stroke. Resources mentioned in this episode:American Stroke Association:https://www.stroke.org/To suggest a topic, be a guest or to support the podcast, please email Lori@Loriwilliams-seniorservices.com For more senior resources and to sign up to the newsletter, please visit:
In today's VETgirl online veterinary continuing education podcast, we discuss the occurrence of chronic gastrointestinal (GI) disease following acute hemorrhagic diarrhea syndrome (AHDS) in dogs. AHDS is a common cause of acute GI disease in dogs, and this disease has been linked to alterations in the gut microbiome of affected patients. Impaired epithelial barrier function and dysbiosis during acute intestinal injury have been thought to cause increased immune sensitivity of the GI tract, resulting in chronic enteropathy later in life. For instance, in humans, acute enteropathies are one risk factor for future chronic enteropathies, and this has also been demonstrated in puppies that survive canine parvovirus infections (Klem, Kilian). So, Skotnitzki et al wanted to evaluate this in a study entitled "Frequency of signs of chronic gastrointestinal disease in dogs after an episode of acute hemorrhagic diarrhea."
A hemorrhagic stroke at age 33 and 3 additional bleeds in the brain at 34 seriously challenged Kyle Johnson. Listen to his story of recovery. The post Overcoming Multiple Hemorrhagic Strokes & Brain Surgery – Kyle Johnson appeared first on Recovery After Stroke.
This week on Homeopathy for Mommies, Sue Meyer shares First Aid tips for Ischemic and Hemorrhagic Strokes. What is a Stroke? Stroke is a brain attack. It occurs when blood vessels in the brain, called arteries, are blocked or burst. (Apoplexy) The consequences of stroke can be long-term disability and even death. Types of stroke […] The post In Case of Emergency: Strokes Part 2 – Ischemic and Hemorrhagic Strokes appeared first on Ultimate Homeschool Podcast Network.
AP correspondent Charles de Ledesma reports on Uganda-Ebola.
In case you missed the first AVMA convention after the COVID hiatus, Dr. Heller and his guests -- Amy Lloyd, VMD, Chaundra Schofield, VMD, and Kelly Dunham, DVM -- cherry pick some of the interesting tidbits they gathered from the lectures they attended in Philly. Show notes: Toxicity: a. Don't ever give cats hydrogen peroxide!!!! Hemorrhagic gastroenteritis/death. NO SAFE AT HOME REMEDY in cats. b. Use dexdomitor 7mcg/kg IM to cause 81% of cats to puke. Hydromorphone SQ can also work 75% of the time. Xylazine less likely. c. Cholestyramine is a great drug to use when trying to detox a patient who ingested a drug or poison that undergoes enterohepatic recirculation. It's a bile acid sequestrant. d. ILE – Intravenous Lipid Emulsion – helps draw out fat soluble toxicants. (most commonly made of soy bean oil) – great for marijuana toxicosis. Hyperlipidemia: a. Fenofibrate (micronized form) 4-10mg/kg BID – should resolve 80-100% of cases by 1 month. Will require lifelong therapy. b. Low fat diet will treat only 25% of cases. Dermatology update: a. Chlorpactin – study showed powdered chlorine 0.4% solution kills MRSP topically in just 10 secs. Chronic UTI: Nitrofurantoin – given nightly for 4 months can help with deep seeded chronic infections. Feline arthritis: a. Dr. Kristen Shaw gave some great resources for both vets and owners to help to identify cats affected by arthritis during her lecture: i. zoetisus.com/oa-pain/feline-exam-videos.aspx (you can also link to dog OA resources from here) ii. Catoachecklist.com iii. Solensiavetteam.com Carrie Jurney gave a lecture on CPR for the veterinary soul – she broke down veterinary personality types, individual tendencies as well as common work place stressors. a. Two great resources she suggested for suicide prevention training were: b. QPR training – www.qprinstitute.com c. American foundation for suicide prevention – https://afsp.org/ d. www.betterhelp.com/nomv - Get matched with a licensed therapist and enjoy a FREE MONTH of professional online counseling e. Psychology today's therapist finder Many filters including language, gender (including option or non-binary), insurance type, price, ethnicity served, sexuality, and faith Injection site sarcomas a. Can include extraskeletal osteosarcoma (I did not know this!) b. 1-2-3 rule: 1. Increasing in size after 1 month 2. Larger than 2 cm 3. Still present 3 months after vaccine c. 42% recurrence rate with COMPLETE EXCISION d. 21.7% metastatic rate Mary Telle – Keratoconjunctivitis Sicca a. **Neurogenic can be caused by long-term otic preparations like Osurnia and Claro** i. Other causes include trauma, neoplasia, otitis, hypothyroidism ii. Usually unilateral and associated with a crusty ipsilateral nostril iii. Pilocarpine 2% ophthalmic solution given orally at a dose of 1 drop per 10 kgs PO bid to start, but may need to increase based on response iv. Since it is a parasympathomimetic drug, need to watch for toxicity including salivation, vomiting, diarrhea, bradycardia, and weakness
In this week's episode of the Deer Season 365 Podcast, we're talking with Dr. Mark Ruder of the University of Georgia and Southeastern Cooperative Wildlife Disease Study (SCWDS) about all things Hemorrhagic disease. We dive into the difference between EHD and bluetongue, what causes the disease, how it impacts local deer populations, new varieties that are appearing, and what we as hunters and land managers can do about it. This is an important episode to hear as we head into that time of year when hemorrhagic disease rears its ugly head. Important Links: Sponsored by: LandTrust Visit the SCWDS Website Follow Brian Grossman on Instagram Sign up for NDA's free weekly e-newsletter Subscribe to the Podcast on: Apple Podcasts Google Podcasts Spotify iHeartRadio Stitcher About the National Deer Association The National Deer Association (NDA) is a non-profit deer conservation group that works to ensure the future of wild deer, wildlife habitat and hunting. Thank you for subscribing to our podcast! Support NDA's mission by becoming a member today. NDA has the highest ranking from Charity Navigator, an independent group that monitors non-profits for financial efficiency and effectiveness. Learn more about deer and deer hunting in our weekly, free e-newsletter. Follow us on our other channels: Facebook | Instagram | Twitter | YouTube
Strange light checkers the floor of a concrete hall. You dash through beam after beam, deciding it is warm and unfamiliar. The air thickens with each footfall. You do not know what is ahead of you. You are frankly no longer sure of what is behind you. The sterile swish of your assigned clothing melts into an acrid sweat that you have never felt, even during the most rigorous hours you spent in the Fitness Pavilion. You pass others just like you, feeling the same emptying sensation with each breath. You're sure they feel the same. They always have, you think. The path ahead of you barrels toward a widening pinprick of light and stench. This hallway was not meant to be walked. Not one this long. A quick trickle drips out from an unseen source between two support beams in the low ceiling. Water, you arrogantly assume. Your legs buckle. You slip in the pool it forms. You split your chin on the warm, wet concrete. Blood drips and dances among the pools forming on the floor. Your ankle throbs. You crawl, hand-over-hand, toward the gaping end of this dismal journey. The light is now so bright. Your pupils strain and then give out. It penetrates into your mind. Heat and dust grind through your veins. Your heart beats faster. You know that you will reach the end. The concrete has given way to a mountain of rock and metal. You are climbing ever upward now. You cannot see your wretched hands scrabbling among the twisted roots and rods. You are full. Leaden. A gust of wind ripples down the back of your jumpsuit. Things are as they should be. ~~~~~~~~ I wake with a start on the banks of a crystal lake. Carefully-placed trees dot the shoreline and meander skyward. "Oh my god. Bo. Bo! I... I think we made it," I exclaim as I roll myself onto my back and stare at the unfamiliar sky. "Bo?" I sit up and look around. I see only the smoldering crater and its trailing purple echo that screeches down into it from above the canopy. "Bo? Where am I?" "...Who are you?"
I had to record a short, solo episode of today's Situation Report (SitRep) about some very important news. Please see the links below.Shock Claim: Did China release a bio-weapon during the Olympics? https://www.naturalnews.com/2022-02-14-shock-claim-china-has-released-another-bioweapon-during-the-olympic-games-hemorrhagic-fever-virus.html#John Durham report: https://www.zerohedge.com/political/durham-dnc-lawyer-marc-elias-has-given-grand-jury-testimonyVienna woman charged with bodily harm: https://summit.news/2022/02/14/woman-in-vienna-charged-with-bodily-harm-after-fighting-off-migrant-rapist/HIV in jabs claims: https://mobile.twitter.com/brandadalia/status/1492370383407886341https://mobile.twitter.com/masseyang/status/1490804962712039425ARMY woke: https://patriotpost.us/articles/86245?mailing_id=6482&utm_medium=email&utm_source=pp.email.6482&utm_campaign=snapshot&utm_content=bodyEpisode 24 “Legacy of Liberty” video on Rumble: https://rumble.com/vuwref-legacy-of-liberty-ft.-jc-hall-mailchimp-commies-cultural-programming-your-s.html*Join the party on Discord * https://discord.gg/cE45aZ4RpTSponsor support "Shout-Outs"Jill Barc - PatreonManuel Espejo - Snail MailJT - SubscribeStarRyan Mansfield - PatreonEric Heikkila - PatreonCarmie Rosario - PatreonSupport the show on:Patreon: https://www.patreon.com/JesseJaymzSubscribeStar: https://www.subscribestar.com/jesse-jaymzSocial Media:Instagram- https://www.instagram.com/jessejaymz1/Telegram- https://t.me/jessejaymzGab- https://gab.com/JessejaymzJoin my mailing list: https://mailchi.mp/03e09a1333c8/jessejaymzemailsignupSend stuff to my PO Box: Jesse JaymzPO Box 541 Clarkston, MI 48347Listen on:Apple- https://podcasts.apple.com/podcast/id1585900698Spotify- https://open.spotify.com/show/4qT8ncYfYNe9EgVle3sN5kStitcher- https://www.stitcher.com/show/jesses-jaymz-dangerous-infoSMART is the acronym that was created by technocrats that have setup the "internet of things" that will eventually enslave humanity to their needs.
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