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Jenny Opalinski has spent more than a decade inside hospitals where people lose the ability to speak, breathe, swallow, and sometimes survive. A medical speech language pathologist by training, she worked in ICU, neuro rehab, and long term acute care settings, including a Level 1 trauma center, where she watched clinicians absorb 10 to 15 traumatic events in a single shift and then get told to move the crash cart faster next time.That lived reality pushed her to co found The Wellness Shift, an advocacy and education platform focused on healthcare worker burnout, suicide, and assault. In this conversation, Opalinski walks through the moment that changed everything for her: standing in a hospital hallway listening to a family wail after a failed code, followed by a debrief that addressed logistics and ignored grief entirely.She also explains how that work led to Humanity Rx, her podcast about the human cost of medicine, and Dragon's Breath: Calming Tricks for Big Feelings, a children's book that translates evidence based breathing and regulation strategies into language kids can actually use. The episode covers moral injury, time scarcity, false wellness, respiratory muscle training, and why empathy keeps getting treated as an optional expense instead of clinical infrastructure.RELATED LINKSJenny Opalinski on LinkedInThe Wellness ShiftHumanity RxDragon's Breath: Calming Tricks for Big FeelingsAspire Respiratory ProductsFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Send a textIn this episode of Journal Club, Ben and Daphna review a thought-provoking study from the Archives of Disease in Childhood titled "Chest Compression in Newborn Infants: What Anatomical Structures Are We Compressing?". The hosts explore the anatomical findings suggesting that current neonatal CPR guidelines—recommending compressions over the lower third of the sternum—may actually be targeting the right ventricle and great veins rather than the left ventricle. They discuss the implications for the "cardiac pump" vs. "thoracic pump" theories and what this means for the future of resuscitation guidelines.----Chest compression in newborn infants: what anatomical structures are we compressing? Chua CT, O'Reilly M, Surak A, Schmölzer GM.Arch Dis Child Fetal Neonatal Ed. 2026 Jan 16:fetalneonatal-2025-329582. doi: 10.1136/archdischild-2025-329582. Online ahead of print.PMID: 41545184Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Child physical abuse often presents first with injuries that appear minor, but missing these early warning signs can have devastating consequences. Two recent CMAJ papers examine how sentinel injuries in infants may signal escalating risk and how patterns of severe maltreatment shifted during the COVID-19 pandemic. Together, they offer practical guidance on when clinicians should escalate concerns and highlight system factors that shape risk for vulnerable children.Dr. Megan Cooney, a child maltreatment pediatrician at Health Sciences Centre Winnipeg and co-author of “Five things to know about sentinel injuries and indicators of child physical abuse”, explains why medically minor injuries in pre-cruising infants require careful scrutiny. She notes that more than one quarter of children who experience catastrophic abuse had previously been seen for minor injuries. Any unexplained or poorly explained injury in a non-cruising infant should raise concern. She also reviews the validated TEN-4-FACESp clinical decision rule to help clinicians identify bruising patterns that warrant further action.Dr. Matthew Carwana, a pediatrician at BC Children's Hospital and clinical investigator at the BC Children's Hospital Research Institute, discusses findings from “Hospital admissions for maltreatment among children younger than 2 years during the COVID-19 pandemic in Canada”. He describes an early drop in maltreatment hospitalizations during the first 16 weeks of the pandemic, followed by a return to expected levels. However, ICU admissions rose above baseline for roughly the following year, raising concern that children may have been presenting with more serious injuries. Carwana suggests reduced early detection and loss of family and community supports during periods of isolation may have contributed.For physicians, the message is to remain objective and act early. Injuries in pre-cruising infants should be treated as potential red flags, validated tools such as TEN-4-FACESp can support clinical judgment, and concerning cases should prompt timely reporting to child welfare agencies rather than waiting for certainty.For more information from our sponsor, go to medicuspensionplan.comComments or questions? Text us.Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.You can find Blair and Mojola on X @BlairBigham and @DrmojolaomoleX (in English): @CMAJ X (en français): @JAMC FacebookInstagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions
MOPs & MOEs is powered by TrainHeroic, the best coaching app on the planet. Click here to get 14 days FREE and a consult with the coaches at TrainHeroic to help you get your coaching business rolling on TrainHeroic. MOPs & MOEs delivers our training through TrainHeroic and you can get your first 7 days of training with us FREE by clicking here.To continue the conversation, join our Discord! We have experts standing by to answer your questions.In this episode we're returning to one of the "squishiest" topics in military human performance: how to incorporate spirituality into the rest of the human performance domains. Fittingly, we have the chaplain who teamed up with Alex's team, so this is a continuation of many (off air) conversations over the last few years.Chaplain, Captain Conner J. Simms is an Chaplain assigned to the 412 Test Wing, Edwards Air Force Base, CA. He provides spiritual care and ensures the delivery of chaplain support to Airmen, Guardians, and DoD employees across two local area installations. As part of the wing staff at the 412 Test Wing, Chaplain Simms is tasked with advising command regarding the spiritual readiness, morale, ethics, and quality-of-life issues of all Air & Space Forces personnel and authorized DoD personnel.A native of Florida, Chaplain Simms currently resides in Edwards, CA, with his wife and young daughter. He was commissioned as a Chaplain in April of 2018 and is endorsed by the International Council of Community Churches. Prior to his military service, Chaplain Simms spent over a decade in both local parish ministry and as an ICU/ER chaplain at a level one trauma medical center.He has served as a Traditional Reservist, IMA Reservists, & and now on Active Duty. His time in the ICU at an urban level one trauma hospital as well as two of his deployments (Kuwait – Operation Freedom's Sentinel, JBMDL – Operations Allies Welcome/Refuge) occured during the COVID pandemic. He also served as Lead Chaplain on a joint reserve mission in the Appalachian Mountains providing no-cost healthcare to the community.He is a three time graduate of Joint Special Operations University Chaplaincy programs, and is also a graduate of the Air Force Leader Development Course at Maxwell AFB, a course typically reserved for incoming squadron commanders and senior enlisted leaders. He has provided support to service members across six of the seven geographic combatant commands.One of our primary topics in this episode was the quantification of spirituality through the CHAMP-SOCOM Spiritual Fitness Scale, found here. You can also find a discussion of how to apply it here.
Episode 223Bonkers - 16In January of 2026, ICU nurse Alex Pretti was killed in a violent confrontation with border patrol agents carrying out their duties in Minneapolis and corporate media pundit turned Youtuber Don Lemon allegedly participated in an anti-ICE protest inside of a church during a service. Pretti, who had been involved in violent encounters with ICE previously, became the new face and martyr of the political left, while others were quick to point out the violent bad-faith tactics of Minneapolis leadership, riot organizers, and Pretti himself. The country found itself in a feverish debate about ICE tactics in a political climate that overwhelming voted a more hardline approach to immigration enforcement. What power does the state have to push back against federal power? How do we handle radicalized protestors? Not to be outdone, Don Lemon filmed himself coordinating with professional protestors planning to disrupt a church service for ties one of the pastors has to ICE. Parishioners were subjected to loud, angry, profanity-laced chants from protestors and Youtubers alike while he weaseled himself from person to person in the name of "journalism", asking questions that basically amounted to "how do you feel about being an evil person who supports ICE?" The stunt shocked Christians everywhere in the nation, raising questions about the role of the church during civil unrest and where the limits are regarding the rights enshrined in the U.S. Constitution. In this episode of the Removing Barriers podcast, we discuss all these things and more.Listen to the Removing Barriers Podcast here:Spotify: https://cutt.ly/Ega8YeI Apple Podcast: https://cutt.ly/Vga2SVdEdifi: https://cutt.ly/Meec7nsvYouTube: https://cutt.ly/mga8A77Podnews: https://podnews.net/podcast/i4jxoSee all our platforms: https://removingbarriers.netContact us:Email us: https://removingbarriers.net/contactFinancially support the show: https://removingbarriers.net/donateAffiliates:Book Shop: https://bookshop.org/shop/removingbarriersChristian Books . com: https://www.christianbook.com/Christian/Books/home?event=AFF&p=1236574Fastmail: https://join.fastmail.com/8e23c12bSee all our affiliates: https://removingbarriers.net/affiliates
Send a textDr. Sheri Fink, Pulitzer Prize-winning correspondent for The New York Times and author of Five Days at Memorial, joins us for a compelling discussion on the ethics of survival. Dr. Fink, an MD-PhD, discusses her recent article "Noah is Still Here," which chronicles one family's journey with Trisomy 18—a condition once universally deemed incompatible with life. She and Eli explore the shifting paradigms of care, the tension between medical prognosis and parental hope, and the "two truths" clinicians must hold when counseling families in the grey zone. A must-listen for anyone navigating complex bioethics in the NICU. Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
In this listener series episode, Kayleigh sits down with Nicola, a physician who shares her own experience with birth trauma, placenta previa, a massive hemorrhage, and a terrifying NICU journey with her son. Nicola opens up about what it's like to be on the other side of medicine, how “knowing too much” can increase anxiety, and the deep loneliness that can come with traumatic birth and a NICU stay. This conversation is a must-listen for anyone navigating birth trauma, NICU life, or the long road of healing afterward.In this episode, we talk about:
Jerrica Lacy's story is one of heartbreak, healing, and divine intervention.Growing up surrounded by addiction, Jerrica knew drugs and alcohol long before she ever knew peace. Both of her parents battled addiction, and tragedy struck when her father and brother lost their lives to overdoses. Her mother is now in recovery - a living reminder that redemption is possible.Though Jerrica grew up in church, she didn't know God personally. That changed during one of the darkest moments of her life. Lying in an ICU bed, detoxing from alcohol, she prayed for a sign - and her nurse walked in and said, “God wants you to know that He loves you.” That simple message became the turning point she needed.Years of pain and an abusive relationship had pushed her deep into addiction - a cycle she thought she could never escape. But when she came to VOA Northern Rockies' Center of Hope in Riverton, everything began to change. Jerrica quickly became a house leader and was later accepted into the organization's recovery home.Once bitter toward religion, Jerrica found her faith again and rededicated her life to Jesus. Today, she's pursuing her license as an addiction practitioner - using her story to bring hope to others walking the same road she once did.
🧭 REBEL Rundown 📌 Key Points 🔍 Understanding the Why: The significance of understanding underlying causes, beyond initial diagnoses, in both sports and emergency medicine is explored. ⏱️ Recovery Focus: Emphasizing the importance of recovery time and small daily choices in optimizing performance for both athletes and emergency physicians. 📊 Data-Driven Insights: The Arena Labs approach uses personalized data, leveraging wearable technology and expert coaching to tackle burnout and enhance well-being. 🤝 Personalization and Partnership: Arena Labs’ collaboration with emergency clinicians sheds light on personalized performance solutions rooted in scientific evidence. Click here for Direct Download of the Podcast. 📝 Introduction Welcome back to REBEL MIND, where MIND stands for Mastering Internal Negativity during Difficulty. Here we sharpen the person behind the practitioner by focusing on things that improve our performance, optimizing team dynamics and the human behavior that embodies the hidden curriculum of medicine. In this episode, we’re excited to continue collaboration with Arena Labs, where host Dr. Mark Ramzy interviews Allyn Abadie, Arena Labs’ Principal Scientist on how we can apply performance science in and out of the emergency department. Arena Labs is helping us measure healthcare performance through innovative programs designed to combat burnout and enhance personal wellness using data-driven strategies. 🔙Previously Covered on REBEL MIND: Performance Under Pressure – What Medicine Can Learn from Elite TeamsThe Power of Performance Coaching in MedicineRest Is Not Sleep: The Seven Dimensions of True Recovery 🤔Cognitive Question How can emergency department clinicians utilize techniques inspired by athletic performance to better manage stress, prevent burnout, and optimize recovery? 💭 Why This is Important Burnout among healthcare workers is a growing concern, especially in such high-pressure environments as emergency and intensive care units. The collaboration with Arena Labs brings forth a vital focus on using data and coaching to build resilience among medical professionals. 🏥How This Applies to the Emergency Department or ICU? Emergency medicine, akin to high-performance sports, demands intense energy and quick decision-making under pressure, often leading to stress and burnout. By applying principles from athletic recovery and personalized data tracking, clinicians can moderate their performance intensity, enhance their recovery even in short breaks, and prevent long-term burnout. This approach allows emergency physicians to maintain endurance and clarity, improving patient care and team dynamics. ⏩ Things You Can Do on Your Next Shift Measure and Reflect: Start tracking your vital health metrics like heart rate with wearable sensors. Reflect on how daily activities impact these measurements to identify stress patterns.Implement Quick Recovery Techniques: Use short, actionable exercises such as deep breathing or the de-stress breath method between patient encounters to moderate stress levels.Invest in Self-Care: Dedicate brief time slots for essential self-care activities like hydration or quick reflection journaling, aiming to enhance mental resilience throughout your shift.Utilize Coaching Tools: Engage with personalized coaching apps or resources that offer science-backed recovery strategies tailored to your personal and professional needs. 👀 Where to Learn More Intrigued by the possibilities this partnership offers? You can explore more by visiting Arena Labs’ website here. Also, check out the comprehensive coaching program available, designed specifically for healthcare providers looking to enhance their well-being and performance. 🚨 Clinical Bottom Line In an era where burnout is pervasive, our collaboration with Arena Labs offers a beacon of hope for healthcare workers. By leveraging cutting-edge data insights and practical coaching, this partnership aims to redefine healthcare wellness, fostering a sustainable, resilient workforce that’s equipped to navigate the pressures of modern medicine. Join us in this journey towards enhanced well-being and workforce empowerment, ensuring that those who care for us are also cared for. Meet the Authors Mark Ramzy, DO Co-Editor-in-Chief RWJBH / Rutgers Health, Newark NJ Allyn Abadie Principal Scientist Arena Labs REBEL MIND: Applying Performance Science In and Out of the Emergency Department In this episode, we're excited to continue collaboration with Arena Labs, where host ... Human Behavior Read More REBEL Core Cast 150.0: Emergency Medicine Consults: How to Call a Consult + Handle Pushback (With Scripts) Consults aren’t a formality—they’re a patient-care intervention. In this post, Swami breaks down ... Read More REBEL MIND – Rest Is Not Sleep: The Seven Dimensions of True Recovery Today we are exploring the imperative topic of rest and why it’s not ... Human Behavior Read More REBEL MIND: The Power of Performance Coaching in Medicine In this episode, we're excited to continue collaboration with Arena Labs, where host ... Human Behavior Read More REBEL MIND: Performance Under Pressure – What Medicine Can Learn from Elite Teams Welcome back to Rebel MIND, the podcast where we sharpen the person behind ... Human Behavior Read More REBEL MIND – The Dunning Kruger Effect: Why Looking Inward Improves Patient Care In this episode and blog post, hosts Mark Ramzy and Kim Bambach (Assistant ... Human Behavior Read More The post REBEL MIND: Applying Performance Science In and Out of the Emergency Department appeared first on REBEL EM - Emergency Medicine Blog.
Smart Agency Masterclass with Jason Swenk: Podcast for Digital Marketing Agencies
Would you like access to our advanced agency training for FREE? https://www.agencymastery360.com/training Most agencies aren't fragile because of bad systems but because everything runs through the founder. One unexpected hit and the whole thing wobbles. Today's featured guest shares the real-world test no agency owner ever wants: a hemorrhagic stroke that took him out overnight. What happened next is the part every agency owner needs to hear. Because his business didn't collapse. It kept moving, clients stayed, deals closed, and trust carried the weight. If your agency can't function without you, this conversation will feel uncomfortably familiar. Brian Franks is the founder of Where Eagles Dare, a premium branding and storytelling agency working with major retail brands like American Eagle and Five Below. He spent 20+ years rising to VP of Creative at American Eagle before launching his agency over a decade ago. In this episode, we'll discuss: Getting comfortable with a hard question How Brian built a resilient agency Why your network is the real asset Subscribe Apple | Spotify | iHeart Radio Sponsors and Resources E2M Solutions: Today's episode of the Smart Agency Masterclass is sponsored by E2M Solutions, a web design, and development agency that has provided white-label services for the past 10 years to agencies all over the world. Check out e2msolutions.com/smartagency and get 10% off for the first three months of service. If You Got Hit by a Bus, Would Your Agency Survive? Let's get uncomfortable for a second. If you disappeared for 30 days (hospital, burnout, family emergency), would your agency come back stronger, the same… or on fire? Most agency owners don't like that question. Because deep down, they already know the answer. This is a question every agency owner should ask, especially if you're doing $1M–$10M, stuck in fulfillment, carrying everything in your head, and telling yourself, "I'll fix the systems later." Brian didn't plan to test his agency this way. In February 2024, he suffered a hemorrhagic stroke and ended up in the ICU for a brain drain. It took weeks of recovery. No warning. And his agency didn't collapse. Here's why that matters. Brian Didn't Build a "Big" Agency. He Built a Resilient One. Brian spent 20 years at American Eagle, rising from graphic designer to VP of Creative. He worked with massive agencies and saw the billings. He also saw the waste and understood what actually mattered. So when he launched Where Eagles Dare, he didn't chase headcount or ego. He sought to build: A small, senior team A premium positioning Deep relationships, not vendor contracts An agency designed around his strengths That's the part most founders miss. They scale complexity instead of clarity. The Lie Agency Owners Believe A lot of agency owners think freedom comes after scale. More clients → more people → more systems → someday freedom. In reality, that path usually leads to: Team chaos Thin margins Constant Slack pings And a founder who can't unplug without guilt Brian flipped that by staying scrappy, limiting active clients, staying close to the work that mattered, and delegating the rest to people he trusted for years. So when life punched him in the face, the agency stepped up. Your Network Is the Real Asset When Brian went down, his network took over. A former American Eagle CMO stepped in to help lead. His wife helped close a major Five Below deal. Longstanding client relationships stayed solid There was no panic, mass client churn, or revenue freefall. That doesn't happen by accident. That happens when you: Play the long game Treat relationships like equity Build trust before you need it Most agencies don't fail because of bad marketing. They fail because everything depends on the founder. The Question You Can't Ignore If you were gone for a month, would your agency be worse, the same, or better? If the answer scares you, good. Because it means you're still early enough to fix it. The Real Goal Isn't Scale. It's Control Brian's story isn't about hustle or heroics. It's about building an agency that: Pays you well Respects your health Doesn't collapse without you Still excites you creatively That's the real win. And if you're tired of being the bottleneck, you're stuck in fulfillment, referrals are your only growth plan, or you're not paying yourself what you should… Then it's time to rebuild. Not bigger, but smarter. Do You Want to Transform Your Agency from a Liability to an Asset? Looking to dig deeper into your agency's potential? Check out our Agency Blueprint. Designed for agency owners like you, our Agency Blueprint helps you uncover growth opportunities, tackle obstacles, and craft a customized blueprint for your agency's success.
Can Lyme disease begin before birth — and could it be driving neurodevelopmental conditions like autism, ADHD, and anxiety?In this episode of Integrative Lyme Solutions, Dr. K is joined by Dr. Somer DelSignore, a leading pediatric integrative clinician, to explore the overlooked science of congenital Lyme and in utero transmission of vector-borne infections. Dr. DelSignore explains how infections such as Borrelia, Bartonella, and Babesia can cross the placenta, disrupt fetal brain development, and silently fuel inflammation that shows up later as behavioral, cognitive, and immune dysfunction.You'll learn why standard TORCH testing fails to catch these infections, what symptoms parents should watch for in infants and children, and how addressing inflammation, infections, and immune imbalance can dramatically improve outcomes. This episode offers critical insight for parents, practitioners, and anyone focused on true prevention and root-cause healing in pediatric Lyme disease.Key Takeaways:0:00 Introduction and Dr. Somer DelSignore's clinical journey3:10 From pediatric ICU to integrative Lyme care6:20 Congenital Lyme: 40 years of overlooked science9:00 Why TORCH testing misses vector-borne infections12:45 Preconception testing and prevention strategies15:30 Why treating Lyme before pregnancy matters18:05 Infant symptoms parents should never ignore21:10 Autism, neuroinflammation, and misdiagnosis24:15 The RESET framework for pediatric healing28:10 What real recovery can look like for childrenResources Mentioned:IGeneX Laboratories – https://igenex.comTLABDX (Babesia & Bartonella testing) – https://www.tlabdx.com/Horowitz/MSIDS 38 point symptom checklist – https://projectlyme.org/msids-questionnaire/IV Ozone Therapy – https://health.clevelandclinic.org/ozone-therapySOT (Supportive Oligonucleotide Therapy) – https://projectlyme.org/supportive-oligonucleotide-therapy-sot-for-lyme/Medical Disclaimer: This content is for educational purposes only and is not intended to diagnose, treat, cure, or replace professional medical advice. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. _______________________________The Karlfeldt Center offers the most cutting-edge and comprehensive Lyme therapies. To schedule a Free 15-Minute Discovery Call with a Lyme Literate Naturopathic Doctor at The Karlfeldt Center, call 208-338-8902 or email info@TheKarlfeldtCenter.comCheck out Dr. K's Ebook: Breaking Free From Lyme: A Comprehensive Guide to Healing and Recovery here: https://store.thekarlfeldtcenter.com/products/breaking-free-from-lymeUse the code LYMEPODCAST for a 100% off discount!
‘เอกนิติ' มองเศรษฐกิจไทยพ้น ICU แล้ว หลังสภาพัฒน์เผย GDP ไทยปี 2568 ขยายตัว 2.4% โตเกินคาด เตือนปีหน้าจ่อชะลอตัวเหลือ 2% รายละเอียดเป็นอย่างไร มุมมองค่าเงินบาทจะหลุด 30 บาทต่อดอลลาร์สหรัฐหรือไม่ ภาคการส่งออกที่กระทบหนัก ควรบริหารจัดการค่าเงินอย่างไร พูดคุยกับ แพททริก ปูเลีย รองผู้จัดการใหญ่ Head of Financial Markets Function ธนาคารไทยพาณิชย์
What if medicine's ancient rituals could evolve to heal the modern physician's soul, turning burnout into a blueprint for resilient leadership?In this episode, Dr. Andrea Austin speaks with Dr. Venkatesh Ramnath about his journey from ICU conflicts and existential doubt to pioneering the Health Architect model. Venkatesh recounts early career frictions like coding audits and rigid communication clashing with rural teams, that led to his 2015 rock bottom, and how embracing cognitive science, myths, and practical rituals helped him redesign his path. The conversation unpacks leadership as a learnable skill, the need to embed financial literacy and care networks in curricula, and fostering agency through evidence-based attitudes and collaborative debriefs.You'll hear how they:Navigate moral injury from systemic silos, using health architecture to layer foundations of ethics, diagnostics, and aspirational wellnessReframe leadership beyond hierarchy, teaching self-awareness and trust-building to bridge academic ideals with real-world teamsAdvocate for curriculum overhauls, sprinkling scientific attitudes, financial savvy, and quality-of-death discussions into every disease pathwayInspire renewal through slowing down, curiosity-driven creativity, and a "new oath" prioritizing human connection over helplessnessIf you're rebuilding after burnout or redesigning med ed for the AI era, this episode offers a blueprint for wisdom over facts, progress over perfection.About the Guest:“Health architecture is about building foundations of agency and connection.” – Dr. Venkatesh RamnathDr. Venkatesh Ramnath is a pulmonary and critical care physician, health architect, writer, and host of the Be a Health Architect podcast. With experience spanning academic centers, rural border hospitals, and COVID ICUs, he transitioned from burnout to advocacy by fusing medicine with cognitive science and architecture metaphors. Venkatesh speaks on leadership, meaning-making, and innovation, contributing to outlets like the LA Times, and is authoring a book on a "new oath" for physician wellness.
When air meets uncertainty, judgment matters most. We dig into the evolving landscape of airway management where video laryngoscopy, supraglottic devices, and even ECMO promise better outcomes, yet cognitive errors and non‑OR settings still account for many of the most devastating events. Drawing on recent studies, malpractice claims, and national audits, we map the pressure points that turn a difficult intubation into a crisis and show how to defuse them with clearer plans, tighter teamwork, and sharper skills.We start with three high‑yield rules that change outcomes fast: cap the number of attempts, anticipate physiologic crashes, and switch early to rescue strategies. From there, we unpack the INTUBE findings on hypoxemia and cardiovascular instability, plus data showing how repeated attempts compound failure. Video laryngoscopy gets a balanced look: why it lifts first‑pass success across ED and ICU intubations, and how overreliance can silently erode direct laryngoscopy and awake fiberoptic competence. Expect practical strategies to preserve breadth: intentional DL reps, awake FOI workshops, and shared mental models that define time limits and bailout triggers.We also tackle unsettled ground. Aspiration risk reduction remains murky; cricoid pressure under general anesthesia has not delivered clear benefits, and robust trials comparing asleep rapid‑sequence to awake, topicalized methods in high‑risk patients are missing. We offer a decision lens to tailor approach by anatomy, physiology, and available expertise. For extreme airways—think massive goiter or tracheal compression—we explore where ECMO fits: preemptive, standby, or rescue. You'll hear how activation criteria, cannulation readiness, and interprofessional rehearsal turn a complex tool into a safety net rather than a new hazard.By the end, you'll have a cleaner playbook: plan A–D that you can execute under stress, a review of device trade‑offs, and concrete ways to reduce cognitive traps that drive harm. If this conversation sharpens your next airway, share it with a colleague, subscribe for future episodes, and leave a quick review to help others find the show.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/294-from-video-laryngoscopy-to-ecmo-what-keeps-airway-management-safe/© 2026, The Anesthesia Patient Safety Foundation
A mini-review published in Frontiers in Neurology suggests that acupuncture may assist ICU patients in recovering more quickly by relieving pain, lowering sedative use, shortening ventilator dependency, enhancing strength, and increasing days free from delirium Acupuncture may help calm inflammation, boost immunity, and improve blood flow in sepsis patients, offering supportive benefits alongside standard ICU treatment It's not just for managing one symptom: Acupuncture could act as a whole-body support tool in the ICU, easing pain, stress, and sleep issues while reducing drug side effects and helping the body recover Emotional Freedom Techniques (EFT) is a needle-free method using fingertip tapping on acupuncture points that offers a gentler alternative for patients wary of traditional acupuncture Other nondrug therapies such as massage, music therapy, and mindfulness contribute to ICU recovery by alleviating anxiety, decreasing pain, and enhancing sleep quality
President Donald Trump issued a warning to Nancy Guthrie's kidnappers, as the search for the 84-year-old continues. We'll tell you about a deadly shooting at a hockey rink in Rhode Island. The FBI refused to share information with local investigators in Minnesota about the killing of an ICU nurse. We break down the arguments from both sides of a trial involving a father whose son is accused of carrying out a mass shooting. Plus, an Oscar-winning actor best known for his roles in the “Godfather” and “Apocalypse Now” has died. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Send a textIn this premiere episode of On with Von, The Incubator launches an exciting new collaboration with the Vermont Oxford Network (VON). Hosts Dr. Ben Courchia and Dr. Daphna Yasova Barbeau sit down with Dr. Roger Soll, President of VON, and Dr. Bob White, a pioneer in NICU design, to explore the critical "Evidence to Practice" gap in the NICU environment. Moving beyond simple neuroprotection, the conversation dives into neuropromotion, examining the impact of light, sound, and sensory inputs on the developing brain. From debunking misconceptions about retinopathy to optimizing design for family integration, this discussion offers actionable insights for every bedside clinician.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Dan Richards investigates the multifaceted realm of night-time. Hear about when he survived a brush with death, a treacherous journey on a Scottish ferry, shadowing a search and rescue team, and the comfort and exquisite agony of new parenthood.The writer and broadcaster argues that night-time is universal in that everyone goes through it, but there are so many different experiences of the dark.He has met the many people who work, helping others and doing the invisible organising that keeps our communal world turning while others rest.Dan says the night is a place of encounters — both magical and disturbing.Further informationDan's book Overnight: Journeys, Conversations and Stories After Dark is published by Allen & Unwin.This episode was produced by Alice Moldovan. The Executive Producer is Nicola Harrison.This episode touches on sleep, covid, COVID, covid-19, hospital, emergency workers, NHS, ICU, frontline workers, search and rescue, dreams, outreach workers, homelessness, moominland, the shipping forecast, BBC, new fatherhood.To binge even more great episodes of the Conversations podcast with Richard Fidler and Sarah Kanowski go the ABC listen app (Australia) or wherever you get your podcasts. There you'll find hundreds of the best thought-provoking interviews with authors, writers, artists, politicians, psychologists, musicians, and celebrities.
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.
A sore arm, on-and-off fevers, and a three-year-old who couldn't climb like she used to—what looked like growing pains became a leukemia diagnosis that rerouted an entire family's life. Jesse Huiskin joins us to share Phinley's story with candor and courage: the frantic ICU days, a suspected brain infection that wasn't, a tiny arm bone broken by marrow pressure, and the long road of relearning how to walk, eat, and speak. Through each turn, she shows how small mercies and fierce love can coexist with fear, and how faith can hold when answers don't.We explore the practical side that most families don't see until they're in it: turning a sterile room into a child's space, building a blanket fort around IV lines, managing meals and laundry, and coordinating work and siblings while living at the hospital. Jesse wrote Surviving to Thriving to give parents a handbook she couldn't find—what to pack, what hospitals usually provide, how to advocate, and how to protect a child's joy. Her mantra is simple and powerful: say yes. Yes to help, yes to community, yes to the small requests that make a hospital room feel like home.We also confront a hard truth: only 8 percent of U.S. cancer research funding goes to pediatric cancers. Kids aren't miniature adults, and outdated protocols cost lives. Jesse explains how Rally Foundation bridges that gap—funding research with 93 cents of every dollar going to mission and offering direct family support across the Gulf Coast. With Phinley's Phighters we're working towards research grant in Phinley's memory and inviting our community to join events that turn grief into momentum.If you've faced loss, are starting a hospital journey, or want to help children get better treatments faster, this conversation offers both heart and a roadmap. Subscribe, share this episode with a friend who needs it, and leave a review to help more families find real help and hope.To learn more goto: https://www.facebook.com/profile.php?id=61586830817127Also the Rally Foundation: https://fundraise.rallyfoundation.org/team/793906For more information contact us atrtrdestiny@gmail.com
Send a textHow much oxygen is enough when resuscitating extremely preterm infants? This week on The Incubator Podcast, Ben and Daphna explore the TORPIDO 30/60 trial comparing 60% versus 30% FiO2 at birth. While primary outcomes were similar, babies in the 60% group needed fewer chest compressions and less epinephrine—a signal worth discussing.They examine an Indian non-inferiority study on surfactant thresholds (40% vs 30% FiO2), where waiting until 40% meant significantly fewer intubations and shorter respiratory support for the youngest babies. Ben presents compelling Melbourne data showing growth-restricted preterm infants face six-fold higher NEC risk—even with identical feeding protocols—and discusses how critical birth history gets "lost" as babies grow.Daphna tackles therapeutic hypothermia in late preterm infants, reviewing Toronto's retrospective analysis showing 34-35 weekers experience higher mortality and more brain injury compared to 36-37 weekers. As units rewrite cooling protocols, are we moving too fast on limited evidence?The episode concludes with Ben, Daphna, and Eli discussing the repeal of "sensitive locations" protections for immigration enforcement. Through the story of a mother detained while visiting her NICU baby in Chicago, they explore how these policies impact family-centered care and highlight advocacy opportunities through the Protecting Sensitive Locations Act.Current research meets real-world NICU challenges—all in one episode.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Host Victor opens by recapping the podcast's current coverage: weekly breakdowns of The Pitt season 2 with his wife Kim (a medical PA), discussion of Industry, and a recommendation to watch the Game of Thrones prequel A Night of the Seven Kingdoms (six-episode season, renewed for season 2). He also notes a Christopher Nolan rewatch series (Following and Memento). He invites feedback via email and Spotify/YouTube comments and asks listeners to share the show. Victor and Kim then discuss The Pitt episode 6, directed by Noah Wyle (his first directing credit on the show). They describe it as more “mundane” in plot but possibly the best episode of the season due to staff camaraderie and subtle emotional beats. A central throughline is the death of frequent-flyer patient Louie, which the staff grieves, contrasted with new doctor Ogilvy's detached comments. They discuss how ER staff form relationships with frequent flyers and the episode's late reveal that Louie's chronic drinking followed a car accident that killed his pregnant wife. A major theme is the “invisible work” of nurses: Perlah's grief, Dana cleaning Louie's body, behind-the-scenes patient prep, and how experienced nurses and advanced practitioners often run workflows and handle details. Kim relates this to real practice, including ICU and ER routines and how PAs/NPs frequently have more laceration-repair experience than attending physicians. They also touch on what happens to unclaimed bodies (morgue, possible cremation) and note the episode's visual focus on a homeless patient as part of a broader theme of dignity for underserved people. They cover other episode storylines: an incarcerated, malnourished patient whom Dr. Al-Hashimi wants to help despite bed pressures; Dana appears to manipulate an oxygen monitor reading (tape is implied) to keep him from being discharged; and a new competent nurse who arrives mid-shift, prompting discussion of ER shift overlap and staffing. They discuss a law student experiencing a first psychotic episode and how wording like “what's wrong with him” can alarm family members. Victor and Kim analyze a cancer patient on home hospice who refuses to leave the hospital, with a death doula present. Kim suspects heavy pain medication (including ketamine and long-acting morphine) could lead to respiratory compromise, while Victor wonders if the patient is trying to die away from her husband. They also discuss Santos being behind on notes, a comedic/critical AI documentation thread (including errors like urologist vs neurologist and incorrect surgical history), and broader electronic medical record and faxing frustrations. Additional medical beats include the waitress developing a life-threatening infection leading to an above-knee amputation, a patient demanding repeated D-dimer testing despite being on Eliquis, and Kim explaining what a D-dimer is and how unnecessary testing increases costs. They discuss translation access for hearing-impaired and non-English-speaking patients via video interpreter services. Character moments include Joy revealing she wants to be a pathologist to avoid patient interaction, and a motorcycle knee-laceration case using fluorescein to check joint involvement. They end by noting Louie dies from pulmonary hemorrhage (Kim would have liked more foreshadowing) and Kim shares a real trauma case involving an alcoholic with liver failure who died from bleeding after a minor accident. Victor briefly previews Drops of God season 2 episode “Brothers and Sisters,” highlighting themes of sibling conflict and a toxic Georgian sibling relationship, and says they will discuss the current and next episode later. Victor closes with reminders about ongoing Industry coverage, the Nolan rewatch, upcoming premieres, and holiday/Valentine's greetings. 00:00 Welcome + What We're Covering on the Podcast This Week 00:35 Why You Should Watch ‘A Knight of the Seven Kingdoms' (GOT Spinoff Pitch) 02:32 Other Ongoing Coverage: Industry, Nolan Rewatch, and What's Next with Sona 03:58 Subscribe, Feedback, and Quick Programming Notes (Drops of God Tease) 04:50 Episode 6 Kickoff: Why This Might Be the Best ‘The Pit' of the Season 06:26 Louis' Death as the Emotional Through-Line (and Ogilvy's Cold Take) 09:16 The ‘Invisible Work': Nurses, Body Care, and Behind-the-Scenes Medicine 13:02 NP/PA Skills in the ER: Suturing, Lacerations, and Who Really Closes Wounds 15:30 Frequent Flyers & What Happens When No One Claims a Body 17:50 Underserved Patients Theme: Homeless Man, Inmate Case, and Bending the Rules 22:03 Dana Steps Up + The New Nurse Mystery (Shifts, Overlap, and Staffing) 24:48 Psychosis Case Update: Communicating Uncertainty to Family 26:13 End-of-Life Cancer Patient: Husband Dynamics and Pain Med Risks 28:17 End-of-Life Choices: Hospice, Dignity, and ‘I Don't Want to Leave' 30:00 Santos' Rough Week: Sleep Deprivation, Garcia, and AI Note Chaos 31:30 AI in Medicine vs Reality: Dictation Errors, Copy-Paste Charts, and Fax Machines 33:55 The Waitress Case Turns Critical: Above-Knee Amputation & Medical Anxiety 35:20 ER Testing 101: D-Dimer, Patient Demands, and Healthcare Costs 37:38 Communication Barriers: Sign Language, iPad Interpreters, and Future AI Translation 39:54 Joy & Ogilvy Career Talk: Why Pathology Is the ‘Hard Pass' Specialty 41:33 Motorcycle Knee Laceration Workup: Fluorescein Joint Injection Explained 42:53 Louis' Death & Pulmonary Hemorrhage: Humanizing the Staff + A Trauma Story 46:02 Drops of God Check-In: ‘Brothers and Sisters' and Where the Season's Headed 49:22 Wrap-Up: Upcoming Pods (Industry, Nolan Rewatch) and Farewell
In this episode of the Nine Finger Chronicles podcast, Dan Johnson shares a deeply personal story about a life-changing medical crisis involving his wife. He reflects on the importance of family, faith, and the support of friends during challenging times. Through his experience in the ICU, he learns valuable lessons about life, love, and the significance of health and compassion. This episode serves as a reminder to appreciate the moments we have and to live with gratitude and kindness. Takeaways This episode will not be about deer hunting. Time flies when you're scared shitless. What is important about time we have on this planet. I was just kind of almost in shock. I need something from you right now. I felt like everything was going to be okay. You get to see the end. I don't care about this house that I live in. Thank you for this life, man. Live to live the best possible life. Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode of Man Therapy, Dan Johnson shares a deeply personal story about a health crisis involving his wife, Sarah, who experienced a severe asthma attack that led to her being admitted to the ICU. The conversation explores the emotional turmoil and fear that accompanied this experience, as well as the profound realizations about love, faith, and the importance of support during difficult times. Dan reflects on how this crisis shifted his perspective on life, relationships, and the trivialities that often cause stress. The discussion emphasizes the value of presence, communication, and empathy in navigating family dynamics and personal challenges, ultimately highlighting the lessons learned from such harrowing experiences. Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode of the Nine Finger Chronicles podcast, Dan Johnson shares a deeply personal story about a life-changing medical crisis involving his wife. He reflects on the importance of family, faith, and the support of friends during challenging times. Through his experience in the ICU, he learns valuable lessons about life, love, and the significance of health and compassion. This episode serves as a reminder to appreciate the moments we have and to live with gratitude and kindness. Takeaways This episode will not be about deer hunting. Time flies when you're scared shitless. What is important about time we have on this planet. I was just kind of almost in shock. I need something from you right now. I felt like everything was going to be okay. You get to see the end. I don't care about this house that I live in. Thank you for this life, man. Live to live the best possible life. Learn more about your ad choices. Visit megaphone.fm/adchoices
Send a textIn this episode of Neo News, the team examines the intersection of immigration policy and neonatal care. We review a recent op-ed discussing the "chilling effect" of immigration enforcement on families seeking care in "sensitive locations" like hospitals. The discussion highlights a harrowing report from The 19th about a family detained by ICE while en route to the NICU, sparking a conversation on how fear impacts parental presence and follow-up adherence. The hosts explore the Protecting Sensitive Locations Act and the critical role neonatologists play in advocating for safe access to healthcare for all families.----Vernon, L., Swenson, S., & Miller, E. (2025, October). Immigration policies are creating impossible choices for NICU families. Cleveland.com. https://www.cleveland.com/opinion/2025/10/immigration-policies-are-creating-impossible-choices-for-nicu-families-lelis-vernon-sarah-swenson-and-emily-miller.htmlBarclay, M. L. (2025, December). Postpartum immigrant detention by ICE. The 19th. https://19thnews.org/2025/12/postpartum-immigrant-detention-ice/Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
In this episode of the NCS Podcast Perspectives series, Nicholas Morris, MD, speaks with Theresa Human, PharmD, a critical care pharmacist whose career spans clinical practice at the University of Virginia and Washington University in St. Louis, followed by a transition into the pharmaceutical industry with Cumberland Pharmaceuticals. Dr. Human shares the winding path that led her to neurocritical care pharmacy and explains why the field's limited evidence base can create both autonomy and urgency to collaborate on better research. She discusses the role pharmacists play on neuro ICU teams — from providing therapeutics expertise and bedside teaching to ensuring continuity amid rotating physician teams — and reflects on burnout, moral injury and the realities of being "always on." Dr. Human also offers candid insights into industry partnerships, explaining how medical science liaisons can support research and education, and connects these efforts back to the goals and momentum of the Curing Coma® Campaign, framing it as a unifying "moonshot" for data collection, collaboration and progress. 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.
Groin management is nurse-lingo for the care required after femoral artery or vein access, such as following a cardiac catheterization or interventional radiology procedure. In this episode, we focus specifically on nursing care after the sheath has been removed and hemostasis has been achieved. Using the LATTE framework, we walk through: What a normal groin-site should look like post-procedure Methods utilized to achieve hemostasis Priority nursing assessments and red flags Tests and imaging you may see ordered if complications arise Key treatments, including SafeGuard management and bedrest precautions Patient and family education to reduce bleeding risk If you're working or precepting in PACU, IR recovery, telemetry, step-down, or the ICU, then this episode is a must-listen! ___________________ Full Transcript - Read the article and view references Episode 274 - Review vascular assessments. FREE CLASS - If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES...you can thrive in nursing school without it taking over your life! Study Sesh - Change the way you study with this private podcast that includes dynamic audio formats including podquizzes, case studies and drills that help you review and test your recall of important nursing concepts on-the-go. Free yourself from your desk with Study Sesh! LATTE Method Template - Download the free LATTE Method Template so you can streamline how you study and focus on what a nurse needs to know. All Straight A Nursing Resources - Check out everything Straight A Nursing has to offer, including more FREE resources and online courses to help you succeed throughout nursing school!
In this bonus episode, Brody sits down with Kilby for a full update on Greg's health scare. She recounts the sudden collapse, the battle in the ICU, and the emotional rollercoaster of not knowing what was going to happen. After returning to the U.S., a fast-track visit to Duke brought clearer answers and a new path forward. Kilby shares how their community stepped in, in powerful ways, how Greg is doing now, and how this experience is shaping their plans to head back to Uganda better prepared for what's ahead.Please continue to be in prayer for Greg, Kilby, and Alma!Support the Helms familySend a textPlease leave a review on Apple or Spotify to help improve No Sanity Required and help others grow in their faith. Click here to get our Colossians Bible study.
🧭 REBEL Rundown 📌 Key Points The 4 Steps of an ED Consult:👋 Introduce yourself and your role🎯 Lead with the outcome (the ask)🧾 Give a focused case summary (why it’s theirs + what you’ve done)🔁 Close the loop (timeline, next steps, contingencies) Click here for Direct Download of the Podcast. 📝 Introduction Today we’re tackling one of the most important (and most under-taught) skills in emergency medicine: how to call a consult in the ED and what to do when a consultant pushes back.To call a consult in the ED, start with a brief introduction, lead with the outcome you need (“the ask”), give a focused decision-relevant summary, and close the loop with timeline and next steps. If the consultant resists, clarify the “why,” restate the ask, offer alternatives, and escalate when patient safety or disposition is at risk.After two decades in emergency medicine and countless consult calls, here’s a simple framework—plus copy/paste scripts—to make your consults faster, clearer, and easier to say “yes” to. 🤔 Why Consult Skills Matter in Emergency Medicine Consults aren’t a formality—they’re a patient-care intervention. Strong consult communication:Reduces delays in time-sensitive careImproves ED throughput and dispositionDecreases conflict and miscommunicationClarifies ownership and next stepsProtects the patient (and the team) when plans are unclear 🪜 The 4-Step ED Consult Framework (Introduction → Ask → Summary → Close the Loop) Most consult friction comes from one of two problems: unclear expectations or excessive noise. This four-step structure solves both.1) Introduce yourself and your roleA simple intro sets a professional tone and removes ambiguity.Script: “Hey, this is Swami, one of the ED attendings. I’m calling for an ortho consult.” 2) Lead with the outcome (the ask)Don’t bury the lede. The consultant wants to know what you need—immediately.Script: “I’m calling about a patient with a suspected septic knee. I need you to evaluate for operative management.” 3) Give a focused, decision-relevant summaryYour summary should answer:Why this is your service’s problemWhat’s already been doneWhat I’m worried about / what decision is needed nowScript: “43-year-old man with no major PMH, 3 days of knee pain and swelling. XR negative. Febrile. Aspiration yielded purulent fluid—cultures sent. We started antibiotics after the tap. He’s hemodynamically stable.” High-yield pearl: Add quick “stability anchors” when relevant:“Airway stable, pain controlled.”“Neurovascularly intact.”“No signs of compartment syndrome.”“No hypotension or escalating oxygen requirement.” 4) Close the loop (timeline + next steps)This prevents the consult from floating in limbo and protects patient flow.Script: “When do you expect to see the patient, and do you want anything done before you arrive—NPO, repeat labs, additional imaging?” 📝 ED Consult Script General ED Consult Script “Hi, this is Dr. ___ in the ED. I’m calling for a ___ consult. The reason is ___. Briefly: ___ year-old with ___. We’ve done ___ and started ___. I’m concerned about ___. Can you see them today, and what’s your preferred next step?” Septic joint / Ortho Example “Hi, this is Swami in the ED. I need an ortho consult for suspected septic arthritis. 43-year-old with 3 days of atraumatic knee swelling and fever. XR negative. Tap produced purulent fluid—cultures sent. Antibiotics started after aspiration. Can you evaluate for operative management, and when can you see the patient?” Neurology example (time-sensitive) “Hi, this is Dr. ___ in the ED. I need neurology for suspected acute stroke. Last known well ___. NIHSS ___. CT/CTA completed (or pending). I’m calling to discuss candidacy for thrombolysis/thrombectomy and next steps. When can you evaluate and what additional workup do you want now?” ⛓️💥 Common ED Consult Mistakes (and Fixes) Mistake: Long story before the askFix: Lead with the outcome in the first sentenceMistake: Unfiltered data dumpFix: Provide only decision-relevant detailsMistake: No timelineFix: Ask explicitly when they’ll see the patient and what they need firstMistake: Implicit “ownership”Fix: Clarify who is admitting, who is following, and what happens if the patient worsens ✋ What to Do When a Consultant Pushes Back Even a perfect consult can meet resistance. Your job is to stay calm, keep it professional, and protect the patient.1) Ask “why?”Don’t argue first—diagnose the refusal.Script: “Help me understand your concern about seeing this patient.” Many refusals are based on misunderstanding: wrong service, missing key detail, or incorrect assumption about stability.2) Restate the consult in one sentence, then offer optionsIf the conversation starts spiraling, reset it.Script: “To be clear, I’m concerned this is septic arthritis and needs ortho evaluation. If you don’t feel you’re the right service, who should be—rheum, medicine, or another surgical team?” This keeps you collaborative while preventing dead ends.3) Humanize the decision (use sparingly)This is a “high-voltage” tool. Use it when stakes are high and you’ve already clarified the medical facts.Script: “I’m worried we’re missing something time-sensitive. If this were your family member, what would you want us to do next?” Use it to re-anchor to patient risk—not as a guilt tactic. ⚡️When and How to Escalate a Consult Escalation isn’t personal—it’s a safety mechanism when there’s an impasse that threatens timely care.When to escalateTime-sensitive condition is delayed (e.g., septic joint, cord compression, testicular torsion, GI bleed with instability)No clear disposition plan despite reasonable ED evaluationConsultant refusal blocks needed specialty decision-makingPatient safety or deterioration risk is increasing in the ED How to escalate (lowest to highest intensity)Ask for the consultant’s attending (if speaking to a resident)Call the on-call attending directlyInvolve ED leadership/medical directorEscalate to service chief/department chair (rare, but real)Hospital supervisor/admin escalation for immediate operational impasseScript: “We’re at an impasse and the patient needs a decision. I’m escalating to clarify ownership and ensure timely care.” ️ Documentation Tips for Consult Refusals Documentation should be factual and patient-centered, not punitive.Include:Your clinical concern and why the consult is neededWho you spoke with (name/role)Their stated reason for refusal or delayAlternatives discussedEscalation steps taken and final plan 👉 FAQ: Emergency Medicine Consults What is the best way to call a consult in the ED?Introduce yourself, lead with the specific ask, summarize only decision-relevant details, and close the loop with a clear plan and timeline.What should I say when a consultant refuses to see a patient?Ask why, clarify misunderstandings, restate your concern and the ask, and request an alternative plan or appropriate service.When should I escalate a consult?Escalate when an impasse delays time-sensitive care, threatens patient safety, or prevents appropriate disposition.How do I document a refused consult?Document the clinical concern, who you spoke with, their stated reason, alternatives discussed, and escalation steps taken. 🏁 Conclusion Mastering emergency medicine consults makes you faster, safer, and easier to work with. The goal isn’t to “win” a consult call—it’s to get the patient the right care, with clear ownership and a shared plan. Post Peer Reviewed By: Marco Propersi, DO (Twitter/X: @Marco_propersi), and Mark Ramzy, DO (X: @MRamzyDO) 👤 Associate Editor Anand Swaminathan MD, MPH All Things REBEL EM Meet The Team 🔎 Your Deep-Dive Starts Here REBEL Core Cast – Pediatric Respiratory Emergencies: Beyond Viral Season Welcome to the Rebel Core Content Blog, where we delve ... Pediatrics Read More REBEL Core Cast 143.0–Ventilators Part 3: Oxygenation & Ventilation — Mastering the Balance on the Ventilator When you take the airway, you take the wheel and ... Thoracic and Respiratory Read More REBEL Core Cast 142.0–Ventilators Part 2: Simplifying Mechanical Ventilation – Most Common Ventilator Modes Mechanical ventilation can feel overwhelming, especially when faced with a ... Thoracic and Respiratory Read More REBEL Core Cast 141.0–Ventilators Part 1: Simplifying Mechanical Ventilation — Types of Breathes For many medical residents, the ICU can feel like stepping ... Thoracic and Respiratory Read More REBEL Core Cast 140.0: The Power and Limitations of Intraosseous Lines in Emergency Medicine The sicker the patient, the more likely an IO line ... Procedures and Skills Read More REBEL Core Cast 139.0: Pneumothorax Decompression On this episode of the Rebel Core Cast, Swami takes ... Procedures and Skills Read More The post REBEL Core Cast 150.0: Emergency Medicine Consults: How to Call a Consult + Handle Pushback (With Scripts) appeared first on REBEL EM - Emergency Medicine Blog.
Send a textIn this segment, Ben and Daphna review a retrospective study from the Hospital for Sick Children comparing outcomes of therapeutic hypothermia in late preterm (34-35 weeks) versus early term (36-37 weeks) infants. They discuss the significantly higher rates of mortality, hemodynamic instability, and hypoglycemia found in the younger cohort, known as "Group 1". The hosts explore the implications of using MRI scoring systems like the Weeke score for preterm brains and debate the ethical challenges of conducting future randomized trials as clinical practice shifts away from cooling younger babies based on emerging retrospective data.----Whole-body hypothermia in late preterm and early term infants: a retrospective analysis from a neurocritical care unit. Martinez A, Cikman G, Al Kalaf H, Wilson D, Banh B, Abdelmageed W, Beamonte Arango I, Christensen R, Branson HM, Cizmeci MN.Pediatr Res. 2026 Jan 7. doi: 10.1038/s41390-025-04701-x. Online ahead of print.PMID: 41501407Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
"It gives people from grief to relief. It gives them a little bit of a lightened load when it comes to their emotional state, and they can not move on, but utilize it better." —Jenessa WyattThis episode explores how grief, fear, and uncertainty can be faced without losing grounding in real life. Psychic medium Jenessa Wyatt shares how her work blends evidence, intuition, and spiritual connection to help people find healing, protection, and clarity. Through stories of health warnings, house clearings, and personal lessons, she offers a practical, no-fluff perspective on how spirituality and everyday life can coexist. Tune into this episode and explore how grief, intuition, and spiritual protection can sit side by side with everyday life, not outside it.How Jenessa describes being a psychic medium and why comedy is part of her workTurning “grief to relief” through evidence-based mediumshipSpecific stories of medical warnings, early cancer flags, and ICU “downloads”Daily spiritual protection rituals with white light and candlesA dark entity attachment, poltergeist-like activity, and what finally cleared itHow she protects survivors of abuse during readingsWorking with spirits in homes, from gentle presences to unsafe entitiesSage, rituals, and practical house cleansing stepsChildren as sensitives, signs to watch, and when spirit contact becomes a concernPolitical energy, staged-looking events, and how fear is used to controlCorporations, pharma, food systems, and the economics of fearManaging intuitive downloads without losing mental and emotional stabilityJenessa's vision for a reality show that normalizes spirituality without scriptsA live mini reading for Heather: her friend's sudden passing, family health, and career shiftConnect with Heather: WebsiteLinkedInInstagramFacebookYouTubeEpisode Highlights:01:31 Meet Jenessa: From Grief to Relief 09:00 Carrying Heavy Topics: Death, Cancer, & Emotional Boundaries13:02 How Forgetting a Candle Opened the Door to a Dark Attachment17:00 Protecting Trauma Survivors 30:48 When to Take It Seriously37:09 Who Really Runs Things 47:06 Validating Energy and Personality Traits 53:33 For the FamilyResources:
This week on After Hours Jennifer and Laura are joined by Moms on Call consultant Alexandra Pereira. A former cardiac ICU and NICU nurse, she shares her experiences as a mother of three young children, discussing the importance of consistent boundaries and the challenges of parenting multiple children. Alex emphasized the significance of creating a structured environment for children, which helps in building their confidence and decision-making skills. She also highlighted the value of maintaining calm amidst the chaos of family life, using strategies like contact napping and engaging children in activities to manage daily routines. These insights reflect the core philosophy of Moms On Call, which is to empower parents with the tools and confidence to thrive in their parenting journey. Follow Alex on Instagram at @em.parent.ment
We chat with Melissa Nestor, clinical pharmacist in neurocritical care, about tho subtleties of glucose and insulin management in the ICU. Learn more at the Intensive Care Academy!
Send a textIn this episode of Journal Club, Ben and Daphna review a prospective cohort study from the Journal of Perinatology that examines the care of neonates following in-utero growth restriction. The hosts unpack the critical distinction between Fetal Growth Restriction (FGR) and Small for Gestational Age (SGA), highlighting how the "decay of information" in the NICU can lead clinicians to overlook early risk factors as babies grow. They discuss the study's alarming findings regarding the six-fold increased risk of Necrotizing Enterocolitis (NEC) in SGA infants and the importance of maintaining a comprehensive medical history throughout a patient's stay.----Care of neonates following in-utero growth restriction: A prospective cohort study exploring neonatal morbidity. Alda MG, Wood AG, MacDonald T, Charlton JK.J Perinatol. 2025 Sep;45(9):1219-1225. doi: 10.1038/s41372-025-02397-9. Epub 2025 Aug 21.PMID: 40841433 Free PMC article.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Did you know that visiting a museum can lower your cortisol levels? Or that singing can bond a group faster than almost any other activity? We tend to think of the arts as entertainment, but science tells a different story. Today, we explore why creativity is hardwired into our biology and how it can be used to treat everything from postnatal depression to stroke recovery.Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author ofArt Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(4:14) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(9:01) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(15:30) The Chemistry of Connection. Why singing evolved before language and how it accelerates group bonding(20:32) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(25:57) The Professional Paradox: Balancing the wellbeing benefits of art with the pressures of a creative career(30:03) Predictive Coding & Play: Why the human brain needs improvisation and why we shouldn't outsource creativity to AI(33:26) Singing to Daphne: How Daisy usedsinging to comfort her premature daughter in the ICU(37:55) World Health Organization, Public Policy & Social Prescribing(46:04) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(58:17) Finding Artistic Reverence in Nature Episode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast
"Within society, we seem to have separated the arts out, so they're not so much a part of our daily lives. Often there's something that we feel we should do as a kind of leisure activity or hobby if we have enough time or if we have enough money to engage in them. And this is so fundamentally different to how humans engaged with the arts. When we look back thousands of years, it just was part of the everyday, and I feel like that's a major loss within contemporary societies."Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author ofArt Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(1:17) Singing to Daphne: How Daisy used singing to comfort her premature daughter in the ICU(2:47) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(5:23) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(8:58) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(12:42) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(18:24) Safeguarding Creativity. Why we should use AI for routine tasks but protect the human joy of the creative processEpisode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast
"Within society, we seem to have separated the arts out, so they're not so much a part of our daily lives. Often there's something that we feel we should do as a kind of leisure activity or hobby if we have enough time or if we have enough money to engage in them. And this is so fundamentally different to how humans engaged with the arts. When we look back thousands of years, it just was part of the everyday, and I feel like that's a major loss within contemporary societies."Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author ofArt Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(1:17) Singing to Daphne: How Daisy used singing to comfort her premature daughter in the ICU(2:47) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(5:23) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(8:58) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(12:42) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(18:24) Safeguarding Creativity. Why we should use AI for routine tasks but protect the human joy of the creative processEpisode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast
Did you know that visiting a museum can lower your cortisol levels? Or that singing can bond a group faster than almost any other activity? We tend to think of the arts as entertainment, but science tells a different story. Today, we explore why creativity is hardwired into our biology and how it can be used to treat everything from postnatal depression to stroke recovery.Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author of Art Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(4:14) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(9:01) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(15:30) The Chemistry of Connection. Why singing evolved before language and how it accelerates group bonding(20:32) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(25:57) The Professional Paradox: Balancing the wellbeing benefits of art with the pressures of a creative career(30:03) Predictive Coding & Play: Why the human brain needs improvisation and why we shouldn't outsource creativity to AI(33:26) Singing to Daphne: How Daisy usedsinging to comfort her premature daughter in the ICU(37:55) World Health Organization, Public Policy & Social Prescribing(46:04) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(58:17) Finding Artistic Reverence in Nature Episode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast
"Within society, we seem to have separated the arts out, so they're not so much a part of our daily lives. Often there's something that we feel we should do as a kind of leisure activity or hobby if we have enough time or if we have enough money to engage in them. And this is so fundamentally different to how humans engaged with the arts. When we look back thousands of years, it just was part of the everyday, and I feel like that's a major loss within contemporary societies."Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author ofArt Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(1:17) Singing to Daphne: How Daisy used singing to comfort her premature daughter in the ICU(2:47) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(5:23) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(8:58) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(12:42) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(18:24) Safeguarding Creativity. Why we should use AI for routine tasks but protect the human joy of the creative processEpisode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast
"Within society, we seem to have separated the arts out, so they're not so much a part of our daily lives. Often there's something that we feel we should do as a kind of leisure activity or hobby if we have enough time or if we have enough money to engage in them. And this is so fundamentally different to how humans engaged with the arts. When we look back thousands of years, it just was part of the everyday, and I feel like that's a major loss within contemporary societies."Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author ofArt Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(1:17) Singing to Daphne: How Daisy used singing to comfort her premature daughter in the ICU(2:47) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(5:23) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(8:58) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(12:42) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(18:24) Safeguarding Creativity. Why we should use AI for routine tasks but protect the human joy of the creative processEpisode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast
Did you know that visiting a museum can lower your cortisol levels? Or that singing can bond a group faster than almost any other activity? We tend to think of the arts as entertainment, but science tells a different story. Today, we explore why creativity is hardwired into our biology and how it can be used to treat everything from postnatal depression to stroke recovery.Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author of Art Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(4:14) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(9:01) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(15:30) The Chemistry of Connection. Why singing evolved before language and how it accelerates group bonding(20:32) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(25:57) The Professional Paradox: Balancing the wellbeing benefits of art with the pressures of a creative career(30:03) Predictive Coding & Play: Why the human brain needs improvisation and why we shouldn't outsource creativity to AI(33:26) Singing to Daphne: How Daisy usedsinging to comfort her premature daughter in the ICU(37:55) World Health Organization, Public Policy & Social Prescribing(46:04) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(58:17) Finding Artistic Reverence in Nature Episode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast
"Within society, we seem to have separated the arts out, so they're not so much a part of our daily lives. Often there's something that we feel we should do as a kind of leisure activity or hobby if we have enough time or if we have enough money to engage in them. And this is so fundamentally different to how humans engaged with the arts. When we look back thousands of years, it just was part of the everyday, and I feel like that's a major loss within contemporary societies."Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author ofArt Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(1:17) Singing to Daphne: How Daisy used singing to comfort her premature daughter in the ICU(2:47) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(5:23) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(8:58) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(12:42) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(18:24) Safeguarding Creativity. Why we should use AI for routine tasks but protect the human joy of the creative processEpisode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast
Did you know that visiting a museum can lower your cortisol levels? Or that singing can bond a group faster than almost any other activity? We tend to think of the arts as entertainment, but science tells a different story. Today, we explore why creativity is hardwired into our biology and how it can be used to treat everything from postnatal depression to stroke recovery.Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author of Art Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(4:14) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(9:01) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(15:30) The Chemistry of Connection. Why singing evolved before language and how it accelerates group bonding(20:32) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(25:57) The Professional Paradox: Balancing the wellbeing benefits of art with the pressures of a creative career(30:03) Predictive Coding & Play: Why the human brain needs improvisation and why we shouldn't outsource creativity to AI(33:26) Singing to Daphne: How Daisy usedsinging to comfort her premature daughter in the ICU(37:55) World Health Organization, Public Policy & Social Prescribing(46:04) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(58:17) Finding Artistic Reverence in Nature Episode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast
The Creative Process in 10 minutes or less · Arts, Culture & Society
"Within society, we seem to have separated the arts out, so they're not so much a part of our daily lives. Often there's something that we feel we should do as a kind of leisure activity or hobby if we have enough time or if we have enough money to engage in them. And this is so fundamentally different to how humans engaged with the arts. When we look back thousands of years, it just was part of the everyday, and I feel like that's a major loss within contemporary societies."Daisy Fancourt is a Professor of Psychobiology & Epidemiology at UCL and the author ofArt Cure: The Science of How the Arts Transform Our Health. A pioneer in the field of psychoneuroimmunology, she directs the WHO Collaborating Center on Arts and Health, where her research influences global health policy and the integration of the arts into medical care.(0:00) The Healing Power of the Arts: Longevity, Immunity & Wellbeing(1:17) Singing to Daphne: How Daisy used singing to comfort her premature daughter in the ICU(2:47) The Story of Russell: How a stroke survivor used art classes to reclaim his life, health, and identity(5:23) A Planet of 8 Billion Artists: Tracing the evolutionary origins of creativity back 40,000 years(8:58) Psychoneuroimmunology. Defining the biological mechanisms: how art reduces inflammation and cortisol(12:42) Art & Longevity. How arts engagement can slow biological aging and alter gene expression(18:24) Safeguarding Creativity. Why we should use AI for routine tasks but protect the human joy of the creative processEpisode Websitewww.creativeprocess.info/podInstagram:@creativeprocesspodcast
Send a textIn this episode of Journal Club, Ben and Daphna review a non-inferiority trial from the European Journal of Pediatrics exploring surfactant administration thresholds in preterm neonates. The study, conducted in India, compares a 30% versus 40% FiO2 threshold for babies 26-32 weeks gestational age. The hosts break down the counterintuitive findings regarding respiratory support duration in younger subgroups and discuss the broader implications of using rigid FiO2 heuristics versus individualized patient assessment. They also debate how resource availability influences clinical protocols and the potential benefits of "LISA" (Less Invasive Surfactant Administration) for avoiding intubation.----Higher (40%) versus lower (30%) FiO2 threshold for surfactant administration in preterm neonates between 26 and 32 weeks of gestational age: a non-inferiority randomized controlled trial. Haq MI, Datta V, Bandyopadhyay T, Nangia S, Anand P, Murukesan VM.Eur J Pediatr. 2025 Nov 25;184(12):793. doi: 10.1007/s00431-025-06628-1.PMID: 41288797 Clinical Trial.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
If you're a physician with at least 5 years of experience looking for a flexible, non-clinical, part-time medical-legal consulting role… ...Dr. Armin Feldman's Medical Legal Coaching program will guarantee to add $100K in additional income within 12 months without doing any expert witness work. Any doctor in any specialty can do this work. And if you don't reach that number, he'll work with you for free until you do, guaranteed. How can he make such a bold claim? It's simple, he gets results… Dr. David exceeded his clinical income without sacrificing time in his full-time position. Dr. Anke retired from her practice while generating the same monthly consulting income. And Dr. Elliott added meaningful consulting work without lowering his clinical income or job satisfaction. So, if you're a physician with 5+ years of experience and you want to find out exactly how to add $100K in additional consulting income in just 12 months, go to arminfeldman.com. =============== Get the FREE GUIDE to 10 Nonclinical Careers at nonclinicalphysicians.com/freeguide. Get a list of 70 nontraditional jobs at nonclinicalphysicians.com/70jobs. =============== Former hospital executive and operations leader Joe White explains how years spent running ER, hospitalist, and ICU services showed him the hidden costs and inefficiencies of traditional locums arrangements. Working as an ER tech, COO, and corporate VP, he saw firsthand how opaque markups, slow credentialing, and rigid contracts hurt both hospitals and physicians, and why it made sense to rebuild the process from the ground up. He describes how that experience led him to launch SendIt, a platform that lets physicians contract directly with hospitals, set their own hourly rates, control their availability, and treat clinical work more like flexible fractional gigs. Along the way, he demystifies how hospital finances really work, how administrators think about coverage and service lines, and what doctors should understand before negotiating, signing up for locums work, or relying on staffing agencies You'll find links mentioned in the episode at nonclinicalphysicians.com/restore-physician-autonomy/
In this episode, Garrett and Payton explore the case of Patrick de la Cerda, a man living what seemed like a fairytale romance until his life was tragically cut short by a killer no one saw coming. Links: Netflix: https://www.netflix.com/murderwithmyhusband Patreon: https://www.patreon.com/murderwithmyhusband NEW MERCH LINK: https://mwmhshop.com Discount Codes: https://mailchi.mp/c6f48670aeac/oh-no-media-discount-codes Twitch: https://www.twitch.tv/themwmh Instagram: https://www.instagram.com/murderwithmyhusband/ Watch on Youtube: https://www.youtube.com/@murderwithmyhusband Listen on Apple: https://podcasts.apple.com/us/podcast/into-the-dark/id1662304327 Listen on spotify: https://open.spotify.com/show/36SDVKB2MEWpFGVs9kRgQ7?si=f5224c9fd99542a7 Case Sources: Oxygen.com - https://www.oxygen.com/a-plan-to-kill/crime-news/patrick-de-la-cerda-shot-to-death-at-florida-home News-JouralOnline.com - https://www.news-journalonline.com/story/news/courts/2021/05/29/man-convicted-murder-plan-slaying-romantic-rival-deltona/5243838001/ CaseLaw.FindLaw.com - https://caselaw.findlaw.com/court/fl-district-court-of-appeal/2196501.html ThatsLife.com - https://www.thatslife.com.au/crime/deadly-delivery-killed-by-a-fake-postie/ TillManFuneralHome.com - https://www.tillmanfuneralhome.com/obituaries/5296709 CrimeAndCoffeeCouple.wordpress.com - https://crimeandcoffeecouple.wordpress.com/2024/10/06/the-murder-of-patrick-de-la-cerda/ ClickOrlando.com - https://www.clickorlando.com/news/2018/03/02/deltona-man-slain-in-attack-sparked-by-jealousy-sheriff-says/ DailyMail.com - https://www.dailymail.co.uk/news/article-10200995/Florida-man-nearly-gets-away-murder-wife-girlfriend-meet-hospital-ICU-stay.html CBS.com - https://www.cbsnews.com/news/patrick-de-la-cerda-murder-gregory-bender-trash-48-hours/ A Plan to Kill Season 1 Episode 6 - https://www.peacocktv.com/watch/playback/vod/GMO_00000000506750_01/e5dccebe-1846-3a2f-9acb-1fbc994f950d?paused=true Learn more about your ad choices. Visit podcastchoices.com/adchoices
In today's episode, I chat with Serrin a graphic designer from Byron Bayabout her extraordinary pregnancy journey involving a life-threatening arteriovenous malformation (AVM). What began as severe headaches that were initially dismissed as normal pregnancy symptoms escalated into a major brain haemorrhage at 22 weeks. Serrin takes us through her weeks in ICU at Gold Coast University Hospital, living in Airbnbs throughout her pregnancy due to medical restrictions, and ultimately welcoming her daughter Bobby via caesarean at 38 weeks. She also shares her challenging recovery journey, including a second brain bleed following post-birth surgery when Bobby was six months old. This is a powerful story of medical complexity, community support, and finding strength through vulnerability - with important lessons about trusting your instincts and advocating for proper care when something doesn't feel right during pregnancy.Proudly brought to you by iL Tutto.To celebrate the release of iL Tutto's newest award-winning Frankie Electric Recliner, listeners of Australian Birth Stories can enjoy an exclusive 20% off the iL Tutto Trend Collection for a limited time. iL Tutto creates beautifully designed nursery furniture that supports parents through every stage, from those first days at home to life beyond the nursery. Their ever-growing premium Trend Collection brings together thoughtfully designed, sustainable timber cots and chests, alongside award-winning nursing chairs, including the much-loved Frankie and Louie in Teddy-Fleece and Corduroy. And now, iL Tutto has welcomed the newest addition to the collection, the award-winning Frankie Chair in Soft Teddy-Fleece, available in two stylish, trend-led colours designed to elevate your nursery and live beautifully in your home long after the baby years. To celebrate, enjoy 20% off iL Tutto's Trend Collection for a limited time.Simply use the code ABS20 at iltutto.com.au. This offer ends 25 March, 2026.Conditions apply.iL Tutto, designed for comfort, made to last. Hosted on Acast. See acast.com/privacy for more information.
1. ICE Incident & Media Narrative A story circulated claiming ICE detained a 5‑year‑old child; the document states this was false. ICE was arresting the father, who allegedly fled and abandoned the child. The mother reportedly refused to take the child back. The argument: media outlets amplified a misleading narrative to evoke emotional reaction and sway suburban voters. 2. Narrative of Political Motivation Democrats and major media are using immigration stories to fuel a political campaign against ICE. John Kasich and others are highlighted as contributing to public perception around ICE enforcement. 3. Government Shutdown Predictions A 100% chance of a government shutdown tied to DHS and ICE funding. Chuck Schumer and other Democratic leaders are quoted as refusing to fund DHS without major ICE restrictions. A distinction is made: many agencies are already funded, so the shutdown would be more limited than the previous historical shutdown. 4. “Abolish ICE” Positioning Democrats are unified in refusing to fund ICE or DHS, framing it as similar to “abolish ICE / abolish police” rhetoric. Democrats want a prolonged and painful shutdown to signal to their base that they are fighting against ICE. 5. Trump Accounts (Economic Policy Section) Benefits include: Could lead to significant wealth accumulation due to compound growth (e.g., $300k by 18; $1M+ by 28 with max contributions). Intended to help children in poverty or lower‑income households build long‑term wealth. Employer and charitable contributions (e.g., Michael & Susan Dell, Brad Gerstner) will accelerate scale and impact. Compared in transformative potential to the creation of 401(k) plans. 6. Minneapolis Shooting & Media Coverage Media portrayed the man shot by ICE as a peaceful ICU nurse, omitting earlier confrontational behavior. Video evidence reported by BBC showed the man spitting at, confronting, and kicking an ICE vehicle days before the shooting. Media intentionally shaped the story to portray ICE as murderers. 7. MSNBC AI Image Controversy MSNBC used an AI‑enhanced image to make the man appear more attractive, which the document calls political propaganda. Commentary from Joe Rogan criticizing the altered image. MSNBC admitted to using an AI‑generated thumbnail but did not apologize or fire anyone. Please Hit Subscribe to this podcast Right Now. Also Please Subscribe to the 47 Morning Update with Ben Ferguson and The Ben Ferguson Show Podcast Wherever You get You're Podcasts. And don't forget to follow the show on Social Media so you never miss a moment! Thanks for Listening YouTube: https://www.youtube.com/@VerdictwithTedCruz/ Facebook: https://www.facebook.com/verdictwithtedcruz X: https://x.com/tedcruz X: https://x.com/benfergusonshowYouTube: https://www.youtube.com/@VerdictwithTedCruzSee omnystudio.com/listener for privacy information.
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