Podcasts about ICU

In this episode, I sit down with Dr Steven Lu, a former cardiac surgeon turned preventative health pioneer and the founder of Everlab.Steven shares his journey through medicine, from operating in high-pressure ICU and surgical environments to asking a deeper question: why are we waiting until people are critically unwell before intervening? After years of treating heart disease at its most advanced stages, he realised the system was built around reacting to illness rather than preventing it.We unpack the philosophy behind Everlab and why prevention, early detection, and personalised health data are the future of healthcare. Steven explains how understanding your biomarkers, lifestyle, and risk factors can help you take ownership of your health long before symptoms appear.This conversation also dives into simple, practical health habits anyone can start today, from movement and nutrition to sleep, stress, and consistency over perfection. It is a powerful reminder that small daily choices can dramatically change long-term outcomes.If you have ever felt confused, overwhelmed, or reactive about your health, this episode will help you reframe the way you think about wellbeing and empower you to take action earlier rather than later.In this episode we cover:Steven's journey from cardiac surgery to preventative medicineWhy the healthcare system is reactive by designThe moment that inspired him to start EverlabThe importance of early testing and personalised health dataSimple daily habits that reduce long-term disease riskWhy prevention is not about perfection, but consistencyHow to think long-term about your health and energyThis episode is about taking responsibility for your health, one decision at a time, before crisis forces the conversation.Follow Dr Steven/EverlabINSTAGRAMSend @thegoodhumanfactory a DM on Instagram saying "I wanna join the club" to join our FREE mindfulness and gratitude accountability community :)1% Good Club Book!!The Good Human FactoryAmazonBooktopiaCooper's SocialsInstagramTikTokThe Good Human Factory LinksInstagramWebsiteMerch – Use code PODCAST for 25% OFFWorkshop EnquiryTHE GOOD HUMAN FACTORY™️ 2020 Hosted on Acast. See acast.com/privacy for more information.

Send us a textEver been told to “suck it up” after a call that split your world in two? We challenge that script with a grounded, respectful look at how first responders can access care that actually helps. Steve sits down with licensed clinician and podcaster Susan Roggendorf for a candid, unfiltered conversation about culture, stigma, and practical support for police, fire, EMS, dispatch, ER, ICU, NICU, and corrections.We unpack why the tired question “What's the worst thing you've seen?” is not only unhelpful but harmful—and what clinicians should ask instead. Susan shares her background serving LGBTQ clients and first responders, detailing how role-specific stressors shape symptoms: from dispatchers carrying incomplete stories and auditory flashbacks, to EMS haunted by pediatric calls, to ER staff absorbing wave after wave of crisis without pause. Together, we outline a trauma-informed approach that centers consent, pacing, and control, building skills that fit real shifts: brief grounding, tactical breathing, movement that discharges stress, and cognitive resets you can use between calls.This episode also draws a clear map of the first responder circle without watering it down. We talk moral injury, hypervigilance, sleep disruption, and why peer support must be more than a checkbox. You'll hear podcasting war stories, yes, but also a deeper point: humility and repair are part of resilience, whether in a studio or on a scene. If you've ever sat through a therapy session that felt like a TV script, this is your reset. Expect real language, straight answers, and tools you can put to work immediately.To reach Susan, please go to https://psychhub.com/us/provider/susan-roggendorf/1316326036Support the showYouTube Channel For The Podcast

Headlines for February 03, 2026; Chicago Mayor Brandon Johnson Directs Local Police to Investigate “Rogue, Reckless” ICE Agents; Philly City Council Considers “ICE Out” Legislation, as DA Krasner Decries “Wannabe Nazi” ICE Agents; Immigrant Rights Leader in Maine Says ICE Raids Caused Panic & “Wave of Fear”; ProPublica Identifies CBP Agents Who Fatally Shot ICU Nurse Alex Pretti in Minneapolis

Two federal immigration agents — Border Patrol agent Jesus Ochoa and Customs and Border Protection officer Raymundo Gutierrez — have been identified in government records as the officers who fatally shot Minneapolis protester and ICU nurse Alex Pretti during Operation Metro Surge in January, igniting nationwide outrage and calls for accountability. In other major developments, newly released Epstein files contain some of the most disturbing allegations yet about Jeffrey Epstein's abuse, as more evidence emerges that Epstein may have acted as a Mossad asset. Go to ⁠⁠⁠shipstation.com⁠⁠⁠ and use code DAMAGE for sixty days for free! Refresh your winter wardrobe with Quince. Go to ⁠⁠⁠quince.com/damage⁠⁠⁠ for free shipping on your order and 365-day returns. Hosts: Ana Kasparian & Cenk Uygur SUBSCRIBE on YOUTUBE ☞  https://www.youtube.com/@TheYoungTurks FOLLOW US ON: FACEBOOK  ☞   https://www.facebook.com/theyoungturks TWITTER  ☞       https://twitter.com/TheYoungTurks INSTAGRAM  ☞  https://www.instagram.com/theyoungturks TIKTOK  ☞          https://www.tiktok.com/@theyoungturks

In this groundbreaking episode, Dr. Paul Wischmeyer returns to share the incredible developments in ICU nutrition and rehabilitation that are transforming patient recovery. As both a critical care physician and ICU survivor, Dr. Wischmeyer brings unique insight into what it takes to truly help patients recover from critical illness.www.DaytonICUConsulting.comGet your CE credits from listening to this episode here: SapienCE

🧭 REBEL Rundown 🗝️ Key Points 💉 Hydrocortisone Saves Lives:The 2023 Cape Cod Trial (NEJM) showed a clear mortality benefit and reduced need for intubation in severe CAP patients treated with hydrocortisone.📊 Guidelines Are Catching Up:The SCCM (2024) and ERS now recommend steroids for severe CAP, while ATS/IDSA updates are still pending.🔥 Redefining “Severe”:Patients requiring high FiO₂ (>50%), noninvasive or mechanical ventilation, or PSI >130 meet criteria for steroid therapy — even outside the ICU.🍬 Main Risk = Hyperglycemia:Elevated glucose was the most consistent adverse effect, but rates of GI bleed and secondary infection were not increased.🧭 Early, Targeted Use Matters:Start hydrocortisone within 24 hours of identifying severity — especially in patients with high CRP (>150) or strong inflammatory response. Click here for Direct Download of the Podcast. 📝 Introduction Corticosteroids have long sparked debate in the treatment of bacterial pneumonia — once viewed with skepticism, now increasingly supported by high-quality evidence. In this episode, Dr. Alex Chapa joins the REBEL Core Cast team to explore how the 2023 Cape Cod Trial (NEJM) reshaped practice and guideline recommendations for severe community-acquired pneumonia (CAP). 📖 Historical Context & Long-Standing Skepticism For decades, the use of steroids in pneumonia was controversial.Early Use: Steroids entered practice in the 1940s and 50s for autoimmune inflammation, but there was immediate hesitation regarding secondary superinfections.Mixed Data: From the 1980s to the 2000s, small studies emerged on severe pneumonia and ARDS, but the data was inconsistent. Different trials used varying definitions of “severe” pneumonia and different C-reactive protein (CRP) cutoffs, making the data “spread” and easy to “cherry pick” to support or deny a benefit.Past Guidelines: This uncertainty was reflected in official guidelines:2007 (ATS/IDSA): The American Thoracic Society and the Infectious Diseases Society of America did not address the topic due to insufficient data.2019 (ATS/IDSA): Pre-COVID, the guidelines recommended against using corticosteroids in severe CAP. They acknowledged no benefit for non-severe pneumonia, but the data for severe pneumonia was considered too weak to endorse.Pre-Trial Consensus: Prior to 2023, the consensus was to avoid steroids in non-severe pneumonia, while severe pneumonia remained a “gray area” with no treatment showing a clear mortality difference. 📜 The Landmark Cape Cod Trial (NEJM 2023) The Cape Cod trial, published in the New England Journal of Medicine in 2023, reignited the discussion by providing robust, positive data.Trial Design: Phase 3, multi-center, double-blind, randomized, controlled trial.Intervention: 800 patients randomized to two groups, Hydrocortisone as a continuous infusion (200mg/day) versus a placebo infusion.Taper: On day 4, clinicians would decide whether to continue the infusion or begin a taper based on clinical response.Population: Patients with severe CAP, defined by meeting at least one of the following criteria:Pneumonia Severity Index (PSI) > 130.O2 by FiO2 ratio < 300.Need for mechanical or non-invasive ventilation (with PEEP ≥ 5).Need for high FiO2 (>50%) via non-rebreather or heated high flow.Primary Outcomes: Death for any cause 6.2% (hydrocortisone) vs 11.9% (placebo)Secondary outcomes:Death from any cause at 90 days 9.3% (hydrocortisone) vs 14.7% (placebo)Endotracheal intubation 18% (hydrocortisone) vs 29% (placebo)Hospital-acquired infections 9.8% (hydrocortisone) vs 11.1% (placebo)Gastrointestinal bleeding 2.3% (hydrocortisone) vs 3.3% (placebo)Vasopressor initiation by day 28 15.3% (hydrocortisone) vs 25.0% (placebo)Key Findings: The trial demonstrated superiority for hydrocortisone 📋 Updated Guidelines & Current Practice The Cape Cod trial, along with subsequent meta-analyses, has begun to change official recommendations.Society of Critical Care Medicine (SCCM): In 2024, an SCCM expert panel, reviewing the Cape Cod trial and 18 others, strongly recommended corticosteroids for severe CAP. They concluded that steroids reduce mortality and the need for mechanical ventilation.Meta-Analysis (Smit et al.): A 2024 meta-analysis in Lancet Respiratory confirmed the 30-day mortality benefit.European Respiratory Society (ERS): The ERS has issued a recommendation to use steroids for severe pneumonia but still urges caution regarding side effects.ATS/IDSA: As of the podcast recording, the ATS/IDSA had not yet updated their 2019 guidelines. 🛠️ Practical Application for Clinicians Defining “Severe” CAP: The key is to identify patients who qualify as “severe”. This can be done using:Scoring Tools: The PSI is the best validated tool for mortality but is cumbersome. Simpler tools like CURB-65 or SMART-COP are practical and acceptable for defining severity. 2023 meta-analysis from by Zaki et al showed both work well, but CURB-65 has better mortality prediction early on.Cape Cod Criteria: Any patient meeting the trial’s inclusion criteria (e.g., high-flow O2, non-invasive ventilation) qualifies, regardless of location (ED, floor, or ICU).Biomarkers: While not required, a CRP level was used in many studies. A CRP > 150 (Cape Cod) or > 204 (Smit meta-analysis) strongly indicates severe inflammation that would benefit from steroids.Clinical Judgment: A patient who looks “sick,” has “soft” blood pressure, or has dense infiltrates and high oxygen needs (e.g., >50% FiO2 on high flow) is a candidate.Adverse Effects:Hyperglycemia: This was the most significant risk identified, with rates between 6-12%. This is a primary concern, especially in patient populations with high BMI.GI Bleed & Secondary Infection: Fears of these side effects, which contributed to historical skepticism, were not borne out in the Cape Cod trial. The data does not support being overly concerned.Other Side Effects: Mood changes, delirium, insomnia, and agitation in the elderly are known side effects of steroids that were not specifically addressed in the trial but remain clinical concerns. 🔄 Clinical Pathway for Steroids in Severe CAP Unanswered Questions & Future Research Possible remaining questions:Biomarkers: Can we find a more precise CRP level to distinguish moderate from severe disease? Could other markers like ferritin or IL-6 be used? Dosing & Tapering: How much immunomodulation is needed, and when is it truly safe to taper?Gender Differences: Early data suggests females may respond better to steroids and experience fewer side effects. The question of female patients with severe CAP require less corticosteroids needs further exploration. 👉 Clinical Bottom Line The current literature, spearheaded by the Cape Cod trial, now supports the use of corticosteroids in severe community-acquired pneumonia. The best evidence currently points to hydrocortisone, started early (within 24 hours) after severity is identified using a validated tool. While hyperglycemia is a risk, the previous fears of GI bleeding and secondary infections were not substantiated in recent, rigorous trials. 📚 References Chapa-Rodriguez A, Abou-Elmagd T, O’Rear C, Narechania S. Do patients with severe community-acquired bacterial pneumonia benefit from systemic corticosteroids?. Cleve Clin J Med. 2025;92(10):600-604. PMID: 41033846Dequin PF, Meziani F, Quenot JP, et al. Hydrocortisone in Severe Community-Acquired Pneumonia. N Engl J Med. 2023;388(21):1931-1941. PMID: 36942789Chaudhuri D, Nei AM, Rochwerg B, et al. 2024 Focused Update: Guidelines on Use of Corticosteroids in Sepsis, Acute Respiratory Distress Syndrome, and Community-Acquired Pneumonia. Crit Care Med. 2024;52(5):e219-e233. PMID: 38240492 Post Peer Reviewed By: Marco Propersi, DO (Twitter/X: @Marco_propersi), and Mark Ramzy, DO (X: @MRamzyDO) 👤 Show Notes Alex Chapa, MD PGY 5 Pulmonary Critical Care Fellow Cape Fear Valley Medical Center Fayetteville NC 🔎 Your Deep-Dive Starts Here REBEL Core Cast 149: Review of Corticosteroids in Community-Acquired Pneumonia Corticosteroids have long sparked debate in the treatment of bacterial ... Thoracic and Respiratory Read More The post REBEL Core Cast 149: Review of Corticosteroids in Community-Acquired Pneumonia appeared first on REBEL EM - Emergency Medicine Blog.

Diane Menashe is a 27-year veteran of criminal defense in Columbus who specializes in cases that look unwinnable. In 2022, she co-led the defense of Dr. William Husel, the Mount Carmel physician charged with murdering fourteen ICU patients through allegedly lethal fentanyl doses. She called one witness. Husel was acquitted on all fourteen counts. She also kept cop-killer Quentin Smith off death row. Now she's representing Michael McKee—the vascular surgeon accused of driving 325 miles in the middle of the night to execute his ex-wife Monique Tepe and her husband Dr. Spencer Tepe while their two young children slept nearby. McKee pleaded not guilty Friday to four counts of aggravated murder. The evidence police have described is staggering: ballistics allegedly matching a gun found at his property to shell casings at the scene, vehicle tracking from Ohio to Illinois, Ring camera footage, a firearm suppressor that screams premeditation, and no forced entry. So how does Menashe attack this case? Defense attorney Bob Motta breaks down her likely strategy—the ballistics science that isn't as solid as prosecutors want juries to believe, the murky video identification, and the eight-year gap between McKee's divorce and the alleged murders that complicates the premeditation narrative. Menashe's philosophy is simple: she doesn't put on a defense case. She picks apart the prosecution's evidence piece by piece and lets it collapse under its own weight. McKee isn't fighting for freedom. He's fighting for degrees of punishment. And Menashe is the best in the business at finding daylight in the darkness. Two children lost their parents on December 30th. The man accused of making them orphans just hired Columbus's most formidable defense attorney.#MichaelMcKee #MoniqueTepe #SpencerTepe #DianeMenashe #WilliamHusel #BobMotta #AggravatedMurder #ColumbusOhio #TrueCrime #HiddenKillersJoin Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspodInstagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/tonybpodListen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872This publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.

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.

One week ago, there was a general strike in Minneapolis against ICE Terror. The following morning, ICE agents executed ICU nurse Alex Pretti. They wanted to intimidate this new mass movement. But that failed. Today hundreds of thousands marched and millions participated in a nationwide shutdown against ICE; no work, no school, no shopping. Brian Becker and Layan Fuleihan discuss, recording this episode at Noon Eastern Time, January 30th. Join the The Socialist Program community at http://www.patreon.com/thesocialistprogram to get exclusive content and help keep this show on the air.

In the two months Minnesota has been under siege by federal agents, immigration officers have shot and killed two U.S. citizens, poet and artist Renee Good and ICU nurse Alex Pretti. Local and state law enforcement say they've been blocked from properly investigating the shootings of Good and Pretti. “The federal government has blocked our state BCA, so that's the Bureau of Criminal Apprehension. They are the state law enforcement agency that has authority to investigate any kind of deadly use of force involving police,” says Hennepin County Attorney Mary Moriarty, who is leading local investigations into the killings of Good and Pretti. “We've not gotten anything from the federal government,” Moriarty says. “To tell you how odd this situation is, we are getting our information from the media ... we are not getting that from the federal government.” This week on The Intercept Briefing, host Akela Lacy speaks with Moriarty, whose office has jurisdiction over both killings. Moriarty says federal agents have blocked local and state law enforcement from properly investigating the killings. Even Moriarty, the top prosecutor in Minneapolis, does not know the identity of the agents who killed Pretti. In response, Moriarty says, “We set up a portal and asked the community to send any kind of videos or any other kind of evidence so that we could collect absolutely everything that we possibly could.” The BCA, she says, was even “blocked physically, actually, by federal agents from processing the scene where Alex Pretti was shot.”Meanwhile, attacks by the administration on Minnesota's Somali citizens persist. At her first town hall of the year in Minneapolis, an attendee sprayed Rep. Ilhan Omar with an unidentified substance on Tuesday. Trump has backtracked on some of his bluster and removed Border Patrol Gregory Bovino from Minnesota, replacing him with border czar Tom Homan. None of that has changed things on the ground yet in Minneapolis, says Moriarty. “Minnesotans care about their neighbors. They're delivering meals to people. They are there and they do not approve of the fact that their federal government is attacking them and their neighbors.“We hear a lot of people talking to us about how they understand the threat from the administration or from DHS on their neighbors and on their communities, and it's really much more rooted in an understanding that they think their freedoms are under threat, even if they are not an immigrant or even if they don't really have deep ties to immigrant communities, that this really matters to them and it really bothers them,” says Jill Garvey, co-director of States at the Core, an organization that leads and runs ICE Watch training programs. “So we hear a lot from folks who just haven't been engaged previously. But this for all those reasons is enough for them to step up.”Garvey says her organization is training community members in how to properly document ICE. “We also know that we can't stop all this aggression,” Garvey says. “The aggression is the point of these operations. So we can't guarantee that people aren't going to be targeted with violent actions from federal law enforcement. What we can say is, if you're doing this in community, other people are going to be watching.”Listen to the full conversation of The Intercept Briefing on Apple Podcasts, Spotify, or wherever you listen. If you want to support our work, you can go to theintercept.com/join. Hosted on Acast. See acast.com/privacy for more information.

Protests and skirmishes between Minnesota residents and federal agents are still ongoing after the second shooting of a US citizen in Minneapolis this month. Thirty-seven year old ICU nurse Alex Pretti was killed by Border Patrol agents while filming immigration operations in the city. Following a weekend of inflammatory comments by DHS secretary Kristy Noem and other members of the Trump administration, the president has looked to turn the temperature down. He deployed ‘Border Czar' Tom Homan to take command of operations in Minneapolis. The experienced immigration official acknowledged that “certain improvements could and should be made” to immigration enforcement in the area. But Homan insisted that more cooperation from state and local officials would be necessary before a reduction in federal presence.  It remains to be seen whether the tonal shift or any changes in operations will be effective in the Twin Cities region. The situation has raised concerns among Congress that legislative action may be necessary. Senate Democrats worked toward a deal with the White House to avoid a government shutdown over DHS funding. While some initial framework has been drawn up, the two sides will continue negotiating new guardrails for ICE and Border Patrol. Will Congress step up for a rare check of the Oval Office?Plus, we'll answer listener questions about where executive power and America's position as a world leader stand after a tumultuous start to 2026.

 In this episode of Straight White American Jesus, Brad Onishi—author of American Caesar: How Theocrats and Tech Lords Are Turning America into a Monarchy —is joined by co-host Dan Miller, Professor of Religion and Social Thought at Landmark College. They begin by unpacking the ongoing ICE operations in Minnesota, framing the federal crackdown as a clash between authoritarian state power and a deeply organized, nonviolent response by ordinary Minnesotans. Drawing on political theory and on-the-ground reporting, Brad and Dan argue that what's unfolding in the Twin Cities is not a partisan skirmish but a vivid example of democracy in action: neighbors mobilizing to protect one another against coercion, violence, and the erosion of basic rights. The conversation then turns to two deeply troubling developments with national implications. First, they examine the killing of Alex Pretti, an ICU nurse and legal gun owner, and the Trump administration's sudden hostility to Second Amendment arguments—revealing how rights are selectively applied depending on political loyalty. Finally, they analyze the FBI raid on a Georgia election office, tracing its roots to Trump's refusal to accept the 2020 election results and warning of the chilling precedent this sets for future elections. Taken together, these stories reveal a pattern: the criminalization of dissent, the dehumanization of political opponents, and an accelerating effort to use state power to intimidate, suppress, and control. Subscribe for $5.99 a month to get bonus content most Mondays, bonus episodes every month, ad-free listening, access to the entire 1000+ episode archive, Discord access, and more: https://axismundi.supercast.com/ Linktree: https://linktr.ee/StraightWhiteJC Order Brad's book: https://bookshop.org/a/95982/9781506482163 Subscribe to Teología Sin Vergüenza Subscribe to American Exceptionalism Donate to SWAJ: https://axismundi.supercast.com/donations/new Learn more about your ad choices. Visit megaphone.fm/adchoices

In Minneapolis, after the shooting deaths of two U.S. citizens including ICU nurse Alex Pretti, Matt Rivers reports on Border czar Tom Homan's pledge to “draw down” federal forces in the city, as new video emerges of a confrontation between Pretti and federal agents, 11 days before Pretti was shot and killed; Aaron Katersky has details on the Minnesota man who sources say tried to break accused CEO killer Luigi Mangione out of jail by allegedly trying to impersonate an FBI agent; Mola Lenghi has the latest on the Virginia husband and father taking the stand, accused of double murder while having an affair with his family's au pair; and more on tonight's broadcast of World News Tonight with David Muir. Learn more about your ad choices. Visit podcastchoices.com/adchoices

The Justice Department said today it has opened a civil rights investigation into the shooting death of Alex Pretti, the ICU nurse who was killed in Minneapolis last weekend. That news came shortly after there were more arrests in Minnesota over a protest, and as the national backlash against the immigration crackdown grows. Special correspondent Fred de Sam Lazaro reports. PBS News is supported by - https://www.pbs.org/newshour/about/funders. Hosted on Acast. See acast.com/privacy

In the wake of the shooting of ICU nurse Alex Pretti in the streets of Minneapolis, several prominent tech executives attended a private White House screening of Melania, a documentary being released by Amazon MGM Studios. The timing was not lost on the group of Silicon Valley workers who recently launched ICEout.tech, essentially an open letter to their bosses. The letter, posted following Renee Nicole Good's killing earlier this month, has now been signed by more than 1,000 tech employees. Those workers, who come from across the spectrum of Big Tech companies and startups, are asking that executives use their clout to demand Immigration and Customs Enforcement agents leave American cities, that they cancel company contracts with the agency, and that they speak publicly about ICE's violent and deadly tactics. Katie talks to two of the signatories in this week's episode. Join WIRED's best and brightest on Uncanny Valley as they dissect the collision of tech, politics, finance, and business, from Alexis Ohanian's newest tech venture to the effects of inaccurate information from artificial intelligence (AI) chatbots on social protests. Learn about your ad choices: dovetail.prx.org/ad-choices

MedPod Today: the podcast series where MedPage Today reporters share deeper insight into the week's biggest healthcare stories. This week, MedPage Today reporters discuss the killing of ICU nurse Alex Pretti, what doctors think about ChatGPT Health, and RFK Jr.'s claims about fermented food and weight loss. Episode produced and hosted by Rachael Robertson. Sound engineering by

Send us a textForget the assumption that modern neurology only thrives where resources are abundant. We sit down with Dr. Daniel Ontaneda and Dr. Nelson Maldonado—two Ecuadorian neurologists driving change across Latin America—to explore how world-class care is built on clinical craft, cultural fluency, and relentless advocacy. From bedside localization when the MRI is down to expanding stroke thrombolysis from a handful of cases to hundreds, their stories reveal a system where expertise is abundant but access can lag—and how that gap is closing.We retrace Dan's journey from Quito to leading-edge MS research, and Nelson's decision to return home to build services few believed possible. Together they unpack what training looks like across the region, including long-format medical school, rural service, and residencies that demand deep exam skills. We compare public and private systems in Ecuador, break down why patients often want clear directives rather than options, and examine how cultural beliefs and language shape adherence. The conversation digs into MS treatment in low- and middle-resource settings, the rise of highly effective disease-modifying therapies, and the pragmatic use of cost-effective options like rituximab.The episode also exposes a hidden threat: substandard medications entering through price-first procurement, undermining both acute care and chronic neurologic disease. Yet the momentum is real—regional MS registries, imaging collaborations that move faster than heavily regulated systems, and conferences that bring neurocritical care and MS experts under one roof. Even subspecialists practice broadly, treating Parkinson's disease, epilepsy, headache, and ICU cases in the same week, sharpening an exam-first mindset that delivers results.If you care about global neurology, stroke systems of care, MS access, and the practical ethics of delivering evidence-based treatment under constraints, this conversation will challenge assumptions and spark ideas. Subscribe, share with a colleague, and leave a review telling us where neurology should invest next.Support the showHosts:Dr. Nupur Goel is a third-year neurology resident at Mass General Brigham in Boston, MA. Follow Dr. Nupur Goel on Twitter @mdgoels Dr. Blake Buletko is a vascular neurologist and program director of the Adult Neurology Residency Program at the Cleveland Clinic in Cleveland, OH. Follow Dr. Blake Buletko on Twitter @blakebuletko Follow the Neurophilia Podcast on Twitter and Instagram @NeurophiliaPod

This week Alex travels to Minneapolis to see first hand how the community is responding to the terrorizing presence of ICE and the killing of ICU nurse Alex Pretti. She shines a light on the grassroots efforts of mothers mobilizing to help both students and teachers who fear being targeted, and speaks to Reverend Dan Johnson about how his congregation has been impacted as well the very un-Christian nature of this administration's tactics. Then Alex sits down with Minnesota Attorney General Keith Ellison to talk about how President Trump's rhetoric contributed to the attack on Rep. Ilhan Omar, whether judicial interference can stop the federal government's overreach, and why access to voter rolls is an issue at the center of this crisis. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This week, Scott sat down with his Lawfare colleagues Alan Rozenshtein, Eric Columbus, and Molly Roberts for a deep dive into two of the week's big national security news stories:“Slipping Down the Slope.” Last week's killing of 37-year-old ICU nurse Alex Pretti by Border Patrol agents in Minneapolis, Minnesota, has triggered what increasingly appears to be a national backlash against the Trump administration's immigration policies and ICE's violent tactics. Republicans and Democrats alike have been increasingly public in their criticism of the administration's actions—and, in particular, DHS Secretary Kristi Noem—while state officials have begun exploring more legal avenues for pushing back against federal officials. The Trump administration, meanwhile, may be shifting tack, as it has replaced Border Patrol commander-at-large Greg Bovino with immigration czar Tom Homan on the ground in Minneapolis and adopted a more conciliatory tone. Is this a real turning point for the Trump administration's flagship policy? Or more of a feint?“Now We're Just Waiting on Artificial Strength, Dexterity, Wisdom, and Charisma.” Last week, the artificial intelligence company Anthropic released what it's calling a “constitution” for its premier AI model, Claude. The constitution seeks to instill a moral framework, value system, and even a personality in the AI model, taking an unprecedented step in both private AI governance and AI personhood. How does Claude's constitution factor into broader discussions about AI development and regulating how models should interact with users?In object lessons, Eric sticks to classic Rational Security orthodoxy by recommending an actual, physical object: his wife's beloved migraine-slaying device, The Tingler. Alan flagrantly violates the show's informal norms with a repeat recommendation—season 2 of The Night Manager (plus some unsolicited fawning over Tom Hiddleston). Scott, desperate for warmth, throws the rulebook into the fire with a double object lesson: 1) Metro's Fire Snake to satisfy your basic human need for fire, and 2) long underwear to satisfy your base-layer needs. And Molly restores order with a hat that truly captures how we're all feeling: America is in trouble, and we're tired.To receive ad-free podcasts, become a Lawfare Material Supporter at www.patreon.com/lawfare. You can also support Lawfare by making a one-time donation at https://givebutter.com/lawfare-institute.Support this show http://supporter.acast.com/lawfare. Hosted on Acast. See acast.com/privacy for more information.

This week, Scott sat down with his Lawfare colleagues Alan Rozenshtein, Eric Columbus, and Molly Roberts for a deep dive into two of the week's big national security news stories:“Slipping Down the Slope.” Last week's killing of 37-year-old ICU nurse Alex Pretti by Border Patrol agents in Minneapolis, Minnesota, has triggered what increasingly appears to be a national backlash against the Trump administration's immigration policies and ICE's violent tactics. Republicans and Democrats alike have been increasingly public in their criticism of the administration's actions—and, in particular, DHS Secretary Kristi Noem—while state officials have begun exploring more legal avenues for pushing back against federal officials. The Trump administration, meanwhile, may be shifting tack, as it has replaced Border Patrol commander-at-large Greg Bovino with immigration czar Tom Homan on the ground in Minneapolis and adopted a more conciliatory tone. Is this a real turning point for the Trump administration's flagship policy? Or more of a feint?“Now We're Just Waiting on Artificial Strength, Dexterity, Wisdom, and Charisma.” Last week, the artificial intelligence company Anthropic released what it's calling a “constitution” for its premier AI model, Claude. The constitution seeks to instill a moral framework, value system, and even a personality in the AI model, taking an unprecedented step in both private AI governance and AI personhood. How does Claude's constitution factor into broader discussions about AI development and regulating how models should interact with users?In object lessons, Eric sticks to classic Rational Security orthodoxy by recommending an actual, physical object: his wife's beloved migraine-slaying device, The Tingler. Alan flagrantly violates the show's informal norms with a repeat recommendation—season 2 of The Night Manager (plus some unsolicited fawning over Tom Hiddleston). Scott, desperate for warmth, throws the rulebook into the fire with a double object lesson: 1) Metro's Fire Snake to satisfy your basic human need for fire, and 2) long underwear to satisfy your base-layer needs. And Molly restores order with a hat that truly captures how we're all feeling: America is in trouble, and we're tired.To receive ad-free podcasts, become a Lawfare Material Supporter at www.patreon.com/lawfare. You can also support Lawfare by making a one-time donation at https://givebutter.com/lawfare-institute. Hosted on Acast. See acast.com/privacy for more information.

These federal goons just publicly assassinated Alex Pretti—an ICU nurse who dared step in when they were brutalizing American women—yanking his gun, pistol-whipping him, and executing him on video while the whole country watches. Jon Miller joins the show to expose how Pam Bondi and the entire Trump crew are spitting on the Epstein Files Transparency Act, protecting the pedophiles who blackmail and rape kids while they run our government.

Matt Rivers has the latest on the fatal shooting of ICU nurse Alex Pretti in Minneapolis, including new video that appears to show Pretti in a struggle with federal agents 11 days before he was shot and killed; Pierre Thomas reports on the FBI's raid of the election office in Fulton County, Georgia, after Pres. Trump's repeated false claims that the 2020 presidential election was stolen; Will Reeve has details on NFL coach Bill Belichick reportedly being snubbed on his first Hall of Fame ballot, failing to reach the 40 of 50 votes needed to be inducted. Learn more about your ad choices. Visit podcastchoices.com/adchoices

On this episode: Lucy Lopez, Elizabeth Newcamp, and Zak Rosen, like a lot of people in America right now, are feeling stressed and overwhelmed over what is happening in Minneapolis and across the country. Recently, the situation in Minneapolis escalated even further when federal agents shot and killed ICU nurse Alex Jeffrey Pretti. This is just the latest in a massive upheaval in the city since thousands of armed and masked Department of Homeland Security agents were sent into the city in December. They start the show checking in with each other about how they're all doing right now and try to help each other process these times. Lucy opens up about being an immigrant in Miami during all this, Elizabeth shares the complicated situation on military bases, and more.Later in the show, they're joined by Slate writer Shirin Ali to talk through her latest piece, “Minneapolis Is Just the Beginning” and talk through ways families can prepare in case ICE comes to their city.Helpful Resources and Mentioned in the Show5 Calls (For calling your lawmakers)Minnesota State Senator, Erin Maye Quade's TikTok with adviceAACAP Resource Library on Children, Families & Immigration10 Strategies for How Schools Should Respond to Help Children Impacted by ICE RaidsWe The People Activist ToolkitNo Kings websiteAdopt a Day Labor Corner Publishing for Minnesota How Immigration Enforcement Became So Violent - What NextEveryone Saw CBP Kill Alex Pretti - What NextVideo production by Micah Phillips. Follow us on YouTube! Join us on Facebook and email us at careandfeedingpod@slate.com to ask us new questions, tell us what you thought of today's show, and give us ideas about what we should talk about in future episodes. You can also call our phone line: (646) 357-9318.If you enjoy this show, please consider signing up for Slate Plus. Slate Plus members get to hang out with us on the Plus Playground every week for a whole additional grab-bag of content — and you'll get an ad-free experience across the network. And you'll also be supporting the work we do here on Care and Feeding. Sign up now at slate.com/careplus – or try it out on Apple Podcasts. Hosted on Acast. See acast.com/privacy for more information.

On this episode: Lucy Lopez, Elizabeth Newcamp, and Zak Rosen, like a lot of people in America right now, are feeling stressed and overwhelmed over what is happening in Minneapolis and across the country. Recently, the situation in Minneapolis escalated even further when federal agents shot and killed ICU nurse Alex Jeffrey Pretti. This is just the latest in a massive upheaval in the city since thousands of armed and masked Department of Homeland Security agents were sent into the city in December. They start the show checking in with each other about how they're all doing right now and try to help each other process these times. Lucy opens up about being an immigrant in Miami during all this, Elizabeth shares the complicated situation on military bases, and more.Later in the show, they're joined by Slate writer Shirin Ali to talk through her latest piece, “Minneapolis Is Just the Beginning” and talk through ways families can prepare in case ICE comes to their city.Helpful Resources and Mentioned in the Show5 Calls (For calling your lawmakers)Minnesota State Senator, Erin Maye Quade's TikTok with adviceAACAP Resource Library on Children, Families & Immigration10 Strategies for How Schools Should Respond to Help Children Impacted by ICE RaidsWe The People Activist ToolkitNo Kings websiteAdopt a Day Labor Corner Publishing for Minnesota How Immigration Enforcement Became So Violent - What NextEveryone Saw CBP Kill Alex Pretti - What NextVideo production by Micah Phillips. Follow us on YouTube! Join us on Facebook and email us at careandfeedingpod@slate.com to ask us new questions, tell us what you thought of today's show, and give us ideas about what we should talk about in future episodes. You can also call our phone line: (646) 357-9318.If you enjoy this show, please consider signing up for Slate Plus. Slate Plus members get to hang out with us on the Plus Playground every week for a whole additional grab-bag of content — and you'll get an ad-free experience across the network. And you'll also be supporting the work we do here on Care and Feeding. Sign up now at slate.com/careplus – or try it out on Apple Podcasts. Hosted on Acast. See acast.com/privacy for more information.

Two murder cases. Two very different defense strategies. Defense attorney Bob Motta joins True Crime Today to break down both.Aaron Spencer's trial just got a new judge after the Arkansas Supreme Court removed Barbara Elmore for constitutional violations—the second time in seven months. Spencer faces second-degree murder for killing Michael Fosler, the man out on bond for allegedly raping his 14-year-old daughter. The defense is arguing he saved his child. The prosecution has prior statements suggesting premeditation. And now a retired judge from the other side of the state is inheriting the most divisive case in Arkansas.Michael McKee pleaded not guilty to four counts of aggravated murder in the deaths of his ex-wife Monique Tepe and her husband Spencer Tepe. His lawyer is Diane Menashe—who got Dr. William Husel acquitted of fourteen ICU murders by calling one witness and watching the state's case crumble. The prosecution has ballistics, surveillance, vehicle tracking, a suppressor. Menashe doesn't present defenses. She destroys prosecutions.Bob Motta analyzes both cases: what judicial removal means for Spencer, how to defend a father who killed his daughter's alleged abuser, whether Menashe's Husel playbook works against different evidence, and what both cases tell us about murder defense strategy in high-profile trials.#BobMotta #TrueCrimeToday #AaronSpencer #MichaelMcKee #MoniqueTepe #JudgeElmore #DianeMenashe #MurderDefense #HuselAcquittal #DefenseStrategyJoin Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspodInstagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/tonybpodListen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872This publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.

Defense attorney Bob Motta joins me for a two-part legal breakdown of the biggest murder case developments this week.First: Aaron Spencer. The Arkansas Supreme Court removed Judge Barbara Elmore from his second-degree murder trial—the second time they've reversed her on constitutional grounds in seven months. Spencer killed Michael Fosler, the man out on bond for allegedly raping his 14-year-old daughter. Now a retired judge is taking over, prior rulings could be reconsidered, and the defense has to figure out how to counter Rule 404(b) statements about what Spencer said he'd do if Fosler came near his daughter again.Second: Michael McKee. He pleaded not guilty to four counts of aggravated murder in the deaths of his ex-wife Monique Tepe and her husband Spencer Tepe. His lawyer is Diane Menashe—the same attorney who got Dr. William Husel acquitted of fourteen ICU patient murders by calling one witness. The prosecution has ballistics, surveillance, vehicle tracking, and a suppressor. Menashe doesn't present defenses. She dismantles prosecutions.Bob Motta breaks down both cases. What judicial removal means for Spencer. How defense-of-others works against premeditation evidence. Whether Menashe can replicate the Husel strategy against different evidence. Two murder trials. Two defense approaches. One expert analysis.#BobMotta #AaronSpencer #MichaelMcKee #MoniqueTepe #JudgeBarbaraElmore #DianeMenashe #MurderTrial #SelfDefense #HuselAcquittal #HiddenKillersJoin Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspodInstagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/tonybpodListen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872This publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.

This week on ZERT Coffee & Chaos, we're blending the chaos of the streets with the latest from the firearm industry. First up: the fallout from Minneapolis — following two controversial officer-involved shootings by federal immigration agents, including the fatal January 24 shooting of 37-year-old ICU nurse Alex Pretti — the city has erupted in protests and heated clashes. Pretti's death, coming just weeks after the January 7 killing of Renee Good by an ICE agent during an expansive federal immigration operation, has amplified calls for accountability, intensified civil unrest, and driven new operational guidance for ICE officers in the state. We'll break down how law enforcement tactics shifted, how community and political leaders are responding, and what this means for federal-local relations in Minneapolis and beyond. Then we pivot to SHOT Show 2026 takeaways — because chaos in the street meets innovation at the range. This year's industry buzz showcased an undeniable resurgence of 2011-pattern pistols, with manufacturers pushing the platform hard. From duty-ready double-stack builds to lightweight competition rigs, these modern 2011s are showing up across price tiers and performance envelopes, proving the category has matured well beyond its roots. Expect deeper discussions on triggers, ergonomics, modularity, and why 2011s are suddenly everywhere on the market. And of course, we'll unpack that pistol everyone's talking about — the Dragon from Rideout Arsenal. With its ultra-low bore axis, lever-delayed blowback system, and optics integration that turns heads, the Dragon represents a bold step in handgun design for competition shooters and enthusiasts alike. We'll break down what makes it different, who it's built for, and whether this trendsetter has legs beyond SHOT Show hype. Tune in for expert insights, unfiltered analysis, and the kind of conversation you won't hear anywhere else — because in this world, there's always coffee brewing and chaos unfolding. ☕

In December, ICE agents began arriving in Minneapolis under the Trump administration's “Operation Metro Surge.” As of late January, 3,000 agents are on the ground in the city, outnumbering local police officers three-to-one, pursuing a campaign defined by its cruelty: ICE has abducted children as young as two, and agents have used those children as bait to draw out and arrest their families. To counter these efforts, locals have organized vast mutual aid and rapid response operations, with block-by-block networks mobilizing to deliver supplies and run errands for undocumented people who can't leave their homes without fear of detention. These locals have been met with violence. On January 7th, Renee Good, a mother and poet, was shot in the face by an ICE agent while she attempted to turn her car around. On Saturday—one day after a general strike brought tens of thousands to the streets in subzero temperatures—Alex Pretti, an ICU nurse, was murdered while observing ICE, with agents firing at least ten shots at close range.On this episode of On the Nose, Jewish Currents editor-in-chief Arielle Angel speaks with three organizers on the ground in Minneapolis: Lily Cooper from UNIDOS's rapid response team, which has conducted legal observer trainings for almost 30,000 people across Minnesota; Kandace Montgomery, a local organizer, trainer, and movement strategist who co-founded Black Visions in 2017; and Jesse Meisenhelter, an organizer with Minneapolis Families for Public Schools, whose current campaign aims to build sanctuary school teams across the state. They discuss the legacies of local organizing since George Floyd's murder in 2020, the opportunities for the left-liberal coalition in this moment, and navigating the steep risks involved in this resistance work. Thanks to Jesse Brenneman for producing and to Nathan Salsburg for the use of his song “VIII (All That Were Calculated Have Passed).”Articles Mentioned and Further Reading“Organizing for Abolition in the Spotlight,” Kandance Montgomery and Hahrie Hahn, Hammer & Hope“Ten years ago, killing of Jamar Clark prompted wave of Twin Cities activism,” Danny Spewak,...

Psychogenic nonepileptic seizures (PNES) are common, often misunderstood, and increasingly encountered in pediatric emergency care. These events closely resemble epileptic seizures but arise from abnormal brain network functioning rather than epileptiform activity. In this episode of PEM Currents, we review the epidemiology, pathophysiology, and clinical features of PNES in children and adolescents, with a practical focus on Emergency Department recognition, diagnostic strategy, and management. Particular emphasis is placed on seizure semiology, avoiding iatrogenic harm, communicating the diagnosis compassionately, and understanding how early identification and referral to cognitive behavioral therapy can dramatically improve long-term outcomes. Learning Objectives Identify key epidemiologic trends, risk factors, and semiological features that help differentiate psychogenic nonepileptic seizures from epileptic seizures in pediatric patients presenting to the Emergency Department. Apply an evidence-based Emergency Department approach to the evaluation and initial management of suspected PNES, including strategies to avoid unnecessary escalation of care and medication exposure. Demonstrate effective, patient- and family-centered communication techniques for explaining the diagnosis of PNES and facilitating timely referral to appropriate outpatient therapy. References Sawchuk T, Buchhalter J, Senft B. Psychogenic Nonepileptic Seizures in Children-Prospective Validation of a Clinical Care Pathway & Risk Factors for Treatment Outcome. Epilepsy & Behavior. 2020;105:106971. (PMID: 32126506) Fredwall M, Terry D, Enciso L, et al. Outcomes of Children and Adolescents 1 Year After Being Seen in a Multidisciplinary Psychogenic Nonepileptic Seizures Clinic. Epilepsia. 2021;62(10):2528-2538. (PMID: 34339046) Sawchuk T, Buchhalter J. Psychogenic Nonepileptic Seizures in Children - Psychological Presentation, Treatment, and Short-Term Outcomes. Epilepsy & Behavior. 2015;52(Pt A):49-56. (PMID: 26409129) Labudda K, Frauenheim M, Miller I, et al. Outcome of CBT-based Multimodal Psychotherapy in Patients With Psychogenic Nonepileptic Seizures: A Prospective Naturalistic Study. Epilepsy & Behavior. 2020;106:107029. (PMID: 32213454) Transcript This transcript was generated using Descript automated transcription software and has been reviewed and edited for accuracy by the episode's author. Edits were limited to correcting names, titles, medical terminology, and transcription errors. The content reflects the original spoken audio and was not substantively altered. Welcome to PEM Currents: The Pediatric Emergency Medicine Podcast. As always, I'm your host, Brad Sobolewski, and today we are talking about psychogenic non-epileptic seizures, or PNES. Now, this is a diagnosis that often creates a lot of uncertainty in the Emergency Department. These episodes can be very scary for families and caregivers and schools. And if we mishandle the diagnosis, it can lead to unnecessary testing, medication exposure, ICU admissions, and long-term harm. This episode's gonna focus on how to recognize PNES in pediatric patients, how we make the diagnosis, what the evidence says about management and outcomes, and how what we do and what we say in the Emergency Department directly affects patients, families, and prognosis. Psychogenic non-epileptic seizures are paroxysmal events that resemble epileptic seizures but occur without epileptiform EEG activity. They're now best understood as a subtype of functional neurological symptom disorder, specifically functional or dissociative seizures. Historically, these events were commonly referred to as pseudo-seizures, and that term still comes up frequently in the ED, in documentation, and sometimes from families themselves. The problem is that pseudo implies false, fake, or voluntary, and that implication is incorrect and harmful. These episodes are real, involuntary, and distressing, even though they're not epileptic. Preferred terminology includes psychogenic non-epileptic seizures, or PNES, functional seizures, or dissociative seizures. And PNES is not a diagnosis of exclusion, and it does not require identification of psychological trauma or psychiatric disease. The diagnosis is based on positive clinical features, ideally supported by video-EEG, and management begins with clear, compassionate communication. The overall incidence of PNES shows a clear increase over time, particularly from the late 1990s through the mid-2010s. This probably reflects improved recognition and access to diagnostic services, though a true increase in occurrence can't be excluded. Comorbidity with epilepsy is really common and clinically important. Fourteen to forty-six percent of pediatric patients with PNES also have epilepsy, which frequently complicates diagnosis and contributes to diagnostic delay. Teenagers account for the highest proportion of patients with PNES, especially 15- to 19-year-olds. Surprisingly, kids under six are about one fourth of all cases, so it's not just teenagers. We often make the diagnosis of PNES in epilepsy monitoring units. So among children undergoing video-EEG, about 15 to 19 percent may ultimately be diagnosed with PNES. And paroxysmal non-epileptic events in tertiary epilepsy monitoring units account for about 15 percent of all monitored patients. Okay, but what is PNES? Well, it's best understood as a disorder of abnormal brain network functioning. It's not structural disease. The core mechanisms at play include altered attention and expectation, impaired integration of motor control and awareness, and dissociation during events. So the patients are not necessarily aware that this is happening. Psychological and psychosocial features are common but not required for diagnosis and may be less prevalent in pediatric populations as compared with adults. So PNES is a brain-based disorder. It's not conscious behavior, it's not malingering, and it's not under voluntary control. Children and adolescents with PNES have much higher rates of psychiatric comorbidities and psychosocial stressors compared to both healthy controls and children with epilepsy alone. Psychiatric disorders are present in about 40 percent of pediatric PNES patients, both before and after the diagnosis. Anxiety is seen in 58 percent, depression in 31 percent, and ADHD in 35 percent. Compared to kids with epilepsy, the risk of psychiatric disorders in PNES is nearly double. Compared to healthy controls, it is up to eight times higher. And there's a distinct somatopsychiatric profile that strongly predicts diagnosis of PNES. This includes multiple medical complaints, psychiatric symptoms, high anxiety sensitivity, and solitary emotional coping. This profile, if you've got all four of them, carries an odds ratio of 15 for PNES. Comorbid epilepsy occurs in 14 to 23 percent of pediatric PNES cases, and it's associated with intellectual disability and prolonged diagnostic delay. And finally, across all demographic strata, anxiety is the most consistent predictor of PNES. Making the diagnosis is really hard. It really depends on a careful history and detailed analysis of the events. There's no single feature that helps us make the diagnosis. So some of the features of the spells or events that have high specificity for PNES include long duration, so typically greater than three minutes, fluctuating or asynchronous limb movements, pelvic thrusting or side-to-side head movements, ictal eye closure, often with resisted eyelid opening, ictal crying or vocalization, recall of ictal events, and rare association with injury. Younger children often present with unresponsiveness. Adolescents more commonly demonstrate prominent motor symptoms. In pediatric cohorts, we most frequently see rhythmic motor activity in about 27 percent, and complex motor movements and dialeptic events in approximately 18 percent each. Features that argue against PNES include sustained cyanosis with hypoxia, true lateral tongue biting, stereotyped events that are identical each time, clear postictal confusion or lethargy, and obviously epileptic EEG changes during the events themselves. Now there are some additional historical and contextual clues that can help us make the diagnosis as well. If the events occur in the presence of others, if they occur during stressful situations, if there are psychosocial stressors or trauma history, a lack of response to antiepileptic drugs, or the absence of postictal confusion, this may suggest PNES. Lower socioeconomic status, Medicaid insurance, homelessness, and substance use are also associated with PNES risk. While some of these features increase suspicion, again, video-EEG remains the diagnostic gold standard. We do not have video-EEG in the ED. But during monitoring, typical events are ideally captured and epileptiform activity is not seen on the EEG recording. Video-EEG is not feasible for every single diagnosis. You can make a probable PNES diagnosis with a very accurate clinical history, a vivid description of the signs and appearance of the events, and reassuring interictal EEG findings. Normal labs and normal imaging do not make the diagnosis. Psychiatric comorbidities are not required. The diagnosis, again, rests on positive clinical features. If the patient can't be placed on video-EEG in a monitoring unit, and if they have an EEG in between events and it's normal, that can be supportive as well. So what if you have a patient with PNES in the Emergency Department? Step one, stabilize airway, breathing, circulation. Take care of the patient in front of you and keep them safe. Use seizure pads and precautions and keep them from falling off the bed or accidentally injuring themselves. A family member or another team member can help with this. Avoid reflexively escalating. If you are witnessing a PNES event in front of you, and if they're protecting their airway, oxygenating, and hemodynamically stable, avoid repeated benzodiazepines. Avoid intubating them unless clearly indicated, and avoid reflexively loading them with antiseizure medications such as levetiracetam or valproic acid. Take a focused history. You've gotta find out if they have a prior epilepsy diagnosis. Have they had EEGs before? What triggered today's event? Do they have a psychiatric history? Does the patient have school stressors or family conflict? And then is there any recent illness or injury? Only order labs and imaging when clinically indicated. EEG is not widely available in the Emergency Department. We definitely shouldn't say things like, “this isn't a real seizure,” or use outdated terms like pseudo-seizure. Don't say it's all psychological, and please do not imply that the patient is faking. If you see a patient and you think it's PNES, you're smart, you're probably right, but don't promise diagnostic certainty at first presentation. Remember, a sizable proportion of these patients actually do have epilepsy, and referring them to neurology and getting definitive testing can really help clarify the diagnosis. Communication errors, especially early on, worsen outcomes. One of the most difficult things is actually explaining what's going on to families and caregivers. So here's a suggestion. You could say something like: “What your child is experiencing looks like a seizure, but it's not caused by abnormal electrical activity in the brain. Instead, it's what we call a functional seizure, where the brain temporarily loses control of movement and awareness. These episodes are real and involuntary. The good news is that this condition is treatable, especially when we address it early.” The core treatment of PNES is CBT-based psychotherapy, or cognitive behavioral therapy. That's the standard of care. Typical treatment involves 12 to 14 sessions focused on identifying triggers, modifying maladaptive cognitions, and building coping strategies. Almost two thirds of patients achieve full remission with treatment. About a quarter achieve partial remission. Combined improvement rates reach up to 90 percent at 12 months. Additional issues that neurologists, psychologists, and psychiatrists often face include safe tapering of antiseizure medications when epilepsy has been excluded, treatment of comorbid anxiety or depression, coordinating care between neurology and mental health professionals, and providing education for schools on event management. Schools often witness these events and call prehospital professionals who want to keep patients safe. Benzodiazepines are sometimes given, exposing patients to additional risk. This requires health system-level and outpatient collaboration. Overall, early diagnosis and treatment of PNES is critical. Connection to counseling within one month of diagnosis is the strongest predictor of remission. PNES duration longer than 12 months before treatment significantly reduces the likelihood of remission. Video-EEG confirmation alone does not predict positive outcomes. Not every patient needs admission to a video-EEG unit. Quality of communication and speed of treatment, especially CBT-based therapy, matter the most. Overall, the prognosis for most patients with PNES is actually quite favorable. There are sustained reductions in events along with improvements in mental health comorbidities. Quality of life and psychosocial functioning improve, and patients use healthcare services less frequently. So here are some take-home points about psychogenic non-epileptic seizures, or PNES. Pseudo-seizure and similar terms are outdated and misleading. Do not use them. PNES are real, involuntary, brain-based events. Diagnosis relies on positive clinical features, what the events look like and when they happen, not normal lab tests or CT scans. Early recognition and diagnosis, and rapid referral to cognitive behavioral therapy, change patients' lives. If you suspect PNES, get neurology and mental health professionals involved as soon as possible. Alright, that's all I've got for this episode. I hope you found it educational. Having seen these events many times over the years, I recognize how scary they can be for families, schools, and our prehospital colleagues. It's up to us to think in advance about how we're going to talk to patients and families and develop strategies to help children who are suffering from PNES events. If you've got feedback about this episode, send it my way. Likewise, like, rate, and review, as my teenagers would say, and share this episode with a colleague if you think it would be beneficial. For PEM Currents: The Pediatric Emergency Medicine Podcast, this has been Brad Sobolewski. See you next time.

More To The Story: On January 24, a US Border Patrol agent shot and killed 37-year-old ICU nurse Alex Pretti in Minneapolis after he was held down by multiple federal agents. The Trump administration alleged that Pretti threatened agents with a gun. But videos appear to show Pretti, who was carrying a licensed handgun, holding only his phone in his hand when he was tackled and agents disarming Pretti before he was shot and killed. Following Pretti's death, thousands of protesters once again flooded the streets of Minneapolis. One of them was Rob Schenck, an evangelical minister who was a religious-right leader for decades. But Schenck began doubting the movement and his own role in it—especially once President Donald Trump came to power. Since then, he's worked to undo his decades of activism that he believes helped pave the way for the Trump presidency. On this week's More To The Story, Schenck sits down with host Al Letson to talk about what led him to the streets of Minneapolis, his emotional visit to Renée Good's memorial, and why he's become “guardedly optimistic” about the ultimate direction of this current political moment in America.Producer: Josh Sanburn | Editor: Kara McGuirk-Allison | Theme music: Fernando Arruda and Jim Briggs | Copy editor: Nikki Frick | Digital producer: Artis Curiskis | Deputy executive producer: Taki Telonidis | Executive producer: Brett Myers | Executive editor: James West | Host: Al LetsonListen: A Christian Nationalist Has Second Thoughts (Reveal)Watch: He Spent Decades Building the Religious Right. Now He's Marching to Undo It. (Mother Jones)Read: Confessions of a (Former) Christian Nationalist (Mother Jones)Read: Tom Homan Is Supposed to Fix Trump's Minnesota Crisis. His Record Raises Serious Questions. (Mother Jones) Donate today at Revealnews.org/more Subscribe to our weekly newsletter at Revealnews.org/weekly Follow us on Instagram and Bluesky Learn about your ad choices: dovetail.prx.org/ad-choices

The whole world is watching what is happening in Minnesota, the state at the center of President Donald Trump's immigration crackdown. Minneapolis Mayor Jacob Frey says local police won't enforce federal immigration policy. Some Republicans are now speaking out after the killing of ICU nurse Alex Pretti, with Senator Thom Tillis railing against both Homeland Security Chief Kristi Noem and top White House adviser Stephen Miller. Trump responded by calling Tillis a "loser" and a frequent target of Trump, Congresswoman Ilhan Omar, was attacked last night in Minneapolis. A man ran at Omar spraying an unknown substance, before he was tackled and taken away. To discuss this all, reporter Kevin Liptak joins the show.  Also on today's show: Brian A. Nichols, Former Assistant Secretary of State for Western Hemisphere Affairs; Milo Rau, Director and playwright, Hate Radio; Joseph Cox, Reporter and Co-Founder, 404 Media    Learn more about your ad choices. Visit podcastchoices.com/adchoices

We discuss the practicalities of running a rapid response, including crowd management, coordinating with primary services, working outside the ICU, and rapidly obtaining and synthesizing diagnostic data. Learn more at the Intensive Care Academy!

🧭 REBEL Rundown 📌 Key Points 💪 Building Resilience: Rebel MIND, in partnership with Arena Labs, introduces a science-based performance coaching platform specifically tailored for healthcare professionals, focusing on stress management and burnout prevention.🤝 Personal Insights: Jackie Penn shares her journey from exercise science to digital coaching, highlighting the importance of tailored coaching in high-pressure environments like healthcare.🎯 Clinician-Centric Approach: Understanding unique challenges faced by ER doctors, the program provides practical tools for stress and transition management, improving both professional and personal life balance.💻 Revolutionary Wearables: Utilizing wearables, the program offers objective feedback on recovery and health metrics, allowing personalization of strategies to enhance clinician well-being. 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. Marco Propersi interviews Jackie Pen, Heading of Performance Coaching at Arena Labs. 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 Teams 🤔Cognitive Question How do specific performance coaching strategies and tools assist healthcare professionals, particularly those in emergency medicine, in managing stress and preventing burnout effectively? 💭 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? In the chaotic and high-stakes environment of the ED/ICU, healthcare professionals are often required to make split-second decisions under pressure while managing emotional stress. This necessitates not just clinical acumen but also strong emotional resilience and stress management skills. Performance coaching provides the tools and frameworks to enhance these skills, offering strategies like the de-stress breath and transition protocols to help clinicians navigate between high-pressure situations efficiently. These tools are designed to not only improve their professional performance but also ensure they are emotionally present for their personal lives, ensuring a healthier work-life balance. ⏩ Things You Can Do on Your Next Shift Practice the De-stress Breath: Before moving from one critical case to another, take a moment to take two inhales through the nose followed by an extended exhale, helping to reset your nervous system by activating your parasympathetic nervous system.Implement a Transition Protocol: Choose a point in your journey home to mentally switch from clinician to family member, helping you to be more present outside of work.Optimize Your Nutrition and Rest: Even small changes during your shift, like meals that promote easy digestion or quick physical activities, can make a significant difference in your energy levels.Engage with Wearables: If possible, use wearables to monitor your physiological responses, helping tailor personalized strategies for your shifts 👀 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 Marco Propersi Co-Editor-in-Chief Vassar Brothers Medical Center, Poughkeepsie, NY Jackie Pen Head of Performance Coaching Arena Labs The post REBEL MIND: The Power of Performance Coaching in Medicine appeared first on REBEL EM - Emergency Medicine Blog.

On today's Political Breakfast, Democratic strategist Tharon Johnson and Republican strategist Brian Robinson go live with host Lisa Rayam, to talk about a looming partial government shutdown. Congress has until this Friday to pass a series of appropriation bills, and U.S. Senate Democrats are rallying to reject a bill to fund the Department of Homeland Security. That's in response to the latest shooting of the 37-year-old ICU nurse, Alex Pretti, in Minneapolis, that involved federal immigration agents. Now Georgia Democrats, and even some Republicans, are criticizing how the Trump Administration has handled the fallout. Stephen Miller, Trump's homeland security adviser, called Pretti a “domestic terrorist.” Videos from bystanders do not show Pretti brandishing a weapon -- but do show a group of agents tackling Pretti and shooting him several times. Officials say he was legally armed. Georgia U.S. Senators Jon Ossoff and Raphael Warnock have both announced they will oppose the government funding package. Former Georgia U.S. Rep. Republican Marjorie Taylor Greene also defended Pretti, and said there was nothing wrong with him legally peacefully protesting.See omnystudio.com/listener for privacy information.

Stephen Miller, Donald Trump, Kristi Noem, J.D. Vance, and the entire MAGA Klan murdered Alex Pretti. They sent Bovino into early retirement, but he must be arrested, along with his agents who shot 10 bullets into Pretti, an ICU nurse for the VA who spent his life helping others. Demand the impeachment of President Stephen Miller: force Trump to throw him under the bus, too. It's a start to the demands for justice.  To honor Pretti and our work ahead, find time to grieve. We cannot power through this collective rage and anxiety without releasing it. Even the strong need to cry in the shower. If we don't sit with our grief, it will force you to. Grieving is an act of resistance. It changes you, and it plants the seeds of justice that we will use to build a better world together. To the people of Minnesota, you have created an American Maidan, standing strong against tyranny. Even Ukrainians, freezing in the cold from Russia bombing their electrical grids, see you, and are calling your movement a Maidan. To grow a real resistance, we share a message recorded by Annie, a Gaslit Nation listener in Minneapolis.  Our victory is guaranteed because our enemies are cowards who hide behind masks. America has defeated the Klan before. We must fight with urgency in a generational struggle. Join the General Strike this Friday January 31st. Divest from the corporations funding the MAGA regime–look to Cut Off the Spigot to learn how. And most importantly, stand by each other. As the people of Minnesota showed us, singing "Stand by Me" in the face of fascism: we win through our culture of care. Tonight's episode will run as usual. It's an examination on how the Church Committee Report, which exposed the mass-murdering FBI and CIA, shows us how to overcome our mass-murdering state today.  Join our community of listeners and get bonus shows, ad free listening, group chats with other listeners, ways to shape the show, invites to exclusive events like our Monday political salons at 4pm ET over Zoom, and more! Discounted annual memberships are available. Become a Democracy Defender at Patreon.com/Gaslit Show Notes National General Strike (Jan 31–this Friday!): https://nationalshutdown.us/ Support Susanna Ledesma-Woody for Travis County Commissioner: https://www.votesusanna.net/ Minnesota Community Resources: https://minnesotanonprofits.org/community-resources-ice-operations Cut Off The Spigot (Divestment Resource): https://cutoffthespigot.com/ Shop The Hood (Small Business Alternatives): https://shopthehood.store/ Who Advertises On X (Boycott Resource): https://whoadvertiseson.org/ Yes, It's Fascism (Jonathan Rauch/Brookings): https://www.msn.com/en-us/news/opinion/yes-it-s-fascism/ar-AA1UWfO5?ocid=BingNewsSerp Misogyny Killed Alex Pretti: https://sharidunn.substack.com/p/misogyny-killed-alex-pretti?triedRedirect=true Letter to My Daughter: https://www.thenation.com/article/activism/letter-to-my-daughter/# Tad Stoermer Video Read by Gaslit Nation Listener Annie: https://www.threads.com/@tad.stoermer/post/DTKc0iDjjdn/media Intro Clip: https://bsky.app/profile/thetnholler.bsky.social/post/3md7q7guacc22 Outro Clip: https://bsky.app/profile/taylordahlin.com/post/3mdeijmip522z  

-- On the Show -- Ezekiel Emanuel, an oncologist and world leader in health policy and bioethics, joins us to discuss his new book "Eat Your Ice Cream: Six Simple Rules for a Long and Healthy Life" -- The Wall Street Journal editorial board calls Donald Trump's immigration crackdown a moral and political debacle after federal agents kill ICU nurse Alex Pretti in Minneapolis -- Donald Trump demotes Border Patrol commander Greg Bovino after agents under his leadership kill Alex Pretti, signaling damage control as the administration collapses -- Conservative figures and Second Amendment defenders publicly question the Trump administration after Alex Pretti is killed while legally armed, exposing fractures inside the MAGA coalition -- Donald Trump posts a conciliatory Truth Social message about Minnesota Governor Tim Walz while quietly reshuffling personnel, revealing a crisis response -- Press Secretary Karoline Leavitt struggles to defend shifting White House narratives as reporters repeatedly fact check claims about Alex Pretti, Stephen Miller, and the justification for lethal force -- Kash Patel contradicts himself across multiple interviews on gun rights and protests, creating legal and political confusion as the administration tries to justify the killing of Alex Pretti -- Megyn Kelly argues that Alex Pretti should have avoided federal agents entirely, effectively endorsing the idea that citizens must stay home to avoid being killed by the state -- On the Bonus Show: NRA calls for an investigation into the killing of Alex Pretti, House Democrats push impeachment of Kristi Noem, calls grow for a US World Cup boycott, and much more...

Alex Pretti was a 37-year-old ICU nurse at a VA hospital when he was shot dead by federal officers while recording them with his cell phone Saturday morning in Minneapolis. And, like Renee Good just 19 days ago, he was smeared by the administration, defamed as a "domestic terrorist" bent on massacring law enforcement within just hours of his death. Tonight, three sources are now telling CNN that the face of the crackdown here, Border Patrol official Gregory Bovino, and some of his masked agents, are expected to leave Minneapolis tomorrow. Anderson Cooper 360° is live tonight from Minneapolis.   Learn more about your ad choices. Visit podcastchoices.com/adchoices

Another American citizen has been shot and killed by US immigration officers in Minneapolis as protests against ICE and border patrol intensify across the nation. Thirty-seven-year-old Alex Pretti was an ICU nurse who treated veterans. Meanwhile in Washington, Democrats are threatening to pull out of the government funding deal reached last week because of the money earmarked for expanding immigration enforcement. If they do so, that would trigger another government shutdown. Has the country reached an inflection point? USA TODAY Breaking News Reporter Christopher Cann joins The Excerpt to break down all the new developments.Let us know what you think of this episode by sending an email to podcasts@usatoday.com. Episode transcript available here. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Monday, January 26, 2026 Trump agreed to “look into reducing the number of federal agents in Minnesota” after a Border Patrol agent killed Alex Pretti, a 37-year-old ICU nurse and U.S. citizen; Trump sent border czar Tom Homan to Minnesota to oversee ICE operations; Senate Democrats threatened to block the House-passed funding package unless Republicans strip out the Department of Homeland Security bill; the CDC's vaccine advisory panel said polio, measles, and possibly all shots should be optional; and the American Academy of Pediatrics told parents to ignore the CDC's revised federal guidance and instead follow its full childhood vaccine schedule. Read more: Day 1833: "Productive." Subscribe: Get the Daily Update in your inbox for free Feedback? Let us know what you think

Protests and a general strike continue in Minneapolis after federal immigration agents fatally shot 37 year-old ICU nurse Alex Pretti during a crackdown, the second ICE related killing in the state this month.Senate Democrats threaten to block funding for the Department of Homeland Security unless Republicans agree to new limits on immigration enforcement, a standoff that could trigger a partial government shutdown.And across the country, states are digging out from a major winter storm that left deadly ice and snow, widespread power outages, and thousands of canceled flights.Want more analysis of the most important news of the day, plus a little fun? Subscribe to the Up First newsletter.Today's episode of Up First was edited by Eric Westervelt, Krishnadev Calamur, Alfredo Carbajal, Mohamad ElBardicy and Adam Bearne.It was produced by Ziad Buchh, Nia Dumas, Ava Pukatch and Christopher Thomas.We get engineering support from Simon-Laslo Janssen. And our technical director is David Greenburg.(0:00) Introduction(01:55) Minnesota ICE Shooting Aftermath(05:44) Senate DHS Funding Vote(09:26) Icy WeatherLearn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

Nicolle Wallace covers the tragic death of Alex Pretti, a 37-year-old U.S. citizen who was killed by an ICE officer in Minneapolis over the weekend. Pretti was an ICU nurse who cared for veterans, and he died protecting a fellow protestor from being assaulted by ICE. The Trump administration has since called Pretti a “domestic terrorist.”For more, follow us on Instagram @deadlinewhTo listen to this show and other MS NOW podcasts without ads, sign up for MS NOW Premium on Apple Podcasts. For more from Nicolle, follow and download her podcast, “The Best People with Nicolle Wallace,” wherever you get your podcasts.To listen to this show and other MS podcasts without ads, sign up for MS NOW Premium on Apple Podcasts. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Tensions escalate in Minneapolis after a second U.S. citizen is killed by immigration officers.It was a deadly weekend in Minneapolis. On Saturday, federal immigration officers fatally shot a 37-year-old ICU nurse and U.S. citizen — Alex Pretti.Multiple videos captured the moments before, during and after the shooting.Federal officials claim Pretti “brandished” a weapon and tried to assault officers as they conducted an immigration enforcement operation.There is no evidence in the videos, which NPR has verified, that Pretti was ever brandishing his handgun. For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. Email us at considerthis@npr.org.This episode was produced by Henry Larson, Vincent Acovino and Karen Zamora, with audio engineering by Ted Mebane and Damian Herring.It was edited by Justine Kenin, Rebekah Metzler, Patrick Jarenwattananon and Courtney Dorning.Our executive producer is Sami Yenigun.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

Over the weekend, a federal officer shot and killed Alex Pretti, a 37-year-old ICU nurse in Minneapolis. WSJ's Joe Barrett describes how events unfolded in the wake of Pretti's killing, and WSJ's Michelle Hackman breaks down how ICE tactics have led to clashes with local residents. Jessica Mendoza hosts. Further Listening: The Florida Cops Who Act as ICE Agents The Hyundai Plant Raided By Immigration Authorities Inside the ICE Hiring Blitz Sign up for WSJ's free What's News newsletter. Learn more about your ad choices. Visit megaphone.fm/adchoices

The killing of 37-year-old ICU nurse Alex Pretti on Saturday morning marks a dramatic escalation of what was already a very tense moment for Minneapolis. Just a day before, thousands of residents marched in a citywide strike organized by faith leaders and labor unions. They were protesting U.S. Immigration and Customs Enforcement actions in the state, including the fatal shooting of 37-year-old Renée Good by an ICE officer earlier this month. Although it is not clear how Pretti's interaction with federal agents began on Saturday, bystander footage reviewed by The Post raises questions about Homeland Security's account of what happened. On Saturday, Department of Homeland Security Secretary Kristi Noem said Pretti – a legal gun owner, who was carrying a gun in or near his waistband when he was killed – had been committing an act of domestic terrorism. According to a Post analysis, federal agents had already secured the handgun he was carrying by the time they fatally shot him.Today on “Post Reports,” host Martine Powers speaks with national reporter Kim Bellware about the death of Alex Pretti – why many people are worried that his death won't get a thorough investigation, and how this encounter is raising important questions around America's gun debate.Today's show was produced by Elana Gordon and Rennie Svirnovskiy with help from Sabby Robinson. It was edited by Ariel Plotnick and mixed by Sean Carter. Thanks to Annie Gowen, Lauren Gurley and Gina Harkins. Follow the latest in The Post's Minneapolis coverage here. Subscribe to The Washington Post here. And watch us on YouTube here.

On Saturday, Border Patrol and ICE agents deployed to Minneapolis wrestled a member of the public to the ground and then shot him multiple times. Alex Pretti, 37, died as a result.Pretti was a Minneapolis resident and an ICU nurse at a local VA hospital. It's the second killing by federal agents in the state this month, and the third shooting.The message from elected officials in Minneapolis and in Minnesota was simple: enough.We look at how this operation, one the Trump administration says is about immigration enforcement, transformed into something else. Then, we turn to Congress and its lack of oversight of the Trump's agenda. And we hear from a Democratic member of Congress about what she wants her colleagues to do in this moment.Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

-- On the Show -- Adam James, a licensed physical therapist working in home healthcare and content creator known as “epistemiccrisis,” joins us to discuss the state of Donald Trump's cognitive health -- The Trump administration escalates federal immigration enforcement as Alex Pretti, a U.S. citizen and ICU nurse, is shot and killed by federal agents in Minneapolis while filming and attempting to help a woman -- A legally-armed citizen follows pro-gun rhetoric, confronts federal agents during an immigration operation, and is killed by the state that claimed guns protect against tyranny -- The killing of Alex Pretti by federal agents exposes how state violence is normalized and defended while individual political violence is universally condemned -- Kash Patel contradicts gun law realities and his own past statements while right-wing figures misrepresent legal firearm carry to justify a federal killing -- Donald Trump unleashes erratic and conspiratorial social media posts attacking Minnesota officials while defending ICE actions and inventing financial fraud narratives -- A viral image of severe bruising on Donald Trump's hand raises renewed concerns about age, medication use, and long-standing secrecy around his health -- Minneapolis Police Chief Brian O'Hara publicly condemns federal immigration tactics after multiple shootings, contrasting them with local policing that clearly avoided lethal force -- On the Bonus Show: A snowstorm pummels much of the US, Trump sues JPMorgan Chase over "debanking," Trump will skip the Super Bowl, and much more...

The Trump administration grapples with the fallout from the deadly shooting of Alex Pretti, a 37-year-old ICU nurse who was killed by a border patrol agent in Minneapolis. Rep. James Walkinshaw (D-Va.) joins Meet the Press NOW as some Democrats threaten a partial government shutdown unless significant restrictions are imposed on the Trump administration's immigration enforcement operations. Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.

Videos circulating online capture the fatal shooting of 37-year-old Alex Pretti, an ICU nurse and American citizen, by a Border Patrol agent during a protest in Minneapolis on Saturday morning. Verified footage shows Pretti holding up his phone as officers pursued a separate suspect, moments before the confrontation turned deadly.

Today's Headlines: Things escalated fast in Minnesota this weekend after ICE officers fatally shot 37-year-old Alex Pretti, an ICU nurse and veterans' affairs worker, during a chaotic confrontation caught on multiple videos. Witnesses say Pretti was directing traffic and filming on his phone while trying to help someone else, and that his legally owned firearm had already been taken by agents before he was tackled. Federal officials initially labeled him a “domestic terrorist,” a claim sharply contradicted by video evidence and eyewitness affidavits. The shooting has triggered a major political and legal backlash. Minnesota officials say DHS and DOJ blocked state investigators from accessing the scene, even with a warrant, and the state has filed suit to prevent the destruction of evidence. Governor Tim Walz has ordered an independent investigation into both the killing and the federal government's public statements about it. The controversy deepened after Attorney General Pam Bondi sent a letter threatening not to end federal operations in Minnesota unless the state hands over Medicaid, SNAP, and voter data and rolls back sanctuary policies—moves critics call political extortion. Meanwhile, tensions are rising nationally. Protesters braved extreme cold across Minnesota, businesses staged a general strike, and more than 60 major Minnesota-based companies urged de-escalation. Additionally, the detention of a U.S. Army veteran observing ICE activity, the assault of Rep. Maxwell Frost, a massive sewage spill in Washington, DC, and renewed debate over vaccine mandates round out a very chaotic weekend. President Trump has largely praised federal agents' actions, even as his administration faces lawsuits, congressional infighting over ICE funding, and growing international criticism ahead of the World Cup. Resources/Articles mentioned in this episode: WSJ: Border Patrol Agent Fatally Shoots Man in Minneapolis, Escalating State-Federal Standoff Axios: Trump officials stick "terrorist" label on Americans killed by DHS Politico: Bovino claims Border Patrol agents are ‘the victims' in deadly Minneapolis shooting NYT: Pam Bondi letter to Tim Walz NBC News: White House shares an altered photo of arrested Minnesota protester Nekima Levy Armstrong ABC News: Army vet detained by ICE for 8 hours says he wasn't allowed to call an attorney Axios Local: Minnesota Gov. Tim Walz vows state investigation into shooting amid "lies" from DHS NYT: CEO's of Target and Minnesota's biggest companies call for 'De-escalation'  Axios: Democrats threaten government shutdown over ICE funding Axios: Court docs reveal new details of alleged assault on Maxwell Frost AP News: Massive sewage spill flowing into Potomac River upstream from Washington AP News: German soccer federation official wants World Cup boycott considered because of Trump FOX News: Trump says it 'is too late' to stop the White House ballroom construction amid lawsuit WaPo: Trump hosts ‘Melania' screening as Minnesota shooting fallout roils nation AP News: Massive winter storm dumps sleet, freezing rain and snow around much of US WSJ: Trump Says Administration Is ‘Reviewing Everything' About Minneapolis Shooting WSJ: TikTok Finalizes Deal to Keep Operating in the U.S. NYT: Rejecting Decades of Science, Vaccine Panel Chair Says Polio and Other Shots Should Be Optional Morning Announcements is produced by Sami Sage and edited by Grace Hernandez-Johnson Learn more about your ad choices. Visit megaphone.fm/adchoices