Podcasts about icus

Hospital-acquired bacterial pneumonia (HABP) and ventilator-associated bacterial pneumonia (VABP) are serious conditions that often affect critically ill patients in ICUs. These infections carry a high risk of mortality and are frequently caused by multidrug-resistant bacteria like MRSA. On this episode of the ATS Breathe Easy podcast, Scott Micek, PharmD, University of Health Sciences and Pharmacy in St. Louis, explains to host Eddie Qian, MD, Vanderbilt University, why treating HABP/VABP needs to be tailored to the patient, how rapid diagnostics have pros and cons, and the importance of balancing aggressive early treatment with careful reassessment. This episode is sponsored by Innoviva Specialty Therapeutics.

→ Active Skin Repair | Head to https://www.activeskinrepair.com and use code DRG at checkout for 25% off all Active Skin Repair products. (Discount returns to standard rate after June 8th) Episode Description You've been using alcohol, hydrogen peroxide, and Neosporin your whole life. And none of them are actually helping you heal faster. In fact, they may be slowing you down. Justin Gardner is the founder of Active Skin Repair, a medical grade hypochlorous acid product that was originally developed for hospital use in burn units, wound care centers, and neonatal ICUs before he licensed it and brought it to the public. Dr. G has been using it since 2019, including once when he cut his finger open deep in the mountains of Tanga and used it instead of stitches. Eight days later it was nearly sealed. Three weeks later, no scar. In this episode, you'll discover:  • What hypochlorous acid actually is, why your white blood cells already produce it, and why it kills 99.9% of bacteria, fungi, and viruses within 15 seconds with the same safety profile as saline solution  • Why alcohol and hydrogen peroxide kill the healthy growth factors your body produces to heal itself, and how hypochlorous acid cleans the wound without impairing the repair process  • How parents, kids, pets, athletes, and anyone dealing with acne, eczema, sunburns, diaper rash, or chronic wounds can use one bottle for almost everything This is the Windex of skin care. In the best possible way. Find Active Skin Repair:  • Website: https://www.activeskinrepair.com  • Instagram: https://www.instagram.com/activeskinrepair Timestamps: 0:00 - Intro 0:34 - Dr. G's Story: A Deep Finger Cut, No Stitches, No Scar  1:37 - Why People Still Reach for Alcohol and Hydrogen Peroxide (And Why They Shouldn't) 2:43 - The Problem With Neosporin (Especially for Kids)  3:42 - How the Technology Was Discovered in Hospital Wound Care  5:57 - Same Medical-Grade Formula as What's Used in Hospitals and ICUs  8:08 - How Active Skin Repair Got to Market (Starting With Surfers and Pro Athletes)  10:32 - Does It Reduce Inflammation Too, or Just Kill Bacteria?  11:06 - Using It on Your Kids from Day One: Diaper Rash, Hand-Foot-Mouth & More  14:41 - Spray vs. Gel: Which One to Use and When  16:32 - Does It Help Rebuild Tissue and Speed Up Healing?  19:00 - Safe for Pets (and If They Lick It — Still Fine)  22:25 - Acne, Eczema, Aesthetics & the Growing Cosmetic Use Case  23:33 - Does It Target Bad Bacteria Without Disrupting the Skin Microbiome?  27:17 - Bacteria, Fungus, and Viral Infections: What the Research Shows  29:02 - Why Moms Are the Biggest Customers  34:14 - Where to Get It and How to Save 25% Learn more about your ad choices. Visit megaphone.fm/adchoices

At 19, Shlomit woke up unable to speak. The right side of her body went numb. An emergency room sent her home and called it stress. That moment did not end in a diagnosis that changed policy or triggered reform. It sent her into a decade long pursuit of understanding how the brain fails language and how the healthcare system fails patients who cannot advocate for themselves.Shlomit trained as a speech language pathologist and spent years inside acute care hospitals and ICUs, performing endoscopies and treating patients with brain injury, stroke, and dysphagia. She watched medical teams rotate in and out, deliver dense updates, and leave families nodding without comprehension. She stayed behind and translated. Every day, patients told her she was the only one who explained what was happening. That gap is not an accident. Hospital systems optimize for throughput, not understanding. Patients move through beds based on cost, not readiness. Discharge planning becomes a financial decision wrapped in clinical language. A stay under 48 hours can shift the insurance burden dramatically, leaving patients exposed to higher out of pocket costs. Shlomit left the system and built Patient Path NYC, a private patient advocacy service. She now spends 15 to 20 hours a week per client reading charts, coordinating care teams, and translating medical decisions into plain language. Her work sits in the uncomfortable space between healthcare policy and lived experience. Families pay out of pocket to understand their own care. Hospitals benefit from the clarity she provides while maintaining the same structural incentives that created the confusion.This conversation tracks the human cost of fragmented care, the economics behind discharge decisions, and the quiet reality that patients who cannot communicate clearly often lose control of their own outcomes.RELATED LINKSShlomit LibertyShlomit Liberty on LinkedInPatient Path NYCBoard Certified Patient AdvocateFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of the PFC Podcast, Dennis sits down with Kevin — a Nurse Anesthetist (CRNA) with deep experience in hospice/oncology floors, Level I trauma ICUs and ERs, military nursing, and years in austere environments, including a Role III in Baghdad. Kevin delivers straight talk on the most overlooked, time-consuming, and life-saving phase of Prolonged Field Care: nursing care.He answers the exact question every medic wants to know: When does nursing actually start? Then he walks through the full reality of what “nursing” means in the field — from relentless data gathering and charting, to turning patients, pulmonary toileting, skin care, oral care, managing the mess (yes, including bowel movements on litters), and preventing the downstream killers like pressure ulcers, ventilator-associated pneumonia, and sepsis that can undo even perfect damage-control surgery.You'll get practical austere hacks (including Kevin's legendary Barbasol shaving cream trick), training advice that actually works, how to know when the patient is truly stable, when to escalate to a provider, and why evacuation must remain the primary plan — not prolonged field care.Key Takeaways:PFC nursing starts the moment life-saving interventions (hemorrhage control, surgery, cric, chest tubes, etc.) are complete and the patient is stabilized — not during the gunfight or initial resuscitation.Skin care and turning patients prevents deadly complications — pressure ulcers, infections, and sepsis can kill a patient with otherwise survivable injuries.Austere game-changer: Barbasol shaving cream + washcloths cuts through blood, stool, grease, and debris without drying out skin. Bring cheap bottles.First hour priorities: frequent vitals/assessments, confirm stability, get fluids/sedation/maintenance running, then move to the full nursing checklist.Set clear “left and right limits” / parameters for teammates or non-nurses so you can actually rest, rearm, or plan the next mission.Best training: Work real ICU/floor shifts (especially weekends when staffing is thin) — mannequins and sims don't teach the time sink or the “why.”Mindset shift: Move from high-speed, high-adrenaline interventions to the “boring but essential” maintenance phase. If it feels boring, you're probably doing it right.Strategic reality: Evacuation (Medevac or CasEvac) should stay the P in your PACE plan. Prolonged field care with high casualty volumes and limited resources is an enormous time and math problem — history (WWII South Pacific, etc.) proves it.Chapters:01:50 – When Does Prolonged Field Care Nursing Actually Start?04:39 – The Foundation: Data Gathering, Assessments & Charting07:03 – The Full Laundry List of Bedside Nursing Interventions09:26 – How to Train Real Nursing Care (ICU Shifts Beat Mannequins)11:46 – The Critical First Hour: Settling In & Confirming Stability14:04 – Head-to-Toe Assessment, Pulmonary Toileting, Oral Care & Eye Care16:16 – Real Talk: Skin Care, Turning Patients, Bowel Movements & Preventing Ulcers/Sepsis20:50 – How Long Until the Patient Is Truly Stable? (The Pregnant Pause)34:49 – Patient Changes: When to Call the Provider & Setting Left/Right Limits41:34 – Common Pitfalls Medics & Teams Make in PFC Nursing48:59 – Nursing Care Plans, Early Ambulation & Broader Patient Needs54:26 – PACE Plan Reality Check: Why Evacuation Must Stay Priority #1For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

In August 2024, 26-year-old Conor Hylton checked into Bridgeport Hospital in Connecticut. Overnight, he was transferred to critical care, where he died.It was only after his passing that his family found out that Conor was treated at what's known as a “tele-ICU.” His story shines a light on a practice that's been around for decades despite a lack of substantial research about its outcomes.A tele-ICU is a hospital unit where patient care is handled off-site by remote doctors, nurses, or specialists. Up to a third of ICU beds in the U.S. are in tele-ICUs. That's according to a study from the American Hospital Association.In Wisconsin, as of May 1, critical care physicians are no longer physically present in the ICUs of a few Ascension satellite hospitals. They remain available via video call to help bedside nurses and on-site hospital medicine doctors, known as hospitalists, who do not specialize in critical care.These facilities do present an opportunity to expand and improve the health care people receive. But what are the risks of replacing in-person care in the most critical, life or death moments?Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a.See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.NPR Privacy Policy

In this episode of the Healthy Wealthy & Smart Podcast, Dr. Karen Litzy, PT, DPT welcomes Ashok Gupta. They explore the evolution of telehealth and hybrid care in physical therapy, discussing innovative technologies, AI applications, and regulatory shifts that are expanding access and improving patient outcomes. This conversation provides a comprehensive look at how clinicians and practices are embracing digital transformation to deliver more effective, patient-centered care.   In this episode: ·      The concept of omni-channel or hybrid care modeled after consumer experiences like Walmart and Amazon ·      How telehealth is transforming access for acute and chronic patients, with real-world success stories including ICU recovery ·      The development and integration of physical AI to guide motion recognition and real-time patient assessment ·      The critical role of clinician input and feedback in building effective telehealth tech ·      Cost-effective remote therapeutic monitoring (RTM) and regulation updates supporting scalable virtual care ·      Impact of AI on clinician efficiency, documentation, and patient engagement ·      Best practices for virtual manners, camera presence, and creating a professional digital environment ·      Strategies for integrated workflows connecting telehealth platforms, EMRs, and practice management tools ·      The importance of embracing technology to stay competitive and improve patient outcomes ·      Future outlook: seamless virtual-clinic transitions and personalized care pathways   Timestamps: ·      (00:00) - Welcome and episode overview: Redefining patient-centered hybrid healthcare ·      (02:27) - What is omni-channel hybrid care? Patient choice in physical therapy ·      (03:21) - How remote and in-clinic options combine for optimal access ·      (04:37) - From prevention to rehab: leveraging sensors and self-management tools ·      (05:33) - Real-world success stories: ICU recovery and remote therapy impact ·      (06:56) - Broadening telehealth: software, hardware, and virtual care models ·      (07:50) - Myths about telehealth: more than just video calls ·      (08:48) - Evolving tech: from initial skepticism to AI-powered diagnostics ·      (09:44) - Developing physical AI for motion analysis and patient assessment ·      (11:06) - How remote care experiences match or surpass in-clinic outcomes ·      (12:27) - Continuous monitoring and data-driven treatment tailoring ·      (14:27) - Clinician involvement in product development and validation ·      (16:52) - Addressing small practice hurdles and advances in regulation support ·      (17:19) - The 2026 CMS updates: enabling remote patient and therapeutic monitoring ·      (19:16) - Integrating virtual care into daily practice workflows ·      (20:31) - Changing data collection and insurance reimbursement for RTM ·      (22:47) - Workflow integration: enrolling patients effortlessly within existing systems ·      (24:01) - Insurance coverage landscape for remote monitoring services ·      (25:19) - AI as an efficiency tool, not a replacement, for clinicians ·      (26:42) - Enhancing patient engagement and clinical decision-making with AI summaries ·      (29:46) - The importance of bedside manners in virtual care standards ·      (30:42) - Building trust and continuity through AI-driven session analysis ·      (32:07) - Improving clinician performance: gamification and feedback tools ·      (34:00) - Building care platforms based on actual patient and clinician needs ·      (36:33) - Overcoming fears of technology and embracing digital health ·      (39:11) - Mastering virtual manners: creating a professional, private environment ·      (41:48) - The future of healthcare: seamless hybrid models and patient choice ·      (44:45) - Final thoughts: tackling large-scale problems for greater impact   Resources & Links: TheraNow:Telehealth platform for physical therapy and remote care Diary of a CEO book   Connect with Dr. Gupta: LinkedIn TheraNow on FB TheraNow on Instagram TheraNow on X TheraNow on YouTube   More About Dr. Gupta: Dr. Ashok Gupta, is the founder of TheraNow, an 8-figure virtual physical therapy platform that's supported over 70,000 patients across the US since 2021. Ashok didn't start as your usual tech guy; he started as a physical therapist treating veterans at VA hospitals, traveling through small-town America, working everywhere from ICUs to homehealth. And everywhere he went, he saw the same issue: people either had to come to you or you had to go to them, and in rural areas, services were just too far away.  Skip to 2017, Ashok and his wife (also a physical therapist) are watching TV when a commercial for virtual mental health therapy comes on. They look at each other and ask: "Why doesn't this exist for physical therapy?" Everyone said it couldn't work (the word itself is physical therapy, right?), but Ashok realized most of PT could be replicated virtually. No hospitals would pilot it, no payment model existed, then the pandemic hit, and what seemed impossible, became essential.  These days, Ashok's working with major health systems like Providence Health, and building AI-powered clinical documentation tools that are actually adopted by clinicians. Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month   Follow Dr. Karen Litzy on Social Media: Karen's Instagram Karen's LinkedIn   Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

We welcome Peter Rickman, president of the Milwaukee Service and Hospitality Union (MASH) to discuss the union's big organizing victory this week at Landmark Theater in Milwaukee, the rapid growth of the union, and the union's commitment to the Living Wage Coalition pushing for a $20 minimum wage bill. We take a dive into new national polling by the Kaiser Family Foundation showing health care cost is a dominant election issue in 2026, even for Republicans and treasured independent and swing voters. Seventy-two percent of Democrats, 63% of independents and 47% of Republicans said the cost of healthcare will have a major impact on which party's candidate they will support. Robert updates us on the continued fight for a BadgerCare Public Option and the grassroots leaders and legislative champions making it happen. We also highlight the dysfunction of our health care system, as evidenced by news this week that Ascension Wisconsin now has tele-ICUs at some hospitals… that's right, no ICU doctors on-site! We close with the scandalous news that more massive “hyperscale” data centers are coming to Wisconsin, according to the head of WEC (the parent company of WE Energies and WPS), who arrogantly bragged at a recent shareholders meeting about the boon it will be to their windfall profits. This is only happening because Wisconsin state political leaders green lighted data center development with huge tax giveaways ($2 billion and counting) while failing to pass any guardrails to protect the climate, rate payers, and public health.

On this week's episode of Sense by Meg Faure we sit down with Dr. Nellie Balfour, a specialist paediatrician who has spent years working in neonatal ICUs, as she navigates her own second pregnancy in real time. This is the first episode in a brand new series on Sense by Meg Faure, following Nellie's pregnancy journey trimester by trimester. It is raw, honest, deeply personal and utterly reassuring. What We Cover:Prenatal Depression: The conversation we are not having.Dr. Nellie opens up about experiencing prenatal depression during her first trimester — losing six kilograms, sleeping constantly, feeling hopeless, and ultimately needing medication. She explains why second-time mums are actually more vulnerable to prenatal depression than postpartum depression, why the symptoms are so often missed or dismissed, and why the stigma makes everything worse. Her advice is simple and direct: any feeling of hopelessness during pregnancy is a red flag. Talk to someone. Tell your gynaecologist. Do not wait.Medical Knowledge and Pregnancy Anxiety:Many people assume that a paediatrician would sail through pregnancy with confidence. Dr. Nellie challenges that completely. When you know every possible risk, your mind finds more to worry about — not less. Meg Faure shares her own experience of this, reminding us that motherhood is the great leveller. It does not matter whether you are a plumber or a paediatrician. The emotional journey of becoming a mother humbles everyone equally. Medication Safety in Pregnancy:Social media is full of dangerous misinformation about medication in pregnancy. Meg and Nellie set the record straight. Breech Babies and Motor Development:Dr. Nellie asks Meg a fascinating clinical question: what are the developmental implications of a breech birth? Meg explains the role of the vestibular system in orienting a baby head-down in the womb, and how a consistently breech position may affect muscle tone, balance, coordination and bilateral integration later in life. It is not a linear outcome — but it is one reason why movement in pregnancy matters, and why sensory integration therapy can make such a difference for children with vestibular challenges. Rupture and Repair:The episode closes with a concept that will stay with every parent who hears it. There is no such thing as a perfect pregnancy or a perfect mother. . About Our Guest: Dr. Nellie Balfour is a mom and Specialist Pediatrician with a focus on neonates, newborns, and early childhood development. Dr. Nellie is passionate about empowering parents with credible, evidence-based information so they can make the best decisions for their children. You can find her and her popular Q&A sessions on Instagram at @drnelliepaeds Episode References and Links:

EVEN MORE about this episode!What do doctors actually witness in the final moments before death?In this episode, Julie Ryan and Adam Rizvi reveal real ICU experiences that challenge what we believe about consciousness, dying, and the human soul.Drawing from years in the ICU, Dr. Rizvi shares extraordinary experiences that challenge everything we think we know about the mind, the body, and death itself. From patients with advanced Alzheimer's becoming suddenly lucid before passing, to powerful shared death experiences and intuitive communication at the bedside, he offers a rare glimpse into the moments where science and spirituality meet. His perspective is deeply shaped by a profound awakening that dissolved his sense of separation, transforming the way he sees illness—not as something to fix, but as part of a deeper journey of healing and awareness.This conversation goes beyond medicine into the heart of what it means to live—and to die—with peace. You'll hear how emotional trauma can manifest physically, why presence may be the most powerful form of healing, and how facing death can actually bring clarity, connection, and freedom. If you've ever wondered what really happens in our final moments—or how to live with more meaning right now—this episode will shift your perspective in ways you won't forget.Guest Biography:Adam Rizvi, MD, is a critical care physician and neurointensivist whose work in ICUs and decades of contemplative study inform his book Love Does Not Know Death. Blending real-life bedside experiences with non-dual teachings from A Course in Miracles, he offers practical tools—especially forgiveness—to help patients, families, and clinicians navigate loss with clarity and compassion. Based in California, he leads hospital teams, teaches on awakening and end-of-life care, and co-hosts the podcast Letters to the Sky, guiding others toward peace, healing, and a deeper understanding of love beyond death.Episode Chapters:(0:00:00) - Consciousness Beyond the Brain(0:11:44) - From Fixing Bodies to Healing Souls(0:26:52) - The Power of Presence and Deep Listening(0:42:50) - Extraordinary Phenomena at Life's Threshold(0:54:15) - A Mystical Awakening in Southern France(1:01:14) - Death, Forgiveness, and the Practice of Kindness➡️ Subscribe to Ask Julie Ryan YouTube➡️ Julie's Intuitive Trainings✏️ Ask Julie a Question!

This week, Aebhric O'Kelly is again joined by Zach Andrews, a MSc Austere Critical Care graduate and expert in jungle medicine, who shares his extensive experience in remote critical care, setting up ICUs in challenging environments, and improving medical education. Discover practical tips for medical professionals working in remote areas and learn about innovative approaches to medical training and patient care.Chapters00:00 Introduction and Guest Introduction00:26 Zach Andrews' Background and Current Projects01:06 Role in Student Success Department02:34 Student Program Feedback and Challenges05:50 Faculty and Program Cost-Effectiveness11:27 Setting Up ICUs in Remote and Austere Areas20:42 Importance of Hands-On Assessment in Remote Settings23:00 The Jack of All Trades in Jungle ICU Setup25:18 Lessons from Masters of Austere Care27:33 SOMA Scholarship and Zach's Presentation29:34 Advice for New Medics in Austere Medicine30:52 Closing Remarks and Final Thoughts

Alycia Anderson welcomes Peri Finkelstein: Emmy-winning marketing consultant, keynote speaker, recent TEDx speaker, marathon participant, and founder/CEO of the Team Peri Foundation. Peri explains how assistive communication evolved from Proloquo4Text to 11 Labs AI voice technology, helping her be understood on podcasts and stages despite bias and past bullying. She shares growing up with nemaline rod myopathy, navigating surgeries, pain, fatigue, and a nontraditional childhood, and credits her mom as her primary support and collaborator. Peri describes how her May 2025 TEDx talk sparked a new commitment to vulnerable storytelling through Substack and a memoir. She also details the foundation's scholarship and Peri Project, which provides caregiver kits in pediatric ICUs and plans hospital expansion through 2026. She closes with motivation to embrace differences, find what you love, and create your own path. The Entrepreneurial Throughline

Pierre explains how he ended up deep in mineral chemistry instead of the ketamine series he was writing. After four years treating vaccine‑injured patients at Leading Edge Clinic, he's learned that almost every promising therapy — hyperbaric, stem cells, exosomes, chlorine dioxide, DMSO, ivermectin — helps some people a lot, others modestly, and leaves a stubborn cohort behind. A contact kept pushing him to look at a mineral extract derived from biotite (black mica), a volcanic rock containing 50 to 80 minerals. The backstory: a Japanese researcher in the 1950s, transfixed by a tree growing out of a bare rock, spent roughly 15 years in his off‑hours coaxing the minerals out in sulfated, bioavailable form. Pierre dug in, set the ketamine work aside, and hasn't come up for air since. From there the conversation turns sharp. Tim, May, and Pierre dissect the long COVID research pipeline — $1.2 billion committed, the first government‑funded trial studying Paxlovid, a repurposed HIV drug Pfizer dusted off during the pandemic. Pierre pulls no punches on regulatory capture, rebound, and the PR campaign that made Paxlovid a household name despite a paper‑thin evidence base. They reminisce about the monoclonal antibody era — a clinic with the state's entire supply, patients improving in hours, and then the EUA vanishing right as things were working. The episode wraps with a tease for next week: a full deep dive on chlorine dioxide, the subject of Pierre's newest book written with Jenna McCarthy. ABOUT DR. PIERRE KORY Dr. Pierre Kory (MD, MPA, CTP) is the former Chief of the Critical Care Service and Medical Director of the Trauma and Life Support Center at the University of Wisconsin. Considered one of the world pioneers in the use of ultrasound by physicians in the diagnosis and treatment of critically ill patients, he helped develop and run the first national courses in Critical Care Ultrasonography in the U.S. and served as a director of these courses with the American College of Chest Physicians. He is senior editor of the leading textbook “Point of Care Ultrasound,” now in its second edition and translated into seven languages worldwide. Dr. Kory was a U.S. pioneer in therapeutic hypothermia research and treatment for post‑cardiac arrest patients. In 2005, his hospital was the first in New York City to begin regularly treating patients with therapeutic hypothermia, and he served as an expert panel member for New York City's Project Hypothermia. He has led ICUs in multiple COVID‑19 hotspots throughout the pandemic and co‑authored five influential papers on COVID‑19, including the first to support the diagnosis of early COVID‑19 respiratory disease as an organizing pneumonia. In collaboration with Dr. Paul Marik, Dr. Kory pioneered the research and treatment of septic shock patients with high doses of intravenous ascorbic acid. He is co‑author of “The War on Ivermectin” (with Jenna McCarthy) and founder of Leading Edge Clinic, where he treats post‑vaccine syndrome, long COVID, and complex chronic conditions. He has testified before Congress on ivermectin and appeared on Joe Rogan, Tucker Carlson, and other major media platforms. CONNECT WITH US Thanks for joining us — you are the reason we are here. Have questions? Reach out at doc@bsfreemd.com or find Tim and May on Facebook and Instagram.

Dr. Pierre Kory is the president emeritus of the Front Line Covid-19 Critical Care Alliance, which he co-founded with Dr. Paul Marik. He is regarded as an international pioneer in ultrasonography diagnostics for critically ill patients, therapeutic hypothermia and the use of intravenous vitamin C for treating septic shock. Dr. Kory developed the first national medical educational programs in ultrasonography for critical care medicine, which earned him the British Medical Association's Presidential Choice award or his textbook on the subject.  Earlier he was the chief of critical care services and the medical director of trauma and life support at the University of Wisconsin. During the height of the Covid pandemic, Pierre helped lead ICUs to deal with the viral surges and was one of the early advocates for intravenous vitamin C and the repurposed drug ivermectin. He is the author of "War on Ivermectin: The Medicine that Saved Millions and Could Have Ended the Pandemic" -- largely a personal account about his crusade and the harsh opposition he faced to bring a safe, cheap and highly effective generic medication to public attention, and the catastrophic results due to medical establishment and mainstream media to push solely the vaccines and novel experimental drugs. Along with Dr. Paul Marik, Dr. Kory had his medical cerification revoked by the American Board of Internal Medicine. He hosts Pierre Kory's Medical Musings on substack, and has a new forthcoming book "Blueprint of Life" forthcoming, which brings together geology, chemistry biology and spirituality into a profound dialogue together.

Each Monday we are joined by an expert. Today it's Nic Randall - he's an anaesthetist based at Middlemore Hospital in Auckland and an expert on intensive care units. Nic joins Jesse to talk about ICUs in New Zealand. How many do we have in the country? What is the busiest one? And what does a typical day in the ICU look like? If you have any questions for Nic, text them to 2101 and we'll do our best to answer them.

Better cardiovascular care starts with better visibility, and too often, the right insights arrive too late. In this episode, Marc Zemel, CEO of Retia Medical, shares the personal story that led him from engineering into medtech after losing his father to sudden cardiac arrest. He explains how Retia is rethinking cardiovascular monitoring by moving beyond bedside hardware into software-driven, distributed intelligence that leverages data hospitals already collect. Marc discusses the recent FDA clearance of Argos Infinity, Retia's cardiovascular intelligence software platform, and how it expands access to advanced hemodynamic insight across operating rooms, ICUs, and tele-ICU environments. He also highlights why traditional monitoring models have been too limited, how earlier detection can reduce costly delays in care, and why hospitals now need technologies that help clinicians do more with fewer resources. Tune in to learn how distributed cardiovascular intelligence could help clinicians detect deterioration earlier, improve outcomes, and reshape how critical care decisions are made! Resources: Connect with and follow Marc Zemel on LinkedIn. Follow Retia Medical on LinkedIn and explore their website! Read more about Argos Infinity and Retia's recent FDA clearance here.

We know that the ABCDEF Bundle gives patients the best chance to survive and thrive. Yet, persistent hesitation regarding "increased RN workload and burden" remain significant barriers. Is this belief true? Are sedation and immobility better, easier, and safer for nurses? Let's dive into Awake and Walking ICUs and what's in it for nurses. Listen to more nurses share their comparison in workload and burden in episodes 76, 114, and 185! Nursing Video  https://youtu.be/5zBdDVo2pyY?si=eDJxid0A5aWLwc0yInterested in consulting, training, online courses and/or symposiums in your ICU? Check out www.DaytonICUConsulting.com!

LVAD patients are increasingly encountered in emergency rooms and ICUs, yet many clinicians remain uncertain about initial management. A recent JACC State-of-the-Art Review provides a practical framework for recognizing and treating LVAD emergencies, from pump thrombosis and right-heart failure to arrhythmias and GI bleeding. Key pearls: LVAD patients may lack a palpable pulse, Doppler is preferred for MAP measurement, and Chest compressions should not be delayed if cardiac arrest is confirmed. First check power connection Understanding pump parameters and echocardiographic clues can rapidly guide diagnosis and life-saving therapy.

In this episode, Marsha is speaking with Dr. Ann Tsung — NASA Flight Surgeon, triple-board certified in emergency, critical care, and aerospace medicine, founder of Productivity MD, certified advisor in performance neuroscience by the Flow Research Collective, and former physician in Antarctica/South Pole. Through her work at NASA, in ERs and ICUs, and in the harshest places on Earth, she has developed the 5 Stages of Time Freedom℠, helping leaders access flow state on demand and achieve true time freedom. So they can create timeless presence and beautiful moments they will remember.Chapters:00:06 - Introduction to Owning Your Choices05:50 - Understanding Time Freedom and Flow State13:40 - The Five Stages of Time Freedom19:25 - Understanding Time Freedom and Regrets22:21 - The Mindset of a Time Liberator31:31 - Understanding Time and the Nervous System36:53 - Transitioning from Time Management to Personal Well-being42:35 - The Journey to FulfillmentConnect with Dr. Ann Tsung:PR Contact Email: tsungannmd@gmail.comPodcast Guest Website: Www.productivitymd.comPodcast Guest's Email: tsungannmd@gmail.comShort Bio: Ann Tsung Productivity MD Speaker BioYoutube - https://www.youtube.com/@AnnTsungMDIG: https://www.instagram.com/anntsungmdFacebook: https://www.facebook.com/AnnTsungMDTestimonials and Website - www.ProductivityMD.comTime Creator Advisory Qualification Call: www.zoomann.comComplimentary Time Freedom Checklist: https://form.jotform.com/233104578464458Time & Energy: Mission Control to host monthly decision boardrooms and have all of my resources under one place. https://www.skool.com/time-and-energy-mastery-3331/aboutMarsha Vanwynsberghe — NLP Storytelling Trainer, OUTSPOKEN NLP Coaching Certification, Author, Speaker, and PodcasterJoin the 2026 HWCEO Mastermind: https://meghan-weir.thrivecart.com/hwceomastermind/Unbothered Entrepreneur Masterclass (for the Podcast Listeners): https://www.marshavanw.com/unbothered-entrepreneur-masterclass-podcastUnbothered Mind Podcast https://www.marshavanw.com/unbotheredmindpodcastDownload FREE “You Are Supported” Hypnosis and Subliminal Bundle HERE Join the next cohort of OUTSPOKEN NLP Coaching Certification (kick-off in March 2025) HERELearn more about changing the Stories We Tell Ourselves Digital Program HERE. Use Code PODCAST to receive 20% off. Code FASTACTION20Tap the “Follow” button never to miss a show, and if you love the show, please feel free to tag me on social media, share it with a friend, or leave me a rating and review. This helps the show grow!Website: www.marshavanw.comConnect on IG. Click HERESubscribe on YouTube. Click HERE

Welcome to another episode of the Sustainable Clinical Medicine Podcast! Psychologist and psychometrician Dr. Bryan Sexton, Chief Wellness Officer at Duke Health Integrated Practice, discusses how his early quality-improvement work in Johns Hopkins ICUs revealed that high staff burnout undermined readiness for interventions like bloodstream infection reduction. He explains measuring burnout—especially emotional exhaustion—and how adding metrics like work-life integration and emotional recovery enables personalized wellbeing “profiles” and targeted interventions. Sexton describes evidence-based, one- to two-minute “bite-sized” tools (e.g., humor, awe, gratitude) designed for busy clinicians, and how Duke embedded these into continuing education with private feedback to boost engagement; a five-hour, eight-day CE program published in JAMA Network Open (Sept 2024) showed improvements, particularly for those struggling most. He outlines a 7-minute gratitude letter exercise, its research roots (Emmons, Seligman), wellbeing-informed leadership practices, and directs listeners to free tools at caws.dukehealth.org. Here are 3 key takeaways from this episode: Assess Wellbeing Before Adding New Tasks: Healthcare workers experiencing burnout lack the capacity to take on new initiatives. Organizations should measure emotional exhaustion and wellbeing readiness before implementing quality improvement programs or system changes. About one-third of ICUs weren't ready for innovation due to burnout - addressing wellbeing first is essential. Bite-Sized Interventions Have Lasting Impact: Simple 7-10 minute wellbeing exercises (like writing a gratitude letter) can produce measurable improvements lasting 6-12 months. These micro-interventions are designed for busy healthcare workers who want something that takes minimal time, provides immediate relief, and creates long-term benefits. The effects actually continue improving over time rather than fading. Wellbeing is Contagious - Both Ways: When 60% of a team engages in wellbeing interventions, even those who haven't participated show improvement through contagion effects. However, this works both ways - negativity and burnout also spread. Getting "enough" people engaged (not everyone) can create positive cultural shifts that lift the entire team. Meet Dr. Bryan Sexton: Bryan is the Chief Wellness Officer of Duke Health Integrated Practice and Director of the Duke Center for the Advancement of Well-being Science. After 30 years as a psychologist, psychometrician and investigator, he now works with leaders to assess and improve culture and work-force well-being. Bryan has conducted and published large studies and randomized controlled trials showing how to cause enduring improvements in the well-being of our workforce. He has authored over 100 peer reviewed publications, and his research instruments and well-being interventions have been translated and used in over 30 countries. A perpetually recovering father of four, he enjoys running, using hand tools on wood, pickleball with friends, and hearing particularly good explanations of extremely complicated topics. Don't miss this enlightening conversation!

1.      In this first deep dive, Bassetti discusses the changing landscape of antimicrobial resistance in hospitals and ICUs, the challenges of multidrug-resistant Gram-negative bacteria, and the vulnerability of patients who are critically ill and immunocompromised. He explores how diagnosis, empiric therapy, and therapeutic monitoring influence outcomes and resistance. Timestamps: 01:09 – Antimicrobial resistance trends 04:06 – Tackling sepsis 06:39 – Gram-negative threat 08:15 – Vulnerable populations 10:00 – Diagnosis and empiric therapy 12:14 – Dosing and pharmacokinetics 14:32 – Antibiotic allergies

Send a textStart with an expert calling hospital actions “insane.” Then meet the dad who refused to let the story end there. We sit down with Scott Shara to unpack the trial after his daughter Grace's death, the 11–1 defense verdict, and why he believes cultural programming and reimbursement incentives can eclipse informed consent and patient rights. This isn't rage for its own sake—it's a step-by-step walk through expert reports, pretrial rulings, and the language of “standard of care” that can define life-or-death choices as routine.Scott explains why he self-published his new book and framed its thesis as a question, then loads it with endnotes, diagrams, and primary sources so readers can judge the “receipts” themselves. He argues that when implied consent stands in for real conversations, families lose leverage, especially in ICUs where sedation, ventilation, and code-status labels move fast. We talk about how Medicare and Medicaid reimbursement metrics push clinics to enforce protocols, how that pressure shows up at the bedside, and why a single dosing decision can have irreversible consequences.Grace remains at the center. Scott shares memories that ground the mission and reads an excerpt from his expert's report on sedative dosing and predicted cardiovascular collapse. He also describes current advocacy for a disabled patient navigating state guardianship—proof that these issues don't stop at one case. By the end, we come back to two challenges: prepare yourself to ask hard questions before a crisis and decide how much trust to place in systems that ask for compliance first. If you care about medical ethics, informed consent, patient advocacy, and what really drives “standard of care,” this conversation gives you facts to examine and a story you won't forget.Subscribe, share this with someone who needs it, and leave a review with your biggest question or takeaway—we're reading every one.graithcare.comGraith Care Independent Patient Advocate medical advocacy, consultation, advice US and InternationalFreedom Flag and PoleWe don't just sell flags. We honor America! Thank you for visiting Freedom Flag & Pole! Excel RoofingExcel RoofingInstacart - Groceries delivered in as little as 1 hour.Free delivery on your first order over $35.Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the show Thank you for listening to this episode of HuttCast, the American Podcast. We hope you enjoyed today's discussion and gained valuable insights. To stay updated on our latest episodes, be sure to subscribe to our podcast on your preferred listening platform. Don't forget to leave us a rating and review, as it helps others discover our show. If you have any comments, questions, or suggestions for future topics, please reach out to us through our website or social media channels. Until next time, keep on learning and exploring the diverse voices that make America great.

This week’s Pulm PEEPs Pearls episode is all about spontaneous breathing trials (SBTs). SBTs are a standard part of the daily practice in the intensive care unit, but the exact methods vary across ICUs and institutions. Listen in to hear about the most common methods of SBTs, the physiology of each method, and what the evidence says. Contributors This episode was prepared with research by Pulm PEEPs Associate Editor George Doumat. Dustin Latimer, another Pulm PEEPs Associate Editor, assisted with audio and video editing. Key Learning Points What an SBT is really testing An SBT is a stress test for post-extubation work of breathing, not just a ventilator check. The goal is to balance sensitivity and specificity: Too hard → unnecessary failures and delayed extubation Too easy → false positives and higher risk of reintubation Common SBT modalities and how they compare T-piece No inspiratory support and no PEEP Highest work of breathing Most “physiologic” but often too strict Pressure support (PS) + PEEP (e.g., 5/5 or 8/5) Offsets ETT resistance and provides modest assistance Easier to pass than T-piece CPAP (0/5) No inspiratory help, but provides PEEP to counter ETT resistance Sits between PS and T-piece in difficulty Evidence favors pressure-supported SBTs for most patients Large meta-analysis (~6,000 patients, >40 RCTs): Pressure-supported SBTs increase successful extubation (~7% absolute benefit) No increase in reintubation rates Trials (e.g., FAST trial): Patients pass SBTs earlier Leads to earlier extubation and fewer ventilator-associated risks Bottom line: A 30-minute PS 5/5 SBT is evidence-based and appropriate for most stable ICU patients When a T-piece still makes sense T-piece SBTs are useful when: Cost of reintubation is high Difficult airway Prior failed extubation Pretest probability of success is low Prolonged or difficult weaning Tracheostomy vs extubation decisions Need to mimic physiology without positive pressure In LV dysfunction or pulmonary edema even small amounts PEEP may significantly improve physiology Some centers use a hybrid approach: PS SBT → short confirmatory T-piece before extubation CPAP as a middle ground Rationale: Allows full patient effort while compensating for ETT resistance Evidence: Fewer and smaller trials Possible modest improvement in extubation success No clear mortality or LOS benefit Reasonable option based on patient physiology, institutional protocols, and clinician comfort No single “perfect” SBT mode Across PS, T-piece, CPAP, and newer methods (e.g., high-flow via ETT) there are no consistent differences in mortality or length of stay What matters most: Daily protocolized screening Thoughtful bedside clinical judgment Matching SBT difficulty to patient-specific risk Institutional variation is normal—and acceptable Examples: PS 10/5 in postoperative surgical ICU patients PS 5/0 as an intermediate difficulty option Key question clinicians should ask: What does passing or failing this specific SBT tell me about this patient's likelihood of post-extubation success? Take-home pearls SBTs are stress tests of post-extubation physiology. PS 5/5 for 30 minutes is a strong default for most ICU patients. T-piece trials are valuable when false positives are costly or physiology demands it. CPAP is reasonable but supported by less robust data. Consistency, daily screening, and judgment matter more than the exact mode. References and Further Reading Burns KEA, Khan J, Phoophiboon V, Trivedi V, Gomez-Builes JC, Giammarioli B, Lewis K, Chaudhuri D, Desai K, Friedrich JO. Spontaneous Breathing Trial Techniques for Extubating Adults and Children Who Are Critically Ill: A Systematic Review and Meta-Analysis. JAMA Netw Open. 2024 Feb 5;7(2):e2356794. doi: 10.1001/jamanetworkopen.2023.56794. PMID: 38393729; PMCID: PMC10891471. Burns KEA, Sadeghirad B, Ghadimi M, Khan J, Phoophiboon V, Trivedi V, Gomez Builes C, Giammarioli B, Lewis K, Chaudhuri D, Desai K, Friedrich JO. Comparative effectiveness of alternative spontaneous breathing trial techniques: a systematic review and network meta-analysis of randomized trials. Crit Care. 2024 Jun 8;28(1):194. doi: 10.1186/s13054-024-04958-4. PMID: 38849936; PMCID: PMC11162018. Subirà C, Hernández G, Vázquez A, Rodríguez-García R, González-Castro A, García C, Rubio O, Ventura L, López A, de la Torre MC, Keough E, Arauzo V, Hermosa C, Sánchez C, Tizón A, Tenza E, Laborda C, Cabañes S, Lacueva V, Del Mar Fernández M, Arnau A, Fernández R. Effect of Pressure Support vs T-Piece Ventilation Strategies During Spontaneous Breathing Trials on Successful Extubation Among Patients Receiving Mechanical Ventilation: A Randomized Clinical Trial. JAMA. 2019 Jun 11;321(22):2175-2182. doi: 10.1001/jama.2019.7234. Erratum in: JAMA. 2019 Aug 20;322(7):696. doi: 10.1001/jama.2019.11119. PMID: 31184740; PMCID: PMC6563557. Burns KEA, Wong J, Rizvi L, Lafreniere-Roula M, Thorpe K, Devlin JW, Cook DJ, Seely A, Dodek PM, Tanios M, Piraino T, Gouskos A, Kiedrowski KC, Kay P, Mitchell S, Merner GW, Mayette M, D’Aragon F, Lamontagne F, Rochwerg B, Turgeon A, Sia YT, Charbonney E, Aslanian P, Criner GJ, Hyzy RC, Beitler JR, Kassis EB, Kutsogiannis DJ, Meade MO, Liebler J, Iyer-Kumar S, Tsang J, Cirone R, Shanholtz C, Hill NS; Canadian Critical Care Trials Group. Frequency of Screening and Spontaneous Breathing Trial Techniques: A Randomized Clinical Trial. JAMA. 2024 Dec 3;332(21):1808-1821. doi: 10.1001/jama.2024.20631. PMID: 39382222; PMCID: PMC11581551. Mahul M, Jung B, Galia F, Molinari N, de Jong A, Coisel Y, Vaschetto R, Matecki S, Chanques G, Brochard L, Jaber S. Spontaneous breathing trial and post-extubation work of breathing in morbidly obese critically ill patients. Crit Care. 2016 Oct 27;20(1):346. doi: 10.1186/s13054-016-1457-4. PMID: 27784322; PMCID: PMC5081985. Yi LJ, Tian X, Chen M, Lei JM, Xiao N, Jiménez-Herrera MF. Comparative Efficacy and Safety of Four Different Spontaneous Breathing Trials for Weaning From Mechanical Ventilation: A Systematic Review and Network Meta-Analysis. Front Med (Lausanne). 2021 Nov 22;8:731196. doi: 10.3389/fmed.2021.731196. PMID: 34881255; PMCID: PMC8647911.​

I've spent much of my life in hospitals and ICUs, standing beside suffering that doesn't resolve and prayers that don't wrap up neatly. After a while, explanations stop helping. In this episode, I reflect on what has steadied me as a caregiver when nothing can be fixed. I talk about walking into yet another surgery knowing exactly how hard it will be, about learning what real comfort sounds like when fear is louder than reason, and about why old hymns and familiar Scripture matter more than new words in those moments. This is not about solutions or spiritual shortcuts. It's a reflection from the long middle, for caregivers who have learned that hope doesn't always arrive with answers, but it does arrive with company.

Folks this right here is a JAM PACKED episode of CCT goodness for you guys to enjoy! In this show for the ages we take a deep dive into the world of Mechanical Circulatory Support (MCS) and Cardiopulmonary Critical Care with one of the best in the biz, Dr. Bindu Akkanti! We will go through several fictional patients illustrating use cases, pitfalls and pearls of tools such as the balloon pump, ECMO and the microaxial flow devices used in ICUs all over the globe to help care for the sickest of the sick. If these tools ring a bell or if you are just interested in how we optimize care for these types of patients, give us a listen and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.

This episode tells the real-life story of how the Society for Patient Safety and a network of children's hospitals used learning teams, proactive safety huddles, and simulations to reduce unplanned extubations in neonatal ICUs — cutting rates by 60% and preventing thousands of deaths. It covers the data, the frontline-led solutions, the narrowing of racial disparities, and an invitation to a small conference in Santa Fe to learn and share improvement practices.

Show Notes: How do physical therapists decide who needs therapy today—and how often—when resources are limited and patient needs change by the hour? In this episode of Acute Conversations, hosts Leo Arguelles and Daniel Young sit down with Joshua Johnson, Sandra Passek, and Brittany Lapin to unpack the development and validation of PT-PENCIL, a clinical decision support tool designed to help acute care PTs prioritize care using real-world data. The conversation goes beyond algorithms. The guests walk through how a multidisciplinary learning community shaped PT-PENCIL, why documentation quality matters more than we think, and how predictive models can support—rather than replace—clinical judgment. They also tackle the realities of “it depends,” workflow integration, and why identifying patients on the fence may be where therapy makes the biggest impact. This episode is a must-listen for clinicians, educators, and leaders navigating triage, staffing, and value-based care in today's hospitals. Today's Guests: Joshua Johnson PT, DPT, PhD joshua.johnson@duke.edu Sandra Passek PT, DPT, Rehabilitation Manager Clinical Informatics at Cleveland Clinic Brittany Lapin PhD, Associate Professor of Biostatistics lapinb@ccf.org https://www.linkedin.com/in/brittany-lapin-004710b/ Guest Quotes: 7:44 “ I can’t help therapists set a frequency at the outset of a patient’s hospitalization. The best thing we could do and what we felt like really was the most appropriate thing to do was help therapists recognize which patients they needed to see the next day.” 20:43 “really what we found is that everybody benefits from PT. And so that ended up having a lot of discussions with the learning community about how do we then flag patients based on like clinically driven decisions rather than just the statistical model?” 32:27 “ So while we said a lot about helping individual clinicians make decisions about triage. I also think that there’s an opportunity here for managers and leaders to think through, how can I do something like that to support the clinicians that work for me.” Rapid Responses:   What patient population do you enjoy thinking about or working with the most? Brittany: “ As a statistician, I like surgical patients the most because there’s a date, there’s a pre and there’s a post.” Sandi “I like the geriatric population. It doesn’t matter what it is. I think there’s just a lot to learn from them.” Josh “ When I see patients I’m usually on our neurological floor and I really enjoy that. But I’ll admit a bias that I’ve, this little bit of time that I’ve spent in cardiovascular ICUs have been absolutely fascinating. And if I were to do full-time clinical care, I’d want to get trained to really take care of that population.” You know you work in acute care when… Josh “ Your treatment plan changes three times before you make it from the doorway to the edge of the bed.” Sandi “Things change all the time in acute care. You just have to be ready for it. You have to be resilient and just move with it.” Brittany “ 

In today's episode, Jordan Rembrecht interviews Christa Brennan, Program Director for Respiratory Care at College of DuPage. Christa shares her 20 years of experience in the field, including work in neonatal and pediatric care, and discusses the diverse career paths available in respiratory therapy—from critical care and acute care to roles in rehab facilities, physician offices, and home health. The conversation also highlights the skills students gain through COD's program, such as critical thinking, communication, and professionalism, and the hands-on training offered through labs and clinical rotations. After listening to this episode, we hope you have a better understanding of the respiratory care profession and how COD prepares students for success in this dynamic healthcare field. View the College of DuPage Respiratory Care program Contact the Respiratory Care program or Christa Brennan directly by emailing brennanc221@cod.edu   Full episode transcript can be found on the episode page. Below is a general timestamp summary.  00 – 01:17 | Introductions Jordan welcomes listeners and introduces Christa Brennan, Program Director for Respiratory Care at College of DuPage. Christa shares her background, including 20 years as a respiratory therapist and experience in neonatal/pediatric care, transport teams, project management, and teaching. 02:18 – 06:58 | Career Paths in Respiratory Care Christa explains the variety of roles available in respiratory care—from critical care and ICUs to acute care, rehab facilities, physician offices, pharmaceutical companies, and home health. She emphasizes flexibility and opportunities for specialization after gaining experience. 07:22 – 11:30 | Skills and Competencies Discussion shifts to essential skills for success: communication, critical thinking, professionalism, and teamwork. Christa highlights how the program reinforces these competencies to meet employer expectations. 12:10 – 16:43 | Program Structure and Clinical Rotations Christa outlines the program's unique structure, including lectures, labs, tutoring, and diverse clinical rotations in medical floors, ICUs, emergency departments, and specialized units like neonatal and pulmonary labs. 17:11 – 21:48 | Preparing for Success Advice for students includes leveraging resources, practicing teamwork, managing stress in high-pressure situations, and being receptive to feedback for professional growth. 23:08 – 24:47 | How to Learn More Christa shares how prospective students can access program details and advising sessions through the College of DuPage website. Listeners in the College of DuPage community can visit our website. All other listeners are encouraged to view the resources of their local community college, WIOA training programs, or other local support centers. Send us YOUR Listener Questions at careerpodcast@cod.edu Follow us on Instagram, Facebook, Twitter, LinkedIn @codcareercenter

🧭 REBEL Rundown 📌 Key Points 💀 Mortality: No statistically significant difference in 28-day mortality between ketamine vs etomidate for intubation in critically ill patients, though there was a ~1% absolute difference favoring ketamine. 📉🫀⚠️ Hemodynamics: Ketamine induction was associated with more cardiovascular collapse, mainly driven by new/increased vasopressor use (dose escalation or addition of a vasoactive agent). 💉⬆️ Click here for Direct Download of the Podcast. 📝 Introduction Etomidate or ketamine? The debate over the ideal agent for emergency rapid sequence intubation (RSI) has raged for years with no clear winner. Etomidate has been touted in the past for its rapid onset and minimal intrinsic effects on hemodynamics. However, the drug is well known as a transient adrenal suppressant though the impact of this suppression isn’t clear. Ketamine has risen in recent years as an alternative, due to its perceived hemodynamic stability, analgesic properties and absence of adrenal suppression. Additionally, recent data points towards improved mortality when ketamine was selected over etomidate (Kotani 2023). High quality randomized controlled trials are needed to further elucidate which agent should be selected in critically ill patients. 🧾 Paper Casey JD et al. Ketamine or etomidate for tracheal intubation of critically ill adults. NEJM 2025. PMID: 41369227 🔙Previously Covered On REBEL REBEL EM: The EvK Trial: Ketamine vs Etomidate for Rapid Sequence IntubationREBEL EM: From Debate to Data: Emerging Insights into RSI Induction with Ketamine vs Etomidate ️ What They Did CLINICAL QUESTION In critically ill adults undergoing tracheal intubation, does the use of ketamine instead of etomidate result in improved 28 day mortality? STUDY DESIGN Multicenter, randomized, open-label trial in both emergency departments and ICUs. POPULATION Inclusion Criteria:Critically ill patients > 18 years of age undergoing tracheal intubation with the use of an induction agentExclusion Criteria:Known pregnancyPrisonersPrimary diagnosis of traumaNeed for immediate intubation precluding randomizationClinicians determined that the use of ketamine or etomidate was either necessary or contraindicated INTERVENTION & COMPARATOR Intervention (HFNC Group):Ketamine administered based on a provided nomogram: full dose (2.0 mg/kg), intermediate dose (1.5 mg/kg) or reduced dose (1.0 mg/kg)Comparator (BPAP Group):Etomidate administered based on a provided nomogram: full dose (0.3 mg/kg), intermediate dose (0.25 mg/kg) or reduced dose (0.2 mg/kg) OUTCOMES Primary: In-hospital death from any cause by day 28.Secondary:Cardiovascular collapse during intubation defined as SBP < 65 mm Hg, receipt of new or increased dose of vasopressors or cardiac arrest.Exploratory Procedural:Lowest systolic blood pressureLowest systolic blood pressure below 80 mmHgHighest systolic blood pressure above 180 mmHgLowest oxygen saturationLowest oxygen saturation below 80%Successful first attempt intubationTime from induction to intubationExploratory Clinical:Number of ventilator free daysVasopressor-free daysICU free days Safety: Systolic blood pressure at 24 hours after enrollmentOngoing receipt of vasopressors at 24 hours 📈 Results: 2365 patients were randomizedKetamine: 1176Etomidate: 1189> 99% of patients received the drug they were randomized to receiveNMBA: 69% of patients in both groups received rocuronium~ 95% of patients had video laryngoscopy for the primary intubation attempt 💥 Critical Results 💪 Strengths Multicenter ED + ICU cohort of critically ill patients → improves external validityStrong randomization → balanced baseline characteristicsRight population for the question → appropriately focused on a sick cohort where induction choice matters mostHigh protocol adherence → most patients received the agent they were randomized toExcellent follow-up → minimal loss to follow-up / outcome capture ⚠️ Limitations No blinding → potential performance/resuscitation biasTrauma excluded → limits applicability to peri-intubation trauma careCase-mix skewed toward septic shock → may reduce generalizability to other shock etiologiesPower assumptions → designed to detect a 5% mortality difference (possibly overly ambitious)Equipoise-only enrollment → excluded patients with clear indication/contraindication → selection bias + reduced real-world applicabilityComposite secondary outcome with non-equivalent endpoints (e.g., cardiac arrest vs vasopressor titration)Ketamine dosing by actual body weight (vs ideal) → may have increased dose/exposure in some patients 🗣️ Discussion The increase in cardiovascular collapse seen with ketamine was driven by the “new or increased vasopressor use” piece of the composite outcome not by the more clinically relevant severe hypotension (SBP < 65 mm Hg) or cardiac arrest.The increase in CV collapse is a secondary outcome and hypothesis generating onlyCare beyond induction agent isn’t clearly delineated and may have varied between groupsReasons why there was more CV collapse in the ketamine group:Patients in the etomidate group were more likely to be on pressors or have pressor increases prior to induction agent administrationKetamine has analgesic properties which may affect hemodynamics (etomidate does not have analgesic effects)The standard ketamine dose of 2 mg/kg is higher than the induction dose used by most (1-1.5 mg/kg)Ketamine dosing was based on actual body weight though ideal body weight dosing is more accepted. This may have resulted in unnecessarily large ketamine doses that may have had a greater effect on hemodynamics.This is a study of patients with clinical equipoisePatients who the clinician determined would clearly benefit from one agent or the other or in whom one agent or the other was contraindicated were excluded from the study.This may add a selection bias to the results.Clinicians were not blinded to the induction agent administeredThe absence of blinding can introduce bias.For instance, knowledge of the agent the patient was randomized to may result in different resuscitative treatment prior to intubation.An induction agent nomorgram was provided to allow clinicians to choose their induction dose depending on patient stability.A 5% difference in mortality may be overly ambitious. As Josh Farkas points out in his post on this article, PCI for STEMI only has a 3% absolute difference in mortality versus standard care.The 1% absolute difference in mortality while not statistically significant would be clinically significant if it was real. The study would have to be much larger to show a statistically significant 1% difference.About 2% of patients in each group received additional medications during induction (propofol, benzodiazepines, opiates). It is unclear why these agents were selected in specific cases and how they may have affected the outcomes in question. 📘 Author's Conclusion “Among critically ill adults undergoing tracheal intubation, the use of ketamine to induce anesthesia did not result in a significantly lower incidence of in-hospital death by day 28 than etomidate.“ 💬 Our Conclusion In this well done RCT, induction with ketamine did not result in a lower 28-day mortality when compared to induction with etomidate in critically ill adults. The secondary outcome of an increase in cardiovascular collapse is interesting and should be studied more in the future. 🚨 Clinical Bottom Line This data should not drive clinicians to abandon the use of ketamine in RSI. To the contrary, the study leaves open the possibility of a clinically meaningful difference in mortality favoring ketamine that may be borne out in a larger study. However, etomidate can be considered as a first-line option for RSI and may be the superior drug in patients at high-risk for cardiovascular decompensation. Post Peer Reviewed By: Post Peer Reviewed By: Mark Ramzy, DO (X: @MRamzyDO), Frank Lodeserto, MD and Anand Swaminathan, MD (X: @EMSwami) 📚 References Kotani Y et al. Etomidate as an induction agent for endotracheal intubation in critically ill patients: a meta-analysis of randomized trials J Crit Care 2023;77:154317. PMID: 37127020 👤Associate Author Anand Swaminathan MD, MPH All Things REBEL EM Meet The Team 🔎 Your Deep-Dive Starts Here The RSI Trial: Ketamine vs Etomidate in Rapid Sequence Intubation Etomidate or ketamine? The debate over the ideal agent for emergency rapid sequence ... Resuscitation Read More REBEL Cast Ep120: Etomidate vs Ketamine for RSI in the ED? Background: Standard rapid sequence intubation (RSI) in the emergency department involves administration of ... Procedures and Skills Read More The post The RSI Trial: Ketamine vs Etomidate in Rapid Sequence Intubation appeared first on REBEL EM - Emergency Medicine Blog.

What if the thing you've been running from your entire life is the exact doorway to your freedom?Dr. Zach Bush is a triple board-certified physician who spent 17 years in academic medicine—running ICUs, bone marrow transplant units, and managing end-stage disease—before discovering that the root of nearly all illness traces back to one thing: stuck emotions. His work now bridges ancient wisdom with cutting-edge science, revealing how we've turned natural feelings into toxic emotional constructs that can't metabolize through our systems.In this episode, you'll discover:→ The profound difference between feelings and emotions—and why one heals while the other gets stuck→ Why emotions are the "high fructose corn syrup" of feelings and what that means for your body→ What unconditional love actually feels like (hint: it's not the warm fuzzy sensation you think)→ How the victim-perpetrator cycle keeps you trapped—and the one shift that breaks you free→ Why nature has no purpose—and what that means for your obsession with finding yours→ The reason your grief, heartbreak, and pain aren't problems to solve but waves to ride→ How to move from "life is happening to me" to "life is happening as me"→ The one regenerative act that opens the floodgates for nature to restore everythingYou are not broken for feeling everything so deeply. You are an infinite soul in a finite body, which means you signed up for constant loss—and constant falling in love. The sunsets. The people. The moments. To be alive is to grieve and marvel in equal measure. And the courage to feel—fully, without resistance—is the medicine this world needs most. Listen now and remember what it means to truly feel your way through this one precious life.Connect with Dr. Bush:Website: https://journeyofintrinsichealth.com/Join Dr Bush's Community: https://journeyofintrinsichealth.com/Instagram: @zachbushmdConnect with Raj:Website: http://www.rajjana.com/Instagram: @raj_janaiTunes: https://podcasts.apple.com/rs/podcast/stay-grounded-with-raj-jana/id1318038490Spotify: https://open.spotify.com/show/22Hrw6VWfnUSI45lw8LJBPYouTube: https://www.youtube.com/@raj_janaLegal Disclaimer: The information and opinions discussed in this podcast are for educational and entertainment purposes only. The host and guests are not medical or mental health professionals, and their advice should not be a substitute for seeking professional help. Any action taken based on the information presented is strictly at your own risk. The podcast host and their guests shall have neither liability nor responsibility to any person or entity with respect to any loss, damage, or injury caused or alleged to be caused directly or indirectly by information shared in this podcast. Consult your physician before making any changes to your mental health treatment or lifestyle. Hosted on Acast. See acast.com/privacy for more information.

Safety for children under anesthesia shouldn't depend on luck or location. We walk through 100+ years of progress in pediatric anesthesia and focus on the next wave of innovations that can make first attempts safer, dosing smarter, and systems more reliable—especially for neonates and infants who face the highest risk.We start with the historical milestones that changed outcomes: pulse oximetry, capnography, standardized monitoring, and the rise of pediatric training and ICUs. Then we examine where progress must accelerate. Video laryngoscopy is improving first-pass success and reducing desaturation by giving teams a brighter, shared view of the airway. Ultrasound enhanced by AI promises needle guidance, better vascular access, and more consistent regional anesthesia. Gastric ultrasound could reshape fasting practices, reducing hypotension, nausea, and anxiety while safeguarding against aspiration. Alongside these tools, processed EEG helps tailor volatile agents and propofol to the developing brain, pushing practice from population averages to precision dosing.We also look ahead to artificial intelligence as a connective layer across perioperative care. Think risk stratification in the EHR, early-warning analytics for intraoperative instability, and smarter OR management that reduces cancellations and costs. With expert insights from pediatric anesthesiologist, Dr. Elizabeth Malinzak, we name the real barriers—training, cost, bias, regulation—and stake a claim for proactive safety science over reactive fixes. The goal is equitable, high-quality anesthesia care for every child, in every setting.If this conversation resonates, follow the show, share it with a colleague, and leave a quick review. Your support helps spread practical tools and ideas that keep our smallest patients safe.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/286-pediatric-anesthesia-safety-past-gains-next-frontiers/© 2025, The Anesthesia Patient Safety Foundation

Rural Health News is a weekly segment of Rural Health Today, a podcast by Hillsdale Hospital. News sources for this episode: Paige Twenter, “‘Withdrawal crisis' strains hospitals in several states: 5 notes,” December 16, 2025, https://www.beckershospitalreview.com/quality/patient-safety-outcomes/withdrawal-crisis-strains-hospitals-in-several-states-5-notes/, Becker's Clinical Leadership. Centers for Disease Control and Prevention, “Notes from the Field: Suspected Medetomidine Withdrawal Syndrome Among Fentanyl-Exposed Patients — Philadelphia, Pennsylvania, September 2024–January 2025,” May 1, 2025, https://www.cdc.gov/mmwr/volumes/74/wr/mm7415a2.htm.  Centers for Disease Control and Prevention, “Drug Overdose in Rural America as a Public Health Issue,” May 16, 2025, https://www.cdc.gov/rural-health/php/public-health-strategy/public-health-considerations-for-drug-overdose-in-rural-america.html. Madeline Ashley, “23 hospital closures in 2025,” November 17, 2025, https://www.beckershospitalreview.com/finance/2-hospital-closures-in-2025/, Becker's Hospital Review. Kell West Regional Hospital, https://www.kellwest.com/. Alyssa Lundy, “Landmark Hospital of Cape Girardeau Announces Closure Due to Unsustainable Healthcare Market Conditions,” September 10, 2025, https://www.landmarkhospitals.com/press, Landmark Hospitals. Dani Anguiano, “Rural US town outraged as only hospital forced to shut: ‘I would have died without it',” October 7, 2025, https://www.theguardian.com/us-news/2025/oct/07/rural-us-town-outraged-as-only-hospital-forced-to-shut-i-would-have-died-without-it, The Guardian. Dennis Thompson, “Experts: Risk-based breast cancer screenings beat annual mammograms,” December 16, 2025, https://www.upi.com/Health_News/2025/12/16/breast-cancer-screenings-risk-based-annual-clinical-trial/5191765896690/, United Press International. Rural Health Today is a production of Hillsdale Hospital in Hillsdale, Michigan and a member of the Health Podcast Network. Our host is JJ Hodshire, our producer is Kyrsten Newlon, and our audio engineer is Kenji Ulmer. Special thanks to our special guests for sharing their expertise on the show, and also to the Hillsdale Hospital marketing team. If you want to submit a question for us to answer on the podcast or learn more about Rural Health Today, visit ruralhealthtoday.com.

On episode 230 of World Awakenings: The Fast Track to Enlightenment welcomes Dr. Adam Rizvi, who is a critical care physician and neuro-intensivist. His frontline work in America's ICUs and decades of contemplative study converge in his new book “Love Does Not Know Death”, which is a luminous guide to meeting mortality without fear. Drawing on hundreds of bedside encounters and a clear, accessible integration of non‑dual principles from A Course in Miracles, he translates hard‑won insight into practical tools, especially the discipline of true forgiveness, that help patients, families, and clinicians face loss with courage, clarity, and compassion. Based in California, he leads hospital teams and teaches workshops on awakening and end‑of‑life care. In his book and his work, Adam invities in people devoted to transforming grief into peace and remembering love's enduring presence.Would you like to own your own Lovetuner? You can just by clicking this link! https://newrealitytv.com/world-awakenings-lovetunerIf you are interesting in all things spiritual, metaphysical & enlightening, then make sure to check out the brand-new TV network, New Reality TV!To find aout more about Dr. Adam Rizvi & his new book, just go to his website, https://lovedoesnotknowdeath.com/home#authorCheck out Dr. Adam Rizvi's podcast, https://letterstothesky.com/

Propofol is one of the most vulnerable medications for diversion in healthcare — not because it lacks abuse potential, but because it lacks the regulatory oversight applied to controlled substances.In this episode of Rxpert Solutions, I'm joined by Michael T. Ring and Dale M. Pfrimmer to discuss their Mayo Clinic quality-improvement study published in Critical Care Nurse:“Propofol as a Drug of Diversion: Changing Disposal Practices to Reduce Risk.”Their work uncovered a major safety gap: before intervention, 44.1% of propofol bottles found in ICU waste bins were still full and accessible for diversion. After implementing activated carbon disposal pouches and specialized bottle-opening tools, that number dropped to zero.We explore:- The methodology behind their intervention- Overcoming education and workflow challenges- How environmental stewardship intersects with diversion prevention- Why their success led to system-wide adoption across all ICUs and the EDThis episode highlights how simple, practical changes can meaningfully reduce diversion risk and protect healthcare professionals — even for medications outside DEA scheduling.More from Rxpert Solutions: https://www.rxpert.solutions/?utm_source=spotify&utm_medium=insights&utm_campaign=mike-ring

What does verticalization therapy look like at the bedside?What does it take to get the entire ICU team engaged in optimizing verticalization beds?Jessica Cafferty, OTR/L and Jennifer Babb, PT, DPT join us to share case studies and insights into verticalization therapy in their ICUs! Get CE for listening to this episode and more! SapienCE Reflecting Learning | Unleash Your Inner Sagewww.DaytonICUConsulting.com

A frightening diagnosis can steal the air from a room. Nicole's story gives it back. From the shock of hearing “breast cancer” to the rhythm of surgery, sixteen chemo infusions and now the daily focus of radiation, she lets us into the real work of getting through it: making plans, asking for help and finding bright spots inside the hard days. As a mother of two and a community leader, she talks candidly about fear, the weight of uncertainty and the simple rituals that brought her peace.Those bright spots include a calm, golden-furred constant: April Sweetie, a therapy dog who turns infusion rooms into gentler spaces. With handler Larry, April visits cancer centers, ICUs and children's hospitals, offering a few minutes of ease to patients and the clinicians who care for them. We explore how therapy animals reduce anxiety and boost morale for healthcare teams who often need support as much as the people they treat. April's own journey from a breeding farm to hospital hallways mirrors the transformation that happens when care becomes truly human.For more content from Centra Health check us out on the following channels.YouTubeFacebookInstagramTwitter

Reproductive Rape- A New Kind Of Rape; Black Guys Are DECEPTIVELY Impregnating Naïve Girls, Racism Study is TOTALLY FAKE, Mosques Should Be BANNED In Europe. Mr. Reagan   Mr Reagan A New Kind Of Rape; Black Guys Are DECEPTIVELY Impregnating Naive Girls Racism Study is TOTALLY FAKE Mosques Should Be BANNED In Europe   A New Kind Of Rape; Black Guys Are DECEPTIVELY Impregnating Naive Girls Are women being intentionally deceived into motherhood? This disturbing exposé reveals the growing crisis of reproductive coercion and why no one is willing to talk about it. In this emotionally charged and deeply unsettling video, Mr. Reagan dives into the disturbing pattern of reproductive coercion, where some men intentionally deceive women into becoming mothers. Backed by personal stories and a chilling research study out of Baltimore, this episode uncovers a trend that's been hidden in plain sight. The central theme? It's nearly impossible to “accidentally” get someone pregnant in the 21st century. If it's happening repeatedly, especially with the same tactics, it's no longer an accident. It's a strategy. In some communities, this strategy is being normalized, even encouraged. Using emotionally manipulative language, deceptive behaviors, and disturbing tactics like removing condoms in secret, these men are not just abandoning women; they are weaponizing fertility. This episode explores what it means when parenthood becomes a tool of control, betrayal, and systemic exploitation. Watch this video at- https://youtu.be/YKsb0WhUpSM?si=MDna0_Iur4tvxzh3 Mr Reagan 400K subscribers 16,387 views Oct 13, 2025 #Politics #News #Trending   Racism Study is TOTALLY FAKE A racism study went viral, but new evidence proves it was a calculated lie, and it's been used to reshape hospitals, education, and culture. Here's the shocking truth. A 2020 study claimed that white doctors caused higher mortality rates among Black newborns. The media ran wild with it. Nearly 800 academic papers cited it. Hospitals changed their hiring policies. But in 2024, researchers gained access to the raw data, and it tells a very different story. It turns out the study failed to account for a critical variable: birth weight. High-risk, underweight infants were disproportionately treated by white doctors in advanced ICUs, skewing the data. When corrected, the alleged racial disparity vanished. But the researchers knew this... and omitted the data anyway. This wasn't an oversight. It was deception: deliberate, coordinated, and ideological. Organizations like Do No Harm uncovered proof via FOIA requests. Even the study's authors had internal data showing white infants fared worse under Black doctors, but they cut it from the final report. Why? Because it shattered their anti-white narrative. Watch this video at- https://youtu.be/OuJzI6xeYI8?si=JgPsGD6DJJwu-XIc Mr Reagan 400K subscribers 9,166 views Oct 17, 2025 #Politics #News #Trending Subscribe to my NEW Channel, STRANGE TALES!    • The Great Emu War   Patreon:   / mrreagan   ----------------------------------------------- MR REAGAN MERCHANDISE https://teespring.com/stores/mr-reagan -------------------------------------------- FOLLOW MR REAGAN ON TWITTER!   / mrreaganusa     Mosques Should Be BANNED In Europe The West is changing, and the sound of church bells is being replaced by the Muslim call to prayer. What does this mean for Christian Europe? This video makes the case. Europe, once the stronghold of Christianity and Western tradition, is undergoing a cultural transformation. As mosques rise and public Islamic prayer becomes normalized across the UK and France, many are raising the alarm. In this video, Mr. Reagan discusses why the presence of mosques in Europe may represent more than religious freedom, it could signal a silent conquest. From Leicester to London, towns are awakening not to church bells, but to the Muslim adhan. Some see this as peaceful coexistence. Others view it as an aggressive takeover. The controversy deepens when sacred Christian landmarks become platforms for Islamic prayer. With over 2,600 mosques now in France, up from just 8 in 1975, the question becomes: Is this replacement or multiculturalism gone too far? This video uses data, history, and cultural analysis to argue why the proliferation of mosques might threaten Europe's identity. Mr. Reagan connects the rise in mosque influence with broader topics: immigration, cultural dilution, and the so-called Great Replacement. Is it time for Europe to say "enough"? Or are such concerns overblown? Watch and decide. Watch this video at- https://youtu.be/oT7VhyQuDq4?si=GscGg29njfRoPDk_ Mr Reagan 400K subscribers 4,121 views Oct 15, 2025 #Politics #News #Trending   --------------------------------------------------------------------  Check out our ACU Patreon page: https://www.patreon.com/ACUPodcast   HELP ACU SPREAD THE WORD!  Please go to Apple Podcasts and give ACU a 5 star rating. Apple canceled us and now we are clawing our way back to the top. Don't let the Leftist win. Do it now! Thanks. Also Rate us on any platform you follow us on. It helps a lot. Forward this show to friends. Ways to subscribe to the American Conservative University Podcast Click here to subscribe via Apple Podcasts Click here to subscribe via RSS You can also subscribe via Stitcher FM Player Podcast Addict Tune-in Podcasts Pandora Look us up on Amazon Prime …And Many Other Podcast Aggregators and sites ACU on Twitter- https://twitter.com/AmerConU . Warning- Explicit and Violent video content.   Please help ACU by submitting your Show ideas. Email us at americanconservativeuniversity@americanconservativeuniversity.com   Endorsed Charities -------------------------------------------------------- Pre-Born! Saving babies and Souls. https://preborn.org/ OUR MISSION To glorify Jesus Christ by leading and equipping pregnancy clinics to save more babies and souls. WHAT WE DO Pre-Born! partners with life-affirming pregnancy clinics all across the nation. We are designed to strategically impact the abortion industry through the following initiatives:… -------------------------------------------------------- Help CSI Stamp Out Slavery In Sudan Join us in our effort to free over 350 slaves. Listeners to the Eric Metaxas Show will remember our annual effort to free Christians who have been enslaved for simply acknowledging Jesus Christ as their Savior. As we celebrate the birth of Christ this Christmas, join us in giving new life to brothers and sisters in Sudan who have enslaved as a result of their faith. https://csi-usa.org/metaxas   https://csi-usa.org/slavery/   Typical Aid for the Enslaved A ration of sorghum, a local nutrient-rich staple food A dairy goat A “Sack of Hope,” a survival kit containing essential items such as tarp for shelter, a cooking pan, a water canister, a mosquito net, a blanket, a handheld sickle, and fishing hooks. Release celebrations include prayer and gathering for a meal, and medical care for those in need. The CSI team provides comfort, encouragement, and a shoulder to lean on while they tell their stories and begin their new lives. Thank you for your compassion  Giving the Gift of Freedom and Hope to the Enslaved South Sudanese -------------------------------------------------------- Food For the Poor https://foodforthepoor.org/ Help us serve the poorest of the poor Food For The Poor began in 1982 in Jamaica. Today, our interdenominational Christian ministry serves the poor in primarily 17 countries throughout the Caribbean and Latin America. Thanks to our faithful donors, we are able to provide food, housing, healthcare, education, fresh water, emergency relief, micro-enterprise solutions and much more. We are proud to have fed millions of people and provided more than 15.7 billion dollars in aid. Our faith inspires us to be an organization built on compassion, and motivated by love. Our mission is to bring relief to the poorest of the poor in the countries where we serve. We strive to reflect God's unconditional love. It's a sacrificial love that embraces all people regardless of race or religion. We believe that we can show His love by serving the “least of these” on this earth as Christ challenged us to do in Matthew 25. We pray that by God's grace, and with your support, we can continue to bring relief to the suffering and hope to the hopeless.   Report on Food For the Poor by Charity Navigator https://www.charitynavigator.org/ein/592174510   -------------------------------------------------------- Disclaimer from ACU. We try to bring to our students and alumni the World's best Conservative thinkers. All views expressed belong solely to the author and not necessarily to ACU. In all issues and relations, we hope to follow the admonitions of Jesus Christ. While striving to expose, warn and contend with evil, we extend the love of God to all of his children. ----------------------------------------------------------------------------------------- 

Thank you Sandra D, ITS Never Happening…, Steven Rosenzweig, Marg KJ, Lynette, and many others for tuning into my live video! Join me for my next live video in the app.* Study – Less staff, greater mortality in private equity hospital emergency departments: Staff and salary levels go down, but patient mortality goes up, in emergency departments (EDs) and intensive care units (ICUs) when ho… To hear more, visit egberto.substack.com

In this episode of the Society of Critical Care Medicine (SCCM) Podcast, host Diane McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, is joined by John Appino, MBA, founder and CEO of Contract Diagnostics, and Ryan Hakimi, DO, MS, NVS, RPNI, CPB, FNCS, FCCM, neurointensivist at Prisma Health in Greenville, South Carolina, for a conversation on salary and contract negotiations for advanced practice providers (APPs). The guests explore the nuances of evaluating job offers and negotiating compensation, as well as prioritizing onboarding, mentorship, and job fit. Dr. Hakimi shares insights from his leadership roles in academic neuro-ICUs and his longstanding advocacy for APPs, while Mr. Appino offers a strategic perspective on contract structures, compensation models, and negotiation tactics. The discussion highlights the variability in contract practices across academic and private institutions, the importance of defining full-time employment expectations, and the role of offer letters versus formal contracts. Listeners will learn how to approach salary discussions with confidence, including when to negotiate, which data to reference (e.g., Medical Group Management Association and American Medical Group Association benchmarks), and how to assess a job offer beyond salary. This episode is valuable for APPs at any career stage seeking fair compensation and sustainable career growth. It emphasizes that successful negotiations are not just about salary—they are also about clarity, support, and long-term professional satisfaction.

Dr. Arup Roy-Burman, Founder and Chief Strategy and Medical Officer of Elemeno Health, is addressing the gap between established medical policies and actual frontline practice. The Elemeno microlearning platform provides just-in-time multimedia content, building confidence in high-risk, low-frequency procedures, helping support knowledge retention, and combating clinician burnout. This modern approach to learning caters to clinicians with shorter attention spans and the expectation of receiving information on the device of their choice when they need it. Arup explains, "My background is as an ICU physician, and I have practiced as an ICU director for 20-plus years. And the challenge that we had in our ICUs is how to keep our teams on the same page with constantly changing information? And on top of that, in the context of constantly changing staff, medicine is full of so many different practices, workflows, and procedures, and we expect our staff to know all of them and to be able to execute on each one of them at the time that they need to. But that's really unrealistic. There's no way that people can stay on top of it. All medical knowledge doubles every 73 days."   "When we think about today's generational workforce, as we think about just those of us who have kids, we see that attention spans, as you said, are short. People don't want to sit through a whole classroom. They can't remember that. And the way that people want to learn now and the way that they do learn, it's like one of our clients put it, it's like the "TikTokification of education." How do we deliver information on a mobile device? How do we deliver it in short, bite-sized chunks? Multimedia that you can actually consume in context when you need it." #ElemenoHealth #DigitalHealth #HealthcareInnovation #Microlearning #NurseTraining  elemenohealth.com Download the transcript here

Dr. Arup Roy-Burman, Founder and Chief Strategy and Medical Officer of Elemeno Health, is addressing the gap between established medical policies and actual frontline practice. The Elemeno microlearning platform provides just-in-time multimedia content, building confidence in high-risk, low-frequency procedures, helping support knowledge retention, and combating clinician burnout. This modern approach to learning caters to clinicians with shorter attention spans and the expectation of receiving information on the device of their choice when they need it. Arup explains, "My background is as an ICU physician, and I have practiced as an ICU director for 20-plus years. And the challenge that we had in our ICUs is how to keep our teams on the same page with constantly changing information? And on top of that, in the context of constantly changing staff, medicine is full of so many different practices, workflows, and procedures, and we expect our staff to know all of them and to be able to execute on each one of them at the time that they need to. But that's really unrealistic. There's no way that people can stay on top of it. All medical knowledge doubles every 73 days."   "When we think about today's generational workforce, as we think about just those of us who have kids, we see that attention spans, as you said, are short. People don't want to sit through a whole classroom. They can't remember that. And the way that people want to learn now and the way that they do learn, it's like one of our clients put it, it's like the "TikTokification of education." How do we deliver information on a mobile device? How do we deliver it in short, bite-sized chunks? Multimedia that you can actually consume in context when you need it." #ElemenoHealth #DigitalHealth #HealthcareInnovation #Microlearning #NurseTraining  elemenohealth.com Listen to the podcast here

Show Notes  In this episode of Acute Conversations, we welcome Dr. Nicole Neveau, PT, DPT, NCS — Director of Rehabilitation Services at SSM Health St. Louis University Hospital and our newest co-host. Nicole shares her path into acute care, from unfolding paper charts as a new grad to leading a team of more than 100 therapists. She reflects on lessons learned in trauma and neuro ICUs, the importance of mentorship, and why she sees therapists as consultants who guide recovery through evidence, collaboration, and patient stories. Alongside host Dr. Leo Arguelles, Nicole also previews the upcoming 2026 Bridge the Gap Conference in Chicago and what it means for connecting research with practice. Today's Guests: Nicole Neveau, PT, DPT, NCS

Critical care in the United States faces a mounting crisis. With a shortage of board-certified intensivists and younger, less experienced nurses filling ICUs, hospitals often struggle to provide timely, gold-standard care. Studies show that hospitals with board-certified intensivists in their ICUs see a 30% reduction in patient mortality, yet thousands of facilities still lack this vital expertise.So, how can technology close the critical care gap and help hospitals meet these new quality standards while supporting overburdened staff?In this episode of I Don't Care, host Dr. Kevin Stevenson sits down with Dr. Diego Reino, CEO of Intercept Telehealth, to explore how virtual critical care, telestroke, and virtual nursing are transforming hospital operations. The conversation covers how Intercept leverages a fully decentralized model to recruit top intensivists nationwide, integrates ICU bedside data into remote platforms, and provides hospitals with proactive, equitable, and scalable patient care.Key Takeaways:Virtual critical care fills critical staffing gaps: Intercept's decentralized network allows intensivists and nurse practitioners across the country to provide real-time ICU support, even in high-acuity situations.Technology transforms speed and access: Integrated platforms transmit live bedside data, enabling near-instant intensivist response times—averaging 36 seconds compared to the five-minute benchmark.Beyond ICU coverage: Intercept also delivers telestroke, teleneurology, virtual nursing, and telesepsis programs, helping hospitals improve patient safety, meet compliance standards, and support younger, less-experienced nurses.Dr. Diego Reino is a liver and kidney transplant surgeon and the President and CEO of Intercept Telehealth. He trained at UCLA in transplant surgery and began his career at the Cleveland Clinic in Florida. Driven by a commitment to equity in critical care, Dr. Reino founded Intercept to harness technology and provide gold-standard ICU coverage to hospitals nationwide. His leadership continues to expand access to specialized care, from virtual critical care to stroke and sepsis management.

Most of us are doing it 20,000 times a day—and doing it wrong.Breathing isn't just automatic. It's foundational. And when your breath is off, your body and mind feel it: stress spikes, energy crashes, and your nervous system can't find its footing.In this episode of Alive & Well, I'm joined by integrative physiotherapist Campbell Will, who has spent years studying the breath across ICUs, neurosurgical wards, elite athletic settings, and private practice. What he's found is simple but profound: when you breathe well, you elevate your health, performance, and emotional balance. When you breathe poorly, you drive dysfunction.We're diving into: ✔️ How the breath directly impacts your ability to self-regulate and co-regulate ✔️ What dysfunctional breathing really is—and the surprising ways it shows up in daily life ✔️ How poor breathing patterns keep your body stuck in stress (and what to do instead)If you've ever felt tired, tense, or like your body is stuck in “on” mode—this episode will help you reconnect with the most powerful (and accessible) tool you already have.

President Donald Trump has hinted at reviving the pot industry's rescheduling hopes. Crain's cannabis reporter John Pletz talks with host Amy Guth about the potential impact on local big players in the cannabis industry.Plus: South Loop residents weigh in on Chicago Fire stadium plan, Northwestern Memorial plans $96.5 million project to expand and bridge ICUs, Deere plunges as struggling farmers delay machinery rebound and unions rally at Jesse Brown after report shows VA hospitals' worsening staff shortages and a separate report shows physician pay declines despite rising workloads.

Health care trainees rotate through a variety of different settings. ICUs, hospital wards, and outpatient clinics. If they're lucky, they might even spend time in a nursing home. But on today's podcast, we're adding one more setting to that list: your local art museum. In this thought-provoking episode, we explore how art museum teaching is being integrated into the education of medical professionals—and why it's making a profound difference. Our guests, Amy Klein, Laura Morrison, and Gordon Wood, share their journey of integrating art into medical training, along with practical strategies you can use if you're inspired to do the same. You'll also hear how engaging with museum-based medical education can help health care professionals deepen empathy and emotional awareness, practice the skill of multiple perspective-taking, and grow more comfortable with ambiguity and uncertainty. Resources mentioned in the podcast include: A story about one medical student's experience with a day in the museum using multiple museum-based education exercices A Journal Article published in the Journal of Palliative Medicine titled “Museum-Based Education: A Novel Educational Approach for Hospice and Palliative Medicine Training Programs”  A journal article on “Twelve Tips for Starting a Collaboration with an Art Museum.” A handout from the 2025 AAHPM/HPNA preconference gives examples of museum-based education exercises and resources for further training.  Alex's summary of some prompts we discussed for the “Personal Responses Tour”, which is a reflective exercise where participants choose artwork based on a personal prompt, then share with a small group. The prompts include: Find a work of art that reminds you of a patient Find a work of art that reflects a challenging clinical situation Find a work that speaks to an experience you have had in your palliative medicine training that taught you about the impact of bias or racism Find a work that connects to the path you took into palliative care or geriatrics Find a piece that makes you think about community Find a piece that reflects your idea of what a “good death” is Lastly, stay on the “look out for” the 2026 Art Museum-Based Education preconferences session at the AAHPM/HPNA annual meeting on March 4, 2026 in San Diego!    

This week on The Fuel Run Recover Podcast, I'm joined by Deanna Rempel, a Registered Respiratory Therapist and passionate trail runner from Manitoba, for a timely and informative conversation about air quality and how it affects runners.Deanna brings her unique perspective from working in ICUs, emergency rooms, and on the trails. As wildfires and smoke become more common, understanding the Air Quality Health Index (AQHI) and its impact on our performance and long-term health is more important than ever.In this episode, we cover:What the AQHI is and how to interpret itWhy the numbers don't always match what you see or smell outsideShort-term vs. long-term health risks of running in poor air qualityWhether a few smoky runs can really do lasting damageHow to adapt your training when living in areas with regular air quality issuesPractical tips to protect your lungs and make smart running choices when air quality dipsWhether you're a road runner, trail lover, or ultra enthusiast, this episode will help you make informed decisions to protect your respiratory health without sacrificing your training.Follow @manitoba_trail_runners to keep up with Deanna's adventures and Manitoba's amazing trail running community.Looking for the resources mentioned in today's episode?⁠⁠⁠⁠Get your free fueling and strength training guide for runners here⁠⁠⁠⁠And, learn more about working with me inside the ⁠Fuel Train Recover Club here!⁠

Get unlimited CE credits for this podcast and any learning experience here: SapienCE Reflecting Learning | Unleash Your Inner SageIn this podcast episode, we introduce Amanda Luper, an experienced occupational therapist with over 13 years in acute care ICU. Amanda shares her journey, starting from her field placement at Vanderbilt, which shaped her career path, to her current focus on early mobility and cognitive care in the ICU. She discusses the innovative approaches she has championed, including mobilizing patients early, even building protocols for cognitive assessments. Amanda also emphasizes the importance of interdisciplinary collaboration in the ICU and highlights the critical role OTs play in patient care. The episode touches on her experiences advocating for better OT training and competency in ICUs and her work in post-ICU support groups. Through detailed examples and heartfelt patient stories, Amanda illustrates the significant impact occupational therapists can have on patient recovery and outcomes.www.DaytonICUConsulting.com

In this episode of the Healthy, Wealthy, and Smart Podcast, host Dr. Karen Litzy welcomes Campbell Will, an integrative physiotherapist and breathwork educator, to discuss the significant impact of breath on health and performance. Campbell shares his journey from traditional physiotherapy to specializing in breath work, highlighting the role of proper breathing in enhancing performance and reducing stress. He emphasizes the importance of shifting the focus from disease to health and how breath can serve as a powerful tool for achieving balance and well-being. Tune in to discover valuable insights on how breathwork can transform your approach to health and self-regulation. Time Stamps:  [00:02:19] Importance of breath in health. [00:06:13] Defining breathwork and its impact. [00:06:54] Breathwork and nervous system health. [00:10:03] Breathing and emotional state. [00:13:45] Breathing's impact on health. [00:18:01] Dysfunctional breathing effects. [00:20:59] Dysfunctional breathing and posture. [00:26:01] Breathwork and assessment importance. [00:29:47] Breathing as a present anchor. [00:31:41] Nervous system and breathwork. [00:34:18] Nervous system's role in healing. [00:39:15] Breath awareness and self-empowerment. [00:41:40] Awareness as a foundational piece. [00:45:03] Vulnerability in professional practice.   More About Campbell Will: Campbell Will is an integrative physiotherapist with a primary focus on the role of the breath on human health and performance. His experience spans ICUs, neurosurgical wards, elite athletes and private practice. Across this spread of clinical settings he noticed a widely unaddressed commonality; breathing. When done correctly, it elevates and enhances performance. When done poorly, it drives dysfunction.  Campbell utilises his diverse background and experience to help practitioners shift their focus from disease and dysfunction to health, happiness and freedom. His holistic, multidisciplinary approach focuses on restoring balance to body, mind, emotions and energy. Campbell views the breath as a tool accessible to all, providing the foundation for optimal health and well-being. Resources from this Episode: Campbell's Website Campbell on Instagram Free Gift: Fundamentals of Breath : A Self Paced Breath Correction Program (coupon BREATHE20 for 20% off)   Jane Sponsorship Information:   Book a one-on-one demo here Mention the code LITZY1MO for a free month   Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio