Podcasts about icus

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.

Send a textLeitlinien sind ein zentrales Instrument der Qualitätssicherung in der Intensivmedizin – ihre konsequente Umsetzung im klinischen Alltag bleibt jedoch eine Herausforderung. In dieser Episode diskutieren wir eine multizentrische Studie aus Critical Care Medicine, die ein interoperables, automatisiertes System zur Überwachung der Leitlinienadhärenz auf Intensivstationen evaluiert.Lichtner G, Schiefenhövel F, Gashi B, et al.Multicenter Evaluation of an Interoperable System for Automated Guideline Adherence Monitoring in ICUs.Critical Care Medicine. 2026;54:119–128.DOI: 10.1097/CCM.0000000000006961Die Umsetzung evidenzbasierter Leitlinien auf Intensivstationen ist durch hohe klinische Komplexität, heterogene IT-Strukturen und inkonsistente Dokumentation limitiert. Manuelle Adhärenzprüfungen sind zeitaufwendig, fehleranfällig und kaum skalierbar. Ziel der vorliegenden multizentrischen Beobachtungsstudie war die Entwicklung, Validierung und Anwendung eines interoperablen Systems zur automatisierten Überwachung der Leitlinienadhärenz in der Intensivmedizin.In fünf universitären Zentren wurden retrospektiv über 82 000 Intensivaufenthalte (entsprechend mehr als 2,2 Millionen Patiententagen) analysiert. Sechs exemplarische Empfehlungen aus insgesamt 41 intensivmedizinischen Leitlinien wurden in ein standardisiertes, computerinterpretierbares Format überführt. Die Leitlinienrepräsentation erfolgte mittels HL7 FHIR, während klinische Routinedaten aus den Krankenhausinformationssystemen über das OMOP Common Data Model harmonisiert wurden. Für ausgewählte Zeiträume erfolgte zusätzlich eine manuelle Adhärenzbewertung durch erfahrene Intensivmediziner:innen, die als Referenz diente.Das automatisierte System identifizierte Anwendbarkeit und Adhärenz der Leitlinienempfehlungen mit einer Genauigkeit von 97 % und übertraf damit signifikant die manuelle Bewertung durch Ärzt:innen (86,6 %). Gleichzeitig zeigte sich ein massiver Effizienzgewinn: Während manuelle Reviews etwa 2 Patiententage pro Minute erlaubten, verarbeitete das System mehr als 2000 Patiententage pro Sekunde. Die Analyse offenbarte erhebliche Unterschiede in der Leitlinienadhärenz zwischen Zentren, Empfehlungen und Zeitverläufen, wobei Dokumentationsqualität, sich wandelnde Evidenz (z. B. während der COVID-19-Pandemie) und unpräzise formulierte Empfehlungen zentrale Einflussfaktoren waren.Die Studie zeigt, dass interoperable, automatisierte Systeme eine hochskalierbare und valide Grundlage für kontinuierliche Qualitätsmessung in der Intensivmedizin bieten. Gleichzeitig unterstreichen die Ergebnisse die Notwendigkeit strukturierter Dokumentation und klar operationalisierbarer Leitlinien, um das volle Potenzial digitaler Qualitätsinstrumente auszuschöpfen.Heute im Studio: Jochen Gandowitz, wissenschaftlicher Mitarbeiter der Klinik für Anästhesiologie am UKHD

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.

"When he shall die, take him and cut him out in little stars, and he will make the face of heaven so fine that all the world will be in love with night and pay no worship to the garish sun."  — William Shakespeare, Romeo and JulietA Conversation with Dr. Adam Rizvi - What happens when a physician who witnesses death daily discovers it holds no power over love?Dr. Adam Rizvi is a critical care physician and neurointensivist whose decades on the frontlines of America's ICUs have given him an intimate understanding of mortality —and its transcendence. In his luminous book Love Does Not Know Death, he offers a radically compassionate guide to meeting our greatest fear without flinching, drawing on both his clinical experience and deep contemplative practice rooted in A Course in Miracles.Based in California, Dr. Rizvi leads hospital teams, teaches workshops on awakening and end-of-life care, and co-hosts the spirituality podcast Letters to the Sky. His work invites us into a grounded, loving community devoted to transforming grief into peace and remembering love's enduring presence.From the Book: One of the most extraordinary accounts in Love Does Not Know Death is a Shared Death Experience Dr. Rizvi had at a patient's bedside: Despite the chest tube being placed and multiple liters of blood being transfused, it became clear to me that this young man would be unlikely to survive. Then, almost imperceptibly at first, in the stillness at the foot of his bed, I could feel the young man standing next to me, looking at his body. I sensed him to my right and slightly above, floating. I turned briefly and saw a faint outline but could not see distinct features. I could hear him, though. He asked, "Is that me?" In my mind, I responded, "That's your body. But it's not you." — Chapter 7, page 122On Practicing from a Different Place: Writing on Substack, Dr. Rizvi reflects: "I still order CT scans and adjust ventilator settings. I still have difficult conversations about prognosis and place DNR orders. But I've learned to do all of it from a different place—not from fear of death, but from trust in something that death cannot touch."Learn More:

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

Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Sciences Advisory Council, interview Dr. Andrew Lee, Vice President, Clinical Research at Uniquity Bio, about Thymic Stromal Lymphopoietin (TSLP) and eosinophilic esophagitis (EOE). Disclaimer: The information provided in this podcast is designed to support, not replace, the relationship between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own.   Key Takeaways: [:49] Co-host Ryan Piansky introduces the episode, brought to you thanks to the support of Education Partners Bristol Myers Squibb, GSK, Sanofi, Regeneron, and Takeda. Ryan introduces co-host Holly Knotowicz.   [1:13] Holly introduces today's topic, Thymic Stromal Lymphopoietin (TSLP) and eosinophilic esophagitis (EOE), and today's guest, Dr. Andrew Lee, Vice President, Clinical Research at Uniquity Bio.   [1:36] Dr. Lee has nearly 20 years of experience in the clinical development of new vaccines, biologics, and drugs. Holly welcomes Dr. Lee.   [1:52] Dr. Lee trained in internal medicine and infectious diseases.   [1:58] Dr. Lee has been fascinated by the immune system and how it can protect people against infections, what happens when immunity is damaged, as in HIV and AIDS, and how to apply that knowledge to boost immunity with vaccines to prevent infections.   [2:16] Dr. Lee led the clinical development for a pediatric combination vaccine for infants and toddlers. It is approved in the U.S. and the EU.   [2:29] Dr. Lee led the Phase 3 Program for a monoclonal antibody to prevent RSV, a serious infection in infants. That antibody was approved in June 2025 for use in the U.S.   [2:44] In his current company, Dr. Lee leads research into approaches to counteract an overactive immune system. They're looking at anti-inflammatory approaches to diseases like asthma, EoE, and COPD.   [2:58] Dr. Lee directs the ongoing Phase 2 studies that they are running in those areas.   [3:28] Dr. Lee sees drug development as a chance to apply cutting-edge research to benefit people. He trained at Bellevue Hospital in New York City in the 1990s.   [3:40] When Dr. Lee started as an intern, there were dedicated ICU wards for AIDS patients because many of the sickest patients were dying of AIDS and its complications.    [3:52] Before the end of Dr. Lee's residency, they shut down those wards because the patients were on anti-retroviral medications and were doing so well that they were treated as outpatients. They didn't need dedicated ICUs for AIDS patients anymore.   [4:09] For Dr. Lee, that was a powerful example of how pharmaceutical research and drug regimen can impact patients' lives for the better by following the science. That's what drove Dr. Lee to go in the direction of research.   [4:48] Dr. Lee explains Thymic Stromal Lymphopoietin (TSLP). TSLP serves as an alarm signal for Type 2 or TH2 inflammation, a branch of the immune responses responsible for allergic responses and also immunity against parasites.   [5:17] When the cells that line the GI tract and the cells that line the airways in our lungs receive an insult or an injury, they get a danger signal, then they make TSLP.   [5:28] This signal activates other immune cells, like eosinophils and dendritic cells, which make other inflammatory signals or cytokines like IL-4, IL-13, and IL-5.   [5:47] That cascade leads to inflammation, which is designed to protect the body in response to the danger signal, but in some diseases, when there's continued exposure to allergens or irritants, that inflammation goes from being protective to being harmful.   [6:15] That continued inflammation, over the years, can lead to things like the thickened esophagus with EoE, or lungs that are less pliant and less able to expand, in respiratory diseases.   [6:48] Dr. Lee says he thinks of TSLP as being a master switch for this branch of immune responses. If you turn on TSLP, that turns on a lot of steps that lead to generating an allergic type of response.   [7:06] It's also the same type of immune response that can fight off parasite infections. It's the first step in a cascade of other steps generating that type of immune response.   [7:30] Dr. Lee says people have natural genetic variation in the genes that incur TSLP.   [7:38] Observational studies have found that some people with genetic variations that lead to higher levels of TSLP in their bodies had an increased risk for allergic inflammatory diseases like EoE, atopic dermatitis, and asthma.   [8:13] Studies like the one just mentioned point to TSLP being important for increased risk of developing atopic types of diseases like EoE and others. There's been some work done in the laboratory that shows that TSLP is important for activating eosinophils.    [8:38] There's accumulating evidence that TSLP activation leads to eosinophil activation, other immune cells, or white blood cells getting activated.   [9:07] Like a cascade, those cells turn on T-cells and B-cells, which are like vector cells. They lead to direct responses to fight off infections, in case that's the signal that leads to the turning on TSLP.   [9:48] Ryan refers to a paper published in the American Journal of Gastroenterology exploring the role of TSLP in an experimental mouse model of eosinophilic esophagitis. Ryan asks what the researchers were aiming to find.   [10:00] Dr. Lee says the researchers were looking at the genetic studies we talked about, the observational studies that are beginning to link more TSLP with more risk for EoE and those types of diseases.   [10:12] The other type of evidence that's accumulating is from in vitro (in glass) experiments or test tube experiments, where you take a couple of cells that you think are relevant to what's going on.   [10:28] For example, you could get some esophageal cells and a couple of immune cells, and put TSLP into the mix, and you see that TSLP leads to activation of those immune cells and that leads to some effects on the esophageal cells.   [10:42] Those are nice studies, but they're very simplified compared to what you can do in the body. These researchers were interested in extending those initial observations from other studies, but working in the more realistic situation of a mouse model.   [11:00] You have the whole body of the mouse being involved. You can explore what TSLP is doing and model a disease that closely mimics what's happening with EoE in humans.   [12:23] They recreated the situation of what seems to be happening in EoE in people. We haven't identified it specifically, but there's some sort of food allergen in patients with EoE that the immune system is set off by.   [12:55] What researchers are observing in this paper is that in these mice that were treated with oxazolone, there is inflammation in the esophagus, an increase in TSLP levels, and eosinophils going into the esophageal tissues.   [13:15] Dr. Lee says, that's one of the main ways we diagnose EoE; we take a biopsy of the esophagus and count how many eosinophils there are. Researchers saw similar findings. The eosinophil count in the esophageal tissues went way up in these mice.    [13:34] Researchers also saw other findings in these mice that are very similar to EoE in humans, such as the esophageal cells lining the esophagus proliferating. They even saw that new blood vessels were being created in that tissue that's getting inflamed.   [14:00] Dr. Lee thinks it's a very nice paper because it shows that correlation: Increase TSLP and you see these eosinophils going to the esophagus, and these changes that are very reminiscent of what we see in people with EoE.   [14:51] In this paper, the mice made the TSLP, and researchers were able to measure the TSLP in the esophageal tissue. The researchers didn't introduce TSLP into the mice. The mice made the TSLP in response to being repeatedly exposed to oxazolone.   [15:20] That's key to the importance of the laboratory work. The fact that the TSLP is made by the mice is important. It makes it a very realistic model for what we're seeing in people.   [15:41] In science, we like to see correlation. The researchers showed a nice correlation.   [15:46] When TSLP went up in these mice, and the mice were making more TSLP on their own, at the same time, they saw all these changes in the esophagus that look a lot like what EoE looks like in people.    [16:01] They saw the eosinophils coming into the esophagus. They saw the inflammation go up in the esophagus. What Dr. Lee liked about this paper is that they continued the story.   [16:15] The researchers took something that decreases TSLP levels, an antibody that binds to and blocks TSLP, and when they did that, they saw the TSLP levels come down to half the peak level.   [16:35] Then they saw improvement in the inflammation in the esophagus. They saw that the amount of eosinophils decreased, and the multiplication of the esophageal cells went down. The number of new blood vessels went down after the TSLP was reduced.   [16:53] Dr. Lee says, you see correlation. The second part is evidence for causation. When you take TSLP away, things get better. That gives us a lot of confidence that this is a real finding. It's not just observational. There is causation evidence here.   [18:26] Ryan asks if cutting TSLP also help reduce other immune response cells. Dr. Lee says TSLP is the master regulator for this Type 2 inflammation. It definitely touches and influences other cells besides eosinophils.   [18:44] TSLP affects dendritic cells, which are an important type of immune cell, like a coordinating cell that instructs other cells within the immune system what to do. In this paper, they looked at a lot of other effects of TSLP on the tissues of the body.   [19:10] Dr. Lee says, There's a lot of research on TSLP, and one of the reasons we're excited about the promise of TSLP is that it's so far upstream; so much of the beginning, that it's affecting other cells.   [19:29] Its effects could be quite broad. If we're able to successfully block TSLP, we could block a lot of different effects.   [19:40] One treatment for EoE is dupilumab, which blocks IL-4 and IL-13 specifically, and that works well, but TSLP has the potential to have an even greater effect than blocking IL-4 and IL-13, since it is one step before turning on IL-4 and IL-13.    [20:14] That's one of the reasons researchers are excited about the promise of blocking TSLP. There are studies ongoing of TSLP blockers in people with EoE.   [20:34] Ryan asks if there are negative repercussions from blocking TSLP. Dr. Lee says in this study and in people, we are not completely blocking TSLP by any means. There will still be residual TSLP activated, even with very potent drugs.   [21:01] In the study, they block TSLP about 50%‒60%. TSLP is involved in immunity against parasites. In studies with people, they make sure not to include anybody who has an active parasitic infection. A person under treatment should not be in a study.   [21:27] Dr. Lee says we haven't seen any problems with parasitic infections becoming more severe, but that is a theoretical possibility, so for that reason, in studies with TSLP blockers, we generally exclude patients with known parasitic infections.   [22:17] What excited Dr. Lee in this paper was that they showed that when you block TSLP in the mice, then you get real effects in their tissues. Eosinophils went away. The thickening of the basal layers in the esophagus got much better.   [22:38] That kind of real effect reflected in the tissue is super exciting to see. That gives us more confidence that this could work in people, since we're seeing it in a realistic whole-body model in the mice.   [23:12] Dr. Lee says there are ongoing clinical studies on TSLP blockers for EoE. His company is studying an antibody that blocks TSLP in eczema, COPD, and EoE. One of the exciting things about immunology is that it affects many different parts of the body.   [23:42] EoE is associated with other immune-type disorders. There's a high percentage of patients with EoE who have other diseases. EoE coexists with asthma, atopic dermatitis, and chronic rhinitis.   [24:09] It's exciting that if you figure out something that's promising for one disease that TSLP affects, it could have very broad-ranging implications for a variety of diseases.   [24:22] Ryan shares his experience of his doctor talking to him about a TSLP blocker, tezepelumab, as a potential option when it's out of clinical trials. It would target something a little higher up the chain and help with some of his remaining symptoms.   [24:59] Ryan is excited to hear that this research is so encouraging and how it could potentially help treat EoE, asthma, and other conditions, all at once.   [25:16] Dr. Lee says that being in these later-stage studies is super exciting. If these late-stage trials are successful, the next step is to apply for regulatory approval with the various agencies around the world.   [26:40] Dr. Lee shares one takeaway for listeners to remember. Think of TSLP as an alarm that turns on inflammation. He compares TSLP to turning on an alarm during a robbery. There are multiple steps designed to protect the bank and the money.   [27:20] To extend that analogy, with TSLP, once you turn it on, all these other steps are going to happen. Inflammation is designed to protect the body. It's a protective response. If there's an infection, it can clear the infection.   [27:38] If the infection persists, as in HIV, the immune response, which is protective and beneficial, eventually becomes damaging. It becomes dysfunctional. In EoE, if you continually eat the allergic food, the inflammation becomes damaging to the esophagus.   [28:27] Long-term inflammation leads to replacing the normal esophageal tissue with fibrotic tissue, and that's why the esophagus eventually gets hardened and less able to let the food go through.   [28:40] In respiratory diseases, the soft tissue of the lung gets replaced with thicker tissue, and the lung is not able to expand.   [28:54] Dr. Lee says he people to think about TSLP as this master alarm switch. We hope that if you could turn off that TSLP, you could then avoid a lot of the complications that we see with chronic inflammation in these conditions.   [29:14] We're hopeful that you could even take away the symptoms that you see in these diseases, make patients feel better, and with extended treatment, you could begin to reverse some of the damage resulting from inflammation.   [29:32] Ryan likes that analogy and how Dr. Lee has concisely explained these complicated concepts.   [29:51] Dr. Lee thanks Holly and Ryan and adds one more plea to listeners. Please consider getting involved with research. Clinical trials cannot be done without patients. We need patients to advance new treatments.   [30:27] Researchers like Dr. Lee spend a lot of time thinking about how to make the studies not only informative but also fair to patients who decide to become involved. It's a lot of work and a fair amount of time commitment.   [30:44] If you don't want to be in a study, you can help by being on a patient feedback panel and reviewing protocols and informed consents. Follow your interests. Think about getting involved with research, however you can.   [31:06] Ryan and Holly are very grateful for the community, with so many wonderful clinicians and researchers, and so many patients who are willing to volunteer their time and their data to help researchers find better solutions going forward.   [31:26] Ryan thanks Dr. Lee for coming on and putting out that call to action. It's a great reminder for listeners and the patients in the community to look for those opportunities. Chat with your physician. Go to APFED's website. There's a link to active clinical trials.   [31:47] For our listeners who want to learn more about eosinophilic disorders, we encourage you to visit apfed.org and check out the links in the show notes below.   [31:53] For those looking to find specialists who treat eosinophilic disorders, we encourage you to use APFED's Specialist Finder at apfed.org/specialist.   [32:01] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at apfed.org/connections.   [32:11] Ryan thanks Dr. Andrew Lee for joining us today. We learned a lot. Holly also thanks APFED's Education Partners Bristol Myers Squibb, GSK, Sanofi, Regeneron, and Takeda for supporting this episode.   Mentioned in This Episode: Andrew Lee, M.D., VP Clinical Research, Uniquity Bio   "A Mouse Model for Eosinophilic Esophagitis (EoE)" Current Protocols, Wiley Online Library   APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.org/specialist apfed.org/connections apfed.org/research/clinical-trials   Education Partners: This episode of APFED's podcast is brought to you thanks to the support of Bristol Myers Squibb, GSK, Sanofi, Regeneron, and Takeda.   Tweetables:   "I see drug development as a chance to apply cutting-edge research to benefit people." — Andrew Lee, M.D.   "When the cells that line the GI tract and the cells that line the airways in our lungs receive an insult or an injury, they get a danger signal, then they make TSLP." — Andrew Lee, M.D.   "Observational studies have found that some people with genetic variations that lead to higher levels of TSLP in their bodies had an increased risk for allergic inflammatory diseases like EoE, atopic dermatitis, and asthma." — Andrew Lee, M.D.   "There's a lot of research on TSLP, and one of the reasons we're excited about the promise of TSLP is that it's so far upstream; so much of the beginning, that it's affecting other cells." — Andrew Lee, M.D.   "Please consider getting involved with research. We can't do these clinical trials without patients. We need patients to advance new treatments for patients." — Andrew Lee, M.D.

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 . 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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

In this episode, Stuart Haines, JACCP Editor-in-Chief, interviews Dr. Andrea Sikora, Dr. Brian Murray, and Dr. Susan Smith about their recently published consensus recommendations for integrating critical care pharmacists into intensive care unit (ICU) teams which was endorsed by ACCP as well as the American Association of Critical-Care Nurses, American Society of Health-System Pharmacists, Institute of Safe Medication Practices, and the Society of Critical Care Medicine.  The paper was published in the September 2025 issue of JACCP and is available open access. The document addresses the "unmet need" of operationalizing the pharmacist's role, as evidence suggests that many ICUs still lack a critical care pharmacist. The recommendations go beyond simply advocating for pharmacists; they provide a blueprint for hospitals to optimize pharmacist services, including direct and indirect patient care activities. The paper and its supplementary materials, which include an institutional assessment checklist, can be used to improve the quality of patient care.

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.

Send us a textWhat if the most powerful act of kindness isn't fixing someone's problems, but simply being present with them? Pediatric cardiothoracic intensive care nurse Natalie Miller Binkley brings this revolutionary perspective to life in our conversation about healing, presence, and the unique challenges facing healthcare workers today.Natalie takes us inside the specialized world of pediatric cardiac care, where tiny patients with congenital heart abnormalities undergo complex surgeries that literally reroute how blood flows through their bodies. She explains why some pediatric cardiac units now treat patients into adulthood - these unique anatomies require specialized knowledge that adult cardiologists simply don't have.But our conversation goes much deeper when Natalie shares how her experiences during COVID transformed her approach to healing. Working in adult ICUs during the pandemic's darkest days, she witnessed profound isolation and suffering that no medical intervention could fix. This awakening led her to develop a holistic coaching practice centered on a radical idea: before we can heal, we need someone to witness our experience without judgment.Unlike traditional coaching that focuses on giving advice and directions, Natalie's approach begins with creating space for people to process their experiences and regulate their nervous systems. She explains how many symptoms we attribute to conditions like ADHD or anxiety may actually stem from chronically dysregulated nervous systems - the result of constant overstimulation and pressure.For nurses especially, the challenges are immense. Many work 12-16 hour shifts with minimal breaks, sometimes unable to drink water throughout their day or even use the bathroom. With unsafe patient ratios becoming the norm, nurses often spend entire shifts distributing medications with little time for the compassionate care that drew them to nursing.Discover why true kindness isn't always about grand gestures or perfect advice, but creating a space where people feel safe enough to breathe, to be witnessed in their chaos, and to remember they're whole human beings experiencing normal responses to abnormal situations.Have you experienced the healing power of simply being heard? Share your thoughts and connect with Natalie through the links in our show notes.This podcast is a proud member of the Mayday Media Network. If you have an idea for a podcast and need some production assistance or have a podcast and are looking for a supportive network to join, check out maydaymedianetwork.com. Like what you hear on the podcast? Follow our social media and subscribe to our newsletter for more uplifting, inspirational and feel-good content.FacebookInstagramLinkedInTikTok Newsletter SignupSupport the show

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!⁠

Welcome back to Ditch the Labcoat! In this thought-provoking episode, Dr. Mark Bonta sits down with Kali Dayton, nurse practitioner, international consultant, and the bold voice behind the Awake and Walking ICU movement. Together, they peel back the curtain on a common but rarely questioned practice in critical care: routine heavy sedation of patients on ventilators.Kali shares her journey from a nurse in a pioneering ICU—where awake, mobile, intubated patients were the norm—to a world where comatose ventilator patients are the expectation. She unpacks the hidden harms of automatic sedation, sharing both eye-opening research and the heart-wrenching stories of ICU survivors who left with trauma, cognitive struggles, and fractured lives.Dr. Bonta and Kali explore how culture, habit, and outdated beliefs have shaped critical care—and challenge us all to rethink what's possible. Is it really safer, easier, or kinder to keep patients sedated? Or can presence, mobility, and human connection transform not just survival, but recovery?Get ready to question what you thought you knew about the ICU, discover what's already possible in some hospitals, and hear a call to action for compassionate, evidence-based change. If you work in healthcare—or might ever need it—this is a conversation you can't afford to miss. Let's ditch the lab coat and reimagine patient care, one episode at a time.Episode HighlightsRethinking ICU Sedation — Most ventilated patients don't require deep sedation—remaining awake can actually improve outcomes and reduce harm.Hidden Harm of Sedation — Automatic sedation often leads to delirium, long-term trauma, and cognitive impairment for many ICU survivors.Awake and Walking ICU Model — It's possible and beneficial to keep intubated patients awake and mobile; some ICUs already achieve this routinely.Cultural Myths in Medicine — Common ICU practices persist due to unexamined traditions, not necessarily the latest evidence or patient-centered thinking.Preventing Delirium Is Key — Early avoidance of sedation and encouraging mobility drastically decrease risks of ICU delirium and related complications.Power of Patient Stories — Listening to ICU survivors reveals the real, lasting harms of unnecessary sedation and challenges clinical assumptions.Team Buy-In Essential — Successful change requires educating and involving the entire healthcare team, from doctors to bedside nurses.Early Mobility Saves Lives — Mobilizing patients—even walking them—within hours of intubation is not only feasible, but can improve recovery.Family Involvement Matters — Informing and including families in care expectations helps calm patients and supports a less traumatic ICU experience.Start Small, Lead Change — Begin cultural transformation with one patient, one team—small steps can drive a revolution toward better, humane care.Episode Timestamps05:14 — Challenges of Mechanical Ventilation 06:57 — ICU Nursing: Breathing Tube Walks 10:14 — ICU Norms Challenged: Breathing Tubes 13:16 — Pioneering Awake, Mobile Patient Care 19:11 — Awake and Walking ICU Initiative 22:06 — Rethinking Hospital DVT Practices 25:42 — Sedation Considerations Before Intubation 27:20 — Reducing Delirium in ICU Care 32:57 — Sedation: Not Just Laughing Gas 36:24 — Rounding Culture and ICU Challenges 39:08 — Improving ICU Care: ABCDEF Protocol 41:23 — Rethinking Patient Sedation Practices 44:14 — Improving ICU Patient Care 47:38 — Revolutionizing Awake ICU CareDISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.    Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of M

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

Join us for this insightful conversation with Kathryn Williamson, a nurse anesthetist and educator, as we explore the exciting and challenging journey to becoming a Certified Registered Nurse Anesthetist (CRNA). Kathryn shares her experiences, offering an inside look at the role of CRNAs, the educational path to anesthesia nursing, and the importance of clinical expertise. The episode also touches on the profound emotional connections nurses develop with their patients and raises awareness about colon cancer. Whether you're an aspiring CRNA, a seasoned nurse, or curious about advanced practice nursing, this episode has something for everyone.Chapters:00:00 - Introduction to Nurse Anesthesia and the CRNA Journey02:50 - Understanding the Role of a CRNA05:57 - Navigating the Path to Nurse Anesthesia School08:51 - Personal Stories and Connections in Nursing11:52 - The Importance of Shadowing and Experience15:08 - Colon Cancer Awareness and Patient Empathy18:12 - The Impact of Personal Experiences on Nursing21:10 - Advice for Aspiring CRNAs23:58 - Conclusion and Future AspirationsAbout Kathryn Williamson, DNP, APRN, CRNA: Dr. Kathryn Williamson, DNP, APRN, CRNA, is a dedicated nurse anesthetist, educator, and leader in the field of nurse anesthesia. Based in Atlanta, Georgia, she provides anesthesia care for complex surgeries at Piedmont Hospital and serves as a sole anesthesia provider for colonoscopies and upper endoscopies at United Digestive. She also plays a pivotal role as clinical faculty at Emory University School of Nursing, preparing the next generation of nurses and mentoring students through shadowing opportunities at her workplace.Kathryn's nursing career spans nearly two decades, beginning with her BSN from New York University in 2005. Her experience as a critical care nurse in neurovascular, surgical, and medical ICUs laid the foundation for her transition into advanced practice. She earned her Master's in Nurse Anesthesia from Bloomsburg University in 2012 and later achieved her Doctor of Nursing Practice from the University of Pittsburgh in 2021, where her doctoral project focused on high-risk airway protocols during the COVID-19 pandemic.An active contributor to her profession, Kathryn is involved in committees for the American Association of Nurse Anesthetists and has published research on the preoperative needs of pediatric patients and their caregivers. With past faculty roles at Pennsylvania State University and numerous awards for her academic and clinical excellence, she continues to inspire and shape the future of nurse anesthesia through her work at Emory Healthcare and beyond. Celebrate Nurses Month with us on Instagram @AMNNurse! About AnnAnn King, a seasoned travel nurse with a remarkable 14-year track record, has dedicated the past 13 years to specializing in Neonatal ICU. Ann has been traveling with AMN Healthcare for 4.5 years, enriching her expertise with diverse experiences. Currently residing in San Diego, Ann not only thrives in her nursing career but also serves as the host of the Nursing Uncharted podcast, where she shares invaluable insights and stories from the world of nursing. Connect with Ann on Instagram @annifer05 No Better Place than CA! Book your assignment in the Golden State Today! Level up your career today! Find your dream travel assignment! Support for every step. Learn more about AMN Healthcare's EAP Program. Share the opportunity and refer a friend today! Ready to start your next travel assignment in the Golden State? Browse CA Jobs! Episode Sponsor:We're proudly sponsored by AMN Healthcare, the leader in healthcare staffing and workforce solutions. Explore their services at AMN Healthcare. Discover job opportunities and manage your assignments with ease using AMN Passport. Download the AMN Passport App today! Join Our Communities: WebsiteYouTubeInstagramApple PodcastsSpotifyLinkedInFacebook Powered by AMN Healthcare

EP #330 - Not an Ending, A Beginning, an interview with author and spiritual practitioner, Nancy MacMillian I know I say this every time—and yes, I'm probably being redundant—but I say it because it's true. I get to welcome and have chats with so many incredible guests. And this guest, Nancy MacMillian is no exception. She has written an amazing book, and I'm so excited to introduce her. Nancy MacMillian is a gifted storyteller and someone who guides others through one of life's most profound transitions: Dying. I'm honored to welcome her to Empowering Chats. Nancy's work focuses on death and dying, and her book, Call to the Far Side, explores how we can approach death with awareness and support our loved ones as they enter this unknown—and often miraculous—part of life. She speaks truths that need to be heard, especially in the Western world, where death is often handled in sterile, clinical settings like ICUs, far from family and loved ones. We talk about the use of medication in the dying process—recognizing that when there's pain, medication is necessary—but what about when there isn't? Nancy believes possibilities open up when we allow the body to do what it naturally knows how to do. Nancy discusses the endorphins released near death, and how we might honor the body's own ability to bring peace and grace. We also explore what it means to die with dignity, kindness, and love. Nancy encourages open conversations about death with those closest to us. When we talk about it—ask questions, share thoughts—it can help us be better companions to those we love as they enter that journey. It help us -the care giver - be more present, not just physically, but emotionally and spiritually. In her book, she also highlights the growing number of resources available today that didn't exist before, such as Death Doulas, music therapy, massage, and other out-of-the-box options. Her book speaks to the cultural shift happening in how we view death in the West—and it's a hopeful one. Call to the Far Side reintroduces the idea that death can be beautiful. It's not something to fear or push away. As Nancy so eloquently puts it, this is about bringing death back into our hearts and homes—and remembering that our dead are not gone; they're just in the next room. Being intentional and conscious about the dying process can be incredibly supportive—for those who are transitioning, and for those of us walking alongside them. To learn more about Nancy MacMillian visit: NancyMacMillan.com To Purchase her book, Call to the Far Side visit: NancyMacMillan.com/book To view Nancy's Substack Page visit: NancyMacMillan.substack.com To learn more about how I show up in the world visit: SusanBurrell.com

What is the current state of affairs with the ABCDEF bundle in many ICUs? What is it like to be trained to have patients awake after intubation to later be begging for awakening trials? Dr. Nick Ghionni, The Floating Vent Guy, shares incredible insights, stories, and thoughts in this episode. Get CE credits for all podcast episodes and a variety of your own determined learning experiences at Sapien HERE! Www.DaytonICUConsulting.com

The Fortified Life Podcast with Jason DavisEpisode 193 – “From Anxiety to Expectation” with Steve CussEpisode SnapshotAn eye‑opening conversation on noticing and diffusing leadership anxiety, closing the gap between our beliefs and experience of God, and cultivating healthy workplace cultures. Author, speaker, and Capable Life founder Steve Cuss shares practical frameworks from his books Managing Leadership Anxiety and The Expectation Gap that help leaders bring freedom to themselves, their teams, and their faith journey.Guest Bio – Steve CussRole: Author, Speaker, Organizational Consultant, Founder of Capable Life communityBackground: Born in Western Australia; pastoral training in the U.S.; CPE hospital chaplain residency forged his focus on anxiety and reactivityExpertise: Helping leaders notice contagious anxiety, break predictable reactive patterns, and foster well‑being in organizations and churchesResources: Books (Managing Leadership Anxiety, The Expectation Gap), podcast Being Human (Christianity Today), coaching intensives & Camino‑style spiritual journeysConnect: SteveCussWords.comTimestampedOutline Time Segment0:00 Welcome ¬ Jason sets the theme: dependency on Jesus in the marketplace2:10 Steve's backstory – From Perth to U.S. Bible college & unexpected chaplain residency8:35 Discovering personal anxiety in ICU rooms; the gift of “aggressive” supervisors15:12 Defining reactivity – the only contagious anxiety & why leaders must notice it25:40 People‑pleasing & perfectionism: false threats that wire our bodies for fear32:05 Managing Leadership Anxiety – central thesis, “what the world needs most is a well-leader”40:18 Introducing The Expectation Gap – Aligning head beliefs with body experience of God48:30 False reality vs. lived reality; spotting assumptions that sabotage faith & relationships55:20 Upcoming Capable Life Camino Walk in Spain; creating immersive growth experiences58:45 Lightning Round – What excites Steve about the rest of 20251:02:00 Where to find Steve's books, courses, and weekly newsletter1:04:00 Jason's takeaway + Fortified Life send‑off(“From the boardroom to the bathroom…”)Key TakeawaysWell‑being is leadership's greatest gift. A non‑anxious presence frees teams to thrive.Reactivity is contagious—& always rooted in a false reality. Notice it, name it, diffuse it.Mind the anxiety gap. Between stimulus and response lies space to choose freedom over fear (Viktor Frankl).Bridge the expectation gap by aligning your understanding of God with what your body experiences.Ask brave questions: “How do you experience me at my best…and at my worst?” Growth starts with honest feedback.The environment shapes awareness. High-intensity spaces (such as ICUs and crisis situations) reveal hidden coping mechanisms.Relief is reason enough. Doing the inner work leads to peace for you and the people you lead.Scripture Anchors1 Peter 5:7 – “Cast all your anxiety on Him because He cares for you.”Philippians 4:6-7 – Peace that surpasses understanding guards heart & mind.Proverbs 4:23 – Guard your heart, for everything you do flows from it.Resources & LinksSteve's Website: SteveCussWords.com – free mini‑courses & weekly “Tips & Tools” emailBooks:Managing Leadership Anxiety: Yours and Theirs (Thomas Nelson)The Expectation Gap (NavPress)Podcast: Being Human on the Christianity Today networkCapable Life Community: Online memberships + live intensivesCamino Formation Walk (Oct 2025): Details at SteveCussWords.com/experiencesJason's Book: Fortify: Being Rooted in God's Plan for Work & Business – available on AmazonNext‑Step ChallengesIdentify one trigger of leadership anxiety this week; practice pausing before responding.Survey your team with Steve's question: “When I'm at my worst, how do you experience me?” Commit to shrinking the gap.Journal the expectation gap: Note a belief about God and where experience doesn't yet match. Pray for alignment.Memorable Quotes“What the world needs most is a well leader—someone working on themselves more than on their team.” — Steve Cuss “Reactivity is the only anxiety that spreads faster than a rumor.” — Steve Cuss “Humans are like trout: trying to get the most food in the laziest way possible.” — Steve Cuss.Connect & ShareSubscribe: FortifiedLifePodcast.com | New episodes Wednesdays 8:30 PM ESTFollow Jason: IG/Twitter @MrFortify | LinkedIn Jason DavisFollow Steve: IG/Twitter @SteveCussWords | LinkedIn Steve CussHashtags: #FortifiedLife #LeadershipAnxiety #ExpectationGap #FaithInBusiness #CapableLifeProduction CreditsHost: Jason “Mr. Fortify” DavisGuest: Steve CussProducer & Audio: Positive Power XXI StudiosEditing: VEGAS Pro | Transcript by Descript (AI‑generated)Show Notes:  © 2025 Fortified Life Podcast • All Rights Reserved

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

Support the show:https://www.paypal.me/Truelifepodcast?locale.x=en_USBuy Grow kit: https://modernmushroomcultivation.com/This Band willl Blow your Mind! Codex Serafini: https://codexserafini.bandcamp.com/album/the-imprecation-of-animaThere are moments in our lives when the veil lifts—when the illusions fall away and what remains is truth, raw and unfiltered. It is in these moments that we are called to choose: to turn back into the shadows of familiarity, or to walk forward into the fire of awakening. Today, you're about to meet two people who have not only walked that path—but have become guides for those ready to burn away what no longer serves and to stand in the flame of their own becoming.Patrick and Michele Fishley are the founders of Soul Reflections, the world's first global online Iboga/Ibogaine community—a sanctuary for practitioners, providers, seekers, and visionaries alike. But their story isn't just digital—it's deeply spiritual, rooted in blood, bone, and ancient tradition. They are Ngangas—healers and seers—initiated into the sacred Bwiti traditions of Gabon, recognized by the elders themselves, not just for their knowledge, but for their courage, their humility, and their relentless commitment to truth.Patrick, known in the Bwiti tradition as DIBADI Mabunza Mukuku a Kandja—the warrior with the Bwete force and flames of truth from his mouth—is a Registered Nurse with over three decades of experience in Emergency Rooms, ICUs, and trauma bays. A Medical Director and lead facilitator, he has guided over 1,500 Iboga journeys with a perfect safety record. His work bridges the primal and the clinical, the ancestral and the modern.Michele, known as Yakéta—Mother of Twins, Mother of All—is a Licensed Practical Nurse and a transformational integration coach with over 18 years of acute care experience. She is a fierce and nurturing presence in the space, initiated into the sacred feminine lineages of the Nyèmbè and Mabundi traditions. Michele brings the power of the mother, the healer, and the spiritual midwife into every ceremony, retreat, and conversation.Together, Patrick and Michele have turned their lives into a living ceremony. They carry the medicine not just in their hands, but in their hearts. Through their annual pilgrimages to Gabon, they continue to deepen their commitment to the Bwiti traditions—honoring the land, the elders, and the sacred fire of Iboga.Their mission is simple yet profound: to weave ancient wisdom with modern healing, to create safe, soul-rooted spaces for transformation, and to remind us that real healing is not a transaction—it is a sacred initiation.So if you're ready to hear from two of the most grounded, experienced, and spiritually aligned voices in the Iboga space… buckle up. This conversation isn't just a discussion—it's a portal.https://soulreflections.net/ Support the show:https://www.paypal.me/Truelifepodcast?locale.x=en_USCheck out our YouTube:https://youtube.com/playlist?list=PLPzfOaFtA1hF8UhnuvOQnTgKcIYPI9Ni9&si=Jgg9ATGwzhzdmjkgGrow your own:https://modernmushroomcultivation.com/This Band Will Blow Your Mind: Codex Serafinihttps://codexserafini.bandcamp.com/album/the-imprecation-of-anima

Our main focus today was on nudging critical care clinicians to consider a more palliative approach to care.  Our guests are all trained in critical care: Kate Courtright, Scott Halpern, and Jaspal Singh.  Kate and Scott have additional training in palliative medicine.  To start. we review: What is a nudge? Also called behavioral interventions, heuristics, and cognitive biases. Prior podcasts on the ethics of nudging, and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. What is sludge?  I'd never heard the term, perhaps outside of Eric's pejorative reference to my coffee after adding copious creamers, flavoring, and sweeteners.  Sludge is apparently when you create barriers or extra work for someone.  For example, putting the healthy food at the back of the grocery store is sludge; making an applicant for health insurance climb the flight of stairs to the office - weeding out those less fit - is also sludge.  Prior-auth forms? Sludge. Examples of nudges, some based in health care, others in coffee.  This specific study, published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. Many were community hospitals.  Participants were critically ill and intubated.  Clinicians were randomized to 4 groups: Usual care Prognosis nudge - EHR prompt asking, do you think your patient will be alive in 6 months? This is called a focusing effect Comfort care nudge - EHR prompt asking if they'd offered comfort-focused care. This is called accountable justification - an appeal to standards of care for critically ill patients endorsed by multiple professional societies. Both the prognosis and comfort care nudge. A few key points of discussion: Is an EHR prompt a nudge or sludge?   The intervention was a negative study for the primary outcome, hospital length of stay.  Why?  The prognosis nudge did nothing.  What to make of that? Would you think an EHR nudge to consider prognosis might move the needle, at least on some outcomes? The nudge toward offering comfort care led to more hospice and early comfort-care orders.  Is this due to chance alone, given the multiplicity of secondary outcomes examined?  Or is it a tantalizing finding that suggests a remarkably low cost EHR based nudge might, on a population level, lead to critical care clinicians offering comfort care and hospice more frequently?  Imagine!    -Alex Smith  

The World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS), in collaboration with OPENPediatrics, recognizes World PICU Awareness Week 2025. This initiative aims to raise global awareness about the importance of PICUs and critical care wards worldwide, emphasizing how healthcare professionals in these units, regardless of resource setting, are driving change. From managing infectious diseases to overcoming infrastructure challenges, this episode explores the resilience and innovation in pediatric intensive care across Sub-Saharan Africa. Hear from frontline experts in Sierra Leone, the Democratic Republic of Congo, and Madagascar as they share their experiences in providing critical care amidst epidemics, conflicts, and climate change. Discover how dedicated healthcare professionals are transforming outcomes for children in some of the most challenging environments. HOST Hans-Joerg Lang, MD, PhD, FRCPCH NGO Alliance for International Medical Action (ALIMA), Dakar Heidelberg Institute of Global Health, Germany GUESTS Archippe Muhandule Birindwa, MD, PhD Medical Director at Cliniques Universitaires de Bukavu Head of Department of Pediatrics at Université Officielle de Bukavu Pediatrics Lecturer at Institut Supérieur de Technique Médicale Democratic Republic of the Congo Diavolana Koecher, MD Professor at the University of Mahajanga Madagascar Marah Issiatu, RN, SCM, MSN Senior Nurse Specialist at JMB-PCE hospital Nursing Officer at JMB-PCE hospital Sierra Leone DATE Initial publication date: May 9, 2025. TRANSCRIPTS English - https://cdn.bfldr.com/D6LGWP8S/at/9p2jw59n8ghrghgpk7m72g/WPAW-25_Africa_Final_English.pdf Spanish - https://cdn.bfldr.com/D6LGWP8S/at/nv25jghz5c99ckcnt9jb4gpr/WPAW-25_Africa_Final_Spanish.pdf French - https://cdn.bfldr.com/D6LGWP8S/at/pm9j5jzbcz6v8jrghhsrp/WPAW-25_Africa_Final_French.pdf Portuguese - https://cdn.bfldr.com/D6LGWP8S/at/fj34b5cj9gjj6q3wgt3g7wrx/WPAW-25_Africa_Final_Portuguese.pdf Italian - https://cdn.bfldr.com/D6LGWP8S/at/35vmps6w6kkcnvhwvzf32wmc/WPAW-25_Africa_Final_Italian.pdf German - https://cdn.bfldr.com/D6LGWP8S/at/bnph8nvgg9k69j753f744jh/WPAW-25_Africa_Final_German.pdf Arabic - https://cdn.bfldr.com/D6LGWP8S/at/wrrm7hfnf43sngsj55bkf4/WPAW-25_Africa_Final_Arabic.pdf Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

The World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS), in collaboration with OPENPediatrics, recognizes World PICU Awareness Week 2025. This initiative aims to raise global awareness about the importance of PICUs and critical care wards worldwide, emphasizing how healthcare professionals in these units, regardless of resource setting, are driving change. From predictive analytics to AI-driven teamwork, this episode explores how pediatric intensive care units across North America are blending technology and human insight to transform care. Hear experts from leading children's hospitals in the U.S. discuss how innovation, frontline collaboration, and a focus on people, not just machines, are shaping the future of critical care for children. HOST Maya Dewan, MD, MPH Division Director, Division of Critical Care Attending Physician, Pediatric Intensive Care Unit & Associate Professor UC Department of Pediatrics Cincinnati Children's Hospital United States of America GUESTS Matthew Zackoff MD, Med Director, Critical Care Fellowship Program Co-Lead Digital Simulation, Center for Simulation and Research Attending Physician, Pediatric Intensive Care Unit Assistant Professor, UC Department of Pediatrics Cincinnati Children's Hospital United States of America Sanjiv Mehta, MD, MBE Sanjiv D Mehta, MD, MBE, MSCE Assistant Professor of Anesthesiology and Critical Care Medicine, University of Pennsylvania School of Medicine Attending Physician, Division of Pediatric Critical Care Medicine, Children's Hospital of Philadelphia Associate Medical Director for Analytics - ICU United States of America Jean Anne Cieplinski-Robertson, MSN, RN Senior Director of Nursing, Critical Care Children's Hospital of Philadelphia United States of America DATE Initial publication date: May 8, 2025. TRANSCRIPTS English - https://cdn.bfldr.com/D6LGWP8S/at/b73v7gmf79nzjt9bt3vg3w/WPAW-25_North_America_Final_English.pdf Spanish - https://cdn.bfldr.com/D6LGWP8S/at/2xjfmjbwfcw739f6f68tj4q/WPAW-25_North_America_Final_Spanish.pdf French - https://cdn.bfldr.com/D6LGWP8S/at/9b4xsp88j7m3t438rpxrc62t/WPAW-25_North_America_Final_French.pdf Portuguese - https://cdn.bfldr.com/D6LGWP8S/at/5bqn4q6fnw8b5gnr6swvvbx/WPAW-25_North_America_Final_Portuguese.pdf Italian - https://cdn.bfldr.com/D6LGWP8S/at/3n2xjk7tvrqgmtwwhx3mb8nb/WPAW-25_North_America_Final_Italian.pdf German - https://cdn.bfldr.com/D6LGWP8S/at/2q58jgjq7p99nxsgmbqp887/WPAW-25_North_America_Final_German.pdf Arabic - https://cdn.bfldr.com/D6LGWP8S/at/ntsn8qpntsfkm65krzs6hqc/WPAW-25_North_America_Final_Arabic.pdf Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

The World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS), in collaboration with OPENPediatrics, recognizes World PICU Awareness Week 2025. This initiative aims to raise global awareness about the importance of PICUs and critical care wards worldwide, emphasizing how healthcare professionals in these units, regardless of resource setting, are driving change. From frugal innovations to digital transformation, this episode highlights how pediatric intensive care is evolving across Asia. Hear from experts in Bangladesh, India, and Indonesia as they share how low-cost technologies, telemedicine, and integrated referral systems are improving outcomes for critically ill children even in the most remote settings. Discover how resilience and resourcefulness are driving change across the region. HOST Arun Bansal, MD, FCCM, FRCPCH Professor in Pediatric Critical Care at PGIMER Chandigarh, India and Chairperson of Pediatric Intensive Care Chapter of India GUESTS Mohammod Joyaber Chisti, MBBS, MMed (Paediatrics), PhD Professor of Pediatrics at icddr,b, Bangladesh Renowned for pioneering low-cost respiratory support technologies like bubble CPAP. Jayashree Muralidharan, MBBS MD Pediatrics FIAP FICCM Head of Pediatric Critical Care at PGIMER, Chandigarh, India A leader in intensive care in India. She had helped in developing and integrating digital health systems into PICU workflows using TelePICU. She also helped in developing a PICU Referral App Kurniawan Taufiq Kadafi, Sp.A(K) Chief of Pediatric Emergency Services, Indonesia, An expert on remote and interfacility pediatric transport across Indonesia's archipelago. DATE Initial publication date: May 7, 2025. TRANSCRIPTS English - https://cdn.bfldr.com/D6LGWP8S/at/k7x72vx63hnbvwx6wpwc4xnt/WPAW-25_Asia_Final_English.pdf Spanish - https://cdn.bfldr.com/D6LGWP8S/at/qxkcv5b23xs49tj6z6w6np/WPAW-25_Asia_Final_Spanish.pdf French - https://cdn.bfldr.com/D6LGWP8S/at/v463w7zbhbbpfbbmj8qf8b/WPAW-25_Asia_Final_French.pdf Portuguese - https://cdn.bfldr.com/D6LGWP8S/at/p377fk7m84xmppk9hx6bbq6/WPAW-25_Asia_Final_Portuguese.pdf Italian - https://cdn.bfldr.com/D6LGWP8S/at/gxbshfgg7xcm7rfpx3p5n4vm/WPAW-25_Asia_Final_Italian.pdf German - https://cdn.bfldr.com/D6LGWP8S/at/4px7mgpbf65rbb8n8vv2sjr/WPAW-25_Asia_Final_German.pdf Arabic - https://cdn.bfldr.com/D6LGWP8S/at/64vtqntqj7v99j4ztc2pk5n3/WPAW-25_Asia_Final_Arabic.pdf Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

The World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS), in collaboration with OPENPediatrics, recognizes World PICU Awareness Week 2025. This initiative aims to raise global awareness about the importance of PICUs and critical care wards worldwide, emphasizing how healthcare professionals in these units, regardless of resource setting, are driving change. From digital twins to AI-driven alarms, this episode explores how innovation, teamwork, and smarter technology are reshaping pediatric intensive care across Europe. Join experts from the UK and the Netherlands as they share how connecting data, patients, families, and care teams is improving outcomes and why breaking down silos is key to the future of pediatric critical care. HOST Diana Ferro, PhD, ABAIM, MS, BS Healthcare Research Officer, Predictive and Preventive Medicine Ospedale Pediatrico Bambino Gesù Board Executive, Italian Society for AI in Medicine Rome, Italy GUESTS Erik Koomen, MD Chief Medical Technology Officer Anesthesiologist and pediatric intensivist Pediatric Intensive Care Department of Pediatrics Wilhelmina's Children Hospital (part of UMC Utrecht) Utrecht, Netherlands Joppe Nijman, MD, PhD Pediatric intensivist Consultant and investigator clinical operations research group Wilhelmina's Children Hospital (part of UMC Utrecht) Utrecht, Netherlands Peter White, RN Chief Nursing Information Officer Alder Hey Children's Hospital Liverpool, England DATE Initial publication date: May 6, 2025. TRANSCRIPTS English - https://cdn.bfldr.com/D6LGWP8S/as/j37fnp56fwg6n8pzmfbppf8r/WPAW-25_Europe_Final_English Spanish - https://cdn.bfldr.com/D6LGWP8S/at/qrjqs79zq4prpnr4km3p79/WPAW-25_Europe_Final_Spanish.pdf French - https://cdn.bfldr.com/D6LGWP8S/at/649tc94vccnhhskbfhppf/WPAW-25_Europe_Final_French.pdf Portuguese - https://cdn.bfldr.com/D6LGWP8S/at/4qrxwztkfxf6sfgq24h83c2m/WPAW-25_Europe_Final_Portuguese.pdf Italian - https://cdn.bfldr.com/D6LGWP8S/at/5vvc7bgbtk7k57kfxt5w694/WPAW-25_Europe_Final_Italian.pdf German - https://cdn.bfldr.com/D6LGWP8S/at/j5szgq6vtng48g4mt8rrx7h/WPAW-25_Europe_Final_German.pdf Arabic - https://cdn.bfldr.com/D6LGWP8S/at/mz5rkq8nf54p8739t9gzftcw/WPAW-25_Europe_Final_Arabic.pdf Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

The World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS), in collaboration with OPENPediatrics, recognizes World PICU Awareness Week 2025. This initiative aims to raise global awareness about the importance of PICUs and critical care wards worldwide, emphasizing how healthcare professionals in these units, regardless of resource setting, are driving change. From AI-driven sepsis screening to innovative non-invasive ventilation protocols, this episode delves into the transformative impact of technology and collaboration in pediatric intensive care across the Middle East. Join us as we hear from leading experts who are pioneering data-driven approaches and creative solutions to improve patient outcomes in resource-limited settings. Discover how these advancements are shaping the future of pediatric care in the region HOST Manu Somasundaram Sundaram, MBBS, MD (India), FRCPCH, CPHQ, MBA. Consultant PICU and Medical Director Quality, SIDRA Medicine , Doha, Qatar Assistant Professor , Weill Cornell Medicine - Qatar GUESTS Omar Al Dafaei, MD Consultant PICU Royal Hospital Muscat, Oman Kholoud Said, MD, MRCPCH Consultant –Pediatric ICU, Royal Hospital Muscat, Oman AbdulRahman Zayed Saad AlDaithan, MD Senior Specialist, Pediatric Intensive Care Unit Pediatrics Division General Ahmadi Hospital, Kuwait Oil Company (KOC) Al Ahmadi Area, Kuwait DATE Initial publication date: May 5, 2025. TRANSCRIPTS English - https://cdn.bfldr.com/D6LGWP8S/at/rnkk777mrhwhq82w78hm54j4/WPAW-25_Middle_East_Final_English.pages Spanish - https://cdn.bfldr.com/D6LGWP8S/at/q37ww33767cvm527g3t92w5p/WPAW-25_Middle_East_Final_Spanish.pdf French - https://cdn.bfldr.com/D6LGWP8S/at/b58j8mpc4xwpm9mwf537hp/WPAW-25_Middle_East_Final_French.pdf Portuguese - https://cdn.bfldr.com/D6LGWP8S/at/7h4r8xg937364bbzbms9w9/WPAW-25_Middle_East_Final_Portuguese.pdf Italian - https://cdn.bfldr.com/D6LGWP8S/at/fsf97qrks969v9q9spbw9n/WPAW-25_Middle_East_Final_Italian.pdf German - https://cdn.bfldr.com/D6LGWP8S/at/56f5rhgws7ns94r6mgh9z/WPAW-25_Middle_East_Final_German.pdf Arabic - https://cdn.bfldr.com/D6LGWP8S/at/46j3wgv359br2fx6j399xtgk/WPAW-25_Middle_East_Final_Arabic.pdf Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

In this episode of the NCS Podcast Perspective series, Nicholas Morris, MD, is joined by Immediate Past-President of NCS, Paul Vespa, MD, a professor of neurology and neurosurgery at UCLA. Dr. Vespa shares his path into neurocritical care, as well as his views on the growth of neuro ICUs and advances in continuous EEG monitoring and microdialysis. He discusses the future of AI in EEG, the value of patient stories and the importance of clinician-investigators, mentorship, and teamwork. The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.  

The World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS), in collaboration with OPENPediatrics, recognizes World PICU Awareness Week 2025. This initiative aims to raise global awareness about the importance of PICUs and critical care wards worldwide, emphasizing how healthcare professionals in these units, regardless of resource setting, are driving change. Discover how innovation is reshaping pediatric intensive care across Latin America. From telemedicine and AI to regional data networks, leading experts share practical solutions and powerful success stories. HOST Manuel Enrique Soriano Aguilar, MD Pediatric Critical Care Medicine StarMédica Hospital Infantil Privado & Centro Médico ABC Past President of the Mexican Society of Pediatric Critical Care SLACIP (Latin-American Association of Pediatric Critical Care) Representative to the World Federation of Pediatric & Critical Care Societies (WFPICCS) Mexico GUESTS Emmanuelle Dexeus Gabriel Fernández Vera, Paediatric Critical Care Medicine/Big Data in Health Intensive Care Hospital General de Acapulco RENEO and PALS instructor, SLACIP social media spokesperson Mexico Ledis Maria Izquierdo Borrero, MD Paediatrician specialising in Critical Care Medicine and Paediatric Intensive Care. Master in Biomedical Engineering Chief UCIP Hospital Militar Central Associate Professor Universidad Militar Nueva Granada Colombia Alexandra Jimenez Chaves, MD Specialist in Paediatric Intensive Care Mg(c) Artificial Intelligence Support Services Coordinator at Colsubsidio Children's Clinic Teacher Colegio Mayor Nuestra Señora del Rosario Advanced Life Support in Paediatrics Instructor Founding Member Aipocrates (Think Tank Innovation in Health) Colombia Maria del Pilar Arias, MD Specialist in Paediatric Intensive Care - Master in Clinical Effectiveness - Master in Data Science and Knowledge Management Staff physician Intermediate Care Unit. Ricardo Gutierrez Children's Hospital Buenos Aires. Argentina Coordinator of the SATI-Q Quality Benchmarking Program (Argentinean Society of Intensive Care). DATE Initial publication date: May 4, 2025. TRANSCRIPTS English - https://cdn.bfldr.com/D6LGWP8S/as/89x7t8rcm3rbv32vnkxvjh6/WPAW-25_LATAM_Final_English Spanish - https://cdn.bfldr.com/D6LGWP8S/at/px9wtttsw8q68w2h68r8qcpx/WPAW-25_LATAM_Final_Spanish.pdf French - https://cdn.bfldr.com/D6LGWP8S/at/2pn95f94vc9vm9p633zq59/WPAW-25_LATAM_Final_French.pdf Portuguese - https://cdn.bfldr.com/D6LGWP8S/at/z6v47859hk7tpn8vzkvkrbm/WPAW-25_LATAM_Final_Portuguese.pdf Italian - https://cdn.bfldr.com/D6LGWP8S/at/gpqnjkkpth8g7ps84gfgkhr/WPAW-25_LATAM_Final_Italian.pdf German - https://cdn.bfldr.com/D6LGWP8S/at/76n5cr66m6cq9474hwr986tq/WPAW-25_LATAM_Final_German.pdf Arabic - https://cdn.bfldr.com/D6LGWP8S/at/785vh6cqkrsrr8mxf9xwtgkx/WPAW-25_LATAM_Final_Arabic.pdf Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support or control any related videos in the sidebar; these are placed by YouTube. We apologize for any inconvenience this may cause.

The World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS), in collaboration with OPENPediatrics, recognizes World PICU Awareness Week 2025. This initiative aims to raise global awareness about the importance of PICUs and critical care wards worldwide, emphasizing how healthcare professionals in these units, regardless of resource setting, are driving change. From solar-powered oxygen to virtual mentoring across islands, this episode explores how innovation and collaboration are transforming pediatric intensive care in Oceania. Hear powerful stories from frontline experts overcoming resource limitations to improve outcomes in some of the world's most remote regions. HOST Emma Haisz, RN ECLS Clinical Nurse Consultant Queensland Children's Hospital Brisbane, Australia GUESTS Trevor Duke, MD, FRACP Paediatric intensive care specialist at Melbourne's Royal Children's Hospital Professor of paediatrics at the University of Melbourne Department of Paediatrics Professor of child health at the School of Medicine, University of Papua New Guinea Monica Brook MB BS, FCICM PICU Consultant Starship Children's Hospital Auckland, New Zealand Please visit: www.openpediatrics.org DATE Initial publication date: May 3, 2025. TRANSCRIPTS English - https://cdn.bfldr.com/D6LGWP8S/at/nw8gknpkxp2rq8cpt7fgjgb/WPAW-25_Oceania_Final_English.pdf French - https://cdn.bfldr.com/D6LGWP8S/at/wv5wftfg9z4w58mf8hnjkp/WPAW-25_Oceania_Final_French.pdf German - https://cdn.bfldr.com/D6LGWP8S/at/6j49gthzfrnhj5r7zkmkhbh/WPAW-25_Oceania_Final_German.pdf Spanish - https://cdn.bfldr.com/D6LGWP8S/at/xf46wzqx2rwwjrkqgg33bwq/WPAW-25_Oceania_Final_Spanish.pdf Portuguese - https://cdn.bfldr.com/D6LGWP8S/at/bv7rcpx5jcxj9t6c3w98bjh/WPAW-25_Oceania_Final_Portuguese.pdf Italian - https://cdn.bfldr.com/D6LGWP8S/at/7xxpc4gh5hjvgvvc7c3fcj7/WPAW-25_Oceania_Final_Italian.pdf Arabic - https://cdn.bfldr.com/D6LGWP8S/at/xzvxftsvjzszrfgwh72j5srn/WPAW-25_Oceania_Final_Arabic.pdf Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support or control any related videos in the sidebar; these are placed by YouTube. We apologize for any inconvenience this may cause.

This episode is brought to you by Barefaced: Barefaced takes the guesswork out of skincare. Founded by Nurse Practitioner Jordan Harper, they pair results-driven products with expert guidance, simplifying your routine and empowering you to achieve the confidence that comes from truly feeling great in your skin. Go to www.barefaced.com and use code VALERIA15 at checkout. Valid through 3/30/25 for both new and existing customers. Starting 3/31/25, valid for new customers only. Offer valid on one-time purchases only. Not applicable to subscription orders. In this episode, Valeria is joined by Jordan Harper, a Board-Certified Nurse Practitioner and Founder/CEO of Barefaced. They delve into Jordan's unique journey from working in pediatric ICUs, to becoming an injector and then establishing her own skincare brand based on her clients' needs. From Botox to Mini Facelifts, Jordan and Valeria discuss the highs and lows of facial augmentation and when and how to know which procedures are right for you. Together they also explore the foundational elements of effective skincare routines, the efficacy of in-office treatments like microneedling and Botox, and the evolving landscape of aesthetic procedures. Additionally, Jordan sheds light on the significance of using the right products based on skin type, Barefaced's mission of “Less is More”, and the broader conversation around aging gracefully while maintaining mental and physical well-being. Follow Jordan: https://www.instagram.com/jordanharper_np/  Follow Barefaced: https://www.instagram.com/barefaced/  Shop my look from this episode: https://shopmy.us/collections/1382416  Follow me: https://www.instagram.com/valerialipovetsky/  What We talked about: 00:39 Meet Jordan Harper: From the ICU to Barefaced 01:22 Navigating the World of Experts 03:40 The Role of Problem Solving in Skincare 05:19 Transitioning to Cosmetic Dermatology 08:14 The Evolution of Injectable Treatments 14:46 The Importance of a Solid Skincare Foundation 17:29 Debunking Skincare Myths and Best Practices 31:51 The Importance of Nighttime Skincare 32:01 Maximizing Collagen Production with Vitamin C 32:42 Daytime Skincare Challenges 33:12 The Right Way to Use Retinoids 35:32 SPF: Myths and Realities 37:48 Exfoliation: Finding the Right Balance 40:59 Navigating Skincare Products and Treatments 45:56 The Role of Botox in Skincare 56:52 Facelifts and Aging Gracefully 59:17 Final Thoughts and Takeaways Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Zach Bush brings a unique perspective to understanding human emotions and healing, drawing from his 17-year background in academic medicine running ICUs and bone marrow transplant units, combined with his deep study of Chinese medicine, energy healing, and nature's intelligence. After leaving conventional medicine in 2010, he established an integrated medical center where he absorbed extensive knowledge of Chinese herbal medicine and acupuncture. His discovery that emotions are at the root of all diseases, backed by 5,000 years of Chinese medical science, led him to develop innovative approaches to emotional healing. Dr. Bush's current work with Project Biome involves studying nature's patterns and cycles, giving him unprecedented insights into how human emotional patterns mirror larger natural systems.In this powerful episode, you'll learn:The crucial difference between emotions and feelings, and why this distinction matters for healingHow our addiction to emotional patterns keeps us stuck in victim-perpetrator cyclesWhy nature has no purpose, and how this understanding can liberate us from emotional sufferingThe role of beauty in experiencing unconditional love and breaking free from emotional patternsHow unprocessed grief and trauma manifest physically and can be released through feelingWays to move from intellectual understanding to embodied feelingThe importance of being witnessed in our authentic expressionHow natural cycles of death and rebirth apply to emotional healingPractical approaches to feeling more deeply and metabolizing emotions naturallyKey Takeaway: Our addiction to processed emotions - much like processed foods - keeps us disconnected from the natural flow of feeling that exists in nature. By learning to distinguish between conditioned emotional patterns and raw, authentic feelings, we can break free from this addiction. The path forward isn't about managing or controlling emotions, but rather allowing ourselves to feel more deeply and completely, just as nature does. When we can embrace this natural way of being, our emotional struggles begin to metabolize and transform on their own, leading to genuine healing and liberation.Connect with Dr. Bush:Website: https://journeyofintrinsichealth.com/Join Dr Bush's Community: https://journeyofintrinsichealth.com/Instagram: @zachbushmdConnect with Raj: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.

“I have been a paratrooper and a medic for an air wing, consistently put my patients, brothers and sisters, and our national interest as my top priority,” Harry Fisher, an EMT since 1997, told Dr. Peter McCullough. “When I spoke out about the horrific things I was witnessing… I was called a terrorist by social media and shunned by many of my peers.” The paramedic says he witnessed “evidence of genocide” in 2020-2024 and shares how the medical system influences the minds of clinicians until they comply. Harry Fisher is a Nationally Registered Paramedic (NRP) with extensive experience in emergency medical services. An EMT since 1997 and paramedic since 2013, Fisher served as an Army and Air Force medic before working on ambulances for many years. During the COVID-19 pandemic, he transitioned to contract work in ERs, ambulances, and ICUs. Fisher is the author of “Safe and Effective, For Profit: A Paramedic's Story Exposing American Genocide” available at https://FishersBook.com. His career has spanned Oklahoma, New York City, North Dakota, and Alaska. Find him at https://x.com/harryfisherEMTP Dr. Kelly Victory MD is the Chief of Disaster and Emergency Medicine at The Wellness Company. A board-certified trauma and emergency specialist with over 30 years of clinical experience, Dr. Kelly served as CMO for Whole Health Management, delivering on-site healthcare services for Fortune 500 companies. She holds a BS from Duke University and her MD from the University of North Carolina. Follow her at https://x.com/DrKellyVictory 「 SUPPORT OUR SPONSORS 」 Find out more about the brands that make this show possible and get special discounts on Dr. Drew's favorite products at https://drdrew.com/sponsors  • FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at https://drdrew.com/fatty15 • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at https://drdrew.com/paleovalley • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at https://twc.health/drew 「 MEDICAL NOTE 」 Portions of this program may examine countervailing views on important medical issues. Always consult your physician before making any decisions about your health. 「 ABOUT THE SHOW 」 Ask Dr. Drew is produced by Kaleb Nation (https://kalebnation.com) and Susan Pinsky (https://twitter.com/firstladyoflove). This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Learn more about your ad choices. Visit megaphone.fm/adchoices