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What role does thyroid artery embolization play in contemporary thyroid cancer care? Dr. Juan Camacho, an interventional radiologist from Sarasota, Florida, joins host Dr. Sabeen Dhand to discuss how this emerging technique is reshaping the management of thyroid malignancies. --- SYNPOSIS Dr. Camacho shares his experiences establishing a multidisciplinary team at Memorial Sloan Kettering Cancer Center dedicated to the management of thyroid malignancies, highlighting the critical role of collaboration in the successful implementation of this emerging treatment. He details key procedural techniques, emphasizing the importance of recognizing anatomic variations that can influence technical success. He also examines how arterial supply and lesion location inform procedural planning and decision-making, and outlines his technical approach to thyroid artery embolization, including the use of a radial artery access, catheter selection strategies, and the application of cone-beam CT for procedural optimization. Finally, he reviews his pre- and post-procedural management strategies, including the role of beta blockers in optimizing patient outcomes. The discussion concludes with illustrative case studies demonstrating substantial reductions in thyroid volume and symptomatic relief, notably achieved without post-procedural hypothyroidism. --- TIMESTAMPS 00:00 - Introduction03:31 - Pioneering Thyroid Ablation at Sloan Kettering06:53 - The Need for Thyroid Artery Embolization25:08 - Pre-Procedural Planning32:41 - Embolization Technique and Procedure44:48 - Choosing the Right Catheter for the Job45:43 - Ensuring Patient Comfort and Safety47:09 - High-Stakes Imaging and Safety Protocols47:55 - Innovative Techniques and Case Studies51:02 - Post-Procedure Management and Follow-Up56:30 - Engaging with Endocrinology and Surgeons01:00:00 - Case Studies and Practical Applications
Groove Assassin Back AgainJon Cutler, E-man It's Yours - Radio EditJo Paciello What We SeeOffice Gossip Street TalkDario D'Attis Space & Time - Vocal MixJohn Kong Sconsolatodsf PathosRobosonic ThankfulDubmatix, The Hempolics Crazy Days - The Hempolics RemixJoy Crookes Feet Don't Fail Me NowDubmatix, Sugar Minott In the GhettoDurand Jones & The Indications, Aaron Frazer Flower MoonThe Sura Quintet Safe & ComfortableHether Nature BoyAlif Tree I Feel Blue
Review of vagal maneuvers and alternative treatments used in ACLS for stable patients with tachycardia at a rate over 150 bpm.Narrow complex tachycardia with a rate over 150 BPM.Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock.Assessment & treatment of stable tachycardic patients.Commonly used vagal techniques.A less common technique to stimulate the vagus nerve.Indications and use of Adenosine.Possible treatments for patients found to be in A-Fib or A-Flutter with RVR after administration of Adenosine.Carotid sinus massage.Additional medical podcasts that have episodes on tachycardia can be found on the pod resources page at passacls.com. **American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support! Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Review the indications, dosing, & administration of Adenosine for patients in supraventricular tachycardia (SVT) following ACLS's Tachycardia algorithm.Adenosine is the first IV medication given to stable patients with sustained supraventricular tachycardia (SVT) refractory to vagal maneuvers.Symptoms indicating a stable vs unstable patient.Common causes of tachycardia.Cardiac effects of Adenosine.Indications for use in the ACLS Tachycardia algorithm.Considerations and contraindications.Adenosine as a diagnostic for patients in A-Fib or A-Flutter with RVR.Dosing and administration.Other podcasts that cover common ACLS antiarrhythmics in more detail and another covering Brugata Criteria used to differentiate V-Tach from SVT with an aberrancy, can be found on the Pod Resources page at passacls.com.**American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support! Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Fellow Believers Pastor Jeff Weiss, Luke Tibor, Trent Loos welcome Kevin Jenkins as momentum for Man March 2025 builds.Tribute to the life of Duane Reynold, Litchfield, NE link here
Review the appropriate & safe use of an oropharyngeal airway (OPA) to keep an unresponsive patient's tongue from blocking their airway.The tongue is the most common airway obstruction in an unconscious patient.The oropharyngeal airway is sometimes called an OPA or simply an oral airway.Indications for using an oral airway.Contraindication for an oral airway and an alternative airway that can be used for patients with an intact gag reflex.Measuring an OPA and possible complications from inserting one that is too small or too large.Two techniques to properly insert an OPA.The use of an oral airway during CPR.The use of an OPA as a bite block after a patient has an advanced airway placed.**American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support! Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
0024d Seven Indications (miracles) of Jesus, in the book of John, discussed by Jerry and Sherry, my Podcasters
Dhineli Perera talks to infectious diseases physician and clinical microbiologist Carly Hughes about the latest recommendations for aminoglycoside use in Australia. They discuss indications for parenteral aminoglycosides, drug selection, dosing and therapeutic drug monitoring. Read the full article by Carly and her co-authors in Australian Prescriber.
The LACNETS Podcast - Top 10 FAQs with neuroendocrine tumor (NET) experts
ABOUT THIS EPISODEDLL3 is emerging as a promising new target for neuroendocrine cancers. In this episode, Dr. Rohit Thummalapalli, medical oncologist at Memorial Sloan Kettering Cancer Center, explains what DLL3 is, how it works, who might benefit, and what current clinical trials are teaching us. He breaks down the science, treatment options, and future directions in a way that is clear, approachable, and designed to help patients and families better understand this developing area of care.TOP TEN QUESTIONS Understanding the Basics1. What is immunotherapy? How does immunotherapy work?2. What is DLL3? How does it work in the context of neuroendocrine cancer?3. How is DLL-targeted therapy similar to or different from other types of immunotherapy? Is there evidence that one works better than another?Indications, Use, Access & Availability4. When is DLL3 used in neuroendocrine cancers? What types of neuroendocrine cancer might express DLL3?How does someone know if this is a potential treatment option for them?At what point in a patient's treatment journey might DLL3 be considered?How and where DLL3 is available for neuroendocrine cancer patients? What are other ways, if any, to access DLL3?Testing for DLL3 Expression5. How does someone find out if their tumors express DLL3 receptors? How & where is DLL3 expression tested? It it tested through tissue samples, imaging, or something else?Is there a minimal level of DLL3 expression that is required to receive the treatment? (Does the threshold vary by trial?)Does the level of DLL3 expression differ by institution? Does the level of DLL3 expression predict how well someone might respond to treatment?Can the tumor expression of DLL3 vary from tumor to tumor? Can it vary over time, meaning can tumors gain or lose expression?Do you measure the DLL3 expression following treatment?Treatment Considerations6. How effective is DLL3-targeted therapy in neuroendocrine cancers? What is the goal of treatment with DLL3 – shrinkage, stabilization, symptom relief? How long is it expected to work? How do you measure the response to DLL3 treatment? 7. Can DLL3 be combined with other therapies? Decision-Making and Patient Counseling8. How do you decide when to offer DLL3 for someone with neuroendocrine cancer? What factors or prior treatments might make someone ineligible for DLL3 therapy?Could receiving DLL3 exclude a patient from other treatments or clinical trials?9. How do you counsel patients who are considering DLL3? What should they know about how the treatment is given, possible side effects, and what's known (or unknown) about long-term safety?What should one expect in terms of frequency of visits, hospitalization and side effects?Can someone still work while receiving DLL3?Looking Ahead10. What are the key questions you hope to answer about DLL3 in the next year? What do you hope to learn over the next 3 to 5 years?ABOUT DR. ROHIT THUMMALAPALLI Rohit Thummalapalli is a gastrointestinal medical oncologist and assistant attending physician at Memorial Sloan Kettering Cancer Center specializing in clinical care and research in patients with neuroendocrine and biliary tract cancers. Originally from Florida, Dr. Thummalapalli completed medical training at Harvard and Johns Hopkins before arriving at MSK as a medical oncology fellow in 2021, and started on faculty in 2024.For more information, visit https://www.ncf.net/podcast/48For more information, visit NCF.net.
Vientos y metales. Y voces impresionantes de Aretha, Merry Clayton, Mandy Moore, Michael McDonald, Mavis Staples… Escuchamos lo último de Hiromi, Rodina con Joe Tatton, Valerie June con la producción de M.Ward o de Paul Weller.DISCO 1 GATA BRASS BAND UtopíaDISCO 2 BILLIE THE VISION & DANCERS I’m AliveDISCO 3 MANDY MOORE The Whole Of The MoonDISCO 4 VALERIE JUNE & THE BLIND BOYS FROM ALABAMA ChangedDISCO 5 DURAND JONES & THE INDICATIONS I Need The AnswerDISCO 6 RODINA & Joe Tatton Trio InspirationDISCO 7 THE TOWER OF POWER What Is Hip?DISCO 8 ARETHA FRANKLIN Hello Sunshine ARETHA NOW 1968DISCO 9 THE DOOBIE BROTHERS Walk This RoadDISCO 10 PAUL WELLER Daltry StreetDISCO 11 MERRY CLAYTON Gimme ShelterDISCO 12 HIROMI’S SONICWONDER Out There - Escuchar audio
Are you considering expanding your IR practice into pain management services? Get the download from someone who's done it already. In this episode of BackTable MSK, Dr. Sean Maratto from Philadelphia's Jefferson Health Network is joined by guest Dr. Junjian Huang from Emory University School of Medicine to discuss the intricacies of building a pain management practice within the interventional radiology space. ---This podcast is supported by an educational grant from Medtronic.---SYNPOSISDr. Huang shares his career journey, highlighting his shift towards pain palliation. The conversation covers a range of topics including procedural insights, patient management strategies, navigating institutional politics, and future trends in orthopedic IR. Dr. Huang emphasizes the importance of balancing patient care with building robust referral networks, and shares valuable advice for budding interventional radiologists.---TIMESTAMPS00:00 - Introduction02:20 - What's Your Why? Why Pain Intervention? 12:52 - Building a Complex Pain Management Practice24:47 - Marketing a Service Line30:57 - Patient Impact from Pain Management Services39:53 - Recommendations and Indications for Cryoneurolysis and BVNA 45:36 - Post-Procedure Follow-up and Psychosomatic Pain Guidance52:35 - Insight to the Future of Interventional Pain and Final Thoughts---RESOURCESDr. Junjian Huang, MDhttps://med.emory.edu/directory/profile/?u=JHUAN22 Dr. Sean Maratto, MDhttps://www.jeffersonhealth.org/find-a-doctor/m/maratto-sean-a
Welcome to Sridhar's newsletter & Podcast (Click Play button for Audio version of the Post). Appreciate you being here, so we can connect weekly on interesting topics. Add your email id here to get this directly to your inbox.Do subscribe to show Minimalist Techie over Apple Or Spotify Or YouTube podcast (Click on Hyperlinks for Apple Or on Spotify Or on YouTube) or hear it over email you received through my subscription or on my website.This weekly newsletter is mostly about the article, books, videos etc. I read or watch or my views on different topics which revolves around my head during the week.Point discussed in this Podcast,Why So Few Tech Jobs for Recent Grads? • The promise vs. the reality • Data showing how entry-level tech hiring has contracted • Why companies demand high experience from newcomers • Role of AI / tooling in shifting the job landscape • What grads and educational systems can do differentlyData Point & Implication* Entry-level hiring by top tech firms dropped by 50% since 2019 San Francisco StandardImplication - The largest tech companies are hiring far fewer fresh grads, undermining the promise of entry-level paths.* The share of tech job ads requiring ≥5 years' experience rose from ~37% to ~42% from 2022 → 2025 Indeed Hiring LabImplication - More roles are shifting toward “mid/senior-level only,” squeezing the bottom tier.* Projections show ~317,700 new job openings per year in U.S. tech & IT occupations through 2034 Bureau of Labor StatisticsImplication - The volume is there—jobs exist—but many are not entry-level or accessible.* Reports show that many grads (esp. CS grads) now face unemployment rates over 6% — double some liberal arts majors The Economic TimesImplication - It's a disruption: even in “hot” fields, grads aren't guaranteed jobs.* Indications that tech postings are down ~36% vs. pre-pandemic levels RedditImplication - The number of roles overall has contracted, increasing competition.Why This Gap Is Widening * Raising experience bars: Companies prefer safer bets — hiring those with track records, rather than investing in freshers. (Data: experience requirement rising)* Risk aversion & cost of training: Startup budgets and corporate HR often don't want or can't afford ramp-up time for newcomers.* AI & automation's shadow: • Some entry-level tasks (simple code, scripts, basic data cleaning) are increasingly tackled by AI/ML tools, reducing demand for junior labor. • This doesn't eliminate the need for human developers — but shifts the requirements higher.* Mismatch of curriculum & industry needs: Education sometimes lags behind tech trends. Graduates might know older languages but not the niche frameworks or cloud / ML / architecture knowledge companies now expect.* Selective hiring & “brand bias”: Companies often prioritize grads from elite universities or known tech schools, exacerbating inequality.* Market cycles & contraction: When the tech bubble deflates or macroeconomic headwinds rise, companies cut or freeze junior hiring first.What Grads / Postgrads Can Do * Build a portfolio of real-world projects • Open-source contributions, personal apps, data projects, internships—even unpaid or side work. • Projects that solve real problems, not toy examples.* Learn the in-demand skills & tools • Cloud (AWS, Azure, GCP), ML/AI basics, infrastructure, modern frameworks (e.g. React, Node.js), DevOps tools. • Certifications, bootcamps, micro-credentials. • Embrace continuous learning—because tech evolves.* Target smaller companies, startups, non-tech firms • These roles may have lower brand prestige but offer more flexibility and opportunities to learn. • Many “non-tech” companies need developers for automation, internal dashboards, ML, etc.* Network aggressively & find mentors • Use LinkedIn, meetups, hackathons. • Reach out to people in your niche, ask for code reviews, mock interviews, advice.* Be flexible in location / remote work • Don't confine your job search to top-tier cities only. Remote roles open more doors. • Be open to contract / freelance gigs to build experience.* Show results, not credentials • In interviews, emphasize outcomes, metrics, and problem-solving over “courses taken.” • Demonstrate how your work impacted something, however small.* Consider non-traditional entry paths • Apprenticeships, technical residencies, bootcamp-plus internships. • Some tech fellowships let you “earn while learning.”What Institutions & Industry Must DoTo make systemic change, certain players must act:* Universities / colleges: • Update curricula quicker; partner with industry; offer more work-integrated learning programs. • Bridge the gap between theory and current tools.* Tech companies / recruiters: • Re-evaluate job descriptions: reduce arbitrary thresholds (years of experience, brand school). • Build robust junior hire programs; commit to “grow-your-own” talent. • Use transparency in hiring pipelines (publish how many fresh grads hired).* Government / policy makers: • Incentivize companies to hire entry-level talent (tax credits, subsidies for training). • Support tech education & apprenticeships.To conclude, The tech industry can't thrive if new talent is blocked at the door. To preserve innovation, companies must open pathways; graduates must be strategic about learning and positioning themselves.That is all for this week. See you again.Do let me know in comments or reply me over email to share what is your view on this post. So, Share, Like, subscribe whatever these days' kids say :-)Stay Connected, Share Ideas, Spread Happiness. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit sridhargarikipati.substack.com
Þriðjudagur sem þýðir að Árni Matt fór undir yfirborðið og ræddi margt furðulegt í henni veröld. Fjölbreytt tónlist og hefðbundin aðalfundarströf í Popplandi dagsins. Spiluð lög: PÁLL ÓSKAR & BENNI HEMM HEMM - Eitt af blómunum DURAND JONES & THE INDICATIONS & AARON FRAZER - Been So Long SPILVERK ÞJÓÐANNA - Bráðabirgðabúgí SNORRI HELGASON - Torfi á orfi J.J. CALE - After Midnight MUGISON - Til lífins í ást BOB MARLEY - Buffalo Soldier TURNSTILE - Seein' Stars JEFF WHO? - She's Got The Touch SABRINA CARPENTER - Taste DAVID BOWIE & PAT METHENY - This Is Not America DRUGDEALER & WEYES BLOOD - Real Thing PASSENGER - Let Her Go SPARKS & GORILLAZ - The Happy Dictator START - Seinna meir NÝDÖNSK - Fullkomið farartæki EMILIANA TORRINI - Miss Flower KÁRI THE ATTEMPT & NÚMER 3 - Augasteinar AMPOP - My Delusions THE LA'S - There She Goes CAAMP - Mistakes BEYONCÉ - Formation JHAY CORTEZ & BAD BUNNY - Dakiti (Clean) FLEETWOOD MAC - Dreams ST. PAUL & THE BROKEN BONES - Sushi and Coca-Cola ÍVAR KLAUSEN - All Will Come To Pass LADY GAGA - The Dead Dance HIPSUMHAPS - Góðir hlutir gerast hææægt DR. GUNNI - Allar sætu stelpurnar LAUFEY - Mr. Eclectic Í SVÖRTUM FÖTUM - Meðan ég sef MY MORNING JACKET - Everyday Magic GUGUSAR - Reykjavíkurkvöld M83 - Midnight City HREKKJUSVÍN - Sæmi rokk STRAFF - Wagabajama CURTIS MAYFIELD - Move On Up THE NEIGHBOURHOOD - Sweater Weather NYLON - Síðasta sumar HOZIER - Too Sweet JÓN JÓNSSON & UNA TORFA - Vertu hjá mér BRÍET - Wreck Me
Episode 102 – Fluoxetine Fluoxetine is a commonly prescribed Veterinary Psychopharmaceutical, so I thought we'd do a bit of a deep dive into fluoxetine and the things you, as professionals, need to know about this medication. Here's what you'll learn: · Indications for and uses of fluoxetine in Veterinary Medicine (and some super easy ways to remember them), · Commonly seen side effects. · How to change from fluoxetine to a different Psychopharmaceutical. · Potential drug interactions. This is a bit of a whistlestop tour into fluoxetine but if you'd like to dive even deeper, I've got you covered – My PSYCHOACTIVE course contains everything you need to know: https://katrin-jahn.mykajabi.com/psychoactive If you'd like to book a 30-minute Vet-Vet or Vet-Pet Care Professional Consultation with me, you can do that right here: https://calendly.com/trinityvet/teams-and-professionals If you can't find an appointment time to suit you, please email us at info@trinityvetbehaviour.com to find a time that suits us both! And if you'd like some amazing Client Handouts (including one about Behaviour Meds) to give to your clients, then here is the link to my amazing Trinity Client Handouts E-Book: https://katrin-jahn.mykajabi.com/trinity-e-book If you liked this episode of the show, Veterinary Behaviour Chat, please LEAVE A 5-STAR REVIEW, like, share, and subscribe! Facebook Group: Join The Veterinary Behaviour Community on Facebook You can CONNECT with me: Website: Visit my website Trinity Veterinary Behaviour Instagram: Follow Trinity Veterinary Behaviour on Instagram Trinity Veterinary Behaviour Facebook: Join us on Trinity Veterinary Behaviour's Facebook page Trinity Veterinary Behaviour YouTube: Subscribe to Trinity Veterinary Behaviour on YouTube LinkedIn Profile: Connect with me on LinkedIn Thank you for tuning in!
Conecta los con los Ángeles, California, para que Daniel “Freebo” Friedberg y Alice Howe nos hablen de su gira en España a mediados de este octubre. Howe ha sido premiada recientemente en Nashville como mejor intérprete de folk-rock por su álbum “Americana Highways” grabado en los míticos estudios Gregory Porter también vendrá este mes de octubre y Younh Gun Silver Fox lo harán en noviembre.DISCO 1 BRAD MEHLDAU Everybody Cares, Everybody UnderstandsDISCO 2 MAGGIE PRICE 500 Miles (ESCA)DISCO 3 JOHN FOGERTY Bad Moon Rising (LIVE)DISCO 4 PAUL WELLER White Line FeverDISCO 5 TENNIS Through The MirrorDISCO 6 ALICE HOWE & FREEBO You’ve Been Away So LongDISCO 7 ALICE HOWE 500 Miles (ESCA) Americana HighwaysDISCO 8 GREGORY PORTER Issues Of Life DISCO 9 YOUNG GUN SILVER FOX Stevie & SlyDISCO 10 DURAND JONES & THE INDICATIONS Flower MoonEscuchar audio
KMOX's Matt Pauley comments on the Cardinals final homestand and final appearance for third baseman Nolan Arenado in a home uniform at Busch Stadium.
Happy September! This month for the September 2025 episode of the RCEM Learning Podcast Andy and Dave are talking about AI interpretation of ECG findings and managing acute asthma exacerbations. We are then going back to Becky and Chris rounding off the second part of their guideline on atrial fibrillation. We'll then end with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website! (02:13) New in EM - AI vs doctor in cath lab activations Accuracy of cath lab activation decisions for STEMI-equivalent and mimic ECGs: Physicians vs. AI (Queen of Hearts by PMcardio) (Shroyer et al., 2025) (18:00) Guidelines for EM - ESC Atrial Fibrillation (Part Two) ESC - 2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS) (ESC, 2024) (39:03) New in EM - Management of acute asthma exacerbations As-Needed Albuterol–Budesonide in Mild Asthma (LaForce et al., 2025) Combination fixed‐dose beta agonist and steroid inhaler as required for adults or children with mild asthma (Cochrane Library, 2021) (54:00) New Online – new articles on RCEMLearning for your CPD Understanding Medical Cannabis: Mechanisms, Indications and Clinical Integration - David Tang Safe Sedation Procedures in Adults - Duncan Russell and Shobhan B Thakore Unusual Agitation in Final Year Student - Cathy Wield and Mark Horowitz
Review the ACLS treatment goals and targeted temperature management (TTM) for post-arrest patients that have return of spontaneous circulation (ROSC).Post-arrest care and recovery are the final two links in the chain of survival.Identification of ROSC during CPR.Initial patient management goals after identifying ROSC.Indications for starting TTM.Monitoring the patient's core temperature.**American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support! Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This short episode covers the basics of electroconvulsive therapy.Hosts: Ravi Bhindi (CC3), Dr. Angad Singh (PGY2)Audio Editing: Dr. Angad Singh (PGY2)Show Notes: Dr. Angad Singh (PGY2)Time Stamps:(0:36) - What is ECT?(2:18) - Indications and efficacy(4:35) - Treatment course(4:32) - Combination treatment(6:33) - Medications to discontinue(8:16) - Contraindications(9:40) - Side effects(11:52) - Procedure(16:03) - SummaryResources:https://www.camh.ca/en/health-info/mental-illness-and-addiction-index/electroconvulsive-therapyhttps://sunnybrook.ca/content/?page=psychiatry-electroconvulsive-therapy-ect-faqReferences:Andrade, C., Arumugham, S. S., & Thirthalli, J. (2016). Adverse Effects of Electroconvulsive Therapy. The Psychiatric clinics of North America, 39(3), 513–530.Brakemeier, E. L., Merkl, A., Wilbertz, G., Quante, A., Regen, F., Bührsch, N., van Hall, F., Kischkel, E., Danker-Hopfe, H., Anghelescu, I., Heuser, I., Kathmann, N., & Bajbouj, M. (2014). Cognitive-behavioral therapy as continuation treatment to sustain response after electroconvulsive therapy in depression: a randomized controlled trial. Biological psychiatry, 76(3), 194–202.Espinoza, R. T., & Kellner, C. H. (2022). Electroconvulsive therapy. New England Journal of Medicine, 386(7), 667-672.Gill, S., Hussain, S., Purushothaman, S., Sarma, S., Weiss, A., Chamoli, S., ... & Loo, C. K. (2023). Prescribing electroconvulsive therapy for depression: Not as simple as it used to be. Australian & New Zealand Journal of Psychiatry, 57(9), 1202-1207.Janjua, A. U., Dhingra, A. L., Greenberg, R., & McDonald, W. M. (2020). The efficacy and safety of concomitant psychotropic medication and electroconvulsive therapy (ECT). CNS Drugs, 34(5), 509-520.Jelovac, A., Kolshus, E., & McLoughlin, D. M. (2013). Relapse following successful electroconvulsive therapy for major depression: a meta-analysis. Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 38(12), 2467–2474.Kolshus, E., Jelovac, A., & McLoughlin, D. M. (2017). Bitemporal v. high-dose right unilateral electroconvulsive therapy for depression: a systematic review and meta-analysis of randomized controlled trials. Psychological Medicine, 47(3), 518-530.Lam, R. W., Kennedy, S. H., Adams, C., Bahji, A., Beaulieu, S., Bhat, V., ... & Milev, R. V. (2024). Canadian Network for Mood and Anxiety Treatments (CANMAT) 2023 Update on Clinical Guidelines for Management of Major Depressive Disorder in Adults: Réseau canadien pour les traitements de l'humeur et de l'anxiété (CANMAT) 2023: Mise à jour des lignes directrices cliniques pour la prise en charge du trouble dépressif majeur chez les adultes. The Canadian Journal of Psychiatry, 69(9), 641-687.Luchini, F., Medda, P., Mariani, M. G., Mauri, M., Toni, C., & Perugi, G. (2015). Electroconvulsive therapy in catatonic patients: Efficacy and predictors of response. World journal of psychiatry, 5(2), 182–192.Tess, A. V., & Smetana, G. W. (2009). Medical evaluation of patients undergoing electroconvulsive therapy. New England Journal of Medicine, 360(14), 1437-1444.Zolezzi M. (2016). Medication management during electroconvulsant therapy. Neuropsychiatric disease and treatment, 12, 931–939.For more PsychEd, follow us on Instagram (@psyched.podcast), Facebook (PsychEd Podcast), X (@psychedpodcast), and Bluesky (@psychedpodcast.bsky.social). You can email us at psychedpodcast@gmail.com and visit our website at psychedpodcast.org.
Review the indications, contraindications, and safe administration of nitroglycerine to Acute Coronary Syndrome (ACS) patients with ischemic chest pain.Nitroglycerine is vasodilator that affects peripheral blood vessels and coronary arteries.Assessment of vital signs prior to administering nitro.Indications for use of nitroglycerine.Nitroglycerine's contraindications & considerations for use.Effects of nitro on patients taking PDE inhibitors.Administration of nitroglycerine to patients with ischemic chest pain.Considerations for patients that took their home nitroglycerine.Monitoring patient's pain and vital signs after nitro administration.**American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support! Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
CME credits: 1.00 Valid until: 16-09-2026 Claim your CME credit at https://reachmd.com/programs/cme/Real-World-Evidence-of-Photobiomodulation-Efficacy-in-Ocular-Indications/35952/ This CME activity focuses on multiwavelength photobiomodulation (PBM), an emerging therapy indicated for the treatment of dry age-related macular degeneration (AMD). Hear from leading researchers and retina specialists about the mechanism of action, how it is administered, its efficacy and safety profile, therapeutic durability, which patients may benefit the most, and how PBM would fit into the AMD treatment paradigm.
Welcome to Season 2 of the Orthobullets Podcast. Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature Dr. George A. Paletta Jr. and is titled "Management of the Failed SLAP Repair and Biceps Tenodesis Indications."Follow Orthobullets on Social Media:FacebookInstagram LinkedIn
A deep read on India's political choreography: how Modi's targeted tactics, the “BrahMos” approach, influenced the VP election, strained Lutyens media ties, and left Rahul Gandhi exposed. Bhau and Omkar Chaudhary unpack strategy, mistakes, and what it means for the coming elections.
Egil Østhus on LinkedIn: https://www.linkedin.com/in/egilconr/ Video of Egil talking about Unleash https://www.youtube.com/watch?v=HVBXxFZGVfc Go here to get started with Unleash: https://www.getunleash.io Four Pillars Excerpt from FeatureOps whitepaper and FeatureOps introduction There are four pillars of FeatureOps: Other Resources: Short introduction on feature flags: https://martinfowler.com/bliki/FeatureFlag.html It’s also important to understand how to use a Keystone Interface: https://martinfowler.com/bliki/KeystoneInterface.html And dark launching a feature: https://martinfowler.com/bliki/DarkLaunching.html Longer … The post 307 Indications in product development that suggest you need feature flags first appeared on Agile Noir.
For review:1. IDF Hits Houthi Camps in Sanaa.2. Indications Point Doha Strike on Hamas Leaders Unsuccessful.3. Qatar will host an emergency Arab-Islamic summit in Doha on Sunday and Monday to discuss the Israeli attack on the Gulf state's capital city that targeted Hamas leaders.4. Prime Minister Benjamin Netanyahu declared on Thursday evening that “there will be no Palestinian state,” as he signed an agreement to push ahead with the controversial E1 settlement expansion plan that will cut across West Bank land.5. IDF expanding operations in preparation of Gaza City campaign. In total, five IDF divisions are set to participate in the Gaza City offensive.6. Iranian Foreign Minister Abbas Araghchi said Thursday that enriched nuclear material remained “under the rubble” of facilities damaged during the recent war with Israel.7. The US Department of Defense announced it would provide the Lebanese Armed Forces (LAF) a security package worth $14.2 million to help in its new mission to disarm Hezbollah.The aid package includes shaped and demolition charges, detonating cords, electric and non-electric caps, fuse igniter generators and transportation.8. NATO allies shot down three Russian drones that illegally entered Polish air space on Wednesday. A senior Army official told reporters on Wednesday that eight other Russian drones crashed after entering Poland. 9. The House passed its version of the fiscal 2026 defense policy bill today.The 231-196 vote was split mostly down party lines.
To kick off our newest season, R&B sensations Durand Jones & The Indications sit down with our Secretly Frequencies hosts, Tom Davies and the band's old pal, Colemine Records' Terry Cole. Formed in Bloomington, Indiana in 2012 with an original plan to play a single show, we encounter the Indications after countless worldwide tours and four albums, with their most recent, 'Flowers,' released in June via Dead Oceans. Through an interview-by-song, the core songwriting trio of singer Durand Jones, singer/drummer Aaron Frazer, and guitarist Blake Rhein wax on breaking the musical rules, their myriad fanbase, and the power of friendship. Links: Secretly Frequencies: Durand Jones & The Indications Playlist Secretly Society Podcast Episodes Secretly Society Podcast on Secretly Store Secretly Society General Information Durand Jones & The Indications: Durand Jones & The Indications Website Link Durand Jones & The Indications on Instagram Durand Jones & The Indications on X Durand Jones & The Indications on Facebook
Our primary focus immediately following return of spontaneous circulation (ROSC) is aimed at ensuring adequate perfusion of the patient's vital organs and decreasing cerebral damage.Post-arrest goals for O2 saturation, ETCO2, and BP/MAP.Indications for use of an antiarrhythmic after ROSC.Determining which antiarrhythmic to use post cardiac arrest.Administration of Amiodarone or Lidocaine to control ventricular ectopy after ROSC.The use of Amiodarone post arrest if no antiarrhythmics were administered prior to obtaining ROSC.Links to other medical podcasts that cover antiarrhythmics and other ACLS-related topics are on the Pod Resource page at PassACLS.com.**American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support! Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
| One Man (One Mix) | Chanelle | 1989 | Let Me Down Easy (Disco Version) | Rare Pleasure | 1976 | Watch Out | Brandi Wells | 1981 | What Goes Around Comes Around | Brandi Wells | 1981 | The Player (Mike Maurro Remix) | First Choice | 2017 (1974) | Big Stone Wall (Around Your Heart) (A Mike Maurro Remix) (Edit) | Tapestry | 2020 (1973) | You Got To Know Better (Paul Simpson Re-edit) | Touch Of Class | 2022 (1976) | Special Kind Of Love | Linda Tillery | 1985 | Secrets | Linda Tillery | 1985 | Potential | Keanna O'Quinn | 2019 | I'm A Changed Person | Kaleidoscope | 1975 | We're Not Getting Any Younger | Kaleidoscope | 1975 | Hard Times | Queen Latifah | 2004 | Hello Stranger | Queen Latifah | 2004 | Empowering Me | Carmichael Musiclover | 2022 | Sea Gets Hotter | Durand Jones & The Indications | 2019 | Don't Come Crying To Me | Linda Clifford | 1981 | Take A Chance With Me | Deborah Washington | 1978 | Found A Cure | Ashford & Simpson | 1979 | The Boys Come To Town | Earlene Bentley | 1983 | If It Wasn't For The Nights (Almighty 12" Anthem Mix) | Abbacadabra | 2007
Listen to a conversation with Durand Jones, Aaron Frazer and Blake Rhein of the soul band Durand Jones and The Indications. They joined WFYI's Kyle Long for an in-depth discussion of their roots in Bloomington, Indiana and how projects including the IU Soul Revue and Charlie Patton's War brought the band together. The Indications' latest album is titled “Flowers”, and they'll be performing in Indianapolis on September 30 at the Hi-Fi Annex. Durand Jones and the Indications formed in Bloomington in 2012, while its members were studying at Indiana University. The band's sound was built around a mutual love for classic soul, funk and R&B. Their reputation spread beyond Bloomington in 2016, when Ohio's Colemine Records issued their debut album. The Indication's second album “American Love Call” was issued in 2019 and praised by critics for its lush arrangements and socially conscious lyrics, earning comparisons to The Impressions and The Delfonics. Two years later, their album “Private Space” debuted in the Top 10 of Billboard's Emerging Artists chart. Their latest album “Flowers” builds on the band's distinct blend of vintage soul sounds and contemporary production techniques. Since launching in Bloomington over a decade ago, The Indications have grown into an international force, racking up millions of streams online, and touring across North America and Europe.
Resources: Rutherford Chapters (10th ed.): 174, 175, 177, 178 Prior Holding Pressure episode on AV access creation: https://www.audiblebleeding.com/vsite-hd-access/ The Society for Vascular Surgery: Clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access: https://www.jvascsurg.org/article/S0741-5214%2808%2901399-2/fulltext KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update: https://pubmed.ncbi.nlm.nih.gov/32778223/ Venous Hypertension Definition A functioning AV circuit delivers high volume arterial flow towards a stenotic venous segment, causing buildup in pressure and venous hypertension. If there are few or no branching veins between the access and stenosis, thrombosis could occur Etiology The most common etiology is venous stenosis caused by a history of vessel wall trauma by centrally-inserted venous devices such as tunneled and non-tunneled dialysis catheters, central lines, pacemakers, or defibrillator. In a study performed at a large academic medical center1, new hemodynamically significant central venous stenosis was associated with the duration of catheter dependence (26% in patients with CVCs for more than 6 months, versus 11% in patients with CVCs for less than 6 months). PICC lines can directly damage cephalic and basilic veins Venous stenosis can often go undetected until AV access creation occurs Patient Presentation Symptoms of venous insufficiency will be present– most commonly regional edema, in the area of venous stenosis. If there are patent venous branches between the AV anastomosis and the stenotic area, swelling can occur throughout the arm. Pigmentation, induration, dermatosclerosis, and ulceration may also be observed. An extensive collateral network of veins may be visible throughout anterior chest, shoulder, or flank SVC obstruction can result in swelling of the head, neck and shoulders, as well as a feeling of head and neck fullness, airway compromise, and visual problems Normal palpable thrill can be replaced by a strong pulse Dialysis can be complicated by difficulty with needle access, recirculation syndrome, and arm swelling after dialysis sessions. Workup Central vein thrombosis can be hard to detect on ultrasound because clavicle and sternum can block transmission Venography is essential to determine the presence and severity of venous stenosis or occlusion. Prevention The ideal scenario is to avoid central dialysis catheters completely, and this involves evaluating CKD patients and placing AVF or AVG before the need for dialysis arises. If a patient presents placement of an AVF/AVG, it is important to perform venography if a patient has a history of a central venous catheter or clinical signs of venous hypertension. A history of SVC obstruction from any cause can preclude permanent AV access creation in both upper extremities Treatment Endovascular approaches to venous outflow stenosis can be first-line treatment options, due to their minimal risk. They can also be performed at the same time as a diagnostic venogram. Angioplasty alone or with stenting are the endovascular options. In a study by Bakken et al2 that compared primary high-pressure balloon angioplasty versus stenting, primary patency was equivalent between groups, with 30-day rates of 76% for both groups and 12-month rates of 29% for angioplasty and 21% for stenting. Assisted primary patency was also equivalent with a 30-day patency rate of 81% and 12-month rate of 73% for the angioplasty group, 84% at 30 days, and 46% at 12 months for the stenting group. This study, along with others, shows that the major downside of endovascular interventions, whether angioplasty or stenting, often require repeat intervention and have poor long-term patency. For subclavian vein stenosis, angioplasty alone is appropriate due to its anatomical location that can put a stent at risk for extrinsic compression from the first rib and clavicle. Surgical bypass can be performed Possible bypasses include axillary-axillary, axillary-jugular, axillary-right atrial, and axillary-femoral. In these bypasses, the preferred conduits are autogenous saphenous or femoral veins. In cases where the proximal subclavian vein is obstructed, a jugular vein turndown can be performed. In this procedure the distal jugular vein is transected, sewed end-to-side at the distal subclavian vein, effectively acting as a bypass route for that obstructed segment. The Hemoaccess Reliable Outflow (HeRO) Vascular Access Device can be used as a hybrid approach, combining endovascular and open surgical techniques to bypass a central venous occlusion and provide a reliable outflow for dialysis. This device has a PTFE inflow limb that is sewn end-to-side onto the brachial artery. This limb is tunneled subcutaneously and connected to a silicone-coated nitinol outflow catheter that is inserted into a central vein and tracked directly into the right atrium. This effectively bypasses central venous stenoses. In the largest study to date on HeRO access grafts placed in 167 patients,3 HeRO primary and secondary patency was 48.8% and 90.8%, respectively, at 12 months. Interventions to maintain or re-establish patency were required in 71.3% of patients resulting in an intervention rate of 1.5/year. Access-related infections were reported in 4.3% patients. The authors concluded that HeRO device had performed comparably to standard AVGs and had proven superior to tunneled dialysis catheters in terms of patency, intervention, and infection rates. If no treatment options for venous hypertension or outflow obstruction are available, an alternate AV access site can be created, either in the contralateral arm if the SVC is uninvolved, or through placement of femoral AV access or a peritoneal dialysis catheter. Bleeding Access Site Etiology and Risk Factors Bleeding can be caused by high venous pressure after dialysis, pseudoaneurysm rupture, or trauma. Patients with end stage renal disease (ESRD) have a baseline elevated risk of bleeding due to uremia-induced platelet dysfunction and use of systemic anticoagulation within the hemodialysis circuit. Additional risk factors include dialysis through an AV graft, hypertension, longer duration of access use, and compromised integrity of the vascular access due to complications (clotting, infection) or invasive procedures. Dual antiplatelet therapy is also associated with overall bleeding events in ESRD patients. Dialysis patients could be on antiplatelet therapy for management of comorbid cardiovascular risk and/or patency of AV graft Patients with bleeding fistulas often present from their dialysis unit when standard digital pressure at the cannulation site fails to stop the bleeding. This is a very serious condition since most mature fistulas have high blood flow and the patients are at risk for hemorrhagic shock and death. Initial Management The first step of management is to obtain hemostasis. Elevate the limb above the level of the heart and apply firm and directed pressure at the site of bleeding using gauze for at least 30-40 minutes Milosevic et al4 reviewed non-operative management of bleeding fistulas and grafts and found that compared to standard dressings, the use of specialized hemostatic dressings decreased bleeding time at arterial and venous cannulation sites. These hemostatic materials included the IRIS compression bandage and cellulose-based, chitosan-based, poly-N-acetyl glucosamine-based, and thrombin-soaked dressings. There has been a “bottlecap method” described where the hollow side of a bottlecap is pressed on top of the puncture site. Maintaining pressure on the cap will cause the cap to fill with blood and clot, which tamponades the bleeding. The provider can also place a shallow figure-of-8 or purse string stitch just below the skin surface to aid in hemostasis. It is important to avoid placing the suture too deep as this can cause inadvertent fistula ligation. During this process, an assistant applies pressure just proximal and distal to the bleeding site to stop blood flow so the sutures can be placed. If these methods fail to achieve hemostasis, apply a tourniquet proximal to the fistula and tighten it until bleeding stops and the radial pulse is lost. This signifies complete occlusion of arterial inflow to the fistula. Tourniquet use should be limited to 3 hours or less, since limb ischemia beyond this timepoint is associated with permanent neuromuscular damage. Regardless of the method used for initial hemostasis, the patient is at risk for repeat hemorrhage, hematoma formation, vessel stenosis, and thrombosis. They should be evaluated by a vascular surgeon as soon as possible. Definitive Management Definitive management depends on etiology of each case, and there are a variety of interventions that can be pursued (i.e. aneurysmorrhaphy for aneurysmal bleeding) If skin erosion over the conduit is present, it should be assumed that the AV access is infected and emergency intervention should be pursued. A jump graft can be placed through with healthy tissue. A covered stent could be introduced through a separate percutaneous puncture site Finally, coagulopathy can be addressed by administering cryoprecipitate, DDAVP, erythropoietin, estrogen, tranexamic acid. Aneurysms and Pseudoaneurysms Definition and Etiology Aneurysms involve all three layers of the vessel wall and they develop due to hemodynamic changes causing remodeling of the vein wall in an AV fistula. This is necessary for vein maturation, but becomes problematic if the post-anastomotic vein continues to dilate and becomes aneurysmal. Aneurysms can also occur at anastomosis sites due to technical aspects of the surgery. Pseudoaneurysms only involve some layers of the vessel wall caused by repeated puncture for hemodialysis. Both aneurysms and pseudoaneurysms can enlarge due to venous outflow stenosis causing increased intraluminal pressures. Both true aneurysms and pseudoaneurysms can lead to overlying skin erosion and subsequent hemorrhage, pain, AV access dysfunction, and cannulation difficulties. Dialysis cannulation should be avoided at the aneurysmal sites to prevent bleeding complications. Diagnosis They can be diagnosed on ultrasound, which also provide information on flow rates, presence inflow/outflow/stenoses, and vessel diameters. Indications for Treatment Treatment is indicated for aneurysms that are rapidly expanding or ulcerating through the skin surface. These are at high risk for rupture and hemorrhage, which is life-threatening. Treatment is also indicated when the aneurysm occurs at the anastomotic site of the AV fistula, the patient has a cosmetic concern, cannulation becomes difficult, there is concern for infection, or the patient has high-output heart failure that could be exacerbated by high flow through the fistula. Treatment is not indicated in asymptomatic aneurysms, regardless of their size. True aneurysms and pseudoaneurysms are not prone to spontaneous rupture. Treatment Options Aneurysmorrhaphy is the most common treatment. It involves the resection of the aneurysmal vein wall to restore a normal diameter and removal of excess skin. Anastomosis is performed along the lateral wall to prevent issues with cannulation along the suture line. Aneurysm resection with interposition grafting is also possible. If multiple aneurysmal segments require treatment, staging their repairs can allow for continuation of dialysis without needing to place a temporary dialysis catheter. AV access ligation is an appropriate alternative to AV access salvage in certain situations but usually requires excision of the aneurysm/pseudoaneurysm due to the potential to develop thrombophlebitis and the cosmetic appearance of the thrombosed segment. If there is concern for an infected pseudoaneurysm or aneurysm, surgery should include removal of all infected material. References 1. Al-Balas A, Almehmi A, Varma R, Al-Balas H, Allon M. De Novo Central Vein Stenosis in Hemodialysis Patients Following Initial Tunneled Central Vein Catheter Placement. Kidney360. 2022;3(1):99-102. doi:10.34067/KID.0005202021 2. Bakken AM, Protack CD, Saad WE, Lee DE, Waldman DL, Davies MG. Long-term outcomes of primary angioplasty and primary stenting of central venous stenosis in hemodialysis patients. J Vasc Surg. 2007;45(4):776-783. doi:10.1016/j.jvs.2006.12.046 3. Gage SM, Katzman HE, Ross JR, et al. Multi-center Experience of 164 Consecutive Hemodialysis Reliable Outflow [HeRO] Graft Implants for Hemodialysis Treatment. Eur J Vasc Endovasc Surg. 2012;44(1):93-99. doi:10.1016/j.ejvs.2012.04.011 4. Milosevic E, Forster A, Moist L, Rehman F, Thomson B. Non-surgical interventions to control bleeding from arteriovenous fistulas and grafts inside and outside the hemodialysis unit: a scoping review. Clin Kidney J. 2024;17(5):sfae089. doi:10.1093/ckj/sfae089
Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT.Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients.Commonly used vagal techniques.A less common technique to stimulate the vagus nerve. Indications and use of Adenosine for stable patients in SVT refractory to vagal maneuvers.Possible treatments for patients found to be in A-Fib or A-Flutter with RVR after administration of Adenosine.Carotid sinus massage.Additional medical podcasts that have episodes on tachycardia can be found on the pod resources page at passacls.com. **American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support! Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
This is a very informative discussion about the new indications of the Cushing's Drug Isturisa® (osilodrostat) with Dr. Mario Maldonado, who heads global development for endocrinology at Recordati Rare Diseases. The Food and Drug Administration recently approved the drug for endogenous hypercortisolism (excessive production of cortisol in the body). If you want to learn more about this fascinating subject, Dr. Maldonado gives us an insider's view of how companies recognize and make decisions to pursue new indications, the intricacies of studying, analyzing, and understanding data, and the advantages that AI may bring to accelerate the development of new therapies. Our thanks to Dr. Maldonado and the Folks at Recordati for taking time from a busy conference to chat with us. You don't want to miss this talk!
Dr. Benedict Nwachukwu joins host Phil Plisky to take a deep dive into hip impingement and labral tears. With insights shaped by both surgical expertise and personal experience as an athlete, Dr. Ben shares what really drives the decision between rehab and surgery. Together, they unpack how rehab professionals like you can navigate the gray areas with confidence and clarity. Don't miss this thoughtful conversation on what the latest research means for your patients—and your practice.Learning ObjectivesAnalyze the evidence around hip preservation strategiesApply evidence-based, practical strategies to actionably address conservative and postoperative hip joint pathologySolve patient case scenarios involving postoperative hip labral repair and reconstructionTimestamps(00:00:00) Welcome(00:01:25) Introduction to guest(00:03:33) Introduction to hip labral tears and impingement(00:08:13) Understanding hip anatomy and impingement(00:16:30) The interplay of hip and spine(00:22:23) Differential diagnosis of hip conditions(00:25:26) Current research on hip management(00:30:46) Indications for a surgical referral(00:36:07) Postoperative rehabilitation process(00:42:28) Comparisons to ACL reconstruction(00:47:19) Postoperative dos and don'ts(00:55:40) Case study: a journey through hip surgery(00:59:24) Key takeaways and future directionsRehab and Performance Lab is brought to you by Medbridge. If you'd like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you'll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away.To hear more episodes of Rehab and Performance Lab, visit https://www.medbridge.com/rehab-and-performance-labIf you'd like to subscribe to Medbridge, visit https://www.medbridge.com/pricing/
In this episode, we review the high-yield topic Dialysis Indications from the Renal section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
Adenosine is the first IV medication given to stable patients with sustained supraventricular tachycardia (SVT) refractory to vagal maneuvers.Symptoms indicating a stable vs unstable patient.Common causes of tachycardia.Cardiac effects of Adenosine. Indications for use in the ACLS Tachycardia algorithm.Considerations and contraindications. Adenosine as a diagnostic for patients in A-Fib or A-Flutter with RVR.Dosing and administration.Other podcasts that cover common ACLS antiarrhythmics in more detail and another covering Brugata Criteria used to differentiate V-Tach from SVT with an aberrancy, can be found on the Pod Resources page at passacls.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn **American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support!
The tongue is the most common airway obstruction in an unconscious patient.Insertion an oropharyngeal airway helps keep the patient's tongue from falling to the back of the pharynx, causing an airway obstruction.The oropharyngeal airway is sometimes called an OPA or simply an oral airway.Indications for using an oral airway.Contraindication for an oral airway and an alternative airway that can be used for patients with an intact gag reflex.Measuring an OPA and possible complications from inserting one that's too small or too large.Two techniques to properly insert an OPA.The use of an oral airway during CPR.The use of an OPA as a bite block after a patient has an advanced airway placed.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
“Those men who will again see Rama along with Sita, accompanied by the mighty-armed Lakshmana, returning home will be successful.” (Valmiki Ramayana, Ayodhya Kand, 72.38)
On this week's show we spend quality time with new records from Vandoliers, HAIM, S.G. Goodman & Durand Jones & The Indications, and wish first-time cell phone owner Jack White a very happy 50th birthday. All this & much, much less! Debts No Honest Man Can Pay is a podcast that thinks it's a radio show...because it used to be one. The show started in 2003 at WHFR-FM (Dearborn, MI), moved to WGWG-FM (Boiling Springs, NC) in 2006 & Plaza Midwood Community Radio (Charlotte, NC) in 2012, with a brief pit-stop at WLFM-FM (Appleton, WI) in 2004. It phoenixed into a podcast in 2020, thanks to the fine and fabulously furious folks at NRM Streamcast.
This episode covers: Cardiology This Week: A concise summary of recent studies ICD Indications in primary prevention Drug treatment of cardiac amyloidosis Mythbusters Host: Rick Grobbee Guests: Carlos Aguiar, Gerhard Hindricks, Marianna Fontana Want to watch that episode? Go to: https://esc365.escardio.org/event/1810 Disclaimer: ESC TV Today is supported by Bristol Myers Squibb and Novartis. This scientific content and opinions expressed in the programme have not been influenced in any way by its sponsors. This programme is intended for health care professionals only and is to be used for educational purposes. The European Society of Cardiology (ESC) does not aim to promote medicinal products nor devices. Any views or opinions expressed are the presenters' own and do not reflect the views of the ESC. The ESC is not liable for any translated content of this video. The English-language always prevails. Declarations of interests: Stephan Achenbach, Rick Grobbee, Gerhard Hindricks and Nicolle Kraenkel have declared to have no potential conflicts of interest to report. Carlos Aguiar has declared to have potential conflicts of interest to report: personal fees for consultancy and/or speaker fees from Abbott, AbbVie, Alnylam, Amgen, AstraZeneca, Bayer, BiAL, Boehringer-Ingelheim, Daiichi-Sankyo, Ferrer, Gilead, GSK, Lilly, Novartis, Pfizer, Sanofi, Servier, Takeda, Tecnimede. Davide Capodanno has declared to have potential conflicts of interest to report: Bristol Myers Squibb, Daiichi Sankyo, Sanofi Aventis, Novo Nordisk, Terumo. Marianna Fontana has declared to have potential conflicts of interest to report: consultancy for Alnylam, Alexion/Caelum Biosciences, Astrazeneca, Bridgbio/Eidos, Prothena, Attralus, Intellia Therapeutics, Ionis Pharmaceuticals, Cardior, Lexeo Therapeutics, Janssen Pharmaceuticals, Prothena, Pfizer, Novonordisk, Bayer, Mycardium. Research grants from: Alnylam, Bridgbio, Astrazeneca, Pfizer. Share options in LexeoTherapeutics and shares in Mycardium. Steffen Petersen has declared to have potential conflicts of interest to report: consultancy for Circle Cardiovascular Imaging Inc. Calgary, Alberta, Canada. Emma Svennberg has declared to have potential conflicts of interest to report: Abbott, Astra Zeneca, Bayer, Bristol-Myers, Squibb-Pfizer, Johnson & Johnson.
Host: Rick Grobbee Guest: Gerhard Hindricks Want to watch that extended interview? Go to: https://esc365.escardio.org/event/1810?r Disclaimer: ESC TV Today is supported by Bristol Myers Squibb and Novartis. This scientific content and opinions expressed in the programme have not been influenced in any way by its sponsors. This programme is intended for health care professionals only and is to be used for educational purposes. The European Society of Cardiology (ESC) does not aim to promote medicinal products nor devices. Any views or opinions expressed are the presenters' own and do not reflect the views of the ESC. The ESC is not liable for any translated content of this video. The English-language always prevails. Declarations of interests: Stephan Achenbach, Rick Grobbee, Gerhard Hindricks and Nicolle Kraenkel have declared to have no potential conflicts of interest to report. Carlos Aguiar has declared to have potential conflicts of interest to report: personal fees for consultancy and/or speaker fees from Abbott, AbbVie, Alnylam, Amgen, AstraZeneca, Bayer, BiAL, Boehringer-Ingelheim, Daiichi-Sankyo, Ferrer, Gilead, GSK, Lilly, Novartis, Pfizer, Sanofi, Servier, Takeda, Tecnimede. Davide Capodanno has declared to have potential conflicts of interest to report: Bristol Myers Squibb, Daiichi Sankyo, Sanofi Aventis, Novo Nordisk, Terumo. Steffen Petersen has declared to have potential conflicts of interest to report: consultancy for Circle Cardiovascular Imaging Inc. Calgary, Alberta, Canada. Emma Svennberg has declared to have potential conflicts of interest to report: Abbott, Astra Zeneca, Bayer, Bristol-Myers, Squibb-Pfizer, Johnson & Johnson.
In which the Curmudgeons once again venture to the City of Angels to recapture all the great vibes generated during the 1990s. After a 1980s in which glam metal and punk scenes dominated, what came next for Los Angeles? Well, the trade winds blew in from the Pacific Northwest, and the influence of grunge made the music crunchier and louder, giving us bands like Tool and Weezer. Meanwhile, the longstanding stylings of the L.A. underground found their way into the mainstream, giving us radio-ready glory from Jane's Addiction, the Red Hot Chili Peppers and Beck. A lot happened in L.A. during the dawn of the Internet age. We begin to cover those happenings in this episode. Listen to all the great sound of Los Angeles in the 1990s by access our special Spotify playlist: https://open.spotify.com/playlist/44Gum0MV2jMIMehRa1ja72?si=5a06f9d388d74bac Here's a handy navigation companion to this episode. (00:52 - 02:36) - Arturo Andrade sets the parameters for our discussion of Los Angeles rocking in the 1990s (05:15 - 16:10) - The Parallel Universe, featuring reviews of new music from Blondshell and Durand Jones & The Indications (17:09 - 57:25) - We discuss great L.A. albums from Los Lobos, Guns N' Roses, Jane's Addiction, the Red Hot Chili Peppers, Rage Against the Machine and Kyuss (58:43 - 01:33:23) - WE discuss great L.A. albums from Los Lobos (again), Tool, Weezer, Beck, Kyuss (again) and Korn Join our Curmudgeonly Community today! facebook.com/groups/curmudgeonrock Hosted on Podbean! curmudgeonrock.podbean.com Subscribe to our show on these platforms: https://podcasts.apple.com/us/podcast/the-curmudgeon-rock-report/id1551808911 https://open.spotify.com/show/4q7bHKIROH98o0vJbXLamB?si=5ffbdc04d6d44ecb https://music.amazon.com/podcasts/5fea16f1-664e-40b7-932e-5fb748cffb1d/the- Co-produced and co-hosted by The Curmudgeons - Arturo Andrade and Christopher O'Connor
TRACKLIST: 1. Sugar - Kalisway [@kalisway] 2. IRL (FEAT. SZA) - Lizzo [@lizzomusic] 3. WHAT DO U LIKE - Tommy Richman [@tommyrichmann] 4. up frequency (higher) - Theo Croker & MAAD [@theocroker-sc @shesmaad] 5. Les Gout - Rampa, chuala & Keinemusik [@rampa @iamchuala @keinemusik] 6. Dub Lush (feat. Veezo) - SofaTalk [@sofa-talk] 7. WICKED (feat. Cruel Santino) [Remix] - SuperJazzClub [@superjazzclub] 8. Dopamine - Kish, JMANI & Givano 9. Yearnin' (JUNGLE EDIT) - 1981 Tokyo [@1981tokyo[ 10. Up and Down - Teezo Touchdown [@teezotouchdown] 11. Die For This - Syd [@internetsyd] 12. time & time again - Dua Saleh & Sid Sriram [@doitlikedua @sidsriram] 13. Superstar - tg.blk [@tgblk] 14. Are You Still a Friend? - Gotts Street Park & Flikka [@gottsstreetpark] 15. Love Deep - Lizzie Berchie & Filah Lah Lah [@filah-lah-lah] 16. Lovesong - abrahamblue [@abrahamblue] 17. Easier Done Than Said - Jvck James & Stormzy [@jvckjames] 18. Everything - Durand Jones & The Indications & Aaron Frazer [@durandjonesindications @aaronfrazermusic] 19. Heaven - Cleo Sol [@cleosol]
The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved.Post-arrest care and recovery are the final two links in the chain of survival.Identification of ROSC during CPR.Initial patient management goals after identifying ROSC.Indications for starting TTM.Monitoring the patient's core temperature.Patients can undergo EEG, CT, MRI, & PCI while receiving TTM.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Nitroglycerine is vasodilator that affects peripheral blood vessels and coronary arteries.Because of its widespread dilation effects on blood vessels, nitro can quickly lower a patient's blood pressure, sometimes to the point of making a patient hypotensive.Assessment of vital signs prior to administering nitro is necessary to ensure patient safety.Indications for use of nitroglycerine.Nitroglycerine's contraindications & considerations for use.Effects of nitro on patients taking PDE inhibitors.Administration of nitroglycerine to patients with ischemic chest pain.Considerations for patients that took their home nitroglycerine.Monitoring patient's pain and vital signs after nitro administration.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Listen to new summer releases from essential Indiana musicians, along with interviews with them. Enjoy new tracks from Durand Jones & The Indications, Jlin, Wishy, Hanna Benn and Deantoni Parks, Los Aptos, Oltanie, Kristin Newborn, Dwani Phiri, Wife Patrol, and more.
Our primary focus immediately following return of spontaneous circulation (ROSC) is aimed at ensuring adequate perfusion of the patient's vital organs and decreasing cerebral damage.Post-arrest goals for O2 saturation, ETCO2, and BP/MAP.Indications for use of an antiarrhythmic after ROSC.Determining which antiarrhythmic to use post cardiac arrest. Administration of Amiodarone or Lidocaine to control ventricular ectopy after ROSC.The use of Amiodarone post arrest if no antiarrhythmics were administered prior to obtaining ROSC.Links to other medical podcasts that cover antiarrhythmics and other ACLS-related topics are on the Pod Resource page at PassACLS.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Since the Second World War, sightings of anomalous phenomena near U.S. strategic sites have been logged, pointing to what some interpret as a serious national security for not only America, but for militaries around the world. What are these objects, and what are the intentions of their operators? This week on The Micah Hanks Program, we are joined by researchers Ian Porritt and Larry Hancock of the Scientific Coalition for UAP Studies, who discuss their latest published report "UAP Indications Analysis 1945-1975 Military and Public Activities," which examines possible indications about the UAP presence, contact protocols, and much more. Have you had a UFO/UAP sighting? Please consider reporting your sighting to the UAP Sightings Reporting System, a public resource for information about sightings of aerial phenomena. The story doesn't end here... become an X Subscriber and get access to even more weekly content and monthly specials. Want to advertise/sponsor The Micah Hanks Program? We have partnered with the AdvertiseCast to handle our advertising/sponsorship requests. If you would like to advertise with The Micah Hanks Program, all you have to do is click the link below to get started: AdvertiseCast: Advertise with The Micah Hanks Program Show Notes Below are links to stories and other content featured in this episode: Was It Scrap Metal or an Alien Spacecraft? The Army Asked an Elite Defense Lab to Investigate Tim Phillips - Former Deputy Director of AARO Speaks with Mick West UAP Indications Analysis 1945-1975 Military and Public Activities BECOME AN X SUBSCRIBER AND GET EVEN MORE GREAT PODCASTS AND MONTHLY SPECIALS FROM MICAH HANKS. Sign up today and get access to the entire back catalog of The Micah Hanks Program, as well as “classic” episodes, weekly “additional editions” of the subscriber-only X Podcast, the monthly Enigmas specials, and much more. Like us on Facebook Follow @MicahHanks on X. Keep up with Micah and his work at micahhanks.com.
Visit Y Street Capital to learn more about our projects. The conventional wisdom is that when the value of a country'scurrency falls relative to its trading partners, its exports become more competitive in the global market. It's no secret that the Trump Administration is aiming to bring more manufacturing back to the United States.Global flows of capital have changed since the start of the year. While the administration wishes to bring increasing levels of capital investment to the United States many of the policies are in fact having the opposite effect. President Trump has stated publicly that he wishes the US dollar to fall compared with other currencies including the Japanese Yen, the Euro, the Chinese Yuan and the Canadian Dollar.An increasing number of investors are looking for a safe haven for their capital. The US dollar has fallen by 10% since the beginning of the year against most of the major currencies. Indications are that it is forecast to fall even further when measured against other major currencies. We think that real estate investments in Canada represent a better risk adjusted proposition right now. This is based on the following observations:1) The slowdown in new construction that we have seen across the US is also present in Canada. This means that labor rates in Canada for new construction have moderated and we are seeing extremely competitive bids for new work. 2) Immigration to the US is down significantly since the start of the year and demand for new housing will decline as a result. The US has pretty much closed the door refugee claimants. This includes countries like Afghanistan where many US allies are stranded and have no path to enter the US. 3) Immigration to Canada remains in extremely high demand. The Canadian government has reduced its immigration targets slightly, but the numbers remain extremely high especially when compared to the US as a percentage of the population. 4) Interest rates in Canada are much lower for borrowing. The 5 year Canada mortgage bond is trading around 3.1% which means that a new construction and permanent financing loan could price below 4%. Rates are not that low in the US. 5) Canada is not waging a trade war against the rest of the world. While prices for certain construction commodities like electrical equipment and air conditioners will certainly be impacted by tariffs in the US, we are not seeing the same impact in Canada. Many manufacturers have operations in North America including Mexico. These goods can flow into Canada free of any tariffs under USMCA. 6) Even with new apartment supply having entered the market, vacancy rates in most Canadian cities are far below comparable US markets. 7) If the US dollar falls further as we see the Trump administration wishing, then any investment outside the US goes up in value on a relative basis. Investing is not the same as speculating on foreign exchange rates. That alone should not be a reason for investing outside the US. It's just one of many factors to consider when looking at aggregate probabilities.When we put all of these factors together, we see a compelling case for investing in Canada, even for US investors. ---------------**Real Estate Espresso Podcast:** Spotify: [The Real Estate Espresso Podcast](https://open.spotify.com/show/3GvtwRmTq4r3es8cbw8jW0?si=c75ea506a6694ef1) iTunes: [The Real Estate Espresso Podcast](https://podcasts.apple.com/ca/podcast/the-real-estate-espresso-podcast/id1340482613) Website: [www.victorjm.com](http://www.victorjm.com) LinkedIn: [Victor Menasce](http://www.linkedin.com/in/vmenasce) Facebook: [www.facebook.com/realestateespresso](http://www.facebook.com/realestateespresso) Email: [podcast@victorjm.com](mailto:podcast@victorjm.com) Facebook: [www.facebook.com/YStreetCapital](https://www.facebook.com/YStreetCapital)
What do you do when conventional gastric tubes are not an option? In this week's episode of BackTable, host Dr. Ally Baheti speaks with interventional radiologist Dr. Alex Wallace and physician assistant Lisa Rotellini-Colvet from the Mayo Clinic in Arizona about the percutaneous transesophageal gastrostomy (PTEG) procedure. The discussion explores how PTEG offers a transformative solution for patients who are not candidates for traditional transabdominal gastrostomy access. Suitable candidates for PTEG include individuals with malignancies, peritoneal carcinomatosis, prior gastrectomies, or ascites. --- This podcast is supported by: Medtronic Emprinthttps://www.medtronic.com/emprint --- SYNPOSIS Dr. Wallace and Lisa provide valuable insights on the benefits of early patient selection, thorough pre-procedural evaluation, step-by-step procedural guidance, and key considerations for post-procedural care. They also highlight the critical role of patient and staff education in achieving successful outcomes. The episode features real-world experiences, including a powerful story of a patient who benefited from her PTEG for over 560 days. Our guests advocate for increased awareness of PTEG and its early consideration in patients with advanced abdominal cancers, emphasizing its potential to greatly improve quality of life. --- TIMESTAMPS 00:00 - Introduction01:38 - History and Explanation of PTEG08:12 - Pre-Procedure Evaluation11:48 - Procedural Walkthrough20:46 - Post-Procedure Care and Suction Management24:45 - Exchange Process and Troubleshooting30:11 - Patient Education and Staff Training35:54 - Improved Quality of Life for Patients --- RESOURCES Percutaneous Transesophageal Gastrostomy: Procedural Technique and Outcomes (Rotellini-Coltvet, Wallace et al, 2023):https://pubmed.ncbi.nlm.nih.gov/37419279/