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Star Tribune columnist Rochelle Olson joins Chad for some fun on some nonsense topics and talk about this week's Cheers & Jeers column.
#ConnectivityThe Innovation Village at Euroanaesthesia 2025 hosted a series of riveting discussions about the fast-evolving technologies and practices in the fields of Anaesthesiology and Intensive Care. Once again, it was a meeting space for healthcare professionals, Industry partners, and delegates to discuss this year's topics: Sustainability, AI & Connectivity, and Value-based Healthcare. Innovation is happening fast. Too fast?What to do when technology allows us more than we can handle? How to keep all the [technical and human] moving parts connected? Prof. Barak Cohen addresses the promises and challenges of increased connectivity with Dr Eva Rivas Ferreira, Prof. Tom Melvin, and Mr. Pau Imaz Boada.
In this episode of the Gladden Longevity Podcast, Dr. Jeffrey Gladden and burnout specialist Charlene Gisele explore the complexities of burnout, its causes, and the societal pressures that contribute to it. They discuss the importance of recognizing burnout as a serious condition, the impact it has on personal relationships and health, and the necessity of creating a supportive work environment. The conversation emphasizes the need for self-care, the role of mindset in recovery, and the significance of evaluating one's relationship with work. Ultimately, they highlight that burnout is not a permanent state and recovery is possible with the right approach. For Audience · Use code 'Podcast10' to get 10% OFF on any of our supplements at https://gladdenlongevityshop.com/ ! Takeaways · Burnout is a sign of dedication, not weakness. · Many professionals mask their burnout by pushing harder. · Societal norms often equate busyness with success. · Burnout can lead to serious personal consequences, including divorce and health issues. · Finding safety and connection beyond work is crucial for recovery. · Financial security fears can exacerbate burnout. · Evaluating your relationship with work is essential for mental health. · A supportive work environment is key to preventing burnout. · The all-or-nothing mindset can lead to extreme decisions. · Recovery from burnout requires a focus on physiological and psychological health. Chapters 00:00 Understanding Burnout: A Personal Journey 04:41 The Nature of Work Addiction 07:40 Societal Pressures and Definitions of Success 10:51 The Three D's: Divorce, Diagnosis, and Death 13:27 Finding Safety Beyond Financial Security 16:31 Evaluating Your Relationship with Work 19:41 The Dark Side of Burnout: Contemplating Existence 24:48 The All-or-Nothing Mindset 26:09 Finding Balance After Burnout 28:22 The Importance of Nuanced Thinking 29:40 Understanding Stress and Normalization 32:07 The Misconception of Lovability and Work 33:21 The Role of Love in Professional Relationships 36:03 Burnout: A Recoverable State 37:35 Intensive Care for Burnout Recovery 40:51 Somatic Therapy and Nervous System Reset To learn more about Charlene: Email: coach@charlenegisele.com Website: http://www.charlenegisele.com Instagram: https://www.instagram.com/charlenegisele Reach out to us at: Website: https://gladdenlongevity.com/ Facebook: https://www.facebook.com/Gladdenlongevity/ Instagram: https://www.instagram.com/gladdenlongevity/?hl=en LinkedIn: https://www.linkedin.com/company/gladdenlongevity YouTube: https://www.youtube.com/channel/UC5_q8nexY4K5ilgFnKm7naw
In this episode, we analyze a June 2025 study from the Journal of Intensive Care, which shows that lower hemoglobin levels at admission are strongly associated with worse outcomes in cardiogenic shock. We dive into the data from the FRENSHOCK registry, uncover key subgroup findings, and discuss implications for transfusion strategies. Could this shift how we manage anemia in shock? Tune in and find out.The Vasopressor & Inotrope HandbookI have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out the reviews)! You have several options to get a physical copy. Amazon: https://amzn.to/47qJZe1 (Affiliate Link)My Store: https://eddyjoemd.myshopify.com/products/the-vasopressor-inotrope-handbook (Use "podcast" to save 10%)Citation: Cherbi M, Levy B, Merdji H, Puymirat E, Bonnefoy E, Vardon F, Elbaz M, Morel O, Leurent G, Lamblin N, Gerbaud E, Gautier P, Roubille F, Delmas C. Hemoglobin in cardiogenic shock: the lower, the poorer survival. J Intensive Care. 2025 Jun 23;13(1):36. doi: 10.1186/s40560-025-00805-y. PMID: 40551259.
Welcome back to Ditch the Labcoat, the show where we challenge assumptions in medicine and seek out the systems, stories, and science that truly shape healthcare. In today's episode, we're joined by Martin Bromiley: airline captain, human factors champion, and founder of the Clinical Human Factors Group.But before he became a global advocate for patient safety, Martin faced unimaginable tragedy when his wife, Elaine, died following what was supposed to be a routine surgical procedure in 2005.Martin's journey isn't just about personal loss—it's about his relentless quest to understand why a well-trained, technically proficient medical team could still fall short in a critical moment. Drawing lessons from aviation, where errors spark investigation and learning rather than resignation, Martin became a pivotal force in bringing the science of human factors—a field all about understanding how people interact with their environment, teams, and tools—into the world of healthcare.In this conversation, we explore not just the events that launched his mission, but the broader issues of humility, communication, and system design. We talk about “can't intubate, can't ventilate” scenarios, reflect on the evolution of patient safety culture, and crack open the stubborn problem of medical hierarchy. Martin's story isn't just one of systemic frustration; it's also one of hope and tangible change.So whether you're a healthcare professional, a patient, or just someone curious about how lives can be saved not simply by skill, but by safer systems—this episode is a gripping, essential listen. Plug in and prepare to have your ideas about medicine, teamwork, and learning turned upside down.Episode HighlightsHumility in Healthcare – Humility is vital for professionals to learn, grow, and stay open to feedback, ultimately improving patient safety.Communication Saves Lives – Miscommunications in critical situations can be fatal; clear, assertive dialogue and defined roles are essential in emergencies.Teamwork Over Hierarchy – Breaking down rigid medical hierarchies empowers every team member to speak up for patient safety.Design Smarter Systems – Systems must be created to make errors less likely, whether via technology, checklists, or better equipment design. Independent Case Reviews – Conducting external, impartial reviews after adverse events helps identify root causes and leads to improvements.Small Changes, Big Impact – Reducing steps in processes, standardizing equipment, or tweaking procedures can greatly decrease error risks.Continuous Improvement Mindset – Perfection isn't possible, but aiming to get a little better every day is the key to safer healthcare for all.Episode Timestamps 6:15 — Turning Point: Embracing Human Factors 7:19 — "Science Overlooked in Healthcare" 11:01 — Intensive Care Transfer Decision 14:51 — Receptionist Sparks Important Meeting 18:11 — Evolution of Case Review Processes 22:27 — "Human Factors in Healthcare Initiative" 25:02 — Origin of Aviation Safety Protocols 28:28 — Enhancing Safety in Drug Handling 30:30 — Medication Errors and Design Flaws 33:49 — Promoting Human Factors in Healthcare 38:04 — Team Leadership in Medical Procedures 42:51 — Healthcare Pressures and Consequences 44:47 — "Concerns Over Arrogant Healthcare Professionals" 50:16 — Striving for Continuous Improvement in Healthcare 52:36 — Progress in Healthcare Culture ShiftDISCLAMER >>>>>> 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 Medicine and Queens University.
#Sustainability The Innovation Village at Euroanaesthesia 2025 hosted a series of riveting discussions about the fast-evolving technologies and practices in the fields of Anaesthesiology and Intensive Care. Once again, it was a meeting space for healthcare professionals, Industry partners, and delegates to discuss this year's topics: Sustainability, AI & Connectivity, and Value-based Healthcare. Two years after the signing of the Glasgow Declaration, what are the major challenges faced by healthcare practitioners in the implementation of its four pillars for Sustainability? Dr Nicolaas H. Sperna Weiland, Chair of the ESAIC Sustainability Committee, tackles this question with Dr Jane Muret, Dr Patricio González-Pizarro, and Dr Basil Matta.
Bom dia, boa tarde, boa noite no Mundo do Conhecimento! Episódio 166 no ar! Aqui falamos sobre inovação, tendências, prática médica e qualidade de vida. Eu sou Pablo Gusman, o Anestesiador, e acredito que compartilhar é multiplicar! Vamos a mais um tema sem fronteiras: Anestesia Verde — um imperativo para a saúde do planeta e da prática clínica. Você já parou pra pensar na pegada de carbono da anestesiologia? Sabia que os anestésicos inaláveis estão entre os principais gases de efeito estufa usados na medicina? O desflurano, por exemplo, tem um potencial de aquecimento global 6.810 vezes maior que o CO₂. E o óxido nitroso permanece por mais de 100 anos na atmosfera! O consenso da ESAIC (European Society of Anaesthesiology and Intensive Care), publicado no European Journal of Anaesthesiology, propõe quatro pilares para uma anestesia mais sustentável: 1. Redução das Emissões Diretas: Evite o uso de desflurano. Prefira sevoflurano ou técnicas como TIVA com propofol, que não libera gases na atmosfera. Técnicas regionais também são aliadas da sustentabilidade. Reduza o fluxo de gás fresco ao mínimo seguro. Considere desativar sistemas centrais de N₂O, e sempre que possível, use alternativas com menor impacto ambiental. 2. Otimização do Uso de Energia: O centro cirúrgico consome muita energia, principalmente com HVAC (ventilação e ar-condicionado). Ajustar trocas de ar quando a sala está vazia, usar LEDs, desligar equipamentos fora de uso e adotar fontes renováveis pode reduzir drasticamente o consumo. Economize também na água com torneiras de baixo fluxo e sensores nas pias. 3. Gestão de Resíduos e Suprimentos: Blocos cirúrgicos geram até 33% do lixo hospitalar. Aplique os 5R's: Rejeitar, Reduzir, Reutilizar, Reciclar e Reparar. Evite abrir materiais desnecessariamente. Use ampolas menores, seringas pré-cheias e descarte medicamentos de forma apropriada. Prefira materiais reutilizáveis, como polipropileno e silicone. Separe corretamente os resíduos e treine sua equipe. 4. Bem-estar da Equipe e Transporte Sustentável: Profissionais esgotados são menos seguros. Garanta locais adequados de descanso, apoio psicológico e educação sobre fadiga. Incentive telemedicina e teletrabalho para reduzir deslocamentos. Use bicicletas, caronas e transporte público. E em vez de viajar, opte por congressos virtuais — que podem reduzir em até 94% a pegada de carbono. Sim, mudar exige esforço: tempo, treinamento, investimento. Mas os benefícios superam. Menos desperdício, mais eficiência, reputação institucional positiva e cuidado mais humano. Sustentabilidade é compromisso ético com o paciente, o planeta e nós mesmos. Crie equipes verdes, compartilhe essas ideias, promova ações no seu hospital. Não é moda — é necessidade. Comece pequeno, mas comece! Se gostou do conteúdo, compartilhe com colegas! Vai lá no www.medicinadoconhecimento.com.br e ouça ciência a qualquer momento. Ou peça pra sua Alexa: “Tocar Medicina do Conhecimento”! Estamos no Spotify, Deezer, Apple Podcasts, Soundcloud e YouTube. Dê seu like, mande sugestões e ajude a levar mais conhecimento adiante. Porque compartilhar é multiplicar.
This week, in our series on What You May Have Missed at ATS 2025, host Eddie Qian, MD, of the Vanderbilt University Medical Center, discusses post intensive care syndrome with Justin Banerdt, MD, MPH, Vanderbilt University Medical Center. Dr. Banerdt presented his research on the subject, “Characterizing Critical Illness Recovery Trajectories: Exploring Risk Factors for Post Intensive Care Syndrome”, at ATS 2025 this past May. Did you miss the ATS 2025 International Conference? Or were you unable to attend some key sessions? Go to conference.thoracic.org/program/conference-highlights/ to purchase your ATS Conference Highlight Package. Be sure to check out the Out of the Blue podcast from the American Journal of Respiratory and Critical Care Medicine, which takes you out of the pages of the Blue Journal and into the minds of the most brilliant researchers in the fields of respiratory, critical care, and sleep medicine. Tune in wherever you listen to podcasts!
Euroanaesthesia 2025: the annual meeting of the European Society of Anaesthesiology and Intensive Care, in Lisbon, Portugal. TopMedTalk were there, check out our coverage on our podcast timeline. We've released many bonus episodes over the last few weeks! In this piece Kate Leslie and Nick Margerrison speak with their guests Sarah Saxena, course director and professor of anaesthesiology at the University of Mons, Belgium and Mia Gisselbaek, an anaesthesiologist and PhD student in medical education at University of Geneva Hospital, Switzerland. Drs Saxena and Gisselbaek were members of the working group for the ESAIC Mellin-Olsen Declaration on Diversity, Equity and Inclusion, which was signed at the opening ceremony of Euroanaesthesia 2025 in Lisbon, Portugal. The declaration can be found here: ESAIC Mellin-Olsen declaration on diversity, equity and inclusion. Eur J Anaesthesiol. 2025 May 2. doi: 10.1097/EJA.0000000000002186 A link to the machine learning algorithm for delirium developed by Drs Saxena and Gisselbaek can be found here https://delirium.streamlit.app
#Artifical Intelligence The Innovation Village at Euroanaesthesia 2025 hosted a series of riveting discussions about the fast-evolving technologies and practices in the fields of Anaesthesiology and Intensive Care. Once again, it was a meeting space for healthcare professionals, Industry partners, and delegates to discuss this year's topics: Sustainability, AI & Connectivity, and Value-based Healthcare. Are the clinicians of tomorrow computer scientists? Behind this cheeky question, lies a number of other, much more practical ones, regarding the integration of AI in the clinical field. Explore these questions alongside Prof. Elena G. Bignami, Kai van Amsterdam, Dr Frédéric Michard, and Andreas Schabbach.
We're at Euroanaesthesia 2025 in Lisbon, Portugal. Here we discuss the European Society of Anaesthesiology and Intensive Care's initiatives, focusing on the innovations in the scientific program in anaesthesia and perioperative medicine, and the importance of inclusivity and diversity within the society. The episode also highlights the future direction of the society, the role of trainees, and offers insights into the upcoming Congress in Rotterdam. Listeners are encouraged to apply for roles and join the society for its educational resources and global networking opportunities. Presented by Kate Leslie with her guests, Michel Struys is Professor and Chair, Department of Anesthesiology, University of Groningen and University Medical Center Groningen, the Netherlands, and chair of the Scientific Committee of ESAIC, and Fabio Guarracino, Head of the Department of Cardiothoracic Anaesthesia and Intensive Care at Pisa University Hospital, Pisa, Italy, and incoming chair of the Scientific Committee of ESAIC.
Recorded at Euroanesthesia 2025 in Lisbon, Portugal, the annual meeting of the European Society of Anesthesiology and Intensive Care. The episode features an interview with Edoardo de Roberti, a former ESAIC president, who shares insights into the challenges and advancements in the field of anesthesiology. Key topics include patient safety, sustainability in medical practices, and the role of artificial intelligence in improving anesthesiology. Eduardo also discusses workforce shortages in Europe and the importance of maintaining a well-trained and happy workforce for optimal patient outcomes. Presented by Kate Leslie, with her guest Edoardo De Robertis, Professor and Director of Anaesthesiology and Intensive Care, Università degli Studi di Perugia, Italy, and former president of ESAIC. He currently serves on the National Anaesthesiologists Societies Committee (NASC).
Our guest, Chiara Robba, delves into her work on cerebral autoregulation in relation to critical illness. We explore the mechanisms of cerebral autoregulation in healthy and brain-injured patients, the potential of new monitoring technologies, and the importance of personalized patient care. The discussion also touches on the broader implications for managing blood pressure in various clinical scenarios, including sepsis and shoulder surgery. Presented by Kate Leslie and Monty Mythen with their guest, Chiara Robba who is Professor of Anaesthesia and Intensive Care, IRCSS Policlinico San Martino, Genova, Italy; and Past Chair of the Neurointensive Care Section of European Society of Intensive Care Medicine.
Euroanaesthesia 2025 in Lisbon, Portugal. Here we look at the history and progress of the European Society of Anaesthesiology and Intensive Care. We speak about the amalgamation of three separate societies into one, the inclusion of intensive care, key milestones like the Helsinki, Glasgow and Mellon-Olsen Declarations, and the significance of involving trainees. We also highlight the Society's efforts in promoting research and its relationship with the European Journal of Anaesthesiology. More here: https://journals.lww.com/ejanaesthesiology/ Presented by Kate Leslie with her guest, Stefan De Hert, emeritus professor of anesthesiology, University of Ghent, Belgium, and past president of ESAIC. He served on all major committees of the Society and is ideally placed to talk us through the achievements of the last 20 years.
Nederland kreeg twintig jaar geleden een nieuw zorgstelsel, waar veel op aan te merken is. ARMAND GIRBES, hoogleraar Intensive Care, schreef er een boek over, ook over zijn eigen ervaring als medisch specialist. In gesprek met SYP WYNIA voor WWTV is Girbes niet mals. Zijn boek heet niet voor niets ‘Zieke Zorg'. Het videogesprek is ook te bekijken als video https://www.wyniasweek.nl/video/ Girbes beschrijft hoe de zorgverzekeraars een dominante zorg spelen in het zorgstelsel, net als managers en stafmedewerkers die ook nooit een patiënt zien. De zorgverzekeraars concurreren helemaal niet, maar leggen volgens hem wel hun wil op. Volgens Girbes kan er rücksichtlos gehakt worden in het Nederlandse zorgstelsel. Zonder de zorgverzekeraars, zonder overbodige managers en zonder onnutte kwaliteitsindustrie zou Nederland beter af zijn. Girbes ziet niet de VS, maar eerder een land als Denemarken als voorbeeld voor de Nederlandse gezondheidszorg. ‘Zieke Zorg' van Armand Girbes is een uitgave van Mazirel Pers, kost 22,99 en is HIER https://www.bol.com/nl/nl/p/zieke-zorg/9300000228421038/?Referrer=ADVNLPPcef5b500cdbf92970065bba51d681434258&utm_source=1434258&utm_medium=Affiliates&utm_campaign=CPS&utm_content=txl te koop. Wynia's Week is er drie keer per week, het hele jaar door, met artikelen, columns, video's en podcasts. De vele supporters van onze vrije journalistiek maken dat mogelijk. Doet u al mee? https://www.wyniasweek.nl/doneren/ Hartelijk dank!
The TopMedTalk team takes you to Euroanaesthesia 2025: The European Society of Anaesthesiology and Intensive Care annual meeting in Lisbon, Portugal. The Society is dedicated to supporting professionals in anaesthesiology and intensive care by serving as the hub for development and dissemination of valuable educational, scientific, research, and networking resources. This year we're bringing you interviews with some of the key players and speakers from the conference presented by our very own Professor Kate Leslie, Head of Research in the Department of Anaesthesia and Pain Management at Royal Melbourne Hospital.
This World Shared Practice Forum Podcast episode features a discussion on the article "Building Global Collaborative Research Networks in Pediatric Critical Care: A Roadmap," published in Lancet Child and Adolescent Health in February 2025. The conversation, led by Dr. Jeff Burns with guests Professor Luregn Schlapbach and Professor Padmanabhan Ramnarayan, explores the challenges and strategies for creating effective global research networks in pediatric critical care. The speakers highlight the importance of collaboration, the need for a robust evidence base, and the potential of large data models to drive the future of precision medicine and improve patient outcomes. LEARNING OBJECTIVES - Understand the current landscape and challenges of pediatric critical care research - Identify the key components and benefits of global collaborative research networks - Learn about the action plans and goals for advancing global pediatric critical care research AUTHORS Luregn Schlapbach, MD, PhD, Prof, FCICM Head, Department of Intensive Care and Neonatology University Children's Hospital in Zurich, Switzerland Padmanabhan "Ram" Ramnarayan, MBBS, MD, FRCPCH, FFICM Professor of Paediatric Critical Care Imperial College London Jeffrey Burns, MD, MPH Emeritus Chief Division of Critical Care Medicine Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anesthesia Harvard Medical School DATE Initial publication date: May 26, 2025. ARTICLE REFERENCED Schlapbach LJ, Ramnarayan P, Gibbons KS, et al. Building global collaborative research networks in paediatric critical care: a roadmap. Lancet Child Adolesc Health. 2025;9(2):138-150. doi:10.1016/S2352-4642(24)00303-1 TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/at/7hptjhbmtkv8sqx7m86934/202505_WSP_Schlapbach_and_Ramnarayan_Transcript-3864x5000-258ba60.pdf Please visit: http://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 CITATION Schlapbach LJ, Ramnarayan P, Burns JP. Building Global Pediatric Research Networks. 05/2025. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/building-global-pediatric-research-networks-by-l-schlapbach-p-ramnarayan-openpediatrics.
Mijn gast in deze aflevering denkt heel bewust na over wat ze aantrekt. Dat moet ook wel, met al die verschillende rollen die ze heeft. In de podcastserie Leadership Dressing duik ik in de kledingkast van vrouwelijke leiders en ontdek ik hoe zij hun kleding strategisch inzetten om hun positie te versterken. In deze aflevering ga ik in gesprek met Nicole Hunfeld. Zij is associate professor aan het Erasmus Medisch Centrum en als Chief Sustainability Officer is zij verantwoordelijk voor de duurzaamheid van de Intensive Care van het Erasmus MC.We gaan het hebben over hoe ze al vroeg in haar carrière gedwongen werd om bewust na te denken over haar appearance, welke keuzes ze daarin heeft gemaakt en hoe kleding bijdraagt aan haar personal branding. Ben je geïnspireerd door dit gesprek en wil je aan de slag met jouw leadership dressing? Plan dan een strategiegesprek in. Daarin bespreken we waar je tegenaan loopt, welke mogelijkheden er zijn en wat het personal branding traject Verpak je Succes daarin voor jou kan betekenen.
Rosita Steenbeek is schrijver. Na haar studententijd vertrok ze naar Rome, waar ze midden in het culturele leven belandde. Ze raakte bevriend met grote namen als Alberto Moravia, Federico Fellini en Marcello Mastroianni. Vanuit Rome schreef ze voor onder andere Vrij Nederland en vertaalde ze werk van Moravia en Susanna Tamaro. Verder schreef ze succesvolle romans zoals ‘De laatste vrouw', ‘Intensive Care' en ‘Ander licht'. Nu komt Steenbeek met haar nieuwe boek ‘Over antieke wegen'. Na het verlies van haar moeder ondernam Steenbeek samen met fotograaf Art Khachatrian een fietsreis van Rome naar Mycene. Ze volgden de eeuwenoude Via Appia dwars door Italië en staken vervolgens over naar Griekenland. Een zware fietstocht vol bergpassen en nachtelijke ritten werd een emotionele reis, waarin ontmoetingen met mythische plekken haar dichter bij het verleden en haar moeder brachten. Femke van der Laan gaat met Rosita Steenbeek in gesprek.
In this piece we discuss the latest news in medical publishing with Hugh Hemmings, editor-in-chief of the British Journal of Anaesthesia and Laszlo Vutskits, editor of Anesthesiology. We discuss the increasing volume of manuscripts being received by journals; the challenges of peer review, and initiatives to find and support new reviewers. Then we delve into the use of AI by authors and journals, and how this might influence publishing in the future. Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Dr Hugh Hemmings, Joseph F. Artusio Jr. Professor and Chair, Department of Anesthesiology, Weill-Cornell Medicine, New York, USA, and Dr Laszlo Vutskits, Head of Pediatric Anesthesia at the Department of Anesthesiology, Pharmacology and Intensive Care at the University Hospital of Geneva, Switzerland.
In this piece we discuss all things EEG with Chris Connor, an anesthesiologist and researcher from Boston, USA, and Jamie Sleigh, an anesthesiologist and researcher from Hamilton, New Zealand. We start by discussing the engineering behind the BIS algorithm, then move to interpreting the raw EEG, the spectrogram and burst suppression. Finally we discuss the ‘titration paradox' and how it might influence research and AI. Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Dr Chris Connor, Assistant Professor and Vice Chair ad interim for Research, Brigham and Women's Hospital, Boston, USA, and Professor Jamie Sleigh, Professor of Anaesthesiology and Intensive Care, Waikato Clinical School, University of Auckland, New Zealand.
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.
Sally Gould is an Intensive Care Paramedic and joins Ant discuss the realities of her life on the frontline. From her earliest memories of life on the job, to coping with unpredictable and dangerous situations - this is a conversation is a revealing account of life as a paramedic. You can find out more about Sally's book, Frog: The Secret Diaries of a Paramedic, at simonandschuster.com.au. LINKS Follow Ant on Instagram, X, and Facebook Learn more about Ant on his website antmiddleton.com Follow Nova Podcasts on Instagram for videos from the podcast and behind the scenes content – @novapodcastsofficial. CREDITSHost: Ant MiddletonEditor: Adrian WaltonExecutive Producer: Anna Henvest Managing Producer: Elle Beattie Nova Entertainment acknowledges the traditional custodians of the land on which we recorded this podcast, the Gadigal People of the Eora Nation. We pay our respect to Elders past and present. See omnystudio.com/listener for privacy information.
Immer mehr Menschen überleben kritische Erkrankungen. Aber Beatmung, Sedierung und die Eindrücke der Intensivstation hinterlassen Spuren. Das Post-Intensive-Care-Syndrom kann die Folge sein. Es ist nicht nur eine Herausforderung für Kliniken, sondern auch Hausarztpraxen. Mit Allgemeinmediziner Prof. Dr. med. Konrad Schmidt sprechen wir in dieser Folge darüber, wie die Überlebenden wieder ins Leben finden können.
Willy Massay is an Intensive Care and Emergency Room nurse who has served on the front lines of the gen)side in Gaza, providing life saving care in both Northern and Southern Gaza during multiple medical missions. Willy has just returned from Gaza and shares his experiences. He has worked with HEAL Palestine and other organizations and has been going to Gaza since 2017. He like many others are trying to get back to Gaza to help but are continually denied entry. He shares unforgettable stories in this discussion. There is a YouTube version where the photos mention are shown. Link is included herehttps://youtu.be/RQi_pyAcJdE?si=oBjJJE9efA4a7ImE
Metalheads!! Ben inflicts the new release by The Body and Intensive Care on his fellows.
Intensive Care | Pastor Matt by FOUNTAIN CHURCH
Here's what to expect on the podcast:Sherry's journey writing her first book 'Ella & the All-Stars'.Challenges in starting and running a nonprofit.How stories help children understand diversity, empathy, and anti-bullying.The importance of addressing bullying and promoting inclusion in schools. And much more! About Sherry:North Andover children's book author Sherry Cerino is a recently retired Registered Nurse with over 45 years of experience in both hospital and community settings. While working in Pediatrics, Maternal Child Health, Intensive Care, Long Term Care, Special Needs, and Rehabilitation, she worked with many culturally diverse children and adults with medical needs and disabilities, developing her strong passion for respect, kindness, and tolerance of differences.After the success and positive feedback from her first book, Ella & the All-Stars, Sherry started the nonprofit Ella's Way, an international collaboration of authors that promotes kindness and inclusion through children's books. All of the Ella's Way authors visit and read in elementary school classrooms, do community and civic presentations, and promote the mission of Ella's Way, which is to spread kindness. Ella's Way is rapidly becoming a leader for donating books to areas in need all over the country. Connect with Sherry Cerino!Website: https://ellasway.com/index.htmlLinkedIn: https://www.linkedin.com/in/sherry-cerino-aa15991b/Instagram: https://www.instagram.com/ellaswayinc/Facebook: https://www.facebook.com/profile.php?id=100064492854532----- If you're struggling, consider therapy with our sponsor, BetterHelp.Visit https://betterhelp.com/candicesnyder for a 10% discount on your first month of therapy.*This is a paid promotionIf you are in the United States and in crisis or any other person may be in danger -Suicide & Crisis Lifeline Dial 988----- Connect with Candice Snyder!Website: https://www.podpage.com/passion-purpose-and-possibilities-1/Facebook: https://www.facebook.com/candicebsnyder?_rdrPassion, Purpose, and Possibilities Community Group: https://www.facebook.com/groups/passionpurposeandpossibilitiescommunity/Instagram: https://www.instagram.com/passionpurposepossibilities/LinkedIn: https://www.linkedin.com/in/candicesnyder/Shop For A Cause With Gifts That Give Back to Nonprofits: https://thekindnesscause.com/Fall In Love With Artists And Experience Joy And Calm: https://www.youtube.com/@movenartrelaxation
After an attempted murder left a man brutally injured, one cop decided to change the way police in Queensland respond to violent crimes. Queensland Police Sergeant Dustin Osborne is one of the best examples of how proactive policing can not only prevent crime, but save lives. He designed and implemented QPol’s groundbreaking Tactical First Aid Program. An initiative which has received global acclaim for its ability to train first responding police in critical medical intervention techniques. Join host Brent Sanders as he unpacks how Dustin copes with his role as a first responding police officer, and what is next for the future of police medicine. If you or anyone you know needs help: Lifeline (Crisis support and suicide prevention) 13 11 14 1800 Respect (National sexual assault, family and domestic violence counselling line) 1800 737 732 Men's Referral Service (National counselling, information and referral service for men looking to change their behaviour) 1300 766 491 Full Stop Australia (National violence and abuse trauma counselling and recovery Service) 1800 385 578 See omnystudio.com/listener for privacy information.
This piece discusses significant advancements and ongoing challenges in anesthesia and perioperative medicine. Our guest shares his journey from his training days at the University of Basel to his influential work in patient safety across Europe; including pioneering efforts with incident reporting and simulation training inspired by collaborations with NASA. The conversation delves into the evolution of safety practices, the emphasis on human factors over technological advancements, and the complexities of teamwork and communication in the operating room. They explore the importance of standardized procedures, the necessity of adaptability in unstandardized situations, and the role of interdisciplinary collaboration in enhancing patient outcomes. We mention the Helsinki Decleration on Patient Safety in Anasethesiology (link below) and touch on the dissemination and integration of safety principles, the financial implications of quality and safety issues in hospitals, and the future direction of patient safety initiatives, emphasizing the need for continued investment in training and teamwork. Presented by Desiree Chappell with her guest, Sven Stander, Senior leading physician in Intensive Care Medicine; Clinical Research, Intensive Care, Anesthesiology at The University Hospital Zurich. Link to the Helsinki Declaration on Patient Safey in Anaesthesiology is here: https://esaic.org/patient-safety/helsinki-declaration-on-patient-safety-in-anaesthesiology/
In this podcast episode we want to introduce you to our BCEN friend, Zach Kermitz. Zach began his career in collegiate EMS with the Florida State University Medical Response Unit, before moving on to rural EMS in northeastern North Carolina. After earning his BSN, he honed his skills in the Emergency Department, Intensive Care, and ground Critical Care Transport nursing across North Carolina, Utah, and New York. In late 2019, Zach transitioned into flight nursing, where he has further developed his leadership skills as a full-time flight RN in the Four Corners region of the southwest USA. It takes incremental steps to excel in nursing, and Zach will discuss how he took on specific challenges and gained confidence in his skills. This conversation focuses on the importance of continuous learning, humility, and collaboration in emergency medicine—particularly in ventilator management and toxicology. This episode is called, "A song of flight and poison." BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. We invite you to visit us online at https://bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
EPISODE SUMMARY Join scientist and mindset & high-performance coach Claudia Garbutt and human performance & longevity expert Dr. Guénolé Addor, as they talk about all things that keep you healthy & happy for longer. In this episode, we talk about: - Exciting breakthroughs in longevity medicine - Favorite biohacks for improving energy & focus - Building cutting-edge longevity clinics EPISODE NOTES Dr. Addor is an established figure in the world of Anti-Aging and Longevity Medicine. With roots deeply anchored in Anesthesiology and Intensive Care Medicine, Dr. Addor has successfully made the leap from a traditional medical background to become a leading consultant in longevity and regenerative medicine. Currently based in Switzerland, he is dedicating his expertise to consulting, concierge medicine, and the establishment of cutting-edge longevity clinics. Educated at the University of Lausanne, Dr. Addor then worked as a medical doctor in the university hospital of CHUV, Lausanne. Here, he specialized in Anesthesiology and Intensive Care, contributing significantly to the field as a Senior Fellow and also leading the Transfusion Commission for Patient Blood Management. His dedication to medical innovation didn't stop there. Dr. Addor further honed his expertise by earning a certificate in Precision & Anti-Aging Medicine from the American Academy of Anti-Aging Medicine in 2022. Beyond his formal training and roles, Dr. Addor is a man of multifaceted talents and interests. An avid adventurer, his feats include the ascent of Himlung Himal in Nepal and sailing across the Atlantic Ocean. Whether it's skiing down the slopes or kite surfing over the waves, Dr. Addor is just as comfortable in athletic gear as he is in a lab coat. A musician at heart, he also finds time to indulge his love for classical piano and jazz. Driven by an insatiable curiosity and a relentless pursuit for innovation, Dr. Addor continually seeks to integrate the latest advances in biohacking and regenerative medicine into his work. Now focused on consulting and concierge medicine, he is channeling his extensive knowledge and experience into building the next generation of longevity clinics. Links: https://xlongevity.com https://www.linkedin.com/in/guenoleaddor/ https://www.instagram.com/draddormd/ ------------- Special THANKS to the episode sponsor Pulsetto! Looking for a quick & easy way to activate your parasympathetic nervous system so that you can be more relaxed & fall asleep faster? Try Pulsetto! Get a special 10% discount when you use my affiliate link: https://pulsetto.myshopify.com/wiredforsuccess --------- ------------ Click this link to listen on your favorite podcast player and if you enjoy the show, please leave a rating & review: https://linktr.ee/wiredforsuccess ------------------ Music credit: Vittoro by Blue Dot Sessions (www.sessions.blue) ----------------- Disclaimer: Podcast Episodes might contain sponsored content.
Requiem.Based on a post by FinalStand, in 13 parts. Listen to the ► Podcast at Explicit Novels. Once more, our esteemed academic Captain, Dr. Pierre O'Rourke Jean-Georges, led us through a rather confused and unhappy post-game liturgy in honor of; well in support of racial unity, I guessed. It was really hard to tell with the way he would ramble off-point every few minutes. The Football Team was in chairs on the floor of the gym with the Cheer Squad and Student Government. The rest of the student body was squeezed into the bleachers; very cozy.The Special Investigator also spoke briefly to the assembly, asking for our help on the case. The school was also hiring a 'Racial Grievance Counselor' who was, surprise, surprise, Dr. Nubia Franklin Jean-Georges; our Principal's wife. I was kind of curious who was making the school system pony up the money for her services as well as precisely when the 'interview' process had taken place.‘I wonder if she's qualified,' Kaelyne whispered.‘I wonder where they are going to stick her,' Vicky mused.‘Oh, I imagine she is going to get 'stuck' alright,' Mikhail snickered beneath his hand. Oh yeah, she was statuesque, smart, Black and projected complete confidence; right up my youngest triplets' alley.‘Ow,' he play-protested after Kaelyne smacked him.‘I did that for Taliyah,' she declared.‘She'll appreciate that,' I promised.‘I know she will,' Kaelyne smiled at me. After that disastrous Monday, Taliyah had been making steady headway in gaining Kaelyne's forgiveness which showed both her character (it was the right thing to do) and smarts (fear of my Mom).‘So; Alexander, what kind of bathing suit should I wear tomorrow?' Vicky teased our eldest.‘One made out of edible body paint,' he turned and winked. ‘Big Bob is gone all weekend to some Sheriff's convention in Miami, Florida. He goes to it every year.' Alexander being sexy-nice to Vicky was Also a good sign for our upcoming weekend.A withering glance from the Coach stilled our conversation. It was bad enough we were 'disrespecting' Darius' shindig. Our team had gotten their asses handed to them tonight in a game they should have won even without our star Running Back. It was easy to see having his father face criminal charges and loss of employment had shaken up Rashaan.His first outing as Team Captain had been a disaster; and now he had to sit here and listen to the various tributes to the guy he'd failed to replace instead of going anywhere else and getting shit-faced drunk and laid. The prognosis for both were pretty grim too,; what with the law enforcement being extra vigilant and the Cheer Squad being surprisingly inattentive to the Football Team's needs; which he was also getting blamed for.Darius had not only provided his players with victories, he had provided them status and perks as the premier athletes at school with the heritage of multiple highly successful teams being handed to them. Everyone 'looked the other way' because they were on the Football Team. All the girls wanted to be with them. Their parties always had plenty of alcohol and weed. They got good grades with minimal, if any, studying. Life had been good.Rashaan was having a horrific time maintaining that legacy. Not only could he not supply for his team, he couldn't even keep his own house in order. He had gone from 'three' hot-ass bitches (running true to type, the BBCs still refused to believe Taliyah had left him for Mikhail a week ago but now she, Sultana Berry and Randi Leigh Upshaw were openly gone) to none.Sure, they could still get 2nd and 3rd tier 'skanks', but just seeing all that prime booty walking around and knowing it Should be theirs and wasn't really bothered those student-athletes. A further complication was that under Darius, he kept the prime cunt specifically regulated both coming and going. That way the boys didn't have to worry about condoms, pregnancies and STDs.He kept the players clean by keeping the mouths, asses and vaginas they were fucking clean. No player stuck his cock into an unauthorized hole because if you did, Darius would destroy you. The object was to fuck who you wished in a safe hunting ground. Rashaan couldn't keep that level of discipline among either the women, or his own teammates.Rashaan also couldn't keep the booze and weed freely flowing. Darius hadn't shared his drug pipeline and wasn't likely to. Rashaan wasn't even trusted with the names of the entities capable and willing to buy and distribute alcohol to the under 21 crowd, plus Sheriff Big Bob's deputies were on the lookout for such shenanigans; more than happy to slap the cuffs on anyone 'Contributing to the Delinquency of a Minor'.As a final blow, his dad was no longer Chief of Police. Sure, he was being promised that ruling would soon be reversed; but for Rashaan, it was yet another blow landing at an unfortunate time. His problems weren't mine, and I had more than enough of my own. He'd have to sink, or swim, on his own.We were released at 10:37 pm; far past the time for any of us to have any fun. The Cheer Squad angled for us as we left the bleachers with Taliyah looking particularly livid. A few football players were making a nuisance of themselves, but I sensed her troubles ran deeper.‘Hey, Betty Jo,' one of our linemen tried to separate out the pale-haired blonde, ‘let's head out and party.' Two more moved to put a wall between my brothers and her.‘I'm tired,' she complained.‘You'll feel better soon,' he promised.‘Without your help,' I grumbled. I wedged between the two, they put their hands on me and then Mikhail and Alexander drove fingers into each of their Solar Plexus. With them temporarily gasping for air, we put a perimeter around the other ladies while I put an arm around Betty Jo's waist.‘Boy,' the athlete hissed, ‘you best let go of this piece of ass.'Betty Jo's eyes flashed from him to me, caught between shame and hunger.‘I'm not a boy, your boy, or anyone, but my parent's boy,' I hardened. ‘I'd appreciate it you never demean Betty Jo like you just did either.'‘Is there a problem?' a White Deputy working his way through the crowd called out.‘This ain't over, Peckerwood,' the lineman snarled under his breath.‘Thanks for the warning, Dumbo,' I mocked him. He had big ears.‘It is Greg, Shithead,' he corrected me angrily.‘Separate; you two,' the Deputy demanded.‘Yes, officer,' I backed off. I had the girl which was the important thing.‘Vlad?' Brandy cuddled up to me as we left the auditorium.‘All's good,' I assured her. ‘Normal threats and insults. Nothing more.'‘Betty Jo; are you okay?' she turned her attention to the woman I was escorting along.‘Oh, I'm okay. Greg wanted to talk with me, but I'm not really interested in him anymore,' and then she smiled over at Alexander.‘He doesn't do it you for anymore?' Brandy teased.‘Who?' Betty Jo pursed her lips.‘Greg; the defensive tackle.'‘Oh him!' she seemed surprise. She was Alondra's cross-racial twin alright. ‘Yeah. He and the other guys just want to push and pump me; it feels so; boring really.'‘Not like Alexander?' Brandy led her along.‘Oh no!' she exulted. ‘Alexander makes me feel all tingly; and he doesn't call me bitch, or whore, or nothing like that,' she tacked on.The crowd was dissipating as we moved into the Parking Lot.Alexander was in the lead with Vicky and Alondra on either side should he need support. Mikhail was slightly detached off to my left, arm around Taliyah, deep in conversation with her. His normal cheerful carelessness was gone, replaced by a serious mein. Kaelyne was behind Alex, with the other cheerleaders spread out between us. At the rear of our clump, herding us along, was; Mom and Jewel; huh?They were chatting amiably, one adult to another, not a teenager to a mother. That worried me for reasons I couldn't pinpoint. A little tug from Brandy reminded me where I was suppose to be paying attention.‘Some of the girls are coming over tonight,' she murmured seductively.‘The only one I want to be with is you,' I frowned.A million mega-lumens-bright smile flashed across Brandy's face.‘Not bored with me?'‘How would that ever even be possible?' I gasped.More pure, unfiltered happiness from my Lady.‘You make me very happy, Vlad,' she snuggled in.‘Ditto, Princess,' I kissed the top of her head.‘Hey,' Betty Jo interrupted. ‘Are you anything like your brother?' (?? because, ya know, we were only identical triplets??)‘We are triplets, Betty Jo,' I instructed. ‘We are identical; in all physical regards.'‘Does that mean your dick is just as big?' she asked with innocent intent.‘Yes,' Brandy confirmed. ‘Yes, it is.'‘Oh; nice,' she smiled at Brandy.‘Betty Jo, why don't we get your stuff and head out?' Brandy suggested. Betty Jo left my side with that smile still on her lips. ‘Will I see you tonight?' Brandy directed my way.‘I'll try,' I grinned.‘Okay,' she winked then off she went to round up the others. Mikhail brushed passed me, going the other way; toward Mom.‘I'll be hanging out with Taliyah tonight, Mom,' he addressed our maternal unit.‘Is there a problem?' she studied him. Jewel was silently observant.‘I'm eighteen, tomorrow isn't a school day and I don't have any chores to do I'm aware of,' he ticked off his salient points.‘Why don't you say 'hello' to Ms. Lafontanté?' Mom was falsely polite.‘Hey, Jewel,' his words were brutally sparse of emotion.‘Hey, Mikhail,' she was somewhat amused.‘Hey, Vlad,' she was a tad more polite toward me.‘Hello, Jewel,' I projected much more civility than my brother. If Mom found it necessary to chat with Jewel, it was worth all our time to be more polite and Mikhail should have known better.‘Jewel, please give me a moment with my youngest,' Mom separated from that imposing young lady and walked five steps away with Mikhail.‘I'm glad we didn't have a misunderstanding last night,' I proffered.‘Why?' Jewel tilted her head and appeared to dissect my every word and move.‘Violence without purpose is beyond wasteful; it is stupid and the product of nonadaptive minds,' I stated.‘I don't recognize the quote,' she smiled after a moment.‘It is a Vladimir original,' I smiled back.‘I think I could have taken you,' she added.I had to think over that for a few seconds myself.‘Is that what you were talking to Mom about; asking to come over to our house and spar?'‘Perhaps; that and a few other things,' she allowed.Mom was coming back. Mikhail was going off with Taliyah. Why? I didn't know.‘Night Ms. Lafontanté,' Mom nodded.‘Good night, Ms. Samsonov. Night Vlad.'‘Night Jewel and; you would have lost,' I affirmed as I turned to leave.There was no reply. Before we split up; I was going back home with Alexander; she was hanging around until Dad finished up and dismissed the other Deputies; Mom gave me a shoulder 'bump'.‘Nice one,' she grinned up at me.‘Huh?'‘With Jewel.'‘She thought she could take me with a rattan practice weapon and I thought to dissuade her of that delusion,' I explained. It was the truth after all.‘Girls like Jewel; don't take 'no', or 'you can't do that' for an answer, Vlad,' she enlightened me.‘Even when it is the truth?'‘Especially if it is the truth,' she smirked. ‘Girls like Jewel want to change the World, not accept anyone's assignment for them in it.'‘Well; she is Mikhail's problem, not mine. He's hot for her. I'm perfectly happy with Brandy.'If only that was the way the World worked;Cheer Squad (12 Girls: 4 Black, 6 White and 2 Mixed)The Black girls were;· Sultana Berry (Very Light fawn complexion).· Vantrice Kirby (Very Dark umber complexion), (hair dyed florescent red-black striped, shoulder-length hair).· Alondra Lamb (Very Light tawny complexion).· Taliyah Malik; the Co-Captain.The White girls were;· Brandy Crystal Carson is Co-Captain.· Amber Lee Huffington, (Brunette hair).· Mia Ryker, (blonde hair).· Misty Dawn Sizemore, (Russet hair).· Betty Jo Starling, (Blonde hair).· Randi Leigh Upshaw, (Brunette hair).The mixed girls were;· Le 'Pearl' Yates; (Raven-haired, half-Vietnamese/half-Black· Noémie Lucie Desdunes (Creole) Zulu Princess Posse· Jewel 'C. S.' Lafontanté· Dana Owens· Régine Hunt· Maxine Shaw· Shayla Karen White· Sunny Cobb· Lana Michelle Moore (the token white girl)Saturday: The Flashpoint.Note: currently, Vlad is dating Brandy Crystal Carson {the Sheriff's daughter} and Mikhail is dating Taliyah Malik {the Madam Mayor's daughter} while Alexander remains somewhat unattached.)I wasn't able to make it to the Carson household Friday night, though I did learn about the reason Mikhail did: Thursday night the Malik family had begun to implode. Mamma Malik had gone to a separate bedroom; and locked the door. Papa Malik hadn't taken that well, deciding to bury himself in alcohol as an appropriate response. That had been Taliyah's Friday morning. A series of late-afternoon blistering communication exchanges with her parents hadn't helped much.I resolved to make it up to Brandy by going over early ~as in 7:00 a.m. on a Saturday morning, early; and waking her with kisses. She'd told me the passkey for the home's security system (and 'yes', it had been changed after she dumped Darius for me, just in case).I got there; and the Living Room looked like it needed more than a little cleaning. Pizza boxes and soda cans were strewn about the place. Apparently, Brandy and company hadn't gone straight to bed last night..From what I'd already been told, she had Taliyah (Malik), Noémie Lucie Desdunes, Amber Lee Huffington, Alondra Lamb, Misty Dawn Sizemore and Betty Jo Sterling already here. The other five members of the Cheer Squad would be arriving later this morning and all were planning on spending tonight (Saturday night).Noémie Lucie, Amber Lee and Misty Dawn were strong supporters of the Brandy and Taliyah co-captaincy of the Cheer Squad, so that explained their presence. Alondra and Betty Jo were here out of worry the members of the Football Team might try to 'kidnap' them, once they were off school grounds: so safety measures had been taken.With Robert 'Big Bob' Carson, the County Sheriff, away for the weekend at a Law Enforcement convention in Miami, Florida, he had wisely deposited at least one Samsonov guarding his northwestern Arkansas home last night. Surprisingly, Mikhail had sensed Taliyah's soul-hurt about the situation and wanted to be there for her. He'd put his burgeoning playboy tendencies aside when she really need him. His transformation last night had surprised both me and, to some degree, my Mom, Gayle Fonteneau Samsonov.No one was awake in the house yet. From the rich aroma wafting from the Kitchen, I could tell the automatic coffeemaker had already prepared a full pot and was keeping it warm. I dropped my book bag; sans books, but with a change of clothes, two swimsuits and a few other 'gifts from Mom'; by the sofa first, then began transferring plates and glasses from the Living Room to the dishwasher in the Kitchen. I thought I heard someone out on the front porch.No one knocked, so I finished the trip to the kitchen. I was on the way back when I was pretty sure I heard someone trying to get in; with no luck. You had to be a pretty stupid thief to try and break into the County's chief Law Dog's domicile, even if he was currently out of town. Then there were the four cars and two electric-blue with yellow lightning bolts KTM 690 Enduro R's motorbikes (mine and Mikhail's) in the driveway and front lawn for Pete's sake. It wasn't like the house looked deserted.Seeking the Carsons.Someone rang the doorbell. I wasn't sure how to take that. A quick double-check revealed the door had a spy hole and there was a security screen further into the room. I made use of the spy hole since it was closer. The object on the other side was the best disguised house burglar I'd ever seen, or heard about. I opened up the door, a sappy smile plastered to my slightly flushed face. At the last second I thought to shove my hard-on to the side in a doomed attempt to make it less obvious.‘Hello, how may I help you?' I greeted the gorgeous, mature, platinum-blonde feminine bombshell standing before me.‘Do the Carson's still live here?' she appeared distressed.‘Oh, yes Ma'am,' I bobbled my head. ‘Hi. I'm Vladimir Samsonov. The owner is out right now and I'm here for a party being thrown by his daughter, my girlfriend, Brandy.'Her face transformed from confusion and worry to secret amusement.‘It is a pleasure to meet you, Vladimir,' she put forth her hand. I gladly took this elegant, graciously offered extension of her luscious form. I ended up kissing her knuckles instead of shaking it as I understood that was the Southern Gentlemanly thing to do to a lady. Her eyes twinkled as she added, ‘I'm Jodi May Memphis Carson; Brandy's my daughter.'My heart caught in my throat. From what little I knew, a few months back, Brandy's Mom had run off with the previous Senior Deputy; Big Bob's #2 Man; a Black 'gentleman'; and Big Bob was still pissed about it. I'd never broached the subject with Brandy.So, how upset was Big Bob? Well, I hadn't recognized his gorgeous wife because Big Bob had taken all pictures of her down around the place and Brandy never talked about her. That was a pity because she was an absolute beauty. Her name and history would definitely explain the luggage she had with her too.No car was in evidence which suggested she'd arrived via hitchhiking, or taxi. There was no one outside expecting money, or checking to see if she was okay;‘Please,' I stepped aside. ‘Come on in. Don't worry about your luggage. I'll get it.'‘Thank you,' she stepped inside. ‘That is very gentlemanly of you.' Points for me!With two over-stuffed dress bags, two large suitcases and a roll-on, I definitely felt overburdened, and I was certainly getting my weight training in for this morning, but following Mrs. Carson into the house made all but one of my physical aches go away. I was certain she was talking to me.What she actually said; I had no idea. She had on this contour-hugging, pale lavender skirt and a white, nearly-transparent imitation Peasant blouse with a black mesh bra underneath. This was above unadorned, creamy-tanned calves and white, open-toed heels (4 inches maybe?). Her finger- and toe-nails were a dazzling, pale pink to accent the ensemble.With the way her hips rolled when she walked, each step made her firm ass bounce just a tad which also just happened to accentuate the luscious lines of those exquisite calves and thighs (what I could see of them). Her hair boiled down to her mid-back like a wild torrent of molten gold. I swear to God, I had this unnatural impulse to push her over the back of the sofa and fuck the ever-living soul out of her.‘Vladimir? Vlad?' Jodi May addressed me. Apparently she'd been asking me one, or more, questions while I had been daydreaming. She'd stopped and twisted at the hip so she could look at me. Her salacious twist of the lips and carnivorous eyes told me she knew exactly why I hadn't answered her and where my mind had wandered off to.‘I; I apologize, Mrs. Carson.'‘Call me Jodi May,' she purred.‘Wha-ha, Yes Ma'am!' I nodded vigorously.‘I was asking I thought Brandy was dating Darius Pope. What happened to him?'Ice flushed thru my veins and my brain re-engaged. She'd known about Brandy and Darius; to some degree anyway; and she'd run off with a Big Black Cock-Monster herself. As a mature woman, she was a 10+, but as a Mother, in my book, she wasn't rating so high all of a sudden.‘So you were aware Darius Pope treated your daughter like a cum dumpster?' my countenance hardened. ‘She was handed about the team for all of them to use?'I could see it in her eyes; the comprehension; the denial; the creation of some fantasy which allowed her to carry on with the illusion she'd done no wrong.‘All White men think that way,' she settled on an imperious frown. ‘Darius loves my daughter.'‘And he's got the copious amount of humiliating footage to prove me right too,' I glared. ‘Or would have had if my family not intervened. Now Brandy has someone who truly loves her and wants to protect her from predators who would treat her as nothing more than three nameless orifices, a smoking hot body and a pretty face.'‘As it currently stands, it turns out Darius pissed off one too many folks and somebody decided to beat the ever-living crap out of him and six of his boys; all at the same time. Darius ended up crippled, maybe for life. He is currently hospitalized, undergoing reconstructive surgery on both his knees; in Little Rock. That doesn't matter because by the time Darius got his, I'd already convinced Brandy she was better off with me and she's stuck with me ever since,' I concluded.‘Poor Darius,' Memphis grew all concerned, nostalgic and misty-eyed. Yep, Darius had fucked Brandy's Mom as well. A quick information rewind had me recalling this convention of Big Bob's was a 'yearly thing', making the return of his runaway wife to his stoop rather conveniently timed.‘Where do I put your bags?'That brought her back to the here-and-now and looking at me, not through me.‘I imagine the Master Suite might be a tad inappropriate,' I stated factually.‘Young man,' she studied me, ‘this is still my house and I'll hang my clothes were I wish.'‘Absolutely, Mrs. Carson,' I nodded. ‘It is just placing them in the Master Bedroom comes with a complementary call to your husband; in Miami; while doing so in the Guest Room, the one at the other end of the house (because this house had Three), comes with some forbearance. By all means; decide away. After all; it is your house.'‘How do you think Brandy will feel about you threating her Mamma this way?' she pouted remarkably like her daughter.‘She won't give a damn,' I gave back nothing.‘My daughter and I had a better understanding of; things,' she turned all hurt and aggrieved. 'Things' like Mamma's infidelity and running off with a Black stud; because Brandy was lying to her father about getting some of her own at school.‘Things a White boy wouldn't understand,' she dug in her claws.‘Possibly,' I shrugged. Her shit was getting heavy. ‘I'd appreciate it if you would make your decision now. I was planning on cleaning up down here before waking Brandy with a few 'good morning' kisses. I can top that off with the knowledge you are here as well.'‘Put my things in the; far; Guest Room,' she motioned in the proper direction with a head toss. ‘I'll wake my daughter. I'm sure she has missed me.'‘Good choice,' I nodded. ‘Here is a piece of unsolicited advice. Your family hasn't picked up an automotive fetish in your absence; your daughter has friends over for the weekend, so making a commotion might by; unfortunate.'My information perplexed her.‘She is probably alone,' Mamma Carson hazarded.‘Unlikely. Taliyah was pretty upset last night so I'm willing to bet they crashed out with my brother; in the Master Suite while the five others are in the Game Room making use of the three sofas, sleeping bags and bear skin rug,' I hypothesized right back.‘Brother?' she worked out from all that information.‘Please come along with me while I explain,' and off I went. Reluctantly, the delinquent Mamma followed. Mind you, the far Guest Room was hardly a hardship being 12'x18' with a queen-sized canopy bed, walk-in closet and 72' wall-mounted TV. The counter-top space was minimal and the bathroom was down the hall, but since this wasn't the sleep-occupancy part of the dwelling, it was pretty much hers alone.‘As I said 'I'm Vladimir Samsonov'. My Mom and Dad are Gayle and Nicolay Samsonov. He is the new Senior Deputy and has over two decades of experience with the Alaska Highway Patrol and a legacy of law enforcement going back hundreds of years.'‘Of greater importance to you, no doubt, is that my Mom is Gayle Fonteneau Samsonov, heir to the Fonteneau fortune and estate; which is what brought us to town; my Great-Aunt Matilda's death and her Willing us the whole deal,' I gave Jodi May Memphis the 4-1-1.‘Oh,' she pursed her lips. ‘How is the 'town' handling this?'‘What?'‘The return of Gayle Fonteneau?' she inquired. She was in the closet, hanging up what she needed to while I was in the room, ass resting on the bed.‘Why do you think they would be upset?'‘Let's just say Gayle and her crazy brother didn't leave Kingston on the best of terms,' she evaded.‘I already know about my Mom's rape and the town's denial. I know my Uncle Theo went into Kingston, found four of those bastards and beat them so badly none ever fully recovered. I know the Mayor and Great-Aunt Matilda struck a bargain so that Uncle Theo stayed out of jail. I know the Mayor has passed-on, as has my Great-Aunt. I know my Mother hasn't forgotten, or forgiven, a damn thing.'‘I'm sure Mayor Fox and Chief Quinterre are less than impressed,' she smiled at me. She knew the score. This was BBC Country.‘Chief Quinterre is no longer Chief. He lost his job last Thursday night; for molesting my Mom, having one of his buddies molest your daughter, and being caught at it by an Arkansas State Investigator. My Mom is supporting Mayor Fox's bid for the State Senate seat while Chinedu Malik is in the dog house for his philandering ways.'‘That's; something,' she muttered.‘Oh, and the previous High School Principal is no more. He attempted to put his hands on my Mother, so she put him in Intensive Care; including ripping his dick off,' I kept chatting. By the flashing of Memphis' big baby blues; that was another BBC she'd be missing. Sadly, I was no longer surprised.‘The new guy; well, you'd have to meet him to believe him. He's a treat.'‘How so?'‘How to describe him; He's a college-marinated, proudly bi-sexual, agnostic, married-to-a-freaking-Goddess, beefy, Black Canadian-Haitian-American Fruit Loop.'‘Huh?'‘I stand by my assessment,' I grinned. ‘Let me go get Brandy,' I headed for the door.‘Vladimir, Vlad, ah; is Brandy; okay?' Jodi May worried.‘I do my utmost to make her happy; and I; well, I'll let you talk with her and decide for yourself,' and then I left.I worried about what I was going to say when I found Brandy. As I had surmised, she was upstairs, in the Master Suite, on her Daddy's bed,
In this episode, Dr. Sergio Zanotti discusses rational fluid therapy. He is joined by Dr. Adrian Wong, a practicing intensive care medicine and anesthesia physician. Dr. Wong is a consultant and clinical lead at King's College Hospital, London. He also serves as a committee member for the Intensive Care Society FUSIC, examiner for the European Diploma of Intensive Care Medicine, on the executive committee of the International Fluid Academy. Additional resources: Intravenous fluid therapy in the perioperative and critical care setting” Executive summary of the International Fluid Academy (IFA). Malbrain ML, et al. Ann. Intensive Care 2020: https://pubmed.ncbi.nlm.nih.gov/32449147/ Multidisciplinary expert panel report on fluid stewardship: perspectives and practice. Malbrain ML, et al. Annals of Intensive Care 2023: https://pubmed.ncbi.nlm.nih.gov/37747558/ The emerging concept of fluid tolerance: A position paper. Kattan E, et al. Journal of Critical Care 2022: https://pubmed.ncbi.nlm.nih.gov/35660844/ Everything you need to know about derescuscitation. Malbrain ML, et al. Intensive Care Med 2022: https://pubmed.ncbi.nlm.nih.gov/35932335/ Start with Why. TED Talk presented by Simon Sinek: https://simonsinek.com/videos/ted-talks/ Books mentioned in this episode: Thinking Fast and Slow. By Daniel Kahneman: https://amzn.to/4hicUoj Start with Why: How Great Leaders Inspire Everybody to Take Action. By Simon Sinek: https://bit.ly/42hzt8n
TopMedTalk is at The American Society of Anesthesiologists (ASA)'s annual general meeting; Anesthesiology 2024. Here we discuss key anesthesia updates, emphasizing patient safety and comfort. Does the evidence support allowing clear liquids up to surgery to reduce thirst without raising risks? Do new challenges around GLP-1 drugs, which delay stomach emptying, call for tailored pre-op guidance? Also, should we be rethinking gabapentinoids, which recent studies show may not effectively reduce opioid use as once believed? Presented by Desiree Chappell, Monty Mythen and Mike Grocott with their guests, Girish P. Joshi, Professor, Anesthesiology and Pain Management at UT Southwestern Medical Center and Ben Gibbison, Associate Professor of Cardiac Anaesthesia and Intensive Care at the University of Bristol, Honorary Consultant at University Hospitals Bristol and Weston NHS Foundation Trust.
Dr Philip Smith, Digital and Education Editor of Gut and Honorary Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK interviews Professor Suhua Jiang from the Department of Paediatrics, The First People's Hospital of Foshan, Foshan, People's Republic of China and Professor Lin Zhang, Assistant Professor from Department of Anaesthesia and Intensive Care and Lead Scientist, Microbiota I-Center (MagIC) in the Chinese University of Hong Kong, on the paper "Association of breast milk-derived arachidonic acid-induced infant gut dysbiosis with the onset of atopic dermatitis" published in paper copy in Gut in January 2025. A close transcript of this podcast is available at this link: https://bit.ly/40jF5xo Please subscribe to the Gut podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/3UOTwqS) or Spotify (https://spoti.fi/3Ifxq9p).
What does integrating your faith with your work mean, especially when you're a doctor navigating ethical dilemmas, societal challenges, and mission opportunities in the Caribbean? In this episode of the Lausanne Movement Podcast, Dr. Khara Collymore-Lashley shares her journey of combining faith and vocation as a medical doctor in the Caribbean. From navigating the spiritual climate of the region to serving as the hands, feet, and voice of Jesus in her profession, Dr. Khara offers a profound perspective on mission in the workplace. Whether you're a medical professional, a ministry leader, or simply curious about faith in action, this episode will leave you encouraged and challenged. Faith Meets Profession: How Dr. Khara integrates her Christian faith with her medical career, navigating ethical challenges and serving as a light in a demanding field. The Caribbean Church's Challenges: Insights into the spiritual climate of the Caribbean, marked by evangelism, a lack of discipleship, and historical narratives needing redemption. Mission in the Workplace: Encouraging Christian doctors and professionals to view their work as mission fields, sharing Christ's love in everyday interactions. Opportunities for Medical Missions: Exploring both traditional and nontraditional pathways for Christian medical professionals to serve locally and globally. Don't miss this inspiring conversation! If you found it valuable, share it with a friend, leave us a review, and subscribe to the Lausanne Movement Podcast for more stories of faith and mission. Visit lausanne.org to learn how you can get involved. Links & Resources: Mercy Ships: https://www.mercyships.org International Christian Medical and Dental Association: https://icmda.net Hospital Christian Fellowship: https://www.hcfglobal.org Guest Bio: Khara is a medical doctor currently pursuing residency training in Anesthesia and Intensive Care. She is passionate about missions and has served bi-vocationally with the national IFES movement in St. Vincent and the Grenadines (ISCF) from 2015-2020. Currently she serves as the regional representative for the International Christian Medical and Dental Association in the Anglophone Caribbean and with the Lausanne regional leadership team for the Caribbean. Khara enjoys walks on the beach, reading, singing, and spending time with family and friends. One of her greatest desires is to see the Caribbean church engage fully in God's global mission. We'd love your feedback to help us to improve this podcast. Thank you!
Euroanaesthesia is recognised worldwide as one of the most important and influential annual congresses in anaesthesiology and intensive care. Organised by The European Society of Intensive Care Medicine (ESICM). This year, TopMedTalk is there in Munich, Germany, bringing you exclusive coverage. This piece focuses upon bringing education to a wider selection of people and new ways of disseminating information. Presented by Desiree Chappell and Kate Leslie with their guests, Markus Klimek, Director, Residency Training Program, Vice-Chairman, Associate Professor, Erasmus MC, Department of Anesthesiology and Joana Berger-Estilita, Consultant in Anaesthesiology and Intensive Care at Bern University Hospital Inselspital, University of Bern, Switzerland, co-Director of the ESICM European Perioperative Intensive Care Curriculum e-course.
Send us a textIn this conversation, Dr. Kyle Willse, a pediatric intensivist, shares insights on the Pediatric Intensive Care Unit (PICU). The discussion is meant to provide a basic understanding as to how the PICU operates and to help parents be an advocate for their children. A must listen for anybody who has a child or a loved one in the PICU.Kyle Willse, DO, is board certified in Pediatrics and in Pediatric Critical Care. For the past 5 years, he has worked at Cedars-Sinai hospital as an attending in the pediatric and congenital cardiac intensive care unit. His comments in the podcast are his individual thoughts and opinions and do not represent Cedars Sinai. Dr Jessica Hochman is a board certified pediatrician, mom to three children, and she is very passionate about the health and well being of children. Most of her educational videos are targeted towards general pediatric topics and presented in an easy to understand manner. For more content from Dr Jessica Hochman:Instagram: @AskDrJessicaYouTube channel: Ask Dr JessicaWebsite: www.askdrjessicamd.com-For a plant-based, USDA Organic certified vitamin supplement, check out : Llama Naturals Vitamin and use discount code: DRJESSICA20-To test your child's microbiome and get recommendations, check out: Tiny Health using code: DRJESSICA Do you have a future topic you'd like Dr Jessica Hochman to discuss? Email Dr Jessica Hochman askdrjessicamd@gmail.com.The information presented in Ask Dr Jessica is for general educational purposes only. She does not diagnose medical conditions or formulate treatment plans for specific individuals. If you have a concern about your child's health, be sure to call your child's health care provider.
Overcoming Scoliosis: Vanda's Journey and the Power of Intensive Treatment In this episode of "Scoliosis Treatment with Dr. Tony Nalda," we hear the powerful story of Vanda, a scoliosis patient who traveled from Europe to the Scoliosis Reduction Center for a specialized, coordinated approach to her condition. Her experience illustrates the challenges of scoliosis management, the long-term impacts of untreated scoliosis, and the benefits of a comprehensive, intensive treatment plan. The Early "Wait and See" Approach Vanda's scoliosis journey began at age 10, when a routine checkup revealed a mild curve. Initially, her doctor advised a “wait and see” approach, which led to years of minimal follow-up. Unfortunately, this approach is common but often means scoliosis progresses undetected until symptoms worsen. In Vanda's case, her mother eventually noticed asymmetry in her shoulders, prompting a further evaluation. By then, her curve had progressed significantly, and she was given a brace with the potential for surgery if there were no improvements. The "Snowball Effect" of Scoliosis Progression As Vanda entered adulthood, she had no awareness of scoliosis's potential to worsen over time. It wasn't until her 40s that she began experiencing discomfort, a result of what Dr. Nalda refers to as the “snowball effect.” Even small degrees of progression in adulthood add to existing curves, leading to significant pain and limited mobility as the spine degenerates under daily stresses. This progression can cause a cycle of increased discomfort and reduced quality of life in later years. Intensive Care at Scoliosis Reduction Center Seeking effective treatment options, Vanda discovered Dr. Tony Nalda's clinic in Celebration, Florida. Impressed by the personalized, coordinated approach, she made the decision to pursue intensive care there, knowing that similar comprehensive treatment wasn't available in Europe. The intensive treatment is designed to work at each patient's pace, allowing those with high motivation, like Vanda, to achieve substantial progress. In just three weeks, she saw her thoracic curve reduce from 58 to 40 degrees and her lumbar curve from 42 to 33 degrees—a life-changing improvement. The Value of a Coordinated, Comprehensive Approach Dr. Nalda emphasizes the importance of a unified treatment approach, combining various therapies, rehabilitation, exercises, and bracing in one location under one doctor's supervision. Unlike fragmented healthcare systems where patients often receive conflicting advice from different specialists, the Scoliosis Reduction Center's model ensures that each component of the treatment plan works in harmony for maximum effectiveness. Motivation and Results For Vanda, the commitment to travel, endure intensive care, and invest financially was worth it. Her motivation came from wanting the most effective treatment to avoid surgery and significantly improve her quality of life. The results were immediate and transformative, highlighting the value of a structured, multi-modal approach that prioritizes reducing scoliosis curvature early and effectively. Final Thoughts Vanda's journey is a testament to the power of an intensive, well-coordinated approach to scoliosis treatment. Her story serves as a reminder of the importance of proactive care and the impact of choosing the right treatment center. This episode is an inspiring look at the possibilities available for scoliosis patients worldwide who are seeking lasting solutions. To learn more about effective scoliosis treatments and patient success stories, subscribe to our podcast and join us in exploring how comprehensive care can change lives. Artlist.io 847544
Join TopMedTalk at Anesthesiology 2024 in Philadelphia, we're bringing you exclusive conversations with the experts and thought leaders recorded live at the conference. The conversation discusses advancements in cardiac support devices; is it time for a shift from relying on potentially harmful medications, like inotropes and vasopressors, to more targeted mechanical support? Where does a more data based approach take us? Mike Grocott and Desiree Chappell sit down with their guests, Andy Shaw, Chairman, Department of Intensive Care and Resuscitation at The Cleveland Clinic, Cleveland, Ohio and Courtney Maxey-Jones, Cardiovascular Services Consultant, CNY Medical Services, PLLC, Director of the CCU and Cardiogenic Shock program at SUNY Upstate University Hospital in Syracuse, NY.
Dr. Roger Seheult is a world leading medical educator and practicing Intensive Care physician from California, USA also board-certified in respiratory, sleep and internal medicine. He is the founder of the Medcram YouTube channel and has recently been the use of heliotherapy for patients with acute viral respiratory infections.We discuss the importance of circadian rhyhtms, how infrared light is interacting with life, mitochondria and disease, problems of artificial light at nigth and the indoor environment, how to educate people on light as medicine and much much more.LEARN about Light & Health with me....
Evidence Based Perioperative Medicine (EBPOM)'s annual global conference in London was a huge success this year. TopMedTalk were there and this is one of the conversations we recorded for you. The Perioperative Quality Initiative (POQI) continues to address the implementation gap between perioperative research and clinical practice, offering clinicians synthesized, accurate recommendations. Since its inception in 2016, POQI has conducted 16 conferences, focusing on various perioperative topics like fluid management, blood pressure control, and nutrition. Presented by Andy Cumpstey with his guests Andy Shaw, Chairman, Department of Intensive Care and Resuscitation at The Cleveland Clinic, Cleveland, Ohio, Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS) and Imogen Fecher-Jones, lead nurse and project manager for the Perioperative Medicine Service and Preassessment at University Hospital Southampton.
"A healthy person has a hundred wishes, but a sick person has only one" Another wise one man once said, 'One day you will look like a soggy tea-bag, if you are lucky!'. That man was near-death survivor turned mobility and movement guru Adam Richardson, this week's ANWOB guest. In this episode, Adam Richardson reveals his transformative journey from Intensive Care to an enlightened view on what is important, leading him to become a social media sensation and movement and mobility guru. Adam shares his personal battle with meningitis, the life-altering lessons it taught him about mortality, and how it fuelled his commitment to movement. In this episode, you'll learn simple practical exercises that can prevent injury and keep you moving freely for life. Adam's journey from near-death to mobility mastery is packed with insights you won't want to miss. So many people have body hang ups, but it's the only body we'll ever have, so it is bonkers not to treasure it for as long as possible, and not get fixated on how it may or may not look to other people. This conversation blends philosophy, fitness, and Adam's signature cheeky charm. I hope you enjoy listening! Adam's book: How to Build a Body That Lasts: A heads up: there is some swearing in this episode. Related episodes: Walking: Professor Shane O'Mara - https://pod.fo/e/16ff8d How Our Environment Shapes us - From life in prison to elite athlete: John McAvoy - https://pod.fo/e/16ff7d My links: YouTube: https://tinyurl.com/YouTubeSimonMundie Website: simonmundie.com Instagram: https://www.instagram.com/simonmundie/ Substack Newsletter: https://simonmundie.substack.com/ Work with me 1:1 for personalised mentoring grounded in non-dual understanding, designed to reduce psychological suffering and guide you toward A New Way of Being. Visit simonmundie.com to learn more and take the first step. "Following our session I felt as though there had been a profound shift. The days that followed were some of the best days I have had in many years as there was much more space between me any my thoughts." - Henry “Each session with Simon has been enjoyable and enlightening in equal measure. After each chat I really feel like my ‘cup has been filled" - Jack "What Simon did so beautifully and directly, was put back into my hands the ability to do some self-enquiry. I would whole heartedly recommend you speak with Simon." - Kate Learn more about your ad choices. Visit megaphone.fm/adchoices
SERIES 3 EPISODE 26: COUNTDOWN WITH KEITH OLBERMANN A-Block (1:44) SPECIAL COMMENT: “In the world of boxing or UFC," writes Trump between his chicken clucks, "when a fighter gets beaten or knocked out, they get up and scream ‘I demand a rematch, I demand a rematch!' Well it's no different with a debate. She was beaen badly last night. Every poll has us winning – in one case 92-8 – so why would I do a Rematch?” Actually in the world of boxing or UFC, Trump's campaign would be in Intensive Care at this hour and the only demand would be to pull it off life support and end its suffering. And actually in the world of debates, it was TRUMP who had demanded additional debates with Joe Biden and then the Vice President so by his own rules Trump just proclaimed he LOST the CNN debate to the President. It took Trump surrogate and pretend professor Hugh Hewitt more than 19 hours to come up with this second day excuse, quote: “Opinions are settling… Trump was not at his best BUT was usually ok and at some points good, especially on the border and his closing statement.” 19 hours to think up some means of pulling his life-line meal-ticket out of the Burning Trumpster Dumpster and Hugh Hewitt comes up with “he was usually ok.” If you think that was bad, JD Vance then dismissed the Taylor Swift endorsement by encouraging voters to ignore billionaire celebrities who are out of touch with ordinary Americans. And there was a cat eaten in Ohio. The woman - a native of the state (represented in the Senate by JD Vance) - the child of Ohio residents - was promptly arrested. She's not Haitian, but the right wing is trying to make her so. It's going as well as Trump's debate night went. B-Block (20:59) THE WORST PERSONS IN THE WORLD: Republican Virginia Senate hopeful Hung Cao decides to try a little play on words and has made medallions reading "I Want My Senator To Be Hung." A little moment behind the spin room curtain with the deplorable Tim Murtaugh and the despicable Byron York. And Russia Dave Rubin in a nice passive-aggressive threat against Taylor Swift because she had the nerve to disobey the right wing. C-Block (27:00) THINGS I PROMISED NOT TO TELL: Maddow just celebrated her 16th anniversary. She almost didn't make it to her first. The day our corporate overlords threatened to fire her, fire me, and shut the damn network off! See omnystudio.com/listener for privacy information.
A round-up of the main headlines in Sweden on September 4th 2024. You can hear more reports on our homepage www.radiosweden.se, or in the app Sveriges Radio Play Presenter: Sujay DuttProducer: Michael Walsh
We delve into the critical issue of physician burnout with Jillian Bybee, a pediatric intensive care physician. Jillian shares her firsthand experiences from the front lines of health care, discussing the unique challenges faced by pediatric intensivists and the broader implications for medical professionals. Tune in as we explore strategies for managing stress, the importance of support systems, and innovative approaches to maintaining well-being in the high-pressure world of critical care. Jillian Bybee is a pediatric intensive care physician. She discusses the KevinMD article, "5 lessons for a better life: observations from a front row seat for the highs and lows." Our presenting sponsor is Nuance, a Microsoft company. Do you spend more time on administrative tasks like clinical documentation than you do with patients? You're not alone. Clinicians report spending up to two hours on administrative tasks for each hour of care provided. Nuance, a Microsoft company, is committed to helping clinicians restore the balance with Dragon Ambient eXperience – or DAX for short. DAX is an AI-powered, voice-enabled solution that helps physicians cut documentation time in half. DAX Copilot combines proven conversational and ambient AI with the most advanced generative AI in a mobile application that integrates directly with your existing workflows. DAX Copilot can be easily enabled within the workflow of the Dragon Medical application to bring the power of ambient technology to more clinicians faster while leveraging the proven and powerful capabilities used by over 550,000 physicians. Explore DAX Copilot today. Visit https://nuance.com/daxinaction to see a 12-minute DAX Copilot demo. Discover clinical documentation that writes itself and reclaim your work-life balance. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended GET CME FOR THIS EPISODE → https://www.kevinmd.com/cme I'm partnering with Learner+ to offer clinicians access to an AI-powered reflective portfolio that rewards CME/CE credits from meaningful reflections. Find out more: https://www.kevinmd.com/learnerplus
We share our grand new project, the Intensive Care Academy, an online, video-based, subscriber-only educational platform. Check it out at icu101.com!
This week Giovanna is joined by former Made in Chelsea star, author and businesswoman, Louise Thompson.Louise's life changed when she suffered severe complications during the birth of her son Leo, which left her in Intensive Care. Since then she has suffered with PTSD and continued health problems, resulting in recently being fitted with a stoma bag.This is the first part of Louise's candid conversation with Gi where she describes the impact her experiences have had on her mental health whilst also coming to terms with the challenges of motherhood.Trigger Warning: This episode contains discussions around subjects including traumatic birth and PTSD. If you feel this may be a difficult listen, please choose another episode. Hosted on Acast. See acast.com/privacy for more information.
TW: this episode contains graphic descriptions of birth trauma and PTSD. You might know Louise Thompson as the former Made in Chelsea star. Or the fitness influencer who launched two businesses and graced the cover of Women's Health magazine twice. But when she gave birth to her son Leo, all that changed. She experienced a series of life-threatening haemorrhages before ending up in Intensive Care, absolutely convinced she was going to die. Since then, she has suffered PTSD, panic attacks and countless further complications, resulting in being fitted with a stoma in January this year. And yet she has managed to turn her pain into something deeply inspiring. Her story is extraordinary - harrowing, yes, but also uplifting and always unfailingly honest. She talks about her failure to get a ‘proper job' (one for Made in Chelsea fans…), her failure to advocate for herself during a traumatic birth and the difficult experience of her body failing her in the most painful ways. I'm truly honoured that she has chosen to come on How to Fail to share her story. As always, I'd LOVE to hear about your failures. Every week, my guest and I choose a selection to read out and answer on our special subscription offering, Failing with Friends. We'll endeavour to give you advice, wisdom, some laughs and much, much more. Have something to share of your own? I'd love to hear from you! Click here to get in touch: howtofailpod.com Production & Post Production Manager: Lily Hambly Studio and Mix Engineer: Gulliver Tickell and Josh Gibbs Producer: Hannah Talbot Executive Producer: Carly Maile How to Fail is an Elizabeth Day and Sony Music Entertainment Production. Find more great podcasts from Sony Music Entertainment at sonymusic.com/podcasts To bring your brand to life in this podcast, email podcastadsales@sonymusic.com Learn more about your ad choices. Visit podcastchoices.com/adchoices Learn more about your ad choices. Visit podcastchoices.com/adchoices