Podcasts about journal update

Hey y'all, this is the wallflower Journal segment and today I just give you an update on what's to come for LateForTheParty. --- Send in a voice message: https://podcasters.spotify.com/pod/show/latefortheparty/message

ABC News National Correspondent Steven Portnoy previews the Trump immunity case being heard by the Supreme Court later today. Tampa Bay Business Journal Real Estate Editor Ashley Kritzer joins to discuss commercial real estate and business stories, including new developments coming to Tampa by the Brookdale Group. WDAE Morning Show Co-Host Aaron Jacobson joins the studio to preview NFL Draft Day, what to look for, and what we may be able to expect from the Tampa Bay Buccaneers; and previews Game 3 of the Tampa Bay Lightning vs. the Florida Panthers. NewsRadio WFLA National Correspondent Rory O'Neill reports new polling results that show how Americans feel about Trump and Biden, the wars in Ukraine and Israel, and abortion; also, another story says that the movie business may be over. News Channel 8 Meteorologist Amanda Holly gives us the forecast for today's weather. NewsRadio WFLA National Correspondent Erin Real reports on the new laws passed to help protect airline customers and explains why car repossessions are on the rise. Founder of ALS International Martha Beach tells us about new AI technology helping to diagnose ALS and the ALS Tampa walk this weekend.

Tampa Bay Business Journal Real Estate Editor Ashley Kritzer joins to discuss commercial real estate and business stories, including Clearwater investors selling their portfolios over issues with local government.

Our first check in of 2024 with Havok Journal owner Charles Faint. Charles is a retired Army Intelligence officer with seven tours of duty in Iraq and Afghanistan. We begin by discussing the latest on the Israel/Gaza conflict.  Charles expects Iran to continue supporting terrorist proxies but will avoid a direct confrontation with the US. His rationale is twofold; Iran knows they cannot win a direct fight with the US and are not going to risk doing so over an issue like Gaza. They also don't feel an existential threat to their key interests. Clearly Israel will be occupying Gaza for some time. As to what comes afterward, we both agree that a “two state” solution is impractical and absorbing millions of persons who have sworn to destroy their country is definitely not a wise move for Israel. Charles notes that in the earliest days of the Palestinian Liberation Organization, most of their leaders were secular. “A Deck of Many Things” is an article co-authored by Charles and retired Army Major Mike Warnock. It provides a reflection on Colin Powell's policies in Iraq twenty years later.  They compare Powell's philosophy of “you break it you bought it” in the context of what we did in Japan & Germany following World War II. In those cases, we preserved the administrative infrastructures necessary for each of those cultures to rebuild. While “De-Baathification” was popular among the Iraqi populace, it eliminated those who knew how to keep the lights on and the sewers flowing. We also discuss Ayman Kafel's recent article in Havok Journal about the surge of terrorism in South Asia. The implications of jihadist “franchises” in these areas create a real threat to regional stability and security. Civilians are also at risk as these various factions compete for power and territory. The value of higher education to military officers and the challenges of “going back to school” is the subject of an article Charles wrote about his experiences at Yale University. In general, Charles says his experience was very positive despite having to deal with numerous misconceptions about the military held by some of his fellow students. Lastly, we have a fun discussion about Taylor Swift – NOT a topic I ever considered would come up on American Warrior Radio.

Havok Journal owner Charles Faint joins us for another update from my favorite website for all things military and first responders.  Charles served 27 years in the Army, including seven combat tours in Iraq and Afghanistan attached to various special operations units. We being with the article “Give Your Flowers to the Living”. The crux of the article discusses the importance of honoring people and sharing how much you care while they are still living rather than just at their funeral.  “It is said that time is the coin of the realm, you can't earn any more of it, and you never know just how much of it you have left, so spend the coin wisely, with love and joy. Spend it not on flowers for the dead, but rather spend it on the ones you love, that are living.” Next we move on to an article by Scott Faith titled “Hamas, the Invisible Gorilla and What the Media-Political Complex is Doing to America.”  The “Invisible Gorilla” is a metaphor for what the media-political complex's sleight of hand to keep people from focusing on what is really important.  We discuss how quickly misinformation spreads and the negative ramifications of this hyper-environment. Charles makes an annual trip to Israel as part of the Peace and Dialogue Leadership Initiative, so this situation is deeply personal for him. They had just visited some of the areas that were attacked last May. “Know Your Role, Seven Rules for Supporting Special Operations” by Michael Kane has a lot of lessons that also apply to our civilians lives. Charles shares his personal experiences with support personnel who wanted to be operators rather than fulfilling their support roles. He emphasizes the importance of mentoring EVERYONE on your team and allowing subordinates to fail. We wrap up with an article by Ayman Kafel named “The Life of Duality”. Ayman writes about the challenges faced by first responders balancing their “wolf” side and human side. Ayman has also published an excellent book named “The Resolute Path” through the Second Mission Foundation. I highly recommend regularly visiting The Havok Journal whether you are a Veteran, First Responder or civilian.

Retired USF Political Scientist Dr. Susan MacManus joins the show live from Miami to recap the GOP debate she attended and break down the highlights and lowlights. Tampa Bay Business Journal Real Estate Editor Ashley Kritzer discusses commercial real estate and business stories, including the continued fallout for businesses following the Ybor City mass shooting.

Tampa Bay Business Journal Real Estate Editor Ashley Kritzer discusses commercial real estate and business stories, including the latest on a downtown Tampa development project.

Havok Journal Owner Charles Faint provides us with an update on some of the issues being reported on their website. The Journal publishes 4-5 new articles daily in addition to reposting some of the “evergreen” content. Ayman Kafel, an immigrant who served in the Special Forces and is now a police officer, has published “A Resolute Path” through the Second Mission Foundation. Ayman had written so many articles that Charles suggested he compile his stories in a book. The book has already sold 100,000 copies. Havok has started to receive a great number of article submissions from the Army Sergeants Major Academy. “Social Media and Search Engine's Impact on Retaining Talent” is a very insightful article written by MSG Eladio Tirado. The internet has created a double edged sword; talent is easier to identify but one bad employee review can severely damage recruitment. We discuss the challenges currently faced by military recruiting in the context of this article. Charles shares an important quote from his time in the military -“People don't quit jobs, they quit leaders.” Dave Chamberlain wrote an interesting article about Chat GPT/Artificial Intelligence examining whether this software will eventually replace human writers. Dave proposes that human qualities like empathy, intuition & unique personal perspectives are likely to never be replaced by AI. We discuss the potential dark sides of bad players using AI. Registered Nurse Wendy Arena published a heart wrenching article a “Combat Stress Control Units: Who Takes Care of the Caregivers”. In the article she shares the challenges faced by her military husband who was a member of a Combat Stress Control Unit in Afghanistan. She shared the toll that PTSD, TBI and other afflictions faced by our military takes on their caregivers & spouses. Often professionals feel like they have to just carry their own burdens rather than seeking help. On average a civilian may experience 3-4 genuinely traumatic experiences in their lifetime. A police officer will experience 700 over the course of a 20 year career. TAKEAWAY: “My main measure of success for Havok Journal is how many people write in to share how some of our articles have made a difference for the Veteran and first responder communities.”

Tampa Bay Business Journal Real Estate Editor Ashley Kritzer discusses Developer Daryl Shaw's work on 7th Ave. in Ybor, the Mercury Insurance building in Feather Sound, a new 21-story tower going up in St. Pete, and affordable housing issues.

Leverage podcast: S4E4 - Post journal update, early mornings, ups and downs by SilasBeats

Tampa Bay Business Journal Real Estate Editor Ashley Kritzer discusses the new Tampa location for Flemings, a new Pickleball club in Pinellas Park, a high-end fitness chain leaving International Mall, and Duke Energy moving out of their office space in Clearwater.

First we update on the shared cultural experience of having a relative eat your pet bunny. Our culture topic is real life tales about the art of the Portuguese newlywed prank. Our nostalgia topic includes discussion of both a 90s con childhood bedroom replica and a haunted-house style escape room. And Kel updates us on her gratitude journal progress for our mental health segment. Follow Us:  TikTok: ⁠⁠⁠@itscalledculture⁠⁠⁠ Instagram: ⁠⁠⁠@_itscalledculture --- Send in a voice message: https://podcasters.spotify.com/pod/show/folkandfad/message Support this podcast: https://podcasters.spotify.com/pod/show/folkandfad/support

Tampa Bay Business Journal Real Estate Editor Ashley Kritzer discusses an industrial park being built in Ocala by the owners of the Kansas City Chiefs and a new Target coming to Wesley Chapel.

Tampa Bay Business Journal Real Estate Editor Ashley Kritzer checks in to discuss the recently passed Affordable Housing bill, St. Pete's approval of zoning changes, and Big Cat Rescue getting sold.

Tampa Bay Business Journal Real Estate Editor Ashley Kritzer checks in to discuss her interview with Tampa Mayor Jane Castor on the mayor's second-term agenda, new single-family homes for rent in Wesley Chapel and Sarasota, and the expansion of Aldi across Florida.

In the 7a hour, NewsRadio WFLA Anchor Chris Trenkmann runs through today's top stories, including the murder of a Spectrum News 13 reporter at the scene of an earlier homicide in Orlando. The foreperson in the Georgia grand jury continues her bizarre media tour, and Ryan has all the crazy audio. Tampa Bay Business Journal Real Estate Editor Ashley Kritzer joins us to discuss Tampa Bay's luxury real estate market and new businesses in Sparkman Wharf and Water Street. Ryan runs through some trending stories involving Florida schools, including an attack on a school teacher. Dana covers Joe Biden slipping a second time on the stairs of Air Force One.

Havok Journal owner Scott Faith joins us for an update on all things military and first responder. Scott begins by announcing the new Havok Journal partnership with Epoch Times called “Battlefields.” Battlefields will include a podcast and five or more articles weekly. Next we discuss New Year's resolutions for Veterans.  Several of these resolutions parallel the mission of American Warrior Radio; telling their story and engaging members of their community. Other resolutions include not being afraid to ask for help and helping their fellow Veterans. Scott strongly believes that Veterans should not act as if the world owes them something other than a fair shake and the benefits they were promised. Britta Reque-Dragicevic published an amazing article called “Combat Guilt, Forgiveness and Mercy”. This is one of the best pieces I have read on the subject. Even more so given that Britta is not a Veteran or a trained psychologist.  She also has a great blog called “Life After War.” Scott expounds on the article “What's Really Keeping You Up At Night” written by Megan Thatford. Her article explores the fact that almost sixty percent of Veterans suffer from insomnia post deployment. Exhaustion can be particularly dangerous for people like military and first responders whose job is to serve and protect other people. “If you are not getting good rest, you are not making good decisions and are putting other people in danger.” Scott and I share what figuratively keeps US up at night. For Scott it is the long-term unintended consequences of Ukraine, China and their efforts to grow their presence in the world and the fentanyl epidemic. Mine are the economy, the vulnerability of our utility infrastructure and cyber-security. The Second Mission Foundation helps military and first responders pursue their “second mission” by providing micro-grants and helping them publish books. TAKEAWAY:  “Don't share your story with anyone unless you absolutely trust them to hold you the way you need to be held throughout your transition.”

Tampa Bay Business Journal Real Estate Editor Ashley Kritzer joins the show to discuss reports on the closing of The Mill in St. Pete, TECO moving to Midtown Tampa, and a new development going up in the Channel District.

As mentioned in this episode Ruby on Mac script Digital Ocean Episode - Preparing for the AppStore Episode - Astro.build Please leave a review and show your support.https://lovethepodcast.com/compileswift Buy Me a Coffee Patreon Ad-Free supporters download ★ Support this podcast on Patreon ★

In the 8a hour, Ryan, Aaron, and Katie discuss the ugliness emanating from the Pennsylvania Senate race. Plus, Tampa Bay Business Journal Real Estate Editor Ashley Kritzer, why a new school should be named after Katie Butchino, Tampa Bay Times Entertainment & Events Reporter Sharon Wynne with a weekend events preview, and more of Katie's trending stories.

In the 8a hour, Ryan, Aaron, and Katie discuss an Escambia County teacher who resigned over an order to take down pictures of Black American heroes. Plus, President of the Mac Parkman Foundation Bruce Parkman talks about adolescent concussive trauma, a video goes viral of sharks near swimmers off the coast of Florida, Tampa Bay Business Journal Pinellas County Reporter Breanne Williams offers an update on the Trop redevelopment plan and a Clearwater development proposal, and Katie has more trending stories.

Havok Journal editor Scott Faith joins us for a regular update. Scott is currently an active duty officer with half a dozen combat deployments. He writes under a pseudonym. We begin with one of the first articles he published for Havok Journal, “What Veterans Are (Still) Owed on 4th of July”. The article caused quite a stir because in Scott's opinion his fellow citizens don't owe him anything. He doesn't expect free drinks or store discounts and is perfectly okay with fireworks. He finds THOSE yard signs particularly vexing because they feed into the dysfunctional Veteran subculture. We agree that our government DOES owe Veterans fulfillment of the contract they signed including functional healthcare and full payment of their pensions. Military recruiting shortfalls are an issue that should concern us all. Some are even questioning the sustainability of the all-volunteer force concept.  The numbers are startling. Of the pool of 31.8 million age appropriate persons, only approximately 465,000 meet academic/fitness requirements and have clean drug/criminal records. Most concerning to Scott is the increasing politicization of the military. Scott has loved his time in the Army but he is seeing more of his brothers in arms recommending  against enlistment. The “Afghanistan exit debacle” motivated Scott himself to submit his retirement papers. Scott believes that, in general,  members of the military are compensated pretty fairly. “Making a career out the military is a ticket to the upper middle class if you play your cards right.” He feels that addressing the issue of toxic leadership is key to retention. Recent changes that allow for “blended retirement” have also helped. We wrap up the show discussing the potential benefits and downsides idea of compulsory conscription and Byron Chen's article on Veteran transition. TAKEAWAY: “Veterans need to get out there and be our own best representatives. Being successful in the community and continuing to serve pays off more in the long run than any temporary recruiting boost.”

Today's topics include: A journal update The importance of fat in your diet How insane the scale weight obsession is DOMs Process goals Deloads And weeeeee Cathy Enjoy! @ESGfitness ESGfitness.co.uk

Havok Journal editor Scott Faith joins us for a discussion of timely topics leading into 2022. Havok Journal is one of my regular visits on the web for stories and editorial written by members of our Veteran and First Responder communities.  Scott is a Veteran of half a dozen combat deployments and has served with several different Special Operations units. Due to the nature of his work, “Scott” writes under a pseudonym. COVID Despite being fully vaccinated, Scott and several of his family members contracted COVID.  His children had minor symptoms, Scott was on his back for two weeks and his former Special Forces father was hospitalized but has recovered. His experience led him to pen an article about “Blaming the Unvaxxed”. We also discuss the impact of both the disease and vaccines upon our military readiness. VETERAN SUICIDE In the third quarter of last year, more service members died from suicide (126) than the entirety of COVID deaths (86) since the pandemic began.  Scott says that SUICIDE, not COVID, is the real epidemic for Veterans. The military culture of stoicism and silent suffering further complicates the issue. He urges every to read “The Morning After I Killed Myself" and reach out for help. UKRAINE We discuss the evolving issues in Ukraine.  Scott shares the international security issues that would arise from a war and his conflicted feelings on the role the US should play. MILITARY QUALITY OF LIFE ISSUES The US military is having trouble meeting retention and recruitment goals.  This Havok Journal article points out one of the problems.  Mold is prevalent and brown water is coming out of the taps of the barracks at one of our premier Army posts. Scott points out that this highlights some real leadership failures and is not limited to a single branch. VETERANS PURSUING ELECTED OFFICE Currently, only 91 Veterans serve in the US Congress, the lowest number since World War II. However, this election season has seen a significant uptick in the number seeking public office. Scott and I agree this is an encouraging development.

Latest local business headlines from historic sales and sudden closures. A new law ends the subminimum wage, impacting thousands of Californians with disabilities. The first-ever hotline for employees and employers with disabilities. The highlights of Apple Hill. Today's Guests We get an update on the latest local business headlines with Real Estate Reporter Ben van der Meer and Managing Editor Sonya Sorich of the Sacramento Business Journal, including the latest plans for the old Campbell's Soup plant and the sudden closing of de Vere's Irish Pub. Bridget Kolakosky with the State Council on Developmental Disabilities discusses a bill signed into law that ends the subminimum wage, impacting thousands of Californians with disabilities who have been paid below the minimum wage as employees.  Leah Burdick with PRIDE Industries, one of the nation's largest employers of people with disabilities, discusses the first-ever hotline for employees and employers.  Chris Delfino, President of Apple Hill Growers Association, helps us explore Apple Hill during harvest season.

My rut from March carried me through April. I struggled creatively with my design for April, and it just snowballed from there. The design of my habit trackers left me confused and unable to track my habits, whereby I realized my habit trackers are a keystone habit which facilitate my journaling. I did get my Instagram set up for this podcast! Follow me at https://www.instagram.com/mbjjdani/ for updates on this podcast, bullet journal inspiration, motivation tips, and more! Other ways to follow me: Substack Link: https://mybulletjournaljourney.substack.com/ Instagram: http://www.Instagram.com/riverflowerart Email: riverflowerart@gmail.com YouTube: https://www.youtube.com/channel/UC_F-HxLpGNLwphtBcYZ8MuA

This month was defined by a super productive run, followed by a crash! I discuss being in a rut and how that affected my productivity.  Mindlove Episode 171: A Guide to Financial Miracles  Substack Link: https://mybulletjournaljourney.substack.com/ Instagram: http://www.Instagram.com/riverflowerart Email: riverflowerart@gmail.com YouTube: https://www.youtube.com/channel/UC_F-HxLpGNLwphtBcYZ8MuA

February was a month of reflection and self-discovery. I will change my weekly layouts based on introspection gained during the month. I discuss finding balance between productivity and life.

Welcome back to Journal Updated! This month, Nora and Molly finish the fight and close out the Mass Effect trilogy for good. No more biotics, robots, broken models, swerve endings, or genocide apologia. Just questions. Lots and lots of questions. What a weird messy thing.Next month's game: Dishonored: Death of the OutsiderAfter that: Mass Effect AndromedaMusic: Limit 70 by Kevin MacLeodLink: https://incompetech.filmmusic.io/song/5710-limit-70License: http://creativecommons.org/licenses/by/4.0/

Corona Zahlen insgesamt 9.9.20

Nach dem Ende des Nachrichtenformats „heute plus“ setzt das ZDF jetzt auf ein klassischeres „heute journal update“. Das füge sich in ein Gesamtbild, sagt Medienjournalist Daniel Bouhs: Aufwändige Formate für junge Menschen hätten sich überlebt. Daniel Bouhs im Gespräch mit Johannes Nichelmann www.deutschlandfunkkultur.de, Kompressor Hören bis: 19.01.2038 04:14 Direkter Link zur Audiodatei

Last week I did a podcast about a new approach to journaling. Whoa. I've been doing it for a week now and it's completely changed the way I journal and how quickly I get to the truth. Enjoy.

What's in the works? Listen to find out. Whats up with the Coronavirus? I don't know but I talk about it nonetheless. Here's a fun little episode for updates and conversations. --- Send in a voice message: https://anchor.fm/history-inc/message Support this podcast: https://anchor.fm/history-inc/support

Dr. Jeffrey Burns interviews Dr. Amy Sanders on the AAN's new update to the dementia management quality measurement set.

I discuss how my Bullet Journal has been going. It’s been something that I think I’m going to stay with because of the psychological relief it provides me. I encourage you to try it.

This week we discuss three recent articles looking at esmolol in refractory VF, c-spine clearance and antibiotics after abscess drainage https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_155_0_Final_Cut.m4a Download Leave a Comment Tags: Cardiac Arrest, Cervical Spine, Esmolol, I+D, Infectious Diseases, Journal Club, MRSA, Refractory VF, Trauma Show Notes Read More REBEL EM: Trimethoprim-Sulfamethoxazole for Uncomplicated Skin Abscesses Bryan Hayes at ALiEM: Sulfamethoxazole-Trimethoprim for Skin and Soft Tissue Infections: 1 or 2 Tablets BID? The SGEM: SGEM#164: Cuts Like a Knife Core EM: A...

This week we discuss three recent articles looking at esmolol in refractory VF, c-spine clearance and antibiotics after abscess drainage https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_155_0_Final_Cut.m4a Download Leave a Comment Tags: Cardiac Arrest, Cervical Spine, Esmolol, I+D, Infectious Diseases, Journal Club, MRSA, Refractory VF, Trauma Show Notes Read More REBEL EM: Trimethoprim-Sulfamethoxazole for Uncomplicated Skin Abscesses Bryan Hayes at ALiEM: Sulfamethoxazole-Trimethoprim for Skin and Soft Tissue Infections: 1 or 2 Tablets BID? The SGEM: SGEM#164: Cuts Like a Knife Core EM: Antibiotics in the Treatment of Smaller Abscesse...

This week we review some recent publications on steroids in pharyngitis and the VAN assessment in stroke. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_150_0_Final_Cut.m4a Download Leave a Comment Tags: Pharyngitis, Steroids, VAN Assessment Show Notes Read More The SGEM: SGEM #203: Let Me Clear My Sore Throat with a Corticosteroid Core EM: Corticosteroids in Pharyngitis – Systematic Review + Meta-Analysis REBEL EM: Does it Take a VAN to Identify Emergency Large Vessel Occlusion (EVLO) in Ischemic Stroke? REBEL EM: Stroke Workflow in 2018

This week we review some recent publications on steroids in pharyngitis and the VAN assessment in stroke. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_150_0_Final_Cut.m4a Download Leave a Comment Tags: Pharyngitis, Steroids, VAN Assessment Show Notes Read More The SGEM: SGEM #203: Let Me Clear My Sore Throat with a Corticosteroid Core EM: Corticosteroids in Pharyngitis – Systematic Review + Meta-Analysis REBEL EM: Does it Take a VAN to Identify Emergency Large Vessel Occlusion (EVLO) in Ischemic Stroke? REBEL EM: Stroke Workflow in 2018

This week we discuss some recent publications relevant to EM: ADRENAL, Idarucizumab and Time to Furosemide. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_141_0_Final_Cut.m4a Download Leave a Comment Tags: ADRENAL, CHF, Corticosteroids, Furosemide, Idarucizumab, Journal Club, Journal Update, Sepsis Show Notes Read More Core EM: Idarucizumab for Reversal of Dabigitran Core EM: Idarucizumab for Reversal of Dabigitran II First10EM: Idarucizumab: Plenty of Optimism, Not Enough Science EM Lit of Note: The Door-to-Lasix Quality Measure EMS MED: When It's More Complicated Than A Tweet: Door-To-Furosemide And EMS

This week we discuss some recent publications relevant to EM: ADRENAL, Idarucizumab and Time to Furosemide. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_141_0_Final_Cut.m4a Download Leave a Comment Tags: ADRENAL, CHF, Corticosteroids, Furosemide, Idarucizumab, Journal Club, Journal Update, Sepsis Show Notes Read More Core EM: Idarucizumab for Reversal of Dabigitran Core EM: Idarucizumab for Reversal of Dabigitran II First10EM: Idarucizumab: Plenty of Optimism, Not Enough Science EM Lit of Note: The Door-to-Lasix Quality Measure EMS MED: When It’s More Complicated Than A Tweet: Door-To-Furosemide And EMS REBEL EM:

This week we dive into a recent journal article questioning whether we should tap all ascites. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_123_0_Final_Cut.m4a Download Leave a Comment Tags: Albumin, Cirrhosis, Paracentesis, SBP, Spontaneous Bacterial Peritonitis Show Notes Take Home Points SBP is a difficult diagnosis to make clinically. While patients may have the triad of fever, abdominal pain and increasing ascites, they are far more likely to only have 1 or 2 of these symptoms In patients admitted to the hospital with ascites, consider performing a diagnostic paracentesis on all patients as limited literature shows an association with decreased mortality and, the procedure is simple and low risk Once you get the fluid, focus on the cell count: WBC > 500 or PMN > 250 should prompt treatment with a 3rd generation cephalosporin and albumin infusion Gaetano et al. The benefit of paracentesis on hospitalized adults with cirrhosis and ascites. Journal of Gastroenterology and Hepatology 2016. PMID: 26642977 Read More EMRAP: C3 Live Paracentesis Video

This week we dive into a recent journal article questioning whether we should tap all ascites. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_123_0_Final_Cut.m4a Download Leave a Comment Tags: Albumin, Cirrhosis, Paracentesis, SBP, Spontaneous Bacterial Peritonitis Show Notes Take Home Points SBP is a difficult diagnosis to make clinically. While patients may have the triad of fever, abdominal pain and increasing ascites, they are far more likely to only have 1 or 2 of these symptoms In patients admitted to the hospital with ascites, consider performing a diagnostic paracentesis on all patients as limited literature shows an association with decreased mortality and, the procedure is simple and low risk Once you get the fluid, focus on the cell count: WBC > 500 or PMN > 250 should prompt treatment with a 3rd generation cephalosporin and albumin infusion Gaetano et al. The benefit of paracentesis on hospitalized adults with cirrhosis and ascites. Journal of Gastroenterology and Hepatology 2016. PMID: 26642977 Read More EMRAP: C3 Live Paracentesis Video

This week we review 4 articles discussed in our conference in the last month. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_119_0_Final_Cut.m4a Download Leave a Comment Tags: ACS, AMI, Cardiac Arrest, Cardiology, Oxygen, Pediatrics, POCUS, Syncope Show Notes Take Home Points Tachycardia in peds patients at discharge was associated with more revisits but not with more critical interventions. If your workup is reassuring, isolated tachycardia in and of itself shouldn't change your disposition. Supplemental O2 is not necessary in the management of AMI patients with an O2 sat > 90% and, may be harmful Until further study and prospective validation has been performed, we're not going to recommend embracing the Canadian decision instrument on predicting dysrhythmias after a syncopal event. Finally, our agreement on what cardiac standstill is isn't great. We need a unified definition going forward to teach our trainees and for the purposes of research. Read More Core EM: ED POCUS in OHCA –...

This week we review 4 articles discussed in our conference in the last month. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_119_0_Final_Cut.m4a Download Leave a Comment Tags: ACS, AMI, Cardiac Arrest, Cardiology, Oxygen, Pediatrics, POCUS, Syncope Show Notes Take Home Points Tachycardia in peds patients at discharge was associated with more revisits but not with more critical interventions. If your workup is reassuring, isolated tachycardia in and of itself shouldn’t change your disposition. Supplemental O2 is not necessary in the management of AMI patients with an O2 sat > 90% and, may be harmful Until further study and prospective validation has been performed, we’re not going to recommend embracing the Canadian decision instrument on predicting dysrhythmias after a syncopal event. Finally, our agreement on what cardiac standstill is isn’t great. We need a unified definition going forward to teach our trainees and for the purposes of research. Read More Core EM: ED POCUS in OHCA – The REASON Study

This week we discuss 3 articles recently reviewed in our conference - LOV-ED study, Validation of Step-By-Step and Therapeutic Hypothermia. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_99_0_Final_Cut.m4a Download Leave a Comment Tags: ARDS, Cardiac Arrest, Lung Protective Ventilation, Mechanical Ventilation, OHCA, Step-By-Step Protocol, Therapeutic Hypothermia, TTM Show Notes Take Home Points The step-by-step approach to managing febrile infants is a reliable decision instrument to identify patients at low risk for invasive bacterial infections. Caution in the group of patients 22-28 days of age. The LOV-ED study shows an association between employing a lung-protective ventilation strategy in the ED and decreased complications from mechanical ventilation. Best available evidence says that we should embrace this approach in the ED. Cooling to 33 degrees is no better than cooling to 36 degrees. However, shooting 36 degrees is more difficult than we may have thought. We have to continue to be vigilant about maintaining patients in the target temperature range and avoiding fever.

This week we discuss 3 articles recently reviewed in our conference - LOV-ED study, Validation of Step-By-Step and Therapeutic Hypothermia. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_99_0_Final_Cut.m4a Download Leave a Comment Tags: ARDS, Cardiac Arrest, Lung Protective Ventilation, Mechanical Ventilation, OHCA, Step-By-Step Protocol, Therapeutic Hypothermia, TTM Show Notes Take Home Points The step-by-step approach to managing febrile infants is a reliable decision instrument to identify patients at low risk for invasive bacterial infections. Caution in the group of patients 22-28 days of age. The LOV-ED study shows an association between employing a lung-protective ventilation strategy in the ED and decreased complications from mechanical ventilation. Best available evidence says that we should embrace this approach in the ED. Cooling to 33 degrees is no better than cooling to 36 degrees. However, shooting 36 degrees is more difficult than we may have thought. We have to continue to be vigilant about maintaining patients in the target temperature range and avoiding fever.

This week we discuss a recent article in Annals of EM on contrast induced nephropathy and whether the phenomena is real or dogma. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_91_0_Final_Cut.m4a Download Leave a Comment Tags: AKI, CIN, Contrast Induced Nephropathy, Journal Update Show Notes ACR Table on CIN – FOAMCast FOAMCast: Episode 65 – Contrast Induced Nephropathy and Genitourinary Trauma REBEL EM: Contrast Induced Nephropahty: Fact or Myth Core EM: Acute Kidney Injury is not Associated with IV Contrast Use in the ED EM Lit of Note:

This week we discuss a recent article in Annals of EM on contrast induced nephropathy and whether the phenomena is real or dogma. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_91_0_Final_Cut.m4a Download Leave a Comment Tags: AKI, CIN, Contrast Induced Nephropathy, Journal Update Show Notes ACR Table on CIN – FOAMCast FOAMCast: Episode 65 – Contrast Induced Nephropathy and Genitourinary Trauma REBEL EM: Contrast Induced Nephropahty: Fact or Myth Core EM: Acute Kidney Injury is not Associated with IV Contrast Use in the ED EM Lit of Note: Punching Holes in CIN

3 terrific doctors talk why they LOVE taking care of those in pain. This month's journal had some interesting articles. Dr. Boswell reviews Drs. Silverman and Staats book. Pain Physician Journal is the best in the world.

Greeting Adventurers! This week we have another very special episode. We have long time Stand-up Comedian Jackie Kashian video calling in! She has had a couple of Comedy Central specials, appeared on the Conan O'Brien show, Last Comic Standing, and even an appearance on Murphy Brown! She is such a wonderful guest and contributed in our "Current Adventures" segment, as well as our "Journal Update" where she talks about a 10 year DnD campaign! We also briefly discussed what we're playing and watching.

Hey All!Went up for a bit today. It always feel great to get back into it and it also recharges by batteries a little bit and encourages me to at least put out a video update. The podcast is always on my mind but I am lazy with the video lately. Sorry again!!! Thanks for the continued support.Download the Podcast