Podcasts about nrp

A motorcycle accident leaves our patient with a litany of serious injuries and severe bleeding, yet he remains alert and talking to the team... but that's not the only one he talks to. Our patient puts his life in the hands of a higher power and our Air Methods crew as they work to address his numerous injuries and ailments and get him to a hospital. Hear from the patient himself through this harrowing experience.   Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:   Sarah Baker, RN, PHRN, CEN, CCRN, CFRN   Jesse Weller, NRP, FPC   Kyle Hoover     Here is everyone reunited as our patient continues his recovery. Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

Teaching best practices for transporting Impella patients is something Zac Bunzey handles every day. As a clinical education manager at Life Flight Network, Zac joins Shane Turner to share how targeted training campaigns, hands-on experience, and tools like the Impella app, combined with Abiomed's 24/7 support, have markedly boosted crew confidence and proficiency.Plus, you'll learn about the importance of cognitive aids and routine practice with low-frequency events to maintain skills. Whether you're experienced in Impella transports or new to the process, this episode offers crucial strategies to enhance your crew's readiness and effectiveness in managing these critical patients.In this episode:Shane Turner, RN, CFRN, NRP, FP-C, CMTE, Chattanooga, TNZac Bunzey, Clinical Education Manager, Life Flight Network

In this podcast episode we want to introduce you to our BCEN friend, Harriet Hawkins Harriet Hawkins is a nurse whose remarkable career in healthcare spans over five decades. Harriet began her journey in psychiatry in 1969 before moving into adult critical care and emergency medicine. In 1982, she joined Children's Memorial Hospital in Chicago—now Lurie Children's Hospital—where she worked in the NICU and played a key role in launching the Neonatal Pediatric Critical Care Transport Team in 1985. Harriet also founded the hospital's resuscitation program in 2001, expanding education in life-saving certifications such as ACLS, BLS, PALS, NRP, and more. Beyond her clinical work, Harriet is deeply committed to community outreach and philanthropic service. She has been volunteering at her local homeless shelter since 1996, running a weekly clinic, and has participated in 28 humanitarian mission trips across nine countries. She remains actively involved with the Emergency Nurses Association at both the state and national levels. From pediatric pearls to powerful life lessons, Harriet brings a depth of wisdom shaped by her rich nursing journey. Her passion for life and learning shines through every moment, making this conversation as inspiring as it is informative. Trust us you'll be hoping for a part two before it's even over! This episode is called, "The secret is to adjust your sails." 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

Stand Your Ground - Raging Fireside Chat Presenter: J. Basha, CCP, Open to Audience After two days of transplant deep dives, J. Basha, CCP, hosts a two-hour open chat to wrestle with the big issues—and you're the spark. This is no passive wrap-up. Bring your takes on NRP ethics, OCS costs, or organ shortages. I'll share 40 years of perfusion fights, like pushing for innovation when tradition stalled. We'll spar over opt-out systems, machine perfusion's price tag, and allocation fairness. It's a chance to challenge, learn, and grow—perfusionists, coordinators, and anyone. Join the fireside fray to ignite real change.

Mastering NRP for Organ Donation Success NRP is rewriting organ donation rules, and Matt Warhoover, CCP, takes you inside this bold frontier over a two-hour session. Using ECMO or bypass, NRP restarts circulation after circulatory death to recover organs in situ. Warhoover will cover cannulation, perfusion, and the ethics of this gray zone. I'll weigh in on its promise—like turning DCD into multi-organ wins—and its hurdles. You'll compare it to standard methods and see its impact on the donor pool. Perfusionists will find new turf here; transplant pros will grasp its potential. Dive in to shape the future of donation.

Are you equipped to handle cardiogenic shock? In this episode, you'll gain insights from an expert on the frontlines about the complexities of caring for these critical patients and how you can excel in providing world-class critical care transport.Shane Turner sits down with Dr. Adam Gottula, an emergency physician and critical care intensivist from Methodist Hospital in San Antonio, Texas. They discuss the management of cardiogenic shock in transport settings, the crucial role of a multidisciplinary approach, and the latest strategies for improving patient outcomes.Dr. Gottula shares the importance of cognitive checklists, standardized patient classification, and the life-saving role of the Impella device during transport. Plus, essential practices for optimizing outcomes in patients with Impella support during cardiac arrest, including the critical steps of prompt CPR and correct device positioning.Shane Turner, RN, CFRN, NRP, FP-C, CMTE, Chattanooga, TNAdam Gottula, M.D., San Antonio, Texas

Today we're going ‘back to basics' with Austin Provence, a cardiothoracic nurse who brings a decade of experience in transporting patients with Impella devices and the importance of seamless teamwork. With over a decade of experience, Austin highlights two critical scenarios: stable patients needing higher care and critically ill patients requiring immediate interventions. He underscores the importance of mastering proper Impella placement and management, noting that a significant portion of these patients may present additional health challenges.Austin shares practical tips on maintaining the correct angle to prevent bleeding, managing sedation, and ensuring clear communication between hospital and transport teams. This episode is packed with best practices and strategies to enhance the competency and confidence of transport clinicians in handling complex cardiac cases.In this episode:Shane Turner, RN, CFRN, NRP, FP-C, CMTE, Chattanooga, TNAustin Provence, Hospital Wing Flight Nurse

Dr. Geoffrey Funk, OPO CEO, joins Coffee & Compatibility to explain what NRP is, how it has impacted solid organ transplant allocation, and why some see it as controversial.

Dropping the first episode in a new series from NRP's Embedded podcast:  Reporter Zach Mack thinks his dad has gone all in on conspiracy theories, while his father thinks that Zach is the one being brainwashed. In 2024, after the latest round of circular arguments, they decided to try something new, an attempt to pull each other out of the spell each of them thinks the other is under. Can one family live in two realities?To hear the who series, head to NPR's Embedded podcast.

Cardiogenic shock is a devastating condition with a persistent 50% mortality rate. However, groundbreaking treatments and technologies are now dramatically improving survival odds. Join Shane Turner as he sits down with Jason Weatherly, Cardiogenic Shock Commercial Marketing Manager at Abiomed, to explore these advancements and the life-saving impact of the Impella device.Jason highlights the recent DanGer Shock RCT, which confirmed that Impella CP® with SmartAssist® improves survival by 12.7%. Together, they delve into how these medical breakthroughs are crucially linked to critical care transport, emphasizing innovative strategies that are essential for enhancing patient outcomes and shaping the future of cardiogenic shock treatment.In this episode:Shane Turner, RN, CFRN, NRP, FP-C, CMTE, Chattanooga, TNJason Weatherly, Cardiogenic Shock Commercial Marketing Manager at Abiomed

Often, we are lucky to collaborate with specialists to ensure we can best support our patients, and in this episode, host Shane Turner is joined by Nancy Jaworski, an advanced practice nurse with extensive experience in adult congenital heart disease, to learn about challenges and innovations shaping heart failure care today. Nancy discusses the unique challenges of diagnosing and managing adult congenital heart disease.She emphasizes the importance of early intervention and the use of advanced therapies to prevent severe complications. Nancy also gives insights into the critical role of transport providers in navigating these complex cases and the necessity for specialized care centers to optimize outcomes. Tune in to gain a deeper understanding of right heart failure from a seasoned expert who bridges the gap between pediatric and adult care.In this episode:Shane Turner, RN, CFRN, NRP, FP-C, CMTE, Chattanooga, TNNancy Jaworski DNP, APRN, PCNS- BC, Hendersonville, TN

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:    Anonymous: Hi Dr. Cabral. Thank you for all you and your team do, you have greatly changed my health and life. Question for you. If you could go back to your daughters birth: - Week leading up to it -Delivery - Day 1 - 3month after What would you approach differently with your current knowledge and wisdom? What trusted resources would recommend an expecting mother to read?                                                                                                              Susy: Hello, I appreciate all the effort you make to spread so much health information! I have a question about a 10 year old boy who is overweight and keeps on gaining weight. He has elevate estrogen for his age. Can he do the Cabral detox at this young age or what could be causing high estrogen so early in life? He doesn't seem to have any major gut issues.              Ann:  Thank you for all you do!  I am 70 yrs old, weigh 100 lbs. with hypothyroidism I quit Synthroid about 2 years ago and am using supplements and working with a NRP and of course your podcasts.  My symptoms have never gone away even with Synthroid but worsened on supplements.  I'm considering going back on Synthroid to get regulated??  IDK  My THS has never been below 3.5 and has been as high as 8 and 11 My sleep has always suffered but is really bad now along with Reynaud's and dry cracked skin  ugh  I ran the big 5 and found I have sensitivities to peas, hemp, garlic, coconut etc I did the 7 day detox but it wasn't easy and I lost a little weight which I didn't want to.  I love the DNS and DFVB but both contain stevia and DNS is pea protein.  My NRP informed me that stevia hinders thyroid function.  So, should I stay away from the DNS because of the pea protein and both DNS and DFVB because of the stevia?  Can I still heal my thyroid if I'm on Synthroid?  Help, I'm struggling:(                                                                                                                                                                 Lynnette: Hi Dr. Cabral! Could you please talk about "natural flavors?" In a response to a post in the Facebook group, Michelle advised someone to beware of "natural flavors" because even though they are "natural," they could still be highly processed. EVERYTHING packaged seems to have "natural flavors," including your products like the DNS and the chocolate cherry squares. How does one know which "natural flavors" to trust and which not to? How can I possibly know how "natural" the flavors are, or how they are created , or how processed they are....? Is this like "fragrance" in a perfume? Secret information? Thanks!                                                                                                                                        Larissa: Hello, My adnaced cardio lipid panel shows I have a high amount of small LDL particles. I want to try red yeast rice but am worried about the mycotoxin side effects as I have a history of severe mold toxiiand am easily triggered by it. I would appreciate your advice!       Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/3291 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

A pinkie promise is a promise you cannot break, and it's one our patient in this month's episode made to his wife when he was stricken with a life-threatening COVID infection. She made him promise that he would pull through the ordeal, and he did... but not without many bumps in the road.    Our team not only battled our patient's COVID, but also a nasty case of pneumonia that ultimately led to him needing to be placed on ECMO, which, as you know, is usually a last resort. Listen in as they transported him prone, which our team had never done before in 20+ years of experience, dealt with an unexpected hailstorm during transport and find out how our patient ended up doing after a lung transplant.   Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:     Jeff Dickson, NRP, FP-C     The Wilkins Family Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

Impella devices can be game-changers for cardiogenic shock, and members of the care team who manage these patients during transport require specific training and skills to optimize patient outcomes. Today, host Shane Turner is joined by Ryan Harmon to take an inside look at the systematic approach one clinician uses to troubleshoot issues and optimize these advanced therapies. Ryan Harmon is a clinical care coordinator in the emergency room with extensive experience as both a nurse and a paramedic.Harmon emphasizes the need for a systematic approach to troubleshooting issues, such as preload, afterload, and positioning, and the importance of managing medications to avoid complications. You'll also learn the value of having a knowledgeable partner and being prepared for potential challenges during transports.In this episode:Shane Turner, RN, CFRN, NRP, FP-C, CMTE, Chattanooga, TNRyan Harmon, Critical Care Transport Nurse/Paramedic, Lebanon, OH

Collaboration plays a vital role in setting new benchmarks in cardiac transport. Join Shane Turner as he talks with Bill Hallinan, regional clinical manager for Abiomed, about integrating pre-hospital and hospital care to enhance outcomes for patients experiencing cardiogenic shock. With decades of experience in firefighting, nursing and transport, Bill shares his invaluable insights and vision for the future of cardiac care.Shane and Bill emphasize the critical importance of early recognition of cardiogenic shock, and the need for effective communication and respect among providers. They also discuss the unique challenges and opportunities in pre-hospital and transport care. Plus, you'll learn why clear definitions and standards for cardiac recovery centers are crucial, and how standardized protocols and technological innovations can dramatically improve patient outcomes. In this episode:Shane Turner, RN, CFRN, NRP, FP-C, CMTE, Chattanooga, TNBill Hallihan, RN BSN, Regional Clinical Manager, Abiomed

Hoy abordaremos una actualización esencial en el ámbito de las emergencias: la Actualización 2024 de las Guías de Resucitación tras Ahogamiento de la American Heart Association (AHA) y la American Academy of Pediatrics (AAP). Este tema es fundamental, ya que el ahogamiento sigue siendo una de las principales causas de muerte no intencional en el mundo. El ahogamiento se define como el proceso de experimentar insuficiencia respiratoria por inmersión en agua y, si no se actúa de inmediato, este evento progresa de una parada respiratoria a una parada cardíaca. La resucitación en estos casos requiere intervenciones específicas que consideren la hipoxia severa como causa principal del paro. Hoy discutiremos las recomendaciones clave y los puntos a tener en cuenta al responder a emergencias de ahogamiento, ya sea que seas un rescatista laico o un profesional de la salud. LA CADENA DE SUPERVIVENCIA EN AHOGAMIENTOS Presentador: Comencemos con el concepto de la Cadena de Supervivencia en Ahogamientos. Esta cadena es un enfoque sistemático que establece cinco pasos críticos para aumentar la supervivencia de la persona ahogada. Paso 1 - Prevención del Ahogamiento: La prevención es siempre el primer paso. Las guías indican que más del 90% de los ahogamientos son prevenibles. Entre las medidas de prevención se encuentran: instalar barreras para evitar el acceso a áreas de agua, usar chalecos salvavidas en actividades acuáticas y garantizar la supervisión de niños en áreas cercanas al agua. Paso 2 - Reconocer el Peligro y Activar la Ayuda: Reconocer que alguien está en peligro es crucial para activar la ayuda rápidamente. Es importante recordar que una persona ahogada no siempre puede pedir auxilio, ya que el instinto por respirar es tan fuerte que impide que levante los brazos o grite. Paso 3 - Proporcionar Flotación: Antes de intentar un rescate, las guías recomiendan ofrecer un dispositivo de flotación si está disponible. Esto ayuda a evitar que el rescatador se convierta en una segunda víctima y permite estabilizar a la persona en el agua. Paso 4 - Sacar del Agua de Forma Segura: Si es seguro, el siguiente paso es sacar a la persona del agua. Esto facilita la evaluación y el manejo posterior. Las guías sugieren que si la persona está inconsciente, se realice la extracción en una posición lo más horizontal posible para evitar comprometer aún más la vía aérea. Paso 5 - Iniciar Soporte Vital Básico y Avanzado: Finalmente, se debe iniciar el soporte vital básico (SVB) lo antes posible. Si la parada es confirmada y llega el equipo de emergencia, deben iniciar el soporte vital avanzado (SVA) para mejorar las probabilidades de supervivencia. IMPORTANCIA DE LA VENTILACIÓN Y EL MANEJO DE LA VÍA AÉREA La siguiente recomendación clave en esta actualización se centra en el manejo de la vía aérea y la ventilación. A diferencia de otras paradas cardíacas, el ahogamiento requiere una prioridad en la ventilación debido a la hipoxia severa causada por el agua en los pulmones. Recomendación para Respiración de Rescate en el Agua: Si el rescatador está entrenado y es seguro hacerlo, las guías recomiendan iniciar la respiración de rescate en el agua. Esta intervención temprana ayuda a prevenir que el ahogamiento avance a un paro cardíaco completo. Sin embargo, se debe valorar constantemente la seguridad del rescatador, ya que no se debe comprometer la seguridad personal. Recomendación sobre Administración de Oxígeno: Otra recomendación importante es administrar oxígeno lo antes posible cuando esté disponible, ya que la hipoxia severa es la causa principal de la parada. No obstante, se enfatiza que la administración de oxígeno no debe retrasar el inicio de una RCP de alta calidad si la persona ya está en paro. USO DEL DESFIBRILADOR EXTERNO AUTOMÁTICO (DEA) Y RCP EN AHOGAMIENTO Un aspecto único de la resucitación tras ahogamiento es el orden de prioridad entre RCP y DEA. Debido a que los ritmos desfibrilables son poco comunes en el ahogamiento, las guías enfatizan que es más efectivo iniciar la RCP con ventilación antes de aplicar el DEA. Recomendación sobre el Orden de RCP y DEA: En caso de ahogamiento con paro, la prioridad debe ser la RCP con ventilación antes de aplicar el DEA. Aunque la desfibrilación es útil si se detecta un ritmo desfibrilable, la mayoría de los paros por ahogamiento no tienen este tipo de ritmo, por lo que no debe retrasarse la RCP buscando un DEA. Uso de DEA en Ritmos Desfibrilables: Si se cuenta con un DEA y es seguro usarlo, puede aplicarse en caso de un ritmo desfibrilable. Sin embargo, siempre priorizando la RCP y evitando que la búsqueda de un DEA retrase las compresiones y ventilaciones necesarias para el paciente ahogado. BRECHAS Y NECESIDADES DE INVESTIGACIÓN FUTURA Un aspecto importante que resaltan las guías es la necesidad de continuar investigando la resucitación y prevención del ahogamiento en diferentes contextos y regiones. Se identificaron algunas brechas de conocimiento, como la falta de recursos en áreas remotas o de bajos ingresos y la implementación de programas de desfibrilación pública en áreas acuáticas. Recomendación de Educación y Entrenamiento Comunitario: Las guías sugieren fortalecer la educación comunitaria sobre técnicas de rescate y resucitación, especialmente en áreas con alta incidencia de ahogamientos. También se recomienda promover la formación en soporte vital básico y avanzado en todas las comunidades para mejorar los tiempos de respuesta y la calidad de la resucitación. CONCLUSIÓN Para resumir, hemos cubierto las recomendaciones esenciales de la actualización 2024 de la AHA y la AAP sobre resucitación tras ahogamiento. Como hemos visto, los elementos clave incluyen: Priorizar la ventilación y la vía aérea en el manejo de los ahogamientos, dado que la hipoxia es la causa principal del paro. Iniciar RCP con ventilación sin retraso y solo usar el DEA si está disponible y se detecta un ritmo desfibrilable. Fortalecer la educación y prevención en las comunidades para reducir la incidencia de ahogamientos y mejorar la respuesta en estos eventos. En ECCtrainings, ofrecemos cursos de soporte vital básico y avanzado que cubren estas y otras técnicas críticas para responder a emergencias. Si estás interesado en aprender más, visita nuestra página en ECCtrainings. Gracias por acompañarnos en ECCpodcast, ¡nos vemos en el próximo episodio! Referencias 2024 American Heart Association and American Academy of Pediatrics Focused Update on Special Circumstances: Resuscitation Following Drowning: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Cameron Dezfulian, MD, FAHA, FAAPCo-Chair, Tracy E. McCallin, MD, FAAPCo-Chair, Joost Bierens, MD, PhD, MCPM, Cody L. Dunne, MD, Ahamed H. Idris, MD, FAHA, Andrew Kiragu, MD, FAAP, Melissa Mahgoub, PhD, Rohit P. Shenoi, MD, FAAP, David Szpilman, MD, Mark Terry, MPA, NRP, Janice A. Tijssen, MD, MSc, FAHA, Joshua M. Tobin, MD, MSc, Alexis A. Topjian, MD, MSCE, FAHA

A seemingly simple heart attack gives our team pause because the patient presents a litany of conflicting symptoms. Should our team send him to have a stent put in right away - as is standard procedure - or do they wait to address the other symptoms and risk muscle damage? What would you do if you were in their position? Our hosts consider the symptoms and give their own recommendations while our team shares what actually unfolded. The lesson is that if something feels a bit off, it's important to listen to your intuition.    Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:     Liz Lashley RN, CFRN      Jorden Dick, OMS-1, NRP, FP-C Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS

Nicolai Heidenreich is the managing partner of NRP Maritime Asset Management and has over 25 years of experience within the maritime and shipping sector. Since 2012 he has managed several portfolios of shipping and offshore investments worth in excess USD 150 million. Prior to NRP, Heidenreich was a partner at Pareto Project Finance and also worked for Marine Money.Christopher Vonheim is a Norwegian host focused on business, ocean industries, investing, and start-ups. I hope you enjoy this tailor made content, and help us make this channel the best way to consume ideas, models, and stories that can help fuel the next entrepreneurs, leaders and top performers.Disclaimer: All opinions expressed by Christopher Vonheim or his guests on this podcast are only their opinions and do not reflect the opinions of Vonheim. You should not treat any opinion expressed by Christopher Vonheim as a specific reason to invest or follow a particular strategy, but only as an expression of his opinion. This podcast is for informational purposes only. Hosted on Acast. See acast.com/privacy for more information.

Nicolai Heidenreich is the managing partner of NRP Maritime Asset Management and has over 25 years of experience within the maritime and shipping sector. Since 2012 he has managed several portfolios of shipping and offshore investments worth in excess USD 150 million. Prior to NRP, Heidenreich was a partner at Pareto Project Finance and also worked for Marine Money. Christopher Vonheim is a Norwegian host focused on business, ocean industries, investing, and start-ups. I hope you enjoy this tailor made content, and help us make this channel the best way to consume ideas, models, and stories that can help fuel the next entrepreneurs, leaders and top performers.Disclaimer: All opinions expressed by Christopher Vonheim or his guests on this podcast are only their opinions and do not reflect the opinions of Vonheim. You should not treat any opinion expressed by Christopher Vonheim as a specific reason to invest or follow a particular strategy, but only as an expression of his opinion. This podcast is for informational purposes only. Hosted on Acast. See acast.com/privacy for more information.

When it comes to ensuring safe and successful medical transports, our work begins with preparation and logistics. In this episode, host Shane Turner sits down with veteran flight transport provider, Robin Wallace. With over 25 years of experience in the southeast as both a paramedic and a flight nurse, Robin shares her invaluable insights on transporting critically ill cardiac patients.Robin shares the essential practices she has honed, including the use of checklists, meticulous vehicle preparation, and mastering communication techniques. Learn how effective teamwork and clear, concise directives can make all the difference during unexpected events in flight. This episode is packed with knowledge for anyone involved in medical transport, offering actionable advice and proven strategies to enhance patient care during critical moments.In this episode:Shane Turner, RN, CFRN, NRP, FP-C, CMTE, Chattanooga, TNRobin Wallace, BSN, RN, CFRN, CEN, NRP, Chattanooga, TN

In the midst of the chaos, the brokenness and destruction, there are a group of people in Ukraine who are expanding the Kingdom. Pastor Keith and the team are back from Ukraine. Today he shares with us about that trip.The video and update referenced in today's podcast is up on NRP's social media. You can find it by searching NRPastors.

Presented with a patient whose symptoms seem contradictory then flip, change and remain unclear, our team must continue to work to keep the patient alive. What's causing the duress for our patient? Is it an aneurysm? Is it neoplastic process? Cardiac arrest? Some combination of these factors? Our team remains nimble, attentive, and diligent in their work. What lessons can we learn from this case? Tune in and find out.   Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:     Liz Lashley RN, CFRN      Jorden Dick, OMS-1, NRP, FP-C Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS

Are there different training protocols for maintaining expertise in Impella patient management when cases are infrequent? In this episode, Shane Turner is joined by Dustin McKeel, a seasoned Flight Paramedic and Clinical Base Educator from Memphis, to explore how the city's limited critical care options have spurred innovative training solutions.Learn how hands-on cadaver labs, real case studies, and rigorous simulations are equipping transport crews with the confidence and skills needed to handle complex patient scenarios effectively. Don't miss this insightful discussion on enhancing clinical capabilities and decision-making skills through advanced training methods.In this episode:Shane Turner, RN, CFRN, NRP, FP-C, CMTE, Chattanooga, TNDustin McKeel, FP-C, Flight Paramedic, Clinical Base Educator, Memphis, TN

In this episode of AOEN, Kevin interviews Jacob A. Miller, DNP, MBA, ACNP, ENP-C, CNS, NRP, FAEN. Jacob shares his unique career journey from EMS to nursing, culminating in his current role as a clinical educator for a critical care transport team. He emphasizes the vital role advanced practice providers play in transport settings, showcasing their ability to deliver personalized patient care and manage complex medical situations. Aspiring NPs won't want to miss this insightful episode. Follow Jacob on social here https://about.me/JacobMillerACNP Follow us on: Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/ YouTube: https://www.youtube.com/channel/UCJTnz4phtCTjojTIDJo2afA?view_as=subscriber Twitter: @AoenPodcast Instagram: https://www.instagram.com/artofemergencynursing/ To support the show: Leave an honest review on iTunes. Your ratings and reviews greatly contribute to the success of the podcast, and I appreciate each and every one of them.

Send us a Text Message.In this episode of "The Incubator" at NeoHeart 2024, hosts Ben and Daphna interview Dr. Phil Levy from Boston Children's Hospital.Dr. Levy discusses his experience preparing for a year-in-review presentation on 18 months of neonatal hemodynamics research. He highlights the work of Dr. Reagan Geisinger and her trainees, emphasizing their contributions to various aspects of neonatal hemodynamics, including:Hemodynamic screening programs and their impact on outcomesPDA management strategies across different gestational agesThe use of inhaled nitric oxide in preterm infantsEstablishing normal values for cardiac function in premature babiesHemodynamic changes during therapeutic hypothermiaDr. Levy also mentions the updated 2024 guidelines for Targeted Neonatal Echocardiography and Point of Care Ultrasound, highlighting their comprehensive approach to teaching, education, and training.The conversation touches on recent trends in PDA management, including a decrease in surgical ligations and an increase in device closures. Dr. Levy discusses new guidelines on the timing of PDA interventions, emphasizing the importance of a multidisciplinary approach.Finally, Dr. Levy shares information about an upcoming addition to NRP training that will include modules on resuscitating babies with congenital heart disease, highlighting the growing collaboration between neonatology and cardiology. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Tom talks about a controversial practice being employed to harvest organs for transplant from people who have died called Normothermic Regional Perfusion, or NRP. According to reporting by NPR's Rob Stein, this technique is considered an innovation which produces high quality and less damaged organs for those in need. This innovation is not, however, without ethical concerns. Dr. Jeffrey Kahn is the Director of the Johns Hopkins Berman Institute of Bioethics. The Institute produces a podcast, playing god? and he joins Midday to help us understand NRPs.Email us at midday@wypr.org, tweet us: @MiddayWYPR, or call us at 410-662-8780.

In the age of data, evidence-based decision-making is essential for improving patient outcomes. Join host Shane Turner and special guest Ken Kasica, Director of Scientific Intelligence for Abiomed J&J MedTech, for a deep dive into the complexities of interpreting clinical trials and medical device development.Shane and Ken emphasize the importance of considering the patient's perspective in all analyses, from the challenges of evaluating evidence in critical care transport, to the limitations of relying solely on white papers and sponsored research.This episode is full of valuable insights from two industry experts. Don't miss the opportunity to enhance your understanding of data-driven healthcare practices, and stay tuned for regular data deep dives in the future.In this episode:Shane Turner, RN, CFRN, NRP, FP-C, CMTE, Chattanooga, TNKen Kasica, PharmD, MBA, Director, Scientific Intelligence

Send us a Text Message.PEEP is a very hard thing for newer clinicians to understand, when we break it down to the basics, it becomes easier to be applied and helps in the overall scheme of treating patients to the best of our ability. Support, Follow, or Share the show! ❤️

Send us a Text Message.For many decades now, we have debated physician assisted suicide. Is it ethical? Does it go against the belief of what we originally began healthcare for? Or is it a method of healthcare in itself. This topic is going to be brought up more over the next few years and it's an important subject to talk about. As a Paramedic, Nurse, Tech, or Mid-level; what is your thoughts? How do we approach these patients?Support, Follow, or Share the show! ❤️

Send us a Text Message.Trauma patients are the pinnacle of emergent care, What we have to consider is the process of treating them in the acute setting while preparing them for future care. This might include wound care, documentation, timely getting a concise history, or many other things. As providers, we struggle with parallel vision frequently so we have to be more diligent in the way we see these patients and set them up for success. Support, Follow, or Share the show! ❤️

Welcome to Abiomed's Quarterly Update, where education is at the forefront. In this episode, host Shane Turner is joined by Jena Billig, primary trainer for the West region, to dive into the intricacies of the Impella pump's heparin-free purge system.Jena provides a comprehensive understanding while addressing misconceptions. She explains the importance of using a dextrose and water-based purge solution with heparin or sodium bicarb additive to prevent blood proteins from accumulating in the pump motor housing. Plus, Shane and Jena explore new features of the Impella Five, gen two catheter, designed to enhance safety for transport providers, including the intuitive catalog system and three-point fixation method.Whether you're a seasoned provider or new to the field, this episode offers valuable insights to improve patient care and transport practices. Tune in now to stay informed and elevate your knowledge of the Impella device and purge system!In this episode:Shane Turner, RN, CFRN, NRP, FP-C, CMTE, Chattanooga, TNJena Billig, BSN, RN, CCRN, CFRN, Idaho Springs, Colorado

Send us a Text Message.In the past 2 decades the amount of overdose deaths has increased over 4 times the amount and our way of combating the increase has yet to work. Our role right now needs to be focused on treating the patient as a whole and mitigating side effects caused by the reduced respiratory drive. Secondly to that, we need to make Narcan accessible and teach the public the most important things when interacting with these patients to maximize safety and patient outcomes! Thank you guys so much for watching. Please like and share! Informational Links:https://www.hhs.gov/overdose-prevention/https://www.ncbi.nlm.nih.gov/books/NBK546642/#:~:text=To%20date%2C%20five%20types%20of,and%20zeta%20receptor%20(ZOR).If you have any questions, comments, concerns, or have an interest on being on the show; feel free to reach out! Email ✉️Emergencymedical101@gmail.comInstagram

In 1997 Congress asked the National Institute of Children's Health and Development to work with the U.S. Department of Education to establish a National Reading Panel. Their task was to evaluate existing research in order to find the best ways of teaching children to read. In 2000 the panel issued their 500-page report (National Reading Panel, 2000). This report has been widely cited in books and journal articles related to reading instruction. The NRP describes five-pillars are reading instruction. The SoR zealots and state reading laws describe these as five foundation reading skills. They are: phonemic awareness, phonics, comprehension, vocabulary, and fluency. It's not that I disagree with the five "pillars" of reading instruction as described by the NRP report and repeated ad nauseam by SoR zealots. My concern is that they're seven pillars short of a full load. In this podcast, I describe the 12 essential elements of a comprehensive reading program – or comprehensive literacy instruction.

Part 1 – Guest Host Jamila Russell engages with Jacqueline Greenidge-Payne LPN, NRP, CADS (Director of State EMS Regulatory Office for the Department of Health, Division of Emergency Medical Services); Dawn O'Bryan and Angus Drigo (Executive Director of the Disability Rights Center of the Virgin Islands) as they discuss the upcoming First Pediatric Disaster Expo.  

Considering the wisdom of a great investor on the impact of anti coal regulation and NRP.Show transcript can be found at: https://specialsituationinvesting.substack.comRemember you can support the show in the following ways:Consider switching to Fountain for all of your podcast needs. Fountain sources its content from the podcast index and allows users to receive and stream bitcoin micro payments between fans and content creators. Get payed just to listen or "boost" your favorite podcaster. Or contribute to the show directly by visiting: https://buzzsprout.com/1923146Once on the shows website you can scan the QR code displayed and donate any amount of bitcoin to show your support. 

On this episode of JHLT: The Podcast, the JHLT Digital Media Editors explore two studies from the May issue of The Journal of Heart and Lung Transplantation. Digital Media Editor David Schibilsky, MD, a cardiothoracic surgeon from Freiburg, Germany, hosts this episode.   First, Dr. Schibilsky and Digital Media Editor Erika Lease, MD, interview their first guest, Helen A. Hannan, the podcast's first-ever undergraduate pre-medical guest, from the University of Michigan. Helen was the lead author on the study “Racial and Gender Disparities in Transplantation of Hepatitis C+ Hearts and Lungs.” The study noted that prior research in utilization of kidneys from donors with Hepatitis C had shown disparities due to gender and education—and wanted to see if this was the case in heart and lung donors as well.   Drs. Schibilsky and Lease chat with Helen about the findings of the study, including some of the interesting differences shown between heart and lung recipients, and the ramifications for better patient discussions at the clinical level.   Next, Dr. Schibilsky and Digital Media Editor Marty Tam, MD, interview their next guest, Lauren Truby, MD, of the University of Texas Southwestern Medical Center in Dallas. Dr. Truby is the podcast's first return guest, having appeared on the show near the end of 2021. This time, she's featured as first author on the study “Metabolomic profiling during ex situ normothermic perfusion before heart transplantation defines patterns of substrate utilization and correlates with markers of allograft injury.” The paper explores cardiac metabolism of donor hearts during recovery using an ex situ normothermic perfusion system (NRP).   Dr. Truby provides an in depth look at the project's logistics—which she calls a “labor of love”—its multi-point findings, and what's next in this line of research.   Follow along at www.jhltonline.org/current, or, if you're an ISHLT member, access your Journal membership at www.ishlt.org/jhlt.   Don't already get the Journal and want to read along? Join the International Society of Heart and Lung Transplantation at www.ishlt.org for a free subscription, or subscribe today at www.jhltonline.org.    

Welcome back to Carolina Democracy! Today, we welcome back Cynthia Wallace of the New Rural Project to talk about the NRP's work in rural communities to increase civic and electoral engagement. If you haven't heard the original New Rural Project interview from 2022, check it out here: carolinademocracy.com/1844103/10321554Learn More About The New Rural Project:Website: newruralproject.orgFacebook: @newruralprojectInstagram: @newruralprojectContact Us: jd@carolinademocracy.comFollow Us:Facebook: @CarolinaDemocracyInstagram: @carolinademocracySupport the show

Prepare to flip with the newest Girls Gone Hallmark episode! Megan and Wendy are turning over a new leaf of excitement as they delve into Hallmark Channel's "Blind Date Book Club." Hold onto your bookmarks for a sweet meet cute with Erin Krakow and Robert Buckley. Don't miss out on this near perfect movie — listen now! Who else needs more Erin Krakow? Email us your thoughts or review to meganandwendy@gmail.com. We Need Your 5-STAR Ratings and Reviews Spotify Podcast listeners: Spotify allows listeners to rate podcast episodes. Once you listen to a podcast for at least 30 seconds, you get the option to rate it between one and five stars. Return to the podcast's main page and tap the star icon. Then, tap submit. News and Notes About "Blind Date Book Club" Directed by Peter Benson. Peter is a well known actor and seen in many Hallmark films. This is his 17th directing credit. He's previously directed Hallmark faves like “The Wedding Veil Expectations,” “The Santa Stakeout” and “Sweet Carolina.” Peter's next project is as Pat in the upcoming sequel to “The Cases of Mystery Lane.” Blind Date Book Club was written by Nicole Baxter. Nicole 19 writing credits - most look to be Hallmark films. A couple previous favorites of ours are: “A Pinch of Portugal,” “We Wish You a Married Christmas” and “Presence of Love.” Related: Listen to the Girls Gone Hallmark review of "A Pinch of Portugal" Erin Krakow plays book shop owner Meg. Erin is probably best known for her role as Elizabeth on “When Calls the Heart.” You can't tell me Hallmark doesn't know what it's doing by premiering an Erin Krakow movie, the same weekend season 11 of “When Calls the Heart” premieres. The last MOVIE we saw Erin in was the “The Wedding Cottage” with Brendan Penny.  Robert Buckley plays author Graham Sterling. Robert has 29 acting credits including 18 episodes of “Chesapeake Shores,” “The Christmas House” and “The Christmas House 2: Deck Those Halls.” Outside of Hallmark, Robert has been a regular in series like “iZombie,” “One Tree Hill,” “American Heiress” and 2006 show called “Fashion House” which also starred Bo Derek and Morgan Fairchild. Faith Wright plays friend and co-worker Alice.  She has just 20 acting credits and has been seen in shows like “Riverdale,” “Nancy Drew,” and “So Help Me Todd.” For Hallmark, she's been in “Three Wise Men and a Baby” as well as “A Godwink Christmas: Miracle of Love.” Glynis Davies plays Aunt Renee. She's got a healthy list of acting credits but her last Hallmark credit was from 2020 in a “Picture Perfect Mysteries.” Related: Listen to what Girls Gone Hallmark thought about "One Bad Apple" Hilary Jardine plays Graham's sister Lizzy. We saw Hilary over the weekend in “One Bad Apple: A Hannah Swensen Mystery.” Johannah Newmarch plays the NRP reporter Raina. Johanna also appears on “When Calls the Heart” as Molly. This movie was filmed in January and February in Langley and Gibbons, British Columbia. According to Heavy.com, production was hit with a snow storm during filming. Watch the Trailer for "Blind Date Book Club"

Rebecca Cash, PhD, NRP, FAEMS - Massachusetts General Hospital by SAEM

Rebecca Cash, PhD, NRP, FAEMS - Massachusetts General Hospital by SAEM

What makes us tick? Join Shane Turner and the Abiomed transport team as they share the driving forces behind their dedication to training. From simplifying complex issues to empowering transport crews, Transport Talks is here to help you feel more confident and, ultimately, to buoy patient outcomes. Let Transport Talks be your companion as you focus on what truly matters: patient recovery and saving lives beyond the hospital walls.In this episode, hear from members of Abiomed's Critical Care Transport training team:Diana Draehn, RN, BSN, CFRN, LP, Dallas, TXJena Billig, BSN, RN, CCRN, CFRN, Denver, COCaleb Merrell, RN, BSN, CFRN, LP, Austin, TXShane Turner, RN, CFRN, NRP, FP-C, CMTE, Chattanooga, TNNPS-4297

Title: Obstetric Nursing: Delivering Care for Mom and Baby Summary:In March's episode of Plugged In to Nursing, hear Adriana Barnes Clizbe, RN, and Brittany McCarty, clinical nurse educator, discuss the obstetric service line and how all aspects of nursing care are incorporated. Listen to learn why critical thinking, flexibility, and emotional adaptability are essential skills for nurses taking care of moms and babies. Too, hear Brittany share the cutting edge virtual reality technology being customized for obstetric education to improve safe nursing care and positive delivery outcomes at Norton Healthcare.   Speakers:Adriana Barnes Clizbe, RN Norton Brownsboro Hospital Brittany McCarty, MSN, RNC-MNN Clinical Nurse Educator   Show Notes: ‘TLC' is The Learning Channel ‘A Baby Story' is a television show on TLC, part of the Discovery Channel ‘EPIC' is Norton Healthcare's electronic medical record ‘S.T.A.B.L.E.' is a neonatal education program for Sugar, Temperature, Airway, Blood pressure, Lab work, and Emotional support ‘HealthStream' is a workforce learning platform ‘NRP' is the Neonatal Resuscitation Program ‘ALS' is Advanced Life Support Certification ‘BLS' is Basic Life Support ‘EST' is Norton Healthcare's Essential Staff Training ‘AWHONN' is the Association of Women's Health, Obstetric, and Neonatal Nurses ‘The Foundation' is the Norton Healthcare Foundation   About Norton Healthcare's Center for Nursing PracticeNorton Healthcare's Center for Nursing Practice is responsible for readying student nurses for practice and transitioning new graduate nurses into practice.  Our team is committed to serving the profession of nursing, meeting people where they are and taking them to where they want to be.   Contact Information:  PluggedInToNursing@nortonhealthcare.org  

In this episode, Kevin visits with Dr. Aaron Salinas, DNP, APRN, FNP-BC, PMHNP-BC, NRP. We discuss his journey from aspiring farmer to a passionate healthcare professional. Dr. Salinas is a board-certified family nurse practitioner and psychiatric nurse practitioner. He shares his path to becoming a nurse and his dedication to advocating for psychiatric care in emergency departments. We explore the complex task of suicide screening in the emergency department and how to deliver the best care for psychiatric patients.  Follow us on: Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/ YouTube: https://www.youtube.com/channel/UCJTnz4phtCTjojTIDJo2afA?view_as=subscriber Twitter: @AoenPodcast Instagram: https://www.instagram.com/artofemergencynursing/ To support the show: Leave an honest review on iTunes. Your ratings and reviews greatly contribute to the success of the podcast, and I appreciate each and every one of them. Subscribe on Apple Podcasts, Google Podcasts, or your preferred podcast platform to never miss an episode. Thank you for being a part of our AOEN community!

Welcome to another episode of the Midwifery Wisdom Podcast! This week promises to be truly enlightening as our co-host, Augustine Colebrook, sits down with NRP Instructor, Julie Moon. Grab your notebook and pen because you're in for a real treat.Julie is here to share a wealth of knowledge about NRP. She delves into the exciting developments in translating NRP training to community-based birth settings, the evolution of NRP practices over the years, essential tools accessible to providers in community-based birth, and her optimistic vision for the future of resuscitation.Prepare yourself for an extraordinary journey as we explore one of the most vital skills for community-based birth providers. Don't miss out on this invaluable mini-course—it's sure to leave a lasting impact!Show Resources-Julie's Website-FB: Midwives Untethered

This episode continues the confersation with Andrew Bowman, MSN, BSN, RN, ACNP-BC, ACNP-C, TNS, CEN, CTRN, CPEN, CFRN, TCRN, CBRN, CCRN-CMC, CVRN-I-BC, NRP, FACCN, FAEN about Advance Cardiac Life Support (ACLS ) and take a closer look at the algorithms and medications used in adult resuscitation.   Remember this episode discusses in part research that may not yet be part of the ACLS recommendations.  Always default to your hospital's protocols and guidelines.  Here are a couple of interesting articles for further education: ALPS Study https://www.nejm.org/doi/full/10.1056/nejmoa1514204 Esmolol for refractory V-Fib https://emergencymedicinecases.com/esmolol-refractory-ventricular-fibrillation/ Double sequential external defibrillation for refractory ventricular fibrillation https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9907872/ Thrombolysis during Resuscitation for Out-of-Hospital Cardiac Arrest https://emcrit.org/wp-content/hypoarts/2651.pdf Lewis Lead Placement https://litfl.com/lewis-lead-s5-lead/ EKG Lead Placement (incliding R sided) https://litfl.com/ecg-lead-positioning/  Wolff–Parkinson–White Syndrome article by Andrew Bowman https://drive.google.com/file/d/1at6-oMJvvMH9PK5kJCJYbQptj6qdKUSh/view?usp=sharing Stellate Ganglion Blockade for Refractory Ventricular Arrhythmias: Implications of Ultrasound-Guided Technique and Review of the Evidence https://drive.google.com/file/d/1MMImR9r8Cr0QSRkjYJJeAqPkKudn6bdo/view?usp=sharing   The current ACLS Algorithms https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/algorithms Follow Andrew on Social https://www.facebook.com/andrew.bowman.925 LinkedIn Www.linkedin.com/in/andrewjbowman1 Twitter @AndrewACNP1  

Back To The Obvious That should be that isn't So many make, or try to make things complicated and hard to follow and I guess in their eyes it makes them look good. Oh! And this is not a rant on this topic, this time it's just an observation. This topic, Back to the obvious is about the thing we forget and is hiding in plain sight. I have seen it many times and one example of being brave was when my son, Joseph, went to an NLP seminar to see one of the originators of NLP, and what happened was   ........ You know the thing it's a podcast and you will have to press play and listen. But it made a lasting impression on me. Similarly, when I have had my doubts serendipity has stepped in on a similar vain - Yes Again, You know the thing it's a podcast and you will have to press play and listen. I guess you're getting the picture, loud and clear After you have listened and enjoyed the sharing please feel free to pay it forward and share to 3 more https://personaldevelopmentunplugged.com/375-back-to-the-obvious/ Shine brightly Paul Please remember you can leave a comment or email me with questions, requests and feedback. If you have enjoyed this or any other episode please share and subscribe. Just email me feedback@personaldevelopmentunplugged.com If you want to subscribe to the podcast (I know you do) click here to learn more Or simply click here to go straight to Apple Music / iTunes to subscribe OR leave a review Remember for my specially designed programs for developing Supreme Inner Confidence, Free Your Life of Anxiety and specialize Hypnosis tracks go to PaulCloughOnline.com If you want to access my FREE HYPNOSIS tracks go to paulcloughonline.com/podcast Follow and inter-react on twitter @pcloughie I'm a therapist but not your therapist The information with this website or online work, techniques and exercises provided within these free and paid products are for educational purposes only. Do not use the techniques or exercises contained within some of these free or paid products whilst driving or operating machinery, or if you suffer from epilepsy, clinical depression or any other nervous or psychiatric conditions. The information provided is not a substitute for proper medical advice. If in doubt, please consult your doctor or licensed medical practitioner. Any decision you make having received any of Paul Clough's free or paid products are your own and you remain wholly responsible for any decisions and actions you take. Why not look for me and the podcast on > SPOTIFY AND the app Castbox I'm also in iHeart radio YouTube - copy n paste UC3BlpN4voq8aAN7ePsIMt2Q into search bar The Libsyn podcast page http://personaldevelomentunplugged.libsyn.com tunein, learnoutloud, Google Play Music Listen to Personal Development Unplugged on RadioPublic Music by Wataboi from Pixabay, Music by DreamHeaven from Pixabay, Music by ccjmusic from Pixabay, >, Music by freegroove pixabay seduction-jazz-112149 from Pixabay, Music by prazkhanal Pixaby ventura-117073 from Pixabay, And the transcript WARNING if you're a lover of the written word this may make you frustrated, or angry - you have been warned - is it an 'ism Personal development unplugged podcast where we use hypnosis Hey, the longer podcast. A longer podcast. The one of many. Hey, and this one is, the title says it all, doesn't it?     Cloughie: How often do you consider the basics   Back to the obvious, if you know what the obvious is. And I, think what I'm going to be saying. Things like, the shiny stuff doesn't really work that well, and it doesn't certainly last that well. But what do I mean by shiny stuff? Well, let's go back to the beginning, because the beginning is where all things start. How often do you consider the basics? What are you talking about, Cloughie? I mean, practicing the basics. Practicing the basics of the skills that you've already learnt, because you had to learn them in progression, baby steps, until you got them in the muscle. We used to call when we taught NLP, or when I used to teach NLP, getting those skills in the muscles so they become natural unconscious. And I'm even thinking now, the skills you learnt of being you, maybe what brought this to me a long time ago was my son Joseph and I went all the way to Edinburgh for a It wasn't class as an NLP, training, but it was. And it was Richard Bandler. Richard Bandler was taken. Richard Bandler is one of the co creators of NLP, along with John Grinder. But this was Richard Bandler's gig. He'd called it something else, but it was basically NLP under a different name. And we were going through the days and to be honest, Joseph and I weren't getting an awful lot out of this, seen a lot of it, okay. We were well into NLP. So a lot of the things we were being taught we really did know and we were training it. But what happens in these trainings, certainly in origin, bandler training, he would take someone from the audience and solve their issue on the stage right there. Right then, without knowing anything about it, he would just put his hand, people would, would put requests into, on a piece of paper, in a box. He'd put his hand out his box. Have a quick read. Yeah, this will do. This is a good one. And he was working with this guy. And to be fair, the things he was doing weren't really cutting it, they weren't getting there, they weren't getting that change that he wanted. And after about half an hour, 40 minutes of really cracking it and not cracking it, he stopped and turned to us in the audience and said, would it be okay if I go back to the basics of NRP? And Joe and I thought, what do you mean go back? He said, I'm just going to use the basics of NRP. And he did the things that we were teaching, he did the processes that we were teaching and had been taught right at the very beginning, the very basics. And you know what? He smashed that problem. That guy from being supersonically depressed in front of us was a different man. And that 1st 40 minutes was a drag. The next 25 minutes was absolutely magical. It wasn't magic, but it was magical. And the thing is, we teach the basics because the foundations, they are the foundations because they work and they work simply. And that's why I really go back into in simplicity, there's genius, because it is that. Genius is the thing that holds all our things together. And the thing is, I get reminders of this. I obviously got that reminder from Richard Bandler. Keep the basics, keep doing the basics. And then every now and again a book will come along. I told you before, things were happening. And all of a sudden I found this book online about the early days of NLP and how those foundations were, in those days, the great big things, and they just bloody work, so why change them? And then I'd see a video along the line, I'd just be doing something and then a video would come along and I go, it's a classic. And I'm thinking, that still works. Still works because the process works. And the intention is there. The intention from either, the therapist? Well, both the therapist and the client. You see, I heard this and this seemed to again, come back to this. A teacher makes complicated things simple. so a teacher makes complicated things simple where others, and this was called like a guru. But the people who put themselves up to be gurus try to make the simple complicated. And m it does and they do, don't they? I've been moaning about this forever. People making things so complicated and then calling them their own, and they're not. And you have to question their intention. Now think of this. You go to the gym. We know when we go to the gym, if we do the basics right, we do the technique as best as we can. It'll generally keep you free from injury unless you do too much of a weight or something like that. But if you keep the right technique, the really basic of that technique, you will lift or do, better things than you could before. And you just get stronger. And you get stronger without injury. And that gives you more confidence and thinking of things like our own skills, our personal development. We don't get injured. We want to come stronger inside, become more confident inside with inner strength, which means using the basics in our mind, the things that we've learned. Now, I know this happens, and it happened to me right at the very beginning of my little bit of NLP. And it happens to everybody who seems to want to learn it. To start off with, we tend to rush for the hacks. Now, this is not just NLP. Now you see it on YouTube. The quickest hack. Hack this, hack this, hack every bloody thing. It's a quick fix. People come and ask when they come on a training m. Oh, please, teach me the shiny techniques, those little things. No, you see, if you just know techniques, but you haven't got any basics. If something goes wrong, you haven't got a bloody clue what to do, because you just know the shiny bits you don't know what makes it shine, and you don't know how to add shiny bits together to link them, to move them. And this can be inside you too, you see, without the balance of sound foundations, when things don't go the way you really thought they would, you can find a way. You see, I can remember seeing my middle son, Luke. He's now a professional magician and a hypnotherapist, so he plays with people's minds in all sorts of ways. But before he became a member of the magic circle, he would practice the simple things over and over again, making this one card come to the top, one card into the pack come to the top, go behind his hand, just over and over again so he could do it without even looking. He literally got it into the muscles. And what about you? Us, me? Do we do that? Do we practice those foundations? Do we practice the simple things that they become so natural?     We need to get those basics. We talk about baby steps and some people don't like the term   I wonder, something to think about. This is always in this podcast. It's to muse and consider and reflect and then see how we can use those reflections, because we'll also even look at people and go, oh, thing is, you can do that because you're a natural, but you're seeing their shiny, real, their best reel. Like when you see Luke with his magic, you go, it's a natural. But I saw him practice and practice and practice just the small basics behind the scenes. And it's an intentional practice. It's not just, boring practice, it's with intention to get it under control, put it in the muscle, do exactly what you, want when you want it, know what you're doing, doing what you know. And it just happens that way because you get it in the muscle, you get it at an unconscious level. And then when you become conscious and unconscious, when you know what you're doing and doing what you know, you're a master, and you don't have to master everything. You master what you know, doing what you do, knowing what you, knowing what you do too. But does it have to be hours and hours and hours and hours and hours and hours and hours? Of course not. See what I'm going to share with you in a minute? You're going to say, oh, cluffy for. That's so obvious. That's so obvious. Cloughie, I know that. An example. I want to get strong or I want to lose weight. So what I'm going to do is I'm going to go to the gym, but I'm only going to go once and I'm going to go eight to 10 hours straight. That's it. I'm going to hammer it out. All that time, do we do that? Well, some people do try, don't they? What happens to them? They get injured, they get damaged. It just doesn't work. And they get so despondent about it, they don't do it again because it's not appropriate, is it, to do that? Not at all. And there's no improvement when you do that. The only improvement is you're very much aware of the aches and pains. And the thought was, I don't want to do it anymore. Yes, I know. Sometimes we go to the gym and we have to push ourselves to our new personal best, but we don't do it every day. We need to get those basics. And don't we do similar things in different contexts? And sometimes we just don't do anything and wonder why things don't change. Some things, we just keep doing the same thing, over and over again and wonder why things don't change because of the way we're doing things. Or could we? Do you see, when I say over and over again, you might again. Sit down. I want to play the guitar. I want to play the guitar for an, hour and a half every day. Haven't played yet, but I want to play an hour and a half every day. I know when I did that, my fingers of my left hand were raw, pushing those strings down. They were like a cheese grater on my hand. Crazy. Did I enjoy it? Not a bit. Did I get better? No, I got worse through that period of time. When I came back to it, did I get better? No, I was frightened of it. I didn't get any confidence out of that. Now, you know that. You do know that because you're going to say cluffy. I know that. It's obvious. But what we could do, what we could do is just enough, and that's not just enough as an excuse, it's just enough to keep growing. We talk about baby steps and some people, I understand don't like the term. I'm doing baby steps. And they use that voice, by the way. They did baby steps. I'll call them little steps, little increments that makes it better for you because they're the steps that keep your interest. If they're too big, you get overwhelmed, you give up. But if you can have that goal in mind and the intention that what you expect to have happened, what you anticipate achieving and, what you want to have happen, you get that feeling of the wish fulfilled. And you put that into that step, each step slowly in pace for each session, and you begin to get your technique in the muscle. You begin to hone that way. And when that technique does get in the muscle, it becomes unconscious. And, what we can do is, it's the old 80 20% principle, but the other way around, we practice those basics 80% of that time, even if it's a short amount of time, and then do 20% new. And then you review where you are at the end of the week, and then you rinse and repeat, do it again, because you'll find even they think, well, I'm only doing the same 80%, but you're not. That 80% of those things that are in your muscle now are growing. You've got more techniques, you're better at it, so you get quicker at that, and you then do something new. And that new then becomes part of the 80%. And when you do look back and, we've talked about this before, look back to when you first started those sore fingers or whatever it was, you'll realize that this 80% you're doing now is so, much more surpasses that previous 80% by double. And that's a great thing. So then now we get stronger, we get more motivated, our self esteem gets higher.     Take responsibility for your personal development by reviewing where you are   Now, imagine applying it to your personal development. What are the things we want to do? Well, what do I know? Well, I got to have that goal in mind. I've got to be to see it, to see what I'll see, to hear what I'll hear, what will it smell like, what it will taste and get that feeling. And I hold that feeling in my mind and in my body. Maybe I'm going to anchor it, because I know anchoring now, we talked about that before, and then we use it. We find the right place. We just create an environment that's the best environment we can at that moment. If it's not the best, it's the best at that moment. We set our intention, all basics, and, when they're not working, just have a look and go, oh, I've moved away a little bit. Let's just go back. Now. If you did know that and you do it, that's bloody awesome. But if you're honest, we probably don't not know it. That is, we do know it, but we don't necessarily do it. or if we do know it and we do do it, we don't probably do it as consistently. I say that again, without a little stuttering in the middle. We don't do it consistently. And, it's that consistence, that resilience, that determination that this is where we take responsibility. We talk about cause and effect. The cause is greater than the effect. Well, if you take responsibility to create that cause, you are, now going to be creating better effects. And it all comes from you. And when it comes from you, you get more motivated yourself again, the self esteem gets better, you feel that inner strength because you become the cause, the cause of those increasingly better effects. And when you do that, you won't experience what we sometimes used to do in the past have. If, only I wish I'd. Can you think back? Or I wish I'd. Or only if I'd. If only I'd done that. I can remember thinking if I had practiced that guitar just for ten minutes every day for that last year, I'd be pretty good by now. But I didn't. I wish I did. And, I know this stuff and this is what I'm saying, I know it. But do I do it or do it consistently enough? No. And I think we need to do when we're doing those things when we've talked about before, by just reviewing where we are, reviewing what we want, making sure these are things we do, and then scheduling them out, taking responsibility and creating that life we want. So this could be for anything outside your life, the things that you want to do, the skills you want to learn, but also about yourself, working on yourself. And when you get there and you know you've got no regrets now. No regrets of. Only if I wish. If only I wish. Those regrets are gone now you can start looking back and going, now I know where I am and where I've gone or come from. And now where I am right now, what else can I do? Because if I could do that, I can do anything. It's like people who will go through my son's, Joseph's, mind mastery, getting rid of fears and anxiety, and we say to them, you've gone through that in a matter of weeks. What can you do now? Because you did that. You've gone through that course all by yourself. Well, not by yourself, though, supported by us. But you had to take responsibility to do all the work. You did it. You created this wonderful change in yourself. Now what could you do? What else? Because if you can do that, that's probably the hardest thing they could do. Now anything else becomes a breeze. And, I think when we do that, the one thing that we do, I just made a little note here, for goodness sake. Celebrate, celebrate every success. Doesn't matter how small that success is, how big it is, especially sometimes it's small. We go, oh, well, that's not yet, no, celebrate, celebrate big time. It could be big time. Just for 5 seconds. Yeah, I feel so good about that. Because you are now telling your unconscious mind, this is it. Forget ah, the bloody shiny stuff. I know it doesn't last. I know it doesn't work because the results are down to me. Yeah. How do I want to feel about this? I want you to feel, do you know? Yeah. It's time to put things right. It's time to create the stuff I want because I've got it in me. And this is how you get there. There'll be more of this, I know. On the longer podcast we'll carry on doing how to learn skills, how to put them in the muscle, some processes to let go of the negative, emotions or beliefs you have to stop you getting there. But this is part of the foundation. So, ah, maybe just review the things, you know, and then review do I use them? And how can you schedule in, continue using them and those the things you don't use. And remember, just be honest with yourself because can't kill a kidder and you can't kid yourself, you know.     You can start creating massive change by just doing small baby steps   So let's just take a moment or two while we're reviewing from the last podcast. Let's go back to the basics, back to the obvious, and start creating massive change by just doing those small baby steps, those little increments. And it doesn't matter where you are, how far you've come, there's still new increments to do to have lasting richness in your life. And in that way, I think you affect others. Well, I know you do, because you are actually being the change you want to be in yourself and see in yourself. But you're also being a change that you can see in others, because you are now the shining example. Just by doing it. People will see you, they'll notice you, they may even come and ask you questions, they may even ask you to mentor them in a roundabout way. Ask for advice and you'll know the basics and you can teach it. You can share them, share everything you learn then, because you've got it in your muscle. And one muscle you could use is to share this podcast, share it with everyone you know, and also get that little finger on that subscribe button. There are two muscles you need to work the sharing muscle, paying things forward, because that's a good thing to do anyway. Just makes the world a better place. Share what you know, share the episode. If you would be very kind. And if there's anything you want to know, or if there's things in here. Do you know what? Cluffy didn't quite get that.   Or.   It's all very well, you're talking this way, but I've got this issue and, I don't know how to get over it. Send me that email. Few bullet points. How am I feeling right now? And how do I want to feel? And maybe a few little triggers, but they're the two things. How do you want to feel? And how do you feel right now? How do you do the things you do right now? And how do you feel? How do you want to feel? And we'll find a way. Feedback at personal developmentunplug.com simple email and we'll work out something together. I know we will, because that's what we're doing here. Ah. We're sharing our experiences and sharing the things we know that make a difference. It's all about sharing, and it's a good thing to do. It's a kind thing to do, isn't it? So, my friend, it's been very kind of you to spare your time with me. Hope you enjoyed it. Hope I communicated it in a way that it's hopefully a little bit inspiring and it gets you to do the things that you know you can do and excel beyond your imagination. There you go.     Personal development unplugged. It's time to fly on your own   So, until next time, my friend. You, that is. It's time to fly.   Warning. You are now leaving the unplugged mind of Paul Clough. It's time to fly on your own. Be brave, my friend.   Personal development unplugged.    

In this episode, Kevin is joined by Andrew Bowman, MSN, BSN, RN, ACNP-BC, ACNP-C, TNS, CEN, CTRN, CPEN, CFRN, TCRN, CBRN, CCRN-CMC, CVRN-I-BC, NRP, FACCN, FAEN We do a deep dive into the Advance Cardiac Life Support (ACLS ) and take a closer look at the algorithms and medications used in adult resuscitation.   Remember this episode discusses in part research that may not yet be part of the ACLS recommendations.  Always default to your hospital's protocols and guidelines.  Here are a couple of interesting articles for further education: https://www.thebottomline.org.uk/summaries/coca/?fbclid=IwAR2Iw2aItu19tjKiD5FwPimrM9J6mNRJzX9hRsIxLSQC7HJr8bbjcC-n6hI https://pubmed.ncbi.nlm.nih.gov/37661011/ https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2023/12/21/16/43/2023-aha-adult-acls?fbclid=IwAR1KW5RkObPCNqyAc46eeyzycTn7tVHnlMeQQ_aQajt1IbUQPGYIhicy79g https://www.newyorker.com/news/the-weekend-essay/the-hidden-harms-of-cpr?fbclid=IwAR3aWjwbfAI5SS_okmgTJzPyTczV4PQ2yByMzsV_qvv52V8xk8kL-DOzAGE The current ACLS Algorithms https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/algorithms Follow Andrew on Social https://www.facebook.com/andrew.bowman.925 LinkedIn Www.linkedin.com/in/andrewjbowman1 Twitter @AndrewACNP1  

Neurologist Christopher DeCock, MD, rejoins Joe Zalot to discuss the latest news on brain death. They discuss (a) the impact of the Uniform Law Commission placing on hold revision of the Uniform Determination of Death Act (UDDA), (b) the American Academy of Neurology's (AAN) new and problematic guidelines for determining brain death, and (c) informed consent concerns arising with normothermic regional perfusion (NRP). Resources 1. Dr. Christopher DeCock info - https://www.essentiahealth.org/find-doctor-provider/profile/christopher-decock/ 2. Bioethics on Air #109 - https://www.ncbcenter.org/bioethics-on-air-podcast-cms/bioethics-on-air-episode-109-redefining-death-by-revising-the-udda 3. Bioethics on Air #119 - https://www.ncbcenter.org/bioethics-on-air-podcast-cms/bioethics-on-air-episode-119-update-on-udda-revisions-and-concerns-with-normothermic-regional-perfusion 4. Uniform Determination of Death Act – https://lchc.ucsd.edu/cogn_150/Readings/death_act.pdf 5. AAN 2023 DNC Practice Guidelines - https://www.neurology.org/doi/10.1212/WNL.0000000000207740

President Biden found himself facing an incredible convergence of political problems this week. Those issues include funding for Ukraine, border security, tensions with Israel's prime minister and an impeachment inquiry and could ultimately hinder his reelection. Join guest moderator Frank Foer, Steve Inskeep of NPR, Jonathan Karl of ABC News and Asma Khalid of NRP to discuss this and more.

Biff returns from The Land Of The Rising Sun after taking his son on his first trip to the home land!  Hoping someday for a CP field trip with Biff to Tokyo (I call dibs on wearing the Lugi outfit doing the cart racing through the streets!)   Joe and Jacques finally get to yap their outing to see the amazing Henry Winkler at a NRP book release event in Cambridge and the boys getting to shake hands with the Fonz (and yes, Jacques was latterly driven to tears … and more shocking, speechless!)   Little Thanksgiving chatting.  Little Barbie (the movie) recapping and Jacques talking about his root canal.   Return of the Defunct Sponsor of the week ... hey, we need the money.  Parenting tips and some TV talking. CPP on IG: @CarnivalPersonnelPodcast and on Twitter: @Carnival Podcast                                                                                            Biff on Twitter is @BiffPlaysHockey Joe on Twitter is: @Optigrabber Jacques on Twitter is @TheJacques4 (but really … @CarnivalPodcast)   Opening Song: Opening Song: Gomer by Dan Cray and Beyond ID   Closing Song: PJ by Dan Cray and Beyond Id – Live WMFO  (DanCray.net)