Podcasts about nrp

Send us Fan MailReanimação Neonatal 2026: as novas diretrizes da SBP, o NRP 9ª edição e o que o mundo faz na sala de partoAs Diretrizes 2026 do Programa Brasileiro de Reanimação Neonatal acabaram de ser publicadas — e neste episódio a gente vai do começo ao fim.Percorremos os dois documentos lançados pela SBP em 12 de junho de 2026: as diretrizes para recém-nascidos com 34 semanas ou mais e as diretrizes para prematuros com menos de 34 semanas. Discutimos o que mudou em relação a 2022, o que foi reforçado e o que é novidade estrutural — do briefing ao debriefing, do clampeamento tardio ao escalonamento de oxigênio por faixa gestacional, do CPAP na sala de parto à abordagem ética nos limites da viabilidade.E fazemos isso ao lado do NRP 9ª edição, as diretrizes americanas de 2025 da AHA e AAP — que você conheceu no episódio 66 — para entender onde Brasil e Estados Unidos convergem e onde, deliberadamente, divergem.Acesse os documentos em: Atualizaçãoes para < de 34 semanas:https://www.sbp.com.br/?acervo_download=1&post_id=62424&nonce=711e6f792cAtualizações para ≥ de 34 semanas: https://www.sbp.com.br/?acervo_download=1&post_id=62422&nonce=dc7617f0a8 Não esqueça: você  pode ter acesso aos artigos do nosso Journal Club no nosso site: https://www.the-incubator.org/podcast-1Lembrando que o Podcast está no Instagram, @incubadora.podcast, onde a gente posta as figuras e tabelas de alguns artigos. Se estiver gostando do nosso Podcast, por favor dedique um pouquinho do seu tempo para deixar sua avaliação no seu aplicativo favorito e compartilhe com seus colegas. Isso é importante para a gente poder continuar produzindo os episódios. O nosso objetivo é democratizar a informação.Se quiser entrar em contato, nos mandar sugestões, comentários, críticas e elogios, manda um e-mail pra gente: incubadora@the-incubator.orgEvidência, cuidado e contexto brasileiro - esse é o nosso roteiro.

In this deal segment episode with Pat Carino we break down one of the most unique deals featured on the podcast to date: a 300-unit, five-building ground-up development on Cape Cod, Massachusetts, acquired through the state's 40B affordable housing program on a 20+ acre site.Pat walks through how the deal first surfaced through a social media message, how it came back to market through a broker four months later, and how NRP Group ultimately won the deal in a competitive process. The conversation covers the mechanics of 40B entitlements, why the Cape Cod market is more compelling than it looks on paper, how the town's own incentives aligned perfectly with the project's approval, and how the team is navigating the Massachusetts rent control uncertainty heading into November.This episode is essential listening for any investor curious about how institutional ground-up development deals actually work — from 40B entitlements to construction type to exit planning — and what the Massachusetts legislative landscape means for multifamily development in 2025 and beyond.Join us as we dive into:A clear explanation of Massachusetts 40B: what it is, how it works, why towns strategically support "friendly 40B" projects, and how crossing the 10% affordable housing threshold removes the tool from future developersWhy wood-frame, surface-parking construction is Pat's preferred method — and how construction type, affordability requirements, and tax environment are the four key variables in any development site evaluationHow NRP prices development deals: per approved/entitled unit — and why that structure protects both buyer and seller when final unit counts are still in fluxHow the capital stack works at NRP: traditional bank construction debt combined with institutional equity from pension funds and family officesWhy Cape Cod is a stronger demand market than it appears: a large workforce commutes onto the Cape daily with almost no rental housing options — and this project fills that gapPat's honest assessment of Massachusetts rent control: how NRP has stress-tested their underwriting against worst-case scenarios, and why a 10-year new construction exemption is at least partially reassuringState-level tailwinds: a proposed sales tax exemption on building materials and a fast-track provision for the MEPA environmental review process for qualifying projectsSign up for the DealNav CRM HEREConnect with Pat Carino:Follow him on Twitter/XConnect with him on LinkedinLearn more about DealNavAre you looking to invest in real estate, but don't want to deal with the hassle of finding great deals, signing on debt, and managing tenants? Aligned Real Estate Partners provides investment opportunities to passive investors looking for the returns, stability, and tax benefits multifamily real estate offers, but without the work - join our investor club to be notified of future investment opportunities.Connect with Axel:Follow him on InstagramConnect with him on LinkedinSubscribe to our YouTube channelLearn more about Aligned Real Estate Partners

If you live with migraines, you may have heard about a possible connection to PFO and stroke. In this episode, we break down what a PFO is, what current research suggests, and why this topic matters most in certain patients — especially after an unexplained stroke. Featuring Lindsay Goff, BSN, RN, NRP, is the Primary Stroke Program Coordinator at University of Maryland Upper Chesapeake Health.

Send us Fan MailDr. Nathan Sundgren, neonatologist and NRP educator at Texas Children's Hospital, joins Ben to discuss one of the most deceptively difficult skills in neonatal resuscitation — effective bag mask ventilation. He shares findings from a fellowship training study showing that respiratory function monitor feedback improves ventilation technique equally well across all three device types, and tackles the harder question of why that same technology has yet to show clinical benefit in the delivery room — pointing to human factors, cognitive overload, and the need for a dedicated respiratory coach role rather than a better device alone. He also reflects on the evolution of team leadership in neonatal resuscitation, why doing a procedure and leading a team simultaneously is impossible, and where people can find his free educational content on YouTube at Texan Neo-Ed.Support the showAs 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!

Der Bundesrat plant, die Gelder der Neuen Regionalpolitik, NRP, ab dem Jahr 2030 zu streichen. Dies stösst einigen Leuten sauer auf, zum Beispiel dem Präsidenten der Schweizerischen Arbeitsgemeinschaft für Berggebiete und Mitte-Nationalrat Pius Kaufmann. Weiter in der Sendung: · Auch das Luzerner Verkehrshaus verfolgt die Mondmission Artemis II. · Die Stadt Zug lanciert den Architekturwettbewerb für das neue Hallenbad im Sportgebiet Herti Allmend.

Have you ever had a close call falling asleep because you were exhausted from working your EMS shift? While we often acknowledge fatigue in EMS as an issue, we must do more to address and operationalize the education, policy, and system design of this dangerous problem. Hosts Maia Dorsett, Rob Lawrence and Hilary Gates are joined by fatigue expert P. Daniel Patterson, PhD, NRP, Associate Professor in the Department of Emergency Medicine at the University of Pittsburgh along with Stephanie Louka, MD, EMT, an EMS physician at the Virginia Commonwealth University Medical Center. Stephanie shares a gripping firsthand story of a post-shift crash where she became a patient. The episode explores the science—and the lived reality—of fatigue in EMS.  From the biology of fatigue to evidence-based strategies like tactical napping and sleep banking, this episode challenges educators and leaders to rethink how we prepare clinicians not just to treat patients, but to survive the job.  You'll hear how leaders must confront the cultural and organizational barriers of this issue to keep crews, patients and the public safe. Fatigue isn't just a wellness issue—it's a safety issue. What will you change after listening? Ginger Locke highlights the episode's key points with her "Mindset Minute." Mentioned in the episode: 2024 Systematic Review of Evidence-Based Guidelines for Prehospital Care https://pubmed.ncbi.nlm.nih.gov/39373357/ The EMS Educator is published on the first Friday of every month! Be sure to turn on your notifications so you can listen as soon as the episode drops, and like/follow us on your favorite platform. Check out the Prodigy EMS Bounty Program! Earn $1000 for your best talks! Get your CE at www.prodigyems.com. Follow @ProdigyEMS on FB, YouTube, TikTok & IG.

This episode of VHHA's Patients Come First podcast features Lawrence "Larry" Tan, JD, NRP, the System Safety Officer at ChristianaCare Health Services in Delaware. He joins us for a conversation about his career in public safety and emergency response, facility and contingency planning in healthcare settings including workplace violence prevention, and his role as a featured speaker at the upcoming 2026 Virginia Healthcare Emergency Preparedness Summit on April 22. Send questions, comments, feedback, or guest suggestions to pcfpodcast@vhha.com or contact on X (Twitter) or Instagram using the #PatientsComeFirst hashtag.

In this episode, we explore why the National Reading Panel (NRP) still matters for our classrooms and homes in 2026. We look at how the NRP's review of more than 100,000 studies led to the well-known “Big Five” components of reading—phonemic awareness, phonics, fluency, vocabulary, and comprehension—and why these elements were never meant to be taught in isolation. We also examine how this foundational research connects directly to structured literacy and the science of reading, especially for students with dyslexia and other struggling readers. We'll clear up common misconceptions, like the idea that the NRP is outdated or “just about phonics,” and discuss how its findings continue to influence legislation, curriculum decisions, and intervention today. We wrap up with practical reflection questions to help us think about whether our instruction is truly aligned with what decades of research say about how children learn to read. Resources mentioned in this episode: National Reading Panel The National Reading Panel Report: Practical Advice for Teachers EdView 360 Webinar Recording with Casey TIL 1.13 The Matthew Effect and Literacy Development in Children TIL 3.10 Effective Vocabulary Strategies in Literacy Intervention TIL 4.7 The Power of Observation: What, When, and How TIL 5.4 Beyond the Basics: 5 Deeper Truths About Teaching Spelling in Structured Literacy TIL 5.6 The Structured Literacy Playbook with Dr. Melissa Orkin and Sarah Gannon (Part 1) TIL 5.7 The Structured Literacy Playbook with Dr. Melissa Orkin and Sarah Gannon (Part 2) TIL 5.11 Rethinking Phonemic Awareness with David Kilpatrick, PhD We officially have merch! Show your love for the Together in Literacy podcast! If you like this episode, please take a few minutes to rate, review, and subscribe. Your support and encouragement are so appreciated! Have a question you'd like us to cover in a future episode of Together in Literacy? Email us at support@togetherinliteracy.com! If you'd like more from Together in Literacy, you can check out our website, Together in Literacy, or follow us on Facebook and Instagram. For more from Emily, check out The Literacy Nest. For more from Casey, check out The Dyslexia Classroom. Let us know what you want to hear this season! Thank you for listening and joining us in this exciting and educational journey into dyslexia as we come together in literacy!

Heart of The East End Gianna Volpe is joined in the WLIW-FM studio by Mary Crosby, president/CEO of East End Hospice, as well as Matt Zukosky, MA, NRP, professor and emergency medical care and fire programs coordinator at Suffolk County Community College to discuss a brand-new partnership between EEH and SCCC.Listen to the playlist on Apple MusicWatch the interview on WLIW-FM YouTube

This episode of VHHA's Patients Come First podcast features Hugh Cline, MPAS, PA-C, NRP, a surgical physician assistant with the pediatric congenital heart surgery team at Children's Hospital of Richmond at VCU (CHoR). He joins us for a conversation about his full circle journey - he began life as a newborn at CHoR in need of extended intensive medical care and he now works with other families whose children are receiving that type of critical care - as well as the work of CHoR and more. Send questions, comments, feedback, or guest suggestions to pcfpodcast@vhha.com or contact on X (Twitter) or Instagram using the #PatientsComeFirst hashtag.

Contact information:West Tennessee: Sequitha LeFlore-Thomas, Email: sleflore@uthsc.eduPhone/Fax: 901-448-9982Instagram: @wombandwell_npMiddle Tennessee: Susan Drummond, email: susan.drummond@vumc.orgmindy.sacco@vumc.orgPerinatal Regionalization Program Class Registration FormEast Tennessee: Michelle Oglesby, Email: regionalperinatal@utmck.edu or meoglesby@utmck.eduPhone: 865-305-9300 Office or 715-401-3548 CellSoutheast Tennessee: Jennifer Shelton, Email: Jennifer.shelton@erlanger.orgBEH Office: (423) 778-3547Northeast Tennessee: Brandi Pratt, Email: Brandi.pratt@balladhealth.org423-431-5352Key TakeawaysTennessee faces significant rural healthcare challenges with many counties lacking hospitals or obstetric services, making emergency department and EMS training critical for maternal and infant outcomesAll five regions offer comprehensive, tailored education including fetal monitoring, high-risk pregnancy complications, simulation training for emergencies, and NRP certification for first respondersSimulation-based training has proven immediately effective, with multiple examples of providers successfully applying learned skills within hours or days of receiving educationRegional educators customize their offerings based on local equipment, resources, and scope of practice, ensuring practical application in real-world scenariosThe statewide initiative provides free NRP training for EMS, fire departments, and police as first responders, recognizing that many deliveries occur outside hospital settingsCollaboration between hospital systems, emergency departments, EMS, and educational teams is essential for improving maternal and infant health outcomes across TennesseeHealthcare providers can access these educational resources by contacting regional educators directly via email or phone to schedule customized training sessionsQuotable Moments"I am passionate about women's health. I'm a Mississippi native, but Memphis has been home for me for about 15 years now.""Just seeing how confident they were in their skillset afterwards, we kinda assess it before the class and then again afterwards.""I've been in this position for over 30 years""It's so rewarding to see a new nurse go from novice to expert in their skill in interpreting tracings, which is such an important part of care for patients in labor.""Many patients deliver far from home and first responders and emergency departments without OB services are often the first point of contact.""The crew arrived, delivered the baby, and successfully provided care for both mom and baby. Knowing that the education we provided was immediately applied in real life and made a difference for the family was incredibly rewarding""I love having an opportunity to educate in several different variations of skill sets and to be able to have fun and allow them to walk away with that one wow factor that kind of sticks with them""Without this education we would've never known what to do. I think that makes all of our jobs rewarding and it really hits home when we get to help celebrate those wins""One of the things that I really focus on as part of the OB um, educator is being ready for the delivery with how to set up their warmer""Being asked to come back always makes me feel like I'm doing a good job and that we're all taking part in and helping to take care of our moms."Show Notes by Barevalue.No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC's Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.

Send a textDay-one decisions shape a newborn's first week, and small changes can prevent big problems. In this episode, Cara and Missi dig into what's truly evidence-based now—delayed bathing to protect vernix and temperature, uninterrupted skin-to-skin to reduce energy burn, and clear thresholds for when to check and treat low blood sugar. Along the way, we unpack how updated NRP guidance simplifies early care: extend cord clamping to at least 60 seconds when possible, start term babies on room air, broaden ventilation rates to 30–60 per minute, and skip routine suctioning unless the airway needs clearing. Less fuss means warmer babies, steadier vitals, and fewer glucose crashes.Cara and Missi clear the fog around GBS prophylaxis. Penicillin remains the standard, with cefazolin for low-risk penicillin allergy and vancomycin when high-risk reactions are present or clindamycin sensitivity isn't confirmed. That clarity matters for maternal safety and newborn outcomes, especially in units where ampicillin lingers from past shortages. If your patients report a penicillin allergy early in pregnancy, consider formal evaluation to avoid unnecessary second-line antibiotics later.Finally, we connect physiology to practice. Newborns lose the maternal glucose “buffet” at birth and lean on glycogen and brown fat to bridge the gap; cold stress accelerates that burn, making hypothermia and hypoglycemia frequent partners. We outline who needs screening—IDMs, SGA, LGA, late preterm, and resuscitated infants—and how to manage lows with a calm, stepwise approach: warm the baby, feed early and often, use donor milk or glucose gel when indicated, and escalate to IV dextrose for symptomatic cases. It's a practical, exam-friendly, and family-centered guide to safer newborn care. #Baby #Newborn #BabyBabyAreYouOkay #Resuscitation #EatingAtThePlacentaBuffet #BloodSugar #NRP #SkinToSkin #GBSProphylaxis 

Send a textDay-one decisions shape a newborn's first week, and small changes can prevent big problems. In this episode, Cara and Missi dig into what's truly evidence-based now—delayed bathing to protect vernix and temperature, uninterrupted skin-to-skin to reduce energy burn, and clear thresholds for when to check and treat low blood sugar. Along the way, we unpack how updated NRP guidance simplifies early care: extend cord clamping to at least 60 seconds when possible, start term babies on room air, broaden ventilation rates to 30–60 per minute, and skip routine suctioning unless the airway needs clearing. Less fuss means warmer babies, steadier vitals, and fewer glucose crashes.Cara and Missi clear the fog around GBS prophylaxis. Penicillin remains the standard, with cefazolin for low-risk penicillin allergy and vancomycin when high-risk reactions are present or clindamycin sensitivity isn't confirmed. That clarity matters for maternal safety and newborn outcomes, especially in units where ampicillin lingers from past shortages. If your patients report a penicillin allergy early in pregnancy, consider formal evaluation to avoid unnecessary second-line antibiotics later.Finally, we connect physiology to practice. Newborns lose the maternal glucose “buffet” at birth and lean on glycogen and brown fat to bridge the gap; cold stress accelerates that burn, making hypothermia and hypoglycemia frequent partners. We outline who needs screening—IDMs, SGA, LGA, late preterm, and resuscitated infants—and how to manage lows with a calm, stepwise approach: warm the baby, feed early and often, use donor milk or glucose gel when indicated, and escalate to IV dextrose for symptomatic cases. It's a practical, exam-friendly, and family-centered guide to safer newborn care. #Baby #Newborn #BabyBabyAreYouOkay #Resuscitation #EatingAtThePlacentaBuffet #BloodSugar #NRP #SkinToSkin #GBSProphylaxis 

Caring for pediatric surgical patients requires more than simply adapting adult practices. It demands a specialized, family-centered approach. In this First Case: Articles On-The-Go episode, Lindsay Joyce, MSN, RN, CNOR, walks through essential fundamentals every perioperative nurse should know, from maintaining a warm OR and using weight-based medication dosing to protecting delicate skin, preparing for malignant hyperthermia, and partnering closely with child life specialists. The episode also highlights the emotional side of pediatric care, supporting not just the child, but the parents, while emphasizing the importance of communication, trust, and pediatric-specific competencies like PALS and NRP. Whether you work in a large children's hospital, community facility, or ASC, this practical Top 10 is a strong foundation for delivering safe, compassionate care to our smallest patients. #operatingroom #pediatrics #ornurse #scrubtech #surgery

Neonatal Resuscitation Contact Neonatal Outreach for Middle TennesseeKey TakeawaysTennessee has 55 out of 95 counties without OB services, making EMS preparedness for unexpected deliveries critical for saving newborn livesNeonatal Resuscitation Program (NRP) training for EMS has increased from less than 3% to almost 31% statewide through dedicated funding and outreach effortsNewborn resuscitation differs fundamentally from adult resuscitation, requiring ventilation first rather than compressions because babies have never breathed beforeProper equipment including small masks, uncuffed tubes, and appropriate supplies must be available on ambulances for effective neonatal careMultiple EMS schools now require NRP certification before graduation, ensuring future EMS professionals are prepared to handle neonatal emergenciesRegular simulation drills involving multiple disciplines (dispatch, EMS, ED, OB, pediatrics) are essential for maintaining skills and identifying system gapsThe first few minutes of a baby's life are irreplaceable, making immediate, proper resuscitation techniques critical for positive outcomesFamilies should know their local EMS response times and which nearby hospitals offer OB services for emergency planningQuotable Moments"I think the most important thing that I have learned out of all of those travels is the most important thing in these babies' lives are the first responders, whoever is right there at delivery because we cannot give that time back to those babies.""I said, but can we put a price tag on a baby's life?""So we have taken the numbers that have NRP from less than 3% in the state to almost 31%. So we're getting there one class at a time.""if you don't use it, you lose it.""And the babies are coming in in so much better shape than what they were before we started doing education.""I said there's really, there's only two, two facts about babies. One, they'll always be babies conceived. And two, no matter how good you are at your job, not all babies survive. But we owe it to them to do the best job we possibly can because that's why we're here.""No mother should have to bury a child.""I said, if you are not a little bit afraid, you scare me to death.""Time is important. We have a, a county on the northern border and they got a call from the county.""I'm hoping it won't be long until we have all the equipment on these trucks that we need"Show Notes by Barevalue.No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC's Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.

In this episode of The Birth Trauma Mama Podcast, Kayleigh sits down with Derek Grassley, RN CEN, CFRN, CCRN, NRP, FP-C WP-C - a flight nurse and ECMO specialist, to break down what ECMO is, when it's used, and why it can be life-saving for critically ill pregnant and postpartum patients.This powerful conversation pulls back the curtain on critical care, emergency transport, and the realities of caring for patients at the edge of survival.

Dr. Peter Antevy returns to the Inside EMS co-host seat this week, filling in for Kelly Grayson and bringing some serious pediatric firepower to the conversation. Host Chris Cebollero dives right into the latest buzz around the Broselow tape recall — yes, again — as Dr. Antevy unpacks what went wrong, why it matters and what EMS agencies should be doing about it now. He also shares exciting details on his brand-new, field-focused Newborn Resuscitation & Obstetrics course (NROC), built by EMS for EMS. Designed with two hours of online content (zero PowerPoints!) and a short, in-house skills lab, this course aims to tackle one of the most nerve-wracking call types. No more dragging medics to the hospital for NRP classes that don't translate to street-level care. Also on deck: OB deserts, delayed cord clamping, why you might need to Saran-wrap a newborn (seriously), and what AI can — and can't — do for EMS. This one's packed with practical pearls, myth-busting insights and a whole lot of passion for pediatric education. Quotable takeaways from Dr. Peter Antevy “EMS is one specialty that AI will never take away, as far as like the human-to-human contact. We resuscitate people, we treat people who are seizing. AI will never do that. That's a good thing.” “Academics and the hospital folks don't recognize the value that EMS brings to the table. They think we're ambulance drivers. It's time for them to wake up and recognize that we are the people who deliver babies. We are the people who resuscitate grandma, grandpa and the little kid.” Enjoying Inside EMS? Email theshow@ems1.com to share feedback or suggest guests for future episodes. 

Dr. Peter Antevy returns to the Inside EMS co-host seat this week, filling in for Kelly Grayson and bringing some serious pediatric firepower to the conversation. Host Chris Cebollero dives right into the latest buzz around the Broselow tape recall — yes, again — as Dr. Antevy unpacks what went wrong, why it matters and what EMS agencies should be doing about it now. He also shares exciting details on his brand-new, field-focused Newborn Resuscitation & Obstetrics course (NROC), built by EMS for EMS. Designed with two hours of online content (zero PowerPoints!) and a short, in-house skills lab, this course aims to tackle one of the most nerve-wracking call types. No more dragging medics to the hospital for NRP classes that don't translate to street-level care. Also on deck: OB deserts, delayed cord clamping, why you might need to Saran-wrap a newborn (seriously), and what AI can — and can't — do for EMS. This one's packed with practical pearls, myth-busting insights and a whole lot of passion for pediatric education. Quotable takeaways from Dr. Peter Antevy “EMS is one specialty that AI will never take away, as far as like the human-to-human contact. We resuscitate people, we treat people who are seizing. AI will never do that. That's a good thing.” “Academics and the hospital folks don't recognize the value that EMS brings to the table. They think we're ambulance drivers. It's time for them to wake up and recognize that we are the people who deliver babies. We are the people who resuscitate grandma, grandpa and the little kid.” Enjoying Inside EMS? Email theshow@ems1.com to share feedback or suggest guests for future episodes. 

The ethics of NRP—current debates, consent, legal/organizational policies, and team communication. Hemodynamic monitoring for the perfusionist—MAP/PPV/SVV, venous oximetry, lactate trends, and practical targets on CPB and ECMO. Learning objectives: Identify the core ethical concerns and guardrails for NRP programs. Build an explicit consent and documentation pathway with the OR/NRP team. Apply a monitoring bundle (flows, pressures, SvO₂, lactate, urine output) to guide decisions. Create checklists for escalation, troubleshooting, and handoff.

Perfusion as a specialty has always evolved in response to advances in cardiac surgery, extracorporeal support, and critical care. This session will explore how future perfusionists may need to redefine their role in healthcare teams. The discussion will focus on technology integration, including artificial intelligence, machine learning, and predictive analytics. Participants will consider how these tools may assist perfusionists in real-time decision-making, patient monitoring, and workflow efficiency. Additionally, the session will examine the professional challenges of the next decade: maintaining relevance within a multidisciplinary team, advancing educational pathways, and navigating ethical questions surrounding emerging technologies such as normothermic regional perfusion (NRP), mechanical circulatory support, and extracorporeal cardiopulmonary resuscitation (ECPR). Future perfusionists must be both technical experts and critical thinkers. They will need to master new tools while maintaining strong clinical judgment in life-saving scenarios. The speaker will also highlight career growth opportunities, including leadership roles in perfusion education, research, and hospital administration.

In this episode, the CardioNerds (Dr. Natalie Tapaskar, Dr. Jenna Skowronski, and Dr. Shazli Khan) discuss the process of heart transplantation from the initial donor selection to the time a patient is discharged with Dr. Dave Kaczorowski and Dr. Jason Katz. We dissect a case where we understand criteria for donor selection, the differences between DBD and DCD organ donors, the choice of vasoactive agents in the post-operative period, complications such as cardiac tamponade, and the choice of immunosuppression in the immediate post-operative period. Most importantly, we highlight the importance of multi-disciplinary teams in the care of transplant patients. Audio editing for this episode was performed by CardioNerds Intern, Dr. Julia Marques Fernandes. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Heart Success Series PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls When thinking about donor selection, you need to consider how much physiologic stress your recipient can tolerate, and this may guide your selection of “higher risk” or “lower risk” donors.   The use of DCD donors has increased the potential donor pool and shortened waitlist times with very similar perioperative outcomes to DBD transplantation.  Post-operative critical care management rests on a fundamental principle to apply as much inotropic/vasoactive therapy as needed to achieve some reasonable physiologic hemostasis, and then getting “the heck out of the way!” There are no standard regimens as practices vary across centers, but rest on providing adequate RV support, maintaining AV synchrony, and early resuscitation.   The RV is fickle and doesn't take a joke too well. RV dysfunction post-transplant is important to watch for, and it can be transient or require aggressive support. Don't miss assessing for cardiac tamponade which can require surgical evacuation- “where there's space, that space can be filled with fluid.”   Induction immunosuppression post-transplant varies across centers, but some considerations for use may include (1) high sensitization of the patient, (2) high risk immunologic donor-recipient matching, and (3) recipient renal dysfunction to provide a calcineurin inhibitor (CNI) sparing regimen long term.  Management of heart transplant patients is a multi-disciplinary effort that requires coordination amongst heart failure/transplant cardiologists, cardiac surgeons, anesthesiologists, pathology/immunologists and a slew of ancillary services. Without a dynamic and collaborative team, successful cardiac transplantation could not be possible.  Notes Notes: Notes drafted by Dr. Natalie Tapaskar  What are the basic components of donor heart selection? In practicality, it can be a very inexact science, but we use some basic selection criteria such as: (1) size matching (2) ischemic time (3) donor graft function (4) immunologic compatibility (5) age of the potential donor and recipient (6) severity of illness of the recipient (7) regional variation in donor availability When thinking about accepting older donors (>50 years old), we ideally would screen for donor coronary disease and try to keep ischemic times as short as possible. We may accept an older donor for a recipient who is highly sensitized, which leaves a smaller potential donor pool. There is no clear consensus on size matching, but the predicted heart mass is most used. We are generally more comfortable oversizing than under-sizing donor hearts. Serial echocardiography is important in potential donors as initially reduced ejection fractions can improve on repeat testing, and these organs should not be disregarded automatically. For recipients who are more surgically complex, (i.e. multiple prior sternotomies or complex anatomy), it's probably preferable to avoid older donors with some graft dysfunction and favor donors with shorter ischemic times. What is the difference between DBD and DCD? DBD is donation after brain death- these donors meet criteria for brain death. Uniform Determination of Death Act 1980: the death of an individual is The irreversible cessation of circulatory and respiratory functions or The irreversible cessation of all functions of the entire brain, including those of the brain stem DCD is donation after circulatory death- donation of the heart after confirming that circulatory function has irreversibly ceased. Only donors in category 3 of the Maastricht Classification of DCD donors are considered for DCD donations: anticipated circulatory arrest (planned withdrawal of life-support treatment). DCD hearts can be procured via direct procurement or normothermic regional perfusion (NRP). The basic difference is the way the hearts are assessed, either on an external circuit or in the donor body. For the most complex recipient, DCD may not be utilized at some centers due to concern for higher rates of delayed graft function, but this is center specific and data is still evolving. What are some features surgeons consider when procuring the donor heart? Visual assessment of the donor heart is key in DBD or NRP cases. LV function may be hard to assess, but visually the RV can be inspected. Palpation of the coronary arteries is important to assess any calcifications or abnormalities. Ventricular arrhythmias at the time of procurement may be concerning. Key considerations in the procurement process: (1) Ensuring the heart remains decompressed at all times and doesn't become distended (2) adequate cardioplegia delivery (3) aorta is cross-clamped properly all the way across the vessel (4) avoiding injury to adjacent structures during procurement What hemodynamic parameters should we monitor and what vasoactive agents are used peri-heart transplant? There is no consensus regarding vasoactive agent use post-transplant and practice varies across institutions. Some commonly seen regimens may include: (1) AAI pacing around 110 bpm to support RV function and preserve AV synchrony (2) inotropic agents such as epinephrine and dobutamine to support RV function (3) pulmonary vasodilators such as inhaled nitric oxide to optimize RV afterload Early post-transplant patients tend to have low cardiac filling pressures and require preload monitoring and resuscitation initially. Slow weaning of inotropes as the patient shows signs of stable graft function and hemodynamics. RV dysfunction may manifest as elevated central venous pressure with low cardiac index or hypotension with reducing urine output. Optimize inotropic support, volume status, metabolic status (acidosis and hypoxia), afterload (pulmonary hypertension), and assess for cardiac tamponade. Tamponade requires urgent take-back to the operating room to evacuate material. Refractory RV failure requires mechanical circulatory support, with early consideration of VA-ECMO. Isolated RV MCS may be used in the right clinical context. Why do pericardial effusions/cardiac tamponade happen after transplant? They are not uncommon after transplant and can be due to: Inherent size differences between the donor and recipient (i.e. if the donor heart is much smaller than the recipient's original heart) Bleeding from suture lines and anastomoses, pacing wires, and cannulation sites Depending on the hemodynamic stability of the patient and the location of the effusion, these effusions may require urgent return to the OR for drainage/clot evacuation via reopening the sternotomy, mini thoracotomy, and possible pericardial windows. What are the basics of immunosuppression post-transplant? Induction immunosuppression is variably used and is center-specific. Considerations for using induction therapy may include: (1) high sensitization of the patient (2) younger patients or multiparous women with theoretically more robust immune systems (3) crossing of recipient antibodies with donor antigens (3) renal function to provide a CNI sparing regimen long term Some considerations for avoiding induction may include: (1) older age of the recipient (2) underlying comorbid conditions such as infections or frailty of the recipient What are expected activity restrictions post-transplant? Sternal precautions are important to maintain sternal wire integrity. Generally avoiding lifting >10 pounds in the first 4-12 weeks, no driving usually in the first 4 weeks, monitoring for signs and symptoms of wound infections, and optimizing nutrition and physical activity. Cardiac rehabilitation is incredibly important as soon as feasible. References Kharawala A , Nagraj S , Seo J , et al. Donation after circulatory death heart transplant: current state and future directions. Circ: Heart Failure. 2024;17(7). doi: 10.1161/circheartfailure.124.011678  Copeland H, Knezevic I, Baran DA, et al. Donor heart selection: Evidence-based guidelines for providers. The Journal of Heart and Lung Transplantation. 2023;42(1):7-29. doi:10.1016/j.healun.2022.08.030  Moayedifar R, Shudo Y, Kawabori M, et al. Recipient Outcomes With Extended Criteria Donors Using Advanced Heart Preservation: An Analysis of the GUARDIAN-Heart Registry. J Heart Lung Transplant. 2024;43(4):673-680. doi:10.1016/j.healun.2023.12.013  Kharawala A, Nagraj S, Seo J, et al. Donation After Circulatory Death Heart Transplant: Current State and Future Directions. Circ Heart Fail. 2024;17(7):e011678. doi:10.1161/CIRCHEARTFAILURE.124.011678  Copeland H, Hayanga JWA, Neyrinck A, et al. Donor heart and lung procurement: A consensus statement. J Heart Lung Transplant. 2020;39(6):501-517.

Date: November 8, 2025 Reference: Millin M, et al., Prehospital Trauma Compendium: Prehospital Management of Spinal Cord Injuries – A NAEMSP Comprehensive Review and Analysis of the Literature, Prehospital Emergency Care, Aug 2025. Guest Skeptic: Clay Odell, BSN, NRP, RN, is a Paramedic Firefighter with Newport (NH) Fire-EMS. He is a past Chief of the […] The post SGEM#493: You Can't Hold Me Down with Spinal Motion Restrictions first appeared on The Skeptics Guide to Emergency Medicine.

A brutal incident where a woman gets hit by a truck leaves her with a multitude of injuries, most notably both of her legs bent into a position best described as "frog legs." She's in good spirits and her vitals are good, but her legs bent at that angle means that she cannot fit into our team's helicopter. How does our team get her legs back into place without causing further trauma or risking her stable vitals? Complicating factors is the extremely uneven ground because they're in a cow pasture and the risk of infection is extremely high because the team and the patient are surrounded by cow patties. There is no training for this exact scenario, so how does our team adapt and apply the training they have to this unique situation? This episode of AMPED digs in.   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:   Aaron Botzow, NRP, FP-C     Drew Gill, BSN, RN, CEN     Michael Eastman DO   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

Send us a textThis discussion features Dr. Beena Kamath-Rayne, a neonatologist at Lurie Children's and Senior Vice President of Global Health and Clinical Skills at the American Academy of Pediatrics, describing how collaborative programs are improving neonatal care quality nationwide. She explains the AAP's NICU Verification (Neonatal Excellence) Program, which supports level II–IV units in evaluating their structures, processes, and outcomes against national standards through a collaborative, non-punitive survey model. Dr. Kamath-Rayne also highlights the DRIVE Network, which captures delivery room practices to address variation, including CPAP use in term infants. Key takeaways include coordinating with obstetric teams, preparing early for NRP updates, and engaging in mentorship and global neonatal initiatives.Support the showAs 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!

Hello Model Clubbers! The first official live episode that is not a special is here! Let's how much we can screw this up! News and Reviews, some bench pics, some voice mail, some pictures from the MMSI show, a gallery and hopefully a productive conversation around some pretty hot button issues in the hobby today! Thank you to Nostalgic Resin Productions for the wonderful giveaway! Check out NRP here - https://bit.ly/47waUo1 Join us for the usual jank! Links for the episode - Gaahleri Airbrush - https://www.gaahleri.com/?ref=ploubojc Coupon Code for 10% off - ModelClubTV Goblin's Hut / Dirty Down (promo code MCTV) - https://www.goblinshut.com/ The Clubhouse Brochure - https://drive.google.com/drive/folders/1KX3rHpSsNDDf7mWbXNulf_WKuBK1IX2Q?usp=sharing The Clubhouse - https://theclubhouse1.net/ Kit Con - https://www.kit-con.com/ Fantastic Plastic, Resin and Vinyl - https://www.facebook.com/share/g/1FMo7v8wS4/ Terrors From The Vault - https://www.terrorsfromthevault.com/ Uel Winner - https://bit.ly/3Zsf8eE Pestilence Labs - https://bit.ly/3z9FftK Thrust Resin - https://www.facebook.com/groups/543366660179096 Gillman Productions - https://bit.ly/30qujsE Shadow Kreations - https://bit.ly/3j1Cgel Just Paint It! - https://bit.ly/3VRTOuG Resin Realities - https://resinrealities.net/ email - modelclubtv@gmail.com voice mail - 708-816-4299 discord - https://discord.gg/QZYhfXfS  

This week's episode is a special cross-over with CMDA's Voice of Advocacy podcast, hosted by Dr. Brick Lantz, CMDA's Vice President of Advocacy and Bioethics. Joined by Dr. Gary Ott, a renowned cardiac transplant surgeon at Providence Heart and Vascular Clinic, they explore the ethical boundaries of life, death, and medical innovation – examining how we define death in the ICU era, the differences between brain death and donation after circulatory death (DCD), and how emerging technologies like “heart-in-a-box” systems and normothermic regional perfusion (NRP) are reshaping transplant medicine. With decades of experience and deep faith, Dr. Ott challenges us to uphold the sanctity of life and reflects on the Gospel image at the heart of transplantation – one life given so another may live.

Send us a textWhat's new in neonatal innovation and research this week?Join Ben and Daphna for a lively Journal Club episode of The Incubator Podcast, recorded after a long NICU day but packed with energy and insight. They begin with an update on the newly released NRP 9th Edition, preview their excitement for the upcoming Delphi Neonatal Innovation Conference, and then dive into five remarkable studies shaping neonatal care.From the use of CARPEDIEM for renal replacement therapy in the tiniest infants to a meta-analysis on high-dose vitamin D supplementation, the hosts explore how evolving evidence can transform bedside care. They examine a novel trial of nebulized nitroglycerin for PPHN, the role of electrical impedance tomography (EIT) in optimizing PEEP for infants with severe BPD, and new insights into NEC risk factors even among exclusively human-milk-fed babies.With their trademark mix of curiosity, humor, and critical reflection, Ben and Daphna make complex studies both understandable and relevant for everyday NICU practice.Stay informed and inspired—listen now, and explore more neonatal research and conference updates at www.the-incubator.org. Support the showAs 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!

Today's rerun episode features the incredible Professor Hannah Dahlen, an Australian midwife, researcher, and international leader in maternity care. Hannah has published over 100 papers, spoken at more than 100 conferences, and appeared in documentaries and major media worldwide.In this conversation, Hannah shares:Her powerful journey into midwifery, growing up in Yemen alongside her mother, a practicing midwife.The art of holding space in birth, and why it's often misunderstood as “doing nothing.”Stories of humility, intuition, and the delicate balance between action and inaction in midwifery.Her vision for shifting the global understanding of midwifery alongside obstetrics.We're also thrilled to announce the launch of the Midwifery Wisdom Fellowship. Christie Davis and I created this mentorship to help future leaders step into advanced practice with confidence, build sustainable careers, and truly change the culture of midwifery for good.And here's the best part — to celebrate, we're hosting a giveaway! One lucky midwife will win a complete starter kit valued at over $500 — everything from a Doppler and neonatal stethoscope, to a scale, instruments, NRP kit, blood pressure cuff and more. PLUS, a gorgeous handmade Patchwork Carpet Bag from St. Clair Designs to carry it all in.More details on our website www.midwiferywisdom.com

We talk about occult fascism and the NRP. Additionally, we tie these organizations to the infamous Process Church.   T777: https://realthomas777.substack.com/ https://x.com/ThomasCyr777 https://www.imperiumpress.org/shop/st... Radio Free Chicago J: https://findmyfrens.net/jburden/ Buy me a coffee: https://www.buymeacoffee.com/j.burden Substack: https://substack.com/@jburden Patreon: https://patreon.com/Jburden GUMROAD: https://radiofreechicago.gumroad.com/l/ucduc Subscribestar: https://www.subscribestar.com/j-burden Axios: https://axios-remote-fitness-coaching.kit.com/8ebf7bacb8 ETH: 0xB06aF86d23B9304818729abfe02c07513e68Cb70 BTC: 33xLknSCeXFkpFsXRRMqYjGu43x14X1iEt

I hope you guys enjoy the latest Q2 2025 Investor Audible series. This week, we read Greystone Capital, SpringView Capital, and Praetorian Capital's Q2 letters. Ideas discussed: APG, KITS, NRP, SYZ.TO, DR.TO, HOOD, SEG, MCY, WS.

Coal remains central to both power demand (AI data centers, baseload needs) and steelmaking (met coal). Matt Warder, Publisher of The Coal Trader, outlines where the market sits in its cycle and how equities are positioning for the next leg higher. Key Points: Thermal vs met coal: distinct demand drivers (power vs steel). AI data centers + global power needs may keep coal in the mix. China still dominant near-term; India a key long-term growth driver. Coal cycles run ~5 years - next peak expected by 2026–27. Company catalysts: cost curves, production growth, buybacks, and dividends. Stocks discussed: AMR, HCC, METC, NRP, BTU, ARLP, CNR   Click the following links to keep up to date on the coal market and coal stocks  Substack - https://thecoaltrader.substack.com/ Podcast - https://clearcommodity.net/podcasts/the-coal-trader   Investment disclaimer: This content is for informational and educational purposes only and does not constitute investment advice, an offer, or a solicitation to buy or sell any security. Investing in equities and commodities involves risk, including the possible loss of principal. Do your own research and consult a licensed financial advisor before making any investment decisions. Guests and hosts may own shares in companies mentioned.  

On this episode of JHLT: The Podcast, the Digital Media Editors invite first author Luke Williams, a cardiothoracic surgery trainee at Royal Papworth Hospital, NHS Blood and Transplant Clinical Research Fellow, and a PhD student at Cambridge University in the UK. Luke discusses his paper, “The United Kingdom's experience of controlled donation after circulatory death direct procurement of lungs with concomitant abdominal normothermic regional perfusion with an analysis of short-term outcomes.”   The discussion explores: Requirements, regulations, and practices in the UK around DCD procurement and A-NRP How survival rates differ and what they might imply about primary graft dysfunction in DCD versus DBD Further work planned in the area in the UK and throughout Europe For the latest studies from JHLT, visit 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.  

In this edition of the EMS One-Stop podcast, host Rob Lawrence Zooms (literally) from the U.K. to South Carolina to spotlight one of the nation's most forward-thinking mobile integrated healthcare programs. Prisma Health's team has taken community paramedicine beyond buzzwords, designing targeted, evidence-based programs that meet people where they are — both geographically and medically. | MORE: How North Dakota EMS is confronting rising pediatric mental health crises  Whether it's addiction medicine, rural HIV/HCV treatment or skilled nursing interventions, this team is shifting paradigms on what EMS can and should be doing. Rob is joined by four key voices from the Prisma Health MIH program: Luke Estes, director of MIH Dr. Mirinda Gormley, epidemiologist and biostatistician Wes Wampler, community paramedic specializing in addiction and infectious disease Parker Bailes, community paramedic and research contributor Together, they unpack how passion meets data to drive change, how to earn trust in communities overlooked by traditional systems, and why this work isn't just novel — it's necessary. This is EMS in its truest public health form. Memorable quotes “You delivered the goods—data-driven, community-connected care — and that's what EMS in 2025 needs more of.” — Rob Lawrence “When you see some of your people who have a passion for a certain pathway in EMS, you try to give them the reins and say, you're gonna do some good.” — Luke Estes “One of the big things that we learned from his study was that we really needed to go out and make sure everybody was aware that addiction is a disease.” — Mirinda Gormley “If we can gain their trust, there's a lot more that we can kind of weasel our way into to help them solve and get them on a healthier trajectory.” — Wes Wampler “Walking into the (care) facility with the mindset of, ‘I'm going to do everything I can to keep you here,' was a big shift for me.” — Parker Bailes “If we can set them up to be successful after they leave the hospital, I think that's the best way to get them reengaged with the hospital.” — Wes Wampler “As their leader … all I have to say is, what do you need? I'm here to support you.” — Luke Estes Additional resources EMS Clinician Perceptions on Prehospital Buprenorphine Administration Programs: Prehospital Emergency Care: Vol 29 , No 4 Implementation Barriers of Prehospital Buprenorphine Administration Programs in the United States: A Scoping Review: Prehospital Emergency Care: Vol 29 , No 4 Using Community Paramedicine to Treat Hepatitis C Virus in Upstate South Carolina - PMC Luke Estes BA, NRP, CCEMTP, PNCCT, FP-C, CP-C | LinkedIn Wesley Wampler | LinkedIn Support for harm reduction by community EMS How does a community re-imagine compassion to avoid crisis whenever possible? Breaking barriers: Hennepin EMS leads the way in safely implementing buprenorphine Episode timeline 00:51 ­– Introduction to Prisma Health MIH & guests 03:00 – Luke Estes overview of MIH models (ETS, SDOH, addiction) 05:00 – Dr. Gormley's public health journey, data-opioid focus 08:00 – Buprenorphine pilot design and research outcomes 10:15 – Challenges: bias, stigma, barriers to addiction care 13:00 – Funding and sustainability conversation 14:00 – Wes Wampler on daily workflow in addiction medicine and HCV care 17:00 – Building trust with vulnerable populations 18:30 – Parker Bailes discusses traditional CP role and skilled nursing interventions 21:45 – Alternative destinations, lab draws and high-acuity decisions 25:30 – Training: internal education, ultrasound, medication management 28:15 – Prisma's med school connection and disaster response evolution 30:00 – State-level partnerships: SC EMS Assn, FEMA typing, CP strike teams 31:56 – Academic next steps from Dr. Gormley: scaling, publishing, process evals 35:26 – Final reflections from Luke Estes: passion, team strength and mission 38:00 – Rob's call to action: “If you want your own Prisma team — start now.” Enjoying the show? Email editor@ems1.com to share feedback or suggest future guests. 

A comprehensive literature review on Normothermic Regional Perfusion (NRP) led by Samir Patel, MD, CCP, LP. Streamed on June 2, 2025, this session explores the latest research and emerging technologies in NRP, spotlighting its clinical applications, ethical considerations, and protocol development in perfusion practice. Ideal for perfusionists and transplant specialists, this episode packs 1.2 CEUs of expert insight into a field reshaping organ donation strategies.

In this episode, host Shane Turner gets insight into the world of specialized transport with Lisa Owen, a clinical nurse specialist at the University of Rochester Medical Center. Lisa oversees a unique team dedicated to transporting patients with acute cardiogenic shock and advanced heart failure, requiring sophisticated mechanical support. Lisa shares the rigorous training, teamwork, and communication strategies that equip her team to handle these high-risk transports effectively.You'll learn about the ongoing education and collaboration with surgeons, intensivists, and device representatives that are crucial for maintaining high standards of patient care. Plus, Lisa offers valuable lessons and continuous improvement efforts that set her team apart in the field of critical care transport.In this episode:Shane Turner, RN, CFRN, NRP, FP-C, CMTE, Chattanooga, TNLisa Owen, MS, RN, CCRN, ACCNS-AG, Acute Shock Program Coordinator URMC, Rochester, NY

Integrating POCUS into transport protocols can revolutionize patient care and outcome in criticalcare scenarios. Today, host Shane Turner sits down with flight paramedic Isaac Bennett toexplore the critical role of point-of-care ultrasound (POCUS) in the management of Impellasupported patients during transport. With 14 years of EMS experience, including 7 years flying with the Hospital Wing program based in Memphis, Isaac shares his expert insights on howPOCUS can guide Impella positioning, monitor volume status, and troubleshoot alarms effectively, even in challenging pre-hospital environments.Plus, they discuss practical techniques for obtaining clear cardiac views and the importance oflandmarks and regular practice. This episode is a must-listen for transport clinicians looking to enhance their diagnostic capabilities and improve patient outcomes with POCUS.In this episode:Shane Turner, RN, CFRN, NRP, FP-C, CMTE, Chattanooga, TN, AbiomedIsaac Bennett, Flight Paramedic, Memphis Tennessee

In this special episode recorded live at the TASA Mid-Winter Conference, we hear from EMS professionals at every level—from field medics to system leaders—who are shaping the future of prehospital care through action, advocacy, and authentic leadership. Their stories are a powerful reminder that influence begins with initiative, not titles. Whether through innovation, humility, or education, these voices are driving real change.Jamie & Aubrey discuss transitioning roles, their “Life in Sirens” podcast, and redesigning their county's ambulance layout to reduce stress and improve efficiency.Joseph Powell reflects on the leap from paramedic to EMS director, emphasizing the weight of responsibility and importance of curiosity and mentorship.Dakota Powell shares his early inspiration, commitment to service, and the honor of being named Paramedic of the Year—while staying grounded in humility and faith.Mary Lee Lemley outlines her work addressing Tennessee's maternal care deserts, advocating for NRP training, and ensuring prehospital teams are ready for neonatal resuscitation.

In this second installment of our Data Deep Dive, Shane Turner reconnects with Ken Kasica, who specializes in cardiovascular pharmacology at Abiomed. The two dissect the complex interactions between drug therapies and the Impella heart pumps in critical care. Learn about the impact of vasoconstrictive drugs such as levosimendan and norepinephrine on Impella performance, and studies that highlight the risks associated with high doses of inotropes and vasopressors. This episode provides essential insights for transport clinicians on managing patients with these medications, including strategies from heart teams at destination centers for device escalation, and the latest advancements in the field.In this episode:Shane Turner, RN, CFRN, NRP, FP-C, CMTE, Chattanooga, TN, AbiomedKen Kasica, PharmD, MBA, Director, Scientific Intelligence, Abiomed

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

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