Podcasts about oct dec

As a seller, are you prepared for the Oct-Dec shopping season online? Today's episode will get you prepared! In the final three months of the year, there are so many opportunities for online sellers that we frequently hear them saying things like, "I run out of money before I run out of great inventory to buy". New sales records are set on Amazon and in ecommerce overall in the fourth quarter of every year and this year will be no exception. Many sellers actually see higher sales in the final three months than they see in the other nine months combined! In order to help you prepare for this exciting time of the year, we are excited to once again launch our wildly popular ProvenQ4Plan.com groups because Christmas and holiday shoppers will soon be spending online unlike ever before! Our ProvenQ4Plan offer is for NEW SELLERS and EXPERIENCED SELLERS alike. The only requirement is that you have an active Amazon seller account. Watch the YouTube Q4 leader discussion podcast episode here! https://youtu.be/gEBYD81U3B8 Show Note LINKS: ProvenQ4Plan.com - get full details on our fourth quarter groups and join now before we launch in Sept! If you are NEW to Amazon selling, you'll want to go through our six session "newbie" training before the strategy session start in September!   Proven Amazon Course https://ProvenAmazonCourse.com - It's time to get instant access to the most widely used, most up to date, most creative and industry leading course in the "Learn to sell on Amazon" space.   My Silent Team Facebook group- You'll find hundreds of recent success stories in our Free Facebook group from Amazon sellers using all manner of creative strategies from our ridiculously inexpensive yet powerful course! Our large facebook group for online sellers https://www.facebook.com/groups/mysilentteam  100% FREE! Join 65,000 + members from around the world who are using the internet creatively every day to launch and grow multiple income streams through our exciting PROVEN strategies! There's no support community like this one anywhere else in the world Ryan's book Streams of Income: https://amzn.to/2YG7f2m   Jimmy's book Side Hustle to a Full Time Income:  https://www.amazon.com/Side-Hustle-Full-Time-Income/dp/B08761Z6N7   Check out Legends for only $1 o the trial subscription! https://provenamazoncourse.com/legendstrial        

Special guest https://twitter.com/ScottEWrestling Join the patreon Intro w/ K from Big Egg Joshi Podcast (0-4) Recommended matches (4-16) Impact Slammiversary Gage vs Cardona GCW Homecoming Bishonen: (23-1:05) AEW Dynamite July 14-28 (23-44) NJPW Wrestle Grand Slam, lead up matches (44-55) Dragongate Kobe World preview (55-1:00) DDT Aug shows preview (1:00-1:05) Joshi w/ Scotty 5 Star Joshi Podcast of Fightgame Media: (1:05-2:43) Indies AWG, Marvelous 5th Anni, Oz Academy Fortress (1:05-1:40) Stardom (1:40-2:05) TJPW Princess Cup D1-4 (2:05-2:20) Ice Ribbon Yokohama Budokan preview (2:20-2:43) Retro Wrestling: (2:43-end) AJW Classics Eps 49 9/7/1991 (2:43-3:26) NJPW 90's finishing 95 with AJPW top matches Oct-Dec (3:26-3:36) WCW April 19, 1999 (3:36-end) Website: https://redleafretrocast.blogspot.com https://linktr.ee/RedLeafRetrocast Twitter: @BowlingJD K at Big Egg Joshi Podcast

In this week's episode of the Less Stressed Life Podcast, I'm joined by Jennifer Fugo, MS, LDN, CNS to talk about the connection between skin rashes and parasites. Jen and I aim to normalize the topic and discuss the research as well as what we see regularly in practice and discuss all things from pinworm to hookworm to eczema, hives, and even how to address concerns with your practitioner. We also tackle parasite skin connection data and prevalence so you are no longer in the dark.Key Takeaways:Parasitic infections and skin rashesTypes of parasitesPrevalence of parasites according to CDCWhat should someone ask their Dr.?Considerations for diagnosis and treatmentResearch Mentioned in this episode:CDC Pinworm Prevalence PREVALENCE OF INTESTINAL PARASITES AMONG INDIVIDUALS WITH ALLERGIC SKIN DISEASES Sanders JW, Goraleski KA. The Hookworm Blues: We Still Got 'em. Am J Trop Med Hyg. 2017;97(5):1277-1279. doi:10.4269/ajtmh.17-0683 Relationship between Serum IgE and Intestinal Parasites M JalalianVarga M, Dumitraşcu D, Piloff L, Chioreanu E. Skin manifestations in parasite infection. Roum Arch Microbiol Immunol. 2001 Oct-Dec;60(4):359-69. PMID: 1256167https://www.npr.org/sections/goatsandsoda/2017/09/12/550387650/the-u-s-thought-it-was-rid-of-hookworm-wronghttps://www.cbc.ca/news/canada/edmonton/parasite-tapeworm-alberta-alveolar-echinococcosis-1.6069818Chronic spontaneous urticaria and internal parasites--a systematic reviewJennifer Fugo, MS, LDN, CNS is a clinical nutritionist empowering adults who have been failed by conventional medicine to beat chronic skin and unending gut challenges. She has experience working with conditions such as eczema, psoriasis, rosacea, dandruff + hives.Jennifer founded her own line of skincare + supplements available at www.QuellShop.com specifically for people struggling with these chronic skin issues.She holds a Master's degree in Human Nutrition from the University of Bridgeport and is a Licensed Dietitian-Nutritionist and Certified Nutrition Specialist. Her work has been featured on Dr. Oz, Reuters, Yahoo!, CNN, and many podcasts and summits. Jennifer is a faculty member of the LearnSkin platform, an Amazon best-selling author, and the host of the Healthy Skin Show.Where you can find Jennifer: Jennifer Fugo, CNS - Clinical Nutritionist, Chronic Gut & Skin Rash Expert Where you can find Christa:Personalized functional medicine with Christa Biegler:http://www.lessstressednutrition.com Less Stressed Life Podcast:http://www.lessstressedlife.comLess Stressed Life Facebook Page:https://www.fb.me/christabieglerrd/Shop our Favoriteschristabiegler.com/shop

In this episode, we discuss the influence of point of view on stories and movies presented as stories. Gather around the campfire and prepare for a spooky story as we discuss the 1995 cosmic horror In the Mouth of Madness and the 2017 supernatural drama Ghost Stories. Plus, we discuss Stephen King, the way the human brain processes stories and beliefs, and the way both movies use their scores to different ends. Find us on Twitter @eerie_earfuls Find us on the web at https://eerieearfuls.wordpress.com/ “Baba Yaga”, “Anxiety”, and “Night of Chaos” by Kevin MacLeod Licensed under Creative Commons 3.0 Attribution Logo designed by Justin Dow Our twitters: @whirlingnerdish and @b_d0w_11 Trans & BLM Resources: https://www.healthline.com/health-news/why-arkansas-anti-trans-law-is-so-dangerous-for-lgbtqia-youth https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073269/ https://www.theguardian.com/society/2021/apr/06/arkansas-transgender-youth-gender-affirming-treatment-ban https://www.intransitive.org/ Black Lives Matter Sources and Extra Reading: "In the Mouth of Madness" by John Carpenter and Jim Lang (In the Mouth of Madness OST, DRG Records, 1995) "Goodman's Theme" by Frank Ilfman (Ghost Stories, Varese Sarabande, 2018) "Threnody to the Victims of Hiroshima" by Krzysztof Penderecki (Matrix 5: Threnody to the Victims of Hiroshima, EMI Classics, 1994) "Dada" by Frank Ilfman (Ghost Stories, Varese Sarabande, 2018) "Into the Woods" by Frank Ilfman (Ghost Stories, Varese Sarabande, 2018) "Snowbound" by Frank Ilfman (Ghost Stories, Varese Sarabande, 2018) "Why" by Anthony Newley (The Very Best of Anthony Newley, Spectrum Music, 1997) "The Monster Mash" by Bobby "Boris" Pickett and the Crypt Kickers (The Original Monster Mash, Hallmark Music & Entertainment, 2013) "Ghost Stories review – Martin Freeman and Paul Whitehouse shine in dreamlike spookfest" by Peter Bradshaw (The Guardian, pub Oct 5, 2017) https://www.theguardian.com/film/2017/oct/05/ghost-stories-review-martin-freeman-paul-whitehouse-london-film-festival-2017 "Ghost Stories" by Maddy Costa (The Guardian, pub Aug 01, 2010) https://www.theguardian.com/stage/2010/aug/01/ghost-stories-theatre-review "Amicus Productions – film production company" by David Flint (Movies and Mania, published Sep 23, 2013) https://moviesandmania.com/2013/09/23/amicus-films-british-horror-film-production-company-overview/ Chibnall, Steve; Petley, Julian (2002). British Horror Cinema. ISBN 9780415230032 "Amicus and the art of the film poster" by Samuel Wigley (BFI, pub Dec 3, 2019) https://www2.bfi.org.uk/news/amicus-and-art-film-poster "The Classics: John Carpenter's 'Apocalypse Trilogy'" by Joshua Topolsky (The Verge, published Sep 2, 2012) https://www.theverge.com/2012/9/2/3279482/the-classics-john-carpenter-apocalypse-trilogy "Cosmic Horror In John Carpenter's 'Apocalypse Trilogy'" by Orrin Grey (Strange Horizons, published Oct 24, 2011) http://strangehorizons.com/non-fiction/articles/cosmic-horror-in-john-carpenters-apocalypse-trilogy/ Newsploitation: In the Mouth of Box Office Sadness by William S. Wilson (Video Junkie, pub Feb 3, 2015) http://www.videojunkie.org/2015/02/newsploitation-in-mouth-of-box-office.html?zx=dc30da4e4a5062cf "We Can’t Ignore H.P. Lovecraft’s White Supremacy" by Wes House (Literary Hub, pub Sep 26, 2017) https://lithub.com/we-cant-ignore-h-p-lovecrafts-white-supremacy/ "A Composer Praises God as One Who Lives in Darkness" by Jack Hiemenz (New York Times, pub Feb. 27, 1977) https://www.nytimes.com/1977/02/27/archives/a-composer-praises-god-as-one-who-lives-in-darkness-penderecki-a.html?ref=oembed "What religion does to your brain" by Ana Sandoiu (Medical News Today, pub July 20, 2018) https://www.medicalnewstoday.com/articles/322539#Different-religions-have-different-effects "The Psychology of Belief" by Kate Morgan (Forge, pub Feb 5, 2019) https://forge.medium.com/amp/p/d1e1f22d8761 "The biochemistry of belief" by T.S. Sathyanarayana Rao, M. R. Asha, K. S. Jagannatha Rao, and P. Vasudevaraju (Indian J Psychiatry, pub Oct-Dec, 2009; 51(4): 239–241) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2802367/  "Why is green the color of poison?" by Elena Laricheva (MEL Science, pub May 13, 2015) https://blog.melscience.com/en/2015-05-13-why-is-green-the-color-of-poison.html "Mr. Yuk: The History of Poison’s Most Iconic Symbol" by Erin Mccarthy (Mental Floss, pub March19, 2014) https://www.mentalfloss.com/article/55655/mr-yuk-history-poisons-most-iconic-symbol "The History of the Color Green: From a Poisonous Pigment to a Symbol of Environmentalism" by Emma Taggart (My Modern Met, pub June 16, 2020) https://mymodernmet.com/history-of-the-color-green/  "Sisyphus" by Mark Cartwright (World History Encyclopedia, pub Dec 14, 2016) https://www.ancient.eu/sisyphus/#:~:text=Sisyphus%20(or%20Sisyphos)%20is%20a,in%20the%20depths%20of%20Hades "Sisyphus" by Staff (Wikipedia, updated May 2, 2021) https://en.wikipedia.org/wiki/Sisyphus "Repetition and Sisyphus" by Jennifer Jill Fellows (Thoughts Thinking Thoughts, pub Sep 4, 2013) https://fellowsjill.wordpress.com/2013/09/04/repetition-and-sisyphus/comment-page-1/  "Prometheus" by Mark Cartwright (World History Encyclopedia, pub April 20, 2013) https://www.ancient.eu/Prometheus/ "Prometheus" by Staff (Wikipedia, updated May 4, 2021) https://en.wikipedia.org/wiki/Prometheus  "Narcissus & Echo" by Staff (Wikipedia, updated Mar 25, 2021) https://en.wikipedia.org/wiki/Echo_and_Narcissus  "Writing Lines" by Staff (Wikipedia, updated Feb 18, 2021) https://en.wikipedia.org/wiki/Writing_lines  "Summary and Analysis Canto III: The Divine Comedy: The Inferno" by Staff (Cliff Notes, accessed April 15, 2021) https://www.cliffsnotes.com/literature/d/the-divine-comedy-inferno/summary-and-analysis/canto-iii  

Words matter. At its best, etymology gives us insight not only into the origins of words, but why they remain so important today, especially in medicine, where we’ve been accruing jargon for millennia. In this episode, we’re delving into four specific words -- doctor, cerebrovascular accident, rounds, and zebras.  And along the way, we’re going to discuss pre-historical pastoralists on the Eurasian steppes, medieval universities, Octagonal air-ventilated chambers in 19th century Baltimore, and of course, early 21st century sitcoms.   Works cited: OSLER W. THE NATURAL METHOD OF TEACHING THE SUBJECT OF MEDICINE. JAMA. 1901;XXXVI(24):1673–1679. doi:10.1001/jama.1901.52470240001001 Fair, A 2014, 'A Laboratory of Heating and Ventilation: The Johns Hopkins Hospital as experimental architecture, 1870–90', The Journal of Architecture, vol. 19, no. 3, pp. 357-81. https://doi.org/10.1080/13602365.2014.930063 Engelhardt E. Apoplexy, cerebrovascular disease, and stroke: Historical evolution of terms and definitions. Dement Neuropsychol. 2017 Oct-Dec;11(4):449-453. doi: 10.1590/1980-57642016dn11-040016. PMID: 29354227; PMCID: PMC5770005. Coupland AP, Thapar A, Qureshi MI, Jenkins H, Davies AH. The definition of stroke. J R Soc Med. 2017 Jan;110(1):9-12. doi: 10.1177/0141076816680121. Epub 2017 Jan 13. PMID: 28084167; PMCID: PMC5298424. An Updated Definition of Stroke for the 21st Century Ralph L. Sacco, MD, MS, FAHA, FAAN, Co-Chair, Scott E. Kasner, MD, MSCE, FAHA, FAAN, Co-Chair, Joseph P. Broderick, MD, FAHA, Louis R. Caplan, MD, J.J. (Buddy) Connors, MD, Antonio Culebras, MD, FAHA, FAAN, Mitchell S.V. Elkind, MD, MS, FAHA, FAAN, Mary G. George, MD, MSPH, FAHA, Allen D. Hamdan, MD, Randall T. Higashida, MD, Brian L. Hoh, MD, FAHA, L. Scott Janis, PhD, Carlos S. Kase, MD, Dawn O. Kleindorfer, MD, FAHA, Jin-Moo Lee, MD, PhD, Michael E. Moseley, PhD, Eric D. Peterson, MD, MPH, FAHA, Tanya N. Turan, MD, MS, FAHA, Amy L. Valderrama, PhD, RN, and Harry V. Vinters, MD on behalf of the American Heart Association Stroke Council, Council on Cardiovascular Surgery and Anesthesia, Council on Cardiovascular Radiology and Intervention, Council on Cardiovascular and Stroke Nursing, Council on Epidemiology and Prevention, Council on Peripheral Vascular Disease, and Council on Nutrition, Physical Activity and Metabolism Harrison F, Roberts AE, Gabrilska R, Rumbaugh KP, Lee C, Diggle SP. A 1,000-Year-Old Antimicrobial Remedy with Antistaphylococcal Activity. mBio. 2015;6(4):e01129. Published 2015 Aug 11. doi:10.1128/mBio.01129-15 Furner-Pardoe J, Anonye BO, Cain R, Moat J, Ortori CA, Lee C, Barrett DA, Corre C, Harrison F. Anti-biofilm efficacy of a medieval treatment for bacterial infection requires the combination of multiple ingredients. Sci Rep. 2020 Jul 28;10(1):12687. doi: 10.1038/s41598-020-69273-8. PMID: 32724094; PMCID: PMC7387442. American Heritage Dictionary of Indo-European Roots, third edition, 2011 Oxford English Dictionary Online Johnson S, Dictionary. Retrieved online: https://johnsonsdictionaryonline.com/doctor-noun/ Riva MA. No renaissance for doctors in Shakespeare's plays. BMJ. 2017 May 22;357:j2223. doi: 10.1136/bmj.j2223. PMID: 28533302.

This episode is about misinformation. Whether it is lies about the election, or COVID-19, or conspiracy theories, we have seen just how insidious the spread of misinformation can be. Our guest is Suzanne LaPierre, the Virginiana Librarian at Fairfax County Public Library in Virginia. Suzanne has researched and written on misinformation and disinformation. You can find her work over at Public Libraries Online (www.publiclibrariesonline.org) and be sure to check out her article (along with co-author Vanessa Kitzie) "Lots of Questions about Fake News: How Public Libraries Have Addressed Media Literacy 2016-2018" which appeared in the Oct/Dec 2019 issue of Public Library Quarterly

A highly requested episode all about...THE KETO DIET. We talk about everything from the origins of keto, why people aren't *actually* achieving ketosis, and the limitations of doing keto.BS of the Week: So you've heard of probiotics, but what about SYNBIOTICS? Tareq talks about Seed, the latest wellness supplement for total health that all the influencers are taking, and why it may not live up to its claims.Follow us on Instagram: @nobsnutritionpod @hannahmagee_rd @tareqneuroFollow us on Twitter: @nbsnpod @hannahmagee_rd @tareqneuroLinks:Gupta L, Khandelwal D, Kalra S, Gupta P, Dutta D, Aggarwal S. Ketogenic diet in endocrine disorders: Current perspectives. J Postgrad Med. 2017 Oct-Dec;63(4):242-51. doi: 10.4103/jpgm.JPGM_16_17. Shafique M, Russell S, Murdoch S, Bell JD, Guess N. Dietary intake in people consuming a low-carbohydrate diet in the UK Biobank. J Hum Nutr Diet. 2018 Apr;31(2):228-38. doi: 10.1111/jhn.12527. Epub 2017 Dec 13. Natalya F. Giroux for InquiriesJournal.com “The Keto Diet and Long-Term Weight Loss: Is it a Safe”

Latest interesting interview by Melanie Boylan with Katie Doyle, founder of Mentor Her. Mentor Her is all about women connecting with women. We believe that when we support each other, and elevate each other's profile, we can lift ourselves up in the world. ​Whether you're looking to join our Mentor Her programme, our Membership programme's limited availability from Oct-Dec 2020, or you're seeking to collaborate with us on our corporate programme- these are the women who you should work with. The women involved in our programme are ambitious, helpful, kind and motivated. The companies that are dedicated to our corporate mission are self-aware, committed to improving their internal representation and dedicated to mentoring Her. ​Mentor Her is a Covid-19 business, that originated when Katie Doyle (CEO, Founder) realized that she wanted to do two things: have a Mentee, and also be mentored. And so the business was born! https://www.mentorher.ie/ More about Melanie twitter.com/STOMPSMTraining Over the years I have worked with SME, FMCG and State Bodies I'm delighted to say I now support and train all sizes of business and my business has grown with my clients. I provide Adult Education and support for people in Business. With my many years of experience in promoting services and charities in Ireland and the UK; I have been very fortunate to establish a strong network of contacts and over the years have learnt how best to promote a business online and improve their social media scoring. Creating a professional image and maintaining it is the crux of a great marketing plan and is instrumental in today's climate in making your business stand out, I can tailor my services to your requirements. Over the last few years I have started working in other areas I have a genuine passion in. I have been avid writer for a number years and started working as a Freelance Writer with Irish Tech News since 2016 and StartUp Mindset since October 2019.

In this episode, we welcome Coach Greg 'Old Money' Holmes to the podcast to discuss seasonality in the market as well as the Christmas Rally. At this time of year, from Oct - Dec, the market has historically done well. From a monthly perspective, November is one of the most bullish months of the year, on average. Matt, Tim, Mark and Greg discuss the seasonal expectations from markets and how we use the information during our feature presentation. Before that, Matt, Mark and Tim analyze the broad markets during our skyline. Technical charts, stimulus headlines, the election and earnings season are all on the minds of traders.  Stocks have been on a five day retracement, and traders are watching key technical levels to see if they hold.  We discuss the market implication of these themes, and what the latest information is telling us, during this weekly segment. Lastly, Coach Mark has a game where we guess the most popular Christmas characters as voted on by kids and adults.  Santa and Rudolph made the list, some of the others weren't so easy though.  Listen in as we have some fun guessing who's the most popular (many fun incorrect guesses were involved). 2:15 Market Skyline 37:30 Santa Clause Rally 1:12:55 Random Game  

Video calls. Working from home. Slow internet. Mass uncertainty. All these changes to the way we work have impacted the way we communicate - in both positive and negative ways. In this episode, I share my observations about how communication has changed as a result of the coronavirus pandemic, and what you can do to improve your own communication during this time. Show notes are at www.thecmethod.com/281. This has been Episode 281 of the Stand Out Get Noticed Podcast with Christina Canters. ***I am going on maternity leave during Oct-Dec 2020 and will be taking a break from the podcast. Make sure you subscribe so you don t miss any bonus episodes and announcements for when we return!*** ABOUT THE C METHOD: We help ambitious professionals and business leaders achieve higher levels of confidence, influence and impact in the workplace through developing powerful speaking and communication skills. OUR PROGRAMS: Love the podcast and want more? Join The C Method Academy and get exclusive access to 200+ podcast episodes, monthly Masterclasses, live Q&A calls & our support community. Join now https://www.thecmethod.com/join Want to take your development to the next level? Apply for Speak Up & Lead, our small group online coaching program https://www.thecmethod.com/groupcoaching Want individual attention and customised training? Enquire about our VIP 1:1 coaching programs https://www.thecmethod.com/coaching/ The post How Has The Way We Communicate Changed In 2020? [Episode 281] appeared first on The C Method with Christina Canters.

Merged the new race schedules from Tejas Trails & Trail Racing over Texas, and then discussed the risks and styles of the races to improve your racing schedule.

Today I talk with a Medical Student about contraception and its health effects on the woman. We also talk about the moral and spiritual reasons contraception is harmful and should be avoided. Did you know contraception can sometimes be an abortion? Quote on Birth Control by Fulton Sheen"Peace be to you. The subject about to be discussed is birth control. The words are not very proper, first of all, because those who believe in it actually believe neither in birth nor in control. Therefore, we shall never use the words again; they are finished.""Planned unparenthood is the deliberate and willful decision on the part of a husband and wife to exclude from God the opportunity to create another to his image and likeness. It is the human will freely frustrating divine will, as certain agricultural policies deliberately control the productivity of the earth for the sake of a higher economic price. The nonserviam of Lucifer has had its catastrophic effect throughout creation, and particularly in those who say: “I refuse to accept from God that which is his holy will, the increase and multiplication of life.” The refusing to be a co-operator with God is to spoil and maim oneself, for of the unused talents, our Lord said: “Take the talent away.”References and Sources WHO Group 1 carcinogens: https://en.wikipedia.org/wiki/List_of_IARC_Group_1_Agents_-_Carcinogenic_to_humansIncreased risk of venous thrombosis: de Bastos M, Stegeman BH, Rosendaal FR, Van Hylckama Vlieg A, Helmerhorst FM, Stijnen T, Dekkers OM. Combined oral contraceptives: venous thrombosis. Cochrane Database of Systematic Reviews 2014, Issue 3. Art. No.: CD010813. DOI:10.1002/14651858.CD010813.pub2.Most US women use contraceptive pills with higher dose of estrogen: Stidham Hall, Kelli, Trussell, James. Types of combined oral contraceptives used by U.S. women. Contraception. 2012 Dec; 86(6): 659-665. doi: 10.1016/j.contraception.2012.05.017Increased risk of breast cancer: Morch, Lina, et al. Contemporary Hormonal Contraception and the Risk of Breast Cancer. N Engl J Med 2017; 377:2228-2239. DOI: 10.1056/NEJMoa1700732Grevers, et al. Cancer incidence attributable to the use of oral contraceptives and hormone therapy in Alberta in 2012. CMAJ Open. 2016 Oct-Dec; 4(4): E754–E759. Published online 2016 Dec 12. doi: 10.9778/cmajo.20160046Contraceptive pills causes abortion more frequently than originally thought: Harrison, D, et al. Systematic Review of Ovarian Activity and Potential for Embryo Formation and Loss during the Use of Hormonal Contraception. The Linacre Quarterly, 31 Oct 2018, 85(4):453-469. DOI: 10.1177/0024363918815611Main mechanism of levonorgestrel IUD is local suppressive effect on uterine lining: Abdelhamid, A, et al. Role of the levonorgestrel intrauterine system in effective contraception. Patient Prefer Adherence. 2013; 7: 777–785. Published online 2013 Aug 9. doi: 10.2147/PPA.S36948The Saint Paul VI Institutehttps://popepaulvi.com/The Dark Truth about Contraceptives W/ Jason Everthttps://youtu.be/bIEt018XmykWhy Contraception Is Anti-Womanhttps://youtu.be/F5VU1kzUSlsContact Me:Email: FonsecaProduction@gmail.comFacebook: https://www.facebook.com/Catholic-Conversations-293620534878287/Twitter: @ffonzeInstagram: @ffonzeWebsite: http://catholicconversations.buzzsprout.com/

Exotic grooves, atmospheric downtempo and cinematic spaces from Marconi Union, Bersarin Quartett, Bluetech, Banco de Gaia, Pitch Black, Entheogenic, Autumn of Communion, KiloWatts, Saafi Brothers, Animat, d'Voxx, Sven Kössler & Si Matthews, Robodop Snei, Sacred Seeds, Symbion Project, Data Rebel, Johan Agebjorn, Rildrim, Backstage Gurus and Tara Putra. The 6-part Best Of 2019 mix series showcases some of the music from AMG's Best Albums of 2019 Reviews feature, plus other outstanding tracks from the year that was. All mixes compiled by Mike G @ Rubycon Sound, Oct-Dec 2019. Mix#1: Drones & TonesMix#2: Deep Space TechMix#3: Mod Classical & Post-RockMix#4: BalearicaMix#5: EnvironmentsMix#6: Ambitronica More at http://ambientmusicguide.com

Atmospheric sounds from Biosphere, Ishq, Sounds from the Ground, Autumn of Communion, Hibernation, Motionfield, Ohio (Taylor Deupree), Off Land, Pitch Black, Tom Adams. Andrew Heath, Soda Lite, Ashan, In Quantum, Darren McClure, Aerium, Moss Garden and Andrea Castiglioni. The 6-part Best Of 2019 mix series showcases some of the music from AMG's Best Albums of 2019 Reviews feature, plus other outstanding tracks from the year that was. All mixes compiled by Mike G @ Rubycon Sound, Oct-Dec 2019. Mix#1: Drones & TonesMix#2: Deep Space TechMix#3: Mod Classical & Post-RockMix #4: BalearicaMix#5: EnvironmentsMix#6: Ambitronica More at http://ambientmusicguide.com

Lush downtempo beauties from Kaya Project, Sounds from the Ground, Lemmer & Pabst, Nancy Noise, Dr. Deep House, Johan Agebjorn, Hibernation, Hatar, Robot Koch, Globular and and Collective Sound Members. The 6-part Best Of 2019 mix series showcases some of the music from AMG's Best Albums of 2019 Reviews feature, plus other outstanding tracks from the year that was. All mixes compiled by Mike G @ Rubycon Sound,Oct-Dec 2019. Mix#1: Drones & TonesMix#2: Deep Space TechMix#3: Mod Classical & Post-RockMix #4: BalearicaMix#5: EnvironmentsMix#6: Ambitronica More at http://ambientmusicguide.com

Featuring Cinematic Orchestra, A Winged Victory for the Sullen, Bersarin Quartett, Brian Eno, Bruno Sanfilippo, Tom Adams, Daigo Hanada, Sven Laux & Daniela Orvin, Hibernation, Tom Eaton, Matt Lajoie, Gavin Miller, Billow Observatory, Richard Luke, Symbion Project and Hatami, Martin & Attanasio. The 6-part Best Of 2019 mix series showcases some of the music from AMG's Best Albums of 2019 Reviews feature, plus other outstanding tracks from the year that was. All mixes compiled by Mike G @ Rubycon Sound, Oct-Dec 2019. Mix#1: Drones & TonesMix#2: Deep Space TechMix#3: Mod Classical & Post-RockMix #4: BalearicaMix#5: EnvironmentsMix#6: Ambitronica More at http://ambientmusicguide.com

Music by Jeff Mills, The 7th Plain (Luke Slater), Biz (Transmat), Dan Armstrong, Sven Kössler & Si Matthews, Urban Meditation, K. Markov, Rildrim, Johan Agebjorn, ReKaB, Dense and Sonic Solutions Inc. The 6-part Best Of 2019 mix series showcases some of the music from AMG's Best Albums of 2019 Reviews feature, plus other outstanding tracks from the year that was. All mixes compiled by Mike G @ Rubycon Sound,Oct-Dec 2019. Mix#1: Drones & TonesMix#2: Deep Space TechMix#3: Mod Classical & Post-RockMix #4: BalearicaMix#5: EnvironmentsMix#6: Ambitronica More at http://ambientmusicguide.com

Music by Biosphere, Ishq, Seb Taylor (Hibernation), James Bernard, Motionfield, Lingua Lustra, Jordan Christoff, Billow Observatory, Darren McClure, Hollie Kenniff, Ethereal Ephemera, Matt Lajoie, Mike Rooke, Andrea Castiglioni and Fabio Orsi. The 6-part Best Of 2019 mix series showcases some of the music from AMG's Best Albums of 2019 Reviews feature, plus other outstanding tracks from the year that was. All mixes compiled by Mike G @ Rubycon Sound,Oct-Dec 2019. Mix#1: Drones & TonesMix#2: Deep Space TechMix#3: Mod Classical & Post-RockMix #4: BalearicaMix#5: EnvironmentsMix#6: Ambitronica More at http://ambientmusicguide.com

Through the course 2019 there has been a series of shows devoted to looking back at the great music released 40 years ago. Tonight’s latest in that series documents the punk singles and albums released in the UK from October to December of that year. These tracks include veteran acts such as The Stranglers, The Damned, and others, along with early releases by The Vapors, Joy Division, Killing Joke and others. But the centerpiece of this anniversary special celebrates one of the greatest albums of all time. December 14, 1979 saw the release of The Clash’s third album, London Calling. There’s no denying it’s greatness from beginning to end. In fact, it’s my second favorite record of all time! Besides these fabulous UK tunes, the last half hour of the show jumps over the border to some 1979 highlights from Ireland, Sweden, Denmark, Germany, and France. Ok, maybe one of these selections isn’t technically from 1979 but I’ll take any opportunity to play “Teenage Kicks”. Tonight may end our look at the 1979 UK punk scene, but it’s not the end of our series of shows devoted to that great year. Next week’s show will feature tunes from all over […]

Laurie Huston from News for the Heart is talking with Nancy Arruda from UniversalSky. We chatted about what is Up in the Universal Skies for Oct - Dec 2019. We discussed that we are in the final quarter of this decade. Beginning Oct Pluto went direct and the full moon in Aries on Oct 13th created some revelations for many around their core issues. Halloween Mercury goes Retrograde in Scorpio which will probably create some disturbances in our communication with Self. Several of the personal planets will be in Scorpio and can push us - as a water sign it is the deepest and often darkest of signs. Jupiter enters Capricorn on Dec 2nd and this will impact all of us depending on what house Capricorn is on our chart. Lastly we discussed the last eclipse a Solar eclipse on Dec 26th (Boxing day). Find out how all of this and other transits will impact your Life! Join us for this fascinating discussion! We're Getting to the Heart of what Matters!

I would guess that from Oct-Dec. the average person gains about 5-7 lbs. The sad reality is, that sets people back and extra month from achieving the goal they set for themselves in January. Today's episode to help you avoid gaining weight and even lose weight during this season of parties, food, alcohol and stress. These are tips and tricks I use myself to maintain my health during this time of year. 

Friday September 13, 2019 Changes in Government Contracting That You Need to Know About.   Welcome to the wonderful world of “Federal Contracting Made Easy”, where we take the complex world of government contracting and break it into simple steps that anyone can master.  Today, we are celebrating our 95th episode and to mark the occasion we will be discussing some changes that GSA is implementing that will impact you!!!.  BUT before we get started let’s roll that into.   Welcome Back   The General Service Administration (GSA) oversees many acquisition and awards processes websites.  They are moving 10 of these online websites into one massive website.  This site will become the official U.S. Government website for people who make, receive and manage federal awards according to GSA.  New site will be called beta.sam.gov.   The following sites will be migrating over to beta.sam.gov: SAM, Federal Assistance (CFDA), Wage Determinations (WDOL), Federal Procurement Data System (FPDS), Federal Business Opportunities (FBO), Electronic Subcontracting Reporting System (eSRS) , Federal Awardee Performance and Integrity Information System (FAPIIS), Contractor Performance Assessment Reporting System (CPARS), PPRS, and Federal Funding and Transparency Act (FFATA).   SAM.GOV   All data over the original websites including entity registrations and historical contract data will be brought over to this new website.  Don’t worry you will not have to re-register as your data will automatically transitions to the new site when SAM.gov is retired.  Remember the new website will be called beta.sam.gov.   FedBizOpps.Gov   Yes, FBO is set to be decommissioned with its critical functionality being transferred to the beta.sam.gov website in the governments first quarter (Oct – Dec).   The new website will have the same functionality that is available today but will have enhancements such as: Search Functions Keyword Number Location Improved and easy to read headers allowing you to find key information quickly. Option to access previous versions of opportunity notices with one click Set up notices with one click that will notify you when frequently used contract opportunities have been updated. Ability to manage alerts easily through a new user workspace A User-friendly design with logical navigation and industry best practices embedded. Shared login, search, workspace, data services, reports, and a design that will allow you to leverage other IAE system data easily.   How will the new site be organized?       Many of the features and functionality that is currently in FBO.gov will move to beta.SAM.gov under new names.   FBO – beta.SAM.gov Watchlist – Follow.  If you want to follow an opportunity you will select, follow on the display page.   Search Agent – Saved Search. Search agent will now be called Saved Search in the new website.  This will allow you to save searches directly from search results and managed from your workspace.   Archived – Inactive.  Archived will be labeled Inactive in the new website. Open notices will be labeled Active   Interested Vendor List   About the Interested Vendor List.  Current Interested Vendor Lists (IVL) will transfer to the new website Non-federal users need an account tied to an entity to use the IVL Each IVL will be tied to a specific notice Each IVL will be searchable and sortable   Implementing a New Federal Hierarchy   GSA will be combining multiple legacy hierarchies into a single hierarchy across all the new website.  Search, reports and government roles will be based on the federal hierarchy.  Federal agencies will centrally manage updates and changes to the hierarchy.  Public facing API of Federal Department/Independent Agencies and sub-tiers will be available to download.   New Accounts & Migration   In order to transition roles from FBO.gov to beta.SAM.gov, you will need to create a new account in beta.SAM.gov.  As part of GSA’s ongoing efforts to enhance security and move to a single sign in for all IAE applications, we are implementing login.gov in beta.SAM.gov.   A few weeks before the transition you will need to create a new login.gov account or be ready to use your existing login.gov account.  If you have a government issued CAC/PIV card you can login using that.   Conclusion   I did not list the changes that will only apply to the government side of the house.     Consider supporting our channel by becoming a Patreon at patreon.com/fcme or a one time donation at paypal.me/FCME801.  

    Your eyes may fool you...   Keep your differential diagnosis open.       Selected References   Aravindhan N, Chisholm DG. Sulfhemoglobinemia presenting as pulse oximetry desaturations. Anesthesiology. 2000;93:883–884.   Gharahbaghian L et al. Methemoglobinemia and Sulfhemoglobinemia in Two Pediatric Patients after Ingestion of Hydroxylamine Sulfate. West J Emerg Med. 2009 Aug; 10(3): 197–201    Ginimuge PR et al. Methylene Blue: Revisited. J Anaesthesiol Clin Pharmacol. 2010 Oct-Dec; 26(4): 517–520.    Mack E. Focus on diagnosis: co-oximetry. Pediatr Rev. 2007;28:73–4. So T-Y et al. Topical Benzocaine-induced Methemoglobinemia in the Pediatric Population. J Pediatr Health Care. 22(6):335–339.  

Learn about what Ontario veterinarians were seeing in horses from Oct-Dec 2018, and find out about recurrent airway obstruction or heaves, strangles, rhinitis, impaction colic, laminitis, and much more.

Switch Craft is brought to you Live 3 times a week on Tuesday and Thursday at 3pm US Eastern and on Saturday at whatever time I can get to it. Tune in live at https://www.twitch.tv/runjumpstomp - This episode of SwitchCraft is brought to you by Thatchappzapp — Support SwitchCraft and my other content for as little as a dollar at https://www.patreon.com/runjumpstomp Music for today's episode can be found at http://www.runjumpstomp.com/music Don't forget that you want the full show you can either come watch live at https://www.twitch.tv/runjumpstomp, or you can watch the videos after the fact over at https://www.youtube.com/runjumpstomp Finally, If you're looking to support my content, head over to http://www.runjumpstomp.com/thankyou All the links there will help me create more content. Thanks so much for your support! And now its time to thank the live chat.Sponsored By:SwitchList: A complete Nintendo Switch eShop Database!Support Nintendo Switch CraftLinks:Furukawa: Nintendo Will Continue To Release 2 To 3 Smartphone Apps Annually | NintendoSoupNintendo Switch Online 2.1.0 update released - Geeky GadgetsTakashi Mochizuki on Twitter: "My latest Nintendo story: Nintendo's goal of selling 20 million Switch forecast in FY18 a long shot? Maybe not so anymore, say analysts. Some expect firm sold more than 10 million units in Oct-Dec quarter alone. https://t.co/lcYZ7yWnvu" / TwitterDead Cells Sold Over 100,000 Copies In A Week On Nintendo Switch | My Nintendo News — Switch version outsold the PlayStation 4 version by 4 to 1 when it launched. Now hard sales numbers have been revealed by the company and it shows that the Nintendo Switch version of Dead Cells sold over 100,000 copies during launch weekFurukuwa: 3DS Won't Be Discontinued As It Can Co-Exist With Switch | NintendoSoup — Furukawa said it’s soon going to be the 8th anniversary of Nintendo 3DS, and on its 8th year the system has turned into an affordable console for entry-level players and children. Compared to the Switch form factor, the 3DS is “light and compact”.< --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

The following is a short list of salient points related to the podcast and the corresponding source literature. As always, read the source literature and critically appraise it for yourself. Take none of the following as a substitution for local protocol or procedure. 2018 NAEMSP Spinal Immobilization paper https://naemsp.org/resources/position-statements/spinal-immobilization/ Securing a patient to the stretcher mattress significantly reduces lateral motion: Am J Emerg Med. 2016 Apr;34(4):717-21. doi: 10.1016/j.ajem.2015.12.078. Epub 2015 Dec 30. C-Collar limits visible external motion in the intact spine, but not internal motion in the unstable injured spine: Horodyski M, DiPaola CP, Conrad BP, Rechtine GR 2nd. Cervical collars are insufficient for immobilizing an unstable cervical spine injury. J Emerg Med. 2011 Nov;41(5):513-9. doi: 10.1016/j.jemermed.2011.02.001. Epub 2011 Mar 12. PubMed PMID: 21397431. C-Collar increases ICP: Davies G, Deakin C, Wilson A. The effect of a rigid collar on intracranial pressure. Injury. 1996 Nov;27(9):647-9. PubMed PMID: 9039362. C-Collar causes distraction of unstable C-spine: Ben-Galim P, Dreiangel N, Mattox KL, Reitman CA, Kalantar SB, Hipp JA. Extrication collars can result in abnormal separation between vertebrae in the presence of a dissociative injury. J Trauma. 2010 Aug;69(2):447-50. doi:10.1097/TA.0b013e3181be785a. PubMed PMID: 20093981. Lador R, Ben-Galim P, Hipp JA. Motion within the unstable cervical spine during patient maneuvering: the neck pivot-shift phenomenon. J Trauma. 2011 Jan;70(1):247-50; discussion 250-1. doi: 10.1097/TA.0b013e3181fd0ebf. PubMed PMID: 21217496. Spinal immobilization negatively impacts the physical exam: March J et al. Changes In Physical Examination Caused by Use of Spinal Immobilization. Prehosp Emerg Care 2002; 6(4): 421 – 4. PMID: 12385610 Chan D, Goldberg R, Tascone A, Harmon S, Chan L. The effect of spinal immobilization on healthy volunteers. Ann Emerg Med. 1994 Jan;23(1):48-51. PubMed PMID: 8273958. Chan D, Goldberg RM, Mason J, Chan L. Backboard versus mattress splint immobilization: a comparison of symptoms generated. J Emerg Med. 1996 May-Jun;14(3):293-8. PubMed PMID: 8782022. Even Manual In Line Stabilization alone increased difficulty during intubation and increases forces applied to the neck: Thiboutot F, Nicole PC, Trépanier CA, Turgeon AF, Lessard MR. Effect of manual in-line stabilization of the cervical spine in adults on the rate of difficult orotracheal intubation by direct laryngoscopy: a randomized controlled trial. Can J Anaesth. 2009 Jun;56(6):412-8. doi: 10.1007/s12630-009-9089-7. Epub 2009 Apr 24. PubMed PMID: 19396507. Santoni BG, Hindman BJ, Puttlitz CM, Weeks JB, Johnson N, Maktabi MA, Todd MM. Manual in-line stabilization increases pressures applied by the laryngoscope blade during direct laryngoscopy and orotracheal intubation. Anesthesiology. 2009 Jan;110(1):24-31. doi: 10.1097/ALN.0b013e318190b556. PubMed PMID: 19104166. Spinal immobilization makes it harder to breath and decreases forced expiratory volume: “...produce a significantly restrictive effect on pulmonary function in the healthy, nonsmoking man.” Chan, D., Goldberg, R., Tascone, A., Harmon, S., & Chan, L. (1994). The effect of spinal immobilization on healthy volunteers. Annals of Emergency Medicine, 23(1), 48–51. https://doi.org/10.1016/S0196-0644(94)70007-9 Schafermeyer RW, Ribbeck BM, Gaskins J, Thomason S, Harlan M, Attkisson A. Respiratory effects of spinal immobilization in children. Ann Emerg Med. 1991 Sep;20(9):1017-9. PubMed PMID: 1877767. Totten VY, Sugarman DB. Respiratory effects of spinal immobilization. Prehosp Emerg Care. 1999 Oct-Dec;3(4):347-52. PubMed PMID: 10534038. Prehospital providers can effectively apply selective immobilization criteria without causing harm: Domeier, R. M., Frederiksen, S. M., & Welch, K. (2005). Prospective performance assessment of an out-of-hospital protocol for selective spine immobilization using clinical spine clearance criteria. Annals of Emergency Medicine, 46(2), 123–131. https://doi.org/10.1016/j.annemergmed.2005.02.004 Out of 32,000 trauma encounters, a prehospital clearance protocol resulted in ONE patient with an unstable injury that was not immobilized. This patient injured her back one week prior, required fixation, but had no neurological injury: Burton, J.H., Dunn, M.G., Harmon, N.R., Hermanson, T.A., and Bradshaw, J.R. A statewide, prehospital emergency medical service selective patient spine immobilization protocol. J Trauma. 2006; 61: 161–167 Ambulatory patients self extricating with a cervical collar results in less cervical spine motion than with the use of a backboard: Shafer, J. S., & Naunheim, R. S. (2009). Cervical Spine Motion During Extrication: A Pilot Study. Western Journal of Emergency Medicine, 10(2), 74–78. https://doi.org/10.1016/j.jemermed.2012.02.082 Engsberg JR, Standeven JW, Shurtleff TL, Eggars JL, Shafer JS, Naunheim RS. Cervical spine motion during extrication. J Emerg Med. 2013 Jan;44(1):122-7. doi:10.1016/j.jemermed.2012.02.082. Epub 2012 Oct 15. PubMed PMID: 23079144 Lift and slide technique is superior to log roll: Boissy, P., Shrier, I., Brière, S. et al. Effectiveness of cervical spine stabilization techniques. Clin J Sport Med. 2011; 21: 80–88 Despite there not being any randomized control trials evaluating spinal immobilization, patients transferred to hospitals immobilized have more disability than those transported without immobilization: Hauswald, M., Ong, G., Tandberg, D., and Omar, Z. Out-of-hospital spinal immobilization: its effect on neurologic injury. Acad Emerg Med. 1998; 5: 214–219 “Mechanism of injury does not affect the ability of clinical criteria to predict spinal injury” Domeier, R.M., Evans, R.W., Swor, R.A. et al. The reliability of prehospital clinical evaluation for potential spinal injury is not affected by the mechanism of injury.Prehosp Emerg Care. 1999; 3: 332–337 Spinal immobilization in penetrating trauma is associated with an increased risk of death: Vanderlan, W.B., Tew, B.E., and McSwain, N.E. Jr. Increased risk of death with cervical spine immobilisation in penetrating cervical trauma. Injury. 2009; 40: 880–88 Stuke, L.E., Pons, P.T., Guy, J.S., Chapleau, W.P., Butler, F.K., and McSwain, N.E.Prehospital spine immobilization for penetrating trauma-review and recommendations from the Prehospital Trauma Life Support Executive Committee. J Trauma. 2011; 71: 763–769 “The number needed to treat with spine immobilization to potentially benefit one patient was 1,032. The number needed to harm with spine immobilization to potentially contribute to one death was 66.” Haut, E.R., Kalish, B.T., Efron, D.T. et al. Spine immobilization in penetrating trauma: more harm than good?. J Trauma. 2010; 68: 115–121 Vanderlan WB, Tew BE, Seguin CY, Mata MM, Yang JJ, Horst HM, Obeid FN, McSwain NE. Neurologic sequelae of penetrating cervical trauma. Spine (Phila Pa 1976). 2009 Nov 15;34(24):2646-53. doi: 10.1097/BRS.0b013e3181bd9df1. PubMed PMID: 19881402. Velopulos CG, Shihab HM, Lottenberg L, Feinman M, Raja A, Salomone J, Haut ER. Prehospital spine immobilization/spinal motion restriction in penetrating trauma: A practice management guideline from the Eastern Association for the Surgery of Trauma (EAST). J Trauma Acute Care Surg. 2018 May;84(5):736-744. doi:10.1097/TA.0000000000001764. PubMed PMID: 29283970. Use of LSB can cause sufficient pressure to create pressure ulcers in a short period of time: Cordell W:H, Hollingsworth JC, Olinger ML, Stroman SJ, Nelson DR. Pain and tissue-interface pressures during spine-board immobilization. Ann Emerg Med. 1995 Jul;26(1):31-6. PubMed PMID: 7793717. The natural progression of some C-spine injuries is to get worse, sometimes because we force them into immobilization devices, sometimes because of hypotension, vascular injury, or hypoxia, but surprisingly not because of EMS providers… Harrop JS, Sharan AD, Vaccaro AR, Przybylski GJ. The cause of neurologic deterioration after acute cervical spinal cord injury. Spine (Phila Pa 1976). 2001 Feb 15;26(4):340-6. PubMed PMID: 11224879. Reports of asymptomatic but clinically important spine injuries are, at best, dubious: McKee TR, Tinkoff G, Rhodes M. Asymptomatic occult cervical spine fracture: case report and review of the literature. J Trauma. 1990 May;30(5):623-6. Review. PubMed PMID: 2188001. Bresler MJ, Rich GH. Occult cervical spine fracture in an ambulatory patients. Ann Emerg Med. 1982 Aug;11(8):440-2. PubMed PMID: 7103163.

Catching Pee in the ED In this Heartbeat we go over two alternatives to cathing that infant in your ED.  If you had an infant who needed to be cathed, ever seen an infant cathed, or even heard a child cathed, you know it is less than fun. Here are two different, published methods that we attempted, back to back, on an infant…then we ended up doing the cath anyway! Join the conversation on Social Media @empulsepodcast or at ucdavisem.com Host: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis. Guest: Keyon Mitchell, UC Davis Medical School Graduate Class of 2018. Resources: Hall-million S, Howard PK. Does Suprapubic Stimulation in Infants Facilitate Collection of a Clean Catch Urine Specimen? Adv Emerg Nurs J. 2017 Oct/Dec;39(4):236-239. https://www.ncbi.nlm.nih.gov/pubmed/29095174 Kaufman J, Tosif S, Fitzpatrick P, Hopper SM, Bryant PA, Donath SM, Babi FE. Quick Wee: a novel non-invasive urine collection method. Emerg Med J. 2017 jan;34(1):63-64. https://www.ncbi.nlm.nih.gov/pubmed/27565196 Kaufman J, Fitzpatrick P, Tosif S, Hopper SM, Donath SM, Vryant PA, Babe FE. Faster clean catch urine collection (Quick-Wee method) from infants: randomized controlled trial. BMJ 2017 Apr 7; 356:j1341. https://www.ncbi.nlm.nih.gov/pubmed/28389435 Labrosse M, Levy A, Autmizguine J, Gravel J. Evaluation of a New Strategy for Clean-Catch Urine in Infants. Pediatrics. 2016 Sep;138(3). pie:e20160573. https://www.ncbi.nlm.nih.gov/pubmed/27542848 Ray S, Forbes O. Quick-Wee is an effective technique for urine collection in infants. Arch Dis Child Edu Pract Ed. 2017 Oct 9. https://www.ncbi.nlm.nih.gov/pubmed/28993431 Tran A, Fortier C, Giovanni-chami L, demnchy D, Caci H, Desmontilis J, Montaudie-Dumas I, Bensaid R, Haas H, Berard E. Evaluation of the Bladder Stimulation Technique to Collect Midstream Urine in Infants in a Pediatric Emergency Department. PLoS one. 2016 mar 31;11(3):e0152598. https://www.ncbi.nlm.nih.gov/pubmed/?term=Evaluation+of+the+Bladder+Stimulation+technique+to+collect+midstream+urine Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

Album Review Roundtable (October-December 2016)All releases are available on Bandcamp. Thanks to Kyle Bak of Double Feature and Ian Tomele of Voice of Addiction/Wrecking Ball Productions for being our guest panelists this episode. Track listing of featured artists (Format=Band Name 'Name of Album' track featured on episode) 1. Davey Dynamite "Holy Shit" (Rock N Roll) 2. Rash "Skinner Box" (Gas & Matches) 3. Blood People "Blood People" (Burn The Ship) 4. Sleeping Under 47 "Indecisive" (I Don’t Know) 5. Burdened "Crippled By Fear: Part 1" (Detriment) 6. Butchered "Whatever, I Guess..." (Comparing Slingshots to Shotguns) 7. Brickfight "To What End" (Rubes) 8. Old Irving "Old Irving" (Uptown) 9. Stellar West "Unfiltered" (Repeat) 10. Two Houses "I Feel So Good I Can't Stand Myself" (Brain Wilson) 11. Bad Timing "Busy Doin Nuthin" (Take it all) 12. Shitizen "Shitizen" (Piss Bomb) 13. The Audio Dead "From The Beginning" (The Last laugh) 14. Oscar Bait "Become Good"(Tebow) Honorable Mentions (Bands we didn't have time to talk about but still put out awesome music!) 1. Snort "Josh" 2. Mama "Eye in the Sky" 3. Bombflower "Sweeteaster" 4. Bad Jokes "Too Fat to Sk8" 5. Martha's Got A Limp Wrist "Who Gives a Shit?" 6. The Cell Phones "No" 7. Brain Vacation "Nuclear Retort" 8. Double Feature/EZ Kebage Split 9. Winter Classic/Boss Fight Split 10. Blue Shoes "Emotions & Stuff" 11. Infamy of Three "Demo 2016" 12. Silent Age "Demo 2016" 13. Black Hole Youth "Now That's What I Call Punk!" 14. New Dougs "Stoked" 15. Pastel Hand Grenade "Pastel Hand Grenade" 16. Terrible Lizards "Origin of the Species" 17. Brandon Harrod "I Must Be Trippin..." 18. King Tuts Tomb "Knightmare" 19. Fast Decay "Untitled" 20. Crime Spree "Crime Spree" 21. Mishandled "Save Yourself" 22. Action Boy "Aging Like Milk" 23. Fear City "Our Way Of Life"

Episode 38   Introductions Karla - K-Rae on Ravelry and Karlacrafts on Instagram, Twitter and Pinterest Emily -  EmGemKnits - Instagram, and Ravelry . EmKnits on Twitter and EmGem on Pinterest   Shout outs Introduce yourself in the Ravelry group or leave us a review on itunes or google music   Circusbear! Rosberrycrafts! Stashandknit! bonjimac! HereIKnit!   KAL!   #stashtogiftknit2017 The KAL will begin January 1st 2017 and run until December 31st 2017. We will have quarterly entry threads in the ravelry group for your FOs and prizes to give away (more on those in a bit)! There is also a year long thread to keep track of all your gifts knits and there will be prizes for most gifts knit in 2017! Thank you to the following prize sponsors! Denise of Sock Ruler Brenda of Two Sticks and Ewe Sara of Riv Creative Sally of Yarn Friendly Joanne who is @porthardy1 on instagram Caitlyn Ffrench Okanagan Knit Co Chantal of Mudpunch Jess of Haven Fiber Arts Jocelyn who is @jocelyn_shuman Sylvia of Softsweater Knits It’s not too late if you would like to sponsor a prize! Just drop as a line and we’d be happy to have you on board. All sponsors will be mentioned in each episode of 2017! Ok! Here are THE RULES! Any and all gift knits will be accepted, there’s no minimum yardage, if it’s a gift it counts. Gifts knit from yarn acquired in 2016 or before get two entries, so post those FOs twice for more chances to win. (Please be honest, there’s no way for me to actually track this so I’m holding out on good knitting karma that there will be no cheating). If you knit a gift from yarn from 2017, you get one entry. Entries are quarterly, Jan - Mar, Apr - Jun, Jul - Sept, Oct - Dec. You cannot enter something finished in March in the July quarter etc. Year long FO thread is where you will open one post and keep a running tally of ALL the gifts knit in the year. Go back and edit this post as many times as you need to include all gifts. This really should be rule #1 but HAVE FUN! Post pictures of what you’re knitting on instagram with the hashtag #stashtogiftknit2017 so we can see all your projects! All prizes will be drawn with random number generator except the full year thread winner will be the one with the most gifts knit.   Art of Yarn Art of Yarns Knit-a-long to start the year off! We are teaming up with BC locals Shannon Cook and Jane Richmond to explore the Knits from their latest book Within Knits and the the amazing Westcoast Cardigan (stand alone pattern). To coincide with the KAL, we will have the complete trunk show for the book and Cardigan at the shop. If you are in the area please stop by and check it out. Prizes will be randomly awarded at the end of the KAL to participants. There are a few ways to join sand enter in the fun…. Posting your photos on instagram and tagging us in the photo @artofyarn Joining our ravelry group Art of Yarn Kal 2017 and sharing your project with us Tagging us on Facebook @artofyarn with your project For our locals too we will be hosting a small knit social to show off your FO’s Check us out on our website artofyarn.com if you would like to order the book and feel free to contact us if you need help in choosing a Yarn that is right for your project. Happy knitting and looking forward to seeing everyone’s progress! Melissa What's knitting now Emily - Socks for Bug in river city yarns - Hat trick calgary flames Genevieves tube socks - knitmoregirls Vanilla is the new black - CatGreen OMG you guys Hibernation Bridie for Bug in Sweet Fiber Canadian. Hand spun Love and Light by softsweater Bradway by Very Shannon in Brooklyn Tweed Shelter in Plume, Stormcloud and Yellow Advent calendar stockings (I finished one) Master Knitter Program in Cascade 220   Karla- Two custom socks for Grandma, Baby Boy Watson & Relativity   FO’s - Emily Karla - Brioso by Heather Zoppetti in 100% merino I dyed a dusty pink colour - stalled a little bit, on to second repeat   Design features Emily-  Not enough knitting to make mistakes Karla - reading charts on Relativity...   Spinning Emily -. none Karla - none but I want to so bad! Best laid plans Emily - Get out of the no knitting Rut. Karla -  Knit as much as I can!   Stash Enhancement Emily- 12days of knitmas - Vogue Knitting Holiday Karla - GC for Christmas! 12 days of knitmas! Talky Talk (Chatter?) Emily - The Big Move Karla - Michelle’s help with stash sorting   Crafternoon/Sew-what Emily - nope Karla - nope, but found CaliFayeCollection Adventures in Mommyhood Emily- Christmas holidays - single momming Karla- Renan is smiling and giggling and getting more use to being in his bed! Locke’s language skills are incredible and he’s all about the toys!   Inquiring minds Tell us about you! Join us on Ravelry or our Facebook page

In the new series 'Album Review Roundtable' Chris, Stephen and two guests discuss 8 different releases from the previous 3 months in 8 minutes or less. The episode covers releases from October through December 2015. Our guests this episode are Connor and Jake of Seasonal Men's Wear and Brown Bear Records. 1) Ribbonhead https://ribbonheadchicago.bandcamp.com/album/animals 2) Dog & Wolf https://dogandwolf.bandcamp.com/album/filler-for-the-vacancies 3) She Likes Todd https://shelikestodd.bandcamp.com/album/over-the-counter-culture 4) The Phantom Maggots https://thephantommaggots.bandcamp.com/album/trippin-on-shit 5) The Damn Tracks https://thedamntracks.bandcamp.com/album/the-damn-tracks 6) Back Alley Riot https://backalleyriot.bandcamp.com/album/damned-if-you-do 7) Dingus https://campdingus.bandcamp.com/album/i-was-never-a-boy-scout 8) Waste https://waste-thewasted.bandcamp.com/releases Honorable Mentions (in no particular order) -Fuck You, Idiot! https://fuckyouidiot.bandcamp.com/album/the-winter-of-our-diss-content -Bumsy & the Moochers https://bumsyandthemoochers.bandcamp.com/album/bored-up -The Tomblands https://tomblands.bandcamp.com -The Land Before Tim https://thelandbeforetim.bandcamp.com/album/the-great-basement-adventure -The Mizzerables https://themizzerables.bandcamp.com/album/as-i-am-single -Texas Toast Chainsaw Massacre (2 releases) https://texastoastchainsawmassacre.bandcamp.com/album/til-death-do-us-party -After the Fight http://www.cdbaby.com/cd/afterthefight4 -Faceplant https://faceplantpunk.bandcamp.com/album/faceplant -Brown Bear Records Comp (Nollaig lll) https://seasonalmenswear.bandcamp.com/album/nollaig-iii -Trauma Harness https://traumaharness.bandcamp.com/album/the-crypt-on-the-hillside-ep -Interdependance https://interdependenceillinois.bandcamp.com/releases

Uno de los temas más controversiales sobre el manejo de un paro cardiaco es cómo decidir terminar los esfuerzos de resucitación. Como profesionales de la salud tenemos un deseo innato de intentar resucitar a todo paciente en paro cardiaco, pero la vida es eventualmente finita. Una vez aprendí, y nunca he olvidado, que en la medicina tenemos el honor de presenciar dos de los eventos más significativos de un ser humano...su nacimiento y su muerte. Cuando las circunstancias se dan para que estos dos momentos ocurran, van a ocurrir indistintamente de lo que nosotros hagamos para evitarlo. Es nuestro deber honrar este proceso natural. La muerte no siempre representa el fracaso de nuestros esfuerzos, sino el fin de un proceso natural. Las Guías 2010 y 2015 de la American Heart Association proveen mucha información sobre los aspectos éticos a considerar a la hora de discutir el tema de detener la resucitación. La intención de este episodio no es discutir los aspectos éticos, aunque hay algunos aspectos que es inevitable considerarlos. No obstante, no es la intención de este artículo discutirlos todos, por lo que los invito a visitar la página de la AHA para las Guías 2015, disponibles gratuitamente en http://eccguidelines.heart.org. El tiempo no es relevante El tiempo del intento de resucitación no es el factor principal en la toma de decisiones. Debemos dejar de usar el tiempo para decidir si hemos intentado mucho o poco la resucitación. El uso del tiempo como factor exclusivo denota desconocimiento de los objetivos de la reanimación. ¿Debo mencionarlo nuevamente? El tiempo es un elemento muy subjetivo. La subjetividad del tiempo El tiempo es objetivo. Lo medimos con un reloj...segundos, etc... de eso no cabe duda. Podemos medirlo con precisión atómica. Lo que varía es nuestra percepción del tiempo. Aunque parezca irónico, la percepción del tiempo es una de las cosas más subjetivas que hay. Haga usted la prueba... cuando usted quiere que el tiempo corra rápido, toma una eternidad. Viceversa, cuando quiere que el tiempo se detenga, pasa todo muy rápido. Es común oir frases como "esto acaba de ocurrir ahora mismo"...pero ya van unos 10 minutos. Por otro lado es posible oir "la ambulancia está tardando una eternidad". pero solo han pasado 2 minutos y 35 segundos desde que terminó la llamada al 9-1-1. ¿Cuándo no iniciar la resucitación? En muchos casos no es apropiado ni siquiera iniciar la resucitación. Tiempo de resucitación = 0 minutos. No se intentó la resucitación. Algunos ejemplos son: Situaciones donde intentar realizar la resucitación pondría al rescatador en peligro Directriz avanzada, testamento u orden de no resucitar (DNR) Signos obvios de muerte irreversible (decapitación, rigor mortis, descomposición, etc.) En estos casos, desde el inicio, se sabe que el intento de resucitación va a ser inconsecuente y futil. Cabe señalar que el no iniciar la resucitación y el dar por terminado los esfuerzos de resucitación son ambos éticamente equivalentes. Ante la duda, saluda Ante ausencia de alguna buena razón para no comenzar (ver anterior), siempre que creamos que podemos resucitar al paciente, debemos fallar a favor del paciente e intentar la resucitación. Pero si fuera así, todavía estaríamos intentando resucitar a los padres de la patria. Tiene que haber una forma para decidir detenerse. DNR A veces la mejor forma de detener la resucitación es una forma (formulario) indicando las intenciones del paciente. Nunca es demasiado temprano para comenzar una discusión, en el momento oportuno, con un paciente sobre sus deseos al final de la vida. Es nuestro deber encontrar ese momento oportuno. Esta página ayuda a las familias a comenzar esta discusión de la manera correcta: http://deathoverdinner.org/ Pero cuando esto no ocurre, el médico debe hacerlo. El programa POLST provee unos fundamentos para lograrlo: Conversación entre el paciente, profesionales de la salud, y familiares cercanos Toma de decisión compartida entre el paciente y su profesional de la salud acerca de el cuidado que el paciente desea recibir al final de su vida Asegurar que los deseos del paciente se cumplan, documentándolo en un formulario Tenemos que mejorar nuestro conocimiento de cuidado de fin de la vida. Cuidado paliativo no es retirar el cuidado...es proveer comodidad al final de la vida. De igual manera, tenemos que aprender a manejar ese cuidado paliativo una vez se comenzaron a realizar medidas avanzadas, tales como la intubación endotraqueal y ventilación mecánica. El no saber extubar a un paciente en etapa terminal resulta en preguntas erróneas tales como "¿desea que lo intuben"? en vez de "¿desea que lo resuciten?". El National Institute for Health and Care Excellence del Reino Unido publica sus guías de fin de la vida para adultos, disponibles aquí. En adición, aquí hay un ejemplo de un protocolo de cuidado para la extubación terminal de un paciente: http://www.aacn.org/WD/Palliative/Docs/terminal_weaning_st_thomas.pdf Como siempre, siga sus protocolos locales. Los hospitales que miden tazas de sobrevivencia se benefician de tener órdenes de DNR debidamente firmadas ya que estos pacientes terminales entonces no entrarán a los registros de intentos de reanimación. A veces la evidencia de una orden DNR llega luego que la reanimación ha comenzado. En el caso de los proveedores fuera del hospital, se debe seguir el protocolo local. Si no existe un protocolo de cómo proceder en estos casos, se debe consultar al control médico para detener la resucitación. El objetivo final debe ser respetar los últimos deseos válidos y legítimos del paciente. Protocolo de Terminación de BLS en paro cardiaco fuera del hospital American Heart Association. Web-based Integrated Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care – Part 3: Ethical Issues. ECCguidelines.heart.org. En términos generales, la RCP se realiza hasta que: Retorno de circulación espontánea Transferencia de cuidado a un equipo que provea soporte vital avanzado (en cuyo caso la resucitación puede continuar, pero bajo el control de los nuevos proveedores) El rescatador no puede continuar debido a cansancio o riesgo a su seguridad. Se cumplen criterios confiables de muerte cerebral irreversible, se identifican criterios de muerte obvia, o criterios para terminar la resucitación. A nivel de profesionales de BLS, los criterios incluyen: El paro cardiaco no fue presenciado por el primer respondedor o proveedor del SEM No hay retorno de circulación espontánea luego de 3 rondas de RCP y análisis del DEA El DEA no emitió ninguna descarga Es importante que la decisión se consultada con el médico para detener la reanimación a nivel de BLS. Los proveedores deben ser instruídos acerca de cómo comunicarse con la familia durante este momento de crisis.   https://eccguidelines.heart.org/wp-content/uploads/2015/10/ACLS-Termination-of-Resuscitation.png American Heart Association. Web-based Integrated Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care – Part 3: Ethical Issues. ECCguidelines.heart.org. https://eccguidelines.heart.org/wp-content/uploads/2015/10/ACLS-Termination-of-Resuscitation.png El paro cardiaco no fue presenciado por el primer respondedor o proveedor del SEM. Ningún testigo realizó RCP No hubo RCE (retorno de circulación espontánea) luego de un intento completo de resucitación en la escena. El AED no recomendó ninguna descarga. El paciente vive o muere en la escena La única oportunidad de sobrevivencia del paciente en paro cardiaco es que se obtenga retorno de circulación espontánea en la escena. Las Guías 2015 de la AHA recomiendan que el paciente sea atendido en el lugar donde se encontró. Es más conveniente, en términos generales, atender al paciente en la misma escena que dentro de la ambulancia ya que en la escena comúnmente hay más espacio y comodidad que en espacio cerrado de la ambulancia. El paciente que no obtiene retorno de circulación espontánea en la escena tiene 0.7% de sobrevivencia, a diferencia del que sí obtiene RCE, cuya posibilidad de sobrevivencia asciende a un 17.2%. (Prehosp Emerg Care. 2012 Oct-Dec;16(4):451-5) La RCP durante el transporte es pésima. No produce ningún flujo sanguíneo significativo, pone a los proveedores en riesgo de accidentes, y no está asociado a aumento en sobrevivencia. No se debe realizar RCP en movimiento. ¿Cómo resucitar a un paciente? Paso 1: Proteger al cerebro mediante compresiones cardiacas Paso 2: Tratar la causa del paro ¿Por qué su paciente está en paro cardiaco? Los pacientes en paro cardiaco se pueden dividir, según el algoritmo, en dos tipos: los que tienen un problema de ritmo [arritmias como fibrilación ventricular (FV) y taquicardia ventricular (TV) sin pulso] vs los que no tienen un problema de ritmo. Identificar esto es fácil si se tiene un monitor cardiaco. Una simple revisión rápida del ritmo nos provee esta respuesta. Todo paciente en paro cardiaco recibe el siguiente tratamiento: Compresiones de alta calidad, con la menor cantidad de interrupciones. Análisis del ritmo cardiaco inicialmente y cada dos minutos. Si el ritmo es desfibrilable, se desfibrila, si el ritmo no es desfibrilable, no se desfibrila. Epinefrina 1 mg cada 4 minutos (3-5 minutos) Tratar las causas reversibles probables. (si es una arritmia, se administra un antiarrítmico) Causas Reversibles Las causas reversibles son: "Heart" (arritmias del corazón) - desfibrilación + antiarrítmicos Hivolemia - líquidos y sangre Hipoxia - oxígeno Hidrógeno (acidosis) - bicarbonato si estaba acidótico antes del paro Hipotermia - calentar al paciente Hipoglucemia (especialmente en pediátricos) - dextrosa Hipo/hiperpotasemia - calcio, bicarbonato, dextrosa + insulina Toxinas - antídoto (naloxona si es un opioide, o lo que recomiende el Centro de Envenenamientos 1-800-222-1222) Tension, pneumotórax - descompresión Tamponada cardiaca - descompresión Trombosis coronaria - reperfusión Trombosis pulmonar - reperfusión Volvamos al Paso 1: Proteja al cerebro Primum non nocere (primero no cause más daño). En este caso, esto significa que no causemos más anoxia al cerebro. Si usted interrumpe las compresiones, pierde perfusión cerebral. Tenemos que volvernos una máquina perfecta de perfusión cerebral... ya sea manual o mecánica. De la forma en que yo lo veo, tenemos un problema (cualquiera de las H's y T's mencionadas anteriormente), y tenemos una solución. Entre medio del problema y la solución, tenemos un obstáculo: la pobre perfusión al cerebro está acabando con el cerebro rápidamente. En otras palabras, tenemos que actuar rápido. El problema es que algunas de las soluciones requieren TIEMPO. Es fácil y rápido descomprimir un pneumotórax a tensión, pero hacer una embolectomía por una embolia pulmonar, o una intervención coronaria percutánea toma más tiempo del que usualmente tenemos. Tenemos una solución a esto... RCP mecánico. Existe mucha controversia sobre el rol del RCP mecánico... pero si se decide que el paciente requiere un cuidado definitivo que va a durar más tiempo, no hay duda que las máquinas que proveen compresiones continuas tienen esa ventaja: proveer compresiones por largo tiempo. Lea este artículo de EMSWorld: qué hacer cuando su paciente en RCP mecánico recupera conciencia durante las compresiones. Sin leer el artículo, deducimos que la perfusión al cerebro fue tan buena que el paciente recuperó conocimiento durante las compresiones. Pero lo más importante de esto, en mi opinión, es que si podemos mantener el cerebro con buena perfusión infinitamente, tenemos un tiempo infinito para tratar de corregir la causa que tiene el paciente. Antes no nos enfocábamos mucho en la calidad de las compresiones. Las compresiones eran malas (y siguen siendo malas en muchos sitios) y esto provocaba que no hubiera buena perfusión cerebral. A su vez, esto provocaba daño cerebral en poco tiempo. Por lo tanto, antes, el tiempo era importante porque estaba asociado a muerte cerebral. Debido a las pobres compresiones, en pocos minutos empezaba a ocurrir acidosis respiratoria y era necesario tratar la acidosis. Ahora, la acidosis respiratoria se corrige gracias a las buenas compresiones. Ahora, si podemos perfundir perfectamente al paciente, hemos quitado la barrera. El tiempo no es el problema. El verdadero problema ahora es entender si hay algo que podamos hacer por el paciente. Si existe la posibilidad de hacer algo, se intenta. Si no existe la posibilidad, entonces es momento de suspender el esfuerzo. No es un asunto de tiempo, es un asunto de entender qué tiene el paciente y cuáles son las opciones reales. Es decir, el tiempo era el factor limitante. Si podemos perfundir perfectamente al paciente, hemos quitado la barrera. Escuchen este podcast sobre la embolia pulmonar que sufrió el Dr. Joseph Ornato, MD FACEP FACC FAHA. El Dr. Ornato es uno de los principales investigadores sobre el uso de oxigenación por membrana extracorporea (ECMO) durante paro cardiaco para realizar embolectomías. ¡Resulta que él fue uno de sus propios pacientes en su propio estudio! Óigalo contar su historia, la cual incluyó ECMO, compresiones cardiacas, hipotermia terapéutica por 1 semana, y una recuperación neurológica completa. Las guías 2015 de la AHA recomiendan que la RCP extracorpórea (ECPR) puede proveer tiempo adicional para tratar causas reversibles del paro cardiaco (tales como síndrome coronario agudo, embolia pulmonar, fibrilación ventricular refractaria, hipotermia extrema, intoxicación por drogas, y otras causas más). Lea más sobre ECPR en este website: http://edecmo.org/ El tiempo no es el factor determinante de cuándo detenemos la resucitación. Se detiene el esfuerzo cuando se han intentado las cosas que razonablemente se pueden intentar y no ha habido una respuesta. Se detiene la RCP cuando no hay más nada que hacer. Paro cardiaco por trauma Analicemos un caso hipotético: Los paramédicos llegan 8 minutos luego de que se reporta un serio accidente. Cuando llegan, el paciente está inconsciente, sin signos de vida. ¿Qué posiblemente le pudo haber pasado a este paciente? Probablemente una o varias de las siguientes: Lesión traumática cerebral Hipovolemia por un sangrado masivo Hipoxia Pneumotórax a tensión Tamponada cardiaca ¿Cuánta RCP y epinefrina va a resolver estos problemas anteriores? NINGUNA! Si su paciente se desangró, le administraron líquidos IV, sangre, no ha respondido y está en asístole, ¿cuál es el objetivo de realizar RCP por 20, 30, 60 minutos? De seguro usted realizó estas intervenciones mucho antes de 20 minutos. Si usted ya ha determinado que no hay respuesta y está en asístole... ¿cuánta RCP es necesaria? Probablemente ninguna. Si alguien necesita darle RCP por 30 minutos... pues que lo haga hasta que se sienta que "hizo todo lo posible". En un futuro, los libros de historia de la medicina mirarán esta época y contarán que: En el siglo 21 tuvimos una especie de "ritual de paso" para declarar a una persona muerta y dejarla descansar en paz. En este "ritual" le brindámanos epinefrina y ceremonialmente contábamos mientras comprimíamos el pecho rítmicamente y danzábamos alrededor del paciente realizando diferentes procedimientos como desfibrilación, intubación, canalización, etc., hasta que por fin decidíamos, por diferentes y siempre cambiantes razones, que debíamos parar. En cambio, si usted decide hacer algo, ¡realice intervenciones significativas! ¿Qué son intervenciones significativas? Las "intervenciones significativas", según John Hinds, son aquellas que directamente arreglan algo. Son intervenciones o acciones específicas. En momentos de crisis, donde el tiempo y los recursos pueden ser limitados, es críticamente importante que todas las personas envueltas no pierdan tiempo en cosas que no sean intervenciones significativas. Según el Dr. Hinds, las intevenciones significativas en el paciente de trauma son: Intubación usando un "bougie" y capnografía de onda Toracostomía digital (con el dedo) bilateral Colocar una faja pélvica (SAM Splint) Enderezar fracturas de huesos largos Administrar bolos de fluído (administrar sangre si está en el hospital) Luego de realizar esto, entonces analizan cuál es el estatus del paciente y cuáles son los problemas que se han descubierto para decidir cuáles son las alternativas (ver abajo más info sobre toracotomía de emergencia y sobre REBOA). (Nota: El Dr. Hinds falleció en un accidente de motora este año. Vea un tributo aquí). Pero dejemos que sean las propias palabras del fenecido John Hinds que describan lo que él mismo llamó "intervenciones significativas".                   Paro cardiaco por trauma... toracotomía de emergencia Si usted entiende que su paciente tiene un sangrado masivo, la mejor forma de estabilización es detener el flujo pinzando la aorta. Si usted está decidiendo resucitar al paciente de trauma y se va en paro cardiaco frente a usted... este es el momento. De lo contrario, recuerde que las compresiones cardiacas y la(s) epinefrina(s) son completamente inútiles en este momento.       La toracotomía de emergencia está asociada a mortalidad excesivamente altas. El problema no es solamente encontrar la aorta, sino resolver lo que uno encuentre. Si usted no va a hacer esto, y su paciente requiere un control inmediato de un sangrado masivo abdominal, entonces considere si es útil continuar los esfuerzos. REBOA: una opción en el futuro cercano         Donación de órganos En lugares que tengan un sistema de captación inmediata de órganos y un programa preparado para implementarlo efectivamente, los pacientes que no logran RCE podrían ser candidatos para donar hígado y riñones. Corazones muy buenos para morir A todos nos corre la adrenalina por las venas cuando llegamos a un paro cardiaco. La mejor satisfacción es ver a un equipo verdaderamente coordinado realizando un esfuerzo genuino e inteligente por corregir la causa. Aunque el obtener el pulso (retorno de circulación espontánea, o RCE) NO es el objetivo final (el objetivo final es lograr el egreso del hospital neurológicamente intacto o viable), el RCE es un paso importante en el progreso del paciente. A los que nos apasiona ese juego entre la vida y la muerte, saben que una de las mejores emociones es saber que puedes revertir el paro cardiaco, intentarlo, y luego de esforzarte, obtener ese retorno de circulación, sentir el pulso y ver una presión sanguínea en el monitor. A los que me conocen y han trabajado conmigo, saben que usualmente mi frase favorita es "¡buen trabajo mi gente... estamos en cancha todavía!" Conclusión...memento mori Recuerde que todos vamos a morir algún día, y si hacemos las cosas correctamente, la muerte puede ser tan digna como la vida. Referencias American Heart Association. Web-based Integrated Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care – Part 3: Ethical Issues. ECCguidelines.heart.org.

James and Zach look back at work of horror director Wes Craven (RIP), specifically his high-profile comedy horror flop Vampire in Brooklyn starring Eddie Murphy, as well as discuss Zach’s personal connection to the famed director. Then the guys run down a few anticipated films from the back third of 2015. Subscribe: iTunes / RSS Have a film suggestion you think we’ve never seen and want us to discuss on the show? Send your pick to heyguys@cinereelists.com and one of us WILL watch it and discuss it on a future next show… or send a comment, suggestion or criticism and...

Best of Neil Carruthers on UCA Radio - Series 4 (Oct - Dec 2010) - Includes getting on another student radio stations, sound effect overload and a Merry Christmas for all.

Curators Lesley Young and James Hutchison discuss Artur Zmijewski's work Democracies, their relationship to the artist, his developing practise and ponder audiences' reactions to the work. Democracies features 19 videos of mass public gatherings, riots and protests shown simultaneously in Tramway's street-facing gallery T5.

Subodh Gupta is one of India's foremost contemporary artists. He is in conversation with writer and journalist Moira Jeffrey about his exhibition Take Off Your Shoes and Wash Your Hands in Tramway's large gallery space, his first solo exhibition in the UK.

Lara Favaretto is an Italian artist. Her Autumn / Winter exhibition in Tramway features large kinetic sculptures. For more information about the artist, the venue and the exhibition visit Tramway's website: http://www.tramway.org The exhibition runs Fri 23 Oct 2009 - Sun 13 Dec 2009 And is open: Tue - Fri 12noon - 5pm Sat and Sun 12 noon - 6pm Venue: Tramway 2

Hilary Lloyd is a London-based artist who works with film, video and still images. Her Autumn / Winter exhibition in Tramway is a video installation that takes the life-drawing figures of Glasgow School of Art as her subject matter. For more information about the artist, the venue and the exhibition visit Tramway's website: http://www.tramway.org The exhibition runs Fri 23 Oct 2009 - Sun 20 Dec 2009 And is open: Tue - Fri 12noon - 5pm Sat and Sun 12 noon - 6pm Venue: Tramway 5