Podcasts about PCI

DESCRIPTION Ed Krafcik, Vice President of Aviation with Metropolis, discusses airport parking and mobility. SPONSORS This episode is brought to you by Parking Today and the Parking Today Podcast Network. Learn more at parkingtoday.com/podcast. This episode is brought to you by Parker Technology, the customer experience solution of choice for the parking industry. Their solution puts a virtual ambassador in every lane, to help parking guests pay and get on their way in under a minute. Learn more at parkertechnology.com/parkingpodcast and subscribe to our podcast “Harder Than It Looks: Parking Uncovered.” This episode is brought to you by Parkalytics. Parkalytics will take drone images of parking lots and/or on-street parking for a given time period and then upload those images into their parkalytics software. Within a matter of seconds, it will provide you parking counts, turnover studies, utilization studies, you name it. You can now wow your clients or supervisors by having a complete snapshot of the parking usage for a fraction of the price of a traditional parking study. Learn more at parkalytics.com. This episode is brought to you by Scheidt & Bachman USA. Scheidt & Bachmann USA markets state-of-the-art Parking Solutions and Fare Collection Systems: the most innovative and advanced solutions in the US. Learn more at scheidt-bachmann-usa.com. This episode is brought to you by Breeze: Parking Concepts' digital platform that makes the parking experience a Breeze! For more than 50 years, PCI has been proactively managing parking & transportation operations with unparalleled integrity & service. Learn more at parkingconcepts.com. WEBSITES AND RESOURCES https://www.parkingcast.com/ https://parkingtoday.com/podcast/ www.parkertechnology.com/parkingpodcast scheidt-bachmann-usa.com parkingconcepts.com parkalytics.com MERCH Check out some of our awesome parking themed t-shirts and other merch at parkingcast.com/swag. MUSEUM Check out some of our artifacts from the world's first parking museum at parkingcast.com/museum.

2026 might still seem like a ways off, but now is the time to start chipping away at preparation. Tiff and Kristy walk practices through what to do to be ready for a fresh start come January 1. They talk about lag and lead measures, what to put on your calendar now, fee schedules, and a ton more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:01) Hello, Dental A Team listeners. I am back at you today, Miss Tiffanie, Spiffy Tiffy. No one's called me that in a while. I have not recorded with Kiera in a hot minute. That's how I know I have not recorded with Kiera, because I haven't been called Spiffy Tiffy in a minute. ⁓ We're here today. I have Miss Kristy with me today. She has just done a slew of recordings with me. We blocked out two hours today, and we said, you know what? We're just going to bust out a bunch, and we are doing it. Summertime gets a little wild.   and it gets hard to schedule these suckers in there. So Kristy, thank you for being here with me today. Thank you for scheduling this in your schedule and making sure that we could get this done. How are you?   DAT Kristy (00:39) It's always fun spending time with you. We don't get to do this all the time.   The Dental A Team (00:44) I agree. We really don't. And I started doing ⁓ for you specifically because I'm like, gosh, we really don't. I still get like so much time with Trish, Monica is in, you know, we're doing so much onboarding. ⁓ And so I was like, no, we need, I need Kristy, like just touch base, check in one on one time. Like I need that outside of our monthly one on one. So I agree. And I'm excited to be here today. I think we both have animals at home and it's funny. We like   go a certain amount of time and then they've hit their limits. And I don't know, I've got a cat that's running around just screaming right now. I don't think you guys can hear it, I hope. But I think what happens is she's just like, okay, I'm tired of hearing your voice. Even when I'm on coaching calls, like maybe my inflection is different or I don't know. There's something about podcasting that she hits her limit at about an hour in, hour and a half. She's like, I'm done. I'm either podcasting with you or you're being forced to turn it off.   Yeah, anyways, animals are wild. ⁓ They are. my gosh, they are like kids. They're exhausting. Yeah, they are like, because I think they're worse than kids. You know, when I was little, they used to say, I don't know if people still say this or not, but they used to say, when you think you're ready for kids, get a dog. And I used to be like, that's easy, right? And I'm like, actually, I find that my animals are way more work than my son is. they just require so much of me at   DAT Kristy (01:43) I like kids.   The Dental A Team (02:10) their own discretion. Like it's just, it's when they want it. And I have, I have two cats and a dog and the dog is much chiller, but even puppies, I'm like, puppies are hard. Puppies are not like a newborn. I does not, in my opinion, the same apples to apples, but maybe that's why they say that because you get exhausted by the puppy and you're like, I can't, I can't do this right now. So who knows, but we're not here to talk about dogs or cats. We are here.   We're here today because we are rounding out the year you guys. August is always like such a weird time ⁓ for me because it's like the beginning and the end. It's the beginning, like we're not even too fall yet for Arizona. It feels like fall. We don't really get a fall so we start in August. ⁓ But it feels like we're coming up on the end, but we just started. We get to August so quickly and so.   With that, a lot of times we can kind of forget to prep for the upcoming year until it gets to the last minute because we're like, gosh, it's so early, Tiff. Like, Kristy, we've still got so much of our goal left. We're still working on these things. How am I supposed to think past that? But we really truly do have to prepare in a lot of different ways to ensure that we're ready when January hits. I don't know about you, Kristy, but I know in my practice, I think the   before I was office manager, my office manager and my doctor probably sat down and like did some goals, right? They knew what they were doing. But we didn't know until the end of January when we had our team meeting what those new year's goals were. And that was really hard because I'm like, well, shoot, we're already behind because like, what are we doing here? We had no idea that we had increased our goals because we're still working off of old goals. And I think that that likely happens more often than not.   Because we want a fresh start. We want our January kickoff and it's like if we're not doing January kickoff on January 2nd It's not a kickoff anymore. I guess now we're playing catch-up So a lot of practices really need to start doing this in December November even but December really talking about what next year is going to look like with your teams ⁓ Kristy do you feel that that kind of we talked about this a lot today? Like what was it like back went back in the day when we were in office But did you feel like you kind of ran that same?   trajectory that same calendar year advice.   DAT Kristy (04:31) Yeah, 100%. I think ⁓ in dentistry, we get so focused on lag measures. And I don't know that we ever intentionally focused. It's just the way it's always been. And so you and I talked about this before. We just do it because that's how somebody else did it. And we think it's the way to do it. But I think, again, when you know better, you do better. And we always need to look at the lag measures. looking at lead measures and starting literally now,   The Dental A Team (04:38) Yeah.   Bye.   DAT Kristy (05:01) is a great practice and and to be honest the ones that I see hitting goals for my teams ⁓ we look at them early and we set the tone early. Yeah.   The Dental A Team (05:11) Yeah, yeah,   it does a great point. You hit the nail on the head. We really do focus so much on lag measures, which are a lot of my lag measures will feed into our lead measures. So totally. But I do think that dentistry as a whole misses the mark on lead measures. Even like I had a client the other day that said, Oh, I died, because he died. She's   DAT Kristy (05:35) you   The Dental A Team (05:36) She said, yeah, my CPA, I'm just not too sure about them. They said that not to get too crazy about it, but that I would get my PNLs by the 28th every month. And I about fell out of my chair, because I was like, what the heck? That is a two-month lag measure at this point, because by the time we're reviewing them, we're into two months later from those statistics, those overhead stats. And how are we supposed to make adjustments and change? So you're telling me,   that we are gonna have potentially two bad months because we didn't know it was a bad month until we're at the third month. And I was just like, no, no, no, no, no, no, no. If that's the case, if that's their standard, it doesn't fit our standards. This is not going to work. We have to have better, quicker lag measures so that we can change the lead measures. And I think what you just said plays right into that. Because to them, that CPA, it was like totally natural and normal. It was like, yeah, fine, we'll get them to you.   You can see them, but they're not using them to tell you how to change your business. Some CPAs are, work one-on-one with a couple of different CPAs for my clients and with my clients that are doing that. They're fantastic, they're giving them information and advice every month based off of what they're seeing. That's massive. It's very uncommon also. CPAs at the end of the year would be like, well, this year you overspent in this category, so drop this.   ⁓ for the love, could I not have seen that earlier and made adjustments so that I didn't overspend for an entire year and then could have changed this entire P &L? That's what we do. We look at the P &L with you and we dive into it. And like I said, I do have a couple of CPAs that dive into that with me with clients or sometimes I'll have questions and I'm like, hey, I'll shoot over an email and like, what is this? What are you seeing? And they'll give me the answer. And I'm like, fantastic. Thank you. Those are   freaking phenomenal. Those are clients that I can really dive into numbers and be like, let's change this. Let's turn the dial on this. Because at the end of the year when they're like, next year you can't. I don't want to ever tell you that. Next year you can't. No, next year you can because we adjusted things on the lead measures, meaning what's to come because we were able to see your lag measures. So Kristy, that was brilliant. That was a massive tangent, but that was brilliant.   And I think it really flows into all of those because if you're year to date at August and you don't know those numbers, you haven't looked at them with someone with a CPA, a coach, a consultant, get on that. Do that because what's gonna happen is November, your CPA is gonna be like, let me tell you all the things you shouldn't have done this year. I don't want that to happen. Get on it today. Hello@TheDentalATeam.com if you want advice, if you need help, if you want to one-on-one coach with us, we can help you dive through it.   We are here for it. We have had plenty of clients that have seen incredible profit year over year because of the consulting that they've received, because of the directions that we've been able to push them that they weren't able to see. Again, focusing on the the log measures to push the lead measures. Now, other things, I really wanted this to be like a let's prep for the next year, which I don't know when you're listening to this, but right now it's August, 2025. So we are prepping for...   2026, which is crazy to me. I told, actually I told Kira this morning, my son, started senior year today as I took his little picture and I'm just like, my gosh, and he graduates, you know, 2026. And I'm like, I knew this day would come, but it always felt so far. Like this is, I think when I was a kid, I thought we'd be flying around in cars by now, which I think we're actually really close, which is crazy. But.   To me, like 2026 felt so far away when I was a kid, I thought we're gonna be the Jetsons by then. So again, I think we're actually really close. But it's crazy to think we're prepping for 2026. You guys, we gotta round out 2025 and really be able to project into 2026. And there's some simple things, you guys, we have checklists for this too. So reach out, Hello@TheDentalATeam.com. We can pop you over some checklists, but there are some really simple things. Kristy, like.   I want you to go through, like you were talking earlier on another podcast we recorded about really scheduling some things out. So what are some things that can be done next year that should be in the schedule? And then we'll kind of dive into the goals and stuff that they're going to have to do before we get to the 2026.   DAT Kristy (10:11) Well again, we're all about projecting forward right because you touched on not saying no and part of saying no Maybe adding things so we can say yes, right? So looking at the schedule putting in your HIPAA your OSHA any training CPR, right? ⁓ Is there CE we're planning on let's research it. Let's figure out how much it's gonna cost Are we taking team not taking team? What's the what's the average?   cost because all of that can be factored into our lead measures right and and what is what do we have to make in order to have that happen is it a year for raises have we done fee valuations for the upcoming year a lot of offices don't look at that yearly and I encourage my offices to because here's the thing especially if you're a high PPO you never get to go to the insurance companies and say   hey, I haven't raised my fees in five years, so now I'm gonna make this big jump. They don't let you. So doing those incremental jumps every year, ⁓ another area where people fail to ⁓ evaluate is if you're selling products. Have you looked at the invoices to see what you're paying? And nowadays, that's a big thing, right? Adding in the tariffs and different things that are affecting what we're paying for. Have you adjusted it? Because a lot of my practices charge just what they're paying for it, and then   The Dental A Team (11:15) Yeah.   DAT Kristy (11:40) we look at it and go, my gosh, we're in the hole because we've never adjusted the fees. ⁓ getting your new fee schedules, right? If there's any negotiations that need to happen, I would add that to the list too.   The Dental A Team (11:45) Yeah.   Yeah, and now is the time to do that to start negotiating it so that you can have it for that new year. That was massive because that hits both making sure it's scheduled out to update your fees, but then also right now sending in the request for increased fees to be updated. So that was a twofer right there in my opinion. So good job. Yeah. I also remember earlier you said the PCI compliance. So making sure all of those PCI OSHA HIPAA   all of those training CPR, everybody's up to date and checking all of those. Like when was the last time anyone, that any one individual did those pieces and are there people that need them updated? I know there's a lot of, gosh, specialty practices that will offer for GP practices, the CPR training. We used to do that through the orthodontist we worked hand in hand with. He would just, I mean, it was a referral, a referral mechanism for them, right? It's marketing for them, but they would hire the CPR trainer and then they would invite   dental offices to come get the CPR training for their team. So it's free for us and that orthodontist paid for it. So check with those things as well, but making sure those things are scheduled out. And that's something doctors that your office manager should have that kind of a yearly checklist to make sure that they're going through those. Another thing that you kind of touched on there was like maintenance of different. ⁓   everything right you've got all of your everything needs maintenance so what does your practice look like what are your compressors looking like do they need to be maintenance your ultrasonics like really just diving in and every year it should be that fresh start and looking at what are we going to do now Kristy you mentioned which i love because it goes hand in hand with that too of really budgeting that so budgeting your ce's i had a practice this year they're like help me   our cash flow, what is going on? When we delve into it, there were a ton of ⁓ auxiliary necessary purchases and updates that were made to the practice, to the ⁓ exterior of the practice. So these things were necessary, but they were unplanned for that.   I think you can look at and probably project towards the end of the year to really build out a budget and a percentage and a bucket within your 2026 goals because you guys, it's really easy. If you know it's going to be X amount of money, divide it out over the 12 months and say, great, how am I going to make that up in production and collections to get that money so it's not costing you? It's coming out of the profit for that year, which is what happened with this other practice. We just thought there'd be more profit, but that profit then   went towards, you know, the renovations, excuse me, that needed to be done, but we could have built it in a little bit better had we known they were coming.   So that leads into our goals and really looking at what would a 7 to 10 % increase. Those are the numbers I typically go with increasing from this year 7 to 10 % next year, 7 % for inflation you guys, 10 % because why not be profitable on top of inflation? So you can do 7 % and kind of call it status quo. 10 % is gonna be that growth space that you hopefully and probably are desiring. And really when you look at it 10 % over the course of the year,   is really a drop in the bucket. Kristy, have you found that same thing where that 10 % is like a couple hundred thousand over the course of the year split up over the month is realistically not that much? Kristy, do you see that same thing?   DAT Kristy (15:27) 100 % TIF, I think the problem we get into is we wait till the last minute and then we're trying to crunch it in that short amount of time. But when we look forward and we have the whole year, guys, it can be as simple as one more crown a week, you know, or one more crown a month, depending on where you're lying. and when we break it down like that for teams, it makes it so digestible and and it helps fire us up when we make it that simple. Nine times out of 10.   The Dental A Team (15:41) Yep.   DAT Kristy (15:57) I see them even going further because it's like wow it was so easy right and it never I mean Think about it in our field and we all know this to be true I don't none of my doctors are immune from this but November and December are crazy months. Why do we do it to ourselves? Let's start now   The Dental A Team (16:11) Yeah. Yep. Yep. Yeah, I agree. And that makes me think of   a practice I went into one time, and we did their goals. And I said, Okay, well, in order to finish the year where we want to, we need to ⁓ increase your daily goal by $2,000 across for hygiene to doctors, right? $2,000. They were like, you're crazy. And I'm like, No, I'm not.   This is how much it is per provider. And they were like, Tiff, we love you. We love your training. And we think you're crazy. going to put it on there. We're going to try our hardest. And we're going let you know. The next day, they went above and beyond that $11,000 goal by almost $2,000. The next day, they hit the goal consistently. After setting that goal, they hit it.   and they were like, Tiff, I was getting texts from the team members for days. Like, I can't believe we're doing this. We didn't think it was possible, but actually it was right there, because it was all within the scheduling, right? How are we scheduling things? What are we prioritizing? How are we looking at the structure of our schedule and still serving our patients? So I totally agree. The increase is easy.   as long as it's broken down in a digestible amount. The full yearly amount, you're like, all right, guys, we did 1 million, we're gonna do 1.2 this year. And they're like, my gosh, like, when is it enough? But if you're like, 1.2 is X amount per month, X amount per day.   They're like, okay, we can hit that. We can figure that out. And you're like 30 % from hygiene, 70 % from doctor or 25 % from hygiene, 75 % from doctor. Like figure out the numbers and then figure out daily goals for everyone so that it is digestible, because that's much easier to work with.   ⁓ Another thing to be really, really prepped for is, ⁓ what did we say? We said, updating the paperwork, you said, Kristy. So making sure we know what next year needs to look like. We just did a podcast on OSHA and HIPAA compliance, so making sure you're scheduling that out, but then also making sure that your HIPAA paperwork is updated, is gonna be massive, your health history.   If you are taking CEs, does that need to be updated on your health history? Do you need to ask sleep apnea questions or Botox questions or implant questions? Like, do you need to update that at the beginning of the year and making sure you have all of your patients' data? Kristy, I know you talked about too, you have some clients that just don't have everyone's emails. This day and age, most of our communication is going out by emails. I know most of my clients are sending statements by text and email. There's really not a lot of paper. So making sure   updating those as well. And then Kristy, I don't want to glaze over those you guys, practice software updates too, but I kind of do because I kind of want to talk a little bit very quickly though.   As we're adding goals, Kristy, I you do this a lot. You help practices project what their profitability point is, which is also like your BAM, your bare ace minimum, right? Same thing, different words. How do you also help them project? Do they have enough people? So as they grow their goal, they need to potentially increase staffing and making sure they have the right seat. How do you help them see that when you're helping clients build out those goals?   DAT Kristy (19:36) Yeah.   think that's an important piece of it. Running some reports in your software is going to be helpful. Look at your active patient base. Has it grown? If it's not growing, why not? Are we missing working re-care? And again, lag and lead, guys. I have a lot of practices where maybe capacity, they're booked out, and so they don't work re-care, and those people are falling through the cracks. I would challenge you, even though you are booked out, to still work that re-care.   because every day we wait, they're getting pushed out that much further, right? And it's nothing that we have to shy away from, but again, it's like, man, our hygienist are in high demand. Let's get you scheduled, right? And bring that information. You guys need to look at that. our next new patient openings, when can we schedule for perio maintenance? When can we schedule for root scaling? We need to look at our procedure counts and add in maybe extra blocks.   The Dental A Team (20:40) Yeah. Yeah. Yeah.   I totally agree and making sure at the same time then that we have enough team to accommodate those patients that act as patient based how many patients can one hygienist see in a year? How many hygienists do you have compared to your doctor time? How many assistants do you have compared to the columns of treatment that you're working with? And then one piece I think gets missed, Kristy, in that conversation too is front office team. So like how many back office team members do you have in comparison to your front office team?   I usually like to use an easy ratio of like the number of dental assistants it takes. I should have front office as well to kind of duplicate that to make it super simple. But you're right, pulling those simple reports from the system to ensure we're doing everything we can to get those patients in. But what is that active patient count? Because that's gonna tell a really big story on how much growth we can sustain on the size and the capacity that we have now and the team that we have. So, beautiful. Thank you, Kristy. ⁓   you guys this wraps up a ton for 2026. hope you're feverishly taking notes if you are not driving. If you are driving, re-listen. But as always, Hello@TheDentalATeam.com. We can shoot you over some really easy end of the year, beginning of the year prep checklists ⁓ for office managers, doctors, whomever. And just make sure you guys that you're pre-scheduling things. And I would even pre-schedule this time of year, next year, start prepping for this stuff. Put it in your calendars as an office manager. I had everything in my calendar this time of the year. I was starting to   for the following years, so 2026 goals, but I was also...   ⁓ requesting fee increases. I was sending out end of year letters, right? Like get your treatment done because what happens is we tend to wait till October and that's why November, December is crazy. If you send them now, you can fill September, which we also call September. Start reaching out to those people now and get September filled, October filled and don't make your life too hectic November and December. You can even those out. So you guys go do these things. They're not hard. They're actually really easy and they can be really fun.   Hello@TheDentalATeam.com we can send you over this information and you guys, have so many consultants on our team, Kristy, Trish, Monica, Dana, they are here helping clients every single day to work through these things and so much more. We would love the opportunity to chat one on one with you to see what we can do to help you as well. Hello@TheDentalATeam.com, you guys, we'll catch you next time. Thanks so much.

The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved.Post-arrest care and recovery are the final two links in the chain of survival.Identification of ROSC during CPR.Initial patient management goals after identifying ROSC.The patient's GCS/LOC should be evaluated to determine if targeted temperature management (TTM) is indicated.Recently published studies on TTM and ACLS's current standard.Monitoring the patient's core temperature during TTM.Patients can undergo EEG, CT, MRI, & PCI while receiving TTM.**American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support! Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

In this week's issue, Dr. Harlan Krumholz highlights new science with direct clinical implications: a randomized trial showing conduction system pacing outperforms RV pacing in AV block, a pragmatic study suggesting HEPA filtration may modestly lower blood pressure, and long-term data from FLAVOR comparing FFR and IVUS-guided PCI. Also featured are a state-of-the-art review on heart failure therapy implementation, a brief report refining NT-proBNP thresholds for pre–heart failure, and an updated JACC Report Card revealing persistent cardiovascular mortality disparities among Black Americans. The issue closes with reflections on equity, anatomy, and two complex case reports.

The chain of survival for ACLS is the same as was learned in your BLS class.The beginning steps of the Cardiac Emergency and Stroke chain of survival.ACLS's timed goals for first medical contact to PCI for STEMI and door-to-needle for ischemic stroke.Characteristics of areas that have significantly better stroke and out-of-hospital cardiac arrest outcomes.**American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support! Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

DESCRIPTION "Parking the Future: How Autonomous Vehicles Will Transform Urban Mobility" explores one of the most significant revolutions in modern transportation—the rise of autonomous vehicles (AVs) and how they will reshape the way we think about parking, mobility, and the design of our cities. As self-driving technology moves from the realm of science fiction to reality, its impact will extend far beyond the cars themselves. Autonomous vehicles promise to reduce congestion, lower emissions, and redefine urban space, with traditional parking as one of the first sectors to undergo radical change. "Parking the Future" dives deep into how AVs will alter the very fabric of our cities, from the way parking lots are designed and managed to the creation of more livable, efficient urban spaces. SPONSORS This episode is brought to you by Parking Today and the Parking Today Podcast Network. Learn more at parkingtoday.com/podcast. This episode is brought to you by Parker Technology, the customer experience solution of choice for the parking industry. Their solution puts a virtual ambassador in every lane, to help parking guests pay and get on their way in under a minute. Learn more at parkertechnology.com/parkingpodcast and subscribe to our podcast “Harder Than It Looks: Parking Uncovered.” This episode is brought to you by Parkalytics. Parkalytics will take drone images of parking lots and/or on-street parking for a given time period and then upload those images into their parkalytics software. Within a matter of seconds, it will provide you parking counts, turnover studies, utilization studies, you name it. You can now wow your clients or supervisors by having a complete snapshot of the parking usage for a fraction of the price of a traditional parking study. Learn more at parkalytics.com. This episode is brought to you by Scheidt & Bachman USA. Scheidt & Bachmann USA markets state-of-the-art Parking Solutions and Fare Collection Systems: the most innovative and advanced solutions in the US. Learn more at scheidt-bachmann-usa.com. This episode is brought to you by Breeze: Parking Concepts' digital platform that makes the parking experience a Breeze! For more than 50 years, PCI has been proactively managing parking & transportation operations with unparalleled integrity & service. Learn more at parkingconcepts.com. This episode is brought to you by Parkmobile. Parkmobile, a part of EasyPark Group, is the leading provider of smart parking and mobility solutions in North America, using a contactless approach to help millions of people easily find, reserve, and pay for parking on their mobile devices. Learn more about parkmobile.io. WEBSITES AND RESOURCES https://www.parkingcast.com/ https://parkingtoday.com/podcast/ www.parkertechnology.com/parkingpodcast scheidt-bachmann-usa.com parkingconcepts.com parkmobile.io parkalytics.com https://www.amazon.com/Parking-Future-Autonomous-Vehicles-Transform/dp/B0DLNR7J6H MERCH Check out some of our awesome parking themed t-shirts and other merch at parkingcast.com/swag. MUSEUM Check out some of our artifacts from the world's first parking museum at parkingcast.com/museum.

Tiff and Kristy take a look at patient privacy and the regulatory compliance associated with that privacy, including HIPAA and OSHA. They touch on their own experiences with compliance, how to better educate your practice, what not to do, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript:  The Dental A Team (00:01) Hello, Dental A Team listeners. We are so excited to be here with you today. I have Kristy on crew with me. We have a slew of podcasts we're recording and just some really, really exciting information. We're gonna make it as exciting as we can, at least, that we wanna get out to you. We are more than halfway through the year, which is pretty massive. And so we're gonna be talking about...   a ton about how to end the year, things and pieces to look forward to, things you should be doing now to wrap up for the end of the year, and realistically things to look forward to for the upcoming year, which at this point of recording is 2026. So no matter what year you're listening to us, a lot of this should still be incredibly valuable. Kristy, I am so excited you're here with me today. Thank you so much for clearing your schedule, being here.   being open to this and just always coming with some really invaluable information for our listeners. How are you today, Kristy?   DAT Kristy (01:00) It's a good summer day and a good day to be with you as well. So happy to do it.   The Dental A Team (01:04) Thank you,   thank you. And for those of you who may not know, Kristy, Kristy lived in Arizona a long time ago. she originally, like her formative years were here, but then she left Arizona for quite a little while and she's recently relocated back to the desert. And she decided to come right at the beginning of summer, which I used to tell people like,   don't move here in the summer, like come in different months. But then I started realizing, I'm like, well, if you move here in the summer, you get the worst of the worst. And then the rest of the year is like icing on top of the cake. So Kristy, I actually think you did it in the right direction. And I keep telling you, I think you brought some awesome weather with you this year because we have not broken record heat this year for like the first time ever.   Honestly, we keep breaking records every year and I'm like, these are records we don't need to break. And this year, I think the record has been that it's been so nice. Like it truly, truly has been really light summer. So Kristy, thanks for bringing your weather with you and giving us a little reprieve here in Arizona. So I told you we're going to make these as fun as we possibly can. You guys, we always aim for that fun is actually one of our core values. So it's something we work really, really hard for.   I say that today because I really wanted to talk to you guys about some regulatory compliances, which just even in those words sounds like womp womp, right? Like we're just, how do you make that exciting? Well, with the Dental A Team, Dental A Team can make anything exciting. We can have fun with whatever we want in everything. We truly believe that if we're not having fun, why are we even doing it? So it doesn't mean that things aren't hard, things aren't difficult, that you won't have to push through hard things. It just means that there should be fun on the other side.   and it shouldn't be, you know, tears of pain the whole way through. So here we are, regulatory compliance. You guys know that this is actually really important in the dental industry. You guys have all heard of OSHA. So we'll dive into a little bit on the OSHA, but you guys have also heard of HIPAA. And I have to say, and Kristy, you can tell me what your thoughts are as well, I have to say that when I was in practice, like physically working in an office, we never talked about HIPAA.   We talked about OSHA constantly, like OSHA is going to come in and you've got to have everything six inches from the ceiling and off these certain walls. And you've got to have so many fire extinguishers and the fire escape plans and like all of these, you know, barriers and masks and gloves and don't wear gloves outside the door. All of these pieces for OSHA safety compliance, but   I never heard about HIPAA. I knew as a front office team member that patients had to sign the HIPAA forms and that they had to update them every so often, but I didn't actually know what it was. And when patients would ask me like, oh, what am I signing? I'm like, ah, it just says we're not going to give away your information. Right. And I'm like, I don't know if that's what it says or not, but like, that's what I heard someone say. And so I'm just repeating it. Right. So Kristy, I don't know if you had a different experience in office, but I really truly felt like until   I had to train people on it until I had to be like, no, you have to do HIPAA in the office. And until as a company, we had to start taking our own HIPAA courses every year. I had no idea exactly what it meant for a dental office. And Kristy, you may have had a different experience, but tell me what was your experience when it came to HIPAA in your dental practices that you've worked in?   DAT Kristy (04:36) Yeah, my experience   was actually you made me laugh. It was very similar to yours. I think it was what around 2013 that those forms came out and it was pretty funny because when it first started even patients were funny about it. Like I remember this big long form and you'd hand it to patients and say the same thing. ⁓ it just means we're not going to sell your information or give it to anybody and patients would start reading it and they're crossing things out. And then I'm asking my doctor like how   The Dental A Team (04:50) Yeah.   Yeah.   DAT Kristy (05:06) can they just rewrite it?" And he's like, it doesn't matter. It is what it is. It's just a form. And yeah, so really I started the same place you did. And then later years, ⁓ we ended up doing more formal training on HIPAA. But yeah, started in the same place.   The Dental A Team (05:23) Yeah, I remember   those sheets. They were like longer than it was. It was like a car contract.   where was like you had to fold it a certain way, like they were longer than the rest of the sheets and my patients did the same thing. They're like, well, I don't really agree with this. Like, and they just cross it off and then initial it. And I'm like, all right, like whatever, I just need to scan it into your document center. Like that's all I've got here, right? And if it's like in the paper folder, I had to like fold it so that it would fit. yeah, it was around 2013 and it was like so odd. And then every year they had updates to it. And I was like, I don't know what any of this means, except I did know at the bottom.   them it said, if we were to release your information, who would you want it released to? So my point of that is it's   2025 right now, I don't know what year you're gonna listen to this. 2013 we started this and it took many years for any of us to really learn and understand what it meant, let alone our patience even know and understand what it means. But it is incredibly invaluable and I'm not here to teach you HIPAA by all means, that is never my gig ⁓ or OSHA, but I do know that there are plenty of courses and even just like online forums or...   whatever that will go through it. There are two sides to it and they're incredibly important, especially for business owners. So doctors and owners out there, my doctor too, I was like, what is this? Just like Kristy, what you said, can they do this? He's like, I don't know. Just like, it's just a new form that they told us we need to do. So just do it. And I'm like, okay. He had no idea what it meant either. He just knew it was really important. So.   Doctors go get versed in it. We actually have to take a compliance course every year. All of us do for HIPAA compliance on the medical side, but then also on the business side. And that comes down, it boils down to really privacy, right? And what that looks like. And it actually will take you through what it looks like as far as electronic privacy, verbal privacy, ⁓ patient charts, like how long do you have to keep things? Where should they be kept? Like certain   certain things that honestly and truly your front office is looking up all the time. I don't know how many times I asked like wait a second how long do we have to keep these x-rays for? Wait how long do we have to keep these boxes of files for? Like we're going digital which crazily enough there's still plenty plenty of practices out there that are not digital. ⁓   I know some near and to my heart that are not digital. So like, I remember, but it's just these, these file boxes that you get from Staples and you put them together and we're putting the files in there and we're marking the year that we put them in there so that we could wait the right amount of time. But still in the back of my head, I'm like, is this even right? Like, am I waiting enough time? We would put the date that we boxed it and then the date that it could be destroyed, like, you know, destroy date.   But still I was like...   ⁓ this is still kind of scary. Like, am I doing this right? So my suggestion is to always make sure that you take those courses and that you're well versed in it, especially as a business owner. And I'm saying this after you're three of having to take the HIPAA course online for business compliance for our company, because it's really hard, you guys. I'm not gonna lie. When I go through it, it's like, Karen, I have this game that we play on who's going to get the better score. And to truth be told, like, it's like a barely   passing score and we're like how did how am I still not getting this we read through the stuff we tell we watch the videos and we get to the end and we're like what the heck I still didn't understand it so go take those courses it's just online it's super easy I'm sure we can throw you over a link if you want it so HIPAA I actually wanted to spend some time instilling in you the importance because I think the only thing we hear in dentistry is OSHA and we know so much of the OSHA stuff   But with that said, you also need to focus in on the OSHA. And Kristy, I don't know if you guys had this one too. I had that big red OSHA book that always went in the same spot up above the dental assistance computer so that we always knew where it was. We had the OSHA one, we had the MSDS sheets, and it was like, you did not mess with these books. They were always updated, the, you know, needle stick protocol. But still, you'd go in there and you're like somebody, somebody stuck themselves and you're just like,   frazzle and you're like I don't know what to do even though we've got this OSHA book that tells us what to do it was still a lot so Kristy how did how did you guys do HIPAA and OSHA within your practices like how did you make sure that we you guys had everything that you needed and then how do you train offices to do that now?   DAT Kristy (10:06) Yeah, that's   It's a good thing that you're touching on it because it's one of those things that I think even offices tend to not do because it's so complex. I will say ⁓ we just made it part of our yearly routine. And this is perfect timing because we're coming to the end of the year. And as we're future planning for next year, even setting our goals for the practice and all of that, looking at the calendar and making sure those days are marked out, just like you would your CPI.   The Dental A Team (10:14) Yeah.   DAT Kristy (10:37) are, you know, make sure your OSHA is booked every year in your ⁓ HIPAA training because they are serious, right? And they're one of those things, especially like OSHA, it could shut you down if you weren't compliant. So it is very necessary, but I would say do it as part of your yearly planning and just make sure it's booked on your schedule every year.   The Dental A Team (11:02) I totally agree with you. And I think one piece with that is to make sure you guys understand it too. I know that for us, in my practice, we always stressed about the OSHA because we were like, if they ever come in. And that's like one space of it, right? For sure, you want to be compliant. You want to have the right spaces. If they were to come in, you want to have everything you were supposed to have for sure. But on the flip side of that, like the reason that they do that isn't because they want to come in and like give you a bad grade or get you   in trouble, right? They do it because they actually want you utilizing the information. They want you knowing it and they want it to be helpful in keeping your business safe. And so   not only making sure that you're compliant for the passing grade, but that you're compliant in the fact that you understand it and you're able to use it because it really is truly beneficial for your practice. And there are actually some really valuable pieces in there, just like CPR. Like we have to take CPR to be compliant, but the day that you have to use it is the day you're like, thank God that they made me do that. Right. Like, gosh, this could have been really bad. Right. The day that my son   bless his freaking four-year-old heart at the time, decided to put gummy worms in his frozen yogurt and they turn into rocks and he's choking on it in the middle of the frozen yogurt store and I, thank God, knew what to do to...   pull it out of his mouth and make sure he doesn't have to resuscitate him, all of these pieces, right? We undervalue things because we think we have to do it because someone's telling us to. And if we don't, we're gonna get a bad grade or we're gonna get a slap on the wrist or whatever. Yes and. Like, Kristy, I love when you say yes and. This is a yes and situation. Yes, get the good letter grade, don't get a slap on the wrist, don't get a fine and.   save lives with this information too. HIPAA, you're not going to save a life, but guess what? It's better to be super safe because, I mean, honestly, cybersecurity is wild. And I have had many practices while consulting that have been hacked. And I don't know if you all remember a couple of years ago now, was it last year maybe? Yeah, all of the insurances got hacked and we were without insurance payments for three or four months. We couldn't even submit claims. Like it was wild.   these things do happen and if you're not HIPAA compliant, if you don't know what it means, things aren't stored correctly, you just you have a lot of patients that could be in a lot of trouble. So not only are you going to get in trouble from a business standpoint with you know the regulatory compliance people,   but you're putting your patient's information and your own information at risk. You've got payroll documents on there. You've got your team's information on there. There's a lot of very sensitive information that's stored on there. So OSHA is incredibly valuable. Know it, train on it. I know we used to do quarterly training for OSHA. We'd add it into our monthly team meeting. We'd do a two hour monthly team meeting and at least 30 minutes of that once a quarter would be OSHA training. And so it would be training on a   certain subject from the OSHA book. They literally give it all to you ⁓ and then what I would do now is actually add in some of that HIPAA training with it like quarterly, monthly, however you guys want to do it and yearly, especially making sure that we're all reviewing it, that we're all up to date, that we all understand it and we understand any changes because they change them at the drop of a dime and Kristy, I don't know if you've ever received a letter from OSHA saying, hey, these are the updates but I have not.   I've never seen anything that was just like, guess what? We've updated and changed. So you guys have to go out and look for that information on your own.   Kristy, how did you handle, I know in my practice we had two people. We had one that was responsible for OSHA and then one that was responsible for HIPAA, which at that point, you know, just made sure that we did the sheets. Now we know there's much more involved to it, but how did you handle that in your practice as far as someone like the accountability piece to it? And I never wanted the accountability myself, my doctor.   He's a very busy man. Personally, professionally very busy. I ran his schedule ragged. He was constantly on the move. There's no way on this earth.   that he was ever going to be able to hold anything accountable, especially Osher or HIPAA. So I never made him the owner of that. And then as the office manager, I tried to stay out of that lane as well because I didn't want it to get mixed up in other pieces. But Kristy, how did you handle it in your practice and how do you see practices now handling that kind of responsibility and accountability piece?   DAT Kristy (15:46) Yeah. ⁓   Honestly going back to what you said, it's it's having a champion, right? It doesn't mean that they're the only one responsible but somebody that is the point person that ⁓ Is checking on those things and reporting back? You know how it kind of makes me think of when you go into a restroom at a chain store one of those and they have those Checklists about they check the bathroom at a certain time using something like that to know   The Dental A Team (16:15) Yeah.   DAT Kristy (16:18) ⁓ Because even your fire drills guys we're supposed to have fire drills and make sure team right on Boarding did we teach them where the I wash station is did we show them our? Meetup area if something happens, so It's important and like I said have that point person that can report back   The Dental A Team (16:22) Yeah.   DAT Kristy (16:38) Potentially in one of your team meetings just check on it. Just make sure it's like we do our checklist and chart audits ⁓ I was gonna circle back to you too because I won't name names But we all heard of the corporate entity that also got hacked, right? It's maybe been a couple years now, but you know Think of that they they're a big nationwide chain lots of money, right? And so even if they it happened to them like us as little   The Dental A Team (16:40) Yeah.   Yeah.   DAT Kristy (17:08) guys that don't have that kind of money to spend, we have to be very diligent. I would also do like chart audit type thing. Maybe not necessarily chart, but listen, listen to your admin people. Are they breaching HIPAA in conversations? You know, are they checking IDs? Are we even getting photo IDs from patients?   The Dental A Team (17:18) Yeah.   No, most places   are not getting photo IDs.   DAT Kristy (17:34) Yeah.   And a lot of people, you know, they look, well, we want to know who's coming in. So we want to get your photo. No, don't share your secrets. But on the same token, like it is part of compliance. And if, if you guys have ever heard of red flag rule, if you're accepting insurance, you have a due diligence to make sure that that person is who they say they are. And I have experienced where somebody came in portraying they're somebody else. So ⁓ they're little things, but they can be.   big things and just like that corporate entity it was flashed all over the news and so it's also about saving our reputation those things are hard to come back from.   The Dental A Team (18:16) I totally agree. That's a really great point. And I don't think I know many practices, maybe a handful, that really truly understand the value of the ID portion of it. And I do hear that too, like, we want to know who's coming in. Yeah, but your ID is not going to... A lot of practices will use it for both, and I think that's great. But my picture on my ID, you're never going to know that it's me, right? But at least you took it. It's got my information. It's got my statistics, my demographics that match up   within my insurance card because that does happen constantly.   constantly patients or practices are reporting that they've had patients that come in with the insurance, but it's not actually the person who's on the insurance card. happens a lot. And as you're taking payments as well, like, you know, I'm, I'm surprised we don't get asked more often for our credit cards, but when, or for our ID with our credit cards, but when I do, I'm always like thrown off. But then at the same time, I'm like, actually, thank you for caring enough about my safety, right? My electronic safety that someone's not using my credit card. Who's not actually them. Cause that has happened.   I have had those charges pop up that my credit card is like someone's at Circle K trying to use $5 and they're just like testing it, right? So I do appreciate that and I value it and I think our patients would too. But it is a piece of the record keeping that you're supposed to have if you are going to accept insurance from those patients. So it is a massive piece. that was a great, great point, Kristy. Biggest takeaway today, you guys, two biggest takeaways. Go figure out what HIPAA is if you don't know what it is, medical and   and business like standing business HIPAA, go figure both of those things out. Make sure that you're OSHA compliant, that you've got your book, you've got your sheets, you've got everything that you're supposed to have and that you're training on both of those because those make them compliant as well. And then make sure you've got point people to ensure that these trainings are happening to ensure that we're up to date with everything we're supposed to have. So super easy, you guys, you just you got to dig in and do the work. And I challenge you guys to go take that HIPAA test. It's hard.   Even after taking the course that leads up to it, it is not easy. and I both have struggled with that sucker. So I challenge you to go take that ding test and tell me you know anything about HIPAA. HIPAA? OSHA? K?   Just be compliant, you guys, and figure out an easy way. Like Kristy said, schedule it every year. Schedule it out. You've got your Ops manual update, so do your Ops manual update, your OSHA update, your HIPAA updates, and then make sure that you've got a point person probably for each of those, and they should be three separate people in my opinion if you've got the capacity within your staffing to do it. Kristy, thank you so much for your nuggets and for letting me probe questions over to you about your past as well. You have always, always amazing points.   So thank you for being here with us. Is there anything else you can think of that I missed in that wrap up that they should be doing?   DAT Kristy (21:09) No, I think you hit it all. The only thing we didn't touch on was make sure you're doing PCI compliance because you mentioned credit cards and taking them. There's still a ton of practices that I go in and they're writing down cards. Guys, get rehearsed. You could be putting yourself into ⁓ some situations by doing that. So that would be the only other one that I would add in the mix.   The Dental A Team (21:15) there.   That's a that's actually a really good point. And I've had a couple of practices text me some office managers and be like, what does this mean this PCI like people don't know what that means. And they don't know what that is. So make sure your office managers do know what that is. It goes right along with HIPAA. And those two go hand in hand. So just make sure, again, that you're not running the team that's like, I don't know, we're just supposed to sign this that they actually know what they're for. Because with a reason behind it, things get done. So that was massive, Kristy, thank you for remembering the PCI compliance. Alright, guys, go do   the things they're not really that hard except for that HIPAA test and I do challenge you to go take it because I just want to hear from you on how fun it was. But go do the things if you ever need anything you guys know where to find us Hello@TheDentalATeam.com we are here to help you I know that we do the HIPAA test every year you guys know especially if you're my clients I don't actually know   the link for that, we can get it for you. So Hello@TheDentalATeam.com. We can send you the information for the company that we utilize within our team and our company. Just let us know. And as always, drop a five star review. We'd love to hear what you thought about this. And if you have any regulatory information or things that you'd like to share, put it in that review because people really do read through those and they'll catch it as well. Thanks so much, guys. We'll catch you next time.  

One unstable patient, three departments, and every nurse on alert... Let's break down what really happens during a high-risk STEMI. This episode follows the case of a 62-year old patient from ER to the Cath Lab to the ICU. Nurses Sarah Vance and Caitlyn Nichols help us explore the role of nurses in each stage of care, from stabilizing the patient to placing an Impella device.We cover everything from IV placement and medications to monitoring patients through each phase of care. Learn how to prepare patients for the Cath Lab, manage complications like V-fib and bleeding post-PCI, and support the next team during handoffs. This is a must-listen for nurses involved in cardiac care!Topics discussed in this episode:Case presentation of a 62-year old patientER nurse priorities for STEMI patientsInitial treatment and stabilizationWhy “M.O.N.A.” is an outdated practicePreparing the patient for the Cath Lab teamCath Lab nurse responsibilities and role during PCIHigh-risk PCI vs. standard PCIManaging common complicationsTransitioning from Cath Lab to ICUICU nurse priorities for post-PCI patientsImpella placement and monitoringManaging reperfusion arrhythmiasLong-term care and getting patients off the ImpellaPatient and family educationConnect with Sarah Vance:https://www.instagram.com/iseeu_nurse/Connect with Caitlyn Nichols:https://www.instagram.com/icunursingnotesbycaitlyn/Mentioned in this episode:CONNECT

In this episode of The Burleson Box, Dr. Dustin Burleson sits down with Dr. Kyle Fagala, orthodontist and founder of Neon Canvas, to explore how creativity and strategy intersect in the world of orthodontic marketing and practice growth. Kyle shares his insights on:How digital marketing for orthodontics has evolved and where it's headed nextThe difference between “just having a website” and truly creating an engaging digital experienceWhy practices need to embrace storytelling and creativity to stand out in crowded marketsLessons from building Neon Canvas and working with practices nationwideThe importance of aligning your marketing with your practice values and patient experienceWhether you're looking to refine your online presence, create a more memorable patient journey, or simply get inspired by one of the most creative voices in the industry, this episode is packed with actionable insights.Resources Mentioned in This EpisodeBooks & Concepts:The 7 Habits of Highly Effective People by Stephen R. Covey – A foundational book on principles-based leadership and personal growth.Orbiting the Giant Hairball by Gordon MacKenzie – A creative guide to thriving within corporate structures.Awaken Your Genius by Ozan Varol – A book on rediscovering creativity and original thinking.Both/And Thinking by Wendy K. Smith and Marianne W. Lewis – Research-based insights on balancing paradoxes in organizations.Subtract by Leidy Klotz – A book on improving systems by removing unnecessary elements.The Happiness Advantage by Shawn Achor – Exploring the relationship between positivity and success.Events & Conferences:Mother of Pearls Conference – A collaborative event for orthodontists focused on clinical and practice growth.OrthoPreneurs Summit (OP Summit) – A leading orthodontic conference for practice owners and teams.Projects, Practice & Creative Work:Children's Orthodontic Book Project – Customizable children's books for orthodontic practices, created by Dr. Kyle Fagala.Neon Canvas – A digital marketing agency co-founded by Dr. Kyle Fagala, serving orthodontists nationwide.Saddle Creek Orthodontics – Dr. Fagala's orthodontic practice serving patients in the Memphis area. Subscribe & Review:If you enjoyed this episode, please leave a review and subscribe to The Burleson Box on Apple Podcasts, Spotify, or wherever you listen. Your support helps us bring powerful conversations like this to more listeners in healthcare leadership. ***The Burleson Box is brought to you by Stax Payments:Save Big on Transaction Fees: Boost Your Bottom Line with Stax Payments.Did you know that your practice can start saving thousands of dollars on your monthly processing costs with our preferred payments partner, Stax? Simplify your practice operations and provide a quality patient experience. Healthcare practices like yours need a way to accept payments simply and securely. That's where Stax comes in.Stax helps you manage your entire payments experience from within one platform. You can safely accept touch-free payments in-person, online, or over the phone, securely store and manage patient information with layered security and Level 1 PCI compliance.
Take advantage of a simpler, more transparent way to process your payments with competitive flat-rate pricing, provided exclusively through Stax. No additional fees or contracts required!Power your practice and get paid faster with simple, safe and secure payment solutions. Have questions? Schedule time to speak with a dedicated payment consultant to learn more.Click Below to Lear More Today:StaxPayments.com/burleson-seminars*** Go Premium: Members get early access, ad-free episodes, hand-edited transcripts, exclusive study guides, special edition books each quarter, powerpoint and keynote presentations and two tickets to Dustin Burleson's Annual Leadership Retreat.http://www.theburlesonbox.com/sign-up Stay Up to Date: Sign up for The Burleson Report, our weekly newsletter that is delivered each Sunday with timeless insight for life and private practice. Sign up here:http://www.theburlesonreport.com Follow Dustin Burleson, DDS, MBA at:http://www.burlesonseminars.com

Cybersecurity with Naveed Islam, CISO at DojoIn this special edition of the Tech on Toast Podcast, host Chris Fletcher sits down with Naveed Islam, Chief Information Security Officer at Dojo, to unpack the state of cybersecurity in today's AI-powered, hyper-digital world.From phishing scams and data breaches to quantum threats and ransomware-as-a-service, this episode breaks it all down in a way every operator – whether you're running a single site or leading a national brand – can understand and action.

Confused by payment processing fees? In this episode, Maria Sparagis breaks down the real costs behind merchant account statements — beyond the advertised “2.9% + $0.30.”Whether you're using Stripe, Shopify, or have a standalone merchant account, this is the ultimate guide to uncovering hidden fees, understanding interchange rates, and negotiating better deals.

The chain of survival for a cardiac emergency and stroke start the same:1. preparedness & recognition of an emergency;2. activation of EMS;3. delivery of Advanced Life Support; and4. transporting to the most appropriate facility.ALS ambulances are staffed with paramedics who have training in ACLS skills.Why EMS "Destination Protocols" for suspected stroke and STEMI make a difference.ACLS's timed benchmarks for:point of first medical contact to PCI for ST elevation MI;door to tPA for ischemic stroke; andonset of symptoms to EVT for LVO strokes.Why EMS should bypass a close hospital to transport a STEMI or suspected stroke patient to a hospital capable of 24/7 PCI or a certified stroke center.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn Check out the Pod Resource page at passacls.com for links to the "EMS On Air" podcast for links to episodes that look at EMS's role in stroke outcomes in the rural vs urban area.

Is compliance just a checkbox, or the backbone of real security? Returning to the show with decades of hard-earned insight, Jeff Man makes the case that compliance, especially PCI-DSS, isn't just a formality; it's foundational to modern security. As one of the original architects of the NSA Red Team and a 20-year PCI veteran, Jeff explains how this often-misunderstood framework has shaped everything from pen testing to vendor accountability. Ron and Jeff unpack the six core goals of PCI, how red teams and SaaS builders are directly affected, and why many security teams resist compliance efforts, despite relying on them to get essential buy-in and funding.   Impactful Moments: 00:00 – Introduction 01:00 – Does compliance equal security? 02:09 – Jeff returns with PCI firepower 03:15 – Defining security vs. compliance 05:33 – “Show me what you're doing” 06:45 – Six goals at PCI's core 10:45 – Security is watching, not reacting 13:30 – Companies secure because they have to 15:00 – PCI gave red teams their jobs 16:30 – Stripe and Square absorb PCI burden 19:30 – PCI 4.0 causes confusion 21:00 – Vendors aren't your trusted advisors 22:30 – “Hate me, but I'll help” Links: Connect with our guest, Jeff Man: https://www.linkedin.com/in/jeffreyeman/ Check out our upcoming events: https://www.hackervalley.com/livestreams Join our creative mastermind and stand out as a cybersecurity professional: https://www.patreon.com/hackervalleystudio Love Hacker Valley Studio? Pick up some swag: https://store.hackervalley.com Continue the conversation by joining our Discord: https://hackervalley.com/discord Become a sponsor of the show to amplify your brand: https://hackervalley.com/work-with-us/

DESCRIPTION Anthony Strait, Vice President of Operations with the Downtown Tempe Authority, discusses downtown Tempe, frictionless parking and data. SPONSORS This episode is brought to you by Parkalytics. Parkalytics will take drone images of parking lots and/or on-street parking for a given time period and then upload those images into their parkalytics software. Within a matter of seconds, it will provide you parking counts, turnover studies, utilization studies, you name it. You can now wow your clients or supervisors by having a complete snapshot of the parking usage for a fraction of the price of a traditional parking study. Learn more at parkalytics.com. This episode is brought to you by Parking Today and the Parking Today Podcast Network. Learn more at parkingtoday.com/podcast. This episode is brought to you by Parker Technology, the customer experience solution of choice for the parking industry. Their solution puts a virtual ambassador in every lane, to help parking guests pay and get on their way in under a minute. Learn more at parkertechnology.com/parkingpodcast and subscribe to our podcast “Harder Than It Looks: Parking Uncovered.” This episode is brought to you by Scheidt & Bachman USA. Scheidt & Bachmann USA markets state-of-the-art Parking Solutions and Fare Collection Systems: the most innovative and advanced solutions in the US. Learn more at scheidt-bachmann-usa.com. This episode is brought to you by Breeze: Parking Concepts' digital platform that makes the parking experience a Breeze! For more than 50 years, PCI has been proactively managing parking & transportation operations with unparalleled integrity & service. Learn more at parkingconcepts.com. This episode is brought to you by Parkmobile. Parkmobile, a part of EasyPark Group, is the leading provider of smart parking and mobility solutions in North America, using a contactless approach to help millions of people easily find, reserve, and pay for parking on their mobile devices. Learn more about parkmobile.io. WEBSITES AND RESOURCES https://www.parkingcast.com/ https://parkingtoday.com/podcast/ www.parkertechnology.com/parkingpodcast scheidt-bachmann-usa.com parkingconcepts.com parkmobile.io parkalytics.com downtowntempe.com/get-around/tempe-trip

Ginevra Bompiani, Luciana Castellina"Il femminismo della mia vicina"Manni Editoriwww.mannieditori.itCi sono molti punti in comune tra il colonialismo e il patriarcato. Noi donne siamo state colonizzate e quindi dobbiamo liberarci. Il colonialismo non è solo oppressione materiale, ma anche snaturamento della nostra stessa identità. E, anzi, il nostro non riconoscerci come donne è stata un'oppressione più dura di quella materiale.Luciana Castellina Bisogna tornare molto indietro o andare molto avanti per individuare la vera differenza fra l'uomo e la donna; quella che non costringe e non umilia nessuno dei due. Ma per prima cosa, bisogna abolire il potere che l'uomo si sente in diritto di esercitare sulla donna.Ginevra BompianiLuciana Castellina e Ginevra Bompiani, grandi amiche, grandi personalità, si raccontano come donne e come femministe, tracciano un bilancio e fanno progetti.Ripercorrono la propria vicenda a partire dall'infanzia, fino al rapporto con l'altro sesso e alla maternità; la formazione femminista, Bompiani nel gruppo Rivolta Femminile e Castellina nel Pci e nell'Udi; e ragionano sul femminismo storico e su quello contemporaneo, sul dibattito attuale e sulle principali battaglie: dalla legislazione al Me too, dal concetto di identità al pensiero della differenza, dalla questione linguistica alle quote rosa.La storia intellettuale di Bompiani e quella politica di Castellina si incontrano in un'amicizia che è fatta anche di contrasti, di posizioni diverse, ma che trova una piena convergenza nella necessità della lotta di genere.Un libro che ha lo sguardo rivolto al passato e al futuro in un'epoca in cui l'unica rivoluzione che sembra riuscita è il nuovo modo di concepire la donna e di denunciare il patriarcato.Ginevra BompianiÈ nata a Milano nel 1939. Ha insegnato Letteratura inglese e Letterature Comparate all'Università di Siena. Ha fondato con alcuni amici la casa editrice nottetempo che ha diretto per tredici anni. Ha pubblicato libri di narrativa e saggistica. Tra gli ultimi, il memoir La penultima illusione (Feltrinelli, 2022) e Il pensiero affettivo, saggio epistolare con Sarantis Thanopulos (Feltrinelli, 2024).Luciana CastellinaÈ nata a Roma nel 1929. Ha lavorato nella sezione femminile del Pci e ha fatto parte della presidenza dell'Udi. Tra i fondatori del “manifesto”, è stata deputata del Parlamento italiano ed europeo. Ha pubblicato diversi libri di saggistica e memoir, tra cui La scoperta del mondo (nottetempo, 2011, Cinquina del Premio Strega).IL POSTO DELLE PAROLEascoltare fa pensarewww.ilpostodelleparole.itDiventa un supporter di questo podcast: https://www.spreaker.com/podcast/il-posto-delle-parole--1487855/support.

The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved.Post-arrest care and recovery are the final two links in the chain of survival.Identification of ROSC during CPR.Initial patient management goals after identifying ROSC.Indications for starting TTM.Monitoring the patient's core temperature.Patients can undergo EEG, CT, MRI, & PCI while receiving TTM.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

DESCRIPTION Happy Fourth of July from The Parking Podcast! SPONSORS This episode is brought to you by Parkalytics. Parkalytics will take drone images of parking lots and/or on-street parking for a given time period and then upload those images into their parkalytics software. Within a matter of seconds, it will provide you parking counts, turnover studies, utilization studies, you name it. You can now wow your clients or supervisors by having a complete snapshot of the parking usage for a fraction of the price of a traditional parking study. Learn more at parkalytics.com. This episode is brought to you by Parking Today and the Parking Today Podcast Network. Learn more at parkingtoday.com/podcast. This episode is brought to you by Parker Technology, the customer experience solution of choice for the parking industry. Their solution puts a virtual ambassador in every lane, to help parking guests pay and get on their way in under a minute. Learn more at parkertechnology.com/parkingpodcast and subscribe to our podcast “Harder Than It Looks: Parking Uncovered.” This episode is brought to you by Scheidt & Bachman USA. Scheidt & Bachmann USA markets state-of-the-art Parking Solutions and Fare Collection Systems: the most innovative and advanced solutions in the US. Learn more at scheidt-bachmann-usa.com. This episode is brought to you by Breeze: Parking Concepts' digital platform that makes the parking experience a Breeze! For more than 50 years, PCI has been proactively managing parking & transportation operations with unparalleled integrity & service. Learn more at parkingconcepts.com. This episode is brought to you by Parkmobile. Parkmobile, a part of EasyPark Group, is the leading provider of smart parking and mobility solutions in North America, using a contactless approach to help millions of people easily find, reserve, and pay for parking on their mobile devices. Learn more about parkmobile.io. WEBSITES AND RESOURCES https://www.parkingcast.com/ https://parkingtoday.com/podcast/ www.parkertechnology.com/parkingpodcast scheidt-bachmann-usa.com parkingconcepts.com parkmobile.io parkalytics.com MERCH Check out some of our awesome parking themed t-shirts and other merch at parkingcast.com/swag. MUSEUM Check out some of our artifacts from the world's first parking museum at parkingcast.com/museum.

In this eye-opening episode of the Whole Body Detox Show, discover the shocking truth behind the widespread use of cardiac procedures like stents (PCI) and bypass surgery (CABG) — and why many may be unnecessary for those with stable heart disease.Drawing insights from Dr. Brownstein's Natural Way to Health and years of clinical experience, host David DeHaas of Living Waters Wellness Center breaks down how the medical industry often prioritizes profit over patient well-being, leaving many uninformed about the actual risks, benefits, and alternatives to invasive procedures.

In this episode of JACC This Week, Editor-in-Chief Dr. Harlan Krumholz summarizes key studies from the July 15 issue, focused on cardiovascular interventions. Topics include new insights on plaque vulnerability in acute coronary syndromes, virtual flow reserve after PCI, long-term data on FFR-guided revascularization, and stent thrombosis risk. This issue delivers high-impact, practice-relevant research for interventionalists, imaging specialists, and general cardiologists alike.

Scott Hansen joins Dustin Burleson on The Burleson Box to share his journey from growing a family orthodontic practice to building LeadSigma, a CRM and AI platform transforming how dental and orthodontic practices manage new patient leads. Together, they explore what most practices miss when it comes to follow-up, why “boring” tasks like answering the phone matter more than ever, and how smart automation is unlocking a new era of growth and efficiency.What You'll Learn in This Episode:How Scott tripled his mom's orthodontic practice and sold to Smile DoctorsThe origin story of OrthoChats and how it became Professional Chats Why most CRMs don't work for dental and ortho teams—and how LeadSigma is differentThe key metrics that indicate your practice is leaking new patient leadsHow AI voice agents can answer phones, schedule appointments, and never miss a leadWhy fast follow-up (within seconds, not minutes) boosts conversion rates by over 30%What the best practices are doing to build a Per Se-level patient experienceWhy focusing on “boring but essential” systems is the path to real, scalable growthResources & Mentions:LeadSigma.comUnreasonable Hospitality by Will GuidaraLevel the Curve by Oliver Gelles and Dr. Jamie ReynoldsRuby ReceptionistPer SeShoutouts to Jay Geier, Dan Kennedy, John Carlton, and OrthoFiConnect with Scott Hansen:LeadSigma.com — Learn more and schedule a demoLinkedIn: Scott HansenConnect with Dustin Burleson:BurlesonSeminars.comInstagram: @dustinburlesonseminars Subscribe & Review:If you enjoyed this episode, please leave a review and subscribe to The Burleson Box on Apple Podcasts, Spotify, or wherever you listen. Your support helps us bring powerful conversations like this to more listeners in healthcare leadership. ***The Burleson Box is brought to you by Stax Payments:Save Big on Transaction Fees: Boost Your Bottom Line with Stax Payments.Did you know that your practice can start saving thousands of dollars on your monthly processing costs with our preferred payments partner, Stax? Simplify your practice operations and provide a quality patient experience. Healthcare practices like yours need a way to accept payments simply and securely. That's where Stax comes in.Stax helps you manage your entire payments experience from within one platform. You can safely accept touch-free payments in-person, online, or over the phone, securely store and manage patient information with layered security and Level 1 PCI compliance.
Take advantage of a simpler, more transparent way to process your payments with competitive flat-rate pricing, provided exclusively through Stax. No additional fees or contracts required!Power your practice and get paid faster with simple, safe and secure payment solutions. Have questions? Schedule time to speak with a dedicated payment consultant to learn more.Click Below to Lear More Today:StaxPayments.com/burleson-seminars*** Go Premium: Members get early access, ad-free episodes, hand-edited transcripts, exclusive study guides, special edition books each quarter, powerpoint and keynote presentations and two tickets to Dustin Burleson's Annual Leadership Retreat.http://www.theburlesonbox.com/sign-up Stay Up to Date: Sign up for The Burleson Report, our weekly newsletter that is delivered each Sunday with timeless insight for life and private practice. Sign up here:http://www.theburlesonreport.com Follow Dustin Burleson, DDS, MBA at:http://www.burlesonseminars.com

Giorgia Antonelli"Tutto il mondo è cosa mia"Rossana RossandaElecta Editorewww.electa.itFelicità e libertà, tutti o nessuno, corpo e politica sono le sponde tra cui si muovono queste pagine dedicate a Rossana Rossanda (1924-2020), una ragazza che ha vissuto molte vite in una donna sola: partigiana, critica d'arte, traduttrice, deputata, scrittrice, direttrice editoriale e fondatrice del “Manifesto”. Dalla Resistenza alla crisi del PCI, dalle BR al femminismo, il ritratto di un'esistenza guidata dal dubbio e incapace di tacere davanti alle ingiustizie. Radicale e sempre in corsa.Il volume fa parte della collana OILÀ, curata da Chiara Alessi, che presenta le storie di protagoniste del Novecento. Figure femminili che, nel panorama ‘creativo' italiano e internazionale (dal design alla moda, dall'architettura alla musica, dall'illustrazione alla grafica, dalla fotografia alla letteratura) si sono distinte in rapporto a discipline e mestieri ritenuti da sempre appannaggio dell'universo maschile. I libri, pensati per essere letti ad alta voce dall'inizio alla fine in quarantacinque minuti -un viaggio breve-, sono racconti di persone condotti attraverso una lente speciale sulle loro biografie, i lavori, i fatti privati e i risultati pubblici.Il progetto grafico è a cura dello Studio Sonnoli.IL POSTO DELLE PAROLEascoltare fa pensarewww.ilpostodelleparole.itDiventa un supporter di questo podcast: https://www.spreaker.com/podcast/il-posto-delle-parole--1487855/support.

Welcome to the CRE podcast. 100% Canadian, 100% commercial real estate. Recorded live at the Vancouver Real Estate Forum, this episode of the Commercial Real Estate Podcast features Tim Grant, President of PCI Developments. Hosts  Aaron Cameron and Adam Powadiuk explore how PCI navigates today's volatile market with strategic mixed-use developments, transit-oriented projects, and a... The post Why PCI Is Betting Big on Vancouver's Real Estate Future with Tim Grant, President of PCI Developments appeared first on Commercial Real Estate Podcast.

Claudio Caprara"Fischiava il vento"Una storia sentimentale del comunismo italianoBompiani Editorewww.bompiani.itPassaggi Festival, FanoMer 25 Giugno 2025 – Orario: 18:15 - 19:15 – Luogo: Fano – Piazza MarcoliniCLAUDIO CAPRARA, “Fischiava il vento. Una storia sentimentale del comunismo italiano” (Bompiani, 2025)Conversa con Marino Sinibaldi (Saggista), Nando dalla Chiesa (Sociologo, Presidente Com. Scientifico Passaggi)“Senza un istante di sosta per guardare dentro di sé, tutta presa dal combattimento senza nulla di personale”: così nell'estate del 1946 Palmiro Togliatti descrive la propria vita a Nilde Iotti, il cui amore gli ha restituito il desiderio di tenere qualcosa per sé, salvandolo dalla dedizione assoluta al partito. Quella di Togliatti e Iotti è solo una delle tante vicende di una straordinaria storia collettiva che ha segnato il nostro Novecento: quella del Pci e dei suoi militanti. Il comunismo italiano è stato un'esperienza unica, capace di interpretare gli aspetti più autentici e carichi di speranza rivoluzionaria della sua ideologia fondativa senza doverne sperimentare le tragiche degenerazioni. Una causa a cui una moltitudine di donne e uomini si è votata con passione assoluta. Dalle origini, quando socialismo, comunismo e fascismo per un fatale istante si sfiorano, alle figure più e meno note di Antonio Gramsci e Anselmo e Andrea Marabini, Nicola Bombacci e Veraldo Vespignani; dal biennio rosso del 1919-20 e la nascita del Partito comunista d'Italia nel 1921 fino alla morte di Berlinguer nel 1984. E ancora: la scuola delle Frattocchie e le feste dell'Unità, gli amori e i tradimenti, la propaganda e i funerali. Claudio Caprara – nato in una sezione di partito nella rossa Imola – evoca in queste pagine i luoghi, i miti, i riti che hanno reso quella del comunismo italiano una stagione irripetibile e ci regala un viaggio per istantanee nella storia di un partito che ha lasciato un'impronta profonda nella vita del nostro paese.Claudio Caprara è nato il 21 gennaio (la stessa data della fondazione del PCI) quarant'anni prima del 2000, in una sezione del Partito comunista italiano. Ha lavorato per la FGCI (Federazione giovanile comunista italiana) a livello locale, regionale e nazionale. Ha diretto un settimanale a Imola e ne ha fondato un altro a Faenza. Ha collaborato con Massimo D'Alema in via delle Botteghe Oscure e a Palazzo Chigi. In seguito si è occupato del primo motore di ricerca italiano, poi di televisione. Ama fare fotografie. Dal 2004 è membro del cda di Cinemovel Foundation, un'organizzazione che porta il cinema nelle zone dove non c'è più o dove non è mai arrivato. Nel 2009 ha lavorato con Luca Sofri alla costituzione della società Il Post srl e, dal 2010, ne è consigliere di amministrazione.IL POSTO DELLE PAROLEascoltare fa pensarewww.ilpostodelleparole.itDiventa un supporter di questo podcast: https://www.spreaker.com/podcast/il-posto-delle-parole--1487855/support.

DESCRIPTION Hospitality executive Russell Harms spent three decades working in upscale hotels and overseeing large scale parking management operations across the United States. As his career grew, he began to experience excruciating anxiety and depression, forcing him to navigate unimaginable adversity. As he tried to balance a prosperous career and young family, his world crumbled around him. In this gripping memoir, Harms shares the unseen challenges behind his journey with bipolar and the profound process of reclaiming his life. Discover how he confronted his darkest moments and found the strength to rebuild, offering hope and inspiration for anyone facing their own struggles. This is a story of resilience, redemption, and the power of the human spirit. SPONSORS This episode is brought to you by Parkalytics. Parkalytics will take drone images of parking lots and/or on-street parking for a given time period and then upload those images into their parkalytics software. Within a matter of seconds, it will provide you parking counts, turnover studies, utilization studies, you name it. You can now wow your clients or supervisors by having a complete snapshot of the parking usage for a fraction of the price of a traditional parking study. Learn more at parkalytics.com. This episode is brought to you by Parking Today and the Parking Today Podcast Network. Learn more at parkingtoday.com/podcast. This episode is brought to you by Parker Technology, the customer experience solution of choice for the parking industry. Their solution puts a virtual ambassador in every lane, to help parking guests pay and get on their way in under a minute. Learn more at parkertechnology.com/parkingpodcast and subscribe to our podcast “Harder Than It Looks: Parking Uncovered.” This episode is brought to you by Scheidt & Bachman USA. Scheidt & Bachmann USA markets state-of-the-art Parking Solutions and Fare Collection Systems: the most innovative and advanced solutions in the US. Learn more at scheidt-bachmann-usa.com. This episode is brought to you by Breeze: Parking Concepts' digital platform that makes the parking experience a Breeze! For more than 50 years, PCI has been proactively managing parking & transportation operations with unparalleled integrity & service. Learn more at parkingconcepts.com. This episode is brought to you by Parkmobile. Parkmobile, a part of EasyPark Group, is the leading provider of smart parking and mobility solutions in North America, using a contactless approach to help millions of people easily find, reserve, and pay for parking on their mobile devices. Learn more about parkmobile.io. WEBSITES AND RESOURCES https://www.parkingcast.com/ https://parkingtoday.com/podcast/ www.parkertechnology.com/parkingpodcast scheidt-bachmann-usa.com parkingconcepts.com parkmobile.io parkalytics.com russellharms.com MERCH Check out some of our awesome parking themed t-shirts and other merch at parkingcast.com/swag. MUSEUM Check out some of our artifacts from the world's first parking museum at parkingcast.com/museum.

Contributor: Taylor Lynch, MD Educational Pearls: How do we risk-stratify chest-pain patients? One option is the HEART score This score predicts a patient's 6-week risk of a major adverse cardiac event. Ex. Cath procedure, CABG, PCI, death H stands for History Ask 1) Was the patient diaphoretic? 2) Did they have nausea and/or vomiting? 3) Did the pain radiate down the right or left arm? 4) Was it exertional? Yes to one = one point. Two or more = two points. E stands for EKG One point for left ventricular hypertrophy, t-wave inversions, new bundle-branch blocks. No points for first degree AV block, benign early repolarization, or QT-prolongation Two points for ST-depression A stands for Age >65 gets two points 45-64 gets one point R stands for Risk factors Hypertension, hyperlipidemia, diabetes, obesity, family history, smoking, previous MI, previous CABG, stroke, peripheral arterial disease 1-2 risk factors get 1 point More than two risk factors gets two points T stands for Troponin 1-3x upper limit of normal gets one point >3x upper limit of normal gets two points This gives you a score between zero and ten 0-3 points, patients have a ~2% chance of an adverse event These patients likely go home 4-6 points, patients have a ~20% chance of an adverse event These patients get admitted or expedited outpatient stress test/echo 7-10 points, patients have a ~60% chance of an adverse event Admit and call cardiology. These patients likely get catheterized References Backus BE, Six AJ, Kelder JC, Bosschaert MA, Mast EG, Mosterd A, Veldkamp RF, Wardeh AJ, Tio R, Braam R, Monnink SH, van Tooren R, Mast TP, van den Akker F, Cramer MJ, Poldervaart JM, Hoes AW, Doevendans PA. A prospective validation of the HEART score for chest pain patients at the emergency department. Int J Cardiol. 2013 Oct 3;168(3):2153-8. doi: 10.1016/j.ijcard.2013.01.255. Epub 2013 Mar 7. PMID: 23465250. Laureano-Phillips J, Robinson RD, Aryal S, Blair S, Wilson D, Boyd K, Schrader CD, Zenarosa NR, Wang H. HEART Score Risk Stratification of Low-Risk Chest Pain Patients in the Emergency Department: A Systematic Review and Meta-Analysis. Ann Emerg Med. 2019 Aug;74(2):187-203. doi: 10.1016/j.annemergmed.2018.12.010. Epub 2019 Feb 2. PMID: 30718010. https://www.mdcalc.com/calc/1752/heart-score-major-cardiac-events Summarized by Jeffrey Olson, MS4 | Edited by Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate/

Score Values: Keri Drew, a PCI certified parent coach full 624 Sun, 22 Jun 2025 13:41:27 +0000 WaXZrzGOO5f4zhBxKGh6qO8sYHGCc3rN sports Best of 670 The Score sports Score Values: Keri Drew, a PCI certified parent coach Best of the Score brings listeners the best interviews, segments, bits and highlights of the station's many shows, including Mully & Haugh, Bernstein & Harris and Spiegel & Holmes. 2024 © 2021 Audacy, Inc. Sports False https://player.amperwavepodcasting.com?

In many organizations, security exception management is a manual process, often treated as a simple compliance checkbox. While necessary, this approach can lead to unmonitored configurations that drift from their approved state, creating inconsistencies in an organization's security posture over time. How can teams evolve this process to support modern development without compromising on security?In this episode, Ashish Rajan sits down with security expert Santosh Bompally, Cloud Security Engineering Team Lead at Humana to discuss a practical framework for automating exception management. Drawing on his journey from a young tech enthusiast to a security leader at Humana, Santosh explains how to transform this process from a manual task into a scalable, continuously monitored system that enables developer velocity.Learn how to build a robust program from the ground up, starting with establishing a security baseline and leveraging policy-as-code, certified components, and continuous monitoring to create a consistent and secure cloud environment.Guest Socials -⁠⁠ ⁠Santosh's LinkedinPodcast Twitter - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@CloudSecPod⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠If you want to watch videos of this LIVE STREAMED episode and past episodes - Check out our other Cloud Security Social Channels:-⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Cloud Security Podcast- Youtube⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠- ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Cloud Security Newsletter ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠- ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Cloud Security BootCamp⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠If you are interested in AI Cybersecurity, you can check out our sister podcast -⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ AI Cybersecurity PodcastQuestions asked:(00:00) Introduction(00:39) From Young Hacker to Cybersecurity Pro(02:14) The "Tick Box" Problem with Exception Management(03:17) Exposing Your Threat Landscape: The Risk of Not Automating(05:43) Where Do You Even Start? The First Steps(08:26) VMs vs Containers vs Serverless: Is It Different?(11:15) Building Your Program: Start with a Security Baseline(14:44) What Standard to Follow? (CIS, PCI, HIPAA)(17:20) The Lifecycle of a Control: When Should You Retire One?(19:42) The 3 Levels of Security Automation Maturity(23:25) Do You Need to Be a Coder for GRC Automation?(26:16) Fun Questions: Home Automation, Family & Food

The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved.Post-arrest care and recovery are the final two links in the chain of survival.Identification of ROSC during CPR.Initial patient management goals after identifying ROSC.The patient's GCS/LOC should be evaluated to determine if targeted temperature management (TTM) is indicated.Patients that cannot obey simple commands should receive TTM for at least 24 hours.Recently published studies on TTM and ACLS's current standard.Monitoring the patient's core temperature during TTM.Patients can undergo EEG, CT, MRI, & PCI while receiving TTM.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

DESCRIPTION Kathleen Federici, Vice President of Professional Development at IPMI, discusses the transition from CAPP to PTMP. SPONSORS This episode is brought to you by Parking Today and the Parking Today Podcast Network. Learn more at parkingtoday.com/podcast. This episode is brought to you by Parker Technology, the customer experience solution of choice for the parking industry. Their solution puts a virtual ambassador in every lane, to help parking guests pay and get on their way in under a minute. Learn more at parkertechnology.com/parkingpodcast and subscribe to our podcast “Harder Than It Looks: Parking Uncovered.” This episode is brought to you by Scheidt & Bachman USA. Scheidt & Bachmann USA markets state-of-the-art Parking Solutions and Fare Collection Systems: the most innovative and advanced solutions in the US. Learn more at scheidt-bachmann-usa.com. This episode is brought to you by Breeze: Parking Concepts' digital platform that makes the parking experience a Breeze! For more than 50 years, PCI has been proactively managing parking & transportation operations with unparalleled integrity & service. Learn more at parkingconcepts.com. This episode is brought to you by Parkmobile. Parkmobile, a part of EasyPark Group, is the leading provider of smart parking and mobility solutions in North America, using a contactless approach to help millions of people easily find, reserve, and pay for parking on their mobile devices. Learn more about parkmobile.io. This episode is brought to you by Parkalytics. Parkalytics will take drone images of parking lots and/or on-street parking for a given time period and then upload those images into their parkalytics software. Within a matter of seconds, it will provide you parking counts, turnover studies, utilization studies, you name it. You can now wow your clients or supervisors by having a complete snapshot of the parking usage for a fraction of the price of a traditional parking study. Learn more at parkalytics.com. WEBSITES AND RESOURCES https://www.parkingcast.com/ https://parkingtoday.com/podcast/ www.parkertechnology.com/parkingpodcast scheidt-bachmann-usa.com parkingconcepts.com parkmobile.io parkalytics.com MERCH Check out some of our awesome parking themed t-shirts and other merch at parkingcast.com/swag. MUSEUM Check out some of our artifacts from the world's first parking museum at parkingcast.com/museum.

The chain of survival for ACLS is the same as was learned in your BLS class.The beginning steps of the Cardiac Emergency and Stroke chain of survival.ACLS's timed goals for first medical contact to PCI for STEMI and door-to-needle for ischemic stroke.Characteristics of areas that have significantly better stroke and out-of-hospital cardiac arrest outcomes.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

Chronic Total Occlusion in 2025   Guest: Gregory Barsness, M.D. Host: Malcolm Bell, M.D.   Chronic (>3 months) complete epicardial coronary obstructive lesions, often referred to as CTOs, are recognized in a large minority of those referred for coronary angiography yet historically represent

What You'll Learn:Why technology may be increasing workplace isolation, not solving itHow EQ is overtaking IQ as the most valuable skill in a tech-driven economyThe four essential factors that drive employee engagementPractical strategies for building stronger relationships with remote teamsWhy work-life integration beats the myth of work-life balanceWhat great leaders do differently to retain top talentInsights from over 90,000 professionals in 20+ countriesKey Quote:“You'll never grow as a company if you're too busy replacing workers.”Resources & Mentions:Dan's book: Back to Human: How Great Leaders Create Connection in the Age of IsolationDan's podcast: Five Questions with Dan SchawbelVisit DanSchawbel.com for more Subscribe & Review:If you enjoyed this episode, please leave a review and subscribe to The Burleson Box on Apple Podcasts, Spotify, or wherever you listen. Your support helps us bring powerful conversations like this to more listeners in healthcare leadership. ***The Burleson Box is brought to you by Stax Payments:Save Big on Transaction Fees: Boost Your Bottom Line with Stax Payments.Did you know that your practice can start saving thousands of dollars on your monthly processing costs with our preferred payments partner, Stax? Simplify your practice operations and provide a quality patient experience. Healthcare practices like yours need a way to accept payments simply and securely. That's where Stax comes in.Stax helps you manage your entire payments experience from within one platform. You can safely accept touch-free payments in-person, online, or over the phone, securely store and manage patient information with layered security and Level 1 PCI compliance.
Take advantage of a simpler, more transparent way to process your payments with competitive flat-rate pricing, provided exclusively through Stax. No additional fees or contracts required!Power your practice and get paid faster with simple, safe and secure payment solutions. Have questions? Schedule time to speak with a dedicated payment consultant to learn more.Click Below to Lear More Today:StaxPayments.com/burleson-seminars*** Go Premium: Members get early access, ad-free episodes, hand-edited transcripts, exclusive study guides, special edition books each quarter, powerpoint and keynote presentations and two tickets to Dustin Burleson's Annual Leadership Retreat.http://www.theburlesonbox.com/sign-up Stay Up to Date: Sign up for The Burleson Report, our weekly newsletter that is delivered each Sunday with timeless insight for life and private practice. Sign up here:http://www.theburlesonreport.com Follow Dustin Burleson, DDS, MBA at:http://www.burlesonseminars.com

Smart CIOs Do This: The Unspoken Rules of Cybersecurity Leadership with Guest: Andrew Griffiths, CEO & Founder of Annexus TechnologiesHost: Julie RigaAbout This EpisodeIn this episode, Julie sits down with Andrew Griffiths, a legacy-minded CEO and founder of Annexus Technologies, a multinational IT firm known for building infrastructure so strong it rarely needs fixing. Andrew is a strategist, philosopher of security, and storyteller with a deep belief in designing systems that protect people, not just profits.Together, they dive deep into the three essential ingredients for CIO success and explore the unspoken rules of cybersecurity leadership that smart CIOs follow to protect their organizations.Guest BackgroundAndrew Griffiths is the CEO and founder of Annexus Technologies, a cybersecurity firm registered in Jamaica since 2014, now expanding into Canada. Andrew's unique perspective on IT infrastructure was shaped by early exposure to satellites, electronics, and various technologies, leading him to see IT as ubiquitous and transformative. His philosophy centers on optimizing existing systems and connecting people through technology.Fun Fact: Andrew's favorite food is ackee and corned pork - a unique twist on Jamaica's national dish that substitutes corned pork for the traditional saltfish.Key Topics DiscussedThe Three Ingredients for CIO Success:1 Visibility & AssessmentUnderstanding what's happening both inside and outside your networkThe importance of secure design for internal and external domainsImplementing layers of trust with zero-trust principles2 Proactive Analysis & PlanningMoving from prevention to proactivityUnderstanding your cybersecurity posture rating (0-100)Identifying compromised credentials on the dark webCreating mitigation plans for when breaches occur3 Strategic ImplementationBalancing cost-effectiveness with security requirementsPlanning for short-term, medium-term, and long-term security needsAligning business objectives with IT infrastructureThe Annexus Approach:Public Domain Assessments: Understanding external security postureMulti-standard Compliance: Meeting GDPR, PIPEDA, PCI, and other international standardsProactive Monitoring: Real-time detection of network scanning attemptsVirtual Network Infrastructure: Creating controlled environments for threat analysisKey Insights for CIOsThe Trust-Building Challenge:Cybersecurity sales cycles can take 6 months to a year due to trust requirementsBuilding relationships requires patience and consistent educationSometimes you need to wait for organizations to validate the need themselvesThe Titanic Analogy:Andrew compares cybersecurity professionals to engineers warning about icebergs - often dismissed until disaster strikes, highlighting the importance of persistent, consistent communication about security risks.Multi-Vendor Security Strategy:Avoid vendor lock-in for critical security infrastructureUse different firewall platforms in series to increase security complexityDesign solutions that make it harder for attackers to predict your security stackFuture-Forward ThinkingNext-Generation Platforms:Annexus is focusing on comprehensive ecosystems that protect:Data within organizationsData transfer between organizationsCloud redundancy strategies across multiple providers (Azure, AWS)The Future of IT:Andrew predicts the future lies in "redundancy at cloud scale" - ensuring business continuity even when major cloud providers experience outages.Connect with Andrew GriffithsWebsite: www.annexustech.caSocial Media: Available on YouTube, Twitter, Instagram, FacebookCompany: Annexus TechnologiesConnect with Julie RigaWebsite: www.julieriga.comSocial Media: www.linkedin.com/in/julierigaCoaching: Learn more about leadership coaching and transformationThis episode is perfect for sharing with CIOs and IT leaders in your network who need to hear these insights about modern cybersecurity leadership.

Dive deep into the world of cloud security with Rocky Giglio and special guest Sean Atkinson, CISO at the Center for Internet Security (CIS), on this episode of Cloud and Clear! We examine the crucial role of CIS benchmarks and hardened images in establishing a robust and secure cloud infrastructure. In this insightful discussion, Sean breaks down: ✅ What CIS is and its mission to create a safer connected world. ✅ The evolution of CIS Controls from 20 to 18 for greater efficiency. ✅ Understanding CIS Benchmarks and how they standardize security configurations. ✅ The power of Hardened Images: Start secure from day zero in your cloud environment. ✅ Shifting security left and proactively integrating security into design. ✅ How CIS simplifies compliance with NIST, PCI, HIPAA, and other frameworks. ✅ The importance of community and partnership in cybersecurity. Whether you're a security professional, cloud engineer, or anyone concerned about keeping data safe in the cloud, this episode is packed with valuable knowledge. Learn how to leverage CIS resources to strengthen your security posture and simplify compliance. Tune in to discover how CIS is making cloud security more accessible and effective! Don't forget to subscribe to Cloud and Clear for more expert insights on cloud transformation. #CloudSecurity #CIS #Cybersecurity #CloudComputing #HardenedImages #SecurityBenchmarks #CloudAndClear #GoogleCloud #Compliance #NIST #PCI #HIPAA #CISO #TechPodcast Join us for more content by liking, sharing, and subscribing!

Brandon Payne, executive director for the National Council on School Facilities, joins this month's episode of Security Management Highlights to discuss how to integrate security and safety into school facility planning and funding during both retrofits and new builds. Then, Kevin Jones, CPP, PCI, addresses key considerations for arming security professionals, from legal liability to insurance to continuous training. Additional Resources Read more from Brandon Payne about school facility management and where security and safety fit in here: https://www.asisonline.org/security-management-magazine/articles/2025/04/k12/school-facilities-managers/ Meet many of the other essential partners in school safety and security in this Security Management series: https://www.asisonline.org/security-management-magazine/articles/2025/04/k12/ Want to help drive school security forward? Keep an eye out for the forthcoming ASIS International School Security Standard. Learn more here: https://www.asisonline.org/publications--resources/news/blog/2024/press-briefing-school-security-standard/ Read more about arming security teams in the June issue of Security Technology: https://www.asisonline.org/security-management-magazine/monthly-issues/security-technology/archive/2025/june/ Hear more from Kevin Jones, CPP, PCI, in his latest article about considerations for selecting the right weapons for security: https://www.asisonline.org/security-management-magazine/monthly-issues/security-technology/archive/2025/june/how-to-make-a-weapon-selection-when-arming-your-security-team/

DESCRIPTION Dan Mathers, Co-Founder, President & CEO of eleven-x, and Melissa McMahon, Parking and Curbspace Manager with the Arlington County Department of Environmental Services discuss Arlington County's one-of-a-kind parking project. Part Two. SPONSORS This episode is brought to you by Parking Today and the Parking Today Podcast Network. Learn more at parkingtoday.com/podcast. This episode is brought to you by Parker Technology, the customer experience solution of choice for the parking industry. Their solution puts a virtual ambassador in every lane, to help parking guests pay and get on their way in under a minute. Learn more at parkertechnology.com/parkingpodcast and subscribe to our podcast “Harder Than It Looks: Parking Uncovered.” This episode is brought to you by Scheidt & Bachman USA. Scheidt & Bachmann USA markets state-of-the-art Parking Solutions and Fare Collection Systems: the most innovative and advanced solutions in the US. Learn more at scheidt-bachmann-usa.com. This episode is brought to you by Breeze: Parking Concepts' digital platform that makes the parking experience a Breeze! For more than 50 years, PCI has been proactively managing parking & transportation operations with unparalleled integrity & service. Learn more at parkingconcepts.com. This episode is brought to you by Parkmobile. Parkmobile, a part of EasyPark Group, is the leading provider of smart parking and mobility solutions in North America, using a contactless approach to help millions of people easily find, reserve, and pay for parking on their mobile devices. Learn more about parkmobile.io. This episode is brought to you by Parkalytics. Parkalytics will take drone images of parking lots and/or on-street parking for a given time period and then upload those images into their parkalytics software. Within a matter of seconds, it will provide you parking counts, turnover studies, utilization studies, you name it. You can now wow your clients or supervisors by having a complete snapshot of the parking usage for a fraction of the price of a traditional parking study. Learn more at parkalytics.com. WEBSITES AND RESOURCES https://www.parkingcast.com/ https://parkingtoday.com/podcast/ www.parkertechnology.com/parkingpodcast scheidt-bachmann-usa.com parkingconcepts.com parkmobile.io parkalytics.com https://www.arlingtonva.us/Government/Programs/Transportation/Parking/Performance-Parking-Pilot https://eleven-x.com/ MERCH Check out some of our awesome parking themed t-shirts and other merch at parkingcast.com/swag. MUSEUM Check out some of our artifacts from the world's first parking museum at parkingcast.com/museum.

Episode Topic: Ruston Miles of Bluefin joins PayPod to unravel the real story behind payment data security. From debunking myths around chip card protection to highlighting the need for encryption at the point of interaction, Ruston shares critical insights into why businesses must adopt P2P encryption and tokenization to stay ahead of evolving threats. Lessons You'll Learn: How to distinguish fraud prevention from data security, the necessity of protecting data at the entry point, why chips don't equal encryption, and how upcoming technologies like quantum computing and AI are reshaping the threat landscape. About Our Guest: Ruston Miles is the Founder and Chief Strategy Officer at Bluefin, a payment security company that pioneered PCI-validated point-to-point encryption. With decades of experience in cybersecurity, Ruston has been instrumental in setting encryption standards adopted by Visa, Mastercard, and global universities. He's also a strong advocate for tokenization, quantum-resistant encryption, and secure digital wallets. Topics Covered: The difference between fraud and data breaches   How P2P encryption protects data before it can be stolen   Why EMV chips give a false sense of security   Storing tokens instead of real card numbers   Security challenges in higher education and enterprise   Quantum computing's potential threat to public key encryption

In this industry-sponsored episode, host Praveen Ranganath, MD is joined by Yader Sandoval, MD and Jonathon Leipsic, MD, MSCCT, the chair and co-chair of the recently published inter-society roundtable document on CCTA for PCI planning. Conversation topics include the origin of this expert roundtable, the benefits of and evidence supporting CCTA for PCI planning, a deep-dive into heavily calcified and bifurcation lesion planning, and insights on how to tackle current barriers to adoption. Coronary Computed Tomography Angiography to Guide Percutaneous Coronary Intervention: Expert Opinion from a SCAI/SCCT RoundtableThis episode is sponsored by Heartflow. References to a specific product, process, or service by speakers in this podcast episode do not constitute or imply an endorsement by the Society of Cardiovascular Computed Tomography. The views and opinions expressed in do not necessarily reflect those of the Society of Cardiovascular Computed Tomography.

Lancet 1999;353:2001-07Background: Beta-blockers directly reduce cardiac contractility and myocardial oxygen demand. For decades, they were avoided in patients with acute and chronic heart failure over concerns they would facilitate decompensation of the condition. The therapeutic cornerstones of treatment, prior to the modern era of clinical trials, focused on managing symptoms and quality of life with diuretics and inotropic agents like digoxin; however, new paradigms were arising that focused on addressing neurohormonal mechanisms of chronic disease that were over-activated in the failing heart. The first major success came with inhibition of the renin angiotensin aldosterone system with angiotensin converting enzyme inhibitors whose effect on mortality for patients with mild and severe forms of chronic heart failure were demonstrated in the V-HEFT II, CONSENSUS, and SOLVD trials. Additional benefits were demonstrated with the mineralocorticoid receptor antagonist spironolactone in the RALES trial. These drug classes primarily work by reducing afterload and volume retention. Appreciating why they work for improving cardiac performance and managing symptoms in heart failure patients is straightforward when we consider the major factors that effect cardiac stroke volume - preload, afterload and contractility; however, it is also noteworthy the effects these agents have on sudden death. How beta-blockade benefits the failing heart is less obvious (outside prevention of sudden death). Mechanistic studies in patients with chronic heart failure have consistently shown that when beta blockers are used for more than 1 month, left ventricular function improves. Beta blocker therapy appears to restore the density of beta-adrenergic receptors after they have been downregulated by the chronic overactivity of the sympathetic nervous system. The first major placebo-controlled RCT to demonstrate a mortality benefit used the non-selective beta blocker carvedilol. The trial was small and not originally designed to test mortality and was stopped early without clearly predefined stopping rules. Furthermore, 8% of total patients selected for participation in the trial were excluded prior to randomization after a 2 week, open-label run-in phase with the study drug, which saw 2% of all patients experience worsening heart failure or death representing 24 patients (the difference in total deaths between groups was 9 when the trial was stopped). The Metoprolol CR/XL Randomised Intervention Trial in Congestive Heart Failure (MERIT-HF) was the first large scale trial designed to test the hypothesis that beta-blockade with metoprolol controlled/extended release (CR/XL) added to optimum medical therapy reduces mortality in patients with chronic systolic heart failure.Patients: Patients were recruited from 313 sites in 13 European countries and the United States. Eligible patients were men and women between the age of 40 to 80 years with symptomatic heart failure (NYHA class II-IV) for >/= 3 months before randomization. They had to be on a diuretic and ACE inhibitor for at least 2 weeks. Other drugs, including digoxin, could also be used. Patients also had to have an EF of /=68 beats per minute.Patients were excluded if: they had an MI or unstable angina within 28 days; had an indication or contraindication for treatment with beta-blocker; beta blockade within 6 weeks; heart failure due to systemic disease (i.e., amyloidosis) or alcohol abuse; scheduled or performed cardiac transplant; an ICD; procedures such as CABG or PCI planned or performed in the past 4 months; 2nd or 3rd degree AV block unless a pacemaker was present; unstable or decompensated heart failure defined by pulmonary edema or hypoperfusion or supine systolic BP 25% deviation of the number of observed versus expected consumed placebo tablets during the run-in period.Baseline characteristics: The mean age of patients was 64 years and approximately 78% were male. Slightly more than 30% of patients were above the age of 70. The average EF was 28%. The average SBP was 130 mmHg and heart rate was 82 bpm. Most patients had mild to moderate heart failure, with 41% in NYHA Class II, 56% in Class III, and only 3% in Class IV. Ischemic cardiomyopathy accounted for 65% of cases and nonischemic causes accounted for 35%. Most patients were on an ACE inhibitor or ARB (95%) and diuretic (90%). Digoxin was used in 63%. Trial procedures: Prior to randomization, the study was preceded by a single-blind, 2-week placebo run-in period. Patients meeting eligibility were then randomized to placebo or metoprolol CR/XL. The starting dose of placebo or metoprolol CR/XL was 12.5 mg daily for patients in NYHA class III or IV and 25 mg daily for patients in NYHA class II. The dose was doubled every 2 weeks until the target dose of 200 mg daily was reached. Patients were followed every 3 months.Endpoints: The primary outcome was all-cause mortality. It was estimated that 3,200 patients would need to be followed for 2.4 years to detect a 30% relative reduction in mortality based on annual mortality rate of 9.4% in the placebo group. This would achieve at least 80% power with a 2-sided alpha of 0.04. Patients were recruited faster then planned and so the final sample size of 3,991 patients increased the power of the study.The study was monitored by an independent safety committee and predefined stopping rules for efficacy were based on all-cause mortality, done when 25%, 50%, and 75% of expected deaths had occurred. Results: The trial was stopped early after the 2nd preplanned interim analysis when 50% of expected deaths had occurred. The mean duration of follow-up at the time of stopping was 1 year. The mean daily dose of metoprolol CR/XL was 159 mg once daily, with 87% receiving 100 mg or more and 64% receiving the target dose of 200 mg daily. In the placebo group, the corresponding values were 179 mg daily, 91% and 82%. The study drug was discontinued permanently in 14% of patients in the metoprolol group and 15% in the placebo group. Six months after randomization, heart rate decreased by 14 bpm in the metoprolol group compared to only 3 bpm in the placebo group. Systolic blood pressure decreased less in the metoprolol group (-2.1 vs 3.5 mmHg).Compared to placebo, metoprolol significantly reduced all-cause mortality (7.3% vs 10.8%; RR 0.66; 95% CI 0.53—0.81). Cardiovascular mortality accounted for 91% of all deaths; with sudden death accounting for 58% and death from worsening heart failure accounting for 24% of all deaths. All 3 of these causes of death were significantly reduced by metoprolol. The relative and absolute effects on death were greatest for patients with NYHA class III heart failure.Conclusions: In this trial of stable patients with mild to moderate chronic systolic heart failure, who were optimized on an ACEi or ARB and diuretic, metoprolol CR/XL significantly reduced all-cause mortality. Approximately 30 patients would need to be treated with metoprolol compared to placebo for 1 year to prevent 1 death. This trial represents a significant win for beta blockade in patients with chronic systolic heart failure. While the NNT in this trial is slightly higher than in SOLVD, it is important to appreciate that follow-up time in SOLVD was more than 3x longer. Limitations to external validity in this trial include the run-in period and stringent inclusion and exclusion criteria. Our enthusiasm is also tempered by early stopping, which has been found to be associated with false positive or exaggerated results but this concern is mitigated to some extent in this trial because the rules for early stopping were clearly defined in the protocol.Cardiology Trial's Substack is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber. Get full access to Cardiology Trial's Substack at cardiologytrials.substack.com/subscribe

In the latest JACC offering from EuroPCR, JACC Associate Editor Celina M. Yong, MD, FACC, interviews Dr. Ashkan Eftekhari, PhD, to discuss insights into his study, Biolimus-Eluting Biomatrix Stent Versus a Dual-Therapy Sirolimus-Eluting Stent in PCI: SORT OUT XI Randomized Trial. The biolimus A9-eluting BioMatrix Alpha stent (BES), has not been compared with another contemporary drug eluting stent. This study compared one-year target lesion failure (TLF) in BES versus the dual-therapy sirolimus-eluting Combo stent (DTS) in an all-comer population undergoing PCI. A total of 3,136 patients were randomized 1:1 to either BES or DTS. The primary result showed that BES was non-inferior to DTS. Additionally, there was a significantly higher rate of definite stent thrombosis in the BES arm. In conclusion, BES was non-inferior to DTS at one-year follow-up with respect to the primary endpoint, TLF.

The chain of survival for a cardiac emergency and stroke start the same:1. preparedness & recognition of an emergency;2. activation of EMS;3. delivery of Advanced Life Support; and4. transporting to the most appropriate facility.ALS ambulances are staffed with paramedics who have training in ACLS skills.Why EMS "Destination Protocols" for suspected stroke and STEMI make a difference.ACLS's timed benchmarks for:point of first medical contact to PCI for ST elevation MI;door to tPA for ischemic stroke; andonset of symptoms to EVT for LVO strokes.Why EMS should bypass a close hospital to transport a STEMI or suspected stroke patient to a hospital capable of 24/7 PCI or a certified stroke center.Check out the Pod Resource page at passacls.com for links to the "EMS On Air" podcast for links to episodes that look at EMS's role in stroke outcomes in the rural vs urban area.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

DESCRIPTION Dan Mathers, Co-Founder, President & CEO of eleven-x, and Melissa McMahon, Parking and Curbspace Manager with the Arlington County Department of Environmental Services discuss Arlington County's one-of-a-kind parking project. SPONSORS This episode is brought to you by Parking Today and the Parking Today Podcast Network. Learn more at parkingtoday.com/podcast. This episode is brought to you by Parker Technology, the customer experience solution of choice for the parking industry. Their solution puts a virtual ambassador in every lane, to help parking guests pay and get on their way in under a minute. Learn more at parkertechnology.com/parkingpodcast and subscribe to our podcast “Harder Than It Looks: Parking Uncovered.” This episode is brought to you by Scheidt & Bachman USA. Scheidt & Bachmann USA markets state-of-the-art Parking Solutions and Fare Collection Systems: the most innovative and advanced solutions in the US. Learn more at scheidt-bachmann-usa.com. This episode is brought to you by Breeze: Parking Concepts' digital platform that makes the parking experience a Breeze! For more than 50 years, PCI has been proactively managing parking & transportation operations with unparalleled integrity & service. Learn more at parkingconcepts.com. This episode is brought to you by Parkmobile. Parkmobile, a part of EasyPark Group, is the leading provider of smart parking and mobility solutions in North America, using a contactless approach to help millions of people easily find, reserve, and pay for parking on their mobile devices. Learn more about parkmobile.io. This episode is brought to you by Parkalytics. Parkalytics will take drone images of parking lots and/or on-street parking for a given time period and then upload those images into their parkalytics software. Within a matter of seconds, it will provide you parking counts, turnover studies, utilization studies, you name it. You can now wow your clients or supervisors by having a complete snapshot of the parking usage for a fraction of the price of a traditional parking study. Learn more at parkalytics.com. WEBSITES AND RESOURCES https://www.parkingcast.com/ https://parkingtoday.com/podcast/ www.parkertechnology.com/parkingpodcast scheidt-bachmann-usa.com parkingconcepts.com parkmobile.io parkalytics.com https://www.arlingtonva.us/Government/Programs/Transportation/Parking/Performance-Parking-Pilot https://eleven-x.com/ MERCH Check out some of our awesome parking themed t-shirts and other merch at parkingcast.com/swag. MUSEUM Check out some of our artifacts from the world's first parking museum at parkingcast.com/museum.

(This episode originally aired on October 22, 2024.) For years, the best word to describe Medicare Advantage (MA) was “untouchable.” Hugely popular among seniors, profitable for health plans—the hybrid public-private payment model grew to the point that it now covers more seniors than traditional Medicare. But in the past few years, the tide has started to change. And if you've been paying attention in recent months, you'll have seen headlines announcing that payers that are scaling back their MA offerings and providers are exiting MA contracts. The MA market has gone from “untouchable” to “volatile.” The question is: why is this happening, and what does it mean for payers, providers, and seniors moving forward? In this episode, hosts Rachel (Rae) Woods and Abby Burns invite health plan experts Max Hakanson and Chelsea Needham to dissect what is going on in MA and how plans and providers are—or should be—navigating the changing tide. Links: Ep. 203: Value series: Is the future of VBC in specialty care? Zing Health & Strive Health say yes. Ep. 149: Senior Care (Part 1): Specialized primary care for an aging population Ep. 150: Senior Care (Part 2): The rapid growth of Medicare Advantage 3 traits health plans want in a provider partner 4 traits providers want in a health plan partner Around the nation: CMS releases Medicare Advantage Star Ratings Q&A: Cardiologist Navin Kapur discusses the future of complex PCI

(This episode originally aired on October 22, 2024.) For years, the best word to describe Medicare Advantage (MA) was “untouchable.” Hugely popular among seniors, profitable for health plans—the hybrid public-private payment model grew to the point that it now covers more seniors than traditional Medicare. But in the past few years, the tide has started to change. And if you've been paying attention in recent months, you'll have seen headlines announcing that payers that are scaling back their MA offerings and providers are exiting MA contracts. The MA market has gone from “untouchable” to “volatile.” The question is: why is this happening, and what does it mean for payers, providers, and seniors moving forward? In this episode, hosts Rachel (Rae) Woods and Abby Burns invite health plan experts Max Hakanson and Chelsea Needham to dissect what is going on in MA and how plans and providers are—or should be—navigating the changing tide. Links: Ep. 203: Value series: Is the future of VBC in specialty care? Zing Health & Strive Health say yes. Ep. 149: Senior Care (Part 1): Specialized primary care for an aging population Ep. 150: Senior Care (Part 2): The rapid growth of Medicare Advantage 3 traits health plans want in a provider partner 4 traits providers want in a health plan partner Around the nation: CMS releases Medicare Advantage Star Ratings Q&A: Cardiologist Navin Kapur discusses the future of complex PCI

In this episode, Dr. Valentin Fuster, provides a concise summary of the May 13, 2025 issue. He discusses four original studies on key cardiovascular topics, including the impact of chronic kidney disease and obesity on heart failure, the role of dobutamine stress echocardiography in predicting PCI outcomes, the effects of empagliflozin on erythropoiesis in heart failure, and the influence of adiposity, insulin resistance, and diabetes in heart failure with preserved ejection fraction. He highlights emerging insights into treatment strategies and ongoing challenges in understanding these complex cardiovascular conditions. Concluding with a separate review on anthracycline cardiotoxicity in cancer patients.

In this episode, Dustin Burleson sits down with the powerhouse leadership team behind Rock Dental Brands to answer one of the most pressing questions in modern dentistry and orthodontics: How do I avoid choosing the wrong DSO?You'll hear directly from CEO Kristi Casey, Chief Development Officer Spencer Lunghino, and Co-Founder Dr. Mark Dake as they share a transparent look into the origins, philosophy, and strategic direction of Rock Dental Brands. Together, they bust myths around private equity, clinical autonomy, and growth timelines—and reveal what doctors should really be asking before joining a DSO.If you're a dentist, orthodontist, or specialist considering your next move, this episode is a must-listen. What You'll Learn:The real story behind private equity in dentistry—where the money comes from and how it worksWhy not all DSOs (or equity structures) are created equalHow Rock Dental Brands evolved from a doctor-led support model to a nationally respected DSOThe biggest myths around clinical autonomy, ownership, and growthWhy Rock's equity model is designed to treat doctors fairly—and how that differs from joint venturesHow to reverse-engineer a smart partnership decision using Charlie Munger's “invert and avoid” philosophyWhat questions to ask during DSO due diligence (and how to avoid future regret) Key Quotes:“We were built to be proud of the work we're doing 50 years from now." —Dr. Mark Dake“You're not giving up control of your practice. You're gaining part of 110 practices.” —Kristi Casey Connect with Our Guests:Spencer Lunghino – spencer.lunghino@rockdentalbrands.comrockdentalbrands.com Resources Mentioned:GreyFinch Practice Management SoftwareDentiCon by Planet DDSVistria Group – Private equity partner of Rock Dental Brands Subscribe & Review:If you enjoyed this episode, please leave a review and subscribe to The Burleson Box on Apple Podcasts, Spotify, or wherever you listen. Your support helps us bring powerful conversations like this to more listeners in healthcare leadership. ***The Burleson Box is brought to you by Stax Payments:Save Big on Transaction Fees: Boost Your Bottom Line with Stax Payments.Did you know that your practice can start saving thousands of dollars on your monthly processing costs with our preferred payments partner, Stax? Simplify your practice operations and provide a quality patient experience. Healthcare practices like yours need a way to accept payments simply and securely. That's where Stax comes in.Stax helps you manage your entire payments experience from within one platform. You can safely accept touch-free payments in-person, online, or over the phone, securely store and manage patient information with layered security and Level 1 PCI compliance.
Take advantage of a simpler, more transparent way to process your payments with competitive flat-rate pricing, provided exclusively through Stax. No additional fees or contracts required!Power your practice and get paid faster with simple, safe and secure payment solutions. Have questions? Schedule time to speak with a dedicated payment consultant to learn more.Click Below to Lear More Today:StaxPayments.com/burleson-seminars*** Go Premium: Members get early access, ad-free episodes, hand-edited transcripts, exclusive study guides, special edition books each quarter, powerpoint and keynote presentations and two tickets to Dustin Burleson's Annual Leadership Retreat.http://www.theburlesonbox.com/sign-up Stay Up to Date: Sign up for The Burleson Report, our weekly newsletter that is delivered each Sunday with timeless insight for life and private practice. Sign up here:http://www.theburlesonreport.com Follow Dustin Burleson, DDS, MBA at:http://www.burlesonseminars.com

Stopping oral anticoagulation after AF ablation, the core problem with paradoxes like the smoker's paradox, chronic total occlusion PCI, and an ACC/EHRA preview are discussed by John Mandrola, MD, in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I Oral Anticoagulation after Successful AF Ablation Iwawakie et al https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2831851 OCEAN protocol paper https://doi.org/10.1016/j.ahj.2017.12.007 II Smoker's Paradox Presch et al https://www.jacc.org/doi/10.1016/j.jcin.2024.12.028 Gupta et al https://doi.org/10.1161/JAHA.116.003370 III CTO PCI Main sub-analysis paper Bangalore et al https://doi.org/10.1016/j.jacc.2025.01.029 DECISION CTO https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.118.031313 Main EURO CTO trial https://doi.org/10.1093/eurheartj/ehy220 3-year MACE of EURO CTO https://eurointervention.pcronline.com/article/three-year-outcomes-of-eurocto-a-randomized-multicentre-trial-comparing-revascularization-and-optimal-medical-therapy-for-chronic-total-coronary-occlusions EXPLORE https://www.jacc.org/doi/abs/10.1016/j.jacc.2016.07.744 ISCHEMIA CTO https://www.clinicaltrials.gov/study/NCT03563417   IV ACC and EHRA Preview Mandrola's 5 Trials to Look for at the 2025 American College of Cardiology Scientific Sessions https://www.medscape.com/viewarticle/mandrolas-5-trials-look-2025-american-college-cardiology-2025a10006zu You may also like: The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net