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In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Liz Crowe welcome back Caroline Leech, a emergency medicine consultant with extensive pre-hospital care experience. Caroline discusses the concept of moral injury, delving into its distinction from moral distress. She introduces three mechanisms of moral injury: acts of commission, acts of omission, and betrayal. Caroline provides insightful examples from emergency medicine to illustrate these concepts, emphasizing the importance of identifying and addressing moral injury to support healthcare professionals. The discussion highlights the emotional and cognitive distress faced by emergency responders and the necessity for professional psychological support when moral distress accumulates into moral injury. 00:00 Introduction and Welcome 00:23 Introducing Caroline Leech 01:10 Defining Moral Injury and Distress 03:42 Acts of Commission 07:12 Acts of Omission 12:30 Betrayal in Healthcare 15:00 Conclusion and Final Thoughts The Guest - Caroline Leech Caroline Leech is Deputy Clinical Lead of The Air Ambulance Service and has 25 years of prehospital clinical experience. She is a Consultant in Emergency Medicine at University Hospital Coventry, the West Midlands Trauma Network Director, and the Trauma Lead for the Institute for Applied & Translational Technologies in Surgery (IATTS). Caroline is currently undertaking a NIHR funded Clinical Research Scholarship with Warwick University. Her research interests include maternal out-of-hospital cardiac arrest, calcium in traumatic haemorrhage, and frailty in major trauma. She is committed to improving equality and diversity in PHEM, and promoting strategies for supporting the wellbeing and psychosocial care of prehospital responders.
In this episode, we discuss the role of interprofessional teams within pre-hospital care and examine the latest research published on this topic. Over the past three decades, the role of physicians in pre-hospital care has grown significantly. In this episode, we are joined by Dr Mike Christian. Beginning his career as a paramedic, Mike is now a critical care physician, researcher, and educator in PHEM. He specialises in interprofessional team care for critically ill patients in Canada. He has held leadership positions in PHEM and hospital systems in the UK and in Canada. Mike's research demonstrates the transformative impact of inter-professional teams, which bring together physicians, paramedics, and other specialists to enhance care delivery and improve patient outcomes. This episode explores the evidence behind these teams, shedding light on their ability to reduce mortality and improve survival for critically ill and injured patients. We'll discuss the benefits, challenges, and future potential of these teams, touching on the training, logistical, and systemic considerations that shape their implementation. The research can be found here: Benefits of targeted deployment of physician-led interprofessional pre-hospital teams on the care of critically Ill and injured patients: a systematic review and meta-analysis https://link.springer.com/article/10.1186/s13049-024-01298-8 Interprofessional Learning in Multidisciplinary Healthcare Teams Is Associated With Reduced Patient Mortality: A Quantitative Systematic Review and Meta-analysis https://pubmed.ncbi.nlm.nih.gov/37921751/ A link to the Canadian Critical Care Conference presentation mentioned by Mike in the interview can be found here: https://youtu.be/MVDHaYaZRSI. This podcast is sponsored by PAX. Whatever kind of challenge you have to face - with PAX backpacks you are well-prepared. Whether on water, on land or in the air - PAX's versatile, flexible backpacks are perfectly suitable for your requirements and can be used in the most demanding of environments. Equally, PAX bags are built for comfort and rapid access to deliver the right gear at the right time to the right patient. To see more of their innovative designed product range please click here: https://www.pax-bags.com/en/
PHEM in Australia; From The Bush To The Coast - A Retrieval Outlook. Speaker - Michael Bright (@thepasteurpoint) - ST7 ICM/PHEM Trainee. Follow us - @wmcareteam
In this episode, we will examine the fundamentals of training and education of high-performing teams. We discuss the role of real-world scenarios and high-fidelity training simulations in better-preparing trainees. We'll also discuss the role of high-fidelity simulation in enhancing the learning experience and the metrics used to evaluate training effectiveness. We will share strategies for continuously improving training programs and offer take-home points on harnessing those crucial one percent improvements in training. To do this we have Dr. Clare Richmond with us. Clare is a Retrieval Specialist and the Director of Emergency Medicine Training at Sydney HEMS. She also serves as a State Retrieval Consultant for NSW Ambulance and as an Emergency Physician VMO at Royal Prince Alfred and Canterbury Hospitals. A graduate of Sydney University, Dr. Richmond trained in Emergency Medicine at Royal Prince Alfred Hospital and completed a fellowship at the Sydney Clinical Skills and Simulation Centre. She has taught and worked in PHEM in diverse locations including Sydney, Alice Springs, and London. Clare mentions a number of resources in the interview, this is the podcast on debriefing that she mentions: https://debrief2learn.org/blended-approaches/ Sydney HEMS publish a debrief podcast that can be found here: https://sydneyhems.com/category/podcasts/ More can also be found here: https://sydneyhems.com/ Podcast Recommendation: Join Steve Wood on the Tac Medic Whiskey Podcast. The Podcast is for up-to-date information on all things Tactical Medicine, Pre-Hospital Medicine and more. The podcast explores life-saving techniques, and real-world experiences, and discusses strategies for handling high-pressure situations. Whether you're a seasoned professional, an aspiring tac medic, or just curious about this critical field, this podcast offers expert insights, practical tips, and stories from the front lines. Listen here: https://www.podbean.com/pu/pbblog-v4wd8-12cb369
Épisode 1218 : Bienvenue dans l'ère du marketing éclair. Une vidéo TikTok, une petite phrase qui buzz, une nouvelle ref qui viralise… Les micro-tendances dictent le tempo.Elles apparaissent, explosent, puis disparaissent. Derrière elles, les influenceurs éphémères. Des créateurs qui captent l'attention, parfois pour quelques jours, parfois sur une seule vidéo.Pour les marques c'est un phénomène nouveau. Ca ressemble à une opportunité mais c'est surtout un vrai casse-tête. Comment surfer sur ces vagues ultra-courtes ? Comment transformer ce buzz instantané en impact réel ?Retrouvez toutes les notes de l'épisode sur www.lesuperdaily.com ! . . . Le Super Daily est le podcast quotidien sur les réseaux sociaux. Il est fabriqué avec une pluie d'amour par les équipes de Supernatifs. Nous sommes une agence social media basée à Lyon : https://supernatifs.com. Ensemble, nous aidons les entreprises à créer des relations durables et rentables avec leurs audiences. Ensemble, nous inventons, produisons et diffusons des contenus qui engagent vos collaborateurs, vos prospects et vos consommateurs. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.
Tej kws thiab nom tswv tej tuam chav uas paub zoo txog neeg phem tej tswv yim ntxias dag lwm tus ceeb toom kom neeg Australia ceev faj kom tsis txhob qhia yus tej xov xwm ntiag tug rau neeg phem lub caij thov se rov qab.
In this conversation, we will examine the percentage and growth of females in Pre-Hospital Emergency Medicine (PHEM). We also examine the diversity within the UK context and how this has slowly but surely grown and affected the workforce for the better within pre-hospital care. We also discuss the hierarchy of competence, barriers to entry and some of the covert and overt challenges that women have faced to enter PHEM. To do this I have Ffyon Davis with me. Ffyon is an emergency medicine registrar and expedition doctor with a special interest in PHEM. She is also a World Extreme Medicine (WEM) faculty member and avid explorer. The empirical paper mentioned within the episode on outcome data can be found here: https://pubmed.ncbi.nlm.nih.gov/37647075/ This podcast is sponsored by PAX. Whatever kind of challenge you have to face - with PAX backpacks you are well-prepared. Whether on water, on land or in the air - PAX's versatile, flexible backpacks are perfectly suitable for your requirements and can be used in the most demanding of environments. Equally, PAX bags are built for comfort and rapid-access to deliver the right gear at the right time to the right patient. To see more of their innovatively designed product range please click here: https://www.pax-bags.com/en/ PHCP Question Time: We are collecting your questions to discuss on upcoming episodes. Please use this email to email the show and we will discuss your questions: Prehospitalcarepodcast@hotmail.com To watch this episode on YouTube please see here: https://youtu.be/R6MIhCFYfYg
Muaj neeg Australia qhia tias tsaib no (2023) lawv raug neeg phem dag ntau tuaj ntxiv.
Xeev Australian Capital Territory pib siv tsab cai 2022 National Construction Code tshiab.
In this episode we will look at the recent changes to the newly revised second edition of ABC of Prehospital Emergency Medicine. We will examine some of the updates to PHEM covered in the book and the recent evidence-based practice and expert opinion that encompasses the PHEM training curriculum. We will examine the three main domains that the updated edition addresses which are operational, clinical and system considerations of PHEM. Other aspects of the conversation will cover updates to monitoring and ultrasound, recent changes to prehospital management of medical, trauma and psychiatric emergencies. We will also examine changes to the considerations in mass casualty and chemical, biological, radiation, and nuclear incidents. Clare Bosanko is a PHEM consultant with Devon's Air Ambulance and trained in the Midlands. Clare also works as an Emergency Medicine consultant at University Hospitals Plymouth. She is also a co-host of the PHEM-Cast podcast and a contributor to the new edition.
Emmy Winner Charlotte Robinson host of OUTTAKE VOICES™ talks with 14 celebrity women on The Dinah's Red Carpet for its legendary Black & White Ball and Hollywood Party in Palm Springs, CA. We had a blast chatting with these fabulous women about their music, what they hope to accomplish with their work and how they're coping in these challenging times. First we talked with Black Box headlining the Friday night Black & White Ball who is passionate about bringing back the 80's dance sound and talked about the importance of forums like The Dinah bringing people together. Next we spoke to XANA a new rising star on the pop scene who performed at Sunday's Pool Party who's currently on her first American tour and recording a new album. Then we chatted with singer-songwriter Ariana Castelli who released her first single “Love is Love” a few years ago and performed at The Dinah with Keeana Kee. Then we talked with The Dinah's DJ's Mo, Alex D and China G who are all committed to creating a safe place for women to party and thrive. Next we chatted with Phem one of the most prominent new queer indie singers who performed poolside and just concluded a world tour with Avril Lavigne. Then we chatted with influencer Divinity Ray an LA-based content creator, dancer and hair stylist with a passion for beauty, fashion and mental health. Concluding Friday night's Red Carpet was Oomy Oomy The Dinah's Emerging Artist Winner also known as "Porno" a trailblazing force in the realm of futuristic feel-good funk. Then for Saturday night's Red Carpet at the infamous Hollywood Party we talked to Chef K a private chef who spent the last several years working on the margins of the Kardashians and is now stepping into her own celebrity chef status. Then we caught up with Mackenzie Lansing a French-American television and film actress who was cast in the Hunger Games prequel and “Mare of Easttown” alongside Kate Winslet. Next we chatted with Latvian-born New York based lesbian fashion model turned pop star Keeana Kee who performed at the Sunday Pool Party. Then Rose Garcia from the Showtime docuseries “The Real L Word” talked about her 27th year at The Dinah after beating stage 3 ovarian cancer last year. Rose is now advocating for people to get tested and also shared how practicing meditation helped to get through it. We concluded our Red Carpet coverage with rapper and songwriter Princess Nokia who headlined The Dinah's Hollywood Party. When asked what she wanted to accomplish with her music Princess Nokia stated, “I want people to feel like they are wonderful, amazing and free and I hope that my music always inspires people to feel awesome and feel relatable.” For Info… LISTEN: 600+ LGBTQ Chats @OUTTAKE VOICES
Mariah Hanson, founder and producer of The Dinah talks with Emmy Winner Charlotte Robinson host of OUTTAKE VOICES™ about the most renowned annual music festival for queer women that's celebrating its 32nd year and takes place September 20th through September 24th in Palm Springs, CA. The Dinah is continuing its legend with a show-stopping all-female entertainment line-up at one of Palm Springs' most historic hotels The Margaritaville formerly The Riviera. This glamorous venue will host The Black and White Ball in the Grand Ballroom Friday night September 22nd with Doechii one of today's most magnetic rappers who will take centerstage as the headliner. Doechii rose to prominence in 2021 with the viral Tik Tok success of her song "Yucky Blucky Fruitcake" and earlier this year appearing on the Billboard Hot 100 with her single “What it is (Block Boy)”. The Dinah mix on Friday night will also feature Black Box who has been keeping millions of fans dancing beneath disco balls and neon lights for 3 decades. Then on Saturday night at The Hollywood Party Princess Nokia the electrifying gender nonconforming queer NY Rapper and newest star to be is set to deliver an explosive headlining performance. After nearly a decade as a leader and icon for outsiders and misfits the New York-born Puerto Rican MC, singer, songwriter, entrepreneur, style icon, actress and activist Princess Nokia continues to speak up and speak out. Of course, during the daytime there will be The Dinah's legendary pool parties showcasing a string of galvanizing queer emerging performers. FYI don't miss The L-Word Pool Party on Saturday September 23rd as Phem one of the most prominent up-and-coming queer indie genre-defying singers will be performing poolside to get your swim on. Throughout the festivities The Dinah will also present world-famous DJs, go-go dancers, red carpet events with celebrity guests, dance parties, meet and greets and so much more. We talked to Mariah about what she hopes to accomplish with The Dinah this year and her spin on our LGBTQ issues. Mariah Hanson continues to utilize The Dinah as a platform to mobilize our LGBTQ community around humanitarian and social issues especially in these challenging times. An exemplary community leader she has single-handedly revolutionized her industry, overturned tradition and raised the bar on female achievement with an event that is entirely produced by women for women. OUTTAKE MEDIA has been a proud Media Sponsor of The Dinah for the last seven years and we'll be onsite broadcasting all the festivities this year for our global LGBTQ audience. For More Info & Tix… LISTEN: 600+ LGBTQ Chats @OUTTAKE VOICES
In this conversation, we will examine the utility and functions of ultrasound within air ambulance services. We look at how the aggregation of data and familiarity with ultrasound is narrowing down and assisting time to intervention and time to definitive care. We look at the scans of preference and some of the data around pneumothoraces, tamponade and positive findings under ultrasound in the critical care patient. Importantly we will get Dan's perspective on where ultrasound is affecting patient care and where he sees the future of ultrasound going within pre-hospital care. Dan Nevin is a PHEM consultant with London's Air Ambulance and an Anaesthetist with Barts and the Royal London NHS Trust. Dan has years of experience working in pre-hospital care in both South Africa, where he originally trained, and in the UK. His special interests include trauma, critical care anaesthesia and PHEM. Dan is also the ultrasound lead for LAA and has been leading the use of POC ultrasound within the service. In the conversation we exam: Why ultrasound has become a useful tool in trauma. Data collected on scans and relationship with intervention (surgical or otherwise). The protocol that LAA prescribe to in practice. The governance around image acquisition and decision -making. USS within Standard Operating Procedures (SOPs) and where it should sit in practice. KPIs and frequency of scanning. Where ultrasound is going and the future of USS within critical care. Take home messages My thanks to Dan for an insightful and engaging interview.
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“Teen Wolf: The Movie” star Tyler Posey is joining Drew to chat about the film that's been five years in the making, his relationship with girlfriend Phem and his favorite weird food combo. Drew and Ross Mathews are covering today's headlines like the upcoming film “Scream 6” and why some say you should resist the urge to clean before having company over. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Jelly Roll is Billboard's new cover star! The musician opened up to Billboard about the time he spent in jail, the lessons he's learned along the way, fatherhood, new music and more! Tyler Posey announces his engagement to singer, Phem. Amber Riley gets real about breaking off her engagement with Desean Black. And more! Learn more about your ad choices. Visit megaphone.fm/adchoices
Allison sits down with couple, actor/musician Tyler Posey and singer-songwriter and recording artist, Phem. They talk all about how they met and how their first date may or may not have been at a sex party, how collaborating creatively on music really solidified their connection, what they have learned from each other, AND their secret handshake. • Listen and subscribe to the podcast: General: https://bit.ly/TheAllisonHagendorfShow Apple: https://bit.ly/TheAllisonHagendorfShowApple Spotify: https://bit.ly/AllisonHagendorfShowSpotify • Follow Allison: Instagram: https://instagram.com/allihagendorf Tik Tok: https://TikTok.com/@allihagendorf Twitter: https://twitter.com/allihagendorf Official Website: https://allisonhagendorf.com The Allison Hagendorf Show Playlist https://allisonhagendorf.komi.io/music/tahs Show Music: Ferdinand fka Left Boy - Sex Party https://spoti.fi/3juqX1O Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode I am speaking with Debs Swann on her recent deployment to the Turkey Earthquake disaster. It is the deadliest earthquake in what is present day Turkey since the 526 Antioch earthquake, making it the deadliest natural disaster in its modern history. As of 20 March 2023, more than 57,300 deaths were confirmed: more than 50,000 in Turkey, and more than 7,200 in Syria. In Turkey alone there were at least 50,096 deaths and 107,204 injured across 11 provinces of Turkey. By 23 February 2023, the Ministry of Environment, Urbanization and Climate Change conducted damage inspections for 1.25 million buildings; revealing 164,000 buildings were either destroyed or severely damaged. A further 150,000 commercial infrastructure were at least moderately damaged. At least 15.73 million people and 4 million buildings were affected. About 345,000 apartments were destroyed. More than 2 million residents in the affected provinces were evacuated to nearby provinces including Mersin, Antalya, Mardin, Niğde and Konya. More than 20 percent of Turkey's agriculture production was damaged. The United Nations said crops, livestock, fisheries, aquaculture and rural infrastructure were also heavily damaged. The international organisation for migration estimated about 2.7 million people were made homeless. In the conversation we examine her anecdotal experience of deploying with the UK international Search and Rescue Team near the cities of Nurdağı and Gaziantep in Gaziantep Province, just outside the regional capital. We examine the reflection on cases she witnessed, the pattern of injuries, the use of search and rescue dogs, the hot and cold brief of the group, the near death experiences that she had and much more. Debs Swann is an Advanced Clinical Practitioner (ACP) working in the Cambridge area, she is also a PHEM practitioner working with the Birmingham care teams. Debs is also a World Extreme Medicine faculty member and is an active member of the UKISAR team. In the episode she reflects on her time both within the deployment and her reflections afterward. She also reflects on her near death experiences and how that translates to her perspectives on time horizons. My thanks to Debs for this candid and honest interview and her overall insights.
Tyler Posey came by to talk about the new Teen Wolf movie, his song Lemon and upcoming album UNRAVEL, Maid in Manhattan and his relationship with Phem! Listen to Tyler Posey's music here ►► https://linktr.ee/Tylergposey All interviews can be heard first LIVE on AMP! Live Monday - Friday from 3-6p PT -- DOWNLOAD & LISTEN HERE: https://t.co/y3UrDZP3ab Learn more about your ad choices. Visit megaphone.fm/adchoices
Tyler Posey came by to talk about the new Teen Wolf movie, his song Lemon and upcoming album UNRAVEL, Maid in Manhattan and his relationship with Phem! Listen to Tyler Posey's music here ►► https://linktr.ee/Tylergposey All interviews can be heard first LIVE on AMP! Live Monday - Friday from 3-6p PT -- DOWNLOAD & LISTEN HERE: https://t.co/y3UrDZP3ab Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode, Will Duffin is joined by Ffyon Davies, a fellow extreme medic, to discuss her most memorable moments in the field. They delve into her experiences in Mountain Rescue and as an Expedition Medic on Mount Kilimanjaro, which is considered one of the most challenging roles in the field. The conversation covers a range of topics including team dynamics, leadership, casualty management, wilderness fracture management, and more. They also explore how to tackle the unique challenges of expedition medical care such as preventing water from freezing at high altitudes and managing a spread-out group. Other important aspects discussed include understanding one's limits, vulnerability modeling, the significance of having a trusted colleague to confide in, and coping when one is struggling at altitude while others in the group need treatment. The episode is packed with valuable insights and practical advice for anyone interested in extreme medicine. About Ffyon: Ffyon is an ED Registrar based in North Wales. Usually found either outdoors, at work or both, she is currently a clinical fellow in ED, ICU and PHEM (working with EMRTS Air Ambulance) at Ysbyty Glan Clwyd. She is an 'FY5', taking a slightly circuitous route to qualifying in Emergency Medicine via the CESR pathway, taking time out wherever possible to do what she loves undertaking expedition medicine roles which have included working as chief medical officer on worked as chief medical officer on board Tall Ship Pelican of London, sailing from Germany to Tenerife, and as a trail medic supporting ultramarathons in Wales and the Azores islands. When she's not working, she's out playing in the mountains hiking, running, climbing and kayaking, usually accompanied by her trusty welsh collie Foxy. She also volunteers with her local mountain rescue team, North East Wales Search and Rescue. She has completed her Mountain leader training and is also a qualified Elementary Paragliding Pilot.
“Teen Wolf: The Movie” star Tyler Posey is joining Drew to chat about the film that's been five years in the making, his relationship with girlfriend Phem and his favorite weird food combo. Drew and Ross Mathews are covering today's headlines like the upcoming film “Scream 6” and why some say you should resist the urge to clean before having company over. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
In this latest episode I am joined by Dr Matt Creed, a Consultant in Anaesthetics, Major Trauma and Pre-Hospital Emergency Medicine based in Cardiff. Matt has been active in pre-hospital care for over a decade, having worked with a number of different services in both England and Wales. In this episode we discuss how to get involved in pre-hospital care, the history of the BASICS scheme and some of the latest PHEM research, exploring how it can be applied in wilderness and austere settings. Links from the episode: https://www.basics.org.uk/ https://www.medservewales.org/ Diploma in Immediate Care References: Resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomised, controlled,phase 3 trial; Crombie, Nicholas et al; The Lancet Haematology, Volume 9, Issue 4, e250 - e261. Pharmacokinetics of intramuscular tranexamic acid in bleeding trauma patients: a clinical trial; Grassin-Delyle, Stanislas et al; British Journal of Anaesthesia, Volume 126, Issue 1, 201 - 209
In this interview we will examine the emerging research priorities within pre-hospital care from the perspective of priority and importance. I will be speaking with Sarah McLaughlin – a senior research fellow with affiliations with Essex & Herts Air Ambulance (EHAAT) and Anglia Ruskin University. I will also be speaking with Lisa Ramage, Lisa is a PHEM trainee in the East of England and the chair of PHOTON. PHOTON is a group of non-consultant grade, pre-hospital, doctors with an ambition to expand the quality and reach of research within pre-hospital care. In this conversation we are going to examine a national Delphi study which is defining the national research priorities within pre-hospital care in the contemporary climate. We will also: Examine what is a Delphi study Why is it an important time for empirical research and audit at the moment within pre-hospital care Sarah's EHAAT Delphi study as an analogue of the national PHOTON study The process of a Delphi study in terms of rounds and refinement of the questions. How does it achieve consensus? What are the advantages to a Delphi study? Ethical approval (the panel and process) Topics that have emerged from the process Why is it important to study end points that don't always involve mortality (look at 30 day outcome, CPC neurological outcome, discharge data, and patient centred outcomes) How does this inform national strategic direction and focus Final thoughts from Sarah and Lisa & take-home messages. You can find out more about PHOTON and Lisa Ramage here: https://fphc.rcsed.ac.uk/about/photon-group You can find out more about EHAAT here: https://www.ehaat.org/about-us/our-people/ You can find the EHAAT Delphi study that is mentioned in the interview here: https://sjtrem.biomedcentral.com/articles/10.1186/s13049-021-00835-z You can find some of Sarah McLaughlin's publications here: https://www.researchgate.net/profile/Sarah-Mclachlan-5 This podcast is brought to you in association with BHA Medical. BHA medical source, supply and implement innovative medical technology and solutions across the globe. BHA provide market leading services in covid 19 testing kits, medical products, smart technology and consultancy. One of the latest solutions that BHA medical offer is the iMed end-to-end Covid-19 testing and monitoring solution. NPH iMed is an end-to-end Covid-19 testing and monitoring solution, developed in partnership with BHA Medical Limited to assist in collating and managing test results, reopen travel, leisure, events and entertainment. One of the first independent online test verification systems in the world, NPH iMed is a leading solution for testing, managing and monitoring all of your Covid-19 needs. NPH Group has simplified the process of reporting test result data for you through our online platform which makes capturing the required data for submission easy, while easily recalling individuals for repeat testing and submissions. NPH have created a fully compliant and automatic upload capability, so you don't have to worry about it, with a cost-effective solution. More can be found here: https://bha-medical.com https://www.bha-medical.com/imed-self-testing-monitoring-covid-19-app Please enjoy this episode with two insightful and engaging guests
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Desde Miami, conversamos con la venezolana Loreana sobre sus nuevas canciones y el inicio formal de su proyecto musical. Esta edición 473 incluye también música de Brontiss, Para Llevar, Dylan Fraser, Nick Mono, Sipho, Tems, Cathy Jain, Prima Queen, Sycco, Priestgate, Highschool, Eades, English Teacher, Honeyglazed, Caroline, Dora Jar, Sarah Kinsley, Seori, Phem, Wunderhouse, Piri & Tommy Villiers, Camay, Nombres Ocultos. Presenta y produce: Víctor Amaya @victoramaya Visita www.estosisuena.online Redes sociales: @estosisuena
Vim li cas thiaj muaj tej kev teeb txheeb qhia tias tej neeg hauv tsev neeg yog cov pheej tsim teeb meem thiab ua phem rau tej laus? Peb mloog ntxiv seb ho yuav muaj txoj xub ke twg pab daws tau cov teeb meem no?
Mekan ve İnsan (186): Delikli kent ve müphem alan Mekan ve İnsan'ın 186. bölümünde Melis Oğuz, konukları İstanbul Gelişim Üniversitesi İç Mimarlık ve Çevre Tasarımı Bölümü'nde araştırma görevlisi ve Mimar Sinan Güzel Sanatlar Üniversitesi Şehircilik doktora öğrencisi Merve Karadaban ile İstanbul Teknik Üniversitesi Mimari Tasarım yüksek lisans programı kapsamında Doç. Dr. Fatma Erkök'ün danışmanlığında tamamladığı “Delikli bir kent olarak İstanbul'a bakmak: Kentin müphem alanlarına dair bir araştırma” tezi üzerine konuştu.
Allan Tudge raug nws ib tug neeg ua hauj lwm dhau los liam tias tau ua phem rau nws nyuaj siab thiab lub cev ntaj ntsug, ib tug nom ntawm xeev WA raug txhom thiab tseem yuav raug coj mus hais plaub cuam tshuam nrog ib tug me nyuam ntxhais hnoob nyoog 8 xyoo, xeev NSW thiab Victoria hais tias kom tej neeg kub siab txog cov neeg raug kho mob tsawg thiab muaj neeg hno tshuaj vaccine coob tuaj ntxiv tsis yog pheej saib tias seb muaj neeg coob npaum li cas kis kab mob COVID-19 xwb, SA tus hau xeev kis tau kab mob tom qab tau mus koom lub koob tsheej high school reunion, AFL Legend Ron Barassi raug sim tau tias kis kab mob COVID-19,...
phem is an amazing artist and is going to be an absolute star. Hear her back story as well as touring with Waterparks and also all the details on her new song "Silly Putty" and more! Make sure to subscribe to The Gunz Show podcast as well!
This week Sam and Marcos invite you to our Friendsgiving! We talk new albums from Mayday Parade, Volumes, Aries, Bears In Trees, Between You & Me, and Gold Necklace! Not to mention news from 100 Gecs, Phem, Silverstein, Smrtdeath, The Amity Affliction, The Faim, Glaive, Siamese, and more! Playlist: https://open.spotify.com/playlist/0jp0fpudUz7gvu0SFaXhK3?si=j2BEVESFTGWkOyewnqLgaA Patreon: Patreon.com/sotspodcast. Merch: Sotspodcast.com/merch Twitter: https://twitter.com/SOTSPodcast Facebook: https://www.facebook.com/sotspodcast Instagram: https://www.instagram.com/sotspodcast
Tom is joined by Phem - an exciting and talented new artist featured on the song "Night Witch" from his Atlas Underground Fire album
Intubation is a key part of advanced airway management. Although some of you out there may not intubate, we'll be covering aspects where the identification of the need for intubation and how contributing as a team to the process can make a real difference to patient outcomes. Intubation is subject of a considerable amount of evidence and debate. Increasing use of supraglottic airways both in theatre and in cardiac arrest creates a situation in which there are limited opportunities to train and learn the skill. This brings into question who should these limited opportunities to train go to, what defines competence, which patients now would benefit from intubation. In this episode we're going to cover these topics and more, including talking through how to fine your intubation technique as much as possible. We're coming at this episode with our collective neonatal, ED and PHEM practice which all involve advanced airway management and it's fair to say that we're all passionate about delivering intubation and advanced airway management to the highest level possible. We hope this episode gives a further opportunity to consider the topic in great depth and reflect upon how we can all contribute to improving practice. Once again we'd love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom. Enjoy! Simon, Rob & James
Welcome back to TheCase.Report! We're back with our very first PHEM episode, a long overdue milestone. For the case, Mohammed is joined by Jamie and AP extraordinaire, Joe Mooney. Our Adult in the Room, Dr Jason van der Velde, then reviews our work and adds some pearls. Callum is back with The Echo Chamber, where he's joined by Dr Florian Pracher, who takes us through the use of POCUS in his practice as a retrievalist, and the importance of structured training and accreditation. Show notes right over here. Right, let's get to it!
Lub koom haum Australian Cyber Security Centre tau qhia tias tsaib no xwb twb muaj neeg qhia tias lawv raug neeg phem ntxias dag poob nyiaj thiab qhia lawv tej xov xwm ntiag tug rau tej neeg phem yuav laug txog li 70,000 cov teeb meem, uas tau ua rau neeg Australia poob nyiaj kwv yees li ntawm 33 billion dollars lawm. Thiaj xav taw qhia kom sawv daws yuav tsum tau xyuam xim ceev faj kom thiaj tsis txhob raug neeg phem ntxias dag rau lub caij sawv daws nyob tsev vim muaj cov kev txwv kab mob COVID-19.
Cov tswv yim twg thiaj pag tiv thaiv tau kom koj tsis txhob raug neeg phem ntxias dag es koj thiaj tsis paub nyiaj? Ib lub tswv yim tej neeg paub txog tej teeb meem no qhia ces kom yuav tsum tau txheeb thiab nug tej customers, suppliers los yog tus neeg ua luam nrog yus kom tseeb tias seb puas yog lawv tiag, los yog neeg phem siv tswv yim dag yus ua ntej yus yuav them nyiaj rau lawv, thiab yog yus tsis paub ces txhob nrog tham.
PHEM Feedback is a project which assists ambulance and air ambulance staff with patient follow up. I was lucky enough to catch up with two of the minds behind the project – Sinead Keane and Dr Gio Cracolici – about its origins, how it works, and how it helps with clinician's learning and patient outcomes. Check it out! -- Silas. References PHEM Feedback Sound recordist Jack Neuman Hosted on Acast. See acast.com/privacy for more information.
Abd Allah Abou Muhammad ibn Salih ibn Muhammad ibn Sulayman ibn Abd Al Rahman Al Outhaymine Al Tamimi ( arabe : أبو عبد الله محمد بن صالح بن محمد بن سليمان بن عبد الرحمن العثيمين التميمي ) (9 Mars, 1925-1910 Janvier, 2001) a un saoudien arabesavant. Décrit comme un "géant de l'Islam". Il a été considéré comme l'un des plus grands muhaddith de l'ère moderne. Après avoir terminé sa mémorisation du Coran et ses études fondamentales, il a commencé ses études religieuses à plein temps sous la direction du cheikh Muhammad ibn 'Abd al-'Aziz al-Mutawwa' et du cheikh Ali al-Salihi à Unayzah. C'étaient les deux enseignants que le cheikh 'Abd al-Rahman al-Sa'di avait nommés pour instruire les étudiants débutants. Après un an d'étude sous ces deux professeurs, al-Uthaymeen a commencé à étudier sous cheikh 'Abd al-Rahman al-Sa'di en 1945 et a continué à être son élève jusqu'à la mort d'al-Sa'di en 1956. L'année 1952, al-Salihi a conseillé à al-Uthaymeen de s'inscrire dans le Ma'had al-'Ilmi nouvellement ouvert à Riyad , ce qu'il a fait après avoir demandé la permission d'al-Sa'di. Pendant son séjour, il a étudié sous les ordres de Cheikh Muhammad al-Ameen al-Shinqiti , Cheikh 'Abd al-'Aziz bin Baz et cheikh' Abd al-Razzaq 'Afeefi, entre autres. Il a étudié là pendant deux ans avant de retourner à Unayzah, où a commencé à enseigner et a continué ses études sous al-Sa'di. Livre en français : La description de la prière - Ibn Al-OUthaymin - Al Bayyinah Le Statut De Celui Qui Délaisse La Prière Le Livre de la Science - Kitab Al-'Ilm La Description de la Prière Livre en arabe : Livre en anglais : Audio en arabe : Hosn al khalq Hokm al anachid wattamthil Al Quran al adhim Hosn al khalq (Quran) Hokm al anachid wattamthil Al Quran al adhim (Quran) Audio en français :
Abd Allah Abou Muhammad ibn Salih ibn Muhammad ibn Sulayman ibn Abd Al Rahman Al Outhaymine Al Tamimi ( arabe : أبو عبد الله محمد بن صالح بن محمد بن سليمان بن عبد الرحمن العثيمين التميمي ) (9 Mars, 1925-1910 Janvier, 2001) a un saoudien arabesavant. Décrit comme un "géant de l'Islam". Il a été considéré comme l'un des plus grands muhaddith de l'ère moderne. Après avoir terminé sa mémorisation du Coran et ses études fondamentales, il a commencé ses études religieuses à plein temps sous la direction du cheikh Muhammad ibn 'Abd al-'Aziz al-Mutawwa' et du cheikh Ali al-Salihi à Unayzah. C'étaient les deux enseignants que le cheikh 'Abd al-Rahman al-Sa'di avait nommés pour instruire les étudiants débutants. Après un an d'étude sous ces deux professeurs, al-Uthaymeen a commencé à étudier sous cheikh 'Abd al-Rahman al-Sa'di en 1945 et a continué à être son élève jusqu'à la mort d'al-Sa'di en 1956. L'année 1952, al-Salihi a conseillé à al-Uthaymeen de s'inscrire dans le Ma'had al-'Ilmi nouvellement ouvert à Riyad , ce qu'il a fait après avoir demandé la permission d'al-Sa'di. Pendant son séjour, il a étudié sous les ordres de Cheikh Muhammad al-Ameen al-Shinqiti , Cheikh 'Abd al-'Aziz bin Baz et cheikh' Abd al-Razzaq 'Afeefi, entre autres. Il a étudié là pendant deux ans avant de retourner à Unayzah, où a commencé à enseigner et a continué ses études sous al-Sa'di. Livre en français : La description de la prière - Ibn Al-OUthaymin - Al Bayyinah Le Statut De Celui Qui Délaisse La Prière Le Livre de la Science - Kitab Al-'Ilm La Description de la Prière Livre en arabe : Livre en anglais : Audio en arabe : Hosn al khalq Hokm al anachid wattamthil Al Quran al adhim Hosn al khalq (Quran) Hokm al anachid wattamthil Al Quran al adhim (Quran) Audio en français :
In recent years, the health impacts of infectious disease outbreaks, natural disasters, industrial and environmental catastrophes, and conflict have captured the world’s attention and reinforced the importance of strengthening public health systems to better protect communities and populations from naturally occurring and human-caused threats. Various approaches and programs have been developed to address these needs in domestic and global contexts, including initiatives to strengthen public health preparedness and global health security. Although much has been written about these approaches, there are few reports on the interface between public health and emergency management—and even less about what we call “public health emergency management” (PHEM).PHEM is an emergent field of practice that draws on specific sets of knowledge, techniques, and organizing principles found in the fields of emergency management and public health that are necessary for the effective management of complex health events and emergencies with serious health impacts. Although concepts such as public health preparedness and global health security include significant components of PHEM, the various terms should not be conflated.Eric McNulty Web - https://ericmcnulty.com/Twitter - https://twitter.com/RicherEarthFacebook -https://www.facebook.com/RicherEarthLinkedIn -https://www.linkedin.com/in/emcnulty/Todd De VoeWebsite - https://toddtdevoe.com/Website- www.crisis-cafe.comSpeak N Spark-https://bit.ly/3sTVUfrLinkedIn - https://bit.ly/3sVHL1gEM WeeklyWebsite - https://bit.ly/3jj5ItlTwitter - https://bit.ly/31z8MeXFacebook - https://bit.ly/3dMlbRPLinkedIn - https://bit.ly/34mXyfzYouTube - https://bit.ly/2FQDhWdSponsors Outer Limit Supply https://bit.ly/2FR26Bp Coupon Code “EMWEEKLY” Power Up- https://www.powerupconnect.com/5.11- https://bit.ly/33daV0aMid-Atlantic Center for Emergency Management- https://macem.org/Home.aspxIf you would like to become a sponsor or advertiser Call Sitch Radio (714) 643-2500 X 1
This week Paul Rees returns to discuss the trans specialty procedure of REBOA. He looks at why it isn't commonly used in PHEM but talks about the situations where it could usefully be incorporated into the pre hospital emergency environment. Key points from this podcast: Adopt a whole system approach and deliver the patient to a centre who can help to stabilise them Access, access, access, start training now with Ultrasound. Know how to subtly manage the probe to get vascular access with ultrasound. If in a system employing the REBOA system consider the inflation time carefully Resources related to this podcast: Norwegian HEMS REBOA paper (open access) – https://www.ahajournals.org/doi/epub/10.1161/JAHA.119.014394 About Paul Paul Rees is a military interventional cardioloist at Barts Heart Centre in London, with a special interest in circulatory support and resuscitation. He is also a HEMS consultant, flying for East Anglian Air Ambulance. As a Surgeon Commander in the Royal Navy, he is their Consultant Advisor in Medicine, as well as Reader in the Academic Department of Military Medicine. He chairs the Defence Resuscitation Committee, leads the Defence Endovascular Resuscitation Group and has recently designed and delivered a new capability for treating battlefield haemorrhage. He co-leads the new British Cardiovascular Intervention Society group looking at out of hospital cardiac arrest, and teaches as invited faculty on a number of international endovascular resuscitation workshops. Paul's military background includes active service with submarines, combat deployment with Commando forces, being the airborne MERT consultant in Afghanistan and numerous humanitarian and disaster relief missions including work in an Ebola treatment unit in Africa.
PHEM is a male dominated speciality but why is that? Caroline Leech takes us through the reasons why this inequity exists and how we can breakdown barriers. For more head to: codachange.org/podcasts
On this episode I go into Iann Dior's music. He is a hip hop star and well known in his collab Mood by 24kgldn. I go over his album Industry Plant that was released in 2019. This album is catchy but also hits home with the ups and downs of a relationship. Part two goes over Never Is Enough, Holding On, and The Y Gone Girl. Make sure to listen for the podcast questions message me your answers on Instagram @jd4unc. Thanks for listening, leave a like and share with a friend. Make sure to tune into the next episode this Sunday featuring a special guest. The episode is season 4 episode 6 but, will be listed as season 4 episode 7. Music Credits For This Episode: Intro The Alan Parsons Project Sirius, Darkside ft. Travis Barker, What Is Real, and Searching ft. Phem, Never Is Enough, Gone Girl ft. Trippie Redd, and Holding On all by Iann Dior. The outro Midsummer Madness Instrumental Prko. Sources: Lyricfind.com, Genius Verified, Allmusic.com “All Music Review Industry Plant” by Fred Thomas, Hotnewhiphop.com “Iann Dior Makes ‘Industry Plant' Debut” by Milca P. and YouTube.
On this episode I go into Iann Dior's music. He is a hip hop star and well known in his collaboration in Mood by 24kgldn. I go over his album Industry Plant that was released in 2019. This album is catchy but also hits home with the ups and downs of a relationship. Part one of this episode goes over Darkside, What Is Real, and Searching. Make sure to go tune in to part 2 of this episode which will show up as Season 4 episode 7. Part 2 highlights more of his popular songs. There will also be podcast questions message me your answers on Instagram @jd4unc. Thanks for listening, leave a like and share with a friend. Music Credits For This Episode: Intro The Alan Parsons Project Sirius, Darkside ft. Travis Barker, What Is Real, and Searching ft. Phem all by Iann Dior. The outro Midsummer Madness Instrumental Prko. Sources: YouTube and Lyricfind.com
The future of pre hospital care; Treatments and technologies on the horizon. For more head to: codachange.org/podcasts
The future of pre hospital care; Treatments and technologies on the horizon. For more head to: codachange.org/podcasts
Singer/producer Phem is joined by her dog as she sends in a diary from LA, she reflects on time spent in quarantine and lockdown this year, and chooses some big names to self isolate with! ➤ Listen to more from Phem here ➤ Follow Phem here: @Phem If you want to discuss your own experiences and join the conversation, you can reach us on: Email: socialdistancingdiaries@gmail.com Twitter: @sddpod and use #sddpod Instagram: @socialdistancingdiariespod Facebook: facebook.com/socialdistancingdiaries --- Send in a voice message: https://anchor.fm/sddpod/message
Together with American Songwriter and Sean Ulbs of The Eiffels, we had the pleasure of interviewing Dana Dentata over Zoom video!Canadian-born musician Dana Dentata has shared a brand-new single, “Do U Like Me Now?” which is available today on all streaming platforms. “Do U Like Me Now?” marks Dana Dentata’s first new music of 2020 and previews her forthcoming debut album, Pantychrist. Expected to arrive next year, Dana Dentata has been finalizing work on Pantychrist, collaborating in the studio with artists / producers: Dylan Brady of 100 Gecs, Kris Esfandiari of King Woman / Miserable, Robokid, Yawns and Fish Narc of GothBoiClique, and more.Recently, Dana Dentata announced her signing with Roadrunner Records, becoming the first female solo artist signed to the label, and shared the performance art film, ‘The Resurrection of Dana Dentata.’ Conceptualized and directed by Dentata, the 20-minute piece captures her as she carves through performances of tracks from her 2019 EP Daddy Loves You, as well as brand-new material with an unapologetically raw expression of sexual power. Additionally, Dana Dentata is set to feature in the genre busting horror / musical podcast, Halloween In Hell, which will premiere October 10th via all podcast platforms.With her brazen rhymes and authoritative flows, Dana Dentata has gained distinction for being equal parts empowering and provocative. By pairing her unapologetically sexual lyrics with production that is just as menacing, Dentata creates liberating, femme-centric hip-hop. A native of Toronto, Canada, she grew up inspired by artists ranging from Britney Spears and Hole, to Marilyn Manson and Eminem. At the end of 2019, Dentata performed at Los Angeles’ Rolling Loud Festival and released her EP, 'Daddy Loves You.'Dana recently took part in Machine Gun Kelly and Audio Up’s four-part scripted Halloween musical HALLOWEEN IN HELL, which has hit 500K+ streams since it’s October 19th debut. The podcast and soundtrack stars Machine Gun Kelly, Tommy Lee, Dana Dentata, 24kGoldn, iann dior, and PHEM – who contributes vocals to a few tracks.The new three-track bundle includes “In Hell It’s Always Halloween Remix” featuring iann dior and PHEM, “Just Us Two” featuring Dana Dentata, and “Watch Me” featuring BigKlit. These tracks were released through Sony Music RECORDS and Audio Up Music, and are available now through all digital and streaming platforms.HALLOWEEN IN HELL’s finale episode was released on Friday, October 30th, with its final tracks set to drop on Friday, November 13th. The series will be accompanied by a four-part making-of documentary to be released as bonus content. Stay tuned for more.About HALLOWEEN IN HELL:A scripted horror musical podcast, just in time for Halloween. Rock legend Tommy Lee stars as the Devil, featuring original music and performances by Machine Gun Kelly, iann dior, Dana Dentata, PHEM, and 24kGoldn. On Halloween, Satan lures three performers to his sadistic game show in Hell where they must perform or die. The winner returns to Earth. The losers will play out their showbiz careers in fiery hellfire and damnation.About Audio Up:Audio Up CEO Jared Gutstadt explains, “Halloween, much like other major holidays, deserves its own entertainment tent pole. While a lot of people focus on Christmas, Valentine's Day and New Year's Eve, we really believe that Halloween is an undersurface time of year for folks to enjoy original content. I was always a fan of ‘The Rocky Horror Picture Show’ and ‘Nightmare Before Christmas,’ and we believe we're creating an evergreen franchise that will allow us to unlock new stories every year with original music, possibly ending up in the realm of live or visual content. Machine Gun Kelly was an extremely logical and obvious partner for us. His brand pairs well with the season.”https://www.danadentata.com/https://www.instagram.com/danadentata/?hl=enhttps://twitter.com/danadentata?lang=enhttps://www.facebook.com/danadentata/We want to hear from you! Please email Tera@BringinitBackwards.com.www.BringinitBackwards.comListen & Subscribe to BiBFollow our podcast on Instagram and Twitter!
Together with American Songwriter and Sean Ulbs of The Eiffels, we had the pleasure of interviewing Phem over Zoom audio! For Phem, this self discovery has paid off. Over the past couple of years she has both been featured on and co-wrote songs with a slew of artists including G-Eazy, Machine Gun Kelly, Lil Tracy and Iann Dior. She has toured the world supporting artists such as Lil Xan and Grandson. Phem has also become a regular contributor in John Feldmann's camp, writing a song on The Used's Heartwork and most recently Jxdn's single 'So What'. It was her own VACUMHEAD EP released last year that racked millions of streams and gained her a cult following of teens inking her name on their limbs. And somehow she accomplished all this while remaining completely independent. Having remained somewhat quiet in 2020, Phem is now gearing up to release a series of new singles.Machine Gun Kelly and Audio Up’s four-part scripted Halloween musical HALLOWEEN IN HELL, which has hit 500K+ streams since it’s October 19th debut. The podcast and soundtrack stars Machine Gun Kelly, Tommy Lee, Dana Dentata, 24kGoldn, iann dior, and PHEM – who contributes vocals to a few tracks.The new three-track bundle includes “In Hell It’s Always Halloween Remix” featuring iann dior and PHEM, “Just Us Two” featuring Dana Dentata, and “Watch Me” featuring BigKlit. These tracks were released through Sony Music RECORDS and Audio Up Music, and are available now through all digital and streaming platforms. HALLOWEEN IN HELL’s finale episode is slated to release Friday, October 30th, with its final tracks set to drop on Friday, November 13th. The series will be accompanied by a four-part making-of documentary to be released as bonus content. Stay tuned for more.About HALLOWEEN IN HELL:A scripted horror musical podcast, just in time for Halloween. Rock legend Tommy Lee stars as the Devil, featuring original music and performances by Machine Gun Kelly, iann dior, Dana Dentata, PHEM, and 24kGoldn. On Halloween, Satan lures three performers to his sadistic game show in Hell where they must perform or die. The winner returns to Earth. The losers will play out their showbiz careers in fiery hellfire and damnation.About Audio Up:Audio Up CEO Jared Gutstadt explains, “Halloween, much like other major holidays, deserves its own entertainment tent pole. While a lot of people focus on Christmas, Valentine's Day and New Year's Eve, we really believe that Halloween is an undersurface time of year for folks to enjoy original content. I was always a fan of ‘The Rocky Horror Picture Show’ and ‘Nightmare Before Christmas,’ and we believe we're creating an evergreen franchise that will allow us to unlock new stories every year with original music, possibly ending up in the realm of live or visual content. Machine Gun Kelly was an extremely logical and obvious partner for us. His brand pairs well with the season.”We want to hear from you! Please email Tera@BringinitBackwards.com.www.BringinitBackwards.com#podcast #interview #bringinbackpod #foryou #foryoupage #stayhome #togetherathome #zoom #aspn #americansongwriter #americansongwriterpodcastnetworkListen & Subscribe to BiBFollow our podcast on Instagram and Twitter!
This week we have the beautiful PHEM on the podcast! She shares her musical background with us and also brings a special guest along with her.
Yog thaum neeg phem nyiag tau koj lub cim thawj coj mus siv lawm tsim nyog koj yuav tsum tau ua dab tsi thiab ho yuav muaj tau teeb meem dab tsi rau koj?
Pov Lauj qhia tias yog thaum koj raug neeg phem dab poob nyiaj thiab lawv tau koj tej xov xwm tag lawm tsim nyog koj yuav tau ua li cas?
Tej neeg phem siv cov tswv yim li cas los ntxias dag kom tej neeg sawv daws poob nyiaj txhua lub sij hawm tsis yog lub caij muaj kab mob coronavirus no xwb. Pov Lauj uas yog tus neeg ua hauj lwm saib xyuas thiab pab tej neeg raug neeg phem dag nyiaj qhia qhov tseeb tias yog li cas.
Tej neeg phem siv cov tswv yim li cas los ntxias dag kom tej neeg sawv daws poob nyiaj txhua lub sij hawm tsis yog lub caij muaj kab mob coronavirus no xwb. Pov Lauj uas yog tus neeg ua hauj lwm saib xyuas thiab pab tej neeg raug neeg phem dag nyiaj qhia qhov tseeb tias yog li cas.
Australian Consumers Competition Commission (ACCC) qhia tias muaj neeg Australia raug neeg phem ntxias dag poob nyiaj txog $91 million rau lub caij muaj kab mob coronavirus sib kis lawm. Yuav paub tau li cas tias neeg phem dag koj?
Vim li cas 3 lub teb chaws vam meej li Canada, America thiab Askiv thiaj liam tias Russia cov hackers APT29 yog tus mus nyiag tej tswv yim los kho thiab los tsim tshuaj vaccine kho tus kab mob coronavirus (COVID-19)? Puas muaj tseeb tiag li hais ntawd?
Cyber security experts and Australian Competition Consumers Commission advice Australians to be vigelent during coronavirus crisis as more of us are staying home and and staying connected online. - Tej neeg yuav khoom siv txoj cai thiab cov kev raug neeg phem ntxias dag hauv online.
What situation can be described as elder abuse, what should they do, and how to find help? - Cov kev ua phem rau tej laus yog cov xwm txheej zoo li cas thiab tej laus tsim nyog ua li cas kom lawv thiaj dim ntawm tej teeb meem no los yog thov tau kev pab cuam rau lawv?
Today I'm talking about some underrated artists, ex. Phem,Modsun,LostinVegas, etc.
Excellent practice is led by following the high quality evidence based medicine, and there have been a lot of great papers published in the last 12 months! We were kindly invited to the Faculty of Pre Hospital Care Annual Scientific Conference to give a talk on the top 10 papers over the last year. Sadly, but completely understandably, the conference had to be cancelled due to COVID-19. In this podcast we cover the talk which is based on 2 cases that are common to PHEM;a major trauma and a cardiac arrest, and discuss how we can optimise outcomes for our patients in view of the recent evidence on these areas. As always we’d love to hear any thoughts or comments you have on the website and via twitter, and make sure you take a look at the references and guidelines linked below to draw your own conclusions. Enjoy! Simon, Rob & James
Deciding where exactly you’ll live is one of the most important decisions to take when arriving in Australia. - Deciding where exactly you’ll live is one of the most important decisions to take when arriving in Australia.
In this episode, we chat with Dr Simon Laing, an Emergency Medicine and Pre-hospital Care Consultant. We discuss his personal career journey, including the reality of the day to day job and the development of The Resus Room podcast. Dr Laing also offers advice to medical students and junior doctors interested in a career in Emergency Medicine and Pre-hospital Care. Check out The Resus Room podcast here: https://theresusroom.co.uk/ (it's EXCELLENT)Follow Dr Simon Laing on Twitter here: https://twitter.com/laing_simon
Mr. Machine Gun Kelly has returned with his next album, Hotel Diablo, and here is the review. Welcome to a bonus episode of Head Space Podcast, where we break down new Hip Hop albums track by track. Holden Stephan Roy (HSR) is here with his thoughts and looks forward to hearing yours in the comments below. 02:28 General chit chat about Machine Gun Kelly12:59 Sex Drive (Ft. Cara Delevingne)15:53 el Diablo (Ft. SlimXX)24:14 Hollywood W---- (Ft. RookXX)34:32 Glass House (Ft. Naomi Wild) 40:39 Burning Memories (Ft. Lil Skies, Fingazz, Phem)45:10 A Message From The Count (Ft. Pete Davidson)46:21 FLOOR 1357:09 Roulette01:03:22 Truck Norris Interlude01:04:05 Death In My Pocket01:09:13 Candy (Ft. Trippie Redd)01:12:47 Waste Love (Ft. Madison Love) 01:15:42 5:3666 (Ft. Phem)01:19:00 I Think I'm OKAY (Ft. YUNGBLUD, Travis Barker, Omer Fedi) - Hotel Diablo album review grade reveal Check out Machine Gun Kelly - Hotel Diablo on Spotify and do your own review:https://open.spotify.com/album/0bJIHF1Or1YBLFBMwv53K2?si=w_0kRCzATYGAGqDAPbmN3Q Join the request pool on Patreon:https://www.patreon.com/BehindThatSuit Check out HSR's music:https://open.spotify.com/artist/2ZtYJhikrhYuf0xhL4wqTn?si=JVEtxjpXTsiMBjR_Lg0Fjghttps://hsr514.bandcamp.com/ Join the Behind That Suit Discord Server:https://discord.gg/nzn6xqu Comment below and feel free to keep in touch: FB: https://www.facebook.com/behindthatsuit/@BehindThatSuit HSR:FB: https://www.facebook.com/HSR514/Twitter/IG: @HSR514Musical Endeavours:https://youtube.com/hsrisnothiphophttps://youtube.com/hsr514 Chris Chrome:Soundcloud: https://soundcloud.com/officialxchromeTwitter/IG: @chrischrome93FB: https://www.facebook.com/ChrisChrome93 #BehindThatSuit #MachineGunKelly #HotelDiablo
Episode 29 of the weekly Mom's Spaghetti podcast with Keith Cohen's favorite songs from the week, and a special interview with featured artist CVBZ! All songs can be found on the Spotify or Apple Music playlist "The Journey" (https://open.spotify.com/playlist/0VvarlbCoTwOBMM8xaONWF?si=pP1RNNwTRKiVTxukyACQHQ ~or~ https://music.apple.com/us/playlist/the-journey/pl.u-DdAN8E5tal97g6J) 1:24 The Git Up -- Blanco Brown 3:02 Louder -- CVBZ 6:14 Be Like You -- CVBZ 9:12 Vicodin -- CVBZ 12:14 Be Somebody -- CVBZ 14:59 Young -- CVBZ 19:21 Hollywood -- CVBZ 22:30 2 Gone -- CVBZ 26:37 Feels Great -- Cheat Codes, Fetty Wap, CVBZ 28:55 Higher Love -- Kygo, Whitney Houston 31:53 Someone -- Space Primates, Goldn 33:32 Piece Of Your Heart -- MEDUZA, Goodboys 35:39 Hate Me -- Ellie Goulding, Juice WRLD 36:56 Goodbyes -- Post Malone, Young Thug 38:33 Without You Now -- Digital Farm Animals, AJ Mitchell 40:01 Back In My Arms -- Jason Leech, Angel Taylor 41:39 Things Fall Apart -- ayokay 43:05 high & dry -- mxmtoon 44:27 Phone Numbers -- Dominic Fike 45:56 Hate How Much I Love You -- Conor Maynard 48:09 Come To Brazil -- Why Don't We 49:16 Meet The Parents -- Kim Petras 50:35 Eagle Birds -- The Black Keys 52:30 Don't Check On Me -- Chris Brown, Justin Bieber, Ink 54:30 Glass House -- Machine Gun Kelly, Naomi Wild 56:00 5:3666 -- Machine Gun Kelly, Phem 57:44 Spectacular Now -- G-Eazy 1:00:53 Dreams -- The Cranberries #tbt See acast.com/privacy for privacy and opt-out information.
We sit down with Indonesian-American artist Kai Mata to talk about her travels, Stonewall and her new single ‘So Hard’. Plus it’s Canadian electro trio Caveboy in the Spotlight song, Q2 Songs of the Week from Caskets and Gabriel Black feat. Phem and Video of the Week from the incredible Eli Lieb.
First, there are two proposed mechanisms of CPR, brilliantly summarized in this paper: Cardiac Pump Mechanism: “blood is squeezed from the heart into the arterial and pulmonary circulations, with closure of the mitral and tricuspid valves, preventing retrograde blood flow, and opening of the aortic and pulmonary valves in response to forward blood flow. Air is thought to move freely in and out of the lungs, so that the intrathoracic pressures do not significantly rise and the pulmonary circulation is not adversely affected by chest compressions. With the relaxation of chest compression, the heart fills with blood and air passively returns to the lungs.” Thoracic Pump Mechanism: “With each chest compression the intrathoracic pressure rises because of the collapse of the airways; the thoracic pump theory. This theory presumes that the rise in the intrathoracic pressures results in collapse of the pulmonary airways, thereby reducing the movement of air out of the lungs and reducing the size of the intrathoracic structures, but not necessary equally. The collapse of venous structures at the thoracic inlet was postulated to prevent retrograde venous blood flow and with each relaxation of chest compressions, the intrathoracic pressure falls with return of venous blood.” It is likely that both mechanisms are at play: …In patients with an average chest configuration and those with so‐called “barrel chests,” secondary to emphysema or other causes, the lateral chest roentgenogram often shows a significant distance between the anterior chest‐wall and the heart. In such patients it is nearly inconceivable that sternal compressions of the chest during CPR could result in cardiac compression. Rather, the mechanism of blood flow from chest compressions is probably secondary to the rhythmic alterations of the intrathoracic pressure and releases, for example, the “thoracic pump” theory. Is there any evidence that M-CPR Devices improve outcomes – since they’re marketed as “life saving devices”? A Meta Analysis from Gates et. al. concluded: Existing studies do not suggest that mechanical chest compression devices are superior to manual chest compression, when used during resuscitation after out of hospital cardiac arrest. However, if there’s no difference in survival, and it’s not WORSE than manual CPR, why not use it to cognitively offload tasks? Because, it may be worse. Gonzales et. al. compared “pit crew” resuscitation with “scripted” mCPR implementation and found: In this EMS system with a standardized, “pit crew” approach to OHCA that prioritized initial high-quality initial resuscitative efforts and scripted the sequence for initiating mechanical CPR, use of mechanical CPR was associated with decreased ROSC and decreased survival to discharge. Why might this be the case? We know based off work by Hwang et. al. who showed that standard CPR (inter-nipple line) often results in compression or narrowing of the LVOT or the aortic root. In this study, the area of maximal compression was over the aorta in 59% of patients! In another study, anderson et. al. used transthoractic echo to mark the location of the aortic root and the left ventricle of animals, and randomized them to receive CPR at one of the two locations. As you can probably guess, aortic systolic and diastolic pressures as well as ETCO2 were higher in the LV group, and 9 of the LV group (69%) achieved ROSC and survived at least 60 minutes compared to none who received chest compressions over the aortic root. All of these studies and more are explained in a wonderful video created by Felipe Teran: The folks at The Ultrasound Podcast also discuss using TEE to guide hand or device palcement for CPR: TEE to save lives, guide compressions, and guide interventions Pt 1. #FOAMED. p.s. – checkout cabofest2018.com But, how do we do we know that we’re compressing the LV without TEE? Well, we don’t exactly. However, Qvigstad E et. al. published a study in Resuscitation titled “Clinical pilot study of different hand positions during manual chest compressions monitored with capnography.” They compared how hand positioning at the inter-nipple line (INL), 2 cm below the INL, 2 cm below and to the left, and 2 cm below and to the right affect ETCO2. They found that there’s not “one superior hand position”, and that optimal positioning varies: How does this explain when we should place mCPR? It doesn’t really, but one argument against mCPR, specifically one based off of the cardiac pump mechanism, is that the device is consistent and doesn’t fatigue, yet this might be it’s downfall. It’s postulated, and demonstrated in the above videos that it may just be consistently compressing the aortic outflow tract, and not the left ventricle. Are we applying mCPR too early? Poole et. al discuss this in a paper titled: Mechanical CPR: Who? When? How? In their paper they discuss how the device is frequently deployed early, even before defibrillating the patient. Others In clinical practice, published literature reports marked variability in the hands-off time during device deployment, with pauses in excess of 1 minute being reported. In the LINC trial, the median reported chest compression pause associated with device deployment was 36.0 s (IQR 19.5, 45.5) The authors continue and note that… subsequent improvement in flow-fraction following device deployment meant that the median flow-fraction over the first 10 minutes of the cardiac arrest was higher in the mechanical CPR arm (mechanical 0.84 (IQR 0.78, 0.91) vs manual 0.79 (IQR 0.70, 0.86), p
phem - Interview by WE FOUND NEW MUSIC
This podcast is based on the Focused echocardiographic evaluation in life support and peri-resuscitation of emergency patients (FEEL) Study, and inferences made from it. The study was to determine the feasibility of prehospital ultrasound, but there were more astonishing results: 74.5% of patients in (pseudo) PEA had cardiac activity. 35% of patients in (suspected) asystole had cardiac activity. We brought on EMS Physician Walt Lubbers to answer whether or not ultrasound would inform our decision making or alter how we manage a patient in cardiac arrest. What we really wanted to know is 1) should we shock asystole "just in case" it could be very fine VF, and 2) would the presence of cardiac activity on ultrasound change how we manage a patient in cardiac arrest. We discussed in detail some cardiac arrest physiology and referenced a video lecture and studies cited by Dr. Peter Kudenchuk from the Resuscitation Academy.
Terminology Wet, dry, or near drowning are not medically accepted terms and should not be used. There is nothing “near” about drowning. It happened or it didn’t. Drowning is: “the process of experiencing respiratory impairment due to submersion or immersion in liquid.” Drowning has three outcomes. This is a uniform way of reporting data after a drowning event is using the Utstein template: 1) Morbidity 2) No morbidity 3) Mortality Submersion or immersion incident without evidence of respiratory impairment is considered a water rescue and not a drowning. Pathophysiology A person holds their breath until water enters the mouth. This water is voluntarily spat out or swallowed. The next conscious response is breath holding which lasts around one minute. The inspiratory drive becomes to strong and some water is aspirated into the airways (reflexive swallowing). Laryngospasm occurs, but is rapidly terminated by the onset of brain hypoxia. Aspiration continues, and hypoxemia leads to the loss of consciousness and apnea. The initial cardiac rhythm is tachycardia, then bradycardia, then asystole. - Adapted from Szpilman et. al. On average, less than 30 mL of fluid or NO fluid enters the lungs. Clinical presentation Water washes out surfactant = frothy pulmonary edema Cellular Injury – alveolar collapse leads to atelectasis Hypoxic vasoconstriction due to V/Q mismatch Bronchospasm Inflamation The main problem is NO OXYGEN TO THE BRAIN. This is a hypoxic cardiac arrest and should be treated as such. In-water Rescue (If properly trained) “Reach, Throw, Row, Don’t GO” – Don’t become a victim If properly trained, and the patient HAS A PULSE, mouth to mouth resuscitation can result and a 3 times greater likelihood of surviving as compared with taking the person first to land. CPR will be ineffective Cervical Spine Immobilization Incidence of cervical spine injuries is 0.5%-5% Without obvious signs of trauma or a known fall or diving event, routine cervical spine immobilization is unnecessary and can delay providing oxygen to the brain. If the patient is awake, follow standard spinal clearance algorithms. Land Resuscitation Airway, Airway, Airway Start with basics: Mouth to mouth, mouth to mask, BVM, Etc. Delay placing an advanced airway – restoring oxygenation is more important. Cardiac arrest in drowning is due to hypoxia. There is no place for “hands only CPR” CPR only will only circulate blood with a severe oxygen debt that won’t be restored without positive pressure ventilation. Beware of Acute Pulmonary Edema Water + Soap = Foam. Possibly lots of it. You don’t need to suction unless vomit or frank water is present. Suctioning foam will keep coming. Bag it down. Use PEEP The Heimlich maneuver No. Little water is aspirated into the lungs, and it only delays the administration of oxygen. If patient is awake and/or has a pulse and is intubated CPAP if not at risk for vomiting If managed via an advanced airway, use an ARDS approach Low tidal volumes: 6-8 cc/kg of ideal body weight Respiratory rate to maintain eucapnea: 16-18 Increase PEEP and FiO2 in tandem to achieve and adequate SpO2 Who should be resuscitated? Per WMS Practice Guidelines: “Minimal chance of neurologically intact survival with submersion time greater than 30 minutes in water greater than 43 degrees F.” “Minimal chance of Minimal chance of neurologically intact survival with submersion time greater than 90 minutes in water less than 43 degrees F.” When should resuscitative efforts cease? WMS Recommendation: After 25 minutes continuous CPR What about cold water drowning? A Dutch prospective of children who drowned in cold water showed that no child in asystole, who was resuscitated for more than 30 min survived without being neurologically devastated. Another large study conducted by Quan et. al. involving adults who drowned in cold or very cold waters showed that of 1094 victims, the majority had bad outcomes. Those with good outcomes were likely to be submerged for less than 11 minutes. Brown et. al found that there is a neuroprotective effect in avalanche victims, but not in those who asphyxiated first, then became hypothermic. The mantra “they’re not dead until they’re warm and dead” appears to be overhyped, and more and more data suggests there’s not as much of a neuroprotective effect of cold water drowning as once thought, and that mantra is probably only applicable to the patient who becomes hypothermic before going into cardiac arrest or becoming hypoxic. Disposition of an awake patient Most patients who experienced a drowning incident requiring the need for EMS to be contacted should be transported for evaluation. Depending on where you practice, you may have to make a mission critical decision of whether or not to evacuate or continue with close monitoring of the patient. Statistically, a person without a severe cough, frothy sputum or a foamy airway, and a normal cardiac examination has a mortality rate of 0%. The more severe the symptoms, the higher the mortality:
Phem - Los Angeles based Music Artist. We speak to Phem about transitioning from performing in a full band to going solo and writing music that leans on close personal experience. From her days as an accomplished Jazz drummer, to living in a recording studio with no bathroom, to the media running with her friendship to Flying Lotus - Phem's story is a very interesting look at the life of a recording artist. IG: @Phem
Phem - Los Angeles based Music Artist. We speak to Phem about transitioning from performing in a full band to going solo and writing music that leans on close personal experience. From her days as an accomplished Jazz drummer, to living in a recording studio with no bathroom, to the media running with her friendship to Flying Lotus - Phem's story is a very interesting look at the life of a recording artist. IG: @Phem
For this episode we’ve been lucky enough to catch a number of the speakers from the traumacare conference. First up, conference organiser Caroline Leech (EM + PHEM consultant) gave us a few minutes of her time to talk about the latest major trauma key performance indicators from NICE. Nicola Curry (Consultant Haematologist) spoke about transfusion in trauma and the use of massive haemorrhage protocols. Importantly, she covers the evidence behind the current strategies and where future research opportunities exist. Stuart Reid (EM + PHEM consultant) covered the ways of optimising timely transfer of major trauma patients. This had an inter-hospital focus, but there were certainly some elements which can be applied to a primary patient transfer. David Raven (EM consultant) provided an update to the ongoing work with the HECTOR project. We’ve previously heard about their amazing course but this time he was able to let us know about the “silver trauma safety net” which is being used by the ambulance service in the West Midlands. This aims to provide appropriate recognition and triage of trauma in the elderly population. Finally, Elspeth Hulse (anaesthetic SpR) gave us a timely reminder about the identification and management of organophosphate poisoning - really useful from both and EM and PHEM perspective. Thanks again to Caroline for the invite to the conference and keep and eye out for a special podcast in the next few weeks where Simon Carley will be running through his top 10 trauma papers of 2017/18 (we were going to try and condense it, but there was way too much good stuff!) Enjoy! Simon, Rob & James References & Further Reading Trauma Care St Emlyns HECTOR
phem Talks Growing Up in the Valley, Being an Accomplished Drummer, the Lowest Lows that Led to Major Self Discovery and Performs “Blinders” Live In Studiophem is the latest and most permanent iteration of Liv Marsico's creative alias'. She's been making music for years in the LA scene. Cutting her teeth in the Low End Theory world, I first heard her on Nocando‘s “Little Green Monsters.” At the time she was making waves with her band Liphemra. She also as a hired gun drumming for studio sessions and touring acts. An accomplished jazz drummer, phem went to a creative arts high school where the emphasis was on musicianship.But while working on Liphemra, Liv felt uncomfortable in her own skin, and living space. Renting a dingey recording space, and living illegally in it, her life hit an uncomfortable low. Thankfully a strong support group helped her out of the situation, and she emerged stronger. Now more comfortable with herself, her art, and her sexual identity (“I just like people, man”), phem is ready for her moment. “Blinders” is a fantastic summary and, in turn, elevator pitch of her music and personality. I was instantly drawn to the song and think you guys will be as well.Go check out phem's latest EP Can't Kill Me and hear our long convo about her journey. We talk about growing up in the valley and commuting for school. She reveals her lifelong relationship with drumming. We get in depth about her low point living out of a studio. Then, of course, she performed an excellent rendition of “Blinders” live in studio.–Lee See acast.com/privacy for privacy and opt-out information.
Dizzy! My head is spinning; Like a whirlpool it never ends; And it's you girl making it spin...or is it Benign Paroxysmal Positional Vertigo? Or Labyrinthitis? Or a posterior stroke? Luckily this podcast from NUH DREEAM with Emergency Medicine consultant and PHEM enthusiast Dr Chris Gough will help us through the dizzying world of vertigo. For more information including videos going through the HINTs exam, Dix-Hallpike and Epley manoeuvres go to www.takeaurally.com. You can find Take Aurally on both Facebook and Twitter.
ETCO2 is a representation of 1) The concentration of CO2 in the blood, and 2) Perfusion of blood to the lungs, with the second being the primary determinant of your ETCO2 numerical value in the prehospital field. Without taking this into consideration, mistakes in diagnosis and treatment in PHEM are likely. Listen to how you can, in conjunction with your clinical and physical assessment, use ETCO2 to your advantage.
The West Midlands surgical skills course offers cadaveric training for PHEM and EM practitioners on rare life saving procedures. Click here to go straight to their page. Anatomy The Guidelines Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. C. Frerk et al. Difficult Airway Society: Intubation guidelines working group. British Journal … Continue reading Episode 19: Surgical Airway
In a 2 min rant about medical tribalism, Dr. van der Velde questions which medical specialty, if any, owns prehospital physician response. What is more important: skillset or specialty? Is there a role for tiers of physician response? Is there a future in a stand-alone specialty?
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