Podcasts about prolonged

Episode Summary: Have you ever found yourself saying yes when you really wanted to say no? Or have you ever felt overwhelmed and exhausted because you were trying to meet everyone else’s expectations? If so, you are not alone. In recognition of National Stress Awareness Day, today, we’re going to explore how to move from overwhelmed to overjoyed by learning to say no without feeling guilty. We’ll dive into Scripture, explore research on overcommitment, and I’ll share five practical ways to set God-honoring boundaries. Quotables from the episode: Many of us, especially as women, have been taught that saying yes is the godly thing to do. We associate busyness with productivity, and productivity with worth. But the truth is, constantly saying yes can leave us drained, distracted, and distant from God’s best for us. For many years, I said “Yes” every time something was asked of me because I believed it was the godly response. Until God impressed upon my heart that he never told me to do that much, and had I sought him for wisdom, He would have readily guided my path! That was totally on me, but God was so gentle in getting my attention. Psychologists have long studied the effects of people-pleasing and overcommitment. Research from the American Psychological Association shows that chronic overcommitment leads to stress, anxiety, and even depression. Emotionally, people-pleasers often struggle with self-worth, believing their value is tied to what they do for others rather than who they are in Christ. Chronic Overcommitment and Overwhelm Chronic overcommitment and overwhelm can take a serious toll on physical health, leading to conditions such as: Adrenal Fatigue & Hormonal Imbalance – Constant stress can dysregulate cortisol levels, leading to exhaustion, brain fog, and difficulty managing emotions. Cardiovascular Issues – Chronic stress increases blood pressure, heart rate, and inflammation, raising the risk of heart disease, hypertension, and stroke. Weakened Immune System – Prolonged stress suppresses immune function, making the body more susceptible to infections and slower to heal. Gastrointestinal Problems – Overwhelm can contribute to acid reflux, irritable bowel syndrome (IBS), ulcers, and digestive issues. Chronic Pain & Inflammation – Stress triggers inflammation, which can exacerbate conditions like fibromyalgia, arthritis, and migraines. Sleep Disorders – Overcommitment often leads to insomnia, poor sleep quality, and chronic fatigue. Weight Gain or Loss – Stress-related eating patterns can lead to unhealthy weight fluctuations, metabolic dysfunction, and insulin resistance. Muscle Tension & Headaches – Persistent stress can cause tight muscles, tension headaches, and even TMJ (jaw pain from clenching). Burnout & Mental Fog – Long-term overwhelm can impair cognitive function, reducing focus, memory, and decision-making ability. Autoimmune Disorders – Chronic stress has been linked to the development or worsening of autoimmune diseases such as lupus, rheumatoid arthritis, and multiple sclerosis. Managing stress through rest, boundaries, and self-care isn’t just about mental well-being; it’s essential for physical health. Jesus himself set boundaries. In Luke 5:16, we read, “But Jesus often withdrew to lonely places and prayed.” He didn’t heal every person or meet every need. He sought the Father’s will first. If Jesus set boundaries, then we should, too. Addressing the spiritual and scientific aspects of restoration To counteract the physical effects of chronic overcommitment and overwhelm, we must address both the spiritual and scientific aspects of restoration. Here’s how: Prioritizing Rest & Sabbath (Biblical & Scientific) Biblical Insight: God modeled rest in Genesis 2:2-3, and Jesus regularly withdrew to quiet places (Mark 6:31). Sabbath isn’t just a suggestion; it’s a command for our well-being (Exodus 20:8-10). Science: Rest lowers cortisol, improves immune function, and enhances brain health. Sleep is crucial for memory consolidation and physical repair. Application: Schedule intentional rest. Guard your Sabbath. Ensure 7-9 hours of sleep. Setting Boundaries to Prevent Overcommitment Biblical Insight: Even Jesus set boundaries—He didn’t heal everyone at once and took time alone with the Father (Luke 5:16). Proverbs 4:23 reminds us to guard our hearts, which includes protecting our time and energy. Science: Chronic stress leads to burnout, weakened immunity, and heart disease. Learning to say “no” prevents emotional and physical depletion. Application: Use discernment in commitments. Before saying “yes,” ask: Does this align with God’s will? Is this sustainable? Engaging in Mind-Body Renewal Biblical Insight: Romans 12:2 encourages us to renew our minds. Philippians 4:8 tells us to focus on what is pure and lovely. Science: Practices like deep breathing, exercise, and gratitude shift the brain out of stress mode, improving mental clarity and resilience. Application: Try breath prayers (e.g., inhale “Be still,” exhale “and know that I am God”; inhale “I trust you, God,” exhale “in all things.”). Move daily to reduce inflammation and boost mood. Nourishing the Body & Mind Biblical Insight: Daniel chose healthy foods and was stronger than those indulging in excess (Daniel 1:12-15). Our bodies are temples of the Holy Spirit (1 Corinthians 6:19-20). Science: Whole foods reduce inflammation, regulate blood sugar, and protect against stress-related illnesses. Application: Eat nutrient-dense foods, stay hydrated, and avoid excess caffeine or sugar that heightens stress responses. Seeking Community & Support Biblical Insight: Ecclesiastes 4:9-10 teaches that two are better than one. We weren’t designed to carry burdens alone (Galatians 6:2). Science: Social connection lowers stress hormones, strengthens immunity, and increases resilience. Application: Surround yourself with godly counsel. Delegate. Accept help. Community is part of God’s design for our well-being. Releasing Control & Trusting God Biblical Insight: Jesus said, “Come to me, all who are weary… and I will give you rest” (Matthew 11:28). Trusting God’s sovereignty brings peace (Isaiah 26:3). Science: Chronic stress stems from feeling out of control. Releasing worries to God reduces anxiety, lowers blood pressure, and improves mental health. Application: Regularly surrender your burdens to God. Journal prayers. Meditate on Scriptures about His faithfulness. By aligning our lives with God’s rhythms and applying scientific wisdom, we can reduce overwhelm and prevent burnout and experience lasting peace. Practical Tips for How to Set Healthy, God-Honoring Boundaries Recognize that “No” is a Complete Sentence You don’t need to over-explain or justify your decision. Jesus simply said “yes” or “no” (Matthew 5:37). When we recognize that saying no is a way to honor God’s best for us, we can do so with confidence. Pray Before You Commit Proverbs 3:5-6 reminds us, “Trust in the Lord with all your heart and lean not on your own understanding; in all your ways submit to him, and he will make your paths straight. ”Before saying yes to anything, take a moment to pray and ask, Is this God’s best for me in this season? Set Priorities Based on God’s Calling Ephesians 2:10 tells us that we are created for good works that God prepared in advance for us. This means that we are not called to do everything—only what He has specifically prepared for us. Identify what God is calling you to do in this season and let that guide your commitments. Understand That Saying No Opens the Door for God’s Yes When we fill our schedules with obligations, we leave no room for the divine appointments God has for us. Saying no creates margin for God’s greater yes. Isaiah 30:21 says, “Whether you turn to the right or to the left, your ears will hear a voice behind you, saying, ‘This is the way; walk in it.’” Practice Saying No with Grace and Love You can say no in a way that honors both God and the other person. Here are a few ways: “Thank you for thinking of me, but I can’t commit to that right now.” “I appreciate the opportunity, but I need to focus on what God has called me to in this season.” “I’d love to help another time, but my plate is full right now.” Encouraging Scripture to Empower You: Learning to say no without feeling guilty Galatians 1:10 – “Am I now trying to win the approval of human beings, or of God? Or am I trying to please people? If I were still trying to please people, I would not be a servant of Christ.” Matthew 11:28-30 – Jesus calls us to rest in Him, not to take on every burden. Psalm 46:10 – “Be still, and know that I am God.” Sometimes, God’s best for us is rest. Ecclesiastes 3:1 – “There is a time for everything, and a season for every activity under the heavens.” We must discern what is right for this season. Colossians 3:23 – “Whatever you do, work at it with all your heart, as working for the Lord, not for human masters.” Our commitments should be done with joy and purpose, not guilt. Scripture References: Luke 5:16 “But Jesus often withdrew to lonely places and prayed.” Galatians 1:10 “Am I now trying to win the approval of human beings, or of God? Or am I trying to please people? If I were still trying to please people, I would not be a servant of Christ.” Matthew 11:28-30 Jesus calls us to rest in Him, not to take on every burden. Psalm 46:10 “Be still, and know that I am God.” Sometimes, God’s best for us is rest. Ecclesiastes 3:1 “There is a time for everything, and a season for every activity under the heavens.” We must discern what is right for this season. Colossians 3:23 “Whatever you do, work at it with all your heart, as working for the Lord, not for human masters.” Our commitments should be done with joy and purpose, not guilt. Saying no is not a rejection of others—it is a way of saying yes to what God has planned for you. You don’t have to live overwhelmed and exhausted. You can move from overcommitted to overjoyed by setting God-honoring boundaries. I encourage you this week to pray over your commitments. Ask God to show you where you need to say no so you can say yes to His best. If today’s episode resonated with you, share it with a friend who needs encouragement in this area. And as always, if you need more hope-filled encouragement, visit my website DrMichelleB.com or connect with me on social media. If you know someone who routinely falls prey to people-pleasing, or is feeling overwhelmed, please consider sharing this episode with them to offer a biblically-based hope-filled perspective. Recommended Resources: Sacred Scars: Resting in God’s Promise That Your Past Is Not Wasted by Dr. Michelle Bengtson The Hem of His Garment: Reaching Out To God When Pain Overwhelms by Dr. Michelle Bengtson, winner AWSA 2024 Golden Scroll Christian Living Book of the Year and the 2024 Christian Literary Awards Reader’s Choice Award in the Christian Living and Non-Fiction categories YouVersion 5-Day Devotional Reaching Out To God When Pain Overwhelms Today is Going to be a Good Day: 90 Promises from God to Start Your Day Off Right by Dr. Michelle Bengtson, AWSA Member of the Year, winner of the AWSA 2023 Inspirational Gift Book of the Year Award, the 2024 Christian Literary Awards Reader’s Choice Award in the Devotional category, the 2023 Christian Literary Awards Reader’s Choice Award in four categories, and the Christian Literary Awards Henri Award for Devotionals YouVersion Devotional, Today is Going to be a Good Day version 1 YouVersion Devotional, Today is Going to be a Good Day version 2 Revive & Thrive Women’s Online Conference Revive & Thrive Summit 2 Trusting God through Cancer Summit 1 Trusting God through Cancer Summit 2 Breaking Anxiety’s Grip: How to Reclaim the Peace God Promises by Dr. Michelle Bengtson, winner of the AWSA 2020 Best Christian Living Book First Place, the first place winner for the Best Christian Living Book, the 2020 Carolina Christian Writer’s Conference Contest winner for nonfiction, and winner of the 2021 Christian Literary Award’s Reader’s Choice Award in all four categories for which it was nominated (Non-Fiction Victorious Living, Christian Living Day By Day, Inspirational Breaking Free and Testimonial Justified by Grace categories.) YouVersion Bible Reading Plan for Breaking Anxiety’s Grip Breaking Anxiety’s Grip Free Study Guide Free PDF Resource: How to Fight Fearful/Anxious Thoughts and Win Hope Prevails: Insights from a Doctor’s Personal Journey Through Depression by Dr. Michelle Bengtson, winner of the Christian Literary Award Henri and Reader’s Choice Award Hope Prevails Bible Study by Dr. Michelle Bengtson, winner of the Christian Literary Award Reader’s Choice Award Free Webinar: Help for When You’re Feeling Blue Social Media Links for Host: For more hope, stay connected with Dr. Bengtson at: Order Book Sacred Scars / Order Book The Hem of His Garment / Order Book Today is Going to be a Good Day / Order Book Breaking Anxiety’s Grip / Order Book Hope Prevails / Website / Blog / Facebook / Twitter (@DrMBengtson) / LinkedIn / Instagram / Pinterest / YouTube / Podcast on Apple Hosted By: Dr. Michelle Bengtson Audio Technical Support: Bryce Bengtson Discover more Christian podcasts at lifeaudio.com and inquire about advertising opportunities at lifeaudio.com/contact-us.

Wisconsin potato growers are battling both uncooperative weather and tough market conditions this fall. Prolonged heat delayed harvest across the Midwest, forcing farmers to work overnight to protect crop quality, while the frost now threatens what’s left in the ground. Despite decent yields, prices have fallen under pressure from oversupply and reduced demand. Alsum Farms Manager Ryan Walther, out of Friesland, tells Stephanie Hoff that they’re hoping for a market turnaround soon. Sunshine again today with moderate temps. Stu Muck says there is a sliver of a chance for rain by late in the weekend.10 Wisconsin FFA members are in the final phase of competition for National Proficiency awards in Indianapolis. Tyler Leuch is one of those. This young man from Waunakee says through some 4-H leadership as a kid, he's been able to hone his skills and build a custom clipping business that has earned him a place in Indianapolis.Jill Welke is in Indianapolis visiting with Thad Bergschneider from Illinois. This young man is the current National FFA President. While his term may have started out with all kinds of hopes and goals, things changed when he broke his arm playing basketball. He explains how it forced him to pivot how he shared his FFA messages.The holding pattern continues for dairy traders according to Zach Bauers, dairy analyst with EverAg, joins Pam Jahnke to discuss. Now the market faces increased anxiety over the potential pause in SNAP benefits. Bauer says that program supports a lot of dairy investment by the government. He also notes that MAHA is re-examining the potential for "food boxes" similar to what was distributed during the pandemic. If that would come to pass, it would likely give a lift to dairy at least temporarily.See omnystudio.com/listener for privacy information.

In this episode of the PFC Podcast, Dennis and Dr. John Holcomb discuss a study on ischemia reperfusion injury related to prolonged tourniquet use in combat settings. They explore the rationale behind the study, the criteria for patient inclusion, and the assessment of limb viability. The conversation delves into the implications of compartment syndrome, the management of reperfusion injury, and the importance of training medics in tourniquet conversion and replacement. The episode emphasizes the need for continuous learning from wartime experiences to improve combat medicine practices.TakeawaysThe study focuses on ischemia-reperfusion injury after prolonged tourniquet use.A significant number of tourniquets applied in combat were unnecessary.Assessing limb viability involves the four C's: color, consistency, contractility, and capillary refill.Compartment syndrome can occur even with effective tourniquet application.Reperfusion injury management is critical to prevent acute kidney injury.Dialysis needs vary based on tourniquet duration and injury severity.Training for tourniquet conversion and replacement is essential for medics.Seasonal variations may affect injury patterns on the battlefield.Continuous reassessment is vital in trauma care.Effective pressure dressings are crucial for managing bleeding post-tourniquet.Chapters00:00 Introduction to the Study on Ischemia Reperfusion Injury02:52 Understanding the Cohort and Inclusion Criteria05:48 Assessing Limb Viability and the Four C's08:47 Compartment Syndrome and Its Implications11:46 Reperfusion Injury: Assessment and Treatment14:47 Managing Potassium Load and Tourniquet Release17:50 Dialysis Needs and Outcomes20:31 Training for Tourniquet Conversion and Replacement23:46 Seasonal Variations in Injury Patterns26:31 Future Training Recommendations for Medics29:39 Pressure Dressings vs. TourniquetsFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3165: Dr. Jenny Brockis explores how prolonged sitting drastically affects physical and mental wellbeing, equating its risks to smoking. She offers science-backed strategies to reduce sedentary behavior, empowering listeners to improve focus, productivity, and long-term health through simple, active habits. Read along with the original article(s) here: https://www.drjennybrockis.com/2014/10/16/is-sitting-really-the-new-smoking/ Quotes to ponder: "Sitting is not dangerous per se, it's the amount of sitting we do that's the issue." "Prolonged sitting is associated with a greater risk of heart disease, Type 2 diabetes, obesity, certain types of cancer, and even premature death." "Getting up and moving around every 30 to 45 minutes can significantly reduce the negative impact of sitting." Episode references: Sitting Time and All-Cause Mortality Risk (Archives of Internal Medicine): https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1108810 Learn more about your ad choices. Visit megaphone.fm/adchoices

Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3165: Dr. Jenny Brockis explores how prolonged sitting drastically affects physical and mental wellbeing, equating its risks to smoking. She offers science-backed strategies to reduce sedentary behavior, empowering listeners to improve focus, productivity, and long-term health through simple, active habits. Read along with the original article(s) here: https://www.drjennybrockis.com/2014/10/16/is-sitting-really-the-new-smoking/ Quotes to ponder: "Sitting is not dangerous per se, it's the amount of sitting we do that's the issue." "Prolonged sitting is associated with a greater risk of heart disease, Type 2 diabetes, obesity, certain types of cancer, and even premature death." "Getting up and moving around every 30 to 45 minutes can significantly reduce the negative impact of sitting." Episode references: Sitting Time and All-Cause Mortality Risk (Archives of Internal Medicine): https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1108810 Learn more about your ad choices. Visit megaphone.fm/adchoices

Cancer prevention starts with the diet. Depending on what you eat, you're either starving cancer or feeding it! Discover the best cancer prevention diet and my expert tips to prevent cancer and support the immune system. Download this FREE guide for the 5 diet strategies for cancer care: https://drbrg.co/4om43oQ0:00 Introduction: The best cancer prevention diet 1:26 Cancer explained2:39 Cancer and your immune system3:30 Starving cancer5:45 Cancer prevention tips 6:39 The best cancer diet11:13 Healthy eating for cancer prevention12:36 Starving cancer with fasting13:27 More cancer prevention tipsTrillions of dollars are spent on cancer research, yet the mortality rates haven't changed in decades. Cancer is a heterogeneous disease, which means there are many different types. Understanding how cancer works is key to cancer prevention. Cancer tends to spread to areas of inflammation and to regions in the body where oxygen is scarce.Cancer is constantly evading your immune system! Vitamin D is essential for the health and proper functioning of your immune system. Cancer cells tend to block the receptors for vitamin D to combat this. It's beneficial to increase your vitamin D levels to penetrate the resistance created by cancer.Understanding which fuel a specific cancer uses is key to starving cancer. The majority of cancers utilize glucose and glutamine as their primary sources of fuel. Some cancers live on lipids and BCAAs, and some can even live on ketones! Cancer is highly adaptive, so effective cancer prevention requires multiple strategies, including diet rotation and intermittent fasting.Different types of cancer require the removal of different foods from the diet. Rotating the diet and removing the fuel that a specific type of cancer needs to survive prevents cancer from growing and taking over. Healthy Keto paired with intermittent fasting is the best diet for cancer prevention. Prolonged fasting is one of the best things you can do if you have cancer. Although some cancers can survive on ketones, ketones from fasting do not feed cancer cells. To prevent cancer and support the immune system, keep your blood levels of vitamin D at around 90-100 ng/mL. Incorporate regular exercise and prioritize both intermittent and prolonged fasting.Dr. Eric Berg DC Bio:Dr. Berg, age 60, is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the Director of Dr. Berg Nutritionals and author of the best-selling book The Healthy Keto Plan. He no longer practices, but focuses on health education through social media.Disclaimer: Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but he no longer practices chiropractic in any state and does not see patients, so he can focus on educating people as a full-time activity, yet he maintains an active license. This video is for general informational purposes only. It should not be used to self-diagnose, and it is not a substitute for a medical exam, cure, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition.

On this episode of Fox Across America, Jimmy Failla explains why Democrats are losing in the court of public opinion when it comes to the ongoing federal government shutdown. New York Post columnist Miranda Devine checks in to discuss the new Fox Nation special she's featured in titled "Cocaine at 1600". PLUS, co-host of “The Big Money Show” on Fox Business Brian Brenberg stops by to give his take on the liberal outrage over the construction of the White House ballroom. [00:00:00] Day 21 of the government shutdown [00:48:03] Mikey's Headline Highway [00:56:15] Miranda Devine [01:13:57] New space race [01:32:55] Brian Brenberg [01:46:03] Participation Trophy Learn more about your ad choices. Visit podcastchoices.com/adchoices

Danielle K. Glorioso, LCSW, explores the complex nature of grief, emphasizing that it is a lifelong, evolving response to loss rather than something to “get over.” She explains the differences between acute grief, integrated grief, and prolonged grief disorder. Drawing on both professional expertise and personal loss, Glorioso offers practical strategies for coping, supporting others, and finding hope while honoring the memory of loved ones. Series: "Stein Institute for Research on Aging" [Health and Medicine] [Show ID: 41121]

Danielle K. Glorioso, LCSW, explores the complex nature of grief, emphasizing that it is a lifelong, evolving response to loss rather than something to “get over.” She explains the differences between acute grief, integrated grief, and prolonged grief disorder. Drawing on both professional expertise and personal loss, Glorioso offers practical strategies for coping, supporting others, and finding hope while honoring the memory of loved ones. Series: "Stein Institute for Research on Aging" [Health and Medicine] [Show ID: 41121]

Wisconsin potato growers are battling both uncooperative weather and tough market conditions this fall. Prolonged heat delayed harvest across the Midwest, forcing farmers to work overnight to protect crop quality, while the frost now threatens what’s left in the ground. Despite decent yields, prices have fallen under pressure from oversupply and reduced demand. Alsum Farms Manager Ryan Walther says they’re hoping for a market turnaround soon, as smaller operations face increasing difficulty weathering low prices and tight margins.See omnystudio.com/listener for privacy information.

Danielle K. Glorioso, LCSW, explores the complex nature of grief, emphasizing that it is a lifelong, evolving response to loss rather than something to “get over.” She explains the differences between acute grief, integrated grief, and prolonged grief disorder. Drawing on both professional expertise and personal loss, Glorioso offers practical strategies for coping, supporting others, and finding hope while honoring the memory of loved ones. Series: "Stein Institute for Research on Aging" [Health and Medicine] [Show ID: 41121]

Danielle K. Glorioso, LCSW, explores the complex nature of grief, emphasizing that it is a lifelong, evolving response to loss rather than something to “get over.” She explains the differences between acute grief, integrated grief, and prolonged grief disorder. Drawing on both professional expertise and personal loss, Glorioso offers practical strategies for coping, supporting others, and finding hope while honoring the memory of loved ones. Series: "Stein Institute for Research on Aging" [Health and Medicine] [Show ID: 41121]

Danielle K. Glorioso, LCSW, explores the complex nature of grief, emphasizing that it is a lifelong, evolving response to loss rather than something to “get over.” She explains the differences between acute grief, integrated grief, and prolonged grief disorder. Drawing on both professional expertise and personal loss, Glorioso offers practical strategies for coping, supporting others, and finding hope while honoring the memory of loved ones. Series: "Stein Institute for Research on Aging" [Health and Medicine] [Show ID: 41121]

Danielle K. Glorioso, LCSW, explores the complex nature of grief, emphasizing that it is a lifelong, evolving response to loss rather than something to “get over.” She explains the differences between acute grief, integrated grief, and prolonged grief disorder. Drawing on both professional expertise and personal loss, Glorioso offers practical strategies for coping, supporting others, and finding hope while honoring the memory of loved ones. Series: "Stein Institute for Research on Aging" [Health and Medicine] [Show ID: 41121]

In this episode of the PFC Podcast, Dennis and Max delve into the complexities of hemorrhagic shock, discussing its classifications, the importance of understanding compensated versus uncompensated shock, and the vital signs that indicate a patient's condition. They explore resuscitation strategies, emphasizing the need for careful assessment and decision-making in trauma care. Special considerations for different populations, including children, pregnant women, and the elderly, are also highlighted, providing valuable insights for medical professionals in emergency situations.TakeawaysUnderstanding the progression of hemorrhagic shock is crucial.Compensated shock allows the body to maintain organ perfusion despite blood loss.Classifications of shock help in assessing the severity of blood loss.Vital signs are key indicators in evaluating a patient's condition.Resuscitation decisions should be based on multiple data points, not just one.Children have different vital sign norms and require special attention.Pregnant women can compensate for blood loss better than non-pregnant individuals.Elderly patients may not tolerate shock as well due to comorbidities.Communication with EMS about blood loss at the scene is vital.Continuous reassessment of the patient is essential in trauma care.Chapters00:00 Introduction to Hemorrhagic Shock02:57 Understanding the Classes of Hemorrhagic Shock05:51 Compensated vs. Uncompensated Shock08:40 The Importance of Blood Loss Assessment11:57 Physiological Responses to Blood Loss14:47 Evaluating Shock: Key Indicators17:57 Tachycardia and Its Implications20:51 Blood Pressure and Compensation Mechanisms23:42 Understanding Pulse Pressure Dynamics36:01 Understanding the Four Gears of Compensation39:23 Assessing Orthostasis in Trauma Patients43:53 The Importance of Urine Output in Trauma46:42 Mental Status Changes in Trauma Patients49:38 Classifying Shock: From Compensated to Decompensated01:00:19 The Transition from Class Two to Class Three Shock01:10:19 Class Four Shock: The Final Stage of Decompensation01:12:14 Assessing Hemorrhage Control and Decision Making01:19:54 Understanding Classifications of Shock01:31:42 Special Considerations for Pediatric and Elderly PatientsFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

In this episode of the PFC podcast, Dennis and Bryce discuss the challenges and strategies of training non-medics in medical skills. Bryce shares his experiences as an 18 Delta Special Forces medic, emphasizing the importance of engaging team members in medical training to enhance patient care and operational effectiveness. The conversation covers the benefits of mentorship, fostering curiosity among team members, and the significance of cross-training. They also delve into the progression of medical training, the importance of understanding vital signs, and offer advice for new medics entering the field.TakeawaysTraining non-medics is essential for effective patient care.Engagement through competition can motivate team members.Proficiency in medical skills enhances team reputation.Mentorship plays a crucial role in developing skills.Curiosity among team members leads to better learning.Cross-training improves overall team performance.Understanding vital signs is critical for decision-making.Progressive training helps in skill retention and application.Effective communication with medical providers is vital.New medics should focus on building confidence and competence.Chapters00:00 Introduction to Medical Training for Non-Medics02:52 Engaging Non-Medics in Medical Training05:43 Operational Benefits of Training Non-Medics09:04 The Role of Mentorship in Medical Training11:58 Encouraging Curiosity and Learning14:52 Cross-Training and Its Importance17:46 Progression in Medical Training20:55 Vital Signs and Patient Assessment23:53 Advice for New MedicsFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠⁠⁠⁠

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog The summer of 2025, the US has experienced record heat. Most Americans have been under a severe heat warning for months, which has caused me to review the symptoms, prevention and treatment for Heat Stroke.  This summer's heat was unusual, however it may recur in the future, so we must learn to deal with the effect of prolonged exposure to dangerous heat. Heat stroke is not classically a stroke as you know it, however heat stroke is a condition of a different kind, but no less deadly.  The conditions that can lead to heat stroke are listed below. Please think of these signs of Heat Stroke before you go outside in severe heat. At Risk Conditions for heat Stroke: High ambient temperature High body temperature (body temp of 104 or more) High humidity, Prolonged sun exposure (more than an hour at a time) Dehydration Loss of electrolytes through sweating which can result in heart attacks, seizures delirium and can lead to death. The hot weather we have been experiencing has been prolonged and has  all the qualities described above that may lead to heat stroke: Temperatures above 90 degrees Fahrenheit, High Humidity (over 50%), Bright sunshine, causing body temp to rise rapidly and continue for a long time even after a person has gone inside to cool off in air conditioning. You Should be aware of the beginning signs of heat stroke so you can remove yourself from the heat before it becomes an emergency, and you can protect your family from heat stroke. The early signs/symptoms of heat stroke include: Heavy sweating/ or no sweating at all Thirst Weakness of muscles Headache And Dizziness When you develop these symptoms, please listen to the signs your body is sending you and seek a cool place inside away from heat and sunlight. If the symptoms don't resolve quickly, then take the steps below to prevent progression of symptoms to result in heat stroke. Lie down (heat stroke can cause you lose consciousness and hurt yourself if you pass out) Drink cool but not cold water continually Drink Electrolytes (preferably products that contain Potassium, and sodium, chloride, magnesium) with every other 12oz of water. If you don't have electrolytes, Gatorade can be substituted for electrolytes (It is only Potassium). If you are unprepared and away from civilization, put several shakes of salt into a glass of cool water and drink it. Apply icepacks on the areas of the body that can cool you quickly: Underarms, groin, and neck. This will cool your body down faster than just sitting in a cool space. Don't be alone. Ask someone to sit with you in case you pass out or seize, and they can call 911 to take you to the ER. They can also make sure you continue to drink water and take electrolytes. If you feel your headache or weakness getting worse call 911 yourself. That is a late sign of Heat Stroke. Lastly, Heat stroke can make a person act out, with a temporary personality change. The affected person can hit and push the people trying to help him or her. That means they are in the late stage of heat stroke, and they need IV fluids a cooling blanket and Medical help. Remember, heat stroke can be deadly, and immediate action must be taken. If you or someone else has the following symptoms, then Call 911: passes out or seizes, gets confused and wanders around, acts out and hits or pushes has a rapid heart rate, has a bounding pulse, has either hot dry or very damp skin, complains of a headache or dizziness, nausea, vomiting rapid shallow breathing, like panting Often, they will complain of feeling cold and they shiver even though the temperature is very hot. Don't Wait!  call 911! In these cases, tell the 911 operator that you suspect heat stroke. So how do you prevent heat stroke? There are many ways to prevent heat stroke, if you recognize the conditions outside will put you at risk. First determine whether you are at high risk (below are the risks). Anyone can get heat stroke but people with the following conditions will develop heat stroke faster and more severely than healthy young individuals. The following conditions should best be treated by staying in a cool area inside away from the sun. Know the Symptoms of heat stroke and follow the directions listed above. Prepare yourself for heatstroke by carrying electrolytes more water than you think you will need, plastic zip locks to put ice in if needed High Risk Medical Conditions and Medications  Previous History of a Heat Stroke The biggest risk for heat stroke is having had it in the past.  People who have a history of heat stroke should be extra careful to avoid going outside or exercising in the heat and humidity.  They should stay inside during the heat of the day or on days that put them at risk. If you have almost had a mild form that you acted promptly and were able to avert the severe symptoms, that still makes you at risk for heat stroke. Heart Disease or other Circulatory medical conditions Diseases of the circulatory system place you at risk for getting a more severe form of heat stroke more quickly, so limit your time in the heat. Sympathetic and Parasympathetic Imbalance, from genetics or medications Disease of the sympathetic and parasympathetic nervous systems that cause excessive fluid loss due to sweating or increased body heat can cause you to develop heat stroke with less time in the heat and sun.  These conditions affect your ability to sweat, which is the way humans cool themselves down. Patients with these diseases don't sweat to cool yourself down like other people.  Stay inside until the temperature and humidity is safer. Age above 50 We all know that we are not as physically able as we age, even if we use testosterone pellets, so older age is a risk factor. Please limit your time outside in dangerous conditions to one hour at a time with 10 minutes or more inside a cool place before going back outside.  Medications that put you at risk for heat stroke when exposed to heat and humidity You may be unaware of the risk that some medications have when it comes to heat stroke.  Medications are part of our lives and most of the time we don't think about them causing problems or side effects, but many types of relatively safe medications can cause you to have heat stroke when the other folks around you are completely normal. My Experience with Heat Stroke I was playing golf in August in St. Louis, when the starting temperature at 8:30 am was 88 degrees F, and the humidity was 65%.  Being me, I thought to myself,” Well I'm in good shape because I have minimal body fat and good muscles, I should be able to golf with 3 other women even in this heat.” That day the humidity increased to 80% and the temp was over 90. Then the Pro announced that we had to stay on the cart path.  Well that makes golf a lot harder…,it takes twice as many steps  during a round and it requires even more exertion than walking the course and dragging a bag behind you….but I'm not a quitter (but clearly I was not thinking about being sick and taking my life in my hands)…which means I was stupid! I want all of you to be smarter than I was! Right away I started sweating profusely so much so that I had to change my golf glove three times in 6 holes. I still felt ok, but I couldn't hit the ball as far as usual, and I continued to sweat.  Despite 7 bottles of water, 2 with electrolytes, I started getting a headache, and then I couldn't make contact with the golf ball. My balance was off….” Uh-oh,” I thought, “it's happening”….At that point I knew I had to go inside but was far away from the club house.  I continued one more hole and I was dizzy and had poor balance….so I quit, and I drove the cart back to the club house not finishing the 9 holes. I sat inside, drank water took another packet of electrolytes and put ice packs under my arms and laid down in the women's locker room until my headache was bearable, but I knew I was not going to be productive the rest of the day. It took 24 hours of lying down in a cool room, drinking quarts of water and taking electrolytes, putting ice around my neck and head, and doing nothing else! I kept thinking “why did the heat and humidity affect me and not the other 3 women?” We are all in good shape for our ages 60-70, and we all exercise and lift weights as well as play golf a few times a week, so I thought about what my risk factors were. Finally, I checked out all the medications and supplements I am on and found that  some of them  put me at risk!  This incident made me look up the all the meds that can impact people and increase their risk of getting heat stroke. Medications That Increase Risk of Heat Stroke Diuretics- Spironolactone is a diuretic given to all women who take T pellets to prevent facial hair and acne. It can cause dehydration in hot weather unless enough water, and electrolytes are taken to replenish body fluids. Other reasons for taking a diuretic is hypertension, heart disease, swelling, and poor circulation.  eg Hydrochlorothiazide (HCTZ) and Maxide are diuretics. Beta Blockers- such as Metoprolol, Propranolol slow down the heartbeat and reduce blood pressure.  The actions of Beta blockers slow the cooling mechanism of the body. Antidepressants- There ae many types of antidepressants but the “Serotonin-reuptake-inhibitors” such as Lexapro, and Wellbutrin can increase the risk of Heat Stroke, but the mechanism is not known. Amphetamines like ADD medicine, Sleep Apnea drugs, and old-fashioned weight loss pills speed up the heart rate, increase baseline body temperature and decrease the body's ability to cool itself. Thyroid Replacement-Thyroid replacement increases the heat produced by muscle tissue therefore it increases body temperature. This causes a patient on thyroid to have fewer degrees to get to a critical body temperature. I will leave you with the warning that hot weather can kill you and knowing the signs and symptoms of Heat Stroke is the first step toward helping yourself and others avoid the worst consequences. If you have medical conditions or take medications that increase your risk of developing heat stroke you should spend most of your time indoors staying cool when heat and humidity is highest. I will leave you with the warning that hot weather can kill you and knowing the signs and symptoms of Heat Stroke is the first step toward helping yourself and others avoid the worst consequences. If you have medical conditions or take medications that increase your risk of developing heat stroke you should spend most of your time indoors staying cool.

On Tuesday's Mark Levin Show, no, PM Benjamin Netanyahu didn't prolong the Gaza war for personal political gain, these claims overlook the strategic benefits of his persistence. Netanyahu has accepted a Trump-brokered deal on his stated terms: full hostage release, dismantling of Hamas's military and governance, and Israeli troops remaining to enforce it, with U.S. backing if needed. The left dismisses this as impossible, but Netanyahu's refusal to settle earlier allowed Israel to achieve key victories ultimately securing better terms than Hamas's prior demands for full Israeli withdrawal. Also, Hamas refuses to disarm, disband, or leave Gaza, instead conducting mass executions against rival clans, militias, and suspected Israeli spies while controlling aid distribution. As Israel withdraws from certain areas, Hamas is filling the resulting vacuum, and it raises questions about the role of Arab and Muslim countries in the planned phase two to take control. Prolonged chaos may force Israel to re-engage, which may end up in more IDF deaths. Later, Democrats are employing Marxist-Leninist propaganda tactics, such as personalizing boogeymen, centralizing power, restricting freedoms, packing the Supreme Court, and altering the citizenry via immigration for political gain. “On Power" explains negative repetition as a technique exploiting the mere exposure effect to foster familiarity and acceptance of falsehoods, eroding reason, moral clarity, and independent thought. The left uses sloganeering and symbols as tools for manipulation, conformity, and groupthink. This language from power-hungry malcontents pursues utopian ideologies that crumble societies. Finally, Eric Trump calls in to discuss his new book -  Under Siege: My Family's Fight to Save Our Nation. https://a.co/d/0kRxjM1 Learn more about your ad choices. Visit podcastchoices.com/adchoices

Speaker of the House Mike Johnson said today the U.S. is “barreling toward one of the longest shutdowns” in history. That stark warning on the 13th day of the shutdown comes as impacts are starting to ripple across the country, with federal workers facing their first week without a paycheck. White House correspondent Liz Landers reports. PBS News is supported by - https://www.pbs.org/newshour/about/funders. Hosted on Acast. See acast.com/privacy

In this episode of the PFC Podcast, Dennis speaks with Justin Ball, a licensed clinical social worker and former Green Beret, about the complexities of combat stress and mental health. They discuss the importance of recognizing maladaptive stress responses, the concept of limbic hijack, and the significance of co-regulation techniques in high-stress situations. Justin introduces the SABRE method for managing stress and emphasizes the impact of home life on mental health. They also explore the challenges of dealing with failure, imposter syndrome, and the importance of daily calm practices, especially during the transition out of military service. The conversation concludes with resources for mental health support within the military community.TakeawaysCombat stress can lead to maladaptive behaviors.Limbic hijack can impair decision-making in emergencies.Co-regulation is essential for managing stress in others.The SABRE method provides a structured approach to calming techniques.Daily practices of calm can help maintain mental health.Retirement can be a challenging transition for veterans.Understanding personal limits is crucial for mental well-being.Imposter syndrome affects many in the military community.Home life stress can significantly impact mental health.Resources like Soft Network can aid in finding mental health support.Chapters00:00 Introduction to Combat Stress and Mental Health01:21 Justin's Background and Experience04:50 Recognizing Maladaptive Stress Responses11:10 Understanding Limbic Hijack and Emotional Responses17:46 Co-Regulation Techniques in High-Stress Situations21:50 The SABRE Method for Managing Stress34:38 Identifying Signs of Emotional Distress41:31 The Impact of Home Life on Mental Health49:15 Dealing with Failure and Imposter Syndrome01:00:59 The Importance of Daily Calm Practices01:07:10 Navigating Retirement and Transitioning Out01:38:02 Resources for Mental Health SupportFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠⁠⁠

Speaker of the House Mike Johnson said today the U.S. is “barreling toward one of the longest shutdowns” in history. That stark warning on the 13th day of the shutdown comes as impacts are starting to ripple across the country, with federal workers facing their first week without a paycheck. White House correspondent Liz Landers reports. PBS News is supported by - https://www.pbs.org/newshour/about/funders. Hosted on Acast. See acast.com/privacy

Frequent standing breaks improve heart health. Research shows it reduced blood pressure by 2 to 3 millimeters of mercury (mmHg) in postmenopausal women within 12 weeks Prolonged sitting increases cancer risk significantly. Every additional two hours of daily sitting raises overall cancer risk by 6%, with longest sitters facing 56% higher cancer mortality Movement quality matters more than total sitting time. Breaking up sitting with frequent stands provides better health benefits than simply reducing total daily sitting hours Sedentary behavior triggers harmful biological changes. Sitting decreases muscle activity by 90%, slows metabolism to 1 calorie per minute, and promotes inflammation and insulin resistance Simple interventions can reduce health risks. Standing 10 minutes hourly, walking 30 minutes daily, and aiming for 10,000 steps significantly counteracts sedentary lifestyle dangers

In this episode of the PFC podcast, Dennis, Andrew, and Rick delve into the complexities of triage in emergency medicine, particularly in mass casualty situations. They discuss the importance of understanding triage categories, share real-life experiences, and emphasize the role of leadership and resource management in effective triage. The conversation also highlights the need for integrated training that encompasses security and command aspects, as well as the necessity of adapting training scenarios to prepare for the realities of mass casualty events. The episode concludes with reflections on how to improve triage processes and training methodologies.TakeawaysTriage is chaotic and unpredictable, requiring intuitive methods.In mass casualty situations, focus on immediate life threats first.Leadership is crucial in managing triage and patient movement.Dynamic triage requires continuous reassessment of patient conditions.Training should include realistic scenarios where not all patients survive.Effective communication and coordination are essential in triage.Incorporate security measures in triage training.Training should align with both medical and non-medical goals.Utilize available resources efficiently during triage.Commanders must be involved in triage decision-making processes.Chapters00:00 Introduction to Triage and Its Importance02:27 Understanding Triage Categories07:11 Real-Life Triage Experiences09:43 The Role of Leadership in Triage19:32 Dynamic Triage and Resource Management29:04 Integrating Security and Command in Triage38:40 Training for Mass Casualty Scenarios50:40 Final Thoughts on Triage and TrainingFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

The economy is in a precarious situation. Could a prolonged shutdown send the economy tumbling over the edge? We talk with John Diamond, Senior Director of the Center for Tax and Budget Policy at Rice University's Baker Institute.

We continue to bring you the latest on the government shutdown and whether the two sides are any closer to working together. Justin Buchler, Associate Professor of Political Science at Case Western Reserve University, joins us.

In this episode of the PFC Podcast, host Dennis speaks with Steve Schauer, a lieutenant colonel in the US Army and a critical care fellow, about his research on calcium levels in trauma patients. They discuss the importance of understanding calcium derangements, the challenges of correlating civilian and military trauma, and the impact of pre-hospital care on calcium levels. Steve shares insights from his study, including data collection methods, patient enrollment, and the physiological implications of calcium in trauma care. The conversation also covers the prioritization of interventions in trauma management, the role of TXA, and the need for ongoing research in this critical area of medicine.TakeawaysCalcium derangements are common in trauma patients.Pre-hospital care can significantly affect calcium levels.Understanding the correlation between civilian and military trauma is challenging.Data collection in trauma studies is complex and requires careful planning.TXA is crucial for preventing the breakdown of clots in trauma patients.Calcium administration must be approached cautiously in trauma care.Blood products are the top priority in trauma management.The physiological role of calcium in coagulation is critical.Future research is needed to clarify the role of calcium in trauma care.Medicine is constantly evolving, and practitioners must stay updated.Chapters00:00 Introduction to Calcium Study in Trauma02:48 Understanding Calcium Derangements in Trauma Patients05:47 Challenges in Correlating Civilian and Military Trauma08:32 Pre-Hospital Factors Affecting Calcium Levels11:31 Data Collection and Patient Enrollment14:29 Retrospective Data Insights on Calcium Levels17:04 Calcium Administration in Trauma Care20:16 Prioritizing Interventions in Trauma Management23:25 The Role of TXA in Trauma Care26:19 Physiological Implications of Calcium in Trauma29:17 Final Thoughts and Future Research DirectionsFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

The U.S. government shutdown could stifle deal flow, freeze visa processing for workers, and cause other problems for startups and the broader tech sector, especially if it lasts longer than a week, according to experts who spoke to TechCrunch. Also, Bryan Onel's father was a locksmith. As for Onel, he described himself as the digital equivalent. Ethical hacking was Onel's hobby growing up. He studied AI at university and then turned that hacking hobby into a profession. Onel told TechCrunch, “I spent a decade performing penetration tests for over 150 companies across all sectors.” He added that he kept easily breaking into companies that had passed their security checks.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

The United States government remains shutdown as neither side have been able to reach agreement on continuing to fund the government. With thousands of job cuts threatened, who serves to benefit from a prolonged shutdown? All to discuss with Brett Bruen President of the Global Situation Room and Former Director of Global Engagement at the White House during the Obama Administration.

Summary In this episode, Melvin Pitz and Cornel Tol from the Headache, Pain, and Concussion Training Institute (HPCTI) delve into the intricacies of managing concussions and post-concussion symptoms. They advocate for using the term "prolonged post-concussion symptoms" over "mild traumatic brain injury" to reduce the nocebo effect associated with the latter. The discussion highlights the importance of a multidisciplinary and biopsychosocial approach in diagnosis and treatment, emphasizing the significance of early intervention and patient education. Melvin and Cornel share insights into diagnostic criteria, the impact of framing on patient outcomes, and the gaps in current practices, particularly in the Netherlands. They stress the need for physiotherapists to be proactive in education and networking to bridge the knowledge gap in concussion management. The episode also touches on the neurophysiological aspects of concussion, the shortcomings of monodisciplinary approaches, and the potential of a treatable traits approach for better patient outcomes. Listeners are encouraged to rethink the role of physiotherapy and consider the broader implications of prolonged symptoms, including psychological and social factors. The episode provides practical advice for physiotherapists and healthcare professionals on how to improve their practice and patient care in the context of concussions. Guests Today's guests are Melvin Pitz and Cornel Tol from the HPC-TI — short for Headache, Pain & Concussion Training Institute. They're on a mission to educate and empower healthcare professionals with cutting-edge, evidence-based strategies to manage headache, pain complaints, and mild traumatic brain injury. With a strong clinical background and a critical view on how care is currently delivered, they're pushing for a multidisciplinary and biopsychosocial approach that actually works — in the clinic, and beyond Content 00:00 Intro 00:41 Definition of PPCS 03:06 Diagnostic Criteria 06:35 Gaps in recognizing PPCS 09:47 Why patients are misdiagnosed 14:24 Sponsor 15:00 Prognostic Factors to develop prolonged symptoms 18:48 Rethinking Physiotherapists' role in treating PPCS 24:40 Neurophysiology of PPCS 28:28 Why monodisciplinary approaches fail 33:12 Diagnosis & Decisionmaking 35:48 Sponsor 37:04 Biggest pitfalls 38:44 Treatment 50:48 Interesting Case Studies 57:38 Return to work/play 01:03:21 Opinion on high-impact sports 01:05:25 Myths to bust 01:06:26 Closing thoughts 01:07:37 Contact info & Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now   Follow our Podcast on: Spotify | Apple Podcasts  

ケージ内で餌を食べる保護猫、横浜市長引く物価高により、犬や猫などの動物保護団体にとっても深刻な影響が出ている。 Prolonged inflation in Japan is having a serious impact on many animal shelters, prompting them to seek support from online fans amid declining donations including food and higher costs for essential goods and medical care.

In this episode of the PFC Podcast, Dennis and Mike Hetzler delve into the intricacies of mission planning, particularly in the context of medical operations in foreign environments. They emphasize the importance of thorough preparation, understanding local medical infrastructures, and the necessity of proactive planning to ensure successful outcomes in high-stakes situations. The conversation covers various aspects of pre-deployment planning, including site surveys, gathering medical intelligence, and the critical need for validation of resources. The speakers share personal experiences and lessons learned, highlighting the importance of communication, collaboration, and attention to detail in military medicine.TakeawaysPlanning and preparation are crucial for success in medical missions.Assumptions can lead to critical failures in planning.Validating medical resources on the ground is essential.Pre-deployment site surveys provide vital information for mission success.Understanding local medical infrastructure is key to effective operations.Proactive planning helps mitigate risks in high-stress environments.Communication with local facilities is necessary for effective patient care.Rehearsing evacuation plans ensures readiness for emergencies.Civilian transportation options can complicate medical evacuations.Attention to detail can make the difference between success and failure. Chapters00:00 Introduction to Mission Planning and Preparation03:00 Understanding the Importance of Pre-Mission Analysis06:00 Planning for Medical Operations in Foreign Environments08:55 The Role of Intelligence in Medical Planning11:37 Navigating Medical Resources and Facilities14:47 Confirming Medical Assets and Avoiding Assumptions17:45 Creating a Common Operating Picture for Medical Operations20:29 The Importance of Communication and Coordination23:46 Enhancing Host Nation Medical Capabilities26:40 Utilizing Running Sketches for Effective Planning27:40 Proactive Risk Mitigation in Medical Operations29:44 Assessing Medical Facility Capacity32:18 Understanding Patient Movement Requests35:47 Navigating Civilian Transportation for Medical Evacuations40:26 The Importance of Rehearsals and Planning52:18 Professionalism in Medical PreparednessFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠⁠

In this episode of the PFC Podcast, Dennis and Mike discuss the complexities of providing medical care in austere environments, focusing on the importance of understanding requirements, building relationships, and executing effective educational processes. They emphasize the need for thorough planning, cultural awareness, and continuous assessment to ensure successful outcomes in humanitarian missions.TakeawaysUnderstanding the requirement is critical for success.Building a common language enhances collaboration.Cultural interpretation is essential in medical missions.Assessment should be continuous throughout the process.Planning and preparation account for 80% of success.Under promise and over deliver to manage expectations.Engaging with local partners is vital for effective training.Utilizing local resources can enhance understanding.Measuring both performance and effectiveness is necessary.Perfecting the basics is crucial for impactful education.Chapters00:00 Introduction to the Podcast and Guest01:43 Understanding Requirements in Humanitarian Medical Care05:09 Analyzing the Environment and Common Language12:14 Building Relationships in Medical Missions20:15 Executing the Educational Process38:59 Measuring Success and Effectiveness in Training49:38 Final Thoughts and Key TakeawaysFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠⁠⁠

Paroxysmal movement disorders refer to a group of highly heterogeneous disorders that present with attacks of involuntary movements without loss of consciousness. These disorders demonstrate considerable and ever-expanding genetic and clinical heterogeneity, so an accurate clinical diagnosis has key therapeutic implications. In this episode, Kait Nevel, MD, speaks with Abhimanyu Mahajan, MD, MHS, FAAN, author of the article “Paroxysmal Movement Disorders” in the Continuum® August 2025 Movement Disorders issue. Dr. Nevel is a Continuum® Audio interviewer and a neurologist and neuro-oncologist at Indiana University School of Medicine in Indianapolis, Indiana. Dr. Mahajan is an assistant professor of neurology and rehabilitation medicine at the James J. and Joan A. Gardner Family Center for Parkinson's Disease and Movement Disorders at the University of Cincinnati in Cincinnati, Ohio. Additional Resources Read the article: Paroxysmal Movement Disorders Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @IUneurodocmom Guest: @MahajanMD Full episode transcript available here Dr Jones: This is Doctor Lyell Jones, editor in chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Nevel: Hello, this is Dr Kait Nevel. Today I'm interviewing doctor Abhi Mahajan about his article on diagnosis and management of paroxysmal movement disorders, which appears in the August 2025 Continuum issue on movement disorders. Abhi, welcome to the podcast and please introduce yourself to the audience. Dr Mahajan: Thank you, Kait. Thank you for inviting me. My name is Abhi Mahajan. I'm an assistant professor of neurology and rehabilitation medicine at the University of Cincinnati in Cincinnati, Ohio. I'm happy to be here. Dr Nevel: Wonderful. Well, I'm really excited to talk to you about your article today on this very interesting and unique set of movement disorders. So, before we get into your article a little bit more, I think just kind of the set the stage for the discussion so that we're all on the same page. Could you start us off with some definitions? What are paroxysmal movement disorders? And generally, how do we start to kind of categorize these in our minds? Dr Mahajan: So, the term paroxysmal movement disorders refers to a group of highly heterogeneous disorders. These may present with attacks of involuntary movements, commonly a combination of dystonia and chorea, or ataxia, or both. These movements are typically without loss of consciousness and may follow, may follow, so with or without known triggers. In terms of the classification, these have been classified in a number of ways. Classically, these have been classified based on the trigger. So, if the paroxysmal movement disorder follows activity, these are called kinesigenic, paroxysmal, kinesigenic dyskinesia. If they are not followed by activity, they're called non kinesigenic dyskinesia and then if they've followed prolonged activity or exercise they're called paroxysmal exercise induced dyskinesia. There's a separate but related group of protogynous movement disorders called episodic attacks here that can have their own triggers. Initially this was the classification that was said. Subsequent classifications have placed their focus on the ideology of these attacks that could be familiar or acquired and of course understanding of familiar or genetic causes of paroxysmal movement disorders keeps on expanding and so on and so forth. And more recently, response to pharmacotherapy and specific clinical features have also been introduced into the classification. Dr Nevel: Great, thank you for that. Can you share with us what you think is the most important takeaway from your article for the practicing neurologist? Dr Mahajan: Absolutely. I think it's important to recognize that everything that looks and sounds bizarre should not be dismissed as malingering. Such hyperkinetic and again in quotations, “bizarre movements”. They may appear functional to the untrained eye or the lazy eye. These movements can be diagnosed. Paroxysmal movement disorders can be diagnosed with a good clinical history and exam and may be treated with a lot of success with medications that are readily available and cheap. So, you can actually make a huge amount of difference to your patients' lives by practicing old-school neurology. Dr Nevel: That's great, thank you so much for that. I can imagine that scenario does come up where somebody is thought to have a functional neurological disorder but really has a proximal movement disorder. You mentioned that in your article, how it's important to distinguish between these two, how there can be similarities at times. Do you mind giving us a little bit more in terms of how do we differentiate between functional neurologic disorder and paroxysmal movement disorder? Dr Mahajan: So clinical differentiation of functional neurological disorder from paroxysmal movement disorders, of course it's really important as a management is completely different, but it can be quite challenging. There's certainly an overlap. So, there can be an overlap with presentation, with phenomenology. Paroxysmal nature is common to both of them. In addition, FND and PMD's may commonly share triggers, whether they are movement, physical exercise. Other triggers include emotional stimuli, even touch or auditory stimuli. What makes it even more challenging is that FND's may coexist with other neurological disorders, including paroxysmal movement disorders. However, there are certain specific phenom phenotypic differences that have been reported. So specific presentations, for example the paroxysms may look different. Each paroxysm may look different in functional neurological disorders, specific phenotypes like paroxysmal akinesia. So, these are long duration episodes with eyes closed. Certain kinds of paroxysmal hyperkinesia with ataxia and dystonia have been reported. Of course. More commonly we see PNES of paroxysmal nonepileptic spells or seizures that may be considered paroxysmal movement disorders but represent completely different etiology which is FND. Within the world of movement disorders, functional jerks may resemble propiospinal myoclonus which is a completely different entity. Overall, there are certain things that help separate functional movement disorders from paroxysmal movement disorders, such as an acute onset variable and inconsistent phenomenology. They can be suggestibility, distractibility, entrainment, the use of an EMG may show a B-potential (Bereitschaftspotential) preceding the movement in patients with FND. So, all of these cues are really helpful. Dr Nevel: Great, thanks. When you're seeing a patient who's reporting to these paroxysmal uncontrollable movements, what kind of features of their story really tips you off that this might be a proximal movement disorder? Dr Mahajan: Often these patients have been diagnosed with functional neurological disorders and they come to us. But for me, whenever the patient and or the family talk about episodic movements, I think about these. Honestly, we must be aware that there is a possibility that the movements that the patients are reporting that you may not see in clinic. Maybe there are obvious movement disorders. Specifically, there's certain clues that you should always ask for in the history, for example, ask for the age of onset, a description of movements. Patients typically have videos or families have videos. You may not be able to see them in clinic. The regularity of frequency of these movements, how long the attacks are, is there any family history of or not? On the basis of triggers, whether, as I mentioned before, do these follow exercise? Prolonged exercise? Or neither of the above? What is the presentation in between attacks, which I think is a very important clinical clue. Your examination may be limited to videos, but it's important not just to examine the video which represents the patient during an attack, but in between attacks. That is important. And of course, I suspect we'll get to the treatment, but the treatment can follow just this part, the history and physical exam. It may be refined with further testing, including genetic testing. Dr Nevel: Great. On the note of genetic testing, when you do suspect a diagnosis of paroxysmal movement disorder, what are some key points for the provider to be aware of about genetic testing? How do we go about that? I know that there are lots of different options for genetic testing and it gets complicated. What do you suggest? Dr Mahajan: Traditionally, things were a little bit easier, right, because we had a couple of genes that have been associated with the robust movement disorders. So, genetic testing included single gene testing, testing for PRRT2 followed by SLC2A. And if these were negative, you said, well, this is not a genetic ideology for paroxysmal movement disorders. Of course, with time that has changed. There's an increase in known genes and variants. There is increased genetic entropy. So, the same genetic mutation may present with many phenotypes and different genetic mutations may present with the similar phenotype. Single gene testing is not a high yield approach. Overall genetic investigations for paroxysmal movement disorders use next generation sequencing or whole exome sequence panels which allow for sequencing of multiple genes simultaneously. The reported diagnostic yield with let's say next generation sequencing is around 35 to 50 percent. Specific labs at centers have developed their own panels which may improve the yield of course. In children, microarray may be considered, especially the presentation includes epilepsy or intellectual disability because copy number variations may not be detected by a whole exome sequencing or next generation sequencing. Overall, I will tell you that I'm certainly not an expert in genetics, so whenever you're considering genetic testing, if possible, please utilize the expertise of a genetic counsellor. Families want to know, especially as an understanding of the molecular underpinnings and knowledge about associated mutations or variations keeps on expanding. We need to incorporate their expertise. A variant of unknown significance, which is quite a common result with genetic testing, may not be a variant of unknown significance next year may be reclassified as pathogenic. So, this is extremely important. Dr Nevel: Yeah. That's such a good point. Thank you. And you just mentioned that there are some genetic mutations that can lead to multiple different phenotypes. Seemingly similar phenotypes can be associated with various genetic mutations. What's our understanding of that? Do we have an understanding of that? Why there is this seeming disconnect at times between the specific genetic mutation and the phenotype? Dr Mahajan: That is a tough question to answer for all paroxysmal movement disorders because the answer may be specific to a specific mutation. I think a great example is the CACNA1A mutation. It is a common cause of episodic ataxia type 2. Depending on when the patient presents, you can have a whole gamut of clinical presentations. So, if the patient is 1 year old, the patient can present with epileptic encephalopathy. Two to 5 years, it can be benign paroxysmal torticollis of infancy. Five to 10 years, can present with learning difficulties with absence epilepsy and then of course later, greater than 10 years, with episodic ataxia (type) 2 hemiplegic migraine and then a presentation with progressive ataxia and hemiplegic migraines has also been reported. So not just episodic progressive form of ataxia has also been reported. I think overall these disorders are very rare. They are even more infrequently diagnosed than their prevalence. As such, the point that different genetic mutations present with different phenotypes, or the same genetic mutation I may present with different phenotypes could also represent this part. Understanding of the clinical presentation is really incomplete and forever growing. There's a new case report or case series every other month, which makes this a little bit challenging, but that's all the more reason for learning about them and for constant vigilance for patients who show up to our clinic. Dr Nevel: Yeah, absolutely. What is our current understanding of the associated pathophysiology of these conditions and the pathophysiology relating to the genetics? And then how does that relate to the treatment of these conditions? Dr Mahajan: So, a number of different disease mechanisms have been proposed. Traditionally, these were all thought to be ion channelopathies, but a number of different processes have been proposed now. So, depending on the genetic mutation that you talk about. So certain mutations can involve ion channels such as CACMA1A, ATP1A3. It can involve solute carriers, synaptic vesicle fusion, energy metabolism such as ECHS1, synthesis of neurotransmitters such as GCH1. So, there are multiple processes that may be involved. I think overall for the practicing clinician such as me, I think there is a greater need for us to understand the underlying genetics and associated phenotypes and the molecular mechanisms specifically because these can actually influence treatment decisions, right? So, you mentioned that specific genetic testing understanding of the underlying molecular mechanism can influence specific treatments. As an example, a patient presenting with proximal nocturnal dyskinesia with mutation in the ADCY5 gene may respond beautifully to caffeine. Other examples if you have SLC2A1, so gluc-1 (glucose transporter type 1) mutation, a ketogenic diet may work really well. If you have PDHA1 mutation that may respond to thiamine and so on and so forth. There are certain patients where paroxysmal movement disorders are highly disabling and you may consider deep brain stimulation. That's another reason why it may be important to understand genetic mutations because there is literature on response to DBS with certain mutations versus others. Helps like counselling for patients and families, and of course introduces time, effort, and money spent in additional testing. Dr Nevel: Other than genetic testing, what other diagnostic work up do you consider when you're evaluating patients with a suspected paroxysmal movement disorder? Are there specific things in the history or on exam that would prompt you to do certain testing to look for perhaps other things in your differential when you're first evaluating a patient? Dr Mahajan: In this article, I provide a flow chart that helps me assess these patients as well. I think overall the history taking and neurological exam outside of these paroxysms is really important. So, the clinical exam in between these episodic events, for example, for history, specific examples include, well, when do these paroxysms happen? Do they happen or are they precipitated with meals that might indicate that there's something to do with glucose metabolism? Do they follow exercise? So, a specific example is in Moyamoya disease, they can be limb shaking that follows exercise. So, which gives you a clue to what the etiology could be. Of course, family history is important, but again, talking about the exam in between episodes, you know, this is actually a great point because out– we've talked about genetics, we've talked about idiopathic paroxysmal movement disorders, –but a number of these disorders are because of acquired causes. Well, of course it's important because acquired causes such as autoimmune causes, so multiple sclerosis, ADEM, lupus, LGI1, all of these NMDAR, I mentioned Moyamoya disease and metabolic causes. Of course, you can consider FND as under-acquired as well. But all of these causes have very different treatments and they have very different prognosis. So, I think it's extremely important for us to look into the history with a fine comb and then examine these patients in between these episodes and keep our mind open about acquired causes as well. Dr Nevel: When you evaluate these patients, are you routinely ordering vascular imaging and autoimmune kind of serologies and things like that to evaluate for these other acquired causes or it does it really just depend on the clinical presentation of the patient? Dr Mahajan: It mostly depends on the clinical presentation. I mean, if the exam is let's say completely normal, there are no other risk factors in a thirty year old, then you know, with a normal exam, normal history, no other risk factors. I may not order an MRI of the brain. But if the patient is 55 or 60 (years) with vascular risk factors, then you have to be mindful that this could be a TIA. If the patient has let's say in the 30s and in between these episodes too has basically has a sequel of these paroxysms, then you may want to consider autoimmune. I think the understanding of paraneoplastic, even autoimmune disorders, is expanding as well. So, you know the pattern matters. So, if all of this is subacute started a few months ago, then I have a low threshold for ordering testing for autoimmune and paraneoplastic ideology is simply because it makes such a huge difference in terms of how you approach the treatment and the long-term prognosis. Dr Nevel: Yeah, absolutely. What do you find most challenging about the management of patients with paroxysmal movement disorders? And then also what is most rewarding? Dr Mahajan: I think the answer to both those questions is, is the same. The first thing is there's so much advancement in what we know and how we understand these disorders so regularly that it's really hard to keep on track. Even for this article, it took me a few months to write this article, and between the time and I started and when I ended, there were new papers to include new case reports, case series, right? So, these are rare disorders. So most of our understanding for these disorders comes from case reports and case series, and it's in a constant state of advancement. I think that is the most challenging part, but it's also the most interesting part as well. I think the challenging and interesting part is the heterogeneity of presentation as well. These can involve just one part of your body, your entire body can present with paroxysmal events, with multiple different phenomenologies and they might change over time. So overall, it's highly rewarding to diagnose such patients in clinic. As I said before, you can make a sizeable difference with the medication which is usually inexpensive, which is obviously a great point to mention these days in our health system. But with anti-seizure drugs, you can put the right diagnosis, you can make a huge difference. I just wanted to make a point that this is not minimizing in any way the validity or the importance of diagnosing patients with functional neurological disorders correctly. Both of them are as organic. The importance is the treatment is completely different. So, if you're diagnosing somebody with FND and they do have FND and they get cognitive behavioral therapy and they get better, that's fantastic. But if somebody has paroxysmal movement disorders and they undergo cognitive behavioral therapy and they're not doing well, that doesn't help anybody. Dr Nevel: One hundred percent. As providers, obviously we all want to help our patients and having the correct diagnosis, you know, is the first step. What is most interesting to you about paroxysmal movement disorders? Dr Mahajan: So outside of the above, there are some unanswered questions that I find very interesting. Specifically, the overlap with epilepsy is very interesting, including shared genes, the episodic nature, presence of triggers, therapeutic response to anti-seizure drugs. All of this I think deserves further study. In the clinic, you may find that epilepsy and prognosis for movement disorders may occur in the same individual or in a family. Episodic ataxia has been associated with seizures. Traditionally this dichotomy of an ictal focus. If it's cortical then it's epilepsy, if it's subcortical then it's prognosis for movement disorders. This is thought to be overly simplistic. There can be co-occurrence of seizures and paroxysmal movement disorders in the same patient and that has led to this continuum between these two that has been proposed. This is something that needs to be looked into in more detail. Our colleagues in Epilepsy may scoff this, but there's concept of basal ganglia epilepsy manifesting as paroxysmal movement disorders was proposed in the past. And there was this case report that was published out of Italy where there was ictal discharge from the supplementary sensory motor cortex with a concomitant discharge from the ipsilateral coordinate nucleus in a patient with paroxysmal kinesigenic cardioarthidosis. So again, you know, basal ganglia epilepsy, no matter what you call it, the idea is that there is a clear overlap between these two conditions. And I think that is fascinating. Dr Nevel: Really interesting stuff. Well, thank you so much for chatting with me today. Dr Mahajan: Thank you, Kait. And thank you to the Continuum for inviting me to write this article and for this chance to speak about it. I'm excited about how it turned out, and I hope readers enjoy it as well. Dr Nevel: Today again, I've been interviewing doctor Abhi Mahajan about his article on diagnosis and management of paroxysmal movement disorders, which appears in the August 2025 Continuum issue on movement disorders. I encourage all of our listeners to be sure to check out the Continuum Audio episodes from this and other issues. As always, please read the Continuum articles where you can find a lot more information than what we were able to cover in our discussion today. And thank you for our listeners for joining today. And thank you, Abhi, so much for sharing your knowledge with us today. Dr Monteith: This is Dr Teshamae Monteith, associate editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Prolonged hospitalizations can result from many different barriers and delays within the hospital setting.However, a new challenge is emerging.And this new hurdle appears to be identified more and more commonly. So, what's happening?During the next live edition of Talk Ten Tuesdays, Dr. Juliet B. Ugarte Hopkins, Chief Medical Officer at Phoenix Medical Management, Inc., will reveal this new culprit that appears to be standing between many a patient and a safe discharge.The popular Internet broadcast will also feature these additional instantly recognizable panelists, who will report more news during their segments:• CDI Report: Cheryl Ericson, Senior Director of Clinical Policy and Education for the vaunted Brundage Group, will have the latest clinical documentation integrity (CDI) updates.• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.• The Coding Report: Amy Jo Combs, with First Class Solutions, will substitute for Christine Geiger to report on the latest coding news.• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.• MyTalk: Angela Comfort, veteran healthcare subject-matter expert, will co-host the long-running and popular weekly Internet broadcast. Comfort is the Assistant Vice President of Revenue Integrity for Montefiore Health.

In this episode of the PFC Podcast, Benjamin Ingram discusses the evolving landscape of military medicine, focusing on the challenges and innovations in medical training and care during combat. The conversation highlights the shift from the traditional 'golden hour' concept to a more nuanced understanding of medical capacity in warfare, the development of the Pickles concept for enhanced medical training, and the need for adaptive strategies to address unique injury patterns in modern conflicts. The episode concludes with a call to action for continued innovation and training in combat medicine.TakeawaysThe golden hour concept is becoming outdated in modern warfare.Military medical capacity is facing unprecedented challenges.Innovative training programs are essential for effective combat care.The Pickles concept aims to bridge gaps in medical training.Understanding unique injury patterns is crucial for improving outcomes.Collaboration among nations is key to effective medical training.Rapid response and adaptability are vital in combat situations.Technology and innovation can enhance medical interventions.Training must be embedded into operational frameworks.Future directions in combat medicine require ongoing research and development.Chapters00:33 The Concept of the Golden Hour in Medical Care02:35 Challenges in Military Medical Capacity05:09 Innovations in Medical Training and Interventions08:06 The Development of the Pickles Concept11:04 Evolution of Medical Training Programs13:46 Addressing Unique Injury Patterns in Modern Warfare16:39 Improving Patient Outcomes in Combat Situations19:37 Future Directions in Combat Medicine22:16 Conclusion and Call to ActionFor CME credit for this presentation, go to: ⁠⁠⁠https://specialoperationsmedicine.org/⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠⁠

This conversation explores the advancements in point-of-care ultrasound for combat abdominal trauma, particularly in the context of the ongoing war in Ukraine. The speaker discusses the limitations of traditional ultrasound protocols and introduces innovative approaches to enhance diagnostic accuracy. Through case studies, the importance of timely detection of injuries is emphasized, along with the necessity of training combat medics in ultrasound techniques. The discussion also highlights the challenges faced in modern warfare and the critical role of ultrasound in improving patient outcomes.TakeawaysUltrasound is crucial for emergency trauma diagnosis in combat situations.The FAST protocol is not sufficient for all types of injuries.Innovative ultrasound techniques can improve diagnosis of colon injuries.Timely detection of injuries can significantly reduce mortality rates.Training for combat medics in ultrasound is essential for effective care.The new FAST-U protocol enhances the standard FAST protocol.Portable ultrasound devices are vital in combat zones.Understanding retroperitoneal injuries is key to trauma management.Collaboration and support are necessary for effective medical training.Combat medicine education needs more recognition and resources.Chapters00:00 Introduction to Combat Ultrasound00:37 The Importance of Ultrasound in Combat Trauma02:32 Challenges of Modern Warfare and Trauma06:07 Innovations in Ultrasound Protocols12:19 Case Studies and Practical Applications16:56 Training and Support for Combat Medics19:02 Understanding Retroperitoneal Injuries27:20 Enhancing Diagnostic Accuracy with FAST-U35:02 Future Directions in Combat MedicineFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠⁠

The conversation delves into the complexities of providing medical care in remote areas, particularly focusing on the challenges faced in replicating hospital procedures. It emphasizes the critical nature of understanding hemorrhagic shock and the importance of timely resuscitation techniques, including blood transfusions, to improve patient outcomes.TakeawaysThere are limitations in replicating hospital care in remote areas.Non-compressible torso hemorrhage is a significant concern in trauma care.Many potentially survivable deaths occur due to inadequate resuscitation.The MARCH algorithm is essential in trauma management.Recognizing hemorrhagic shock is crucial for effective treatment.Airway, respiration, and circulation are fundamental in resuscitation.Starting blood transfusions early can save lives.Remote medical care requires adaptation of hospital protocols.Training for remote care must address unique challenges.Effective communication is key in emergency medical situations.Chapters00:00 Introduction to Combat Medicine and Remote Resuscitation00:52 Innovations in Hemorrhage Control: The ERAPTOR CourseFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠⁠

Charlie Kirk knew the key to winning a generation to conservatism meant addressing the root cause of America's political problems: a cultural decay that has trapped young people in “prolonged adolescence.”   His solution was to champion cultural and economic values that are congruent with the founding principles of this nation and a flourishing society. On today's episode of “Victor Davis Hanson: In His Own Words,” Hanson explains how Kirk urged a generation to grow out of “prolonged adolescence,” rediscover marriage and family, and demand policies that make owning a home and raising children possible again—and why his legacy will be felt for years to come. “ We turned to common sense in half the country, but he was going as an emissary into hostile territory and telling people: ‘There is a reason why you're leaving in the millions. … We have to champion the idea that a two-parent family is not aberrant. It was the historical norm for 2,500 years. It's a good thing to have two or three children. It's a good thing to be a young person and wanna buy a house in your 20s and not in your 40s, or to have a child in your 20s and not in your late 30s.' Nothing wrong with the latter, but he was trying to offer a different paradigm that had proved successful.”

Charlie Kirk knew the key to winning a generation to conservatism meant addressing the root cause of America's political problems: a cultural decay that has trapped young people in “prolonged adolescence.” His solution was to champion cultural and economic values that are congruent with the founding principles of this nation and a flourishing society. On […]

In this episode of the PFC Podcast, Dennis interviews Jennifer Gurney, an Army general surgeon specializing in trauma and burn care. They discuss the evolution of burn resuscitation practices, particularly the historical use of plasma and its potential benefits over crystalloid solutions. Gurney emphasizes the importance of plasma in treating burn shock, the timing and dosage of plasma administration, and the challenges faced in burn resuscitation. The conversation highlights the need for a shift back to plasma therapy to improve patient outcomes in burn care.TakeawaysBurn resuscitation has evolved significantly over the years.Historical use of plasma in burn care was effective but fell out of favor due to safety concerns.Current practices often rely too heavily on crystalloid solutions, which can lead to complications.Plasma therapy can address the plasma deficit seen in burn shock.The anti-inflammatory properties of plasma can aid in recovery.Timing of plasma administration is crucial for effective resuscitation.Monitoring clinical parameters is essential for determining fluid needs.Dried plasma could revolutionize burn resuscitation in the field.Over-resuscitation with crystalloid can lead to long-term complications.A return to plasma therapy may improve outcomes for burn patients.Chapters00:00 Introduction to Burn Resuscitation00:59 Historical Context of Plasma Use05:11 The Case for Plasma in Burn Resuscitation11:08 Understanding Resuscitation Endpoints14:44 Timing and Dosage of Plasma Administration19:54 Practical Considerations in Burn CareFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

In this episode of the PFC Podcast, Colonel Stacey Shackelford discusses the critical aspects of managing abdominal trauma, particularly in battlefield settings. The conversation covers the statistics of battlefield casualties, current practices in trauma management, innovations in hemorrhage control, surgical techniques, and the challenges faced in trauma care. The discussion also emphasizes the importance of post-operative care and the need for future research in trauma medicine.Takeaways90% of casualties died before reaching a surgical hospital.Two thirds of pre-hospital deaths were from torso hemorrhage.Advanced pre-hospital care options are limited.RoboA and other techniques are being explored for hemorrhage control.Retropartennial packing is primarily for pelvic fractures.Basic skills in trauma care are essential for success.Chest tubes may play a larger role in reducing hemorrhage.Ongoing resuscitation and electrolyte management are critical post-surgery.Team dynamics are crucial in trauma surgery.More clinical exposure for medics is necessary for better outcomes.Chapters00:00 Introduction to Abdominal Trauma02:38 Understanding Battlefield Casualties05:21 Current Practices in Trauma Management08:42 Innovations in Hemorrhage Control11:21 Surgical Techniques and Decision Making14:30 Challenges in Trauma Care17:14 Post-Operative Care and Complications20:10 Future Directions in Trauma ResearchFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠⁠

#39: All Things Encephalopathy Wilderness & Environmental Medicine journal online: www.wemjournal.org Questions/comments/feedback and/or interest in participating? Send an email to: WMPodcast@wms.org Part 1: Journal Club Title: Effect of Air Exposure Time Under Room-Temperature Conditions on the Performance of Chemical Heat Blankets Intended for Use in Prehospital Accidental Hypothermia Article link: https://journals.sagepub.com/doi/full/10.1177/10806032251325562 CME Available: wms.org/members Part 2: Prolonged Field Care discussion. Audio editing: Tom Conklin (www.tomconklinvoice.com)

In this episode of the PFC Podcast, Dennis and Noel discuss the complexities of maritime irregular warfare, drawing on historical insights and personal experiences. They explore the challenges faced in maritime operations, the importance of experience, and the role of innovation and technology in modern warfare. The conversation emphasizes the need for effective communication within command structures and the necessity of preparing the next generation for the unique challenges of maritime IW.TakeawaysThe podcast serves as a platform for storytelling and knowledge sharing.Historical insights can provide valuable lessons for current operational challenges.Maritime operations face unique unpredictability due to environmental factors.Experience is crucial in adapting to the complexities of maritime warfare.Effective turnover processes are essential for operational continuity.Innovation should be preemptive rather than reactive during conflicts.Morale significantly impacts operational effectiveness in combat situations.Training and iteration are key to identifying gaps in capabilities.Good decision-making requires a combination of intelligence, knowledge, and context.Honesty in reporting and communication is vital for future improvements.Chapters00:00 Introduction to Maritime Irregular Warfare00:56 Historical Insights and Lessons Learned03:51 Challenges of Maritime Operations09:15 The Role of Experience in Maritime Warfare11:58 Innovation and Technology in Warfare17:43 Communication and Command Structure26:41 Preparing the Next Generation for Maritime IWFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

In this episode of the PFC Podcast, Mikola, a self-medic from a special forces unit, shares his experiences and challenges faced in the medical field during the ongoing conflict in Ukraine. He discusses the complexities of medical evacuation processes, the importance of stabilization points, and the evolving threats posed by enemy tactics, particularly the use of drones. The conversation highlights the need for adaptability, thorough planning, and continuous training to ensure effective medical care in combat situations.TakeawaysThe frontline in Ukraine is over 3,600 kilometers long.Medical evacuation processes are complex and vary by region.Stabilization points are crucial but often under-resourced and dangerous.Drones have changed the dynamics of medical care on the battlefield.Planning for medical missions must include contingencies for facility destruction.Training and supply challenges are ongoing issues for medics.The use of armored transport is essential for casualty evacuation.Communication and teamwork are vital in high-stress environments.Casualty numbers can fluctuate dramatically based on enemy activity.Anticipating enemy tactics is crucial for medics' safety. Chapters00:00 Introduction to the PFC Podcast00:55 Challenges Faced by Medics in Ukraine06:43 Medical Evacuation Processes Explained12:01 The Role of Stabilization Points17:59 Adapting to Evolving Threats22:50 Training and Supply Challenges28:55 Conclusion and Reflections on Combat MedicineFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

The Joint Readiness Training Center is pleased to present the one-hundredth-and-twelfth episode to air on ‘The Crucible - The JRTC Experience.' Hosted by the Senior Medical Operations Officer Observer-Coach-Trainer for the Task Force Sustainment (BSB / CSSB), CPT Victor Velez on behalf of the Commander of Ops Group (COG). Today's guests are subject matter experts in each of their warfighting fields, MAJ Jon Austin, SFC Scott Gallagher, 1LT Andy Cornelison, and LTC Max Ferguson. MAJ Austin is an armor officer from the Close Combat Lethality Task Force at the Maneuver Center of Excellence. SFC Gallagher is the former senior medic for 2-14 IN BN and is currently the Senior Enlisted Medical Advisor OCT for TF Sustainment (BSB / CSSB). 1LT Cornelson is a former Army Special Forces medic and is now the Physician's Assistant for 2-14 Infantry BN, “Golden Dragons” of 2nd IBCT, 10th Mountain Division. LTC Max Ferguson is the former BN Commander for 2-14 IN BN and is now the G-3 Operations Officer for 10th Mountain DIV as well as serving as the J-3 for the JTF Southern Border.   The 2nd Infantry Brigade Combat Team, 10th Mountain Division, known by its Hollywood call-sign “Commando Brigade”, is a light infantry unit headquartered at Fort Drum, New York. Carrying the proud motto “Courage and Honor,” the brigade traces its lineage to the 10th Mountain Division's storied World War II legacy in the mountains of Italy, where it earned distinction for its rugged combat effectiveness in extreme terrain. Reactivated in the post-Vietnam era, 2nd IBCT has since deployed multiple times in support of operations in Iraq and Afghanistan, exemplifying rapid deployment capability, adaptability, and lethality. Today, the Commando Brigade remains a cornerstone of the Army's light infantry force, specializing in mountain and cold-weather operations while preparing for large scale combat operations across multiple domains.   The “golden hour” concept from the Global War on Terror era is being expanded in LSCO to account for prolonged casualty care under contested evacuation timelines. Whole blood and walking blood banks extend treatment coverage, creating larger windows for evacuation to the next level of care. While long practiced within Army Special Operations Forces (ARSOF), this marks the first employment of the concept by a conventional unit in recent history.   In this episode of The Crucible podcast, the panel continues its in-depth discussion on prolonged casualty care (PCC) in large-scale combat operations (LSCO), building on themes introduced in part one. A key focus is on how modern units—especially those operating in austere, isolated, or logistically constrained environments—must adapt to provide lifesaving care when evacuation within the “Golden Hour” is not possible. From operations in Syria and the U.S. southern border to anticipated LSCO scenarios, the conversation highlights the reality that prolonged field care (PFC) is not a future problem—it's a current operational requirement. We unpack the complexity of holding casualties for hours (or days), examining scenarios where role 1 and 2 facilities become primary treatment centers in the absence of immediate access to surgical capabilities.   The conversation also addresses the practical responsibilities of leaders—both medical and maneuver—in creating the conditions for success. Topics include the importance of tourniquet conversion training, integrating whole-blood programs, designing low-signature CASEVAC platforms, and standardizing tactical combat casualty care (TC3) across formations. Leaders emphasize the need to build experiential knowledge in junior medics through trauma center exposure, paramedic fellowships, and realistic simulation labs. The gap in trauma experience across the force—especially among junior NCOs and medics—is framed as a critical training challenge, compounded by outdated equipment and inconsistent SOPs. The episode concludes with a call to prioritize medics' professional development, create scalable medical rehearsals nested within maneuver plans, and cultivate confidence in combat casualty care as a decisive enabler in LSCO.   Part of S05 “Beans, Bullets, Band-Aids, Batteries, Water, & Fuel” series.   For additional information and insights from this episode, please check-out our Instagram page @the_jrtc_crucible_podcast   Be sure to follow us on social media to keep up with the latest warfighting TTPs learned through the crucible that is the Joint Readiness Training Center.   Follow us by going to: https://linktr.ee/jrtc and then selecting your preferred podcast format.   Again, we'd like to thank our guests for participating. Don't forget to like, subscribe, and review us wherever you listen or watch your podcasts — and be sure to stay tuned for more in the near future.   “The Crucible – The JRTC Experience” is a product of the Joint Readiness Training Center.

In this laid-back episode of the Driftwood Outdoors Podcast, Brandon, Shags, and Joe take a breather from the heavy topics of recent weeks to catch up on life, health experiments, and the outdoors. Shags shares the highs, lows, and surprising benefits of his 72-hour water fast—including euphoria, insomnia, and the ultimate reward: a bowl of sauerkraut.The crew also recaps Paddle Don's wedding, digs into self-control and the challenges of modern eating, and debates everything from Missouri River canoe trips to outdoor policy, hunting culture, and even Ted Nugent's controversial role in conservation conversations.Whether you're curious about fasting, passionate about the outdoors, or just here for the banter, this episode is a blend of humor, honesty, and hard-hitting opinions.Special thanks to:Living The Dream Outdoor PropertiesSuperior Foam Insulation LLCDoolittle TrailersScenic Rivers TaxidermyConnect with Driftwood Outdoors:FacebookInstagramYouTubeEmail:info@driftwoodoutdoors.com

There is no escaping stress but cortisol in menopause changes. With that, your stress response to nearly everything may change.  You don't feel it at first but then there's unexplained weight gain or belly fat. There's less focus or concentration than you used to have. It shows up in different ways for each of us.    My Guest: Sara Banta is a Certified Dietary Supplement Professional and member of the National Association of Nutrition Professionals, helping people take their health into their own hands using cutting-edge natural supplements, DNA-driven nutrition, and real lifestyle solutions. She's the founder of Accelerated Health Products, the award-winning Most Innovative Supplement Company FOUR years running, a pioneer in functional wellness and with a passion for uncovering root causes and optimizing the body's innate healing systems. As host of the podcast Accelerated Health with Sara Banta—Top 10 Health Podcasts & Top 10 Supplement Podcasts—she brings science-backed insights and down-to-earth advice for natural answers. Sara's work is grounded in one simple truth: the body is designed to heal—when you give it the right tools. Sara is on a mission to make vibrant health accessible to everyone.   Questions We Answer in This Episode: [00:00:00] What is the difference between acute and chronic stress? [00:00:00] What is causing chronic stress? [00:00:00] Why is this so critical to understand what impacts cortisol in menopause? [00:00:00] How does it affect muscle gain and fat loss? [00:00:00] How is the thyroid related to the adrenals? [00:00:00] How can you maintain and build lean muscle while under stress over 50? [00:00:00] What supplements help get your adrenals back on track? [00:00:00] What lifestyle habits either kill or improve cortisol?   Why Cortisol in Menopause Makes Stress Feel Different   Acute vs Chronic Cortisol Acute stress Short-term, natural response to immediate danger. Cortisol helps survival (fight-or-flight). Immune system goes up. Chronic stress Prolonged, ongoing; body never recovers. Chronic stress keeps cortisol elevated → negative health effects.   Causes of Chronic Stress in Midlife & Menopause Perimenopause & menopause: the stressors don't change, but the response to them does. Common triggers: lack of sleep, poor diet, environmental toxins, over-exercise, emotional stress.   Cortisol's Effect on Muscle Gain & Fat Loss Elevated cortisol breaks down muscle tissue. Interferes with protein synthesis, leading to muscle loss. Promotes fat storage, especially visceral (belly) fat. Lowers metabolism → makes weight management harder.   Lifestyle Solutions for Cortisol in Menopause Diet: whole foods, protein-rich, healthy fats, avoid processed sugar. Supplements: adaptogens (ashwagandha, rhodiola), magnesium, vitamin C or Sara Banta's Cortisol Reset Detox Recovery: sleep, restorative exercise (yoga, walking, pilates), breathwork, meditation.   Connect with Sara: Website - Accelerated Health Products and Sara Banta Health Facebook - Accelerated Health Products  Instagram - @acceleratedhealthproducts  X - Sara Banta  YouTube - @AcceleratedHealthSaraBanta  TikTok - @ahpsupplements_    Other Episodes You Might Like: Previous Episode - The New Menopause Therapy: Confessions of a Femme Fatale Next Episode - Aging with Power, (Without an Outage) with Vonda Wright More Like This: To Detox and If So How to Detox: Midlife Woman to Midlife Woman Is Your Liver Preventing Muscle Growth in Menopause? How to Exercise with High or Low Cortisol in Menopause Cortisol and Exercise in Menopause   Resources: On September 1, enjoy Sara Banta's Accelerated Health Products: Cortisol Reset Detox to restore your body's natural stress response. Join the Hot, Not Bothered! Challenge to learn why timing matters and why what works for others is not working for you.  

What happens when resources are limited, transport is delayed, or you're forced to manage a critically ill patient far beyond the typical flight window? In this podcast episode, Brett Weiner and Dr. Tim Hurtado help us dive into the challenges and realities of prolonged field care in air medical transport. We'll explore clinical considerations, crew dynamics, and decision-making strategies that can help you maintain high-quality care when time isn't on your side. We're also excited to announce our new in-person course in collaboration with Anyone Not Ready. This immersive training opportunity is designed to push you beyond the textbook and prepare you for the complexities of prolonged care in austere or transport environments. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com Disclaimer: Heavy Lies the Helmet's content is for educational purposes only and does not constitute medical advice. Always follow local guidelines and consult qualified professionals before applying any information. The hosts and guests are not responsible for errors, omissions, or outcomes. Views expressed are their own and do not reflect their employers or affiliates. --------------------------------------------  Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com

On day 1 of fasting, glycogen is eliminated from the body. Your insulin drops on your first day of fasting, allowing you to tap into your fat reserve. Electrolytes, trace minerals, and B vitamins can be very beneficial during prolonged fasting, especially if you haven't built up a reserve of these nutrients. You can drink tea and coffee without cream or sugar and have water with lemon during your 5-day fast. Plenty of sun, long walks in nature, hot and cold therapy, and HIIT can also enhance the benefits of prolonged fasting. On day 2 of prolonged fasting, you get deeper into ketosis, which means your body burns fat for energy. Autophagy typically begins on the second day of prolonged fasting. This is the process in which the body recycles damaged proteins and uses them for fuel and new tissues. On day 3, brain function and mood continue to improve. BDNF is stimulated, which helps support brain cell regeneration and increases your learning capacity. You also enter a state of deep autophagy, which helps repair mitochondrial damage and clean up intracellular pathogens. On day 3 of a prolonged fast, your immune system essentially resets.Prolonged fasting supports the growth of the thymus gland and allows the gut lining to regenerate completely. People often experience a massive spike in growth hormone on day 3, which protects against muscle loss.On day 4, hunger is gone, and maximum fat burning occurs! Bone broth can be beneficial if you're struggling through a 5-day fast or experiencing a stressful event. Longevity and protective genes are heightened, and your antioxidant networks are strengthened during prolonged fasting. It can also help diversify your microbiome. Slowly begin the refeeding process with around ¼ of your typical calories. Try an egg with sauerkraut, and then wait a few hours before consuming something like a small amount of soup with avocado. After a few more hours, consume berries and nuts. Wait before introducing a full meal and avoid sugar and carbohydrates. High-quality food is vital at this time!After a 5-day fast, your skin, muscles, joints, and brain will show significant improvements! Regular intermittent fasting can help prepare you for a 5-day fast. Dr. Eric Berg DC Bio:Dr. Berg, age 60, is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the Director of Dr. Berg Nutritionals and author of the best-selling book The Healthy Keto Plan. He no longer practices, but focuses on health education through social media.