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Hidden Killers With Tony Brueski | True Crime News & Commentary
The FBI director publicly criticized how the Nancy Guthrie case was handled. Jennifer Coffindaffer spent 28 years at the Bureau and knows what it takes to push that kind of institutional conflict into the open. Private conversations failed first. Then the director went on record. That sequence tells you something specific about how badly the agency believes the early investigation was compromised.Coffindaffer walks through the operational difference between being notified about a case and having control over it — because the distinction matters when evidence is decaying by the hour. Digital evidence degrades. Biological evidence degrades. Witness memory degrades. An 84-year-old woman who required daily medication was missing, and the clock was running from the moment she disappeared. Speed was the single most important variable. Institutional friction is what kills speed first.She addresses the less visible damage that persists months into an investigation built on inter-agency conflict. Investigators become defensive. Witnesses become hesitant when they sense the people asking questions aren't coordinated. Tips fragment across competing internal systems. Prolonged forensic ambiguity this far into the case may signal that investigators aren't working with clean results — and Coffindaffer explains what that means for the prosecution if a suspect is eventually identified.Meanwhile, a headline sent the community spiraling. Pima County issued a BOLO for Coral Michelle Smith — wanted for kidnapping seven miles from where Nancy was taken. Authorities explicitly stated there's no connection. But four months without a named suspect creates a vacuum that pulls in every nearby crime.Smith's fifteen-year record — four prison stints, two revoked probations, a kidnapping charge pled down — describes opportunistic street-level offenses. Nothing matching the porch figure captured on Nancy's doorbell camera. The FBI describes that figure as male, 5'9" to 5'10". Smith is 5'6". The porch figure has an apparent wrist tattoo. Smith's tattoos are on her ankle, foot, and leg. The profiles don't align. But what Smith's record does reveal is a system that kept releasing a repeat offender — a separate institutional failure in the same county that's already under scrutiny for how it handled Nancy's disappearance.Join Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/channel/UC8-vxmbhTxxG10sO1izODJg?sub_confirmation=1Instagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/TrueCrimePodThis publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.#NancyGuthrie #SavannahGuthrie #FBI #PimaCountySheriff #JenniferCoffindaffer #CoralMichelleSmith #HiddenKillers #TrueCrime #TucsonArizona #JusticeForNancy
Nancy Guthrie was 84 years old, medically vulnerable, and required daily medication. Speed mattered more in her case than almost any other variable. And speed is exactly what institutional friction destroys first.Jennifer Coffindaffer spent 28 years at the FBI. She explains what happens to an investigation when the lead local agency and the federal agency aren't aligned — not in theory, but operationally. Digital evidence degrades. Biological evidence degrades. Witness memory degrades. Tips fragment across competing systems that aren't sharing information in real time. Investigators become defensive when they sense oversight. Witnesses become hesitant when the people asking questions don't seem coordinated. Prolonged forensic ambiguity months into a case may signal something worse — that investigators aren't working with clean results.The FBI director went public with criticism of how this case was handled. Coffindaffer says that doesn't happen over minor procedural disagreements. It happens when the Bureau believes critical evidence and critical time were lost, and private channels failed to produce change. That public rupture tells you where the institutional relationship was before the director spoke — and where it is now.Four months without a named suspect created a vacuum this week when Pima County issued a BOLO for Coral Michelle Smith — wanted for kidnapping and aggravated assault seven miles from where Nancy disappeared. Authorities stated explicitly there's no connection. Smith's fifteen-year criminal record describes opportunistic street-level offenses — four prison stints, two revoked probations, a kidnapping charge pled down. The FBI describes the porch figure as male, 5'9" to 5'10". Smith is 5'6" with tattoos on her ankle, foot, and leg — not the wrist tattoo visible on the porch figure. Nothing matches. But the headline filled the vacuum because the investigation hasn't filled it with an arrest.The Guthrie family is still waiting. The person who took Nancy is still unidentified. And Coffindaffer forces the question the public hasn't fully confronted: was the biggest obstacle in this case the offender — or the institutions that were supposed to find him?Join Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/channel/UC8-vxmbhTxxG10sO1izODJg?sub_confirmation=1Instagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/TrueCrimePodThis publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.#NancyGuthrie #SavannahGuthrie #FBI #PimaCountySheriff #JenniferCoffindaffer #CoralMichelleSmith #HiddenKillers #TrueCrime #TucsonArizona #JusticeForNancy
In this episode of the Prolonged Field Care Podcast, Dennis sits down with trauma surgeon Mark Shapiro for a no-BS masterclass on wound ballistics. They break down why understanding the physics of penetrating and blast trauma matters in austere and combat environments — even when experience makes you cynical. From high-velocity rifle rounds and their massive temporary cavities to the infectious nightmare of shotgun wounds and the four phases of blast injury, Mark shares hard-won lessons from civilian Level I trauma centers and years training special operations medics and ground surgical teams.They tackle the myths around entry/exit wounds, when (and when not) to explore right upper quadrant gunshot wounds downrange, why you should almost never pack the abdomen or chest from the outside, how to assess neurovascular status in blast-injured extremities, and why bizarre bullet paths and “stable” patients with signs of life can still surprise you.Key Takeaways:Kinetic energy (½mv²) means velocity is king — high-velocity rifle rounds create devastating temporary cavities and fragmentation that can turn one projectile into many.Jacketed rounds still fragment at rifle speeds; never assume a clean through-and-through. Bone fragments act like secondary missiles and can create wounds up to 3x the size of the fragment.For stable patients with right upper quadrant GSWs in resource-limited settings, expectant management can be reasonable — but you must have a plan, know your limits, and be ready to move if things change.Never pack the abdomen or chest from the outside in most cases. It risks pushing debris deeper and worsening injuries. Cover exposed organs if needed, but don't shove gauze into body cavities.Shotgun wounds (especially buckshot/birdshot) are “mobile IEDs” — massive tissue destruction, heavy debris inoculation, and extremely high risk of infection, fistula, and devascularized tissue requiring serial debridement.In extremity blast trauma, assess vascular status (pulses, Doppler signals, color, warmth, capillary refill) and neurologic function. The ~6-hour window to revascularization is critical, but the decision point comes earlier.Training + common sense + adaptability beat rigid protocols when resources are limited. Sometimes the best move is observation.Chapters04:15 – Why Wound Ballistics Knowledge Still Matters (even when you're cynical)08:30 – High-Energy Rifle Wounds: Muzzle Velocity, Kinetic Energy & Spitzer Bullets13:45 – Fragmentation, Tumbling & Secondary Missiles (bone shards & unpredictable paths)18:20 – Clinical Reality: Multiple Injuries & Why “Small Entrance, Big Exit” Is a Myth22:50 – Entry vs. Exit Wounds: When Trajectory Actually Matters (and when it doesn't)26:40 – Right Upper Quadrant GSWs: Explore, Observe, or Expectant Management Downrange?31:10 – The Dangers of Packing Abdominal & Chest Wounds from the Outside34:55 – Low-Energy Pistol Wounds: How They Differ (or Don't) from Rifles37:20 – Shotgun Wounds: Close-Range Carnage, Debris & Infectious Nightmares42:40 – IEDs & Modern Explosives: Blast Physics, Ukraine Patterns & Hard-Ground Effects48:15 – Primary, Secondary, Tertiary & Quaternary Blast Injuries Explained52:30 – Neurovascular Assessment in Blast-Injured Extremities (Conscious & Unconscious Patients)56:45 – Lessons from the Trauma Bay: Common Sense, Training & Knowing When to Deviate from ProtocolFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Dennis Kneale, media strategist and author of the new book “The Oregoners,” discusses the latest primary election results and California's prolonged vote counting process. https://oregonersbook.com/
In this high-signal PFC Podcast episode, Dennis sits down with Dr. John Wightman — former 24th Special Operations Wing Surgeon, emergency physician, and one of the world's leading experts on blast injuries. Drawing from decades of clinical, combat, and academic experience (including co-authoring a seminal paper on blast injuries just before 9/11 and multiple combat deployments), Dr. Wightman breaks down the unique pathophysiology, recognition, and prolonged field care management of blast lung injury — the often-hidden threat that can kill even when penetrating trauma doesn't.From the physics of the supersonic pressure wave to practical field decisions on tension pneumothorax, ventilation strategies, fluid management, and avoiding air embolism, this is essential listening for medics, operators, and anyone preparing for large-scale combat operations, urban warfare, or confined-space blasts.Key Takeaways:Primary blast lung injury is caused by the blast wave itself — not fragments or being thrown — and creates unique pulmonary contusions, air leaks, and arterial air emboli risks.Most significant blast lung develops within the first 1–6 hours; subtle dyspnea on exertion can be an early warning.MARCH priorities still rule — aggressively rule out (or treat) tension pneumothorax, even bilaterally, before assuming blast lung.Positive pressure ventilation can worsen outcomes (especially air embolism risk) — use judiciously; CPAP or PEEP may be better bridges when possible.PAO₂/FiO₂ ratio (or SpO₂ on room air) helps stratify severity and predict need for advanced support.Tympanic membrane rupture proves blast exposure but is not required for blast lung.Fluid management must be careful — permissive hypotension may be dangerous in blast lung + shock.Don't forget occult blast bowel injury — delayed perforation is real (up to 8 days).Whether you're running a team in Ukraine-style trench warfare, preparing for mass casualty events, or just want to stay on the bleeding edge of combat medicine, this episode delivers critical, actionable knowledge.Chapters:00:43 - John Wightman Introduction: 32 Years as Air Force EM Physician & Blast Injury Expert02:54 - What Is Blast Lung? Defining Primary vs Secondary, Tertiary, Quaternary & Collateral Injuries05:23 - The Physics of the Blast Wave: Overpressure, Stress Waves & Alveolar Damage09:50 - Pathophysiology: Pulmonary Contusion, Pneumothorax, Air Embolism & Traumatic Pseudocysts12:30 - Timelines: When Does Blast Lung Declare Itself? (Israeli & Combat Data)15:56 - Epidemiology: Confined Spaces, Buses, Buildings vs Open-Air Blasts23:12 - Field Diagnosis & MARCH Priorities — Tension Pneumothorax First28:30 - Advanced Assessment: P/F Ratio, Ultrasound Findings, SpO₂ Guidance35:55 - Ventilation Strategies: When to Intubate, CPAP/PEEP, Lung Protective Settings41:18 - Oxygenation Goals, Fluid Management & Permissive Hypotension Risks52:16 - Air Embolism Management & Patient Positioning56:12 - Other Critical Considerations: Blast Bowel Injury, TM Rupture, Resource Triage01:04:36 - Final Thoughts & Key Advice for Deploying MedicsFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In today's episode, Tanner and Anne provide ideas on how to get to the root cause of your chronic pain or symptoms.Neuroplastic pain/symptoms occur when there's a sense of danger and dysregulation in the brain and nervous system - not due to physical disease or damage. So it makes sense to ask - what's creating this sense of danger?You'll learn about pain/symptoms can be fueled by:• Prolonged high stress, including perfectionism and people pleasing• Childhood adversity and trauma as sensitizing factros• Pathological views of the body fueled by medical ideas, Googling, ChatGPT, fear, and avoidance • Emotional resistance• Dysregulated responses to feeling pain/symptoms throughout the day.Tanner Murtagh and Anne Hampson are therapists who treat neuroplastic pain and mind-body symptoms. They are also married!In his 20s, Tanner overcame chronic pain and a fibromyalgia diagnosis by learning his symptoms were neuroplastic, not structural. Post-healing, Tanner and Anne have dedicated their lives to developing effective treatment and education for neuroplastic pain and symptoms.Listen and learn how to assess your own chronic pain and symptoms, gain tools to retrain the brain and nervous system, and make changes in your life and health!The Mind-Body Couple podcast is owned by Pain Psychotherapy Canada Inc. This podcast is produced by Alex Klassen, one of the wonderful therapists at our agency in Calgary, Alberta. https://www.painpsychotherapy.ca/Tanner, Anne, and Alex also run the MBody Community, an in-depth online course that provides a step-by-step process for assessing, treating, and resolving mind-body pain and symptoms. https://www.mbodycommunity.comCheck out Tanner's YouTube channel for more free education and practices: https://www.youtube.com/channel/UC-Fl6WaFHnh4ponuexaMbFQAnd follow us for daily education posts on Instagram: @painpsychotherapyDisclaimer: The information provided on this podcast is for general in...
HERE WE ARE!!! Sorry for playing this PROLONGED game of hide and seek, but you see - last week we were riddled with tech issues. The week before that? Just didn't feel like it. Sorry :P Should we fuck around and do a live show? w/e
A potential surge in oil prices to $140–150/barrel could trigger demand destruction, volatility and disruption across global chemical markets.- Further delays to reopening of Strait of Hormuz could see oil prices rise to $140–150/bbl- Higher oil would drive panic buying then sharp demand destruction as downstream customers cannot absorb costs - Markets are already “extremely cautious and hand to mouth”, reflecting uncertainty over timing of any resolution - Chemical markets are most price-volatile since 2008- Demand is weakening due to inflation, higher interest rates and consumer pressure, hitting purchasing power- Prolonged conflict risks inventory depletion, raising likelihood of further price shocks in oil and petrochemicals - China has increased exports sharply (up ~40% year on year), helping offset supply gaps but pressuring global margins - Asia faces the most acute supply disruption, with plant shutdowns and reduced operating rates due to feedstock shortages - Structural risks are rising, including plant closures and bankruptcies, particularly where high costs meet weak demand - Industry may be entering a “global reset”, driven by overcapacity, weak demand and sustained geopolitical disruption
Joe's Premium Subscription: www.standardgrain.comGrain Markets and Other Stuff Links —Apple PodcastsSpotifyTikTokYouTubeFutures and options trading involves risk of loss and is not suitable for everyone.
Charles Burton and Gordon Chang analyze China's strategic gain from prolonged conflict in the Middle East, with Beijing appearing content to allow the conflict in the Strait of Hormuz to drag out as a way to deplete U.S. military resources. This instability supports China's narrative that the United States is a declining power. (8)1900 SAINT LAWRENCE BASIN
01:20 Introduction to 'Metabolic Neurology.' 03:10 Metabolic Neurology approaches explained04:20 Fasting and Keto Diet, as part of multimodal strategy04:55 Tackling the hardest brain diseases: Alzheimer's, Huntington's, Motor Neurone Disease MND, Dementia, Glioblastoma Brain Cancer07:30 'Metabolic Neurology' explained, applying metabolic health protocols to "restore or heal" brain disorders08:30 Restoring Mitochondria is the basis of Metabolic Neurology 10:00 Dr Phillips inspiring case studies and patient outcomes12:00 Prolonged fasting, keto diet, sleep, exercise, meditation strategies for brain health13:00 Why Doctors and practitioners are resistant to Keto and Fasting approaches 14:00 Dr Matthew Phillip's clinical trial results for different brain diseases: brain cancers, Huntington's disease, MND, Alzheimer's15:00 Dr Phillip's patient storiesDr Matthew PhillipsDr. Phillips is a leading metabolic research scientist spearheading focused metabolic health protocols for brain disease. He coined the term 'Metabolic Neurology', leads cutting-edge research into the most difficult brain disorders, and is an all-around good egg.https://www.metabolicneurologist.com/Metabolic Icebergs: 'Neurodegenerative disorders, metabolic icebergs, and Mitohormesis.'Dr Matthew Phillips, Prof. Martin Picard: https://pubmed.ncbi.nlm.nih.gov/39242576/Thank you for supporting by sharing and subscribing! IMPORTANT - The content in this video is not a substitute for medical advice. Always consult with your physician regarding your health matters. Individuals' lifestyles, bodies and health histories vary. The author does not assume any liability to any party for any loss, damage, or disruption caused by the choice to implement any of the health strategies.
We have fresh drill results to report this morning from Trident Resources, Galleon Gold and Abitibi Metals. Meridian Mining has submitted the Installation Licence application for the Cabaçal gold-copper-silver project. Elemental Royalty has executed an Exploration and Option agreement with a subsidiary of KGHM. Great Pacific Gold has provided an update on field exploration work in the EK Target Area at the Wild Dog Project. This episode of Mining Stock Daily is brought to you by... Revival Gold Vizsla SilverEquinox GoldIntegra Resources
- U.S. Faces Engine Oil Shortage - Toyota Reorganizes Manufacturing Engineering - EVs and Chinese Soar in Europe - Big Downside to China Speed - Scout Could Move Out of Michigan - Nissan Turns Paint Shop Waste into Insulation - Ram Getting Compact Pickup and 1st SUV - Hyundai Launching Mobile Repair Service
- U.S. Faces Engine Oil Shortage - Toyota Reorganizes Manufacturing Engineering - EVs and Chinese Soar in Europe - Big Downside to China Speed - Scout Could Move Out of Michigan - Nissan Turns Paint Shop Waste into Insulation - Ram Getting Compact Pickup and 1st SUV - Hyundai Launching Mobile Repair Service
The following article of the Infrastructure industry is: 'Why CEOs Should Prepare for a Prolonged Energy Shock' by Andres Brugmann, Managing Director, SL Intelligence.
In this episode of The Dairy Podcast Show, Dr. Margret Vonholdt-Wenker, postdoctoral researcher at the Friedrich Loeffler Institute, explains prolonged cow calf contact systems and their implications for dairy production. She discusses housing models, calf and cow welfare outcomes, management requirements, milk production impacts, weaning challenges, and practical adoption considerations across Europe. Listen now on all major platforms!“Calves in contact systems can drink according to natural intake patterns and develop within a social herd environment.”Meet the guest: Dr. Margret Vonholdt-Wenker is a postdoctoral researcher at the Institute of Animal Welfare and Animal Husbandry of the Friedrich Loeffler Institute in Germany. Her work focuses on animal behavior and developing housing systems that support natural behavior while maintaining health. With more than ten years of experience in cow-calf contact systems, she also received the 2024 IGN Research Award for her research on dairy welfare. Listen to The Dairy Podcast Show featuring Dr. Margret Vonholdt-Wenker on all major platforms.Liked this one? Don't stop now — Here's what we think you'll love!What you'll learn:(00:00) Highlight(01:32) Introduction(02:58) Prolonged cow calf contact(04:53) Welfare and health(07:53) Housing management(16:00) Foster cow systems(21:42) Weaning challenges(28:20) Final QuestionsThe Dairy Podcast Show is trusted and supported by innovative companies like:* Agri-Comfort* Adisseo* Afimilk* Evonik* Priority IAC* CowManager- dsm-firmenich- AHV- Natural Biologics- DietForge- Agrarian Solutions- Chemlock- Protekta- BoviSync
Why has the war not resumed? Why has a deal not been reached? And what exactly is happening during this strange and uneasy silence between the Islamic Republic and the West? On this edition of Roqe, Jian is joined by Lisa Daftari in Los Angeles and Bozorgmehr Sharafedin in Washington DC for a deeper examination of the prolonged pause following the ceasefire. Is the regime buying time? Is the West hesitating? And for millions of Iranians hoping for regime change, what does this uncertain in-between moment actually tell us about the future? But first, in the aftermath of Arsenal F.C. winning their first Premier League title in 22 years this week, Jian opens the episode with a deeply personal tribute to Aref Jafarzadeh - an Iranian Arsenal supporter from Rasht who was reportedly killed by Islamic Republic forces during the January 2026 protests while still wearing his Arsenal jersey. This episode is supported by: Stellar Law - stellarlaw.ca Famluxy - famluxy.com
You're using collagen wrong. This common collagen mistake could be limiting your results. Discover the benefits of collagen and the best ways to improve collagen absorption for better skin, joints, bones, and more.
In this no-fluff, high-stakes episode of the PFC Podcast, Dennis sits down with Patrick Liebel - trauma/ICU surgeon to tackle the injury that makes every medic's stomach drop: penetrating abdominal trauma.When the golden hour stretches into days, evacuation is delayed, and your patient's belly is a black box of bleeding, contamination, and impending sepsis, what do you actually do? Patrick delivers hard-earned, practical wisdom on hemorrhage control, evisceration management, permissive hypotension, antibiotics, nutrition, peritonitis, and abdominal compartment syndrome — all tailored for the austere, resource-limited prolonged field care environment.If you carry a medic bag and might one day face a guy with his guts hanging out and no surgeon in sight, this episode is required listening. Real talk, real decisions, real consequences.Key Takeaways (Actionable Gold for Every Medic):Mesenteric torsion = widespread ischemia → never spin the bowel for hemorrhage control. Clamp or ligate targeted vessels instead.Clamping is fine in the heat of the moment — revise to ligation later when safe. Remember: every vessel has two ends.Eviscerated bowel is happier inside the abdomen. Tuck it back if you can (keep it wet, protect it). Only widen the defect if ischemia is imminent and you're in a controlled setting.Solid organ (liver/spleen) bleeding → permissive hypotension is your only friend. Titrate to mental status + palpable radial pulse. Track trends, not single numbers.Assume hollow viscus injury until proven otherwise. Hit it hard and early with antibiotics (Ceftriaxone + Flagyl is the practical winner most teams actually carry).Nutrition: If they're hungry, stable, soft abdomen, and no peritonitis after 1–2 days → feed them. Start slow, listen to the patient.Peritonitis = bad news. You've done everything possible with antibiotics and resuscitation — now you're buying time for definitive surgery.Abdominal compartment syndrome is rare with whole blood resuscitation but lethal if it develops. Watch for progressive distension + organ dysfunction (urine output drop + respiratory failure).Document everything. Trends in vitals, urine output, mental status, and abdominal exam are your lifeline in PFC.Chapters:00:00 – 01:30 Welcome & Patrick Liebel Introduction01:30 – 08:00 Hemorrhage Control: Clamping, Ligating, and Why You Should Never Spin the Bowel08:00 – 14:30 Evisceration Management — Tuck It, Widen It, or Leave It?14:30 – 25:00 Solid Organ Injuries & Permissive Hypotension in PFC25:00 – 35:00 Prolonged Critical Care Monitoring, Urine Output, and Trend Analysis35:00 – 42:00 Contamination Control, Antibiotics, and Hollow Viscus Injuries42:00 – 49:00 Nutrition, Ileus, and When to Feed49:00 – 57:00 Peritonitis, Sepsis, and Abdominal Compartment Syndrome57:00 – End Final Pearls, Nursing Care, and Closing ThoughtsFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Once a month, we're re-releasing a classic StraightioLab episode from the vault. Today we're celebrating Torrey Peters, who was just named a Pulitzer Prize finalist for her book Stag Dance!See omnystudio.com/listener for privacy information.
In this episode of the PFC Podcast, Dennis sits down with Kevin — a Nurse Anesthetist (CRNA) with deep experience in hospice/oncology floors, Level I trauma ICUs and ERs, military nursing, and years in austere environments, including a Role III in Baghdad. Kevin delivers straight talk on the most overlooked, time-consuming, and life-saving phase of Prolonged Field Care: nursing care.He answers the exact question every medic wants to know: When does nursing actually start? Then he walks through the full reality of what “nursing” means in the field — from relentless data gathering and charting, to turning patients, pulmonary toileting, skin care, oral care, managing the mess (yes, including bowel movements on litters), and preventing the downstream killers like pressure ulcers, ventilator-associated pneumonia, and sepsis that can undo even perfect damage-control surgery.You'll get practical austere hacks (including Kevin's legendary Barbasol shaving cream trick), training advice that actually works, how to know when the patient is truly stable, when to escalate to a provider, and why evacuation must remain the primary plan — not prolonged field care.Key Takeaways:PFC nursing starts the moment life-saving interventions (hemorrhage control, surgery, cric, chest tubes, etc.) are complete and the patient is stabilized — not during the gunfight or initial resuscitation.Skin care and turning patients prevents deadly complications — pressure ulcers, infections, and sepsis can kill a patient with otherwise survivable injuries.Austere game-changer: Barbasol shaving cream + washcloths cuts through blood, stool, grease, and debris without drying out skin. Bring cheap bottles.First hour priorities: frequent vitals/assessments, confirm stability, get fluids/sedation/maintenance running, then move to the full nursing checklist.Set clear “left and right limits” / parameters for teammates or non-nurses so you can actually rest, rearm, or plan the next mission.Best training: Work real ICU/floor shifts (especially weekends when staffing is thin) — mannequins and sims don't teach the time sink or the “why.”Mindset shift: Move from high-speed, high-adrenaline interventions to the “boring but essential” maintenance phase. If it feels boring, you're probably doing it right.Strategic reality: Evacuation (Medevac or CasEvac) should stay the P in your PACE plan. Prolonged field care with high casualty volumes and limited resources is an enormous time and math problem — history (WWII South Pacific, etc.) proves it.Chapters:01:50 – When Does Prolonged Field Care Nursing Actually Start?04:39 – The Foundation: Data Gathering, Assessments & Charting07:03 – The Full Laundry List of Bedside Nursing Interventions09:26 – How to Train Real Nursing Care (ICU Shifts Beat Mannequins)11:46 – The Critical First Hour: Settling In & Confirming Stability14:04 – Head-to-Toe Assessment, Pulmonary Toileting, Oral Care & Eye Care16:16 – Real Talk: Skin Care, Turning Patients, Bowel Movements & Preventing Ulcers/Sepsis20:50 – How Long Until the Patient Is Truly Stable? (The Pregnant Pause)34:49 – Patient Changes: When to Call the Provider & Setting Left/Right Limits41:34 – Common Pitfalls Medics & Teams Make in PFC Nursing48:59 – Nursing Care Plans, Early Ambulation & Broader Patient Needs54:26 – PACE Plan Reality Check: Why Evacuation Must Stay Priority #1For more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this high-yield, no-fluff episode, Dennis is joined by Dr. Michael Falk, a pediatric emergency medicine physician, former academic, and combat-experienced relief worker who has run airways in Haiti post-earthquake, Mosul during the ISIS fight, Ukraine, and Gaza. They break down exactly why pediatric airways are a completely different beast in prolonged field care and give you field-proven tactics that actually work when you're the only one there with a BVM and a prayer.Key Takeaways You Can Use TomorrowPositioning is everything: One to two inches under the shoulders (or whole body) prevents automatic obstruction from the massive occiput.Adjuncts > early tube: NPA or OPA + side-lying (gravity is your friend) can keep you from tubing in the field.Tube sizing rule: Child's pinky ≈ ET tube diameter. Depth = 3× tube size. Always go smaller — you can ventilate, you can't un-damage a ripped airway.Intubation mindset: Kid airway is more anterior and cephalad. Slow down, work your way in, or you'll be in the esophagus.GCS decision:
Australians are living longer and longer, which is on one hand a beautiful thing. But on the other, prolonged old age is wreaking havoc. So how might we respond to this new demographic situation we find ourselves in?Lucinda Holdforth is a writer who specialises in looking at what makes good societies flourish, everything from manners to politics and equality.Most recently, she's set her sights on the unintended negative consequences following the extraordinary increase in life span around the world, particularly in Australia.In the past 50 years, human life expectancy across the globe has jumped from 46 years old to 73, and in Australia that number is even higher -- an Australian born today is likely to live until they are 84 years old.On the surface, living longer is a very good thing. It means more time spent with our loved ones, looking at the stars, feeling the sun, living.But prolonged old age can also be very lonely and painful, and, as Lucinda argues, it is costing society as a whole in many ways.She has seen this firsthand, as a daughter who supported her own parents in their long old age, and has some surprising suggestions about how we could do things differently to ease the impact on our economy, our medical system, our elderly and our youth.GOING ON AND ON: Why our longevity threatens our future is published by Simon & Schuster.This episode was produced by Meggie Morris. Executive Producer is Eliza Kirsch.It explores the sandwich generation, carers, women caring for parents, the elderly, dementia, Alzheimer's, Bryan Johnson, biohackers, Blue Zone, how to live longer, Mediterranean diet, tech bros, longevity, muscle mass, aging, deterioration, aged care, death, grief, how to live well, writing, books, old age, diseases of the elderly, tax, taxation, ageism, voting rights, voting age, lower the voting age.To binge even more great episodes of the Conversations podcast with Richard Fidler and Sarah Kanowski go the ABC listen app (Australia) or wherever you get your podcasts. There you'll find hundreds of the best thought-provoking interviews with authors, writers, artists, politicians, psychologists, musicians, and celebrities.
fWotD Episode 3288: Hurricane Joaquin Welcome to featured Wiki of the Day, your daily dose of knowledge from Wikipedia's finest articles.The featured article for Wednesday, 6 May 2026, is Hurricane Joaquin.Hurricane Joaquin ( hwah-KEEN; Spanish: Huracán Joaquín [uɾaˈkaŋ xoaˈkin]) was a powerful tropical cyclone that devastated several districts of the Bahamas in early October 2015. It was also the strongest Atlantic hurricane of non-tropical origin recorded in the satellite era. The tenth named storm, third hurricane, and second major hurricane of the 2015 Atlantic hurricane season, Joaquin evolved from a non-tropical low to a tropical depression on September 28, well southwest of Bermuda. The depression drifted towards the southwest and became a tropical storm the next day. Joaquin then underwent rapid intensification, becoming a Category 4 major hurricane on the Saffir–Simpson scale on October 1. Meandering over the southern Bahamas, Joaquin's eye passed near or over several islands. On October 3, the hurricane weakened somewhat and began moving northeastwards. Abrupt re-intensification ensued later that day, and Joaquin acquired sustained winds of 155 mph (250 km/h), just below Category 5 strength.Joaquin was one of the strongest hurricanes to affect the Bahamas on record. Hurricane warnings were issued for most of the Bahamas before Joaquin reached the country's southern islands. Between October 1 and 3, Joaquin caused extensive damage on Acklins, Crooked Island, Long Island, Rum Cay, and San Salvador Island. Severe storm surge inundated many communities, trapping hundreds of people in their homes; flooding persisted for days after the hurricane's departure. Prolonged, intense winds brought down trees and power lines, and unroofed homes. Relief efforts in the wake of Joaquin were hampered by heavy damage to airstrips and flooded roads. Offshore, the American cargo ship El Faro and her 33 crew members were lost to the hurricane.Coastal flooding impacted the nearby Turks and Caicos Islands, washing out roadways, compromising seawalls, and damaging homes. Strong winds and heavy rainfall caused some property damage in eastern Cuba. In Haiti, storm tides resulted in severe flooding in several departments, forcing families from their homes and destroying crops, while large waves killed a fisherman at sea. Over the Southeastern United States, a separate storm system drew tremendous moisture from the hurricane, leading to catastrophic flooding in South Carolina. A weakened Joaquin passed just west of Bermuda on October 4, bringing strong winds that caused power outages but only minor damage. Afterwards, the hurricane accelerated eastwards into colder waters, weakening further and becoming extratropical on October 8. Its remnants reached Portugal before dissipating a week later. Across its lifetime, Joaquin killed 34 people and caused US$120 million in damage.This recording reflects the Wikipedia text as of 00:55 UTC on Wednesday, 6 May 2026.For the full current version of the article, see Hurricane Joaquin on Wikipedia.This podcast uses content from Wikipedia under the Creative Commons Attribution-ShareAlike License.Visit our archives at wikioftheday.com and subscribe to stay updated on new episodes.Follow us on Mastodon at @wikioftheday@masto.ai.Also check out Curmudgeon's Corner, a current events podcast.Until next time, I'm generative Danielle.
The U.S. is seeing softer domestic demand for traditional fuels, but pockets of the country remain highly dependent on imported gasoline, jet fuel and diesel. Today, we'll zero in on which PADDs are at the highest risk for shortages and price spikes if the Iran war drags on for an extended period.
In this must-listen episode, Dennis sits down with Dr. Jon Andrews—former 5th and 20th Group Special Forces medic turned Duke-trained anesthesiologist (pediatric & cardiac fellowships)—to tackle one of the biggest headaches in austere medicine: you have a tiny box of opioids and ketamine, a long mission, and a patient who needs to stay alive AND comfortable.They break down exactly how to stretch every milligram using real OR strategies adapted for prolonged field care: patient-specific planning, smart titration, multimodal synergy, regional blocks, ketamine myths, and when (and how) to layer non-narcotics without crashing your patient or your supply.Why this episode matters: Acute pain becomes chronic pain. Chronic pain leads to opioid dependence, PTSD, and worse outcomes. In the field, your choices today shape your patient's tomorrow—and whether you still have meds left when the next casualty shows up.Key TakeawaysStart low, titrate smart. Cut your first dose in half on sick or unstable patients. You can always give more—never the other way around.Multimodal is mission-critical. Hit pain from every angle (blocks + ketamine + acetaminophen + judicious NSAIDs) to dramatically reduce opioid requirements and prevent chronic pain pathways.Ketamine IS an analgesic. It's not just dissociation—it's an NMDA antagonist that blunts central sensitization and has proven opioid-sparing effects.Schedule your non-opioids. Acetaminophen (1 g IV/PO/PR q6h) and longer-acting adjuncts form your baseline; use fentanyl or morphine only for breakthrough.Blocks beat everything—if you can do them. Pre-emptive regional anesthesia (when feasible) is the single highest-yield move before surgical stimulus hits.Monitor like your life depends on it. Heart rate, blood pressure, and respiratory rate are your best pain score when the patient can't talk.Plan for worst-case evacuation. Bring more than you think you'll need and dose for the opioid-naïve or opioid-tolerant reality in front of you.Why treating hypertension in the OR (or field) almost always starts with fixing pain firstThe “start low, see response, add more” mantra every austere provider needsWhy Tylenol often performs as well as morphine in blinded ED studies (and why your patients still doubt it)Real talk on ultrasound-guided blocks in 2011 vs. today—and why proficiency still mattersThe dangerous synergy of opioids + benzos + ketamine on respiratory driveWhy you must get comfortable decreasing doses, not just ramping them upChapters01:55 – The austere reality: limited narcotics and why your favorite med won't last forever03:37 – OR planning vs. field reality: opioid-naïve vs. chronic users05:57 – Multimodal analgesia explained (blocks, ketamine, Tylenol, NSAIDs, dexmedetomidine)08:28 – Patient & mission factors that should drive your loadout12:23 – Golden rule: start low, titrate to effect, monitor vitals15:05 – Sick-patient hack: cut your mental dose in half16:01 – Is ketamine actually an analgesic? (NMDA, opioid-sparing, PTSD data)19:12 – Extending your supply: bolus vs. infusion, redosing strategy24:27 – First-line multimodal choices in the field27:43 – Juggling multiple agents: timing, scheduling, and longer-acting blocks30:15 – Regional anesthesia timing—pre-emptive is king (post-injury limitations)32:48 – Ultrasound & blocks in the current PFC world35:08 – Safety considerations for adjuncts (liver, kidneys, bleeding, alcohol)36:59 – Bang-for-buck data on Tylenol vs. morphine38:55 – Practical integration: layering Tylenol/ketamine with fentanyl titration41:54 – Getting comfortable titrating down (and why pain scores can lie)42:53 – Final wisdom: use everything you're comfortable with.For more content go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.
This week, Aebhric is again joined by Zach Andrews, who leads the latest episode of CoROM Conversations, which explores the recognition and management of severe malaria in resource-limited and austere environments. Drawing on field-relevant clinical reasoning, the discussion focuses on the progression from uncomplicated to life-threatening disease, with emphasis on Plasmodium falciparum as the primary driver of severe pathology.The conversation highlights the diagnostic challenges faced by remote medics, where laboratory confirmation may be delayed or unavailable, and underscores the importance of clinical pattern recognition, early intervention, and ongoing reassessment. Particular attention is given to complications such as cerebral malaria, severe anaemia, metabolic acidosis, and hypoglycaemia—all of which significantly increase mortality if not rapidly addressed.From a prolonged field care perspective, the episode integrates pragmatic strategies for stabilisation, monitoring, and evacuation decision-making. It reinforces the need for structured patient assessment using frameworks such as CABCDEFGH, along with trending vital signs over time. The discussion ultimately bridges tropical medicine with austere critical care, offering actionable insights for medics operating far from definitive care.Key Learning PointsSevere malaria is a time-critical diagnosis, most commonly associated with Plasmodium falciparum, requiring immediate treatment even before confirmatory testing.Red flag features include altered mental status, respiratory distress, severe anaemia, hypoglycaemia, and shock.Hypoglycaemia is both a complication of malaria and a side effect of treatment (e.g., quinine), necessitating frequent glucose monitoring.In austere environments, clinical diagnosis often precedes laboratory confirmation, requiring high suspicion in febrile patients with travel or endemic exposure.Fluid management must be cautious, balancing the risks of hypovolaemia and pulmonary oedema.Prolonged care requires integration of nursing principles (HITMAN, SHEEP VOMIT) to prevent secondary deterioration.Early administration of parenteral antimalarials (e.g., artesunate where available) is critical to survival.Evacuation planning should be initiated early, but delays must not postpone life-saving interventions.Timestamps00:00 – IntroductionOverview of the case and relevance to austere medicine02:30 – Pathophysiology of Severe MalariaMechanisms of microvascular obstruction and organ dysfunction06:00 – Clinical PresentationRecognising early vs severe disease in the field10:30 – Assessment FrameworksApplying structured approaches (CABCDEFGH, CPRO, BEAST)15:00 – Management PrioritiesAntimalarials, glucose, fluids, and airway considerations20:30 – Complications and MonitoringCerebral malaria, acidosis, anaemia, and respiratory failure25:00 – Prolonged Field Care ConsiderationsNursing care, documentation, and trending30:00 – Evacuation and Decision-MakingWhen and how to move the patient33:00 – Key Takeaways and Closing ThoughtsClinical Pearls / Take-Home MessagesTreat first, confirm later: In suspected severe malaria, delays in treatment increase mortality.Check glucose early and often: Hypoglycaemia can be rapidly fatal and easily missed.Think beyond fever: Altered mental status or respiratory changes may be the first sign of severe disease.Your greatest tool is reassessment: Trends in vital signs are more valuable than single data points.Good nursing care saves lives: Positioning, hydration, hygiene, and monitoring are critical in prolonged care environments.Suggested ReferencesWorld Health Organization. Guidelines for the Treatment of Malaria (latest edition).Joint Trauma System Clinical Practice Guidelines: Prolonged Casualty Care.World Health Organization. Severe Malaria (Tropical Medicine reference standards).White NJ et al. Malaria. The Lancet.
Send us Fan MailOn-Demand Programme Link - https://mailchi.mp/bb2a7b851246/kairos-centreMany people think that pornography consumption is harmless. Studies, however, have proven that regular consumption can have a negative impact on the brain. Prolonged exposure can alter brain structures, brain functioning and therefore, behaviour patterns. (A Recovery Programme is all about rewiring the brain).Frequency of use, existing or prior mental health conditions, age of exposure and the type of pornographic content, are important factors. Porn impacts a developing brain differently than a mature brain. Such matters as violent porn are factors that does a different type of impact. Changes in the reward centre, cognitive functioning and emotional regulation are key areas of interest in neuropsychology.The Pleasure and Reward Centre: The brain's primary reward neurotransmitter is Dopamine and it is released during pleasure activities whenever you experience pleasure. Repeated release of dopamine over time, alters the reward centre of the brain. You will find that over time, you desire more stimulus to achieve the same result. Regular use of porn causes highs and lows and the brain starts to create new patterns that drive a person to continue watching porn. It remembers the reward.Cognitive Function: Individuals who suffer from compulsive use of porn, often struggle with cognitive functioning. There may be impaired decision-making, but they do not know it. For example, going after the immediate short-term gain, despite the much bigger potential consequences which is all so apparent and a seemingly illogical decision to take such risks. There may be cognitive blind spots where you cannot so readily disurn the negative consequences of the behaviour; instead, going for immediate gratification - rather than delayed gratification; even trashing own personal values, moral codes and ethics.Emotional Regulation: The difficulty regulating emotions will show up in constantly reaching out for the quick fix of porn viewing, Sex or Love Addiction behaviours, to regular emotions; thereby, reinforcing the well grooved out neural pathway pairing which has taken place. Remember that the Frontal/Pre-cortex/logical reasoning decision-making part of the brain has gone offline during the 'Acting out'. Major bridge-burning decisions are being taken in the Limbic area of the brain. 'I feel, so I do'. When the behaviours are brought to an end and the Pre-Cortex comes back online - hearing you ask it the question - "What a waste of time. Why did I just do that?". It's reply will be - "Why are you asking us. We were offline at the time!"Neurological Impact of Porn Addiction: Neuropsychology and neuroscience are the fields which feed us the explanations about these dynamics, which explores how the brain and nervous system shape behaviour and cognition. MRI Scans have demonstrated the potency of the generated Dopamine, Serotonin and Oxytocin mix effect on the brain - as a similar impact to illegal drugs. I might be somewhat provocative with my clients (forewarning them beforehand!) - that they are in fact 'drug addicts'. They are not addicted to illegal street drugs, but have become addicted to the potent neurochemical (self-manufactured chemicals) in the body, generated from the sex and porn behaviours.Get some help from The Kairos Centre. See what you cannot see. Begin to change that which you begin to better understand.Help is here for you: bit.ly/pornaddictionhelpKey words: sex addiction, addicted, partner, porn addiction, recovery, sex drive, therapy, sexSupport the show
Stocks are near all-time highs—even as global tensions and uncertainty continue to build.Chuck Zodda and Marc Fandetti break down why markets are holding up despite an ongoing blockade in the Strait of Hormuz and rising risks tied to global supply shocks.Also covered:Why markets may be underestimating prolonged oil and supply disruptionsThe growing risk of repeated supply shocks driving inflationA debate inside the Fed over rate cuts and AI-driven productivityWhat strong earnings expectations mean for stock valuationsWhy workers may feel stuck in today's labor marketFrom geopolitics to Fed policy to labor trends, this episode breaks down the forces shaping the economy right now.
Watching the news recently has been an uneasy experience for investors and retirees. War headlines dominate the airwaves, oil prices have surged to new highs, and portfolio balances may not look as reassuring as they did months ago. For family stewards looking to safeguard their financial futures, the temptation to react to these global shocks is powerful. But it's crucial not to make emotional financial decisions. Understanding the CrisisIn March 2026, military strikes in the Middle East led to severe disruptions in the Strait of Hormuz—a global oil supply chokepoint through which 20% of the world's daily oil supply flows. Although the U.S. itself is less directly dependent on Middle Eastern oil, oil's status as a globally priced commodity means any disruption impacts global prices and, by extension, markets everywhere. Brent crude prices quickly soared, spiking 10–15% in a day and peaking at $120 per barrel, amid fears it could rise further.Unsurprisingly, the financial markets responded with a bout of volatility. The VIX index—a gauge of investor fear—jumped from 19 to 25. Though jarring, Speaker A reminds us that these numbers pale compared to the shock during the COVID crisis when the VIX broke 80 (07:02). Recognizing this scale is the first step toward a measured response.Oil Prices and the Stock Market: It's ComplicatedMany assume a direct, simple link: oil prices soar, stocks tumble. While sometimes true in the short term, history tells a more nuanced story. The real variable is the duration of the oil shock, not the shock itself. In the 1973 Arab oil embargo, prices quadrupled, sustained for months, and the S&P 500 lost 37% in real terms, and recovery took six years.In the 1990 Gulf War, oil prices rose 75% in two months, but once the conflict was resolved, markets rebounded in just 28 days. In 2003, fears about Iraq pushed prices up, yet the S&P 500 delivered a 25% return the following year as disruptions were short-lived. In general, short, contained shocks resolve quickly with strong recoveries. Prolonged crises cause lasting damage.Building a Rock Solid PortfolioWithstanding economic storms starts with thoughtful preparation, and ideally, we want to create a “fortress portfolio”—not a flimsy wall, but a robust structure capable of weathering attacks. This involves deep diversification:U.S. small-cap and value stocksInternational and emerging marketsReal estate investment trustsShort-term and inflation-protected bondsDiversification means that even when panic causes correlations to rise temporarily, the portfolio is designed for resilience, not prediction. Selling during a crisis, by contrast, locks in losses and exposes investors to the impossible challenge of timing the market's rebound—a decision research shows most people get wrong.Lasting Wealth Is Built Through Hard TimesWar and oil shocks always ignite fear, but history and evidence are clear that those who stay disciplined, trust a well-built portfolio, and avoid emotional, short-term decisions are the ones who preserve and grow wealth. It isn't easy to hold the line, but it is the surest path to security and freedom for your family's future.Outline of This Episode[00:00] Retirement planning during uncertain times[01:09] Don't make emotional financial decisions[07:02] Understanding the VIX Index[08:57] The nuanced story of oil prices and your portfolio[14:08] Impact of oil on investments[18:13] Why timing the market is hard[23:26] Staying disciplined during volatilityResources MentionedVIX Volatility Products | Cboe Connect With Scott WellensSchedule a discovery call with ScottSend a message to ScottVisit Fortress Planning GroupConnect with Scott on LinkedInFollow Scott on TwitterFortress Planning Group on FacebookSubscribe to Best In WealthAudio Production and Show Notes byPODCAST FAST TRACKhttps://www.podcastfasttrack.comPodcast Disclaimer:The Best In Wealth Podcast is hosted by Scott Wellens. Scott Wellens is the principal at Fortress Planning Group. Fortress Planning Group is a registered investment advisory firm regulated by the US Securities and Exchange Commission in accordance and compliance with securities laws and regulations. Fortress Planning Group does not render or offer to render personalized investment or tax advice through the Best In Wealth Podcast. The information provided is for informational purposes only and does not constitute financial, tax, investment, or legal advice.
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“Nothing gets easier in flight.”That single line from today's guest says it all. Dennis is joined by Rich — SOF medic and flight medicine veteran — for a no-fluff masterclass on preparing patients for rotary-wing, ground, or even submarine evacuation. From rotor wash nightmares to 48-hour critical care handovers, this episode is pure gold for medics who want their patients to survive the bird, not just board it.Whether you're a ground medic with 30 seconds to hand off or a flight crew managing vents at altitude, these lessons will tighten your game, cut preventable errors, and keep aircraft off the deck longer than they need to be.KEY TAKEAWAYS YOU CAN USE TOMORROWAccurate MIST saves airframes and lives — over-triage or fake intel has real consequences.Document what the flight medic can't see (drugs, last dose/time, hidden injuries).Get access and secure everything on the ground — nothing magically gets easier at 500 feet and 120 knots.Stage 5–10 minutes early when possible. Headspace + rehearsed handover beats chaos every time.Redundancy is king in prolonged/critical care handovers: bring backups to the backups.Trend vitals and nursing care — clean the patient, position them, prevent DVT, manage contamination.Know your receiving asset — a vented patient handed to someone who's never touched one is now your problem again.Balance speed vs. life-saving interventions — don't skip a finger thoracostomy just because the bird is 30 seconds out.CHAPTERS00:00 – Welcome back to the PFC Podcast00:06 – Introducing Rich: soft medic & flight medicine expert01:44 – The brutal environment of rotary-wing medicine (lost senses, airspace surveillance, cable chaos)04:08 – Classic ground-medic mistakes (and how to stop making them)06:24 – Why accurate MIST actually matters (and how bad intel wastes lives & airframes)09:05 – The moped-vs-gunfight story every medic needs to hear13:55 – Standard aircraft loadout + what “special equipment” really means17:39 – Bare-minimum documentation when rotors are inbound (what to write in 30 seconds)20:02 – Handover acronyms that actually work (MIST vs. CIT-D + physical pointing trick)22:28 – Trust but verify: how flight medics reassess once the patient is aboard24:28 – Why ground access & securing lines is non-negotiable26:45 – Staging early, litter drills, and not racing to the rotor wash30:40 – Prolonged field care → critical care transport handovers31:30 – Is the patient ever “too unstable” to fly? (battlefield reality check)34:41 – Prepping the patient like you're handing off an ICU bed37:08 – Self-evac gear philosophy: treat the patient as if nothing was done yet41:32 – Pain management in the air — when to bump vs. load long-acting44:31 – Monitoring in flight (what still works when your senses are gone)46:58 – Over-optimizing for transport: trending, nursing care, contamination control49:25 – Know who you're handing off to (and why it matters for the truck ride)49:58 – Outro & resources For more content go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
This episode of the Lead with Empower podcast explores strategies for maintaining the attention of a group after it has been captured. The speakers emphasize that while gaining attention is the first hurdle, keeping that attention is a distinct skill that directly impacts engagement and progress toward goals. Key themes and strategies discussed include: ● Facilitator Energy: A leader's energy, enthusiasm, and focus service as a standard for the group. If a facilitator appears disengaged or tried, the group will likely mirror that behavior. ● Managing “Dead Air”: While silence can be a useful tool during group debriefs to encourage reflection, it is generally a significant pitfall during initial instructions or group management. Prolonged dead space can lead to disengagement, and facilitators should strive for a seamless flow. ● Knowing the Audience and Staying on Track: Effective leaders must understand what their specific audience can handle. While some groups might tolerate a joke or a deviation from the plan, others require a direct, concise approach to remain focused on the rules and objectives. ● Minimizing Distractions: ○ Physical Objects: Objects in participants' hands act as distractions. Removing these items before instructions can help maintain focus. ○ Environmental Positioning: Leaders should strategically position themselves and their groups to avoid distractions, such as other activities occurring nearby. ○ Instructional Location: It is often better to move a group away from equipment to explain an activity, rather than briefing them at the site where distractions are present. ● Consistency and Preparedness: A consistent, repeatable process for organizing groups and delivering instructions is vital. Facilitators should prepare and potentially script their transitions to avoid unnecessary complexity. ● Learning Through Play: Because the goal is often learning through play, leaders should aim to provide essential instructions and safety guidelines, then allow the group to begin the activity. Allowing the group to experience initial struggle or success can make them a more attentive audience for subsequent check-ins or debriefs. The speakers conclude that while gaining attention requires significant effort, maintaining it is an ongoing process of preparation, consistency, and awareness of the group's needs. Over time, consistently enforcing these standards helps build a more attentive and engaged group. Find out more at https://lead-with-empower-podcast.pinecast.co This podcast is powered by Pinecast.
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Daniel Lam discusses the impact of a prolonged state of conflict in the Middle East, and how it influences EM assets – in particular, the bonds.Speaker: - Daniel Lam, Head, Cross-Asset Derivative Strategy, Standard Chartered BankFor more of our latest market insights, visit Market views on-the-go or subscribe to Standard Chartered Wealth Insights on YouTube.
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10. HEADLINE: Russia's Struggling Economy Amid Prolonged War and Sanctions GUEST: Michael Bernstam SUMMARY: Russia faces a looming recession, high inflation, and a structural contraction due to reduced investment. The government has nationalized private pension funds to finance the war effort and infrastructure projects. (10)1935 AL LISAFAH
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The market is not done going down, argues Katie Stockton, believing "there's not enough bearishness" warranting all the uncertainty. She walks investors through her technical analysis in the SPX and Mag 7 stocks like Meta Platforms (META), Microsoft (MSFT), and Nvidia (NVDA) to explain why we will see a "prolonged correction." ======== Schwab Network ========Empowering every investor and trader, every market day.Options involve risks and are not suitable for all investors. Before trading, read the Options Disclosure Document. http://bit.ly/2v9tH6DSubscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/About Schwab Network - https://schwabnetwork.com/about
Patrick Bet-David and the panel break down Iran's ceasefire demands, including lifting sanctions, ending U.S. interference, and securing long-term guarantees. The discussion explores whether these demands signal leverage or desperation, how Saudi Arabia and regional allies factor in, and what this means for U.S. strategy moving forward.
Minneapolis started out the first months of 2026 in the global spotlight. The ICE surge brought an unprecedented number of federal agents to the city, which led to illegal detainments and harassment by agents, and the deaths of Renee Macklin Good and Alex Pretti. Many of the city's residents got a lot of attention nationally for their organized resistance against ICE actions and mutual aid efforts, as well.Meet Minneapolis, the city's tourism agency, is tackling how to present itself to tourists after months of upheaval. The agency is launching a new tourism campaign this month.MPR News host Nina Moini spoke to Melvin Tennant, president and CEO of Meet Minneapolis about his plans.
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10. Guest Michael Bernstam analyzes the crisis in the Strait of Hormuz, calling it a narrow choke point currently controlled by Iran. He warns of a massive shipping traffic jam that will cause prolonged high energy prices.,, (11)1943 PA SECTION
File: P-FISHER-3-16-WEAPONS-3-16.mp3 Guest: Rick Fisher PREVIEW FOR LATER: Guest Rick Fisher explains that a prolonged conflict increases the risk of China transferring advanced weaponry, such as hypersonic missiles and J10C fighters, to Iran, significantly threatening U.S. and allied regional security. (1)FEBRUARY 1955
This roundtable was recorded in Dallas, Texas, on March 11, 2026, at our Dispatch Energy event.Steve Hayes sits down with Jonah Goldberg, Kevin Williamson, and Alex Trembath, the executive director of the Breakthrough Institute and contributor to the Dispatch Energy newsletter, to discuss the war in Iran's effect on oil markets and what Ronald Reagan got right about energy 50 years ago.The Agenda:—Military success vs. policy success—U.S. energy independence—Prolonged oil disruption—Ronald Reagan's 1974 address—The end of the climate hawks—2026 and beyondShow Notes:—Alex's latest for Dispatch Energy Learn more about your ad choices. Visit megaphone.fm/adchoices
Gregory Copley explains President Zelenskyy's fear that the prolonged war against Iran will divert vital Westernattention and munitions away from Ukraine's defense against Russia. (2)1931
This file is under revision. Recordings have been submitted by Junior Researcher Lyndhoff for review. Playing File: 6504-DRAFT-2.The following recording takes place in the home of Junior ResearcherLyndoff on an unknown date.Content Warnings: Misphonia, Mental illness, Body horror, Prolonged and persistent descriptions of physical trauma, Suicidal ideation, Suicide attempt, Foul language.Requested by Evil Guy on Discord.TranscriptPatrons Dec 1 - 15Sam Rotman, Sinnamoroll, Calla, Beth P, James, Jose Arias, pdxbird, Neil Durkin, Markus Barbossa, Robert Powell, Kit Barlow, Patrick McMillen, Scruffles the World-Eater, Alan Melchor, Rebekka R, fridablomst, Snow Stickel, Dillon Heidenreich, and Matt MartinCast & Crew SCP Archives was created by Pacific S. Obadiah & Jon GrilzSCP-6504 was written by J. DuneScript by Kevin WhitlockNarrator - Daisy McNamaraComputer - Marquiz MooreDr. Tanaka - Melissa LuskLyndhoff - Harlan GuthrieWith Brad Colbroock as Himself.Dialogue Editor - Daisy McNamaraArt - Eduardo Valdés-HeviaMusic- Dana CreasmanTheme Song- Mattie Roi BergerSound Designer - Brad ColbroockShowrunner - Daisy McNamaraCreative Director - Pacific S. ObadiahExecutive Producer - Tom Owen Presented by Bloody FMwww.Bloody-Disgusting.comwww.SCParchives.com Patreon: https://www.patreon.com/scp_podStore: https://store.dftba.com/collections/scp-archivesInstagram: https://www.instagram.com/scp_pod/Bluesky: https://bsky.app/profile/scparchives.bsky.socialDiscord: https://discord.gg/tJEeNUzeZXTikTok: https://www.tiktok.com/@scppodYouTube: https://www.youtube.com/c/scparchives Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
After a lifetime of striving for control, a woman is thrust into unimaginable loss when a potentially catastrophic twin pregnancy collides with restrictive laws, forcing her to rebuild her life from the ground up. Today's episode featured Helen. Helen and her husband, Zach, began The Marigold Foundation, whose mission is to lead the way in providing financial aid to families that are facing a complex medical diagnosis or the loss of an infant or neonate. To learn more or to donate, please visit themarigoldfoundation.org. The Marigold Foundation's Instagram @marigoldfoundation Producers: Whit Missildine, Andrew Waits, Sara Marinelli Content/Trigger Warnings: Pregnancy loss, Infant loss / neonatal death, Stillbirth / miscarriage, Complicated / high-risk pregnancy, Prolonged labor and medical distress, Medical trauma, Restrictive abortion laws / lack of medical intervention, Hemorrhage, Eating disorder, Suicide attempt / overdose, Self-harm, Grief and bereavement, Religious / spiritual distress, Mental health treatment and therapy, Traumatic medical procedures, Discussions of death and mortality, explicit language Social Media:Instagram: @actuallyhappeningTwitter: @TIAHPodcast Website: thisisactuallyhappening.com Website for Andrew Waits: andrdewwaits.comWebsite for Sara Marinelli: saramarinelli.com Support the Show: Support The Show on Patreon: patreon.com/happening Wondery Plus: All episodes of the show prior to episode #130 are now part of the Wondery Plus premium service. To access the full catalog of episodes, and get all episodes ad free, sign up for Wondery Plus at wondery.com/plus Shop at the Store: The This Is Actually Happening online store is now officially open. Follow this link: thisisactuallyhappening.com/shop to access branded t-shirts, posters, stickers and more from the shop. Transcripts: Full transcripts of each episode are now available on the website, thisisactuallyhappening.com Intro Music: “Sleep Paralysis” - Scott VelasquezMusic Bed: Uncertain Outcomes ServicesIf you or someone you know is struggling with the effects of trauma or mental illness, please refer to the following resources: National Suicide and Crisis Lifeline: Text or Call 988 National Alliance on Mental Illness: 1-800-950-6264National Sexual Assault Hotline (RAINN): 1-800-656-HOPE (4673)See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
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