Podcasts about prolonged

Send us a textGeri Clark, Resource and Advocacy Manager at Treatment Advocacy Center, shares her devastating journey of losing her son to severe mental illness while navigating a broken treatment system that wouldn't help until it was too late. She reveals critical gaps in our mental health system and explains how legal barriers, misunderstood medical conditions, and insufficient family support create deadly consequences for those with severe psychiatric disorders.• Son experienced his first psychotic break at 19 while attending college on a debate scholarship• After a four-year struggle with severe mental illness, her son took his own life in 2019• Anosognosia is a neurobiological symptom where the brain cannot perceive its own illness• Current mental health system requires evidence of harm before providing involuntary treatment• Treatment standards based on legal criteria rather than medical need lead to preventable tragedies• Insurance companies create "ghost networks" of mental health providers who aren't actually available• Families are often excluded from treatment decision-making despite being primary caregivers• Prolonged exposure to untreated psychosis causes brain damage and reduces recovery chances• Some states now include psychiatric deterioration in their criteria for involuntary treatment• Treatment Advocacy Center works to develop grassroots advocates pursuing legislative change• Mental health crises receive far less urgent response than medical emergencies like strokesIf you know anyone who would like to tell their story, send them to tonymantor.com and contact us so they can be a guest on our show. Tell everyone everywhere about Why Not Me? The World, the conversations we're having, and the inspiration our guests give to show that you are not alone in this world.https://tonymantor.comhttps://Facebook.com/tonymantorhttps://instagram.com/tonymantorhttps://twitter.com/tonymantorhttps://youtube.com/tonymantormusicintro/outro music bed written by T. WildWhy Not Me the World music published by Mantor Music (BMI)

Susan Slusser joins Papa & Silver to recap the Giants' offensive struggles, their young pitchers thriving, and how to handle Willy Adames during this prolonged slump See omnystudio.com/listener for privacy information.

In this episode, I'm joined by Coach Lindsey from the Risely team to uncover nine surprising reasons why people with type 1 diabetes often feel exhausted—even when they're doing everything “right.” From hidden blood sugar variability and subtle dehydration to nutrient deficiencies and the cognitive fatigue of nonstop diabetes management, we dive into the physical, mental, and emotional tolls of T1D. Coach Lindsey shares real client experiences and practical insights to help you identify what might be draining your energy. We also explore how overlooked factors like morning caffeine habits, thyroid issues, and burnout can quietly sap your strength. If you're ready to stop guessing and start feeling more energized, this episode will point you toward the clarity and support you need.Quick Takeaways:Understanding your energy levels is crucial for managing T1D Impact of coffee (and cortisol) on blood sugar levels The ‘non-clinical' things contributing to exhaustion (that are in your control) How to know if your tiredness is an underlying autoimmune condition  Diabetes burnout: How to know if you've hit that point and what to do if soTimestamps:[01:11] Breaking down today's conversation [07:26] Prolonged high blood sugars + insulin resistance [11:16] Blood sugar variability, even when you have a good A1C[16:00] How your morning coffee is impacting your BG [20:43] What nutrients your body might be missing as a T1D [24:18] Underlying autoimmune conditions or ‘sister conditions' [26:15] Constantly being tired doesn't mean something is ‘clinically wrong' with you[27:43] Are you dehydrated even if you are drinking water?  [30:12] The cognitive load + mental fatigue of T1D [37:55] “The life burnout that happens that leads to diabetes exhaustion”What to do now: Follow me @lauren_bongiorno and @riselyhealth on Instagram to stay in the loop when new episodes drop.Apply for coaching and talk to our team so you can reclaim the life you deserve. Listen to Episode 121: T1D + Thyroid Health Dr. Sandra Sobel 

Susan Slusser joins Papa & Silver to recap the Giants' offensive struggles, their young pitchers thriving, and how to handle Willy Adames during this prolonged slump See omnystudio.com/listener for privacy information.

In this episode of the PFC Podcast, Dennis and Kevin discuss the intricacies of waking patients after sedation, focusing on procedural sedation techniques, managing emergence delirium, and the challenges of airway management. They share insights from real-world experiences, particularly in combat and austere environments, emphasizing the importance of monitoring and patient safety during the awakening process. The conversation also covers extubation strategies, the differences between Cric and ET tube management, and the significance of having a well-thought-out emergence plan from the start of anesthesia.TakeawaysWaking a patient requires careful monitoring and reorientation.Emergence delirium can occur with ketamine; vigilance is key.Communication with the patient is crucial during awakening.Airway management is critical, especially in trauma cases.TIVA can complicate the emergence process; planning is essential.Extubation should be based on patient readiness and safety.Cric tubes may be better tolerated than ET tubes.Ventilation support may be necessary during the emergence phase.Understanding the patient's history aids in sedation decisions.Always be prepared for unexpected airway challenges.Chapters00:00 Introduction to Patient Awakening01:16 Procedural Sedation Techniques06:24 Managing Emergence Delirium10:40 Airway Management in Sedation15:27 Waking Up After Long Procedures24:23 Extubation Strategies and Considerations30:29 Cric vs. ET Tube Management39:06 Ventilation and Monitoring During EmergenceThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For 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 Ethan discuss the critical role of patient positioning in emergency and prolonged field care. They explore various aspects of patient positioning, including its importance for TBI management, ventilation, and airway management. The conversation also addresses the risks associated with changing patient positions, the need for a safety net in patient care, and the operational considerations for medics in the field. They emphasize the significance of training and cultural factors in reducing preventable deaths in combat situations, concluding with a call to focus on the basics of patient care.TakeawaysPatient positioning is often overlooked but crucial in care.Elevating the head of the bed can help with TBI.Ventilation improves with proper patient positioning.Patients can manage their airways better when allowed to position themselves.Reassess interventions after changing patient positions.Improvisation is key in resource-limited environments.Equipment design can enhance patient care in the field.Cultural factors in military medicine impact patient outcomes.Training in patient positioning is essential for medics.Mastering the basics can significantly reduce preventable deaths.Chapters00:00 Introduction to Patient Positioning02:21 The Importance of Patient Positioning06:01 Patient Positioning for TBI and Ventilation09:20 Airway Management and Patient Positioning14:25 Risks and Downsides of Changing Patient Position19:18 Building a Safety Net in Patient Care20:22 Operational Considerations for Patient Positioning24:29 Improvisation and Equipment in Patient Care27:46 Positioning in Prolonged Field Care30:03 Cultural Factors in Reducing Preventable Deaths36:40 Conclusion and Key TakeawaysThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

Since the vast majority of you guys couldn't go to SOMSA '25, I'm bringing SOMSA '25 to you. Paul and I got our steps in this year and recorded a ton of presentations. These presentations with slides will only be available for subscription members...EnjoyIn this episode of the PFC Podcast, Dr. Jason Hiles discusses the challenges and strategies of providing medical care in unconventional warfare environments. He shares insights from his experiences in Southeast Asia, focusing on the importance of adaptability, community engagement, and training local medics to ensure sustainable healthcare practices in resource-limited settings. The conversation covers various surgical techniques, trauma management, and the significance of building trust within the communities served.TakeawaysThe need for trained personnel in war zones is critical.Adaptability in surgical techniques is essential in resource-limited environments.Community engagement fosters trust and improves healthcare access.Surgical care must be tailored to the specific needs of the environment.Triage and evacuation strategies are vital in managing war wounds.Training local medics ensures continuity of care after foreign personnel leave.Simplicity in medical kits can enhance operational efficiency.Understanding local customs and languages improves patient care.The impact of war on civilian health requires innovative solutions.Building relationships with local communities can lead to better health outcomes.Chapters00:00 Introduction to Unconventional Warfare Medicine03:12 Operational Challenges in Resource-Limited Environments06:07 Surgical Techniques and Patient Care in Conflict Zones09:00 Managing War Wounds and Trauma11:55 Triage and Evacuation Strategies15:10 Community Engagement and Building Trust18:14 Training Local Medics and Sustainable PracticesThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For 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 from last year, Dennis interviews Victor, a former Ranger and current tactical medicine program manager, who shares his experiences in Burma with the Free Burma Rangers. Victor discusses the evolving situation on the ground, his transition from military to humanitarian work, and the challenges of training indigenous forces in combat medicine. He emphasizes the importance of basic medical techniques, the complexities of blood collection and transfusion, and the management of mass casualties in a combat environment. Throughout the conversation, Victor reflects on the lessons learned from his experiences and the realities of operating in a conflict zone. In this conversation, the speaker shares their experiences and insights from operations in Burma, focusing on air operations, reconnaissance techniques, and the challenges of medical planning in hostile environments. They discuss the importance of movement discipline, ground reconnaissance, and resource management in ensuring the safety and effectiveness of their operations. The conversation highlights the complexities of providing medical care in combat situations and the need for adaptability and strategic planning.TakeawaysVictor transitioned from military service to humanitarian work.The situation in Burma is rapidly changing with ethnic forces gaining ground.Training indigenous forces requires cultural understanding and respect.Basic medical techniques are crucial in combat medicine training.Blood collection and transfusion present significant challenges in the field.Managing mass casualties requires effective triage and resource allocation.Training local medics can lead to successful outcomes in emergencies.Logistics and communication are vital in combat scenarios.The experience highlighted the importance of adaptability in medical training.Victor learned to appreciate the resources available in military medicine. The Burma army utilizes advanced air operations for reconnaissance and strikes.Movement and noise discipline are critical in combat situations.Ground reconnaissance is essential for safe movement and operational success.Medical planning must account for the capabilities of local hospitals.Prolonged field care requires careful consideration of resources and logistics.Effective communication and teamwork are vital during operations.Understanding enemy tactics can enhance operational planning.Pre-packing medical supplies can save time during emergencies.Adaptability is key in unpredictable combat environments.Continuous learning and preparation are necessary for effective field care.Chapters00:00 Introduction to Victor's Journey01:57 The Situation in Burma04:08 Transitioning from Military to Humanitarian Work05:50 Training Indigenous Forces in Combat Medicine12:07 Implementing Medical Techniques in the Field19:47 Challenges of Blood Collection and Transfusion28:03 Managing Mass Casualties in Combat39:48 Lessons Learned from the Experience41:58 Air Operations and Reconnaissance Techniques47:12 Engaging with the Enemy: Capturing Prisoners50:16 Ground Reconnaissance and Movement Discipline55:29 Medical Planning in Hostile Environments01:01:40 Challenges of Prolonged Field Care01:07:13 Logistical Considerations and Resource ManagementThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For 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 Doug delve into the complexities of bradyarrhythmias, discussing their recognition, causes, and treatment options. They explore the importance of vital signs, differential diagnosis, and the various pharmacological and electrical interventions available for managing bradycardia. The conversation also touches on the implications of overdoses and the long-term management of patients with bradyarrhythmias, emphasizing the need for a comprehensive approach in emergency medicine.TakeawaysRecognizing bradycardia involves checking vital signs and symptoms.Not all bradycardias are the same; context matters.Altered mental status can indicate shock in bradycardia cases.Lyme disease is a significant cause of bradycardia in younger populations.Narcotic overdose can lead to bradycardia and requires immediate attention.Atropine is a quick and handy treatment for bradycardia.Transcutaneous pacing is a common emergency intervention.Dopamine is preferred for its targeting of heart rate in bradycardia.Glucagon is an expensive but necessary treatment for beta-blocker overdose.Treating hypoxia is crucial before addressing bradycardia.Chapters00:00 Introduction to Bradyarrhythmias03:01 Recognizing Bradycardia and Its Symptoms06:14 Causes of Bradycardia09:02 Differential Diagnosis in Bradycardia11:57 Stabilization and Treatment Approaches14:46 Pharmacological Interventions for Bradycardia17:59 Electrical Interventions: Pacing Techniques20:55 Managing Overdoses and Bradycardia23:48 Long-term Management and Follow-up26:54 Conclusion and Key TakeawaysLink to full podcast:⁠⁠https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-228-DImE-e32aek2⁠⁠Thank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For 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, Ian Wedmore, an expert in high altitude medicine, discusses the newly released Clinical Practice Guidelines (CPG) for altitude-related illnesses. The conversation covers the pathophysiology of acute mountain sickness, high altitude pulmonary edema, and high altitude cerebral edema, as well as their diagnosis and treatment protocols. Ian emphasizes the importance of understanding the symptoms, utilizing technology, and implementing prevention strategies to effectively manage altitude illnesses in military and wilderness settings.TakeawaysThe new CPG for altitude medicine is a significant advancement.Acute mountain sickness occurs when the body ascends too quickly without acclimatization.Diagnosis of altitude sickness relies heavily on symptom scoring systems.Vital signs are crucial for diagnosing high altitude pulmonary edema.Dexamethasone is essential for treating high altitude cerebral edema.Pre-exposure prophylaxis can reduce the risk of altitude sickness.Acetazolamide is the primary medication for preventing acute mountain sickness.Understanding the pathophysiology of altitude illnesses is key for treatment.Good hydration and nutrition are critical for acclimatization.Data collection through medic encounter forms will improve altitude care.Chapters00:00 Introduction to High Altitude Medicine02:51 Understanding Acute Mountain Sickness06:13 Diagnosing and Differentiating Altitude Illnesses08:56 Pathophysiology of High Altitude Pulmonary and Cerebral Edema12:04 Treatment Protocols for Altitude Illnesses15:08 Utilizing Technology in Altitude Medicine18:00 Prevention and Prophylaxis Strategies20:45 The Role of Medications in Altitude Care24:13 Future Directions in Altitude Medicine27:01 Conclusion and Key TakeawaysLink to full podcast:⁠https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-228-DImE-e32aek2⁠Thank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

Prolonged drought conditions and increasing production costs are compelling farmers to reduce their flocks, leaving shearers struggling to find work. 

Dr. Satchin Panda is a renowned neuroscientist and professor at the Salk Institute for Biological Studies. He is best known for his groundbreaking research on circadian rhythms, time-restricted eating, and their impact on metabolism and overall health. His work has significantly influenced the fields of chronobiology and nutrition. Dr. Panda is also the author of The Circadian Code, where he shares practical strategies to optimize health by aligning daily routines with the body's internal clock.In our conversation we discuss:(00:00) – What happens in our bodies when our circadian rhythm is out of sync(06:16) – How to know if your circadian rhythm is out of sync(11:07) – What matters more: timing of sleep or how long is your sleep(15:47) – Consistency in your sleep schedule(18:37) – Importance of getting bright natural light(24:23) – Resetting circadian rhythm for a night shift worker(28:54) – Product recommendation(30:50) – Compensating for lost or poor sleep(34:31) – What are the worst common habits the generation is doing that harm the quality of sleep(40:45) – Eating late in relation to quality of sleep(42:59) – Supplements(48:15) – Prolonged fasting(51:05) – Time window for liquid intake(54:07) – Sipping(56:10) – Exercising in the morning vs in the afternoon(59:24) – Factors that may be overlooked in improving circadian rhythm(1:01:32) – Ideal circadian dayLearn more about Dr. Satchin Panda:https://www.salk.edu/scientist/satchidananda-panda/https://www.instagram.com/satchin.panda/?hl=enhttps://www.linkedin.com/in/satchin-panda-926ba369App: https://www.mycircadianclock.org/Book: https://www.amazon.com/Circadian-Code-Supercharge-Transform-Midnight/dp/163565243XWatch full episodes on: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@seankim⁠⁠⁠⁠⁠⁠⁠Connect on IG: ⁠⁠⁠⁠⁠⁠https://instagram.com/heyseankim

In this episode of the PFC Podcast, Dennis speaks with Dr. Jim Czarnik, a retired Army officer with extensive experience in military medicine and operations. They discuss the complexities of military medicine, the importance of communication between medical and operational personnel, and the challenges of adapting to future conflicts, particularly in the context of large-scale combat operations (LISCO). Jim emphasizes the need for honest discussions about the role of medicine in the military and the moral dilemmas faced in battlefield situations. The conversation also touches on the integration of technology in tactical medicine and the necessity of training for real-world scenarios. In this conversation, the speakers delve into the complexities of military operations, focusing on the moral dilemmas faced by medics, the importance of understanding diplomatic language, and the necessity of being well-informed about national interests when engaging in foreign nations. They emphasize the need for courageous vulnerability in communication and the importance of preparation and information gathering to ensure successful missions. This conversation delves into the complexities of military operations, particularly focusing on the importance of resource management, the necessity of basic medical skills in prolonged field care, and the critical role of clinical judgment in medical training. The speakers emphasize the need for cultural sensitivity and effective patient interaction in combat situations, as well as the importance of strategic engagement and long-term planning in military medicine. They discuss the challenges faced by medics in adapting to different environments and the need for a collaborative approach to healthcare in military operations.TakeawaysMedicine exists to serve the line, highlighting its role in military operations.There is often a lack of understanding between medical and operational personnel.Training for LISCO requires adapting to the environment, not just changing it.Time is a critical factor in military operations and training.Moral dilemmas in battlefield medicine need to be addressed beforehand.Technology can enhance tactical medicine, but must be integrated thoughtfully.Honest discussions about roles and expectations are crucial in military settings.The complexity of military medicine requires a balance between operational needs and medical capabilities.Future conflicts will demand innovative approaches to medical care on the battlefield. It's not just about the mission; it's about the relationships.Engagement with foreign nations requires understanding their systems.Courageous vulnerability is essential in military interactions.Clinical judgment is often lacking in medical training.The command element must prioritize medical training.Long-term planning is necessary for successful military engagement.Chapters02:51 Winning in a Complex World: Insights from Jim19:32 The Role of Technology in Tactical Medicine27:15 Adapting to Future Conflicts: LISCO and Beyond42:51 Warrior's Will and Moral Dilemmas45:07 Understanding the Medic's Role in Military Operations47:20 Navigating Diplomatic and Military Language52:00 Engagement Strategies in Foreign Nations01:01:11 Understanding National Interests and Engagement Plans01:07:57 Information Gathering and Preparation01:12:43 Courageous Vulnerability in Military Engagements01:20:26 The Future of Military Operations and Resource ManagementThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

This conversation delves into the critical aspects of tourniquet management in trauma care, focusing on the distinction between tourniquet conversion and replacement, the importance of resuscitation, and the physiological implications of prolonged tourniquet use. The speakers discuss techniques for safe conversion, the challenges faced in the field, and the assessment of limb salvageability, emphasizing the need for preparedness and patient assessment in high-stress environments. This conversation delves into the complexities of patient care in trauma situations, focusing on the challenges faced by medics in making critical decisions about limb salvage, managing acidosis, and understanding reperfusion injury. The speakers emphasize the importance of resuscitation, the need for adequate resources, and the moral dilemmas that arise in emergency medical situations. They provide practical advice for medics on how to navigate these challenges effectively while ensuring patient safety and care quality.TakeawaysTourniquet conversion is essential in trauma care.Understanding the difference between conversion and replacement is crucial.Resuscitation is a key factor before converting a tourniquet.The two-hour mark for tourniquet use is based on physiological considerations.Prolonged tourniquet time can lead to significant metabolic issues.Be prepared for reperfusion injury when converting a tourniquet.Confidence in tourniquet conversion skills is often lacking among providers.Patient assessment is critical before converting a tourniquet.Limb salvageability can vary and should be assessed carefully.The decision to convert a tourniquet should prioritize patient stability. Imperfect situations require difficult decisions in patient care.Triage decisions are crucial when resources are limited.Resuscitation is the primary goal in trauma care.Understanding reperfusion injury is essential for medics.Managing acidosis can significantly impact patient outcomes.Blood transfusions are critical in trauma situations.Medics must be prepared for potential complications.Always monitor and assess the patient's condition continuously.Reading medication labels is vital for safe practice.Confidence in converting tourniquets is essential for medics.Chapters00:00 Introduction to Tourniquet Management02:56 Understanding Tourniquet Conversion vs. Replacement06:10 Resuscitation Goals and Tourniquet Timing08:58 Physiological Implications of Prolonged Tourniquet Use11:47 Techniques for Safe Tourniquet Conversion15:09 Challenges in Tourniquet Management17:53 Assessing Limb Salvageability and Patient Stability25:44 Navigating Imperfect Situations in Patient Care30:32 Triage Decisions: When to Save a Limb31:03 Understanding Reperfusion Injury and Its Challenges35:43 Managing Acidosis in Trauma Patients46:34 Advice for Medics: The Importance of ConversionThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

What does it really mean to grieve — and when does grief become a danger to your life? In this weighty episode, host Gabe Howard sits down with Dr. Mary-Frances O'Connor, a leading expert in psychology whose work on grief and loss has touched millions. Dr. O'Connor shares groundbreaking insights on the subtle yet critical differences between the stereotypical grief process and prolonged grief, revealing why your heart can literally stop functioning due to loss. From staggering statistics showing a man's heart attack risk skyrockets on the day his spouse dies, to the intimate science of how our bonds regulate our well-being, this conversation is as thought-provoking as it is moving. Discover practical strategies to navigate those raw, overwhelming moments of loss, and learn how to build a personal toolkit for healing. Whether you're coping with grief yourself or supporting someone who is, this episode promises a deep, human exploration into turning heartbreak into hope. This episode has been sponsored by the Anxiety and Depression Association of America (ADAA). “It's not just that you're having grief, which is normal. It's that we're unable to find a way to adapt given that we have grief. So people with prolonged grief feel like life holds no meaning anymore, or they feel so angry and bitter about what's happened that they have trouble connecting with their living loved ones.” ~ Mary-Frances O'Connor, PhD Our guest, Mary-Frances O'Connor, PhD, is a professor of psychology at the University of Arizona, where she directs the Grief, Loss and Social Stress (GLASS) Lab, investigating the effects of grief on the brain and the body. Her book “The Grieving Brain” was included on Oprah's list of Best Books to Comfort a Grieving Friend. O'Connor holds a PhD in clinical psychology from the University of Arizona and completed a postdoctoral fellowship in psychoneuroimmunology at the UCLA Semel Institute for Neuroscience and Human Behavior. Having grown up in Montana, she now lives in Tucson, Arizona. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can't imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Today we are putting on our public intellectual hats for Torrey Peters, author of "Detransition, Baby" and whose incredible new book "Stag Dance" is available now. She brings insights that will potentially take years to fully grasp. Things like how all marriages can be straight if the divorce takes long enough. Or how there's no such thing as "the big moment" despite what the mainstream media will try to tell you. Or (and this is potentially the most important) how there's a whole community of nasty discord users who have yet to be brought to light by the proper channels. Well that ends here and now, enjoy the most prestigious episode of podcasting ever made. STRAIGHTIOLAB MERCH: cottonbureau.com/people/straightiolab SUBSCRIBE TO OUR PATREON at patreon.com/straightiolab for bonus episodes twice a month and don't forget to rate and review us on Apple Podcasts!See omnystudio.com/listener for privacy information.

In this episode of the PFC Podcast, Dennis and Alex delve into the complexities of burn resuscitation, discussing recent advancements in fluid management and the importance of urine output monitoring. They explore the historical context of burn care, the role of glycocalyx in fluid dynamics, and evaluate various resuscitation protocols. The conversation emphasizes the need for careful fluid management to avoid complications and improve patient outcomes, particularly in emergency and military settings.TakeawaysBurn injuries require specialized and intensive care.Fluid management is critical in burn resuscitation.The glycocalyx plays a significant role in fluid dynamics.Urine output is a key indicator of patient status.Over-resuscitation can lead to severe complications.Plasma therapy shows promise in improving outcomes.Historical protocols may need reevaluation based on new evidence.Monitoring urine output is essential for adjusting fluid therapy.Collaboration with burn centers is crucial in managing severe cases.Understanding the physiological changes in burn patients is vital.Chapters00:00 Introduction to Burn Resuscitation03:09 Understanding Burn Injuries and Their Management06:00 Fluid Management in Burn Patients09:05 The Role of Glycocalyx in Fluid Dynamics12:04 Evaluating Burn Resuscitation Protocols15:08 Comparing Fluid Resuscitation Strategies17:51 The Importance of Urine Output Monitoring20:47 Outcomes of Different Resuscitation Approaches24:01 Recommendations for Burn Care in the Field26:59 Final Thoughts on Burn ResuscitationThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

AP correspondent Haya Panjwani reports on Gene Hackman's autopsy report.

In this episode of the PFC Podcast, trauma surgeon Dr. Mark Shapiro discusses advanced trauma care techniques, including Roboa, hemorrhage control methods, and the importance of decision-making in high-stakes environments. He emphasizes the need for ongoing training and collaboration between civilian and military medical professionals to improve patient outcomes in trauma situations. The conversation also touches on the role of telemedicine in providing guidance for advanced procedures in austere settings.TakeawaysRoboa is a controversial procedure with mixed reviews.Decision-making in trauma surgery is critical and complex.Training and practice are essential for proficiency in advanced procedures.Telemedicine can enhance trauma care by providing expert guidance.Collaboration between civilian and military trauma care is vital.Alternative hemorrhage control techniques are limited but evolving.The consequences of surgical decisions can be life or death.Regular training refreshers are necessary for trauma medics.Understanding the environment is crucial for effective trauma care.Patient outcomes can improve with better training and experience.Chapters00:00 Introduction to Advanced Trauma Care02:51 Understanding Roboa and Its Implications06:11 Decision-Making in Trauma Surgery09:03 Exploring Alternative Hemorrhage Control Techniques12:03 The Role of Training and Practice in Trauma Procedures15:04 Shunts and Limb Reperfusion in Trauma18:04 Thrombectomy and Its Challenges21:03 Telemedicine in Trauma Care24:11 Collaboration Between Civilian and Military Trauma Care27:13 Recruiting and Training for Advanced Trauma ProceduresThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

In this episode, Aebhric OKelly interviews Dr Ella Corrick and Dr Tom Mallinson to discuss their experiences at the SOMA Conference, focusing on the Wilderness Paramedic Workshop. They explore the common challenges faced in austere medicine, the significance of prolonged field care, and the preparation for the Wilderness Paramedic Certification exam. The conversation also delves into creating educational resources to enhance decision-making skills in wilderness medicine. In this conversation, Dr Tom and Dr Ella discuss their experiences and insights into wilderness medicine, focusing on exam preparation for the Wilderness Paramedic Certification (WP-C) and creating a revision guide tailored for practitioners in austere settings. They highlight the challenges of multiple-choice exams, the importance of distilling complex medical knowledge into practical applications, and the value of interactive learning experiences at conferences like SOMA. The discussion also emphasises the significance of networking, learning from peers, and embracing challenges in medical practice.TakeawaysSOMA Conference fosters a welcoming environment for civilian practitioners.Common challenges in austere medicine include distance to hospitals and limited resources.Wilderness Paramedic Certification covers a broad curriculum that includes environmental medicine.Exam preparation requires understanding both wilderness concepts and core medical principles.Prolonged field care is essential for managing critically ill patients in remote settings.Teaching decision-making in wilderness medicine is challenging but crucial.Educational resources aim to bridge knowledge gaps for WPC candidates.Collaboration between military and civilian practitioners enhances learning.Experience in austere settings improves exam performance and patient care.The integration of nursing and paramedic skills is beneficial in prolonged field care. The challenge was to distil down the knowledge needed for the exam.Multiple choice exams can be misleading in complex scenarios.The WPC revision guide focuses on core concepts for wilderness medicine.Each chapter of the guide could be a whole textbook.The workshop aims to address common blind spots in practice.Exam techniques are crucial for success in certification.Networking at conferences enhances learning opportunities.Embracing challenges leads to better patient care.Learning from others' mistakes accelerates professional growth.Take opportunities that excite you for long-term benefits.Chapters00:00 Introduction to SOMA Conference and Wilderness Paramedic Workshop02:52 Common Ground in Austere Medicine06:03 Overview of Wilderness Paramedic Certification09:12 Exam Insights and Preparation Strategies11:57 Prolonged Field Care and Patient Management14:48 Creating Educational Resources for WP-C18:10 Challenges in Teaching Decision-Making in Wilderness Medicine24:57 Distilling Knowledge for Exam Preparation25:36 Challenges of Multiple-Choice Exams

In this conversation, Dennis and Justin explore the nuances of providing feedback in educational settings, particularly in medical training. They discuss the importance of tailoring feedback to different learner levels, the concept of training to failure, and the significance of creating a safe environment for feedback. The conversation also delves into assessing learner needs, setting expectations, and the balance between giving constructive criticism and managing personal egos. Overall, the discussion emphasizes the art of effective teaching and the complexities involved in delivering feedback that fosters growth and learning. In this conversation, Justin Doroshenko and Dennis discuss the intricacies of medical education, focusing on the importance of addressing learner anxiety, facilitating self-discovery, and the significance of process-oriented learning. They explore the concept of training to failure, the design of effective training scenarios, and the necessity of establishing clear learning outcomes. Additionally, they emphasize the recognition and addressing of training scars that can hinder a learner's development.takeawaysTailoring feedback is essential for different learner levels.Training to failure can enhance learning experiences.Feedback should be task-oriented for beginners.Creating a safe environment for feedback is crucial.Setting clear expectations helps learners prepare for feedback.Experienced providers may not always be effective teachers.Feedback can resonate differently with each individual.Understanding the learning spectrum aids in providing effective feedback.Balancing feedback with personal ego is important for educators.Feedback is a gift that can lead to growth or resistance. New learners often panic when faced with criticism.Understanding the thought process behind decisions is crucial.Facilitating self-discovery enhances learning outcomes.Training to failure can be a valuable educational tool.Creating realistic training scenarios is essential.Establishing clear learning outcomes guides the educational process.Feedback should focus on the thought process, not just outcomes.Recognizing training scars can improve teaching effectiveness.Peer feedback can be less intimidating for learners.Teaching judgment is more complex than teaching facts.Chapters00:00 Tailoring Feedback for Different Learners02:57 Training to Failure in Education05:57 Understanding the Learning Spectrum08:55 Assessing Learner Needs11:59 Creating a Safe Feedback Environment14:59 The Importance of Setting Expectations17:46 Navigating the Feedback Process20:47 The Gift of Feedback24:00 The Role of Experience in Teaching27:05 Balancing Feedback and Ego35:00 Navigating Learner Anxiety in Medical Education37:50 Facilitating Self-Discovery in Learning40:55 The Importance of Process Over Outcome43:55 Pushing Boundaries: Training to Failure48:48 Designing Effective Training Scenarios54:10 Establishing Clear Learning Outcomes57:55 Recognizing and Addressing Training ScarsThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

First-quarter bank earnings highlighted mixed results as some banks saw an uptick in originations and leasing volume, while credit performance largely improved.  Ally Financial's auto originations increased 4.1% year over year as lease originations were up 28.6% YoY. The bank's retail auto delinquencies declined 9 basis points (bps) YoY to 3.79%. Across the regional banks, Huntington Bank's auto originations rose 25% YoY, while U.S. Bank's indirect loan and lease originations were down 27.3% YoY. Fifth Third Bank, PNC Financial and Truist joined several auto lenders in reporting declines in delinquencies and credit losses in Q1. Meanwhile, new-vehicle affordability hit the best level in 45 months in March but auto tariffs are expected to lead to price increases and contribute to lower sales in the coming months.  Prolonged tariffs are also projected to contribute to a decline in auto asset-backed securitization volume and increased delinquencies across securitized auto loans. In this episode of “Weekly Wrap,” Auto Finance News Editor Amanda Harris and associate editor Aidan Bush discuss Q1 bank earnings and top trends across affordability and consumer health for the week ended April 18. 

In this episode of the PFC Podcast, Dennis and Pac delve into the intricacies of ketamine and esketamine, exploring their applications in military medicine, particularly in battlefield scenarios. Pac shares his extensive experience as an anesthetist and military medical officer, discussing the evolution of ketamine, its effectiveness in pain management, and the cultural differences in pain perception. The conversation emphasizes the importance of proper training and planning in administering these drugs, as well as the role of regional anesthesia in enhancing patient care. This conversation delves into the various aspects of ketamine administration, including routes, dosages, and the importance of experience in emergency medicine. The speakers discuss the nuances of managing pain, the significance of understanding pharmacology, and the practicalities of using ketamine in hemodynamically unstable patients. They also touch on the importance of teaching and preparing for emergencies, as well as the value of gaining hands-on experience in different environments.takeawaysEsketamine is often viewed as a superior alternative to traditional ketamine.Cultural perceptions of pain can significantly influence patient responses to anesthesia.Proper training in drug administration is essential for medical personnel.Ketamine has a high tolerance for side effects, making it safer in emergency situations.Regional anesthesia can complement ketamine use for better pain management.The effectiveness of ketamine in battlefield scenarios is well-documented.Dosage and administration techniques are crucial for achieving desired effects with ketamine.Understanding patient responses is key to effective pain management.The evolution of ketamine reflects ongoing advancements in medical practices.A comprehensive plan is necessary when using ketamine for sedation or analgesia. Different routes of administration for ketamine have varying bioavailabilities.Dosage adjustments are crucial when switching between IV and IM routes.Experience in drug administration can significantly impact patient outcomes.Managing adverse effects requires patience and a clear plan.Planning for patient transport is essential in emergency situations.Teaching pharmacology should focus on techniques applicable to all narcotics.Ketamine is effective for hemodynamically unstable patients.Ketamine can be used in managing refractory seizures.Hands-on experience is invaluable for medical professionals.Utilizing local knowledge can enhance treatment effectiveness.Chapters00:00 Introduction to the Podcast and Guests01:10 Exploring Esketamine: A Medical Perspective03:51 The Evolution of Ketamine in Medicine07:14 Practical Applications of Ketamine in Military Medicine11:06 Cultural Differences in Pain Perception13:19 Dosage and Administration of Esketamine16:12 Comparing Ketamine and Morphine in Battlefield Analgesia18:59 The Role of Regional Anesthesia in Pain Management22:16 Training Challenges in Medical Personnel25:14 Assessing Pain Management Effectiveness27:59 Exploring Routes of Administration for Ketamine30:57 Understanding Dosage and Onset Times32:20 The Importance of Experience in Drug Administration34:27 Managing Adverse Effects and Overdoses36:14 Planning for Patient Transport and Sedation39:10 Teaching Pharmacology and Emergency Preparedness41:03 Ketamine in Hemodynamically Unstable Patients45:11 Ketamine's Role in Seizure Management48:22 Gaining Practical Experience with KetamineThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

This week, we have another Medicine in the Mediterranean conference presentation. We will hear from Tactical Medicine North, a volunteer medical unit operating in Ukraine. The discussion covers their formation, mission, and challenges in training combat medics on the frontlines. Key topics include injury patterns, trauma management, blood logistics, and improved training in prolonged casualty care. The presenters emphasise the importance of adapting medical practices to the unique challenges of combat situations in Ukraine.TakeawaysTactical Medicine North was formed out of necessity due to the war in Ukraine.Training combat medics is crucial for effective frontline care.Injury patterns in Ukraine reveal a high incidence of non-combat injuries.TCCC is essential but needs adaptation to local conditions.Blood management logistics are a significant challenge in combat zones.Tourniquet use and wound management require more comprehensive training.Prolonged casualty care is often neglected in training programs.Collaboration with international organisations enhances training effectiveness.Understanding the unique challenges of Russian casualties is important for medical personnel.Future training must focus on nursing skills and prolonged care techniques.Chapters00:00 Introduction to Tactical Medicine in Ukraine02:49 The Formation and Mission of Tactical Medicine North05:12 Training and Challenges on the Frontline09:51 Understanding Injury Patterns and Casualty Statistics13:00 Trauma Challenges: TBI and Pre-Hospital Care20:28 Blood Management and Logistics in Combat23:43 Tourniquet Use and Wound Management26:58 Challenges with Russian Casualties and Evacuation30:23 Prolonged Casualty Care and Training Needs34:41 Conclusion and Future Directions

Click here for the Revenue Recovery cheat sheet: https://hubs.ly/Q03hvhqw0 Welcome to the seventh episode of our HeartTalk podcast series, Revenue Recovery. Host Melanie Lawson, MS, speaks with Linda Gates-Striby, CCS-P, ACS-CA, Revenue Cycle Solutions consultant. They dive into how to appropriately capture Prolonged Care services and offer practical examples for your organization.  Guest Bio:Linda Gates-Striby, CCS-P, ACS-CAMedAxiom Consultant, Revenue Cycle Solutions Linda Gates-Striby has worked in the medical field for over 30 years and has specialized in cardiology coding and revenue cycle for 25 years. Her clinical experience includes work in the heart stations and coronary intensive care units as well as working as an EMT for a level one trauma center. As a MedAxiom Revenue Cycle Solutions consultant, Linda provides cardiovascular programs across the country with operational expertise, implementation strategies and simplification for often complex initiatives to minimize risk and maximize revenue. Linda, who has spent the past 30 years working as a specialist in compliance, revenue cycle and quality with a large cardiology and multi-specialty practice, is also the director of quality assurance with Ascension Medical Group in Indiana. Linda is a sought-after speaker and consultant and has conducted numerous national educational sessions focused on documentation, coding, auditing and revenue cycle improvement for clinicians, coders and administrators across the nation. Linda serves as a non-physician member of the American College of Cardiology's coding work group and publications subcommittee and has also served on the coding committee for the Heart Rhythm Society. Linda served as the cardiology chair on the Board of Advanced Medical Coding, lead the development of the Advanced Cardiology and Specialty Cardiology Certification examinations, and was the technical editor for cardiology-focused newsletters. Linda has served as an Independent Review Organization auditor for Office of Inspector General Corporate Integrity Agreements, and as an expert witness on behalf of cardiology practices.

Discover how to navigate public meltdowns, reduce anxiety, and heal from the trauma of feeling constantly judged.In this episode of The Autism Mom Coach, we unpack the PTSD of being “on display” as the parent of a child with autism. Episode SummaryPublic meltdowns can trigger deep emotional distress for both the child and the parent. Prolonged exposure to judgmental stares, unsolicited advice, and sudden confrontations often leads to anxiety, hypervigilance, and feelings of fear or helplessness. Drawing from real-life events, this episode shines a light on why these experiences stay with us, how our brains respond to perceived threats, and practical ways to build resilience for you and your child.Why You Should ListenIf you've ever felt criticized, misunderstood, or singled out in public while managing your child's meltdown, this episode is for you. Gain trauma-informed insights, real-life examples, and actionable tips to help you cope and heal. By addressing both the emotional and practical aspects of public meltdown stress, you'll walk away feeling more equipped, supported, and empowered in your parenting journey.Subscribe & Stay ConnectedListen now to Episode 163 of The Autism Mom Coach on your favorite podcast platform.Subscribe so you never miss an episode packed with actionable advice for parenting children with autism.Connect on social media for more autism-friendly strategies, PTSD awareness, and mental health resources.

In this episode of the PFC podcast, Dennis, Andrew, and Rick delve into the critical topic of triage in emergency medicine. They explore the complexities of triage during mass casualty situations, emphasizing the importance of quick decision-making and prioritization of patient care. Andrew shares his experiences as an emergency medicine physician, highlighting the chaotic nature of triage and the necessity of using intuitive methods to assess patients effectively. The conversation covers various triage categories, techniques, and the significance of clinical judgment in determining patient needs during emergencies. This conversation delves into the complexities of triage in emergency medical situations, emphasizing the importance of decision-making under pressure, the role of medical leadership, and the integration of security measures. The speakers discuss the dynamic nature of triage, the ethical dilemmas faced in resource allocation, and the necessity of effective communication and collaboration among medical teams and command structures during mass casualty events. This conversation delves into the complexities of triage in high-pressure medical situations, particularly in military contexts. The speakers discuss the importance of effective training, the management of mass casualty scenarios, and the need for a comprehensive approach that includes both medical and non-medical personnel. They emphasize the necessity of adapting training to reflect real-world challenges and the importance of leadership in ensuring successful outcomes during emergencies.TakeawaysTriage is never perfect; it's chaotic and unpredictable.Use the simplest methods for triage in emergencies.Identify who is dying now versus who is stable.Focus on life-saving interventions first.Triage is a continuous process, not a one-time event.Utilize all available resources during a mass casualty.Clinical judgment is crucial in triage decisions.Trust your instincts when assessing patient urgency.Most patients in mass casualty scenarios are routine or priority.Effective communication and organization are key in triage situations. Triage decisions must be made quickly and efficiently under pressure.Assessing patient stability is crucial for effective resource allocation.Medical leaders must maintain situational awareness during triage.Communication between medical and non-medical leaders is essential.Security measures must be integrated into medical response plans.Triage is a dynamic process that requires constant reassessment.Ethical dilemmas arise when deciding how to allocate limited resources.Collaboration with surgical teams is vital for patient outcomes.Training should address both medical and security aspects of triage.Effective management of patient flow can improve overall care during crises. Triage in high-volume situations requires strategic patient distribution.Chapters00:00 Introduction to Triage and Its Importance03:05 Understanding Triage Categories09:01 Triage Techniques and Strategies11:59 Evacuation Categories and Decision Making14:59 Clinical Judgment in Triage21:20 Assessing Patient Stability and Resource Allocation25:19 Security Considerations in Mass Casualty Events29:27 Integrating Security and Medical Response38:50 Triage in High-Volume Situations41:53 Managing Mass Casualty Scenarios44:48 Command and Control in Triage45:57 Defining Success in Mass Casualty Training51:05 Improving Triage Processes57:59 Final Thoughts on Triage and Training Thank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

This podcast episode delves into the roles and responsibilities of various special operations medics, including Ranger medics, SOIDCs, and SEAL medics. The discussion highlights the unique training, skills, and challenges these medics face in the field, emphasizing the importance of trust, communication, and continuous learning in military healthcare. The speakers share their experiences and insights on the evolution of medic training and the critical nature of their roles in combat situations. This conversation delves into the intricate dynamics between medics and PAs within military teams, highlighting the importance of intimate relationships, expectations from new medical personnel, and the necessity of building trust and rapport. The discussion emphasizes the value of field experience for medical providers and the critical role of advocacy and support for medics to enhance their effectiveness in the field. The speakers share insights on how to foster better communication and collaboration within medical teams to ultimately improve patient care and outcomes.TakeawaysRanger medics focus on TCCC and basic skills.SOIDCs have unique provider roles within the Navy.SEAL medics are expanding their capabilities in various environments.Trust and communication are vital for effective medical care.New providers must understand the diverse experiences of medics.Medic training is evolving to include prolonged field care.Relationships between medics and providers shape career paths.Continuous learning is essential for maintaining clinical skills.The operational environment influences medic training and practice.Team dynamics play a crucial role in medical effectiveness. The relationship between medics and IDCs is crucial for effective teamwork.PAs play a significant role in supporting medics during operations.Building rapport is essential for successful medical practice in military settings.Field experience is vital for medical providers to understand operational challenges.Trust between medics and doctors enhances patient care and team effectiveness.Advocacy for medics' needs is necessary for optimal performance.Medical personnel should be proactive in seeking knowledge and training.Understanding the unique challenges faced by medics is key for providers.Effective communication can bridge gaps between different roles in medical teams.Support from leadership can significantly impact the morale and performance of medics.Chapters00:00 Introduction to Special Operations Medics02:59 Roles and Responsibilities of Ranger Medics05:47 Understanding the SOIDC and Navy Medics08:56 The Role of SEAL Medics11:48 Comparative Analysis of SOF Medics15:01 The Importance of Trust and Communication18:04 Challenges Faced by New Providers20:57 The Evolution of Medic Training24:14 Conclusion and Final Thoughts39:33 The Role of Medics and PAs in Team Dynamics42:24 Expectations from New Medical Personnel49:17 Building Rapport and Trust in Medical Teams51:55 The Importance of Field Experience for Providers52:28 Advocacy and Support for Medics01:01:19 Final Thoughts on Enhancing Medical SupportThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

In this conversation, Dennis and Steven Blocker discuss the integration of AI in healthcare, particularly in emergency medicine. They explore the capabilities and limitations of various AI models, including large language models and natural language processing, and their applications in diagnostics, patient care, and education. The conversation also touches on the ethical considerations and accountability surrounding AI usage in medical settings, emphasizing the importance of understanding the technology's boundaries and ensuring patient safety. In this conversation, Steven Blocker and Dennis discuss the evolving role of AI in healthcare, emphasizing the importance of medical protocols, the responsibilities of healthcare providers, and the limitations of AI in clinical decision-making. They explore the potential for AI to assist in surgical procedures, the future of AI in medicine, and the need for AI to adapt to changing medical practices. The discussion highlights the necessity of human oversight in medical decisions and the importance of using AI as a tool to enhance, rather than replace, the clinician's expertise.TakeawaysAI has been around for a long time, but its recent popularity is notable.Understanding the bounds of AI is crucial for effective use.AI cannot be used offline, especially on mobile devices.Large language models provide answers with confidence but lack true understanding.Always fact-check AI outputs, as they may contain inaccuracies.AI can assist in triage processes but requires tailored software.Ethical considerations in AI usage are paramount in healthcare.AI can enhance education and training for medical professionals.The quality of AI-generated information must be critically evaluated.Accountability in AI usage is essential to prevent liability issues. It's crucial to adhere to medical protocols to avoid blame.Healthcare providers are ultimately responsible for patient decisions.AI should augment medical decision-making, not replace it.The effectiveness of AI in surgery depends on the data it is trained on.AI can assist medics but cannot replace their experience.AI needs sufficient data to make informed decisions.The future of AI in healthcare is promising but uncertain.AI must adapt to evolving medical practices and protocols.Using AI effectively requires understanding its limitations.AI can help summarize and analyze patient data efficiently.Chapters00:00 Introduction to AI in Medicine02:54 Understanding AI Models and Their Applications05:46 The Role of AI in Patient Care09:08 AI in Diagnostics and Decision Support12:05 AI in Education and Training15:08 Challenges and Limitations of AI in Medicine18:10 Ethics and Accountability in AI Usage20:50 Future of AI in Healthcare27:00 Navigating Medical Protocols and Responsibilities30:02 The Role of AI in Medical Decision-Making33:13 AI in Surgical Procedures: Potential and Limitations38:57 The Future of AI in Healthcare43:05 Adapting AI to Evolving Medical Practices48:08 Maximizing AI's Utility in Clinical SettingsThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

AP correspondent Julie Walker reports on massive flooding in Kentucky from severe rainfall.

In this episode of the PFC Podcast, the discussion revolves around patient positioning during procedural sedation, the pharmacology and application of Versed (Midazolam), and the nuances of dosing in various clinical scenarios. The speakers emphasize the importance of having a plan for airway management, the physiological implications of patient positioning, and the amnestic effects of Versed in trauma and surgical settings. They share insights from their experiences in austere environments, highlighting the need for adaptability and careful consideration of patient responses to sedation. In this conversation, the speakers delve into the complexities of IV amnestics, particularly focusing on Propofol and Midazolam, and the challenges faced during sedation in anesthesia. They discuss the importance of monitoring patient comfort, the nuances of sedation versus analgesia, and the implications of using drugs like Ketamine and Versed. The conversation highlights the critical nature of assessing patient responses and the difficulties in managing sedation effectively, emphasizing that sedation is often more challenging than general anesthesia.TakeawaysPatient positioning is crucial during procedural sedation.Recovery position may enhance airway protection during sedation.Always have a plan for airway management in different positions.Versed is a GABA agonist that promotes sedation and amnesia.Dosing of Versed varies significantly based on patient condition.In trauma cases, lower doses of sedatives may be necessary.Communication with the patient is key when administering sedatives.Understanding the pharmacodynamics of Versed aids in effective use.Amnestic effects of Versed can be dose-dependent.Clinical experience plays a significant role in medication administration. IV amnestics like Propofol and Midazolam do not have a guaranteed amnestic dose.Sedation is one of the most challenging aspects of anesthesia.Monitoring vital signs is crucial during sedation to assess patient comfort.The physiological state of the patient significantly affects drug dosing.Ketamine is not considered an amnestic drug by some providers.Patient comfort is paramount, and sedation must be carefully managed.The use of narcotics can help manage discomfort during sedation.Understanding the patient's history, such as alcohol use, is important for dosing.Sedation requires constant assessment and adjustment of medications.The complexities of sedation often make it more difficult than general anesthesia.Chapters00:00 Introduction to Patient Positioning in Procedural Sedation09:57 Understanding Versed: Mechanism and Usage19:54 Dosing Strategies for Versed in Different Patient Scenarios29:54 Amnestic Effects and Clinical Considerations of Versed35:05 Understanding IV Amnestics: Propofol and Midazolam39:01 The Challenges of Sedation in Anesthesia45:26 Monitoring and Assessing Patient Comfort During Sedation51:27 Navigating the Complexities of Sedation and Analgesia57:55 The Role of Versed and Ketamine in Anesthesia01:01:39 Final Thoughts on Sedation Practices and Patient SafetyThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

In this episode, we explore what it means to be stuck. Specifically, stuck in the debilitating, all-consuming acute phase of grief.  Licensed Clinical Social Worker and Certified Clinical Trauma Professional Nancy Turret joins Allie for a conversation about Prolonged Grief, a term that recently caused quite a stir in the psychology world. They talk about the meaning of this diagnosis, and what it means when a person gets stuck in acute grief and is unable to integrate their grief into their lives. Nancy, who helped develop an astonishingly effective therapy for prolonged grief, shares hope for those who are suffering, what the treatment entails, and where to find it. To learn more about prolonged grief and find help, visit prolongedgrief.columbia.eduTo get in touch with Nancy, visit www.nancyturret.com

In this podcast Christian Byrne discusses his paper "Challenges and complications of prolonged nasogastric intubation in equine patients".

In this episode of the PFC Podcast, Dennis and Doug dive deep into Advanced Cardiac Life Support (ACLS) focusing on Pulseless Ventricular Tachycardia (VTAC) and Ventricular Fibrillation (V-Fib). They discuss the challenges of performing CPR in military settings, the roles and responsibilities during resuscitation, and the importance of understanding H's and T's in improving patient outcomes. The conversation also covers post-resuscitation care, the difficult decision of when to call it, and the role of telemedicine in ACLS. The episode emphasizes the need for teamwork, effective communication, and the importance of being prepared for unexpected situations in emergency care.TakeawaysContinuous high-quality CPR is crucial for survivability.In military settings, situational awareness is key for effective CPR.One knowledgeable person can lead a resuscitation effort.BLS is the foundation for any good ACLS.Timekeeping during CPR is essential for effective management.H's and T's are critical in identifying reversible causes during resuscitation.Post-resuscitation care is vital to prevent relapse.Telemedicine can provide valuable support during ACLS.Witnessed cardiac arrests have better outcomes than unwitnessed ones.Effective communication with the team is essential during resuscitation efforts.Chapters00:00 Introduction to ACLS and VTAC02:58 Challenges of CPR in Military Settings06:02 Roles and Responsibilities in ACLS09:01 Understanding H's and T's in Resuscitation12:08 Post-Resuscitation Care and Considerations17:54 Deciding When to Call It24:11 The Role of Telemedicine in ACLS30:00 Conclusion and Final ThoughtsThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

The podcast was recorded in the days following the invasion of Ukraine. Hopefully, this war will end soon, but it's always smart to remember how it started.In this episode of the PFC Podcast, Dr. John Quinn provides an in-depth update on the medical response to the ongoing conflict in Ukraine. He discusses the evolution of medical training, the challenges faced in providing care, and the surprising developments in clinical practices amidst the war. The conversation highlights the logistical difficulties, the nature of injuries sustained, and the principles of casualty care that have emerged from the experience of prolonged field care in a conflict zone. In this conversation, the speakers discuss critical aspects of managing catastrophic bleeding, airway challenges, and the importance of preparation for transport in medical emergencies. They emphasize the risks associated with humanitarian work in Ukraine, the need for NGOs to engage with local needs, and advancements in blood management practices. The discussion also highlights the significance of sharing lessons learned from the ongoing conflict and the essential training topics for medical practitioners working in such environments.TakeawaysThe conflict has led to significant changes in medical training and practices.There has been a focus on prolonged field care due to extended evacuation times.Logistical challenges are a major issue in providing medical care.The quality of clinical care in Ukraine is impressive despite resource limitations.Injuries from modern warfare present unique challenges for medical responders.Scene safety is a critical principle in casualty care.Documentation of care is essential but challenging in conflict zones.Training and adherence to clinical guidelines have improved outcomes.Prolonged field care requires careful preparation and assessment before transport. Put a tourniquet on a patient with controlled hemorrhage.Prepare for transport by creating a problem list.Understand the severe risks of humanitarian work in Ukraine.Engage with local authorities to understand healthcare needs.Advocate for best practices in blood management and resuscitation.Share lessons learned from the conflict to improve future care.Anticipate challenges during transport to enhance patient outcomes.Traumatic brain injury is a growing concern in conflict zones.Utilize telemedicine for better communication and resource allocation.Focus on training for non-specialist surgeons in trauma care.Chapters00:00 Introduction to the Conflict and Medical Response02:07 Evolution of Medical Training in Ukraine05:14 Challenges and Improvements in Medical Care10:41 Surprising Developments in Clinical Care15:28 Logistical Challenges and Wound Patterns20:20 Prolonged Field Care and Evacuation Times25:29 Core Principles of Casualty Care34:04 Managing Catastrophic Bleeding and Airway Challenges39:51 Preparing for Transport: Anticipating Challenges44:35 Understanding the Risks of Humanitarian Work in Ukraine49:31 Engaging with Local Needs: Best Practices for NGOs51:52 Advancements in Blood Management and Resuscitation54:06 Sharing Lessons Learned from the Conflict58:45 Essential Training Topics for Medical Practitioners01:05:11 Closing Thoughts and Future DirectionsThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

On this episode of the Somewhat Frank Podcast, Frank Gruber (X and IG: @FrankGruber), John Guidos (IG: jgoodtimes83), Jen Consalvo (X: @noreaster), and Simon Kahan (IG: @simonkahan) discuss the following topics:   The Established Network's Monthly Innovation Circle kicked off on March 20th with some great featured speakers and we'll be hosting a new one on the third Thursday of every month. The next one is set for April 17th at 3pm ET. Sign up at: est.us/TheMIC2025    Frank got a chance to talk with Jenny Fielding, an investor from Everywhere Ventures, about her new book Venture Everywhere. Check out the interview here: https://podcast.startupofyear.com/0135-jenny-fielding-on-venture-everywhere-and-investing-in-global-startups    PepsiCo buys prebiotic soda brand Poppi for nearly $2 billion – will this make the M&A market pop right open for other startups? - PepsiCo's $1.95 Billion Deal: PepsiCo acquired prebiotic soda brand Poppi for $1.95 billion, which includes $300 million in anticipated cash tax benefits, resulting in a net purchase price of $1.65 billion. Google to Acquire Cybersecurity Company Wiz for $32 billion - Alphabet, Google's parent company, has agreed to acquire cybersecurity startup Wiz for $32 billion, marking its largest acquisition to date.   Celtics Sold To Private Equity-Led Group For $6.1 Billion - Biggest Sports Sale In U.S. History - The Boston Celtics have been sold for $6.1 billion, setting a new record for the highest price paid for a U.S. sports team, surpassing the $6.05 billion sale of the NFL's Washington Commanders in 2023.    NASA astronauts who were supposed to be in space for nine days returning to Earth after nine months on ISS - NASA astronauts Barry "Butch" Wilmore and Sunita "Suni" Williams are returning to Earth after an extended nine-month mission aboard the International Space Station (ISS).    We also upload our episodes to YouTube in video format so you can see us now. Check it out on Established YouTube, where you can subscribe to get updates when we drop a new episode at: https://soty.link/ESTYouTube    As always, thank you for listening, and feel free to reach out and let us know what you think at: somewhatfrank@est.us 

In this episode of the PFC Podcast, the discussion revolves around the critical role of medics in Special Operations Forces (SOF), their training, and the importance of effective communication between operational and medical teams. The speakers share personal experiences from combat, emphasizing the need for thorough mission planning that incorporates medical considerations. They also address the challenges faced in maintaining medical skills and the necessity of cross-training within teams to ensure readiness for various scenarios. The conversation highlights the evolution of medic training and the ongoing efforts to enhance operational effectiveness in the field. This conversation delves into the evolving role of medics in special operations, highlighting the balance between training and team responsibilities, the differences between Navy and Army medic models, and the importance of critical thinking and adaptability in combat medicine. Personal experiences shape perspectives on the value of medics, emphasizing the need for continuous training and collaboration between medics and doctors. The discussion also addresses the complexities of future battlefields and the necessity of preventive medicine.TakeawaysThe role of medics is crucial in SOF operations.Effective communication between medics and operational teams is essential.Mission planning must include medical considerations to ensure team safety.Training and preparedness are vital for medics and operational personnel.Real combat experiences shape the understanding of medical capabilities.Cross-training enhances team dynamics and operational readiness.Maintaining medical skills is a continuous challenge for medics.The basics of medical training should be practiced regularly.Institutional support is necessary for medic training and skill maintenance.Future training should focus on integrating clinical experience with operational needs. Each MPT rotation provided valuable learning experiences.Balancing medic training with team responsibilities is crucial.The Navy's model for medics may offer insights for the Army.Medics are expected to perform under increasingly complex conditions.Personal experiences can deepen respect for medics' roles.Leadership in medical training is essential for operational success.Collaboration between medics and doctors enhances care.Battalion docs play a vital role in supporting medics.Understanding the medic's scope of practice is key for providers.Preparing for future battlefield challenges requires adaptability.Chapters02:07 Understanding the Role of Medics in SOF06:05 Mission Planning and Medical Considerations10:04 The Importance of Training and Preparedness15:08 Experiences in Combat and Medical Response20:06 Challenges in Medic Training and Skill Maintenance25:12 Cross-Training and Team Dynamics30:06 Future of Medic Training and Operational Readiness34:47 Balancing Medic Training and Team Responsibilities37:04 Navy vs. Army Medic Models38:55 The Evolving Role of Medics in Combat40:21 Personal Experiences Shaping Medical Perspectives43:40 The Importance of Medical Training in Leadership46:06 Collaboration Between Medics and Doctors48:40 The Role of Battalion Docs in Special Forces51:14 Understanding the Medic's Scope of Practice54:30 Preparing for Future Battlefield Complexities57:44 The Importance of Basics in Medic Training01:01:40 Adapting to New Battlefield Realities01:05:33 The Role of Preventive Medicine01:09:12 Training for Unique Battlefield Challenges01:12:18 Encouraging Critical Thinking in Medical TrainingThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For 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 Jamie discuss the challenges faced by medics in adding new drugs to their formulary. They explore the roles of medics and doctors, the importance of training and experience, and how to effectively communicate the need for new medications. The conversation emphasizes the need for trust and collaboration between medics and doctors, as well as the importance of understanding local drug availability in future operational environments.TakeawaysThe requirement for new drugs must be justified by a clear capability gap.Medics should master the basics before seeking new medications.Safety and operational appropriateness of drugs are critical considerations.Experience with a drug is essential for medics to advocate for its use.Building trust with doctors is crucial for medics to gain support for new drugs.Training and experience are necessary to prove competency with new medications.Communication is key in discussing drug needs with providers.Medics should use stories and data to support their requests for more medication.Understanding local pharmacology is important for future missions.A full pace plan should include locally available agents. Chapters00:00 Introduction to the Podcast and Guest01:04 Understanding the Role of Medics and Doctors03:08 Evaluating New Drugs for Medic Use06:53 Bridging the Gap Between Medics and Doctors11:00 Training and Experience for Medics20:51 The Process of Adding New Drugs24:34 Proving the Need for More Medication28:10 Building Trust and Communication with Providers30:40 Future Considerations for Medic FormularyThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For 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 Max delve into the complexities of recovery and behavioral health following traumatic experiences in combat. Max shares his personal journey from the whirlwind of returning home after a helicopter crash to the challenges of processing trauma and the importance of support systems. The conversation highlights the need for better medical evacuation processes and the critical role of behavioral health in recovery, emphasizing the significance of brotherhood and professional support in navigating the aftermath of trauma. In this conversation, the speaker shares their profound journey through trauma, mental health challenges, and the importance of coping mechanisms and therapy. They discuss the experience of feeling detached from reality, the role of unpredictability in healing, and the significance of EMDR therapy in processing traumatic memories. The conversation also emphasizes the need for leaders to recognize mental health issues in their peers and the importance of supporting one another in the healing process. Ultimately, the speaker highlights personal growth through adversity and the ongoing commitment to mental health as a lifelong journey.TakeawaysThe rapid return home after combat can disrupt mental processing.Brotherhood among soldiers is crucial for emotional recovery.Experiences in medical facilities can vary greatly in quality.Decompression time is essential for transitioning from combat to home.Seeing traumatic events on video can trigger intense emotional responses.Psychotic breaks can occur when processing trauma is rushed.Support systems need to be more humanized and effective.Behavioral health can lead to stronger outcomes if managed well.Professional therapists play a vital role in recovery.Recovery is an ongoing process, similar to physical rehabilitation. The mind can create a simulation of reality, leading to feelings of detachment.Unpredictable experiences can help ground individuals in reality.Coping mechanisms, like doing unpredictable actions, can aid in mental health recovery.Therapy can lead to significant improvements in mental health over time.Trauma can manifest in various ways, including PTSD and depression.EMDR therapy can help individuals process traumatic memories effectively.Leaders have a responsibility to recognize and address mental health issues in their teams.Mental health should be treated with the same seriousness as physical health.Personal growth often comes from facing and overcoming adversity.Supporting one another is crucial in the journey of healing.Chapters00:00 Introduction to Recovery and Behavioral Health03:02 The Whirlwind of Returning Home05:56 The Importance of Brotherhood in Recovery08:59 Experiences in Germany: A Mixed Bag11:50 The Need for Decompression After Combat14:48 The Transition to Walter Reed18:07 The Emotional Rollercoaster of Homecoming20:50 The Struggles of Processing Trauma24:07 The Impact of Seeing the Crash Video26:58 The Psychotic Break: A New Reality29:48 The Need for Better Support Systems32:49 Revamping the Medical Evacuation Process36:13 The Role of Behavioral Health in Recovery39:09 The Importance of Professional Support41:52 Conclusion: Moving Forward with Hope48:46 Navigating the Simulation of Life51:23 Coping Mechanisms and Unpredictability54:12 The Journey to Normalcy56:04 Understanding Trauma and Its Effects01:02:29 EMDR and Healing from Trauma01:10:05 Leadership and Mental Health Awareness01:18:56 Growth Through Adversity01:29:42 Supporting Each Other in HealingThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For 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, host Dennis speaks with Eric Bauer from FlightBridge ED about the critical topic of anaphylaxis. They explore the importance of understanding anaphylaxis through real-life scenarios, the initial assessment and response required in emergency situations, and the underlying pathophysiology of allergic reactions. The conversation emphasizes the urgency of treatment protocols, particularly the use of epinephrine, and discusses advanced management strategies for patients experiencing anaphylaxis. This episode serves as an essential guide for emergency medical professionals and anyone interested in critical care. This conversation delves into advanced airway management, IV access, and medication protocols in the context of anaphylaxis treatment. The speakers discuss the importance of proactive decision-making, fluid resuscitation strategies, and the need for careful monitoring and adjustment of treatment. They also touch on Kuhn's syndrome, a condition that can complicate anaphylaxis cases, and emphasize the importance of seeking help when needed in critical care situations.TakeawaysAnaphylaxis is a lower frequency type of call in EMS.Initial assessment should focus on the patient's airway and breathing.Respiratory involvement indicates a more severe allergic reaction.Benadryl is not the first-line treatment for anaphylaxis.Epinephrine should be administered promptly in anaphylactic cases.Timing of treatment is crucial; reactions can escalate quickly.Advanced airway management may be necessary in severe cases.Patient positioning and PEEP can aid in respiratory distress.Understanding the pathophysiology of anaphylaxis is essential for effective treatment.Continuous reassessment is key in managing anaphylactic patients. Advanced airway management is crucial in critical situations.Proactive decision-making is essential in emergency care.Fluid resuscitation strategies must be tailored to the patient's condition.Medication protocols should include timely administration of epinephrine and steroids.Monitoring patient response is vital for adjusting treatment plans.Kuhn's syndrome can mimic myocardial infarction in young patients.It's important to be aware of the potential for rebound responses in anaphylaxis.Healthcare providers should be comfortable adjusting medications as needed.Telemedicine can provide valuable support in critical care situations.Continuous education and self-awareness are key in emergency medicine.Chapters00:00 Introduction to Anaphylaxis and Its Importance02:56 Understanding Anaphylaxis Through a Scenario05:50 Initial Assessment and Response to Anaphylaxis09:07 The Pathophysiology of Anaphylaxis11:51 Timing and Severity of Anaphylactic Reactions15:00 Treatment Protocols for Anaphylaxis18:11 Advanced Management Strategies in Anaphylaxis23:20 Advanced Airway Management in Critical Situations26:04 IV Access and Pressor Administration28:58 Fluid Resuscitation Strategies32:02 Medication Protocols in Anaphylaxis36:03 Monitoring and Adjusting Treatment41:27 Understanding Kuhn's Syndrome45:48 Final Thoughts on Anaphylaxis ManagementThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

In this conversation, Dennis and Brad discuss the evolving landscape of pain management, particularly focusing on the apprehension surrounding the use of opioids like morphine and hydromorphone. They explore the historical context of opioid use, the introduction of ketamine, and the importance of transitioning between different pain management techniques. The discussion emphasizes the need for a strategic approach to pain management, considering factors such as respiratory rate and the context of the patient's condition. In this conversation, Brad and Dennis discuss the complexities of pain management in medical settings, particularly during recovery and transport. They emphasize the importance of monitoring vital signs, effective communication with patients, and the careful selection of medications to manage pain while minimizing side effects. The discussion also highlights the need for thorough training and preparation to handle emergency situations effectively.TakeawaysMedics are increasingly fearful of using longer-acting opioids.Ketamine has become a preferred option over traditional opioids.Morphine and hydromorphone still have a place in pain management.Understanding the context of drug use is crucial for effective treatment.Transitioning from rapid-acting to long-acting agents requires careful monitoring.Respiratory rate is a key indicator of patient comfort and need for medication.Historical perspectives on drug use can influence current practices.Education and experience play significant roles in drug administration confidence.The evolution of pain management reflects changing medical practices and perceptions.Effective pain management requires a balance of various medications. Respiratory rate is a critical indicator for pain management.Patients often have cultural expectations about pain levels.Effective communication can significantly improve patient care.Medications should be administered based on patient stability.Ketamine can be a beneficial option for pain relief.Understanding individual responses to medications is essential.Training and practice are vital for emergency preparedness.Developing a strategy for pain management is crucial.Monitoring vital signs helps determine medication needs.Practicing scenarios can reduce mistakes in real situations.Chapters00:00 Understanding the Fear of Opioids08:18 The Evolution of Pain Management14:57 Transitioning Between Pain Management Techniques25:34 Practical Application of Opioid Dosing31:31 Understanding Pain Management in Recovery39:02 The Role of Communication in Patient Care47:09 Managing Side Effects of Pain Medications57:04 The Importance of Training and Preparation in Emergency CareThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For 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 Burjor delve into the intricacies of maxillofacial surgery, focusing on trauma management in austere environments. They discuss the importance of hemorrhage control, various techniques for managing facial injuries, and the critical aspects of airway management in trauma situations. The conversation emphasizes practical approaches and innovative techniques that can be employed in emergency scenarios, highlighting the need for preparedness and adaptability in medical practice. This conversation delves into the complexities of managing facial trauma, particularly focusing on airway management, mid-face fractures, and hemorrhage control techniques. The speakers discuss their differing comfort levels and approaches to treatment, emphasizing the importance of thorough evaluations and timely interventions. They also touch on the significance of recognizing signs of head injuries and the role of humanitarian efforts in providing medical care in remote areas.TakeawaysMaxillofacial surgery requires a deep understanding of hemorrhage control.Facial injuries can lead to significant blood loss, necessitating immediate action.Techniques for managing scalp lacerations include direct and indirect pressure.Ear and cheek injuries require specific dressing techniques to avoid obstruction.Neck injuries can be managed with packing and pressure techniques.Bone bleeds from jaw fractures can often be controlled by approximation.Airway management is crucial in trauma cases, especially with facial injuries.Definitive airway techniques may vary based on the operator's experience and available resources.Using basic materials creatively can effectively manage complex injuries.Preparation and adaptability are key in emergency medical situations. Airway management is prioritized over mid-face splinting in emergencies.Comfort levels in handling trauma vary among medical professionals.Facial injuries can distract from more critical injuries.Timely intervention is crucial in managing hemorrhage.Understanding the anatomy is key to treating facial fractures.Visual acuity tests are essential in assessing eye injuries.Bilateral bruising often indicates more severe facial fractures.Mid-face fractures require careful evaluation and management.Humanitarian medical efforts are vital in underserved areas.Training local populations enhances medical care in remote regions.Chapters00:00 Introduction to Maxillofacial Surgery03:03 Hemorrhage Control in Facial Injuries06:02 Techniques for Managing Scalp Lacerations09:09 Addressing Ear and Cheek Injuries12:04 Managing Neck Injuries14:50 Bone Bleeds and Jaw Fractures18:14 Airway Management in Trauma20:59 Definitive Airway Techniques28:34 Airway Management vs. Mid-Face Fractures33:11 Techniques for Hemorrhage Control38:02 Understanding Facial Fractures45:59 Signs of Head Injuries49:47 Addressing Mid-Face Fractures52:31 Team 5 Medical Foundation and Humanitarian EffortsThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

More Lucas Werner? https://www.youtube.com/playlist?list=PLTz_vyR-zjcD3tgKAXhYgXHw96VPOPGi2In this video, I dive deep into the cringeworthy world of Lucas Werner, an infamous figure in the incel community. Get ready for a rollercoaster of outrageous statements, bizarre rants, and pure cringe as I react to some of his most controversial takes. From his delusional views on relationships to his odd attempts at justifying his behavior, this one is not for the faint of heart. Join me as I break down his antics and give my unfiltered thoughts on his twisted perspective!YouTube: https://www.youtube.com/reddxyDiscord: https://discord.gg/Sju7YckUWuPayPal: https://www.paypal.me/daytondoesPatreon: http://patreon.com/daytondoesTwitter: http://www.twitter.com/daytondoesFacebook: https://www.facebook.com/ReddXD/Teespring: https://teespring.com/stores/reddx

In this conversation, Ryan Maves and Dennis discuss various aspects of tuberculosis, including recent outbreaks, public health implications, and treatment protocols. They delve into the complexities of managing tuberculosis in different contexts, particularly within military settings, and highlight the importance of public health initiatives like PEPFAR. The discussion also touches on the challenges posed by drug-resistant tuberculosis and the evolving landscape of health policy. In this conversation, Ryan Maves discusses the complexities of tuberculosis (TB), including its historical significance, transmission methods, diagnosis, treatment protocols, and the challenges posed by drug resistance. He emphasizes the importance of public health measures in managing TB outbreaks and reassures that most individuals with TB can recover with appropriate treatment. The discussion also highlights the role of good ventilation in reducing transmission risk and the need for awareness and screening in military and public health settings.TakeawaysTuberculosis outbreaks can be slow and complex, not immediate crises.Public health interventions are crucial for effective tuberculosis management.PEPFAR has saved millions of lives and is a significant achievement in global health.Drug-resistant tuberculosis presents unique challenges in treatment.Telemedicine can enhance the management of tuberculosis in remote settings.Understanding the transmission dynamics of tuberculosis is essential for prevention.Good ventilation and treatment protocols can mitigate tuberculosis risks.Public health policies can significantly impact disease control efforts.Collaboration and open dialogue are necessary for effective health policy.The importance of recognizing the long-term nature of tuberculosis management. Tuberculosis is a significant global health issue that has been impacted by the COVID-19 pandemic.HIV and tuberculosis have a close interaction, affecting incidence and outcomes.Active screening for tuberculosis is crucial, especially in military settings.Good ventilation and sunlight can significantly reduce the risk of TB transmission.Latent TB infection can progress to active disease if not treated promptly.The classic treatment regimen for active TB involves a combination of four drugs.Multi-drug resistant TB (MDR-TB) is a growing concern, particularly in certain regions.Rifampin is a key drug in TB treatment but has notable drug interactions.Most people with TB can recover with effective therapy, and treatment is often satisfying for healthcare providers.Public health measures are essential in managing TB outbreaks and ensuring community safety.Chapters00:00 Introduction and Personal Updates03:11 Understanding Tuberculosis Outbreaks06:00 Public Health and Policy Implications08:54 PEPFAR and Global Health Initiatives12:00 Tuberculosis in Military Contexts14:58 Diagnosis and Treatment of Tuberculosis18:01 Drug-Resistant Tuberculosis23:15 Understanding Tuberculosis: A Global Perspective27:43 Transmission and Infection: How TB Spreads33:31 Diagnosis and Screening: Identifying TB Cases41:41 Treatment Protocols: Managing Active and Latent TB51:29 Challenges of Drug Resistance in TB58:03 Public Health Response: Reporting and Managing OutbreaksThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For 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 transition of military medics into civilian healthcare roles, discussing the strengths and challenges they face. The speakers highlight the quality of training military medics receive, the differences in medical practice between military and civilian settings, and the importance of humility and confidence during the transition. They also address the need for bridge courses and continued education to ensure successful integration into civilian roles, while emphasizing the unique skills and insights that military medics bring to the healthcare field. This conversation delves into the transition of veterans, particularly special operations medics, into civilian roles. It discusses the value these veterans bring to various professions, the responsibility of the Department of Defense (DOD) in facilitating this transition, and the importance of utilizing available resources. The dialogue also emphasizes the need for certifications and ongoing medical training to ensure that veterans remain competent in their skills as they move into civilian healthcare roles. The discussion concludes with thoughts on enhancing medical proficiency training programs to better prepare veterans for their future careers.TakeawaysMilitary medics have excellent training but lack breadth in patient exposure.The transition from military to civilian medicine requires adaptation to different contexts.Humility and confidence are crucial for a successful transition.Military medics often excel in leadership roles in civilian healthcare.Bridge courses can help military medics adjust to civilian medical practices.Continued education is essential for maintaining skills in civilian roles.Military medics bring unique insights that can enhance team dynamics.The transition experience varies based on individual backgrounds and roles.Understanding the civilian healthcare environment is key for military medics.Data on the outcomes of military medics in civilian roles is needed. Veterans possess valuable skills that can benefit civilian roles.The DOD has a moral responsibility to assist veterans in transitioning.Many veterans are unaware of the resources available to them.Certifications can enhance the employability of military medics.There is a need for better education on career options for veterans.Utilizing DOD programs is crucial for a seamless transition.Veterans should be proactive in seeking out opportunities.Community hospitals can provide valuable training experiences for medics.The future of military medicine requires adaptation and collaboration with civilian institutions.Improving medical proficiency training can better prepare medics for civilian roles.Chapters00:00 Introduction to Military Medics' Transition02:51 Training and Experience of Military Medics05:45 Contextual Differences in Military and Civilian Medicine08:48 The Transition Experience of Military Medics12:03 The Role of Humility and Confidence in Transition14:47 Bridging the Gap: Military Medics in Civilian Roles18:06 Challenges in Transitioning to Civilian Medicine20:59 The Need for Bridge Courses and Continued Education23:51 Evaluating Outcomes of Military Medics in Civilian Roles26:47 Conclusion: The Value of Military Medics in Healthcare31:01 The Value of Veterans in Civilian Roles35:19 DOD's Responsibility in Transitioning Veterans39:01 Utilizing DOD Resources for Career Transition43:28 The Importance of Certifications for Medics46:57 Future of Military Medicine and Training51:29 Enhancing Medical Proficiency Training ProgramsThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

In this week's episode of The P.A.S. Report Podcast, Professor Nick Giordano dives deep into President Trump's announcement that he will push for an immediate end to Russia's war in Ukraine and force both sides to come to an agreement. He discusses how the endgame in Ukraine has always been predictable, and how the Biden administration and the political elites bear much of the blame for the devastation after they derailed a potential peace agreement, the Istanbul Agreement. With the war continuing to rage, it has left a path of destruction and casualties in its wake. It is time we critique how Washington's elites have driven the conflict by its failed policies at an enormous cost in human lives and to Ukraine. Episode Highlights: • Analyzing President Trump's stance to force an end to hostilities and push for a Ukraine-Russia peace agreement. • The Biden administration's role in sabotaging the Istanbul Agreement which prolonged the war at a devastating cost to Ukraine. • What a peace agreement may look like.

In this episode of the PFC Podcast, Dr. David Clarke discusses the complexities of chronic pain, emphasizing the mind-body connection and the role of stress and trauma in physical symptoms. He shares insights from his extensive experience treating patients with pain that lacks a clear physical cause, highlighting the importance of understanding psychological factors and the need for a comprehensive treatment approach. Dr. Clarke also addresses the long-term impacts of childhood trauma and offers practical steps for managing chronic pain, including self-care and recognition of one's own struggles. Takeaways Chronic pain can exist without a physical cause. The mind can generate real pain through stress and trauma. Patients often carry more stress than they realize. Understanding the source of stress is crucial for treatment. Psychological factors play a significant role in chronic pain. Self-recognition and self-care are essential for healing. Childhood trauma can have lasting effects on health. Writing about stressors can help in processing emotions. Treatment should address both physical and psychological aspects. Support resources are available for those suffering from chronic pain. Chapters 00:00 Introduction to Chronic Pain and Its Misunderstandings 03:07 The Mind-Body Connection in Chronic Pain 06:13 Understanding Stress and Trauma in Pain Syndromes 09:11 Patient Assessment and Identifying Stressors 12:02 The Role of Psychological Factors in Chronic Pain 14:57 Treatment Approaches for Chronic Pain 17:54 The Importance of Self-Recognition and Care 20:48 Long-Term Impacts of Childhood Trauma 24:13 Practical Steps for Managing Chronic Pain 27:13 Resources and Support for Patients 29:58 Final Thoughts and Conclusion Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

"PREVIEW: #Londinium90AD: Gaius and Germanicus discuss prospects for a ceasefire and potential prolonged negotiations in the Ukraine conflict. Michael Vlahos, Friends of History Debating Society. @Michalis_Vlahos" 1917 Moscow

With either high or low cortisol in menopause, the way you exercise has to change. Yet, this is a  gap in fitness education for trainers, instructors and coaches who don't get training specific to women in menopause. So, whether you're here for yourself or here as a coach or trainer who does now or wants to coach women in midlife and beyond, this episode is for you. In this episode, I talk about the impact of exercise intensity on cortisol and how cortisol is used for the energy to do exercise, cortisol changes that occur in menopause, and what's really wrong with the way we can interpret the signs of high or low cortisol… all so you can avoid making mistakes that might make you worse, or prevent you from ever having an issue in the first place. Questions We Cover in This Episode: Why are high or low cortisol in menopause so prevalent? [00:04:00] What's the difference between someone “apparently healthy” and high or low cortisol? [00:04:30] How would you test to know? [00:11:30] Without testing what does abnormal cortisol feel like? [00:13:50] How does exercise impact cortisol levels? [00:16:30] What mistakes do women (and trainers & coaches) make with exercise recommendations? [00:28:10] Looking at Exercise Science for High or Low Cortisol in Menopause Low-intensity exercise may decrease cortisol levels or keep them steady. Prolonged activity, however, can cause cortisol to rise. Moderate to high-intensity exercise increases cortisol. Prolonged “aerobic” exercise at higher intensities can significantly elevate cortisol concentrations. At about 45 minutes, to less than an hour, cortisol begins to rise significantly above resting levels and then not have the corresponding fall that is beneficial for us. This elevated cortisol response can occur even with exercises you've done for years. With declining estrogen, life itself becomes more stressful. For women engaging in long endurance activities without proper fuel, recovery, or adjustments, results may stall—or even backfire.. This doesn't mean giving up long runs or rides forever but prioritizing muscle, bone, and brain health temporarily. Why Elevated cortisol is indicative of muscle catabolism, increasing the loss of lean muscle tissue. This is a significant health concern for the growing elderly population. The rate of cortisol production changes as we age and has differing responses to exercise intensities in males and females. Cortisol production is correlated with exercise intensity and duration but does not increase the same across all exercise intensities. Higher exercise intensities and duration appear to be the main contributing factors that influence the production of cortisol, increasing the potential for muscle catabolism and muscle loss. The longer the duration, or the higher the intensity, and certainly both combined, the greater the increase in cortisol. Other factors like heat, humidity, intake of carbohydrate and hydration can impact cortisol levels. Last, of course the higher the conditioning level you have the less of a stress response (cortisol rise) you're going to have to the same level of duration or intensity in a deconditioned level. That is, the stress response will occur sooner for the deconditioned than later. Low Cortisol Solutions When Dealing with High or Low Cortisol in Menopause With low cortisol levels (adrenal stress), overtraining is the biggest risk. Small exercise snacks, lower intensity exercise is the first step. Gradually adding in resistance training in short sessions to support blood sugar stabilization is the goal. Monitor to be sure you don't go backward. Keep in mind cortisol and adrenaline are needed to support intense exercise. Your body doesn't currently have it, so high intensity workouts like intervals and metabolic conditioning (bootcamp style) are not favorable for you. You won't benefit from them right now. Low intensity and low volume resistance training would mean lower rep ranges and higher number of sets (3-5) with a few compound exercises. You're going to skip old school advice for 8-10 exercises for each muscle group. High Cortisol Solutions when Dealing with High or Low Cortisol in Menopause Short interval sessions or metabolic conditioning can be effective, but be mindful to keep them short. Start with 1 session and add a second only if it's improving, not draining your energy. These sessions may help reduce cortisol, but going too long, even if it feels good, can backfire. Neurotransmitters may push you to continue, but elevated cortisol and adrenal fatigue will eventually catch up. High cortisol breaks down muscle, so strength training is essential. Use heavier weights and increase your rest time (by using balance exercises, stretches or core) to make the most of your time. The HPA-Axis issue, that is adrenal fatigue, needs time away from longer duration and high intensity workouts to allow the brain and adrenals to start communicating effectively again. It doesn't have to be permanent. Train earlier in the day, balancing sleep and exercise, especially if work adds stress. Overworking, lack of movement, or poor stress management may have contributed to current challenges. Use weekends wisely – skip long workouts and focus on a solid strength session one day and yoga or walking the next. Prioritize earlier sessions that don't require an alarm clock for optimal recovery and hormonal balance. Signs You're Recovering from High or Low Cortisol in Menopause Check Your Appetite: You should have one, but not cravings especially, soon after meals. Appetite can be sluggish with low cortisol and either high or low with high cortisol. Your Energy level: Should be stable throughout the day. For low energy getting up, maca can be a natural support for your own system to self-regulate. It's an herb most women can take, however check if you have had breast cancer, there are some contraindications and a medical advisory board you can check with. I found this super helpful and within a week of taking this felt better back in early 2020. Sleep Should Improve: Whether you struggle to fall asleep, stay asleep or simply are not waking rested, this should begin to improve. (That is, if you're doing your job to prioritize sleep). Other Episodes You Might Like: A Hormone Therapy Roadmap: What, When & Why: https://www.flippingfifty.com/hormone-therapy-roadmap**Cortisol Hormone: Don't let it derail your fat loss efforts:https://www.flippingfifty.com/cortisol-hormone**Turn Midlife Stress into Strength | Victim to Victorious Author:https://www.flippingfifty.com/midlife-stress Resources: Mighty Maca: https://www.flippingfifty.com/mightymaca Sleep Yourself Skinny: https://www.flippingfifty.com/sleep-yourself-skinny-tonight Flipping 50 Menopause Fitness Specialist®: https://fitnessmarketingacademy.com/ 5 Day Flip: https://www.flippingfifty.com/5-day-challenge-new/ References : Hackney AC, Walz EA. Hormonal adaptation and the stress of exercise training: the role of glucocorticoids. Trends Sport Sci. 2013;20(4):165-171. PMID: 29882537; PMCID: PMC5988244. The Effects of Different Exercise Intensities and Modalities on Cortisol Production in Healthy Individuals: A Review. (2021). Journal of Exercise and Nutrition, 4(4). https://doi.org/10.53520/jen2021.103108

On this month's EM Quick Hits podcast: Anand Swaminathan on optimizing RSI medication timing, Brittany Ellis on ED boarding challenges in older patients and solutions to ED crowding and flow, Dave Jerome on managing prolonged tourniquet application, Nour Khatib and Phil Gillick on a rural peer support case, Jesse McLaren on ECG reciprocal changes in acute coronary occlusion, and Melody Ng on practical nutrition tips for shift workers...