Podcasts about prolonged

Ken Carman and Anthony Lima express frustration over the three-week wait for LeBron James' decision, questioning if Cleveland is being used as leverage. They analyze the Guardians' recent offensive surge and debate the polarizing dynamic between Deshaun Watson and Shedeur Sanders. The discussion concludes with a look at modern athlete branding and reports of media changes at ESPN. 02:20 - LeBron Decision Delay Fallout 09:20 - Cleveland Legacy vs. Philly 13:45 - Guardians Home Run Surge 19:45 - Is Cleveland a Fallback? 27:55 - Retirement and Legacy Regrets 34:15 - Deshaun Watson vs. Sanders 38:15 - Modern Fanbase Branding Issues 41:40 - Karl Raveich ESPN Rumors

Episode 428: On October 3, 1984, nine-year-old Christine Jessop stepped off a school bus in Queensville, Ontario, and walked toward home. She was never seen alive again. Her body was found on New Year's Eve, fifty-six kilometres away. She had been sexually assaulted and stabbed. What followed was one of the most consequential criminal proceedings in Canadian history — and the quiet destruction of a man who lived next door. This is Part One of a two-part series. Sources: Kirk Makin, Redrum the Innocent (1992) — Viking Canada. Report of the Kaufman Commission on Proceedings Involving Guy Paul Morin — Full text (netk.net.au) The Canadian Encyclopedia — Guy Paul Morin Case Innocence Canada — Guy Paul Morin case file Canadian Registry of Wrongful Convictions — Guy Paul Morin Library of Parliament — Wrongful Convictions in Canada (2020) Bruce MacFarlane — "Wrongful Convictions: The Effect of Tunnel Vision and Predisposing Circumstances in the Criminal Justice System" (2006) Federal Prosecution Service — Chapter 5: Jailhouse Informers Federal Prosecution Service — Chapter 8: DNA Evidence The Canadian Encyclopedia — Morin Inquiry Report Kaufman Report — Wikipedia summary Globe and Mail — "Morin Informant Named Dangerous Offender" (2007) CBC Digital Archives — Guy Paul Morin acquitted Chippewas of Georgina Island First Nation Williams Treaties — Government of Canada Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of the Prolonged Field Care Podcast, Dennis sits down with Dr. Andre Cap to unpack the evolving role of calcium in trauma resuscitation. What started as the “new hotness” in forward blood transfusion protocols has become far more nuanced. They discuss the dangers of both hypocalcemia and hypercalcemia, how citrate in all blood products binds ionized calcium, cardiac effects, recent observational data showing worse outcomes with hypercalcemia, and practical guidance for when, how, and how much calcium to give in austere and prolonged field care environments.Whether you're running a Role 2, working prolonged field care, or just trying to keep your patient alive until definitive care, this episode challenges long-held assumptions and offers field-practical recommendations.Key Takeaways:All blood products contain citrate, which binds ionized calcium — expect hypocalcemia with significant transfusion.Both hypo- and hypercalcemia are bad; recent data shows hypercalcemia is associated with worse mortality than hypocalcemia.Current TCCC guidance (1g calcium after first unit) was written to fix under-use; it may now be too aggressive in some scenarios.Give calcium after blood products, not before. Consider waiting until after 2+ units in most cases.Slow IV push (over ~5 minutes) through a confirmed good peripheral line; calcium chloride is a vesicant — use caution (gluconate is safer).Avoid calcium chloride via IO if possible. Titrate to clinical response when monitoring isn't available.In refractory shock you can give more, but don't give calcium as a standalone resuscitation drug — it can be harmful without volume replacement.Ideal future state: Bring i-STAT capability forward when feasible and get better RCT data.Perfect for medics, PAs, physicians, and anyone managing hemorrhagic shock in austere environments.Links:⁠www.prolongedfieldcare.org⁠ | @prolonged_field_carePodcast Chapters (with Timestamps):00:00 – Intro & Welcome00:39 – Why Calcium Became “The New Hotness” in Trauma Care01:18 – The Joint Trauma System Audit That Started It All03:46 – Citrate in Every Blood Product – The Science Behind the Bind05:44 – Why We Actually Care: Cardiac Repolarization, Contractility & Vascular Tone08:49 – Hypocalcemia vs Hypercalcemia in Trauma Patients10:21 – Shocking New Data: Hypercalcemia Carries Higher Mortality13:14 – TCCC Guidelines – After First Unit? Is This Too Aggressive?14:03 – When Should You Actually Give Calcium in the Field?19:34 – Clinical Triggers Without Monitoring + Dosing Strategy24:56 – Safety First: IV Patency, Calcium Chloride vs Gluconate, IO Concerns28:44 – When to Stop Giving Calcium & Avoiding Over-Correction32:00 – Historical Lessons: When Calcium Alone Made Things Worse33:39 – Practical PFC Recommendations & Final Thoughts38:04 – Closing & Where to Find MoreFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠⁠

North Macedonia has waited 21 years at the EU's door. Zoran Dimitrovski and Linas Kojala ask what delay now costs Europe. Look at a map and the unresolved logic is striking. Albania, Bosnia and Herzegovina, Kosovo, Montenegro, North Macedonia and Serbia are almost entirely surrounded by EU and NATO members. These countries are not on some distant European frontier. They form an enclave within the Union's own geography. In 2003, at the Thessaloniki summit, the EU promised the Western Balkans a European future. More than two decades later, Croatia remains the last country to have joined, back in 2013. Since Russia's invasion of Ukraine, enlargement has shifted from a slow technical process to an urgent geopolitical question: what happens when Europe leaves a space inside its own borders unfilled? My guests brought two unusually powerful perspectives to that question. Zoran Dimitrovski, North Macedonia's Deputy Minister of Foreign Affairs and Foreign Trade, spent 35 years as a journalist before entering government. He edited some of his country's leading newspapers, reported from Washington, wrote more than 1,500 articles and investigations, and continues to teach critical thinking and analytical writing. Alongside him was Linas Kojala, CEO of the Geopolitics and Security Studies Center in Vilnius and a lecturer at Vilnius University. A Fulbright scholar with studies at Oxford, Cambridge and Harvard, Kojala has written about Lithuania's own journey into the European Union and has been ranked among his country's most influential public figures. Twenty-one years at the front door North Macedonia became an EU candidate in 2005, around the same time as Croatia. Yet it still has not opened substantive accession negotiations. The country first faced a long dispute with Greece over its name, eventually resolved through the Prespa Agreement and the adoption of the name North Macedonia. That opened the way into NATO. A second dispute then emerged with neighbouring Bulgaria, involving language, identity, history and the recognition of a Bulgarian community within North Macedonia's constitution. Zoran Dimitrovski did not deny the work still required within his own country. North Macedonia must continue aligning its laws with the EU, strengthening the judiciary and fighting corruption. His argument was that these shortcomings were not the principal reason the country had been stopped. This describes one of the demands that, in Dimitrovski's view, reach beyond the Copenhagen criteria governing democratic institutions, human rights, the rule of law and a functioning market economy. There is, however, responsibility on both sides of the border and both sides of the accession table. The European Parliament's latest assessment expresses regret at North Macedonia's lack of progress, calling for the constitutional amendments, stronger cross-party cooperation and deeper reforms. Yet that same resolution warns that bilateral disputes over language, culture and national identity should not be used to obstruct accession. This is the uncomfortable heart of the story: the EU must remain demanding enough for membership to retain meaning, while remaining fair enough for its promises to retain credibility. The rules were written for a different Europe Kojala argued that the enlargement machinery itself must adapt to a radically altered security landscape. The process still requires unanimity at critical stages, allowing one member state to hold up another country's progress. Under normal circumstances, such caution might be defensible. These, he stressed, are not normal circumstances. The EU's decision-making can be painfully slow because 27 governments must agree on decisions touching sovereignty, money and national interest. Kojala compared it to 27 friends attempting to choose a restaurant, except that several of them may not be friends and the decisions are monumental. The central question is therefore whether procedures devised 20 years ago are still adequate for a Europe facing war, cyber-attacks, sabotage, disinformation and growing competition from authoritarian powers. Railways, bridges and the architecture of security EU enlargement may sound abstract, but it rapidly becomes concrete. It is about railway lines, bridges, roads, energy systems and digital networks. Dimitrovski pointed to Corridors VIII and X, which cross North Macedonia and connect the Adriatic, Black and Aegean Seas with wider Europe. These routes matter for trade and daily life, but also for NATO's ability to move personnel and equipment across the continent. A bridge too weak to carry military vehicles is simultaneously an infrastructure problem, an economic weakness and a security vulnerability. Kojala offered a useful challenge to the language of cost. Security spending is often discussed as money disappearing from productive use. Yet roads, schools, housing, communications and transport capacity remain in the communities where they are built. The same is true of enlargement: investment in the Western Balkans is not charity at Europe's edge. It is investment in the resilience of the continent as a whole. A vacuum rarely stays empty Russia remains an influential force in Serbia and parts of Bosnia and Herzegovina, while Chinese lending and infrastructure investment have expanded across the region. Dimitrovski was careful not to suggest that the Western Balkans would simply abandon Europe for Moscow or Beijing. His warning was more subtle. Prolonged uncertainty can produce weaker institutions, frustrated populations and a region increasingly exposed to financial pressure, political manipulation and disinformation. Europe therefore faces a choice that is larger than whether another flag appears outside the institutions in Brussels. It must decide whether the Western Balkans are genuinely part of its future, and demonstrate that belief through fair conditions, credible timelines and visible results. Kojala described the European Union as something close to a “boring miracle”: cumbersome, imperfect and endlessly predicted to collapse, yet remarkably capable of adapting and surviving. That miracle now requires another act of political imagination. The Western Balkans have spent more than 20 years hearing that their future lies inside the European Union. Europe may now need to ask a harder question of itself: how long can a promise remain credible before waiting becomes its own form of rejection?

Renewed US-Iran tensions and Russian refinery disruptions are raising concerns over energy supplies, inflation and chemical market demand.• Prolonged disruption could trigger a major supply shock• Russian refinery outages are tightening fuel product supplies• Chemical markets remain cautious despite rising crude prices• Higher energy costs could fuel inflation and demand weakness• Global oil inventories and reserves continue to decline• China's slowdown is weighing on petrochemical demand• Chemical buyers are delaying purchases amid uncertainty• Demand destruction may limit chemical price increases• Companies should strengthen resilience against market shocksIn this Think Tank podcast, Will Beacham interviews ICIS Insight Editor Tom Brown and Paul Hodges, chairman of New Normal Consulting.

Our favourite farmer from Gormanston as the prolonged dry spell really begins to bite agriculture. - DARRAGH MC CULLAGH Hosted on Acast. See acast.com/privacy for more information.

Brandon preached about how our posture should be when facing prolonged opposition. Prolonged opposition can lead to discouragement and weariness, causing us to lose focus. Weariness is not a sign that God has abandoned us, it is often where His strength is revealed most powerfully. God is everlasting and He doesn't grow tired or weary. We are created to be totally dependent on Him even when facing opposition.

War Room Tyler Robinson's Furry Boyfriend Lance Twiggs Testifies Against Him In Charlie Kirk Murder Trial… PLUS, Trump Says Iran Called Begging for Deal After US Strikes, As USA Braces for Prolonged Escalation

Brendan Kelly, Professor of Psychiatry at Trinity College Dublin, outlines how prolonged exposure to hotter than usual temperatures can impact mental health and behaviour.

Episode #437 Prolonged Separation and the Convenant. Chris Moles

A “prolonged spell of very warm or hot weather” will occur in Ireland this week and into next week. This is according to Met Éireann, with temperatures possibly reaching 30 degrees. We get a weather update with Aoife Kealy, Met Eireann Meteorologist.

A “prolonged spell of very warm or hot weather” will occur in Ireland this week and into next week. This is according to Met Éireann, with temperatures possibly reaching 30 degrees. We get a weather update with Aoife Kealy, Met Eireann Meteorologist.

Discover how cancer develops and spreads, the biggest factors that increase cancer risk, and natural strategies to help prevent cancer by supporting your immune system and overall health.0:00 Cancer cells2:54 How cancer develops 4:36 Traditional cancer research vs. epigenetics 5:59 More cancer facts6:57 Prolonged fasting and cancer prevention 7:17 Cancer and your immune system 8:24 Cancer and vitamin D 9:08 Inflammation and cancer 9:28 Cancer and your DNA 10:09 Factors that increase cancer risk11:39 Cancer prevention tips

The death toll from the Ratanda service delivery protest in Heidelberg, Gauteng, has risen to two. Prolonged water shortages sparked the protest leaving several other people injured and hospitalised. The family of the first victim 23-year-old Katleho Mokoena alleges that he was shot multiple times during clashes between protesters and police. It is alleged the protesters went on the rampage on Wednesday using burning tyres to block entrance and exit to the township. Police fired rubber bullets in an attempt to disperse the crowd. Police watchdog IPID has launched an investigation into whether police acted within the law. Bongiwe Zwane spoke to SABC News reporter Thato Letsaba

Guest host Charis Hogg talks to Ian Tostenson, President of the B.C. Restaurant and Foodservices Association Learn more about your ad choices. Visit megaphone.fm/adchoices

Greg Brady talked about Prolonged extreme heat wave creates dangerous conditions in Toronto and across Canada Learn more about your ad choices. Visit megaphone.fm/adchoices

Greg Brady talked about Prolonged extreme heat wave creates dangerous conditions in Toronto and across Canada Learn more about your ad choices. Visit megaphone.fm/adchoices

Soothe, calm, and heal your nervous system in just 15 minutes with this easy guided meditation. Using scientifically-supported practices like prolonged exhale breathing, this meditation practice will activate the vagus nerve and thereby the parasympathetic (rest and digest) nervous system, instilling calm throughout your whole being, and restoring your natural balance. Be sure that you stay all 15 minutes, as it is the last 5 minutes that are the most effective for calming and rebalancing your nervous system. This guided meditation features: - Prolonged exhale breathing, which is scientifically-shown to stimulate the vagus nerve, instill calm, and relax the mind and body. - Anxiety and stress reduction techniques - Nervous system re-balancing, healing, and regulation - Soothing affirmations to calm and quiet the mind This meditation is designed for daily practice to help foster a regulated nervous system. #meditation #vagusnerve #nervoussystemregulation Check out the Wake Me Up Mindset Coach app: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://studio.com/wakemeup⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. You get: Full Access to the WMU catalog; a personal growth plan based on my guidance and coaching; simple, daily tasks (5-10 minutes a day) to guide you through your own personal transformation; your plan evolves with you as you and your life change. It's the most effective way to digest the content in Wake Me Up for creating personal change! Get ad-free access to the entire WMU catalog + bonus content by joining the WMU Premium Feed. Grab a 7-day free trial of Wake Me Up premium: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://goodpeoplestuff.supercast.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ About Wake Me Up Wake Me Up is the # 1 guided morning routine podcast. Our guided morning wake ups offer affirmations, mindfulness, meditation, yoga, and motivation specifically designed to help you get out of bed and start your day with a positive mindset. Stop pressing the snooze button all morning long, and turn on an episode of Wake Me Up instead. You will be happier and more successful at everything in life because of it!   I make this channel to serve you. Part of that is creating tools like journals and courses to dive deeper into certain topics, all of which you can find here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://stan.store/goodpplstuff⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow Wake Me Up on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Youtube⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ -  ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Spotify⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Apple Podcasts⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Amazon⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Podchaser⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Say hi or request an episode at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.wakemeuppodcast.com/contact⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. See visual guides for the yoga and stretches in WMU episodes at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.wakemeuppodcast.com/stretches⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. **Only partake in the physical movements suggested in Wake Me Up episodes if you are physically able and in safe surroundings. All movements are done at the individual's own risk. Be safe, and always consult a doctor if you have any questions or concerns.** Have a wonderful day

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners.This episode covers the topic of grief with Dr. Cindy Grief, a Geriatric Psychiatrist at Baycrest Health Sciences in Toronto, where she is the Medical Director for Mental Health Services. She is also an Associate Professor at the University of Toronto and has played active roles in postgraduate and continuing education.The learning objectives for this episode are as followsExplain how acute grief becomes integrated over time, and how the dual process model helps us understand this adaptive process.Recognize the clinical features of Prolonged Grief Disorder, understand factors that may increase vulnerability, and distinguish it from trauma-related disorders and depression.Structure a bereavement-focused clinical history, differentiate the management of normative grief from Prolonged Grief Disorder, and approach suicide risk assessment in the context of grief.Guest: Dr. Cindy GriefHosts: Ahmad Khan (incoming PGY1), Dr. Angad Singh (PGY2), and Sara Abrahamson (MS3)Audio editing: Dr. Angad SinghResources:T⁠he Center for Prolonged Grief (https://prolongedgrief.columbia.edu/)Canadian Virtual Hospice  (MyGrief.ca)Association for Death Education and Counseling (https://adec.org)What's Your Grief (https://whatsyourgrief.com/)Podcasts: AllThere Is; Griefcast⁠⁠Books/Memoirs:Joan Didion, The Year of Magical ThinkingHelen Macdonald, H Is for HawkC.S. Lewis, A Grief ObservedChimamand Ngozi Adichie, Notes on GriefArticles:A.C. Shilton, “There Is No Vaccine for Grief,” New York Times, March 2, 2021M. Stroebe, “The Poetry of Grief: Beyond Scientific Portrayal,” OMEGA: Journal of Death and Dying, 2018, 78(1), 67–96References:Shear, K., Frank, E., Houck, P. R., & Reynolds, C. F., III. (2005). Treatment of complicated grief: A randomized controlled trial. Journal of the American Medical Association, 293(21), 2601–2608. https://doi.org/10.1001/jama.293.21.2601Simon, N. M., & Shear, M. K. (2024). Prolonged grief disorder. New England Journal of Medicine, 391(13), 1227–1236. https://doi.org/10.1056/NEJMcp2308707Zisook, S., & Shear, K. (2009). Grief and bereavement: What psychiatrists need to know. World Psychiatry, 8(2), 67–74. https://doi.org/10.1002/j.2051-5545.2009.tb00217.x

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Learn about the Healing Power of Prolonged Fasting: HEREWhat if the secret to deep healing isn't doing more, but going further?Most people assume that repeating short fasts is just as powerful as completing one long fast. Stack enough three-day fasts together and you'll eventually get the same result, right?It's a reasonable assumption, but it may be costing you the deeper healing you're working so hard to reach.Dr. Katie breaks down something many people have never been taught: short fasts and prolonged fasts are not the same healing tool. Short fasts are genuinely valuable. They can support ketosis, lower insulin, improve metabolic flexibility, and put pressure on cancer cells. Dr. Katie does a three-day fast herself every month.But she says they stop short of the second tier.That second tier begins after the early detox window, when the body moves into a much deeper fasting state. Around day eight is the threshold where the fast stops being just a metabolic tool and begins to reveal a much deeper layer of healing. Dr. Katie believes most people never reach because they keep restarting the clock.Chapters:00:04:22 - Why Short Fasts Reset the Clock00:05:21 - Detox Starts After Day Four00:06:21 - Why Long Fasts Need Supervision00:07:23 - The Danger of Refeeding Wrong00:08:21 - The Magic of Day Eight00:09:31 - The Body Targets Damaged Tissue00:10:22 - When Tumor Shrinkage Becomes Possible00:12:17 - The Mind Finally Quiets00:13:20 - Healing Crises Begin00:16:49 - Why You Can't Stack Short Fasts00:17:32 - Cancer Deserves the Full Distance00:18:52 - The Brain Tumor That Disappeared00:19:45 - Why Refeeding Matters Most00:21:00 - Fasting Opens Emotional Healing00:23:19 - What Cancer Experts Would Do00:24:45 - Physical and Emotional Healing Arrive TogetherEvery time you break a fast, your body doesn't just pause. It resets. Dr. Katie uses one simple analogy that makes this clear, and once you hear it, the difference between stacking short fasts and completing a prolonged fast becomes hard to unsee.Press play to learn why Dr. Katie believes anyone fasting for cancer needs to understand the difference between stopping early and going the full distance.Join Dr. Katie's 3-Day Guided Fast, for expert support, daily live calls, and a community to fast alongside: Sign-Up Follow Dr. Katie Deming on InstagramWatch on YoutubeDISCLAIMER: The Born to Heal Podcast  is intended for informational purposes only and is not a substitute for seeking professional medical advice, diagnosis, or treatment. Individual medical histories are unique; therefore, this episode should not be used to diagnose, treat, cure, or prevent any disease without consulting your healthcare provider.A thought-provoking podcast explores cancer through the lens of holistic medicine and functional medicine, discussing causes of cancer, metabolic health, and unconventional approaches like water fasting, fasting and autophagy, and detox, while weighing fasting benefits against chemo side effects and radiation side effects, sharing stories of a cancer survivor navigating chemotherapy, natural medicine, holistic healing, and even spiritual healing on the path toward cancer remission and holistic health. 

What happens to your body during a 5-day fast? Discover the benefits of fasting day by day, how to activate autophagy, support cellular repair and cleanup, plus fasting tips for maximum results. 0:00 Fasting day by day 1:03 mTOR fasting 1:57 Fasting day 1 2:26 Sodium while fasting 3:32 Day 2 fasting 5:10 Autophagy benefits day 3 7:47 Prolonged fasting benefits day 49:24 5 days of fasting results 10:26 Refeeding tips 11:17 Fasting contraindications

A man in China had a happy life and healthy family, he and his wife had three attractive children and they lived in harmony. But then his wife and two of his children developed mental illnesses and his life became miserable. He discovered Falun Dafa in 2005 and began to practice wholeheartedly. His health improved, and he came to understand his hardships were due to past actions. He now sleeps well and lives a life dedicated to helping Master save sentient beings. This and other experience-sharing from the Minghui website.Original Articles:1. Master Saved Me From Prolonged Misery2. Master Repaid My Debts for Me3. Righteous Thoughts Are Powerful To provide feedback on this podcast, please email us at feedback@minghuiradio.org

Prolonged exposure to sin will cause you to have a seared conscious and become insensitive to conviction.

Listen to today's podcast... It is time to take make sure that we take our lunch break.  North American workers who take a lunch break every day scored higher on a wide range of engagement metrics, including job satisfaction, likelihood to continue working at the same company, and likelihood to recommend their employer to others. And though we would like to blame others for not taking our lunch break, that doesn't seem to be the case in reality. It seems that our workload is a much greater influence on whether or not we take a lunch break than our boss or company policy. And if we do eat, we tend to stay at our desks and nibble while we work. Take One Action Today To Build Your #Resiliency!      So Here are today's Tips For Building Resiliency and Celebrating Take Back The Lunch Break Day: Know that it is essential to take that lunch break in order to maintain your energy and productivity. 38% of employees don't feel encouraged to take a lunch break. It is everyone's responsibility to ensure healthy habits within the workplace.  So, invite a friend to go for a lunchtime walk. The light break and exercise will boost your mental health and your immunity. If you are the boss, model healthy habits by not calling lunch time meetings. Encourage your team to leave their desks for lunch. Prolonged sitting is a health risk, so get up, stretch, grab something to eat, and change the scenery. Your mind and body will thank you. Remember, If you like today's wellness tips, let me know. You can leave me a review on amazon or through your #alexa app. Take One Action Today To Build Your Resiliency! #mentalhealth #hr

Welcome to the Courageous Leadership with Virginia Prodan podcast! Episode : Fear Determines Your Actions - Virginia Prodan           Fear can significantly influence your actions in various ways. Fear can be both a hindrance and a motivator. It's essential to recognize its impact on your actions and consider strategies to manage fear effectively, such as mindfulness, therapy, or gradual exposure to feared situations. Prolonged fear can create long-lasting behavior patterns, leading to phobias or anxiety disorders. Overcoming fears can lead to personal growth, resilience, and increased confidence. Join us for weekly episodes that aim to inspire and empower you to: Deepen your Christian faith and live with bold courage; Advocate for freedom and uphold values in an increasingly challenging culture; Gain powerful insights from history; Uncover your God-given purpose and calling; Lead with conviction in your home, church, and society.        I'm Virginia Prodan —international human rights attorney, keynote speaker, author of Saving My Assassin, and a survivor of socialist Romania. I understand the true cost of freedom, the strength of faith, and the courage required to advocate for truth amidst adversity. Whether you're looking for encouragement, solutions to cultural challenges, or actionable steps to boldly live out your faith, this podcast will equip you to stand firm.           Stay Connected with Virginia Prodan

The FBI director publicly criticized how the Nancy Guthrie case was handled. Jennifer Coffindaffer spent 28 years at the Bureau and knows what it takes to push that kind of institutional conflict into the open. Private conversations failed first. Then the director went on record. That sequence tells you something specific about how badly the agency believes the early investigation was compromised.Coffindaffer walks through the operational difference between being notified about a case and having control over it — because the distinction matters when evidence is decaying by the hour. Digital evidence degrades. Biological evidence degrades. Witness memory degrades. An 84-year-old woman who required daily medication was missing, and the clock was running from the moment she disappeared. Speed was the single most important variable. Institutional friction is what kills speed first.She addresses the less visible damage that persists months into an investigation built on inter-agency conflict. Investigators become defensive. Witnesses become hesitant when they sense the people asking questions aren't coordinated. Tips fragment across competing internal systems. Prolonged forensic ambiguity this far into the case may signal that investigators aren't working with clean results — and Coffindaffer explains what that means for the prosecution if a suspect is eventually identified.Meanwhile, a headline sent the community spiraling. Pima County issued a BOLO for Coral Michelle Smith — wanted for kidnapping seven miles from where Nancy was taken. Authorities explicitly stated there's no connection. But four months without a named suspect creates a vacuum that pulls in every nearby crime.Smith's fifteen-year record — four prison stints, two revoked probations, a kidnapping charge pled down — describes opportunistic street-level offenses. Nothing matching the porch figure captured on Nancy's doorbell camera. The FBI describes that figure as male, 5'9" to 5'10". Smith is 5'6". The porch figure has an apparent wrist tattoo. Smith's tattoos are on her ankle, foot, and leg. The profiles don't align. But what Smith's record does reveal is a system that kept releasing a repeat offender — a separate institutional failure in the same county that's already under scrutiny for how it handled Nancy's disappearance.Join Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/channel/UC8-vxmbhTxxG10sO1izODJg?sub_confirmation=1Instagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/TrueCrimePodThis publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.#NancyGuthrie #SavannahGuthrie #FBI #PimaCountySheriff #JenniferCoffindaffer #CoralMichelleSmith #HiddenKillers #TrueCrime #TucsonArizona #JusticeForNancy

Nancy Guthrie was 84 years old, medically vulnerable, and required daily medication. Speed mattered more in her case than almost any other variable. And speed is exactly what institutional friction destroys first.Jennifer Coffindaffer spent 28 years at the FBI. She explains what happens to an investigation when the lead local agency and the federal agency aren't aligned — not in theory, but operationally. Digital evidence degrades. Biological evidence degrades. Witness memory degrades. Tips fragment across competing systems that aren't sharing information in real time. Investigators become defensive when they sense oversight. Witnesses become hesitant when the people asking questions don't seem coordinated. Prolonged forensic ambiguity months into a case may signal something worse — that investigators aren't working with clean results.The FBI director went public with criticism of how this case was handled. Coffindaffer says that doesn't happen over minor procedural disagreements. It happens when the Bureau believes critical evidence and critical time were lost, and private channels failed to produce change. That public rupture tells you where the institutional relationship was before the director spoke — and where it is now.Four months without a named suspect created a vacuum this week when Pima County issued a BOLO for Coral Michelle Smith — wanted for kidnapping and aggravated assault seven miles from where Nancy disappeared. Authorities stated explicitly there's no connection. Smith's fifteen-year criminal record describes opportunistic street-level offenses — four prison stints, two revoked probations, a kidnapping charge pled down. The FBI describes the porch figure as male, 5'9" to 5'10". Smith is 5'6" with tattoos on her ankle, foot, and leg — not the wrist tattoo visible on the porch figure. Nothing matches. But the headline filled the vacuum because the investigation hasn't filled it with an arrest.The Guthrie family is still waiting. The person who took Nancy is still unidentified. And Coffindaffer forces the question the public hasn't fully confronted: was the biggest obstacle in this case the offender — or the institutions that were supposed to find him?Join Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/channel/UC8-vxmbhTxxG10sO1izODJg?sub_confirmation=1Instagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/TrueCrimePodThis publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.#NancyGuthrie #SavannahGuthrie #FBI #PimaCountySheriff #JenniferCoffindaffer #CoralMichelleSmith #HiddenKillers #TrueCrime #TucsonArizona #JusticeForNancy

In this episode of the Prolonged Field Care Podcast, Dennis sits down with trauma surgeon Mark Shapiro for a no-BS masterclass on wound ballistics. They break down why understanding the physics of penetrating and blast trauma matters in austere and combat environments — even when experience makes you cynical. From high-velocity rifle rounds and their massive temporary cavities to the infectious nightmare of shotgun wounds and the four phases of blast injury, Mark shares hard-won lessons from civilian Level I trauma centers and years training special operations medics and ground surgical teams.They tackle the myths around entry/exit wounds, when (and when not) to explore right upper quadrant gunshot wounds downrange, why you should almost never pack the abdomen or chest from the outside, how to assess neurovascular status in blast-injured extremities, and why bizarre bullet paths and “stable” patients with signs of life can still surprise you.Key Takeaways:Kinetic energy (½mv²) means velocity is king — high-velocity rifle rounds create devastating temporary cavities and fragmentation that can turn one projectile into many.Jacketed rounds still fragment at rifle speeds; never assume a clean through-and-through. Bone fragments act like secondary missiles and can create wounds up to 3x the size of the fragment.For stable patients with right upper quadrant GSWs in resource-limited settings, expectant management can be reasonable — but you must have a plan, know your limits, and be ready to move if things change.Never pack the abdomen or chest from the outside in most cases. It risks pushing debris deeper and worsening injuries. Cover exposed organs if needed, but don't shove gauze into body cavities.Shotgun wounds (especially buckshot/birdshot) are “mobile IEDs” — massive tissue destruction, heavy debris inoculation, and extremely high risk of infection, fistula, and devascularized tissue requiring serial debridement.In extremity blast trauma, assess vascular status (pulses, Doppler signals, color, warmth, capillary refill) and neurologic function. The ~6-hour window to revascularization is critical, but the decision point comes earlier.Training + common sense + adaptability beat rigid protocols when resources are limited. Sometimes the best move is observation.Chapters04:15 – Why Wound Ballistics Knowledge Still Matters (even when you're cynical)08:30 – High-Energy Rifle Wounds: Muzzle Velocity, Kinetic Energy & Spitzer Bullets13:45 – Fragmentation, Tumbling & Secondary Missiles (bone shards & unpredictable paths)18:20 – Clinical Reality: Multiple Injuries & Why “Small Entrance, Big Exit” Is a Myth22:50 – Entry vs. Exit Wounds: When Trajectory Actually Matters (and when it doesn't)26:40 – Right Upper Quadrant GSWs: Explore, Observe, or Expectant Management Downrange?31:10 – The Dangers of Packing Abdominal & Chest Wounds from the Outside34:55 – Low-Energy Pistol Wounds: How They Differ (or Don't) from Rifles37:20 – Shotgun Wounds: Close-Range Carnage, Debris & Infectious Nightmares42:40 – IEDs & Modern Explosives: Blast Physics, Ukraine Patterns & Hard-Ground Effects48:15 – Primary, Secondary, Tertiary & Quaternary Blast Injuries Explained52:30 – Neurovascular Assessment in Blast-Injured Extremities (Conscious & Unconscious Patients)56:45 – Lessons from the Trauma Bay: Common Sense, Training & Knowing When to Deviate from ProtocolFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

Dennis Kneale, media strategist and author of the new book “The Oregoners,” discusses the latest primary election results and California's prolonged vote counting process. https://oregonersbook.com/

In this high-signal PFC Podcast episode, Dennis sits down with Dr. John Wightman — former 24th Special Operations Wing Surgeon, emergency physician, and one of the world's leading experts on blast injuries. Drawing from decades of clinical, combat, and academic experience (including co-authoring a seminal paper on blast injuries just before 9/11 and multiple combat deployments), Dr. Wightman breaks down the unique pathophysiology, recognition, and prolonged field care management of blast lung injury — the often-hidden threat that can kill even when penetrating trauma doesn't.From the physics of the supersonic pressure wave to practical field decisions on tension pneumothorax, ventilation strategies, fluid management, and avoiding air embolism, this is essential listening for medics, operators, and anyone preparing for large-scale combat operations, urban warfare, or confined-space blasts.Key Takeaways:Primary blast lung injury is caused by the blast wave itself — not fragments or being thrown — and creates unique pulmonary contusions, air leaks, and arterial air emboli risks.Most significant blast lung develops within the first 1–6 hours; subtle dyspnea on exertion can be an early warning.MARCH priorities still rule — aggressively rule out (or treat) tension pneumothorax, even bilaterally, before assuming blast lung.Positive pressure ventilation can worsen outcomes (especially air embolism risk) — use judiciously; CPAP or PEEP may be better bridges when possible.PAO₂/FiO₂ ratio (or SpO₂ on room air) helps stratify severity and predict need for advanced support.Tympanic membrane rupture proves blast exposure but is not required for blast lung.Fluid management must be careful — permissive hypotension may be dangerous in blast lung + shock.Don't forget occult blast bowel injury — delayed perforation is real (up to 8 days).Whether you're running a team in Ukraine-style trench warfare, preparing for mass casualty events, or just want to stay on the bleeding edge of combat medicine, this episode delivers critical, actionable knowledge.Chapters:00:43 - John Wightman Introduction: 32 Years as Air Force EM Physician & Blast Injury Expert02:54 - What Is Blast Lung? Defining Primary vs Secondary, Tertiary, Quaternary & Collateral Injuries05:23 - The Physics of the Blast Wave: Overpressure, Stress Waves & Alveolar Damage09:50 - Pathophysiology: Pulmonary Contusion, Pneumothorax, Air Embolism & Traumatic Pseudocysts12:30 - Timelines: When Does Blast Lung Declare Itself? (Israeli & Combat Data)15:56 - Epidemiology: Confined Spaces, Buses, Buildings vs Open-Air Blasts23:12 - Field Diagnosis & MARCH Priorities — Tension Pneumothorax First28:30 - Advanced Assessment: P/F Ratio, Ultrasound Findings, SpO₂ Guidance35:55 - Ventilation Strategies: When to Intubate, CPAP/PEEP, Lung Protective Settings41:18 - Oxygenation Goals, Fluid Management & Permissive Hypotension Risks52:16 - Air Embolism Management & Patient Positioning56:12 - Other Critical Considerations: Blast Bowel Injury, TM Rupture, Resource Triage01:04:36 - Final Thoughts & Key Advice for Deploying MedicsFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

In today's episode, Tanner and Anne provide ideas on how to get to the root cause of your chronic pain or symptoms.Neuroplastic pain/symptoms occur when there's a sense of danger and dysregulation in the brain and nervous system - not due to physical disease or damage. So it makes sense to ask - what's creating this sense of danger?You'll learn about pain/symptoms can be fueled by:• Prolonged high stress, including perfectionism and people pleasing• Childhood adversity and trauma as sensitizing factros• Pathological views of the body fueled by medical ideas, Googling, ChatGPT, fear, and avoidance • Emotional resistance• Dysregulated responses to feeling pain/symptoms throughout the day.Tanner Murtagh and Anne Hampson are therapists who treat neuroplastic pain and mind-body symptoms. They are also married!In his 20s, Tanner overcame chronic pain and a fibromyalgia diagnosis by learning his symptoms were neuroplastic, not structural. Post-healing, Tanner and Anne have dedicated their lives to developing effective treatment and education for neuroplastic pain and symptoms.Listen and learn how to assess your own chronic pain and symptoms, gain tools to retrain the brain and nervous system, and make changes in your life and health!The Mind-Body Couple podcast is owned by Pain Psychotherapy Canada Inc. This podcast is produced by Alex Klassen, one of the wonderful therapists at our agency in Calgary, Alberta. https://www.painpsychotherapy.ca/Tanner, Anne, and Alex also run the MBody Community, an in-depth online course that provides a step-by-step process for assessing, treating, and resolving mind-body pain and symptoms. https://www.mbodycommunity.comCheck out Tanner's YouTube channel for more free education and practices: https://www.youtube.com/channel/UC-Fl6WaFHnh4ponuexaMbFQAnd follow us for daily education posts on Instagram: @painpsychotherapyDisclaimer: The information provided on this podcast is for general in...

HERE WE ARE!!! Sorry for playing this PROLONGED game of hide and seek, but you see - last week we were riddled with tech issues. The week before that? Just didn't feel like it. Sorry :P Should we fuck around and do a live show? w/e

Joe's Premium Subscription: www.standardgrain.comGrain Markets and Other Stuff Links —Apple PodcastsSpotifyTikTokYouTubeFutures and options trading involves risk of loss and is not suitable for everyone.

Charles Burton and Gordon Chang analyze China's strategic gain from prolonged conflict in the Middle East, with Beijing appearing content to allow the conflict in the Strait of Hormuz to drag out as a way to deplete U.S. military resources. This instability supports China's narrative that the United States is a declining power. (8)1900 SAINT LAWRENCE BASIN

We have fresh drill results to report this morning from Trident Resources, Galleon Gold and Abitibi Metals. Meridian Mining has submitted the Installation Licence application for the Cabaçal gold-copper-silver project. Elemental Royalty has executed an Exploration and Option agreement with a subsidiary of KGHM. Great Pacific Gold has provided an update on field exploration work in the EK Target Area at the Wild Dog Project. This episode of Mining Stock Daily is brought to you by... ⁠⁠⁠⁠⁠Revival Gold ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Vizsla Silver⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Equinox Gold⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Integra Resources ⁠⁠⁠

- U.S. Faces Engine Oil Shortage - Toyota Reorganizes Manufacturing Engineering - EVs and Chinese Soar in Europe - Big Downside to China Speed - Scout Could Move Out of Michigan - Nissan Turns Paint Shop Waste into Insulation - Ram Getting Compact Pickup and 1st SUV - Hyundai Launching Mobile Repair Service

- U.S. Faces Engine Oil Shortage - Toyota Reorganizes Manufacturing Engineering - EVs and Chinese Soar in Europe - Big Downside to China Speed - Scout Could Move Out of Michigan - Nissan Turns Paint Shop Waste into Insulation - Ram Getting Compact Pickup and 1st SUV - Hyundai Launching Mobile Repair Service

In this episode of The Dairy Podcast Show, Dr. Margret Vonholdt-Wenker, postdoctoral researcher at the Friedrich Loeffler Institute, explains prolonged cow calf contact systems and their implications for dairy production. She discusses housing models, calf and cow welfare outcomes, management requirements, milk production impacts, weaning challenges, and practical adoption considerations across Europe. Listen now on all major platforms!“Calves in contact systems can drink according to natural intake patterns and develop within a social herd environment.”Meet the guest: Dr. Margret Vonholdt-Wenker is a postdoctoral researcher at the Institute of Animal Welfare and Animal Husbandry of the Friedrich Loeffler Institute in Germany. Her work focuses on animal behavior and developing housing systems that support natural behavior while maintaining health. With more than ten years of experience in cow-calf contact systems, she also received the 2024 IGN Research Award for her research on dairy welfare. Listen to The Dairy Podcast Show featuring Dr. Margret Vonholdt-Wenker on all major platforms.Liked this one? Don't stop now — Here's what we think you'll love!What you'll learn:(00:00) Highlight(01:32) Introduction(02:58) Prolonged cow calf contact(04:53) Welfare and health(07:53) Housing management(16:00) Foster cow systems(21:42) Weaning challenges(28:20) Final QuestionsThe Dairy Podcast Show is trusted and supported by innovative companies like:* Agri-Comfort* Adisseo* Afimilk* Evonik* Priority IAC* CowManager- dsm-firmenich- AHV- Natural Biologics- DietForge- Agrarian Solutions- Chemlock- Protekta- BoviSync

Why has the war not resumed? Why has a deal not been reached? And what exactly is happening during this strange and uneasy silence between the Islamic Republic and the West? On this edition of Roqe, Jian is joined by Lisa Daftari in Los Angeles and Bozorgmehr Sharafedin in Washington DC for a deeper examination of the prolonged pause following the ceasefire. Is the regime buying time? Is the West hesitating? And for millions of Iranians hoping for regime change, what does this uncertain in-between moment actually tell us about the future? But first, in the aftermath of Arsenal F.C. winning their first Premier League title in 22 years this week, Jian opens the episode with a deeply personal tribute to Aref Jafarzadeh - an Iranian Arsenal supporter from Rasht who was reportedly killed by Islamic Republic forces during the January 2026 protests while still wearing his Arsenal jersey. This episode is supported by: Stellar Law - stellarlaw.ca Famluxy - famluxy.com

You're using collagen wrong. This common collagen mistake could be limiting your results. Discover the benefits of collagen and the best ways to improve collagen absorption for better skin, joints, bones, and more.

In this no-fluff, high-stakes episode of the PFC Podcast, Dennis sits down with Patrick Liebel - trauma/ICU surgeon to tackle the injury that makes every medic's stomach drop: penetrating abdominal trauma.When the golden hour stretches into days, evacuation is delayed, and your patient's belly is a black box of bleeding, contamination, and impending sepsis, what do you actually do? Patrick delivers hard-earned, practical wisdom on hemorrhage control, evisceration management, permissive hypotension, antibiotics, nutrition, peritonitis, and abdominal compartment syndrome — all tailored for the austere, resource-limited prolonged field care environment.If you carry a medic bag and might one day face a guy with his guts hanging out and no surgeon in sight, this episode is required listening. Real talk, real decisions, real consequences.Key Takeaways (Actionable Gold for Every Medic):Mesenteric torsion = widespread ischemia → never spin the bowel for hemorrhage control. Clamp or ligate targeted vessels instead.Clamping is fine in the heat of the moment — revise to ligation later when safe. Remember: every vessel has two ends.Eviscerated bowel is happier inside the abdomen. Tuck it back if you can (keep it wet, protect it). Only widen the defect if ischemia is imminent and you're in a controlled setting.Solid organ (liver/spleen) bleeding → permissive hypotension is your only friend. Titrate to mental status + palpable radial pulse. Track trends, not single numbers.Assume hollow viscus injury until proven otherwise. Hit it hard and early with antibiotics (Ceftriaxone + Flagyl is the practical winner most teams actually carry).Nutrition: If they're hungry, stable, soft abdomen, and no peritonitis after 1–2 days → feed them. Start slow, listen to the patient.Peritonitis = bad news. You've done everything possible with antibiotics and resuscitation — now you're buying time for definitive surgery.Abdominal compartment syndrome is rare with whole blood resuscitation but lethal if it develops. Watch for progressive distension + organ dysfunction (urine output drop + respiratory failure).Document everything. Trends in vitals, urine output, mental status, and abdominal exam are your lifeline in PFC.Chapters:00:00 – 01:30 Welcome & Patrick Liebel Introduction01:30 – 08:00 Hemorrhage Control: Clamping, Ligating, and Why You Should Never Spin the Bowel08:00 – 14:30 Evisceration Management — Tuck It, Widen It, or Leave It?14:30 – 25:00 Solid Organ Injuries & Permissive Hypotension in PFC25:00 – 35:00 Prolonged Critical Care Monitoring, Urine Output, and Trend Analysis35:00 – 42:00 Contamination Control, Antibiotics, and Hollow Viscus Injuries42:00 – 49:00 Nutrition, Ileus, and When to Feed49:00 – 57:00 Peritonitis, Sepsis, and Abdominal Compartment Syndrome57:00 – End Final Pearls, Nursing Care, and Closing ThoughtsFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

Once a month, we're re-releasing a classic StraightioLab episode from the vault. Today we're celebrating Torrey Peters, who was just named a Pulitzer Prize finalist for her book Stag Dance!See omnystudio.com/listener for privacy information.

In this episode of the PFC Podcast, Dennis sits down with Kevin — a Nurse Anesthetist (CRNA) with deep experience in hospice/oncology floors, Level I trauma ICUs and ERs, military nursing, and years in austere environments, including a Role III in Baghdad. Kevin delivers straight talk on the most overlooked, time-consuming, and life-saving phase of Prolonged Field Care: nursing care.He answers the exact question every medic wants to know: When does nursing actually start? Then he walks through the full reality of what “nursing” means in the field — from relentless data gathering and charting, to turning patients, pulmonary toileting, skin care, oral care, managing the mess (yes, including bowel movements on litters), and preventing the downstream killers like pressure ulcers, ventilator-associated pneumonia, and sepsis that can undo even perfect damage-control surgery.You'll get practical austere hacks (including Kevin's legendary Barbasol shaving cream trick), training advice that actually works, how to know when the patient is truly stable, when to escalate to a provider, and why evacuation must remain the primary plan — not prolonged field care.Key Takeaways:PFC nursing starts the moment life-saving interventions (hemorrhage control, surgery, cric, chest tubes, etc.) are complete and the patient is stabilized — not during the gunfight or initial resuscitation.Skin care and turning patients prevents deadly complications — pressure ulcers, infections, and sepsis can kill a patient with otherwise survivable injuries.Austere game-changer: Barbasol shaving cream + washcloths cuts through blood, stool, grease, and debris without drying out skin. Bring cheap bottles.First hour priorities: frequent vitals/assessments, confirm stability, get fluids/sedation/maintenance running, then move to the full nursing checklist.Set clear “left and right limits” / parameters for teammates or non-nurses so you can actually rest, rearm, or plan the next mission.Best training: Work real ICU/floor shifts (especially weekends when staffing is thin) — mannequins and sims don't teach the time sink or the “why.”Mindset shift: Move from high-speed, high-adrenaline interventions to the “boring but essential” maintenance phase. If it feels boring, you're probably doing it right.Strategic reality: Evacuation (Medevac or CasEvac) should stay the P in your PACE plan. Prolonged field care with high casualty volumes and limited resources is an enormous time and math problem — history (WWII South Pacific, etc.) proves it.Chapters:01:50 – When Does Prolonged Field Care Nursing Actually Start?04:39 – The Foundation: Data Gathering, Assessments & Charting07:03 – The Full Laundry List of Bedside Nursing Interventions09:26 – How to Train Real Nursing Care (ICU Shifts Beat Mannequins)11:46 – The Critical First Hour: Settling In & Confirming Stability14:04 – Head-to-Toe Assessment, Pulmonary Toileting, Oral Care & Eye Care16:16 – Real Talk: Skin Care, Turning Patients, Bowel Movements & Preventing Ulcers/Sepsis20:50 – How Long Until the Patient Is Truly Stable? (The Pregnant Pause)34:49 – Patient Changes: When to Call the Provider & Setting Left/Right Limits41:34 – Common Pitfalls Medics & Teams Make in PFC Nursing48:59 – Nursing Care Plans, Early Ambulation & Broader Patient Needs54:26 – PACE Plan Reality Check: Why Evacuation Must Stay Priority #1For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

In this high-yield, no-fluff episode, Dennis is joined by Dr. Michael Falk, a pediatric emergency medicine physician, former academic, and combat-experienced relief worker who has run airways in Haiti post-earthquake, Mosul during the ISIS fight, Ukraine, and Gaza. They break down exactly why pediatric airways are a completely different beast in prolonged field care and give you field-proven tactics that actually work when you're the only one there with a BVM and a prayer.Key Takeaways You Can Use TomorrowPositioning is everything: One to two inches under the shoulders (or whole body) prevents automatic obstruction from the massive occiput.Adjuncts > early tube: NPA or OPA + side-lying (gravity is your friend) can keep you from tubing in the field.Tube sizing rule: Child's pinky ≈ ET tube diameter. Depth = 3× tube size. Always go smaller — you can ventilate, you can't un-damage a ripped airway.Intubation mindset: Kid airway is more anterior and cephalad. Slow down, work your way in, or you'll be in the esophagus.GCS decision:

Australians are living longer and longer, which is on one hand a beautiful thing. But on the other, prolonged old age is wreaking havoc. So how might we respond to this new demographic situation we find ourselves in?Lucinda Holdforth is a writer who specialises in looking at what makes good societies flourish, everything from manners to politics and equality.Most recently, she's set her sights on the unintended negative consequences following the extraordinary increase in life span around the world, particularly in Australia.In the past 50 years, human life expectancy across the globe has jumped from 46 years old to 73, and in Australia that number is even higher -- an Australian born today is likely to live until they are 84 years old.On the surface, living longer is a very good thing. It means more time spent with our loved ones, looking at the stars, feeling the sun, living.But prolonged old age can also be very lonely and painful, and, as Lucinda argues, it is costing society as a whole in many ways.She has seen this firsthand, as a daughter who supported her own parents in their long old age, and has some surprising suggestions about how we could do things differently to ease the impact on our economy, our medical system, our elderly and our youth.GOING ON AND ON: Why our longevity threatens our future is published by Simon & Schuster.This episode was produced by Meggie Morris. Executive Producer is Eliza Kirsch.It explores the sandwich generation, carers, women caring for parents, the elderly, dementia, Alzheimer's, Bryan Johnson, biohackers, Blue Zone, how to live longer, Mediterranean diet, tech bros, longevity, muscle mass, aging, deterioration, aged care, death, grief, how to live well, writing, books, old age, diseases of the elderly, tax, taxation, ageism, voting rights, voting age, lower the voting age.To binge even more great episodes of the Conversations podcast with Richard Fidler and Sarah Kanowski go the ABC listen app (Australia) or wherever you get your podcasts. There you'll find hundreds of the best thought-provoking interviews with authors, writers, artists, politicians, psychologists, musicians, and celebrities.

The U.S. is seeing softer domestic demand for traditional fuels, but pockets of the country remain highly dependent on imported gasoline, jet fuel and diesel. Today, we'll zero in on which PADDs are at the highest risk for shortages and price spikes if the Iran war drags on for an extended period.

In this must-listen episode, Dennis sits down with Dr. Jon Andrews—former 5th and 20th Group Special Forces medic turned Duke-trained anesthesiologist (pediatric & cardiac fellowships)—to tackle one of the biggest headaches in austere medicine: you have a tiny box of opioids and ketamine, a long mission, and a patient who needs to stay alive AND comfortable.They break down exactly how to stretch every milligram using real OR strategies adapted for prolonged field care: patient-specific planning, smart titration, multimodal synergy, regional blocks, ketamine myths, and when (and how) to layer non-narcotics without crashing your patient or your supply.Why this episode matters: Acute pain becomes chronic pain. Chronic pain leads to opioid dependence, PTSD, and worse outcomes. In the field, your choices today shape your patient's tomorrow—and whether you still have meds left when the next casualty shows up.Key TakeawaysStart low, titrate smart. Cut your first dose in half on sick or unstable patients. You can always give more—never the other way around.Multimodal is mission-critical. Hit pain from every angle (blocks + ketamine + acetaminophen + judicious NSAIDs) to dramatically reduce opioid requirements and prevent chronic pain pathways.Ketamine IS an analgesic. It's not just dissociation—it's an NMDA antagonist that blunts central sensitization and has proven opioid-sparing effects.Schedule your non-opioids. Acetaminophen (1 g IV/PO/PR q6h) and longer-acting adjuncts form your baseline; use fentanyl or morphine only for breakthrough.Blocks beat everything—if you can do them. Pre-emptive regional anesthesia (when feasible) is the single highest-yield move before surgical stimulus hits.Monitor like your life depends on it. Heart rate, blood pressure, and respiratory rate are your best pain score when the patient can't talk.Plan for worst-case evacuation. Bring more than you think you'll need and dose for the opioid-naïve or opioid-tolerant reality in front of you.Why treating hypertension in the OR (or field) almost always starts with fixing pain firstThe “start low, see response, add more” mantra every austere provider needsWhy Tylenol often performs as well as morphine in blinded ED studies (and why your patients still doubt it)Real talk on ultrasound-guided blocks in 2011 vs. today—and why proficiency still mattersThe dangerous synergy of opioids + benzos + ketamine on respiratory driveWhy you must get comfortable decreasing doses, not just ramping them upChapters01:55 – The austere reality: limited narcotics and why your favorite med won't last forever03:37 – OR planning vs. field reality: opioid-naïve vs. chronic users05:57 – Multimodal analgesia explained (blocks, ketamine, Tylenol, NSAIDs, dexmedetomidine)08:28 – Patient & mission factors that should drive your loadout12:23 – Golden rule: start low, titrate to effect, monitor vitals15:05 – Sick-patient hack: cut your mental dose in half16:01 – Is ketamine actually an analgesic? (NMDA, opioid-sparing, PTSD data)19:12 – Extending your supply: bolus vs. infusion, redosing strategy24:27 – First-line multimodal choices in the field27:43 – Juggling multiple agents: timing, scheduling, and longer-acting blocks30:15 – Regional anesthesia timing—pre-emptive is king (post-injury limitations)32:48 – Ultrasound & blocks in the current PFC world35:08 – Safety considerations for adjuncts (liver, kidneys, bleeding, alcohol)36:59 – Bang-for-buck data on Tylenol vs. morphine38:55 – Practical integration: layering Tylenol/ketamine with fentanyl titration41:54 – Getting comfortable titrating down (and why pain scores can lie)42:53 – Final wisdom: use everything you're comfortable with.For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

10. HEADLINE: Russia's Struggling Economy Amid Prolonged War and Sanctions GUEST: Michael Bernstam SUMMARY: Russia faces a looming recession, high inflation, and a structural contraction due to reduced investment. The government has nationalized private pension funds to finance the war effort and infrastructure projects. (10)1935 AL LISAFAH

Patrick Bet-David and the panel break down Iran's ceasefire demands, including lifting sanctions, ending U.S. interference, and securing long-term guarantees. The discussion explores whether these demands signal leverage or desperation, how Saudi Arabia and regional allies factor in, and what this means for U.S. strategy moving forward.