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In this World Shared Practice Forum podcast, Dr. Paul Offit discusses the viruses causing the so-called “tripledemic.” Dr. Offit reviews the virulence, transmission, and vaccine potential related to Respiratory syncytial virus (RSV). He shares current knowledge about the epidemiology and pediatric vaccination rates related to the Influenza A outbreak. Lastly, Dr. Offit gives an update on COVID-19 in the pediatric population, including details on current variants, the effectiveness and impact of the bivalent vaccines, and what to expect in the future. Upon listening to this presentation, learners should be able to: - Describe the surge of RSV infections observed in 2022, with likely causes - Explain the process of strain selection for the yearly Influenza vaccine - Summarize available data relating to the efficacy of the bivalent COVID vaccine Published: January 23, 2023. Citation: Offit P, Daniel D, Burns JP. Tripledemic: What we know so far and what to expect going forward on RSV, Influenza A, and SARS-CoV-2 in Children. 01/2023. Online Podcast. OPENPediatrics. https://soundcloud.com/openpediatrics/tripledemic-what-we-know-so-far-and-what-to-expect-going-forward-by-dr-paul-offit Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu
Essential oils are safe, effective and affordable to help your body help itself. God was so good to give us these natural, aromatic compounds to be our first line of defense and also uplevel our emotional health. Use essential oils for combatting anxious feelings, uplevel your mood, help with digestive health, immune system boosting, respiratory support, muscle and joint discomfort as well as swap out conventional products for all natural ones infused with plant power! To get started with essential oils click here: https://www.doterra.com/US/en/selectRegion/WC/469056 I would recommend the Aroma Essentials or Healthy Start or if you're ready transform your home, get the Natural Solutions kit. Don't see all you want in one kit? Design your own... click "pick your own products"! Are you subscribed to THE WELL for more health and wholeness resources? www.thewellteam.com/community Join our WELL Facebook group for more support and encouragement to refill daily with faith, self care, health and wellness! Follow me on Insta FREE morning routine guide thewellteam.com/morningroutine Email hello@thewellteam.com Want to talk? Kari's coaching will help you combat overwhelm and exhaustion to design a life you love through faith, self care, holistic health and habits you love! www.calendly.com/karidaviscoaching for a connection call to see if coaching with Kari is a good fit for you!
We learn about the surge in respiratory illnesses in Wisconsin and what people can do to stop the spread of RSV, flu, and COVID-19. We look at how the Milwaukee Riverkeepers are cleaning up the Milwaukee estuary and making it safer to swim and fish. We learn how a sound-proof arena is making it easier to study frog mating calls at UW-Milwaukee. Plus, hear from a man who ran every single street in Milwaukee.
Dr. Paul Alexander Liberty Hour – The alarm with findings such as these is when you extrapolate them to millions of Americans who took the COVID gene injection (mRNA) (and especially young persons, note alarming research is showing females are also impacted, e.g., myocardial lesions, with the mRNA shots) and the sequelae are ‘silent' and then as...
Editor's Summary by Mary McGrae McDermott, MD, Deputy Editor of JAMA, the Journal of the American Medical Association, for the January 17, 2023, issue. Related Content: Audio Highlights
From the common cold right through to the flu, it is something most people are faced with many times over in their life. And all of us could do with less coughing, sore throat, runny nose, body aches and fatigue in our lives. Our gut microbiota plays an important part in our immune system, so scientists for some years have looked at how changing our gut microbiota could influence respiratory tract infections. In this podcast, I'll look at the current state of play for the role of supplemental probiotics, prebiotics and synbiotics in tackling acute respiratory tract infections.Links referred to in the podcastSystematic review of probiotics, prebiotics, and synbiotics for respiratory tract infections https://pubmed.ncbi.nlm.nih.gov/35948276Episode transcriptTo access the full episode transcript, go to the following link and select the individual podcast episode and then click on the ‘Transcript' tab https://thinkingnutrition.buzzsprout.comConnect with meInstagram: doctimcroweFacebook: Thinking NutritionTwitter: CroweTim
Join Kristin as she speaks to Dr Colin Tuft, Advanced Trainee in Respiratory and Sleep Medicine at the Royal Prince Alfred Hospital about all things sleep apnoea.
The US is expected to reach its federal limit on borrowing next week – we'll explain what it could mean for the economy. House Republicans say they're launching investigations into President Joe Biden's handling of classified documents. A search and recovery mission is underway in parts of the southeast following severe storms – we'll hear from a survivor. We have an update on flu and Covid-19 in the US. And, lottery hopefuls wager their Mega Millions bets for the second-largest jackpot in the game's history.To learn more about how CNN protects listener privacy, visit cnn.com/privacy
Lung capacity begins to decline when we turn 35 years old, reports the American Lung Association. However, there are exercises that improve lung function. We talk with a respiratory therapist about lung health.
In this episode of the Rapid Response Podcast, Dr. Krystina Woods talks with Dr. Larry Kociolek of Lurie Children's Hospital of Chicago about Pediatric Respiratory Viral Surge and trends they have seen; what it looks like now compared to at the height of the COVID-19 pandemic, mitigation strategies and more. Speaker: Larry Kociolek, MD, MSCI, FSHEA, FPIDS Moderator: Krystina Woods, MD Let us know what you think of our podcasts at https://learningce.shea-online.org/content/shea-podcast-feedback .
Darryl Abrams, MD is an Associate Professor of Medicine and a medical intensivist and ECMO attending at NewYork-Presbyterian/Columbia University Irving Medical Center. He is the Associate Medical Director and Director of Research of the Medical ECMO Program at the Center for Acute Respiratory Failure, as well as Medical Director of Intermediate Care and Pre-Critical Care Services. He presents a lecture during Critical Care Grand Rounds entitled "ECMO for Respiratory Pandemics".
This week on Where Parents Talk radio on 105.9 The Region, host Lianne Castelino speaks to Dr. Mandeep Johal, dentist, airway and breathing expertise about how oral health impacts total body wellness and holistic approaches to dental health care for children, youth and adults.
Additional resources OHA COVID-19 vaccine website: covidvaccine.oregon.gov OHA Facebook Safe+Strong website Ask a Black Doctor on The Numberz REACH webpage and REACH Facebook Cornell University Infographic on Spotting Fake News Fighting COVID-19 Vaccine Misinformation and Heart Awareness: Q1: Some social media posts I've read suggest COVID-19 vaccines lead to football player Damar Hamlin collapsing in the middle of an NFL game on Monday. Should I believe them? It's best to be cautious about other users' online posts around the COVID-19 vaccine, especially if they are vague, and trigger emotional responses like fear and anxiety. In this case, many of these posts imply a connection between Hamlin's collapse, and the COVID-19 vaccine without citing any sources. Some even say he passed away from the incident using the hashtag #diedsuddenly, when he's actually in a hospital as of the publishing of this episode. It's also important to note that Hamlin's vaccination status is unknown, and his full medical history isn't publicly accessible information. For now, Hamlin's team the Buffalo Bills say he experienced a cardiac arrest shortly after a tackle. While there's no confirmed reason as to why, doctors following the situation say it was possibly due to something called commotio cordis. Q2: What is commotio cordis? Is it the same as a heart attack? Commotio cordis happens whenever someone experiences enough blunt force or trauma to the chest during a specific timing of their heartbeat, when the heart is most vulnerable to such impacts. Their heart can stop beating unexpectedly as a result, otherwise known as cardiac arrest. In this situation, calling 9-1-1 and giving CPR as soon as possible can save that person's life until emergency response teams (EMTs) arrive. By comparison, heart attacks can happen when the heart doesn't get enough blood, usually due to something blocking the bloodflow. Since someone experiencing a heart attack can still talk and breathe, they don't need CPR, but they do need to get to a hospital right away. Q3: Does getting the COVID-19 vaccine have any side effects that may affect my heart? There have been rare reports of Myocarditis and Pericarditis, inflammation of the heart muscle and inflammation of the heart's outer lining respectively. While few, these cases tend to happen in teen boys and young men within a week of getting their second COVID-19 shot. With that said, they felt better quickly after getting some care and medicine. Those aside, there's a remote chance of a severe allergic reaction within minutes to an hour of getting your COVID-19 vaccine. A fast heartbeat and dizziness are some possible signs of this. Q4: Are COVID-19 vaccines safe? Should I still get myself or my child vaccinated? Yes. Vaccines go through constant testing for quality and safety, even after they're licensed and approved by the Food & Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC). Getting vaccinated and boosted against COVID-19 helps prevent possibly severe complications like getting seriously ill, being hospitalized and dying. Additionally, the vaccine helps reliably create an immune response against the virus without the potential illness or post-COVID conditions that can come with an infection. As the virus evolves over time and mutates into different variants like Omicron, keeping up to date on booster shots you're eligible for can offer protection against those new variants. Q5: I heard about a new variant type called XBB.1.5 in the news. What is the latest we know about it? At this time, we know that XBB.1.5 is a subvariant of Omicron that's steadily grown across December 2022. By the end of that month, it made up 18.2% of cases across Oregon, Washington and Idaho, and 40% of cases nationally, according to the CDC. There's currently no evidence of it causing more severe illness from catching the virus, though its mutations allow it to spread more quickly than other subvariants. While there's still a lot to learn, I think we should be hearing more about it in the coming weeks as new information becomes available. Document accessibility: For individuals with disabilities or individuals who speak a language other than English, OHA can provide information in alternate formats such as translations, large print, or braille. Contact the Health Information Center at 1-971-673-2411, 711 TTY or COVID19.LanguageAccess@dhsoha.state.or.us. QUESTIONS FROM THE COMMUNITY: "Why are we getting an influx of super sicknesses? Respiratory systems seem to be under attack (RSV, colds, Covid) what factors are contributing to this?" - Janita Jones "Might be good to address the concerns of myocarditis and vaccines." - Holly Hinson "Ideas & Community Care practices inclusive of immunocompromised people - how can we move forward without leaving a group of people behind?" - Emma Holland
Kids seem to be catching everything and getting sicker as the pandemic enters its third winter, leaving physicians and researchers to figure out what's going on.
Respiratory viral infections are surging this season. How do you know which one your patient has? Credit available for this activity expires: 1/3/2024 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/986253?ecd=bdc_podcast_libsyn_mscpedu
And, are more postal strikes on the way?
Dr Máire Finn, GP
In the fifth and final episode of season 3, we learn about the impact that pulmonary fibrosis can have on relationships with family and friends, and even on the more intimate aspects of partner relationships. Our contributors also take time to emphasize the value that they derive from healthy and supportive relationships when living with this challenging condition.
In the first of four special bonus episodes, Helena looks back at the launch episode of Season 3, which featured Dr Juby Jacob-Nara, Vice President and Global Medical Head for Respiratory, Allergy and Gastro-Intestinal Diseases, Sanofi. Helena considers some of the gold nuggets that Juby shared, including insights on the importance of cross-functional experience, team diversity and continual learning. If you're interested in learning more about the topic areas discussed in this episode, check out the following content: Juby's full episode: Meet GOLD's new catalyst – medical aficionado Juby Jacob-Nara https://www.emg-gold.com/post/podcast-meet-gold-s-new-catalyst-medical-aficionado-juby-jacob-nara Catalyst interview: Juby Jacob-Nara on medical affairs https://www.emg-gold.com/post/juby-jacob-nara-on-medical-affairs Revealing the true value of medical affairs https://www.emg-gold.com/post/revealing-the-true-value-of-medical-affairs Preparing MSLs for the spotlight https://www.emg-gold.com/post/preparing-msls-for-the-spotlight
So, after the holidays, where do we stand? There's some good news.
This week we will discuss another respiratory virus that has been really hitting hard here in the United States this season. Respiratory syncytial virus (RSV) is a contagious virus that is usually mild, but can severely affect the lungs and respiratory airways in older adults While you may not have heard of it yet, RSV is not a new virus and may be more of a health concern than you think—even if you're healthy. And if you're aged 60 or older, you can get RSV. But don't worry, by coming here you've taken a savvy first step toward learning about RSV so you can be informed. Let's dive in. What are the symptoms of RSV? Symptoms of RSV can range from mild to severe and can last up to 2 weeks. RSV can cause severe symptoms in older adults. RSV symptoms may include: Fever Cough Sore Throat Runny Nose Congestion Headache Tiredness The US Centers for Disease Control and Prevention states that adults at highest risk for severe RSV infection include older adults, especially those 65 years of age and older, adults with chronic heart or lung disease, and adults with weakened immune systems. ~~ How does RSV spread? Similar to some other respiratory infections, a cough or sneeze can easily spread RSV. And while you're typically contagious for 3-8 days, some people, especially those with weakened immune systems, can be contagious for as long as 4 weeks—even after they stop showing symptoms. ~~ There's a trio of viruses spreading in the U.S. — COVID-19, the flu and RSV — and some in the medical world are calling it a “tripledemic.” Public health officials have seen “elevated” levels of all three viruses circulating in the U.S. If you're feeling sick, it can be tough to differentiate among COVID-19, the flu and RSV because they share similar symptoms and can also look like the common cold. When it comes to COVID-19, the CDC reports cases and deaths have risen in the past few weeks, as of Dec. 16. Meanwhile, Walenksy said at the briefing that flu and RSV cases are higher than what's been historically typical this season. It's possible that you might be sick with one of the viruses. But keep in mind that from late August through March, it's also a prime time to get a cold ~~ Am I sick with COVID, RSV, the flu or simply a cold? Before getting into symptoms, one characteristic COVID-19, the flu and RSV shares is that they're respiratory infections affecting the airways, lungs, sinuses and throat. The cold is similar in that it is an upper respiratory infection affecting the nose and throat. COVID-19 and the flu have quite a few overlapping symptoms, according to the CDC, including: Fever Cough Trouble breathing Feeling tired Sore throat Headache Vomiting Runny or a stuffy nose ~~ Diarrhea is listed as a flu and COVID-19 symptom by the CDC. However, while anyone with COVID-19 can experience diarrhea, it is more likely that children with the flu will experience the symptom, according to the agency. The CDC notes that COVID-19 symptoms may take longer to show up after an initial infection compared with the flu. ~~ Overall, the flu is the most likely to result in muscle aches and a fever compared to COVID-19, a cold and RSV, according to NYU Langone Health. In the U.S., the flu and RSV is hitting children hard and overwhelming hospitals, NPR reports. ~~ RSV, or respiratory syncytial virus, can affect anyone with “cold-like” symptoms and has the potential to be most severe for babies and older adults, according to the CDC. The most common symptoms of RSV and a cold Similarly to COVID-19 and the flu, RSV symptoms, according to the American Academy of Pediatrics, include: • Fever • Cough • Trouble breathing, including wheezing and shortness of breath • Feeling tired • Stuffy nose Other symptoms include sneezing, flaring nostrils, lack of appetite, and “head bobbing or chest caving in between and under ribs with each breath,” the American Academy of Pediatrics reports. The common cold also shares overlapping symptoms of COVID-19, the flu and RSV, according to Mayo Clinic. ~~ Some include: • Low-grade fever • Cough • Runny or stuffy nose • Congestion Meanwhile, sneezing, body aches and a mild headache are also cold symptoms. Getting evaluated for COVID-19 or the flu With COVID-19 and the flu, the CDC reports that “you cannot tell the difference between” the pair based on symptoms. Luckily, there is a test that can detect whether you have COVID-19, the flu and even RSV that you can get through a health care provider. If all three are ruled out, there's potential that you could have a cold. Generally, good habits to prevent yourself from getting sick include washing hands, avoiding touching your face, avoiding close physical contact, staying home and cleaning surfaces (CREDITS: https://bit.ly/3jIWxbG) .
Probiotic research is growing—what's the latest now? Listen in to learn about studies that analyze how the following conditions respond to probiotic supplementation: H. Pylori Eczema Hypothyroidism Prostate infections Diabetes Arthritis Respiratory infections Allergic rhinitis Prediabetes/diabetes IBS-Diarrhea Ulcerative colitis https://www.drruscio.com/probiotic-updates-gut-skin-disorders My book Healthy Gut, Healthy You is available at https://drruscio.com/getgutbook If you're in need of clinical support, please visit https://ruscioinstitute.com Looking for more? Check out https://drruscio.com/resources
Respiratory therapist L'Tanya Pierce talks about the Nemours Hair Care for Champions project she started in the Delaware Valley Region. It's aimed at providing hospitalized Nemours patients with clean, healthy-looking, and attractive hair as a matter of dignity and pride. It's also a grassroots, bedside example of how Nemours associates go beyond medicine daily. Please be advised: There are two patient stories in this podcast. Certain details have been left out to ensure their privacy. Details that remain could be difficult or disturbing for some listeners. This is a REBROADCAST of Episode 129, originally released on February 7, 2022 Carol Vassar, producer
Dr. Ted Watkins
Clinics and hospitals have been slammed with flu patients for the last several months, and now doctors are starting to see some more COVID-19 circulating. The full impact holiday gatherings had on viral spread won't be obvious for a few more weeks but Thanksgiving did lead to an increase in flu and COVID-19 cases. There are at least two dozen different variants of COVID-19 spreading in Mecklenburg County. The latest data shows Omicron subvariant BQ.1.1 is the most dominant. READ MORE: https://www.wcnc.com/article/news/health/holidays-impacting-viral-spread-health/275-06b318c8-d619-4622-a2c9-d3cde63af0a3 Southwest Airlines said it expects to return to normal operations Friday after more than a week of widespread flight cancellations that started with a winter storm and spiraled out of control because of a breakdown with staffing technology. If Thursday turns out to be the last day of the Southwest crisis, it will be marked by about 2,350 canceled flights, nearly 60% of the airline's schedule. READ MORE: https://www.wcnc.com/article/news/nation-world/southwest-flight-chaos-continues/507-3a4befa3-7465-4f95-87df-a2ecc195ca67 Watch Wake Up Charlotte each weekday morning from 4:30 to 7 a.m. on WCNC Charlotte, and as always, join the conversation on social media using #WakeUpCLT!
Additional resources OHA COVID-19 vaccine website: covidvaccine.oregon.gov OHA Facebook Safe+Strong website Ask a Black Doctor on The Numberz REACH webpage and REACH Facebook Q1: What is RSV? Respiratory syncytial virus, also known as RSV, is a common respiratory virus that spreads through virus-containing repiratory droplets produced from coughing and sneezing For most children, RSV produces mild illness. However, young children are especially susceptible to RSV. Those at higher risk of severe illness are: Children under the age of 2 Premature infants Infants with congenital or chornic cardiopulmonary disease Older adults 65+ Children and adults with weakend immune systems When children are first infected with RSV, between 25-40% will have symptoms of bronchiolitis or penumonia Yet, it's important to keep in mind that only about 2% of children will require hospitalization Q2: What are signs and symtpoms of RSV? Symptoms will show within 4 to 6 days after getting infected. Runny nose Decrease in appeitite Sneezing Fever Wheezing Symptoms in infants with RSV may be Irritability Decrease activity Breathing difficulties These symptoms usually appear in stages and not all at once. Q3: What is the impact of RSV in the Black and African American community? Research has show that due to racism-related stress Black and African American women are more likely to deliver a premature baby. The risk of contracting RSV is even higher for premature babies. Making this of particular concern for Black and African American community. Being aware of the impact of RSV on the community and the preventive steps that can be taken, is critical to protect the health and well-being of children. Q4: What are some safety measure one should take? Stay home when sick to help protect other others in the community from catching the illness, if possible Avoid close contact with sick people Wash your hands often with soap and water for at least 20 seconds Disinfect high touched surfaces such as doorknobs and mobile devices Consider a mask in crowded indoor settings During this time of year, it's recommend to stay up to date on flu and COVID vaccinations to help prevent other repiratory illness. If you have questions about your child's care, call your health care provider or visit an urgent care center. Document accessibility: For individuals with disabilities or individuals who speak a language other than English, OHA can provide information in alternate formats such as translations, large print, or braille. Contact the Health Information Center at 1-971-673-2411, 711 TTY or COVID19.LanguageAccess@dhsoha.state.or.us.
Additional resources OHA COVID-19 vaccine website: covidvaccine.oregon.gov OHA Facebook Safe+Strong website Ask a Black Doctor on The Numberz REACH webpage and REACH Facebook Q1: What is RSV? Respiratory syncytial virus, also known as RSV, is a common respiratory virus that spreads through virus-containing repiratory droplets produced from coughing and sneezing For most children, RSV produces mild illness. However, young children are especially susceptible to RSV. Those at higher risk of severe illness are: Children under the age of 2 Premature infants Infants with congenital or chornic cardiopulmonary disease Older adults 65+ Children and adults with weakend immune systems When children are first infected with RSV, between 25-40% will have symptoms of bronchiolitis or penumonia Yet, it's important to keep in mind that only about 2% of children will require hospitalization Q2: What are signs and symtpoms of RSV? Symptoms will show within 4 to 6 days after getting infected. Runny nose Decrease in appeitite Sneezing Fever Wheezing Symptoms in infants with RSV may be Irritability Decrease activity Breathing difficulties These symptoms usually appear in stages and not all at once. Q3: What is the impact of RSV in the Black and African American community? Research has show that due to racism-related stress Black and African American women are more likely to deliver a premature baby. The risk of contracting RSV is even higher for premature babies. Making this of particular concern for Black and African American community. Being aware of the impact of RSV on the community and the preventive steps that can be taken, is critical to protect the health and well-being of children. Q4: What are some safety measure one should take? Stay home when sick to help protect other others in the community from catching the illness, if possible Avoid close contact with sick people Wash your hands often with soap and water for at least 20 seconds Disinfect high touched surfaces such as doorknobs and mobile devices Consider a mask in crowded indoor settings During this time of year, it's recommend to stay up to date on flu and COVID vaccinations to help prevent other repiratory illness. If you have questions about your child's care, call your health care provider or visit an urgent care center. Document accessibility: For individuals with disabilities or individuals who speak a language other than English, OHA can provide information in alternate formats such as translations, large print, or braille. Contact the Health Information Center at 1-971-673-2411, 711 TTY or COVID19.LanguageAccess@dhsoha.state.or.us.
Matthew Binnicker, Ph.D., director of the Clinical Virology Laboratory at Mayo Clinic, joins host Bobbi Pritt, M.D., on this week's episode of the "Answers From the Lab" podcast. In this episode, they discuss the ongoing respiratory virus season, a new test for measles available at Mayo Clinic Laboratories, and some tips to stay healthy.
There are a lot of different viruses going around out there right now. Why that is and how best to navigate this surge is what we cover in today's episode.
We're shifting gears a bit in this episode by focusing on the examination side of anesthesia and hosting our first ever Q&A episode. Since students take a lot of tests in anesthesia school and CRNAs are prepping for the CPC examination, testing is a critical part of the profession. As educators, Jeremy and Sass both write a lot of test questions so they'll share their experience from that side of the test-taking process. They'll also give you methods to analyze the questions in a way that can help you narrow down to the correct answer. Hey...it's Q&A day, so let us know what you think. Here are some of the things you'll learn on this show: Which measure is an accurate indicator of preoxygenation? (3:04) Which effect explains the right work shift in the oxyhemoglobin dissociation curve? (6:15) Which factors cause a left work shift in the oxyhemoglobin dissociation curve? (10:14) Hypoxic Pulmonary Vasoconstriction is inhibited by…? (12:58) What is the infrared wavelength measured by pulse oximetry? (17:20) Which inspiratory muscles are involved with supplemental inspiratory effort during times of respiratory distress? (23:09) About our hosts: https://kpatprogram.org/about-the-school/faculty.html Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf
Dr. Ted Watkins
Trade: Valium Class: BenzodiazepineMOA: Binds to the benzodiazepine receptor and enhances the effects of GABAIndications: Anxiety, Skeletal muscle relaxation, anticonvulsant Contraindications: Children younger then 6 months, acute angle glaucoma, CNS depression, alcohol intoxication. Side effects: Respiratory depression, drowsiness, fatigue, headache, pain at the injection site, confusion, nausea, hypotension, cardiac arrest at high doses•Dosing:Adult: Anxiety: 2-10mg IV/IMSeizure: 5-10mg IV/IOPediatric:Anxiety: 0.2 – 0.3mg/kg IV/IMSeizure: Older then 5 years: 1mg IV/IOOlder then 30 days less then 5 years: 0.2 to 0.5mg IV/IO Neonate: 0.1-0.3mg/kg IV/IO
Trade: SublimazeClass: Narcotic Analgesic MOA: Binds to opiate receptors producing analgesia and euphoriaIndication: PainContraindication: Use caution in traumatic brain injury, Respiratory depression Side effects: Respiratory depression, apnea, hypotension, N/V, dizziness, sedation euphoria, Sinus bradycardia, sinus tachycardia, palpitations, HTN, diaphoresis, syncopeDosingAdult 50-100mcg IM/IVPedi 1-2mcg/kg IM/IV
Trade: MorphineClass: Opiate agonist/Narcotic Analgesic MOA: Binds to the opiate receptors. Reduces stimulation of the sympathetic nervous system caused by pain and anxiety. Reduction of sympathetic stimulation reduces heart rate, cardiac work, and myocardial O2 consumptionIndications: moderate to severe pain including chest pain associated with ACS, CHF, and pulmonary edema.Contraindications: Respiratory depression, shock.Side effects: Respiratory depression, hypotension, N/V, dizziness, lightheadedness, sedation, diaphoresis, euphoria, seizures, cardiac arrest, anaphylactoid reaction.Dosage:Adult 2-10mg IV/IO/IMPediatric < 110 lbs 0.025 – 0.2mg/kg IV/IO/IM
Dec. 22, 2022 - New York Department of Health First Deputy Commissioner and Chief Medical Officer Dr. Eugene Heslin discusses the winter transmission of respiratory illnesses, considers the merits of a mask mandate and highlights the benefit of proactive COVID-19 testing.
We discuss the situation with Dr Breda Smyth, Chief Medical Officer.
Respiratory syncytial virus (RSV) season started earlier this year, most likely due to isolation experienced during the pandemic. Learn tips on how to identify if your child has RSV, how to manage it at home, and when to know if you should go to the hospital.
Dr. Ted Watkins
Join Andy and Gandhi for the latest news in the NHS, General Practice and more including the strikes, acute respiratory (ARI) hubs and moreCost of living crisisInflation, CPI, 11.1% OctoberNurses Strikinghttps://www.bbc.co.uk/news/health-639... 19% pay rise - years of underfunding, vacancy rates… 4.75%, with staff guaranteed a minimum of £1,400Strike days - 15 and 20/12/22Staff will continue to provide "life-preserving" and some urgent care but routine surgery and other planned treatment is likely to be disrupted.RCN have a great hubhttps://www.rcn.org.uk/news-and-event... Presentation and engagementVideo - Asking for support of public, about valuing care, making sure nurse and health service can be there long term… nurse vacancy rates… for the NHS… for patient safetyUseful maphttps://www.rcn.org.uk/Get-Involved/C... Impact on General PracticeOften not affecting GP due to contracting - possible affects on Practice financing for nurse pay and then other staffFurther secondary care delays in non urgent hospital careLonger term impact. 15:00 Paramedics Strikinghttps://www.bbc.co.uk/news/health-638... 21 & 28/12/22 Direct impact three main ambulance unions - Unison, GMB and Unite - will affect non-life threatening calls only.Not all areas affectedImpact on General PracticeHome visitsEmergenciesAmbulance and ED waits already affecting thisImpact in hospitals as some doctors have the bank holiday leave cancelled. https://www.pulsetoday.co.uk/news/bre... Learn how to use TPP SystmOne as a clinician in this comprehensive online course with a full money back guaratneeSign up by bit.ly/TPPS1Course
The Biden administration braces for an influx of migrants as the future of Title 42 remains unclear. Denver Mayor Michael Hancock discusses the declared state of emergency in Denver over the influx of migrants entering the city. Brendan Buck, Adrienne Elrod and Eugene Scott join Meet the Press NOW to discuss immigration, party identity and a gridlocked Congress. A rise in Covid-19 cases is occurring alongside a rise in flu and respiratory infections across the country. The National Archives released thousands of documents related to the assassination of former President John F. Kennedy.
The tripledemic of Covid, flu, and RSV is causing a critical surge of pediatric respiratory illness that requires emergency care. The strain is especially great in rural areas where access to pediatric specialists may be extremely limited. It is therefore imperative that all EDs have the appropriate resources and capable staff to provide effective emergency care for children. Recognizing the urgent need among caregivers for a refresher on pediatric respiratory emergency response, Tegria, a healthcare technology, and services company, is hosting a free, 45-minute LinkedIn Live session to provide immediate, quick wins to improve pediatric emergency readiness. WHEN & WHERE: Tuesday, December 20, 2022 10 am PT LinkedIn Live URL Add the event to your Google Calendar Click this link to the show notes, transcript, and resources: outcomesrocket.health
Hospitals in Idaho are seeing a large influx of people suffering from respiratory illnesses, including the flu, RSV and COVID-19.
- Respiratory illness keeps kids home - Telski delays Chair 9 opening - County gives overview of 2023 budget
Respiratory illnesses are still high around the country but masks are scarcely seen in public. Is there a scenario that would convince you to mask again more often? Chad talks about that, more folks in the GOP abandoning Donald Trump and Carlos Correa choosing to sign with San Francisco.
Dr. Shaun Truelove, an infectious disease epidemiologist, returns to the podcast to talk with Dr. Josh Sharfstein about the latest models for the COVID-19 Scenario Modeling Hub. They discuss the possibility of another COVID surge this winter as well as what models can tell us about other respiratory diseases like flu and RSV, and factors like the flu and bivalent vaccines. Please vote for the podcast in the Signal Listener's Choice Awards! Info here
As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!_____________________________________________________________________________________Show notes, articles, and CME form can be found on our website: www.the-incubator.org/jc103/
The All Local morning update for December 10th, 2022.
William Morice II, M.D., Ph.D., president and CEO of Mayo Clinic Laboratories, joins "Answers From the Lab" for his weekly leadership update with host Bobbi Pritt, M.D., interim chair of the Department of Laboratory Medicine and Pathology at Mayo Clinic. In this episode, Drs. Pritt and Morice provide an update on respiratory illness in the United States and discuss what's at stake for health care organizations and laboratories in this year's omnibus spending bill.
On this ID the Future, Your Designed Body author and physician Howard Glicksman again sits down with host and professor of neurosurgery Michael Egnor to further explore Glicksman's new book, co-authored with engineer Steve Laufmann. Here Glicksman gives a quick flyover of what they explore in fascinating depth in the book, namely the irreducible complexity of that extraordinary systems of systems that is the human respiratory system. As Glicksman explains, there are individual systems that are irreducibly complex, and these are joined together into a higher-level system of systems that is also irreducibly complex, marked by causal circularities and coherent interdependencies at every turn. Without all of it guided by various highly precise control mechanisms, no life. Darwinian gradualism is Read More › Source
How Past Extinctions At The La Brea Tar Pit Can Teach Us About Our Climate Future If you drive through Los Angeles, you'll pass by some of California's most iconic sites—the Hollywood Walk of Fame, Universal Studios, the Santa Monica Pier. But if you don't look for it, you may miss the La Brea tar pits—a place where Ice Age life from around 50 thousand years ago got trapped and preserved in sticky black ooze. Visitors can see megafauna, including skeletons of saber tooth cats and dire wolves, along with a vast collection of specimens, including things as small as beetle wings and rodent dung. La Brea was recently named as one of the world's most important geological heritage sites by the International Union of Geological Sciences. The museum is currently planning an extensive redesign that will seek to connect visitors to research, offering lessons about climate, extinction, and survival. Dr. Lori Bettison-Varga, president and director of the Los Angeles Museum of Natural History, joins Ira to explain the significance of the site, and how a trove of Ice Age specimens can serve as a modern-day climate laboratory. Across The Country, RSV Is Overwhelming Medical Systems If you have a child—or interact with children on a regular basis—odds are you've heard about a very contagious virus: RSV, or respiratory syncytial virus. This isn't a new illness, but it has been surging across the country. This has left parents and caretakers stressed about how to keep their kids safe. Hospitals across the country are having trouble coping with this year's surge, which has come earlier and stronger than normal. This week, Science Friday is spotlighting two regions affected by the wave: Wisconsin and Washington, D.C. The two regions have their own challenges when it comes to the RSV surge. In Wisconsin, care deserts and a large elderly population make containing this virus important to avoid dangerous consequences. In Washington, D.C., hospitals are feeling the effects of years of shutting down pediatric units to make room for adult beds. Joining Ira to talk about RSV in Wisconsin and Washington D.C. are two journalists who have been following this: Jenny Peek, news editor for Wisconsin Public Radio and Aja Drain, reporter at WAMU public radio. What You Should Know About This RSV Surge Respiratory syncytial virus, known as RSV, is the number one cause of infant hospitalizations in the United States, and cases are soaring this year. Because young children have spent part—if not most—of their childhoods isolated, masking, or staying home due to the pandemic, many of their immune systems haven't been exposed to RSV until now. It's caused a huge surge in cases, and placed a heavy burden on pediatric clinics and hospitals. What do you need to know about the spike in infections? Ira talks with Dr. Carol Kao, a pediatrician and assistant professor at Washington University in St. Louis, Missouri, who has treated RSV for years. They dig into why this surge is happening now, the basics of the virus, how RSV is treated, and where we stand with an RSV vaccine. Mapping Brain Connections Reinforces Theories On Human Cognition Brain regions are associated with different functions—the hippocampus is responsible for long-term memory, for example, and the frontal lobe for personality, behavior, and emotions. After decades of research using sophisticated brain imaging, there's a growing consensus among neuroscientists that understanding the connections between brain regions may be even more important than the functions of the regions themselves. When it comes to understanding human cognition, the whole is greater than the sum of its parts. Ira speaks with Dr. Stephanie Forkel, assistant professor at the Donders Centre for Cognitive Neuroimaging at Radboud University in Nijmegen in the Netherlands, who wrote a review article in the journal Science about the importance of brain connectivity, and what it means for the future of neuroscience. Transcripts for each segment will be available the week after the show airs on sciencefriday.com.