Podcasts about respiratory distress

  In this Q&A episode, Dr. Rebecca Dekker answers questions submitted by EBB Pro Members—each exploring a different facet of evidence-based maternity care.   First, she explores the latest evidence on early induction for gestational hypertension, including findings from the WILL trial and other recent studies. What are the real risks and benefits of inducing labor at 37 or 38 weeks for gestational hypertension? And how should families weigh these decisions with their providers?   Next, Dr. Dekker shares new insights into the effectiveness of acupuncture and acupressure for labor pain, anxiety, and Cesarean recovery. From systematic reviews to randomized trials, the data is growing!   Finally, she looks into the evidence on interpregnancy intervals. What does the research say about the risks associated with short or long gaps between pregnancies? And how might this information apply to those who are pregnant again after a five-year or more break?   (00:00) Intro to Mini Q&A and EBB Pro Membership (02:17) Early Induction for Gestational Hypertension – What the Research Says (06:20) WILL Trial Findings and Recommendations from ACOG and NICE (08:23) Outcomes at 37 vs. 38 Weeks – Cesareans, NICU, and Respiratory Distress (10:15) Balancing Induction Timing and Risks of Continuing Pregnancy (11:03) Acupuncture and Acupressure – New Research and Applications (12:41) Studies on Pain, Anxiety, and Nausea During Labor and Cesareans (14:46) Acupuncture and Cesarean Recovery – Mobility and Pain Management (16:54) Interpregnancy Intervals – Definitions and Research Challenges (19:39) Risks of Short and Long Pregnancy Spacing (23:22) Global Perspectives and Meta-Analysis on Birth Outcomes (26:49) Public Health Implications and Final Thoughts   View the full list of resources and references on ebbirth.com.   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Respiratory Distress? Don't Panic! In this VetFolio Voice episode, you'll get tips for responding to respiratory distress in your patients to help ensure a good outcome. LISTEN NOW

Send us a textWelcome to the February Q&A! Today, Cynthia & Trisha kick off the episode by discussing reasons why our community has lost friendships or relationships over their parenting choices. In our regular episode, we answer the following questions:1. Is there such a thing as a lazy newborn, and if so, what can you do about it?2. Can my placenta detach in pregnancy? My OB told me I can't have sex because my placenta is low-lying and it could separate.  3. I have a diagnosis of gestational hypertension. If my blood pressure goes down, do I still need to be induced at week 37 as the OB is recommending? In our extended episode, we discuss when or not medications may be needed for postpartum depression, what increases the risk of cervical tears and hematomas, and what to do about respiratory distress in newborns born at home. Lastly, in quickies, we talk about doulas at birth, suggest the one question you should ask your midwife or doula, and answer whether you need to track kick counts. We discuss breastfeeding and laser hair removal, phototherapy and jaundice, and whether or not we start our day with a dry or wet toothbrush, among other morning routines. Thank you as always for your wonderful questions, and please keep them coming by calling 802-438-3696.  For the extended version of this episode, please subscribe on Apple subscriptions or join us on Patreon.**********Our sponsors:Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.Postpartum Soothe -- Herbs and padsicles to heal and comfort.Needed -- Our favorite nutritional products for before, during, and after pregnancy. Use this link to save 20%Use promo code: DOWNTOBIRTH for all sponsors.DrinkLMNT -- Purchase LMNT with this unique link and get a FREE sample pack Connect with us on Patreon for our exclusive content.Email Contact@DownToBirthShow.comInstagram @downtobirthshowCall us at 802-GET-DOWN Work with Cynthia: 203-952-7299 HypnoBirthingCT.com Work with Trisha: 734-649-6294 Please remember we don't provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

You are working at Clerkship General when the triage nurse walks back and gets you. “Hey doc, we just put a hypoxic infant in bed 7”. Initial Vitals: HR: 168 RR: 44 BP: 81/40 O2: 81% (Room Air) Critical Actions:

n this follow-up episode of MedPOD AFMC, Brig (Dr) J Muthukrishnan continues the discussion with Lt Col (Dr) Pulkit Aggarwal, faculty at the Department of Paediatrics, AFMC, Pune, focusing on the management of respiratory distress in children. Building on the foundational knowledge from the previous episode, Dr. Aggarwal delves into evidence-based treatment strategies, including airway support, medication use, and critical care interventions. This episode provides invaluable guidance on handling pediatric respiratory emergencies

n this episode of MedPOD AFMC, Brig (Dr) J Muthukrishnan welcomes Lt Col (Dr) Pulkit Aggarwal, a faculty member in the Department of Paediatrics at AFMC, Pune, to discuss the critical topic of respiratory distress in children. Dr. Aggarwal sheds light on the common causes, clinical assessment, and emergency management of pediatric respiratory distress. This episode offers practical insights for healthcare professionals dealing with respiratory emergencies in young patients, making it an essential listen for not only pediatricians but also doctors in all specialty and medical students alike

EMS providers respond to patients suffering from shortness of breath every day and have a vast array of treatment options in the prehospital setting. However, limited analysis describes the nation's EMS treatment of patients suffering from shortness of breath. Join us this month for the PCRF Journal Club to discuss this recent publication describing nationwide trends in the treatment of patients with bronchospasm. Article: Emergency Medical Services Management of Bronchospasm in the United States: A Cross-Sectional Analysis and Nationwide Quality Assessmenthttps://www.tandfonline.com/doi/abs/10.1080/10903127.2023.2220021

You know that feeling when the ‘not breathing well' patient gets rushed to your crash bench, and you stand there with your stethoscope trying to look like your planning, but actually, you're just panicking... You have to do something, but what? Where do you begin?!  This is exactly why I loved this conversation with ECC specialist and Director of Animal Emergency Australia, Dr Rob Webster, about the 6 steps that will help you localise the problem in the respiratory distress patient. Because once you localise it, you have a DD list, and you have a plan. Dr Rob guides us through the first minutes of assessing the respiratory distress veterinary patient and shows us how to quickly assess breathing patterns and sounds to help you pin-point and fix the problem. Trail our clinical subscription for free at vvn.supercast.com to access the show notes for this episode and to listen to all 500+ of our clinical episodes. Get help with your tricky cases in our ⁠⁠⁠⁠⁠⁠Specialist Support Space.⁠⁠⁠⁠⁠⁠ Connect with us through our online ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Vet Vault Networ⁠⁠⁠⁠⁠⁠⁠⁠k⁠⁠⁠⁠ for episode highlights, clinical resources, discussions, questions and support. Subscribe to our weekly newsletter ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠ for Hubert's favourite clinical and non-clinical learnings from the week.  Join us for a snow conference in Japan or in Wanaka with Vets On Tour: email vetsontour@gmail.com for details. (And tell Dave I sent you for your 10% discount!)  Topic list: 5:49 Step 1: Evaluate respiratory effort. 11:31 Step 2: Is the breathing noisy? 20:22 Step 3: Is the chest wall intact? 28:16 Step 4: Is the breathing fast and shallow? 36:27 Step 5: Fast and shallow, but with nothing abnormal on lung imaging. 38:01 Step 6: Non-respiratory causes. --- Send in a voice message: https://podcasters.spotify.com/pod/show/vet-vault/message

In this insightful episode of our special podcast series on managing respiratory distress, we welcome Andy Niccol, General Manager for Respiratory Humidification at Fisher & Paykel Healthcare. Andy brings his 18 years of product design experience in the medical device industry to the table, discussing the challenges and breakthroughs in designing respiratory care devices for neonatal, pediatric, and adult patients.Andy delves into the complex process of product development, emphasizing the need for deep understanding of clinical problems and patient needs. He shares how his team embeds itself in clinical environments to develop empathy with caregivers and patients, thereby creating innovative and valuable solutions. Andy gives concrete examples from his work, such as the development of the Optiflow Junior nasal high flow cannula and FlexiTrunk interface, demonstrating the intricate balance between patient safety, comfort, and effective therapy delivery.The conversation also touches on the critical aspect of user feedback in product design, especially when dealing with delicate patients like neonates. Andy candidly shares a story of a design failure that led to significant improvements in their approach to prototyping and testing.Lastly, the episode explores Fisher & Paykel's philosophy of 'care by design' – prioritizing patient outcomes in every design decision. Andy's passion for improving neonatal care shines through as he discusses future trends and the increasing shift towards non-invasive respiratory support. This episode is a must-listen for anyone interested in the intersection of engineering, product design, and neonatal care.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!

Welcome back to another episode of the Incubator Podcast, where we continue exploring the management of respiratory distress in neonates. In this episode, we have the pleasure of welcoming back Dr. Lonnie Miner, who brings his wealth of knowledge in neonatal respiratory care to our ongoing discussion.Dr. Miner dives into the critical topic of weaning neonates from invasive ventilation, he discusses the need for standardized extubation guidelines, sharing insights into the criteria for successfully transitioning from high-frequency ventilation to conventional methods, and ultimately, to non-invasive supports. The conversation also covers the nuanced differences in managing various neonatal pathologies, highlighting the importance of individualized care. An interesting aspect of this episode is the exploration of different non-invasive ventilation modalities post-extubation, such as CPAP, nasal IMV, and NAVA. Dr. Miner provides a detailed analysis of each method, discussing their advantages, limitations, and appropriateness for specific clinical scenarios. He stresses the importance of understanding and being consistent with the chosen method, ensuring it meets the baby's physiological needs.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!

Join us in the third episode of our "Managing Respiratory Distress" series on The Incubator Podcast, featuring Dr. Lonnie Miner and Dr. Amy Miner. Our guests today unravel the intricacies of high-flow nasal cannula and CPAP in the treatment of respiratory distress syndrome (RDS) in neonates. Dr. Lonnie Miner, Assistant Professor in the Division of Neonatology at the University of Utah, School of Medicine, and Dr. Amy Miner, a Neonatology Fellow at Rutgers University, engage in a thorough discussion about the practical differences and physiological impacts of high-flow nasal cannula and CPAP. They emphasize the significance of understanding how much pressure is actually delivered to the neonates, exploring the challenges in measuring this accurately.The conversation covers a range of topics, including the evolution of high-flow nasal cannula, its application in different clinical settings, and the importance of humidification in respiratory support. Our speakers also delve into the nuances of airway resistance and lung compliance, highlighting how these factors influence the effectiveness of respiratory support modalities.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!

Welcome back to the second installment of our mini-series on "Managing Respiratory Distress." Today our guests include Dr. Richard Polin and Dr. Amy Miner. This episode continues the exploration of neonatal respiratory distress, with a specific focus on the effective use of CPAP (Continuous Positive Airway Pressure) in treating newborns.Dr. Polin, a distinguished expert in neonatology, and Dr. Miner, a Neonatology fellow at Rutgers University, discuss the critical role of CPAP in establishing Functional Residual Capacity (FRC) in neonates. They delve into the advantages of CPAP over invasive respiratory support, highlighting its ability to reduce or avoid the need for mechanical ventilation. The conversation also covers the importance of noise created by bubble CPAP in improving ventilation and oxygenation, as well as its potential role in promoting lung growth.This episode offers a comprehensive look at the practical aspects of CPAP application. Today's guests discuss the selection of appropriate CPAP levels, the variability in practice across institutions, and the impact of different interfaces on pressure delivery. They also address potential complications of CPAP therapy, such as pneumothorax and nasal damage, providing insights into prevention and management.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!

Welcome to the first episode of our special series, "Managing Respiratory Distress," on "The Incubator Podcast." In this episode, we are honored to host Dr. Richard Polin, a luminary in the field of neonatology. Dr. Polin, the William T. Speck Professor of Pediatrics at Columbia University and a celebrated figure with numerous accolades including the Apgar Award, shares his profound insights on neonatal respiratory care.This episode primarily focuses on the critical aspects of managing respiratory distress in neonates, a prevalent and challenging condition in neonatal intensive care units. We delve deep into the nuances of respiratory support, discussing the crucial differences and impacts of flow versus pressure. Dr. Polin's expertise illuminates the conversation, offering a blend of theoretical knowledge and practical experience.Listeners will gain an understanding of the latest approaches in neonatal respiratory care, guided by Dr. Polin's extensive research and clinical practice. The episode covers various topics, including innovative treatment methodologies, patient care strategies, and the evolution of neonatal care over the years.This series promises to be an invaluable resource for healthcare professionals, offering insights into the latest evidence and practices in the care of critically ill newborns. Dr. Polin's contribution to this episode not only educates but also inspires, reflecting his significant impact on the field of neonatology.Join us in this enlightening discussion with Dr. Richard Polin as we explore the frontiers of neonatal care, offering hope and advanced care strategies for our most vulnerable patientsAs 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!

In today's episode I'm speaking to Louise as she shares her amazing physiological twin birth story. From the moment the hospital confirmed she was pregnant with identical twins Louise found herself under pressure to have a c-section. She spent her pregnancy researching, advocating for herself and visualising her pain-free birth. When her waters broke prematurely her hospital were unable to accept her due to the NICU being full so she was transferred in labour to an unfamiliar hospital 45 minutes from her home. Despite all the last minute changes she managed to stay calm and birth her babies and her very large placenta vaginally without any medication or intervention. Her boys were both admitted to the NICU where they spent 10 days being treated for respiratory distress syndrome which Louise admits was a traumatic start to motherhood; luckily Felix and Leo both went on to make a full recovery. Find out more about Louise here: https://www.loupyoga.com/  Or on her IG: https://www.instagram.com/loupyoga_studio/  www.serenalouth.com @SerenaLouth https://www.instagram.com/serenalouth/ More info on my upcoming hypnobirthing course:  https://serenalouth.com/hypnobirthing

Little Kemena was born early at 32 weeks via emergency C-section. At first it seemed Paul's newborn would be okay—then the respiratory therapist asked him to move aside... Using lab values and patient presentation as clues, can you figure out what is wrong before the neonatologist does?This Medical Mystery Case is accredited for one hour of FREE continuing education credit for physicians, nurses, respiratory therapists, and laboratory professionals. To recieve credit for this program, please visit the link below, review the additional material, and then click CME/CE to fill out an evaluation and get your certificate. https://www.onmedicalgrounds.com/PremiumContent/ARockyStart This continuing medical education program is supported by Siemens Healthineers. Content was developed by Medavera, Inc. for distribution on the On Medical Grounds podcast. Voice actorsNarrator: Mark GideonSofia Ramirez: Sarena BuenoPaul Ramirez: Hyda-James HillED Nurse: Carrie VauseDr. Simms, Ob/Gyn: Jessica BowerDr. Patel, Neonatologist: Yushane LimaL&D Nurse: Annie CrumbaughEve, NICU Nurse: Beth DomannVisit us at OnMedicalGrounds.com for more podcasts! You can subscribe through your podcast platform, our website, or follow us on social media for podcast updates and medical news. Some of our podcasts offer FREE CME/CE credits.LinkTreeTwitterLinkedInInstagram

You are working at Clerkship General when you hear an EMS call: “Clerkship General, we are bringing you a young female in respiratory distress. ETA 2 minutes” Initial Vitals: HR: 123 BP: 142/78 Temp: Unknown RR: 36 O2: 97% (NonRebreather) Critical Actions:

Management of acute respiratory distress isn't an exact science. Good patient outcomes rely on your ability to assess ventilation, oxygenation, work of breathing (WOB), lung function, airway resistance and air flow. The number of treatment choices is increasing, and they're becoming more complex. Does your patient need medication, suctioning, airway management, ventilation, intubation, non-invasive ventilation or just close observation? Some practices of the past served only to disguise deterioration. With everything available to today's EMS provider, you need some pearls of wisdom for effectively assessing and successfully treating patients having difficulty breathing. Read the full article here.

You are working at Clerkship General when you hear an EMS call on the radio. “Clerkship General. We are bringing you an unresponsive 6-year-old female found foaming at the mouth by her babysitter. ETA 2 minutes.” Initial Vitals: BP: 125/80 HR: 62 RR: 34 O2: 81% (Non Rebreather) Critical Actions:

Getting your baby to sleep is hard enough, let alone when they are SICK. As a parent, it's so easy to panic and become overwhelmed when your little one falls ill which is why we have the incredible Penny from Sick Happens joining us in today's episode! Penny is a Paediatric Nurse who has created online courses and products to reassure parents with practical and reliable information for when their children get sick.  We are discussing so many great topics that we know you will love hearing about, from your burning teething questions to the signs to look out for when it comes to respiratory distress. Unfortunately, it's never a question of IF they get sick, it's WHEN they get sick.  After listening to this ep we hope you are feeling better equipped to handle sickness when it comes into your home!  You'll hear: ✨ How to prepare for and handle DAYCARE SICKNESS ✨ Everything you NEED to know about TEETHING and its impact on sleep.  ✨ What on earth a BLANCHING RASH is  ✨ How to get even the FUSSIEST EATER to take their medicine  … and a whole lot more! You can find Penny over at @sick.happens and check out the Normal or Not Course here Are you currently in the trenches? We got you, Mumma! Download our FREE 5 Steps to Sleep Success Guide here Join our FREE email list where you'll get Sleep Tips delivered straight to your inbox  Or if you're in need of some more help and guidance head to The Sleep Teacher Website to learn more and book a consult or purchase our sleep programs Follow us on Instagram @thesleepteacher

Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode. Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.

Long COVID is a serious issue. And in July 2021, it was added as a recognized condition that could result in a disability under the Americans with Disabilities Act. But what is Long COVID? And why are only some people affected by it? Emerging research has found a relationship between Phrenic and Vagus nerve changes and chronic COVID symptoms, which may be one of the causes of lingering symptoms like fatigue, shortness of breath, difficulty concentrating, and digestive issues. So what's actually happening in the body when things don't feel "right" after the initial infection? You'll learn: The anatomy of Long COVID How it can impact your nervous system And how long-haul COVID can affect your diaphragm and breathing for months after the initial infection All the links: Nervous system consequences of COVID-19 (Science, 2022) Long COVID Symptoms Linked to Effects on Vagus Nerve (WebMD News) Phrenic Nerve Injury Diaphragmatic myoclonus due to SARS-CoV-2 infection (Neurological Sciences, 2020) Respiratory Distress in SARS-CoV-2 without Lung Damage: Phrenic Paralysis Should Be Considered in COVID-19 Infection (European Journal of Case Reports in Internal Medicine , 2020) A pilot randomized controlled trial of supervised, at-home, self-administered transcutaneous auricular vagus nerve stimulation (taVNS) to manage long COVID symptoms (Bioelectronic Medicine, 2022) Pilot study suggests long COVID could be linked to the effects of SARS-CoV-2 on the vagus nerve Join me for the 2023 Movement Mavens Retreat! www.aewellness.com/retreat/ 30 days to more strength + flexibility with the Mobility Mastery Toolkit Movement Mavens has the tools and strategy to support you on your path to enjoying life without pain - www.aewellness.com/mavens www.aewellness.com/podcast - Show notes, links and more. Come hang out with me on Instagram @hollaformala : https://instagram.com/hollaformala/ TikTok @ aewellness Bodywork Starter Guide - learn the 6 places you need to roll right now for quick relief, plus the reason why what you've tried so far has only given you a temporary fix. Download the guide for free now at www.aewellness.com/bodywork 818-396-6501 is the Body Nerd Hotline - how do you build consistency and/or where are you getting stuck? Drop me a line and let me know your body nerd hacks - you might just hear your voice on a future episode! Today's episode is brought to you by Mobility Mastery Toolkit. Forget icing and stretching - and get a simple program you can do on your own that actually works. The Toolkit includes 30-days of exercises so you know exactly what to do to improve the mobility of your hips, lower back, feet, neck and shoulders. With video demos and a full-body mobility workout calendar, you're just 15-mins a day from feeling stronger and more flexible. Get $20 off when you use the code MASTERY at www.mobilitytoolkit.co    

Looking for more information on this topic? Check out the Neonatal Respiratory Distress Syndrome brick. If you enjoyed this episode, we'd love for you to leave a review on Apple Podcasts.  It helps with our visibility, and the more med students (or future med students) listen to the podcast, the more we can provide to the future physicians of the world. Follow USMLE-Rx at: Facebook: www.facebook.com/usmlerx Blog: www.firstaidteam.com Twitter: https://twitter.com/firstaidteam Twitter: https://twitter.com/mesage_hub Instagram: https://www.instagram.com/firstaidteam/ YouTube: www.youtube.com/USMLERX Learn more about Rx Bricks by signing up for a free USMLE-Rx account: www.usmle-rx.com You will get 5 days of full access to our Rx360+ program, including over 800 Rx Bricks.  After the 5-day period, you will still be able to access over 150 free bricks, including the entire collections for General Microbiology and Cellular and Molecular Biology.

This episode follows our previous episode where we talked about patients in respiratory distress. We go over some basic anatomy and talk about Albuterol and Ipratropium Bromide which are 2 of the most common inhalers that are used in emergency medicine. Be mindful of the way that your medications work and what wanted and unwanted effects might occur when administrating treatments. As usual, there are some resources for you all below!! Hope you all enjoy the show and learn something. If you have any questions, comments, or have a topic that you want covered then don't hesitate to email. Have a great holiday season! (Emergencymedical101@gmail.com)https://my.clevelandclinic.org/health/treatments/17575-bronchodilatorhttps://pubmed.ncbi.nlm.nih.gov/2977109/https://www.mayoclinic.org/drugs-supplements/ipratropium-and-albuterol-inhalation-route/description/drg-20062048https://www.ahajournals.org/doi/10.1161/CIRCRESAHA.118.313832If you have any questions, comments, concerns, or a topic that you would like to be covered; feel free to reach out! Email: Emergencymedical101@gmail.comInstagram: https://instagram.com/healing_boost?igshid=YmMyMTA2M2Y=Support The Show!! ❤️https://www.buzzsprout.com/2090625/supporters/new

Hey everyone, this episode is about patients in respiratory distress. A lot of newer providers struggle with these patients because they present with altered mental status, emotional stress, and many other factors. Remember to keep calm and assess your patient thoroughly because that will determine the outcome.  You guys all have the ability to make a difference in these patients so do your best to keep on learning and growing as a provider! If you have any questions or want a specific topic covered, reach out to my email. Thank you guys for listening!Emergencymedical101@gmail.comIf you have any questions, comments, concerns, or a topic that you would like to be covered; feel free to reach out! Email: Emergencymedical101@gmail.comInstagram: https://instagram.com/healing_boost?igshid=YmMyMTA2M2Y=Support The Show!! ❤️https://www.buzzsprout.com/2090625/supporters/new

In this episode, we discuss respiratory distress with Dr. Melanie Rudnick What is respiratory distress? Respiratory distress is all-encompassing for symptoms related to breathing problems. In children, causes can be broken up into the general categories of upper airway, lower airway, cardiac, and metabolic. What are the symptoms and signs? Vital signs: tachypnea (unless neurologic or muscular impairment), tachycardia, normal to low oxygen saturation Nasal flaring Retractions Cyanosis (rare) Infants: Head bobbing, belly breathing History-taking: General:Preceding symptoms (fever, hx of asthma, happened before) Impacted ADLs PO and urine output Gestational age Sick contacts Body positions that make symptoms better/worse Airway (laryngomalacia, FBA):Noises from airway: stridor? barking cough? Acute onset - think foreign body aspiration or allergy to new food Cardiac (see cardiac episode):Sweating, fatigue with feeds, FTT Metabolic:Tachycardia, tachypnea, sweating Significant FTT Dysmorphic features Organomegaly PE: Lung:Expiratory = obstructive Rhonchi = general inflammation Crackles = fluid overload (cardiac) Wheezing = larger airway (asthma, FBA) Concerns by age group: Neonates:Full term: Transient tachypnea of newborn, MAS, RDS of newborn PPV at birth: pneumothorax Infants:Infectious (bronchiolitis, GBS) Cardiac/metabolic Toddlers/school age:Infectious (croup, viral/bac pneumonia) Age 5+: atypical pneumonia FBA Anaphylaxis Adolescents:DKA Ask HEEADSSS questions: smoking and vaping hxHome environment, Education and employment, Eating, peer-related Activities, Drugs, Sexuality, Suicide/depression, and Safety from injury and violence COVID-19 pneumonia For questions or suggestions, please email us at pediclerkshippod@gmail.com Intro/Outro Music: Inspirational by Rafael Krux Link: https://filmmusic.io/song/5454-inspirational- License: http://creativecommons.org/licenses/by/4.0/

In this episode, we review the high-yield topic of Respiratory Distress Syndrome from the Pediatrics section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets

The sick asthmatic is one of the scariest calls you may run. You need to understand this is different from other respiratory distress. Your treatments can have a profoundly negative impact on the patient if you don't understand the physiology. But if you do understand what is going on, you can make a real difference and save a life. 

Hello Friends, here we will listen about the 1.Defination 2.Etiopathogenesis. 3.Clinical features. 4. Management. 5. Prevention

In this episode, we review the high-yield topic of Adult Respiratory Distress Syndrome from the Trauma section. Follow Orthobullets on Social Media: Facebook: www.facebook.com/orthobullets Instagram: www.instagram.com/orthobulletsofficial Twitter: www.twitter.com/orthobullets LinkedIn: www.linkedin.com/company/27125689 YouTube: www.youtube.com/channel/UCMZSlD9OhkFG2t25oM14FvQ --- Send in a voice message: https://anchor.fm/orthobullets/message

You are working at Clerkship General when you are called to the resuscitation bay for a 55yo M presenting in respiratory distress. Initial Vitals Temp 99.9 HR 110 RR 22 BP 122/82 O2 82% on BiPAP 10/5 100%FiO2 Critical Actions Correctly interpret CXR #1 (multifocal PNA) Correctly interpret CXR #2 (bilateral PNTX) Treat with Oseltamivir […]

Learn how to update family in Spanish when their loved one is in respiratory distress. To help us with this dialogue, ​we are joined by Nacho Caballero, founder of the online Spanish school, La Comunidad. The post Talking to Family in Spanish – Respiratory Distress in a Loved One appeared first on Podcasts by Doc Molly.

In this episode, we review the high-yield topic of Neonatal Respiratory Distress Syndrome from the Respiratory section. --- Send in a voice message: https://anchor.fm/medbulletsstep1/message

Here's What Parents Need to Know About Dry Drowning

TX of myasthenia gravis with respiratory distress. USMLE secrets on IG advt7 --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/snapmd/message

Preterm infants are at risk of breathing difficulties because their lungs have not had enough time to fully mature. In particular, they do not produce enough surfactant, which helps keep terminal air spaces from collapsing. Without surfactant, they cannot get enough oxygen into their body, and the body reacts with tachypnea (respiratory rate >60/min), tachycardia, cyanosis (the skin turns bluish), and grunting (the glottis closes in an attempt to increase functional residual capacity). This results in a condition called respiratory distress syndrome, and it is a hard thing to watch these babies gasp for breath. Before we get into the details, let's review what's happening in the lungs during the transition from intrauterine to extrauterine life. A fetus in utero obtains oxygen and nutrients from the maternal circulation via the umbilical vessels. At this point, the lungs of the fetus are filled with amniotic fluid and do not perform their main function—gas exchange. The majority of blood in the fetus is shunted past the lungs by the patent foramen ovale and patent ductus arteriosus. After listening to this AudioBrick, you should be able to: Define neonatal respiratory distress syndrome (NRDS) and list its risk factors. Apply Laplace law, lung compliance, pulmonary vascular resistance, and extra-pulmonary shunts to the etiology of neonatal respiratory distress syndrome. Differentiate between type 1 and type 2 alveolar epithelial cells and their role in neonatal respiratory distress syndrome. Discuss the clinical presentation of neonatal respiratory distress syndrome. Explain how the application of positive end expiratory pressure and exogenous surfactant improves patients with neonatal respiratory distress syndrome. You can also check out the original brick on Neonatal Respiratory Distress Syndrome from our Respiratory collection, which is available for free. Learn more about Rx Bricks by signing up for a free USMLE-Rx account: www.usmle-rx.com You will get 5 days of full access to our Rx360+ program, including nearly 800 Rx Bricks.  After the 5-day period, you will still be able to access over 150 free bricks, including the entire collections for General Microbiology and Cellular and Molecular Biology. *** If you enjoyed this episode, we'd love for you to leave a review on Apple Podcasts.  It helps with our visibility, and the more med students (or future med students) listen to the podcast, the more we can provide to the future physicians of the world. Follow USMLE-Rx at: Facebook: www.facebook.com/usmlerx Blog: www.firstaidteam.com Twitter: https://twitter.com/firstaidteam Instagram: https://www.instagram.com/firstaidteam/ YouTube: www.youtube.com/USMLERX Learn how you can access over 150 of our bricks for FREE: https://usmlerx.wpengine.com/free-bricks/

In this episode, we take a deep dive into Respiratory Distress Syndrome or RDS in newborns. RDS is the dominant clinical problem preterm infants face. But, RDS it is not exclusive to just premature infants. Tune in to learn more about RDS, what causes it, what infants can be affected by it, the common symptoms infants present with, how it is diagnosed, as well as the common methods of prevention and treatment including antenatal steroids, respiratory support, specifically CPAP, and artificial surfactant administration. You will gain a better understanding of how a deficiency of surfactant affects a baby's air exchange, oxygenation, breathing difficulties, and starts a cascade of events if it is not addressed or treated. Grab your free graphic that correlates with the episode at: http://empoweringnicuparents.com/rds/Empowering NICU Parents Show Notes:https://empoweringnicuparents.com/episode8/Empowering NICU Parents Instagram: https://www.instagram.com/empoweringnicuparents/Empowering NICU Parents FB Group:https://www.facebook.com/groups/empoweringnicuparents

Understanding Hypercapnia in Adult Respiratory Distress Syndrome: The Quest for Optimal Patient Outcomes

Understanding Hypercapnia in Adult Respiratory Distress Syndrome: The Quest for Optimal Patient Outcomes

Understanding Hypercapnia in Adult Respiratory Distress Syndrome: The Quest for Optimal Patient Outcomes

Understanding Hypercapnia in Adult Respiratory Distress Syndrome: The Quest for Optimal Patient Outcomes

Understanding Hypercapnia in Adult Respiratory Distress Syndrome: The Quest for Optimal Patient Outcomes

Understanding Hypercapnia in Adult Respiratory Distress Syndrome: The Quest for Optimal Patient Outcomes

Today we'll be covering Respiratory Distress of the Newborn, going along with this month's theme, Newborn Medicine. If you haven't listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.   Follow the podcast on social media: Facebook- @portablepeds (www.facebook.com/portablepeds) Twitter- @portablepeds (www.twitter.com/portablepeds)   We'd love to hear from you via email at portablepeds@gmail.com!   Also, feel free to visit our website, www.portablepeds.com, for more content.   Today's Case:   A female infant is born at 38 weeks gestation to a G2P1 mother with known gestational diabetes via scheduled, repeat C-section. Initial Apgar scores are 8 and 9 at 1 and 5 minutes, respectively. About an hour later, the child begins to develop tachypnea (RR 70), nasal flaring, and grunting, which improves with supplemental oxygen via nasal cannula. A chest X-ray is obtained, which showed findings consistent with the diagnosis of Transient Tachypnea of the Newborn. What findings would be expected on chest X-ray for this patient?   Diffuse parenchymal infiltrates with fluid in the interlobar fissure Diffuse parenchymal infiltrates with air bronchograms or lobar consolidation Diffuse, bilateral ground-glass opacities with air bronchograms Diffuse, patchy infiltrates with areas of hyperinflation Left-sided intrathoracic stomach bubble with shift of the mediastinum and cardiac silhouette to the right   We would like to give an enormous thank you to Zack Goldmann for designing this podcast's logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.   The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.   Intro/Outro- Hotshot by Scott Holmes   Disclaimer: This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.   The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.   Thanks for listening! As always, please Rate and Review this podcast on Apple Podcasts, Facebook, or your favorite podcasting platform. Also, Subscribe to get all the latest episodes, and Share this episode with someone you think would enjoy it! Hope to see you real soon!  

In this episode, we discuss respiratory distress with Dr. Melanie RudnickWhat is respiratory distress?Respiratory distress is all-encompassing for symptoms related to breathing problems. In children, causes can be broken up into the general categories of upper airway, lower airway, cardiac, and metabolic. What are the symptoms and signs?Vital signs: tachypnea (unless neurologic or muscular impairment), tachycardia, normal to low oxygen saturationNasal flaringRetractionsCyanosis (rare)Infants: Head bobbing, belly breathingHistory-taking: General: Preceding symptoms (fever, hx of asthma, happened before)Impacted ADLs PO and urine output Gestational ageSick contactsBody positions that make symptoms better/worse Airway (laryngomalacia, FBA): Noises from airway: stridor? barking cough?Acute onset - think foreign body aspiration or allergy to new food Cardiac (see cardiac episode):Sweating, fatigue with feeds, FTTMetabolic: Tachycardia, tachypnea, sweatingSignificant FTTDysmorphic features OrganomegalyPE: Lung: Expiratory = obstructive Rhonchi = general inflammationCrackles = fluid overload (cardiac)Wheezing = larger airway (asthma, FBA)Concerns by age group: Neonates:Full term: Transient tachypnea of newborn, MAS, RDS of newborn PPV at birth: pneumothorax Infants: Infectious (bronchiolitis, GBS)Cardiac/metabolic Toddlers/school age: Infectious (croup, viral/bac pneumonia)Age 5+: atypical pneumonia FBA Anaphylaxis Adolescents: DKA Ask HEEADSSS questions: smoking and vaping hx Home environment, Education and employment, Eating, peer-related Activities, Drugs, Sexuality, Suicide/depression, and Safety from injury and violenceCOVID-19 pneumonia For questions or suggestions, please email us at pediclerkshippod@gmail.comIntro/Outro Music:Inspirational by Rafael KruxLink: https://filmmusic.io/song/5454-inspirational-License: http://creativecommons.org/licenses/by/4.0/Disclaimer: The views, opinions and research expressed in this podcast are those of the authors and do not reflect the official policies or position of Quinnipiac University or any other agency, organization, employer or company. Assumptions made in the analysis are not reflective of the position of any entity, other than the author(s). While every effort has been made to ensure that the information is accurate and up to date, it is not intended to serve as the standard of care and any comments, suggestions or correction of errors is welcome. Privacy is of utmost importance. All people, places, and scenarios mentioned in the podcast have been changed to protect patient confidentiality. Any direct similarities to any real person or case is purely coincidental and unintentional. Any mention of drugs or medical products is done in the setting of clinical and educational discussion and does not represent the author(s) endorsement of those drugs or products. The content is for informational purposes only, please consult a healthcare professional regarding any medical concerns that you may have. The information in this podcast is only intended for use by medical students, resident

Please join our Podcast team with special co-host Dr. Kayla Johnson and paramedic Kyle Van Mowrick as we discuss the epidemiology, pathophysiology and treatment of pediatric respiratory distress. You will hear a great discussion regarding asthma, brochiolitis, croup and foreign body obstruction. After listening, you will have a deeper understanding of upper and lower airway sounds including stridor and wheezing and how this assessment can impact treatment decisions.

Dr. Seth Assar joins us to discuss the SMOG Respiratory Distress guideline. This is a wide-ranging discussion that covers many of the differential diagnoses for a patient who is having difficulty breathing. Listen closely for a use of Ketamine that you may be less familiar with.Dr. Assar points out the inherent risks of intubation and mentions a study identifying a real risk of mortality with the procedure: Schwartz, D. E., Matthay, M. A., & Cohen, N. H. (1995). Death and other complications of emergency airway management in critically ill adults: a prospective investigation of 297 tracheal intubations. The Journal of the American Society of Anesthesiologists, 82(2), 367-376. The risk is further increased in patients in hemorrhagic shock and an article in the last JSOM makes this clear. See:Thompson, P., Hudson, A. J., Convertino, V. A., Bjerkvig, C., Eliassen, H. S., Eastridge, B. J., ... & Rappold, J. F. (2020). Risk of Harm Associated With Using Rapid Sequence Induction Intubation and Positive Pressure Ventilation in Patients With Hemorrhagic Shock. Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals, 20(3), 97-102. Finally, be on the lookout for Dr. Assar's forthcoming article in the JSOM on mechanical ventilation.This episode relates to TC 8-800, Table II and IV.

This episode covers respiratory distress syndrome!

In our first Pediatrics Masterclass episode, Dr. Eli Freiman provides a high-yield approach to diagnosing pediatric respiratory distress. We'll go through major infectious and non-infectious causes using an anatomical approach that's guaranteed to boost your diagnostic acumen!

Dr. Zimmermann and Dr. Parga-Belinkie focus on Respiratory Distress Syndrome, discussion the cause, pathophysiology, diagnosis and treatment.

This episode covers respiratory distress syndrome.Written notes can be found at https://zerotofinals.com/paediatrics/neonatology/rds/ or in the neonatology section in the Zero to Finals paediatrics book.The audio in the episode was expertly edited by Harry Watchman.

In this episode of Critical Matters, we discuss the management of COVID induced ARDS. Our guest is Dr. Eddy Fan, an associate Professor in the Interdepartmental Division of Critical Care Medicine and the Institute of Health Policy, Management and Evaluation at the University of Toronto and a Staff Intensivist at the University Health Network/Mount Sinai Hospital. He is currently the Medical Director of the Extracorporeal Life Support Program at the Toronto General Hospital, and the Director of Critical Care Research at the University Health Network/Mount Sinai Hospital. During our conversation, we discuss phenotypes within ARDS, the best available evidence for the management of ARDS, and other topics. Additional Resources: COVID-19-Associated Acute Respiratory Distress Syndrome: Is a Different Approach to Management Warranted?: https://bit.ly/3fMkYOp American Thoraic Society - Mechanical Ventilation in Adult Patients with Acute Respiratory Distress Syndrome: https://bit.ly/2CQTIju Management of COVID-19 Respiratory Distress: https://bit.ly/2WuwFCw Previous Episodes of Critical Matters on COVID-19 Induced ARDS/Respiratory Failure: - https://bit.ly/2OGWF8T - https://bit.ly/32yO2p7 Books Mentioned in this Episode: A Portrait of the Artist as a Young Man by James Joyce: https://amzn.to/2OJyiHM

Dr Guerra recaps protease mechanisms and zymogen activation ultimately linking serpin mediation of neutrophil elastase during coronavirus infection. Published 08 July 2020 --- Support this podcast: https://anchor.fm/dr-daniel-j-guerra/support

COVID-19 critical care update with Maurizio Cecconi, MD, of Humanitas University in Milan, Italy, and JAMA Associate Editor Derek C. Angus, MD, MPH, of the University of Pittsburgh. Recorded June 8, 2020. Related: Management of COVID-19 Respiratory Distress

COVID-19 critical care update with Maurizio Cecconi, MD, of Humanitas University in Milan, Italy, and JAMA Associate Editor Derek C. Angus, MD, MPH, of the University of Pittsburgh. Recorded June 8, 2020. Related Article: Management of COVID-19 Respiratory Distress

In this episode of Critical Matters, we continue our exploration and discussion on respiratory support and mechanical ventilation with COVID-19. Our guest is Dr. John J. Marini, a thought leader in the field of critical care. Dr. Marini is Director of Academic Programs in Research and Education for the Department of Medicine of the Regions Hospital in St. Paul, Minnesota. In most of his research, he has positioned himself at the interface between basic physiology and clinical medicine to develop insights into advancing clinical practice. In this episode, he discusses evolving concepts related to ventilator-induced lung injury and how they apply to respiratory support in patients with COVID-19. Additional Resources: Management of COVID-19 Respiratory Distress: https://bit.ly/2WuwFCw Time Course of Evolving Ventilator-Induced Lung Injury: https://bit.ly/2YVyEkO Static and Dynamic Contributors to Ventilator-induced Lung Injury in Clinical Practice. Pressure, Energy, and Power: https://bit.ly/360Fmr5 Books Mentioned in this Episode: Nunn's Applied Respiratory Physiology by Andrew B. Lumb: https://amzn.to/2UQLeiX The Discoverers by DJ Boorstin: https://amzn.to/2yTnL8u Why Not Say it Clearly: A Guide to Scientific Writing by LS King.: https://amzn.to/2WV6tzI

ASHP chats with pharmacist Andrew Smith at St. Barnabas Hospital in the Bronx and Attending Physician Jonathan St. George at New York Presbyterian Hospital about their experiences with airway management in patients during the COVID-19 surge. Listen in as they share their strategies for patient care and medication decision making during this evolving pandemic.

Link to video of this episode on YouTube: https://youtu.be/-laYqmI0JGgDr. Ban G. Truong, DO, PhD, FACEP, ABAARMDr. Ban is a physician with a PhD in Nutrition, and who is quadruple board certified in Emergency Medicine, Obesity Medicine, Anti-Aging and Regenerative Medicine, and as a Physician Nutrition Specialist. In addition to having practiced in several large, urban emergency departments throughout the country, he also served as a Life Flight doctor treating patients in the field and supporting them as they are transported between medical facilities. He owns and operates several brick-and-mortar clinics that range from primary care to urgent care. He also owns and operates a telemedicine clinic. Dr. Ban serves as the Medical Director for Weightless4Life, a role that he approaches with the thoughtfulness and compassion gained from years regularly seeing patients in the primary, urgent, and emergency settings. Dr. Ban was also a college professor who taught nutrition and the sciences. As such, he believes in the power of education through the dissemination of quality information.As the world became affected by COVID-19, Dr. Ban began to share information about the pandemic based on his broad and vast experience treating patients and his research background and understanding of proper research protocols. You can listen to his Podcasts on COVID-19 starting with Podcast #17. Email: support@weightless4life.comTwitter: https://twitter.com/WeightlessMWNMThank you for listening to Doc Talk!

Kyle B. Enfield, MD, and Craig M. Lilly, MD, discuss the newly released guidance for vaping-associated respiratory distress syndrome, published in Critical Care Explorations.

Kyle B. Enfield, MD, and Craig M. Lilly, MD, discuss the newly released guidance for vaping-associated respiratory distress syndrome, published in Critical Care Explorations.

Watching a child struggle to breath is difficult to deal with.  However, what you do in the first few minutes of care could determine the outcome for your patient.  In this episode, we take a brief look at the issue of respiratory distress versus respiratory failure. 

Listen as Dr. Emily Barsky reviews the clinical presentation of respiratory distress in patients with cystic fibrosis and lists interventions for a patient with this diagnosis. Initial publication: September 27, 2019. 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

Congratulations! The new baby is here! Unfortunately he's having some trouble breathing. We'll go over what's supposed to happen in the transition from breathing amniotic fluid to air and cover some of the common things that can go wrong

In this episode, host Beckie Mossor, RVT, talks with Kursten Pierce, DVM, DACVIM (Cardiology), about her recent Clinician’s Brief article, “Respiratory Distress & Inappetence in a Border Collie.” Following a discussion on the connection between dilated cardiomyopathy and BEG (boutique, exotic-ingredient, and grain-free) diets, Dr. Pierce overviews the recent FDA announcement and the kind of research the FDA conducts when they are alerted to a possible health concern. She also shares which grain-free pet foods are not included in these concerns and whether patients diagnosed with diet-associated DCM will have lifelong effects. Hear all this and more on this week’s episode. Resources discussed in this episode: https://www.wsava.org/Guidelines/Global-Nutrition-Guidelines http://Petfoodology.org https://www.cliniciansbrief.com/article/respiratory-distress-inappetence-border-collie https://www.fda.gov/animal-veterinary/news-events/fda-investigation-potential-link-between-certain-diets-and-canine-dilated-cardiomyopathy Contact us: Podcast@briefmedia.com Where to find us: Cliniciansbrief.com/podcasts Facebook.com/clinciansbrief Twitter: @cliniciansbrief Instagram: @clinicians.brief The Team: Beckie Mossor, RVT - Host Alexis Ussery - Producer & Digital Content Coordinator Randall Stupka - Podcast Production & Sound Editing Michelle Munkres - Senior Director of Content

On this episode, we sit down with Stephen and Anna John, a brother-sister team of medical device developers, working to bring life-saving respiratory therapy to the developing world. Their device, NeoVent, is a low-cost, mechanical solution to deliver two levels of air pressure to infants in respiratory distress without the need for continuous electric power.Stephen and Anna grew up in rural Nepal, where their family worked to meet the medical needs of an undeserved population. Their father, Sunil, is a pediatric cardiologist and continues to split his time between practicing in Kalamazoo, Michigan and Nepal. Sunil is serving as a clinical advisor in the development of NeoVent. They're working to bring NeoVent to market through their company, AIM Tech. You can contact them through their website or by sending an email to stephen.john@aimtechhealth.com."Every year, over one million infants die of severe respiratory illnesses, making it one of the leading causes of under five mortality in the world. 99% of those are in low to middle income countries, which shows you that there are good treatments for these conditions, but they're not reaching most of the world." -Stephen John, CEO, AIM Tech

On this episode, we sit down with Stephen and Anna John, a brother-sister team of medical device developers, working to bring life-saving respiratory therapy to the developing world. Their device, NeoVent, is a low-cost, mechanical solution to deliver two levels of air pressure to infants in respiratory distress without the need for continuous electric power.Stephen and Anna grew up in rural Nepal, where their family worked to meet the medical needs of an undeserved population. Their father, Sunil, is a pediatric cardiologist and continues to split his time between practicing in Kalamazoo, Michigan and Nepal. Sunil is serving as a clinical advisor in the development of NeoVent. They're working to bring NeoVent to market through their company, AIM Tech. You can contact them through their website or by sending an email to stephen.john@aimtechhealth.com."Every year, over one million infants die of severe respiratory illnesses, making it one of the leading causes of under five mortality in the world. 99% of those are in low to middle income countries, which shows you that there are good treatments for these conditions, but they're not reaching most of the world." -Stephen John, CEO, AIM Tech

In this video, the viewer will learn the differential diagnosis for newborn respiratory distress, and the epidemiology, pathophysiology, presentation, diagnosis, and management of the most common etiologies. 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

Your handy guide to identifying patients in respiratory distress and what to do to help them out while you figure out the underlying problem

Austin is a six year old boy who has Down syndrome.  His parents, Tiffany and TJ, share what a joy he is in their lives and to their families.  Tiffany and TJ are heavily involved in their local Down syndrome association which brings awareness and inclusion to their community. Down Syndrome: An Amazing World “I Knew He Did” Immediately after Tiffany and TJ’s son Austin was born, Tiffany noticed Austin’s almond shaped eyes, she said, “Officially, we found out about a week after he was born, but when he was born I knew he did.”  Some Challenges in Raising a Child with Down Syndrome Tiffany said, “He was three before he really walked. Potty training a child with Down syndrome can be challenging. We potty trained him before he could walk on his own. People with Down syndrome have low muscle tone, so he used a walker. He did really well at potty training for a good year and a half, but not great. He’s currently going through a potty training regression, which is common in kids with Down syndrome.” Finding Joy in the Small Things Tiffany shared, “I definitely think some of the joys are when he hits developmental milestones, because that takes a long time. Those were precious and more important than I had remembered before with our other kids, that some things came to them quickly and they knew how to do that. We didn’t feel the triumph of it as much, but those have been some really big joys.” “He loves people, and he loves to entertain. He’s a big people-person; he wants to be with people and learn. He loves books; that has been a huge joy. Some basic things are appreciated more than with my other kids that came easier to them. I’ve really found a lot of joy in small things.”  Impact on Their Family “For our daughter Jade, it has made her a lot more open and aware of her surroundings. I can see how she interacts with other kids who have Down syndrome, or kids who have any other kind of disability. She’s very cognizant of how she can help others and how she can interact with them.”  “For James, one of the things that was interesting to me was that soon after Austin was born, we had a friend whose son has SMART (Spinal Muscular Atrophy with Respiratory Distress). It’s a very rare disorder, and so shortly after Austin was born, James decided to do a birthday where instead of getting gifts for himself, people would donate to this organization that helped kids with SMART. For our children, it has made them more aware of the world around them and how they can help other people.” TJ stated. Tiffany shared her views on Austin’s role in their family. “They’ve seen us enough with advocacy, working with Down syndrome awareness month and with World Down syndrome Day. I think that recognition made them want to participate. There was a time where I thought they didn’t need to do anything, because I didn’t want to pressure them to do stuff, but they said they wanted to do something. Even today, we were sharing about something at school so that they could celebrate it with their friends. I think that’s a really good opportunity.”  Becoming Involved  “We started attending (their local Down syndrome association group) after Austin was born. I went to the first meeting. I’m a social worker, so I like group things and support. I thought, ‘okay, he has Down syndrome; let’s go meet some people who have children with Down syndrome and learn from them.’..It’s amazing the connections that you make meeting people through that group, finding good friends who understand things differently than most.” Tiffany said.   She continued saying, “I just felt like when Austin was born, that this is something else we need to learn about. We can do it if we reach out. We’ve gone to national conventions and learned a lot from experts and other parents. It has been an amazing world to step into and to learn from so many people.” Tiffany and TJ are now heavily involved with the local Down syndrome association in their community, East Texas Down Syndrome Group,

What’s the safety and tolerability of the new enriched synthetic surfactant CHF5633? Associate Editor of ADC FN Jonathan Davis is joined by David Sweet (Royal Maternity Hospital, Belfast) to discuss a first-in-human clinical study of two human surfactant proteins in preterm babies with respiratory distress syndrome. Read the Archives of Disease in Childhood: Fetal & Neonatal's open access paper "A first-in-human clinical study of a new SP-B and SP-C enriched synthetic surfactant (CHF5633) in preterm babies with respiratory distress syndrome": http://fn.bmj.com/content/102/6/F497.

February 28th, 2018 was Rare Disease Day! Rare Disease Day is an opportunity to raise awareness for 7,000+ rare diseases and the 30 million Americans who are affected by a rare disease(s). There were events held worldwide to raise awareness. The theme for this year's Rare Disease Day is "Research" and the important role that patients play in gaining an understanding of rare diseases and developing innovative treatments or cures. This year's slogan is "Patients are not only subjects but also proactive actors in research."This episode features a couple interviews with presenters, who I caught up with at the end of the Rare Disease Day event in Hartford, CT in the Legislative Office Building. This specific event is one I have attended for a few years and provides an opportunity for patients, caregivers, medical professionals and industry representatives to come together and educate elected officials about rare diseases, and what it’s like to live with or care for someone with a rare disease in the state. A main focus of the event was newborn screening, including the addition of Pompe Disease and Mucopolysaccharidosis Type 1 (MPS1) for Connecticut. Connecticut covers over 60 diseases, while most other states only cover ~40 diseases.  A young man named Hunter Pageau spoke about his extremely rare disease, SMARD, Spinal Muscular Atrophy with Respiratory Distress. SMARD is an aggressive respiratory/neuromuscular disease causing paralysis and inability for patients to breathe on their own. And 1 of only 12 people in the United States, and of 80 worldwide, with SMARD. Being the trailblazer he is, he started YES, the young empowerment society for kids. He is a true inspiration and leader! Going with the theme of this year’s Rare Disease Day, researchers shared how vital funding is to their research and the cascade effect initial funding can have. Stormy Chamberlain, PhD, a researcher at UCONN who focuses on Angelman Syndrome, explained how the Connecticut Stem Cell Research Fund led to NIH funding and partnerships with pharmaceutical companies such as Alexion. Presenting alongside her was Jim Kubicza, a father of a child who has Angelman Syndrome. As a fierce patient advocate, he joined the Angelman Syndrome Foundation to help raise some of this research money. He also shared some aspects of being the father of a child with a rare disease, including the burden of expensive seizure medication, full-time supervision of his son, and fighting for basic needs for his son at school. He shared more in our interview in this episode.  There was also a family with a daughter who has Dravet Syndrome. Beth Fox shared about her daughter's 250 unconscious seizures, despite trying multiple different medications, and their battles with her insurance company for coverage. In a cute moment, her daughter joined her at the podium, excited to introduce herself. Jean Kelley also spoke as a patient advocate. Her son Brian has a rare neurological disease called Adrenoleukodystrophy (ALD) for which she started an organization, Brian’s Hope. She shares more during her interview in this episode. Senators and Representatives also spoke about their support for rare diseases including the Connecticut Rare Disease Task Force. This bipartisan group focuses on newborn screening, insurance issues, support services in school systems among other topics. It takes 2.5 billion dollars and 12 years to develop a drug, so we need to give tax credits to companies so they have incentive to come to Connecticut for their research, which then helps the state. It’s fantastic that an event like this can bring legislators into the conversation so we can take action to help families with rare diseases. For more information about Rare Disease please visit NORD’s rarediseases.org and check out the other episodes about rare diseases including previous Rare Disease Days.

Dr. Ronda Mourad and Dr. Jessica Donato are back to highlight the critical differentials and management steps of a patient presenting in “respiratory distress.” Listen along for some great clinical pearls! LEARNING OBJECTIVES: (1) Define “respiratory distress” by clarifying the HPI and VS (2) Formulate a differential by: (a) understanding the pathophysiology, “what’s driving the … Continue reading "Episode 7: Respiratory Distress"

This podcast outlines an approach to respiratory distress in children. Listeners will learn to identify clinical features, develop a differential diagnosis and appropriately investigate and acutely manage patients in respiratory distress.   Related Content: Case: Respiratory distress in a 4 year old male Case: Breathing Difficulty in a 12 year old boy Case: Shortness of breath in a 10 year old boy Case: Cough and Respiratory Distress in a 14 month old boy Case: Fever, cough, and shortness of breath in a 13 year old

PICU Kleinman, M Recognizing Respiratory Distress Podcast 091213 by OPENPediatrics

Take a deep breath and PEEP this – PEM Currents, the Pediatric Emergency Medicine podcast proudly brings you an episode dedicated to the initial assessment and management of respiratory distress. Whether you’ve been practicing in the field for 20 years or are fresh out of medical school it is important to recognize key symptoms in […]

This episode covers an approach to the chronic cough. This podcast covers the common causes, key history questions & physical findings, investigations, and management of the chronic cough. This episode was written by Mark McKinney and Dr. Melanie Lewis. Mark is a medical student at the University of Alberta. Dr. Lewis is an Associate Professor in the Department of Pediatrics, Associate Dean of Learner Advocacy & Wellness at the University of Alberta, and the Medical Director of the Down syndrome Medical Clinic in Edmonton, Alberta. These podcasts are designed to give medical students an overview of key topics in pediatrics. The audio versions are accessible on iTunes. You can find more great pediatrics content at www.pedscases.com.   Related Content Case: Chronic cough in an adolescent Podcast: Acute Cough Podcast: Approach to a Child in Respiratory Distress

Spreker: A.D. Cornet Promotor: prof.dr. A.B.J. Groeneveld, prof.dr. A.R.J. Girbes, dr. A. Beishuizen. Faculteit: VU medisch centrum datum, tijd: 04-03-2014

Spreker: A.D. Cornet Promotor: prof.dr. A.B.J. Groeneveld, prof.dr. A.R.J. Girbes, dr. A. Beishuizen. Faculteit: VU medisch centrum datum, tijd: 04-03-2014

Presented by Jackie B. Martin, DNP, NNP-BC, CCNS

A review of pediatric respiratory disease by one of the great pediatric pulmonologists

A review of pediatric respiratory disease by one of the great pediatric pulmonologists

Eric Pacht, MD, discuss an editorial published in the September issue of Critical Care Medicine, "Enteral therapy to decrease morbidity and improve survival in acute respiratory distress syndrome: Its time has come." Dr. Pacht is a pulmonary and critical care specialist and the director of the intensive care unit at Licking Memorial Hospital in Ohio. (Crit Care Med; 2006 34(9):2292-2493)

The function of pulmonary surfactant of a group of 14 preterm neonates (birth weight 907 +/- 60 g) who suffered from severe respiratory distress syndrome (RDS) and who had received exogenous bovine lipid extracted surfactant on the first day of life was compared to that in a second group of 8 neonates (birth weight 940 +/- 110 g) with mild RDS who had not received surfactant treatment. Mechanical respiratory support from day 2 on was the same in both groups. The minimal surface tension (gamma(min)) improved steadily, falling from about 30 mN/m initially to less than 20 mN/m before extubation, A consistent but loose correlation was found between gamma(min) and mechanical respiratory support necessary, as quantitated by the oxygenation index. Total protein was about 0.8 +/- 0.2 mg/mg of phospholipids and did not change during the first week of life. There were no correlations between total protein and gamma(min) or the oxygenation index. The data suggest that inhibition of surfactant function by proteins leaked into the airspaces does not play a major role during recovery from RDS, Instead, endogenous remodelling of surfactant might be of greater relevance.

Adult respiratory distress syndrome (ARDS) can develop as a complication of various disorders, including sepsis, but it has not been possible to identify which of the patients at risk will develop this serious disorder. We have investigated the ability of six markers, measured sequentially in blood, to predict development of ARDS in 26 patients with sepsis. At the initial diagnosis of sepsis (6-24 h before the development of ARDS), serum manganese superoxide dismutase concentration and catalase activity were higher in the 6 patients who subsequently developed ARDS than in 20 patients who did not develop ARDS. These changes in antioxidant enzymes predicted the development of ARDS in septic patients with the same sensitivity, specificity, and efficiency as simultaneous assessments of serum lactate dehydrogenase activity and factor VIII concentration. By contrast, serum glutathione peroxidase activity and α1Pi-elastase complex concentration did not differ at the initial diagnosis of sepsis between patients who did and did not subsequently develop ARDS, and were not as effective in predicting the development of ARDS. Measurement of manganese superoxide dismutase and catalase, in addition to the other markers, should facilitate identification of patients at highest risk of ARDS and allow prospective treatment.