Podcasts about Rosc

Contributor: Aaron Lessen, MD Educational Pearls: How do amiodarone and lidocaine work on the heart? Amiodarone Blocks potassium channels (Class III effect). Also blocks sodium and calcium channels. Additional noncompetitive beta-blocker effects. Stabilizes cardiac tissue, slows heart rate, and suppresses both atrial and ventricular arrhythmias. Lidocaine Blocks fast sodium channels in ventricular tissue (Class Ib). Shortens the action potential in ventricular myocardium, especially in ischemic tissue. Suppresses abnormal automaticity in damaged/irritable myocardium. Which one should you pick for a patient in vtach/vfib cardiac arrest? The current guidelines recommend amiodarone for shock-refractory cases but this is based on randomized trials showing better arrhythmia termination and short-term outcomes, but not long-term survival benefits. Two recent studies suggest that lidocaine might actually be preferable. A 2023 paper published in Chest Performed a large retrospective cohort study for treating in-hospital VT/VF cardiac arrest. Among more than 14,000 patients, lidocaine was associated with higher rates of ROSC, 24-hour survival, survival to discharge, and favorable neurologic outcomes. These results held after adjusting for covariates and using propensity score methods. Overall, lidocaine outperformed amiodarone across all major clinical outcomes in this population. A 2025 paper published in Resuscitation Performed a target trial emulation in adults with out-of-hospital shockable cardiac arrest. After propensity score matching in more than 23,000 eligible cases, lidocaine was associated with higher odds of prehospital ROSC, fewer post-drug defibrillations, and greater survival to hospital discharge. These advantages were consistent across matched patient pairs. Dose for lidocaine is an initial 1-1.5 mg/kg IV bolus, followed by additional boluses of 0.5-0.75 mg/kg every 5-10 minutes up to a total of 3 mg/kg if needed. Dose for amiodarone is a 300 mg bolus followed by an additional 150 mg bolus if needed. References Al-Khatib SM, Stevenson WG, Ackerman MJ, Bryant WJ, Callans DJ, Curtis AB, Deal BJ, Dickfeld T, Field ME, Fonarow GC, Gillis AM, Granger CB, Hammill SC, Hlatky MA, Joglar JA, Kay GN, Matlock DD, Myerburg RJ, Page RL. 2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: Executive summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Heart Rhythm. 2018 Oct;15(10):e190-e252. doi: 10.1016/j.hrthm.2017.10.035. Epub 2017 Oct 30. Erratum in: Heart Rhythm. 2018 Nov;15(11):e278-e281. doi: 10.1016/j.hrthm.2018.09.026. PMID: 29097320. Smida T, Crowe R, Price BS, Scheidler J, Martin PS, Shukis M, Bardes J. A retrospective 'target trial emulation' comparing amiodarone and lidocaine for adult out-of-hospital cardiac arrest resuscitation. Resuscitation. 2025 Mar;208:110515. doi: 10.1016/j.resuscitation.2025.110515. Epub 2025 Jan 23. PMID: 39863130; PMCID: PMC11908894. Wagner D, Kronick SL, Nawer H, Cranford JA, Bradley SM, Neumar RW. Comparative Effectiveness of Amiodarone and Lidocaine for the Treatment of In-Hospital Cardiac Arrest. Chest. 2023 May;163(5):1109-1119. doi: 10.1016/j.chest.2022.10.024. Epub 2022 Nov 2. PMID: 36332663. Summarized by Jeffrey Olson, MS4 | Edited by Jeffrey Olson and Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate/

December brings us to the final Papers of the Month for 2025 and we're finishing the year with three studies that challenge assumptions across critical care and resuscitation! This time questioning the role of arterial lines in shock, looking at the true prognostic value of end-tidal CO₂ in cardiac arrest and finally to airway management in neonates. We start in the ICU with the EVERDAC trial, a large multicentre RCT exploring whether early arterial catheterisation in shock truly changes outcomes. This challenges some of the papers we've recently looked at recently which champion the benefit of early arterial line insertion! The EVERDAC trial looks at the effect they have on mortality and the results are pretty striking. Next, we move into the world of cardiac arrest with a systematic review and meta-analysis examining end-tidal CO₂ as a prognostic tool for ROSC. ETCO₂ is firmly embedded in ALS practice, but its real predictive power isn't completely clear, as we've seen in the recent ERC guidelines. This review pulls together studies with more than 3,000 patients and helps us understand more how much weight we should give to ETCO₂ and the way in which it's best utilised. Finally, we finish with a neonatal focus: a systematic review and meta-analysis comparing video versus direct laryngoscopy for urgent neonatal intubation. Success rates in NICU and delivery room intubation are notoriously low. This paper looks at the impact of video laryngoscopy on first pass success with some dramatic results, which raises important questions around training and resource allocation. Three papers, three very different patient groups, and three opportunities to reflect on how evidence continues to challenge our practice. Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon & Rob

The 2025 AHA Guidelines for CPR and Emergency Cardiovascular Care introduce significant updates, including a focus on on-scene resuscitation, cautious use of mechanical CPR devices, and prioritizing IV over IO access. While these changes aim to improve outcomes, they've sparked debate among seasoned paramedics like Jimmy Apple, the “EMS Avenger,” who highlights the challenges of implementation.   Key Points: • On-Scene Resuscitation: Emphasis on achieving ROSC on scene rather than rapid transport. • Mechanical CPR Devices: AHA advises against routine use, but paramedics argue they're essential for small or rural teams. • IV vs. IO Access: IV is prioritized, but practicality for resource-limited teams is questioned. • Empowering EMS Providers: Focus on critical thinking, quality compressions, and timely defibrillation. • Cultural Shift: Training crews for compassionate death notifications and clear family communication.

Conversación con los autores del caso clínico publicado en International Journal of Emergency Medicine (2025) En este episodio del ECCpodcast, conversamos con los autores del caso "Cardiopulmonary resuscitation-induced consciousness in an elderly patient: a case report in the prehospital setting"—un fenómeno sorprendente y todavía poco comprendido: la conciencia inducida por RCP (CPRIC). Hablamos con Jose Daniel Yusty-Prada y Jose Luis Piñeros-Alvarez, quienes documentaron la historia de un paciente de 80 años que, sin haber recuperado pulso, comenzó a moverse, hacer sonidos y quitarse el equipo… durante las compresiones torácicas. Este caso abre una conversación fundamental sobre la fisiología, el manejo clínico, la ética y la capacitación necesaria para enfrentar CPRIC en entornos reales. Contexto del Caso El paciente colapsó en un área pública, rápidamente reconocido como un paro cardíaco presenciado. Los testigos iniciaron compresiones inmediatas, y un equipo BLS llegó con un AED, confirmando un ritmo desfibrilable. Durante los ciclos iniciales de RCP, el paciente comenzó a: flexionar las piernas, mover brazos, intentar remover el BVM y los parches, vocalizar sonidos, y mover la cabeza. Todo esto sin pulso palpable y sin signos de perfusión sostenida. Los movimientos desaparecían al detener las compresiones y reaparecían al reanudarlas: un patrón clásico de CPRIC. Esto provocó interrupciones prematuras por parte del equipo, dudas entre los testigos e incluso conflictos psicológicos en los rescatistas, quienes inicialmente pensaron que el paciente "despertaba". Finalmente, tras múltiples desfibrilaciones y sin sedación disponible en protocolo, se logró ROSC. ¿Qué es CPR-Induced Consciousness (CPRIC)? Los autores explican que CPRIC es un fenómeno real, probablemente subdiagnosticado, en el cual un paciente sin pulso presenta: Formas interferentes Intentar quitarse dispositivos Empujar a los rescatistas Movimientos coordinados Vocalizaciones Mover cabeza, brazos o piernas Formas no interferentes Parpadeo Mirada fija o seguimiento Suspiros Movimientos mínimos La evidencia señala que CPRIC ocurre más en: paros presenciados, ritmos desfibrilables, paro de causa cardiaca, CPR de alta calidad, y pacientes sin daño cerebral previo severo. Cada vez vemos más casos porque estamos dando mejor RCP, con mayor perfusión cerebral y más equipos con feedback. Retos del Caso: Técnica, logística y psicología Uno de los aspectos más valiosos del episodio es cuando los autores discuten cómo el fenómeno impacta al equipo. 1. Interrupciones prematuras Los movimientos llevaron al equipo a detener compresiones 30–40 segundos antes del análisis del AED, y esto puede comprometer el éxito de la desfibrilación. 2. Manejo de vía aérea Los movimientos orales hicieron imposible avanzar más allá del OPA + BVM. Intentar insertar una supraglótica se volvió riesgoso. 3. Interferencia del público Familiares y testigos gritaban que el paciente estaba "despertando" y pedían detener la RCP. Esto modificó la toma de decisiones del equipo. 4. Dilema ético y emocional Los autores describen la experiencia como "desconcertante", incluso sabiendo que el paciente estaba en VF refractaria.   Sedación en CPRIC: ¿Cuándo? ¿Cómo? ¿Con qué? El artículo y los autores coinciden en que la evidencia actual favorece el uso de ketamina para manejar CPRIC interferente: 0.5–1 mg/kg IV o bolos de 50–100 mg Ventajas: No compromete presión arterial No deprime respiración Inicio muy rápido Ayuda en estrés psicológico post-evento Sin embargo: La mayoría de los sistemas en Latinoamérica no tienen protocolos Providers temen administrar sedación en pleno paro No existe guía formal de AHA o ERC ILCOR solo tiene un best practice statement Los autores recalcan que la sedación debe considerarse solo si CPRIC interfiere con las maniobras. Lecciones para EMS y emergencias Los autores destacan tres grandes enseñanzas: 1. CPRIC no es ROSC Si no hay pulso, no hay circulación espontánea, aunque el paciente hable o se mueva. 2. La educación pública es crucial Los testigos pueden ejercer presión equivocada. Es necesario explicar durante la escena qué está pasando. 3. Los sistemas deben crear protocolos ya Incluyendo: reconocimiento temprano decisiones sobre sedación documentación comunicación con familiares entrenamiento en simulación Por qué este caso es importante Este artículo es uno de los pocos reportes en un paciente geriátrico, resalta desafíos culturales en Latinoamérica y propone la urgente necesidad de estandarización internacional. CPRIC seguirá aumentando porque la RCP sigue mejorando. Y si no lo reconocemos, aumentarán: interrupciones innecesarias, conflictos en escena, mala calidad de RCP, y peor pronóstico. Llamado a la acción para la comunidad Si este episodio te hizo reflexionar: ðŸ'‰ Únete al ECCnetwork: https://ecctrainings.circle.so ðŸ'‰ Conoce nuestros cursos premium: ACLS, Manejo Avanzado de Vía Aérea, Emergency Nursing, Critical Care, TCCC-CMC www.ecctrainings.com ðŸ'‰ Lee el artículo completo: https://link.springer.com/article/10.1186/s12245-025-01032-w Yusty-Prada, J.D., Portuguez-Jaramillo, N.E. & Piñeros-Alvarez, J.L. Cardiopulmonary resuscitation-induced consciousness in an elderly patient: a case report in the prehospital setting. Int J Emerg Med 18, 230 (2025). https://doi.org/10.1186/s12245-025-01032-w

Review the ACLS treatment goals and targeted temperature management (TTM) for post-arrest patients that have return of spontaneous circulation (ROSC).Post-arrest care and recovery are the final two links in the chain of survival.Identification of ROSC during CPR.Initial patient management goals after identifying ROSC.Indications for starting TTM.Monitoring the patient's core temperature.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506/Pass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

Welcome back to the tasty morsels of critical care podcast. This is the second of 2 parts on PE in critical care. The first focused on risk stratification and this one will focus on management. There is a link to a transcript of a more comprehensive talk with references on emergencymedicineireland.com for those keen enough to dive a little deeper. As noted in the last podcast this one leans very heavily on “in the my experience” level of the evidence pyramid and should be weighted as such. For this discussion I’m going to assume your patient is in the ESC High risk category, ie hypotensive with a PE on imaging and you’re satisfied that the PE is causing the hypotension. I do believe there is a tiny cohort of the PE population who warrant aggressive reperfusion even with a normal appearing BP but at this stage I cannot say I have any evidence or guidance to really identify who they are and back that up. For the original talk I gave on this to an EM audience, I split the interventions into helpful , distractions, and not helpful. It was probably a little bit of a provocative division if I’m honest. The slide is on the site for reference and viewing it will likely make what follows more edifying. For the resus room patient in the first 30-60 mins I feel comfortable to standby my assertion that a short list of “helpful interventions” should includes lysis, anticoagulation, noradrenaline, oxygen and some CPR. In the ICU however we’re often present both at the first 30-60 mins but over next hours and many of the items on the “distraction” list become a little more relevant with time. Number 1 on my list of helpful interventions is thrombolysis. As mentioned, if you have found PE and you have satisfied yourself that the sickness and hypotension you’re seeing is caused by that PE then you need to have a good reason not give thrombolysis. The evidence base is not high level RCTs but it is a class 1 recommendation on the ESC guidelines and the list of class 1 interventions is really quite short. In the 25 year old in resus with a massive PE day 3 after an arthroscopy the decision here seems pretty straightforward. However in the post trauma patient in the ICU with massive PE with a small traumatic SAH and an improving SDH and a recent laparotomy then the decision is orders of magnitude more complex and you may well find a very good reason why lysis is not an option. There is not a straightforward answer to lysis because it will vary from patient to patient but I would emphasis that it is a question worth dedicating a decent chunk of your cognitive bandwidth to. Dosing in an unstable patient is often 10mg of alteplase followed by 90mg over 2 hrs. Dosing in a cardiac arrest situation is typically a 50mg bolus. Anticoagulation is one of the other class 1 recommendations on the ESC list. Opinions vary on agent of choice. With my ICU hat on I will almost always advocate for UFH as I feel confident that if i stop it, the heparin effect will be gone in a couple of hours when the inevitable bleeding starts. Opinions vary and I know smart people who advocate for LMWH in this scenario with one of the arguments being you probably get more reliable and quicker anti Xa effect. Both the guidelines and your esteemed narrator recommend against volume resuscitation. Dumping a litre of crystalloid into the venous circulation will shift the IVS further towards the left impairing cardiac filling and doing the opposite of what you intended. A much better resuscitation fluid would be noradrenaline. This is remarkably effective in improving BP and perfusion and I have often used it when I am 90% sure the patient has a PE but haven’t quite got the CT scan to prove it. The noradrenaline can also buy you a little time to make a better decision about the lysis and reperfusion, converting what would have been an immediate decision into something that you maybe have more like 30 mins to make. Certainly if the noradrenaline dosage is rising and the right heart is struggling then adrenaline would be my add on inotrope of choice. Of course we know in the ICU we have a plethora of other agents available to us with lots of theoretical advantage on pulmonary vascular resistance etc. They would rarely be my first line, certainly not in the ED population but I would often reach for them a little further down the line once i have a better handle on the physiology and what they might tolerate. Enough to say that staring someone on 0.5mcg/kg/min milrinone as a single agent with a starting BP of 60/40 is not likely to end well in this context Oxygenation is strongly endorsed given its proclivity for reduction in PVR, however intubating someone in this context to facilitate oxygenation is likely to result in a catastrophic haemodynamic collapse. The adage “resuscitate before you intubate” or even “reperfuse before you intubate” has some relevance here. I find CPR to be helpful in the context of massive PE, not simply for the usual reasons of preserving some degree of forward flow but I suspect there is a mechanical effect of breaking up or moving clot more distally. I have frequently seen stuttering intermittent ROSC in this context. I would suggest caution with the mechanical CPR devices as the presence of a liver lac in the context of tPA is unlikely to be well tolerated. While not available or that relevant to the emergency medicine population I do think the addition of nitric in the ventilated ICU patient who develops nasty PE seems like a low risk intervention with potentially massive gains. There is a small RCT of nitric in the spontaneous breathing PE population that did not however show benefit. I put mechanical devices in the “distraction” category in my original talk as I don’t think they have much relevance in the early stage of resuscitation. However if you have kept them alive long enough or if you have a true contraindication to lysis or a failed lysis then they may well have a role. I have found the evidence base so far here decidedly underwhelming and for catheter directed lysis in particular i struggle to see how a mg/hr tpa via a pulmonary catheter is any different than a mg/hr of tpa via a peripheral IV line given that the entire venous return ends up in the pulmonary circulation either way. The thrombectomy devices are certainly more compelling from a physiological perspective and the obvious and dramatic changes in physiology on removal of clot are quite compelling. But they are a tremendous faff requiring a catheter akin to an ECMO catheter to be threaded into the pulmonary circulation. The recent PEERLESS trial gave an average 90 min procedure time emphasizing the need to keep the patient alive long enough to receive the intervention. I do feel this has a role in our management quiver I am just unsure what that role is, but more evidence in the coming years will likely clarify VA ECMO is undoubtedly a fantastic physiological support for a dying PE patient but bear in mind it is almost definitely not available to you in the vast majority of hospitals in the Ireland and the UK. PERT teams are groups of relevant physicians willing to weigh in on difficult PE cases to advise on management. I put PERT teams in the distraction category. And I feel bad about that because they're usually filled with knowledgeable and enthusiastic people . But there are 2 errors I've seen on this that we should be aware of. One is on us as primary clinicians where we outsource the decision to lyse in someone who has a clear indication. This is not necessarily the fault of the PERT team but there is risk to the patient in delaying as it is a tremendous faff trying to get hold of the relevant people and then get them to agree. The second distraction that can happen is the recommendation for interventions in a patient that they have not seen and are not present to. A couple of times I have had to talk people out of IR interventions that frankly were not needed because the patient was getting better with conventional treatment. Do not underestimate the importance of being at the bedside and seeing the patient and evaluating response to treatment. Surgery, in terms of pulmonary embolectomy is the third and final class 1 recommendation in the ESC guidelines for high risk PE. All be it with a very low evidence rating. It gets talked about in papers and guidelines but you're talking about taking someone who is already mostly dead into theatre, lined, anaesthetised, chest opened and onto bypass. There probably is a role for it somewhere and in certain institutions and it's often raised in the context of contraindications to lysis but those same contraindications to lysis usually apply to the 30000 units of heparin you need to get them on bypass. It seems to suffer from the old goldilocks flaw of “not sick enough” for theatre or “too sick” for theatre I have clearly done way beyond my usual brevity in this scenario but honestly didn’t think anyone could tolerate a 3rd part on PE. Full refunds are available on request For further reading it is probably best to visit the original lecture post where the relevant papers are all listed with a little smattering of critical appraisal thrown in for good measure.

 Asun Alonso Gaite, responsable de análisis sensorial del departamento de I+D+I del CETECE, nos cuenta en qué consiste el concurso de roscones

ERC 2025-richtlijnen: wat verandert er voor de ambulancezorg?

Indications & use of an antiarrhythmic infusion of Amiodarone or Lidocaine for cardiac arrest patients that have return of spontaneous circulation (ROSC).Our primary focus immediately following return of spontaneous circulation (ROSC).Post-arrest goals for O2 saturation, ETCO2, and BP/MAP.Indications for use of an antiarrhythmic after ROSC.Determining which antiarrhythmic to use post cardiac arrest.Administration of Amiodarone or Lidocaine after ROSC.The use of Amiodarone post arrest if no antiarrhythmics were administered prior to obtaining ROSC.Links to other medical podcasts that cover antiarrhythmics and other ACLS-related topics are on the Pod Resource page at PassACLS.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

BLS & ACLS's Adult Cardiac Arrest algorithm makes it easier to act as team leader during a code by following an If/Then methodology.Review of BLS steps for determining if rescue breathing or CPR is needed and use of an AED for patients in cardiac arrest.If the patient is in a non-shockable rhythm on the ECG such as PEA or asystole, we will go down the right side of the Adult Cardiac Arrest Algorithm.If the patient is in a shockable rhythm on the ECG such as V-Fib or V-Tach, we will go down the left side of the Adult Cardiac Arrest Algorithm.An example of a code's flow for shockable rhythms when an antiarrhythmic such as Amiodarone or Lidocaine is administered.We will follow the algorithm until the patient has ROSC or we call the code.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

The use of quantitative waveform capnography in ACLS to confirm good CPR and placement of an ET tube, identify ROSC, and during post-cardiac arrest care.Waveform capnography use with, and without, an advanced airway in place.Monitoring end tidal CO2 during rescue breathing.Use of capnography to objectively measure good CPR.Capnography is a preferred method of confirming endotracheal tube (ETT) placement over x-ray during a code.Identifying ROSC during CPR.Quantitative waveform capnography use in the post-cardiac arrest algorithm.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

Puedes leer el blogpost completo en www.ecctrainings.com. 1. ¿Por qué estas guías son importantes? Representan la evolución más reciente en el manejo del paro cardíaco. Se enfocan en algo más allá del algoritmo: tecnología, calidad, equipo, y formación. ECCtrainings te entrena no solo en el "qué hacer", sino en el "cómo hacerlo mejor". 2. Avances clave:

Hoy analizamos lo más importante de las Guías 2025 de Soporte Vital Pediátrico (PALS) publicadas por la American Heart Association (AHA). Discutimos los cambios que realmente impactan tu práctica clínica: desde las nuevas técnicas de compresión torácica y el manejo del cuerpo extraño, hasta la interpretación de la actividad cerebral postparo y la presencia familiar durante la reanimación.

Review the ACLS treatment goals and targeted temperature management (TTM) for post-arrest patients that have return of spontaneous circulation (ROSC).The goal of CPR.Post-arrest care and recovery are the final two links in the chain of survival.Identification of ROSC during CPR.Initial patient management goals after identifying ROSC.The patient's GCS/LOC should be evaluated to determine if targeted temperature management (TTM) is indicated.Recently published studies on TTM and ACLS's current standard.Monitoring the patient's core temperature during TTM.Patients can undergo EEG, CT, MRI, & PCI while receiving TTM.**American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support! Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

A brief review of two commonly used ACLS medications: epinephrine & Dopamine. Their indications, doses, and considerations for safety is discussed.Epinephrine and Dopamine are adrenergic agonist used in several ACLS algorithms.The use of epinephrine for severe anaphylaxis and unstable bradycardia.Review epinephrine's effects on blood vessels and bronchioles.Why epinephrine is helpful for patients with anaphylaxis.Using an epi drip for unstable bradycardia.Epinephrine administration during cardiac arrest.Starting an epinephrine or Dopamine drip for patients that have ROSC.Review the effects of Dopamine based on mcg/kg/min dosing.Monitoring the patient and titrating epi or Dopamine drips to prevent harm.For more information on ACLS medications, check out the pod resource page at passacls.com.**American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support! Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

Review of: rescue breathing; advantages of waveform capnography; and delivering artificial ventilations during CPR with and without an advanced airway.Providing rescue breathing to apneic patients with a palpable pulse.Normal end tidal CO2 for patients with a pulse.Identification of cardiac arrest and our immediate actions.Providing artificial ventilations during CPR without an advanced airway vs with an advanced airway in place.Using quantitative waveform capnography to confirm placement of an advanced airway, assess the quality of CPR, and identify ROSC.The effects of hyperventilating patients in cardiac arrest.**American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support! Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

Fiddles fly, voices soar, and traditions come alive on the Irish & Celtic Music Podcast #727  -  -  Subscribe now! Jigjam, Téada, Jeff Blaney, Norse Gael, Bealtaine, Goitse, Dan Possumato, Crikwater, Jocelyn Pettit & Ellen Gira, Golden Bough, Brobdingnagian Bards, Enda Reilly, Tartanic, Caliceltic, Liz Carroll GET CELTIC MUSIC NEWS IN YOUR INBOX The Celtic Music Magazine is a quick and easy way to plug yourself into more great Celtic culture. Enjoy seven weekly news items with what's happening with Celtic music and culture online. Subscribe now and get 34 Celtic MP3s for Free. VOTE IN THE CELTIC TOP 20 FOR 2025 This is our way of finding the best songs and artists each year. You can vote for as many songs and tunes that inspire you in each episode. Your vote helps me create this year's Best Celtic music of 2025 episode. You have just three weeks to vote this year. Vote Now! You can follow our playlist on YouTube to listen to those top voted tracks as they are added every 2 - 3 weeks. THIS WEEK IN CELTIC MUSIC 0:06 - Jigjam "Greenhill's Gold" from Phoenix 4:16 - WELCOME 6:21 - Téada "Reels: The Reel with the Birl / Carraigín Ruadh / Ryan's Rant" from Ainneoin na stoirme / In spite of the storm 9:29 - Jeff Blaney "When I Am Home (In America)" from Exodus 11:43 - Norse Gael "Creadeamh Sí" from Finscéal 15:12 - Bealtaine "The Ducks of Dublin Town" from Factories & Mills, Shipyards & Mines 18:43 - FEEDBACK 22:06 - Goitse "Write Me Down" from Rosc 25:46 - Dan Possumato "Planxty Dermot Grogan (feat. Teresa Baker & Elizabeth Nicholson)" from An Teachín Gorm 29:40 - Crikwater "Yarmouth Town (Live)" from Live in Buffalo 33:09 - Jocelyn Pettit & Ellen Gira "Road Trip to Cape Breton" from Here To Stay 36:56 - Golden Bough "Glencoe" from Westering Home 40:49 - THANKS 44:15 - Brobdingnagian Bards "Mother's Blood" from Another Faire to Remember 48:00 - Enda Reilly "An Bua Ag Bláth Chliath" from Hy - Brasil 50:57 - Tartanic "Ballz/Ringworm" from Unleashed 55:46 - Caliceltic "The Man in the Boat" from Paddy Paradise 58:40 - CLOSING 59:42 - Liz Carroll "Hanley's House of Happiness” from Lake Effect 1:03:01 - CREDITS Support for this program comes from International speaker, Joseph Dumond, teaching the ancient roots of the Gaelic people. Learn more about their origins at Sightedmoon.com Support for this program comes from Cascadia Cross Border Law Group, Creating Transparent Borders for more than twenty five years, serving Alaska and the world. Find out more at   www.CascadiaLawAlaska.com Support for this program comes from Hank Woodward. The Irish & Celtic Music Podcast was produced by Marc Gunn, The Celtfather and our Patrons on Patreon. The show was edited by Mitchell Petersen with Graphics by Miranda Nelson Designs. Visit our website to follow the show. You'll find links to all of the artists played in this episode. Todd Wiley is the editor of the Celtic Music Magazine. Subscribe to get 34 Celtic MP3s for Free. Plus, you'll get 7 weekly news items about what's happening with Celtic music and culture online. Best of all, you will connect with your Celtic heritage. Please tell one friend about this podcast. Word of mouth is the absolute best way to support any creative endeavor. Finally, remember—our planet's future is in our hands. The overwhelming evidence shows that human activity is driving climate change, from record  -  breaking heat waves to rising sea levels. But the good news? We have the power to fix it. Every choice we make—reducing waste, conserving energy, supporting clean energy, and lobbying our political leaders—moves us toward a more stable climate. Start a conversation today. The facts are out there, and the future is ours to shape. Promote Celtic culture through music at http://celticmusicpodcast.com/. WELCOME THE IRISH & CELTIC MUSIC PODCAST * Helping you celebrate Celtic culture through music. I am Marc Gunn. I'm a Celtic musician and also host of Folk Songs & Stories. This podcast is for fans of Celtic music. We are here to build a diverse Celtic community and help the incredible artists who so generously share their music with you. If you hear music you love, please email artists to let them know you heard them on the Irish and Celtic Music Podcast. Musicians depend on your generosity to release new music. So please find a way to support them. Buy a CD, Album Pin, Shirt, Digital Download, or join their community on Patreon. You can find a link to all of the artists in the shownotes, along with show times, when you visit our website at celticmusicpodcast.com. Email follow@bestcelticmusic to learn how to subscribe to the podcast and you will get a free music - only episode. You'll also learn how to get your band played on the podcast. Bands don't need to send in music, and you will get a free eBook called Celtic Musicians Guide to Digital Music. It's 100% free. Again email follow@bestcelticmusic IRISHFEST ATLANTA Join us at IrishFest Atlanta on Nov 7 - 9, 2025. You'll enjoy exclusive concerts with Open the Door For Three with Special Guest Liz Carroll on Friday and Teada on Saturday night. Plus enjoy music from Kathleen Donohoe, O'Brian's Bards, Olivia Bradley, Roundabouts, The Kinnegans, The Muckers, Irish Brothers, Celtic Brew, Station 1 2 3 and special set from Inara and Marc Gunn. There are music and dance workshops, Irish cooking competitions, IrishTea, Irish Films, and of course, LOTS of Irish dancing. Celebrate your Irish heritage at IrishFest Atlanta in November. Bring a friend! Learn more at IrishFestAtlanta.com THANK YOU PATRONS OF THE PODCAST! Because of generous patrons like you, the Irish & Celtic Music Podcast releases new episodes nearly every single week. Your support doesn't just fund the show—it fuels a movement. It helps us share the magic of Celtic music with thousands of new listeners and grow a global community of music lovers. Your contributions pay for everything behind the scenes: audio engineering, stunning graphics, weekly issues of the Celtic Music Magazine, show promotion, and—most importantly—buying the music we feature from indie Celtic artists. And if you're not yet a patron? You're missing out! Patrons get: Early access to episodes Music - only editions Free MP3 downloads Exclusive stories and artist interviews A vote in the Celtic Top 20 Join us today and help keep the music alive, vibrant, and independent.

Review the ACLS treatment goals and targeted temperature management (TTM) for post-arrest patients that have return of spontaneous circulation (ROSC).Post-arrest care and recovery are the final two links in the chain of survival.Identification of ROSC during CPR.Initial patient management goals after identifying ROSC.Indications for starting TTM.Monitoring the patient's core temperature.**American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support! Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

The JEMS Report: ROSC and Roll   Cardiovascular perfusionist Brian Kress joins Mike Brown to dissect a high-stakes cardiac arrest case that underscores the critical moments following return of spontaneous circulation (ROSC). They walk through the fragile physiology of post-arrest patients and reveal how early, expert support in the field and hospital dramatically influences outcomes. From the importance of bystander CPR and prehospital interventions to advanced cardiac catheterization and mechanical circulatory support using the Impella device, Brian explains the science behind left ventricular end diastolic pressure (LV EDP) and how offloading the heart aids recovery. This conversation deep dives into the often-overlooked complexities of managing post-ROSC states, emphasizing the need for vigilant hemodynamic monitoring and judicious use of vasopressors. A must-listen for EMS, perfusionists and critical care providers seeking a nuanced understanding of cardiac arrest survival pathways beyond the initial resuscitation.

Our primary focus immediately following return of spontaneous circulation (ROSC) is aimed at ensuring adequate perfusion of the patient's vital organs and decreasing cerebral damage.Post-arrest goals for O2 saturation, ETCO2, and BP/MAP.Indications for use of an antiarrhythmic after ROSC.Determining which antiarrhythmic to use post cardiac arrest.Administration of Amiodarone or Lidocaine to control ventricular ectopy after ROSC.The use of Amiodarone post arrest if no antiarrhythmics were administered prior to obtaining ROSC.Links to other medical podcasts that cover antiarrhythmics and other ACLS-related topics are on the Pod Resource page at PassACLS.com.**American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support! Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

BLS & ACLS's Adult Cardiac Arrest algorithm makes it easier to act as team leader during a code by following an If/Then methodology.Review of BLS steps for determining if rescue breathing or CPR is needed and use of an AED for patients in cardiac arrest.If the patient is in a non-shockable rhythm on the ECG such as PEA or asystole, we will go down the right side of the Adult Cardiac Arrest Algorithm.If the patient is in a shockable rhythm on the ECG such as V-Fib or V-Tach, we will go down the left side of the Adult Cardiac Arrest Algorithm.An example of a code's flow for shockable rhythms when an antiarrhythmic such as Amiodarone or Lidocaine is administered.We will follow the algorithm until the patient has ROSC or we call the code.**American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support! Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

In today's VETgirl online veterinary continuing education podcast, we dive into what we currently know about post-arrest care and survival following veterinary CPR. It's hard to believe it's been over a decade since the RECOVER Initiative brought us the first, standardized, evidence-based veterinary CPR guidelines. Many of us have probably experienced the adrenaline - and relief! - of successfully resuscitating a patient, thanks in large part to those protocols and routine team training. Tune in to find out what comes after ROSC!

Four uses for Quantitative waveform capnography in ACLS.Waveform capnography use with, and without, an advanced airway in place.Monitoring end tidal CO2 during rescue breathing.Use of capnography to objectively measure good CPR.Capnography is a preferred method of confirming endotracheal tube (ETT) placement over x-ray during a code.During CPR, a sudden increase in ETCO2 may indicate ROSC.Quantitative waveform capnography use in the post-cardiac arrest algorithm.**American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support! Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved.Post-arrest care and recovery are the final two links in the chain of survival.Identification of ROSC during CPR.Initial patient management goals after identifying ROSC.The patient's GCS/LOC should be evaluated to determine if targeted temperature management (TTM) is indicated.Recently published studies on TTM and ACLS's current standard.Monitoring the patient's core temperature during TTM.Patients can undergo EEG, CT, MRI, & PCI while receiving TTM.**American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support! Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

Sangamon County ROSC is a group that connects people with the resources they need to address substance use challenges and build a foundation for lasting recovery. They work to identify and reduce barriers and gaps for individuals and families, ensuring they have the support and resources necessary for success. Whitney Devine, Sangamon County ROSC Program Manager, and Austin Dambacher, Sangamon ROSC Coordinator, spoke with Community Voices about community support, the stigma people in recovery face, and their 2025 Community Survey Findings & Strategic Plan. Find more about Sangamon County ROSC here.

The 2017 NEJM study, ALPS, compared amiodarone, lidocaine, and placebo for refractory shockable rhythms in adults with out of hospital cardiac arrest. They found no significant difference in survival to hospital discharge or functional survival between any of the arms. If that study has left you confused, you're not alone. And you're in luck. Tanner Smida joins us again to discuss his latest paper using something called target trial emulation to assess the difference in ROSC and survival to discharge between amiodarone and lidocaine. This is a great discussion of his paper, the methodology, and how we can put his results into the context of ALPS.Citations:1.Smida T, Crowe R, Price BS, Scheidler J, Martin PS, Shukis M, Bardes J: A retrospective ‘target trial emulation' comparing amiodarone and lidocaine for adult out-of-hospital cardiac arrest resuscitation. Resuscitation. 2025;March;208:110515.2. Kudenchuk PJ, Brown SP, Daya M, Rea T, Nichol G, Morrison LJ, Leroux B, Vaillancourt C, Wittwer L, Callaway CW, et al.: Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Cardiac Arrest. N Engl J Med. 2016;May 5;374(18):1711–22.3.Hernán MA, Robins JM: Using Big Data to Emulate a Target Trial When a Randomized Trial Is Not Available: Table 1. Am J Epidemiol. 2016;April 15;183(8):758–64.

The JournalFeed podcast for the week of July 14-18, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:A single high-quality CT scan is highly accurate at detecting serious cervical spine injuries in children after trauma and may be enough to clear the spine without further imaging safely in majority of patients.Thursday Spoon Feed:For patients with ROSC after OHCA who required vasopressors transported by Finnish helicopter EMS (HEMS), normotension (100-140 mm Hg) was associated with improved 30-day mortality compared to hypo and hypertension.Friday Spoon Feed:This study of a trauma database found patients intubated in the emergency department (ED) who required hemorrhage control surgery had worse outcomes than those who were intubated in the operating room (OR). However, a study published just two months ago, from the same database of patients, found no difference in patients based on intubation location. What gives?

Epinephrine and Dopamine are adrenergic agonist used in several ACLS algorithms.The use of epinephrine for severe anaphylaxis and unstable bradycardia.Review epinephrine's effects on blood vessels and bronchioles.Why epinephrine is helpful for patients with anaphylaxis.Using an epi drip for unstable bradycardia.Epinephrine administration during cardiac arrest.Starting an epinephrine or Dopamine drip for patients that have ROSC.Review the effects of Dopamine based on mcg/kg/min dosing.Monitoring the patient and titrating epi or Dopamine drips to prevent harm.For more information on ACLS medications, check out the pod resource page at passacls.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

Providing rescue breathing to apneic patients with a palpable pulse.Normal end tidal CO2 for patients with a pulse.Identification of cardiac arrest and our immediate actions.Providing artificial ventilations during CPR without an advanced airway vs with an advanced airway in place.Using quantitative waveform capnography to confirm placement of an advanced airway, assess the quality of CPR, and identify ROSC.The effects of hyperventilating patients in cardiac arrest. Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved.Post-arrest care and recovery are the final two links in the chain of survival.Identification of ROSC during CPR.Initial patient management goals after identifying ROSC.Indications for starting TTM.Monitoring the patient's core temperature.Patients can undergo EEG, CT, MRI, & PCI while receiving TTM.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

Welcome back to Papers of the Month! Three more papers to both inform and challenge our practice across the spectrum of emergency care. First up we look at a systematic review and meta-analysis on noradrenaline vs adrenaline for our medical post-ROSC patients; what evidence exists out there and should we all be delivering noradrenaline as our first line treatment for those with shock? Next up a paper to really challenge the treatment algorithm for status epilepticus in paediatrics, with an RCT of midazolam and ketamine versus midazolam alone. There are some huge differences here in the form of termination rates and some great discussion to be had around the specifics of the paper and how that might translate into future practice. Finally we look at a paper assessing the impact of i.m. versus i.v. metoclopramide for migraines and acute severe headaches. The paper looks at the impact of length of stay within the Emergency Department and also the efficacy of the treatment. Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon & Rob

Our primary focus immediately following return of spontaneous circulation (ROSC) is aimed at ensuring adequate perfusion of the patient's vital organs and decreasing cerebral damage.Post-arrest goals for O2 saturation, ETCO2, and BP/MAP.Indications for use of an antiarrhythmic after ROSC.Determining which antiarrhythmic to use post cardiac arrest. Administration of Amiodarone or Lidocaine to control ventricular ectopy after ROSC.The use of Amiodarone post arrest if no antiarrhythmics were administered prior to obtaining ROSC.Links to other medical podcasts that cover antiarrhythmics and other ACLS-related topics are on the Pod Resource page at PassACLS.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

Being the team leader during a cardiac arrest is challenging. Using an algorithm helps by standardizing & prioritizing our interventions using an If/Then methodology. Review of BLS steps for determining if rescue breathing or CPR is needed and use of an AED for patients in cardiac arrest.If the patient is in a non-shockable rhythm on the ECG such as PEA or asystole, we will go down the right side of the Adult Cardiac Arrest Algorithm.If the patient is in a shockable rhythm on the ECG such as V-Fib or V-Tach, we will go down the left side of the Adult Cardiac Arrest Algorithm. An example of a code's flow for shockable rhythms when an antiarrhythmic such as Amiodarone or Lidocaine is administered. We will follow the algorithm until the patient has ROSC or we call the code.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn Other Pass ACLS episodes mentionedObjective Measures of Good CPR https://passacls.com/bls/objective-measures-of-good-cpr

We're revisiting some of the most - popular songs from our St Patrick's Day episode today on the Irish & Celtic Music Podcast #714. Subscribe now! Fialla, Goitse, Mànran, Larkin & Moran Brothers, River Driver, Mac and Cheese, David Mitchell, Bealtaine, Conamara Chaos, Brobdingnagian Bards, On The Lash, The Friel Sisters, Runa, Willowgreen, Charlie O'Brien, Sligo Rags GET CELTIC MUSIC NEWS IN YOUR INBOX The Celtic Music Magazine is a quick and easy way to plug yourself into more great Celtic culture. Enjoy seven weekly news items for Celtic music and culture online. Subscribe now and get 34 Celtic MP3s for Free. VOTE IN THE CELTIC TOP 20 FOR 2025 This is our way of finding the best songs and artists each year. You can vote for as many songs and tunes that inspire you in each episode. Your vote helps me create this year's Best Celtic music of 2025 episode. You have just three weeks to vote this year. Vote Now! You can follow our playlist on YouTube to listen to those top voted tracks as they are added every 2 - 3 weeks. THIS WEEK IN CELTIC MUSIC 0:09 - Fialla "Dúlamán" from A Rare Thing 4:15 - WELCOME 5:37 - Goitse "Green Fields of Canada" from Rosc 10:27 - Mànran "Lahinch" from Ùrar 15:51 - Larkin & Moran Brothers "The Rabble Rouser" from Éistigí 18:45 - River Driver "Toss the Feathers" from Flanagan's Shenanigans! Live at The Celt 21:59 - FEEDBACK 24:40 - Mac and Cheese "Ragged Edge" from Big Fun 29:06 - David Mitchell "Away With The Seelies set" from Contours 33:57 - Bealtaine "Grey Dawn Breaking" from The Founders' Room Vol 2 37:15 - Conamara Chaos "Foxrock Set” from Anord 42:48 - Brobdingnagian Bards "Spancil Hill" from Songs of Ireland 46:23 - THANKS 49:04 - On The Lash "John Riley" from Fireside 52:32 - The Friel Sisters "My Love is in America/The Yellow Tinker/Old Cuffe Street (Reels)" from Northern Sky 55:52 - Runa "The Wind That Shakes The Barley" from Live 58:49 - Willowgreen "Muldoon's Fishing Reel / Morrison's Jig" from Willowgreen III 1:01:40 - Charlie O'Brien "The Trackless Wild" from The Trackless Wild, Irish Song of the Pampa 1:07:59 - CLOSING 1:08:53 - Sligo Rags "The Foggy Dew" from The Night Before the Morning After 1:13:57 - CREDITS The Irish & Celtic Music Podcast was produced by Marc Gunn, The Celtfather and our Patrons on Patreon. The show was edited by Mitchell Petersen with Graphics by Miranda Nelson Designs. Visit our website to follow the show. You'll find links to all of the artists played in this episode. Todd Wiley is the editor of the Celtic Music Magazine. Subscribe to get 34 Celtic MP3s for Free. Plus, you'll get 7 weekly news items about what's happening with Celtic music and culture online. Best of all, you will connect with your Celtic heritage. Please tell one friend about this podcast. Word of mouth is the absolute best way to support any creative endeavor. Finally, remember. Reduce, reuse, recycle, and talk with others about climate change. What are you doing to combat climate change? Start a discussion with someone today. Promote Celtic culture through music at http://celticmusicpodcast.com/. WELCOME THE IRISH & CELTIC MUSIC PODCAST * Helping you celebrate Celtic culture through music. I am Marc Gunn. I'm a Celtic musician and also host of Folk Songs & Stories. This podcast is for fans of Celtic music. We are here to build a diverse Celtic community and help the incredible artists who so generously share their music with you. If you hear music you love, please email artists to let them know you heard them on the Irish and Celtic Music Podcast. Musicians depend on your generosity to release new music. So please find a way to support them. Buy a CD, Album Pin, Shirt, Digital Download, or join their community on Patreon. You can find a link to all of the artists in the shownotes, along with show times, when you visit our website at celticmusicpodcast.com. Email follow@bestcelticmusic to learn how to subscribe to the podcast and you will get a free music - only episode. You'll also learn how to get your band played on the podcast. Bands don't need to send in music, and You will get a free eBook called Celtic Musicians Guide to Digital Music. It's 100% free. Again email follow@bestcelticmusic WHAT IS AN ALBUM PIN? An album pin is a lapel pin with artwork inspired by a specific album or song from an album. It could be the actual album artwork or it could be inspired by a specific track on the album. The best album pins stand out on their own. They appeal to more than just your fans. It is simple, bold, and visually engaging. However, what truly makes it an “album pin” is that the purchaser also gets a digital album with their pin. I have an entire blog on my website with details including templates for you to make your own album pin jacket. THANK YOU PATRONS OF THE PODCAST!

Quantitative waveform capnography is used in ACLS to objectively assess good CPR;confirm placement of an endotracheal tube; identify return of spontaneous circulation; and during post-cardiac arrest care.We can use waveform capnography with, and without, an advanced airway in place.Monitoring end tidal CO2 during rescue breathing.Use of capnography to objectively measure good CPR.Capnography is a preferred method of confirming endotracheal tube (ETT) placement over x-ray during a code.During CPR, a sudden increase in ETCO2 may indicate ROSC.Quantitative waveform capnography use in the post-cardiac arrest algorithm.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved.Post-arrest care and recovery are the final two links in the chain of survival.Identification of ROSC during CPR.Initial patient management goals after identifying ROSC.The patient's GCS/LOC should be evaluated to determine if targeted temperature management (TTM) is indicated.Patients that cannot obey simple commands should receive TTM for at least 24 hours.Recently published studies on TTM and ACLS's current standard.Monitoring the patient's core temperature during TTM.Patients can undergo EEG, CT, MRI, & PCI while receiving TTM.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

Welcome back to June 2025's papers podcast! Having been cynical about CPR feedback devices in the past we take a look at a recent paper on their use and their potential impact to both ROSC and survival for patients, when compared to standard practice; is it time to integrate them more definitively into our practice? Next up we take another look at the use of adrenaline in traumatic arrest. We've covered this before and there's some interesting data and discussion to be had around the topic and the paper. Finally, we all know about the unprecidented pressure on ED's and all forms of healthcare at the moment. Many patients waiting for hours and hours to be seen. But there may be systems and routes by which others can be identified with lower acuity presentations that may not need to wait overnight for long periods, and our final paper looks at this with a paper on 'deflection'. Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon & Rob

Epinephrine and Dopamine are adrenergic agonist used in several ACLS algorithms.The use of epinephrine for severe anaphylaxis and unstable bradycardia.Review epinephrine's effects on blood vessels and bronchioles.Why epinephrine is helpful for patients with anaphylaxis.Using an epi drip for unstable bradycardia.Epinephrine administration during cardiac arrest.Starting an epinephrine or Dopamine drip for patients that have ROSC.Review the effects of Dopamine based on mcg/kg/min dosing.Monitoring the patient and titrating epi or Dopamine drips to prevent harm.For more information on ACLS medications, check out the pod resource page at passacls.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

Providing rescue breathing to apneic patients with a palpable pulse.Normal end tidal CO2 for patients with a pulse.Identification of cardiac arrest and our immediate actions.Providing artificial ventilations during CPR without an advanced airway vs with an advanced airway in place.Using quantitative waveform capnography to confirm placement of an advanced airway, assess the quality of CPR, and identify ROSC.The effects of hyperventilating patients in cardiac arrest. Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved.Post-arrest care and recovery are the final two links in the chain of survival.Identification of ROSC during CPR.Initial patient management goals after identifying ROSC.Indications for starting TTM.Monitoring the patient's core temperature.Patients can undergo EEG, CT, MRI, & PCI while receiving TTM.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn Chapters0:00 Identifying ROSC0:59 Additional ACLS Resources (https://passacls.com)1:05 Save on prescription meds (https://safemeds.vip)1:21 Post Arrest Assessment & Goals3:04 Indications & Initiation of TTM4:02 Two TTM Tips4:50 Share Pass ACLS on LinkedIn

The JournalFeed podcast for the week of April 21-25, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Wednesday Spoon Feed:This preplanned subgroup analysis of the TOMAHAWK Trial of patients with ROSC after OHCA found no EKG findings (excluding STEMI) that predicted the presence of coronary artery lesions.Thursday Spoon Feed:In this substudy of the Canadian TIA Score cohort, researchers found score utilization with subsequent MRI imaging could improve the outcome of patients suffering from TIA or stroke, particularly in the medium-risk category, scoring between 4-8 points.

Our primary focus immediately following return of spontaneous circulation (ROSC) is aimed at ensuring adequate perfusion of the patient's vital organs and decreasing cerebral damage.Post-arrest goals for O2 saturation, ETCO2, and BP/MAP.Indications for use of an antiarrhythmic after ROSC.Determining which antiarrhythmic to use post cardiac arrest. Administration of Amiodarone or Lidocaine to control ventricular ectopy after ROSC.The use of Amiodarone post arrest if no antiarrhythmics were administered prior to obtaining ROSC.Links to other medical podcasts that cover antiarrhythmics and other ACLS-related topics are on the Pod Resource page at PassACLS.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn Discover medical podcasts with CE at https://conveymed.io

In this special edition of the St Emlyn's podcast, Iain Beardsell and Simon Carley review the top medical papers of 2024, originating from Simon's talk at The Big Sick conference in Zermatt. The discussion includes a comparison of non-invasive versus arterial pressure monitoring, the association of intra-arrest arterial blood pressure with ROSC, the efficacy of serratus anterior plane blocks for rib fracture management, and the evaluation of a micro axial flow pump in cardiogenic shock. They also delve into double sequential external defibrillation in refractory out-of-hospital cardiac arrest and provide a rapid-fire review of additional critical papers discussed at the conference. Notable mentions include the HEMOTION trial, PRE OXI trial, BLING III, and PARAMEDIC-3, among others. A must-listen for those passionate about evidence-based medicine in emergency and pre-hospital care. You can read more about all the trials, including links to all the papers here (part 1) and here (part 2) 00:00 Introduction and Conference Highlights 01:51 Non-Invasive vs. Arterial Pressure Monitoring 03:28 Intra-Arrest Blood Pressure and ROSC 05:34 Serratus Anterior Plane Blocks for Rib Fractures 08:38 Micro Axial Flow Pump in Cardiogenic Shock 10:49 Double Sequential Defibrillation in Cardiac Arrest 13:17 HEMOTION Trial 15:01 PRE OXI and BLING III Trials 17:08 Fluid Management in Septic Shock 18:37 Expedited Transfer vs. On-Scene Resuscitation 20:39 Intraosseous vs. Intravenous Access 21:48 Conclusion and Final Thoughts

Being the team leader during a cardiac arrest is challenging. Using an algorithm helps by standardizing & prioritizing our interventions using an If/Then methodology. Review of BLS steps for determining if rescue breathing or CPR is needed and use of an AED for patients in cardiac arrest.If the patient is in a non-shockable rhythm on the ECG such as PEA or asystole, we will go down the right side of the Adult Cardiac Arrest Algorithm.If the patient is in a shockable rhythm on the ECG such as V-Fib or V-Tach, we will go down the left side of the Adult Cardiac Arrest Algorithm. An example of a code's flow for shockable rhythms when an antiarrhythmic such as Amiodarone or Lidocaine is administered. We will follow the algorithm until the patient has ROSC or we call the code.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

The JournalFeed podcast for the week of April 7-11, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:Lidocaine use during pre-hospital resuscitation from ventricular fibrillation or ventricular tachycardia (VF/VT) resistant to defibrillation, when compared to amiodarone, was associated with higher rates of ROSC, fewer post-drug shocks, and greater odds of survival to discharge in this observational study.Tuesday Spoon Feed:People with cannabis use disorder were more likely to die from suicide, trauma, and drug poisoning and had a higher overall risk of death, which challenges the popular belief that it's is a harmless recreational drug.

Quantitative waveform capnography is used in ACLS to objectively assess good CPR;confirm placement of an endotracheal tube; identify return of spontaneous circulation; and during post-cardiac arrest care.We can use waveform capnography with, and without, an advanced airway in place.Monitoring end tidal CO2 during rescue breathing.Use of capnography to objectively measure good CPR.Capnography is a preferred method of confirming endotracheal tube (ETT) placement over x-ray during a code.During CPR, a sudden increase in ETCO2 may indicate ROSC.Quantitative waveform capnography use in the post-cardiac arrest algorithm.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Safe Meds VIP - Learn about medication safety and download a free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

Wrapping up a series of 5 episodes, Dr Jarvis finishes his discussion of mechanical CPR devices (MCDs) talking about papers from Utah, Vienna, Anchorage, and Cincinnati and then gives his take on how to interpret the literature and put it into practice.Papers discussed:1)    Youngquist ST, Ockerse P, Hartsell S, Stratford C, Taillac P: Mechanical chest compression devices are associated with poor neurological survival in a statewide registry: A propensity score analysis. Resuscitation. 2016;September;106:102–7.2)    Zeiner S, Sulzgruber P, Datler P, Keferböck M, Poppe M, Lobmeyr E, Van Tulder R, Zajicek A, Buchinger A, Polz K, et al.: Mechanical chest compression does not seem to improve outcome after out-of hospital cardiac arrest. A single center observational trial. Resuscitation. 2015;November;96:220–5.3)    Levy M, Yost D, Walker RG, Scheunemann E, Mendive SR: A quality improvement initiative to optimize use of a mechanical chest compression device within a high-performance CPR approach to out-of-hospital cardiac arrest resuscitation. Resuscitation. 2015;July;92:32–7.4)    Morgan S, Gray JJ, Sams W, Uhl K, Gundrum M, McMullan J: LUCAS Device Use Associated with Prolonged Pauses during Application and Long Chest Compression Intervals. Prehospital Emergency Care. 2023;March 9;28(1):114–7.5)    Grunau B, Reynolds J, Scheuermeyer F, Stenstom R, Stub D, Pennington S, Cheskes S, Ramanathan K, Christenson J: Relationship between Time-to-ROSC and Survival in Out-of-hospital Cardiac Arrest ECPR Candidates: When is the Best Time to Consider Transport to Hospital? Prehospital Emergency Care. 2016;September 2;20(5):615–22.  FAST25 | May 19-21, 2025 | Lexington, KY

Happy St Patrick's Day! We got carried with our 3 hour special. Instead you get 50 Celtic songs and tunes for you to enjoy for St Patrick's Day on the Irish & Celtic Music Podcast #701. Subscribe now! GET CELTIC MUSIC NEWS IN YOUR INBOX The Celtic Music Magazine is a quick and easy way to plug yourself into more great Celtic culture. Enjoy seven weekly news items for Celtic music and culture online. Subscribe now and get 34 Celtic MP3s for Free. VOTE IN THE CELTIC TOP 20 FOR 2025 This is our way of finding the best songs and artists each year. You can vote for as many songs and tunes that inspire you in each episode. Your vote helps me create this year's Best Celtic music of 2025 episode. You have just three weeks to vote this year. Vote Now! You can follow our playlist on YouTube to listen to those top voted tracks as they are added every 2 - 3 weeks. THIS WEEK IN CELTIC MUSIC 0:15 - The Friel Sisters "My Love is in America/The Yellow Tinker/Old Cuffe Street (Reels)" from Northern Sky 3:35 - WELCOME THE IRISH & CELTIC MUSIC PODCAST * Helping you celebrate Celtic culture through music. I am Marc Gunn. I'm a Celtic musician and host of Folk Songs & Stories. This podcast is for fans of Celtic music. We are here to build a diverse Celtic community and help the incredible artists who so generously share their music with you. If you hear music you love, please email artists to let them know you heard them on the Irish and Celtic Music Podcast. Musicians depend on your generosity to release new music. So please find a way to support them. Buy a CD, Album Pin, Shirt, Digital Download, or join their community on Patreon. You can find a link to all of the artists in the shownotes, along with show times, when you visit our website at celticmusicpodcast.com. Email follow@bestcelticmusic to learn how to subscribe to the podcast and you will get a free music - only episode. If you are a Celtic musician and want your music featured on the show, please submit your band to be played on the podcast. You don't have to send in music or an EPK, and You will get a free eBook called Celtic Musicians Guide to Digital Music. It's 100% free. Just email follow@bestcelticmusic 5:32 - Nathan Gourley, Joey Abarta, and Owen Marshall "A Tailor I Am / The Shoemaker's Fancy / Donncha Ó Loinsigh's" from Copley Street 2 9:36 - Fialla "Dúlamán" from A Rare Thing 13:41 - W. Ed Harris "Arran Boat Song" from Family, Friends, Choices, & Memories 17:50 - Goitse "Green Fields of Canada" from Rosc 22:39 - Clay Babies "Dick Gossips / Dinky's Reel / Miss McLoud's" from Speechless Vol. 1: Sloppy Session in the Sticks 27:11 - The Irish Rovers "Drunken Sailor" from Drunken Sailor 30:04 - WHAT ARE YOU DOING FOR ST PATRICK'S DAY THIS YEAR? Ellen MacIsaac: Probably gigging. Lots of work for musicians at that time. Patrick Rieger: That's a Monday. I'll listen to some music at home. My favorite pub will be a madhouse so I will be avoiding the place. Jordan Reeder: Guinness and the Irish and Celtic music podcast for sure!

Get Celtic with peacocks and the Irish & Celtic Music Podcast #693. Subscribe now! Ed Harris, Goitse, Kinnfolk, Clanna Morna, Tarren, Cleveland Celtic Ensemble, High Octane, The Ciderhouse Rebellion with Molly Donnery, Dublin Gulch, Blackthorn, The Miles O'Brien band, Mark Shelton, The Drowsy Lads GET CELTIC MUSIC NEWS IN YOUR INBOX The Celtic Music Magazine is a quick and easy way to plug yourself into more great Celtic culture. Enjoy seven weekly news items for Celtic music and culture online. Subscribe now and get 34 Celtic MP3s for Free. VOTE IN THE CELTIC TOP 20 FOR 2025 This is our way of finding the best songs and artists each year. You can vote for as many songs and tunes that inspire you in each episode. Your vote helps me create this year's Best Celtic music of 2025 episode. You have just three weeks to vote this year. Vote Now! You can follow our playlist on Spotify to listen to those top voted tracks as they are added every 2 - 3 weeks. THIS WEEK IN CELTIC MUSIC 0:06 - W. Ed Harris "The Last Hairpin on Soller / The Mill House / Ashmolean House" from Cares of Tomorrow Can Wait 4:05 - WELCOME 6:09 - Goitse "The Peacocks" from Rosc 10:07 - Kinnfolk "The Water's Rising / Gwendal" from Star Above The Mountain 15:48 - Clanna Morna "Doherty's / Foxhunter's" from From The Lowlands To The High Seas 18:48 - Tarren "Jolly Bold Robber" from Outside Time 23:31 - FEEDBACK 27:17 - Cleveland Celtic Ensemble "Red Iron Ore" from Cleveland Celtic Ensemble 31:45 - High Octane "Chasing Purple" from High Octane 36:58 - The Ciderhouse Rebellion with Molly Donnery "The Cabin with the Roses 'Round The Door" from A Little Bit Slanted 44:11 - Dublin Gulch "Dispute at the Crossroads/Maids of Mount Cisco/The Scholar" from Tap 'Er Light 48:44 - THANKS 50:55 - Blackthorn "Mist On The Mountain" from Here's To You 54:32 - The Miles O'Brien band "The American Royal Road" from My Name Is Miles 56:16 - Mark Shelton "Breezewood" from Mark Shelton And Friends 58:24 - CLOSING 59:12 - The Drowsy Lads "The Congress (Reels)" from Wide Awake 1:04:36 - CREDITS The Irish & Celtic Music Podcast was produced by Marc Gunn, The Celtfather and our Patrons on Patreon. The show was edited by Mitchell Petersen with Graphics by Miranda Nelson Designs. Visit our website to follow the show. You'll find links to all of the artists played in this episode. Todd Wiley is the editor of the Celtic Music Magazine. Subscribe to get 34 Celtic MP3s for Free. Plus, you'll get 7 weekly news items about what's happening with Celtic music and culture online. Best of all, you will connect with your Celtic heritage. Please tell one friend about this podcast. Word of mouth is the absolute best way to support any creative endeavor. Finally, remember. Reduce, reuse, recycle, and talk with others about climate change. What are you doing to combat climate change?  Let me know what you're doing.      Start a discussion with someone today. Promote Celtic culture through music at http://celticmusicpodcast.com/. WELCOME THE IRISH & CELTIC MUSIC PODCAST * Helping you celebrate Celtic culture through music. I am Marc Gunn. I'm a Celtic musician and host of Folk Songs & Stories. This podcast is for fans of Celtic music. It is here to build a diverse Celtic community and help the incredible artists who so generously share their music with you. If you hear music you love, please email artists to let them know you heard them on the Irish and Celtic Music Podcast. Musicians depend on your generosity to release new music. So please find a way to support them. Buy a CD, Album Pin, Shirt, Digital Download, or join their community on Patreon. You can find a link to all of the artists in the shownotes, along with show times, when you visit our website at celticmusicpodcast.com. Email follow@bestcelticmusic to learn how to subscribe to the podcast and get a free music - only episode. If you are a Celtic musician and want your music featured on the show, I would love to play your music. Please submit your band to be played on the podcast. You don't have to send in music or an EPK. You will get a free eBook called Celtic Musicians Guide to Digital Music and learn how to follow the podcast. It's 100% free. Just email follow@bestcelticmusic Support our new Celtic Forever Kickstarter. THANK YOU PATRONS OF THE PODCAST! I am blown away by your generosity. You are why I keep sharing new episodes four times per month. You're also how I am able to do that. Your kindness pays for our engineer, graphic designer, Celtic Music Magazine editor, and promotion of the podcast. Your kindness allows me to buy the music I play here. It also pays for my time creating the show each and every week. As a patron, you get ad - free and music - only episodes before regular listeners. You get to vote in the Celtic Top 20. You get free music downloads and sheet music. And you get a private feed to listen to the show or you can listen through the Patreon app.  All that for as little as $1 per episode. A special thanks to our Celtic Legends: Bruce, Daniel Ide, Brian McReynolds, Marti Meyers, Alan Schindler, Margreta Silverstone, Emma Bartholomew, Dan mcDade, Gerald F Boyle, Miranda Nelson, Nancie Barnett, Gary R Hook, Lynda MacNeil, John Sharkey White, II, Kelly Garrod, Mike Schock, Shawn Cali HERE IS YOUR THREE STEP PLAN TO SUPPORT THE PODCAST Go to our Patreon page. Decide how much you want to pledge every month, $1, $12, $25. Keep listening to the Irish & Celtic Music Podcast to celebrate Celtic culture through music. You can become a generous Patron of the Podcast on Patreon at SongHenge.com. TRAVEL WITH CELTIC INVASION VACATIONS Every year, I take a small group of Celtic music fans on the relaxing adventure of a lifetime. We don't see everything. Instead, we stay in one area. We get to know the region through its culture, history, and legends. You can join us with an auditory and visual adventure through podcasts and videos. In 2025, we're going to the Celtic nation of Wexford, Ireland Learn more about the invasion at http://celticinvasion.com/ #celticmusic #irishmusic #celticmusicpodcast I WANT YOUR FEEDBACK What are you doing today while listening to the podcast? I'd love to see a  picture of what you're doing while listening. Is there a new Celtic CD or Celtic band that you heard of or saw? Send a picture. Email me at follow@bestcelticmusic. Mark Clavey sent this picture right after St Patrick's Day 2024: “Hi Marc! Here's our write - up for how we spent St Pat's at O'Malley's Pub... and a few pictures... "There was more March Madness for the band this past Sunday as we celebrated the Day of the Festival of St Patrick with a noon - performance at O'Malley's Pub(Episode 136). The day started around 10:00a as the band started straggling in and setting up. It was a brisk 40° when we loaded in, and would reach a balmy 48° when we loaded out at 4:30. Early - birds had already formed a line by 10:30 – despite the fact that the Pub wouldn't open until 11:30. (This plan was well - advised given the epic proportions of Snake Saturday's one - person - out/one - person - in crowd.) By the time the band started playing at noon, the bar was full and the crowd lively – being more vocal for the sing - alongs than they were for the toasts. There was a larger - than - usual number of Tullamore - fans than is typical for St Patrick's Day (as it was at lunchtime on a Sunday rather than a workday). Shout - outs to Mike, Amy, Anna, and Jason; Ray and Carrie; Eric and Dena; Eric, Linda, and Eleanor; Trey; Connie, Brandie and Rhonda; Shannon; Rob and Mitch; Andrew; Lisa, Craig, Ed, and Mary; Mikayla; and Jenn. Mark successfully navigated the afternoon notwithstanding the return of his chest - supercold (that knocked him out of the February weekend) and having sliced up the index - finger on his strumming hand. (Evidently, while holding a pick between the thumb and the bird - finger is a doable thing, it DOES produce a Charlie - horse at the base of the thumb when you do it for three hours straight.) Said navigation was aided with the Black Bush providing the kind of lubrication that makes your engine tick. We played until 3:30 before turning the stage over to The Kelihans – who would, in turn, hand off the stage to Chance the Arm at 8:00p. In the meantime, Ryan Rancudo and Bob Reeder handled the St Patrick's Day festivities for the audience in the upper cellar. Overall, it was a great afternoon and (we're assuming) a great night as well. (Photos courtesy of Amy Cripe, Mike Moran, and Mary Hanover.)" Best, - Mark”