Podcasts about Rosc

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

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/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 No statistical diff (TTM2 summary): https://www.ahajournals.org/doi/10.1161/JAHA.122.026539

You haven't won yet. You still have to respond to ROSC.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-223-Cardiac-Arrest-e30k73lThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

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!

New! Download the JournalFeed iPhone app!The JournalFeed podcast for the week of March 3-7, 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:Guidelines recommended low molecular weight heparin (LMWH) for most patients with acute pulmonary embolism (PE), but we often choose unfractionated heparin (UFH). Here's why...Friday Spoon Feed:This pre-planned secondary analysis compared OHCA patients who received a single dose of epinephrine to standard ACLS epinephrine dosing and found mixed results in the outcomes of ROSC and survival to hospital discharge. Strap in for this nuanced article summary.

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 and 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.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInGive Back & Help Others: Your support helps cover the monthly cost of software and podcast & website hosting. Donations at Buy Me a Coffee at https://buymeacoffee.com/paultaylor are appreciated and will help ensure others can benefit from these tips as well.Good luck with your ACLS class!Helpful Listener Links:Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/

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. Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInGive Back & Help Others: Your support helps cover the monthly cost of software and podcast & website hosting. Donations at Buy Me a Coffee at https://buymeacoffee.com/paultaylor are appreciated and will help ensure others can benefit from these tips as well.Good luck with your ACLS class!Helpful Listener Links:Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/*FREE to anyone in the U.S. Save $$ on prescription medications for you and your pets with National Drug Card - https://nationaldrugcard.com/ndc3506 *Indicates affiliate links. I may get paid a small commission if you purchase products or memberships using my link. It doesn't affect the price you pay.

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. Monitoring the patient's core temperature during TTM. Why we should cool unresponsive post-arrest patients. Patients can undergo EEG, CT, MRI, & PCI while receiving TTM.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInGive Back & Help Others: Your support helps cover the monthly cost of software and podcast & website hosting. Donations at Buy Me a Coffee at https://buymeacoffee.com/paultaylor are appreciated and will help ensure others can benefit from these tips as well.Good luck with your ACLS class!Helpful Listener Links:Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/*FREE to anyone in the U.S. Save $$ on prescription medications for you and your pets with National Drug Card - https://nationaldrugcard.com/ndc3506 *Indicates affiliate links. I may get paid a small commission if you purchase products or memberships using my link. It doesn't affect the price you pay.

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.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInGive Back & Help Others: Your support helps cover the monthly cost of software and podcast & website hosting. Donations at Buy Me a Coffee at https://buymeacoffee.com/paultaylor are appreciated and will help ensure others can benefit from these tips as well.Good luck with your ACLS class!Helpful Listener Links:Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/*FREE to anyone in the U.S. Save $$ on prescription medications for you and your pets with National Drug Card - https://nationaldrugcard.com/ndc3506 *Indicates affiliate links. I may get paid a small commission if you purchase products or memberships using my link. It doesn't affect the price you pay.Discover medical podcasts with CE at https://conveymed.io

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.Objective Measures of Good CPR https://passacls.com/bls/objective-measures-of-good-cprConnect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInGive Back & Help Others: Your support helps cover the monthly cost of software and podcast & website hosting. Donations at Buy Me a Coffee at https://buymeacoffee.com/paultaylor are appreciated and will help ensure others can benefit from these tips as well.Good luck with your ACLS class!Helpful Listener Links:Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/*FREE to anyone in the U.S. Save $$ on prescription medications for you and your pets with National Drug Card - https://nationaldrugcard.com/ndc3506 *Indicates affiliate links. I may get paid a small commission if you purchase products or memberships using my link. It doesn't affect the price you pay.

Quantitative waveform capnography is used in ACLS as a way to confirm good CPR and 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.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInGive Back & Help Others: Your support helps cover the monthly cost of software and podcast & website hosting so that others can benefit from these ACLS tips as well. Donations via Buy Me a Coffee at https://buymeacoffee.com/paultaylor are appreciated.Good luck with your ACLS class!

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”

Finally, the journal club to rule ALL journal clubs. In this episode of The Poison Lab, we tackle one of the biggest topics in emergency medicine and toxicology: Should naloxone be given during opioid-associated cardiac arrest? With three fantastic studies published in 2024, we're diving into the data and hearing directly from the authors themselves.Join host Ryan Feldman as he interviews Dr. Eric Quinn, Dr. Joshua Lupton, and Dr. David Dillon, some of the minds behind the latest research exploring the role of naloxone in out-of-hospital cardiac arrest (OHCA). With perspectives ranging from clinical outcomes to practical implementation, this episode offers a deep dive into what these studies tell us—and what remains unanswered.But that's not all! Featuring special guests Spencer Oliver and Chris Pfingston from EMS 2020, this roundtable discussion incorporates the real-world insights of prehospital EMS professionals who face these decisions every day. Together, the panel unpacks:Conflicting evidence on naloxone's impact on ROSC and survival.The challenges of interpreting retrospective studies in a high-stakes setting.Ethical dilemmas surrounding randomized trials for naloxone.Practical considerations for paramedics and emergency physicians in the field.Whether you're a toxicologist, EMS professional, or just curious about the intersection of drugs, overdose, and resuscitation, this episode is packed with actionable insights, expert opinions, and engaging discussions.Tune in now to explore the science, controversy, and future directions for naloxone in cardiac arrest care!Studies discussed in the showOutcomes of Out-of-Hospital Cardiac Arrest Patients Who Receive Naloxone in an EMS System with a High Prevalence of Opioid Overdose – Dr. Eric Quinn.Association of Early Naloxone Use with Outcomes in Nonshockable Out-of-Hospital Cardiac Arrest – Dr. Joshua Lupton.Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrest in Northern California – Dr. David Dillon.Studies and guidelines mentioned Editorial by Dr. Lavonas on Dr. Lupton's study AHA 2023 Guidelines for poisoning cardiac arrestAHA 2021 Position statement on opioid overdose out of hospital cardiac arrest Study of opioid overdose death after bystander naloxone training mentioned by ToxoShows mentionedChris and Spencer's excellent EMS showRyan's Interview on Poisoning Cardiac Arrest Guidelines with Dr. Eric LavonasJournal club with Ryan and Dr. Dillon Timestamps and chaptersIntroduction (0:00–12:25)Podcast

Una revisión sistemática y metanálisis reciente publicada en Resuscitation nos ofrece nueva información que impacta directamente en cómo enseñamos y practicamos en entornos prehospitalarios y hospitalarios el acceso vascular intraóseo (IO) versus el intravenoso (IV). ¿Qué significa esto para los protocolos como ACLS, PALS y PHTLS? El Estudio: ¿Qué se Investigó y Por Qué Importa? En entornos de paro cardíaco, el acceso vascular rápido y eficaz es esencial para administrar medicamentos que pueden salvar vidas, como epinefrina y antiarrítmicos. La vía intravenosa (IV) ha sido el estándar de oro, pero puede ser difícil de obtener, especialmente en circunstancias prehospitalarias. Aquí es donde entra la vía intraósea (IO), una técnica que ofrece acceso rápido en huesos largos como la tibia proximal o el húmero proximal. Un reciente metanálisis evaluó la efectividad clínica del acceso IO frente al IV en adultos con paro cardíaco prehospitalario (OHCA). El análisis incluyó tres ensayos clínicos aleatorizados con más de 9,300 pacientes y examinó desenlaces críticos como la supervivencia a 30 días, el retorno de circulación espontánea (ROSC) y los resultados neurológicos. Resultados clave: La vía IO no mejoró la supervivencia a 30 días frente al acceso IV (OR 0.99). Tampoco mostró superioridad en desenlaces neurológicos favorables. El acceso IO tuvo menos probabilidades de lograr ROSC sostenido (OR 0.89). Sin embargo, ofreció tiempos de administración de medicamentos comparables, especialmente útil cuando el acceso IV no es posible. Esto plantea preguntas importantes: ¿Deberíamos priorizar siempre el acceso IV? ¿Qué rol tiene la vía IO en el manejo prehospitalario e intrahospitalario? Conexión con ACLS, PALS y PHTLS Los cursos de ACLS (Advanced Cardiovascular Life Support), PALS (Pediatric Advanced Life Support) y PHTLS (Prehospital Trauma Life Support) son pilares en la educación de profesionales de emergencias. Cada uno aborda el acceso vascular en sus respectivos contextos, pero las recomendaciones del estudio aportan matices que pueden enriquecer nuestra práctica clínica. ACLS: Perspectiva en Adultos ACLS enfatiza la importancia de establecer acceso vascular rápidamente para administrar medicamentos como la epinefrina durante el manejo avanzado del paro cardíaco. La guía de la AHA (American Heart Association) señala que: El acceso IV es preferido debido a su eficacia. Si el acceso IV no puede lograrse en 90 segundos, la vía IO es la mejor alternativa. Correlación con el estudio: Los hallazgos refuerzan la preferencia por el acceso IV, particularmente porque está asociado con mejores tasas de ROSC sostenido. Sin embargo, el IO sigue siendo fundamental en situaciones donde el acceso venoso periférico es difícil o inviable, especialmente en sistemas prehospitalarios con limitaciones de tiempo o recursos. PALS: Niños y Acceso Vascular En PALS, el acceso vascular rápido es igualmente crítico, pero los desafíos técnicos se amplifican en pacientes pediátricos debido al tamaño de las venas y el estado hemodinámico comprometido. Las guías recomiendan: Priorizar el acceso IV, pero no dudar en usar IO si es necesario. Relevancia del estudio: Aunque el metanálisis se centró en adultos, los resultados pueden extrapolarse parcialmente a niños mayores o adolescentes. Esto resalta la importancia de entrenar a los equipos pediátricos en ambas técnicas y asegurar que el acceso IO sea ejecutado con competencia cuando sea necesario. PHTLS: Soporte Vital en Trauma Prehospitalario En el entorno prehospitalario, como lo aborda PHTLS, el acceso vascular rápido puede ser aún más desafiante debido a condiciones como trauma severo, hipovolemia y paro prolongado. Aquí, el acceso IO es una herramienta crítica, particularmente en pacientes con colapso venoso. Impacto en PHTLS: El acceso IO demuestra su utilidad en situaciones de trauma donde el acceso IV no es factible. Por ejemplo, en pacientes con hemorragia masiva, el IO puede ser la única opción viable para administrar fluidos y medicamentos. El estudio subraya que, aunque la vía IV es ideal, la IO sigue siendo una técnica esencial en el arsenal prehospitalario, especialmente cuando cada segundo cuenta. ¿Por qué el acceso IO estuvo asociado a menor RCE? Los autores del metanálisis sugieren varias hipótesis que podrían explicar por qué el acceso intraóseo (IO) mostró una menor probabilidad de retorno de circulación espontánea (ROSC) sostenido en comparación con el acceso intravenoso (IV). Estas teorías están basadas en factores técnicos, fisiológicos y logísticos relacionados con el uso del IO en el contexto del paro cardíaco. A continuación, se detallan los puntos clave mencionados o inferidos: 1. Distribución subóptima de medicamentos Una de las hipótesis principales es que la administración de medicamentos a través de la vía IO puede resultar en una distribución menos eficiente en comparación con el acceso IV. Esto se debe a que los medicamentos administrados por IO deben pasar primero por la médula ósea, lo que podría ralentizar su absorción y disminuye la biodisponibilidad en el sistema circulatorio central. En particular, en el paro cardíaco, donde la perfusión tisular está gravemente comprometida, es posible que la circulación central no sea adecuada para transportar rápidamente los medicamentos desde el sitio IO hacia el corazón y el cerebro​​. 2. Diferencias en las presiones del flujo sanguíneo El acceso IO implica inyectar medicamentos en la médula ósea, donde la presión local puede variar significativamente dependiendo de factores como el sitio de inserción (p. ej., tibia proximal vs. húmero proximal). Si la presión dentro de la médula ósea no es suficiente para permitir un flujo eficiente hacia la circulación central, esto podría comprometer la eficacia de los medicamentos administrados​. 3. Posibles complicaciones técnicas Aunque la tasa de éxito inicial de colocación de IO fue alta (~94%), existe el riesgo de problemas técnicos, como: Mal posicionamiento de la aguja, lo que podría causar infiltración de medicamentos en los tejidos circundantes en lugar de ingresar a la médula ósea. Fallas en la confirmación del flujo libre (un paso crítico para verificar la correcta colocación del dispositivo IO). Interrupciones mecánicas o flujo restringido debido a la posición del paciente o a movimientos durante el transporte​. 4. Diferencias en los sitios de inserción Los estudios incluidos en el metanálisis utilizaron diferentes sitios de inserción para el acceso IO, como el húmero proximal o la tibia proximal. El acceso a través del húmero proximal generalmente proporciona un flujo más rápido hacia el corazón debido a la proximidad anatómica, pero no siempre fue el sitio elegido. Esto podría haber afectado los resultados observados en términos de ROSC sostenido​​. 5. Fisiopatología del paro cardíaco Durante el paro cardíaco, el flujo sanguíneo general está gravemente reducido, lo que limita la capacidad del sistema circulatorio para transportar medicamentos desde el sitio IO hacia los órganos diana, como el corazón y el cerebro. En este contexto, la vía IV, que administra directamente a las venas periféricas, podría ser más efectiva para proporcionar un acceso más directo y rápido​. 6. Impacto del tiempo de colocación y administración Aunque el tiempo de administración fue comparable entre IO e IV en los estudios analizados, cualquier retraso adicional en confirmar la correcta colocación o en administrar medicamentos a través del IO podría haber influido negativamente en la eficacia de los tratamientos, reduciendo las tasas de ROSC sostenido​. Implicaciones para la práctica clínica Los hallazgos resaltan la importancia de: Priorizar el acceso IV siempre que sea posible, dado su mejor desempeño en términos de ROSC sostenido. Entrenar al personal en el uso óptimo de dispositivos IO, incluyendo la elección adecuada del sitio de inserción (p. ej., húmero proximal) y la confirmación del flujo libre. Considerar las limitaciones fisiológicas del acceso IO al administrar medicamentos críticos durante el paro cardíaco. En resumen, la menor probabilidad de ROSC sostenido asociada al acceso IO parece deberse a una combinación de factores técnicos y fisiológicos. A pesar de esto, el acceso IO sigue siendo una herramienta crucial en situaciones donde el acceso IV no es factible o está significativamente retrasado. Fortaleciendo la Educación y el Entrenamiento Una de las lecciones clave de este análisis es la necesidad de entrenar a los equipos médicos en ambas técnicas para garantizar una ejecución precisa y rápida. Tanto ACLS como PHTLS ya incluyen módulos prácticos sobre el acceso IO, pero los resultados del estudio sugieren varias áreas de mejora: Competencia en la Identificación de Sitios IO: La tibia proximal y el húmero proximal fueron los sitios más utilizados en los estudios. Entrenar a los proveedores para seleccionar rápidamente el sitio óptimo según la anatomía del paciente y la situación clínica puede mejorar la eficacia. Minimización de Errores en IO: Aunque la tasa de éxito inicial de colocación IO fue alta en el estudio (~94%), esto no garantiza una administración efectiva de medicamentos. Por lo tanto, el entrenamiento debe incluir estrategias para verificar la colocación correcta y solucionar problemas comunes. Integración de Protocolos Locales: Los sistemas de emergencias médicas deben adaptar las recomendaciones a su contexto. Por ejemplo, en áreas rurales donde el acceso IV puede ser más difícil, la vía IO puede ser priorizada. Simulaciones Realistas: La incorporación de simuladores avanzados en los cursos de ACLS y PHTLS puede ayudar a los equipos a practicar en escenarios que imiten la complejidad de los entornos prehospitalarios e intrahospitalarios. Consideraciones Operacionales para Entornos Prehospitalarios Los sistemas de emergencias médicas varían significativamente en recursos y capacitación. Algunos factores clave para considerar al implementar estas recomendaciones incluyen: Tiempo vs. Eficiencia: En el estudio, el acceso IO tuvo tiempos de administración comparables al IV (~15 minutos). Sin embargo, la efectividad del IO para lograr ROSC sostenido fue menor. Esto resalta la importancia de evaluar cuidadosamente las circunstancias antes de decidir qué vía utilizar. Capacitación Universal: La disponibilidad de dispositivos IO varía entre sistemas. Asegurarse de que todos los equipos prehospitalarios estén capacitados en el uso de dispositivos IO, puede reducir las disparidades en el cuidado. Uso de Checklists: Protocolos estandarizados y listas de verificación pueden garantizar que los pasos críticos, como la confirmación de flujo libre en dispositivos IO, no se pasen por alto. Conclusión El metanálisis confirma que la vía intravenosa sigue siendo la opción preferida para el acceso vascular durante un paro cardíaco, pero destaca el valor del acceso intraóseo en entornos prehospitalarios o cuando el acceso IV no es posible. La integración de estas recomendaciones en cursos como ACLS, PALS y PHTLS refuerza la necesidad de entrenar a los proveedores para manejar con competencia ambas técnicas. Referencias K. Couper, L.W. Andersen, I.R. Drennan, B.E. Grunau, P.J. Kudenchuk, R. Lall, E.J. Lavonas, G.D. Perkins, M.F. Vallentin, A. Granfeldt, On behalf of the International Liaison Committee on Resuscitation Advanced Life Support Task Force, Intraosseous and intravenous vascular access during adult cardiac arrest: a systematic review and meta-ana

Isabel González y Alberto Fernández hablan con Begoña San Pedro, fundadora de Madreamiga y La Miguiña.

On the Irish & Celtic Music Podcast #681. Subscribe now! The Drowsy Lads, Dan Possumato, Cherish The Ladies, Cleveland Celtic Ensemble, Conamara Chaos, Jesse Ferguson, Tarren, The Langer's Ball, Goitse, Enda Reilly, Olivia Bradley, Larkin & Moran Brothers, The Miles O'Brien band & Betsy Rose, DLÙ, Bealtaine 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 2024 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 next year's Best Celtic music of 2024 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. It also makes it easier for you to add these artists to your own playlists. You can also check out our Irish & Celtic Music Videos. THIS WEEK IN CELTIC MUSIC 0:06 - The Drowsy Lads "Derry Reel Hooley _The Drowsy Lads_Time Flies" from Time Flies 6:32 - WELCOME 8:06 - Dan Possumato "Poor but Happy at 53 / Sheila Coyle's / Silver Spire (feat. Bill Verdier, Frances Cunningham & Gerry Whelan)" from An Teachín Gorm 12:10 - Cherish The Ladies "The Cameronian Set: Tha M'Intinn Raoir/Duke of Gordon/The Cameronian/Lady of The House" from One And All, The Best of Cherish the Ladies 17:31 - Cleveland Celtic Ensemble "Road to Banff" from Cleveland Celtic Ensemble 20:22 - Conamara Chaos "The Hill of Thieves" from Anord 24:18 - FEEDBACK 25:52 - Jesse Ferguson "Lovely Lindsay" from Ten 29:23 - Tarren "Solstice" from Outside Time 34:45 - The Langer's Ball "Galway Races" from The Singles Collection 2023- 2024 37:49 - Goitse "Margadh an Iúir" from Rosc 40:44 - Enda Reilly "Grá Mo Chroíse -  Love of my Heart" from Hy- Brasil 43:33 - THANKS 45:11 - Olivia Bradley “Molly Malone” from Misty Morning Shore 47:44 - Larkin & Moran Brothers "Another Night At Christy's" from Éistigí 51:28 - The Miles O'Brien band & Betsy Rose "An Irish Song" from My Name Is Miles 55:08 - DLÙ "Spicy Hector" from Close To 59:52 - CLOSING 1:00:25 - Bealtaine "Leave Her, Johnny, Leave Her" from The Founders' Room Vol 2 1:03:33- 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 think about how you can make a positive impact on your environment. 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. This podcast is for fans of Celtic music. Not just the big names you've probably heard of. But also the Celtic bands in your neck of the woods, at your festivals. 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 keep making music. So please find a way to support them. Buy a CD, Album Pin, Shirt, Digital Download, or join their communities 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. If you are a Celtic musician or in a Celtic band, then 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 Email follow@bestcelticmusic and of course, listeners can learn how to subscribe to the podcast and get a free music- only episode. THANK YOU PATRONS OF THE PODCAST! You are amazing. It is because of your generosity that you get to hear so much great Celtic music each and every week. Your kindness pays for our engineer, graphic designer, Celtic Music Magazine editor, promotion of the podcast, and 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, vote in the Celtic Top 20, stand- alone stories, 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. HERE IS YOUR THREE STEP PLAN TO SUPPORT THE PODCAST Go to our Patreon page. Decide how much you want to pledge every week, $1, $5, $25. Make sure to cap how much you want to spend per month. 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. 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? Please email me. I'd love to see a  picture of what you're doing while listening or of a band that you saw recently. Email me at follow@bestcelticmusic.