Podcasts about RSI

Jacob Ricketts, is a performance coach whose career spans Power Five college football and large-scale corporate wellness systems.Jacob currently serves as Health and Wellness Manager at BARD Materials, where he leads health, fitness, and performance initiatives for a non-traditional athletic population. In this role, he applies principles from high-performance sport to workforce health, resilience, and long-term well-being.Prior to transitioning into corporate wellness, Jacob spent nearly a decade in collegiate athletics working primarily in football. His experience includes roles at University of Colorado Boulder, Temple University, Northern Illinois University, and Stanford University.$1 Trial Membership to SCN

Gli attacchi all'Iran e i contro-bombardamenti iraniani sulla regione stanno destabilizzando l'intero Medioriente ma anche infiammando il mercato energetico mondiale. La quotazione del petrolio e del gas ne sta risentendo, con balzi verso l'alto fino al 40% per il gas. Sul fronte energetico al centro delle attenzioni e delle preoccupazioni c'è in particolare lo stretto di Hormuz da dove transita ogni giorno circa il 20% del consumo globale di petrolio e gas. La circolazione in questo tratto di mare - un passaggio molto stretto tra le coste iraniane e la penisola arabica – non è interrotta ma per motivi di sicurezza la maggior parte delle navi-cargo è ferma da una parte o dall'altra di questo canale. Uno stallo che mette a repentaglio non solo il commercio del greggio ma anche di diversi altri prodotti, e questo su scale internazionale. Particolarmente colpito il mercato asiatico e in esso la Cina, che acquista l'80% del petrolio iraniano. Ma anche diversi altri Paesi stanno valutando le conseguenze di quanto sta capitando, in un contesto in cui il fattore tempo gioca un ruolo centrale. Più a lungo durerà questa crisi e maggiori sono i rischi anche dal punto di vista energetico. Con la necessità di andare a rifornirsi anche su altri mercati, a cominciare da quello russoUna crisi energetica dentro una guerra, dalle conseguenze ancora tutte da definire, di cui parleremo con:·        Lorenzo Lamperti, collaboratore RSI dall'Asia·        Alberto Zanconato, corrispondente ANSA da Mosca·        Massimo Nicolazzi, imprenditore e docente di economie e management delle fonti di energia, Uni Torino

Hear from John Griffin on how he is able to apply BFR with all his athletes. John works for the Atlanta Falcons as the Director of Player Performance and is able to use BFR with the team in many settings - find out how in his episode.___$1 Trial Membership to SCN

Learn about what happened this weekend at Lawrence and why you need to be there next year!___$1 Trial Membership to SCN

Professor David K. Menon joins us for an in-depth exploration of Traumatic Brain Injury (TBI). As the Founding Director of the Neurosciences Critical Care Unit at Addenbrooke's Hospital, Professor Menon has been instrumental in shaping modern understanding of TBI physiology, monitoring, and management.In this episode, we break down intracranial pressure physiology in a way that translates directly to roadside decision-making, examining how brain swelling, cerebral perfusion, and autoregulation respond to early interventions. We focus on hypotension and hypoxia, the two most powerful drivers of secondary brain injury, and why the pre-hospital phase represents a critical window to influence outcomes long before CT imaging or neurosurgical care.We also explore the evidence for pre-hospital hypertonic therapy, discussing when it may be beneficial, where its limitations lie, and how it should (and should not) fit into contemporary practice. Practical considerations around airway management and ventilation are covered, including CO₂ targets, RSI decision-making, and strategies to avoid iatrogenic harm.Finally, we look ahead to emerging research and evolving concepts in TBI care, new physiological insights, changing targets, and innovative approaches aimed at reducing secondary brain injury, highlighting what pre-hospital clinicians should be thinking about now and in the years to come.Relevant resources and research networks:TBI-Reporter: https://tbi-reporter.uk/CENTER-TBI (Collaborative European NeuroTrauma Effectiveness Research in TBI): https://www.center-tbi.eu/This episode is essential listening for anyone involved in pre-hospital, retrieval, or critical care treating patients with traumatic brain injury. You can see more from David here: https://www.youtube.com/watch?v=7PhIGMpEpGQThis episode is sponsored by PAX: The gold standard in emergency response bags.When you're working under pressure, your kit needs to be dependable, tough, and intuitive. That's exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They've partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.PAX doesn't chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.Learn more at ⁠https://www.pax-bags.com/en/⁠

In 2026, Slovakia's public broadcaster commemorates two major milestones: 100 years since the launch of radio broadcasting and 70 years since the start of television broadcasting in the territory of today's Slovak Republic. To mark these anniversaries, RSI presents the special series 100 Years on the Air. The first episode, dedicated to the early days of radio broadcasting in Slovakia, was prepared for RSI by Martina Greňová Šimkovičová.

Im Rahmen eines SRG-Projekts hat die SRF Musikwelle mit dem Appenzeller Jugendchor neue Aufnahmen gemacht. Diese sind nun in der «Fiirabigmusig» als Radiopremiere zu hören. Der Appenzeller Jugendchor wurde im Jahr 2021 von Anna Kölbener und Lea Stadelmann gegründet. Die beiden leiten den Chor seither als Co-Dirigentinnen. Aktuell singen rund 50 Sängerinnen und Sänger im Alter zwischen 16 und 26 Jahren im Chor. Sie stammen aus den beiden Halbkantonen Appenzell Ausserrhoden und Innerrhoden. Der Appenzeller Jugendchor sieht sich als Brücke zwischen den Kinder- und Jugendchören und den Erwachsenenchören im Appenzellerland. Er zeichnet sich durch seine Frische und die Freude am gemeinsamen Singen aus. Es ist auch für das Publikum spürbar, dass hier ein Chor von Freundinnen und Freunden singt. Das Repertoire ist sehr vielseitig. Einerseits ist es den beiden Chorleiterinnen wichtig, dass das vielfältige Kulturgut des Appenzellerlandes erhalten bleibt. So gehören Zäuerli und Rugguseli fix ins Programm. Ebenso wichtig sind für den Appenzeller Jugendchor aber auch neuere Lieder aus allen möglichen Musikgenres bis hin zu einem Chorarrangement zum Song «Apple Tree» der norwegischen Sängerin «Aurora». In dieser «Fiirabigmusig» sind die folgenden neuen Aufnahmen mit dem Appenzeller Jugendchor zu hören: «Trag mi, Wind» «Sut steilas» «Siemi» «Father Thunder» «Apple Tree» Die Aufnahmen entstanden im letzten November im Rahmen eines Chorprojektes der SRG. Die Radiosender der vier Schweizer Sprachregionen (SRF, RTS, RSI und RTR) machten im Jahr 2025 mit diversen Chören Aufnahmen, um ihr Musikprogramm zu bereichern.

Today's guest is Kosta Telegadas, a strength and conditioning coach whose career spans elite sport, tactical performance, and international human performance operations.Kosta holds a master's degree in Exercise Physiology (University of Miami). Early in his career, he gained hands-on experience through roles with VCU Sports Performance and EXOS, developing a strong foundation in programming, rehabilitation, and applied sports performance.He later transitioned into the tactical space, working as a S&C Specialist under the U.S. Department of Defense's Optimizing Human Weapon Systems contract, first with Solvere Technical Group and currently as a Site Lead with LMR Technical Group.Kosta now serves as Associate Director of International Business for the National Council on Strength & Fitness, where he helps expand education and professional standards globally.$1 Trial Membership to SCN

At 15 years old, most kids are still trying to figure out what they're interested in.Taos already knows.In this episode, we sit down with one of the youngest Backwoods Retreat winners we've ever had on the podcast — a rider who has made real sacrifices to carve his own path in the sled industry.He chose homeschool to pursue riding more seriously.He's stepping into Rmsha hillclimb racing.He's surrounding himself with mentors.And he's taking avalanche education and backcountry responsibility seriously.This isn't just about riding sleds.It's about discipline.It's about vision at a young age.It's about being intentional when most people are distracted.We talk about:• Why he chose homeschool to chase snowmobiling• Getting into hillclimb racing• The Backwoods Retreat experience• Night rescue missions in the mountains• Mentorship and earning your place• Avalanche awareness and trailhead checks• His long-term vision in the sled industrySnowmobiling needs young riders who care about the craft, the culture, and the responsibility that comes with it.This is one of them.Check out SledSend Merch Here

Are you looking to save time, make money, and start winning with less risk? Then head to https://www.ovtlyr.com.Alright, this one is different.In this episode, we're sitting down with Brandon Frenchak, the 2024 U.S. Investing Championship Enhanced Growth winner who pulled off a jaw-dropping 482.6% return. And no, this isn't some overnight crypto luck story. This is years of study, massive drawdowns, conviction, and refining strategy.We get into everything.Brandon walks through how he bought Bitcoin treasury companies under net asset value, why weekly RSI under 30 on Bitcoin matters so much to him, and how that setup only shows up every few years. If you've ever heard “buy the dip” and wondered what that actually means in practice, he explains exactly how he does it.We also talk about the emotional side of trading. The 90% drawdown. The comeback. The humility after a huge win. The reality that even champion traders have bad years.In this conversation, we cover:✅ How he used net asset value to find asymmetric Bitcoin trades✅ Why investing can sometimes be easier than swing trading✅ His honest take on shorting and why it's brutally hard✅ How he balances running a business while actively trading✅ What books shaped his strategy and mindsetWe also go deep into AI stocks, hyperscalers like Amazon and Microsoft, energy plays, and why he still believes Bitcoin has massive upside compared to gold.If you're part of OVTLYR or just trying to level up your trading game, this is the kind of episode you rewatch and take notes on.This isn't hype. It's raw strategy, real numbers, and real lessons from someone who's actually done it.Watch the full conversation and tell us what stood out most!Subscribe to OVTLYR for disciplined trading strategies that actually make sense.

Nemesio Oseguera Cervantes, noto come El Mencho, fondatore e “líder máximo” del Cartello Jalisco Nueva Generación, l'uomo più ricercato del Messico e di tutto il Nord America, è stato ucciso domenica in uno scontro con le forze di sicurezza messicane. Una notizia che ha fatto il giro del mondo, con i media che si sono affrettati a raccontare origini e percorso di quest'uomo che sembrava impossibile scovare, del quale si avevano pochissime e datate immagini, che viveva avvolto in un'aura di mistero.Sappiamo poi che il blitz voluto dal Governo della presidente Claudia Sheinbaum ha provocato violenti scontri in diverse località del Paese, con strade bloccate e incendi, aeroporti e scuole chiuse, e un bilancio di decine di morti fra le forze di polizia e i narcos. Una situazione che non è del tutto inedita. Il Paese, che fra meno di 4 mesi si troverà ad ospitare – insieme a Stati Uniti e Canada – i Mondiali di calcio, da decenni è confrontato con una violenta guerra interna, fra forze militari e di polizia, centinaia di organizzazioni criminali, gruppi armati, milizie. In mezzo, la popolazione, con decine di migliaia di persone scomparse, centinaia di migliaia di morti negli ultimi 20 anni…Ma come leggere questa azione dello Stato messicano contro El Mencho e il Cartello Jalisco Nueva Generación? Perché ora? E quali saranno le conseguenze per il Paese? E, ancora, quanto c'entrano gli Stati Uniti con quanto accaduto? Ne parliamo con tre ospiti:Laura Daverio, collaboratrice RSI dal Centroamerica Vicenzo Musacchio, giurista e criminologo, esperto di lotta alla criminalità internazionale Tiziano Breda, analista senior per l'America Latina e i Caraibi ad ACLED (Armed Conflict Location & Event Data)

In this week's episode Yosef and I talk about: managing sport coaches, skill development, specialized exercises, and sport specific training. Download The Supertraining Reading Planhttps://strengthcoachnetwork.com/st___Buy Supertraining to Read Along with Ushttps://uaconcepts.com/product/supertraining___From our sponsors: Hawkin Dynamics

As part of the RADIOO:100 years of radio broadcasting in Slovakia, we present once again a programme originally aired on RSI at the beginning of March 2018. Our former colleague, Anca Monica Dragu, dedicated the entire show to the murder of investigative journalist Ján Kuciak and his fiancée, Martina Kušnírová, and the aftermath of their deaths. They were killed in their home on 21 February 2018.

Si apre questo pomeriggio con la prima seduta ufficiale il Board of Peace – o Consiglio per la Pace voluto da Donald Trump e da quest'ultimo presieduto a vita. Si tratta di una sorta di organizzazione internazionale di tipo privato, la cui adesione è stata sottoscritta da una ventina di paesi lo scorso gennaio a margine del Wef di Davos. Una ventina di paesi tra i quali NON vi sono gli storici alleati occidentali di Washington – Australia, Francia, Germania e Regno Unito che hanno rifiutato l'invito – così come la gran parte degli altri stati europei (fatte salve Ungheria e Bulgaria). Nonostante questo la Commissione europea e varie cancellerie – Svizzera compresa – hanno inviato i loro emissari in veste di osservatori.Domani a Modem torniamo dunque sul Board of Peace e ci interrogheremo sull'opportunità o meno di sedere a questo tavolo, e guarderemo anche a quel che accade e continua ad accadere in Israele, a Gaza e in Cisgiordania in una situazione che è ancora lungi dall'essere definita pace.Nostri ospiti saranno:Andrea Vosti, corrispondente RSI da WashingtonAndrea Bianchi, Professore di Diritto internazionale al Graduate Institute di Ginevra Arturo Marzano, Docente di Storia contemporanea all'Università Roma 3 e autore del libro “Storia di Gaza. Terra, politica, conflitti” 

As part of the RADIOO:100 years of radio broadcasting in Slovakia, we present once again a programme originally aired on RSI at the beginning of March 2018. Our former colleague, Anca Monica Dragu, dedicated the entire show to the murder of investigative journalist Ján Kuciak and his fiancée, Martina Kušnírová, and the aftermath of their deaths. They were killed in their home on 21 February 2018.

Il 19 febbraio ricorrono i dieci anni dalla scomparsa di Umberto Eco, il grande semiologo, filosofo, medievista, narratore e massmediologo, che ha segnato la cultura del nostro tempo. Il modo migliore per ricordarlo è attraverso la sua stessa voce. Laser in collaborazione con gli archivi RSI propone un estratto dell'intervista all'autore del best-seller internazionale Il nome della Rosa, andata in onda nell'ambito del programma televisivo Controluce il 26 ottobre 2008. In quell'occasione Michele Fazioli incontrava il “professore” nella Villa Manzoni di Lecco, in occasione del conferimento di un premio alla carriera al grande intellettuale nato ad Alessandria nel 1932. E proprio dal grande scrittore italiano e dal suo capolavoro - I promessi sposi - prende le mosse l'incontro, in cui Eco ripercorre le sue passioni letterarie, riflette sul valore della lettura e del potere del lettore e delle occasioni perdute della televisione italiana; un'intervista in cui emerge una personalità fuori dal comune, capace di osservare e anticipare i cambiamenti della società e di mettere insieme Gérard de Nerval e Superman.undefined

Today's guest is Ryan Duey, the CEO and co-founder of Plunge, a company that has played a major role in bringing cold-water immersion and recovery practices into the mainstream.Ryan helped found Plunge with a focus on making high-quality, durable cold-plunge systems accessible to athletes, coaches, and everyday consumers alike. Under his leadership, Plunge has grown from a niche recovery concept into a widely recognized brand used across professional sports, fitness facilities, and homes worldwide.With a background rooted in entrepreneurship and product development, Ryan has been instrumental in bridging the gap between evidence-based recovery practices and real-world application. His work has helped normalize recovery as a foundational pillar of performance, health, and lifestyle, not just an afterthought.$1 Trial Membership to SCN

The Backwoods Giveaway Retreat almost didn't happen. Three weeks before the event, the lodge double-booked us. No backup plan. Six random winners already selected. Sponsors committed. Trucks loaded. Momentum rolling. And that was just the beginning.In this episode, we break down everything that went wrong leading up to the weekend — from scrambling to find a new lodge, to heat exchanger failures, broken belts, no snow for weeks, and riding 16 deep in shallow conditions. But this isn't just a recap. It's about:• Pivoting under pressure• Leading in chaos• Snowmobile culture• Building something bigger than perfect conditionsWe talk about:– The scramble to save the retreat– How a local mechanic saved Jose's sled– Meeting the six winners (including an engaged couple who both won)– Riding in a big group without losing control– Why snowmobile culture continues to surprise us in the best wayEvery year we pick six completely random riders and spend a weekend together in the mountains. And every year, it reminds us why we do this. It's never perfect. It's always worth it. If you've ever wondered what goes into hosting something like this — this episode is the real behind-the-scenes.Check out SledSend Merch Here

Fratelli d'Italia prima di diventare il nome del partito della premier italiana - è stato il titolo del celebre romanzo-conversazione di Alberto Arbasino, pubblicato per la prima volta nel 1963. Il “decadente di Voghera”, dove era nato nel 1930; dopo studi di giurisprudenza, Arbasino ha intrapreso una feconda carriera letteraria - romanziere, poeta, critico teatrale e musicale, ma anche saggista colto e duttile, e giornalista; come Umberto Eco è stato un importante esponente del Gruppo 63. In letteratura è stato un grande innovatore, iniziatore di una vera e propria rivoluzione estetica; nemico del politicamente corretto, anticomunista e antifascista, Arbasino era sempre pronto a intervenire nel dibattito civile. La sua vena polemica e la sua ironia sofisticata affiorano anche nell'intervista rilasciata nel 1996 alla televisione della Svizzera italiana, di cui vi proponiamo un estratto tratto dagli Archivi della RSI.

Analog Devices (ADI) earnings are set to hit the wire ahead of Wednesday's open. Rick Ducat looks at the breakdown within the semiconductor industry and shows why ADI's chart has been on the move to start 2026. He points out the RSI study showing a "slight bearish divergence" as it crossed into overbought territory several times during its 2026 rally. Later, Tom White demonstrates an example options strategy for Analog Devices using a call vertical. ======== Schwab Network ========Empowering every investor and trader, every market day.Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – / schwabnetwork Follow us on Facebook – / schwabnetwork Follow us on LinkedIn - / schwab-network About Schwab Network - https://schwabnetwork.com/about

In this week's episode we cover: Oklahoma State Football study review, change in direction work, fitness fatigue vs supercompensation, and insecure coaches. Enjoy!Download The Supertraining Reading Planhttps://strengthcoachnetwork.com/st___Buy Supertraining to Read Along with Ushttps://uaconcepts.com/product/supertraining___From our sponsors: Hawkin Dynamics

RSI takes a look back at the past week in Slovakia and on RSI

In this episode I talk with Otto and Troy about why mat drills could actually serve a purpose in team sports. You will be shocked to hear what my thoughts are.___$1 Trial Membership to SCN

An extra piece for you this week. I had planned to follow up on Dr John's timely piece on oil and gas today, but it will have to wait.We need to talk about bitcoin.Since peaking at $126,000 in early October, the bitcoin price has been in freefall, and the declines have accelerated this year. Earlier in the week, it touched $60,000 - declines of over 50% from peak to trough. Today it sits at $67,000.Call it what it is. It's a bear market.Here's a 2-year chart so you can see the price action. All the gains of 2025 have been given back and we are back at 2024 levels.Bitcoin has become a software proxyMy first observation is that bitcoin's decline since October has coincided exactly with a brutal selloff in software stocks, even as hard assets - gold, silver, and other metals - have caught one heck of a bid.Just a few years ago, hard assets had no value, it seemed. Forget land, mining, the real economy. It was all about digital, software, IP, trademarks. How things have changed.This chart appeared in a WhatsApp group and I don't know who made it to give credit, but the story is clear: Bitcoin has become a software proxy and vice versa.The correlation is striking. As concerns around AI have hammered software more generally, bitcoin has followed. Hardware plays within tech have held up Maybe they're next to be hit. That remains to be seen.When the mainstream media calls the bottom - the next wave of bitcoin obituariesThe Financial Times, wrong about bitcoin since 2009, came out with its latest stupidity this week claiming that bitcoin is $69,000 overvalued. Yesterday the Daily Mail joined the Retard Gang in telling us bitcoin will go to zero.Remember: just as media frenzy often indicates the peak of a market, so does a media scrum at the bottom. All we need is a high-profile article from the Economist and the lows will be in.I get that some people don't like bitcoin, and bitcoiners can be obnoxiously vocal when the price is rising, but nocoiners can be just as bad. The amount of people trolling me about bitcoin - cc-ing me into tweets telling me how badly it's doing, slagging off Michael Saylor, sharing “going to zero” articles - has risen sharply.The more evolved and widespread these narratives, the more people repeating them, the closer we are to an end.On which note, here is a longer-term weekly chart of bitcoin. That weekly RSI is close to all-time lows. Doesn't mean this is the end. But you get these kinds of sentiment extremes at the end of cycles, not at the beginning. Join this elite readership.Where we go from hereThis is a bear market. Crypto winter is upon us once again. The trend is down.But the trend will end. It always does.Looking at the above charts, there's a lot of price memory in the $50-70,000 range. Bitcoin spent much of 2021 and 2024 here. I expect $50,000 - or just below - to hold. I give that a more than 50% probability.But it's bitcoin. So anything is possible. A typical bitcoin monster correction would see us go all the way back to the 2022 lows at ~$15,000. I don't see that as likely - especially as the preceding bull market wasn't that mammoth - maybe 10% probability.It's also possible the lows are already in, but my gut tells me this bear market has a bit longer to play out. It's not a short sharp correction like we saw in the spring of last year around the Tariff Tantrum ™, but more of a grinder. Corrections happen in price and time, and I feel this one has a few more twists to it, especially as markets generally are not quite as easy as they were a couple of months ago.My outlook at the beginning of this year was that the S&P 500 would follow the typical trajectory of the second year of a US presidency - and that points to a rocky second and third quarter with a strong final quarter. That has implications for liquidity and sentiment more generally. Bitcoin is the same technological genius creation it always was. It hasn't changed. Only perception has changed, as it always does.It has been repeatedly demonstrated that bitcoin is a volatile asset that goes to the extremities of both pessimism and optimism, that it is cyclical and that it crucifies hubris. Those cheering the bear market clearly haven't learned.Instead of celebrating, I urge the skeptical to take advantage of this bear market and use it to learn.On which note, if you're new to bitcoin, my 2014 book Bitcoin: the Future of Money? is a good place to start.Bitcoin isn't dead. It's just going through a bear market. They happen.What's the story that takes bitcoin higher, then?Remember: narrative follows price.When the price starts rising, all sorts of reasons will get attached and the story will form. Just as now with the price falling, all sorts of bearish narratives have emerged. Quantum Computing is going to end it. Jeffrey Epstein hijacked it. The core devs have fallen out. Strategy (NASDAQ.MSTR) is going bust. Whatever.It doesn't matter what the story is. That will come. Price leads.Quantum BSWhen you go to a bitcoin conference, one thing that's notable is just how intelligent, educated, informed and ambitious the participants are. There is not the proliferation of midwits that you might find on, for example, the FT payroll. The bitcoin community is super bright.Do you think those involved haven't thought about and prepared for Quantum computing and the threats it may or may not present? Of course they have.Is bitcoin more likely to be ready to deal with the quantum computing threat than say SWIFT, the BBC, the NHS, or some bank? And which is likely to cope with it better - a sector crammed full of genius computer scientists with their own capital at stake, or some institution run by a government?If you actually had a computer capable of taking down bitcoin, there are much easier, more satisfying things to take out, such as the House of Commons email server.Way more important than the actual threat of quantum computing is the perception of what that threat is, even if that perception is bogus. But, as I say, perceptions change, just as bull and bear market cycles do, and so will this narrative die except among the most ardent nocoiners.Of course I would rather bitcoin was at $150,000. But I am not worried. I won't like it if bitcoin goes to $50,000. I'll like it even less if it goes to $15,000. But we have been here before, and we'll likely be here again.We know how this story ends.A prediction for the recordHere it is: It may have to go lower first, but bitcoin will outperform precious metals over the next 18 months, and probably over the next 12.Let's mark the price: gold is $5,000. Silver is $78. Bitcoin is $67,000.By the way, I advocate owning both: gold and bitcoin. So at this point I should really plug Charlie Morris's BOLD, an ETF you can buy through your broker which owns both gold and bitcoin. Until next time,DominicBitcoin: the Future of Money? by Dominic Frisby is available at all good bookstores. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.theflyingfrisby.com/subscribe

Today's guest, Sam Feldman, is a strength and conditioning coach who works across traditional team sports and high-performance racing environments, applying a holistic approach to physical preparation, physiological development, recovery, and long-term athlete health.His background spans high school, collegiate, and professional sport, with previous roles at The Paideia School, Cressey Sports Performance, and the University of Georgia. From 2019 to 2021, he served as a Minor League Strength & Conditioning Coach within the Atlanta Braves organization, where he oversaw all aspects of physical preparation for professional baseball athletes.In that role, he was responsible for program design, weight room and coaching supervision, performance monitoring, conditioning, nutrition organization, budgeting, and in-season arm care for pitchers.$1 Trial Membership to SCN

What would it take to bring Hay Days-level energy to the West Coast?In this episode, we sit down with Levi to talk about his vision for building something bigger than just another ride day — an event designed to grow snowmobiling, build community, and elevate the culture of the sport.From guiding alongside elite riders at Proven Progression to making high-stakes decisions in the backcountry, Levi shares how discipline, responsibility, and leadership shape the way he approaches sledding — and why the sport needs more than just riders if it's going to grow.We dive into:– What makes Hay Days so powerful– Why the West Coast needs its own version– The responsibility elite riders have to grow the sport– Building community beyond social media– What the future of snowmobiling could look likeIf you care about the direction of snowmobiling — not just the riding — this conversation matters.Check out SledSend Merch Here

In this episode of the Milk Road Show, Scott Melker (The Wolf of All Streets) breaks down whether Bitcoin has truly bottomed, what the technical indicators are signaling, and why this 55% drawdown could look strikingly similar to the correction that shook out investors in 2021 before the market exploded higher. We dig into the weekly 50 and 200 moving averages, oversold RSI levels, and the historical patterns that have marked major Bitcoin bottoms. The discussion goes beyond charts and into investor psychology, explaining why extreme fear and negative sentiment often form the foundation for the next major rally.~~~~~

Il 10 febbraio del 1986 a Palermo è il giorno della prima udienza del dibattimento che ha rappresentato un punto di svolta nel contrasto a Cosa nostra. 349 udienze, 1314 interrogatori, 475 imputati, 19 ergastoli inflitti, 327 condanne, 2665 anni di reclusione: sono i numeri del Maxiprocesso istruito dai giudici Giovanni Falcone e Paolo Borsellino nell'area riservata dell'aula bunker del carcere Ucciardone di Palermo. A presiedere la Corte d'Assise il giudice Alfonso Giordano, designato dopo che altri si erano tirati indietro. In questa puntata di “Laser” ripercorriamo alcuni momenti del Maxiprocesso cercando di capire cosa ha rappresentato e cosa resta oggi. Lo facciamo con il giornalista Franco Nicastro, che ha seguito il Maxiproccesso raccontandolo per Il Giornale di Sicilia, lI Secolo XIX e l'Ansa; il magistrato Antonino Di Matteo, sostituto procuratore presso la Direzione Nazionale Antimafia, vive sotto scorta da 33 anni, è stato impegnato in indagini sulle stragi di mafia e sui rapporti tra Cosa Nostra e parti delle istituzioni, è stato pm nel processo sulla trattativa Stato-mafia; Stefano Giordano, avvocato penalista, ricorda l'impegno di suo padre, il giudice Alfonso Giordano. undefinedCon un estratto dell'intervista che Giovanni Falcone ha rilasciato al telegiornale della RSI nel 1990, due anni prima della Strage di Capaci in cui venne ucciso con la moglie, la magistrata Francesca Morvillo, e gli agenti di scorta Vito Schifani, Rocco Dicillo, Antonio Montinaro. undefinedundefinedundefined

In this episode Yosef and I talk about hypertrophy vs hyperplasia, neurology, atrophy, and over coaching. __Download The Supertraining Reading Planhttps://strengthcoachnetwork.com/st___Buy Supertraining to Read Along with Ushttps://uaconcepts.com/product/supertraining___From our sponsors: Hawkin Dynamics

Rachel Dashiell dials up the chart of Bitcoin (/BTC) to look at the "velocity of this selloff" occurring this week. She says there's been "a lot of damage" but says there could be a possible cup and handle pattern forming. She says $70k is a level to watch in the near term. On a longer-term 5-year chart, Rachel shows the significance of the $65k level of support and how its relative strength indicator (RSI) has fallen to oversold levels. ======== Schwab Network ========Empowering every investor and trader, every market day.Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – / schwabnetwork Follow us on Facebook – / schwabnetwork Follow us on LinkedIn - / schwab-network About Schwab Network - https://schwabnetwork.com/about

This week's selling among the software group stood out to Rick Ducat on the charts. He cues up the IGV ETF to show the sector-wide pressures impacting the space. Rick points to a falling wedge pattern over the past several months, with moving averages also tilting downward and its RSI study falling to oversold levels. Later, Tom White demonstrates a neutral to bullish strategy for IGV by selling a put. In his example trade, Tom explains how the cash-secured put could position a trader for a rebound in this software group.======== Schwab Network ========Empowering every investor and trader, every market day.Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – / schwabnetwork Follow us on Facebook – / schwabnetwork Follow us on LinkedIn - / schwab-network About Schwab Network - https://schwabnetwork.com/about

Daily Snippet vom 06.02.2026 $12,4 Milliarden Verlust.

Non si tratta di casi isolati ma di un mercato vero e proprio che tocca purtroppo anche il nostro cantone.Acquistando cuccioli provenienti dai paesi dell'est Europa, alimenti un traffico illegale, legato alla malavita.Ne abbiamo parlato con 3 ospiti eccezionali: la dottoressa Valentina Stornellimedico veterinario, Philippe Blancgiornalista e produttore di Storie alla RSI ed Ermanno Giudicidivulgatore, formatore, scrittore e blogger sui diritti degli animali.

Reddit (RDDT) is down more than 30% heading into Thursday's earnings and vastly underperformed many other social media stocks. Rick Ducat highlights bearish and bullish trends and key levels to watch after Reddit's after-hours report. Call activity on the options front increased as the stock experienced an oversold RSI. ======== Schwab Network ========Empowering every investor and trader, every market day.Options involve risks and are not suitable for all investors. Before trading, read the Options Disclosure Document. http://bit.ly/2v9tH6DSubscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/About Schwab Network - https://schwabnetwork.com/about

Iowa native Logan Ogden is in his first season as the director of men's basketball athletic performance for the University of Iowa men's basketball program.Ogden brings 14 years of experience with him to Iowa City, including the past four seasons as the director of strength and conditioning at Utah (2021-25), where he provided year-round comprehensive training for the Utes' men's basketball program.He also served in a director role at Utah State (2018-21) and Nebraska Omaha (2015-18), he was an assistant strength coach at Augustana University (2013-15) and served as a graduate assistant at South Dakota State (2011-13).Ogden was named to Silver Wave Media's list of most impactful strength and conditioning coaches in the country in August of 2022.$1 Trial Membership to SCN

In this episode we talk about muscle fiber shifting, muscle contraction types, collagen, energy storage and more. It is wild all this comes up in only pages 46-60 of Supertraining.Download The Supertraining Reading Planhttps://strengthcoachnetwork.com/st___Buy Supertraining to Read Along with Ushttps://uaconcepts.com/product/supertraining___From our sponsors: Hawkin Dynamics

A look back at the past week in Slovakia and RSI

This kid is strong, very strong. This is not the safest thing for them to be doing alone. This could have ended poorly. Thankfully it did not. Hear from Director of Athletic Performance at Opelika High School and NHSSCA Alabama State Director Kade McGee as to how this can be avoided.___$1 Trial Membership to SCN

In this episode, we start with an RSI about inhaled anesthetics with intern Veronica Takougang. Then, I host Dr. Ben Fedeles, and we fight about which one of us is the biggest imposter. Or maybe, we just discuss imposter syndrome in medicine. You'll have to listen to find out!

Ryan Metzger is a S&C coach with extensive experience in collegiate Olympic sports, particularly women's soccer and tennis. She most recently served as the Assistant Director of Olympic Sports Performance at the University of Tennessee, where she helped lead high-performing programs in one of the most demanding environments in college athletics.Prior to Tennessee, Ryan spent several years at Clemson University as a Senior Assistant Strength and Conditioning Coach, where she was directly responsible for women's soccer and softball and played a key role in intern education and staff development. In 2022, she was named the NSCA Assistant College Strength and Conditioning Coach of the Year in recognition of her impact on both athletes and coaches.$1 Trial Membership to SCN

The snow is bad. The season isn't going to plan. But this episode proves riding has never really been about the snow. In this episode of the Sled Send Podcast, all five of the crew are finally back together under one roof for the first time this season. What starts as catching up quickly turns into a real conversation about brotherhood, responsibility, avalanche awareness, and what a bad snow year reveals about the people you choose to ride with. With unpredictable conditions and limited opportunities to ride, this season has tested a lot of snowmobilers. Trips get canceled. Plans change. Motivation fades. But instead of killing the stoke, it's forced a deeper look at why we ride — and who we ride with. In this episode, we talk about:​What a bad snow year reveals about character and commitment​Why riding skill matters less than trust and accountability• Avalanche safety, close calls, and lessons learned in the backcountry​How community and mindset can carry a season when conditions aren't ideal​Why the Brotherhood has become bigger than riding itselfIf you've ever questioned why you ride, struggled through a tough season, or wondered what actually matters when the snow doesn't show up — this conversation will hit home.Check out SledSend Merch Here

We were all taught succinylcholine is contraindicated in hyperkalemia because it can cause potassium release, exacerbating the problem. But does it? Does it really?Dr. Jarvis discusses a recent paper that seems to compare mortality within 24 hours of RSI in hyperkalemic patients between those intubated with succ or rocuronium. And then we discuss methods.. including the Table 1 Fallacy. Citations:1.     Simmer PE, Perza M, Cho YD, et al.: Hyperkalemic emergency department patients intubated with rocuronium or succinylcholine: Retrospective study of clinical outcomes. The American Journal of Emergency Medicine. 2026; February;100:154–64.2.     Cole JB, Knack SKS, Driver BE: The value of P-values in “Table 1.” The American Journal of Emergency Medicine. 2026; February;100:182–6.3.     Pappal RD, Roberts BW, Mohr NM, et al.: The ED-AWARENESS Study: A Prospective, Observational Cohort Study of Awareness With Paralysis in Mechanically Ventilated Patients Admitted From the Emergency Department. Ann Emerg Med. 2021;77(5):532–44.4.     ‘Rick & Jerry' Pass the Baton | Emergency Physicians Monthly. Available at https://epmonthly.com/article/rick-jerry-pass-the-baton/. Accessed January 25, 2026.

Pages 31-45 covered in this week where we talk about S.A.I.D Principle, neuromuscular junction, muscle properties, application to training, and some GREAT stories about Dr. Yessis, Bondarchuk, and Issurin.---Download The Supertraining Reading Planhttps://strengthcoachnetwork.com/st___Buy Supertraining to Read Along with Ushttps://uaconcepts.com/product/supertraining___From our sponsors: Hawkin Dynamics

Marking one hundred years of radio broadcasting in Slovakia, this series also highlights the international-level content produced by RSI. In this instalment, Martina Greňová Šimkovičová revisits her coverage of the landmark exhibition of sculptor Mária Bartuszová at London's Tate Modern — one of the world's leading museums of modern and contemporary art. Presented in 2022, the exhibition reflected Tate's long-term commitment to expanding the representation of women artists in its collections and programming. As Tate director Maria Balshaw prepares to step down in spring 2026, Martina returns to her in-depth conversation with Tate Modern curator Juliet Bingham and renowned gallerist Alison Jacques, exploring works that had rarely been presented to UK audiences before.

Taylor Elizondo is an S&C coach and educator with a background in applied sport science, movement assessment, and program design. He holds a master's degree and is certified as a CSCS and CES, with a coaching approach grounded in biomechanics, training transfer, and long-term athlete development.In the classroom, Taylor is known for using Anatoliy Bondarchuk's Transfer of Training framework to help students move beyond exercise lists and toward true training intent. He uses Bondarchuk's classification system to teach how general, specific, and competitive exercises actually influence sport performance and how coaches can make better programming decisions based on transfer rather than tradition or trend.$1 Trial Membership to SCN https://strengthcoachnetwork.com/TrialSave on your re-certification to the NSCA and CSCCa with best price CEUs https://strengthcoachnetwork.com/CEUCONNECT:https://strengthcoachnetwork.com/From our sponsors:Hawkin Dynamicshttps://www.hawkindynamics.com/Hawkin Dynamics is the world leader in force plate solutions. Wireless hardware, intuitive software, and powerful analysis make Hawkin Dynamics the best choice for any coach or trainer. Vitruve VBThttps://vitruve.fit/Join the over 7,000 coaches that trust Vitruve VBT. Vitruve makes Velocity Based Training simple and effective with reliable, affordable and easy to use technology. Power Lift https://www.powerliftusa.com/Power Lift is an industry-leading designer and manufacturer of American-made strength and conditioning equipment. They understand that your Brand is important and offer several diverse ways to incorporate that Brand into your strength equipment. Dashrhttps://www.dashrsystems.com/Dashr is a performance testing company best known for its laser timing, but also integrates with Teambuildr and offers a free Player Profile app used by 6k+ athletes. Beyond timing, they provide a full suite of testing solutions including verticals, broad jumps, RSI, biometrics, reaction, and AMS. PlayerDatahttps://www.playerdata.com/en-usPlayerData is Strength Coach Network's trusted GPS provider and a FIFA Quality–certified system, used by coaches at every level to quantify training load and understand movement demands. PlayerData delivers reliable, actionable data at a strong value point, with seamless syncing that saves coaches precious time—so the focus stays on coaching, not managing technology. TeamBuildrhttps://www.teambuildr.com/enTeamBuildr is a platform for any coach in any setting. Every day, thousands of coaches log into TeamBuildr to write training programs, build questionnaires and access athlete training in a simple and manageable way.

A lot of people love snowmobiling.Far fewer think about what it takes to protect it.In this episode, we sit down with Corbin Shaw to talk about the responsibility that comes with riding backcountry — from avalanche education and risk awareness to advocacy, access, and leadership within the sport. We unpack the difference between fear-based safety messaging and real education, why being an asset to your riding group matters, and how confidence in the mountains is built through knowledge, not ego. This conversation goes beyond sled setup and riding lines. It's about stewardship, long-term thinking, and what it actually means to represent the sport well — on the snow and off it. If you ride backcountry, care about access, or want to see snowmobiling thrive for the next generation, this is a conversation worth hearing.Check out SledSend Merch Here

This week Yosef and I dive into pages 16-30 of Supertraining and the conversation revolves around 1*20, maximal effort training, and Yosef even shares about the relationship between Mel and Yuri and how Mel kept over $1M from Yuri. If you have not downloaded the reading list here it is:https://strengthcoachnetwork.com/st___$1 Trial Membership to SCN

The JournalFeed podcast for the week of Jan 12-16, 2026.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's Spoon Feed:This retrospective cohort study found no 24-hour mortality difference when intubating hyperkalemic patients (K > 5.5mmol/L) with succinylcholine versus rocuronium for RSI.Wednesday's Spoon Feed:In a large international cohort of well-appearing febrile infants ≤28 days old, the updated PECARN rule had high sensitivity and negative predictive value for invasive bacterial infection, with no missed cases of bacterial meningitis, supporting selective avoidance of routine lumbar puncture in low-risk neonates.

Paediatric seizures are common, time-critical events and they're something most of us will deal with, whether that's pre-hospital, in the emergency department, or on the ward. They make up around 1–2% of ED attendances, and about 1 in 20 children will have a seizure at some point. Most seizures self-terminate, but the longer they go on the harder they are to stop, and the higher the risk of harm. In paediatric seizures, time really matters. In this episode we take a step-by-step look at how to assess and manage a child who's seizing. We start with the fundamentals; how seizures are defined and classified, what status epilepticus actually means in practice, and why recognising it early makes such a difference. We then dig into the physiology behind seizures, exploring why early benzodiazepines work well and why delayed treatment often doesn't. Understanding what's happening at a receptor level helps make sense of when to escalate treatment and why different drugs work at different stages of a prolonged seizure. Pharmacology is a big part of this episode. We talk through first- and second-line anti-seizure medications, routes of administration, and how effective they really are. We cover the EcLiPSE and ConSEPT trials comparing levetiracetam and phenytoin, and look at newer evidence from the Ket-Mid study and what that might mean for managing refractory status and thinking about RSI. We also work through the approach to cases, pre-hospital management and in-hospital care aligned with UK and European recommendations. There's a clear focus on febrile seizures too, separating simple from complex presentations and helping you decide who needs investigating, admitting, or reassuring and discharging. As ever, the aim is to turn guidelines and evidence into something usable on the shop floor. Paediatric seizures are stressful, but with a structured approach, early treatment, and good airway management, they're absolutely manageable and we can make a real difference on outcomes. Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon, Rob & James

🧭 REBEL Rundown 📌 Key Points 💀 Mortality: No statistically significant difference in 28-day mortality between ketamine vs etomidate for intubation in critically ill patients, though there was a ~1% absolute difference favoring ketamine. 📉🫀⚠️ Hemodynamics: Ketamine induction was associated with more cardiovascular collapse, mainly driven by new/increased vasopressor use (dose escalation or addition of a vasoactive agent). 💉⬆️ Click here for Direct Download of the Podcast. 📝 Introduction Etomidate or ketamine? The debate over the ideal agent for emergency rapid sequence intubation (RSI) has raged for years with no clear winner. Etomidate has been touted in the past for its rapid onset and minimal intrinsic effects on hemodynamics. However, the drug is well known as a transient adrenal suppressant though the impact of this suppression isn’t clear. Ketamine has risen in recent years as an alternative, due to its perceived hemodynamic stability, analgesic properties and absence of adrenal suppression. Additionally, recent data points towards improved mortality when ketamine was selected over etomidate (Kotani 2023). High quality randomized controlled trials are needed to further elucidate which agent should be selected in critically ill patients. 🧾 Paper Casey JD et al. Ketamine or etomidate for tracheal intubation of critically ill adults. NEJM 2025. PMID: 41369227 🔙Previously Covered On REBEL REBEL EM: The EvK Trial: Ketamine vs Etomidate for Rapid Sequence IntubationREBEL EM: From Debate to Data: Emerging Insights into RSI Induction with Ketamine vs Etomidate ️ What They Did CLINICAL QUESTION In critically ill adults undergoing tracheal intubation, does the use of ketamine instead of etomidate result in improved 28 day mortality? STUDY DESIGN Multicenter, randomized, open-label trial in both emergency departments and ICUs. POPULATION Inclusion Criteria:Critically ill patients > 18 years of age undergoing tracheal intubation with the use of an induction agentExclusion Criteria:Known pregnancyPrisonersPrimary diagnosis of traumaNeed for immediate intubation precluding randomizationClinicians determined that the use of ketamine or etomidate was either necessary or contraindicated INTERVENTION & COMPARATOR Intervention (HFNC Group):Ketamine administered based on a provided nomogram: full dose (2.0 mg/kg), intermediate dose (1.5 mg/kg) or reduced dose (1.0 mg/kg)Comparator (BPAP Group):Etomidate administered based on a provided nomogram: full dose (0.3 mg/kg), intermediate dose (0.25 mg/kg) or reduced dose (0.2 mg/kg) OUTCOMES Primary: In-hospital death from any cause by day 28.Secondary:Cardiovascular collapse during intubation defined as SBP < 65 mm Hg, receipt of new or increased dose of vasopressors or cardiac arrest.Exploratory Procedural:Lowest systolic blood pressureLowest systolic blood pressure below 80 mmHgHighest systolic blood pressure above 180 mmHgLowest oxygen saturationLowest oxygen saturation below 80%Successful first attempt intubationTime from induction to intubationExploratory Clinical:Number of ventilator free daysVasopressor-free daysICU free days Safety: Systolic blood pressure at 24 hours after enrollmentOngoing receipt of vasopressors at 24 hours 📈 Results: 2365 patients were randomizedKetamine: 1176Etomidate: 1189> 99% of patients received the drug they were randomized to receiveNMBA: 69% of patients in both groups received rocuronium~ 95% of patients had video laryngoscopy for the primary intubation attempt 💥 Critical Results 💪 Strengths Multicenter ED + ICU cohort of critically ill patients → improves external validityStrong randomization → balanced baseline characteristicsRight population for the question → appropriately focused on a sick cohort where induction choice matters mostHigh protocol adherence → most patients received the agent they were randomized toExcellent follow-up → minimal loss to follow-up / outcome capture ⚠️ Limitations No blinding → potential performance/resuscitation biasTrauma excluded → limits applicability to peri-intubation trauma careCase-mix skewed toward septic shock → may reduce generalizability to other shock etiologiesPower assumptions → designed to detect a 5% mortality difference (possibly overly ambitious)Equipoise-only enrollment → excluded patients with clear indication/contraindication → selection bias + reduced real-world applicabilityComposite secondary outcome with non-equivalent endpoints (e.g., cardiac arrest vs vasopressor titration)Ketamine dosing by actual body weight (vs ideal) → may have increased dose/exposure in some patients 🗣️ Discussion The increase in cardiovascular collapse seen with ketamine was driven by the “new or increased vasopressor use” piece of the composite outcome not by the more clinically relevant severe hypotension (SBP < 65 mm Hg) or cardiac arrest.The increase in CV collapse is a secondary outcome and hypothesis generating onlyCare beyond induction agent isn’t clearly delineated and may have varied between groupsReasons why there was more CV collapse in the ketamine group:Patients in the etomidate group were more likely to be on pressors or have pressor increases prior to induction agent administrationKetamine has analgesic properties which may affect hemodynamics (etomidate does not have analgesic effects)The standard ketamine dose of 2 mg/kg is higher than the induction dose used by most (1-1.5 mg/kg)Ketamine dosing was based on actual body weight though ideal body weight dosing is more accepted. This may have resulted in unnecessarily large ketamine doses that may have had a greater effect on hemodynamics.This is a study of patients with clinical equipoisePatients who the clinician determined would clearly benefit from one agent or the other or in whom one agent or the other was contraindicated were excluded from the study.This may add a selection bias to the results.Clinicians were not blinded to the induction agent administeredThe absence of blinding can introduce bias.For instance, knowledge of the agent the patient was randomized to may result in different resuscitative treatment prior to intubation.An induction agent nomorgram was provided to allow clinicians to choose their induction dose depending on patient stability.A 5% difference in mortality may be overly ambitious. As Josh Farkas points out in his post on this article, PCI for STEMI only has a 3% absolute difference in mortality versus standard care.The 1% absolute difference in mortality while not statistically significant would be clinically significant if it was real. The study would have to be much larger to show a statistically significant 1% difference.About 2% of patients in each group received additional medications during induction (propofol, benzodiazepines, opiates). It is unclear why these agents were selected in specific cases and how they may have affected the outcomes in question. 📘 Author's Conclusion “Among critically ill adults undergoing tracheal intubation, the use of ketamine to induce anesthesia did not result in a significantly lower incidence of in-hospital death by day 28 than etomidate.“ 💬 Our Conclusion In this well done RCT, induction with ketamine did not result in a lower 28-day mortality when compared to induction with etomidate in critically ill adults. The secondary outcome of an increase in cardiovascular collapse is interesting and should be studied more in the future. 🚨 Clinical Bottom Line This data should not drive clinicians to abandon the use of ketamine in RSI. To the contrary, the study leaves open the possibility of a clinically meaningful difference in mortality favoring ketamine that may be borne out in a larger study. However, etomidate can be considered as a first-line option for RSI and may be the superior drug in patients at high-risk for cardiovascular decompensation. Post Peer Reviewed By: Post Peer Reviewed By: Mark Ramzy, DO (X: @MRamzyDO), Frank Lodeserto, MD and Anand Swaminathan, MD (X: @EMSwami) 📚 References Kotani Y et al. Etomidate as an induction agent for endotracheal intubation in critically ill patients: a meta-analysis of randomized trials J Crit Care 2023;77:154317. PMID: 37127020 👤Associate Author Anand Swaminathan MD, MPH All Things REBEL EM Meet The Team 🔎 Your Deep-Dive Starts Here The RSI Trial: Ketamine vs Etomidate in Rapid Sequence Intubation Etomidate or ketamine? The debate over the ideal agent for emergency rapid sequence ... Resuscitation Read More REBEL Cast Ep120: Etomidate vs Ketamine for RSI in the ED? Background: Standard rapid sequence intubation (RSI) in the emergency department involves administration of ... Procedures and Skills Read More The post The RSI Trial: Ketamine vs Etomidate in Rapid Sequence Intubation appeared first on REBEL EM - Emergency Medicine Blog.