Podcasts about swor

Kerstin Kromminga hat das Experiment gewagt. Einen Monat lang hat die Familie versucht, ohne Plastik über die Runden zu kommen. Hier nun die Bilanz. Hier gibt es mehr Plattdeutsch: Podcast: Die plattdeutsche Morgenplauderei "Hör mal 'n beten to" als kostenloses Audio-Abo für Ihren PC: https://www.ndr.de/wellenord/podcast3096.html Die Welt snackt Platt: Alles rund um das Thema Plattdeutsch: https://www.ndr.de/plattdeutsch

Part one of this episode features Blackbeard's Revenge 100 Race Director Rich Swor, who talks about the craziness that was the 2024 Blackbeard's Revenge 100. He talks about what went on behind the scenes in the planning phase of the last week before the race, how he and his team were able to make significant changes like adjusting the course from a point-to-point to an out-and-back in such a short amount of time. Part two of this episode begins at 42:16 and features Rachel Craft and Suzy Goodwin, who both finished the race despite the horrendous weather conditions. Hear from them about how it all went down. Find out more about the Blackbeard's Revenge 100 at https://runsignup.com/Race/NC/Corolla/BlackbeardsRevenge100.

September 11, 2001, the day "four coordinated suicide terrorist attacks carried out by the militant Islamist extremist network al-Qaeda against the United States." Almost 3000 people lost their lives that day, but the people were responsible were bought to justice. Except in the case of one victim, whose murder had nothing to do with he attacks that day.Henryk Siwiak, a family man from Poland, had come to America in 2000 to find work to support his family during Poland's struggling economy. On September 11, 2001, after being sent home from a construction job due to the attacks, found a graveyard shift position at a grocery store in Brooklyn for later that night. He would never make it, and 22 years later, his murder is still unsolved. The NYPD is offering a reward of $10,000 and Crime Stoppers will pay an additional $2,000 for information leading to the arrest and conviction of the person or persons responsible for the murder of Henryk Siwiak. Anyone with information is asked to call Crime Stoppers at 1-800-577-TIPS. Callers should refer to the Crime Stoppers Poster Number BK-1375 when calling. Bowens, D. (2021, September 11). NYC's one murder from Sept. 11, 2001, remains unsolved 20 years later. FOX 5 New York. https://www.fox5ny.com/news/one-murder-from-sept-11-2001-remains-unsolved-20-years-laterJensen, B. (n.d.). Overshadowed By History. The New York Island Ear, 8, 20–21.Margaritoff, M. (2022). Henryk Siwiak: The Last Person Killed On 9/11 In New York City. All That's Interesting. https://allthatsinteresting.com/henryk-siwiakNolan, C. (2019, September 11). Who Killed Henryk Siwiak? Mystery Surrounds Only Murder Victim in New York City on 9/11. Inside Edition. https://www.insideedition.com/who-killed-henryk-siwiak-mystery-surrounds-only-murder-victim-in-new-york-city-on-911-55909Revisiting the City's Lone And Unsolved Homicide on 9/11 | WNYC | New York Public Radio, Podcasts, Live Streaming Radio, News. (n.d.). WNYC. https://www.wnyc.org/story/156998-homicide/Shapiro, E. (2018, September 11). “I asked him not to go anywhere that evening”: One murder on 9/11 is still unsolved in New York City. ABC News. https://abcnews.go.com/US/asked-evening-murder-911-unsolved-york-city/story?id=574575056qpideg6Support the showIf you enjoyed learning about this case, check out our Instagram @bookofthedeadpodShoot us an email with a case suggestions or just say "hi" at bookofthedeadpod@gmail.comAnd don't forget to rate and review and share with your friendsMuch Love-Courtney and Lisa

Ovarian cancer is the deadliest of all gynecologic cancers, and the ninth most common cancer among women, according to the Ovarian Cancer National Alliance. Approximately one in every 78 women will develop ovarian cancer during her lifetime, and one in 108 will die from it. Do you know the subtle early warning signs?We're talking about ovarian cancer, often called the “silent killer” because, until recently, its subtle early symptoms were not recognized. The often-overlooked early warning symptoms include:-Pelvic or abdominal pain-Difficulty eating for feeling full quickly-Feeling an urgency to urinate-Frequent urination-Less common early symptoms include fatigue, indigestion, back pain, pain with intercourse, constipation, and menstrual irregularity.Joining us today is Michael Swor, MD, FPMRS. He is a leading gynecologist who has been serving women of all ages from in and around Sarasota, Florida, for over 25 years. He founded Swor Women's Care to provide high-quality, patient-focused gynecological care for every stage of a woman's life. He is committed to helping each patient improve and protect their overall health and well-being. Outside of his practice, Dr. Swor enjoys spending time with his wife, children, and grandchildren and making the most of the Sarasota community.

Ovarian cancer is the deadliest of all gynecologic cancers and the ninth most common cancer among women.Ovarian cancer is the deadliest of all gynecologic cancers, and the ninth most common cancer among women, according to the Ovarian Cancer National Alliance. Approximately one in every 78 women will develop ovarian cancer during her lifetime, and one in 108 will die from it. Do you know the subtle early warning signs?We're talking about ovarian cancer, often called the “silent killer” because, until recently, its subtle early symptoms were not recognized. The often-overlooked early warning symptoms include:-Pelvic or abdominal pain-Difficulty eating for feeling full quickly-Feeling an urgency to urinate-Frequent urination-Less common early symptoms include fatigue, indigestion, back pain, pain with intercourse, constipation, and menstrual irregularity.Joining us today is Michael Swor, MD, FPMRS. He is a leading gynecologist who has been serving women of all ages from in and around Sarasota, Florida, for over 25 years. He founded Swor Women's Care to provide high-quality, patient-focused gynecological care for every stage of a woman's life. He is committed to helping each patient improve and protect their overall health and well-being. Outside of his practice, Dr. Swor enjoys spending time with his wife, children, and grandchildren and making the most of the Sarasota community.

Ovarian cancer is the deadliest of all gynecologic cancers and the ninth most common cancer among women.Ovarian cancer is the deadliest of all gynecologic cancers, and the ninth most common cancer among women, according to the Ovarian Cancer National Alliance. Approximately one in every 78 women will develop ovarian cancer during her lifetime, and one in 108 will die from it. Do you know the subtle early warning signs?We're talking about ovarian cancer, often called the “silent killer” because, until recently, its subtle early symptoms were not recognized. The often-overlooked early warning symptoms include:-Pelvic or abdominal pain-Difficulty eating for feeling full quickly-Feeling an urgency to urinate-Frequent urination-Less common early symptoms include fatigue, indigestion, back pain, pain with intercourse, constipation, and menstrual irregularity.Joining us today is Michael Swor, MD, FPMRS. He is a leading gynecologist who has been serving women of all ages from in and around Sarasota, Florida, for over 25 years. He founded Swor Women's Care to provide high-quality, patient-focused gynecological care for every stage of a woman's life. He is committed to helping each patient improve and protect their overall health and well-being. Outside of his practice, Dr. Swor enjoys spending time with his wife, children, and grandchildren and making the most of the Sarasota community.

The Cherry Bird Cow Marathon Continues - It's January 20, 2021. Cherry, Bird, and Cow teach us about Joe Biden's inauguration, Donald Trump's second impeachment, the popularity of chess during the pandemic, Let's Learn NYC, a Canadian website meant to help small businesses over Amazon, how swordfish are impaling sharks.

The Cherry Bird Cow Marathon Continues - It's January 20, 2021. Cherry, Bird, and Cow teach us about Joe Biden's inauguration, Donald Trump's second impeachment, the popularity of chess during the pandemic, Let's Learn NYC, a Canadian website meant to help small businesses over Amazon, how swordfish are impaling sharks.

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Making her debut with Swor, bagging an unconventional role in Boksi Ko Ghar and producing several acclaimed projects, Keki Adhikari has progressed from one rung to another with her consistency and noteworthy performances. In this episode, Keki Adhikari recollects the journey she has led, her perspective of life and livelihood, her dreams, and the way forward.

During this episode, we welcome back Dr. Robert Swor, an emergency center physician at Beaumont Hospital, Royal Oak, in Oakland County, Michigan. For over the last 30 years, Dr. Swor has been a staple in the EMS community in Michigan. Especially when it comes to the latest research involving EMS and cardiac arrest. Dr. Swor has an intensive background when it comes to EMS cardiac arrest outcome data and that’s why he’s here. In part 1 (S2E6), Dr. Swor discussed the data and related controversies regarding airway, breathing and ventilation and EMS management of cardiac arrest patients. In today’s episode, we get into the details and data of compressions, blood flow and circulation. Like many complicated things, the more I learn about cardiac arrest care, the more I realize how much I don’t know. Data provides us with an objective look at what is supposed to happen vs. what actually happened. Sometimes, looking at the data from an objective perspective can reveal controversy regarding the “best” treatment options for cardiac arrest patients. Bottom line, what we expect regarding how things work or how well they work isn’t always truth. In this two-part discussion, we discuss many of the controversies that find their way into the discussions of EMS provides and give you with hard facts, as their currently known. Visit EMSonAIR.com for the latest information, podcast episodes and other details. Follow us on Instagram @EMSOnAIR.Please keep emailing your questions, comments, feedback and episode ideas to the EMS on AIR Podcast team by email at QI@OCMCA.org. Support the show (https://www.patreon.com/emsonair?fan_landing=true)

In this episode, we welcome Dr. Robert Swor, an emergency center physician at Beaumont Hospital, Royal Oak, in Oakland County, Michigan. For over the last 20 years, or so, Dr. Swor has been a staple in the EMS community in Michigan. Dr. Swor ALWAYS been deeply involved in EMS and cardiac arrest research. He has a pretty impressive background when it comes to EMS cardiac arrest outcome data. Data provides us with an objective look at what is supposed to happen vs. what actually happened. Sometimes, looking at the data from an objective perspective can reveal controversy regarding the, “best,” treatment options for cardiac arrest patients. Bottom line, what we expect regarding how things work or how well they work isn’t always truth. In this two-part discussion, we’ll discuss many of the controversies that find their way into the discussions of EMS providers and give you with hard facts, as their currently known. Dr. Swor discusses on the data and related controversies regarding airway, breathing and ventilation in regard to EMS management of cardiac arrest. In part 2, we’ll get into the details and data of compressions, blood flow and circulation. Visit EMSonAIR.com for the latest information, podcast episodes and other details. Follow us on Instagram @EMSOnAIR.Please keep emailing your questions, comments, feedback and episode ideas to the EMS on AIR Podcast team by email at QI@OCMCA.org. Support the show (https://www.patreon.com/emsonair?fan_landing=true)

Show Notes for Episode Twelve of seX & whY: Sex and Gender Differences in CPR Part 1 & 2 Host: Jeannette Wolfe Guest: Dr Justin Morgenstern Two big databases surrounding cardiac arrest Cares- Cardiac Arrest Registry to Enhance Survival which is based on information from national EMS data input via the NEMSIS national EMS information system ROC- Resuscitation Outcomes Consortium (ROC) 2011-2015. The ROC is a network of National Institutes of Health -funded clinical trial network evaluating out of hospital cardiac arrests that collects data from 11 different sites around the United States Here are two great articles that cover this material in depth AHA 2019 stats When the Female Heart Stops: Sex and Gender Differences in Out-of-Hospital Cardiac Arrest Epidemiology and Resuscitation What we know Over 350,000 people will have a cardiac arrest this year Men account for about 2/3 of OHCA average age for men 66 average age for women 72 About 20-25% will occur in public place Men are proportionately more likely to collapse in public place than women (19% versus 8.4% in one study) About half of cardiac arrests are witnessed (about 37% by layperson and 12% by EMS) compared to men, women have higher rate of unwitnessed arrest. (46% vs 52%  in one study) Bystander CPR doubles to triples rates of survival Rates of bystander CPR are highly variable and depend heavily upon where you live and its demographics with CPR being less likely to be started in predominately minority and lower socioeconomic communities. Overall, it appears that about 35-40% or cardiac arrests will get bystander CPR Where you live is also dramatically associated with your rates of leaving the hospital neurologically intact. One study that examined 132 different counties showed, depending upon the county,  functional recovery rates ranging from 0.8%-20% (which again, is likely heavily influenced by  variations in CPR and AED use.) CARES data bank stats suggest that out of hospital cardiac arrest (OHCA) 28% live to hospital 8% leave neurologically intact Usually less than 20% of initial rhythms of OHCA are shockable though sex difference here also (one study 29% men vs women 16% with initial shockable rhythm) Per one survey  about 2/3 of people has some type of CPR training with 20% being currently trained CPR training noted to be lower amongst Hispanics, elderly, lower income, less formally educated Of those trained in CPR only about 1/3 of people will actually step up and do it when indicated First study Gender disparities among adult recipients of bystander cardiopulmonary resuscitations in the Public from Audrey Blewer in Cir Cardiovasc Qual Outcomes 2018 Primary study question- is there an association between an individual's biological sex and the likelihood they will receive bystander CPR Resuscitation Outcomes Consortium (ROC) 2011-2015 This was a retrospective analysis of data collected in a prospectively for several clinical trials in out of hospital cardiac arrests from 7 of these sites. Exclusion: Traumatic arrest Occurs in a residential institution or hospital Less than 18 CPR initiated by someone who was not a layperson (police EMS doc) The variable they used in logistic regression modeling included whether event was witnessed, location, layperson CPR, time of event, and basic demographics including age, race, gender Nontraumatic out of hospital cardiac arrests 19331 events Mean age 64 63% male 17% public location (3297) 82% private (15788) Overall 37% received CPR (38% of men and 35% of women) If collapse occurred in public place 45% of men and 39% of women If collapse occurred in private place 36% of men and 35% of women received CPR Overall: Males had 29% increased odds of survival Bottom line: If you have a OHCA in public you are about 6% more likely to receive CPR if you are a man than a woman This is not the only study showing gender differences in CPR here is a   Netherland study and an avatar study which also highlight these differences. There are also studies suggesting subtle gender differences in EMS treatment of chest pain/cardiac arrest: time to CPR, time to first rhythm strip, IV placement, medication administration likelihood of getting lights and sirens or aspirin Ok so why is that happening? So first let's talk about some general barriers to stepping up and doing CPR in public- A 2008 study by Swor in Annals of EM interviewed almost 700 bystanders to an OHCA. Although about ½ of the bystanders had previous CPR training only about 20% actually started doing CPR. Cited barriers to doing CPR included: - feeling of panic (reported by about 38% ) - concern of doing it incorrectly (9%) - concern they could cause harm (1%) - reluctance to do mouth to mouth (1%) In another study which surveyed community members from areas in which there were low rates of bystander CPR to understand why the rates were so low, answers included:   - fear of getting sued - emotional overtones of the situation - lack of knowledge - situational concerns  A different study suggested that disagreeable physical characteristics- read dentures and vomit-  might hamper CPR initiation. Overall you are more likely to step up and do CPR if CPR training within last 5 years (OR 6.6) in public (OR 3.1) see them collapse (OR 2.3); bystander has greater than a high school education (OR 2.0) So the next question is, are these the reasons why there is a gender difference in who gets bystander CPR or are there additional factors to consider. Second study Public Perceptions on Why Women Receive Less Bystander Cardiopulmonary Resuscitation than Men in Out of Hospital Cardiac Arrest Perman Circulation 2019  Primary Question- what are the public perceptions as to why women are less likely to get bystander CPR?                                             Methods- Electric survey via Amazon's crowdsourcing platform- Mechanical Turk. Participants were English, >18 and familiar with CPR principles Mechanical Turk- have “master users” people achieve this rate by apparently having a history of completing other surveys out appropriately in the past (essentially successfully answering planted “attention” surveys which suggests that they are actually reading the surveys) Participants were asked 11 multiple choice questions and one free text- “ Do you have any ideas on why women may be less likely to receive CPR than men when they collapse in public?” Free text responses were coded and major themes were identified by using an inductive qualitative method.   548 subjects 542 completed surveys average age 38 equal number of males and females about 1% of participants were transgender 81% White 7% Black 6% Asian 3% Hispanic 45% college diploma ½ were trained at some time in CPR (top reasons for training were cited a work or volunteer related requirement) 24 had actually done CPR on a collapsed person- Three major themes evolving: 1) Sexualization of woman's bodies (40% of men mentioned versus 29% of women)      - fear of making incidental contact with a woman's breast “I think that people are afraid to touch the breast region, so hesitate to administer CPR”      - fear of being wrongfully accused of sexual abuse “Bystanders, especially male bystanders, may be afraid to touch women especially in the chest area... anxious that their help my be unnecessary and therefore touching may be misconstrued” “Men are afraid of seeming like perverts” 2) Perception that women are weaker and frailer and thus at greater risk for injury if CPR was not really needed “People might be afraid of hurting them since women tend to be smaller and more fragile looking than men” 3)  Misperception of what actual distress looks like in females ”They are not known to have as many heart attacks in public, they are known to be healthier”  “ Maybe people assume they are being dramatic and overreacting so CPR isn't needed”  Interestingly in the open- ended responses it was frequently implied by use of pronouns that the bystander initiating CPR would be a man. Along these lines, this European paper hints that gender related issues may also influence who steps up to start CPR. My (liberal) summary of paper: “Look I'm not super thrilled about the idea of touching a woman's breast and quite frankly I'm a little scared about being accused of sexual assault.  And also, if I'm honest, I'm a little suspicious that the woman might be collapsing from something less serious, because most cardiac arrests seem to happen in guys. Finally, if I do start CPR on a woman and they really didn't need it, I'm afraid I might accidentally physically hurt her. Five take home points As more than 60% of cardiac arrests do not get bystander CPR, please consider sending out these CPR videos from the American Heart Association and The British Heart Foundation to friends or family members to teach and/or reinforce basic CPR principles as good CPR doubles to triples survival rates. There are innate biological sex differences associated with out of hospital cardiac arrests including: 2/3 of cardiac arrest occur in men who collapse on average collapse about 7-10 years earlier than women. Men are also more likely to have an initial shockable rhythm. Gender related issues, which can notoriously sneak under the radar if we don't intentionally look for them, can also impact cardiac arrests. The study we talked about today suggested about a 5-6% absolute differences in public bystander CPR rates with men receiving more CPR. Concerningly there is similar research suggesting gender based inequities of both the EMS and hospital management level of cardiac arrest and we will continue this discussion in part 2 of our series. Although more deductive research is needed, there are hints that some of these gender related CPR differences are rooted in concerns surrounding sexuality, perceptions about fragility and misconceptions that collapsing women are unlikely to be having a cardiac arrest. The first step to gender- based gaps in cardiac arrest is to simply validate they exist. If you teach CPR, recognize and normalize that for some learners, invading someone's personal space can feel totally awkward and then encourage them to mentally rehearse different scenarios in which they visualize themselves successfully starting CPR.  Using tools like the womanikin can help. As it appears that only about 30% of people who already know CPR, will actually step up to do it, we must work on ways to close this gap. Considering the introduction of stress inoculation and introducing things like Mike Lauria's breath, talk, see and focus technique holds promise. Other references High Sensitivity Troponin and Gender Differences in treatment after ACS North Carolina's Heart Rescue Intervention Article about CPR and Good Samaritan laws

Show Notes for Episode Twelve of seX & whY: Sex and Gender Differences in CPR Part 1 & 2 Host: Jeannette Wolfe Guest: Dr Justin Morgenstern Two big databases surrounding cardiac arrest Cares- Cardiac Arrest Registry to Enhance Survival which is based on information from national EMS data input via the NEMSIS national EMS information system ROC- Resuscitation Outcomes Consortium (ROC) 2011-2015. The ROC is a network of National Institutes of Health -funded clinical trial network evaluating out of hospital cardiac arrests that collects data from 11 different sites around the United States Here are two great articles that cover this material in depth AHA 2019 stats When the Female Heart Stops: Sex and Gender Differences in Out-of-Hospital Cardiac Arrest Epidemiology and Resuscitation What we know Over 350,000 people will have a cardiac arrest this year Men account for about 2/3 of OHCA average age for men 66 average age for women 72 About 20-25% will occur in public place Men are proportionately more likely to collapse in public place than women (19% versus 8.4% in one study) About half of cardiac arrests are witnessed (about 37% by layperson and 12% by EMS) compared to men, women have higher rate of unwitnessed arrest. (46% vs 52%  in one study) Bystander CPR doubles to triples rates of survival Rates of bystander CPR are highly variable and depend heavily upon where you live and its demographics with CPR being less likely to be started in predominately minority and lower socioeconomic communities. Overall, it appears that about 35-40% or cardiac arrests will get bystander CPR Where you live is also dramatically associated with your rates of leaving the hospital neurologically intact. One study that examined 132 different counties showed, depending upon the county,  functional recovery rates ranging from 0.8%-20% (which again, is likely heavily influenced by  variations in CPR and AED use.) CARES data bank stats suggest that out of hospital cardiac arrest (OHCA) 28% live to hospital 8% leave neurologically intact Usually less than 20% of initial rhythms of OHCA are shockable though sex difference here also (one study 29% men vs women 16% with initial shockable rhythm) Per one survey  about 2/3 of people has some type of CPR training with 20% being currently trained CPR training noted to be lower amongst Hispanics, elderly, lower income, less formally educated Of those trained in CPR only about 1/3 of people will actually step up and do it when indicated First study Gender disparities among adult recipients of bystander cardiopulmonary resuscitations in the Public from Audrey Blewer in Cir Cardiovasc Qual Outcomes 2018 Primary study question- is there an association between an individual's biological sex and the likelihood they will receive bystander CPR Resuscitation Outcomes Consortium (ROC) 2011-2015 This was a retrospective analysis of data collected in a prospectively for several clinical trials in out of hospital cardiac arrests from 7 of these sites. Exclusion: Traumatic arrest Occurs in a residential institution or hospital Less than 18 CPR initiated by someone who was not a layperson (police EMS doc) The variable they used in logistic regression modeling included whether event was witnessed, location, layperson CPR, time of event, and basic demographics including age, race, gender Nontraumatic out of hospital cardiac arrests 19331 events Mean age 64 63% male 17% public location (3297) 82% private (15788) Overall 37% received CPR (38% of men and 35% of women) If collapse occurred in public place 45% of men and 39% of women If collapse occurred in private place 36% of men and 35% of women received CPR Overall: Males had 29% increased odds of survival Bottom line: If you have a OHCA in public you are about 6% more likely to receive CPR if you are a man than a woman This is not the only study showing gender differences in CPR here is a   Netherland study and an avatar study which also highlight these differences. There are also studies suggesting subtle gender differences in EMS treatment of chest pain/cardiac arrest: time to CPR, time to first rhythm strip, IV placement, medication administration likelihood of getting lights and sirens or aspirin Ok so why is that happening? So first let's talk about some general barriers to stepping up and doing CPR in public- A 2008 study by Swor in Annals of EM interviewed almost 700 bystanders to an OHCA. Although about ½ of the bystanders had previous CPR training only about 20% actually started doing CPR. Cited barriers to doing CPR included: - feeling of panic (reported by about 38% ) - concern of doing it incorrectly (9%) - concern they could cause harm (1%) - reluctance to do mouth to mouth (1%) In another study which surveyed community members from areas in which there were low rates of bystander CPR to understand why the rates were so low, answers included:   - fear of getting sued - emotional overtones of the situation - lack of knowledge - situational concerns  A different study suggested that disagreeable physical characteristics- read dentures and vomit-  might hamper CPR initiation. Overall you are more likely to step up and do CPR if CPR training within last 5 years (OR 6.6) in public (OR 3.1) see them collapse (OR 2.3); bystander has greater than a high school education (OR 2.0) So the next question is, are these the reasons why there is a gender difference in who gets bystander CPR or are there additional factors to consider. Second study Public Perceptions on Why Women Receive Less Bystander Cardiopulmonary Resuscitation than Men in Out of Hospital Cardiac Arrest Perman Circulation 2019  Primary Question- what are the public perceptions as to why women are less likely to get bystander CPR?                                             Methods- Electric survey via Amazon's crowdsourcing platform- Mechanical Turk. Participants were English, >18 and familiar with CPR principles Mechanical Turk- have “master users” people achieve this rate by apparently having a history of completing other surveys out appropriately in the past (essentially successfully answering planted “attention” surveys which suggests that they are actually reading the surveys) Participants were asked 11 multiple choice questions and one free text- “ Do you have any ideas on why women may be less likely to receive CPR than men when they collapse in public?” Free text responses were coded and major themes were identified by using an inductive qualitative method.   548 subjects 542 completed surveys average age 38 equal number of males and females about 1% of participants were transgender 81% White 7% Black 6% Asian 3% Hispanic 45% college diploma ½ were trained at some time in CPR (top reasons for training were cited a work or volunteer related requirement) 24 had actually done CPR on a collapsed person- Three major themes evolving: 1) Sexualization of woman's bodies (40% of men mentioned versus 29% of women)      - fear of making incidental contact with a woman's breast “I think that people are afraid to touch the breast region, so hesitate to administer CPR”      - fear of being wrongfully accused of sexual abuse “Bystanders, especially male bystanders, may be afraid to touch women especially in the chest area... anxious that their help my be unnecessary and therefore touching may be misconstrued” “Men are afraid of seeming like perverts” 2) Perception that women are weaker and frailer and thus at greater risk for injury if CPR was not really needed “People might be afraid of hurting them since women tend to be smaller and more fragile looking than men” 3)  Misperception of what actual distress looks like in females ”They are not known to have as many heart attacks in public, they are known to be healthier”  “ Maybe people assume they are being dramatic and overreacting so CPR isn't needed”  Interestingly in the open- ended responses it was frequently implied by use of pronouns that the bystander initiating CPR would be a man. Along these lines, this European paper hints that gender related issues may also influence who steps up to start CPR. My (liberal) summary of paper: “Look I'm not super thrilled about the idea of touching a woman's breast and quite frankly I'm a little scared about being accused of sexual assault.  And also, if I'm honest, I'm a little suspicious that the woman might be collapsing from something less serious, because most cardiac arrests seem to happen in guys. Finally, if I do start CPR on a woman and they really didn't need it, I'm afraid I might accidentally physically hurt her. Five take home points As more than 60% of cardiac arrests do not get bystander CPR, please consider sending out these CPR videos from the American Heart Association and The British Heart Foundation to friends or family members to teach and/or reinforce basic CPR principles as good CPR doubles to triples survival rates. There are innate biological sex differences associated with out of hospital cardiac arrests including: 2/3 of cardiac arrest occur in men who collapse on average collapse about 7-10 years earlier than women. Men are also more likely to have an initial shockable rhythm. Gender related issues, which can notoriously sneak under the radar if we don't intentionally look for them, can also impact cardiac arrests. The study we talked about today suggested about a 5-6% absolute differences in public bystander CPR rates with men receiving more CPR. Concerningly there is similar research suggesting gender based inequities of both the EMS and hospital management level of cardiac arrest and we will continue this discussion in part 2 of our series. Although more deductive research is needed, there are hints that some of these gender related CPR differences are rooted in concerns surrounding sexuality, perceptions about fragility and misconceptions that collapsing women are unlikely to be having a cardiac arrest. The first step to gender- based gaps in cardiac arrest is to simply validate they exist. If you teach CPR, recognize and normalize that for some learners, invading someone's personal space can feel totally awkward and then encourage them to mentally rehearse different scenarios in which they visualize themselves successfully starting CPR.  Using tools like the womanikin can help. As it appears that only about 30% of people who already know CPR, will actually step up to do it, we must work on ways to close this gap. Considering the introduction of stress inoculation and introducing things like Mike Lauria's breath, talk, see and focus technique holds promise. Other references High Sensitivity Troponin and Gender Differences in treatment after ACS North Carolina's Heart Rescue Intervention Article about CPR and Good Samaritan laws

Pastor Ron Swor, senior pastor at Canby Foursquare Church and President of Canby Bible College, has been faithfully serving the church for over 40 years. In this episode, he shares his wisdom on what he looks for in young leaders, areas to focus on early in your ministry career, and why grit matters more than giftedness. CBC website: https://www.canbybiblecollege.org Facebook https://www.facebook.com/CanbyBible/ Instagram https://www.instagram.com/canbybible/ YouTube https://www.youtube.com/channel/UCUbfF0dEYWM3pPDcyL5uPfA Register for Classes this Spring https://www.canbybiblecollege.org/register-for-classes/

The following is a short list of salient points related to the podcast and the corresponding source literature. As always, read the source literature and critically appraise it for yourself. Take none of the following as a substitution for local protocol or procedure. 2018 NAEMSP Spinal Immobilization paper https://naemsp.org/resources/position-statements/spinal-immobilization/ Securing a patient to the stretcher mattress significantly reduces lateral motion: Am J Emerg Med. 2016 Apr;34(4):717-21. doi: 10.1016/j.ajem.2015.12.078. Epub 2015 Dec 30. C-Collar limits visible external motion in the intact spine, but not internal motion in the unstable injured spine: Horodyski M, DiPaola CP, Conrad BP, Rechtine GR 2nd. Cervical collars are insufficient for immobilizing an unstable cervical spine injury. J Emerg Med. 2011 Nov;41(5):513-9. doi: 10.1016/j.jemermed.2011.02.001. Epub 2011 Mar 12. PubMed PMID: 21397431. C-Collar increases ICP: Davies G, Deakin C, Wilson A. The effect of a rigid collar on intracranial pressure. Injury. 1996 Nov;27(9):647-9. PubMed PMID: 9039362. C-Collar causes distraction of unstable C-spine: Ben-Galim P, Dreiangel N, Mattox KL, Reitman CA, Kalantar SB, Hipp JA. Extrication collars can result in abnormal separation between vertebrae in the presence of a dissociative injury. J Trauma. 2010 Aug;69(2):447-50. doi:10.1097/TA.0b013e3181be785a. PubMed PMID: 20093981. Lador R, Ben-Galim P, Hipp JA. Motion within the unstable cervical spine during patient maneuvering: the neck pivot-shift phenomenon. J Trauma. 2011 Jan;70(1):247-50; discussion 250-1. doi: 10.1097/TA.0b013e3181fd0ebf. PubMed PMID: 21217496. Spinal immobilization negatively impacts the physical exam: March J et al. Changes In Physical Examination Caused by Use of Spinal Immobilization. Prehosp Emerg Care 2002; 6(4): 421 – 4. PMID: 12385610 Chan D, Goldberg R, Tascone A, Harmon S, Chan L. The effect of spinal immobilization on healthy volunteers. Ann Emerg Med. 1994 Jan;23(1):48-51. PubMed PMID: 8273958. Chan D, Goldberg RM, Mason J, Chan L. Backboard versus mattress splint immobilization: a comparison of symptoms generated. J Emerg Med. 1996 May-Jun;14(3):293-8. PubMed PMID: 8782022. Even Manual In Line Stabilization alone increased difficulty during intubation and increases forces applied to the neck: Thiboutot F, Nicole PC, Trépanier CA, Turgeon AF, Lessard MR. Effect of manual in-line stabilization of the cervical spine in adults on the rate of difficult orotracheal intubation by direct laryngoscopy: a randomized controlled trial. Can J Anaesth. 2009 Jun;56(6):412-8. doi: 10.1007/s12630-009-9089-7. Epub 2009 Apr 24. PubMed PMID: 19396507. Santoni BG, Hindman BJ, Puttlitz CM, Weeks JB, Johnson N, Maktabi MA, Todd MM. Manual in-line stabilization increases pressures applied by the laryngoscope blade during direct laryngoscopy and orotracheal intubation. Anesthesiology. 2009 Jan;110(1):24-31. doi: 10.1097/ALN.0b013e318190b556. PubMed PMID: 19104166. Spinal immobilization makes it harder to breath and decreases forced expiratory volume: “...produce a significantly restrictive effect on pulmonary function in the healthy, nonsmoking man.” Chan, D., Goldberg, R., Tascone, A., Harmon, S., & Chan, L. (1994). The effect of spinal immobilization on healthy volunteers. Annals of Emergency Medicine, 23(1), 48–51. https://doi.org/10.1016/S0196-0644(94)70007-9 Schafermeyer RW, Ribbeck BM, Gaskins J, Thomason S, Harlan M, Attkisson A. Respiratory effects of spinal immobilization in children. Ann Emerg Med. 1991 Sep;20(9):1017-9. PubMed PMID: 1877767. Totten VY, Sugarman DB. Respiratory effects of spinal immobilization. Prehosp Emerg Care. 1999 Oct-Dec;3(4):347-52. PubMed PMID: 10534038. Prehospital providers can effectively apply selective immobilization criteria without causing harm: Domeier, R. M., Frederiksen, S. M., & Welch, K. (2005). Prospective performance assessment of an out-of-hospital protocol for selective spine immobilization using clinical spine clearance criteria. Annals of Emergency Medicine, 46(2), 123–131. https://doi.org/10.1016/j.annemergmed.2005.02.004 Out of 32,000 trauma encounters, a prehospital clearance protocol resulted in ONE patient with an unstable injury that was not immobilized. This patient injured her back one week prior, required fixation, but had no neurological injury: Burton, J.H., Dunn, M.G., Harmon, N.R., Hermanson, T.A., and Bradshaw, J.R. A statewide, prehospital emergency medical service selective patient spine immobilization protocol. J Trauma. 2006; 61: 161–167 Ambulatory patients self extricating with a cervical collar results in less cervical spine motion than with the use of a backboard: Shafer, J. S., & Naunheim, R. S. (2009). Cervical Spine Motion During Extrication: A Pilot Study. Western Journal of Emergency Medicine, 10(2), 74–78. https://doi.org/10.1016/j.jemermed.2012.02.082 Engsberg JR, Standeven JW, Shurtleff TL, Eggars JL, Shafer JS, Naunheim RS. Cervical spine motion during extrication. J Emerg Med. 2013 Jan;44(1):122-7. doi:10.1016/j.jemermed.2012.02.082. Epub 2012 Oct 15. PubMed PMID: 23079144 Lift and slide technique is superior to log roll: Boissy, P., Shrier, I., Brière, S. et al. Effectiveness of cervical spine stabilization techniques. Clin J Sport Med. 2011; 21: 80–88 Despite there not being any randomized control trials evaluating spinal immobilization, patients transferred to hospitals immobilized have more disability than those transported without immobilization: Hauswald, M., Ong, G., Tandberg, D., and Omar, Z. Out-of-hospital spinal immobilization: its effect on neurologic injury. Acad Emerg Med. 1998; 5: 214–219 “Mechanism of injury does not affect the ability of clinical criteria to predict spinal injury” Domeier, R.M., Evans, R.W., Swor, R.A. et al. The reliability of prehospital clinical evaluation for potential spinal injury is not affected by the mechanism of injury.Prehosp Emerg Care. 1999; 3: 332–337 Spinal immobilization in penetrating trauma is associated with an increased risk of death: Vanderlan, W.B., Tew, B.E., and McSwain, N.E. Jr. Increased risk of death with cervical spine immobilisation in penetrating cervical trauma. Injury. 2009; 40: 880–88 Stuke, L.E., Pons, P.T., Guy, J.S., Chapleau, W.P., Butler, F.K., and McSwain, N.E.Prehospital spine immobilization for penetrating trauma-review and recommendations from the Prehospital Trauma Life Support Executive Committee. J Trauma. 2011; 71: 763–769 “The number needed to treat with spine immobilization to potentially benefit one patient was 1,032. The number needed to harm with spine immobilization to potentially contribute to one death was 66.” Haut, E.R., Kalish, B.T., Efron, D.T. et al. Spine immobilization in penetrating trauma: more harm than good?. J Trauma. 2010; 68: 115–121 Vanderlan WB, Tew BE, Seguin CY, Mata MM, Yang JJ, Horst HM, Obeid FN, McSwain NE. Neurologic sequelae of penetrating cervical trauma. Spine (Phila Pa 1976). 2009 Nov 15;34(24):2646-53. doi: 10.1097/BRS.0b013e3181bd9df1. PubMed PMID: 19881402. Velopulos CG, Shihab HM, Lottenberg L, Feinman M, Raja A, Salomone J, Haut ER. Prehospital spine immobilization/spinal motion restriction in penetrating trauma: A practice management guideline from the Eastern Association for the Surgery of Trauma (EAST). J Trauma Acute Care Surg. 2018 May;84(5):736-744. doi:10.1097/TA.0000000000001764. PubMed PMID: 29283970. Use of LSB can cause sufficient pressure to create pressure ulcers in a short period of time: Cordell W:H, Hollingsworth JC, Olinger ML, Stroman SJ, Nelson DR. Pain and tissue-interface pressures during spine-board immobilization. Ann Emerg Med. 1995 Jul;26(1):31-6. PubMed PMID: 7793717. The natural progression of some C-spine injuries is to get worse, sometimes because we force them into immobilization devices, sometimes because of hypotension, vascular injury, or hypoxia, but surprisingly not because of EMS providers… Harrop JS, Sharan AD, Vaccaro AR, Przybylski GJ. The cause of neurologic deterioration after acute cervical spinal cord injury. Spine (Phila Pa 1976). 2001 Feb 15;26(4):340-6. PubMed PMID: 11224879. Reports of asymptomatic but clinically important spine injuries are, at best, dubious: McKee TR, Tinkoff G, Rhodes M. Asymptomatic occult cervical spine fracture: case report and review of the literature. J Trauma. 1990 May;30(5):623-6. Review. PubMed PMID: 2188001. Bresler MJ, Rich GH. Occult cervical spine fracture in an ambulatory patients. Ann Emerg Med. 1982 Aug;11(8):440-2. PubMed PMID: 7103163.

Join me as I talk with Cade Swor one of the most respected Cowboys in Professional Rodeo, living his dream and doing it by example. See Cades Bio in the link below at Pro Rodeo.com Resources: https://www.facebook.com/profile.php?id=100000841108558 (https://www.facebook.com/profile.php?id=100000841108558) http://www.prorodeo.com/prorodeo/cowboys/cowboy-biographies?id=960 (http://www.prorodeo.com/prorodeo/cowboys/cowboy-biographies?id=960) https://www.instagram.com/cadeswor/ (https://www.instagram.com/cadeswor/) Photo Credit JkW Photo    https://www.instagram.com/jkwphoto.ca/ (https://www.instagram.com/jkwphoto.ca/)

Better Horses Radio Worldwide (Saint Patrick's Day Episode 2018) with Ernie Rodina and Ed Adam, featuring special guest interviews from Frank Slaughter, Josh Rushing, Susan Patten, Cade Swor, and Harold Wingert.

Visit the show notes for fun photos, links, and gaming definitions. Did you know that gaming raid groups parallels reality when it comes to the attributes of people and the composition of your group of real-life friends? It does! Please keep this conversation going. Contribute by calling our voice mail line at 432-363-4742, email us at girlygeekz@gmail.com and visit our web site at AnomalyPodcast.com Thanks for listening! Subscribe and share with your own Anomalous raid group!

EQI RADIO WNFR 2014 interviews with the winners by Butch Thurman

Esta semana Sergio y Rubén han abierto una de las celdas de la prisión para sacar de ella a Elladan que regresa a Plan 42 para traernos dos interesantes animes. En esta nueva sección Elladan nos presenta Swor art online y Log Horizon, dos animes que tienen un punto de partida en comun, pero poco más ¿Quieres saber más? !Pues escuchanos! Además encontraras nuestras secciones de siempre, Estas no son las noticias (En esta capítulo muy breves) y Retrovisión donde domentamso la temporada de Sherlock y el videojuego Hearthstone. ¡¡Y TODO ESTO EN UN SÓLO PODCAST! Recordad que podéis enviarnos vuestros comentarios y los leeremos en el siguiente capítulo. Mail: podcastplan42@gmail.com Facebook: https://www.facebook.com/plan42podcast

Esta semana Sergio y Rubén han abierto una de las celdas de la prisión para sacar de ella a Elladan que regresa a Plan 42 para traernos dos interesantes animes. En esta nueva sección Elladan nos presenta Swor art online y Log Horizon, dos animes que tienen un punto de partida en comun, pero poco más ¿Quieres saber más? !Pues escuchanos! Además encontraras nuestras secciones de siempre, Estas no son las noticias (En esta capítulo muy breves) y Retrovisión donde domentamso la temporada de Sherlock y el videojuego Hearthstone. ¡¡Y TODO ESTO EN UN SÓLO PODCAST! Recordad que podéis enviarnos vuestros comentarios y los leeremos en el siguiente capítulo. Mail: podcastplan42@gmail.com Facebook: https://www.facebook.com/plan42podcast

Fresh but not so clean, it's FUHcast! Jim unwraps the show and exposes the Rundown. The guys begin the show with listener feedback; first regarding celebrity fragrances. FUH has a great idea for a custom Ernest Borgnine bottle. Bill addresses (again) his hatred of urinals and his most recent urinal failure. Bill and Jim discuss the pros and cons of reading on the toilet. T3 calls in to express his distaste for downloadable video game content. New caller and fairly new listener calls in to thank Bill for his e-sistance in getting justice from Sony Electronics. The guys talk about how to use the power of Twitter for good, not petty poop. What would you do to land a crappy job? A man in Nebraska is willing to blow the whole place up. America Idol may soon be judgeless, so FUH decides to judge the worthiness of the show in general. The guys also discuss the possible issues with the rumored Idol judge replacements. Are you sick of hearing about the Cruise/Holmes split? Too bad! But if it makes you feel better, FUH rips into Scientology with the strength of 1,000 dead alien arms. The show closes with video game talk. On the menu is the Shadow Complex meets Night Of The Living Dead (not a game) XBLA exclusive Deadlight, Star Wars: Old Republic kinda goes free-to-play, Tony Hawk gets the HD rehash treatment and Jim urges you to dig deep and support the first promising Android based video game console to hit the US, the OUYA. ****Check out FILEUNDERHORRIBLE.com for this week's ENHANCED show notes and this week's special artwork!**** Tweet us! We're @ FUHcast! Add File Under Horrible to your Google+ circles! Like Us on Facebook! Go to facebook.com/fileunderhorrible Email us! podcast@fileunderhorrible.com Call the FUHcast Hotline and get YOUR voice on the show! Call (478) 227-8384 Please take a moment to rate us on iTunes, Zune Marketplace, Blackberry Podcast app, Stitcher Smart Radio and wherever else you download the show! We'd GREATLY appreciate it! You have no idea what Jim is willing to do for validation! It's really quite graphic. But pleasureable for most. 

In this edition of Anomaly, Angela and Jen discuss the games they've been playing. Included in the discussion is SIMS, Civilization, Star Wars The Old Republic, Assasin's Creed, Elder Scrolls Oblivion, Elder Scrolls Skyrim, Mass Effect 1, 2 and 3 and American McGee's Alice: The Madness Returns and much more. Thank you to Meds and Isla for their gaming updates! Look for the next Anomaly episode later this month. We will be discussing Harry Potter and the Sorcerer's Stone. Please send your comments regarding the Harry Potter film and/or book, we'll include them in the next episode. Send to girlygeekz@gmail.com. Anomaly Supplemental will cover A Very Potter Musical. If you apprecitate what we're doing on Anomaly, Anomaly Supplemental and Anomalous Musings, please send us feedback, rate us on iTunes or donate to the cause via paypal. You can also join our Facebook Group, subscribe to the blog, friend us on Facebook and follow us on Twitter. Find out how by visiting AnomalyPodcast.com. There you'll also find the show notes for this episode, Paypal donation buttons, a robust episode archive, contact information and much more!