Podcasts about tcas

On this episode of AvTalk, we learning all about long endurance gas balloons with a world record holder. We learn more about the erroneous TCAS alerts that plagued aircraft near DCA at the beginning of March and what the FAA is doing following a fist fight in the DCA air traffic control tower. Heathrow's chief […] The post AvTalk Episode 314: World Champion Gas Ballooning appeared first on Flightradar24 Blog.

The founder and managing director of 123Carbon explains carbon insetting, SAF certificates, and SAF registries. In the news, we look at the Safer Skies Act of 2025, KC-135 Stratotanker service life, Airbus future single-aisle technologies and design, and injuries after a mid-air TCAS alarm sounds. Also, the first COMAC 909 delivery outside China, ATC privatization around the world, security theater, and introducing women to aviation. Guest Jeroen van Heiningen is the founder and managing director of 123Carbon. The company works with fuel suppliers and carriers to issue transparent and externally verified environmental attribute certificates, including SAF certificates, used by airlines and cargo operators to reduce their transport-related Scope 3 emissions. Jeroen discusses the sustainable aviation fuels (SAF) market, focusing on carbon insetting, the role of SAF registries, and the importance of transparency and standardization in the industry. He explains how carbon insetting differs from carbon offsetting, emphasizing the need for companies to invest in their value chain de-carbonization. The discussion also covers the digital certificate process, the collaboration between 123Carbon and IATA, and future trends in the SAF market. 123Carbon's registry is integrated with other IT systems and allows an airline to upload documents and manage its inventory of digital certificates online. It's a multi-modal agnostic platform that can be branded. With the use of sustainable bio-fuel growing in the land and sea modes of transportation, the accounting needs to be integrated with air. 123Carbon recently introduced Carboninsets.com, a free service for forwarders and cargo owners that connects them with issuers on the registry. Jeroen set-up and led Accenture's Sustainability Services Benelux and wrote the CDP NL 50 report in 2010. He has 15 years of experience with multi-modal carbon insetting programs, covering both Air (KLM corporate biofuels Program) and Marine (the GoodShipping Program). He holds a master's in business administration from Tilburg University. Takeaways: Carbon insetting is a more effective long-term approach than offsetting. Companies are increasingly linked to net-zero targets managed by SBTi. (Science Based Targets initiative) Standardization in the SAF market is crucial for transparency. Digital certificates are essential for tracking SAF transactions. Collaboration between registries helps prevent double counting of SAF. The SAF market is evolving with a focus on multimodal transportation. Demand and supply must be connected to stabilize SAF prices. New services like CarbonInsets.com facilitate connections between issuers and buyers. The aviation industry is leading in SAF adoption compared to other transport modes. Future initiatives will focus on integrating various transportation modalities. Resources: ICAO Global Framework for SAF: Sustainable Aviation Fuels (SAF)  IATA SAF Handbook [PDF] Developing Sustainable Aviation Fuel (SAF). IATA estimates that Sustainable Aviation Fuel (SAF) could contribute around 65% of the reduction in emissions needed by aviation to reach net zero CO2 emissions by 2050. IATA and 123Carbon to Collaborate on Interoperability for SAF Registries. A strategic collaboration to develop interoperability between their respective SAF focusing on three key elements: A unique identifier and alignment of the relevant data points to exchange between registries. A process for the exchange of information to avoid any potential double issuance. A dispute resolution process.  IATA SAF Registry. The International Air Transport Association (IATA) announced that it will establish the SAF Registry to accelerate the uptake of SAF by authoritatively accounting and reporting emissions reductions from SAF. SAFc Registry. Sustainable aviation fuel certificates (SAFc) can help drive demand for sustainable avi...

In this episode, we review the high-yield topic of⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠Tricyclic Antidepressants (TCAs)⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Psychiatry section.Follow⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets

Today, we will be discussing tricyclic antidepressants (TCA's). Once again, we've picked a few of our favorites to discuss on today's episode.

Aviation expert Tom Haines shares his perspective on flying into and out of of Washington's DCA airport, the SFRA and FRZ, certain VFR routes, remaining on assigned altitudes or headings, limitations of ADS-B and TCAS systems, circle-to-land approaches, and what changes the midair crash of American Eagle Flight 5342 might bring. And stay tuned for Ian and David's comments on the latest aviation news.

Max discusses the tragic midair collision at Reagan National Airport between a PSA Airlines CRJ700 regional jet and a U.S. Army Black Hawk helicopter. The midair crash over the Potomac River was captured by a Kennedy Center webcam. ATC instructed the Army helicopter to follow the airliner to Runway 33, but it did not comply. The helicopter was not transmitting ADS-B Out, though its position was tracked using Mode S transponders. TCAS alerts are disabled below 400 feet, meaning the pilots had no automated warning. Nighttime perception challenges likely contributed to the crew's failure to see and avoid each other. Trescott reviews ATC audio and past midair collisions, emphasizing the Swiss Cheese Model of accident causation—multiple failures aligned to cause the crash. A reported FAA radar screen showed collision alerts 30 seconds prior, but no action was taken. He urges pilots to use traffic displays with relative vectors for better situational awareness, particularly at night. The episode ends with a call to fly defensively and use all available tools to prevent midair collisions. If you're getting value from this show, please support the show via PayPal, Venmo, Zelle or Patreon. Support the Show by buying a Lightspeed ANR Headsets Max has been using only Lightspeed headsets for nearly 25 years! I love their tradeup program that let's you trade in an older Lightspeed headset for a newer model. Start with one of the links below, and Lightspeed will pay a referral fee to support Aviation News Talk. Lightspeed Delta Zulu Headset $1199 Lightspeed Zulu 3 Headset $899Lightspeed Sierra Headset $699 My Review on the Lightspeed Delta Zulu Send us your feedback or comments via email If you have a question you'd like answered on the show, let listeners hear you ask the question, by recording your listener question using your phone. Mentioned on the Show Buy Max Trescott's G1000 Book Call 800-247-6553 Buy Max Trescott's G3000 Book Call 800-247-6553 ADSBExchange.com Flight Tracks for midair collision #109 Avoiding Midair and Near Midair Collisions Free Index to the first 282 episodes of Aviation New Talk So You Want To Learn to Fly or Buy a Cirrus seminars Online Version of the Seminar Coming Soon – Register for Notification Check out our recommended ADS-B receivers, and order one for yourself. Yes, we'll make a couple of dollars if you do. Get the Free Aviation News Talk app for iOS or Android. Check out Max's Online Courses: G1000 VFR, G1000 IFR, and Flying WAAS & GPS Approaches. Find them all at: https://www.pilotlearning.com/ Social Media Like Aviation News Talk podcast on Facebook Follow Max on Instagram Follow Max on Twitter Listen to all Aviation News Talk podcasts on YouTube or YouTube Premium "Go Around" song used by permission of Ken Dravis; you can buy his music at kendravis.com If you purchase a product through a link on our site, we may receive compensation.

En este episodio de Yordi en Exa, el Capi Álvarez analiza el impactante accidente aéreo en Washington D.C., donde un avión civil y un helicóptero militar colisionaron.

Episode 369 Show Notes   Topic of the show: Flying Through Final On this week's episode, RH and AG discuss the complexities of parallel visual approaches from both the pilot and controller perspectives.  What separation requirements exist?  What tools are available for the pilot and the controller when things don't go as planned?  We also discuss patience on frequency, super top secret airspace rules, and more of your aviation questions and feedback.  This was a fun episode and you don't want to miss it!   Links: The event discussed on today's show: https://youtu.be/vDLdCq_kAzc   A very detailed breakdown by Blancolirio on YouTube: https://www.youtube.com/watch?v=pqpKjwX9Ku4   Timely Feedback: 1. Patron KS clarifies previous feedback and shows us Simon says t shirts   Feedback 1. Patron RL shares a situational awareness story 2. Patron JBD asks about supervisor preferences for the operation 3. Patron DF sent audio 4. Patron DZ sent quick audio about check in patience 5. Patron PV sent audio about controllers explaining on frequency   Have a great week and thanks for listening!  Visit our website at OpposingBases.com You can support our show using Patreon or visiting our support page on the website.  Keep the feedback coming, it drives the show! Don't be shy, use the “Send Audio to AG and RH” button on the website and record an audio message. Or you can send us comments or questions to feedback@opposingbases.com.  Music bumpers by audionautix.com.  Third party audio provided by liveatc.net.  Legal Notice The views and opinions expressed on Opposing Bases Air Traffic Talk are for entertainment purposes only and do not represent the views, opinions, or official positions of the FAA, Penguin Airlines, or the United States Army.  Episodes shall not be recorded or transcribed without express written consent. For official guidance on laws, rules, and regulations, consult an aviation attorney or certified flight instructor. 

On this week's episode of AvTalk, TCAS once again ensures everyone goes home safely, this time avoiding a collision between a Delta A330 and United 737 in Phoenix. A Delta 757 suffers and engine failure on departure from Atlanta. Lufthansa could be in a bit of trouble as the European Commission says the airline must […] The post AvTalk Episode 303: A comforting musky scent appeared first on Flightradar24 Blog.

In this episode, we review the high-yield topic Tricyclic Antidepressants (TCAs)⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠from the Psychiatry section at ⁠⁠⁠⁠⁠⁠Medbullets.com⁠⁠⁠⁠⁠⁠ Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets

In this episode, we head out to San Francisco (SFO). Incoming aircraft are experiencing multiple TCAS RA alerts as they approach, causing them to go around. This situation has become typical at SFO due to heavy airspace congestion. Follow Amy Tango Charlie on X/Twitter: https://twitter.com/atoocpodcast  

Dans l'épisode d'aujourd'hui je vous partage les informations et les analyses suite à ma participation, en tant qu'invitée, au séminaire annuel du G.R.O.S (Groupe de Réflexion sur l'Obésité et le Surpoids). C'est une organisation de professionnels de santé (psy, nutritionniste, diététicien.ne, chercheures, généraliste) qui prend le temps de réfléchir aux soins apportés aux personnes grosses. Ils ont développé une méthode, et un annuaire des professionnel.le.s formés à cette méthode. C'est une approche non stigmatisante, qui va dans le sens de la prise en charge des patients en accompagnement de chirurgie bariatrique et/ou traitements médicamenteux, mais aussi guérison des TCAs. Le G.R.O.S intervient aussi auprès des acteurs décisionnaires de la santé pour portée une voix moins stigmatisante que la médecine actuelle plutôt grossophobe. La conférence annuelle 2024 était sur le thème "Les traitements de l'obésité ; bilan, limites et perspectives". Les invervenant.e.s ne sont pas toustes du G.R.O.S. Je vous laisse découvrir les détails sur leur site. N'hésitez pas à parler du G.R.O.S à vos professionnel.le.s de santé ! Pour ma part, en tant que personne concernée, et militante anti-grossophobie, je suis ravie et reconnaissance de pouvoir assister à cette conférence annuelle, car cela me permet d'apprendre beaucoup de chose sur la partie médicale de ces sujets. Je ne suis pas toujours en accord avec certaines interventions qui, pour moi, vont trop souvent vers l'équation obèse = malade = traitement. Je pense qu'être juste gros, sans aucune maladie associé n'est pas une maladie et ne nécessite pas de traitement. On peut soigner les TCAs, et le rapport au corps, mais pas le poids qui n'est pas un problème en soi. Je pense aussi, que même obèse, ce qui compte c'est de soigner les maladies déclarées, tel que le diabète, l'hypertension, les problèmes cardiaques, le cholestérol, comme on les soignerait pour des personnes minces. Soigner le poids, n'est pas, à mon sens, et au sens de beaucoup de littérature scientifique, la priorité ou une assurance d'une meilleure santé. Je vous partage tout cela dans cet épisode où j'espère que j'ai bien retranscrits les informations portées par les intervenant.e.s tout en développant mon avis et mes espoirs de sortir de l'équation obèse = malade (donc ne les stigmatisons pas, ils sont juste malade) = traitement, pour en arriver à une vraie déstigmatisation, ce qui pour moi veut dire une vraie lutte contre la grossophobie de la société et de la médecine, car non, on ne devrait pas continuer de croire que toutes les personnes grosses ont besoin d'être soignées pour leur grosseur. Non. Elles ont besoin d'être soignées, pour les maladies et uniquement au moment où ces maladies apparaissent. En matière de prévention, pareil, on n'a pas besoin de faire de la prévention anti poids, donc grossophobe, mais de la prévention pour une bonne hygiène de vie de façon mesurée : le moins de conduite à risque possible, une bonne gestion du stress et du sommeil, de l'activité physique, tout type d'activité physique, régulière (à l'échelle de sa vie pas de chaque journée), et une alimentation variée et diversifiée (non pas équilibrée, non pas avec la culture des régimes et la classification moralisatrice des aliments). Et en n'oubliant jamais que les personnes grosses, comme tout le monde, vivent dans une société capitaliste qui voue un culte sans limite à la performance et la productivité, y compris en valorisant le corps mince, athlétique, beau, et le santéïsme.

In dieser Episode werfen wir einen detaillierten Blick auf die neue **Beechcraft King Air 360**, das Spitzenmodell der King Air-Familie. Die King Air 360 hat die Standards in der Turboprop-Klasse auf ein neues Level gehoben und bietet beeindruckende Neuerungen, die sowohl Performance als auch Komfort und Sicherheit betreffen. Wir sprechen über die herausragenden Pratt & Whitney PT6A-60A Triebwerke und was die hohe Effizienz und Verlässlichkeit dieser Motoren ausmacht. Ein besonderes Highlight ist das neue **Autothrottle-System**, das den Piloten entlastet, indem es die Schubregelung in allen Flugphasen übernimmt und gleichzeitig die Triebwerke vor Überlastung schützt. Von der Startphase bis zur Landung – das Autothrottle passt die Leistung präzise an und bietet zusätzliche Sicherheit und Komfort. Natürlich gehen wir auch auf das Innenraum-Design ein, das mit neuem Komfort, verbesserter Geräuschdämmung und einem intuitiven **Collins Aerospace Pro Line Fusion Avioniksystem** überzeugt. Ob Piloten, Flugbegeisterte oder Luftfahrtprofis – diese Folge gibt Ihnen einen umfassenden Einblick in die Welt der King Air 360 und zeigt, warum dieses Flugzeug zu den modernsten Turboprops der Welt zählt.

09.00 ผู้สมัครสอบ TGAT ใน TCAS 68 มีกว่า 315,483 คน หลัง รมว.กระทรวง อว. ไฟเขียวให้กระทรวง อว. สนับสนุนค่าใช้จ่ายให้นักเรียนฟรีทั่วประเทศ

11.00 อว. จัดให้ นร.ทั่วประเทศ สมัครสอบ TGAT – TCAS 68 ฟรี ลดภาระ ลดความเหลื่อมล้ำ สร้างความเท่าเทียม เพิ่มโอกาสเข้าถึงการศึกษา ในระดับอุดมศึกษามากขึ้น

On this week's episode of AvTalk, Boeing announces a $6 billion third quarter loss, while the company's striking machinists reject the latest contract offer, sending negotiators back to work. A close call in Austin as TCAS comes to the rescue, while Indian airlines deal with a spate of hoax bomb threats. Frontier and Spirit could […] The post AvTalk Episode 291: They strike on appeared first on Flightradar24 Blog.

FLASHES Correr X Senderos es un nuevo formato donde hablo sobre tres-cuatro cuestiones acerca del trail running, sin guion y sin edición. (E, intentaré, sin mucha divagación… ) Las cuestiones de hoy: fracturas por estrés, Relative Energy Deficiency - Syndrome, trastornos de la conducta alimentaria. Sígueme en https://www.instagram.com/correrporsenderos/ donde publico píldoras sobre trail running y deporte endurance a diario en Stories . Puedes mandarme un MD por ahí para plantear dudas o sugerencias. Puedes ver mis entrenamientos en Strava: https://www.strava.com/athletes/93325076 #trailrunning #running #carrerasdemontaña #red-s #fracturaporestres

¿Realmente se pierde el tiempo? ¿Sanar es perder el tiempo? ¿El celular? ¿Relaciones Tóxicas? ¿TCAs?

En este primer podcast planteamos el problema de que es realmente un TCA, de dónde viene, y Ana e Irene nos cuentan su experiencia de sobrevivir los peores TCAs que sufrieron como bailarinas.

Olá, seja muito bem-vindo ao StandardsCast EP #285 A320/A321. Neste episódio conversamos com Peterson Ramos e Mateus Gurjão (Coordenador e Assistente de Flight Standards A320/A321, respectivamente) sobre as principais atualizações do FCOM Rev. 17. Dividimos as modificações entre Azul e Airbus, e dentre elas abordamos as questões sobre cockpit entrance, TCAS panel, OptiClimb, altitude a ser selecionada no FCU em SIDs com restrições, callout de FMA, special operations, GPS interference, CAB PR EXCESS CAB ALT, reset de falhas em um mesmo sistema, approach checklist em caso de arremetida e modificações na filosofia de briefing de rejeição. Em caso de dúvidas, críticas ou sugestões, envie um e-mail para standardscast@voeazul.com.br. Este Podcast foi produzido pela Diretoria de Operações da Azul Linhas Aéreas. Em caso de divergência entre qualquer assunto técnico abordado e os documentos oficiais, os documentos prevalecerão. Todos os direitos reservados.

Todos imaginamos el futuro. Una película donde tú eres protagonista, vas de un lado a otro, te pasa de todo, pero al final llegas a donde querías. O no. En este episodio de Escuela de Calor vamos a aprender lo que significa reinventarse. Desirée Vila, atleta paraolímpica, viene a contarnos su peli, que es de las que tiene un giro inesperado en la trama pero termina bien. Y no termina bien por casualidad, sino porque a pesar de las complicaciones, ella ha sido capaz poner su vida en pie. Para variar, hoy no hablaremos de discapacidad, sino de autoestima, de encajar, de los TCAs, del ego y el deporte... y de ligarse a medio Galicia.  Si necesitas ponerte las pilas, hacer cambios, comprometerte contigo misma... este episodio te va a sentar muyyyy bien. Escuela de calor, el podcast de Bloom, abre sus puertas para ofrecer la educación sexual que nunca tuvimos. Presentamos nueva temporada en colaboración con ⁠SerMujer⁠, con la participación especial de la ginecóloga Victoria de Diego.  Escucha todos nuestros episodios y síguenos para estar pendiente de cuando se publique uno nuevo. Puedes descubrir más sobre nosotras en redes sociales buscando ⁠@bebloomers⁠ y en ⁠bebloomers.com⁠   *Prohibida la venta y distribución de este material

¿Cómo se vive realmente el proceso de recuperación de un TCA? Caro Ramos creadora y activista por los TCA se une al espacio para compartir su historia. Sigue a Caro , https://www.instagram.com/carolitho?igsh=MTF2NWQ5aXlsNW93Ng== --- Support this podcast: https://podcasters.spotify.com/pod/show/espacio-sin-censura/support

Boeing CEO testifies before Congress and prosecutors ask for criminal charges, investigators look into a low-altitude Southwest flight and an activist investor wants Southwest CEO out, NTSB released a close-call preliminary report, and Cirrus won't approve a certain 100LL fuel. Also, an Australia Desk report, the E-3 AWACS jet, and a Triphibian. Aviation News Boeing CEO grilled at Senate hearing: ‘The problem's with you' Boeing CEO David Calhoun testified at a two-hour Senate Permanent Subcommittee on Investigations hearing. Calhoun admitted that whistleblowers were retaliated against. Subcommittee chair Sen. Richard Blumenthal stated “After whistleblower John Barnett raised his concerns about missing parts, he reported that his supervisor called him 19 times in one day and 21 times another day. And when Barnett asked his supervisor about those calls, he was told, ‘I'm going to push you until you break.'” Blumenthal said that in his opinion, the Department of Justice should criminally prosecute Boeing for violating its 2021 deferred prosecution agreement. The DOJ has until July 7, 2024, to decide how it will act. Video: Boeing CEO Dave Calhoun testifies before Senate committee on safety issues — 6/18/2024 https://www.youtube.com/live/2LNgce5vLLk?si=baqPzBhFJf8kOZCt Victims' Attorney Asks DOJ To Fine Boeing; Prosecute Executives In his 32-page letter to the DOJ, Professor Paul Cassell of the S.J. Quinney College of Law at the University of Utah in Salt Lake City asks for $24 billion in fines, that part of the $24 billion fine should be used for “corporate compliance and new safety measures,” that a corporate monitor is appointed to review the safety measures and “to direct improvement as appropriate.” Also that the DOJ prosecutes former Boeing CEO Dennis Muilenburg and other “responsible corporate executives.” Exclusive: US prosecutors recommend Justice Dept. criminally charge Boeing U.S. prosecutors asked Justice Department officials to bring criminal charges against Boeing for violation of the deferred prosecution agreement. Federal officials are investigating a Southwest Airlines low flight over Oklahoma City suburbs A Southwest Airlines plane triggered an automated low-altitude alert nine miles out from the Oklahoma City airport. Flightradar24 shows the plane descending to about 525 feet AGL over Oklahoma City suburbs. Air traffic control asked, “Southwest 4069, low altitude alert. You doing OK?” The pilot responded, “Yeah, we're going around.” The air traffic controller responded telling the pilot to maintain 3000 feet. Federal officials are investigating. Southwest's Diehard Fans Don't Want Airline to Change Activist hedge fund company Elliott Investment Management has taken a $1.9 billion stake in Southwest Airlines and wants to oust the airline's CEO Robert Jordan. Elliott says Jordan “has delivered unacceptable financial and operational performance quarter after quarter and Jordan and former CEO Gary Kelly (currently the executive chairman) “are not up to the task of modernizing Southwest.” Elliott wants to replace Jordan and Kelly with outsiders and make “significant” changes to the board of directors with others who bring airline experience. NTSB Releases Preliminary Reports On Two Airline Close Calls In April 2024, a Swiss Air A330 aborted its takeoff from Runway 4L at JFK after they saw taxiing traffic on the runway. One controller cleared the Swiss flight for takeoff, and a ground controller cleared four other airplanes to cross the same runway. In February 2023, TCAS (traffic/collision alert system) issued “resolution advisories” over an inbound Mesa Airlines Bombardier CRJ900 and a SkyWest Embraer EMB-170 at  Hollywood-Burbank Airport. The two aircraft came within 1,700 feet of each other. Cirrus: G100UL Use May Void Warranties GAMI Responds To Cirrus G100UL Service Advisory General Aviation Modifications Inc. has invested in developing an unleaded,

El peso se puede decir que nos marca de por vida, desde que somos muy pequeños empezamos convivir en un ambiente en el que la cultura de la dieta, la gordofobia, los complejos y los TCAs campan a sus anchas y de eso hemos querido hablar con Miriam Salinas, ella es terapeuta especializada en la ansiedad por la comida y alimentación desordenada, además de ser una tía majuelísima. En este episodio hablamos de todo eso, intentando ver también en como nos afectan todos estos aspectos a los hombres, en como deberíamos relacionarnos con nuestra alimentación y sobre todo de cómo deberíamos respetar la del resto. A Miriam la podéis encontrar en todas las redes como @miriamnutriemocional, en su programa de radio y en diversas charlas y talleres. A nosotros, pues ya sabéis, ¡Dónde siempre! ¡¡Un beso en la frente!! Learn more about your ad choices. Visit megaphone.fm/adchoices

High News with Constance is Constance's spin on entertainment news paired with a jay! Join Constance today as she touches on whether or not she believes Diddy did it. This segment was featured as a brief intermission in the latest Dear Constance episode. Did you catch it? If not, make sure you watch TCAS episodes from start to finish to catch bonus clips like this! The Constance Annan Show is available on Youtube, Apple podcast, Spotify, and any other podcast streaming platforms. Sit back, relax, and enjoy the latest episode of The Constance Annan Show CLICK THE LINK BELOW TO BE THE FIRST TO KNOW WHEN "Cry about it Then Write About it: Free-Write Journal" DROPS! https://mailchi.mp/5649e2c80ec9/fi1c52rslk Follow The Constance Annan Show on Instagram and Tiktok @constanceannanshow Follow Constance's personal Instagram @Blackm0cha The Constance Annan Show' is available on Youtube, Apple Podcast, Spotify, and other podcast streaming platforms.

In this episode Dr. Sand leads us on a conversation about how three popular classes of antidepressant medications affect our gastrointestinal tract! SSRIs, TCAs, and SNRIs. This has definitely changed how we view the guts of these patients and may change your mind on how we're using them! Rebecca Sand ND, LAc, MSOM - ⁠⁠https://www.drrebeccasand.com/⁠⁠Ilana Gurevich ND, FABNG, LAc, MSOM - ⁠https://www.openwellnesspdx.com Ami Kapadia, MD, ABFM, ABIHM - ⁠⁠https://www.amikapadia.com/⁠⁠

Chris is a former child actor turned playwright, turned podcaster, turned mental health advocate and all around good guy. Here we chat about crises of faith as Chris shares life, his work, and his story with us. This is a rare and beautiful episode with a serious discussion and personal wrestling with faith. TRIGGER WARNING Chris does share some stories about abuse in mental health facilities that may be intense for some listeners, discretion is advised. Also, sorry we took so long to release this Chris! You're great, we're unreliable. Links to Chris * StanD the Play (https://standtheplay.org/) * The Christopher Aguilar Show (https://open.spotify.com/show/1c4ppPe8ia0JFX5aqsC7KJ) * Chris' Instagram handle @thechristopheraguilar Gratuitous Sound Clips: * Transformers - The Movie(1986) - The Touch (https://www.youtube.com/watch?v=HSh73d3TZcA) * Three Little Maids from School (https://www.youtube.com/watch?v=0fGZh-eotQ0)

On this week's episode of AvTalk, following a highly critical report by a panel of aviation safety experts, the FAA gives Boeing 90 days to explain how its going to get its act together. We review a collection of aviation safety reports, including the final report on PK8303. And a TCAS incident between Qatar and […] The post AvTalk Episode 257: 30 minutes of bad decisions appeared first on Flightradar24 Blog.

In this episode, Air Canada Jazz flight 657 leaves from Halifax and mid-flight receives a TCAS alert. The pilot discusses the issue with the tower, but neither of them seem to know whether the alert was legitimate or a false indication. The aircraft lands safely at Newark, then ground crews approach to do an inspection. Follow Amy Tango Charlie on X/Twitter: https://twitter.com/atoocpodcast  

We're sad to inform you that you won't be getting a new episode from us this week --- but it's for a good reason! The ladies are in Los Angeles for the Television Critics Association's winter press tour and will be back next week with all the scoop! See omnystudio.com/listener for privacy information.

Runway images show that the Coast Guard Dash 8 involved in the collision with Japan Airlines Flight 516 was in the wrong place. The crew was to hold on the taxiway, but were actually on the runway. The plane standing still on the center line would have been virtually invisible to the pilots of the JAL Airbus A350. The scenario is similar to a runway collision involving US Air Flight 1493 that John investigated as an NTSB Board member. That investigation made midfield takeoffs illegal in the United States.John, Greg and Todd walk through the known details and the human factors that led to the plane crash. Misunderstanding between the tower controller and the crew of the Dash 8Lightning conditions at the runwayDash 8 pilot not monitoring the Air Traffic Control radio frequencyHuman errors and communication issues contributed to the crash. The episode also covers the role of aviation technology, including the heads-up display in the A350, surface radar/ASDI, and traffic collision avoidance systems (TCAS).This is a follow up to Episode 198, Expert Insights into the Japan Airlines A350 Aviation Disaster, where noted airport rescue and firefighting expert Jack Kreckie discussed the firefighting response. Related documents are available at the Flight Safety Detectives website. Don't miss what's to come from the Flight Safety Detectives - subscribe to the Flight Safety Detectives YouTube channel, listen at your favorite podcast service and visit the Flight Safety Detectives website. Music: “Inspirational Sports” license ASLC-22B89B29-052322DDB8

In this episode, we go to San Francisco International Airport (SFO), where the runway configuration is notorious for presenting pilots with uncomfortable landing situations. In this clip, we hear Skywest flight 5592 and United flight 2366 approaching at the same time while maintaining a visual. Flight 2366 aborts the landing when it receives a TCAS warning and goes around, only to have another similar simultaneous approach with American Airlines flight 1308. Follow Amy Tango Charlie on Twitter: https://twitter.com/atoocpodcast  

Join us as we review recent articles and news featured in The DIGEST #45 and #46, including semaglutide in HFpEF and obesity (STEP HFpEF), TCAs for irritable bowel syndrome (ATLANTIS), clopidogrel versus aspirin as long-term secondary prevention after PCI (HOST-EXAM), statins in HIV (REPRIEVE), weight changes and diet, and heavy metal exposure in cannabis users. Fill your brain hole with a delicious stack of hotcakes! Featuring Drs. Paul Williams (@PaulNWilliamz), Nora Taranto (@norataranto), and Matt Watto (@doctorwatto). Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! |Mailing List | Contact | CME! Credits Written and Hosted by: Nora Taranto MD; Paul Williams, MD, FACP, Matthew Watto MD, FACP Cover Art: Matthew Watto MD, FACP Reviewers: Nora Taranto MD; Paul Williams, MD, FACP; Matthew Watto MD, FACP; Sai Achi, MD MBA Technical Production: Pod Paste Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Segments Intro, disclaimer STEP HFpEF: semaglutide for HFpEF in obesity  TCAs for IBS  HOST-EXAM and post-PCI  clopidogrel versus aspirin after DAPT  REPRIEVE and pitavastatin in HIV Starchy vegetables and weight changes  Cannabis and heavy metal content  Outro Sponsor: Uncommon Goods To get 15% off your next gift, go to uncommongoods.com/CURB Sponsor: Locumstory  Get a comprehensive view of locums and decide if it's right for you at locumstory.com.

High Yield Psychiatric Medications Antidepressants Review for your PANCE, PANRE, Eor's and other Physician Assistant exams. Review includes SSRI's, SNRIs, TCAs, MAOIs, Atypical antidepressants, Serotonin modulators. TrueLearn PANCE/PANRE SmartBank:https://truelearn.referralrock.com/l/CRAMTHEPANCE/Discount code for 20% off: CRAMTHEPANCEIncluded in review: Citalopram, Escitalopram, Fluoxetine, Fluvoxamine, Paroxetine, Sertraline, Desvenlafaxine, Duloxetine, Levomilnacipran , Milnacipran, Venlafaxine, Amitriptyline, Clomipramine, Doxepin, Imipramine, Trimipramine, Desipramine, Nortriptyline, Protriptyline, Tranylcypromine, Isocarboxazid, Phenelzine Selegiline, Bupropion, Mirtazapine, Trazodone

A few weeks ago, MS3 Bilal Rana hosted an episode on Mood Disorders. This is a two-part follow-up to that episode, with a packed and powerful review of the pharmacology of mood disorders – what are the drugs we use to treat mood disorders, and how do they work? In part 1, we cover SSRIs, SNRIs, TCAs, atypical antidepressants, MAU inhibitors. Let's go!

Are you ready to join us on a sizzling summer escapade through the compelling world of Hallmark mystery movies? We're discussing the 2021 release 'To Catch a Spy', featuring an intriguing cast with a Maltese twist. From dissecting the movie's synopsis to suggesting the perfect sweet and easy cocktail for a cozy movie night, we've got you covered.We're diving deep into the captivating allure of 'To Catch a Spy', unearthing the good, the bad, and the could-be-better. The mesmerizing locations and intricate plot got our hearts racing, but there are certain elements like casting and writing where we think there's room for improvement. Join us as we ponder on what could've been done differently to elevate the movie experience, all whilst keeping our critique honest and unfiltered.Before we wrap things up, we'll rate the movie on its story, mystery, acting, and style. Worth a watch? Absolutely. Worth a detour? We're not so sure. Plus, we have some exciting news from our friend John Christian Plummer and a sneak peek into the upcoming Mystery Island movie.!Follow us on social media: Instagram: @hallmarkmysteriesandmoreYoutubeOr visit our website. This podcast was created by fans for fans and is NOT affiliated with or sponsored by Hallmark or the Hallmark Channel.

On this week's episode of AvTalk, TCAS comes to the rescue, averting a mid-air collision off the coast of Florida between an Allegiant Air A320 and Gulfstream. NASA is flying low over major US cities for science. And a United 767 makes a landing hard enough to wrinkle the fuselage. NASA AEROMMA NASA's AEROMMA mission […] The post AvTalk Episode 227: TCAS for the win! appeared first on Flightradar24 Blog.

Raquel Mizrahi es Nutrióloga egresada de la Ibero. Con un enfoque no restrictivo en su consulta. Se especializa en tratamiento de TCAs. Tiene una maestría en adicciones.

Guerreros, hoy tuve a otra regia igual que yo de invitada. Seguro la conoces: Jimena Longoria. Comunicóloga, colega, conductora, ahora mamá y creadora de contenido. Jimena se abrió con nosotros y nos platico acerca de cuándo estuvo internada por sus trastornos de conducta alimentaria, su relación con su esposo Gualy, el nacimiento de su hijo y su trayectoria con famosos. Espero este capítulo te pueda servir mucho, ayúdame a compartirlo a alguien que tu sepas que le pueda ayudar

Last week we talked about why you often feel hungry and some ways you can feel more satisfied. And we briefly mentioned that one of the reasons you always feel hungry is that you're taking a medication that increases your appetite.  Today I want to focus on those medications that can cause weight gain and what you can do about it. It's important to remember that certain medications may cause weight gain as a side effect. But remember that not everyone taking certain medications will have the same issues. Some antidepressants and antipsychotics are more likely to cause weight gain than others. For example, a selective serotonin reuptake inhibitor (SSRI) like Paxil is expected to cause weight gain more than Zoloft or Prozac. Also, tricyclic antidepressants (TCAs) like amitriptyline and nortriptyline and medications like Remeron and Lithium cause weight gain.  It's difficult to determine precisely how much weight a person could potentially gain with each of these medications as the amount of weight people gain seems to vary between studies.  If you're experiencing weight gain with your antidepressant or antipsychotic medication, make sure to discuss your concerns with your healthcare provider. Never stop taking your medication without talking to your provider first. Diabetes medications like insulin, glipizide, and Actos can also cause weight gain. This is because these medications cause your body to absorb more sugar from your blood. This extra sugar is then stored as fat. As a result, people on these diabetes medications typically gain 5 lbs to 10 lbs of weight. Steroids like prednisone used to help lower inflammation, can also cause weight gain. However, this weight gain is typically seen when the medication is used for long periods. The good news is most people who use prednisone typically use the medication for a short time, so weight gain shouldn't be an issue.  It's also important to know that weight gain isn't an issue with topical steroid use (e.g., creams or ointments), nose sprays, or eye drops. Typically weight gain is seen when people use steroids for certain inflammatory conditions (e.g., rheumatoid arthritis, cancer patients, lupus).  The medication causes weight gain by increasing your appetite, changing how the body processes sugar and fat, and causing fluid retention. Seizure medications like gabapentin, Lyrica, and Depakote can also cause weight gain. It's unclear why this happens, but it may be due to increased appetite.  Antihistamines used to treat allergy symptoms can also cause weight gain. Medications like  Benadryl and hydroxyzine are thought to make you hungrier and tired, making you less active and gaining weight. What can I do to manage weight gain from medications? Several things to help manage weight gain caused by medications involve healthy lifestyle changes. You can start by following a healthy diet and regular exercise. Your healthcare provider may also suggest switching you to an alternative medication or lower dose of your current medication to see if this helps with your weight gain. What about semaglutide? Let's say you've followed a healthy diet and regularly exercised. And you've talked to your healthcare provider about switching medications or lowering your dose, but you continue to keep the weight on. When these lifestyle changes (diet and exercise) aren't enough to lose the weight you desire, weight-loss medications like semaglutide may be helpful.  Semaglutide can help suppress your appetite and food intake.  Thanks again for listening to The Peptide Podcast, we love having you as part of our community. You can find out more information about semaglutide on our previous podcasts. If you love this podcast, please share it with your friends and family on social media, and have a happy, healthy week! Pro Tips We're huge advocates of using daily collagen peptide supplements in your routine to help with skin, nail, bone, and joint health. But what do you know about peptides for health and wellness? Giving yourself a peptide injection can be scary or confusing. But we've got you covered. Check out 6 tips to make peptide injections easier. 

Episode 280 Show Notes   Topic of the show: On this week's show, RH and AG discuss the difference between foreign and domestic separation responsibilities as they relate to uncontrolled airspace.  How do we do our job when aircraft may be passing into an area that is uncontrolled?  What responsibilities do we have to prevent a collision?  We also discuss IFR non towered cancellation etiquette, approach requests, and much more.  You don't want to miss this episode!   Timely Feedback: 1. SGAC Patron SE spotted a Contact Approach in the wild! 2. SGAC Patron JS asks our opinion on non towered IFR cancelation etiquette. 3. Patron WTF shares some insider tips on PDC using an EFB. 4. Anonymous audio from a future ATCer and current pilot!  Congratulations!   Feedback 1. Patron SY asks about crossing runway squeeze plays. 2. Patron DW has some general questions about approaches in use. 3. Patron SL asks about IFR pickup struggles leaving AirVenture.   Mentioned on the show: The 2023 AirVenture NOTICE is out and available!  https://www.eaa.org/airventure/eaa-fly-in-flying-to-oshkosh/eaa-airventure-oshkosh-notam   Have a great week and thanks for listening!  Visit our website at OpposingBases.com You can support our show using Patreon or visiting our support page on the website.  Keep the feedback coming, it drives the show! Don't be shy, use the “Send Audio to AG and RH” button on the website and record an audio message. Or you can send us comments or questions to feedback@opposingbases.com. Find us on twitter @opposing_bases.  Music by audionautix.com.  Third party audio provided by liveatc.net.  Friends of the show and maker of bags to protect your ATC headset from dust and germs: ATCSaks.com. Keep the gunk and funk away from your most valuable pilot gear: https://pilotsaks.com/. Legal Notice  The hosts of Opposing Bases Air Traffic Talk podcast are speaking on behalf of Opposing Bases, LLC.  Opposing Bases, LLC does not represent the Federal Aviation Administration, Department of Transportation, or the National Air Traffic Controllers Association.  All opinions expressed in the show are for entertainment purposes only.  There is no nexus between Opposing Bases, LLC and the FAA or NATCA.  All episodes are the property of Opposing Bases, LLC and shall not be recorded or transcribed without express written consent.  For official guidance on laws and regulations, refer to your local Flight Standards District Office or Certified Flight Instructor.  Opposing Bases, LLC offers this podcast to promote aviation safety and enhance the knowledge of its listeners but makes no guarantees to listeners regarding accuracy or legal applications.

In this episode, we will discuss the most important updates from the American Diabetes Association's 2023 Standards of Care in Diabetes. Key Concepts The first-line therapy for type II diabetes is based on whether the primary goal of therapy is cardiorenal benefit (reduced risk of ASCVD, heart failure, or CKD) or glycemic and weight goals. For cardiorenal benefit, GLP1 receptor agonists and SGLT2 inhibitors are heavily emphasized. For glycemic control and weight gain, GLP1 receptor agonists (or GLP1/GIP in the case of tirzepatide) have a very favorable effect on weight loss and glycemic control. While metformin is still mentioned, it is no longer the sole, first-line therapy for type II diabetes. For patients with diabetes and a high risk of ASCVD (20% or higher), high-intensity statins, ezetimibe, and/or PCSK9 inhibitors are recommended to achieve an LDL less than 70 mg/dL. In patients with a history of ASCVD events, these same therapies are used to achieve a recommended LDL goal of less than 55 mg/dL. Among selected patients with diabetes and CKD with albuminuria, finerenone (a new mineralocorticoid receptor antagonist) is recommended to improve renal and cardiovascular outcomes. A variety of different therapies are now recommended for neuropathic pain, including gabapentinoids, SNRIs, TCAs, and several antiseizure medications (lamotrigine, lacosamide, oxcarbazepine, and valproic acid). A wide variety of other new recommendations are discussed in the episode, including NASH/NAFLD, obesity and weight management, special populations, diabetes technology, and health behavior changes. References American Diabetes Association. Standards of Care in Diabetes-2023. Diabetes Care. 2023; 46(1): S1-S292. https://diabetesjournals.org/care/issue/46/Supplement_1

Influencers compartiendo sus 'estilos de vidas salubales'. Retos detox de 21 días. Ayuno intermitente y dieta keto. Quienes terminan promocionando estas nuevas modas con la alimentación, si ves en su historia, puede haber un pasado de TCA. ¿Es estilo de vida saludable o la mutación del trastorno?

El término de alimentación intuitiva fue creado por Evelyn Tribole y Elyse Resch en 1995, los cuales escribieron un libro llamado “Alimentación intuitiva: El retorno a los hábitos alimentarios naturales” en los establecieron diez principios esenciales de la nutrición intuitiva. La dieta intuitiva consiste en comer de todo, opciones saludables, en función del hambre que se sienta, se trata de conectar con uno mismo.Esta no es una dieta como tal si no un tipo de alimentación ya que no restringe ningún alimento sino que se basa en conseguir un bienestar físico y mental mediante la escucha de las señales internas que transmite el cuerpo; hambre, saciedad, preferencias, satisfacción, etc.El hecho de que con esta alimentación no se prohíba ningún alimento no significa que sea adecuado alimentarse la mayor de veces a base de alimentos procesados sino que se deberá encontrar un equilibrio.¿CUÁL ES SU OBJETIVO PRINCIPAL?El principal objetivo de este nuevo método es aprender a comer más saludable de manera en que basemos aquellas ingestas diarias en lo que nos está pidiendo nuestro cuerpo y no en lo que nos dicen de manera externa (terceras personas o dietas). ¿CÓMO PRACTICARLA?No existe una pauta específica para tener en cuenta en el momento de realizar esta dieta, aunque algunos puntos básicos son:Buscar información de fuentes fiables, como sería el caso del libro oficial de los creadores de los diez principios esenciales. Realiza una autoevaluación sobre tu experiencia y tu relación con los alimentos así como tu cuerpo. Pon en duda aquello que hayas escuchado referente a la alimentación y la salud Ponte en contacto con un/a nutricionista para que este te pueda acompañar y guiar en el proceso así como ayudar con las dudas que se presenten durante este. Reduce al máximo aquellos factores externos que promuevan ideologías de dietas, como por ejemplo bloquear aquellas cuentas de las redes sociales que apoyen las restricciones alimentarias.Según Evelyn Tribole y Elyse Resch, los diez principios especiales a seguir para poder realizarla de manera correcta:Deshacernos de la mentalidad dieta.Escuchar y respetar las señales de hambre.Encontrar un equilibrio con la comida para así poder comer lo que se quiera y cuando se quiera.Eliminar la culpabilidad.Descubre y disfruta la satisfacción de comer.Siente la saciedad.Aprende a modificar tus emociones y se amable con ellas.Respeta tu cuerpo.Realiza prácticas deportivas.Prioriza aquellos alimentos buenos para tu salud.¿QUÉ BENEFICIOS TIENE?Este tipo de alimentación tiene los beneficios siguientes:Reduce la ansiedad, especialmente aquella que esté relacionada con la comida y la compensación. Esto hace que haya un menor riesgo de padecer TCAs.Mejor percepción de uno mismo y por lo tanto mejor autoimagen.Impacto positivo en la salud mental.Placer al comer.Menor idealización de la delgadez.Conciencia de señales corporales.Estabilidad ponderal.Mejora en el perfil lipídico sérico.

This podcast, Elizabeth Hopfenspirger, DNP, a psychiatric and family practice nurse practitioner with Lakeview Clinic, discusses various mental health topics, primarily in the adult patient, but also touches on some pediatric issues. Today's discussion will focus on the following areas of mental health - depression, anxiety, mixed disorders, ADHD and psychosis. Enjoy the podcast. Objectives:Upon completion of this podcast, participants should be able to: Describe different implemention stratgies in how to better establish a therapeutic relationship with the patient. Recognize how many psychotropics medications are on a "spectrum". Realize that treatment choice depends on several variables - including presenting symptoms and underlying organic issues. CME credit is only offered to Ridgeview Providers & Allied Health staff for this podcast activity. After listening to the podcast, complete and submit the online evaluation form.  Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within approximately 2 weeks. You may contact the accredited provider with questions regarding this program at Education@ridgeviewmedical.org. Click the link below, to complete the activity's evaluation. CME Evaluation (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.)  DISCLOSURE ANNOUNCEMENT  The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition; and are property/rights of Ridgeview Medical Center & Clinics.  Any re-reproduction of any of the materials presented would be infringement of copyright laws.  It is Ridgeview's intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker's outside interest may reflect a possible bias, either the exposition or the conclusions presented. Ridgeview's CME planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event. Thank-you for listening to the podcast. SHOW NOTES:  *See the attachment for additional information.  The state of mental health care in the US is not ideal- Lack of resources - Lack of practitioners - social, physical, economic and environmental challenges CASE REVIEW #1- 18 year old female with predominantly anxiety - Respectful curiosity: listening and asking questions without judgement - Medication for generalilzed anxiety disorder- High intensity aerobic exercise can improve anxiety symptoms. - Trauma? ADHD/Learning difficulties? Sleep? Appette and restriction of food/eating disorders? Substance use/abuse? - SSRI: bupropion>fluoxetine?Sertaline?escitalopram>fluvoxamine>paxil (most activating to least activating) - For pure anxiety - Elizabeth prefers escitalopram, citalopram and sertaline - Trauma and trauma therapy: Trauma can be anything (death of a loved one, MVC, etc.)      - Trauma therapy (EMDR: eye movement desensitization reprocessing)      - IFS (internal family systems - recognizing and connecting with your own history and younger self)     - ART (acceleraed resolution therapy) - Substance use: What is the substance doing for the patient? Why are they using? Helps to direct therapy and arrive at diagnosis. - ADHD (attention deficit hyperactivity disorder)     - sometimes missed or ignored     - PCPs have discomfort treating at times     - trial of stimulant may be beneficial - Suicide ideation and other adverse effects while first starting certain meds is real, but rare- Article resources:        Walkup, et.al   (https://pubmed.ncbi.nlm.nih.gov/18974308/)       Wetherell, et.al  (https://pubmed.ncbi.nlm.nih.gov/23680817/)       Critz-Christoph, et.al  (https://pubmed.ncbi.nlm.nih.gov/21840164/)      Trauma therapy : https://www.emdria.org/ CASE REVIEW #2- 32 year old male with depression - Labs? Physical activity? Testosterone concerns? - Lifestyle and sexual function - Post-retirement? (identity and purpose has changed/gone) - Consider bupropion if no seizures or other contraindications. Consult with neurologist if significant history - Sexual dysfunction an issue? Vortioxetine can be an option wich may help enhance libido - Physical activity (natural endorphins) and exposure to nature are improtant - Screen time? Smart phone and other screen time has dopaminergic effects; too much 'negative' screen time can be detrimental  (If AHDH is poorly treated, screen addiction may increase.) CASE REVIEW #3- 65 year old male with mixed depression and anxiety, off meds for many months - Find as many of patient's historical records as possible - Meeting a patient "where they are at". How motivates is the patient to get better? - Are they coasting (teenagers)? Are they taking an active role in getting better?       - may need to wait to push/empower patient until after giving medication and psychotherapy some time        - where is the patient in their willingness to change and get better?  - Meds in this ager group (and many others) to avoid:  TCAs and MAOIs - IF DM, HTN, CAD and other co-morbidities, fluoxetine is less likely to have interactions and adverse effects- Article resources:       Prochasa and DiClemente - Stages of Change https://www.ncbi.nlm.nih.gov/books/NBK556005/) Psychosis- Caplyta (stimulating) if more depressed with psychotic features - Zyprexa (sedating) if more manic/psychotic Genetic testing for optimization of medications is an option - Serves as a 'guide' for medication choice - SLC6A4 gene, for instance, is responsible for serotonin reuptake into the presynaptic neuron What to do while waiting for SSRI and SNRI to "work"?- Hydroxyzine, benzodiazepine - Sleep medication:      - Doxylamine, Trazadone or Remeron (older patients)      - Sleep medication: lunesta, sonata Polypharmacy- Is polypharmacy present and patients feeling poorly with persistent symptoms? May need thoughtful/ careful deprescribing. Nontraditional/novel treatment options- Nontraditional/novel options for treatment resistant depression, PTSD treatment, chronic pain, etc. - Ketamine - Psilocybe Psychiatry & Primary Care- Incorporating psychiatry into our own primary care practices is anxiety provoking but inevitable in this day and age of healthcare - We can learn new things and leverage our existing resources to better help our patients - Time with our patients is a barrier - Ask the patient: what is the most pressing issue for you today? What is the most distressing thing for the patient? Then consider Maslow's Hierarchy of Needs and build up from there.- Article resources:       Maslow Hierarcy of Needs (https://www.simplypsychology.org/maslow.html) Please check out the additonal show notes for additional information/resources.

Episode 105: Antidotes to toxidromes. Some poisonings share common signs and symptoms and may be treated with antidotes without laboratory confirmation of the offending agent. Dr. Francis discussed with Dr. Arreaza some of those toxidromes and how to treat them. Written by Aida Francis, MD. Participation by Hector Arreaza, MD. Definitions: • Antidotes are substances given as a remedy that inhibit the effects of another drug of abuse or poison. Most are not 100% effective and fatality is still possible after administration. • Toxidrome is a constellation of signs and symptoms caused by an overdose or exposure to chemicals or drugs that interact with neuroreceptors. Toxidrome is the combination of the word “toxin” and “syndrome”. Management strategies of toxidromes are determined by the signs and symptoms even when the causative agent has not been identified. A little bit of Background: The World Health Organization reported that 13% of deaths caused by poisonings are children and young adults. Intentional poisoning attempts are more frequent among adolescent women than men. It is difficult to evaluate poisoned patients because they are too altered to provide history and there is often not enough time to perform a physical exam or obtain serum studies prior to life-saving interventions. To diagnose a toxidrome clinically, you need three elements: pupil size, temperature, and bowel sounds. For example: Pinpoint pupils with hyperactive bowel sounds point to cholinergic toxidrome, and dilated pupils with high temperature, and hypoactive bowel sounds point to anticholinergic (see details below). Pinpoint pupils -> Bowel sounds -> Hyperactive: CHOLINERGIC -> Hypoactive: OPIOIDS Normal or dilated pupils -> Temperature -> High -> Bowel sounds -> Hyperactive: SYMPATHOMIMETIC -> Hypoactive: ANTICHOLINERGIC -> Normal or Low -> Bowel sounds -> Hyperactive: HALLOCUNOGENIC -> Hypoactive: SEDATIVE-HYPNOTICS Anticholinergic Toxidrome and the Physostigmine antidote: • Anticholinergics inhibit the binding of acetylcholine to the muscarinic receptors in the central nervous system and the parasympathetic nervous system. Examples of anticholinergics include atropine and tiotropium. Other substances that may cause anticholinergic toxidrome include antihistamines (especially first-generation: diphenhydramine), antipsychotics (quetiapine), antidepressants (TCAs, paroxetine), and antiparkinsonian drugs (benztropine). Symptoms of toxicity include tachycardia, non-reactive mydriasis, anhidrosis, dry mucous membranes, skin flushing, decreased bowel sounds, and urinary retention. Neurological symptoms include delirium, confusion, anxiety, agitation, mumbling, visual hallucination, and strange behavior. Neurological symptoms last longer because of the anticholinergic lipophilic properties which cause them to distribute into fatty organs and tissues like the brain. “Mad as a hatter, red as a beet, blind as a bat, hot as a hare, dry as a bone” [Spanish: loco como una cabra, rojo como un tomate, ciego como un topo, seco como una piedra, caliente como el infierno] • The antidote for anticholinergic toxidrome is physostigmine. It is an acetylcholinesterase inhibitor and prevents the metabolism of acetylcholine. This increases the level of acetylcholine in both the central nervous system and peripheral nervous system. Physostigmine can cause seizures and arrhythmia, so close monitoring in the hospital is required during treatment. Cholinergic toxidrome and its antidotes atropine and pralidoxime: Acetylcholine is part of the parasympathetic nervous system and cholinergic substances can induce a parasympathetic response. Some of these substances include pesticides, organophosphates, carbamate, and nerve gas. Chlorpyrifos had been used to control insects in homes and fields since 1965. It has been used in our crops in Bakersfield, and the most recent mass exposure was in May 2017. it was banned on food crops in the US in August 2021. It has been banned for residential use for a longer period. Repeated exposure to chlorpyrifos causes autoimmune disorders and developmental delays in children and fetuses. The symptoms of cholinergic toxidrome can be summarized with the SLUDGE/ “triple” BBB acronym. This includes salivation, lacrimation, urination, defecation, gastrointestinal cramping, emesis, bradycardia, bronchorrhea, and bronchospasm. There can also be muscle fasciculations and paralysis. • The antidote is Atropine. Pralidoxime is used for organophosphates only because it cleaves the organophosphate-acetylcholinesterase complex to release the enzyme to degrade acetylcholine. Pralidoxime should be used in combination with atropine, not as monotherapy. It requires hospital admission, and a note for organophosphate, remember that the patient needs external decontamination (shower). Let's go to part 2 of our discussion, environmental exposure. Carbon Monoxide Toxidrome and the antidote oxygen: Carbon monoxide intoxication is usually due to smoke inhalation injury. Carbon monoxide is a silent gas produced by carbon-containing fuel or charcoal. Carboxyhemoglobin (COHb) forms in red blood cells when hemoglobin combines with carbon monoxide, reducing the binding and availability of oxygen at the tissue level. It's like CO falls in love with hemoglobin and hemoglobin cheats on Oxygen by binding to CO instead, and neglects oxygen delivery to tissues. Carbon monoxide also causes direct cellular toxicity. The symptoms and signs of poisoning include headache, altered mental status, nausea, vomiting, visual disturbance, Cherry-red lips, coma, and seizure. You can also see lactic acidosis and pulmonary edema. Neurological symptoms can be chronic, so it's important to follow up. The blood COHb level must be used to confirm the diagnosis because standard pulse oximetry (SpO2) and arterial partial oxygen pressure (PaO2) cannot differentiate COHb from normal oxygenated hemoglobin. You must obtain a serum COHb level. • The antidote is 100% oxygen or hyperbaric oxygen therapy and close follow-up. Consider intubating if there is edema of the airways due to inhalation injury. Cyanide Toxidrome which include sodium nitrite, sodium thiosulfate, and hydroxocobalamin In combination with Carbon Monoxide poisoning Cyanide poisoning can simultaneously be caused by inhalation of smoke or colorless hydrogen cyanide or ingestion of cyanide salts or prolonged use of sodium nitroprusside (ICU for hypertensive emergency). Symptoms are very similar to carbon monoxide poisoning. There may be long-term neurologic deficits and Parkinsonism. Diagnosis is clinical and waiting for serum cyanide levels can cause treatment delay. However, serum lactate levels over 10 mmol/L suggest cyanide poisoning. • Since cyanide poisoning resembles carbon monoxide poisoning and both toxidromes typically present simultaneously in the pathognomonic fire victim, treat simultaneously with sodium nitrite, sodium thiosulfate, and hydroxocobalamin as well as oxygen as mentioned with carbon monoxide poisoning. Hypnotic and sedative substances (antidote: flumazenil) Examples of hypnotic or sedative substances are alcohol, benzodiazepines, or zolpidem. Signs and symptoms of toxicity include slurred speech, ataxia, incoordination, disorientation, stupor, and coma with mild and rare hypoventilation and bradycardia. • The antidote is flumazenil which is a competitive antagonist at the benzodiazepine receptor. After treatment monitor patients for seizures in case of TCA poisoning, arrhythmia, or epilepsy. Opioid toxidrome (antidote: naloxone) Examples of opioid intoxication in children would be heroine in adolescents or accidental ingestion of pain medication in young children. Signs and symptoms are similar to the sedative toxidrome except for the pathognomonic finding of miosis or “pinpoint pupils” on physical exam. There will also be respiratory depression, hyporeflexia, bradycardia, muscle rigidity, and absent bowel sounds or constipation. Hypoventilation is severe and can cause death. • The antidote is naloxone which is a synthetic opioid receptor antagonist that can diagnose and treat opioid poisoning. It is indicated if the respiratory rate is less than 12. It has a short half-life and is repeatedly administered every 3-5 minutes until the respiratory drive is restored in order to avoid rebound respiratory depression and intubation. It has a rapid onset so the patient must be observed for 24 hours for opioid withdrawal symptoms. Summary: It is important to be able to recognize a toxidrome and antidote early. Once the antidote is administered, you should observe the patient 24 hours for symptoms of rebound toxicity or withdrawal. Consider repeat administration of the antidote if rebound symptoms occur and treat withdrawal symptoms as needed. Don't forget to consider multidrug poisoning if symptoms are non-specific. Thank you for having me on your podcast to review this topic. ____________________________ Conclusion: Now we conclude our episode number 108, “Antidotes to Toxidromes.” Remember you can start treatment of a patient with typical signs and symptoms of specific toxidromes, especially in patients who are unstable. We hope you enjoyed this episode. We thank Hector Arreaza, Aida Francis, and Arianna Lundquist. Audio Edition by Adrianne Silva. Even without trying you go to bed being a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. If you have any feedback, contact us by email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________ References: 1) Jaelkoury, CC BY-SA 3.0 , via Wikimedia Commons. 2) Hon KL, Hui WF, Leung AK. Antidotes for childhood toxidromes. Drugs Context. 2021;10:2020 11-4. Published 2021 Jun 2. doi:10.7573/dic.2020-11-4, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8177957/. 3) Royalty-free music used for this episode: Space Orbit by Scott Holmes, downloaded on July 20, 2022 from https://freemusicarchive.org/music/Scott_Holmes/.

Episode 232 Show Notes   Topic of the show: This week we discuss runway crossing clearances, VFR holding patterns, and a casual TCAS RA exchange.  Do you love aviation? Do you have a question about air traffic control or flying?  Are you interested in aviation or working on your ratings to become a pilot?  If you answered yes to any of those questions, this is the show for you!    Timely Feedback: 1. Patron JEC sent clarification audio regarding “track runway heading”. 2. Patron RM shares a fun fact about the new Top Gun Maverick movie.   Feedback Patron EM has a question about crossing runways while taxiing on another runway. Patron India Hotel is proficient in VFR holding patterns and wants our opinion on how to handle it. Patron SEM is back in the flying world and has a question about an RA received recently. Have a great week and thanks for listening!  Visit our website at OpposingBases.com You can support our show using Patreon or visiting our support page on the website.  Keep the feedback coming, it drives the show! Don't be shy, use the “Send Audio to AG and RH” button on the website and record an audio message. Or you can send us comments or questions to feedback@opposingbases.com. Find us on twitter @opposing_bases.  Music by audionautix.com.  Third party audio provided by liveatc.net.  Friends of the show and maker of bags to protect your ATC headset from dust and germs: ATCSaks.com. Keep the gunk and funk away from your most valuable pilot gear: https://pilotsaks.com/. Legal Notice  The hosts of Opposing Bases Air Traffic Talk podcast are speaking on behalf of Opposing Bases, LLC.  Opposing Bases, LLC does not represent the Federal Aviation Administration, Department of Transportation, or the National Air Traffic Controllers Association.  All opinions expressed in the show are for entertainment purposes only.  There is no nexus between Opposing Bases, LLC and the FAA or NATCA.  All episodes are the property of Opposing Bases, LLC and shall not be recorded or transcribed without express written consent.  For official guidance on laws and regulations, refer to your local Flight Standards District Office or Certified Flight Instructor.  Opposing Bases, LLC offers this podcast to promote aviation safety and enhance the knowledge of its listeners but makes no guarantees to listeners regarding accuracy or legal applications.

Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Stephanie: Hi Dr. Cabral! I am a night shift nurse and I am having a tough time with timing my meals/food during the nights i'm working. I am trying be as healthy as I can working night shift (7p-7a). I know the number one best thing for me to do for my health would be to switch to day shift but unfortunately with the staffing shortage at the hospital I am unable to switch as of now and need to stay on nights. I work 3 nights of 12hr shifts a week. Would you be able to recommend the best meal timing for the nights i'm working? I have listened to your podcasts about meal timing for a normal sleep cycle with being awake during the day which I follow on my days off! :) Thank you so much! -Stephanie, a fellow New Englander   Anita: Thank you for your podcasts and all you do to promote health and wellness. I appreciate you. I am not able to tolerate any of supplements or even the detox protocol. I do ok for one or two days and then I am terribly sick and cannot even tolerate hardly any foods. I have CYP2C19-2 copies of variant. Overall functional effect- no enzyme function (drugs less effective, increased chance side effects, and unable to clear from liver- blood thinners, PPIs, anti fungals, anti seizure drugs, SSRI'S, and TCAs. I also have SLCO1B1- one copy. Predicted decreased function. Overall functional effect- Decreased protein function. One copy of Hemochromatosis HFE variant also, may not increase risk. My question is: is there an enzyme I can take something I can do to reverse the effects of these genes? Thank you so much!   Erica: How does daylight savings time affect our biological processes and rhythms?   Erica: Would you ever consider doing an episode that sums up all the recommendations that you would make specifically for professional athletes and how this differs from the average client? For example, through trial and error I feel that my body tends to need more vitamin C, zinc, and magnesium; I've also found ashwaganda to help, as well as higher protein, and I also tend to feel best after around 9 hours of sleep even though my genotype is kapha-pitta (for reference, I'm a professional boxer so there's around 2.5-3 hours of training and about another 1 of walking every day, so it's high demand). I'm a newbie to the podcast but I wanted to thank you because it's already become a constant part of my routine to listen to every morning, which is really comforting and helpful so I really appreciate you putting all the time and effort into doing these episodes and connecting with your audience. Also, I was wondering if you've heard of the hypnotherapist Marisa Peer? You give so many great recommendations, and after listening to a few of your Motivation Monday podcasts (which are some of my favorite), I thought her YouTube videos on mindset and taking control of inner narrative might be something you (or other members of the audience) might enjoy so I wanted to pay it forward :)   Terry: My wife thinks I have nocturnal convulsions. She said I have the symptoms as described by Dr. Google. I searched to see if you have ever discussed nocturnal convulsions on your podcast and did find any hits. If that is what I have, what can be done? I have run the big 5 labs and I have a good idea of my mineral deficiencies that I am working on improving. The symptoms seems to have gotten worse since I have been walking 10,000+ steps per day.   Jamie: Thank you again for everything that you do and your help to help us all be a little better every day. Really appreciate you and your team. We have a bit of a quandary at home as we have a toddler aged just over 2.5 years and a new baby around 16 weeks old. Whilst my wife and i do not have any dairy in the house (i've largely fixed my gut and know i have a sensitivity and she is very much on baord and will do big 5 later this year). EVery medical practicioner is pushing dairy, her nursery has dairy every day. She is exposed to some and we are ok with it as we control what we can at home but there is a worry about her receiving enough calcium for her growth. What specifically would you suggest food / drink wise if you were to cut dairy completely to ensure your kids had enough calcium when growing? Also as an extra add on question does this change as they get older...?thank you again   Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/2298 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!

LWC is back to break down and analyze The Challenge All Stars Season 3.

Growing up, Vance Hilderman dreamed of being in the Naval Academy. He passed all his tests with flying colors, but had less than perfect vision. Because of this, he was told he could only be a navigator. Vance denied the offer and followed his dream of going into aviation elsewhere. Today Vance serves as the CEO and CTO of AFuzion, the world's largest aviation and safety-critical services companies. Pursuing degrees in both Computer Engineering and Business, Vance had already had 4 failed businesses before he got it right. His 5th attempt grew into the world's largest outsourced aviation avionics software development and certification company. He says the failed attempts taught him one valuable lesson: start with more money. He's since started a few more successful businesses. What You'll Learn: How the TCAS system works and why it's so important. How the eVTOL technology works. Why having a mentor is so important. Why Vance's first 4 companies failed. Favorite Quote: “Boeing sells more aircraft in a month than Hollywood does movies in a year.” -Vance Hilderman