Podcasts about thoracic

Spinal manipulation and mobilisation in paediatrics - an international evidence-based position statement for physiotherapistsAnita R Gross, Kenneth A Olson, Jan Pool, Annalie Basson, Derek Clewley, Jenifer L Dice, Nikki MilnePMID: 38855972PMCID: PMC11216248DOI: 10.1080/10669817.2024.2332026AbstractIntroduction: An international taskforce of clinician-scientists was formed by specialty groups of World Physiotherapy - International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT) & International Organisation of Physiotherapists in Paediatrics (IOPTP) - to develop evidence-based practice position statements directing physiotherapists clinical reasoning for the safe and effective use of spinal manipulation and mobilisation for paediatric populations (

In this week's episode we talk to Genestealer Cult Expert and Art of War coach Alex Macdougall. Alex is a world leader in all Genestealer Cult matters and he breaks down his army list in detail which he used to go undefeated at not one, but two different GT's!CHARACTERSAbominant (95 points)• 1x Power sledgehammerBiophagus (70 points)• 1x Alchemicus Familiar1x Autopistol1x Chemical vials1x Injector goad• Enhancement: Inhuman IntegrationPatriarch (85 points)• Warlord• 1x Patriarch's claws• Enhancement: Enraptured DamnationReductus Saboteur (65 points)• 1x Autopistol1x Close combat weapon1x Demolition charges1x Remote explosivesBATTLELINEAcolyte Hybrids with Hand Flamers (70 points)• 1x Acolyte Leader• 1x Cult claws and knife1x Hand flamer• 4x Acolyte Hybrid• 4x Cult claws and knife4x Hand flamerAcolyte Hybrids with Hand Flamers (70 points)• 1x Acolyte Leader• 1x Cult claws and knife1x Hand flamer• 4x Acolyte Hybrid• 4x Cult claws and knife4x Hand flamerAcolyte Hybrids with Hand Flamers (70 points)• 1x Acolyte Leader• 1x Cult claws and knife1x Hand flamer• 4x Acolyte Hybrid• 4x Cult claws and knife4x Hand flamerOTHER DATASHEETSAberrants (135 points)• 1x Aberrant Hypermorph• 1x Aberrant weapons• 4x Aberrant• 4x Aberrant weaponsAchilles Ridgerunners (85 points)• 1x Armoured hull1x Heavy mortar1x Survey Augur1x Twin heavy stubberAchilles Ridgerunners (170 points)• 2x Achilles Ridgerunner• 2x Armoured hull2x Heavy mining laser2x Spotter2x Twin heavy stubberAchilles Ridgerunners (170 points)• 2x Achilles Ridgerunner• 2x Armoured hull2x Heavy mining laser2x Spotter2x Twin heavy stubberGoliath Rockgrinder (120 points)• 1x Demolition charge cache1x Drilldozer blade1x Heavy mining laser1x Heavy stubberGoliath Rockgrinder (120 points)• 1x Demolition charge cache1x Drilldozer blade1x Heavy mining laser1x Heavy Stubber[11:52 AM]Hybrid Metamorphs (80 points)• 1x Metamorph Leader• 1x Hand flamer1x Leader's cult weapons• 4x Hybrid Metamorph• 1x Cult Icon3x Hand flamer4x Metamorph mutationsPurestrain Genestealers (150 points)• 10x Purestrain Genestealer• 10x Cult claws and talonsALLIED UNITSDeathleaper (80 points)• 1x Lictor claws and talonsGargoyles (85 points)• 10x Gargoyle• 10x Blinding venom10x FleshborerGargoyles (85 points)• 10x Gargoyle• 10x Blinding venom10x FleshborerLictor (60 points)• 1x Lictor claws and talonsLictor (60 points)• 1x Lictor claws and talonsRaveners (75 points)• 3x Ravener• 3x Ravener claws and talons3x Thoracic bio-weapon

Today, we will conclude our discussion of cervical instability.  We will then discuss the topic of thoracic instability in its entirety.

In todays episode, we are looking at the method of correction for the upper and middle thoracic vertebra.  

Breakthroughs in the Surgical Care of Thoracic Cancers and how Early Detection is Saving Lives with guest Dr. Dan Boffa March 30, 2025 Yale Cancer Center visit: https://www.yalecancercenter.org email: canceranswers@yale.edu

The area we will be working on today is the upper shoulder area, an often tight part of many of our bodies.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Are dumbbell pullovers actually a good chest exercise, or have we all been doing them wrong?In this weekly live Q&A in Tom The Trainer's Tribe, I break down why they're better for lats than pecs, the real reason tricep rope extensions protect your joints, and how to progress your lifts without burning out.Plus, I dive into why mobility matters more than you think and why blindly following "bro science" can stall your gains.If you're serious about training smarter and avoiding common mistakes, this episode is packed with insights you won't want to miss.Join Tom The Trainer's Tribe and message me the word “coaching” on Instagram at Tomthetrainerfitness or Facebook at Tom Trainer Mouland!Have the best day ever! Hosted on Acast. See acast.com/privacy for more information.

In today's episode, we will begin Chapter 16 by discussing corrections to the lower thoracics (T10, T11, and T12).  This will include a discussion of different tables, including the knee chest, hylo, and slot table.  We will also discuss different hand positions, from the typical single hand contact, to the double thenar and thumb-pisiform.  

Thoracic outlet syndrome (TOS) occurs when blood vessels and nerves in the upper chest become compressed, leading to pain, numbness, swelling, or circulation problems in the arms. Jarrad Rowse, M.D., a vascular surgeon, explains the three types of TOS — neurogenic, venous, and arterial — why they develop, and how they are diagnosed. He discusses multidisciplinary treatment approaches, including physical therapy, pain management, and surgery when needed.

This special issue of JACC is dedicated to the essential role of cardiovascular surgery in advancing modern cardiology.

I had an interesting case this week of NTOS and he also had tinnitus that improved from the treatment.   Online Courses: https://richardhazel.podia.com   IG: @richhazel  

Join host Loren Dermody and special guest Sarah Reis on the latest episode for a deep dive into thoracic mobility and spine articulation. Sarah breaks down the key anatomy behind common bridge issues and how to improve your technique with targeted exercises. From unlocking tight hip flexors to understanding the fascial system, this episode is packed with actionable tips to help your dancers. Don't miss out—this bite-size anatomy lesson is one you'll want to add to your teaching toolbox. Tune in NOW for expert insights and practical strategies. About Sarah Reis In her early development Sarah split her time between gymnastics and dance then later got into circus work and competitive rock climbing. The combination of these skills led her to a performance career as a stunt double in the thriving Vancouver film scene. While enjoying a professional performance career she worked on various projects including cruiseship contracts, print, television, film and nightlife productions. Sarah has always felt it was important to continue her education and graduated with a Bachelor's degree in Kinesiology in 2006. After graduation Sarah started work as an artistic sport rehabilitation specialist in a Physiotherapy clinic during the day while teaching dance in the evening. At the clinic Sarah primarily designed return to training programs for injured artistic athletes.Sarah is a certified teacher in acrobatics through the Canadian Dance Teachers Association (CDTA) and is a level three coach in women's artistic gymnastics with the National Coaching Certification Program (NCCP). Sarah holds longstanding certificates with many established dance teacher, Pilates and fitness related organizations. Sarah eventually returned to school to study contemporary dance at Simon Fraser University and completed a second degree in Education. Sarah spent some time working in the school district, holding an official teaching license with the BC ministry of Education in the specialty of performing arts and physical education. In 2008 she completed her Master's degree in Human Performance Coaching Sciences from the University of Victoria where she researched in the field of athletic motor development and later developed the curriculum for the International Dance Teaching Standards teacher education program for developing dance educators. Sarah began her doctorate research in Leadership Education but has since switched her focus to Dance Medicine. Within her research Sarah is interested in AcroDance teaching methodology and recently presented at the International Association of Dance Medicine and Science. When not touring as a public speaker, Sarah is the director of a large dance competition and manages a physiotherapy clinic among other small businesses. Sarah has spent the last decade touring worldwide presenting at various universities, dance conventions and conferences and can also be seen live from Los Angeles with CLI Studios. With a strong creative pull Sarah has been choreographing AcroDance lines and productions for more than twenty years and continues to be passionate about student development when she is home and able to teach in her hometown. Module three certified, Sarah is an examiner and course conductor here at Acrobatic Arts. www.danceteachingstandards.com Listen to Sarah's previous episodes: Ep. 12 Tips for Cartwheel Rebounds and Roundoff - Sarah Calvert Ep. 42 Mats for AcroDance Training with Sarah Reis Ep. 53 Life Lessons in Dance with Sarah Reis Ep. 54 Life Lessons in Dance with Sarah Reis, Pt 2 Ep. 98 Balancing Competition and Education in Dance with Sarah Reis If you'd like more amazing content more tips and ideas check out our Acrobatic Arts Channel on YouTube. Subscribe Now! Connect with Acrobatic Arts on your favourite social media platform: Instagram: https://www.instagram.com/acrobaticarts/ Facebook: https://www.facebook.com/Acroarts Twitter: https://twitter.com/acrobatic_arts/ Learn more and register for our programs at AcrobaticArts.com

For a long time, deformities of the chest wall, such as pectus excavatum, a condition where the chest appears to have sunken, remained untreated or were treated using crude and invasive techniques. However, thanks to innovations led by surgeons such as Prof. Donald Nuss of Eastern Virginia Medical School, these procedures have undergone a remarkable transformation. Such work has shifted the paradigm from radical surgery to minimally invasive solutions, changing lives and restoring confidence for countless patients. Now, a Review Article published in the African Journal of Thoracic and Critical Care Medicine, and co-authored by Prof. Donald Nuss and Dr. Ivan Schewitz of the Department of Cardiothoracic Surgery at the University of Pretoria, South Africa, charts the remarkable progress in treating pectus excavatum.

Contributor: Megan Hurley MD Educational Pearls: What is the mediastinum? The thoracic cavity is separated into different compartments by membranes The lungs exist in their own pleural cavities, and the mediastinum is everything in between The mediastinum extends from the sternum to the thoracic vertebrae and includes the heart, the aorta, the trachea, the esophagus, the thymus, as well as many lymph nodes and nerves. What is a pneumomediastinum? Air in the mediastinum How can pneumomediastinum be categorized? Traumatic Ex. Stab wound to the trachea Ex. Boerhaave's Syndrome of the esophagus, possibly from an endoscopic procedure. This mechanism in particular is a higher risk of infection because not only air but food can accumulate in the mediastinum Ex. Intubation with a bougie These will likely need surgical repair Nontraumatic Ex. Forceful inhalation causing microperforations in the trachea. Possibly while inhaling something like drugs Ex. Bad asthma for similar reasons Ex. Gas forming bacteria What happens if you use positive pressure ventilation on a patient with a hole in their trachea? The positive pressure will force extra air into the mediastinum The air will move between the layers of subcutaneous tissue and can track up into the neck and face regions recognized as crepitus on exam This can also cause a tension pneumomediastinum in which the air pressure in the compartment constricts the heart, impeding its ability to fill during diastole These patients can undergo bronchoscopy because that procedure does not require positive pressure and will not worsen the condition. Endoscopies do require positive pressure so endoscopies are not an option How is a tension pneumomediastinum treated? By inserting a needle into the space from below the xiphoid process to allow the air to escape, similar to a pericardiocentesis As a temporizing measure, if the hole is high enough in the trachea, the intubation can be continued by deliberately pushing the endotracheal tube into the right main bronchus, creating a seal, and only ventilating the right lung while the patient heads to surgery. This is called right-mainstemming. References Clancy DJ, Lane AS, Flynn PW, Seppelt IM. Tension pneumomediastinum: A literal form of chest tightness. J Intensive Care Soc. 2017 Feb;18(1):52-56. doi: 10.1177/1751143716662665. Epub 2016 Aug 3. PMID: 28979537; PMCID: PMC5606356. Grewal, J., & Gillaspie, E. A. (2024). Pneumomediastinum. Thoracic surgery clinics, 34(4), 309–319. https://doi.org/10.1016/j.thorsurg.2024.06.001 Underner, M., Perriot, J., & Peiffer, G. (2017). Pneumomédiastin et consommation de cocaïne [Pneumomediastinum and cocaine use]. Presse medicale (Paris, France : 1983), 46(3), 249–262. https://doi.org/10.1016/j.lpm.2017.01.002 Summarized by Jeffrey Olson, MS3 | Edited by Meg Joyce & Jorge Chalit, OMS3 Donate: https://emergencymedicalminute.org/donate/  

Behind the Knife ABSITE 2025 – Up-to-date and high yield learning to help you DOMINATE the exam. Don't forget to check out our ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet Be sure to check out our brand new free study aid, which includes all 32 review episodes, brief written summaries, high yield images, and flash cards. Simply create an account on our iOS or Android app or on our website and you will find the entire course in your Library. Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Google Play App Store: https://play.google.com/store/apps/details?id=com.btk.app Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2025 ABSITE podcast series.  Medtronic has a rich history of supporting surgical education, and we couldn't be happier that they chose to partner with Behind the Knife.  Learn more at https://www.medtronic.com/en-us/index.html If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts. Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  

Host: Jacob Sands, MD Guest: Alex Spira, MD, PhD, FACP Valemetostat is a novel therapy that's demonstrated clinical efficacy and safety across multiple hematologic malignancies, but what role might it have in treating patients with advanced, unresectable, or metastatic non-squamous non-small cell lung cancer (NSCLC)? To find out, an upcoming trial is examining the efficacy and safety of combining valemetostat and datopotamab deruxtecan (Dato-DXd). Here with Dr. Jacob Sands to talk about the study's design and next steps is Dr. Alex Spira, Director of the Thoracic and Phase I Program at Virginia Cancer Specialists Research Institute and a Clinical Assistant Professor at Johns Hopkins.

Commentary by Dr. Carmen Bergom.

January 2025 Journal Club Podcast Title: Endoscopic versus Traditional Thoracic Discectomy: A Multi-center Retrospective Case Series and Meta-analysis To read journal article: https://journals.lww.com/neurosurgery/fulltext/2025/01000/endoscopic_versus_traditional_thoracic_discectomy_.18.aspx Authors: Sanjay Konakondla Guest faculty: Juan Uribe Moderator: Brian Saway Committee Co-chair: Kimberly Hoang

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In this week's episode of the Unreal Results Podcast, I talk about the often-overlooked role of the diaphragm.  I bring this topic up because I see it often in my NFL athletes around this point in their season and how diaphragm stiffness starts to affect their performance. In the episode, you'll hear me talk about diaphragm anatomy and function, how stiffness of the diaphragm can lead to limited thoracic mobility and pain, and give you practical exercises that I use with my athletes to improve their diaphragm mobility.  Regardless if you work with athletes or not, this episode can give you a lot of insight on understanding and treating the diaphragm if you think it's contributing to your client's thoracic spine or T6 costovertebral joint pain.Resources Mentioned In This EpisodeEpisode 48: Small Intestine and Mesenteric RootsVideo: Prone Breathing w/ Coregeous Ball Video: Diaphragmatic Breathing / VacuumVideo: DaVinci RollingVideo: Segmental BridgeLearn the LTAP™ In-Person in one of my upcoming coursesConsidering the viscera as a source of musculoskeletal pain and dysfunction is a great way to ensure a more true whole body approach to care, however it can be a bit overwhelming on where to start, which is exactly why I created the Visceral Referral Cheat Sheet. This FREE download will help you to learn the most common visceral referral patterns affecting the musculoskeletal system. Download it at www.unrealresultspod.com=================================================Watch the podcast on YouTube and subscribe!Join the MovementREV email list to stay up to date on the Unreal Results Podcast and MovementREV education. Be social and follow me:Instagram | Facebook | Twitter | YouTube

Description: In this virtual tumor board episode of Lung Cancer Considered, host Dr. Stephen Liu leads a discussion on the management of a patient with metastatic squamous NSCLC. Listen to the episode to learn how the guests would approach this case. Guest: Dr. Pilar Garrido is an Associate Professor of Medical Oncology at Universidad de Alcalá in Madrid, Spain, and the Head of the Thoracic Tumours Section at the University Hospital Ramón y Cajal X: @Piuchagarrido Guest: Dr. Jared Weiss is a Professor of Medicine and Section Chief of Thoracic and Head & Neck Oncology at the University of North Carolina, Chapel Hill, N.C. @DrJaredWeiss

In today's episode, we will be discussing the proper conceptualization for correcting a thoracic subluxation. While this conceptualization is true in all areas of the spine, it is particularly important for the thoracic spine.  In addition, the thoracic spine offers us the obstacle of imbrication, which must be accounted for to create a proper adjustment.

In today's episode, we begin our study of Thoracic Misalignments.  The Thoracic vertebra are different from the cervical and lumbar vertebra. This chapter will discuss those differences and how it should effect our conceptualization of what is happening with subluxation and what we need to do about it. 

A client had a complex surgical procedure on her heart two weeks prior, but it was conducted by way of a catheter threaded up her femoral artery and aorta. Now, she wants to receive massage again. A quick Google search suggests that it would be OK. Her MT is skeptical and wants to be more conservative. Who is right? Listen on for information about transcatheter aortic valve replacement (TAVR) surgery, using AI to make clinical decisions, and how to get to “yes” for people who have recently had surgery. Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                    Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Braun, L.A. et al. (2012) ‘Massage therapy for cardiac surgery patients--a randomized trial', The Journal of Thoracic and Cardiovascular Surgery, 144(6), pp. 1453–1459, 1459.e1. Available at: https://doi.org/10.1016/j.jtcvs.2012.04.027.   Grafton-Clarke, C. et al. (2019) ‘Can postoperative massage therapy reduce pain and anxiety in cardiac surgery patients?', Interactive Cardiovascular and Thoracic Surgery, 28(5), pp. 716–721. Available at: https://doi.org/10.1093/icvts/ivy310.   Patients Who Stay in Hospital Less Than 3 Days After TAVR Fare Better (no date) American College of Cardiology. Available at: https://www.acc.org/about-acc/press-releases/2019/03/04/13/53/http%3a%2f%2fwww.acc.org%2fabout-acc%2fpress-releases%2f2019%2f03%2f04%2f13%2f53%2fpatients-who-stay-in-hospital-less-than-3-days-after-tavr-fare-better (Accessed: 26 September 2024).   Pressler, A. et al. (2018) ‘Long-term effect of exercise training in patients after transcatheter aortic valve implantation: Follow-up of the SPORT:TAVI randomised pilot study', European Journal of Preventive Cardiology, 25(8), pp. 794–801. Available at: https://doi.org/10.1177/2047487318765233.   Transcatheter Aortic Valve Replacement (TAVR) (no date). Available at: https://my.clevelandclinic.org/health/treatments/17570-transcatheter-aortic-valve-replacement-tavr (Accessed: 25 September 2024).   Wang, A.T. et al. (2010) ‘Massage therapy after cardiac surgery', Seminars in Thoracic and Cardiovascular Surgery, 22(3), pp. 225–229. Available at: https://doi.org/10.1053/j.semtcvs.2010.10.005.   What recovery looks like 6 months after an aortic valve replacement (2023). Available at: https://www.medicalnewstoday.com/articles/6-months-after-aortic-valve-replacements (Accessed: 25 September 2024).   Sponsors:   Anatomy Trains: www.anatomytrains.com    Elements Massage: www.elementsmassage.com/abmp   MassageBook: www.massagebook.com   Books of Discovery: www.booksofdiscovery.com   The American Massage Conference: www.massagetherapymedia.com/conferences    

Dr. Adam McAtee helps demystify common narratives in the Pilates Industry to build your skills, knowledge and confidence. In this episode we discuss:

Contributor: Aaron Lessen, MD Educational Pearls: Hemothorax: blood in the pleural cavity, most commonly due to chest trauma Treatment: thoracostomy tube for blood drainage helps to avoid clotting, scarring, and infection A recent study looked at patients with hemothorax who either received or did not receive thoracic irrigation with saline Evaluated incidence of secondary intervention, such as video-assisted thoracoscopic surgery (VATS), for persistent hemothorax Patients who received irrigation had a slight decrease in secondary intervention frequency Multi-center study - all patients who had the irrigation procedure were at two centers Study limitation: variability in approaches at each location could be a confounder Technique that could potentially prevent future complications References Carver TW, Berndtson AE, McNickle AG, et al. Thoracic irrigation for prevention of secondary intervention after thoracostomy tube drainage for hemothorax: A Western Trauma Association multi-center study. J Trauma Acute Care Surg. Published online May 20, 2024. doi:10.1097/TA.0000000000004364 Yi JH, Liu HB, Zhang M, et al. Management of traumatic hemothorax by closed thoracic drainage using a central venous catheter. J Zhejiang Univ Sci B. 2012;13(1):43-48. doi:10.1631/jzus.B1100161 Summarized by Meg Joyce, MS | Edited by Meg Joyce & Jorge Chalit, OMS3 Donate: https://emergencymedicalminute.org/donate/

Thoracic endometriosis occurs in about 12% of patients with advanced endometriosis. Due in part to its lower incidence and inherent diagnostic challenges, many providers are not well-versed in the workup and management of this advanced disease. In this episode of The BackTable OBGYN Podcast, host Dr. Mark Hoffman interviews Dr. Shanti Mohling, a gynecologic surgeon at Northwest Endometriosis and Pelvic Surgery, regarding her approach to thoracic endometriosis. --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS The physicians discuss the embryological and congenital theories of endometriosis etiology, the impacts of retrograde menstruation, and epigenetic factors. Dr. Mohling shares insights into her advanced surgical techniques for treating endometriosis, including diaphragmatic and thoracic disease, and the importance of a comprehensive history, exam, and diagnostic imaging. Her practice patterns, patient care strategies, and interdisciplinary collaborations for optimal outcomes are also highlighted. --- TIMESTAMPS 00:00 - Introduction 06:40 - Pelvic Pain Workup 08:09 - Thoracic Endometriosis 14:12 - Medical Management Post-Surgery 18:48 - In-Office Ultrasound Techniques 23:33 - Collaboration in Surgery 24:59 - Preparing for Thoracic Endometriosis Surgery 36:44 - Managing Postoperative Care 41:13 - Theories on Endometriosis Etiology 46:31 - Concluding Thoughts

Welcome to Wednesday Q&A, where you ask questions and we answer them! In this Wednesday Q&A, we answer your questions about the challenges of finding trigger points during myofascial release, sharing a favorite body fact, and discuss cues for helping engage your pelvic floor muscles. Your questions:* I use a massage ball for myofascial release. Recently I was feeling stuck around my shoulder and thoracic area. Sometimes I can't find the exact trigger point as the time when I started with the massage ball. I wonder if there is any reason for that. * What is your favorite random fact about the body?* A student of mine is asking how she can feel her pelvic floor muscles. We've talked about Triple S, finding the diamond, and 360 breathing. I'm curious what cues other teachers use for students who want to "feel their PF muscles engage." To learn more, and for the complete show notes, visit: lytyoga.com/blog/category/podcasts/ Do you have a question?DM Lara on Instagram: @lara.heimannDM Kristin on Instagram: @kbwilliams99Email us at support@lytyoga.com Sponsors:Check out and sign up for LYT Daily and The LYT Studio, including our 1-week FREE trial of each here:https://lytyoga.uscreen.io/Learn more and sign up for the LYT Yoga teacher trainings here:https://www.lytyogatraining.com/ Hosted on Acast. See acast.com/privacy for more information.

Dr. Yugal K MISHRA is one of India's most well-known and skilled cardiac surgeon. He is Chief of Cardiac Services, Chairman & Chief Cardio Vascular Surgeon at Manipal Hospitals. He is also President of the Society of Minimally Invasive Cardiovascular Surgeons of India, President of the India Association of Cardiovascular & Thoracic Surgeons and Council Member of the Association of Thoracic & Cardiovascular Surgeons of Asia.  Dr Mishra is one of the renowned Robotic & Minimally Invasive Heart Surgeons in Asia. He has performed more than 500 robotic cases in India. Some facts about him : He has over 30 years of experience. He has done more than 20 000 successful procedures He has written more than 200 scientific research papers He has trained more than 100 cardiac surgeons  In this episode, Dr. Yugal Mishra explains the benefits and challenges of Minimally Invasive Cardiac Surgery (MICS) compared to traditional open-heart surgery in India. Dr. Mishra highlights that while MICS offers advantages and that MICS is more expensive due to the advanced equipment and expertise required, but it can ultimately be more cost-effective by reducing hospital stays and enabling patients to return to work sooner. Dr. Mishra discusses the technical challenges, including managing complications and the importance of advanced technology in improving surgical outcomes.  LinkedIn Profile : Yugal Mishra Dr. Mishra Website : https://dryugalmishra.com/   In this episode, Dr. Yugal Mishra explains the benefits and challenges of Minimally Invasive Cardiac Surgery (MICS) compared to traditional open-heart surgery. Dr. Mishra highlights that while MICS offers advantages and that MICS is more expensive due to the advanced equipment and expertise required, but it can ultimately be more cost-effective by reducing hospital stays and enabling patients to return to work sooner. Dr. Mishra discusses the technical challenges, including managing complications, and the importance of advanced technology in improving surgical outcomes.    About Behind the OR Behind the OR is the official podcast channel by Peters Surgical. Here, we invite you to step into the world of surgery, where we uncover what happens behind the closed doors of the operating room and beyond. Each episode features in-depth conversations with expert surgeons, providing insights into the latest surgical techniques, innovations, and the daily lives of those who dedicate themselves to saving lives. Founded in 1926, Peters Surgical is a French company with a global presence in over 90 countries. As a reference group for surgical practices worldwide, we are dedicated to improving surgical outcomes through innovative medical devices, including surgical sutures, hemostatic clips, and surgical glue. Our expertise lies in designing, manufacturing, and distributing these devices.  Visit our website here : https://peters-surgical.com/

When a patient is diagnosed with scoliosis, it's often classified as thoracic scoliosis. To understand this condition, we first need to grasp what scoliosis is. Scoliosis is an abnormal curvature of the spine measuring 10 degrees or greater, known as the Cobb angle, accompanied by rotation of the vertebrae in the affected area. Classifying Scoliosis for Effective Treatment Scoliosis is classified by various factors to streamline the treatment process. By identifying whether a patient has thoracic, lumbar, or thoracolumbar scoliosis, healthcare providers can tailor treatment plans, predict outcomes, and address potential complications. Age Classification Infantile - Under 2 years old Juvenile - Between 2 and 10 years old Adolescent - Between 10 and 18 years old Adult - 18 years and older Type of Scoliosis Idiopathic - Unknown cause, most common type Congenital - Present at birth due to bone formation issues Neuromuscular - Associated with nerve or muscle conditions Degenerative - Seen in adults due to spinal degeneration Severity and Location of the Curve Mild - 10-25 degrees Moderate - 25-45 degrees Severe - Over 45 degrees Thoracic scoliosis specifically refers to a curve whose apex is in the thoracic spine, typically between T1 and T10/T11 vertebrae. This region is the most common for scoliosis diagnosis due to the visible rib deformity it causes. Symptoms and Diagnosis The most common symptom of thoracic scoliosis is changes in the rib cage. These changes are usually detected through the Adams Forward Bending Test. When a patient bends forward, the asymmetry in the rib cage becomes apparent. This rib deformity often leads to further testing and a definitive diagnosis via X-ray. In adults, pain is a prevalent symptom due to spinal compression over time. This contrasts with children, who usually do not experience pain but show postural changes instead. Treatment and Management Acting proactively is key to managing thoracic scoliosis. The primary goal is to reduce the curve to prevent progression and improve the patient's quality of life. Various treatment options are available, including alternative treatments and corrective measures, which are essential for maintaining and enhancing spine health. Understanding thoracic scoliosis is vital for effective treatment and management. By classifying scoliosis based on age, type, severity, and location, healthcare providers can offer tailored and hopeful treatment plans. Proactive management can reduce the impact of scoliosis and improve the patient's life quality. For more in-depth discussions on scoliosis and its treatment, tune in to Dr. Tony Nalda's podcast. Artlist.io 847544

Thoracic dissections are surgical emergencies that require precise temporizing measures until surgery can be performed. In this session, participants will gain critical knowledge on recognizing key symptoms such as ripping back pain and unequal pulses, indicative of thoracic dissections. The discussion will focus on anti-impulse therapy, emphasizing using beta-blockers like esmolol and calcium channel blockers like nicardipine to control blood pressure and prevent further damage. Pain management strategies and the selective use of nitroprusside will also be explored. The class will address the unique challenges of managing blood pressure in prehospital settings, stressing the importance of a well-prepared plan.

The spinal cord serves as the main communication highway between the brain and body. Did you know that 80% of people with multiple sclerosis have spinal cord lesions on MRI? These lesions can disrupt specific neural pathways, leading to common MS symptoms like numbness, weakness, impaired coordination, balance issues, bladder problems, constipation, and sexual dysfunction. For instance, damage to the corticospinal tract on one side of the spinal cord can weaken an arm or leg. A remarkable autopsy study revealed that nearly 90% of people with MS still had active inflammation in the spinal cord. This finding brings new hope for potential treatments, even for older and progressive MS patients. Advances in imaging technology, including more powerful MRI scanners (3 Tesla and higher), are enhancing our ability to see inside the spinal cord, which is as thin as a pinky finger. Improved spinal cord imaging is driving the development of new therapies in clinical trials and helping identify those at risk for worsening disability, ultimately guiding better treatment decisions. Barry Singer MD, Director of The MS Center for Innovations in Care, interviews: Gabriele De Luca MD DPhil, Professor of Clinical Neurology and Experimental Neuropathology, University of Oxford, United Kingdom Bruce Cree MD PhD, Professor of Neurology at University of California, San Francisco School of Medicine

Cervical and thoracic epidural steroid injections (ESIs) can offer relief for patients with chronic pain; however, these procedures can carry serious risks. Providers should be well-trained to anticipate and mitigate these risks before treating patients with ESIs. In this episode of the Backtable MSK Podcast, co-hosts Dr. Chris Beck and Dr. Jacob Fleming dive deep into various techniques and considerations for performing ESIs. --- CHECK OUT OUR SPONSOR Stryker Interventional Spine https://www.strykerivs.com --- SYNPOSIS Dr. Beck and Dr. Fleming discuss the importance of trajectory and level aiming, the differences between interlaminar and transforaminal approaches, and the nuances of cervical and thoracic ESI procedures. The episode also covers patient positioning and potential complications. --- TIMESTAMPS 00:00 - Introduction 02:10 - Techniques for Transforaminal Approach 08:51 - Cervical ESI 15:15 - Risks of Cervical ESI 24:07 - Thoracic ESI 29:03 - Post-Procedure Considerations 32:34 - Caudal ESI --- RESOURCES BackTable MSK Ep. 55 - BackTable Basics: Lumbar Epidural Injections with. Dr. Chris Beck: https://www.backtable.com/shows/msk/podcasts/55/backtable-basics-lumbar-epidural-injections

This week on Parallax, Dr Ankur Kalra welcomes Dr Marc Gerdisch to discuss a groundbreaking study on reducing opioid use after cardiac surgery. Dr Marc Gerdisch is the Chief of Cardiovascular and Thoracic Surgery and Co-Director of the Heart Valve Center and Atrial Fibrillation Program at Franciscan St. Francis Health. He is a senior partner at Cardiac Surgery Associates and a Clinical Assistant Professor of Thoracic and Cardiovascular Surgery at Loyola University Medical Center in Chicago. Dr Gerdisch shares insights into his research on rigid sternal fixation and enhanced recovery protocols, which have shown promising results in postoperative pain management and patient recovery. In this episode, Dr Kalra and Dr Gerdisch discuss the specifics of the study, including the four-cohort design and the steps taken to expedite opioid-free recovery. Dr Gerdisch also shares valuable advice on overcoming physician inertia and building a strong case for implementing such a programme, including cost-benefit analysis considerations. What motivated the study? How can a holistic approach to cardiac surgery recovery be implemented? What advice does Dr Gerdisch have for our listeners? Sources: Gerdisch MW, et al. Ann Thorax Surg 2024. Rigid Sternal Fixation and Enhanced Recovery for Opioid-Free Analgesia After Cardiac Surgery. DOI: 10.1016/j.athoracsur.2024.06.032 CE Cox. TCTMD 2024. Holistic Approach to Cardiac Surgery Can Sharply Cut Opioid Use. Available at: https://www.tctmd.com/news/holistic-approach-cardiac-surgery-can-sharply-cut-opioid-use. Accessed August 12, 2024.

Welcome to Episode 73 of the Stronger Bones Lifestyle Podcast. In this episode, host Debi Robinson is joined by Christine Jaureguiberry, a yoga teacher specializing in scoliosis, to discuss the relationship between scoliosis and hypermobility, and how to approach yoga practice with these conditions in mind.Christine shares her personal experience with scoliosis and how it led her to yoga. She emphasizes the importance of being proactive and finding ways to address physical conditions rather than relying solely on external fixes. The conversation delves into the specific areas of the spine affected by scoliosis and the compensatory effects it has on the entire body.Throughout the episode, Debi and Christine discuss the importance of understanding an individual's specific condition, maintaining proper alignment, and promoting confidence in engaging in yoga practices. They also highlight the release of Christine's book, "Yoga with Scoliosis," which is meant to empower individuals with scoliosis to make informed decisions in yoga classes and to practice confidently at home.Join Debi and Christine as they explore the intricacies of scoliosis, its impact on the body, and how to approach yoga practice with mindfulness and awareness.Key  Takeaways:[2:42] Her journey[7:37] Figuring out your scoliosis[11:22] Body awareness[11:54] Diagnosing scoliosis and how it looks in a forward fold[15:51] Adult degenerative scoliosis[22:17] Functional verses structural[23:51] Where issues may be[27:52} Reacquainting yourself with your body[31:20] Convex and concave and your spine[41:21] Thoracic curvature43:33] Schroth Therapy[53:13] Her book "Move with Scoliosis"Where to Find Guest:WebsiteHer BookYouTubeInstagramMemorable Quotes:"We cant just go to people to fix us, we have to show up for yourselves and be proactive." [5:20] - Debi "Yoga is a journey, its never an end or all of a sudden we have all the answers." [6:21] - Christine"Nobody is completely symmetrical, nobody has a perfect spine." [23:54] - Christine"You can only create as much balance as your body allows." [38:12] - Christine"When someone specializes in somethings its because it requires specialty." [49:20] - Debi "Straight spines are overrated in my opinion." [55:24] – Christine To learn more about me and to stay connected, click on the links below:Instagram: @debirobinsonwellnessWebsite: DebiRobinson.comHealthy Gut Healthy Bones Program

In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Professor Marc Dweck from The University of Edinburgh. They discuss a study in Heart that tested the predictive power of thoracic aortic calcium calcium for predicting future vascular events. Relevant reading: Thoracic versus coronary calcification for atherosclerotic cardiovascular disease events prediction - https://heart.bmj.com/content/110/14/947  Editorial: Future applications of incidental detection of thoracic and coronary calcium for atherosclerotic cardiovascular disease events prediction - https://heart.bmj.com/content/110/14/929 If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 or wherever you get your podcasts - it's really helpful.

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:    Maggie: I'm on the last week of the 21 Day Detox and feel amazing. Do you recommend I do another protocol of yours?   Maya: Hello doctor Cabral, I'm a 45-year-old woman with a lot of goals I want to achieve. However, my monthly cycle appears to hinder my progress. During the initial two weeks post period, I feel enthusiastic, energetic, clear-minded, and ready to conquer the world. But, a few days after ovulation, I experience a decline in energy. My workouts become more draining, my thoughts turn negative, and I struggle to stay on track with my goals. I know that this is likely due to hormonal fluctuations, but I would love to maintain consistent energy levels throughout my cycle. Are there any supplements or strategies I could implement to sustain this energy? It's worth noting that I lead a healthy, active lifestyle and am very mindful of my cycle. Thanks so much for your answer, you're the best! Maya   Kristen: Hi Dr. Cabral! Thank you for your podcast, I've been learning a lot from it. I'm a dietitian and I'm having a really hard time understanding the food sensitivity tests that functional medicine practitioners use (listened to recent episode on that). This is a test that dietitians generally do not use. From my understanding, these tests reflect a normal ‘reaction' to the foods that we have recently and regularly eat. When they remove these foods during the elimination phase and retest, it only makes sense that the IgG response to these foods is lower, since it hasn't recently been eaten. When these clients come to me with these results, I rarely pay attention to the results, but rather focus on ‘cleaning up' their diets, lifestyle, etc. Would love to hear your thoughts on my view!   Jack: I completeled a mycotoxin test I have high mycophenolic acid how can I detox it out of system where did it come from please help   Erin: Thoracic pain/tightness…I grew up playing sports and then played competitive golf through college. I remember at the beginning of every round my upper back was always sooo tight and it felt like a really deep tightness. So much so it interfered with my swing but after 3-4 holes it started to loosen. Fast forward to now and it seems my thoracic area is constantly tight and if I do weights or like yesterday, a lot of raking, that area is so sore and tight today. What is causing this and what can i do? Sometimes i feel it constricts my breathing when it gets so tight after heavy weights or physical activity involving my upper body.     Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/3081 - - - 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!  

Rick Greene, MD, discusses with Lorenzo Ferri, MD, PhD, the long-term survival outcomes of patients with esophageal and junctional adenocarcinoma treated with neoadjuvant docetaxel-based chemotherapy and en bloc transthoracic esophagectomy. Dr. Ferri is author of, "Docetaxel-Based Neoadjuvant Chemotherapy Followed by En Bloc Resection for Esophageal Adenocarcinoma: A 15-Year Retrospective Analysis from a Regional Upper Gastrointestinal Cancer Network." Dr. Ferri is Professor of Surgery and Oncology, McGill University; David S. Mulder Chair of Surgery Head, Division of Thoracic and Upper Gastrointestinal Surgery, McGill University Health Centre; and, Director, Upper G.I. Cancer Program, McGill University, Montreal, Canada.

Interested in cardiac surgery? The training paradigm for cardiac surgery has changed significantly over the past decade and we know may students often struggle when deciding what pathway is best for them. For this episode, we assembled a robust team of attendings, fellows, and residents to discuss their journey as well as some of the research that has been conducted about these different pathways to help guide students navigating this decision.  Hosts:  - Jessica Millar, MD- PGY-5 General Surgery Resident, University of Michigan, @Jess_Millar15 Guests:  - Nick Teman, MD- Assistant Professor of Thoracic and Cardiovascular Surgery, University of Virginia, @nickteman - Jolian Dahl, MD, MSc- Integrated Thoracic Surgery Resident (PGY-6), University of Virginia, @JolianDahl - Lyndsey Wessels, MD- Traditional Thoracic Surgery Resident (CT-1), University of Virginia, @LyndseyWessels  Articles Referenced:  - Pathways to Certification: https://www.abts.org/ABTS/CertificationWebPages/Pathways%20to%20Certification.aspx - Narahari AK, Patel PD, Chandrabhatla AS, Wolverton J, Lantieri MA, Sarkar A, Mehaffey JH, Wagner CM, Ailawadi G, Pagani FD, Likosky DS. A Nationwide Evaluation of Cardiothoracic Resident Research Productivity. Ann Thorac Surg. 2024 Feb;117(2):449-455. doi: 10.1016/j.athoracsur.2023.08.011. Epub 2023 Aug 26. PMID: 37640148; PMCID: PMC10842395 https://pubmed.ncbi.nlm.nih.gov/37640148/ - Bougioukas L, Heiser A, Berg A, Polomsky M, Rokkas C, Hirashima F. Integrated cardiothoracic surgery match: Trends among applicants compared with other surgical subspecialties. J Thorac Cardiovasc Surg. 2023 Sep;166(3):904-914. doi: 10.1016/j.jtcvs.2021.11.112. Epub 2022 Mar 22. PMID: 35461707. https://pubmed.ncbi.nlm.nih.gov/35461707/ For episode ideas/suggestions/feedback feel free to email Jessica Millar at: millarje@med.umich.edu Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

We have another guest joining us this week! Dr. Allison Schepers, PharmD, BCOP is a Clinical Pharmacist Specialist at the Rogel Cancer Center at the University of Michigan where she focuses on GI, GU, and Thoracic malignancies! In this episode, Allison discusses the high yield points we need to know about important drugs we use in the colorectal cancer treatment space and how she approaches counseling her patients. Another great episode from our pharmacy colleagues you do NOT want to miss! Content: - Important considerations about capecitabine, oxaliplain, and irinotecan, backbones of our colorectal cancer management- An overview of targeted agents?- If someone has a reaction, can we retrial any of these drugs in the future? ** Want to review the show notes for this episode and others? Check out our website: https://www.thefellowoncall.com/our-episodesLove what you hear? Tell a friend and leave a review on our podcast streaming platforms!Twitter: @TheFellowOnCallInstagram: @TheFellowOnCallListen in on: Apple Podcast, Spotify, and Google Podcast

In this episode, we spotlight editorials and abstracts from the Journal of Vascular Surgery Cases, Innovations, and Techniques (JVS-CIT). Editorials and Abstracts are read by members of our SVS Social Media Ambassadors and Editor in Chief of JVS CIT, Dr. Matthew Smeds.   Readers: Matthew Smeds (@mattsmeds) Christopher DeHaven (@ChrisDeHavenPSU) Ethan Vieira Litton Whittaker Nicholas Schaper Nishi Vootukuru (@Nishi_Vootukuru)   Editorials: Accomplishments and goals: Review of 2023 and previous of 2024 for the Journal of Vascular Surgery Cases, Innovations, and Techniques.   The enduring success of the DRIL technique and new advances in dialysis access.   Abstracts: Intraprocedural application of a peripheral blood flow monitoring system during endovascular treatment for femoropopliteal disease.   Thoracic outlet syndrome: single-center experience on the transaxillary approach with the aid of the TRIMANO Arthrex arm.   Inferior vena cava hemangioma resected using a novel Toumai robotic surgical platform.   Surgical release of anterior tibial artery entrapment with associated popliteal artery entrapment.   Revisiting Heinz-Lippman disease as a complication of chronic venous insufficiency.   Utilization of coronary computed tomography angiography and computed tomography-derived fractional flow reserve in a critical limb-threatening ischemia cohort.   A rare case of Bannayan-Riley-Ruvalcaba syndrome with concurrent arteriovenous malformation.   Autologous and synthetic pediatric iliofemoral reconstruction: A novel technique for pediatric iliofemoral artery reconstruction.   Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.    

One whole lot of stress occurred when the CSP announced the insurance held with them will no longer cover "Thoracic Acupuncture". What does that mean? What are the time frames? How can you go about making sure you are insured?!?! Jonathan Hobbs is here from the AACP (he is the chair so he knows!) to answer all these questions

In this episode, we review the high-yield topic of⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠Thoracic Spine Anatomy ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Spine section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Twitter⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthobullets/message

In this episode, we dove deep into the comparative effectiveness of cervical and thoracic spinal thrust manipulation for cervicogenic headaches. The randomized controlled trial revealed that cervical adjustments significantly reduced headache frequency and disability levels. We also discussed the impact of thoracic adjustments and conventional therapy.Episode Notes: Comparative effectiveness of cervical vs thoracic spinal-thrust manipulation for care of cervicogenic headacheThe Best Objective Assessment of the Cervical Spine- Provide reliable assessments and exercises for Neuromuscular Control, Proprioception, Range of Motion, and Sensorimotor-Integration. Learn more at NeckCare.com Stopain® Clinical topical analgesics are available exclusively through chiropractors and other healthcare professionals, so they are NOT available on Amazon or retail. It works on contact to provide fast, long-lasting pain relief from sprains, strains, bruises, arthritis, muscle aches, joint and back pain. Learn more about Stopain Clinical at Stopa.in/ebcInterested in ShockWave technology? I built a practice using StemWave and can't recommend it enough. Learn more at- https://gostemwave.com/theevidencebasedchiropractor Patient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!

This month we are joined by Dr. Raymond Liu from Case Western Reserve and Rainbow Babies in Cleveland to discuss his work on skeletal maturity grading systems, patient reported outcomes in limb deformity, and 3D anatomical studies. Hear about Mongolia pushing the limits in rigid nailing of pediatric femur fractures and stick around for highlights from the lightning round including ultrasound for fracture diagnosis, guided growth for patellar instability and 3D analysis after spinal fusion.   Your hosts are Julia Sanders from Children's Hospital Colorado, Carter Clement from Children's Hospital of New Orleans, Craig Louer from Vanderbilt, and Josh Holt from University of Iowa. Music by A. A. Aalto.   For more information on the JPO Journal Club organized by Dr Liu, please contact Caroline Eaton from Advancing Pediatric Orthopaedics at ceaton@faportho.org.   To download the "What's the Skeletal Maturity" app for free, visit your device app store (Android currently undergoing upgrades, but available soon!)   Citations for papers discussed:   Moon TJ, Canitia E, Amakoutou K, et al. Prospective Multicenter Preliminary Validation of Limb Deformity-modified Scoliosis Instruments in Pediatric Patients With Limb Deformity. J Pediatr Orthop. 2024;44(3):e260-e266.   Furdock RJ, Sun KJ, Ren B, et al. The Reliability of the Modified Fels Knee Skeletal Maturity System. J Pediatr Orthop. 2024;44(2):e192-e196.   Nedder VJ, Chen KJ, May CC, Abzug JM, Liu RW. Developmental Anatomy of the Radial Bow in Pediatric Patients using 3D Imaging. J Pediatr Orthop. Published online February 23, 2024.   Catanzano, A. , Upasani, V. , Bryan, T. , Yaszay, B. & Newton, P. (2024). Breaking the Rules in Three Dimensions: What to Expect After a Thoracic-only Fusion With Structural Thoracic and Thoracolumbar Curves. Journal of Pediatric Orthopaedics, 44 (3), e242-e248.    Combs, K. & Kocher, M. (2024). US for Initial Diagnosis of a Suspected Distal Radial Fracture in Children Was Noninferior to Radiography for Arm Function at 28 Days. The Journal of Bone and Joint Surgery, 106 (4), 354. doi: 10.2106/JBJS.23.01337.   Tomasevich, Kelly M.a; Kantor, Adam H.a; Metz, Allan K.a; Hanson, Indiana T.b; Froerer, Devin L.c; Rosenthal, Reece M.a; Aoki, Stephen K.a. Mid-term outcomes of temporary medial distal femoral hemiepiphysiodesis with and without medial patellofemoral ligament repair for recurrent patellar instability in skeletally immature patients with genu valgum. Journal of Pediatric Orthopaedics B 33(2):p 119-129, March 2024.

Contributor: Taylor Lynch MD Educational Pearls Hypothermia is defined as a core body temperature less than 35 degrees Celsius or less than 95 degrees Fahrenheit  Mild Hypothermia: 32-35 degrees Celsius Presentation: alert, shivering, tachycardic, and cold diuresis Management: Passive rewarming i.e. remove wet clothing and cover the patient with blankets or other insulation Moderate Hypothermia: 28-32 degrees Celsius Presentation: Drowsiness, lack of shivering, bradycardia, hypotension Management: Active external rewarming Severe Hypothermia: 24-28 degrees Celsius Presentation: Heart block, cardiogenic shock, no shivering Management: Active external and internal rewarming Less than 24 degrees Celsius Presentation: Pulseless, ventricular arrhythmia Active External Rewarming Warm fluids are insufficient for warming due to a minimal temperature difference (warmed fluids are maintained at 40 degrees vs. a patient at 30 degrees is not a large enough thermodynamic difference) External: Bear hugger, warm blankets Active Internal Rewarming Thoracic lavage (preferably on the patient's right side) Place 2 chest tubes (anteriorly and posteriorly); infuse warm IVF anteriorly and hook up the posterior tube to a Pleur-evac Warms the patient 3-6 Celsius per hour Bladder lavage Continuous bladder irrigation with 3-way foley or 300 cc warm fluid Less effective than thoracic lavage due to less surface area Pulseless patients ACLS does not work until patients are rewarmed to 30 degrees High-quality CPR until 30 degrees (longest CPR in a hypothermic patient was 6 hours and 30 minutes) Give epinephrine once you reach 35 degrees, spaced out every 6 minutes ECMO is the best way to warm these patients up (10 degrees per hour) Pronouncing death must occur at 32 degrees or must have potassium > 12 References 1. 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care - Part 1: Introduction. Circulation. 2005;112(24 SUPPL.). doi:10.1161/CIRCULATIONAHA.105.166550 2. Brown DJA, Burgger H, Boyd J, Paal P. Accidental Hypothermia. N Engl J Med. 2012;367:1930-1938. doi:10.1136/bmj.2.5543.51-c 3. Dow J, Giesbrecht GG, Danzl DF, et al. Wilderness Medical Society Clinical Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia: 2019 Update. Wilderness Environ Med. 2019;30(4S):S47-S69. doi:10.1016/j.wem.2019.10.002 4. Kjærgaard B, Bach P. Warming of patients with accidental hypothermia using warm water pleural lavage. Resuscitation. 2006;68(2):203-207. doi:10.1016/j.resuscitation.2005.06.019 5. Lott C, Truhlář A, Alfonzo A, et al. European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances. Resuscitation. 2021;161:152-219. doi:10.1016/j.resuscitation.2021.02.011 6. Plaisier BR. Thoracic lavage in accidental hypothermia with cardiac arrest - Report of a case and review of the literature. Resuscitation. 2005;66(1):99-104. doi:10.1016/j.resuscitation.2004.12.024 Summarized by Jorge Chalit, OMSII | Edited by Meg Joyce & Jorge Chalit, OMSII  

We know cardiac surgery can seem a bit daunting on the surface. However, most surgeons will come across cardiac surgery patients at some point whether in the OR, ICU, ED, etc. As the FIRST cardiac surgery specialty team for Behind the Knife, we are excited to bring you episodes focused on high-yield topics to help you navigate common cardiac surgery challenges, discuss relevant literature to help you in practice, and help our listeners feel more comfortable around cardiac surgery patients.  In this episode we'll discuss mitral valve disease. We'll review important physiologic differences in patients with mitral valve disease, the most common surgical approaches to address mitral valve disease, and how to work up and address acute mitral regurgitation due to acute papillary muscle rupture.  Hosts:  - Jessica Millar, MD- PGY-5 General Surgery Resident, University of Michigan, @Jess_Millar15 - Aaron William, MD- Cardiothoracic Surgery Fellow, Duke University, @AMWilliamsMD - Nick Teman, MD- Assistant Professor of Thoracic and Cardiovascular Surgery, University of Virginia, @nickteman Learning objectives: - Understand the physiologic differences that occur with mitral valve stenosis and regurgitation.  - Understand the basic principles of mitral valve repair and replacement strategies.  - Understand the presentation, work-up, and acute management of acute mitral valve regurgitations due to acute papillary muscle rupture/MI.   For episode ideas/suggestions/feedback feel free to email Jessica Millar at: millarje@med.umich.edu **Introducing Behind the Knife's Trauma Surgery Video Atlas - https://app.behindtheknife.org/premium/trauma-surgery-video-atlas/show-content The Trauma Surgery Video Atlas contains 24 scenarios that include never-before-seen high-definition operative footage, rich, original illustrations, and practical, easy-to-read pearls that will help you dominate the most difficult trauma scenarios.

Jeremy is a 55 year old male who presents with numbness and tingling in both hands, loss of pain and temperature sensation in a glove-like distribution, and decreased grip strength. This patient MOST likely suffers from: A. Cervical radiculopathy B. Thoracic outlet syndrome C. Peripheral neuropathy D. Carpal tunnel syndrome LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Are you looking for a bundle of Coach K's Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Don't forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series.  Medtronic has a rich history of supporting surgical education, and we couldn't be happier that they chose to partner with Behind the Knife.  Learn more at https://www.medtronic.com/ Download our iOS and Android apps from your App Store.  You can easily search through our library of content, bookmark episodes for later and enjoy our premium content.  You can also take notes, pin chapters and download for off-line listening.     If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.   Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.