Podcasts about Triage

The process of determining the priority of patients' treatments based on the severity of their condition

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Latest podcast episodes about Triage

20/20 MONEY
The home loan balancing act: smart mortgage moves for optometry practice owners with Lee Raykovicz, OD

20/20 MONEY

Play Episode Listen Later May 26, 2025 66:38


Welcome to this episode of 20/20 Money! My guest on today's show is Lee Raykovicz, OD, a mortgage broker with Go Rascal Mortgages.   On today's episode we dive into what goes into the mortgage underwriting process, how practice owners can get creative when it comes to purchasing their homes, the details on what Physician loans actually are and how they work, how to think about the total DTI ratio when thinking about your mortgage & student loans, and ARM strategy ideas in today's rate environment.   As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that's filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. If you're interested in learning more about the 20/20 Money Financial Success Masterclass, a course & platform that we created to help ODs become “brilliant at the financial basics,” or are interested in learning more about how OD Masterminds creates space for real conversations, real accountability, and real growth, please check out the link in the show notes of this episode to learn more.   And with that introduction, I hope you enjoy my conversation with Lee Raykovicz.   Resources: 20/20 Money Ultimate Financial Success Masterclass OD Mastermind Interest Form Contact Lee   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

20/20 MONEY
REWIND: 3 financial lessons learned from my grandpa and grandma that can shape your relationship with money

20/20 MONEY

Play Episode Listen Later May 19, 2025 33:10


Welcome to this REWIND episode of 20/20 Money! Given that my grandpa just recently celebrated his 96th birthday, I wanted to bring back this episode and share it again for new and long-time listeners alike. It's also a subtle reminder about the importance of understanding longevity risk in one's financial plan. I can only imagine the unfortunate situation my grandpa would be in had he and my grandma not had a sound investment strategy that has allowed them to build up a portfolio that has lasted the entirety of his retirement.   On this episode, I wanted to share a bit of a personal story about 3 lessons that I learned from my grandparents that have in large part shaped the money story and lessons that have guided my financial journey and how I view and use money money in my life. I hope this conversations gives you a benchmark and different viewpoint to compare your own money values and purpose. If you feel like you don't have a grasp on your own money story and purpose, my hope is that it inspires you to start thinking intentionally about how you make spending and investing decisions with your dollars.   As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that's filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. If you're interested in learning more about the 20/20 Money Financial Success Masterclass, a course & platform that we created to help ODs become “brilliant at the financial basics,” or are interested in learning more about how OD Masterminds creates space for real conversations, real accountability, and real growth, please check out the link in the show notes of this episode to learn more.   Resources: 20/20 Money Ultimate Financial Success Masterclass OD Mastermind Interest Form   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

Prolonged Fieldcare Podcast
Prolonged Field Care Podcast 230: One Surgeon's Experience with the Resistance

Prolonged Fieldcare Podcast

Play Episode Listen Later May 19, 2025 21:05


Since the vast majority of you guys couldn't go to SOMSA '25, I'm bringing SOMSA '25 to you. Paul and I got our steps in this year and recorded a ton of presentations. These presentations with slides will only be available for subscription members...EnjoyIn this episode of the PFC Podcast, Dr. Jason Hiles discusses the challenges and strategies of providing medical care in unconventional warfare environments. He shares insights from his experiences in Southeast Asia, focusing on the importance of adaptability, community engagement, and training local medics to ensure sustainable healthcare practices in resource-limited settings. The conversation covers various surgical techniques, trauma management, and the significance of building trust within the communities served.TakeawaysThe need for trained personnel in war zones is critical.Adaptability in surgical techniques is essential in resource-limited environments.Community engagement fosters trust and improves healthcare access.Surgical care must be tailored to the specific needs of the environment.Triage and evacuation strategies are vital in managing war wounds.Training local medics ensures continuity of care after foreign personnel leave.Simplicity in medical kits can enhance operational efficiency.Understanding local customs and languages improves patient care.The impact of war on civilian health requires innovative solutions.Building relationships with local communities can lead to better health outcomes.Chapters00:00 Introduction to Unconventional Warfare Medicine03:12 Operational Challenges in Resource-Limited Environments06:07 Surgical Techniques and Patient Care in Conflict Zones09:00 Managing War Wounds and Trauma11:55 Triage and Evacuation Strategies15:10 Community Engagement and Building Trust18:14 Training Local Medics and Sustainable PracticesThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

Nurse Educator Tips for Teaching
Triage Tabletop Simulation for Developing Prioritization Skills

Nurse Educator Tips for Teaching

Play Episode Listen Later May 14, 2025 18:33


A tabletop simulation, called Triage Tabletop, was developed by Dr. Laura Liggett and Brandi Snow to offer acute care nurse practitioner (NP) students an opportunity to experience clinical decision-making when triaging patients in the hospital setting. They join us in this podcast to explain this teaching strategy. During an on-campus clinical immersion, students were divided into groups of 4 to 5 each to act as rounding hospitalist NPs with a census of 8 patients. The students worked together to determine the order in which they would visit their patients based on acuity while keeping other responsibilities in mind, such as attending scheduled interdisciplinary rounds. The students also received unexpected pages about changes in patients' conditions. Interested in developing this triage tabletop simulation? Read more about this sim in their teaching tip.

20/20 MONEY
Schedule management, pre-appointing, & the importance of listening to your practice w/ Dr. Chris Wolfe, OD

20/20 MONEY

Play Episode Listen Later May 12, 2025 39:22


Welcome to this episode of 20/20 Money! My guest on today's show is Dr. Chris Wolfe, OD.   Chris joins me back on the show to talk about why it's important to be intentional about the business decisions you make in your practice and make those decisions based on data and a plan. We talk about this concept through the lens of schedule management and how to think about pre-appointing your patients within a practice, and it's in part based off some listener feedback that I received almost a year ago.     As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that's filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. If you're interested in learning more about the 20/20 Money Financial Success Masterclass, a course & platform that we created to help ODs become “brilliant at the financial basics,” or are interested in learning more about how OD Masterminds creates space for real conversations, real accountability, and real growth, please check out the link in the show notes of this episode to learn more.   And with that introduction, I hope you enjoy my conversation with Dr. Chris Wolfe, OD.   Resources: 20/20 Money Ultimate Financial Success Masterclass OD Mastermind Interest Form Practice Performance Partners   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

Marketing Simple
Filtrado de leads 2.0: Call Confirmers / Triage y la venta se vuelve trámite

Marketing Simple

Play Episode Listen Later May 12, 2025 22:47


¿De qué trata el rol de Call Confirmer que implementamos en nuestro proceso de ventas? Nos permitió aumentar un 20% la tasa de cierre.-------Abiertas las inscripciones al programa de formación en marketing y ventas para dueños de PYMES. Más info y agenda una llamada aquí: https://app.danipresman.com/agenda

Robert Wilson
What Is Claims Triage, and Why Does It Matter in the First 24 Hours? A Practical Look at AI + HI™ in Early Injury Response

Robert Wilson

Play Episode Listen Later May 10, 2025 7:36


NHS England and NHS Improvement Podcast
Modern General Practice – Top tips for successful triage

NHS England and NHS Improvement Podcast

Play Episode Listen Later May 7, 2025 43:31


In this episode of the Transforming Primary Care podcast, a panel of practising GPs including Dr Minal Bakhai, Director for Primary Care and Community Transformation and Improvement at NHS England, discuss how new digital triage techniques within the Modern General Practice model have made a huge difference to both practices and patients. For more information about Modern General Practice visit: https://www.england.nhs.uk/gp/national-general-practice-improvement-programme/modern-general-practice-model/ A transcript of this episode is available on our website - https://www.england.nhs.uk/long-read/modern-general-practice-top-tips-for-successful-triage/

Digital Forensic Survival Podcast
DFSP # 481 Triage outside the Core

Digital Forensic Survival Podcast

Play Episode Listen Later May 6, 2025 20:08


In this week's episode, I dive into rapid triage techniques for non-core Windows executables to uncover signs of malicious activity.

20/20 MONEY
Increasing optical sales using influential communication with Kayla Ashlee (live on location from BCDO)

20/20 MONEY

Play Episode Listen Later May 5, 2025 64:28


Welcome to this episode of 20/20 Money! My guest on today's show is Kayla Ashlee.   Kayla joins me on the show to discuss how the communication cues (or miscues) that unknowingly are happening in your office can be both positively or negatively impacting your patient experience and thus influencing the buying decisions of your patients. She shared examples of good and not-so-good cues that can be happening across the patient journey—from the moment the patient comes into your office all the way through their optical buying experience. This was a very enjoyable and timely conversation given the relative proximity to the Frankenstein episode I did a couple of weeks ago, because as I said in that episode, one of the investments I would make in both myself and my team as early as possible is good sales and communication training...and this confirmation was an example of why it's so important.   As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that's filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. If you're interested in learning more about the 20/20 Money Financial Success Masterclass, a course & platform that we created to help ODs become “brilliant at the financial basics,” or are interested in learning more about how OD Masterminds creates space for real conversations, real accountability, and real growth, please check out the link in the show notes of this episode to learn more.   And with that introduction, I hope you enjoy my conversation with Kayla Ashlee.   Resources: 20/20 Money Ultimate Financial Success Masterclass OD Mastermind Interest Form Cues by Vanessa VanEdwards Spexy Stop the Walkouts Series 20/20 Frankenstein Episode ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

Prolonged Fieldcare Podcast
Prolonged Field Care Podcast: Tourniquet Conversion

Prolonged Fieldcare Podcast

Play Episode Listen Later May 2, 2025 48:58


This conversation delves into the critical aspects of tourniquet management in trauma care, focusing on the distinction between tourniquet conversion and replacement, the importance of resuscitation, and the physiological implications of prolonged tourniquet use. The speakers discuss techniques for safe conversion, the challenges faced in the field, and the assessment of limb salvageability, emphasizing the need for preparedness and patient assessment in high-stress environments. This conversation delves into the complexities of patient care in trauma situations, focusing on the challenges faced by medics in making critical decisions about limb salvage, managing acidosis, and understanding reperfusion injury. The speakers emphasize the importance of resuscitation, the need for adequate resources, and the moral dilemmas that arise in emergency medical situations. They provide practical advice for medics on how to navigate these challenges effectively while ensuring patient safety and care quality.TakeawaysTourniquet conversion is essential in trauma care.Understanding the difference between conversion and replacement is crucial.Resuscitation is a key factor before converting a tourniquet.The two-hour mark for tourniquet use is based on physiological considerations.Prolonged tourniquet time can lead to significant metabolic issues.Be prepared for reperfusion injury when converting a tourniquet.Confidence in tourniquet conversion skills is often lacking among providers.Patient assessment is critical before converting a tourniquet.Limb salvageability can vary and should be assessed carefully.The decision to convert a tourniquet should prioritize patient stability. Imperfect situations require difficult decisions in patient care.Triage decisions are crucial when resources are limited.Resuscitation is the primary goal in trauma care.Understanding reperfusion injury is essential for medics.Managing acidosis can significantly impact patient outcomes.Blood transfusions are critical in trauma situations.Medics must be prepared for potential complications.Always monitor and assess the patient's condition continuously.Reading medication labels is vital for safe practice.Confidence in converting tourniquets is essential for medics.Chapters00:00 Introduction to Tourniquet Management02:56 Understanding Tourniquet Conversion vs. Replacement06:10 Resuscitation Goals and Tourniquet Timing08:58 Physiological Implications of Prolonged Tourniquet Use11:47 Techniques for Safe Tourniquet Conversion15:09 Challenges in Tourniquet Management17:53 Assessing Limb Salvageability and Patient Stability25:44 Navigating Imperfect Situations in Patient Care30:32 Triage Decisions: When to Save a Limb31:03 Understanding Reperfusion Injury and Its Challenges35:43 Managing Acidosis in Trauma Patients46:34 Advice for Medics: The Importance of ConversionThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

EMRA*Cast
War Zone Medicine

EMRA*Cast

Play Episode Listen Later May 1, 2025 34:17


In this episode of EMRA*Cast's "Bridging Health and Humanity" series, host Natalie Hernandez, MD, MPH, speaks with Aslam Akhtar, MD, PhD, a fourth-year EM resident at Harbor UCLA, about his experience volunteering on a medical mission trip to Northern Gaza.

Wessex LMCs Podcasts
Implementing Smart Triage

Wessex LMCs Podcasts

Play Episode Listen Later Apr 30, 2025 25:19


This is the second in our series on Innovation led by Jenny Partridge, Innovation Manager at Health Innovation Kent Surrey Sussex. Smart triage is one solution to the problem faced in general practice of balancing patients' clinical needs with practice clinical capacity. It is a way of automating the triage process, allocating patient appointments based on their clinical need and approved patient pathway, saving clinical and admin time in the triage and reception process. This podcast discusses why you might consider implementing smart triage, how you could justify it, and shares some tips for implementation. Hear from Cathie Sims, a practice manager who implemented a smart triage system recently and the positive impact this has had on her practice, both for patients and staff. Dan Ferrett, a Practice Manager & Practice Manager Supporter, is considering smart triage & explores the concerns about making such a change, including patient safety, accessibility for all patients and data security questions. Automation of admin tasks – examples of products & further reading BetterLetter  GP Automate Healthtech1  Rapid Health Case study: Transforming primary care access and efficiency through Smart Triage An evaluation of Rapid Health's Smart Triage at The Groves Medical Centre eGPlearning – eGPlearning (episodes 488 & 489) Administrative triage using digital tools in General Practice – elearning for healthcare Digital Resources Hub | Health Innovation Wessex Innovation Portal – Health Innovation South West

20/20 MONEY
Let's RAGE!!! (a Rant Against Growth Excuses) with Nathan Hayes

20/20 MONEY

Play Episode Listen Later Apr 28, 2025 68:46


Welcome to this episode of 20/20 Money! My guest on today's show is Nathan Hayes with Books & Benchmarks and IDOC. On this show, Nathan and I RAGE!! That's right, we Rant Against Growth Excuses. We talk about the common headwinds, obstacles, and challenges that we both hear when talking with practice owners...and how to think about solving those issues by thinking differently about the challenges.   As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that's filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. If you're interested in learning more about the 20/20 Money Financial Success Masterclass, a course & platform that we created to help ODs become “brilliant at the financial basics,” or are interested in learning more about how OD Masterminds creates space for real conversations, real accountability, and real growth, please check out the link in the show notes of this episode to learn more.   And with that introduction, I hope you enjoy my conversation with Nathan Hayes.   Resources: IDOC Books & Benchmarks Link How to increase the multiplier in your practice value with Nathan Hayes How to use (and NOT use) benchmarks with Nathan Hayes Edging in-house vs outsourcing: the economics, trade-offs, and data an optometric practice needs to measure with Drs. Jennifer Stewart, OD & Sam Hornberger, OD Forget goal-setting and focus on purpose: a mindset conversation with Stephanie Bogan 10x Is Easier Than 2x: How World-Class Entrepreneurs Achieve More by Doing Less Extreme Ownership: How U.S. Navy SEALs Lead and Win 20/20 Money Ultimate Financial Success Masterclass OD Mastermind Interest Form ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

20/20 MONEY
Live from NSUOCO: Top 10 Tips for (Financial) Success for Optometrists

20/20 MONEY

Play Episode Listen Later Apr 21, 2025 78:10


Welcome to this episode of 20/20 Money! This week's episode is the recording of my presentation at NSUOCO, titled "Top 10 Tips for (Financial) Success for Optometrists."   Over the course of the year, I'm privileged to present in front of a variety of optometry schools' private practice clubs and classes. The purpose of the presentation is to help ODs understand the ABCs and 123s of personal finance and how to better understand the business of optometry so that, upon graduation, they are able to make educated and informed decisions about their money. Given that the content and lessons are pretty evergreen, I thought this would be a good "refresher" episode for listeners of the show—young and "seasoned" alike. Even though you won't have the Powerpoint deck to follow along, I tried to present the content in a way that would transfer well to the podcast. Special shout out to my producer Kyle for working his magic with the audio as well as Corbin Lill, a student at NSUOCO, for having me. If you are either in school or connected to a school and would like me to do a similar presentation, please email me at podcast@integratedpwm.com.   As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that's filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. If you're interested in learning more about the 20/20 Money Financial Success Masterclass, a course & platform that we created to help ODs become “brilliant at the financial basics,” or are interested in learning more about how OD Masterminds creates space for real conversations, real accountability, and real growth, please check out the link in the show notes of this episode to learn more.   And with that introduction, I hope you enjoy my live presentation from NSUOCO.   Resources: 20/20 Money Membership Information OD Mastermind Interest Form   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

Beau of The Fifth Column
Let's talk about Trump vs Powell_ economic triage edition....

Beau of The Fifth Column

Play Episode Listen Later Apr 20, 2025 4:15


Let's talk about Trump vs Powell_ economic triage edition....

City Cast Madison
Broadway Comes To Madison, City Clerk Resigns, and Urban Triage Speaks Out

City Cast Madison

Play Episode Listen Later Apr 18, 2025 36:23


Happy Friday! The City Cast Madison team is here with another Friday news roundup — but this time with a twist. Cap Times food and culture editor Lindsay Christians joins the show to give a sneak peek at the Overture Center's 2025-26 season. Newsletter editor Rob Thomas gives an update on Madison's city clerk and executive producer Hayley Sperling digs into the questions surrounding the county's contracts with local nonprofit Urban Triage.   Wanna talk to us about an episode? Leave us a voicemail at 608-318-3367 or email madison@citycast.fm. We're also on Instagram!  Want more Madison news delivered right to your inbox? Subscribe to the Madison Minutes morning newsletter.  Looking to advertise on City Cast Madison? Check out our options for podcast and newsletter ads.  Learn more about the sponsors of this April 18th episode: Prolonlife.com/city - Use this link for 15% off Jones Dairy Farm Goodman Community Center District Council of Madison Out Professional Engagement Network Learn more about your ad choices. Visit megaphone.fm/adchoices

Prolonged Fieldcare Podcast
Scare them into saving lives. PFC Podcast225: Mastering Triage

Prolonged Fieldcare Podcast

Play Episode Listen Later Apr 17, 2025 1:47


Nobody can run this alone; Unit buy-in is essential.Link to full podcast:⁠https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-care-Podcast-225-Mastering-Triage-e31er64⁠Thank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

Prolonged Fieldcare Podcast
Not everyone is coming to help. PFC Podcast 225: Mastering Triage

Prolonged Fieldcare Podcast

Play Episode Listen Later Apr 16, 2025 2:43


MASCALs are not solely a medical problem.Link to full podcast:⁠https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-care-Podcast-225-Mastering-Triage-e31er64⁠Thank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

Prolonged Fieldcare Podcast
Quick Assessments and Snap Decisions save lives. PFCPodcast225: Mastering Triage

Prolonged Fieldcare Podcast

Play Episode Listen Later Apr 15, 2025 2:56


Start with the basics...Like REAL basic.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-care-Podcast-225-Mastering-Triage-e31er64Thank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

20/20 MONEY
My Frankenstein practice: how I would assemble the perfect optometry practice

20/20 MONEY

Play Episode Listen Later Apr 14, 2025 60:11


Welcome to this episode of 20/20 Money! What would I do if I were starting an optometric practice from the ground up? A listener posed the question—and I went deep. In this episode, I walk through everything from choosing the right location (hint: geography is everything) to building the skills that matter most when you're just getting started. We cover:   Why defining your Ideal Patient Avatar (IPA) is mission-critical The underrated value of sales coaching and communication training Why I'd buy a small-town practice instead of cold-starting in suburbia The non-negotiables when assembling your professional advisory team   Whether you're dreaming about opening your own practice or wondering how you'd do it differently if you had a do-over, this episode is full of real-world insight and practical advice. As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that's filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. Lastly, if you're interested in learning more about the 20/20 Money Financial Success Masterclass, a course & platform that we created to help ODs become “brilliant at the financial basics,” please check out the link in the show notes of this episode to learn more.   Resources: 20/20 Money Membership Information OD Masterminds Request Form Tim Ferriss Fear Setting Jen Stewart from IDOC 2024   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

Prolonged Fieldcare Podcast
Prolonged Field care Podcast 225: Mastering Triage

Prolonged Fieldcare Podcast

Play Episode Listen Later Apr 14, 2025 58:38


In this episode of the PFC podcast, Dennis, Andrew, and Rick delve into the critical topic of triage in emergency medicine. They explore the complexities of triage during mass casualty situations, emphasizing the importance of quick decision-making and prioritization of patient care. Andrew shares his experiences as an emergency medicine physician, highlighting the chaotic nature of triage and the necessity of using intuitive methods to assess patients effectively. The conversation covers various triage categories, techniques, and the significance of clinical judgment in determining patient needs during emergencies. This conversation delves into the complexities of triage in emergency medical situations, emphasizing the importance of decision-making under pressure, the role of medical leadership, and the integration of security measures. The speakers discuss the dynamic nature of triage, the ethical dilemmas faced in resource allocation, and the necessity of effective communication and collaboration among medical teams and command structures during mass casualty events. This conversation delves into the complexities of triage in high-pressure medical situations, particularly in military contexts. The speakers discuss the importance of effective training, the management of mass casualty scenarios, and the need for a comprehensive approach that includes both medical and non-medical personnel. They emphasize the necessity of adapting training to reflect real-world challenges and the importance of leadership in ensuring successful outcomes during emergencies.TakeawaysTriage is never perfect; it's chaotic and unpredictable.Use the simplest methods for triage in emergencies.Identify who is dying now versus who is stable.Focus on life-saving interventions first.Triage is a continuous process, not a one-time event.Utilize all available resources during a mass casualty.Clinical judgment is crucial in triage decisions.Trust your instincts when assessing patient urgency.Most patients in mass casualty scenarios are routine or priority.Effective communication and organization are key in triage situations. Triage decisions must be made quickly and efficiently under pressure.Assessing patient stability is crucial for effective resource allocation.Medical leaders must maintain situational awareness during triage.Communication between medical and non-medical leaders is essential.Security measures must be integrated into medical response plans.Triage is a dynamic process that requires constant reassessment.Ethical dilemmas arise when deciding how to allocate limited resources.Collaboration with surgical teams is vital for patient outcomes.Training should address both medical and security aspects of triage.Effective management of patient flow can improve overall care during crises. Triage in high-volume situations requires strategic patient distribution.Chapters00:00 Introduction to Triage and Its Importance03:05 Understanding Triage Categories09:01 Triage Techniques and Strategies11:59 Evacuation Categories and Decision Making14:59 Clinical Judgment in Triage21:20 Assessing Patient Stability and Resource Allocation25:19 Security Considerations in Mass Casualty Events29:27 Integrating Security and Medical Response38:50 Triage in High-Volume Situations41:53 Managing Mass Casualty Scenarios44:48 Command and Control in Triage45:57 Defining Success in Mass Casualty Training51:05 Improving Triage Processes57:59 Final Thoughts on Triage and Training Thank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

Prolonged Fieldcare Podcast
It's going to be chaos! PFC Podcast 225: Mastering Triage

Prolonged Fieldcare Podcast

Play Episode Listen Later Apr 13, 2025 3:08


Posting tomorrow...If everything is going well...it's probably not a MASCAL.Thank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

The Satori Lifestyle Podcast
Ep. 46 | Satori Masters Podcast | Student Triage & More | Feat. Andy Crittenden

The Satori Lifestyle Podcast

Play Episode Listen Later Apr 11, 2025 30:23


Learn tips, tricks, and insights from the best and brightest business owners and entrepreneurs in the martial arts community, so you can successfully build and grow your martial arts business while living your life “at your best.” - In this episode Dave Kovar talks with good friend Andy Crittenden about Student Triage and more! -- For information on Kovar Systems: www.kovarsystems.com

Digital Forensic Survival Podcast
DFSP # 477 SSH Triage

Digital Forensic Survival Podcast

Play Episode Listen Later Apr 8, 2025 18:17


In this episode, our focus is on understanding how attackers achieve lateral movement and persistence through Secure Shell (SSH)—and more importantly, how to spot the forensic traces...

20/20 MONEY
Can we PLEASE agree on some numbers (and the KPIs that influence them)??

20/20 MONEY

Play Episode Listen Later Apr 7, 2025 39:17


Welcome to this episode of 20/20 Money! In this episode, we tackle the confusion around key financial numbers in your optometric practice and why it's critical to have a common understanding of their definitions. From gross COLLECTED revenue, cost of goods sold, and net operating income, we explore the most important KPIs that influence your bottom line. Whether you're looking to grow, improve efficiency, or just understand your business better, this conversation will help you create a clearer, more actionable financial dashboard.   We dive into:   Why “collections” and “gross revenue” are not the same thing The 3-5 core numbers every practice owner should track consistently How to think about net income in your practice as both the clinician and the owner   Stop guessing. Start tracking what actually matters.   As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that's filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. Lastly, if you're interested in learning more about the 20/20 Money Financial Success Masterclass, a course & platform that we created to help ODs become “brilliant at the financial basics,” please check out the link in the show notes of this episode to learn more.   Resources: 20/20 Money Membership Information OD Masterminds Information Request   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!  

The Skeptics Guide to Emergency Medicine
SGEM#471: Are ESI Levels Accurate for Triage of Pediatric Patients?

The Skeptics Guide to Emergency Medicine

Play Episode Listen Later Apr 5, 2025 26:19


Reference: Sax DR, et al. Emergency Severity Index Version 4 and Triage of Pediatric Emergency Department Patients. JAMA Pediatrics, October 2024 Date: February 12, 2025 Guest Skeptic: Dr. Brandon Ho is a graduating pediatric emergency medicine fellow at Children's National Hospital in Washington DC and soon to be attending physician at Seattle Children’s. His research […] The post SGEM#471: Are ESI Levels Accurate for Triage of Pediatric Patients? first appeared on The Skeptics Guide to Emergency Medicine.

Thinking About Ob/Gyn
Episode 9.7 OB Triage Essentials (plus The Pitt)

Thinking About Ob/Gyn

Play Episode Listen Later Apr 3, 2025 61:45 Transcription Available


This episode features our favorite podcast ninja, Dr. Maddie White. She and Howard discuss how medical dramatizations misrepresent obstetric emergencies (yes, we are watching The Pitt). Then, we dissect evidence-based approaches to common triage scenarios including labor evaluation, rupture of membranes, and preterm labor assessment.• Television shows like "The Pitt" and "ER" portray shoulder dystocia and postpartum hemorrhage inaccurately, lacking proper urgency and technique• Hospital-based labor triage often costs approximately 10 times more than office-based evaluation, often without clinical benefit• Understanding pretest probability fundamentally changes how test results should be interpreted for suspected rupture of membranes• Most expensive tests like Amnisure (>$500) provide minimal additional value over traditional approaches when interpreted properly• Evidence doesn't support routine use of fetal fibronectin testing in preterm labor evaluation• We discuss universal cervical length screening for prevention of preterm labor in the midtrimester and later in pregnancy for evaluation of threatened preterm labor00:00:53 Critiquing Obstetric Emergencies in TV Shows00:10:13 Proper Management of Shoulder Dystocia00:14:52 Postpartum Hemorrhage Management Approaches00:19:59 Evaluating Term Labor Complaints00:25:35 Rupture of Membranes Testing Strategies00:34:12 Understanding Test Probability and Performance00:42:26 Cervical Length Screening Evidence00:51:23 Preterm Labor Triage Tools01:00:23 Concluding Thoughts on Evidence-Based PracticeFollow us on Instagram @thinkingaboutobgyn.

The Resus Room
April 2025; papers of the month

The Resus Room

Play Episode Listen Later Apr 1, 2025 33:24


Welcome back to April's Papers of the Month! First up this month we have a think about posterior circulatory strokes, which can mimic benign vertigo, and can be really tricky to differentiate between a completely benign issue or a stroke that is really important to pick up. Clearly imaging everyone is one option but completely impractical when you consider the gold standard of MRI. So having a bedside tests to rule in or out the diagnosis of stroke would be a huge help. Our first paper looks at the use of three bedside scoring systems; HINTS, TriAGe+ and ABCD2 scores in ED for patients presenting with possible posterior circulatory strokes. How accurate are they and can we reliably incorporate into our practice? Next up is traumatic cardiac arrest. This has obviously got a very high mortality rate. One of the interventions that might improve mortality (for some mechanisms and patients) is a resuscitative thoracotomy, however this is a really significant intervention and we want to ensure we are targeting it at the patients that may benefit. A great paper has just been published from London Air Ambulance which might just help us to identify those patients who would benefit with more certainty, along with those where futility has already been reached. Finally we take a look at acute kidney injury (AKI) and its association contrasted scans. Contrast induced nephropathy (CIN) has historically been a concern, particularly for patients with chronic kidney disease, with contrast causing direct injury and limited blood flow. But recent studies have questioned the actual risk of CIN & there's been a more recent RCEM statement on the topic, but we thought this might be a nice opportunity to refresh and look at a recent paper on the topic. Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon & Rob

20/20 MONEY
An update on Taxes 101: Understanding tax brackets, deductions, and credits for optometric practice owners

20/20 MONEY

Play Episode Listen Later Mar 31, 2025 48:38


Welcome to this episode of 20/20 Money! In today's episode, we're diving into the details of your tax return—beyond just whether you got a refund. We'll break down the difference between deductions and credits, how our tax brackets work, why you should focus on Line 24—your total tax paid—instead of Lines 34 or 37, and what Line 38 might be telling you about penalties and interest. We'll also highlight common areas for errors, clarify how the QBI deduction applies depending on your income level, and walk through important forms like Form 8960 for NIIT cancelation, Form 8889 for HSAs, and the health insurance deduction.   As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that's filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. Lastly, if you're interested in learning more about the 20/20 Money Financial Success Masterclass, a course & platform that we created to help ODs become “brilliant at the financial basics,” please check out the link in the show notes of this episode to learn more.   Resources: 20/20 Money Membership Information OD Masterminds Information Request 20/20 Episode #332 - Difference between Saving & Deferring Taxes Planning for the QBI (199A) Deduction in your practice Review of Optometric Business 199A Article   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.

This week, Aebhric O'Kelly talks with Francois Duquette, a Quebec nurse who shares his unique experiences working in remote northern communities. He discusses the challenges of providing emergency care without immediate physician support, adapting nursing practices, and using technology like point-of-care ultrasound in austere environments. Francois recounts intense experiences, including multiplemedevacs and critical patient care situations, emphasising the need for continuous learning and training in unpredictable scenarios. He also offers valuable advice for new medics and nurses entering the field. TakeawaysFrancois has a diverse academic backgroundin political science and health law.He has worked in emergency care and remotenursing since 2017.Nurses in northern Quebec often workwithout immediate physician support.Adaptation of nursing practice is crucialin remote areas.Francois emphasizes the importance oftriage in emergency situations.Technology like POCUS is limited in remotehealthcare settings.Francois shares intense experiences fromhis nursing career.Continuous learning is essential forhealthcare professionals in austere environments.Language skills enhance communication andpatient respect in healthcare.Francois encourages new medics to embracechallenges and keep learning.Chapters00:00 Introduction to Francois Duquette01:53 Emergency Nursing in Remote Areas05:50 Challenges of Medical Practice Without Immediate Support09:50 Utilising Technology in Remote Healthcare13:55 Intense Experiences in Northern Nursing22:07 The Reality of Triage in Austere Environments28:03 Lessons Learned from High-Pressure Situations33:53 The Importance of Continuous Learning in Nursing39:59 Advice for New Medics and Nurses

20/20 MONEY
The Art of Delegation from a practice owner's perspective with Dr. Ted McElroy, OD

20/20 MONEY

Play Episode Listen Later Mar 24, 2025 58:05


Welcome to this episode of 20/20 Money! My guest on today's show is Dr. Ted McElroy, OD. Ted and I share in a conversation that's on the heels of a 2 hour CE session I did at SECO 2025, which was titled The Art of Delegation. We talk through why practice owners get stuck on delegation, ways to think about becoming more comfortable delegating, the true cost of NOT delegating, and some NBSs for you to think about around this very important topic.   As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that's filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. Lastly, if you're interested in learning more about the 20/20 Money Financial Success Masterclass, a course & platform that we created to help ODs become “brilliant at the financial basics,” please check out the link in the show notes of this episode to learn more.   And with that introduction, I hope you enjoy my conversation with Dr. Ted McElroy, OD.   Resources: 20/20 Money Membership Information   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

Last In Line Leadership
EP447 “Christian” or CHRIST-FOLLOWER | 3 TIPS FOR SPIRITUAL TRIAGE

Last In Line Leadership

Play Episode Listen Later Mar 20, 2025 40:59


WE ALL NEED TO STAND UP AND PUT OURSELVES ON NOTICE OF THIS “CHRISTIAN” STIGMANICE GUY NUANCEPLEATS AND PLEASANTRIESPRESSED AND PATRONIZING DIFFERENCES APATHY VS AGGRESSION CONTENTMENT VS CONVICTION CONFORMITY VS CALL OUT FEAR VS FERVOR AMBASSADORSHIP REPRESENTS OR PROMOTES A BODY OR ENTITY 3 TIPS FOR TRIAGEWHO IS LORD COMPARTMENTALIZE SIN SIN WITHOUT REPENTANCE SELF-INDULGENCE OVER SPIRIT LEADWHY DO IT SOCIETAL ACCEPTANCE CHECKS A BOX SPIRITUAL SLOT MACHINEWHERE IS THE EVIDENCE HEART CONDITION FRUIT DOESN'T REFLECT THE VINE TWO WORLDS - M-Sat REMEDY SOLD OUT WORSHIP SOLD OUT SERVICE SOLD OUT DAILY DEATH

20/20 MONEY
The difference between saving vs deferring taxes

20/20 MONEY

Play Episode Listen Later Mar 17, 2025 47:56


In this episode, we break down the common misconception that tax deferral is the same as tax savings—spoiler alert: it's not. We discuss how strategies like funding retirement plans, loss harvesting, and depreciation only push taxes into the future, while true tax savings come from tools like QCDs, business deductions, and Roth account growth. We explore when deferring taxes makes sense, and when it might actually cost you more in the long run.   As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that's filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. Lastly, if you're interested in learning more about the 20/20 Money Financial Success Masterclass, a course & platform that we created to help ODs become “brilliant at the financial basics,” please check out the link in the show notes of this episode to learn more.   Resources: 20/20 Money Membership Information OD Masterminds Information Request The Augusta Rule 20/20 Money Episode #319 – Year-End Tax Planning Concepts & Strategies to Minimize Tax Stress with JR Armstrong, CPA   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

FreedHearts
Triage the Chaos So We Can Be Prepared & Effective

FreedHearts

Play Episode Listen Later Mar 12, 2025 35:59


Has the world gone crazy? Has this country gone crazy? Feels like it for sure. Do you feel like maybe you're crazy busy, stressed and overwhelmed? Yeah, me too. We talked about everything that is happening – the news and developments we are being bombarded with.  Coming at us so fast it's hard to process it all. Which we pointed out is by design.And all the gaslighting when we confront things out and fight back. Maddening.  Let's talk about how to handle so much happening so fast -- how to process it and how to best deal with it as much as possible, so we can be more effective in our resistance and our response, while not losing our hope and joy. Send us a private message. *Note: INCLUDE YOUR EMAIL ADDRESS if you'd like us to answer. :-) Support the show

eGPlearning Podblast
Total Triage with Accurx

eGPlearning Podblast

Play Episode Listen Later Mar 12, 2025 67:37


Find out more and the quick start guide here:   https://link.accurx.com/JourneyToEfficientTriageBoost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Subscribe and hear the latest EPIC episode. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse

Grounded with Steve Hartland
What is Theological Triage? - Grounded Ep. 62

Grounded with Steve Hartland

Play Episode Listen Later Mar 12, 2025 28:03


How do we make sense of what Theological issues are worth disputing over? That's the premise behind Theological Triage. We should use wisdom and consider which hills we should stand on. We hope and pray that Grounded has become a useful and regular part of your Christian learning and growth! - the Grounded team Would you like to know one of the best ways to help our ministry? Telling others about Grounded, it's one of the very best ways to help us to grow!

20/20 MONEY
Fractional Services like a CMO with Daniel Palmer

20/20 MONEY

Play Episode Listen Later Mar 10, 2025 45:36


Welcome to this episode of 20/20 Money! My guest on today's show is Daniel Palmer. Daniel joins me back on the show to talk through a growing service and role in small businesses (optometry included), which is the Fractional C*O service. I use the * to depict the fact that this role could be Chief Operating, Marketing, Information/Technology, and yes Financial Officer. We talk about the differences between a consultant and a fractional C*O and how to think about each of those roles in your organization, how a practice can think about if & when they're ready to add that relationship to their leadership team, and the value that this role should be providing in an organization.   As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that's filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. Lastly, if you're interested in learning more about the 20/20 Money Financial Success Masterclass, a course & platform that we created to help ODs become “brilliant at the financial basics,” please check out the link in the show notes of this episode to learn more.   And with that introduction, I hope you enjoy my conversation with Daniel Palmer.   Resources: 20/20 Money Masterclass Information   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

Dispatch in Depth
Priority Solutions Inc: Secondary Triage with History with Dr. Conrad Fivaz

Dispatch in Depth

Play Episode Listen Later Mar 5, 2025


Dr. Conrad Fivaz, President, returns to talk about Priority Solutions, Inc., the creator of technology and systems for over-the-phone nurse and clinical triage. He talks about new developments and aspects to consider when looking at implementing an emergency nurse triage system.For Your Information:Check out the PSI website: https://prioritysolutionsinc.com/

20/20 MONEY
Making good decisions (and avoiding costly mistakes) when purchasing optometry equipment w/ Rick Norwood

20/20 MONEY

Play Episode Listen Later Mar 3, 2025 47:30


Welcome to this episode of 20/20 Money! My guest on today's show is Rick Norwood, founder & President of Norwood Device & Diagnostics. Rick joins me on the show to talk through an often-discussed topic in practice ownership, and that is the responsible purchasing of equipment. We talk through how practice owners should evaluate various suppliers, the cadence and frequency of replacing and upgrading your equipment, and how to avoid purchasing "buyer's remorse" through the process.   As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that's filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. Lastly, if you're interested in learning more about the 20/20 Money Financial Success Masterclass, a course & platform that we created to help ODs become “brilliant at the financial basics,” please check out the link in the show notes of this episode to learn more.   And with that introduction, I hope you enjoy my conversation with Rick Norwood.   Resources: 20/20 Money Masterclass Information Norwood Device & Diagnostics   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify Google Podcasts Stitcher  ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!  

Apologue Podcast
#381 Ben from The Real Sickies

Apologue Podcast

Play Episode Listen Later Feb 27, 2025 56:19


Edmonton's pop-punk powerhouse Real Sickies are set to release their fifth full-length album, Under a Plastic Bag, on March 14, 2025, via Stomp Records. The album's first advance single, “Triage,” is out now, offering an electrifying glimpse into the band's knack for blending raw punk energy with sharp, melodic hooks. Known for their relentless touring and infectious anthems, Real Sickies have cemented their status as a standout act in the global punk scene, with even Billie Joe Armstrong of Green Day calling them his favorite Canadian punk band. “Triage” embodies the chaos and resilience central to the band and their new album. Inspired by a harrowing car accident Ben Disaster and his family survived after returning from a European tour, the track reflects a surreal mix of panic and perseverance. After their car flipped on black ice, Ben and his wife emerged unharmed, finding their dogs casually on the highway. “As much as we wanted to go home, we went ice fishing as the shock wore off,” Ben recalls. This experience fueled the song, which took shape under producer Joshua Wells. “Josh really helped bring it to life. It wasn't complete until we let it out in the studio—it's chaos, but real. It asks, ‘What do you fix first?'” The accompanying video, directed by Jesse Nash, adds frenetic creativity with miniature models handcrafted by Ben, including a matchstick airplane and a glitter-covered Titanic. “It was so much fun,” Ben says. “Alvin and Snobs—our two stars—were tough but nailed it. The process also made me reflect on the album's environmental themes. We documented it all to avoid repeating it. The video is a deep dive into the psyche, asking again, ‘What do you fix first?'” This new album also marks a shift in the band's sonic landscape, embracing new wave, power pop, and indie influences. The band recorded with renowned producer Josh Wells (Autogramm, Black Mountain), who is known for using classic gear and recording equipment to capture the true essence of these genres. Wells' stamp is all over the album, shaping its sound with his meticulous approach to creating authentic new wave textures and power pop hooks. Discussing the first single, Wells said, “This song reminds me, at first, of being on adderall. Random thoughts, itchy eyes, the urge to rock really fast. But then, the song settles into a sick, focused motorik jam. Here we get some alien percussion floating down from another universe to join in and rocket ahead. For a moment, the human jam fuses with the aliens, but then the relationship deteriorates, the humans get mad and break out, the whole thing ending with a total meltdown.” D I S C O V E RBandcamp: https://realsickies.bandcamp.com/Instagram:https://www.instagram.com/realsickies/Youtube:https://youtube.com/stomprecordscanadaLabel: https://stomprecords.com/bands/real-sickies/Facebook:https://www.facebook.com/@therealsickies/Spotify:https://open.spotify.com/artist/69zOtixHikb7pSLZGKYYRN?si=GZODBBr-TIaaF7n5d33HFA This Episode is brought to you by..Go to BETTERHELP.com/apologue for confidential online counselling.use the code word Apologue for a 7 day free trial Checkout my YouTube Channel with long form interviews from the Subversives | the History of Lowest of the Low. A weekly release on Tuesdays .https://www.youtube.com/@simonhead666 Pledge monthly with Patreon https://www.patreon.com/apologueShop Apologue products at http://apologue.ca/shopCheck out new Four Square Here: https://distrokid.com/hyperfollow/foursquare/brighton-beach-ephttps://distrokid.com/hyperfollow/foursquare/seven-oh-sevenhttps://distrokid.com/hyperfollow/foursquare/industry-at-home--21st-anniversary-remix-remasteredhttps://distrokid.com/hyperfollow/foursquare/when-weeks-were-weekends

The Bay
Can SF's New Triage Centers Help Solve the Addiction Crisis?

The Bay

Play Episode Listen Later Feb 26, 2025 20:37


A new “triage center” in San Francisco's South of Market neighborhood opened in early February. It's one of Mayor Daniel Lurie's first tangible initiatives to address the city's fentanyl crisis as he embarks on his first year in office. A second center is also planned in the Tenderloin. KQED's Sydney Johnson visited the new center and tells us what she saw. This episode was produced by Jessica Kariisa, Mel Velasquez, and Tessa Paoli, and guest hosted by Alan Montecillo. Learn more about your ad choices. Visit megaphone.fm/adchoices

Rabbi Moshe Walter's Podcast
Halachah From The Parshah Series: Parshas Vayishlach - The Vaccine And Triage Decisions In Halachah

Rabbi Moshe Walter's Podcast

Play Episode Listen Later Feb 26, 2025 27:46


Halachah From The Parshah Series: Parshas Vayishlach - The Vaccine And Triage Decisions In Halachah 11/29/2020

20/20 MONEY
Edging in-house vs outsourcing: the economics, trade-offs, and data an optometric practice needs to measure with Drs. Jennifer Stewart, OD & Sam Hornberger, OD

20/20 MONEY

Play Episode Listen Later Feb 24, 2025 74:43


Welcome to this episode of 20/20 Money! My guests on today's show are Drs. Jennifer Stewart & Sam Hornberger, both private practice owners in their respective practices.   Sam and Jennifer join me on the show to talk about a topic that admittedly, in over 300 episodes of 20/20 Money, I haven't talked about yet: edging and the decisions around whether to bring edging in-house or continue to outsource it to your lab. We talk through how each of them made the decision to bring edging in-house—Sam making the decision after years of outsourcing it to a lab and Jennifer making the decision within the first year of launching her cold start practice. They give a peek behind the curtains on how vision plans influence the decision, the specific edgers each of them have in their practice, the economic benefits they've experienced, and how they use it as a unique differentiator and value-add to their respective patient bases.   As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that's filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. If you're interested in learning more about the 20/20 Money Financial Success Masterclass, a course & platform that we created to help ODs become “brilliant at the financial basics,” please check out the link in the show notes of this episode to learn more.   And with that introduction, I hope you enjoy my conversation with Drs. Sam Hornberger & Jennifer Stewart, OD.   OD Masterminds™ Information Request   Resources: 20/20 Money Membership Information Episode #256: Successful Implementation of VT in your practice with Dr. Heidi Bell OVDRA Cherry Financing Emergent VT Training Platform for Vision Therapists     ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify Google Podcasts Stitcher  ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

X-Men Horoscopes
Phillip Sevy: Rogue's First Hero Moment - Uncanny X-Men 173

X-Men Horoscopes

Play Episode Listen Later Feb 20, 2025 64:03


Welcome true believers to X-Men Horoscopes where each week our host Lodro Rinzler is in conversation with a special guest to discuss the X-Men issue that aligns with a significant month and year from their life and what that issue reveals about their future. Amazing comic artist Phillip Sevy joins us this week for a beautiful X-Men Go To Japan issue! That's right, Phillip's birth month and year issue coincides with Uncanny X-Men 173, where, right before he gets married, Wolverine and his sidekick Rogue take on the majority of Japan's underworld to save the X-Men and his bride. Also in this episode: we delve into Philips artistic influences Wolverine is a badass Phillip's Claremontian words vs art theory Lodro thought ninja sais would be more of a thing as an adult we review the range of comic book injuries from "looking tired" to "blast energy on your chest" Cyclops is bad at introducing his girlfriends Lilandra always carries a lightsaber Storm goes punk Lockheed isn't a cat Wolverine is ready for love Mastermind is the worst ...and more! What does any of this mean for Phillip's future? Tune in to find out! Phillip Sevy is an artist who has spent the last few years drawing for Marvel on titles like X-Men (Astonishing, Unlimited, and From the Ashes), Avengers, Venom, Deadpool, and others. They broke into the comics industry through the Top Cow Talent Hunt, where they drew The Tithe and The Freeze, before moving over to Dark Horse for a lengthy run on Tomb Raider. They wrote The House (with artist Drew Zucker), and wrote and drew Triage, Paradox, and Kepler (with David Duchovny). When they're not feverishly working on comics, you can find them (literally) running around their neighborhood, hiking in the hills, or DMing endless sessions of DnD. You can find more of Phillip on Instagram and Bluesky. More of Lodro Rinzler's work can be found here and here and you can follow the podcast on Instagram at xmenpanelsdaily where we post X-Men comic panels...daily. Have a question or comment for a future episode? Reach out at xmenhoroscopes.com

20/20 MONEY
Providing vision therapy profitably and passionately with Dr. Leigha Nielsen, OD

20/20 MONEY

Play Episode Listen Later Feb 17, 2025 62:20


Welcome to this episode of 20/20 Money! My guest on today's show is Dr. Leigha Nielson, OD FOVDR, founder of High 5 Vision Development in New Braunfels, TX.   Leigha joins me on the show to talk about how she's created both a successful practice and a life she loves—personally and professionally—through a vision-therapy focused practice. She talks about her journey as a practice owner under the TSO (Texas State Optical) brand and how she transitioned to her own stand-alone practice and why she made the commitment to to change. She also shares the details about the operations of her practice—from the pricing discount she provides to patients that pay all in full to how she thinks about leverage and return-on-investment with the team that supports the care provided to patients, Leigha is very transparent about how she's made her practice profitable while also not compromising her passion for vision therapy.   As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that's filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. If you're interested in learning more about the 20/20 Money Financial Success Masterclass, a course & platform that we created to help ODs become “brilliant at the financial basics,” please check out the link in the show notes of this episode to learn more.   And with that introduction, I hope you enjoy my conversation with Dr. Leigha Nielsen, OD, FOVDR.   OD Masterminds™ Information Request   Resources: 20/20 Money Membership Information Episode #256: Successful Implementation of VT in your practice with Dr. Heidi Bell OVDRA Cherry Financing Emergent VT Training Platform for Vision Therapists     ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify Google Podcasts Stitcher  ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

Breaking Doctrine
Episode 86 - “The Warfighter's Role in Triage, CASEVAC, and DNBI"

Breaking Doctrine

Play Episode Listen Later Feb 15, 2025 44:27


Brigadier General Clinton Murray, Commanding General of the Medical School of Excellence (MEDCoE), joins our host Lieutenant Colonel Lisa Becker on today's episode focusing on medical aspects of the battlefield. Theystart the discussion with medical considerations of today's operational environment. Then, they turn the conversation to three big topics relevant to all Soldiers: triage, casualty evacuation (CASEVAC), and disease and non battle injury (DNBI). Leaders will hear practical ways to think about these topics and, also, how to train their formations.

20/20 MONEY
Think differently about "admin days" in your practice --my guest appearance on "Eye Own a Business" with Dr. Steve Vargo, OD

20/20 MONEY

Play Episode Listen Later Feb 10, 2025 51:53


Welcome to this episode of 20/20 Money! This week's episode is my guest appearance on Dr. Steve Vargo's show "Eye Own a Business," produced by IDOC.   Steve had me on the show to talk about something that I've been thinking about for some time, and I used his show to "stake my claim"—I don't like term "admin day" and want to see the profession start embracing a different way of thinking about the work that owners do ON the business. I share my beliefs and reasoning behind this and why I feel it behooves owners to start thinking differently about their role in their practice.   As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that's filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. Lastly, if you're interested in learning more about the 20/20 Money Financial Success Masterclass, a course & platform that we created to help ODs become “brilliant at the financial basics,” please check out the link in the show notes of this episode to learn more.   And with that introduction, I hope you enjoy my conversation with Steve Vargo.     Resources: 20/20 Money Membership Information   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify Google Podcasts Stitcher  ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

20/20 MONEY
Ideas & strategies on ways to pay your team more without compromising profit with Jackson Pace, CPA

20/20 MONEY

Play Episode Listen Later Feb 3, 2025 53:16


Welcome to this episode of 20/20 Money! My guest on today's show is Jackson Pace, CPA. Jackson joins me on the show to talk about ways owners can maximize the ROI on their team, specifically non-OD team members. He shares examples of ways in which practice owners have brought focus and intention to different areas of the practice, how practice owners can empower their team to take ownership of an incentive program, and examples of a couple of different "dark corners" of the practice that can benefit from some attention.   As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that's filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. Lastly, if you're interested in learning more about the 20/20 Money Financial Success Masterclass, a course & platform that we created to help ODs become “brilliant at the financial basics,” please check out the link in the show notes of this episode to learn more.   And with that introduction, I hope you enjoy my conversation with Jackson Pace, CPA.   Resources: 20/20 Money Membership Information Refractional CFO   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify Google Podcasts Stitcher  ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

WarDocs - The Military Medicine Podcast
Combat Medicine Insights: Lessons from Ukraine with John Quinn, MD, MPH, PhD, EMT-P

WarDocs - The Military Medicine Podcast

Play Episode Listen Later Jan 30, 2025 30:16


  What if the lessons learned from a conflict zone could transform military medicine worldwide? Join us as we promise to reveal groundbreaking insights into combat casualty care with John Quinn, MD, MPH, PhD, EMT-P, a leading voice in Emergency Medicine and Combat Casualty Care. Dr. Quinn shares his experiences and pivotal lessons from the war in Ukraine, providing an in-depth look at how military medical operations have evolved in response to the challenges faced in high-stakes environments. Gain valuable knowledge on damage control, resuscitation, and the strategic decisions made from the point of injury to more advanced medical roles.    The complexities of combat medicine are not for the faint-hearted. In this compelling episode, we confront the realities of triage and care under fire, with medical personnel often working without senior guidance amidst the chaos of large-scale combat. Our discussion sheds light on the critical importance of Tactical Combat Casualty Care and the intricate decisions around tourniquet use when resources are stretched thin. Dr. Quinn emphasizes the skills required to manage such intense scenarios, ensuring listeners understand the vital balance between operational readiness and effective medical intervention.     Handling pain management and blood supply logistics in conflict zones is no small feat. We explore the intricate challenges of ensuring adequate supplies and effective pain medication, particularly in the context of Ukraine's ongoing conflict. Dr. Quinn delves into the necessity of a robust supply of universal donor blood and the pressing need for improved clinical governance to support pre-hospital blood transfusion capabilities. The episode addresses the pressing issue of antimicrobial resistance and antibiotics' critical role in these settings, highlighting the need for structured guidance and oversight to navigate the complexities of treating diverse patient populations. Chapter Timestamps 00:02 Military Medicine and Operational Readiness 09:30 Combat Medicine and Triage Challenges 14:08 Challenges in Pre-Hospital Pain Management 17:43 Combat Medic Challenges and Solutions   Chapters with Summaries (00:02) Military Medicine and Operational Readiness This chapter explores the insights and experiences shared by Dr. John Quinn, the lead author of a pivotal article on pre-hospital lessons from the war in Ukraine, focusing on damage control, resuscitation, and surgery from point of injury to role two. Dr. Quinn, with a background as a paramedic and emergency medicine physician, recounts his involvement in Ukraine since 2014, highlighting the evolution of military medical operations up to the large-scale invasion by Russia. We discuss the collaborative effort behind the article, featuring a diverse team of experts, including traumatology surgeons, paramedics, and academic figures, all working to enhance combat casualty care. Dr. Quinn emphasizes the importance of incorporating Ukrainian academics' insights and using NATO's terminology for lessons learned, providing a comprehensive look at the on-the-ground experiences and challenges faced in providing timely and effective medical care in conflict zones.   (09:30) Combat Medicine and Triage Challenges This chapter addresses the complex challenges faced by medical personnel in large-scale combat operations, particularly in the context of the ongoing conflict involving Russian forces. We explore how medical workers, including international volunteers, are specifically targeted, necessitating unique approaches to operational security, communication, and personal protective equipment. The discussion emphasizes the importance of tactical combat casualty care, especially in making critical triage decisions without the guidance of senior clinical decision-makers. With an overwhelming number of patients and limited evacuation capabilities, medical personnel must navigate the intricacies of tourniquet use, balancing between preventative application and conversion to pressure dressings as per TCCC protocols. The chapter highlights the essential skills required to manage care under fire and the need for timely assessment by qualified providers to reduce morbidity and enhance force effectiveness in the battlefield.   (14:08) Challenges in Pre-Hospital Pain Management This chapter addresses the challenges and intricacies of pain management and blood supply logistics in conflict zones, particularly focusing on the context of Ukraine. We explore the inadequacies of certain medications like Nalbuphine, which can complicate effective pain management when transitioning patients to higher levels of care. The importance of having access to more effective drugs such as ketamine and fentanyl is emphasized, although logistical challenges in their distribution are acknowledged. Additionally, we highlight the critical need for an ample supply of universal donor blood and low-titer O blood products during large-scale combat operations. The chapter underscores the logistical hurdles in ensuring these supplies are available before they spoil and discusses the inadequacy of traditional walking blood banks in high-casualty scenarios, advocating for improved clinical governance to enable broader pre-hospital blood transfusion capabilities.   (17:43) Combat Medic Challenges and Solutions This chapter highlights the critical importance of antibiotics in deployed medical settings, emphasizing the challenges of antimicrobial resistance, particularly in Ukraine. We explore the need for a structured antimicrobial guidance system, informed by biogram data, to prevent inappropriate dosing and resistance. The discussion extends to the complexities of treating diverse age groups, including elderly and pediatric patients, who may have additional medical conditions or require specialized care. Additionally, we stress the significance of clinical governance in ensuring that medical personnel, whether affiliated with NGOs or the military, operate under proper oversight and standards. Finally, we identify the top three priorities for improvement: ensuring an unlimited supply of low-titer universal donor blood, enhancing training and clinical decision-making, and leveraging data for effective medical logistics and planning.   Take Home Messages: Evolving Military Medical Practices: The podcast delves into the evolution of military medical operations in Ukraine, highlighting the lessons learned from the ongoing conflict. It emphasizes the importance of adapting medical practices to the realities of modern warfare, particularly in large-scale conflicts where traditional medical procedures may not suffice. Challenges in Battlefield Medicine: Listeners are exposed to the myriad challenges faced by medical personnel in combat zones, including the complexities of tactical combat casualty care and the necessity for rapid, autonomous decision-making under fire. The episode underscores the need for enhanced training and preparation to handle these high-pressure situations effectively. Pain Management and Medical Logistics: The discussion reveals significant hurdles in managing pain and logistics in conflict zones, with specific reference to Ukraine's current crisis. It stresses the need for reliable access to effective medications and blood supplies, highlighting the logistical challenges that can impact patient outcomes. Antimicrobial Resistance and Clinical Governance: The episode sheds light on the critical role of antibiotics in deployed medical settings and the growing concern of antimicrobial resistance. It advocates for structured guidance systems and emphasizes the importance of clinical governance to ensure high standards of care are maintained, especially when relying on NGOs and international volunteers. Data-Driven Medical Improvements: The conversation calls for the collection and analysis of medical data to enhance military medical practices. It stresses the importance of leveraging lessons learned from current conflicts to refine medical logistics, decision-making processes, and training, ensuring better preparedness for future challenges.   Episode Keywords: Military Medicine, Operational Readiness, Combat Medicine, Triage, Ukraine Conflict, Russian Invasion, Damage Control, Resuscitation, Surgery, Battlefield, Tactical Combat Casualty Care, Tourniquets, Pressure Dressings, Pain Management, Logistical Hurdles, Antimicrobial Resistance, Clinical Governance, Medical Logistics, Training, Data Analysis   Hashtags: #CombatMedicine #UkraineConflict #BattlefieldHealthcare #MilitaryMedicine #EmergencyCare #TacticalCombatCasualtyCare #FrontlineMedicine #WarfareInnovations #ConflictZoneMedicine #DrJohnQuinn   Article Citation: Quinn J et al. Prehospital Lessons From the War in Ukraine: Damage Control Resuscitation and Surgery Experiences From Point of Injury to Role 2. Mil Med. 2024 Jan 23;189(1-2):17-29. doi: 10.1093/milmed/usad253. PMID: 37647607.   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast