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🧭 REBEL Rundown 🗝️ Key Points ❌ Don’t chase perfect numbers: Adequate and safe is often better than “perfect but harmful.”💨 Oxygenation levers: Start with FiO₂ and PEEP, but remember MAP is the true driver.🫁 Ventilation levers: Adjust RR and TV, tailored to underlying physiology.🚫 Watch your obstructive patients: Sometimes less RR is more. Click here for Direct Download of the Podcast. 📝 Introduction Ventilator management can feel overwhelming—there are so many knobs to turn, numbers to watch, and changes to make. But before adjusting any settings, it’s crucial to understand why the patient is in distress in the first place, because the right strategy depends on the underlying cause. In this episode, we’ll walk through three different cases to see how the approach changes depending on the problem at hand. ️ The 4 Main Ventilator Settings Tidal Volume (Vt) 🌬️ Amount of air delivered with each breath Typically set based on ideal body weight (6–8 mL/kg for lung protection) Respiratory Rate (RR) ⏱️ Number of breaths delivered per minute Adjusted to control minute ventilation and manage CO₂ FiO₂ (Fraction of Inspired Oxygen) ⛽ Percentage of oxygen delivered Adjusted to maintain adequate oxygenation (goal SpO₂ 92–96%, PaO₂ 55–80 mmHg). PEEP (Positive End-Expiratory Pressure) 🎈 Pressure maintained in the lungs at the end of exhalation to prevent alveolar collapse and improve oxygenation 🧮 Modes of Ventilation AC/VC (Assist Control – Volume Control)How it Works: Delivers a set tidal volume with each breath (whether patient- or machine-triggered).When It’s Used / Pros: Most common initial mode; guarantees minute ventilation; good for patients with variable effort.Limitations / Cons: May cause patient–ventilator dyssynchrony if set volumes don’t match patient’s demand.AC/PC (Assist Control – Pressure Control)How it Works: Delivers a set inspiratory pressure for each breath; tidal volume varies depending on lung compliance/resistance.When It’s Used / Pros: Useful in ARDS (lung-protective strategy), limits peak airway pressures.Limitations / Cons: Tidal volume not guaranteed; must closely monitor volumes and minute ventilation.PRVC (Pressure-Regulated Volume Control)How it Works: Hybrid: set target tidal volume, ventilator adjusts inspiratory pressure breath-to-breath to achieve it (within limits).When It’s Used / Pros: Common default mode on newer vents; combines benefits of VC (guaranteed volume) + PC (pressure limitation).Limitations / Cons: Can increase pressures if compliance worsens.SIMV (Synchronized Intermittent Mandatory Ventilation)How it Works: Delivers set breaths, but allows spontaneous patient breaths in between (without guaranteed volume).When It’s Used / Pros: Used for weaning; allows patient effort.Limitations / Cons: Risk of increased work of breathing if spontaneous breaths are inadequate.PSV (Pressure Support Ventilation)How it Works: Every breath is patient-initiated; ventilator provides preset pressure support to overcome airway resistance.When It’s Used / Pros: Weaning trials; patients with intact drive who just need assistance.Limitations / Cons: Not a full-support mode; not for unstable patients without spontaneous drive. ♟️ Ventilation Strategies Airway ProtectionLow GCS, seizure, strokeLoss of gag/cough reflexHigh aspiration risk (vomiting, GI bleed, poor mental status)Hypoxemic Respiratory FailureSevere pneumoniaARDSPulmonary edemaInhalation injuryVentilatory (Hypercapnic) Failure / Increased Ventilation DemandSevere metabolic acidosis (DKA, sepsis, renal failure) → need high minute ventilationCOPD, asthma (if decompensating)Neuromuscular weakness (myasthenia, Guillain–Barré, spinal cord injury)Airway Obstruction / Anticipated Loss of AirwayTumor, anaphylaxis, angioedemaFacial or airway traumaPre-op / anticipated deterioration Post Peer Reviewed By: Marco Propersi, DO (Twitter/X: @Marco_propersi), and Mark Ramzy, DO (X: @MRamzyDO) 👤 Show Notes Priyanka Ramesh, MD PGY 1 Internal Medicine Resident Cape Fear Valley Internal Medicine Residency Program Fayetteville NC Aspiring Pulmonary Critical Care Fellow 🔎 Your Deep-Dive Starts Here REBEL Core Cast – Pediatric Respiratory Emergencies: Beyond Viral Season Welcome to the Rebel Core Content Blog, where we delve ... Pediatrics Read More REBEL Core Cast 143.0–Ventilators Part 3: Oxygenation & Ventilation — Mastering the Balance on the Ventilator When you take the airway, you take the wheel and ... Thoracic and Respiratory Read More REBEL Core Cast 142.0–Ventilators Part 2: Simplifying Mechanical Ventilation – Most Common Ventilator Modes Mechanical ventilation can feel overwhelming, especially when faced with a ... Thoracic and Respiratory Read More REBEL Core Cast 141.0–Ventilators Part 1: Simplifying Mechanical Ventilation — Types of Breathes For many medical residents, the ICU can feel like stepping ... Thoracic and Respiratory Read More REBEL Core Cast 140.0: The Power and Limitations of Intraosseous Lines in Emergency Medicine The sicker the patient, the more likely an IO line ... Procedures and Skills Read More REBEL Core Cast 139.0: Pneumothorax Decompression On this episode of the Rebel Core Cast, Swami takes ... Procedures and Skills Read More The post REBEL Core Cast 146.0–Ventilators Part 4: Setting up the Ventilator appeared first on REBEL EM - Emergency Medicine Blog.
Editor's Summary by Preeti Malani, MD, MSJ, and Christopher C. Muth, MD, Deputy Editors of JAMA, the Journal of the American Medical Association, for articles published from November 22 - December 5, 2025.
Anterior mediastinal masses make even seasoned anesthesiologists pause, and for good reason: a stable, upright patient can decompensate with a single change in position or a single dose of the wrong drug. We walk through a clear, stepwise approach that starts with anatomy and symptom red flags, then translates imaging, echocardiography, and pulmonary function testing into real-world decisions at the bedside. The focus stays practical: how to pick the safest setting, when to avoid general anesthesia, and what to prepare before anyone touches the airway.We break down adult and pediatric risk criteria, including mass-to-chest ratio, degree of tracheal compression, SVC obstruction, pericardial effusion, and standardized tumor volume in children. From there, we outline sedation-first strategies using ketamine, dexmedetomidine, and carefully titrated remifentanil to preserve spontaneous ventilation and avoid precipitous loss of tone. For patients who truly need general anesthesia, we share an OR playbook: lower-extremity access when SVC flow is threatened, semi-upright preoxygenation, slow induction while maintaining spontaneous ventilation, awake intubation options, and selective use of short-acting agents to test tolerance of positive pressure.Ventilation choices can make or break the case. We explain why long expiratory times and low respiratory rates reduce air trapping and auto-PEEP, and how fiberoptic bronchoscopy can guide tube position, predict extubation risk, and inform postoperative support. Rescue pathways are explicit: repositioning and CPAP, mechanical stenting with an endotracheal tube or rigid bronchoscope, rapid escalation to airway stents, and ECMO when distal collapse or cardiovascular compromise persists. We also spell out who needs ICU monitoring after surgery and why the safest path often means doing less.If this topic raises your heart rate, you're not alone. Tune in to sharpen your plan, align your team, and build a safer pathway from preop to postop for both adults and kids. Subscribe, share with your OR team, and leave a review with your best tip for managing high-risk mediastinal masses.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/283-how-to-plan-induce-and-recover-patients-with-anterior-mediastinal-mass-without-triggering-collapse/© 2025, The Anesthesia Patient Safety Foundation
In this episode Laura Patterson, DVM, PhD, aPAS, Dipl. ACAS, of Long Island University's College of Veterinary Medicine in Brookville, New York, explains the importance of appropriate ventilation in the barn during winter. She describes common threats to horse respiratory health due to poor ventilation and how to improve ventilation in your barn during winter. She shares her winter ventilation checklist for ensuring your barn air quality stays healthy for both horses and humans.GUESTS AND LINKS - EPISODE 39:Host: Hailey Pfeffer (Kerstetter)Guest: Dr. Laura Patterson, DVM, PhD, aPAS, Dipl. ACAS, of Long Island University's College of Veterinary Medicine in Brookville, New YorkPlease visit our sponsors, who makes all this possible: Ask TheHorse Live
To watch a video version of this podcast, click here: https://youtu.be/MpJELehhLbcIn this episode of the Structure Talk podcast, hosts Reuben Saltzman and Tessa Murry sit down with Rob Howard, founder of Howard Building Science, to explore how he's tackling one of the biggest challenges in housing today: building affordable, high-performance homes. Rob shares his journey from Habitat for Humanity to creating Duke Street Cottages, a pocket neighborhood in North Carolina designed for community, energy efficiency, and resilience.Here's the link to Inspector Empire Builder: https://www.iebcoaching.com/events You can check Rob's website here: https://howardbuildingscience.com/TakeawaysBuilding code is the baseline, not the finish line.Pocket neighborhoods foster community and affordability.SIP panels and modular construction reduce waste and speed up builds.Zero-energy-ready homes require airtight envelopes and efficient systems.Maintenance plans in HOA dues simplify homeowner responsibilities.Financing options like on-bill programs can make upgrades attainable.Skilled labor shortages are driving innovation in factory-built housing.Monitoring humidity and ventilation is key to healthy homes.Modular homes can achieve near-SIPs performance with customization.Affordability starts with design choices and community planning.Chapters00:00 – Introduction and Sponsors01:14 – Shoutout to IEB Coaching02:07 – Meet Rob Howard: Builder & Innovator04:43 – From Habitat for Humanity to Howard Building Science07:34 – Why Energy Audits Are a Hard Sell14:03 – Duke Street Cottages: Pocket Neighborhood Concept18:35 – Affordability and Price Points21:26 – Building Zero-Energy-Ready Homes24:34 – SIP Panels vs. Modular Construction31:00 – Ventilation, Humidity, and ERVs36:56 – Tackling Skilled Labor Shortages40:35 – Modular Factory Advantages44:20 – Performance Trade-Offs in Modular Homes47:22 – Lessons Learned and Developer Interest49:14 – How to Connect with Rob Howard50:38 – Wrap-Up and Listener Call-Out
Los Alamos National Laboratory (LANL) continues to neglect its obligations tosafely operate its nuclear weapons facilities in a manner required by laws, orders,guidance and common sense.
Patrick Nielsen is the Global Technical Products Manager for Broan Nutone, a leading manufacturer of residential ventilation solutions. Patrick has 20 years of experience with Broan including roles in product development, where he used his engineering background to launch a wide range of innovative ventilation products to solve a variety of IAQ and customer challenges. More recently his focus has been codes and standards, projecting longer-term product needs/opportunities and training. He serves as chair on the Home Ventilating Institute (HVI) Board of Directors, chairs their Codes and Standards committee and is active in multiple other committees addressing industry issues, including ASHRAE, RESNET, EEBA and IAQA. Patrick Nielsen on LinkedIn BROAN NUTONE
In this episode, Pete sits down once again with Watch Manager Mike “Stacko” Stachowicz GIFIRE a UK firefighter, international fire behaviour instructor, and long-time friend of the podcast to unpack his experiences from IFIW (International Fire Instructor's Workshop) 2025. From live burns and tactical experiments in Colorado to conversations with global leaders like Andy Starnes, James Mendoza, John McDonough, and Keith Stakes from UL FSRI, Mike brings a firsthand look at the science, strategy, and mindset shaping modern firefighting.Together, Pete and Mike dig into what's changing on the fireground: the ongoing debate over hose sizes, advances in ventilation and water mapping, and how global collaboration is helping the UK fire service evolve its approach to training, welfare, and leadership. It's raw, technical, and unfiltered for a deep dive into how international lessons translate into real-world performance for the crews on the ground.Access all episodes, documents, GIVEAWAYS & debriefs HEREPodcast Apparel, Hoodies, Flags, Mugs HEREPODCAST GIFT - FREE subscription to essential Firefighting publications HERE A big thanks to our partners for supporting this episode.GORE-TEX Professional ClothingMSA The Safety CompanyIDEXFIRE & EVACUATION SERVICE LTD HAIX Footwear - Get offical podcast discount on HAIX HEREXendurance - to hunt performance & endurance 20% off HERE with code ffp20Lyfe Linez - Get Functional Hydration FUEL for FIREFIGHTERS, Clean no sugar for daily hydration. 80% of people live dehydratedSend us a textSupport the show***The views expressed in this episode are those of the individual speakers. Our partners are not responsible for the content of this episode and does not warrant its accuracy or completeness.*** Please support the podcast and its future by clicking HERE and joining our Patreon Crew
In this episode of The Build Show Podcast, Matt takes a personal deep dive into what makes a truly Healthy Home. Using his own house as an example, Matt shares practical lessons and honest insights on what he did right—and what he'd change—when it comes to building for health and comfort. He breaks down the three essentials of a healthy home: good indoor air quality, non-toxic materials, and energy efficiency. From filtration and ventilation to humidity control and airtight construction, Matt explains how thoughtful design choices can improve well-being and performance in any home.Huge thanks to our episode sponsor, Arclin. To learn more go to: https://firepoint.arclin.com/Watch full episodes of Matt on Facebook, Instagram and Build Show Network. https://www.facebook.com/buildshownetworkhttps://www.instagram.com/risingerbuild/https://buildshownetwork.com/go/mattrisinger Don't miss a single episode of Build Show content. Sign up for our newsletter.
Le sujet :La rénovation énergétique est un enjeu de plus en plus important dans le secteur immobilier. Faut-il se lancer dans des travaux ? Combien cela coûte-t-il ? Quelles sont les solutions de financement disponibles ?L'invité du jour :Hervé Degreve est le cofondateur de Vasco, une société de financement spécialisée dans la rénovation énergétique. Au micro de Matthieu Stefani, il décrypte les enjeux, les coûts et les solutions de financement.Découvrez :Pourquoi la rénovation énergétique est un sujet brûlantDans quels cas la rénovation est obligatoireCombien coûte une rénovation énergétiqueLes aides publiques et privées disponibles en FranceComment bien rénover un bienCe qu'est le home equityAvantages :Bonne nouvelle ! Nous avons négocié pour vous 3% de cashback sur votre investissement. Pour en profiter, rendez-vous ici.Ils citent les références suivantes :DPEVascoHome equityAinsi que d'anciens épisodes de La Martingale :#129 - Climat, diagnostic énergétique et investissement immoOn vous souhaite une très bonne écoute ! C'est par ici si vous préférez Apple Podcasts, ou ici si vous préférez Spotify.Et pour recevoir toutes les actus et des recommandations exclusives, abonnez-vous à la newsletter, c'est par ici.La Martingale est un podcast du label Orso Media.Merci à notre partenaire Enky de soutenir le podcast.Bénéficiez de 100€ à 300€ crédités selon le montant investi en cliquant sur ce lien.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.
Today, we're exploring the science of breath — ancient practices meeting modern neuroscience. My guest is Amy Kartar, a neuroscientist and breathwork researcher who's uncovering how high-ventilation breathwork, paired with music, can induce profound altered states of consciousness — the kind once only associated with psychedelics, but completely drug-free. We'll talk about how this practice changes the brain, why it could help people process emotional pain, and how centuries-old spiritual traditions are finally being validated by modern science. Get ready to discover the mind's incredible potential — one breath at a time. Follow Chrissy Newton: Winner of the Canadian Podcast Awards for Best Science Series. YouTube: https://www.youtube.com/channel/UCM32gjHqMnYl_MOHZetC8Eg Instagram: https://www.instagram.com/beingchrissynewton/ X: https://twitter.com/chrissynewton?lang=en Facebook: https://www.facebook.com/BeingChrissyNewton Chrissy Newton's Website: https://chrissynewton.com Top Canadian Science Podcast: https://podcasts.feedspot.com/canadian_science_podcasts/
Send us a textA scratchy throat and a pounding head turned into a hard look at what winter really does to a house—and how to stop small issues from becoming big, expensive messes. We open with the realities of backup teams and why a multi-inspector firm keeps your project on track when life happens, then shift into the seasonal steps that keep water out, heat in, and stress low.We get practical about cold-weather prep: disconnecting hoses and insulating hose bibs, clearing gutters so downspouts actually move water away, and accepting that unconditioned garages crack because materials move with temperature swings. From there, we pull back the attic hatch and get specific about ventilation and insulation—how ice damming forms, why icicles are a warning sign, and the simple checks that prevent water from backing under shingles. If you've ever seen a new roof still struggle in winter, we explain the hidden workmanship gaps we find: ridge vents without a cutout, soffit intake stuffed with insulation, and gable vents left to short-circuit airflow. We also share practical venting guidelines, when to use baffles, and why hipped roofs often need more balanced intake.Maintenance isn't just for cars. A home has more parts, more pathways for moisture, and more ways to fail quietly before you notice. That's why we advocate routine maintenance inspections every couple of years, even if we didn't do your original home inspection. An unbiased set of eyes pays for itself by catching ventilation errors, missing insulation, and risky shortcuts after a roof install. And if you're choosing a real estate agent, we explain how to vet for thoroughness and why asking an inspector for candid feedback can save you headaches later.Ready to winter-proof your place and dodge ice dams, mold, and premature roof wear? Hit follow, share this with a homeowner friend, and leave a quick review to tell us the one winter task you're tackling this week.Support the showTo learn more about Habitation Investigation, the Three-time Winner of the Best Home Inspection Company in the Midwest Plus the Winner of Consumer Choice Award for Columbus Ohio visit Home Inspection Columbus Ohio - Habitation Investigation (homeinspectionsinohio.com) NBC4 news segments: The importance of home inspections, and what to look for | NBC4 WCMH-TV Advice from experts: Don't skip the home inspection | NBC4 WCMH-TV OSU student's mysterious symptoms end up tied to apartment's air quality | NBC4 WCMH-TV How to save money by winterizing your home | NBC4 WCMH-TV Continuing Education for Ohio Agents Scheduled classes Continuing Education for Ohio Agents Course lis...
Send us a textIn Episode 49 of The Sustainable Builders Yak, we're joined by Joel Seagren, National Mechanical Ventilation Engineer at Fantech, to unpack the critical (and often overlooked) role of ventilation in high-performance homes.With a background in mechanical engineering, renewable energy, and a Master's in building sustainability, Joel brings decades of experience to this conversation — from consulting on daylight modeling in the early 2000s to becoming a NatHERS assessor and championing heat recovery ventilation (HRV) in Australian homes.This episode covers:The science of air tightness, energy efficiency, and healthy indoor airWhy 6 air changes per hour is a benchmark for installing HRVsThe difference between NatHERS and Passive House modelingThe limitations of relying on window ventilation in Australia's energy codeThe evolving National Construction Code (NCC) requirements around mechanical ventilationThe need for a standardized testing method in high-performance constructionNew Zealand modeling data showing the energy-saving benefits of HRVsWhether you're a builder, architect, or energy consultant, this is a must-listen if you're working on airtight, efficient, and healthy homes in the Australian climate.
Shaurya Taran, MD, joins CHEST® Journal Podcast Moderator Alice Gallo De Moraes, MD, FCCP, to discuss his research into the association between low-tidal-volume ventilation and mortality in patients with acute brain injuries receiving mechanical ventilation. DOI: 10.1016/j.chest.2025.06.042 Disclaimer: The purpose of this activity is to expand the reach of CHEST content through awareness, critique, and discussion. All articles have undergone peer review for methodologic rigor and audience relevance. Any views asserted are those of the speakers and are not endorsed by CHEST. Listeners should be aware that speakers' opinions may vary and are advised to read the full corresponding journal article(s) for complete context. This content should not be used as a basis for medical advice or treatment, nor should it substitute the judgment used by clinicians in the practice of evidence-based medicine.
On This Ventilation Halloween Edition of The Other Side Of Midnight, Lionel confronts the New York City mayoral election, offering the ruthless tactical recommendation: vote for Andrew Cuomo to stop a dangerous globalist "virus" utilizing the Democratic party. Get ready for sharp critiques of political inertia and debates on the true meaning of "socialist" versus democratic socialist, alongside the critical importance of basic administrative duties like maintaining sewers. Shifting to high strategy, Lionel breaks down how Wills and Kay are leveraging game theory to "bounce" Prince Andrew and revamp the British Monarchy. Plus, a deep dive into the bizarre evolution of Halloween—from nostalgic, potentially flammable costumes to modern "trunk-or-treating"—including the strange reality of handing out gravy mix and hot chocolate packets instead of candy. Also featuring explosive theories regarding Princess Diana's death, discussion of deep state tactics like Operation Paperclip, and hilarious true tales involving Cuban spies and exotic hutias. Learn more about your ad choices. Visit megaphone.fm/adchoices
AKA BUTT-BREATHING!
Moderator: BobbieJean Sweitzer, M.D. Participants: Rutger van der Schrier, M.D., Ph.D. and Steven L. Shafer, M.D Articles Discussed: Fentanyl-induced Ventilatory Depression: Population Pharmacokinetic–Pharmacodynamic Framework for Evaluation of Opioid-induced Ventilatory Depression Toward More Physiologic Models for Predicting the Impact of Opioids on Ventilation
Did you know there's MAGIC in your Meditation Practice? Say Goodbye to Anxiety and Hello to More Peace & More Prosperity! Here Are the 5 Secrets on How to Unleash Your Meditation Magic https://womensmeditationnetwork.com/5secrets Join Premium! Ready for an ad-free meditation experience? Join Premium now and get every episode from ALL of our podcasts completely ad-free now! Just a few clicks makes it easy for you to listen on your favorite podcast player. Become a PREMIUM member today by going to --> https://WomensMeditationNetwork.com/premium Join our Premium Sleep for Women Channel on Apple Podcasts and get ALL 5 of our Sleep podcasts completely ad-free! Join Premium now on Apple here --> https://bit.ly/sleepforwomen Join our Premium Meditation for Kids Channel on Apple Podcasts and get ALL 5 of our Kids podcasts completely ad-free! Join Premium now on Apple here → https://bit.ly/meditationforkidsapple Hey, I'm so glad you're taking the time to be with us today. My team and I are dedicated to making sure you have all the meditations you need throughout all the seasons of your life. If there's a meditation you desire, but can't find, email us at Katie Krimitsos to make a request. We'd love to create what you want! Namaste, Beautiful,
In this episode, Kathy and Linda talk with Manyphay Viengkham, an accomplished technology leader whose career spans energy innovation, systems engineering, and entrepreneurship. With degrees in biochemistry and computer science, Manyphay has built a career defined by curiosity, continuous learning, and resilience—navigating roles in major companies like GE and Honeywell before launching her own consulting business.Together, they explore:How following her curiosity led from science to technology to energy innovationThe importance of personal resilience and adaptability in career transitionsLessons learned from working across IT, OT, and product managementBuilding a strong professional network and personal brand that opens doorsThe ups and downs of starting her own business—and finding joy in the processWhy compassion, authenticity, and professionalism are essential leadership traitsLearning to speak up and show your expertise, especially when underestimatedThe episode wraps with their “Ask the (Not) Expert” segment, where Kathy, Linda, and Manyphay discuss handling assumptions in the workplace—like being mistaken for administrative staff—and how to respond with confidence and professionalism.Key TakeawaysYour career doesn't have to follow a straight line—curiosity creates opportunity.Resilience and adaptability matter as much as technical skill.Building genuine relationships can define your career success.Authentic leadership blends confidence with compassion.Taking the leap into entrepreneurship can be both empowering and fulfilling.Manyphay's planned book has become a blog which can be found on Substack here: https://substack.com/@manyphayAcronym GlossaryAMI – Advanced Metering InfrastructureSCADA – Supervisory Control and Data AcquisitionIoT – Internet of ThingsIT – Information TechnologyOT – Operational TechnologyHVAC – Heating, Ventilation, and Air ConditioningSupport the show
When you take the airway, you take the wheel and you now control the patient's oxygenation and ventilation. In this REBEL Crit episode, Dr. Lodeserto and Dr. Acker walk through the physiology, ventilator strategies, and clinical curveballs that separate calm control from chaos at the bedside. The post REBEL Core Cast 143.0–Ventilators Part 3: Oxygenation & Ventilation — Mastering the Balance on the Ventilator appeared first on REBEL EM - Emergency Medicine Blog.
Today we're diving into one of the most fundamental tools you'll encounter in clinical practice: the ventilator. Mechanical ventilation can seem intimidating at first, but understanding how it works is essential for keeping your patients safe and for making adjustments in real time. We've invited Richard Wilson, DNAP, CRNA, AANA of Ursuline College to the show to help us understand the fundamentals of mechanical ventilation. He shares insights on how ventilation and oxygenation are key goals in anesthesia, and walks through how understanding the different modes of ventilation—volume control, pressure control, SIMV, and more—can help CRNAs tailor their care. Here's some of what we discuss in this episode:
Text us a pool question!In this episode of the Talking Pools Podcast, Andrea and Paulette dive into the often-misunderstood world of chloramines—the compounds that cause everything from pool odor to swimmer irritation. They explore the science behind monochloramine, dichloramine, and trichloramine, explaining how each one forms, how they differ, and why they matter. The conversation goes deeper into the differences between organic and inorganic chloramines, uncovering how bather waste, nitrogen compounds, and pool chemistry all play a role in their development.Listeners will walk away with a clearer understanding of what's really happening in the water, why “that pool smell” isn't chlorine at all, and practical insights into preventing and managing chloramine formation in pools.Key Takeaways:Chloramines are responsible for eye irritation, respiratory discomfort, and that notorious “pool smell.”Monochloramine is the first stage of chlorine bonding with nitrogen.Dichloramine and trichloramine form as chlorination continues, each with stronger odor and irritation potential.Organic chloramines are formed from reactions with organic matter (like sweat, urine, and skin cells), while inorganic chloramines form with nitrogenous waste (like ammonia).Proper breakpoint chlorination and good water management can prevent chloramine buildup.Ventilation in indoor pools plays a critical role in reducing trichloramine exposure.Chloramines don't just affect swimmer comfort—they also corrode pool equipment over time.Memorable Sound Bites:“That smell you think is chlorine? Nope—it's chloramines.”“Chlorine isn't the villain here. Poor management is.”“Organic or inorganic, chloramines are a wake-up call for pool pros.”Chapters:00:00 – Introduction: Clearing the Air on Chloramines 03:42 – What Are Chloramines? 08:25 – Monochloramine, Dichloramine & Trichloramine Explained 15:11 – Organic vs. Inorganic Chloramines 21:03 – The Role of Ventilation in Indoor Pools 27:18 – Breakpoint Chlorination & Prevention Strategies 33:00 – Final Thoughts: Managing the Unseen Villains of Pool Care Support the showThank you so much for listening! You can find us on social media: Facebook Instagram Tik Tok Email us: talkingpools@gmail.com
Seth Jones, CEO of Superstratum, a company turning home detoxification into a simple, DIY process from everyday cleaners to whole home protocols. Seth's story is wild: he went from DJ nights in L.A. to battling mold and mycotoxin exposure in his own home, then building science backed solutions that help families breathe (and sleep) easier.SHOWNOTES:
The Plan-B Show with Brock & Kiki - September 24th 2025See omnystudio.com/listener for privacy information.
In this episode, we are joined by Attzaz Rashid (Barratt London) and Joel Callow (Beyond Carbon) to talk about Barratt London's move into Passive House.It was a chance to get into what attracted Barratt to developing this Lo-E homes proposition and how they came to feel confident about committing to deliver certified Passive House apartments, the team effort that's been employed to make it work, and the way this change has brought about a renewed enthusiasm for the job in some of the project's participants.It's a really interesting exploration of how the rigour and challenges of Passive House has affected Barratt's approach to high-density building, and how the Passive House approach has come to be recognised as advantageous to Barratt, in all sorts of ways. Finally, the critique of M&E design that's made late on in the episode is not a Barratt critique—as Az makes abundantly clear—this is one founded in Joel's experience of inheriting issues that require Beyond Carbon's expertise for their resolution.Notes from the showAttzaz Rashid on LinkedInJoel Callow on LinkedIn The Barratt London websiteThe Beyond Carbon websiteDistrict heating and passive house - are they compatible? from the pages of Passive House PlusBarratt launches record passive house scheme also from the pages of Passive House Plus**SOME SELF-PROMOTING CALLS TO ACTION**We don't actually earn anything from this podcast, and it's quite a lot of work, so we have to promote the day jobs.Follow us on the Zero Ambitions LinkedIn page (we still don't have a proper website)Jeff and Dan about Zero Ambitions Partners (the consultancy) for help with positioning and communications strategy, customer/user research and engagement strategy, carbon calculations and EPDs – we're up to all sortsSubscribe and advertise with Passive House Plus (UK edition here too)Check Lloyd Alter's Substack: Carbon UpfrontJoin ACANJoin the AECB Join the IGBCCheck out Her Retrofit Space, the renovation and retrofit platform for women**END OF SELF-PROMOTING CALLS TO ACTION**
A new policy paper from NexSys, an all-island, multidisciplinary energy research programme, has highlighted that the current standards for ventilation in energy-efficient homes in Ireland do not always support healthy indoor air quality. 'As part of Ireland's commitment to a sustainable future, there is a big focus on building energy-efficient homes and promoting deep retrofitting of existing premises to increase their energy efficiency,' says lead author Dr Divyanshu Sood, a Senior Energy Systems Researcher at the UCD Energy Institute. 'Energy efficiency in buildings is important for sustainability, but we need to ensure that the air quality inside the house is both comfortable and healthy for the people in those buildings.' Poor indoor air quality is associated with an increased risk of respiratory symptoms and potential cardiovascular problems, as defined by the World Health Organisation. The NexSys policy paper draws from a study of nine energy-efficient homes in Ireland with natural ventilation. The study showed a buildup of carbon dioxide, volatile organic compounds and particulate matter in living rooms, kitchens and bedrooms as a consequence of people living and cooking in the houses without an adequate supply of air. The paper makes policy recommendations to improve indoor air quality in energy-efficient homes, including allowing for mechanical ventilation and making occupants more aware of the need to open windows and doors and ventilate living areas. 'While current building standards meet energy-efficiency requirements, they do not explicitly require indoor air quality to be considered in design. They assume compliant ventilation will dilute pollutants, and do not account for how occupants' everyday activities can affect air quality,' says Dr Sood. 'The standards work on paper, but our study shows that once people move in and carry out everyday activities - such as cooking, burning scented candles, or using sprays - inadequate ventilation often has a negative impact on indoor air quality over time,' says Dr Ibrahim. The new policy paper summarises research conducted as part of the ALIVE project in the University of Galway and University College Dublin. The ALIVE project tracked air quality, energy usage and user behaviour in nine houses that had been newly built and complied with energy standards, achieving A2 or A3 BER ratings. Each home was occupied by adults and children. The new policy paper outlines several policy recommendations that are needed to address the potential impact of current energy-efficiency standards on indoor air quality. They include changing how indoor air quality is monitored to ensure safety, combining natural and mechanical ventilation to improve air switching and indoor air quality, and house occupants being made aware of the importance of opening windows to improve indoor air quality. "Opening a small window may noticeably affect indoor temperature, but it can greatly improve air quality. Our study found that when occupants recognise poor air quality and understand ventilation in airtight homes, they take timely actions that swiftly dilute built-up pollutants, as shown by several 'shining example' houses", says Dr Ibrahim. "Summer overheating is another significant challenge highlighted by our study, where factors such as inadequate ventilation, poor building orientation, and limited shading can increase the risk of indoor overheating", says Dr Sood. 'This is an opportunity to improve the health and living standards of people living and working in energy-efficient buildings,' says Dr Sood. In the meantime, Dr Sood suggests that people living in energy-efficient homes can improve indoor air quality by opening windows to bring fresh air in. The policy paper, Indoor Air Quality and Ventilation in Newly Built Homes, is available from NexSys and on PublicPolicy.ie
La prime renov version 2025 est arrivée. Elle permet notamment de financer des travaux de ventilation, et ça tombe très bien ! Comme par hasard, les établissements Martin Rénovage lancent un nouveau système de ventilation. C'est même de l'hydro-ventilation ! C'est nouveau, ça vient de sortir à Martinville.
In this episode of the HVAC Know It All Podcast, host Gary McCreadie chats with John Ellis, a Product Ambassador at Dust Free, LP, an Instructor at Amana/Goodman/Dakin, and a Field Service Trainer at The New Flat Rate, Inc. He also owns Dynamic Air Consulting. He talks about indoor air quality and its key factors. John explains how thermal comfort, humidity control, ventilation, filtration, building pressures, and pollutant control are all linked. He highlights the importance of adjusting these factors based on the climate and type of building. John also talks about the impact of infiltration and stresses the need for accurate ventilation design to maintain a healthy indoor environment and avoid problems like air pressure imbalances. John talks about the importance of indoor air quality and the six key factors that affect it: thermal comfort, humidity, ventilation, filtration, building pressures, and pollutant control. He explains how these factors change depending on the climate and type of home. John also shares tips on designing HVAC systems to balance ventilation and humidity, using the right filters, and controlling air pressure. He emphasizes how understanding these factors helps improve comfort, prevent issues, and create healthier indoor environments. This episode covers key indoor air quality principles, with practical advice on improving comfort and safety. John talks about managing thermal comfort, humidity, ventilation, and filtration, while also focusing on building pressures and pollutant control. He shares tips on how HVAC pros can design systems for better air quality and prevent common issues. Expect to Learn: Why indoor air quality is key to comfort and safety. How thermal comfort, humidity, and ventilation affect air quality. Why balancing building pressures is important for HVAC systems. Tips for managing pollutants and controlling ventilation. Understanding these factors helps improve indoor environments. Episode Highlights: [00:00] - Intro to John Ellis Part 01 [02:04] - John's Take on Indoor Air Quality & Key Principles [07:07] - Thermal Comfort & Dehumidification [09:33] - Ventilation & Building Pressures [14:53] - High-Rise Ventilation and Dehumidification [17:06] - Thermal Comfort and Mean Radiant Temperature [19:15] - Stratification & Ceiling Fans This Episode is Kindly Sponsored by: Master: https://www.master.ca/ Cintas: https://www.cintas.com/ Cool Air Products: https://www.coolairproducts.net/ property.com: https://mccreadie.property.com SupplyHouse: https://www.supplyhouse.com/tm Use promo code HKIA5 to get 5% off your first order at Supplyhouse! Follow the Guest John Ellis on: LinkedIn: https://www.linkedin.com/in/john-ellis-b13b0411/ Dust Free, LP: https://www.linkedin.com/company/dust-free-lp-/ The New Flat Rate, Inc.: https://www.linkedin.com/company/the-new-flat-rate-inc-/ Follow the Host: LinkedIn: https://www.linkedin.com/in/gary-mccreadie-38217a77/ Website: https://www.hvacknowitall.com Facebook: https://www.facebook.com/people/HVAC-Know-It-All-2/61569643061429/ Instagram: https://www.instagram.com/hvacknowitall1/
Learning Objectives:By the end of this two-part series, listeners should be able to discuss:The physiologic rationale supporting the use of high-frequency percussive ventilation (Volumetric Diffusive Respiration, or HFPV).Patient populations most likely to benefit from HFPV.Key published evidence that informs our use of HFPV in pediatric critical care.An expert approach to managing a patient with HFPV.Next steps in research that will direct our understanding of the use of HFPV in pediatric critical care.About our Guest: Dr. John Lin is a Professor of Pediatrics at Washington University in St. Louis. He serves as the Critical Care Fellowship Program Director and Medical Director of Respiratory Care at St. Louis Children's Hospital. His academic interests are aimed at the implementation of specific task-based processes and systems-based interventions that increase team performance. References:Butler AD, Dominick CL, Yehya N. High frequency percussive ventilation in pediatric acute respiratory failure. Pediatr Pulmonol. 2021 Feb;56(2):502-508. doi: 10.1002/ppul.25191. Epub 2020 Dec 8. PMID: 33258557; PMCID: PMC7902396.Linda Melchor. (2021, July 22). High-Frequency Percussive Ventilation – Using the VDR, or HFPV-4. Criticalcarenow.Com.Salim, A., & Martin, M. (2005). High-frequency percussive ventilation. Critical Care Medicine, 33(Supplement), S241–S245. https://doi.org/10.1097/01.CCM.0000155921.32083.CEDominick, C., Nickel, A. J., & Yehya, N. (2022). High Frequency Percussive Ventilation in Viral Bronchiolitis: Do We Need a Standardized Approach to HFPV Management? Https://Home.Liebertpub.Com/Rcare, 67(7), 893–894. https://doi.org/10.4187/RESPCARE.10247White, B. R., Cadotte, N., McClellan, E. B., Presson, A. P., Bennett, E., Smith, A. G., & Aljabari, S. (2022). High-Frequency Percussive Ventilation in Viral Bronchiolitis. Respiratory Care, 67(7), 781–788. https://doi.org/10.4187/respcare.09350Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.
As part of the August issue, the European Respiratory Journal presents the latest in its series of podcasts. Chief Editor James Chalmers interviews Winfried Randerath (Bethanien Hospital, Clinic of Pneumology and Allergology, Centre for Sleep Medicine and Respiratory Care, Institute of Pneumology at the University of Cologne, Solingen, Germany) about the European Respiratory Society and European Sleep Research Society statement on the treatment of central sleep apnoea with adaptive servo-ventilation in this issue of the ERJ: https://doi.org/10.1183/13993003.00263-2025 Cite this podcast as: ERJ Podcast August 2025: Treatment of central sleep apnoea with adaptive servo-ventilation. Eur Respir J 2025; 66: 25E6602 [doi.org/10.1183/13993003.E6602-2025].
In this episode I'm joined by my good friend Dean Keeber to celebrate the very first Northants Firefighter Challenge, hosted at the stunning Rushden Lakes. We explore the unique course design, the overwhelming community support from sponsors, volunteers, and cadets, and highlight inspiring athlete performances including overall winner Matt Adams, Dettie Bala, and Matt Weston. Dean also shares the behind-the-scenes challenges of organising the event and why the future looks so bright for this growing competition.Access all episodes, documents, GIVEAWAYS & debriefs HEREJoin me on the United for 9/11: Memorial Stair Climb – Atlanta 2026 HEREPodcast Apparel, Hoodies, Flags, Mugs HEREPODCAST GIFT - FREE subscription to essential Firefighting publications HERE A big thanks to our partners for supporting this episode.GORE-TEX Professional ClothingMSA The Safety CompanyIDEXFIRE & EVACUATION SERVICE LTD HAIX Footwear - Get offical podcast discount on HAIX HEREXendurance - to hunt performance & endurance 20% off HERE with code ffp20Lyfe Linez - Get Functional Hydration FUEL for FIREFIGHTERS, Clean no sugar for daily hydration. 80% of people live dehydratedSend us a textSupport the show***The views expressed in this episode are those of the individual speakers. Our partners are not responsible for the content of this episode and does not warrant its accuracy or completeness.*** Please support the podcast and its future by clicking HERE and joining our Patreon Crew
Is there a collaboration problem in retrofit within the social housing sector? That was the premise for this conversation with Rafe Bertram, an architect and retrofit expert—appearing in a personal capacity—who was very surprised when I posed the question because he's found collaboration to be a strength in the sector, at least in London.In the end it led to a conversation about what he's learned from the experiences he's had working on retrofits in the social housing sector, in his community, and even doing big flashy Apple stores.The most interesting bit though is the strategy he's using to reduce the cost of retrofit, with his theory of reactive planning. It's an approach that takes a systematic integrated asset management approach and adds strategic opportunism into the mix in a way that enables him to piggyback essential works, like roof replacement, and use them as a catalyst for getting into a building to do the sustainability stuff that's usually a lower priority.Notes from the showRafe Bertram on LinkedinRetrofit Kentish Town The Good Homes Alliance websiteRafe's finance report for the Good Homes Alliance — “The Green Shift – The existing financial incentives for higher environmental performance of new homes” (October 2023) More links to articles about green building, favourable finance, and better valuations:Homebuyers pay a ‘green premium' of up to £40,000 for the most energy efficient properties (September 2021)—Lloyds Banking GroupHalifax includes EPC ratings in maximum lending calculationsHalifax to use EPC rating in affordability calculationsOctopus reducing interest rates for finance capital: 4 criteria = 1.25% discount, 6+ criteria = 2.00% discount**SOME SELF-PROMOTING CALLS TO ACTION**We don't actually earn anything from this podcast, and it's quite a lot of work, so we have to promote the day jobs.Follow us on the Zero Ambitions LinkedIn page (we still don't have a proper website)Jeff and Dan about Zero Ambitions Partners (the consultancy) for help with positioning and communications strategy, customer/user research and engagement strategy, carbon calculations and EPDs – we're up to all sortsSubscribe and advertise with Passive House Plus (UK edition here too)Check Lloyd Alter's Substack: Carbon UpfrontJoin ACANJoin the AECB Join the IGBCCheck out Her Retrofit Space, the renovation and retrofit platform for women**END OF SELF-PROMOTING CALLS TO ACTION**
Today I'm speaking with Brad Dicks, firefighter, father, and the current world record holder in FireFit, the ultimate test of speed, strength, and resilience in the fire service.Brad opens up about the mindset and discipline it takes to compete at the highest level, from relentless training and visualization, to the resilience that keeps him going when others burn out. He shares stories of community, mentorship, loss, and the balance between chasing excellence and staying grounded at home.This conversation goes beyond competition. It's about grit, humility, mental health, and what it means to keep pushing your limits while still living a full, balanced life. And with the 2025 FireFit Canadian National and World Championships (Sept 10–15, St. Catharines, Ontario) on the horizon, Brad is once again stepping up to prove that the champion mindset is about more than winning.....it's about how you play the game.Access all episodes, documents, GIVEAWAYS & debriefs HEREJoin me on the United for 9/11: Memorial Stair Climb – Atlanta 2026 HEREPodcast Apparel, Hoodies, Flags, Mugs HEREPODCAST GIFT - FREE subscription to essential Firefighting publications HERE A big thanks to our partners for supporting this episode.GORE-TEX Professional ClothingMSA The Safety CompanyIDEXFIRE & EVACUATION SERVICE LTD HAIX Footwear - Get offical podcast discount on HAIX HEREXendurance - to hunt performance & endurance 20% off HERE with code ffp20Lyfe Linez - Get Functional Hydration FUEL for FIREFIGHTERS, Clean no sugar for daily hydration. 80% of people live dehydratedSend us a textSupport the show***The views expressed in this episode are those of the individual speakers. Our partners are not responsible for the content of this episode and does not warrant its accuracy or completeness.*** Please support the podcast and its future by clicking HERE and joining our Patreon Crew
Learning Objectives:By the end of this two-part series, listeners should be able to discuss:The physiologic rationale supporting the use of high-frequency percussive ventilation (Volumetric Diffusive Respiration, or HFPV).Patient populations most likely to benefit from HFPV.Key published evidence that informs our use of HFPV in pediatric critical care.An expert approach to managing a patient with HFPV.Next steps in research that will direct our understanding of the use of HFPV in pediatric critical care.About our Guest: Dr. John Lin is a Professor of Pediatrics at Washington University in St. Louis. He serves as the Critical Care Fellowship Program Director and Medical Director of Respiratory Care at St. Louis Children's Hospital. His academic interests are aimed at the implementation of specific task-based processes and systems-based interventions that increase team performance. References:Butler AD, Dominick CL, Yehya N. High frequency percussive ventilation in pediatric acute respiratory failure. Pediatr Pulmonol. 2021 Feb;56(2):502-508. doi: 10.1002/ppul.25191. Epub 2020 Dec 8. PMID: 33258557; PMCID: PMC7902396.Linda Melchor. (2021, July 22). High-Frequency Percussive Ventilation – Using the VDR, or HFPV-4. Criticalcarenow.Com.Salim, A., & Martin, M. (2005). High-frequency percussive ventilation. Critical Care Medicine, 33(Supplement), S241–S245. https://doi.org/10.1097/01.CCM.0000155921.32083.CEDominick, C., Nickel, A. J., & Yehya, N. (2022). High Frequency Percussive Ventilation in Viral Bronchiolitis: Do We Need a Standardized Approach to HFPV Management? Https://Home.Liebertpub.Com/Rcare, 67(7), 893–894. https://doi.org/10.4187/RESPCARE.10247White, B. R., Cadotte, N., McClellan, E. B., Presson, A. P., Bennett, E., Smith, A. G., & Aljabari, S. (2022). High-Frequency Percussive Ventilation in Viral Bronchiolitis. Respiratory Care, 67(7), 781–788. https://doi.org/10.4187/respcare.09350Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.
The second instalment in our Challenge debrief series. Last time, we kicked things off with the Welsh Firefighter Challenge, Today we're keeping that momentum going as we head south to shine a light on another incredible event the South Coast Challenge.I'm joined by two people I'm proud to call good friends, Alan Smith and Gareth Smith, the organizers who pour their heart and energy into making this event such a powerful celebration of firefighter fitness, resilience, and community.In this conversation we talk about what makes the South Coast Challenge so unique from its one-of-a-kind venue to the camaraderie and teamwork created through tandem events. We highlight competitors who truly embody the spirit of the challenge, the role of community engagement and sponsorship in keeping these events alive, and the impact competitions like this have on morale, recruitment, and inspiring the next generation of firefighters.We'll also get into some of the nuts and bolts of firefighter fitness, mental toughness, daily movement, essential exercises, recovery, and even how innovations in firefighting gear are changing the way athletes perform. You'll hear stories of resilience, growth, and why events like this are about so much more than competition they're about celebrating the fire service family.So, whether you're thinking about stepping up to a challenge yourself, or you just want to hear what it takes to prepare, perform, and thrive in this environment, this episode is packed with insights, motivation, and community spirit.Access all episodes, documents, GIVEAWAYS & debriefs HEREJoin me on the United for 9/11: Memorial Stair Climb – Atlanta 2026 HEREPodcast Apparel, Hoodies, Flags, Mugs HEREPODCAST GIFT - FREE subscription to essential Firefighting publications HERE A big thanks to our partners for supporting this episode.GORE-TEX Professional ClothingMSA The Safety CompanyIDEXFIRE & EVACUATION SERVICE LTD HAIX Footwear - Get offical podcast discount on HAIX HEREXendurance - to hunt performance & endurance 20% off HERE with code ffp20Lyfe Linez - Get Functional Hydration FUEL for FIREFIGHTERS, Clean no sugar for daily hydration. 80% of people live dehydratedSend us a textSupport the show***The views expressed in this episode are those of the individual speakers. Our partners are not responsible for the content of this episode and does not warrant its accuracy or completeness.*** Please support the podcast and its future by clicking HERE and joining our Patreon Crew
A key part of symptom management, agitation management, and humanizing care is communication. Throughout the podcast, we have discussed non-verbal communication during mechanical ventilation. ....but what about non-invasive ventilation? How does the inability to communicate impact care, patient experience, and outcomes for patient on BIPAP? Dr. Ian Wong shares with us his research and innovation that is transforming communication during non-invasive ventilation. Randomized Controlled Trial of a Novel Communication Device Assessed During Noninvasive Ventilation Therapy - PubMedAtaia Medical – Empowering Patients with the Freedom to Speakwww.DaytonICUConsulting.com
In this special Roofing Road Trips® episode, Heidi J. Ellsworth hits the road to visit the Attic Breeze manufacturing facility for an inside look at what sets their solar attic fans apart. Filmed on-site, this episode dives into daily production, hands-on quality control and what it takes to build high-performance fans that meet tough standards like TDI/Windstorm and FBC (HVHZ) compliance. Heidi talks with the hardworking team behind the scenes — including voices from the line, workers shaping each product with care and sales representatives from the field. From coating to color matching, solar panel specs to standout efficiency metrics, this episode showcases the craftsmanship, innovation and heart that powers Attic Breeze. Learn more at RoofersCoffeeShop.com! https://www.rooferscoffeeshop.com/ Are you a contractor looking for resources? Become an R-Club Member today! https://www.rooferscoffeeshop.com/rcs-club-sign-up Sign up for the Week in Roofing! https://www.rooferscoffeeshop.com/sign-up Follow Us! https://www.facebook.com/rooferscoffeeshop/ https://www.linkedin.com/company/rooferscoffeeshop-com https://x.com/RoofCoffeeShop https://www.instagram.com/rooferscoffeeshop/ https://www.youtube.com/channel/UCAQTC5U3FL9M-_wcRiEEyvw https://www.pinterest.com/rcscom/ https://www.tiktok.com/@rooferscoffeeshop https://www.rooferscoffeeshop.com/rss #AtticBreeze #RoofersCoffeeShop #MetalCoffeeShop #AskARoofer #CoatingsCoffeeShop #RoofingProfessionals #RoofingContractors #RoofingIndustry
In this Roofing Road Trips® live broadcast, Heidi J. Ellsworth joins Austin McConnell, certified trainer and technical support of Attic Breeze on location for an up-close look at their hands-on training program and fan performance. With a live demonstration of the solar-powered fans in action, this episode goes beyond the brochure to show what makes Attic Breeze a contractor's go-to solution. From weekly online training sessions and bilingual resources to the Breeze Mate control system and troubleshooting support, Attic Breeze is committed to making installs easy, safe and successful. Join them for practical insights and smart training strategies. Watch the videocast here: https://youtu.be/I68dl1qpyVE Learn more at RoofersCoffeeShop.com! https://www.rooferscoffeeshop.com/ Are you a contractor looking for resources? Become an R-Club Member today! https://www.rooferscoffeeshop.com/rcs-club-sign-up Sign up for the Week in Roofing! https://www.rooferscoffeeshop.com/sign-up Follow Us! https://www.facebook.com/rooferscoffeeshop/ https://www.linkedin.com/company/rooferscoffeeshop-com https://x.com/RoofCoffeeShop https://www.instagram.com/rooferscoffeeshop/ https://www.youtube.com/channel/UCAQTC5U3FL9M-_wcRiEEyvw https://www.pinterest.com/rcscom/ https://www.tiktok.com/@rooferscoffeeshop https://www.rooferscoffeeshop.com/rss #AtticBreeze #RoofersCoffeeShop #MetalCoffeeShop #AskARoofer #CoatingsCoffeeShop #RoofingProfessionals #RoofingContractors #RoofingIndustry
If you've been with us over the past couple of years, you'll know we've done firefighter challenge debriefs before and the feedback has always been "do more of these"…so here we are, kicking off the first debrief of 2025.Welsh Firefighter Challenge has become a true highlight in the firefighter calendar, an incredible mix of competition, fitness, community, and celebration of everything that makes our sector so special.Joining me today are Dominic Norcross and Tim Frost, some of the organizers behind the Welsh Firefighter Challenge. Together, we dive into the story of how this competition has grown over the past four years, the athletes who inspire us, the importance of sponsorship and community engagement, and why firefighter fitness is about so much more than just performance, it's about family, resilience, leadership, and pushing ourselves to be better, inside and outside of the job.Access all episodes, documents, GIVEAWAYS & debriefs HEREJoin me on the United for 9/11: Memorial Stair Climb – Atlanta 2026 HEREPodcast Apparel, Hoodies, Flags, Mugs HEREPODCAST GIFT - FREE subscription to essential Firefighting publications HERE A big thanks to our partners for supporting this episode.GORE-TEX Professional ClothingMSA The Safety CompanyIDEXFIRE & EVACUATION SERVICE LTD HAIX Footwear - Get offical podcast discount on HAIX HEREXendurance - to hunt performance & endurance 20% off HERE with code ffp20Lyfe Linez - Get Functional Hydration FUEL for FIREFIGHTERS, Clean no sugar for daily hydration. 80% of people live dehydratedSend us a textSupport the show***The views expressed in this episode are those of the individual speakers. Our partners are not responsible for the content of this episode and does not warrant its accuracy or completeness.*** Please support the podcast and its future by clicking HERE and joining our Patreon Crew
This episode is all about case study in circularity and a group of people turning waste into useful materials for the built environment. Daniel Dinizo and Charmaine Cu-Unjieng of NaturLoop are bringing a new bio-based product to market that transforms waste coconut husk into a material that's something between MDF and a particle board.For us, this presented a chance to talk about how sustainable materials are developed, the challenges of bringing them to market and how responsible businesses can approach supply chain development (the big challenge now). As professionals who work with LCAs, EPDs, and carbon calcs all the time it was refreshing to get into a product that will have an impact that can be accounted for in human terms, as well as the usual economic and environmental terms. They're also fundraising right now, so here's the pitch from Charmaine.NaturLoop at the Final Stage of Pre-Seed Funding"NaturLoop, the Swiss–Philippine climate-tech startup behind Cocoboard, is at the final stage of its pre-seed round. Cocoboard is the first industry-ready fibreboard made entirely from coconut husk waste and natural adhesives—a truly biocircular material. Featured at Interzum Cologne 2025, Cocoboard embodies the shift in construction and furniture toward biocircularity—no longer a trend but the future of materials. Europe's sustainable furniture market is set to more than double to $42.6 bn by 2032, with consumers paying around 10% more for sustainable products. NaturLoop is closing its round soon, inviting strategic investors to co-build a climate-positive business that reduces deforestation and uplifts poor coconut farmers—making the industry more future-proof."Notes from the showCharmaine Cu-Unjieng on LinkedinDaniel Dinizo on Linkedin NaturLoop on Linkedin The NaturLoop websiteA short film about Cocoboard®An investor CTA from CharmaineAn example of Cocoboard in use as a speaker box for a Schwab System**SOME SELF-PROMOTING CALLS TO ACTION**We don't actually earn anything from this podcast, and it's quite a lot of work, so we have to promote the day jobs.Follow us on the Zero Ambitions LinkedIn page (we still don't have a proper website)Jeff and Dan about Zero Ambitions Partners (the consultancy) for help with positioning and communications strategy, customer/user research and engagement strategy, carbon calculations and EPDs – we're up to all sortsSubscribe and advertise with Passive House Plus (UK edition here too)Check Lloyd Alter's Substack: Carbon UpfrontJoin ACANJoin the AECB Join the IGBCCheck out Her Retrofit Space, the renovation and retrofit platform for women**END OF SELF-PROMOTING CALLS TO ACTION**
A little over a year ago, I made a short reel discussing ventilating a patient in a severe metabolic acidosis. In the video, I mentioned that minimal to no PEEP might be appropriate. Not because the patient doesn't need PEEP, but because the shortened cycle time at higher respiratory rates can unintentionally generate dynamic PEEP on its own. But what if it was intentional? What if the presence of a wider pressure when the ventilator switches into exhalation would cause the air to exit more rapidly? In this podcast, I discuss my thought process with respiratory therapist extraordinare, Melody Bishop @melodybishop_rt. She helps surface some definitions and distinctions to terms like air-trapping, Set PEEP, & auto-PEEP while we discuss ventilation strategies in metabolic acidosis. The blog below was what I had sent her before the podcast to get all my thoughts & illustrations down in writing. As always, please follow your local guidelines, and I hope you enjoy listening to the conversation.
The gang is joined by Captain Nick Esposito to discuss the fears behind vertical ventilation. In between Gates' furious, nervous pen clicks, they discuss best methods in changing culture in your department, when and where poppin' the top is applicable, and which Disney Princess everyone would be. On this episode: Ryan Gates, TJ Parrish, Jason Joannides, Dustin Martinez, and Nick Esposito.Truckcompanymisfits.comSodacitytraining.com
Its Ventilation Friday and Lionel takes calls and lets people vent. Lionel talks about the upcoming meeting between President Trump and Vladimir Putin. Lionel talks about "Sandwich Gate" and criticizes the reaction by the DOJ. Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode of the Society of Critical Care Medicine (SCCM) Podcast, host Elizabeth H. Mack, MD, MS, FCCM, speaks with Anil Sachdev, MD, FICCM, of the Institute of Child Health, Sir Ganga Ram Hospital in New Delhi, India about his team's study, “Transpulmonary Pressure-Guided Mechanical Ventilation in Severe Acute Respiratory Distress Syndrome in the PICU: Single-Center Retrospective Study in North India, 2018–2021,” published in the March 2025 issue of Pediatric Critical Care Medicine. Dr. Sachdev explains the development and implementation at his institution of a protocol for transpulmonary pressure (TPP) monitoring in pediatric patients with severe acute respiratory distress syndrome. His team compared outcomes of patients receiving TPP-guided ventilation with those receiving conventional mechanical ventilation. Study findings suggested that TPP monitoring enabled the use of higher positive end-expiratory pressure with greater clinician confidence, resulting in improved oxygenation. Study limitations included small sample size and challenges of equipment availability, cost, and obtaining parental consent. The study was conducted in part during the COVID-19 pandemic, which further constrained resources and study participation. The discussion concludes with Dr. Sachdev's insights into practical challenges of TPP monitoring, including inserting delicate esophageal catheters in infants and young children and the necessity of correct catheter position for accurate readings. Resources referenced in this episode: Transpulmonary Pressure-Guided Mechanical Ventilation in Severe Acute Respiratory Distress Syndrome in the PICU: Single-Center Retrospective Study in North India, 2018–2021 (Sachdev A, et al. Pediatr Crit Care Med. 2025;26:e354-e363).
In this episode from the 6th Annual HVACR Training Symposium, Brynn Cooksey, a home performance contractor from Michigan and technical training business owner, reveals how indoor air quality (IAQ) testing transformed his contracting business from a commodity service into a profitable specialty. Cooksey shares his proven methodology for turning IAQ into an "instant profit center" by implementing systematic testing on every service call. Cooksey opens with a striking reality check: according to the EPA, Americans spend 90% of their time indoors, yet indoor air quality is 2-5 times worse than outdoor air. This presents a massive opportunity for HVAC contractors, as he explains that consumers are already spending $10 billion annually on air quality products at big box stores - but they're treating symptoms rather than addressing root causes. His approach involves educating contractors on how to position themselves as the solution providers rather than letting customers self-diagnose with retail products. The presentation dives deep into six critical IAQ parameters that every contractor should measure: particles (especially dangerous PM 2.5), volatile organic compounds (VOCs), carbon dioxide, carbon monoxide, humidity, and temperature. Cooksey emphasizes his "test in, implement solution, test out" methodology, demonstrating how this systematic approach not only ensures customer satisfaction but also provides concrete proof of value delivered. He shares real-world examples, including a dramatic case where routine IAQ testing during a water heater service call revealed a cracked heat exchanger that could have been life-threatening. The episode concludes with extensive coverage of ventilation strategies, which Cooksey calls the "silver bullet" for IAQ improvement. He walks through the differences between supply-only, exhaust-only, and balanced ventilation systems, strongly advocating for Energy Recovery Ventilators (ERVs) as the optimal solution. His practical approach includes using DOE's free REDCalc tool for proper ventilation sizing and emphasizes the importance of controlled ventilation over relying on natural air leakage - debunking the myth that "houses need to breathe." Topics Covered The IAQ Business Case: How testing indoor air quality on every service call creates new revenue streams and differentiates contractors in a commoditized market Six Critical IAQ Parameters: Detailed explanation of particles (PM 2.5), VOCs, carbon dioxide, carbon monoxide, humidity, and temperature - what they are, how to measure them, and health impacts Systematic Testing Methodology: The "test in, implement solution, test out" approach that provides measurable results and customer proof of value Particle Control Strategies: Source control, enhanced filtration (MERV 13-16), duct cleaning benefits, and duct sealing with Aeroseal technology Chemical and VOC Management: Understanding formaldehyde and benzene sources, proper storage techniques, and why PCO devices aren't recommended Carbon Monoxide Detection: The life-saving importance of testing every home, understanding chronic vs. acute exposure, and why standard CO detectors aren't sufficient Ventilation as the Silver Bullet: Comprehensive coverage of supply-only, exhaust-only, and balanced ventilation strategies, with strong emphasis on ERV systems Practical Implementation Tools: Using DOE's REDCalc tool for ventilation sizing, integrating IAQ testing into service calls, and customer communication strategies Real-World Case Studies: Multiple examples of IAQ testing uncovering dangerous conditions, from cracked heat exchangers to improper combustion appliance installation Building Science Integration: How IAQ testing leads to broader building performance improvements, including duct sealing, insulation, and equipment sizing corrections Have a question that you want us to answer on the podcast? Submit your questions at https://www.speakpipe.com/hvacschool. Purchase your tickets or learn more about the 7th Annual HVACR Training Symposium at https://hvacrschool.com/symposium. Subscribe to our podcast on your iPhone or Android. Subscribe to our YouTube channel. Check out our handy calculators here or on the HVAC School Mobile App for Apple and Android
Ep. 196: Welcome back to POW. Today we have an amazing episode all about non-toxic living. You'll hear from top experts sharing practical advice on addressing mold exposure, microplastics, and hidden household dangers that can affect your health. Having this podcast and speaking to incredible experts like Allison Evans, Mike Feldstein, and Dave Asprey has truly helped me embrace non-toxic living in a balanced way. Whether you're curious about improving air quality, balancing hormones naturally, or seeking clearer skin, this episode is packed with insights to help you create a healthier sanctuary at home. Tune in for inspiration and actionable tips to enhance your non-toxic journey! Leave Me a Message - click here! For Mari's Instagram click here! For Pursuit of Wellness Podcast's Instagram click here! For Mari's Newsletter click here! For Allison's Instagram click here! For Mike's Instagram click here! For Dave's Instagram click here! Sponsored By: Upgrade your kitchen with Caraway's non-toxic cookware. Visit http://carawayhome.com/WELLNESS10 or use code WELLNESS10 for 10% off your next purchase. Get better sleep, hair and skin with Blissy and use POWPOD to get an additional 30% off at http://blissy.com/POWPOD The first 1,000 to join at http://functionhealth.com/POW or use gift code POW at sign-up get a $100 credit toward their membership. Maui Nui delivers wild-harvested, nutrient-rich venison straight to your door. Order now at http://mauinuivenison.com/POW. Supply is limited so don't wait! Breathe easier with Jaspr, the commercial-grade air scrubber that's quiet, powerful, and sleek. Get $400 off with code POW at http://jaspr.co/pow. Show Links: Support your gut, skin & immunity with Colostrum & Collagen Peptides, a 3-in-1 formula featuring probiotics and grass-fed collagen. Topics Discussed 00:08 - Introduction 02:20 Understanding preservatives in baby products (Ep. 110: Allison Evans) 04:03 What's in Branch Basics & how to use it 06:50 Pregnancy, mold exposure & candida 10:32 Coffee enemas 12:40 Clean eating 17:24 Clean living for kids: eczema, epigenetics & detox tools 21:07 Where to start with Branch Basics & removing hidden toxins 22:37 Getting sick from toxic air: respiratory & autoimmune flare-ups (Ep. 145 Mike Feldstein) 23:39 Mold exposure & mycotoxin testing 25:35 Air awareness: indoor & outdoor pollution 28:30 Ventilation tips & how cooking pollutes indoor air 34:35 Pets as a source of indoor toxins 38:15 How bad air quality affects people differently 40:32 The rise of mold awareness 47:48 Early mold exposure, food mycotoxins & the mold–Lyme connection (Ep. 100: Dave Asprey) 51:30 Coffee mold toxins & how to find mold-free beans 56:26 How mold exposure disrupts hormones & weight 59:30 Animal protein & why quality matters Learn more about your ad choices. Visit megaphone.fm/adchoices
Dean takes you from the attic to the electrical panel with practical advice for homeowners looking to make smarter decisions about comfort, efficiency, and safety. First, Dean breaks down the differences between fiberglass insulation and spray foam in attic spaces — especially when you're converting to a conditioned attic. He also explains how baffles work and why proper attic ventilation is critical, even with modern insulation materials. Then, a caller asks about tinted windows. Dean shares the pros and cons of window films, how they compare to low-E glass, and what to consider when upgrading for heat control and privacy. Later, Dean dives into pest control, focusing on termite prevention and elimination. Learn the warning signs of an infestation and which treatments are most effective without overpaying for unnecessary services. To close out the show, another caller wants to do some electrical upgrades without damaging their walls. Dean walks through clever ways to run wiring with minimal disruption, and when it's best to call in a professional.
Old ideas about air and disease were wrong on the science, but looking to the past might actually help us design healthier buildings today.Air-Borne Subscribe to SiriusXM Podcasts+ to listen to new episodes of 99% Invisible ad-free and a whole week early. Start a free trial now on Apple Podcasts or by visiting siriusxm.com/podcastsplus.