Podcasts about Ventilation

On a side note, this is my 14th year Anniversary on YouTubeCREEPYPASTA STORY►by frequent-cat:   / frequent-cat  Creepypastas are the campfire tales of the internet. Horror stories spread through Reddit r/nosleep, forums and blogs, rather than word of mouth. Whether you believe these scary stories to be true or not is left to your own discretion and imagination. LISTEN TO CREEPYPASTAS ON THE GO-SPOTIFY► https://open.spotify.com/show/7l0iRPd...iTUNES► https://podcasts.apple.com/gb/podcast...SUGGESTED CREEPYPASTA PLAYLISTS-►"Good Places to Start"-    • "I wasn't careful enough on the deep web" ...  ►"Personal Favourites"-    • "I sold my soul for a used dishwasher, and...  ►"Written by me"-    • "I've been Blind my Whole Life" Creepypasta  ►"Long Stories"-    • Long Stories  FOLLOW ME ON-►Twitter:   / creeps_mcpasta  ►Instagram:   / creepsmcpasta  ►Twitch:   / creepsmcpasta  ►Facebook:   / creepsmcpasta  CREEPYPASTA MUSIC/ SFX- ►http://bit.ly/Audionic ♪►http://bit.ly/Myuusic ♪►http://bit.ly/incompt ♪►http://bit.ly/EpidemicM ♪This creepypasta is for entertainment purposes only

To watch a video version of this podcast, click here: https://youtu.be/U0ALmS9vUC0In this episode, Reuben Saltzman and Tessa Murry talk with Sophie Ashley of Energy Vanguard about her journey from hands‑on carpentry and post‑Katrina rebuilding work to becoming an HVAC designer for high‑performance homes. Sophie shares how her field experience shaped her understanding of building science and why proper load calculations, ventilation strategies, and dehumidification planning are essential for modern airtight homes.The conversation also explores the challenges of open‑cell spray foam, moisture buildup in encapsulated attics, and what builders and inspectors often overlook in new construction. Sophie breaks down heat‑pump retrofits, electrification trends, and the importance of balancing comfort, durability, and system design—offering practical, science‑based insights for anyone working with or living in high‑performance homes.Here's the link to Inspector Empire Builder: https://www.iebcoaching.com/eventsYou can check out Energy Vanguard website here: https://www.energyvanguard.com/TakeawaysTight, high‑performance homes often require dedicated dehumidification, even in northern climates.Open‑cell spray foam allows moisture movement, which can raise attic humidity and impact roof decks.Proper HVAC design requires accurate load calculations, not rule‑of‑thumb sizing.Balanced ventilation (HRVs/ERVs) is essential in tight homes; Minnesota enforces some of the strictest standards.Retrofitting heat pumps into existing homes requires duct evaluation—it's not a simple swap.Many builder issues stem from overlooked details: attic access leaks, duct issues, missing covers, and ceiling‑plane air leaks.Electrification is growing, but homeowners must understand system impacts and design considerations.Chapters00:00 — Introduction02:00 — Sophie's Background & Career Path05:00 — High‑Performance Building & HVAC Design11:00 — Ventilation, ERVs & Climate Differences15:00 — Dehumidification in Airtight Homes17:00 — Moisture Problems with Open‑Cell Foam22:00 — Solutions: Conditioning Attics & Diffusion Ports26:00 — Heat Pumps, Dual‑Fuel & Proper Sizing31:00 — Electrification Trends38:00 — Common New‑Construction Issues47:00 — Field Lessons & Moisture Failures52:00 — How to Reach Sophie53:00 — Closing Remarks

Welcome to "Ventilation Friday" on The Other Side of Midnight with Lionel, where no topic is off-limits and the open phone lines bring pure, unfiltered chaos. Tune in for a wildly eclectic ride that bounces from terrifying warnings about AI, robot soldiers, and digital currencies to hilarious, bizarre caller confessions. Whether it's a guy seeking redemption after dumping his girlfriend over wrinkles, an HVAC tech dodging shotguns and suburban seduction, or the hysterical discovery of the "therapy kookaburra," this show is an eccentric, highly opinionated, and endlessly entertaining mix of late-night insanity. Expect the unexpected! Learn more about your ad choices. Visit megaphone.fm/adchoices

At the heart of the modern world lie ventilation shafts. We may not notice them, but wherever there are tunnels, sewers, mines, car parks and energy stations under our feet, vents will be doing vital work keeping them cool and fume-free. Vents come in a wonderful and inventive variety of forms. Adventurous Vents: A Journey through the Ventilation Shafts of Britain (Penguin, 2025) by Lucy Lavers, Judy Ovens, Suzanna Prizeman celebrates them both in their own right as intriguing individual structures, and as an innovative way to tell the story of Britain's subterranean industrial development from the eighteenth century to the present day. Here are one hundred of the most interesting ventilation shafts, dotted around Britain, sometimes in the most surprising places. You'll find them masquerading as sculptures and small buildings, adorned with fine details or displaying their purpose with confidence. Whether you're inspired to take off in search of them, or just to admire them from your armchair, vents are fabulous objects. By putting them – perhaps for the very first time – centre-stage, Adventurous Vents celebrates a highly unusual but exciting architectural form. This interview was conducted by Dr. Miranda Melcher whose book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. You can find Miranda's interviews on New Books with Miranda Melcher, wherever you get your podcasts. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

At the heart of the modern world lie ventilation shafts. We may not notice them, but wherever there are tunnels, sewers, mines, car parks and energy stations under our feet, vents will be doing vital work keeping them cool and fume-free. Vents come in a wonderful and inventive variety of forms. Adventurous Vents: A Journey through the Ventilation Shafts of Britain (Penguin, 2025) by Lucy Lavers, Judy Ovens, Suzanna Prizeman celebrates them both in their own right as intriguing individual structures, and as an innovative way to tell the story of Britain's subterranean industrial development from the eighteenth century to the present day. Here are one hundred of the most interesting ventilation shafts, dotted around Britain, sometimes in the most surprising places. You'll find them masquerading as sculptures and small buildings, adorned with fine details or displaying their purpose with confidence. Whether you're inspired to take off in search of them, or just to admire them from your armchair, vents are fabulous objects. By putting them – perhaps for the very first time – centre-stage, Adventurous Vents celebrates a highly unusual but exciting architectural form. This interview was conducted by Dr. Miranda Melcher whose book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. You can find Miranda's interviews on New Books with Miranda Melcher, wherever you get your podcasts. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/history

Finding the right ventilation solution can be make or break for your layer operation. And especially now with the emergence of cage-free farming, making sure air is circulating evenly can be key in ensuring your chickens remain healthy and productive. Craig Morley is in charge of sales at Aerotech, and Ross Demerly is their applications and sales engineering manager. Together they have a combined 60-plus years of experience working in agricultural ventilation, and they've been involved in some major innovations, including the rollout of the EC motor. Now, as part of a larger company called Grain and Protein Technologies Climate Control and Air Treatment, Aerotech continues to innovate alongside some big global players in the field.Today, Craig and Ross walk us through how ventilation tech has evolved throughout their careers, how the business has changed during that time, and the ways they continue to formulate solutions for the issues facing farmers.

At the heart of the modern world lie ventilation shafts. We may not notice them, but wherever there are tunnels, sewers, mines, car parks and energy stations under our feet, vents will be doing vital work keeping them cool and fume-free. Vents come in a wonderful and inventive variety of forms. Adventurous Vents: A Journey through the Ventilation Shafts of Britain (Penguin, 2025) by Lucy Lavers, Judy Ovens, Suzanna Prizeman celebrates them both in their own right as intriguing individual structures, and as an innovative way to tell the story of Britain's subterranean industrial development from the eighteenth century to the present day. Here are one hundred of the most interesting ventilation shafts, dotted around Britain, sometimes in the most surprising places. You'll find them masquerading as sculptures and small buildings, adorned with fine details or displaying their purpose with confidence. Whether you're inspired to take off in search of them, or just to admire them from your armchair, vents are fabulous objects. By putting them – perhaps for the very first time – centre-stage, Adventurous Vents celebrates a highly unusual but exciting architectural form. This interview was conducted by Dr. Miranda Melcher whose book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. You can find Miranda's interviews on New Books with Miranda Melcher, wherever you get your podcasts. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/environmental-studies

At the heart of the modern world lie ventilation shafts. We may not notice them, but wherever there are tunnels, sewers, mines, car parks and energy stations under our feet, vents will be doing vital work keeping them cool and fume-free. Vents come in a wonderful and inventive variety of forms. Adventurous Vents: A Journey through the Ventilation Shafts of Britain (Penguin, 2025) by Lucy Lavers, Judy Ovens, Suzanna Prizeman celebrates them both in their own right as intriguing individual structures, and as an innovative way to tell the story of Britain's subterranean industrial development from the eighteenth century to the present day. Here are one hundred of the most interesting ventilation shafts, dotted around Britain, sometimes in the most surprising places. You'll find them masquerading as sculptures and small buildings, adorned with fine details or displaying their purpose with confidence. Whether you're inspired to take off in search of them, or just to admire them from your armchair, vents are fabulous objects. By putting them – perhaps for the very first time – centre-stage, Adventurous Vents celebrates a highly unusual but exciting architectural form. This interview was conducted by Dr. Miranda Melcher whose book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. You can find Miranda's interviews on New Books with Miranda Melcher, wherever you get your podcasts. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/architecture

At the heart of the modern world lie ventilation shafts. We may not notice them, but wherever there are tunnels, sewers, mines, car parks and energy stations under our feet, vents will be doing vital work keeping them cool and fume-free. Vents come in a wonderful and inventive variety of forms. Adventurous Vents: A Journey through the Ventilation Shafts of Britain (Penguin, 2025) by Lucy Lavers, Judy Ovens, Suzanna Prizeman celebrates them both in their own right as intriguing individual structures, and as an innovative way to tell the story of Britain's subterranean industrial development from the eighteenth century to the present day. Here are one hundred of the most interesting ventilation shafts, dotted around Britain, sometimes in the most surprising places. You'll find them masquerading as sculptures and small buildings, adorned with fine details or displaying their purpose with confidence. Whether you're inspired to take off in search of them, or just to admire them from your armchair, vents are fabulous objects. By putting them – perhaps for the very first time – centre-stage, Adventurous Vents celebrates a highly unusual but exciting architectural form. This interview was conducted by Dr. Miranda Melcher whose book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. You can find Miranda's interviews on New Books with Miranda Melcher, wherever you get your podcasts. Learn more about your ad choices. Visit megaphone.fm/adchoices

At the heart of the modern world lie ventilation shafts. We may not notice them, but wherever there are tunnels, sewers, mines, car parks and energy stations under our feet, vents will be doing vital work keeping them cool and fume-free. Vents come in a wonderful and inventive variety of forms. Adventurous Vents: A Journey through the Ventilation Shafts of Britain (Penguin, 2025) by Lucy Lavers, Judy Ovens, Suzanna Prizeman celebrates them both in their own right as intriguing individual structures, and as an innovative way to tell the story of Britain's subterranean industrial development from the eighteenth century to the present day. Here are one hundred of the most interesting ventilation shafts, dotted around Britain, sometimes in the most surprising places. You'll find them masquerading as sculptures and small buildings, adorned with fine details or displaying their purpose with confidence. Whether you're inspired to take off in search of them, or just to admire them from your armchair, vents are fabulous objects. By putting them – perhaps for the very first time – centre-stage, Adventurous Vents celebrates a highly unusual but exciting architectural form. This interview was conducted by Dr. Miranda Melcher whose book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. You can find Miranda's interviews on New Books with Miranda Melcher, wherever you get your podcasts. Learn more about your ad choices. Visit megaphone.fm/adchoices

At the heart of the modern world lie ventilation shafts. We may not notice them, but wherever there are tunnels, sewers, mines, car parks and energy stations under our feet, vents will be doing vital work keeping them cool and fume-free. Vents come in a wonderful and inventive variety of forms. Adventurous Vents: A Journey through the Ventilation Shafts of Britain (Penguin, 2025) by Lucy Lavers, Judy Ovens, Suzanna Prizeman celebrates them both in their own right as intriguing individual structures, and as an innovative way to tell the story of Britain's subterranean industrial development from the eighteenth century to the present day. Here are one hundred of the most interesting ventilation shafts, dotted around Britain, sometimes in the most surprising places. You'll find them masquerading as sculptures and small buildings, adorned with fine details or displaying their purpose with confidence. Whether you're inspired to take off in search of them, or just to admire them from your armchair, vents are fabulous objects. By putting them – perhaps for the very first time – centre-stage, Adventurous Vents celebrates a highly unusual but exciting architectural form. This interview was conducted by Dr. Miranda Melcher whose book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. You can find Miranda's interviews on New Books with Miranda Melcher, wherever you get your podcasts. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/british-studies

We explore how to refine and optimize care in the vital minutes following ROSC. Hosts: Jonathan Elmer, MD, MS Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Post-ROSC_care.mp3 Download Leave a Comment Show Notes Core EM Modular CME Course Maximize your commute with the new Core EM Modular CME Course, featuring the most essential content distilled from our top-rated podcast episodes. This course offers 12 audio-based modules packed with pearls! Information and link below.  Course Highlights: Credit: 12.5 AMA PRA Category 1 Credits™ Curriculum: Comprehensive coverage of Core Emergency Medicine,  with 12 modules spanning from Critical Care to Pediatrics. Cost: Free for NYU Learners $250 for Non-NYU Learners Click Here to Register and Begin Module 1 I. Phase 1: Stabilization (Minutes 0–10) The “Rearrest” Window & Pathophysiology High-Risk Period: Rearrest rates reach 30% within the first minutes post-ROSC. Shock Incidence: Two-thirds of patients develop profound hypotension/shock as initial resuscitative efforts subside. Catecholamine Washout: Super-physiologic “code-dose” epinephrine (1mg IV) typically wears off within ~3 minutes post-ROSC, leading to predictable hemodynamic collapse. Secondary Injuries: Evaluate for “CPR-induced trauma” (blunt thoracic trauma, rib fractures, pneumothorax, liver/splenic lacerations). Immediate Resuscitative Actions Vascular Access: Transition rapidly from IO to reliable IV access within 1–2 minutes. Prioritize Intraosseous (IO) placement within 5 minutes if IV attempts fail; intra-arrest data suggests no significant difference in early outcomes. Vasoactive “Bridge”: Maintain a “bolus-dose” pressor at the bedside for immediate push-dose titration. Options: Phenylephrine, dilute Epinephrine, or dilute Norepinephrine (titrated to effect rather than rigid dosing). Physician-Specific Task: Arterial Line: Goal: Placement within 5 minutes of ROSC. Preferred Site: Femoral (by landmarks/blind if necessary) for speed; should be a 80 mmHg. The BOX Trial Nuance: While the BOX trial showed no difference between MAP 63 vs. 77, its cohort (Denmark) had exceptionally high survival rates (70% back to work) and short response times, which may not generalize to North American populations with lower shockable rhythm incidence. Permissive Hypertension: If the patient is “self-driving” to higher pressures, do not aggressively lower them, as this may be a physiologic demand for cerebral blood flow. Ventilation and Oxygenation PaCO2 Management: Target: High-normal to slightly hypercarbic (45–55 mmHg). Rationale: Avoid accidental hyperventilation (PaCO2

Our topic today is one that is near and dear to every CDH parent's heart — innovation in CDH care, ventilation strategies, and reducing the need for ECMO. Dr Suneetha Desiraju joins us to explain the strategies she employs at Johns Hopkins Baltimore and the wonderful outcomes she is seeing.If you've had a child on ECMO, then you know all too well the fear, the weight, and the heartbreak that can come with it. So any advancement that helps lessen the need for ECMO is something worth talking about.

If you work with commercial HVAC systems, you touch VAV boxes every day. But are they working with your air handler or quietly fighting it? In episode 535 of the Smart Buildings Academy Podcast, you step back from sequences and setpoints to look at VAV box control theory as a complete system. Because a VAV box is not just a damper and a reheat coil. It is a decision-making device balancing comfort, ventilation, and energy while the air handler tries to keep the entire building stable. When airflow, static pressure, supply air temperature, and ventilation minimums are not coordinated, you feel it in callbacks, energy bills, and unhappy occupants. This episode challenges you to think beyond individual points and start thinking system-wide. Topics Covered How VAV boxes and air handlers must coordinate to maintain stability Static pressure control and why reset strategies change everything Supply air temperature reset and its impact on airflow and reheat Ventilation minimums, occupancy, and indoor air quality control Reheat coordination and preventing simultaneous heating and cooling If you design, program, or troubleshoot VAV systems, this conversation will change how you approach your next project.

ITRC's Vapor Intrusion Mitigation training is a series of eight (8) modules, presented over two sessions. If you took the ITRC VIM series previously, the content has stayed the same, but the new course directs people to the Vapor Intrusion (VI) Toolkit resources published in January 2026 by ITRC. The Vapor Intrusion Mitigation training series provides an overview of VIM and presents information from the 2026 Vapor Intrusion (VI) ToolkitITRC VI Toolkit (which includes fact sheets, technology information sheets, and checklists). Session 1:Introduction & Overview of Vapor Intrusion Mitigation Training TeamConceptual Site Models for Vapor Intrusion MitigationCommunity Engagement During Vapor Intrusion MitigationRapid Response & Ventilation for Vapor Intrusion MitigationRemediation & Institutional Controls Session 2:Active Mitigation ApproachesPassive Mitigation ApproachesSystem Verification, OM&M, Curtailment and Shutdown When certain contaminants or hazardous substances are released into the soil or groundwater, they may volatilize into soil vapor. VI occurs when these vapors migrate up into overlying buildings and contaminate indoor air. The ITRC VI Toolkit combines the previous ITRC VI-related guidance documents (VI 2007, PVI 2014, VIM-1 2020), along with updates, into one comprehensive resource toolkit (including fact sheets, technology information sheets and checklists) published in January 2026. After the Vapor Intrusion Mitigation series, you should understand:How to locate and utilize the relevant document, fact sheets, technology information sheets, and checklistsThe importance of a VI mitigation conceptual site modelHow community engagement for VI mitigation differs from other environmental mattersWhen to implement rapid response for VI and applicable methodologies The differences between remediation, mitigation, and institutional controlsAvailable technologies for active and passive mitigation, and design considerations for various approachesHow/when/why different mitigation technologies are appropriateHow to verify mitigation system success, address underperformance, and develop a plan for curtailment of a mitigation system and shutdown We encourage you to use the ITRC VI Toolkit and these training modules to learn about VI mitigation and how you can apply these best practices to improve decision-making at your sites. For regulators and other government agency staff, this understanding of VI mitigation can be incorporated into your own programs. While the training makes every effort to keep the information accessible to a wide audience, it is assumed that the participants will have some basic technical understanding of chemistry, environmental sciences, and risk assessment. As with other emerging contaminants, our understanding of VI mitigation continues to advance. This training provides the participants with information on areas where the science is evolving and where uncertainty persists. To view this archive online or download the slides associated with this seminar, please visit http://www.clu-in.org/conf/itrc/VIM-1_022426/

We sat down with Anna Moore, CEO of Domna Group, to talk about its approach to the business of retrofit, pragmatic retrofit strategy, and long-term asset management for landlords. All underpinned by a layer of data collation and machine learning.Domna is currently retrofitting around 10,000 homes per year through grant-funded and self-funded programmes, using an integrated asset management—strategy to: deliver impact and savings through a mix of strategy, support on funding, management of delivery, and quality assurance. Importantly, Anna knows her stuff and she is fun, too.Notes from the showAnna Moore on LinkedInDomna Group on LinkedIn The Domna website (sign up in the footer)**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**

In this episode of the Society of Critical Care Medicine (SCCM) Podcast, host Maureen Madden, DNP, RN, CPNP-AC, CCRN, FCCM, speaks with Javier Varela, MD, MSc, about his study, “Acute Bronchiolitis in Infants on Invasive Mechanical Ventilation: Physiology Study of Airway Closure,” published in the September 2025 issue of Pediatric Critical Care Medicine. The study revealed new insights into airway pathophysiology in infants with severe bronchiolitis who require mechanical ventilation, a population that comprises a substantial portion of winter pediatric intensive care unit (PICU) admissions worldwide. Dr. Varela is an intensivist in the PICU in the Department of Pediatrics at Clínica Alemana de Santiago, in Santiago, Chile. Differing ventilatory strategies and the heterogeneous phenotypes of bronchiolitis motivated Dr. Varela's team to investigate airway closure, which was detected in seven of the 12 patients included in the study. Airway opening pressure frequently exceeded the set positive end-expiratory pressure (PEEP) levels—highlighting a potential gap in traditional ventilator management. Dr. Varela explains that respiratory mechanics, particularly driving pressure and respiratory system compliance, can be misinterpreted when airway opening pressure is not considered. Study limitations included bacterial coinfection in nearly half the patients and the constraints of a single-center design, but Dr. Varela said that these factors did not appear to alter the physiologic observations. Although more research is needed before making clinical recommendations, the study established a foundational understanding of airway closure in patients with bronchiolitis and underscores the need for future work on personalized ventilation strategies, PEEP titration, and the potential heterogeneity of airway behavior in this population. Resources referenced in this episode: Acute Bronchiolitis in Infants on Invasive Mechanical Ventilation: Physiology Study of Airway Closure (Varela J, et al. Pediatr Crit Care Med. 2025;26:e1096-e1104) Airway Closure in Acute Respiratory Distress Syndrome: An Underestimated and Misinterpreted Phenomenon (Chen L, et al. Am J Respir Crit Care Med. 2018;197:132-136)

c02 The Silent Killers in Your Home | Episode 586 Good morning. It's 45 degrees, I'm dragging butt, and today we're talking about something that quietly kills a lot of people every year. Carbon dioxide. Smoke. Ventilation. The invisible stuff. This isn't sexy prepping. This is boring, basic, “why are we even talking about this?” prepping. Because a $20 device can literally save your life. Carbon Dioxide: The Cheap Life Insurance You're Ignoring I was scrolling headlines this morning and saw another story about deaths from carbon dioxide poisoning. It happens every single year. A lot. And here's the stupid part — a CO₂ detector costs like twenty bucks. Even if you don't run a propane heater, even if you think your house is “fine,” they're cheap enough that not owning one is just negligence. Modern homes are airtight. That's great for energy efficiency. It's not great if something is off-gassing inside. We run: A Mr. Buddy propane backup heater On-demand propane hot water Both can introduce CO₂ into the air. Under normal conditions? Fine. Crank the flame too high? It absolutely spikes. We've set ours off before. We've seen it climb toward 150 parts per million. The alarm goes off, we crack windows, levels drop. If we didn't have the monitor? We'd have no clue. That's the scary part. Without a detector, you literally do not know. Backup Heat Means Backup Monitoring If you're running any kind of propane heater — especially in winter — this is not optional. Yes, some heaters have built-in shutoff sensors. The Mr. Buddy claims it will shut itself off if CO₂ gets too high. Cool. I still want my own monitor. That's a belt-and-suspenders situation. Redundancy matters when the failure mode is “you don't wake up.” Also: crack a window. It feels counterintuitive when you're trying to heat a space, but fresh air matters. Smoke Detectors: The Highest ROI Device in Your House If your house doesn't have smoke detectors, I don't know what to tell you. They are cheap. The return on investment is astronomical. The ROI of not dying in a house fire? I'll take that trade every day of the week. Yes, I've had one fail before. I installed one when I built my house, it broke, and there was a stretch where we didn't have one. It happens. Then you fix it. Also: change your batteries. Do not be the person whose smoke detector chirps for three months. Just replace the batteries. Batteries: The Boring Prep That Matters CO₂ detectors. Smoke alarms. Flashlights. They all need batteries. Stock some. I bought one of those zippered foam battery organizers that holds multiple sizes. It's nerdy, but having a full case of ready-to-go batteries is awesome. Also, don't cheap out on garbage rechargeable batteries. I bought some that were labeled rechargeable and either weren't — or were just trash. They wouldn't hold a charge. When it comes to life-safety gear? Buy decent batteries. Combination Units vs Dedicated Monitors Many modern smoke detectors also monitor CO₂. That's fine. Two-for-one is great. Personally, I like a dedicated CO₂ monitor that shows parts per million in real time. I want to see the numbers. I want to watch them drop when I open a window. But if you're starting from scratch? A combo unit is far better than nothing. The goal is awareness. Radon and Other Invisible Problems Carbon dioxide isn't the only invisible threat. Radon is real. I've watched a YouTube renovation series where a homeowner tested high radon levels in a basement before sealing and fixing it. That's something you may want to test, depending on where you live. Ventilation matters. Fresh air matters. And if you have natural gas? Know where your emergency shutoff is. That's non-negotiable. Final Thoughts This episode isn't dramatic. It's not about collapse. It's about not dying from something preventable. Buy a CO₂ detector.Test your smoke alarms.Stock batteries.Know your shutoffs.Crack a window when running propane. Preparedness isn't always about big disasters. Sometimes it's about the invisible stuff quietly building up in your own house. This is James from SurvivalPunk.com.DIY to survive. Amazon Item OF The Day Carbon Monoxide Detector,Portable CO Alarm CO Gas Monitor Alarm with LCD Digital Display Sound Light Warning,Battery Powered High Accuracy CO Alarm Detectors for Travel Home Office Kitchen Car Hotel Think this post was worth 20 cents? Consider joining The Survivalpunk Army and get access to exclusive content and discounts! Don't forget to join in on the road to 1k! Help James Survivalpunk Beat Couch Potato Mike to 1k subscribers on Youtube Want To help make sure there is a podcast Each and every week? Join us on Patreon Subscribe to the Survival Punk Survival Podcast. The most electrifying podcast on survival entertainment. Itunes Pandora RSS Spotify Like this post? Consider signing up for my email list here > Subscribe Join Our Exciting Facebook Group and get involved Survival Punk Punk's The post The Silent Killers in Your Home | Episode 586 appeared first on Survivalpunk.

🧭 REBEL Rundown 📌 Key Points The 4 Steps of an ED Consult:👋 Introduce yourself and your role🎯 Lead with the outcome (the ask)🧾 Give a focused case summary (why it’s theirs + what you’ve done)🔁 Close the loop (timeline, next steps, contingencies) Click here for Direct Download of the Podcast. 📝 Introduction Today we’re tackling one of the most important (and most under-taught) skills in emergency medicine: how to call a consult in the ED and what to do when a consultant pushes back.To call a consult in the ED, start with a brief introduction, lead with the outcome you need (“the ask”), give a focused decision-relevant summary, and close the loop with timeline and next steps. If the consultant resists, clarify the “why,” restate the ask, offer alternatives, and escalate when patient safety or disposition is at risk.After two decades in emergency medicine and countless consult calls, here’s a simple framework—plus copy/paste scripts—to make your consults faster, clearer, and easier to say “yes” to. 🤔 Why Consult Skills Matter in Emergency Medicine Consults aren’t a formality—they’re a patient-care intervention. Strong consult communication:Reduces delays in time-sensitive careImproves ED throughput and dispositionDecreases conflict and miscommunicationClarifies ownership and next stepsProtects the patient (and the team) when plans are unclear 🪜 The 4-Step ED Consult Framework (Introduction → Ask → Summary → Close the Loop) Most consult friction comes from one of two problems: unclear expectations or excessive noise. This four-step structure solves both.1) Introduce yourself and your roleA simple intro sets a professional tone and removes ambiguity.Script: “Hey, this is Swami, one of the ED attendings. I’m calling for an ortho consult.” 2) Lead with the outcome (the ask)Don’t bury the lede. The consultant wants to know what you need—immediately.Script: “I’m calling about a patient with a suspected septic knee. I need you to evaluate for operative management.” 3) Give a focused, decision-relevant summaryYour summary should answer:Why this is your service’s problemWhat’s already been doneWhat I’m worried about / what decision is needed nowScript: “43-year-old man with no major PMH, 3 days of knee pain and swelling. XR negative. Febrile. Aspiration yielded purulent fluid—cultures sent. We started antibiotics after the tap. He’s hemodynamically stable.” High-yield pearl: Add quick “stability anchors” when relevant:“Airway stable, pain controlled.”“Neurovascularly intact.”“No signs of compartment syndrome.”“No hypotension or escalating oxygen requirement.” 4) Close the loop (timeline + next steps)This prevents the consult from floating in limbo and protects patient flow.Script: “When do you expect to see the patient, and do you want anything done before you arrive—NPO, repeat labs, additional imaging?” 📝 ED Consult Script General ED Consult Script “Hi, this is Dr. ___ in the ED. I’m calling for a ___ consult. The reason is ___. Briefly: ___ year-old with ___. We’ve done ___ and started ___. I’m concerned about ___. Can you see them today, and what’s your preferred next step?” Septic joint / Ortho Example “Hi, this is Swami in the ED. I need an ortho consult for suspected septic arthritis. 43-year-old with 3 days of atraumatic knee swelling and fever. XR negative. Tap produced purulent fluid—cultures sent. Antibiotics started after aspiration. Can you evaluate for operative management, and when can you see the patient?” Neurology example (time-sensitive) “Hi, this is Dr. ___ in the ED. I need neurology for suspected acute stroke. Last known well ___. NIHSS ___. CT/CTA completed (or pending). I’m calling to discuss candidacy for thrombolysis/thrombectomy and next steps. When can you evaluate and what additional workup do you want now?” ⛓️‍💥 Common ED Consult Mistakes (and Fixes) Mistake: Long story before the askFix: Lead with the outcome in the first sentenceMistake: Unfiltered data dumpFix: Provide only decision-relevant detailsMistake: No timelineFix: Ask explicitly when they’ll see the patient and what they need firstMistake: Implicit “ownership”Fix: Clarify who is admitting, who is following, and what happens if the patient worsens ✋ What to Do When a Consultant Pushes Back Even a perfect consult can meet resistance. Your job is to stay calm, keep it professional, and protect the patient.1) Ask “why?”Don’t argue first—diagnose the refusal.Script: “Help me understand your concern about seeing this patient.” Many refusals are based on misunderstanding: wrong service, missing key detail, or incorrect assumption about stability.2) Restate the consult in one sentence, then offer optionsIf the conversation starts spiraling, reset it.Script: “To be clear, I’m concerned this is septic arthritis and needs ortho evaluation. If you don’t feel you’re the right service, who should be—rheum, medicine, or another surgical team?” This keeps you collaborative while preventing dead ends.3) Humanize the decision (use sparingly)This is a “high-voltage” tool. Use it when stakes are high and you’ve already clarified the medical facts.Script: “I’m worried we’re missing something time-sensitive. If this were your family member, what would you want us to do next?” Use it to re-anchor to patient risk—not as a guilt tactic. ⚡️When and How to Escalate a Consult Escalation isn’t personal—it’s a safety mechanism when there’s an impasse that threatens timely care.When to escalateTime-sensitive condition is delayed (e.g., septic joint, cord compression, testicular torsion, GI bleed with instability)No clear disposition plan despite reasonable ED evaluationConsultant refusal blocks needed specialty decision-makingPatient safety or deterioration risk is increasing in the ED How to escalate (lowest to highest intensity)Ask for the consultant’s attending (if speaking to a resident)Call the on-call attending directlyInvolve ED leadership/medical directorEscalate to service chief/department chair (rare, but real)Hospital supervisor/admin escalation for immediate operational impasseScript: “We’re at an impasse and the patient needs a decision. I’m escalating to clarify ownership and ensure timely care.” ️ Documentation Tips for Consult Refusals Documentation should be factual and patient-centered, not punitive.Include:Your clinical concern and why the consult is neededWho you spoke with (name/role)Their stated reason for refusal or delayAlternatives discussedEscalation steps taken and final plan 👉 FAQ: Emergency Medicine Consults What is the best way to call a consult in the ED?Introduce yourself, lead with the specific ask, summarize only decision-relevant details, and close the loop with a clear plan and timeline.What should I say when a consultant refuses to see a patient?Ask why, clarify misunderstandings, restate your concern and the ask, and request an alternative plan or appropriate service.When should I escalate a consult?Escalate when an impasse delays time-sensitive care, threatens patient safety, or prevents appropriate disposition.How do I document a refused consult?Document the clinical concern, who you spoke with, their stated reason, alternatives discussed, and escalation steps taken. 🏁 Conclusion Mastering emergency medicine consults makes you faster, safer, and easier to work with. The goal isn’t to “win” a consult call—it’s to get the patient the right care, with clear ownership and a shared plan. Post Peer Reviewed By: Marco Propersi, DO (Twitter/X: @Marco_propersi), and Mark Ramzy, DO (X: @MRamzyDO) 👤 Associate Editor Anand Swaminathan MD, MPH All Things REBEL EM Meet The Team 🔎 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 150.0: Emergency Medicine Consults: How to Call a Consult + Handle Pushback (With Scripts) appeared first on REBEL EM - Emergency Medicine Blog.

We're back! And we're talking about the value of post-occupancy evaluation (POE) with Tom Robins and Leigh Fairbrother of Switchee.Their business is POE for landlords that's intended to improve the quality of life for the residents that they rely on. Capturing sensor data, analysing it, and synthesising that into something their clients can use.Essentially, this means validating the quality of fabric, the impact of retrofit works, and anticipating car crashes—metaphorical ones.We get a really helpful explanation of Awaab's Law around 25–30 minutes in, too. (Thank you Leigh.)Notes from the showTom Robins on LinkedInLeigh Fairbrother on LinkedIn The Switchee website (sign up in the footer)Switchee on LinkedInPH+ coverage of that early work in Thamesmead (the Clockwork Orange estate) **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**

Ready to turn your home into a haven of fresh air? Join me, Eric G, and my buddy John Dudley as we dive into the world of ventilation with our good friend Ken Nelson from Panasonic Eco Systems. We're tackling the big stuff—like why proper ventilation is the unsung hero of home comfort and health. Spoiler alert: it's not just about avoiding that funky bathroom smell; we're talking about keeping your indoor air quality top-notch and preventing that delightful mold garden from sprouting in your garage. So, if you're ready to breathe easier and maybe learn a thing or two about how to keep your air (and your home) feeling fresh, then stay tuned! If you've ever walked into your garage and thought, 'Wow, it feels like a swamp in here,' then boy, do Eric G. and John Dudley have a treat for you! In this lively episode, they sit down with Ken Nelson from Panasonic Eco Systems to tackle the often-overlooked topic of ventilation. Spoiler alert: it's not just about avoiding that horrid bathroom fog! Ken dives deep into the world of Energy Recovery Ventilators (ERVs) and how they can transform your indoor air quality from ‘yikes' to ‘ahh.' We learn that moisture isn't just a bathroom problem; it lurks in your kitchen and garage too, ready to wreak havoc on your precious belongings. Ken humorously shares his personal experiences with Panasonic products, emphasizing their longevity and efficiency. The trio explores the absurdities of building codes and how they often miss the mark on practical ventilation solutions. Plus, they discuss the importance of maintaining those fancy gadgets to keep your home breathing easy. So, grab a drink, kick back, and get ready to rethink your home's air flow!Takeaways:Ventilation is not just about the bathroom; it's crucial for kitchens and garages too, so stop ignoring those moisture issues, folks!Panasonic's ERVs can reject up to 90% of moisture, meaning if it's 80% humidity outside, you could be breathing in a cool 55% inside. No more sweaty living!Mechanical ventilation is key because relying on open windows is like hoping for a miracle every time the wind blows—let's be real, it rarely works like that.The right ventilation system can save you big bucks on energy costs, so invest wisely instead of going for the cheapest options that just gather dust.Don't skimp on filter changes in your ERV; that filter is your home's first line of defense against the nasty outdoor air, and ignoring it is just asking for trouble.If your ventilation is only as good as your building code allows, you're basically living in a barely legal house—time to step it up!Companies mentioned in this episode:Panasonic VentilationPanasonic EcosystemsThanks for listening to Around the house if you want to hear more please subscribe so you get notified of the latest episode as it posts at https://around-the-house-with-e.captivate.fm/listenIf you want to join the Around the House Insider for access to the back catalog, Exclusive Content and a direct email to Eric G and access to the show early https://around-the-house-with-e.captivate.fm/support...

In this episode of Home in Progress, sponsored by RepcoLite Paints and Benjamin Moore, the conversation continues around organizing memories—this time shifting from digital clutter to physical photographs, with practical advice on how to curate, preserve, and store them without feeling overwhelmed.The show also explores the very real impact of the winter blues and why colder months can actually be an ideal time to tackle small home projects. We dig into the psychology behind why getting things done—especially around the home—can help improve mood, motivation, and a sense of control during the winter season.You'll also hear practical tips for building a simple but smart emergency kit for an older vehicle, along with guidance on interior painting during winter. From managing humidity and temperature to working around forced-air heat and ventilation, the episode breaks down how to get professional-level results indoors—even in the middle of winter.Episode Timeline00:00 Introduction & episode overview00:47 Building a simple emergency car kit08:20 Understanding and coping with the winter blues12:09 Why home projects help your mental health16:13 Small projects with surprisingly big impact18:16 Behavioral activation: doing first, feeling better later19:17 Interior painting in winter—what really matters20:17 Common winter painting concerns (and why they're manageable)20:33 Why winter is actually a great time for indoor projects21:17 Easier access to pros and resources in winter22:12 Humidity, dry time, and paint performance23:38 Temperature considerations when painting indoors25:16 Forced-air heat and ceiling painting tips26:41 Ventilation concerns and simple solutions27:35 Winter painting tips recap28:37 Organizing physical photographs31:29 Step-by-step photo organization and digitizing35:03 Creating a “greatest hits” photo collection36:15 Long-term storage and backup strategies38:26 Next week: organizing kids' artwork

In this episode of the Inside EMS podcast, Chris and Kelly are joined by paramedic student April McKenzie — aka “April Anonymous” — for a deep dive into the buffer system and CO2 mapping. April's in the thick of paramedic school and like every good learner, she's asking “why?” — so the guys break down the physiology behind capnography, acid-base balance and the lungs-vs.-kidneys showdown that keeps our patients alive. Plus, they throw in old-school war stories, rant about naloxone misuse and admit that bicarb is no longer the go-to cardiac arrest drug. If you've ever tried to explain respiratory vs. metabolic acidosis in under 10 minutes, this episode is your cheat sheet. April will be back throughout the year with more student questions, so buckle up for the ongoing EMS education you didn't know you needed. Quotable takeaways “Just because you see somebody with signs and symptoms and the protocol says, do this; that's OK, but that just makes you a protocol paramedic.” “My friend Romy Duckworth calls [capnography] the MVP of vital signs, and that's a good way to remember it — MVP: Metabolism, Ventilation and Profusion. And it will tell you derangement about all three of those things very well once you're proficient at interpreting the waveforms.” “Basically, the buffer system is the body's way of keeping the pH stable. So, if we're blowing out, if we're having problems with respiratory acidosis — and let's talk about CDKA, where they're trying to blow off — it's the respiratory systems' way of making sure that we have homeostasis.” Enjoying Inside EMS? Email theshow@ems1.com to share feedback or suggest guests for an upcoming episode. 

How much do you really know about the air circulating in your building right now?In this episode, host Edward Wagoner sits down with Dr. Joseph Allen, associate professor at the Harvard T.H. Chan School of Public Health, director of Harvard's Healthy Buildings Program and and co-author of Healthy Buildings: How Indoor Spaces Can Make You Sick—or Keep You Well, to explore why indoor air quality is becoming a critical focus for today's facility managers. Dr. Allen breaks down the science behind ventilation, filtration and cognitive function, and shares practical steps leaders can take to create healthier, higher-performing spaces.00:00 Introduction00:55 Interview with Dr. Joseph Allen01:54 The Role of Facility Managers in Health and Business04:30 The Science Behind Indoor Air Quality07:00 Practical Steps for Better Air Quality12:41 Empowering Consumers with Air Quality Data15:05 Future of Indoor Air Quality Monitoring18:14 Public Health Career Advice22:57 Rapid Fire Questions26:30 ConclusionResources Mentioned:Book: Healthy Buildings: How Indoor Spaces Can Make You Sick―or Keep You WellDr. Joseph Allen on LinkedIn Connect with Us:LinkedIn: https://www.linkedin.com/company/ifmaFacebook: https://www.facebook.com/InternationalFacilityManagementAssociation/Twitter: https://twitter.com/IFMAInstagram: https://www.instagram.com/ifma_hq/YouTube: https://youtube.com/ifmaglobalVisit us at https://ifma.org

🧭 REBEL Rundown 🗝️ Key Points 💨 NIV = Support without a tube: CPAP, BiPAP, and HFNC improve oxygenation and reduce the work of breathing.🫁 CPAP = Continuous pressure: Best for hypoxemic patients (e.g., pulmonary edema, OSA).️ BiPAP = Two pressures (IPAP/EPAP): Great for hypercapnic failure (e.g., COPD, obesity hypoventilation).🌬️ HFNC = Heated, humidified high flow: Reduces effort, improves comfort, and enhances oxygen delivery.🩺 Supportive, not definitive: NIV stabilizes patients while the underlying cause is treated. Click here for Direct Download of the Podcast. 📝 Introduction Non-invasive ventilation (NIV) refers to respiratory support provided without endotracheal intubation. The most common modalities include continuous positive airway pressure (CPAP), bilevel positive airway pressure (BiPAP), and high-flow nasal cannula (HFNC). These therapies aim to improve oxygenation, reduce the work of breathing, and potentially prevent invasive mechanical ventilation. 💨 CPAP and BiPAP CPAP delivers a single, continuous pressure during inspiration and expiration. This pressure (commonly 5–10 cm H₂O) helps recruit atelectatic alveoli, reduce shunt, and improve oxygenation. It is commonly used for conditions like pulmonary edema, obstructive sleep apnea, or mild hypoxemia without significant ventilatory failure.BiPAP alternates between two pressures:Inspiratory positive airway pressure (IPAP), augments tidal volume and unloads inspiratory muscles.Expiratory positive airway pressure (EPAP), maintains alveolar recruitment and improves oxygenation.The differential between IPAP and EPAP is critical for reducing hypercapnia in patients with COPD exacerbations or acute hypercapnic respiratory failure.IndicationsCPAP: hypoxemia without major ventilatory failure (e.g., cardiogenic pulmonary edema, atelectasis, OSA).BiPAP: hypercapnia with increased work of breathing (e.g., COPD exacerbation, neuromuscular weakness, obesity hypoventilation).A helpful way to conceptualize CPAP and BiPAP is through the hairdryer analogy. Imagine placing a hairdryer in your mouth: 🩺 Clinical Considerations Masks can be uncomfortable, impair secretion clearance, and limit oral intake.Some patients require sedation to tolerate NIV, but this carries risks in patients with unprotected airways.NIV is thus a high-stakes intervention requiring close monitoring.Common starting dose to understand titration, but start at the level appropriate for your patient:  IPAP 10 cm H₂O / EPAP 5 cm H₂O (“10/5”) and are titrated:Increase IPAP to improve tidal volume and CO₂ clearance.Increase EPAP to recruit alveoli and improve oxygenation.Both may be raised simultaneously if the patient is both hypoxemic and hypercapnic. 🚀 High-Flow Nasal Cannula (HFNC) H: Heated & humidified – improves mucociliary clearance, prevents airway drying, and enhances tolerance. I: Inspiratory flow – high flow meets or exceeds patient demand, reducing respiratory rate and effort.F: Functional residual capacity – modest generation of positive end-expiratory pressure (PEEP), promoting alveolar recruitment.L: Lighter – generally more comfortable and less restrictive than mask-based NIV.O: Oxygen dilution – minimizes entrainment of room air, delivering higher and more predictable FiO₂.W: Washout – flushes anatomical dead space, reducing CO₂ rebreathing.HFNC delivers heated, humidified oxygen at high flow rates (30–60 L/min) through wide-bore nasal prongs. A mnemonic, H-I-F-L-O-W, helps summarize its mechanisms:Indications: Traditionally used for acute hypoxemic respiratory failure (e.g., pneumonia), HFNC is increasingly studied for hypercapnic failure as well, with trials suggesting non-inferiority to BiPAP in select populations. Post Peer Reviewed By: Marco Propersi, DO (Twitter/X: @Marco_propersi), and Mark Ramzy, DO (X: @MRamzyDO) 👤 Show Notes Syed Moosi Raza, MD PGY 3 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 148.0–Demystifying Non-Invasive Ventilation & HiFlow appeared first on REBEL EM - Emergency Medicine Blog.

This week on Better Buildings for Humans, host Joe Menchefski welcomes building science legend Dr. Joseph Lstiburek for an unfiltered and unforgettable conversation. From mold to CO₂ myths, Joseph challenges conventional thinking about ventilation, insulation, humidity control, and what really makes a building “healthy.” With decades of hands-on experience, a sharp wit, and a no-nonsense take on industry dogma, he dives deep into where the U.S. is falling short—and how Canada got it right. You'll hear why "drying potential" matters more than you think, the trouble with high-performance HVAC, and why most over-ventilated buildings are actually failing their occupants. This episode is a must-listen for anyone serious about high-performance buildings, durable design, and real-world building science.More About Joseph LstiburekJoseph LSTIBUREK, B.A.Sc., M.Eng., Ph.D., P.Eng., is the founding principal of Building Science Corporation and an ASHRAE Fellow.  He is a building scientist who investigates building failures.  Dr. Lstiburek received an undergraduate degree in Mechanical Engineering from the University of Toronto, a master's degree in Civil Engineering from the University of Toronto and a doctorate in Building Science Engineering from the University of Toronto.   He has been a licensed Professional Engineer since 1982. The Wall Street Journal referred to him as “the dean of North American building science.”  Fast Company magazine called him “the Sherlock Holmes of construction”.  He is internationally recognized and his work has influenced building codes and standards in every climate zone.He is a recipient of the Carl Cash Award from ASTM, a “Becky” from the Ontario Building Envelope Committee (OBEC) and the EEBA Legacy Award all for lifetime contributions to building science.  He has also been inducted into the Building Performance Industry Hall of Fame and has received the NESEA Professional Leadership Award for "changing the way we think about building science and how we perform our work”. Dr. Lstiburek is an acclaimed educator who has taught thousands of professionals over the past four decades and has written countless papers.  He has a joy for telling tall tales to his proteges and audiences.Contact:https://www.linkedin.com/in/joseph-lstiburek-03290029/ https://buildingscience.com/ Where To Find Us:https://bbfhpod.advancedglazings.com/www.advancedglazings.comhttps://www.linkedin.com/company/better-buildings-for-humans-podcastwww.linkedin.com/in/advanced-glazings-ltd-848b4625https://twitter.com/bbfhpodhttps://twitter.com/Solera_Daylighthttps://www.instagram.com/bbfhpod/https://www.instagram.com/advancedglazingsltdhttps://www.facebook.com/AdvancedGlazingsltd

In this episode of Roofing Road Trips®, Karen Edwards sits down with Paul Scelsi of AirVent to explore the education behind proper attic ventilation and why it matters more than ever in today's airtight homes. They walk through the long running Ask the Expert™ seminar series, which breaks down vent selection, code requirements, installation tips and real-world case studies for contractors across North America. The conversation highlights how this program has become a trusted technical resource for roofers, inspectors, architects and designers looking to build better, longer-lasting roof systems. 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     #gibraltarbuildingaccessories #AnswerMeThis #RoofersCoffeeShop #MetalCoffeeShop #AskARoofer #CoatingsCoffeeShop #RoofingProfessionals #RoofingContractors #RoofingIndustry 

🧭 REBEL Rundown 🗝️ Key Points 💨 Peak vs. Plateau Pressures: PIP reflects total airway resistance and compliance, while Pplat isolates alveolar compliance—elevations in both suggest decreased lung compliance (e.g., ARDS, pulmonary edema, pneumothorax).🧱 PEEP Protects Alveoli: Maintains alveolar recruitment and prevents collapse; typical range 5–8 cmH₂O, but higher levels may benefit moderate–severe ARDS.️ Driving Pressure (ΔP = Pplat − PEEP): Lower ΔP reduces atelectrauma and improves outcomes; optimize by adjusting PEEP thoughtfully.💥 Prevent VILI: Keep Pplat < 30 cmH₂O, use low tidal volumes (6 mL/kg IBW), and monitor for barotrauma, volutrauma, atelectrauma, and biotrauma.📚 Evidence-Based Practice: ARDSNet and subsequent trials confirm that lung-protective ventilation—low Vt, limited pressures, and individualized PEEP—improves survival in ARDS. Click here for Direct Download of the Podcast. 📝 Introduction This episode reviews essential ventilator pressures and how to interpret them during ICU rounds. 🚀 Under Pressure Peak Inspiratory Pressure (PIP)Definition: Total pressure required to deliver a breath.Reflects: Airway resistance + lung/chest wall compliance.Common Causes of ↑ PIP:Mucus pluggingBiting the endotracheal tubeKinked tubing or bronchospasmPlateau Pressure (Pplat)Definition: Alveolar pressure measured after an inspiratory hold.Reflects: Lung compliance (stiffness of lung tissue).When Both PIP & Pplat Are Elevated:→ Indicates poor compliance (e.g., ARDS, pulmonary edema, pneumothorax).Positive End-Expiratory Pressure (PEEP)Definition: Pressure remaining in airways at end-expiration to prevent alveolar collapse.Typical Range: 5–8 cmH₂O but needs to titrated to meet patient requirements Notes:Provides physiologic “glottic” PEEP in intubated patients.Using high PEEP strategy shows mortality benefit only in moderate–severe ARDS in meta-analysis.Driving Pressure (ΔP)Definition: ΔP = Pplat − PEEP.Reflects: Pressure needed to keep alveoli open during the respiratory cycle.Goal: Lower ΔP → less atelectrauma & improved outcomes.Optimize: Increase PEEP to reduce ΔP and alveolar cycling. 📖 Interpreting High PIP/High Pplat ↑ PIP & ↑ PplatInterpretation: ↓ ComplianceCommon Causes: ARDS, pulmonary edema, pleural effusion, pneumothorax↑ PIP & Normal/Low PplatInterpretation: ↑ Airway ResistanceCommon Causes: Mucus plug, bronchospasm, tube obstruction or biting 🤕 Ventilator-Associated Lung Injury (VILI) Barotrauma:Mechanism: Excessive airway pressure damages alveoli.Prevention: Keep Pplat < 30 cmH₂O.Volutrauma:Mechanism: Overdistension from excessive tidal volumes.Prevention: Use low tidal volume ventilation (6 mL/kg ideal body weight).ARDSNet trial: 6 mL/kg → lower mortality compared to 12 mL/kg.Ideal Body Weight: Based on height and sex, not actual weight.Typical patient: Tidal Volume: 6–8 mL/kg IBWARDS: Tidal Volume: 4–6 mL/kg IBWAtelectrauma:Mechanism: Repeated opening/collapse of unstable alveoli.Prevention: Optimize PEEP to keep alveoli open and reduce driving pressure.Biotrauma:Mechanism: Inflammatory cascade (↑ IL-6, TNF-α) from mechanical injury.Effect: Can trigger systemic inflammation & multiorgan dysfunction.Prevention: Minimize all other forms of VILI. Post Peer Reviewed By: Marco Propersi, DO (Twitter/X: @Marco_propersi), and Mark Ramzy, DO (X: @MRamzyDO) 👤 Show Notes Joel Rios Rodriguez, MD PGY 3 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 147.0–Ventilators Part 5: Key Mechanical Ventilator Pressures & Definitions Made Simple appeared first on REBEL EM - Emergency Medicine Blog.

A recent study reveals that bedroom ventilation plays an essential role in sleep quality. Carbon dioxide (CO₂) levels need to remain below 1,000 ppm, ideally under 800 ppm, for deeper, uninterrupted sleep Opening windows can help with airflow, but it's not always ideal due to outdoor pollutants, noise, or security risks. In such cases, a ventilation system is a safer and more reliable option Air purifiers filter indoor air but do not introduce fresh air. To maintain optimal air quality, pair filtration systems with proper ventilation rather than relying on one system alone Monitoring CO₂ levels in your bedroom helps ensure proper air exchange. Using a reliable CO₂ meter provides insight into ventilation efficiency and allows adjustments to improve sleep quality To further improve indoor air quality, regularly clean or replace air filters, minimize the use of synthetic air fresheners, scented candles, and harsh cleaning chemicals, opt for natural, nontoxic alternatives, and air out your home safely

Some of the most common respiratory myths are still showing up at the bedside. But it's not your fault — most of us were never taught what an oxygenation problem versus a ventilation problem looks like in real time.In this episode, Melody Bishop RT explains how respiratory therapists think through oxygenation and ventilation to choose the right intervention and recognize when a patient is ready to breathe on their own. We're calling out the old dogma and myths that can delay treatment and worsen patient outcomes!Topics discussed in this episode:Ventilation vs. oxygenation: the core building blocksV/Q mismatch explainedABG findings for low-flow vs. high-flow vs. BiPAPWhen CO₂ is the problem and the benefits of BiPAPKey indicators it's time to intubate and the dangers of waitingThe myth of resting patients on ventilationHow to accurately assess spontaneous breathing trialsCOPD, oxygen, and the hypoxic drive mythWhat nurses should know about working with RTsConnect with Melody:https://melodybishoprt.com/Mentioned in this episode:Xshears are the best shearscheck em out here: https://xshear.com//discount/Rapid10 and you can use code RAPID10 to get 10% off your purchaseAND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!CONNECT

 In this episode of Roofing Road Trips®, Karen Edwards chats with Justin Ache from Gibraltar Building Accessories to unpack why the industry is pushing toward simpler, more consistent ventilation solutions. They explore the challenges contractors face when regional brands and standards don't align, and how Gibraltar's move to unify all ventilation products under the AirVent name gives a clear answer to that problem. The conversation highlights the people, education, and engineering behind the brand, along with what their "one brand, one solution" approach means for roofers moving forward. 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   #Gibralter #RoofersCoffeeShop #MetalCoffeeShop #AskARoofer #CoatingsCoffeeShop #RoofingProfessionals #RoofingContractors #RoofingIndustry 

Discover how solar power is changing the game for cities, businesses, and your wallet. Host Sean White sits down with Michael Chanin, CEO of Cherry Street Energy, to reveal the secrets behind affordable, no-upfront-cost solar electricity. From the company's unique origin story to real talk about industry myths, workforce training, and building a legacy business, this episode is packed with insights, humor, and practical advice. Whether you're a solar skeptic or a clean energy fan, you'll learn how the future of power is being built, one community at a time. Tune in and get energized!   Topics Covered Cherry Street Energy www.cherrystreet.com Heatspring www.heatspring.com/instructors/sean-white NABCEP = North American Board of Certified Energy Practitioners  www.nabcep.org Marketplace Education IREC = Interstate Renewable Energy Council Unethical Solar Salespeople Supply and Demand Utility Coal Fossil Fuel Solar Coaster Combustion Car EV = Electric Vehicle HVAC = Heating, Ventilation, And Air Conditioning   Reach out to Michael Chanin here: LinkedIn: www.linkedin.com/in/michaelchanin Website: www.cherrystreet.com   Learn more at www.solarSEAN.com and be sure to get NABCEP certified by taking Sean's classes at www.heatspring.com/sean www.solarsean.com/pvip www.solarsean.com/esip

On "Ventilation Friday," Lionel disregards the need for traditional topics, promising an exciting, wacky, and fun night of conversation. The host delves into the authenticity required in broadcasting, insisting "this is not an act," and argues that making people angry (but not offended) means you're on to something. The discussion confronts the difficulties of commercial talk radio, particularly the tension between the truth and "stationality"—the need to conform to the network's theme to maintain commercial viability. Lionel challenges listeners on the philosophy of choosing where to draw the line: "Pick the hill you want to die on," even if it costs you your job or family peace. Learn more about your ad choices. Visit megaphone.fm/adchoices

Preston Naegle started his career in private equity at Leavitt Equity Partners (founded by Michael Leavitt, the former U.S. Secretary of Health and Human Services. Negale then moved into the operating world and for more than 2 years has led strategic finance and FP&A at a PE-backed Midway Mechanical Services  in the HVAC (Heating, Ventilation, and Air Conditioning) industry at the company which has completed 15 acquisitions (3 in 2025 alone) within the mechanical, electrical, and plumbing sector across the Western US region.  In this episode An origin story in Private Equity Learning from a “firehose” of business models  Bringing PE thinking to a head of finance role at Midway Mechanical  Bringing people with you as you create FP&A, budget and forecasting processes Choosing an FP&A solution Enhancing time to insights that bring long-term business partnering and profit growth 

🧭 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

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 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/     

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!

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

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.