Podcasts about Ventilation

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.

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

Did you know there's MAGIC in your Meditation Practice? Say Goodbye to Anxiety and Hello to More Peace & More Prosperity! Here Are the 5 Secrets on How to Unleash Your Meditation Magic https://womensmeditationnetwork.com/5secrets Join Premium! Ready for an ad-free meditation experience? Join Premium now and get every episode from ALL of our podcasts completely ad-free now! Just a few clicks makes it easy for you to listen on your favorite podcast player.  Become a PREMIUM member today by going to --> https://WomensMeditationNetwork.com/premium Join our Premium Sleep for Women Channel on Apple Podcasts and get ALL 5 of our Sleep podcasts completely ad-free! Join Premium now on Apple here --> https://bit.ly/sleepforwomen  Join our Premium Meditation for Kids Channel on Apple Podcasts and get ALL 5 of our Kids podcasts completely ad-free! Join Premium now on Apple here → https://bit.ly/meditationforkidsapple Hey, I'm so glad you're taking the time to be with us today. My team and I are dedicated to making sure you have all the meditations you need throughout all the seasons of your life.  If there's a meditation you desire, but can't find, email us at Katie Krimitsos to make a request. We'd love to create what you want!  Namaste, Beautiful,

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

Los Alamos National Laboratory (LANL) continues to neglect its obligations tosafely operate its nuclear weapons facilities in a manner required by laws, orders,guidance and common sense.

Patrick Nielsen is the Global Technical Products Manager for Broan Nutone, a leading manufacturer of residential ventilation solutions. Patrick has 20 years of experience with Broan including roles in product development, where he used his engineering background to launch a wide range of innovative ventilation products to solve a variety of IAQ and customer challenges. More recently his focus has been codes and standards, projecting longer-term product needs/opportunities and training.  He serves as chair on the Home Ventilating Institute (HVI) Board of Directors, chairs their Codes and Standards committee and is active in multiple other committees addressing industry issues, including ASHRAE, RESNET, EEBA and IAQA. Patrick Nielsen on LinkedIn BROAN NUTONE

In this episode, Pete sits down once again with Watch Manager Mike “Stacko” Stachowicz GIFIRE a UK firefighter, international fire behaviour instructor, and long-time friend of the podcast to unpack his experiences from IFIW (International Fire Instructor's Workshop) 2025. From live burns and tactical experiments in Colorado to conversations with global leaders like Andy Starnes, James Mendoza, John McDonough, and Keith Stakes from UL FSRI, Mike brings a firsthand look at the science, strategy, and mindset shaping modern firefighting.Together, Pete and Mike dig into what's changing on the fireground: the ongoing debate over hose sizes, advances in ventilation and water mapping, and how global collaboration is helping the UK fire service evolve its approach to training, welfare, and leadership. It's raw, technical, and unfiltered for a deep dive into how international lessons translate into real-world performance for the crews on the ground.Access all episodes, documents, GIVEAWAYS & debriefs HEREPodcast Apparel, Hoodies, Flags, Mugs HEREPODCAST GIFT - FREE subscription to essential Firefighting publications HERE A big thanks to our partners for supporting this episode.GORE-TEX Professional ClothingMSA The Safety CompanyIDEXFIRE & EVACUATION SERVICE LTD HAIX Footwear - Get offical podcast discount on HAIX HEREXendurance - to hunt performance & endurance 20% off HERE with code ffp20Lyfe Linez -  Get Functional Hydration FUEL for FIREFIGHTERS, Clean no sugar  for daily hydration. 80% of people live dehydratedSend us a textSupport the show***The views expressed in this episode are those of the individual speakers. Our partners are not responsible for the content of this episode and does not warrant its accuracy or completeness.*** Please support the podcast and its future by clicking HERE and joining our Patreon Crew

In this episode of The Build Show Podcast, Matt takes a personal deep dive into what makes a truly Healthy Home. Using his own house as an example, Matt shares practical lessons and honest insights on what he did right—and what he'd change—when it comes to building for health and comfort. He breaks down the three essentials of a healthy home: good indoor air quality, non-toxic materials, and energy efficiency. From filtration and ventilation to humidity control and airtight construction, Matt explains how thoughtful design choices can improve well-being and performance in any home.Huge thanks to our episode sponsor, Arclin. To learn more go to: https://firepoint.arclin.com/Watch full episodes of Matt on Facebook, Instagram and Build Show Network. https://www.facebook.com/buildshownetworkhttps://www.instagram.com/risingerbuild/https://buildshownetwork.com/go/mattrisinger Don't miss a single episode of Build Show content. Sign up for our newsletter.

Le sujet :La rénovation énergétique est un enjeu de plus en plus important dans le secteur immobilier. Faut-il se lancer dans des travaux ? Combien cela coûte-t-il ? Quelles sont les solutions de financement disponibles ?L'invité du jour :Hervé Degreve est le cofondateur de Vasco, une société de financement spécialisée dans la rénovation énergétique. Au micro de Matthieu Stefani, il décrypte les enjeux, les coûts et les solutions de financement.Découvrez :Pourquoi la rénovation énergétique est un sujet brûlantDans quels cas la rénovation est obligatoireCombien coûte une rénovation énergétiqueLes aides publiques et privées disponibles en FranceComment bien rénover un bienCe qu'est le home equityAvantages :Bonne nouvelle ! Nous avons négocié pour vous 3% de cashback sur votre investissement. Pour en profiter, rendez-vous ici.Ils citent les références suivantes :DPEVascoHome equityAinsi que d'anciens épisodes de La Martingale :#129 - Climat, diagnostic énergétique et investissement immoOn vous souhaite une très bonne écoute ! C'est par ici si vous préférez Apple Podcasts, ou ici si vous préférez Spotify.Et pour recevoir toutes les actus et des recommandations exclusives, abonnez-vous à la newsletter, c'est par ici.La Martingale est un podcast du label Orso Media.Merci à notre partenaire Enky de soutenir le podcast.Bénéficiez de 100€ à 300€ crédités selon le montant investi en cliquant sur ce lien.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Today, we're exploring the science of breath — ancient practices meeting modern neuroscience. My guest is Amy Kartar, a neuroscientist and breathwork researcher who's uncovering how high-ventilation breathwork, paired with music, can induce profound altered states of consciousness — the kind once only associated with psychedelics, but completely drug-free. We'll talk about how this practice changes the brain, why it could help people process emotional pain, and how centuries-old spiritual traditions are finally being validated by modern science. Get ready to discover the mind's incredible potential — one breath at a time. Follow Chrissy Newton: Winner of the Canadian Podcast Awards for Best Science Series. YouTube: https://www.youtube.com/channel/UCM32gjHqMnYl_MOHZetC8Eg  Instagram: https://www.instagram.com/beingchrissynewton/  X: https://twitter.com/chrissynewton?lang=en Facebook: https://www.facebook.com/BeingChrissyNewton  Chrissy Newton's Website: https://chrissynewton.com Top Canadian Science Podcast: https://podcasts.feedspot.com/canadian_science_podcasts/     

Send us a textA scratchy throat and a pounding head turned into a hard look at what winter really does to a house—and how to stop small issues from becoming big, expensive messes. We open with the realities of backup teams and why a multi-inspector firm keeps your project on track when life happens, then shift into the seasonal steps that keep water out, heat in, and stress low.We get practical about cold-weather prep: disconnecting hoses and insulating hose bibs, clearing gutters so downspouts actually move water away, and accepting that unconditioned garages crack because materials move with temperature swings. From there, we pull back the attic hatch and get specific about ventilation and insulation—how ice damming forms, why icicles are a warning sign, and the simple checks that prevent water from backing under shingles. If you've ever seen a new roof still struggle in winter, we explain the hidden workmanship gaps we find: ridge vents without a cutout, soffit intake stuffed with insulation, and gable vents left to short-circuit airflow. We also share practical venting guidelines, when to use baffles, and why hipped roofs often need more balanced intake.Maintenance isn't just for cars. A home has more parts, more pathways for moisture, and more ways to fail quietly before you notice. That's why we advocate routine maintenance inspections every couple of years, even if we didn't do your original home inspection. An unbiased set of eyes pays for itself by catching ventilation errors, missing insulation, and risky shortcuts after a roof install. And if you're choosing a real estate agent, we explain how to vet for thoroughness and why asking an inspector for candid feedback can save you headaches later.Ready to winter-proof your place and dodge ice dams, mold, and premature roof wear? Hit follow, share this with a homeowner friend, and leave a quick review to tell us the one winter task you're tackling this week.Support the showTo learn more about Habitation Investigation, the Three-time Winner of the Best Home Inspection Company in the Midwest Plus the Winner of Consumer Choice Award for Columbus Ohio visit Home Inspection Columbus Ohio - Habitation Investigation (homeinspectionsinohio.com) NBC4 news segments: The importance of home inspections, and what to look for | NBC4 WCMH-TV Advice from experts: Don't skip the home inspection | NBC4 WCMH-TV OSU student's mysterious symptoms end up tied to apartment's air quality | NBC4 WCMH-TV How to save money by winterizing your home | NBC4 WCMH-TV Continuing Education for Ohio Agents Scheduled classes Continuing Education for Ohio Agents Course lis...

Shaurya Taran, MD, joins CHEST® Journal Podcast Moderator Alice Gallo De Moraes, MD, FCCP, to discuss his research into the association between low-tidal-volume ventilation and mortality in patients with acute brain injuries receiving mechanical ventilation.   DOI: 10.1016/j.chest.2025.06.042 Disclaimer: The purpose of this activity is to expand the reach of CHEST content through awareness, critique, and discussion. All articles have undergone peer review for methodologic rigor and audience relevance. Any views asserted are those of the speakers and are not endorsed by CHEST. Listeners should be aware that speakers' opinions may vary and are advised to read the full corresponding journal article(s) for complete context. This content should not be used as a basis for medical advice or treatment, nor should it substitute the judgment used by clinicians in the practice of evidence-based medicine. 

On This Ventilation Halloween Edition of The Other Side Of Midnight, Lionel confronts the New York City mayoral election, offering the ruthless tactical recommendation: vote for Andrew Cuomo to stop a dangerous globalist "virus" utilizing the Democratic party. Get ready for sharp critiques of political inertia and debates on the true meaning of "socialist" versus democratic socialist, alongside the critical importance of basic administrative duties like maintaining sewers. Shifting to high strategy, Lionel breaks down how Wills and Kay are leveraging game theory to "bounce" Prince Andrew and revamp the British Monarchy. Plus, a deep dive into the bizarre evolution of Halloween—from nostalgic, potentially flammable costumes to modern "trunk-or-treating"—including the strange reality of handing out gravy mix and hot chocolate packets instead of candy. Also featuring explosive theories regarding Princess Diana's death, discussion of deep state tactics like Operation Paperclip, and hilarious true tales involving Cuban spies and exotic hutias. Learn more about your ad choices. Visit megaphone.fm/adchoices

AKA BUTT-BREATHING!

Moderator: BobbieJean Sweitzer, M.D. Participants: Rutger van der Schrier, M.D., Ph.D. and Steven L. Shafer, M.D Articles Discussed: Fentanyl-induced Ventilatory Depression: Population Pharmacokinetic–Pharmacodynamic Framework for Evaluation of Opioid-induced Ventilatory Depression Toward More Physiologic Models for Predicting the Impact of Opioids on Ventilation

In this episode, Kathy and Linda talk with Manyphay Viengkham, an accomplished technology leader whose career spans energy innovation, systems engineering, and entrepreneurship. With degrees in biochemistry and computer science, Manyphay has built a career defined by curiosity, continuous learning, and resilience—navigating roles in major companies like GE and Honeywell before launching her own consulting business.Together, they explore:How following her curiosity led from science to technology to energy innovationThe importance of personal resilience and adaptability in career transitionsLessons learned from working across IT, OT, and product managementBuilding a strong professional network and personal brand that opens doorsThe ups and downs of starting her own business—and finding joy in the processWhy compassion, authenticity, and professionalism are essential leadership traitsLearning to speak up and show your expertise, especially when underestimatedThe episode wraps with their “Ask the (Not) Expert” segment, where Kathy, Linda, and Manyphay discuss handling assumptions in the workplace—like being mistaken for administrative staff—and how to respond with confidence and professionalism.Key TakeawaysYour career doesn't have to follow a straight line—curiosity creates opportunity.Resilience and adaptability matter as much as technical skill.Building genuine relationships can define your career success.Authentic leadership blends confidence with compassion.Taking the leap into entrepreneurship can be both empowering and fulfilling.Manyphay's planned book has become a blog which can be found on Substack here: https://substack.com/@manyphayAcronym GlossaryAMI – Advanced Metering InfrastructureSCADA – Supervisory Control and Data AcquisitionIoT – Internet of ThingsIT – Information TechnologyOT – Operational TechnologyHVAC – Heating, Ventilation, and Air ConditioningSupport the show

When you take the airway, you take the wheel and you now control the patient's oxygenation and ventilation. In this REBEL Crit episode, Dr. Lodeserto and Dr. Acker walk through the physiology, ventilator strategies, and clinical curveballs that separate calm control from chaos at the bedside. The post REBEL Core Cast 143.0–Ventilators Part 3: Oxygenation & Ventilation — Mastering the Balance on the Ventilator appeared first on REBEL EM - Emergency Medicine Blog.

Today we're diving into one of the most fundamental tools you'll encounter in clinical practice: the ventilator. Mechanical ventilation can seem intimidating at first, but understanding how it works is essential for keeping your patients safe and for making adjustments in real time. We've invited Richard Wilson, DNAP, CRNA, AANA of Ursuline College to the show to help us understand the fundamentals of mechanical ventilation. He shares insights on how ventilation and oxygenation are key goals in anesthesia, and walks through how understanding the different modes of ventilation—volume control, pressure control, SIMV, and more—can help CRNAs tailor their care. Here's some of what we discuss in this episode:

Text us a pool question!In this episode of the Talking Pools Podcast, Andrea and Paulette dive into the often-misunderstood world of chloramines—the compounds that cause everything from pool odor to swimmer irritation. They explore the science behind monochloramine, dichloramine, and trichloramine, explaining how each one forms, how they differ, and why they matter. The conversation goes deeper into the differences between organic and inorganic chloramines, uncovering how bather waste, nitrogen compounds, and pool chemistry all play a role in their development.Listeners will walk away with a clearer understanding of what's really happening in the water, why “that pool smell” isn't chlorine at all, and practical insights into preventing and managing chloramine formation in pools.Key Takeaways:Chloramines are responsible for eye irritation, respiratory discomfort, and that notorious “pool smell.”Monochloramine is the first stage of chlorine bonding with nitrogen.Dichloramine and trichloramine form as chlorination continues, each with stronger odor and irritation potential.Organic chloramines are formed from reactions with organic matter (like sweat, urine, and skin cells), while inorganic chloramines form with nitrogenous waste (like ammonia).Proper breakpoint chlorination and good water management can prevent chloramine buildup.Ventilation in indoor pools plays a critical role in reducing trichloramine exposure.Chloramines don't just affect swimmer comfort—they also corrode pool equipment over time.Memorable Sound Bites:“That smell you think is chlorine? Nope—it's chloramines.”“Chlorine isn't the villain here. Poor management is.”“Organic or inorganic, chloramines are a wake-up call for pool pros.”Chapters:00:00 – Introduction: Clearing the Air on Chloramines 03:42 – What Are Chloramines? 08:25 – Monochloramine, Dichloramine & Trichloramine Explained 15:11 – Organic vs. Inorganic Chloramines 21:03 – The Role of Ventilation in Indoor Pools 27:18 – Breakpoint Chlorination & Prevention Strategies 33:00 – Final Thoughts: Managing the Unseen Villains of Pool Care Support the showThank you so much for listening! You can find us on social media: Facebook Instagram Tik Tok Email us: talkingpools@gmail.com

Seth Jones, CEO of Superstratum, a company turning home detoxification into a simple, DIY process from everyday cleaners to whole home protocols. Seth's story is wild: he went from DJ nights in L.A. to battling mold and mycotoxin exposure in his own home, then building science backed solutions that help families breathe (and sleep) easier.SHOWNOTES:

La prime renov version 2025 est arrivée. Elle permet notamment de financer des travaux de ventilation, et ça tombe très bien ! Comme par hasard, les établissements Martin Rénovage lancent un nouveau système de ventilation. C'est même de l'hydro-ventilation ! C'est nouveau, ça vient de sortir à Martinville.

In this episode of the HVAC Know It All Podcast, host Gary McCreadie chats with John Ellis, a Product Ambassador at Dust Free, LP, an Instructor at Amana/Goodman/Dakin, and a Field Service Trainer at The New Flat Rate, Inc. He also owns Dynamic Air Consulting. He talks about indoor air quality and its key factors. John explains how thermal comfort, humidity control, ventilation, filtration, building pressures, and pollutant control are all linked. He highlights the importance of adjusting these factors based on the climate and type of building. John also talks about the impact of infiltration and stresses the need for accurate ventilation design to maintain a healthy indoor environment and avoid problems like air pressure imbalances. John talks about the importance of indoor air quality and the six key factors that affect it: thermal comfort, humidity, ventilation, filtration, building pressures, and pollutant control. He explains how these factors change depending on the climate and type of home. John also shares tips on designing HVAC systems to balance ventilation and humidity, using the right filters, and controlling air pressure. He emphasizes how understanding these factors helps improve comfort, prevent issues, and create healthier indoor environments. This episode covers key indoor air quality principles, with practical advice on improving comfort and safety. John talks about managing thermal comfort, humidity, ventilation, and filtration, while also focusing on building pressures and pollutant control. He shares tips on how HVAC pros can design systems for better air quality and prevent common issues. Expect to Learn: Why indoor air quality is key to comfort and safety. How thermal comfort, humidity, and ventilation affect air quality. Why balancing building pressures is important for HVAC systems. Tips for managing pollutants and controlling ventilation. Understanding these factors helps improve indoor environments. Episode Highlights: [00:00] - Intro to John Ellis Part 01 [02:04] - John's Take on Indoor Air Quality & Key Principles [07:07] - Thermal Comfort & Dehumidification [09:33] - Ventilation & Building Pressures [14:53] - High-Rise Ventilation and Dehumidification [17:06] - Thermal Comfort and Mean Radiant Temperature [19:15] - Stratification & Ceiling Fans This Episode is Kindly Sponsored by: Master: https://www.master.ca/ Cintas: https://www.cintas.com/ Cool Air Products: https://www.coolairproducts.net/ property.com: https://mccreadie.property.com SupplyHouse: https://www.supplyhouse.com/tm Use promo code HKIA5 to get 5% off your first order at Supplyhouse! Follow the Guest John Ellis on: LinkedIn: https://www.linkedin.com/in/john-ellis-b13b0411/ Dust Free, LP: https://www.linkedin.com/company/dust-free-lp-/ The New Flat Rate, Inc.: https://www.linkedin.com/company/the-new-flat-rate-inc-/ Follow the Host: LinkedIn: https://www.linkedin.com/in/gary-mccreadie-38217a77/ Website: https://www.hvacknowitall.com Facebook: https://www.facebook.com/people/HVAC-Know-It-All-2/61569643061429/ Instagram: https://www.instagram.com/hvacknowitall1/

Learning Objectives:By the end of this two-part series, listeners should be able to discuss:The physiologic rationale supporting the use of high-frequency percussive ventilation (Volumetric Diffusive Respiration, or HFPV).Patient populations most likely to benefit from HFPV.Key published evidence that informs our use of HFPV in pediatric critical care.An expert approach to managing a patient with HFPV.Next steps in research that will direct our understanding of the use of HFPV in pediatric critical care.About our Guest: Dr. John Lin is a Professor of Pediatrics at Washington University in St. Louis. He serves as the Critical Care Fellowship Program Director and Medical Director of Respiratory Care at St. Louis Children's Hospital. His academic interests are aimed at the implementation of specific task-based processes and systems-based interventions that increase team performance. References:Butler AD, Dominick CL, Yehya N. High frequency percussive ventilation in pediatric acute respiratory failure. Pediatr Pulmonol. 2021 Feb;56(2):502-508. doi: 10.1002/ppul.25191. Epub 2020 Dec 8. PMID: 33258557; PMCID: PMC7902396.Linda Melchor. (2021, July 22). High-Frequency Percussive Ventilation – Using the VDR, or HFPV-4. Criticalcarenow.Com.Salim, A., & Martin, M. (2005). High-frequency percussive ventilation. Critical Care Medicine, 33(Supplement), S241–S245. https://doi.org/10.1097/01.CCM.0000155921.32083.CEDominick, C., Nickel, A. J., & Yehya, N. (2022). High Frequency Percussive Ventilation in Viral Bronchiolitis: Do We Need a Standardized Approach to HFPV Management? Https://Home.Liebertpub.Com/Rcare, 67(7), 893–894. https://doi.org/10.4187/RESPCARE.10247White, B. R., Cadotte, N., McClellan, E. B., Presson, A. P., Bennett, E., Smith, A. G., & Aljabari, S. (2022). High-Frequency Percussive Ventilation in Viral Bronchiolitis. Respiratory Care, 67(7), 781–788. https://doi.org/10.4187/respcare.09350Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.

A little over a year ago, I made a short reel discussing ventilating a patient in a severe metabolic acidosis. In the video, I mentioned that minimal to no PEEP might be appropriate. Not because the patient doesn't need PEEP, but because the shortened cycle time at higher respiratory rates can unintentionally generate dynamic PEEP on its own. But what if it was intentional? What if the presence of a wider pressure when the ventilator switches into exhalation would cause the air to exit more rapidly? In this podcast, I discuss my thought process with respiratory therapist extraordinare, Melody Bishop @melodybishop_rt. She helps surface some definitions and distinctions to terms like air-trapping, Set PEEP, & auto-PEEP while we discuss ventilation strategies in metabolic acidosis. The blog below was what I had sent her before the podcast to get all my thoughts & illustrations down in writing. As always, please follow your local guidelines, and I hope you enjoy listening to the conversation.  

In this episode from the 6th Annual HVACR Training Symposium, Brynn Cooksey, a home performance contractor from Michigan and technical training business owner, reveals how indoor air quality (IAQ) testing transformed his contracting business from a commodity service into a profitable specialty. Cooksey shares his proven methodology for turning IAQ into an "instant profit center" by implementing systematic testing on every service call. Cooksey opens with a striking reality check: according to the EPA, Americans spend 90% of their time indoors, yet indoor air quality is 2-5 times worse than outdoor air. This presents a massive opportunity for HVAC contractors, as he explains that consumers are already spending $10 billion annually on air quality products at big box stores - but they're treating symptoms rather than addressing root causes. His approach involves educating contractors on how to position themselves as the solution providers rather than letting customers self-diagnose with retail products. The presentation dives deep into six critical IAQ parameters that every contractor should measure: particles (especially dangerous PM 2.5), volatile organic compounds (VOCs), carbon dioxide, carbon monoxide, humidity, and temperature. Cooksey emphasizes his "test in, implement solution, test out" methodology, demonstrating how this systematic approach not only ensures customer satisfaction but also provides concrete proof of value delivered. He shares real-world examples, including a dramatic case where routine IAQ testing during a water heater service call revealed a cracked heat exchanger that could have been life-threatening. The episode concludes with extensive coverage of ventilation strategies, which Cooksey calls the "silver bullet" for IAQ improvement. He walks through the differences between supply-only, exhaust-only, and balanced ventilation systems, strongly advocating for Energy Recovery Ventilators (ERVs) as the optimal solution. His practical approach includes using DOE's free REDCalc tool for proper ventilation sizing and emphasizes the importance of controlled ventilation over relying on natural air leakage - debunking the myth that "houses need to breathe." Topics Covered The IAQ Business Case: How testing indoor air quality on every service call creates new revenue streams and differentiates contractors in a commoditized market Six Critical IAQ Parameters: Detailed explanation of particles (PM 2.5), VOCs, carbon dioxide, carbon monoxide, humidity, and temperature - what they are, how to measure them, and health impacts Systematic Testing Methodology: The "test in, implement solution, test out" approach that provides measurable results and customer proof of value Particle Control Strategies: Source control, enhanced filtration (MERV 13-16), duct cleaning benefits, and duct sealing with Aeroseal technology Chemical and VOC Management: Understanding formaldehyde and benzene sources, proper storage techniques, and why PCO devices aren't recommended Carbon Monoxide Detection: The life-saving importance of testing every home, understanding chronic vs. acute exposure, and why standard CO detectors aren't sufficient Ventilation as the Silver Bullet: Comprehensive coverage of supply-only, exhaust-only, and balanced ventilation strategies, with strong emphasis on ERV systems Practical Implementation Tools: Using DOE's REDCalc tool for ventilation sizing, integrating IAQ testing into service calls, and customer communication strategies Real-World Case Studies: Multiple examples of IAQ testing uncovering dangerous conditions, from cracked heat exchangers to improper combustion appliance installation Building Science Integration: How IAQ testing leads to broader building performance improvements, including duct sealing, insulation, and equipment sizing corrections   Have a question that you want us to answer on the podcast? Submit your questions at https://www.speakpipe.com/hvacschool. Purchase your tickets or learn more about the 7th Annual HVACR Training Symposium at https://hvacrschool.com/symposium. Subscribe to our podcast on your iPhone or Android. Subscribe to our YouTube channel. Check out our handy calculators here or on the HVAC School Mobile App for Apple and Android

Ep. 196:  Welcome back to POW. Today we have an amazing episode all about non-toxic living. You'll hear from top experts sharing practical advice on addressing mold exposure, microplastics, and hidden household dangers that can affect your health. Having this podcast and speaking to incredible experts like Allison Evans, Mike Feldstein, and Dave Asprey has truly helped me embrace non-toxic living in a balanced way. Whether you're curious about improving air quality, balancing hormones naturally, or seeking clearer skin, this episode is packed with insights to help you create a healthier sanctuary at home. Tune in for inspiration and actionable tips to enhance your non-toxic journey! Leave Me a Message - click here! For Mari's Instagram click here! For Pursuit of Wellness Podcast's Instagram click here! For Mari's Newsletter click here! For Allison's Instagram click here! For Mike's Instagram click here! For Dave's Instagram click here! Sponsored By: Upgrade your kitchen with Caraway's non-toxic cookware. Visit http://carawayhome.com/WELLNESS10 or use code WELLNESS10 for 10% off your next purchase. Get better sleep, hair and skin with Blissy and use POWPOD to get an additional 30% off at http://blissy.com/POWPOD The first 1,000 to join at http://functionhealth.com/POW or use gift code POW at sign-up get a $100 credit toward their membership. Maui Nui delivers wild-harvested, nutrient-rich venison straight to your door. Order now at http://mauinuivenison.com/POW. Supply is limited so don't wait! Breathe easier with Jaspr, the commercial-grade air scrubber that's quiet, powerful, and sleek. Get $400 off with code POW at http://jaspr.co/pow. Show Links: Support your gut, skin & immunity with Colostrum & Collagen Peptides, a 3-in-1 formula featuring probiotics and grass-fed collagen. Topics Discussed 00:08 - Introduction 02:20 Understanding preservatives in baby products (Ep. 110: Allison Evans) 04:03 What's in Branch Basics & how to use it 06:50 Pregnancy, mold exposure & candida 10:32 Coffee enemas 12:40 Clean eating 17:24 Clean living for kids: eczema, epigenetics & detox tools 21:07 Where to start with Branch Basics & removing hidden toxins 22:37 Getting sick from toxic air: respiratory & autoimmune flare-ups (Ep. 145 Mike Feldstein) 23:39 Mold exposure & mycotoxin testing 25:35 Air awareness: indoor & outdoor pollution 28:30 Ventilation tips & how cooking pollutes indoor air 34:35 Pets as a source of indoor toxins 38:15 How bad air quality affects people differently 40:32 The rise of mold awareness 47:48 Early mold exposure, food mycotoxins & the mold–Lyme connection (Ep. 100: Dave Asprey) 51:30 Coffee mold toxins & how to find mold-free beans 56:26 How mold exposure disrupts hormones & weight 59:30 Animal protein & why quality matters Learn more about your ad choices. Visit megaphone.fm/adchoices

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.