Podcasts about Ventilation

Hello everyone. Welcome to the latest episode of The Matchbox Podcast powered by Ignition Coach Co. I'm your host, Adam Saban, and on this week's episode we're talking about our own experience with preparing for and racing at altitude as Drew takes on his first Leadville 100 MTB next month.    As always, if you like what you hear, share this with your friends and leave us a five star review and if you have any questions for the show drop us an email at matchboxpod@gmail.com or head over to ignitioncoachco.com and fill out The Matchbox Podcast listener question form.    Alight let's get into it!   For more social media content, follow along @ignitioncoachco @adamsaban6 @dizzle_dillman @dylanjawnson @kait.maddox       https://www.youtube.com/c/DylanJohnsonCycling https://www.ignitioncoachco.com  https://www.youtube.com/@DrewDillmanChannel   Intro/ Outro music by AlexGrohl - song "King Around Here" - https://pixabay.com/music/id-15045/    The following was generated using Riverside.fm AI technologies   Show Notes Episode Summary In this episode, the hosts break down how to prepare for high-altitude racing, using Drew's Leadville build as the main example. They cover acclimatization strategy, heat training, fueling at altitude, iron considerations, pacing, recovery, and how to use ventilation data to better understand effort. The conversation also explores when to introduce intensity at altitude, how much training to do while acclimating, and why respecting altitude is as much psychological as it is physiological.   Timestamps 0:01 — Intro: special guest David joins, and the episode topic is introduced 0:38 — Drew's Leadville qualification and the shift to altitude preparation 3:01 — Training changes heading into Leadville 3:51 — Heat training and sauna use as “poor man's acclimation” 4:50 — Flagstaff plan for acclimatization before Leadville 6:30 — Weight cut and nutrition strategy discussion 10:02 — Carb needs and fueling changes at altitude 13:48 — Iron/ferritin considerations for altitude performance 15:21 — Race-specific training, tempo work, and threshold preparation 17:51 — Mountain bike specificity and position differences 20:50 — Ventilation metrics and how Drew is using TimeWare 23:52 — How ventilation data relates to altitude physiology 31:19 — Why altitude performance loss is exponential 36:31 — When to reintroduce intensity after arriving at altitude 39:20 — Recommended ramp-in strategy at 7,000 feet 40:30 — Adam's personal altitude strategy and last-minute arrival approach 43:11 — Course familiarity, descents, and why pre-riding matters 44:43 — Pacing mistakes at altitude and recovery between efforts 47:51 — How many hard altitude sessions to do before race day 49:02 — Respect vs. fear: the psychological side of altitude racing 51:45 — Why riders underestimate recovery demands at altitude 55:20 — Heat training vs. altitude tents and other pre-acclimation tools 58:20 — Leadville logistics, weather extremes, and race-day nutrition 61:25 — Final takeaways and what Drew will change based on the discussion

Mike Brown and Jesse Carroll from Hamilton Medical break down ventilatory management for the DKA patient and other metabolic-acidosis presentations in the prehospital setting. They focus on why minute ventilation, not just rate, matters when you take a patient's airway: match or exceed the patient's compensatory minute volume, size tidal volume to ideal body weight), and account for dead space. Practical demos cover when to favor a mechanical ventilator over BVM, using NIV-ST to support fatigued spontaneous breathers, and how to set tidal volume and rate to replace 17–20 L/min minute volumes seen in severe hyperventilation. They also unpack the ICEBERG Study and the concept of driving pressure, why driving pressure may better reflect lung stress than plateau pressure alone, and why higher driving pressures are associated with worse outcomes. The discussion reviews current evidence supporting efforts to keep driving pressure low when clinically feasible.

Ron and Nick celebrate our 300th episode and talk about how we all need proper ventilation to live well.Join Us EVERY DAY for THE LAUNCHDaily 7A The Movement Launch Meeting ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Launch Code⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (click here to join zoom meeting)5 minutes to light the fuseHear from GodRemember who we areReceive blessingGo change the worldZoom details:Ron Jones is inviting you to a scheduled Zoom meeting.Join Zoom Meeting⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://us04web.zoom.us/j/75700883375?pwd=DEKmaCWXe4WP9pw0EzR0dWsa4RaXzl.1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Meeting ID: 757 0088 3375Passcode: s87mvt

Une baie vitrée non protégée équivaut à trois radiateurs de mille watts allumés en continu. Nicolas Naville, directeur Rénovation au CSTB, démêle le vrai du faux sur l'adaptation de nos logements à la chaleur — et promet de vous éviter les pièges de la mal-adaptation.

Zion joins me on the podcast to discuss one of the most iconic—and notoriously challenging—snakes in herpetoculture: the Emerald Tree Boa. We break down the biggest mistakes new keepers make, how Zion refined his husbandry through trial and error, and what it really takes to keep these incredible snakes thriving in captivity.We also discuss the differences between Northern and Amazon Basin Emerald Tree Boas, the pros and cons of captive-bred versus imported animals, enclosure design, humidity management, heating, UVB, quarantine, and why patience may be the single most important quality for anyone considering this species. Whether you already keep Emerald Tree Boas or have always dreamed of owning one, this episode is packed with practical husbandry advice and fascinating insights.SHOW NOTES: https://www.animalsathomenetwork.com/256-emerald-tree-boas/SPONSORS: Visit The BioDude: https://www.thebiodude.com/ Visit Zoo Med Labs here: https://zoomed.com/JOIN US ON PATREON: https://www.patreon.com/animalsathomeLINKS FROM THE EPISODE:https://www.emeraldtreeboas.org/https://www.instagram.com/emeraldtreeboashttps://www.instagram.com/zvivarium/Photos and Video in Episode:Provided by Zion0:00 Intro3:04 Welcome, Zion! Background6:30 Getting his first Emerald Tree Boa11:59 Initial Emerald Tree Boa Setup and Mistakes25:44 Northern vs Basin Emerald Tree Boas40:28 Who Should Keep an Emerald Tree Boa?50:20 Setting up a Proper Emerald Tree Boa Enclosure 55:40 Emerald Tree Boa Heating and Lighting1:16:38 ETB Humidity, Substrate & Ventilation 1:34:38 Basin vs Northern Husbandry1:38:08 ETB Perching Behaviour 1:42:56 Dealing with Wild-Caught Imports1:46:11 ETB Health Issues2:21:15 ETB Feeding Routine2:30:26 EmeraldTreeBoas.Org & Closing Thoughts2:42:20 Outro

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https://jo.my/xly5b7Air Quality and Dock VentilationYou spend eight to twelve hours a day inside these walls. The air you inhale determines whether you stay sharp or start slowing down by noon. Propane forklifts pump out carbon monoxide. It has no smell. It has no color. It just builds up until your headache becomes a real problem. Good ventilation isn't a comfort feature. It keeps your crew alive and your operation running.Here are a few tips to assist you with Air Quality and Ventilation: Install fixed CO monitors at breathing height near every propane engine. Calibrate them monthly. A dead sensor protects no one. Run your HVLS fans on low during cold months. They push warm ceiling air down without creating a wind chill. That keeps the thermostat honest and the air moving. Enforce a "dock doors open" policy during peak traffic. Cross-drafts flush exhaust faster than any single fan can. Blocked doors trap poison. Schedule propane equipment tune-ups quarterly. A rich-running engine pumps out ten times the carbon monoxide of a clean one. The math is simple. Train every operator to spot the early signs: headache, nausea, confusion. Teach them to shut down and step outside immediately. Pride kills faster than gas. As always, these are potential tips. Please be sure to follow the rules and regulations of your specific facility.Air quality is the silent partner on every shift. Ignore it, and you pay in sick days, close calls, and eventually a tragedy nobody forgets. Respect it and the crew stays sharp, the product moves, and everyone goes home in the same shape they arrived. That is the job. That is the only metric that matters.Thank you for being part of another episode of Warehouse Safety Tips. Until we meet next time - have a great week, and STAY SAFE!#Safety #SafetyCulture #StaySafe #SafetyFirst #SafetyTips #StayAlert #AirQuality #DockSafety #Ventilation #CarbonMonoxide #HVLSFans

Avec : Jean-Philippe Doux, journaliste et libraire. Pierre Rondeau, économiste. Et Emmanuelle Dancourt, journaliste indépendante de Dijon. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Episode SummaryThis week on Home In Progress, Dan opens with a story about a flaming microwave, a snowbank, and a pair of whitey tighties -- and turns it into a genuinely useful guide on getting smoke smell out of your home. He's then joined by Jeff Mot, manager of the Lakewood RepcoLite, to talk about a car show and ice cream social coming to that store on July 18. Then Dan picks up where last week's bathroom lighting conversation left off, diving into something almost nobody considers: what the color on your bathroom walls is doing to your face in the mirror every morning. He closes with a Hannah SpaghettiO story that leads directly into the case for handy paint cups and pails -- both on sale through the end of June.In This Episode[00:00] -- Show Preview[00:48] -- Microwave Fire Story[02:56] -- Smoke Smell Fixes[03:47] -- Wash Away the Residue[06:40] -- Car Show Tease[07:06] -- Event Basics: Lakewood Car Show and Ice Cream Social[09:11] -- Why Jeff Loves Cars[10:15] -- What Makes Car Shows Fun[13:08] -- Why RepcoLite Hosts[14:50] -- Family Friendly Details[15:22] -- Directions and Construction Note[16:02] -- Bring Your Classic Ride[17:24] -- Rusty Car Banter[17:38] -- Ice Cream Social Details[18:06] -- Event Details Recap[18:43] -- Bathroom Color Cast[24:04] -- Worst Bathroom Colors[26:53] -- Makeup Gone Wrong[31:15] -- Flattering Color Picks[33:25] -- Sample Testing Tips[35:13] -- Cut-In Bucket Story[38:19] -- Handy Paint Pails Pitch[39:54] -- Wrap Up and Sign OffMicrowave Fire Story [00:48]Dan's daughter punched an extra zero into the microwave and walked away. Twenty minutes later, Dan spotted smoke, ran into the kitchen, found something spinning around with actual flames coming out of it, grabbed the microwave, ran outside barefoot in his underwear, and threw it into a snowbank. In Zeeland. Around 10 at night. The kids have loved that story ever since.The aftermath is what the segment is actually about. The smoke smell wouldn't leave. Day after day, it just sat there. If that's happened to you, here's how to actually fix it.Smoke Smell Fixes [02:56]Step 1: Ventilation and filtration.Open windows, run exhaust fans, use box fans to push air out. If the smoke moved through the HVAC system, replace the furnace filter -- smoke particles can get pulled into the return and stay there. A portable air cleaner with a HEPA filter helps pull fine particles out of the air. Do all of this first, but understand that ventilation alone almost never fully solves a smoke smell.Wash Away the Residue [03:47]Step 2: Wash everything.The key thing to understand: smoke isn't just something floating in the air. It's made up of tiny particles and oily residues that land on every surface in the room -- curtains, upholstery, carpet, cabinets, walls, ceilings, clothing, all the little cracks and crevices. That's why airing the place out isn't enough. You have to physically remove the residue.Start at the source. If it was a microwave fire, unplug it, remove everything removable, and wash all of it separately. Then spread out: walls, ceilings, cabinets, doors, trim, light fixtures, switch plates, top of the refrigerator. All the surfaces that don't normally get cleaned. Smoke residue is oily, so one pass usually isn't enough -- clean, rinse, change the water, and go again.Cleaners: A mild Dawn dish soap solution works well on painted surfaces. Krud Kutter and Champion are solid degreasers for non-painted areas. After washing, OdoBan (O-D-O-B-A-N) is a cleaner and heavy-duty odor neutralizer that can knock out what remains. Vinegar, baking soda, and activated charcoal are supporting players -- not substitutes for actually scrubbing everything down.Cigarette smoke is a different conversation -- Dan plans to cover that in a future episode.Lakewood Car Show and Ice Cream Social [07:06]Dan is joined by Jeff Mott, manager of the Lakewood RepcoLite, to talk about a car show and ice cream social coming to the store.Date: Saturday, July 18 Time: 11:00 a.m. to 2:00 p.m. (Note: flyers say 11 to 1 -- it's 11 to 2) Location: Lakewood RepcoLiteJeff has been trying to get Dan to host a car show for roughly five years. He owns a 1966 International Scout and grew up around old cars. The event is part of RepcoLite's Summer Stops program -- different events at different store locations throughout the summer, built around community and getting to know customers and contractors better.The Corvette Club will be there with vehicles ranging from brand-new to 1950s and '60s models. Jeff is also welcoming any old cars, trucks, and motorcycles. The appeal of a show like this, Dan has come to understand, is the stories that come with the vehicles -- the restoration history, cars passed down through families, little museums on easels in the parking lot. That part Dan can actually get into.Admission: Free Ice cream: Free, while supplies last, with toppings Bring a classic vehicle: No registration required -- just show up and they'll direct you. If you want to give them a heads-up, call 616-393-0025. Directions note: Road construction on Lakewood Drive limits access to westbound traffic from 120th. You can get in, you can get out, but plan accordingly.Dan will continue reminding listeners as July 18 gets closer.Bathroom Color Cast [18:43]Last week's show covered bathroom lighting and how a poorly lit mirror can make you look worse than you are. Dan adds a second layer: the color on your bathroom walls.He sets it up with a moment from his own week. Walking through the warehouse where he works, he noticed an entire section had gone pink. Bright pink panels had been moved into a spot where they were catching the sun and reflecting it everywhere. Nothing had actually changed -- it just looked that way.Your bathroom walls do the same thing, every morning, to your face. The color reflects back onto your skin while you're standing at the mirror. Most people have no idea it's happening.Photographers call it color cast. Whatever color surrounds you gets cast onto you. Photography studios often paint their walls flat neutral gray to avoid adding a false tint -- they want the true skin tone, then they warm it up with lighting from there. Makeup artists watch for this constantly. A colored wall, a bright shirt, anything nearby can throw a tint onto a face and change the whole look.Bathrooms are especially susceptible because of the combination: small space (you're close to the walls), you're staring into a mirror, and bathrooms tend to be among the more brightly lit rooms in the house. All of that means more wall color gets bounced back at you.Two jobs, not one. Most of the time, when choosing a paint color, you ask how it will look in the space. In a bathroom, you have to ask a second question: how will I look in it? A moody charcoal or a deep, trendy green can look beautiful on the walls and still make the person standing in the room look a little unwell. The room can be magazine-worthy and the color still be wrong for you. That's a distinction people almost never make.Worst Bathroom Colors [24:04]Yellow and yellow-green. Especially anything with green in it. Reflects a sallow, slightly sickly cast onto skin. Cancels out the natural pink and red tones that make a complexion look healthy and awake.Strong reds. A bold red throws a heavy warm cast over everything, including your face. The stronger the color, the more tint it pushes around.Gray. This one surprises people. Photography studios use gray walls because gray tells the truth -- no invented tint. But without warm lighting aimed at you, that truth isn't always flattering. Gray tends to drain warmth out of a face and leave it looking flat and washed out. Given how long gray has dominated bathroom design, a lot of people may be dealing with this every morning without knowing it.Makeup Gone Wrong [26:53]For anyone who wears makeup, a bad wall color doesn't just affect how you look -- it affects what decisions you make getting ready.If the wall casts a color onto your face while you're applying makeup, you're working with inaccurate information. Say the wall makes you look sallow and tired -- you compensate, adjust your color, add more than you normally would. But you're correcting for a problem the room invented. You walk outside into real daylight with makeup calibrated for a wrong starting point, and nothing looks right. Everyone else sees what's on your face. You were perfectly matched for your bathroom wall. That's the mismatch.Flattering Color Picks [31:15]Soft, warm neutrals. Warm whites, soft peach, muted pink, warm beige. These reflect a gentle warm glow onto skin that flatters nearly everyone. It's like standing in good morning light.Muted nature colors....

Hello everyone, and welcome back to Warehouse and Operations as a Career. Over the last several years we’ve discussed dozens and dozens of opportunities in warehousing, transportation, manufacturing, distribution, and logistics. We’ve talked about forklift operators, order selectors, recruiters, dispatchers, transportation managers, supervisors, safety professionals, operations leaders, and many of the global supply chain positions. Today I thought we'd talk about one of the positions or career paths that, well, isn't thought about much but without it, simply put, things would grind to a halt! And that's Building Maintenance. The people who keep the facility running. The men and women who make sure the lights come on, the dock doors open, the HVAC systems cool and heat the buildings and keep our coolers and freezers cold, the plumbing works, and the equipment keeps operating. Without them, nothing else happens. And the amazing thing is many of these careers begin with the simplest tasks imaginable. Changing a light bulb. I'm Marty and let’s talk about it today. When most people start in a warehouse environment, they may enter as a General Labor associate. Maybe we're unloading trailers, stacking pallets, cleaning work areas or even assisting with counting inventory or any of the 50 other tasks that need help every shift. We're learning about attendance, safety rules and procedures, and expectations. We're learning what it means to be part of a team. Managers start noticing people who like fixing things. The employee who notices a broken door handle or a slow roll up door.  That associate who reports a leaking pipe. The team member who volunteers to help move equipment. The person who wants to know how things work. Those individuals often find themselves helping the maintenance departments. And that’s where a completely different career journey can begin. Many facilities have what is commonly called a Utility Associate. Sometimes they’re called facility assistants. Maintenance helpers, maintenance utility technicians. The title doesn’t matter much. And the responsibilities are usually very similar. Tasks might include things like replacing light bulbs, painting walls, cleaning dock plates, changing air filters, maybe even minor repairs on equipment, or organizing maintenance supplies, even assisting contractors, and helping the company technicians perform preventive maintenance. These aren’t glamorous jobs. But they’re valuable jobs. And more importantly, they’re learning opportunities. Every task teaches something, every repair becomes a lesson, with every day becoming a classroom. One of the first skills many maintenance associates begin learning is basic electrical work. I’m not talking about becoming an electrician overnight. Of course, electrical work requires training, certifications, and safety knowledge. But maintenance associates often start learning how lighting systems operate, how to replace ballast and LED conversions.  Circuit identification, Lockout/Tagout procedures, and electrical safety principles. They begin understanding why power flows the way it does, they learn troubleshooting and how to diagnosis problems. They learn how to identify problems instead of simply reporting them. That’s a valuable skill in any profession. The same thing happens with plumbing. Many maintenance technicians start by helping experienced professionals. They learn how water systems operate, how valves function and how drains are maintained, things like leak identification, and fixture replacement. Then comes one of the most in-demand skill sets in many nations today. HVAC. Or Heating. Ventilation. Air Conditioning.  As maintenance associates gain experience, many employers will sponsor training opportunities. Some associates pursue certifications on their own. Before long, they’re troubleshooting rooftop units. Maintaining industrial climate systems. Diagnosing airflow issues. And with those skills comes increased earning potential. What I find fascinating about maintenance careers is how they combine multiple trades into one profession. Electrical. Mechanical. Plumbing. HVAC. Carpentry. Safety. Even project management, vendor relations, and budgeting. It’s one of the most diverse skill sets in the entire facility. And I've found that many maintenance professionals continue developing themselves through formal training. Things like OSHA certifications, Lockout/Tagout training, HVAC certifications, EPA refrigerant certifications, electrical safety training, welding certifications, boiler certifications, preventive maintenance programs, and facility management certifications. Each certification adds another tool to the toolbox. And employers notice. One thing I’ve observed throughout my career is that maintenance professionals become incredibly valuable because they save organizations money. Imagine a conveyor system goes down. Production stops. Orders stop. Shipping grinds to a halt. A skilled maintenance technician can diagnose the issue, repair it, and get operations moving again. That’s value. The ability to solve problems creates opportunities. And, as we've learned, organizations reward problem solvers. As technicians gain experience, I've seen many advance into leadership roles. Maintenance Lead and on to Maintenance Supervisor or Facilities Supervisor. Even Maintenance Manager and Facilities Manager or Regional Maintenance Manager and Director of Facilities positions. These leaders may oversee multiple facilities, maintenance budgets, preventive maintenance programs, and manage vendor relationships, compliance initiatives, construction projects, and safety programs. They’re no longer changing light bulbs, there making strategic decisions and planning future improvements, helping organizations operate efficiently. Now the path isn’t always direct or happening in a straight line. I've witnessed people begin as janitors, as forklift operators. Some come from manufacturing or even the fleet or transportation environments. What matters most is curiosity and the desire to learn. The willingness to ask questions and to volunteer for opportunities. As you know by now, I’ve always believed that careers are built one skill at a time. Very few people just wake up one morning and becomes a Director. Nobody starts as an expert. No one began their career knowing everything. Success is usually much less exciting than people imagine. I think it’s learning one thing today. Another thing tomorrow. And one more thing next week. Then repeating that process for years. If you’re listening today and currently working as a general labor associate, here's a quick exercise. Look around your facility. Notice who repairs things and who troubleshoots equipment, who maintains dock doors, who works on HVAC systems, who keeps the building running. Then introduce yourself. Ask questions and Show interest. You may discover a career path you never knew was there. And if you’re already in maintenance, keep investing in yourself. Take the next class and earn the next certification and  the next skill. Because maintenance is one of those professions where learning never stops. technology changes, equipment changes, and our buildings change. The people who continue learning continue growing. Saying all that reminds me of a much earlier episode from back in 2016, episode 11, where we visited with a gentleman named Mike that pretty much lived the life we've discussed here today. I'd urgh you to go check out what he had to say way back then. Anyway, so this week, I challenge you to look beyond the obvious career paths. Sometimes opportunity isn’t driving a forklift. It isn’t sitting in an office or managing a department. Sometimes opportunity is standing on a ladder changing a light bulb and realizing you’ve just taken the first step toward becoming the person responsible for an entire facility. And that’s a pretty incredible journey. Until next time, remember that warehousing, transportation, manufacturing, and operations aren’t just jobs. They’re careers. And every career starts with a single opportunity. And we can make our own opportunities. Well, I've got to go move some freight myself now. Thanks for listening in today, and hey, y'all be safe out there, our friends and family are wanting to see us after our shift.

ORDINANCES AND RESOLUTIONS CB2026-079 - A Resolution Reappointing Nicholas Kut to the Board of Fire and Police CommissionersCB2026-080 - A Resolution Reappointing Michael La Due and Rajeev Malik to the Champaign Public Library Board of TrusteesCB2026-081 - A Resolution Reappointing Kenwood Sullivan and Lucas McGill to the Code Review & Appeals Board CB2026-082 - A Resolution Reappointing Anthony Bamert, Gail Broadie, and Jon Roma to the Historic Preservation Commission CB2026-083 - A Resolution Reappointing Francesca Morgan to the Housing Authority of Champaign County CB2026-084 - A Resolution Reappointing Willie G. Comer, Jr. to the Human Relations CommissionCB2026-085 - A Resolution Reappointing Joshua Bubniak to the Citizen Review Subcommittee of the Human Relations CommissionCB2026-086 - A Resolution Reappointing Yvonne Miller to the Neighborhood Services Advisory BoardCB2026-087 - A Resolution Reappointing Paul Cole and Jeffrey Barkstall to the Plan CommissionCB2026-088 - A Resolution Reappointing Bridgett Wakefield to the Zoning Board of AppealsCB2026-089 - An Ordinance Approving and Adopting the Annual Budget for the Fiscal Year Commencing July 1, 2026 and Ending June 30, 2027CB2026-090 - A Resolution Adopting Financial Policies for the Development, Adoption and Execution of the Annual BudgetCB2026-091 - An Ordinance Establishing Rates of Compensation for Employees of the City of Champaign and Approving the Annual Position Control Report for the Fiscal Year 2026-2027CB2026-092 - An Ordinance Establishing Rates of Compensation for Employees of the Champaign Public Library and Adopting the Annual Position Control Report for the Champaign Public Library for the Fiscal Year 2026/27CB2026-093 - A Resolution Adopting the Ten-Year Capital Improvement Plan for Fiscal Years 2026/27 – 2035/36 and Adopting the Capital Improvement PoliciesCB2026-094 - An Ordinance Amending Section 19-8.15.3 of the Champaign Municipal Code, 1985 (Stormwater Utility Fee)CB2026-095 - An Ordinance Amending Various Sections of the Champaign Municipal Code, 1985 (Finance Department)CB2026-096 - An Ordinance Amending the Champaign Municipal Code by the Addition of Chapter 36, Article IV and the Addition of Section 19-8.16-1 and Amending Section 19.1 (Vehicles for Hire – Bike Share Operators; Licenses and Permits)CB2026-097 - A Resolution Accepting a Bid for Heating, Ventilation, and Air Conditioning (HVAC), Mechanical, Controls Support, and Repair Services (Public Works Department – Mechanical, Inc. dba Helm Service, Freeport, Illinois)CB2026-098 - A Resolution Accepting a Bid and Authorizing the City Manager to Execute an Agreement for the 2026 Pavement Marking Project (Public Works Department – Varsity Striping & Construction Co.)CB2026-099 - A Resolution Approving an Engineering Services Agreement with Clark Dietz, Inc. for the 2027 Concrete Street Improvements Project (Public Works Department – Clark Dietz, Inc.) (City Project No. 0726)CB2026-100 - A Resolution for Improvement of Streets by Municipalities Under the Illinois Highway Code (Public Works Department – 2027 Concrete Street Improvements Project) (Project No. 0726)CB2026-101 - A Resolution Approving a Change Order with Clark Dietz, Inc., to Provide Additional Design Engineering Services on Phase 2 of the Downtown Plaza Project (Public Works Department – Clark Dietz, Inc.)CB2026-102 - A Resolution Accepting a Bid and Authorizing the City Manager to Execute an Agreement for Construction of Phase 2 of the Downtown Plaza Project (Public Works Department – Duce Construction Company) (City Project No. 0789)CB2026-103 - A Resolution Authorizing the City Manager to Execute a Professional Services Agreement with Clark Dietz, Inc., to Provide Construction Engineering Services for Phase 2 of the Downtown Plaza Project (Public Works Department – Clark Dietz, Inc.) (City Project No. 0789)

Face mask ventilation is one of those skills that can easily be overlooked. It's often seen as the simple bit of airway management — something that sits below the glamour of videolaryngoscopy, fibre-optics and endotracheal intubation. But the reality is that excellent face mask ventilation is one of the most important airway skills we have. In this episode, we take a deep dive into bag-valve-mask ventilation and airway adjuncts, exploring why this is far more than just putting a mask on a face and squeezing a bag. We discuss when facemask ventilation is indicated, how to identify patients who may be difficult to ventilate, and the practical steps that can dramatically improve success rates. We cover positioning, airway opening manoeuvres, mask seal techniques, the role of airway adjuncts and how to recognise whether your ventilations are actually working. We also look at troubleshooting common problems, the evidence comparing bag-mask ventilation with supraglottic airways and endotracheal intubation, and how to decide when it's time to move to another airway strategy. Whether you're working in the emergency department, prehospital environment or critical care, this episode is packed with practical tips, cognitive aids and evidence-based advice to help you deliver facemask ventilation with confidence and excellence. Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon. Rob & James

Patrick Lemmon and Seth HarrisIn this episode, Patrick and Seth discuss the principles of traditional and orthodox building methods, the importance of local materials, and the future of sustainable construction. They explore how craftsmanship, local culture, and thoughtful design can create enduring and meaningful structures.Keywords:building, masonry, traditional construction, local materials, sustainability, architecture, craftsmanship, Vermont, masonry revival, orthodox Chapters00:00 Introduction to the Built Environment and Human Flourishing03:00 Personal Journeys in Craftsmanship and Building Traditions05:58 The Philosophy Behind Orthodox Masonry08:54 The Importance of Teamwork in Craftsmanship11:50 Learning from Nature: Building with Local Materials15:00 Challenging Traditional Building Practices18:02 The Historical Context of Building in Vermont21:04 The Concept of Housewrights and Holistic Building23:57 The Impact of Industrialization on Building Practices27:03 The Relationship Between Building Materials and Environment29:59 The Future of Building: Embracing Local and Sustainable Practices40:02 The Impact of Flooding on Homes41:56 The Evolution of Building Materials43:50 Ventilation and Heating in Masonry Homes50:04 Design Principles in Architecture52:00 The State of the Building Arts Movement01:03:04 Optimism in Building PracticesOrthodox Masonry is a design/build firm specializing in structural masonry and timber frame construction. Creating buildings that are both structurally and aesthetically resilient, we offer an alternative to disposable construction. https://www.orthodoxmasonry.com/about

🧭 REBEL Rundown Click here for Direct Download of the Podcast. 💨 What Is Nitrous Oxide? Nitrous Oxide (N2O) is a colorless, odorless inhaled anesthetic that has been used for centuries, particularly in the surgical world. Mechanistically, it can induce euphoria, anxiolysis, and intoxication via NMDA receptor antagonism.During the late twentieth century, nitrous oxide was increasingly used recreationally due its accessibility and perceived benign nature.The modern day slang term for nitrous oxide is “whippets” – which tends to refer to the canisters that contain this agent and are frequently used as whipped cream foaming agents.Despite the legal nature and benign perception of nitrous, frequent use can lead to lasting and permanent neurologic effects. 🧠 How Nitrous Oxide Causes Toxicity Nitrous oxide toxicity results from its ability to oxidize the cobalt moiety in Vitamin-B12, thus leading to a functional B12 deficiency, despite adequate consumption and absorption.1Functioning B12 is needed as a cofactor for methionine synthase.2 This enzyme has two critical roles:The conversion of 5-methyl tetrahydrofolate to tetrahydrofolate; tetrahydrofolate is essential for the synthesis of our DNA.And the conversion of homocysteine to methionine; methionine is needed to maintain the integrity of the myelin sheath of our axons.As a result, nitrous toxicity leads to: a megaloblastic anemia and demyelination of both the dorsal columns and the lateral corticospinal tracts (also known as subacute combined degeneration). 🚶‍️ Clinical Manifestations of Nitrous Oxide Toxicity These patients will have a combination of both upper and lower motor neuron symptoms due to demyelination of the dorsal columns, lateral corticospinal tracts, and peripheral nerves. As a result, the following may manifest:Dorsal Columns: diminished sense of proprioception, vibration, and fine touch.Lateral Corticospinal Tracts: upgoing plantars, hyperreflexia, weakness of voluntary distal muscle controlPeripheral Nerves: numbness/tingling and weakness in a glove and stocking pattern (symptoms that start initially in the feet and hands that progressively spread proximally to the ankles and wrists)Taking all of this into account, patients may present with difficulty ambulating, positive Romberg sign, dysmetria (difficulty with finger to nose or heel to shin), upgoing Babinski reflex, and decreased strength and sensation in a glove and stocking pattern. 🔍 How to Diagnose Nitrous Oxide Neurotoxicity History is key! As with a lot of pathologies in toxicology, identifying the exposure will expedite management.A thorough neurologic exam will narrow the differential – with a particular focus to fine, peripheral motor and sensory deficits, dysmetria, proprioception, and ability to ambulate.Magnetic resonance imaging of the spine may identify enhancement and/or edema of the dorsal columns, specifically on T2 weight axial imaging – sometimes referred to as the “inverted V” or “inverted rabbit ears appearance.”3Serum B12 concentrations may be normal as the issue is with a functional deficiency as opposed to a vitamin absence. However, patients have elevated concentrations of both homocysteine and methylmalonic acid, both of which are metabolized in the presence of functional B12. 💉 Management of Nitrous Oxide Toxicity First and foremost, cessation of nitrous oxide abuse is crucial to limit/prevent toxicity.While there is no universally agreed upon treatment regimen, supplementation with intramuscular B12 is recommended.Approaches vary from daily or every other day injections until symptoms improve at which point injections can be spaced out to weekly and then monthly.Physical and occupational therapy may be needed depending on the degree of functional debility.It is important to note, that depending of the severity and chronicity of toxicity, some proportion of patients may not fully return to their baseline. 📌 Take-Home Points Though legal and seemingly benign, nitrous oxide abuse can lead to permanent neurologic dysfunction.Nitrous oxide toxicity can affect the dorsal columns, lateral corticospinal tracts, and peripheral nerves.Thus leading to a constellation of both upper and lower motor neuron deficits, particular in a glove and stocking pattern: deficits in proprioception and fine motor skills, positive Romberg, upgoing Babinski, peripheral numbness, tingling, and weakness.Magnetic resonance imaging may identify symmetric high signal intensity in the dorsal columns.Treatment includes B12 supplementation and physical/occupational therapy as needed. 📚 References Long H. Chapter 81. Inhalants. In: Nelson LS, et al. Goldfrank’s Toxicologic Emergencies. 11th ed. New York: McGraw-Hill; 2019Shah K, Murphy C. Nitrous Oxide Toxicity: Case Files of the Carolinas Medical Center Medical Toxicology Fellowship. J Med Toxicol. 2019 Oct;15(4):299-303. doi: 10.1007/s13181-019-00726-x. Epub 2019 Aug 6. PMID: 31388940; PMCID: PMC6825085.Schmitz ZP, Hoffman RS. Magnetic resonance imaging in a patient with nitrous oxide-induced subacute combined degeneration of the spinal cord. Clin Toxicol (Phila). 2023 Nov;61(11):1006-1008. doi: 10.1080/15563650.2023.2286205. Epub 2023 Dec 19. PMID: 38060330. 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 Showing Slide 1 of 7 The post REBEL Core Cast—Nitrous Oxide Toxicity: Whippets and Neurologic Injury appeared first on REBEL EM - Emergency Medicine Blog.

In this podcast, Swine Extension Educator Sarah Schieck Boelke speaks with Lyle Lange and Mike Walker, both of Lange Ag Systems of Willmar, MN, about summer ventilation basics for swine barns. Lyle has over 46 years of experience in the livestock industry, and Mike has 26 years of experience. With the change of season to Summer, there are some fundamental things producers should evaluate in the swine barn to ensure ventilation is at optimal performance. Lyle and Mike define basic ventilation terminology and provide practical strategies for common ventilation issues, such as cleaning fans, checking belts, calibrating inlets, and more.

### What's Covered: - **Major Jeep Recall Alert**: Over 1 million Wranglers & Gladiators (2021–2025/2026) at risk of spontaneous fire due to wiring/power steering issues. What Jeep says, what to do, where to park, and VIN check advice. - **Jeep Theft Prevention**: Relay attacks on key fobs, scanners in your driveway, RFID pouches, and why the Taser Mini might be the ultimate solution (including its new PIN code security and light show feature). - **Duck Shaming Segment**: Stock Jeeps covered in dashboard ducks? Josh has strong words — no self-ducking allowed! - **Auxiliary Switches Roundtable**: How many switches do you really need? Guests discuss rock lights, lockers, compressors, wiring tips, and keeping it practical. - **Topless & Doorless Debate**: Pros, cons, weather challenges in Texas vs. other areas, armor lining, bikini tops, half doors, and real-world experiences. - **Nikki G Dad Jokes**, random banter, and more Jeep life wisdom. Plus Josh shares a personal update on his mom and why he's got time back in the studio. **Timestamps** 00:00:00 Show Opening and Host Greeting 00:00:33 Back in Studio B, Personal Updates 00:01:21 Jeep Fire Risks and Spontaneous Combustion 00:02:30 Jeep Warning: Parking Safety to Prevent Fires 00:03:09 Recall: Wiring Fault in Wrangler/Gladiator 00:03:42 VIN Recall Research and Visual Inspection 00:04:49 Potential Sparks and Fires from Wiring Faults 00:05:33 Low Fire Probability but Growing Cases 00:05:54 Reported Jeep Fires and Recall Scope 00:06:43 Past Jeep Fire Case and Investigation 00:07:14 Personal Recall Experience and Holiday Plans 00:07:56 Checking Recalls on NHTSA; Family Concerns 00:09:03 Recalls Impact on Resale Value 00:11:49 Recalls Affecting Vehicle Value and Repairs 00:13:47 Trailer Hitch Fix and Lighthearted Commentary 00:15:14 Pinto Recall Jokes and Historical References 00:16:48 Jeep Recall Not Largest Yet Significant 00:17:07 Voluntary Recall Initiated by Jeep 00:17:50 Jeep Inspection Plans for Recall Issue 00:18:45 Past Fire Experiences and Possible Causes 00:19:59 Jeep Heat Generation and Fire Risks 00:22:07 Inline‑Six Engine Praise and Hurricane Power 00:24:08 Transition to New Segment 00:26:04 XJ Talk and Key Chip Technology 00:32:03 Key Chip Embedded Technology and Remote Start 00:32:36 Dealership Key Costs and Black‑Box Telemetry 00:33:27 2024‑25 Jeep Telemetry Black Box Details 00:34:13 Clarifying Recall Details and NHTSA Role 00:36:02 Insurance Telematics and Privacy Concerns 00:37:35 Unknown Device Query and Safety Reminder 00:38:35 Taser Mini Security Features for Jeeps 00:40:17 Gladiator Light Show Accident and Taser Mini 00:43:01 Criticism of Dashboard Duck Decorations 00:44:44 New Tires and Sticker Campaign 00:50:16 Auxiliary Switches and Their Uses 00:53:12 Lockers, Switch Panels, and Installation 00:55:08 Air Compressor Placement and Switch Location 00:56:21 Switch Complexity and Labeling Concerns 00:56:59 Cost‑Effective Light and Switch Installations 00:58:00 Light and Switch Labeling Practices 00:58:18 Rock Light Configurations and Diodes 00:59:05 Auxiliary Button Controlling Multiple Lights 00:59:38 Rock Light Setups and Additional Devices 01:00:26 FAD Integration and Switch Usage 01:01:14 Project Assembly and Next Steps 01:01:52 Multi‑Light Auxiliary Button Design 01:02:41 Risks of Untrained Drivers on Modified Jeeps 01:04:32 Glenn's Segment and Future Topics 01:11:47 Jeep Night Events and Community Outreach 01:14:54 Topless vs Doorless Jeep Debate 01:15:54 Dash Ponchos and Interior Protection 01:16:43 Carpet and Armor Light Options 01:17:29 Carpet Heat Insulation Discussion 01:17:55 Hardtop Comfort and Noise Reduction 01:19:19 Hardtop Heat Impact and Ventilation 01:19:34 Hardtop Effects on Handling and Ride 01:21:10 Hardtop Impact on Driving Comfort 01:21:45 Heat Discomfort and Using Jeep Tops 01:22:44 Two‑Week Trip Gear Planning 01:23:50 Glenn's Questions and Closing Remarks 01:28:31 Personal Updates and Studio Return 01:32:53 Appreciation and Future Show Plans 01:36:57 Call to Action: Subscribe and Follow 01:38:02 Closing Remarks and Gratitude 01:40:30 Recording History, Archives, and Milestones 01:43:48 Call to Action: Subscribe and Follow #jeeptalkshow #JeepWrangler #JeepGladiator #JeepRecall #JeepLife #OffRoad #WranglerRecall #DuckShaming #TaserMini #JeepCommunity #JoshAndTony Visit our website: https://jeeptalkshow.com/ Watch/Listen on Spotify https://jeeptalkshow.com/spotify Join our Discord Server: https://jeeptalkshow.com/discord Subscribe to our newsletter: https://jeeptalkshow.com/newsletter Help Support the show via Patreon: https://jeeptalkshow.com/patreon

What are the benefits of moving from controlled to assisted mechanical ventilation in patients with Acute Hypoxemic Respiratory Failure (AHRF)? In this podcast, experts discuss the physiological rationale behind this transition, the potential advantages for patient recovery, and the risks clinicians need to consider. Join us as we explore the latest evidence and practical approaches to optimising ventilatory support in critically ill patients.

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What causes mold in brand-new homes before anyone even moves in? In this episode of The Ride Along: A Home Inspection Show, hosts Brad Lowery and Matt Brading sit down with Jordan Mason to break down one of the hottest topics in the inspection industry: lumberyard mold, microbial growth in new construction, and what inspectors need to know before calling it out. From attic sheathing stains to full-scale mold remediation, this conversation dives deep into the real-world challenges home inspectors face when evaluating moisture intrusion, ventilation problems, and indoor air quality concerns. Jordan shares practical insight into mold testing, soda blasting, chemical remediation methods, building science principles, and how poor moisture management can impact both health and property value. Whether you're a home inspector, mold assessor, remediation contractor, realtor, builder, or homeowner, this episode delivers actionable insight you can apply in the field immediately. Topics covered in this episode: ✔️ Lumberyard mold vs active microbial growth ✔️ Mold in new construction homes ✔️ Moisture intrusion and humidity control  ✔️ Mold remediation methods explained ✔️ Soda blasting vs chemical treatment ✔️ Ventilation and attic airflow issues ✔️ Building science for home inspectors ✔️ Indoor air quality and health concerns ✔️ Mold testing and inspection best practices ✔️ Protecting property value during real estate transactions If you're serious about becoming a better inspector and staying ahead of industry trends, subscribe to The Ride Along: A Home Inspection Show and turn on notifications so you never miss an episode. 

The animal agriculture industry had a busy week proving it can always find new depths to plumb. From North Carolina State University researchers congratulating themselves on shaving four minutes off the time it takes to suffocate chickens, to the beef-on-dairy pipeline quietly turning male calves into a supply chain “opportunity,” to a USDA food safety apparatus held together with 9% fewer…

In this episode of the HVAC Know It All Podcast, host Gary McCreadie is joined by Gord Cooke, President at Building Knowledge Canada, and Ian Walker, Sales & Marketing Manager at Aeroseal, to talk about air sealing technology and how it improves building performance. They explain how AeroBarrier works to reduce air leakage and why airtight homes need proper mechanical ventilation. The conversation covers common concerns about sealing homes too tightly, the role of HVAC systems in fresh air control, and how ventilation systems like ERVs help maintain comfort. Gary, Gord, and Ian also share real job site examples, costs, and how better air sealing can improve energy efficiency and system sizing. In this conversation, Gord and Ian explain how AeroBarrier is used to seal air leaks in homes and improve building performance. They describe how the system uses pressure and a misted sealant to find and close gaps, while stressing the need for proper ventilation to maintain air quality. Gord, Ian, and Gary discuss common concerns about making homes too tight and explain why controlled ventilation is important. They also cover real job site examples, costs, and how reducing air leakage can improve comfort, energy use, and HVAC system sizing. Expect to Learn: How AeroBarrier works to seal air leaks using pressure and a misted sealant. How building science and HVAC systems work together in modern homes. How proper ventilation keeps air quality safe in airtight homes. How ERV systems and exhaust fans help control fresh air and moisture. How reducing air leakage can improve comfort, energy use, and system sizing.   Episode Highlights: [00:00] - Sponsor Ad: Factory Direct Filters [00:42] - Intro to Gord Cooke and Ian Walker in Part 1 [02:20] - Introducing Aero Barrier technology and on-site demo [03:40] - Ian explains how Aero Barrier works (blower door, positive pressure, sealant mist) [05:17] - Debunking "sealing too tight" myth - build tight, ventilate right [09:32] - Summary: Tight homes are fine if mechanical ventilation is present [12:35] - Cost range = 0.80 – 1.50 per square foot [14:14] - Recommendation of ERV + source control for best ventilation [16:46] - Ventilation controls (CO₂, humidity) [19:37] - Real-world results: 14 ACH down to ~4 ACH, 55–60% leakage reduction   This Episode is Kindly Sponsored by: Cintas: https://www.cintas.com/hvacknowitall Cool Air Products: https://www.coolairproducts.net/ Factory Direct Filters: https://www.factorydirectfilters.com/ SupplyHouse: https://www.supplyhouse.com/tm Use promo code HKIA5 to get 5% off your first order at Supplyhouse!   Follow the Guests Gord Cooke and Ian Walker on: LinkedIn - Gord Cooke: https://www.linkedin.com/in/gord-cooke-4b9b3433 LinkedIn - Ian Walker: https://www.linkedin.com/in/ian-walker-930954101/ LinkedIn - Building Knowledge Canada: https://www.linkedin.com/company/building-knowledge-canada-inc./ LinkedIn - Ian Walker: https://www.linkedin.com/company/aeroseal-llc/    Follow the Host on: LinkedIn: https://www.linkedin.com/in/gary-mccreadie-38217a77/ LinkedIn - HVAC Know It All Inc.: https://www.linkedin.com/company/hvac-know-it-all-inc Website: https://www.hvacknowitall.com Facebook: https://www.facebook.com/people/HVAC-Know-It-All-2/61569643061429/  Instagram: https://www.instagram.com/hvacknowitall1/    Follow the Podcast on: YouTube: https://www.youtube.com/@HVACKnowItAll Spotify: https://open.spotify.com/show/6LCBJGw0EHG03rdWHxUMce Apple Podcast: https://podcasts.apple.com/us/podcast/hvac-know-it-all-podcast/id1359253455 

Send us Fan MailCheck our the full viva in the Final Exam Coursehttps://anaesthesia.thinkific.com/courses/FinalExamYou are the duty anaesthetist at a busy tertiary hospital. Your provisional fellow calls you forurgent assistance with an airway emergency.They have performed a rapid sequence induction and attempted to intubate a 22-year-old manfor a Per-Oral Endoscopic Myotomy (POEM) procedure for type 2 achalasia in the maintheatres.Intubation was attempted with a videolaryngoscope and hyperangulated blade. The percentageof glottic opening visible was 10% and they were unable to pass the endotracheal tube or agum elastic bougie. They were then unable to bag-mask ventilate the patient but successfullyplaced a second generation supraglottic airway. Ventilation has been restored, and greentinged fluid has been noted in the gastric port.Current observations are:HR 95 bpmBP 97/56 mmHgSpO2 90% on FiO2 1.0ETCO2 41 mmHg (5.47 kPa)TV 400 mL with a small air leakWeight 169 kgHeight 199 cmBMI 42 kg/m2Past Medical HistoryType 2 achalasiaClass III obesityAttention deficit hyperactivity disorderMild developmental delaySevere anxietyMedicationLisdexamfetamine 70 mg once dailyMelatonin 4 mg nocteDiazepam 10 mg was given orally preoperativelyAllergiesNil knownWhat are your priorities in managing this situation?---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical

  From a 10-bed lying-in hospital to Handel's Messiah, the Rotunda Maternity Hospital has operated continuously for 281 years. A Nurses' Week story. Summary Across the street from Danny’s Dublin hotel stood a large white institutional building with no signage. It turned out to be the Rotunda Hospital — the oldest continuously operating maternity hospital in the world, delivering babies in the same building since December 8th, 1757. Surgeon Bartholomew Mosse founded it after losing his wife and child in childbirth, trained as a midwife in Paris at a time when physicians were penalized for practicing midwifery, and returned to Dublin determined to build something that didn’t yet exist. The first version had 10 beds and delivered 190 babies in its first year, with one maternal death. Unable to raise money for a larger hospital — no one wanted to fund poor women’s care — Mosse attended the world premiere of Handel’s Messiah in Dublin in 1742 and was inspired. He turned the future hospital site into a pleasure garden with orchestras, dances, and theater to attract wealthy donors. He was later imprisoned for debt, escaped through a castle window in Wales, hid in the mountains for three weeks, and died exhausted and broke in 1759, less than two years after the new hospital opened. Sara E. Hampson, one of Florence Nightingale’s original nurses, became the hospital’s first female superintendent in 1891 — a thread that ties Nurses Week directly to this building, Danny almost walked past. Click here to view the printable newsletter. More readable than a transcript. Contents Podcast episode on YouTube Episode Proem: No Signage, No Appointment, No Problem Hello. Welcome to 2026 Nurses Week, May 6th through 12th. I’m very proud to be a nurse. I’ve been a nurse for 50 years. And my grandson’s going to nursing school next year. He’s graduating as a senior and will attend Loyola University in Chicago for its nursing program. I’m very proud. I want to tell you a story about one of the most significant things that happened during our trip to Ireland a couple of weeks ago. We were staying in the north-central city of Dublin, Ireland. Across the street, I saw a big white institutional facade with no signage. It looked like the side of the building. Next to it, on its right, was a dome with a more modern sign that read “Ambassador”. So, I went into the hotel and asked, “So what’s this building?” And they didn’t know. I looked it up, and it turned out to be the Rotunda Hospital. The Rotunda Hospital is the oldest freestanding maternity hospital in the world. Midwifery Was Scandalous. He Did It Anyway. Now let me see. I’ve got some notes here. The hospital was founded in 1745 by a man named Bartholomew Mosse, M-O-S-S-E. He was a certified surgeon. His wife and child died in childbirth. After this tragedy, he left Ireland to serve as a doctor with the British Army. While he was away, he received midwifery training at a hospital in Paris and obtained his midwifery license, which was unusual. In fact, fellows of the Royal College of Physicians were even penalized if they practiced midwifery. But Mosse wanted to change that. So, he built this small place, 10 beds, that… Let’s see, when did it open? I guess it opened in 1745. Mosse’s ambition was to build a dedicated maternity hospital in Dublin to provide medical care and shelter to the city's penniless mothers. This came after he encountered unspeakable conditions during his practice, particularly in the aftermath of the 1739 famine. So he established this 10-bed hospital. It was in a small theater called the New Booth Theatre. It says here that it was the first lying-in hospital of its kind in the world. It had only 10 beds, but in its first year, 190 babies were born, and just one mother died. But obviously, they couldn’t meet demand with 10 beds. When No One Funds Poor Mothers, Try Dancing Mosse tried to raise money to build a larger hospital, but nobody really wanted to give money to poor women. So he happened to attend the world premiere of Handel’s Messiah on April 13, 1742. While he was there, he was inspired to raise money by entertaining the wealthy. Somebody sent me a picture of the Handel statue that’s in front of the theater where the premiere was, which I thought would be interesting. According to my research, on the evening of April 13th, 1742, Handel conducted the world premiere of his Messiah on Dublin’s Fishamble Street, and Mosse was present. Historians suggest that this moment crystallized Mosse’s idea of using high-society entertainment to fund a hospital for the poor. So Mosse turned the proposed hospital site into a pleasure garden with a live orchestra, theatrical performances, and dances in a coffee house, marrying philanthropy with frivolity to reach the wealthy. Debt, Daring Escape, Death Here’s a little interesting tidbit. Lotteries nearly destroyed Dr. Mosse. Before he was able to return to Ireland, he was arrested and charged with being 200 pounds in debt, and he’s thought to have been imprisoned in Beaumaris Castle in Anglesey, Wales. The story was that he managed to escape through a window and hid in the Welsh mountains for three weeks before reaching Ireland. He then vindicated himself by publishing his receipts and lottery accounts, whatever. But less than a year after the hospital opened, he was taken seriously ill, exhausted, heavily in debt, and petrified about the prospect of arrest and imprisonment. He died on February 16th, 1759. Fix the Air, Save the Babies. Then and Now. Around 1781, when the hospital was poorly ventilated and every sixth child died within nine days of birth, they realized the problem was poor ventilation. Ventilation was improved, and mortality dropped to 1 in 20 over the following five years. They’re also planning to celebrate their millionth birth in 2026. It’s just amazing. I met a saleswoman in a sweater store who asked where we went in Dublin. When I told her about the Rotunda Hospital, she said she had a difficult pregnancy and birth without insurance. She received care at the Rotunda Hospital, with her baby in neonatal intensive care for three weeks and herself as an inpatient for two weeks. Awesome care! So, when we were there, I, an old white guy in a wheelchair, motored into the Rotunda Hospital and stopped at the registration desk to ask if I could speak with someone. I had not made an appointment. I was leaving the next day. Very nice people. I tried to get hold of people in their library, research, and marketing, but they were busy, of course. Oldest? It's Relative. I’m really impressed by the idea of being the world's longest-operating specialist hospital. I was trying to get some perspective on that, so I looked up the oldest continuously operating hospitals, and here’s what I learned. I learned that in the United States, the oldest continuously operating hospital is Bellevue Hospital in New York City, which opened in 1736 as a six-bed infirmary.[1] So, it began as a haven for the indigent and is still a major public hospital on the East Side of Manhattan. It opened nine years before Mosse opened his first lying-in hospital. The other long-running hospital is the Pennsylvania Hospital in Philadelphia[2], established in 1751 by Benjamin Franklin and Dr. Thomas Bond. It’s still operational as part of the University of Pennsylvania Health System. The oldest hospital is the Hôtel-Dieu in Paris[3], which officially opened in 650 AD, and that’s the hospital where Mosse became a midwife. There’s St. Bartholomew’s Hospital in London, founded in 1123[4]. And there’s the Hospital de Jesús Nazareno in Mexico City, opened in 1524. But really, the Rotunda is the oldest maternity-only specialist hospital, continuously operating in the world, which is a more specific and arguably more impressive claim than the general acute care hospitals Bellevue and Hôtel-Dieu, which have both moved buildings, changed missions, and been rebuilt. The Rotunda has been delivering babies in the same building since December 8th, 1757. That’s really something. Reflection: Nightingale Was Here Too So, let’s bring this back to Nurses Day and to Florence Nightingale. Interestingly, Sara E. Hampson was one of the original Nightingale nurses and the first lady superintendent of the Rotunda Hospital in 1891. So yay, nursing. Yay, history. I’m really looking forward to exploring more of this amazing hospital in Dublin. I wonder who was in charge all these years, and how it survived past Mosse and through those first decade or first few years? And then, how did the Rotunda Hospital survive war, famine, pandemics, and technological change? What research occurred there? Is there a diaspora of Rotunda alumni? Anyway, more to come. Thanks. Referenced in episode [1] By Harper’s Weekly – Harper’s Weekly, Public Domain, https://commons.wikimedia.org/w/index.php?curid=6014479 [2] William Strickland (1788-1854) Engraver: Samuel Seymour (1796-1823), Public domain, via Wikimedia Commons [3] I, Clio, CC BY-SA 3.0 , via Wikimedia Commons [4] See page for author, CC BY 4.0 , via Wikimedia Commons Are you part of the Rotunda Hospital diaspora? Find me at dannyhealthhats@gmail.com. Tell me your version. Please comment and ask questions: at the comment section at the bottom of the show notes on LinkedIn  via email YouTube channel  DM on Instagram, TikTok to @healthhats Substack Patreon Production Team Kayla Nelson: Web and Social Media Coach, Dissemination, Help Desk  Leon van Leeuwen: editing and site management Oscar van Leeuwen: video editing Julia Higgins: Digit marketing therapy Steve Heatherington: Help Desk and podcast production counseling Joey van Leeuwen, Drummer, Composer, and Arranger, provided the music for the intro, outro, proem, and reflection Claude, Perplexity, Auphonic, Descript, Grammarly, DaVinci Inspired by and Grateful to: Dr. Lisa Masinter and Dr. Michele Whitt, Janice Tufte, Linda DeRosa, Luc Pelletier, Cherie Binns Photo Credits  Ann Boland, Paul Boland, Janice Tufte, Danny van Leeuwen, and as referenced in the transcript Related episodes from Health Hats https://health-hats.com/pod133/ https://health-hats.com/ob-nurse-cannabis-nurse/ https://health-hats.com/build-it-and-they-will-come/ Artificial Intelligence in Podcast Production Health Hats, the Podcast, utilizes AI tools for production tasks such as editing, transcription, and content suggestions. While AI assists with various aspects, including image creation, most AI suggestions are modified. All creative decisions remain my own, with AI sources referenced as usual. Questions are welcome. Creative Commons Licensing CC BY-NC-SA This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. If you remix, adapt, or build upon the material, you must license the modified material under identical terms. CC BY-NC-SA includes the following elements:    BY: credit must be given to the creator.   NC: Only noncommercial uses of the work are permitted.    SA: Adaptations must be shared under the same terms. Please let me know. dannyhealthhats@gmail.com  Material on this site created by others is theirs, and use follows their guidelines. Disclaimer The views and opinions presented in this podcast and publication are solely my responsibility and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute®  (PCORI®), its Board of Governors, or Methodology Committee. Danny van Leeuwen (Health Hats)

In this high-yield, no-fluff episode, Dennis is joined by Dr. Michael Falk, a pediatric emergency medicine physician, former academic, and combat-experienced relief worker who has run airways in Haiti post-earthquake, Mosul during the ISIS fight, Ukraine, and Gaza. They break down exactly why pediatric airways are a completely different beast in prolonged field care and give you field-proven tactics that actually work when you're the only one there with a BVM and a prayer.Key Takeaways You Can Use TomorrowPositioning is everything: One to two inches under the shoulders (or whole body) prevents automatic obstruction from the massive occiput.Adjuncts > early tube: NPA or OPA + side-lying (gravity is your friend) can keep you from tubing in the field.Tube sizing rule: Child's pinky ≈ ET tube diameter. Depth = 3× tube size. Always go smaller — you can ventilate, you can't un-damage a ripped airway.Intubation mindset: Kid airway is more anterior and cephalad. Slow down, work your way in, or you'll be in the esophagus.GCS decision:

At FDIC International 2026, our panel of EMS providers and critical‑care physicians break down ventilation during cardiac arrest: what the science supports, where practice still fails, and practical fixes you can use tomorrow. We cover why bag‑valve‑mask ventilation is a high‑risk skill (and best performed as a two‑person procedure), how over‑ and under‑ventilation change intrathoracic pressure and cardiac output, and why properly opening the airway and achieving a seal are fundamental. We discuss supraglottic airways, intubation pitfalls, CPAP and high‑flow strategies, the pros and cons of mechanical ventilators in the field, and the role of objective feedback devices. The panel emphasizes regular, low‑cost simulation training, equipment readiness, pit‑crew coordination, and the hard truth: patients die from poor ventilation more often than from the absence of intubation.

We are joined by Ian Pritchett of Greencore Homes to talk about his science-based approach to green building and the work that has led him from developing green building materials becoming the co-founder of a vertically-integrated developer and house builder.There's a lot of history and legacy to cover because Ian has been in the green building game for decades and it's this that has informed the approach being taken right now.Greencore is also challenging the Passive House Institute about the accuracy of its PHPP (passive house planning package) modelling software because their homes outperform the model's predictions because of their use of phase-change materials.Be warned, this is nerd business—Jeff gets to interrogate the build up specification—but it doesn't get too technical to be able to follow the thread.Notes from the showThe Greencore Homes website Ian Pritchett on LinkedIn A PH+ article about Neil May**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**   

On this week's episode, Cyrus and Nick host a spirited discussion with Drs. Rory Spiegel and Max Hockstein where we debate the merits of Airway Pressure Release Ventilation (APRV). What's the rationale for this? When is it appropriate? IS it appropriate… or is it witchcraft? Is it physiologically foolish or a perfectly logical option for hypoxemic respiratory failure? Good for all comer, good for a subset or does it belong with the vials of succinylcholine and DL blades? We may not have all the answers but on this episode we do our best to explore this ventilator mode and help you decide whether the juice is worth the squeeze! Check us out and let us know YOUR feelings while leaving us a review! Hosted on Acast. See acast.com/privacy for more information.

Quotes from the episode: "If you're building something new, it has to be better in almost every way or it won't catch on."   "The stuff that's bad inside your home doesn't filter out, you have to move it out."   "We stopped over-modeling and just started testing in the real world as fast as possible."    This episode of the Building HVAC Science Podcast features Austin Riesenberger, founder of Swerv Air, a young entrepreneur tackling a surprisingly overlooked problem: how to bring fresh air into homes without sacrificing comfort, energy efficiency, or simplicity. Drawing from his background in HVAC engineering, physics, and personal struggles with asthma and poor indoor air quality, Austin set out to rethink ventilation from first principles. Swerv's solution is a compact, window-mounted fresh air system that filters incoming air while recovering heat and moisture through a regenerative cycling core. Unlike traditional ERVs that are bulky and contractor-installed, this unit is designed for easy, consumer-level installation with strong performance. The conversation dives into the technical trade-offs, including airflow, efficiency, noise, and form factor, as well as the importance of real-world testing over theoretical modeling in product development. Beyond the product itself, the episode highlights Austin's startup journey. From rapid prototyping and supply chain challenges to early beta deployments across multiple climates, the discussion offers insight into how modern hardware companies iterate quickly and build demand. It wraps with a call for beta testers and collaborators, positioning Swerv as a potential bridge between consumer IAQ needs and traditional HVAC solutions.     Austin's LinkedIn:https://www.linkedin.com/in/austin-riesenberger-73502a1b6/   Swerv website: https://swervair.com/   Beta Tester SignUp: https://swervair.com/#beta   This episode was recorded in April 2026.

Send us Fan MailDr. Gabriel Altit and Daniela Villegas from the NeoCardioLab at Montreal join Ben and Rupa to reflect on a packed PAS filled with hemodynamics science — from pulmonary hypertension phenotyping to heart-brain interactions in the golden hour. Dr. Altit makes the case that just as neonatology learned to embrace gentle ventilation, it is time to think about gentle hemodynamics — intervening thoughtfully, recognizing different clinical phenotypes, and knowing when to remove interventions before they carry a price. He also previews early 3D echo data suggesting that a single clip at day 7 to 10 of life may already carry a signature predicting which babies will develop adverse cardiopulmonary outcomes by 36 weeks. Daniela shares her approach to family consent and research recruitment — sitting down, leaving papers behind, connecting families to the history of research that made current NICU care possible, and always giving them space to process before returning for an answer.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Send us Fan MailDr. Nathan Sundgren, neonatologist and NRP educator at Texas Children's Hospital, joins Ben to discuss one of the most deceptively difficult skills in neonatal resuscitation — effective bag mask ventilation. He shares findings from a fellowship training study showing that respiratory function monitor feedback improves ventilation technique equally well across all three device types, and tackles the harder question of why that same technology has yet to show clinical benefit in the delivery room — pointing to human factors, cognitive overload, and the need for a dedicated respiratory coach role rather than a better device alone. He also reflects on the evolution of team leadership in neonatal resuscitation, why doing a procedure and leading a team simultaneously is impossible, and where people can find his free educational content on YouTube at Texan Neo-Ed.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Pool Pros text questions hereIn this continuation of their conversation, Lee, Shane, and Nick are joined again by industry expert Spiros from Next Gen Experts to break down a topic that's generating serious noise across the pool industry right now: proposed workplace exposure changes and what they actually mean.This isn't a surface-level chlorine conversation. It's a deep dive into how regulations, standards, and real-world operations collide—and where the industry needs to be paying attention versus where it might be overreacting.

What happens when the battlefield drops 30 feet underground into a collapsed building, ancient tunnel system, or booby-trapped basement? You don't just “clear” it — you assess it like a critical trauma patient while everything tries to kill you.In this raw, no-fluff episode, Dennis sits down with Sean McKay — 20+ year veteran of dynamic high-threat rescue, nonlinear physics guy, and the man who turns “impossible” subterranean ops into repeatable TTPs. Fresh off 48 hours with zero sleep (and still caffeinated to the gills), Sean drops a masterclass on why underground environments are exponentially more dangerous than anything on the surface.From atmospheric sucker punches (O₂ depletion, CO₂ buildup, toxic off-gassing) to structural collapses, comms blackouts, mental exhaustion, and the brutal reality of casualty extraction in spaces tighter than a coffin, this episode is packed with battlefield-proven principles you won't find in any manual.If you run rescue, work in SOF, or just want to understand what happens when the fight goes subterranean — this is required listening. Key Takeaways1. Treat the subterranean environment like a patient — use the exact same rapid/ongoing assessment template medics already know by heart. 2. Atmospheric threats (O₂ depletion, CO₂, displacement gases) are silent killers; monitor early and often. 3. Speed is security, but only after deliberate recon — one small “worm” goes first, the team enlarges behind him. 4. Improvise like your life depends on it: rubble, wood studs, high-lift jacks, and building debris become your cribbing and shoring. 5. Plan for mental exhaustion — 45 minutes underground feels like 8 hours; isolation and darkness will mess with your head. 6. Always identify safe havens and load-bearing walls as you move; never trust foreign engineering. 7. Casualty extraction multiplies complexity exponentially — every medical intervention costs time and movement. 8. Worst-case heuristics save lives: assume the worst, then back out from there. 9. Geology and soil type tell you whether a collapsed structure is worth occupying or a death trap. 10. Best practices are written in blood — create your own on the spot using context and innovation.Chapters- 03:10 – Why Subterranean Is the Ultimate Nonlinear Nightmare - 05:29 – Real-World Examples: Afghanistan Karez, Tunnels, Collapses - 07:25 – Atmospheric & Environmental Pathology (The Silent Killers) - 09:09 – Structural Collapse, Shoring & Improvised Solutions - 11:41 – Scenario: Occupying a Collapsed Multi-Story Basement - 13:36 – Patient-Assessment Template for the Environment - 15:31 – Tunnel Rat Recon Tactics & Atmospheric Monitoring - 17:56 – Sustainment, Mental Exhaustion & Comms Hell - 20:22 – Heuristics, Worst-Case Planning & Spidey Sense - 23:16 – Real Heuristic Examples from the Field - 26:11 – Destabilization, Cribbing & Load-Bearing Principles - 27:19 – Fire Chief Mindset – Maintaining Global Awareness - 29:45 – Safe Havens, Injuries & Team Support - 30:56 – Gases, Ventilation & Natural Airflow Hacks - 35:12 – Fans, Vertical Ventilation & Building Features - 38:52 – When to Walk Away – Red Flags & Geology Clues - 41:31 – Water, Electrical & Urban Subterranean Hazards - 44:48 – Casualty Extraction in Confined Spaces - 48:39 – Creating Best Practices on the Fly For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

Ian and Grant help Patrick Adress listener feedback and answer their questions about ventilation for a small apartment building and the best way to fit doors when the floor slopes around them. David discusses bath tub drains in Japan and Taiwan. Will shares tips for airtight windows with tight fitting extension jambs. Greg asks about ventilation for his four-unit apartment building. Jim wonders if he should scribe door bottoms to match sloping floors. Tune in to Episode 734 of the Fine Homebuilding Podcast to learn more about:  Adjusting windows so extension jambs are tight-fitting and uniform width Providing exhaust and makeup air for multi-family ventilation Fitting new doors to existing openings that aren't plumb or level  Have a question or topic you want us to talk about on the show? Email us at fhbpodcast@taunton.com.     ➡️ Check Out the Full Show Notes: FHB Podcast 734 ➡️ Submit a project to be considered for FHB's 2026 Houses Awards ➡️ Follow Fine Homebuilding on Social Media:   Instagram • Facebook • TikTok • Pinterest • YouTube  ⭐⭐⭐⭐⭐  If you enjoy the show, please subscribe and rate us on iTunes, Spotify, YouTube Music, or wherever you prefer to listen.

Matt Risinger sits down with Bill Graber and Steve Rogers of The Energy Conservatory to explore how diagnostic testing informs high-performance construction. The conversation centers on blower door testing, pressure mapping, and airflow measurement as tools to verify airtightness and identify leakage pathways. They discuss how builders and energy raters use data to refine building enclosures, improve indoor air quality, and coordinate HVAC system performance. The group also touches on evolving codes, training, and the growing expectation for measurable results in residential construction.  Huge thanks to our podcast episode Huber Engineered Woods.  Learn more at: https://www.huberwood.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.

We take a look at the state of the green building sector through the lens of itss biggest dedicated show in the UK, Futurebuild. It on 12–14 May this year and you can sign up here.Helping us to peek behind the curtain is the event's director, Martin Hurn, a man who is, ultimately, responsible for it all.It seemed with a conversation because this year Futurebuild was acquired by a new owner and repackaged to become a super event. The green building great big networking event has merged with UK Construction Week and the Stone and Surfaces Show. In light of this we get into the history of Futurebuild that sheds a little light on how the impact of changes that it's going through right now are a little more like a return to its roots.The episode has a bit of a long wind up because we've included a chunk of preamble in which Jeff explains his background to Martin which wasn't intended for the episode but it ended up revealing similarities, and differences, in their backgrounds that felt worth including. Both Martin and Jeff have been in this working within the business of the built environment for about the same amount of time (early 00s), and both coming from publishing backgrounds. They've seen the heydays, boom times, and catastrophes created by the Celtic Tiger and the UK's solar subsidisation and feed-in tariffs. Consequently, the pair of them are able to offer a some illuminating and interesting perspectives on where they see the sector at this strange point in time.We also let Martin plug the show.And, at the end we do get around to asking ‘how sustainable are events?'Notes from the showRegister with Futurebuild 2026 for your event passThe Futurebuild website Martin Hurn on LinkedIn **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**   

What is social value? It's a messy, ill-defined beast that's increasingly a core component of public procurement, and it's something that we worked on recently so it's been front of our minds.We invited Michael McLaughlin (LHC Procurement Group) onto the show to talk through what he thinks about social value, and what he thinks it could be if the sector was able to organise itself better. No shade intended and we're not suggesting that it's easy to fix things, but we have looked into it. While there's a lot of great work being done there are an unconscionable number of opportunities being wasted, and not for want of trying.Notes from the showMichael McLaughlin on LinkedInThe LHC Procurement Group website LHC on LinkedIn **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 HVAC Know It All Podcast, host Gary McCreadie talks with Christopher Rystedt, Technical Sales and Trainer at Airzone Control, about air distribution and zoning with VRF and inverter systems. In Part 2, they discuss common applications such as hotels and residential homes, and how zoning can work with multiple brands and system types. Christopher explains how modern zoning avoids bypass dampers by adjusting fan speed and system capacity based on demand. They also cover ventilation modes, zone weighting, and how airflow is balanced across different spaces. The conversation wraps up with setup tips, training options, and how zoning can help manage refrigerant limits and reduce system size and cost. Gary and Christopher discuss how modern HVAC zoning systems work with VRF and inverter equipment in both commercial and residential applications. They explain how systems can control multiple zones or units from one platform, even across different brands. Christopher describes how proper duct design and variable fan speed help avoid the need for bypass dampers while maintaining correct airflow. They also cover ventilation settings, including local and system-wide fan operation, and how zone weighting helps balance airflow based on duct size. They finish by talking about system setup, training resources, and how zoning can help reduce refrigerant use and overall system costs.   Expect to Learn: How HVAC zoning systems can control multiple rooms using VRF and inverter equipment. How one platform can manage different brands and types of HVAC units together. Why proper duct design and variable fan speed help eliminate the need for bypass dampers. How ventilation modes work at both the zone level and system level to move air. How zone weighting and system setup help balance airflow and improve overall performance.   Episode Highlights: [00:00] - Sponsor: Factory Direct Filters ad [01:08] - Intro to Chris Rystedt in Part 02  [02:10] - Main applications: Hotels, villas, and residential  [04:34] - Airzone history: Spain (1997), North America (2021)  [06:57] - Inverter systems vs. traditional bypass dampers  [09:21] - Ventilation modes: Local and global settings  [13:29] - Christopher's role: Technical sales and trainer  [18:33] - Training resources and A2L refrigerant benefits    This Episode is Kindly Sponsored by: Cintas: https://www.cintas.com/ Cool Air Products: https://www.coolairproducts.net/ Factory Direct Filters: https://www.factorydirectfilters.com/ SupplyHouse: https://www.supplyhouse.com/tm Use promo code HKIA5 to get 5% off your first order at Supplyhouse!   Follow the Guest Christopher Rystedt:  LinkedIn: https://www.linkedin.com/in/christopher-rystedt-62258597/   Airzone Control - LinkedIn: https://www.linkedin.com/company/airzonecontrol/   Airzone Control - Website: https://www.airzonecontrol.com/as/en/  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/  Follow the Podcast:  YouTube: https://www.youtube.com/@HVACKnowItAll   Spotify: https://open.spotify.com/show/6LCBJGw0EHG03rdWHxUMce  Apple Podcast: https://podcasts.apple.com/us/podcast/hvac-know-it-all-podcast/id1359253455

Welcome to a wonderfully chaotic "Ventilation Friday" on The Other Side of Midnight with Lionel, where serious legal analysis collides with absolute caller absurdity! This episode takes you on a freewheeling ride starting with a deep dive into the addictive algorithms of Meta and YouTube, followed by a blistering takedown of Bill Maher's comedic relevance. But the real magic happens when the phone lines open. Buckle up as the conversation careens from unhinged life hacks involving refrigerators and empty Coke bottles to the ghost of Andrew Mellon, oversized airline seating policies, and the untold truth about Barney Rubble's day job. Finally, Lionel shifts to a raw, unfiltered hour tackling life's heaviest choices with a profound debate on human autonomy and euthanasia. It's talk radio at its most delightfully unpredictable! Learn more about your ad choices. Visit megaphone.fm/adchoices

In this EM Cases update on cardiac arrest management, Dr. Sheldon Cheskes and Dr. Rob Simard join Anton to walk us through the evolving science and bedside practicalities of cardiac arrest management in the wake of the 2025 ACLS Guidelines. They answer questions such as: What are the most common failures in CPR quality, and how can we recognize and correct them in real time? Should we employ head up CPR, and if so how? How should we interpret ETCO₂ during cardiac arrest, and why shouldn't we chase a single number? How can we minimize peri-shock pauses and optimize defibrillation success at the bedside? Is the traditional two-minute CPR cycle too rigid, and should we be shocking earlier in cases of refibrillation? What is the evidence behind dual sequential external defibrillation (DSED), and when should we use it? After 3 shocks or earlier? How does hyperventilation during cardiac arrest harm patients, and what strategies can reliably prevent it? What is compression-adjusted ventilation (CAV), and how can it improve ventilation consistency during resuscitation? What is the optimal dose of epinephrine in patient with Ventricular Fibrillation? and many more... Please donate to EM Cases to ensure ongoing Free Open Access Medical Education here: https://emergencymedicinecases.com/donation/ This is a deep dive into the critical inflection points in resuscitation where small changes in technique and decision-making may have the greatest impact on outcomes.

We're back for another great episode of Keepin It Rio. This week, our buddy Aron DeLong with Lomanco stops by to chat about a topic that doesn't get enough love. Yep, Attic Ventilation. From years in Distribution to becoming the new guy in a niche industry, Aron has stepped up and become a Leader in Ventilation. We talk about the importance of proper balance for efficiency and energy savings, as well as uncovering some really bad things that can happen if you don't understand how to properly vent a home. Plentiful amounts of value in this one.Send us Fan MailSupport the show

JEMS Development Editor Mike Brown sits down with Jonathan Epstein, who leads the American Red Cross healthcare product management team, to unpack the Red Cross's new Resuscitation Suite. Jonathan explains how the suite reimagines BLS, ALS and pediatric/neonatal resuscitation with EMS-first blended learning, a “practice as you perform” approach that embeds local protocols and integrated cognitive aids, including a digital app with step-by-step algorithms and clinical decision support. They discuss adaptive learning and computer-adaptive testing that shrink classroom time, an upcoming VR pathway that delivers team-based practice and certification, and realistic expectations for AI, dual sequential defibrillation and mechanical CPR. Ventilation, measurement and device design are highlighted as targets for education and engineering solutions.

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

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

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

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

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

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

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

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.

🧭 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.