Podcasts about Ventilator

Sommerhitze ist längst kein Ausnahmefall mehr – doch wie kommen wir gut durch die heißen Tage? In dieser Folge beantworten wir die wichtigsten Fragen rund um Kühlungstechnologien, clevere Tricks und Smarte Systeme:   Das erwartet euch:  Ventilatoren, Klimageräte und Co. – welche Technik passt zu welcher Wohnsituation?  Energiespar-Tipps für den Sommer: Verbrauch optimieren statt verschwenden.  Bewährte Tricks ohne Strom – clevere Ideen für ein besseres Raumklima.  Wartung und Einstellungen, die Geräte effizienter und gesünder machen. Jetzt reinhören und die besten Tipps gegen die Sommerhitze mitnehmen!

Es wird wieder warm, in den Büros, den Werkstätten und auf den Baustellen des Landes. Ein Glück, wer da eine Klimaanlage hat oder einen Ventilator. Aber was hilft eigentlich besser?

Walking Home from the ICU PodcastTranslating the ICU with Stephen Ramsey — Series 1, Episode 1Episode SummaryKali Dayton officially welcomes Stephen Ramsey — CVICU physical therapist, creator of the Ramsey Protocol, and lead author of the ELSO guidelines — as the newest member of the Dayton ICU Consulting team. In this kickoff episode of Translating the ICU, Kali and Stephen explore why physical therapists and occupational therapists are often rotating generalists in the ICU rather than dedicated specialists, and what needs to change to elevate rehab's impact on critically ill patients.Key Topics Covered​Introducing "Translating the ICU" — a new podcast series focused on physiology, pathophysiology, and critical thinking applied to real and theoretical ICU case studies​CSM 2024 recap — Stephen's talks on redefining PT's role in the ICU and point-of-care ultrasound; Kali's panel on what early mobility should actually look like​The case for dedicated ICU rehab staffing — why rotating therapists undermine momentum, relationships, and patient outcomes​PT/OT education gaps in critical care — invasive hemodynamics, pharmacology, diagnostic imaging, and ventilator management are largely absent from training​Competency vs. potential — why redefining practice standards matters more than questioning individual intelligence or capability​Mobility as a physiology test — Steven's framework for PT as "physiology tester," using mobilization to generate clinical data and drive medical decision-making​Johnson 2019 data — dedicated CVICU PT/OT staffing increased from 2 to 4 clinicians → ICU length of stay decreased by 3.6 days​The 2025 meta-analysis (60+ RCTs, ~8,500 patients) — timing matters more than intensity in early mobility​Ventilator management and SBTs — why PTs need to understand spontaneous breathing trials and provide physiologic feedback before extubation decisions​Building trust on the ICU team — demonstrating competency through relationships, not just credentials​Barriers facing revolutionists — fear of mistakes, leadership pressure, staffing rotations, and how to push forward anywayResources & People Mentioned- Steven Ramsey — @ThePOCUSPT | The Ramsey Protocol | ELSO Guidelines​Kali Dayton — DaytonICUConsulting.com​Christina Perme's ICU Rehab Course​Heidi Engel & Jenna Hightower​Johnson 2019 CVICU staffing study​2025 early mobility meta-analysis (60+ RCTs)Connect & Work With Us​Consult with Kali on transforming your ICU's sedation and mobility practices → DaytonICUConsulting.com​Coaching with Stephen Ramsey — one-on-one or team sessions for ICU rehab staff → www.DaytonICUConsulting.com and @ThepocusPT​Online courses — coming soon from both Kali and Stephen​Critical care ultrasound course for ICU clinicians — available now at ThePocusPT.comFollow Kali on Instagram for open discussion, anonymous Q&A, and cross-disciplinary ICU conversations.

──────────────────────────────────────── [00:08:21] Hospital Killed 19-Year-Old With Down Syndrome Using Hospice Drugs Without Consent Grace Shera died after doctors gave her end-of-life drugs without parental knowledge. An expert called it the worst clinical decision in 46 years. An illegal DNR order prevented resuscitation. ──────────────────────────────────────── [00:10:09] First COVID Wrongful Death Trial Lost 11-1 — Hospital Brought Johns Hopkins Experts The first wrongful death trial using COVID as cause of death was lost 11-1. The hospital spent hundreds of thousands on five experts. The plaintiff's expert worked for free, finding the case too egregious to ignore. ──────────────────────────────────────── [00:19:10] Secret Medicare Rule Forces Doctors to Hit Statin Quotas or Lose Reimbursements Doctors must prescribe statins to a minimum percentage of all patients to maintain Medicare reimbursement rates — even for non-Medicare patients. Those who refuse can be fired as clients to protect the practice's income. ──────────────────────────────────────── [00:34:19] Adult Protective Services Seized a Woman, Put Her on a Ventilator, Left Her Unable to Speak A woman was sent to a hospital over an hour from her family, placed on a ventilator, and now has a permanent trach. A state guardian worked to remove outside advocates. Without intervention she would have died. ──────────────────────────────────────── [00:45:08] No War Declaration Means No Treason, No Accountability, No Stated Objective Charles Goyette argues that without a congressional war declaration there is no legal treason, no accountability for bad judgment, and no defined war objective — making the Iran war constitutionally rootless. ──────────────────────────────────────── [00:54:11] Trump Sons Investing in War Drone Production During the Iran War Trump's sons are reportedly taking a stake in war drone production — adding to a pattern that includes Hegseth's failed attempt to get BlackRock to invest in defense ETFs before the Iran strikes. ──────────────────────────────────────── [01:06:16] Why Are Taxpayers Securing Oil Lanes for China When We're Told We're Energy Independent? Goyette asks why US taxpayers secure the Strait of Hormuz for China's benefit while being told America is energy self-sufficient — costs land on Americans, benefits go to the world. ──────────────────────────────────────── [01:08:18] China Has Cut US Treasury Holdings by 50% — World Moving to Gold China has halved its $1.3 trillion in US treasuries. Foreign central banks know the US can only repay debt by printing money, so they are moving reserves to gold instead. ──────────────────────────────────────── [01:14:51] 2002 Pentagon War Game: Low-Tech Team Beat the US Military — Exercise Called Off in Humiliation In Millennium Challenge 2002, General Paul Van Ripper's primitive asymmetric team defeated the US high-tech force using couriers and speedboats. The Pentagon called it off before declaring a winner. ──────────────────────────────────────── [01:20:57] Deep State Goal: Restore Shah's Son — Whose Father's Secret Police Were Trained by CIA and Mossad The CIA and Mossad installed the Shah and trained his Savak torturers — with Schwarzkopf's father involved. Today's war is argued to be aimed at restoring the Shah's son over a country that suffered under US-engineered despotism. ──────────────────────────────────────── [01:28:06] US Armed Saddam to Fight Iran — Then Called Him Worse Than Hitler The US gave Saddam chemical weapon precursors and targeting technology during the Iraq-Iran war. The US also shot down Iran Air flight 655, killing 290 civilians, and awarded the captain a medal. ──────────────────────────────────────── [02:12:30] 1913: Federal Reserve and Income Tax Were Both Communist Manifesto Planks Two of Marx's 10 planks — central banking and progressive income tax — were enacted in 1913, the same year the 17th Amendment eliminated state representation in the Senate. ──────────────────────────────────────── Money should have intrinsic value AND transactional privacy: Go to https://davidknight.gold/ for great deals on physical gold/silver For 10% off Gerald Celente's prescient Trends Journal, go to https://trendsjournal.com/ and enter the code KNIGHT Find out more about the show and where you can watch it at TheDavidKnightShow.com If you would like to support the show and our family please consider subscribing monthly here: SubscribeStar https://www.subscribestar.com/the-david-knight-showOr you can send a donation throughMail: David Knight POB 994 Kodak, TN 37764Zelle: @DavidKnightShow@protonmail.comCash App at: $davidknightshowBTC to: bc1qkuec29hkuye4xse9unh7nptvu3y9qmv24vanh7Become a supporter of this podcast: https://www.spreaker.com/podcast/the-david-knight-show--2653468/support.

──────────────────────────────────────── [00:08:21] Hospital Killed 19-Year-Old With Down Syndrome Using Hospice Drugs Without Consent Grace Shera died after doctors gave her end-of-life drugs without parental knowledge. An expert called it the worst clinical decision in 46 years. An illegal DNR order prevented resuscitation. ──────────────────────────────────────── [00:10:09] First COVID Wrongful Death Trial Lost 11-1 — Hospital Brought Johns Hopkins Experts The first wrongful death trial using COVID as cause of death was lost 11-1. The hospital spent hundreds of thousands on five experts. The plaintiff's expert worked for free, finding the case too egregious to ignore. ──────────────────────────────────────── [00:19:10] Secret Medicare Rule Forces Doctors to Hit Statin Quotas or Lose Reimbursements Doctors must prescribe statins to a minimum percentage of all patients to maintain Medicare reimbursement rates — even for non-Medicare patients. Those who refuse can be fired as clients to protect the practice's income. ──────────────────────────────────────── [00:34:19] Adult Protective Services Seized a Woman, Put Her on a Ventilator, Left Her Unable to Speak A woman was sent to a hospital over an hour from her family, placed on a ventilator, and now has a permanent trach. A state guardian worked to remove outside advocates. Without intervention she would have died. ──────────────────────────────────────── [00:45:08] No War Declaration Means No Treason, No Accountability, No Stated Objective Charles Goyette argues that without a congressional war declaration there is no legal treason, no accountability for bad judgment, and no defined war objective — making the Iran war constitutionally rootless. ──────────────────────────────────────── [00:54:11] Trump Sons Investing in War Drone Production During the Iran War Trump's sons are reportedly taking a stake in war drone production — adding to a pattern that includes Hegseth's failed attempt to get BlackRock to invest in defense ETFs before the Iran strikes. ──────────────────────────────────────── [01:06:16] Why Are Taxpayers Securing Oil Lanes for China When We're Told We're Energy Independent? Goyette asks why US taxpayers secure the Strait of Hormuz for China's benefit while being told America is energy self-sufficient — costs land on Americans, benefits go to the world. ──────────────────────────────────────── [01:08:18] China Has Cut US Treasury Holdings by 50% — World Moving to Gold China has halved its $1.3 trillion in US treasuries. Foreign central banks know the US can only repay debt by printing money, so they are moving reserves to gold instead. ──────────────────────────────────────── [01:14:51] 2002 Pentagon War Game: Low-Tech Team Beat the US Military — Exercise Called Off in Humiliation In Millennium Challenge 2002, General Paul Van Ripper's primitive asymmetric team defeated the US high-tech force using couriers and speedboats. The Pentagon called it off before declaring a winner. ──────────────────────────────────────── [01:20:57] Deep State Goal: Restore Shah's Son — Whose Father's Secret Police Were Trained by CIA and Mossad The CIA and Mossad installed the Shah and trained his Savak torturers — with Schwarzkopf's father involved. Today's war is argued to be aimed at restoring the Shah's son over a country that suffered under US-engineered despotism. ──────────────────────────────────────── [01:28:06] US Armed Saddam to Fight Iran — Then Called Him Worse Than Hitler The US gave Saddam chemical weapon precursors and targeting technology during the Iraq-Iran war. The US also shot down Iran Air flight 655, killing 290 civilians, and awarded the captain a medal. ──────────────────────────────────────── [02:12:30] 1913: Federal Reserve and Income Tax Were Both Communist Manifesto Planks Two of Marx's 10 planks — central banking and progressive income tax — were enacted in 1913, the same year the 17th Amendment eliminated state representation in the Senate. ──────────────────────────────────────── Money should have intrinsic value AND transactional privacy: Go to https://davidknight.gold/ for great deals on physical gold/silver For 10% off Gerald Celente's prescient Trends Journal, go to https://trendsjournal.com/ and enter the code KNIGHT Find out more about the show and where you can watch it at TheDavidKnightShow.com If you would like to support the show and our family please consider subscribing monthly here: SubscribeStar https://www.subscribestar.com/the-david-knight-showOr you can send a donation throughMail: David Knight POB 994 Kodak, TN 37764Zelle: @DavidKnightShow@protonmail.comCash App at: $davidknightshowBTC to: bc1qkuec29hkuye4xse9unh7nptvu3y9qmv24vanh7Become a supporter of this podcast: https://www.spreaker.com/podcast/the-real-david-knight-show--5282736/support.

As heard every Monday and Thursday. Hot Cares aims at making a meaningful difference in the lives of those around us. Hot Cares

In dieser Folge setzen Duri Bonin und Gregor Münch ihre StPO-Reihe fort und besprechen Art. 193 StPO (Augenschein). Ausgangspunkt ist die eigentlich einfache Idee: Staatsanwaltschaft und Gericht können und sollen Örtlichkeiten, Gegenstände oder Vorgänge in Augenschein nehmen, wenn sie für den Sachverhalt bedeutsam sind, aber nicht als klassischer Beweisgegenstand vorliegen. Gregor betont, dass „Augenschein“ nicht nur Sehen bedeutet: Auch Gehör, Geruch oder Haptik können beweisbildend sein. Dann wird es konkret: Wie oft wird ein Augenschein in der Praxis tatsächlich durchgeführt – und warum so selten? Welche Rolle spielen dabei Parteirechte und die Frage, ob Gerichte „informell“ besichtigen dürfen, obwohl das Verfahren parteiöffentlich sein müsste? Der spannendste Teil ist die Verbindung von Augenschein und Tatrekonstruktion: Wann lohnt sich ein Antrag und wann schiesst man der eigenen Verteidigung ins Bein? Gregor schildert eindrücklich einen Fall, in dem die Lichtverhältnisse am Tatort entscheidend waren und das Gericht mitten in der Nacht ausrückte, um die Situation nachzustellen. Der Augenschein wird so zur Beweispsychologie: „Erlebtes“ prägt. Das soll mit Worten und Adjektiven in der Protokollierung über die Instanzen "bewahrt" werden. Zum Schluss wird es leichter und gerade dadurch sehr anschaulich: Augenscheine im Übertretungsbereich, Windspiel-Lärm, Halteverbote, Baumrückschnitte – und sogar eine Karikatur aus dem Tages-Anzeiger („Richter testet mit Ventilator japanisches Tempelglöcklein“). Und Gregor streut noch einen Praxis-Tipp ein: Die digitalen Archive von Tages-Anzeiger und NZZ können als Recherchetool in konkreten Fällen überraschend nützlich sein. Darum geht es in dieser Episode - Art. 193 StPO: Was ist ein Augenschein und wozu dient er? - Augenschein ist mehr als Sehen: Gehör, Geruch, Haptik als Beweisquelle - Wie häufig Augenscheine in der Praxis vorkommen und warum selten - Informelle Besichtigungen vs. Parteirechte und Art. 147 StPO - Zutrittsrechte und Abgrenzung zur Hausdurchsuchung (Ausblick Zwangsmassnahmen) - Dokumentation des Augenscheins: Fotos, Pläne, Protokoll, Beschreibung - Tatrekonstruktion und Aussagenverweigerungsrecht - Risiko von Beweisanträgen: wann Augenschein hilft und wann er schadet - Lichtverhältnisse am Tatort als Schlüssel zur rechtlichen Würdigung - Augenschein als „erlebbares“ Beweismittel und psychologischer Effekt - Augenschein im Übertretungsstrafrecht: Windspiel, Lärm, Signalisation Für wen ist diese Folge? Für Strafverteidiger:innen, Staatsanwält:innen und Richter:innen, die Beweisfragen nicht nur aus Aktenperspektive sehen wollen. Und für alle, die sich für die Schnittstelle zwischen Tatwirklichkeit und Aktenwirklichkeit interessieren – dort, wo ein Augenschein eine ganze Beweiswürdigung verschieben kann. Links zu diesem Podcast: - [Art. 193 StPO - Augenschein](https://www.fedlex.admin.ch/eli/cc/2010/267/de?print=true&printId=%23art_193) - [Richter testet mit Ventilator japanisches Tempelglöcklein](https://www.linkedin.com/posts/duri-bonin-95476b193_stpo-stpo193-augenschein-ugcPost-7432329157784743936-IUA1?utm_source=share&utm_medium=member_desktop&rcm=ACoAAC1_OZABeVwFwwPoLdiv7rHhORblvxEbN98) (Tages-Anzeiger vom 31. Januar 2006, S. 17) - Anwaltskanzlei von [Duri Bonin](https://www.duribonin.ch) - Anwaltskanzlei von [Gregor Münch](https://www.d32.ch/personen) - Titelbild [bydanay](https://www.instagram.com/bydanay/) - Das Buch zum Podcast: [In schwierigem Gelände — Gespräche über Strafverfolgung, Strafverteidigung & Urteilsfindung](https://www.duribonin.ch/shop/) Die Podcasts "Auf dem Weg als Anwält:in" sind unter https://www.duribonin.ch/podcast/ oder auf allen üblichen Plattformen zu hören

In this episode of The ICHE Podcast, host Dr. David Calfee explores non–ventilator-associated hospital-acquired pneumonia (NV-HAP)—what it is, how common it is, and why it matters for patient outcomes. He is joined by Dr. Barbara Jones (University of Utah) and Dr. Sheryl Kluberg (Harvard Pilgrim Health Care Institute and Harvard Medical School) to discuss key risk factors for NV-HAP and how preventable it may be. The conversation highlights practical prevention strategies, including the role of routine oral care and patient mobility. Dr. Jones shares insights from her ICHE study evaluating the impact of an oral care initiative using electronic clinical data and diagnostic coding, while Dr. Kluberg discusses her research on the associations between oral care, in-hospital mobility, and NV-HAP. Together, they break down the study questions, methods, key findings, and real-world implications for infection prevention efforts. This episode offers a concise, evidence-based look at how everyday care practices can help reduce the burden of NV-HAP in hospitalized patients. Links: Jones, Barbara E., Alec B. Chapman, Jian Ying, McKenna R. Nevers, Shannon Munro, Michael Klompas, Amy L. Valderrama, and Daniel O. Scharfstein. “Evaluating the Impact of an Oral Care Initiative on the Risk of Non-Ventilator-Associated Hospital-Acquired Pneumonia Using Electronic Clinical Data and Diagnostic Coding Surveillance Criteria.” Infection Control & Hospital Epidemiology 46, no. 12 (2025): 1190–98. https://doi.org/10.1017/ice.2025.54. Kluberg, Sheryl A., Tom Chen, Rui Wang, Robert Jin, Laura DelloStritto, Dian Baker, Karen Giuliano, et al. “Associations between Routine Oral Care and In-Hospital Mobility with Non-Ventilator Hospital-Acquired Pneumonia.” Infection Control & Hospital Epidemiology 46, no. 12 (2025): 1181–89. https://doi.org/10.1017/ice.2025.10245.

All the Episodes of the Heidelcast Subscribe to the Heidelcast! Browse the Heidelshop! On X @Heidelcast On Insta & Facebook @Heidelcast Subscribe in Apple Podcast Subscribe directly via RSS Call The Heidelphone via Voice Memo On Your Phone The Heidelcast is available wherever podcasts are found including Spotify. Call or text the Heidelphone anytime at (760) 618-1563. Leave a message or email us a voice memo from your phone and we may use it in a future podcast. Record it and email it to heidelcast@heidelblog.net. If you benefit from the Heidelcast please leave a five-star review on Apple Podcasts so that others can find it. Please do not forget to make the coffer clink (see the donate button below). SHOW NOTES How To Subscribe To Heidelmedia The Heidelblog Resource Page Heidelmedia Resources The Ecumenical Creeds The Reformed Confessions The Heidelberg Catechism The Heidelberg Catechism: A Historical, Theological, and Pastoral Commentary (Lexham Academic) Recovering the Reformed Confession (P&R Publishing, 2008) Why I Am A Christian What Must A Christian Believe? Heidelblog Contributors Support Heidelmedia: use the donate button or send a check to: Heidelberg Reformation Association 1637 E. Valley Parkway #391 Escondido CA 92027 USA The HRA is a 501(c)(3) non-profit organization

Mon, Jan 12 4:40 PM → 4:43 PM E413 EMS403 Radio Systems: - Fairfax County Project 25

Über die Feiertage bin ich so richtig faul gewesen und daher quatsche ich frei zu allem möglichen. Was jetzt eine Diskussion zum Böllerverbot mit mir selber in einem Laufpodcast zu tun hat, warum ich mir damit sicher nicht nur Freunde mache, und warum ich der Meinung bin, dass ich sinnvoller trainieren muss, dazu hier mehr.Ein super Jahr 2026 wünsche ich euch und denkt daran, auch alle kleinen Erfolge und schönen Dinge zu feiern. Dann wird's richtig gut. Zur Sprache kommen in dieser Folge natürlich die App für Läuferkräftigung und Verletzungsbehandlung https://geni.us/laufenisteinfach-podExakt App: Code:LAUFENISTEINFACH (bis zu 40%), vorher eine Woche kostenfrei testen.Meine Laufuhren, die COROS PACE 4 und PACE PRO: https://dada.link/SrM1uqCode Podcast: LAUFEN.IST.EINFACH*Beim Kauf einer Uhr/DURA gibt es ein Uhrband/Lifestyle-Accessoire (Kategorie auf der Website) konstenlos zusätzlich. Dafür sind beide Produkte in den Warenkorb zu legen und der Code beim Checkout anzuwenden.Und zum meinem Bike gibt es auch bald mehr: https://bit.ly/49kPM66Ich nutze daas wahoo KICKR Bike pro mit dem passenden Ventilator. Hammer!!!!!Zu meinem Kenia-Event am 28.1. in Osnabrück: https://www.genusshoefe.de/seminare/

Die Zwillinge Ju und Jo entdecken im verwilderten Schopf ihres Opas eine unglaubliche Erfindung! (Ab 8 Jahren) Mitten im Staub steht ein grosser Schlitten – mit zwei Sitzen, blinkenden Lämpchen, Knöpfen und einem Ventilator. Neugierig steigen die beiden ein. Doch plötzlich rast die Maschine los und alles gerät ausser Kontrolle! Jo wird ins Jahr 1999 geschleudert, Ju landet 1960. Jetzt beginnt ein Wettlauf gegen die Zeit: Ju und Jo müssen sich wiederfinden, ein gefährliches Geheimnis lösen und dafür sorgen, dass ihre Eltern sich verlieben. Sonst gäbe es die Zwillinge nie! Und was hat das alles mit dem Millennium, einem Riesenrad und dem grössten Familiengeheimnis zu tun? ____________________ Autor: Willi Näf ____________________ Mit: Walter Andreas Müller (Erzähler), Frida Dillier (Ju), Quentin von Virag (Jo), Kamil Krejci (Opa Heinrich), Anna Schinz (Mami Fränzi), Hans-Caspar Gattiker (Papi Felix), Wanda Wylowa (Jakobine), Ada Schinzel (Mädchen), Samuel Streiff (Kontrolleur) Musik: Martin Bezzola – Tontechnik: Roland Fatzer – Dramaturgie: Simone Karpf, Zita Bernet – Assistenz: Daniela Keller – Regie: Zita Bernet ____________________ Produktion: SRF 2025 ____________________ Das ist «SRF Kids Hörspiele»: Tolle Hörspiele für Kinder ab 8 bis 12 Jahren auf Schweizerdeutsch. Ob Krimi, Abenteuer oder lustige Geschichten vom Pausenhof – für jeden Geschmack ist etwas dabei! https://www.srf.ch/audio/srf-kids-hoerspiele-geschichten-fuer-kinder

🧭 REBEL Rundown 🗝️ Key Points 💨 Peak vs. Plateau Pressures: PIP reflects total airway resistance and compliance, while Pplat isolates alveolar compliance—elevations in both suggest decreased lung compliance (e.g., ARDS, pulmonary edema, pneumothorax).🧱 PEEP Protects Alveoli: Maintains alveolar recruitment and prevents collapse; typical range 5–8 cmH₂O, but higher levels may benefit moderate–severe ARDS.️ Driving Pressure (ΔP = Pplat − PEEP): Lower ΔP reduces atelectrauma and improves outcomes; optimize by adjusting PEEP thoughtfully.💥 Prevent VILI: Keep Pplat < 30 cmH₂O, use low tidal volumes (6 mL/kg IBW), and monitor for barotrauma, volutrauma, atelectrauma, and biotrauma.📚 Evidence-Based Practice: ARDSNet and subsequent trials confirm that lung-protective ventilation—low Vt, limited pressures, and individualized PEEP—improves survival in ARDS. Click here for Direct Download of the Podcast. 📝 Introduction This episode reviews essential ventilator pressures and how to interpret them during ICU rounds. 🚀 Under Pressure Peak Inspiratory Pressure (PIP)Definition: Total pressure required to deliver a breath.Reflects: Airway resistance + lung/chest wall compliance.Common Causes of ↑ PIP:Mucus pluggingBiting the endotracheal tubeKinked tubing or bronchospasmPlateau Pressure (Pplat)Definition: Alveolar pressure measured after an inspiratory hold.Reflects: Lung compliance (stiffness of lung tissue).When Both PIP & Pplat Are Elevated:→ Indicates poor compliance (e.g., ARDS, pulmonary edema, pneumothorax).Positive End-Expiratory Pressure (PEEP)Definition: Pressure remaining in airways at end-expiration to prevent alveolar collapse.Typical Range: 5–8 cmH₂O but needs to titrated to meet patient requirements Notes:Provides physiologic “glottic” PEEP in intubated patients.Using high PEEP strategy shows mortality benefit only in moderate–severe ARDS in meta-analysis.Driving Pressure (ΔP)Definition: ΔP = Pplat − PEEP.Reflects: Pressure needed to keep alveoli open during the respiratory cycle.Goal: Lower ΔP → less atelectrauma & improved outcomes.Optimize: Increase PEEP to reduce ΔP and alveolar cycling. 📖 Interpreting High PIP/High Pplat ↑ PIP & ↑ PplatInterpretation: ↓ ComplianceCommon Causes: ARDS, pulmonary edema, pleural effusion, pneumothorax↑ PIP & Normal/Low PplatInterpretation: ↑ Airway ResistanceCommon Causes: Mucus plug, bronchospasm, tube obstruction or biting 🤕 Ventilator-Associated Lung Injury (VILI) Barotrauma:Mechanism: Excessive airway pressure damages alveoli.Prevention: Keep Pplat < 30 cmH₂O.Volutrauma:Mechanism: Overdistension from excessive tidal volumes.Prevention: Use low tidal volume ventilation (6 mL/kg ideal body weight).ARDSNet trial: 6 mL/kg → lower mortality compared to 12 mL/kg.Ideal Body Weight: Based on height and sex, not actual weight.Typical patient: Tidal Volume: 6–8 mL/kg IBWARDS: Tidal Volume: 4–6 mL/kg IBWAtelectrauma:Mechanism: Repeated opening/collapse of unstable alveoli.Prevention: Optimize PEEP to keep alveoli open and reduce driving pressure.Biotrauma:Mechanism: Inflammatory cascade (↑ IL-6, TNF-α) from mechanical injury.Effect: Can trigger systemic inflammation & multiorgan dysfunction.Prevention: Minimize all other forms of VILI. Post Peer Reviewed By: Marco Propersi, DO (Twitter/X: @Marco_propersi), and Mark Ramzy, DO (X: @MRamzyDO) 👤 Show Notes Joel Rios Rodriguez, MD PGY 3 Internal Medicine Resident Cape Fear Valley Internal Medicine Residency Program Fayetteville NC Aspiring Pulmonary Critical Care Fellow 🔎 Your Deep-Dive Starts Here REBEL Core Cast – Pediatric Respiratory Emergencies: Beyond Viral Season Welcome to the Rebel Core Content Blog, where we delve ... Pediatrics Read More REBEL Core Cast 143.0–Ventilators Part 3: Oxygenation & Ventilation — Mastering the Balance on the Ventilator When you take the airway, you take the wheel and ... Thoracic and Respiratory Read More REBEL Core Cast 142.0–Ventilators Part 2: Simplifying Mechanical Ventilation – Most Common Ventilator Modes Mechanical ventilation can feel overwhelming, especially when faced with a ... Thoracic and Respiratory Read More REBEL Core Cast 141.0–Ventilators Part 1: Simplifying Mechanical Ventilation — Types of Breathes For many medical residents, the ICU can feel like stepping ... Thoracic and Respiratory Read More REBEL Core Cast 140.0: The Power and Limitations of Intraosseous Lines in Emergency Medicine The sicker the patient, the more likely an IO line ... Procedures and Skills Read More REBEL Core Cast 139.0: Pneumothorax Decompression On this episode of the Rebel Core Cast, Swami takes ... Procedures and Skills Read More The post REBEL Core Cast 147.0–Ventilators Part 5: Key Mechanical Ventilator Pressures & Definitions Made Simple appeared first on REBEL EM - Emergency Medicine Blog.

In this festive episode of the Big Shot Bob Podcast, Robert Horry, Brandon Harper, and Rob Jenners dive into a spirited discussion filled with holiday cheer, NBA drama, and some unexpected twists. The show kicks off with an introduction by Robert 'Big Shot Bob' Horry, who reflects on the recent late shows due to the holiday season. The team catches up on NBA news, focusing on the contentious NBA Cup and the economic motivations behind it, as well as some candid opinions on load management and the All-Star game format. The conversation heats up as they break down the NBA standings and debate the early MVP contenders, highlighting standout performances from Cade Cunningham, Luka Dončić, and Shea Gilgeous-Alexander.  We also discuss surprising underperformers like the Clippers and Bucks, and the challenges faced by teams like the Mavericks. The hosts bring their unique perspectives on what's going right and wrong for these teams, making for an engaging analysis for basketball fans. The episode wraps up with a fun and festive edition of 'Walmart or Waffle House' – a game where the hosts guess whether outlandish incidents occurred at Walmart or Waffle House locations. The holiday theme adds a cheerful twist to the game, providing plenty of laughs. Additionally, the hosts address some college football playoff predictions, highlighting key matchups and making their picks.  Finally, we give a big shout out to the Hanover County Animal Shelter for their creative fundraiser involving a drunken raccoon. And we close the show with a Christmas-themed round of Walmart or Waffle House!! This week's show is presented by our amazing friends at DraftKings! Download the DraftKings Sportsbook app and use code BIGSHOTBOB, as new customers can bet five bucks and get $200 in bonus bets if your bet wins. In partnership with DraftKings. The Crown Is Yours! 00:00 Introduction and Holiday Season Delays 01:02 NBA Cup Controversy 07:00 All-Star Game Format Debate 19:13 Eastern Conference Playoff Contenders 29:07 Western Conference Disappointments 33:54 Warriors Owner Responds to Fan Email 35:34 The Unsung Heroes of Basketball 37:28 NBA MVP Ladder Discussion 42:46 College Football Playoff Predictions 56:26 Christmas Themed Walmart or Waffle House

🧭 REBEL Rundown 🗝️ Key Points ❌ Don’t chase perfect numbers: Adequate and safe is often better than “perfect but harmful.”💨 Oxygenation levers: Start with FiO₂ and PEEP, but remember MAP is the true driver.🫁 Ventilation levers: Adjust RR and TV, tailored to underlying physiology.🚫 Watch your obstructive patients: Sometimes less RR is more. Click here for Direct Download of the Podcast. 📝 Introduction Ventilator management can feel overwhelming—there are so many knobs to turn, numbers to watch, and changes to make. But before adjusting any settings, it’s crucial to understand why the patient is in distress in the first place, because the right strategy depends on the underlying cause. In this episode, we’ll walk through three different cases to see how the approach changes depending on the problem at hand. ️ The 4 Main Ventilator Settings Tidal Volume (Vt) 🌬️ Amount of air delivered with each breath Typically set based on ideal body weight (6–8 mL/kg for lung protection) Respiratory Rate (RR) ⏱️ Number of breaths delivered per minute Adjusted to control minute ventilation and manage CO₂ FiO₂ (Fraction of Inspired Oxygen) ⛽ Percentage of oxygen delivered Adjusted to maintain adequate oxygenation (goal SpO₂ 92–96%, PaO₂ 55–80 mmHg). PEEP (Positive End-Expiratory Pressure) 🎈 Pressure maintained in the lungs at the end of exhalation to prevent alveolar collapse and improve oxygenation 🧮 Modes of Ventilation AC/VC (Assist Control – Volume Control)How it Works: Delivers a set tidal volume with each breath (whether patient- or machine-triggered).When It’s Used / Pros: Most common initial mode; guarantees minute ventilation; good for patients with variable effort.Limitations / Cons: May cause patient–ventilator dyssynchrony if set volumes don’t match patient’s demand.AC/PC (Assist Control – Pressure Control)How it Works: Delivers a set inspiratory pressure for each breath; tidal volume varies depending on lung compliance/resistance.When It’s Used / Pros: Useful in ARDS (lung-protective strategy), limits peak airway pressures.Limitations / Cons: Tidal volume not guaranteed; must closely monitor volumes and minute ventilation.PRVC (Pressure-Regulated Volume Control)How it Works: Hybrid: set target tidal volume, ventilator adjusts inspiratory pressure breath-to-breath to achieve it (within limits).When It’s Used / Pros: Common default mode on newer vents; combines benefits of VC (guaranteed volume) + PC (pressure limitation).Limitations / Cons: Can increase pressures if compliance worsens.SIMV (Synchronized Intermittent Mandatory Ventilation)How it Works: Delivers set breaths, but allows spontaneous patient breaths in between (without guaranteed volume).When It’s Used / Pros: Used for weaning; allows patient effort.Limitations / Cons: Risk of increased work of breathing if spontaneous breaths are inadequate.PSV (Pressure Support Ventilation)How it Works: Every breath is patient-initiated; ventilator provides preset pressure support to overcome airway resistance.When It’s Used / Pros: Weaning trials; patients with intact drive who just need assistance.Limitations / Cons: Not a full-support mode; not for unstable patients without spontaneous drive. ♟️ Ventilation Strategies Airway ProtectionLow GCS, seizure, strokeLoss of gag/cough reflexHigh aspiration risk (vomiting, GI bleed, poor mental status)Hypoxemic Respiratory FailureSevere pneumoniaARDSPulmonary edemaInhalation injuryVentilatory (Hypercapnic) Failure / Increased Ventilation DemandSevere metabolic acidosis (DKA, sepsis, renal failure) → need high minute ventilationCOPD, asthma (if decompensating)Neuromuscular weakness (myasthenia, Guillain–Barré, spinal cord injury)Airway Obstruction / Anticipated Loss of AirwayTumor, anaphylaxis, angioedemaFacial or airway traumaPre-op / anticipated deterioration Post Peer Reviewed By: Marco Propersi, DO (Twitter/X: @Marco_propersi), and Mark Ramzy, DO (X: @MRamzyDO) 👤 Show Notes Priyanka Ramesh, MD PGY 1 Internal Medicine Resident Cape Fear Valley Internal Medicine Residency Program Fayetteville NC Aspiring Pulmonary Critical Care Fellow 🔎 Your Deep-Dive Starts Here REBEL Core Cast – Pediatric Respiratory Emergencies: Beyond Viral Season Welcome to the Rebel Core Content Blog, where we delve ... Pediatrics Read More REBEL Core Cast 143.0–Ventilators Part 3: Oxygenation & Ventilation — Mastering the Balance on the Ventilator When you take the airway, you take the wheel and ... Thoracic and Respiratory Read More REBEL Core Cast 142.0–Ventilators Part 2: Simplifying Mechanical Ventilation – Most Common Ventilator Modes Mechanical ventilation can feel overwhelming, especially when faced with a ... Thoracic and Respiratory Read More REBEL Core Cast 141.0–Ventilators Part 1: Simplifying Mechanical Ventilation — Types of Breathes For many medical residents, the ICU can feel like stepping ... Thoracic and Respiratory Read More REBEL Core Cast 140.0: The Power and Limitations of Intraosseous Lines in Emergency Medicine The sicker the patient, the more likely an IO line ... Procedures and Skills Read More REBEL Core Cast 139.0: Pneumothorax Decompression On this episode of the Rebel Core Cast, Swami takes ... Procedures and Skills Read More The post REBEL Core Cast 146.0–Ventilators Part 4: Setting up the Ventilator appeared first on REBEL EM - Emergency Medicine Blog.

Fri, Dec 5 2:11 PM → 2:37 PM E413 requests ventilator to scene for intubated pediatric patient. ALS401 has extended response distancetime. Radio Systems: - Fairfax County Project 25

Send us a textIn this episode of the Tracheostomy Education Podcast, Nicole DePalma and Dr. Jerry Gentile speak with Gene Gantt, president of Eventa, about the challenges and innovations in respiratory care for patients with tracheostomy and mechanical ventilation, particularly in long-term settings. They discuss the development of outcomes-based reimbursement models, the issues surrounding weaning patients from ventilators, and the financial incentives that often hinder quality care. The conversation also touches on the competition between nursing homes and long-term acute care hospitals, as well as the often neglected area of tracheostomy care in nursing facilities.Support the showhttps://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

As a PEM physician I am fairly good (and confident) about intubating children and passing that ET tube beyond the vocal cords. Managing the vent, however is a whole different ballgame. That is why I asked Jared to come and teach us some basic vent setting for our children.

In this episode of the Society of Critical Care Medicine (SCCM) Podcast, host Maureen Madden, DNP, RN, CPNP-AC, CCRN, FCCM, speaks with Jeremy Loberger, MD, assistant professor of pediatrics and medical director of the pediatric intensive care unit at the University of Alabama at Birmingham. Dr. Loberger shares insights from his work as lead author of “Implementing the Pediatric Ventilator Liberation Guidelines Using the Most Current Evidence,” and co-principal investigator of the multicenter collaborative Ventilation Liberation for Kids (VentLib4Kids), aimed at standardizing and improving extubation practices. Their conversation explores the evolving challenges of pediatric ventilator liberation, such as balancing extubation readiness with risks related to prolonged invasive mechanical ventilation and noninvasive respiratory support. Topics include the role of spontaneous breathing trials, pressure support strategies, sedation practices, and the impact of noninvasive modalities such as high-flow nasal cannula and bilevel positive airway pressure. They address the importance of individualized care, especially for high-risk patients such as children with neuromuscular disorders. Dr. Loberger explains the quality improvement efforts under way that focus on implementing current clinical practice guidelines, standardizing practice, and aligning goals. Listeners will gain a deep understanding of the nuanced decision-making involved in ventilator liberation and collaborative efforts to improve outcomes for critically ill children. Resources referenced in this episode: Implementing the Pediatric Ventilator Liberation Guidelines Using the Most Current Evidence (Loberger JM, et al. Respir Care. 2024;69:869-880) Executive Summary: International Clinical Practice Guidelines for Pediatric Ventilator Liberation, A Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network Document (Abu-Sultaneh S, et al. Am J Respir Crit Care Med. 2023;207:17-28)

Chance encounters can create the most powerful connections. When the Quadfather met Sabeeh at the Abilities Expo in Schaumburg, their shared experience as ventilator users instantly created a bond that transcends the typical podcast conversation."We've got stories to tell," says the Quadfather early in their exchange—and indeed they do. Sabeeh, at 35, reveals her lifelong journey with a rare genetic condition called PAX7 gene, a form of congenital myopathy that has required ventilator support since she was just three years old. Meanwhile, the Quadfather shares his own path to ventilator use following a military car accident nearly a decade ago. Despite these different origins, they discover immediate common ground in using the same LTV ventilator model, both expressing the same fear about switching to newer technology.What makes this conversation remarkable isn't just their medical similarities but the glimpse into everyday life as ventilator users. From the practical challenges of attending a Taylor Swift concert (complete with portable generators for medical equipment) to finding joy through online shopping during difficult days, Sabeeh and the Quadfather demonstrate that disability is just one facet of their full, complex lives. Their casual mention of Sabeeh's memorable meeting with Taylor Swift reminds listeners that behind every medical device is a person with passions, interests, and remarkable experiences.The genuine warmth and instant connection between these two strangers-turned-friends serves as a powerful reminder of why representation matters. When Sabeeh says "your strength really gravitates towards me," it highlights how seeing ourselves reflected in others can validate our experiences and inspire resilience.Like, comment, and subscribe to help amplify disabled voices that deserve to be heard, and as both hosts remind us at the end—take a breath for those who can't do so independently.

In this episode, hosts Drs. Temara Hajjat and Jenn Lee talk to Dr. Jordan Whatley, Assitant Professor of Pediatrics at the Medical University of South Carolina and pediatric gastroenterologist at Shawn Jenkins Children's Hospital in Charleston, South Carolina. We discuss how multi-specialty clinics focusing on children with tracheostomy and ventilator dependence can improve clinical care.Learning Objectives:Describe the reasons children may require a tracheostomy and home mechanical ventilation.Explain multidisciplinary structure and purpose of an aerodigestive clinic in managing complex pediatric patients. Describe the gastroenterologist's role in evaluating and managing GERD, feeding intolerance, and nutritional needs in children with trach/vent dependence. Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

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

Regardless of limitations, you can still serve and bless others through prayer and conversation. -------- Thank you for listening! Your support of Joni and Friends helps make this show possible.     Joni and Friends envisions a world where every person with a disability finds hope, dignity, and their place in the body of Christ. Become part of the global movement today at www.joniandfriends.org   Find more encouragement on Instagram, TikTok, Facebook, and YouTube.

A viral online story claims a pregnant woman overdosed on Tylenol to defy Trump’s autism warning, landing her on a ventilator. The incident, though unverified, follows a wave of protest videos by pregnant women rejecting Trump’s medical advice. Please Like, Comment and Follow 'Broeske & Musson' on all platforms: --- The ‘Broeske & Musson Podcast’ is available on the KMJNOW app, Apple Podcasts, Spotify or wherever else you listen to podcasts. --- ‘Broeske & Musson' Weekdays 9-11 AM Pacific on News/Talk 580 AM & 105.9 FM KMJ | Facebook | Podcast| X | - Everything KMJ KMJNOW App | Podcasts | Facebook | X | Instagram See omnystudio.com/listener for privacy information.

In this episode of the Pre-Hospital Paradigm Podcast, Dr. Jon Hill and Scott Wildenheim are joined by Tony Crino, a registered respiratory therapist and paramedic. They continue the discussion of the growing role of advanced ventilator management in EMS. Tony Crino brings both respiratory therapy and paramedic perspectives, breaking down the essentials of ventilator physiology, modes, patient-ventilator synchrony, and how these advanced tools can elevate prehospital care.

Mechanical ventilation can feel overwhelming, especially when faced with a sea of ventilator modes and unfamiliar terminology. In Part 2 of the series, we go beyond breath types and delivery mechanics to explore the most used modes in the ICU. We will break down each one; explaining how it works, when to use it, and why the goal isn't the “best mode” but the most comfortable one for the patient. The post REBEL Core Cast 142.0–Ventilators Part 2: Simplifying Mechanical Ventilation – Most Common Ventilator Modes appeared first on REBEL EM - Emergency Medicine Blog.

Send us a textImpact of Sedation on Ventilator-Induced Diaphragmatic Dysfunction in Extremely Preterm Infants.Hoshino Y, Arai J, Hirono K, Maruo K, Miura-Fuchino R, Yukitake Y, Kajikawa D, Kamakura T, Hinata A, Okada Y, Sato Y.Pediatr Pulmonol. 2025 May;60(5):e71126. doi: 10.1002/ppul.71126.PMID: 40365938Support 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!

Ayayay, sind wir hier in der richtigen Folge? Das ist doch Nummer zweihundertdreiunddreißig? Gangster Donnie ist am Start und berichtet von seinen dubiosen Tagen in Tübingen. Es wird also krawallig heute. Vor allem, wenn wir wieder einen Abstecher in die Welt des Marketings und der Werbung machen. Schaltet ruhig euren Ventilator ein, denn es wird heiß hergehen. Eventuell leakt Donnie sogar brisante Details seiner letzten Therapiesitzung. Aber das hört ihr euch am besten gleich selbst an. Kommi für den Algo? Hot! Codes, Support und Partner:innen von Donnie unter https://linktr.ee/dosullivanMehr von Donnie gibt es auf Twitter, Instagram, Twitch und YouTube: Donnies Hauptkanal und Donnie Uncut.Ihr wollt Donnie unterstützen? Hier geht's zur Patreon-Seite von TWHS: https://www.patreon.com/TWHSBock auf Merch? Hier geht's zu Donnies Supergeek-Shop: https://supergeek.de/de/donnieosullivan/Feedback oder Fragen an Donnie? Schick eine Mail an donnie@poolartists.de! Hosted on Acast. See acast.com/privacy for more information.

Ga je op vakantie naar een warm land? Of wil je snel even afkoelen? Dan kan de Gulaki Nek-ventilator goed van pas komen. Die blaast koele lucht je nek in. Maar werkt het ook echt? En stoort het geluid van de ventilatoren niet? De Gulaki is in feite twee ventilatoren en een batterij in een plastic behuizing. En Gulaki is niet de enige die zoiets aanbiedt, maar zit wel aan de goedkopere kant van het spectrum. Het eindoordeel hoor je in deze podcast.See omnystudio.com/listener for privacy information.

Al jaren dragen Japanners bij warme dagen een speciale jas, namelijk met ventilatoren erin. Een oud-engineer van het Japanse Sony bedacht de fan-jacket begin 2000 en inmiddels is het een heuze trend. Je vindt online honderden merken die een jas met ventilatoren aanbiedt, varierend in prijs tussen de 20 en 200 euro. Maar wordt dit ook een trend in Nederland? Techredacteur Stijn Goossens testte de grijze jas uit tijdens de techupdate in de Ochtendspits op BNR. De jas heeft korte mouwen en is gemaakt van een dunne lichte stof. Achterop zitten vier ventilators die de lucht de jas in blazen. Met een powerbank van 10.000 mAh kun je op de hardste stand tot 6 uur door, op de lichtste stand houdt de batterij het zo'n 24 uur vol volgens de maker. De jas is van het merk Fernida, een Duits merk dat meerdere verschillende koelvesten aanbiedt. Dit model is beschikbaar voor een prijs van 90 euro. De ventilators doen hun werk goed, het voelt echt koeler, maar de jas blaast wel op. Het uiterlijk is niet om over naar huis te schrijven en daarom rijst de vraag of je dit product wel echt wil dragen? Je hoort het eindoordeel in de podcast!See omnystudio.com/listener for privacy information.

Basti kehrt krank und sonnenbrillenlos aus dem Mallorca-Urlaub zurück, während anredo bei 37 Grad mit Ventilator und Ü50-Kreuzfahrt neue Seiten des Sommers entdeckt. Zwischen Thermomix-Träumen, halber Erektion und Kaulitz-Kritik gerät nicht nur der Kreislauf ins Wanken. Während Deutschland brutzelt und Köln bei 37 Grad durchdreht, meldet sich Basti live aus dem Krankenstand – frisch aus dem Mallorca-Urlaub und direkt mit Männergrippe im Gepäck. Ob's der Ballermann war, die Klimaanlage oder einfach nur Karma? Fest steht: die 30 hat eingeschlagen wie eine 95:5 Rum-Mische. Ex-Internetstar anredo bleibt währenddessen cool – zumindest fast. Denn in der heißen Domstadt hilft nur noch ein Ventilator aus dem Ramsch-Laden und eine neue Begeisterung für Partyboot-Flusskreuzfahrten mit Kölsch, Oli P. und 90er-Playbacks in Endlosschleife. Doch zurück zu Basti: Der verliert nicht nur seine Gesundheit, sondern auch seine heiß geliebte Sonnenbrille mit Sehstärke – vermutlich jetzt in den Händen eines mysteriösen Ludolf-Typen im Fundbüro. Außerdem: Ab wann ist ein Thermomix ein Lebensgefühl? Und warum erwacht plötzlich das Interesse an Haushaltsgeräten, sobald man die magische 3 vorne trägt? Es wird diskutiert, philosophiert – und ein bisschen gegeiert: Beim großen rundfunk 17-Nacktbade-Talk inklusive Halbsteifem. On top gibt's noch Kritik und Liebe für die neue Staffel Kaulitz & Kaulitz – zwischen Promi-Romantik, Netflix-Fakes und ganz viel Ventilator-Gebrumme.

In this episode, Dr. Sergio Zanotti discusses the different aspects of managing pneumonia in critically ill patients. He covers the initial management of severe pneumonia, management of ventilator-associated pneumonia, and highlights the clinical approach to non-resolving pneumonia in the intensive care unit (ICU). He is joined by Dr. Andre Kalil, a physician specializing in critical care and infectious diseases. Dr. Kalil is a Professor in the Division of Infectious Diseases and Director of Transplant Infectious Diseases at the University of Nebraska Medical Center (UNMC). Additional resources: How to approach a patient hospitalized for pneumonia who is not responding to treatment? Pedro Povoa, et al. Intensive Care Med 2025: https://link.springer.com/article/10.1007/s00134-025-07903-3 Management of Adults With Hospital-acquired and Ventilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society. Andre Kalil, et al. Clin Infect Dis. 2016: https://pmc.ncbi.nlm.nih.gov/articles/PMC4981759/ Management of Ventilator-Associated Pneumonia: Guidelines. M Metersky and Andre c. Kalil. Infect Dis Clin North Am. 202: https://pubmed.ncbi.nlm.nih.gov/38280768/ Hydrocortisone in Severe Community-Acquired Pneumonia. CAPE-COD Clinical Trial. N Eng J of Med 202: https://www.nejm.org/doi/full/10.1056/NEJMoa2215145 Continuous vs. Intermittent β-Lactam Antibiotic Infusions in Critically Ill Patients with Sepsis. BLING III Clinical Trial. JAMA 2024: https://jamanetwork.com/journals/jama/fullarticle/2819971 Music mentioned in this episode: Pat Metheny Group – We Live Here: https://bit.ly/44gt8Jl Antonio Carlos Jobin – Terra Basilis: http://bit.ly/4k4Amq1 Mahler: Symphony No.9 – Chicago Symphony Orchestra: http://bit.ly/4k9sXWn

In this episode, The Annuity Man discussed:  Solving for longevity risk  Four products for lifetime income  Focusing on guarantees    Key Takeaways:  There is no ROI until you die. Up until then, it's a transfer of risk to the annuity company to solve for longevity risk. The longevity risk is the fear that you'll outlive your money. An annuity will pay as long as you're breathing, even if you are on a ventilator.  The annuity industry has four major types: Single Premium Immediate Annuities, Deferred Income Annuities, Qualified Longevity Annuity Contracts,  and Income Riders. All four provide a lifetime stream as long as you are breathing or if you set it as joint-life, as long as you or your spouse is breathing.  Forget all the shiny things that agents try to make you fixate on. Focus on the guarantee that you will get paid as long as you're breathing. You could also structure the contract so that your money goes to your beneficiaries when you die.    "The good thing about turning on lifetime income stream and transferring that risk to an annuity company to pay for as long as you're breathing or on a ventilator is that it's turnkey. And there will come a point if we live long enough that we will need that income to be turnkey." —  Stan The Annuity Man.    Connect with The Annuity Man:  Website: http://theannuityman.com/  Email: Stan@TheAnnuityMan.com  Book: Owner's Manuals: https://www.stantheannuityman.com/how-do-annuities-work YouTube: https://www.youtube.com/channel/UCCXKKxvVslbeGAlEc5sra2g  Get a Quote Today: https://www.stantheannuityman.com/annuity-calculator!

Ventilator auf die oberste Stufe, Eiswürfel ins Cocktailglas, Sounds! geniessen: Auch wenn sich das Thermometer im roten Bereich bewegt, bewahren wir stets kühlen Kopf was unsere Selektion angeht. Zum Ende der Woche wie immer mit allen wichtigen Mitbringsel des Releasefreitags.

Lärm, Staub, ständiges Umziehen – Totalsanierungen sind für Mietende belastend. Und es drohen saftige Mietzinserhöhungen. «Kassensturz» klärt: Was müssen sich Mietende gefallen lassen? Weitere Themen: Luftkühler im Test und unerschwingliche Hörgeräte. Totalsanierungen auf Kosten der Mieterschaft Lärm, Staub, ständiges Umziehen – Totalsanierungen sind für Mietende belastend. Und es drohen saftige Mietzinserhöhungen. Mietervertretende kritisieren, dass Vermieter Sanierungen in übertriebenem Ausmass vornehmen, weil bei Totalsanierungen viele Kosten auf die Miete abgewälzt werden dürfen. «Kassensturz» klärt, was sich Mietende gefallen lassen müssen – und wie sie sich wehren können. Teure Hörgeräte: Wenn das Hören zum Luxus wird Ein paar 100 Franken in der Herstellung – Tausende im Verkauf: Hörgeräte sind in der Schweiz sehr teuer. Die Kürzung der Unterstützung durch AHV und IV sollte zu mehr Wettbewerb führen – doch die Preise bleiben hoch, kritisiert der Preisüberwacher. Betroffene bezahlen oft Tausende Franken aus eigener Tasche. Doch 10'000 Menschen pro Jahr können sich das nicht leisten. «Kassensturz» zeigt die Folgen für Betroffene – und wie es andere Länder besser machen. Luftkühler im Test: Viel Wind um wenig Wirkung Luftkühler versprechen an heissen Tagen Abkühlung per Knopfdruck – irgendwo zwischen Ventilator und Klimaanlage. «Kassensturz» schickt zehn Geräte zwischen 90 und 250 Franken ins Labor. Die meisten enttäuschen – oder stellen sich gar als potenzielle Keimschleuder heraus.

Send us a textLeah and Shakeema Smiley discuss the challenges and triumphs of navigating life with a child in the NICU, particularly focusing on the experience of having a tracheostomy. Shakeema shares her personal journey with her daughter Lori, who was born prematurely and required extensive medical care. The conversation highlights the emotional and practical aspects of caring for a child with special needs, the importance of advocacy, and the power of hope and community support.As 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!

About our Guest: Kyle Rehder, MD, is a Professor of Pediatrics at Duke University and a pediatric intensivist at Duke Children's Hospital, where he serves as the Vice-Chair of Pediatric Education. He completed his medical school, residency, and chief residency at UNC-Chapel Hill, followed by his fellowship at Duke University. His research is focused on team development and evaluation of advanced respiratory support in the PICU.Learning Objective:Develop an expert-based approach to diagnosing and managing common presentations of patient-ventilator asynchrony in the PICU.References: Flynn, B. C., Miranda, H. G., Mittel, A. M., & Moitra, V. K. (2022). Stepwise Ventilator Waveform Assessment to Diagnose Pulmonary Pathophysiology. Anesthesiology, 137(1), 85–92. https://doi.org/10.1097/ALN.0000000000004220Patient-Ventilator Dyssynchrony • LITFL • CCC VentilationCitation:Rehder K, Hodges Z, Shanklin A. Patient-Ventilator Asynchrony. PedsCrit. Online Podcast. 04/2025. [insert link]Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.

In today's episode of Industry Matters Boone Lockard, VP of Clinical Services; Ronda Buhrmester, Sr Director Payer Relations & Reimbursements; Zach Gantt, CEO, Encore Healthcare; and Ray Gregg, VP of Sales and Business Development, Encore Healthcare; dive into the latest updates on the National Coverage Determination (NCD) for ventilators, focusing on the new policy changes and their implications for COPD patients. CMS has 60 days to review comments which means the final comments should be released by June 9th.Submit Comments Here:https://www.cms.gov/medicare-coverage-database/view/ncacal-tracking-sheet.aspx?ncaid=315

Today we have a special guest–our long-time friend, Dianne Rogers. She shares her incredible story of recovery from COVID-19. She was one of the earliest and toughest covid cases and neared death's door many times. She was hospitalized, in a coma and on a ventilator for months. She had muscular paralysis that put her in a wheel chair and she had to rehabilitate every aspect of normal movement. People all over the earth were praying for Dianne's healing. Despite medical predictions, she was miraculously able to turn the corner. She shares how Trim Healthy Principles, baobab and Essential Amino acids played a crucial her healing journey. And she asks a great question to the audience: Do you want to be healed or not? If you do, what are you willing to do for it? _____________________ Meet us in person! RSVP for Our Hilltop Book Signing on Friday 3/21/25 at the Trim Healthy Cafe: https://www.cognitoforms.com/trimhealthymama/tennesseebooksigningeventdatemarch212025 Join Pearl and Serene on the Trim Healthy Podcast (a.k.a. “The Poddy”). Welcome to the spot where Pearl and Serene share their knowledge and their hearts (along with Danny's antics) on topics ranging from physical and mental health to spiritual truth, and, yes… even a little comic relief. Put your seat belts on though…it can get a little bumpy! This particular show can be lacking in “proper podcast behavior.” But this is where growth happens… this is where NEW knowledge is celebrated… and fundamental knowledge is respected. Get ready for imperfectly polite conversations about health and wellness… the place where cutting edge science meets ancient wisdom. Get Pearl and Serene's latest book – Purchase Trim Healthy Wisdom and join the women that are ready to “rock 40 and beyond.” Explore the Store: Click here to visit Pearl and Serene's online store with over 100+ products, optimized for peak health. Join Our Membership! Go to www.TrimHealthyMembership.com to access special series, recipes, and other exclusive content. Get in the best shape of your life! Access their premium workout series, Tribe Healthy, go to www.Youtube.com/TrimHealthyMama Join KIAORA: Pearl and Serene have launched a Bioidentical Hormone Replacement Therapy tele-health company that is available in nearly every state in the USA! Go to www.KIAORA.com to learn more. Learn more about your ad choices. Visit megaphone.fm/adchoices

For years we have been taught at the bedside that sedation “improves ventilator asynchrony”. We have believed that patients must be sedated to be compliant with the ventilator. Is that true? What does the research show? Sylvia Stefanos, PharmD, BCCCP joins us armed with the evidence and ready to debunk the myths. Want to share the financial benefits of an Awake and Walking ICU with your leadership? Check out: Www.ABCDEFBundle.com Www.DaytonICUConsulting.com

Send us a textIn this episode of the Tracheostomy Education Podcast, Dr. Jerry Gentile discusses the intricacies of admitting patients from acute to post-acute care facilities. He emphasizes the importance of understanding Medicare requirements, the challenges of staffing and resource allocation, and the critical role of respiratory therapists in patient assessment and care planning. The conversation also highlights the need for effective communication between healthcare teams to ensure patient safety and optimal outcomes.Support the showhttps://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

In this special sponsored episode, we explore the critical issue of non-ventilator hospital-acquired pneumonia (NV-HAP), the most common hospital-acquired infection. Dr. Barbara Quinn, a board-certified adult clinical nursing specialist with 30 years of experience, and Elias Coury, market director of quality and risk at Havasu Regional Medical Center and Valley View Medical Center, shed light on the underrecognized impact of NV-HAP. They discuss why prevention efforts often focus on ventilator-associated pneumonia, the role of oral care protocols, and practical strategies to improve patient safety and hospital outcomes. VISIT SPONSOR → https://KevinMD.com/Stryker SUBSCRIBE TO THE PODCAST → http://kevinmd.com/podcast

In a wide-ranging conversation with Ezekiel Emanuel, the policymaking physician and medical gadfly, we discuss the massive effects of GLP-1 drugs like Ozempic, Wegovy, and Mounjaro. We also talk about the state of cancer care, mysteries in the gut microbiome, flaws in the U.S. healthcare system — and what a second Trump term means for healthcare policy. SOURCES:Ezekiel Emanuel, vice provost for Global Initiatives, co-director of the Health Transformation Institute, and professor at the University of Pennsylvania Perelman School of Medicine. RESOURCES:"Obesity Drugs Would Be Covered by Medicare and Medicaid Under Biden Proposal," by Margot Sanger-Katz (The New York Times, 2024)."International Coverage of GLP-1 Receptor Agonists: A Review and Ethical Analysis of Discordant Approaches," by Johan L. Dellgren, and Govind Persad, and Ezekiel J. Emanuel (The Lancet, 2024).The Coming Wave: Technology, Power, and the Twenty-first Century's Greatest Dilemma, by Mustafa Suleyman (2023)."The Significance of Blockbusters in the Pharmaceutical Industry," by Alexander Schuhmacher, Markus Hinder, Nikolaj Boger, Dominik Hartl, and Oliver Gassmann (Nature Reviews Drug Discovery, 2022).Reinventing American Health Care: How the Affordable Care Act Will Improve Our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System, by Ezekiel J. Emanuel (2014)."Why I Hope to Die at 75," by Ezekiel J. Emanuel (The Atlantic, 2014)."Direct-to-Consumer Advertising of Pharmaceuticals," by Ziad F. Gellad and Kenneth W. Lyles (The American Journal of Medicine, 2014).Brothers Emanuel: A Memoir of an American Family, by Ezekiel J. Emanuel (2013)."Bounds in Competing Risks Models and the War on Cancer," by Bo E. Honoré and Adriana Lleras-Muney (Econometrica, 2006). EXTRAS:"How to Fix Medical Research," by People I (Mostly) Admire (2024)."The Suddenly Diplomatic Rahm Emanuel," by Freakonomics Radio (2023)."Ari Emanuel Is Never Indifferent," by Freakonomics Radio (2023)."Who Pays for Multimillion-Dollar Miracle Cures?" by Freakonomics, M.D. (2023)."Who Gets the Ventilator?" by Freakonomics Radio (2020).

Agree or disagree with me, we do debate analysis today in a way you will not hear anywhere else. There is no way to sugarcoat this, and we do nobody any favors by ignoring the reality and not preparing for the future. Trump was already behind and needed a big night. He needed to paint Harris as the incumbent, but instead he became his own worst enemy and made himself the incumbent. I go through each major point of the debate to show how Trump missed an opportunity and what he could easily have said instead. This is not to look backward but to prepare for the future. We need to rebuild our movement, preserve red states, and also turn out Republican voters in droves so that even if Harris wins, it won't be a landslide reverberating down the ballot. The good news is that Harris could not defend a single radical position, which demonstrates an opening for the future. We must also ensure that on Nov. 6, we don't move on to the next huckster but actually elevate conservative voices who have a record of effectively fight for us.  Learn more about your ad choices. Visit megaphone.fm/adchoices

What's got you feeling good going into the weekend?

Many of us believe we know how we'd choose to die. We have a sense of how we'd respond to a diagnosis of an incurable illness. This week, we revisit a 2019 episode featuring one family's decades-long conversation about dying. What they found is that the people we are when death is far in the distance may not be the people we become when death is near.If you enjoyed today's episode, here are some more classic Hidden Brain episodes you might like:The Cowboy PhilosopherWhen You Need It To Be True Me, Myself, and Ikea Thanks for listening! 

This podcast is a continuation of Episode 65 which was an introduction to ventilator physiology. In Part 2, I focus on CPAP and PEEP while making tons of integrations with how they affect multiple pulmonary and cardiovascular parameters. This is a classic source of “physiology arrow questions” on the USMLE exams. I also end with … Continue reading Divine Intervention Episode 515: Ventilator Physiology Part 2 (for Step 1-3)

This podcast is a continuation of Episode 65 which was an introduction to ventilator physiology. In Part 2, I focus on CPAP and PEEP while making tons of integrations with how they affect multiple pulmonary and cardiovascular parameters. This is a classic source of “physiology arrow questions” on the USMLE exams. I also end with … Continue reading Divine Intervention Episode 515: Ventilator Physiology Part 2 (for Step 1-3)

Head to https://tryfum.com/defranco and use code DEFRANCO to save an additional 10% off your order today. Get an exclusive NordVPN deal here https://nordvpn.com/phillyd It's risk-free with Nord's 30-day money-back guarantee! Buy the new https://BeautifulBastard.com Drop! 6 new items just went live and even more to grab – ✩ TODAY'S STORIES ✩ – 00:00 - Australian Teen Says Life Was Ruined After Facing Consequences For Prank 02:38 - Google Suspends Gemini AI Over “Woke” & Inaccurate Historical Images 05:06 - Taylor Swift Fans Upset About Poor Merch Quality, Delays 07:06 - Landlords Try to Enforce Rules Against Having Sex 09:39 - Sponsored by Fum 10:43 - Hospital Sues Quadrapalegic Teen on Ventilator for Trespassing 13:24 - Two Alabama IVF Providers Freeze Services 16:14 - AZ Prosecutor Refuses to Extradite Suspect to NY 19:10 - Sponsored by Nord VPN 20:08 - SCOTUS Could Limit Federal Power & Upend Essential Protections for Americans —————————— Produced by: Cory Ray Edited by: James Girardier, Maxwell Enright, Julie Goldberg, Christian Meeks Art Department: William Crespo Writing/Research: Philip DeFranco, Brian Espinoza, Lili Stenn, Maddie Crichton, Star Pralle, Chris Tolve Associate Producer for SCOTUS: Lili Stenn ———————————— #DeFranco #TaylorSwift #AI ————————————