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Nurses Out Loud with Kimberly Overton, BSN, RN – These patients didn't die from a disease, and they didn't die from a virus. These patients died from the complete and total medical mismanagement of COVID-19 or perhaps from something far more sinister than that. During this episode, I was joined by Dwayne Downes...
Tidal Volume is a podcast from ATS Peds focusing on core concepts of pediatric pulmonology. The goal is to bring in depth focus on these core concepts for residents, fellows, early career pulmonologists or even senior faculty looking for a refresher.In episode 7, Ryan Thomas MD from Michigan State University discusses tracheobronchitis in children with tracheostomy tubes with Dan Craven MD and Moshe Prero MD from Case Western Reserve University/Rainbow Babies and Children's Hospital and Alexander Gipsman MD from Children's Hospital of Philadelphia. We discuss their review article Tracheobronchitis in children with tracheostomy tubes: Overview of a challenging problem and why they decided to write on this topic. We also discuss the importance of tracheobronchitis in this patient population, the risk factors for infection, the microbiology of the airway, and the diagnosis and treatment of tracheobronchitis in children with tracheostomy tubes. Guests: Daniel Craven, MD, Case Western Reserve UniversityMoshe Prero, MD, Case Western Reserve UniversityAlexander Gipsman, MD, Children's Hospital of Philadelphia Host: Ryan Thomas, MD, Michigan State University ReviewersChristina Barreda, MD, University of Wisconsin Elizabeth Fiorino, MD, Hofstra University Production/EditingRyan Thomas, MD, Michigan State University Contact Information:TidalVolumeATSPeds@gmail.com Twitter Accounts:Ryan Thomas, MD@MSUPedsPulm@ATSPeds References Gipsman A, Prero M, Toltzis P, Craven D. Tracheobronchitis in children with tracheostomy tubes: Overview of a challenging problem. Pediatr Pulmonol. 2022 Apr;57(4):814-821. Akangire G, Manimtim W, Nyp M, et al. Factors leading to rehospitalization for tracheostomized and ventilator-dependent infants through 2 years of age. J Perinatol. 2017;37(7):857-863. Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control. 2008;36(5):309-332. Griese M, Felber J, Reiter K, et al. Airway inflammation in children with tracheostomy. Pediatr Pulmonol. 2004;37(4):356-361. Willson DF, Conaway M, Kelly R, Hendley JO. The lack of specificity of tracheal aspirates in the diagnosis of pulmonary infection in intubated children. Pediatr Crit Care Med. 2014;15(4):299-305. Cline JM, Woods CR, Ervin SE, Rubin BK, Kirse DJ. Surveillance tracheal aspirate cultures do not reliably predict bacteria cultured at the time of an acute respiratory infection in children with tracheostomy tubes. Chest. 2012;141(3):625-631. Rusakow LS, Guarín M, Wegner CB, Rice TB, Mischler EH. Suspected respiratory tract infection in the tracheostomized child: the pediatric pulmonologist's approach. Chest. 1998;113(6):1549-1554. Goldstein I, Wallet F, Nicolas-Robin A, Ferrari F, Marquette CH, Rouby JJ. Lung deposition and efficiency of nebulized amikacin during escherichia coli pneumonia in ventilated piglets. Am J Respir Crit Care Med. 2002;166(10):1375-1381. Herrmann G, Yang L, Wu H, et al. Colistin-tobramycin combinations are superior to monotherapy concerning the killing of biofilm Pseudomonas aeruginosa. J Infect Dis. 2010;202(10):1585-1592. Tamma PD, Turnbull AE, Milstone AM, Lehmann CU, Sydnor ER, Cosgrove SE. Ventilator-associated tracheitis in children: does antibiotic duration matter? Clin Infect Dis. 2011;52(11):1324-1331. Chastre J, Wolff M, Fagon JY, et al. Comparison of 8 vs 15 days of antibiotic therapy for ventilator-associated pneumonia in adults: a randomized trial. JAMA. 2003;290(19):2588-2598. Silva RC, Ojano-Dirain CP, Antonelli PJ. Effectiveness of pediatric tracheostomy tube cleaning. Arch Otolaryngol Head Neck Surg. 2012;138(3):251-256. Morrison JM, Hassan A, Kysh L, Dudas RA, Russell CJ. Diagnosis, management, and outcomes of pediatric tracheostomy-associated infections: A scoping review. Pediatr Pulmonol. 2022 May;57(5):1145-1156. Jutras C, Autmizguine J, Chomton M, et al. Inhaled antibiotics for the prevention of respiratory tract infections in children with a tracheostomy. Front Pediatr. 2021;9:633039.
Tomorrow doesn't exist, when you are just trying to get through today. On this episode John Torrijos joins Sean Z to share his Covid story, where he went from months in the hospital, given a 50/50 chance to live, to getting back into the game with a new perspective on what is important. 1:42 Intro 4:19 John's story16:45 Coming back into the market21:20 Gaining perspective Takeaways:Don't underestimate the power of your mind in times of crisis. Your mindset needs to focus on what you need to do to get through today. Tomorrow doesn't exist. Having a solid support system of family and friends can help you get through in trials and tribulations in life. Gaining perspective allows you to only care about the things that actually matters. There is no comparison between what is happening now and what happened in 2008.Quotes:“The nurse tells me it might be time for you to go on the ventilator.”“This is our story, this is our journey.”“Covid took over my body and made me a shell of what I was.”“You got to have have the mindset of get through today, and then tomorrow you will get through tomorrow.”“I am in the business for the long haul, with one foot in front of the other each day.”Show Links:Community Platform: www.BecomeNL.com Strategy Call: www.NLStrategyCall.com Podcast Partner: https://mortgage.leadpops.com/nextlevel/ Social Media:Facebook - https://www.facebook.com/NextLevelLoanOfficers/YouTube - https://www.youtube.com/channel/UCwSyHzkvBri1YWJSH7df1CQLinkedIn - https://www.linkedin.com/company/next-level-loan-officers/about/
Featured Guest: Gary Y.G. Wong, RRT, MBA, Director of Respiratory Services at Islands Skilled Nursing and Rehabilitation- Hawaii We met Gary Wong an RT from Hawaii at AARC in November and we invited him to our show to discuss his post-acute respiratory care and pulmonary rehab ventilator program at the Islands. A Healthcare Administration, Respiratory Therapist, dedicated to post acute care and pulmonary rehabilitation of ventilator and tracheostomy patients and Home based Remote Patient Monitoring of COPD patients.
Part 3 -- Philly Buyer's Club: Paine Has to Search & Score Therapeutics on the Black Market to Try & Save His Wife From the CoronaCon Hospital/Ventilator/DeathSIMPLY PUT -- We Cannot Say Much of the 'Really Good Stuff' on HereThat's Why We Created Paine.tvYOU CAN CONTRIBUTE TO THE SHOW BY CLICKING THIS LINK -- *** DONATE HERE ***GET the Intel that's Too Hot For Anywhere Else atPAINE.TVCONTRIBUTE TO THE SHOW BY CLICKING THIS LINK -- *** DONATE HERE ***...See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Part 1 -- Philly Buyer's Club: Paine Has to Search & Score Therapeutics on the Black Market to Try & Save His Wife From the CoronaCon Hospital/Ventilator/DeathSIMPLY PUT -- We Cannot Say Much of the 'Really Good Stuff' on HereThat's Why We Created Paine.tvYOU CAN CONTRIBUTE TO THE SHOW BY CLICKING THIS LINK -- *** DONATE HERE ***GET the Intel that's Too Hot For Anywhere Else atPAINE.TVCONTRIBUTE TO THE SHOW BY CLICKING THIS LINK -- *** DONATE HERE ***...See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Part 2 -- Philly Buyer's Club: Paine Has to Search & Score Therapeutics on the Black Market to Try & Save His Wife From the CoronaCon Hospital/Ventilator/DeathSIMPLY PUT -- We Cannot Say Much of the 'Really Good Stuff' on HereThat's Why We Created Paine.tvYOU CAN CONTRIBUTE TO THE SHOW BY CLICKING THIS LINK -- *** DONATE HERE ***GET the Intel that's Too Hot For Anywhere Else atPAINE.TVCONTRIBUTE TO THE SHOW BY CLICKING THIS LINK -- *** DONATE HERE ***...See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Part 4 -- Philly Buyer's Club: Paine Has to Search & Score Therapeutics on the Black Market to Try & Save His Wife From the CoronaCon Hospital/Ventilator/DeathSIMPLY PUT -- We Cannot Say Much of the 'Really Good Stuff' on HereThat's Why We Created Paine.tvYOU CAN CONTRIBUTE TO THE SHOW BY CLICKING THIS LINK -- *** DONATE HERE ***GET the Intel that's Too Hot For Anywhere Else atPAINE.TVCONTRIBUTE TO THE SHOW BY CLICKING THIS LINK -- *** DONATE HERE ***...See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Part 3 -- Philly Buyer's Club: Crooked Docs Try to Wipe Out Paine's Wife and Paine Has to Search & Score Therapeutics on the Black Market to Try & Save Her From the Hospital/Ventilator/DeathSIMPLY PUT -- We Cannot Say Much of the 'Really Good Stuff' on HereThat's Why We Created Paine.tvYOU CAN CONTRIBUTE TO THE SHOW BY CLICKING THIS LINK -- *** DONATE HERE ***GET the Intel that's Too Hot For Anywhere Else atPAINE.TVCONTRIBUTE TO THE SHOW BY CLICKING THIS LINK -- *** DONATE HERE ***...See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Part 4 -- Philly Buyer's Club: Crooked Docs Try to Wipe Out Paine's Wife and Paine Has to Search & Score Therapeutics on the Black Market to Try & Save Her From the Hospital/Ventilator/DeathSIMPLY PUT -- We Cannot Say Much of the 'Really Good Stuff' on HereThat's Why We Created Paine.tvYOU CAN CONTRIBUTE TO THE SHOW BY CLICKING THIS LINK -- *** DONATE HERE ***GET the Intel that's Too Hot For Anywhere Else atPAINE.TVCONTRIBUTE TO THE SHOW BY CLICKING THIS LINK -- *** DONATE HERE ***...See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Part 2 -- Philly Buyer's Club: Crooked Docs Try to Wipe Out Paine's Wife and Paine Has to Search & Score Therapeutics on the Black Market to Try & Save Her From the Hospital/Ventilator/DeathSIMPLY PUT -- We Cannot Say Much of the 'Really Good Stuff' on HereThat's Why We Created Paine.tvYOU CAN CONTRIBUTE TO THE SHOW BY CLICKING THIS LINK -- *** DONATE HERE ***GET the Intel that's Too Hot For Anywhere Else atPAINE.TVCONTRIBUTE TO THE SHOW BY CLICKING THIS LINK -- *** DONATE HERE ***...See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Part 1 -- Philly Buyer's Club: Crooked Docs Try to Wipe Out Paine's Wife and Paine Has to Search & Score Therapeutics on the Black Market to Try & Save Her From the Hospital/Ventilator/DeathSIMPLY PUT -- We Cannot Say Much of the 'Really Good Stuff' on HereThat's Why We Created Paine.tvYOU CAN CONTRIBUTE TO THE SHOW BY CLICKING THIS LINK -- *** DONATE HERE ***GET the Intel that's Too Hot For Anywhere Else atPAINE.TVCONTRIBUTE TO THE SHOW BY CLICKING THIS LINK -- *** DONATE HERE ***...See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Although the hope of heaven seems far and distant, it can be near. Ask God to stir up your joy over your hope in Jesus!
Als dreijährige konnte sie eine ganze Schachpartie nachspielen. Mit 5 brachte sie GM Hajo Hecht an den Rand einer Niederlage. Es folgten viele Simultanvorstellungen, Blindschachpartien und mehr. Mit 9 Jahren erzielte sie zwei Remis gegen einen dänischen IM. Jutta Hempel heißt heute Jutta Nissen-Rix. Eigentlich hat sie die Nase voll von Fragen, warum sie mit dem Schach aufgehört hat. Und was aus ihr hätte werden können. Doch mittlerweile ist die heute 61-jährige bereit, die Schublade ihrer Vergangenheit als Wunderkind wieder zu öffnen. Dabei kommen erstaunliche Dinge zum Vorschein, wie zum Beispiel Gegner, die einen Ventilator mit sich herumtragen. Viel Vergnügen mit dieser etwas anderen, erfrischenden Schachunterhaltung!
Als dreijährige konnte sie eine ganze Schachpartie nachspielen. Mit 5 brachte sie GM Hajo Hecht an den Rand einer Niederlage. Es folgten viele Simultanvorstellungen, Blindschachpartien und mehr. Mit 9 Jahren erzielte sie zwei Remis gegen einen dänischen IM. Jutta Hempel heißt heute Jutta Nissen-Rix. Eigentlich hat sie die Nase voll von Fragen, warum sie mit dem Schach aufgehört hat. Und was aus ihr hätte werden können. Doch mittlerweile ist die heute 61-jährige bereit, die Schublade ihrer Vergangenheit als Wunderkind wieder zu öffnen. Dabei kommen erstaunliche Dinge zum Vorschein, wie zum Beispiel Gegner, die einen Ventilator mit sich herumtragen. Viel Vergnügen mit dieser etwas ...Du möchtest deinen Podcast auch kostenlos hosten und damit Geld verdienen? Dann schaue auf www.kostenlos-hosten.de und informiere dich. Dort erhältst du alle Informationen zu unseren kostenlosen Podcast-Hosting-Angeboten.
If your job has become too much of a "rat race", maybe you should apply for a "Rat Czar" for the Big Apple. The pay alone is worth it. A Buddhist Temple in Thailand has found a way to bring in some extra cash. My Insane FL Nephew, "Pancho Guero" found a story of how some Monks discovered a new way to see visions. Take your holiday party up a notch by serving your eggnog mixed with mayonnaise when you "bring home the Hellman's". And we're bringing on the stupidity with this week's banal batch of blabber. 200 People Float Away While Ice Fishing in Minnesota; Keep Your Hot Pockets Hot...in Cargo Shorts with a Literal "Hot Pocket"/Things Wearing Hot Pocket Cargo Shorts Says about You; Doctors discover 187 coins in man's stomach after he complained he was ‘bloated'; New Trend: The Best Face Wash Is "Head & Shoulders" Shampoo; Pepsi Wants You to Try "Pilk"...Pepsi + Milk; A Hospital Patient Kept Unplugging Her Roommate's Ventilator, Because the Sound Was Annoying; Man Hits Store Clerk Over "Karen" Crack; Mom Accidentally Wraps Christmas Presents With X-Rated Wrapping Paper; A Father Was Carjacked with His Kids Inside...So He Hopped in the Thief's Car & Chased Him Down; Sheriff Instates Harsh New Disciplinary Policy at FL Public School; A Prank of Surrounding Cars with Shopping Carts Is Trending Online; Two Idiots Stole an ATM, Then Accidentally Set Their Van on Fire While Trying to Grab the Loot; A Man Tried to Steal from a Walmart...During a "Shop with a Cop" Event; GA webcam model accidentally shoots herself in genitals in ‘pornographic video gone horribly wrong'. Play along with "Pancho" this week & see if you can do better then he can at guessing in the "Insane Game Show" & find the answers to life's biggest questions when you here his profound wisdom as he answers more questions from those who want to "ASK PANCHO" for some advice! "Pancho" addresses the burning questions about “Help! My Husband Wants To Make 'Hoof Marks' In Our Yard Christmas Eve" & “Help! My Dad Is Embarrassing Around Non English Speakers". Don't forget to download the TELEGRAM MESSENGER & join the "Insane Erik Lane's Stupid World" Channel to read the actual stories used for the podcast & check out the photos & videos with them! It's FREE & available for Windows, Linux, Android, & Apple for both mobile & desktop! --- Send in a voice message: https://anchor.fm/eriklane/message Support this podcast: https://anchor.fm/eriklane/support
Grumpy Old German women, traumatic book signings, a tribute to Neil Innes, the world's oldest living creature, Rick's next job, and a celebrity story from a waitress in Chicago. [Ep295]
The things some people will do for peace and quiet. My goodness. Thank you for watching and listening! Please like share, comment, and subscribe! Be blessed! Website / KIRWKC Anchor Podcast Site: www.kirwkc.com Join Mailing List: https://www.subscribepage.com/y1y8a8 Online Studio: https://riverside.fm/studio/kirwkc Spotify: https://open.spotify.com/show/6wcq08N8PNaX1Njkun9kSR Substack: https://kirwkc.substack.com iHeartRADIO: https://www.iheart.com/podcast/269-keepin-it-real-with-kc-73615909/ Pandora: https://www.pandora.com/podcast/keepin-it-real-with-kc/PC:46195 Amazon Music: https://music.amazon.com/podcasts/77ce7727-d376-4b19-bf43-9975e25c57cd/Keepin-It-Real-with-KC Audible: https://www.audible.com/pd/Podcast/B08K55QP3M?qid=1619307597&sr=1-1&ref=a_search_c3_lProduct_1_1&pf_rd_p=83218cca-c308-412f-bfcf-90198b687a2f&pf_rd_r=9BT3RY8XKT50ZJFKHMX7 Apple Podcast: https://podcasts.apple.com/us/podcast/keepin-it-real-with-k-c/id1494499465 Daily Motion: https://www.dailymotion.com/KIRWKC YouTube: https://www.youtube.com/c/KeepinItRealWithKC Twitter: https://twitter.com/kirwkc @kirwkc Instagram: https://www.instagram.com/kirwkc Facebook: https://www.facebook.com/kirwkc CashApp: $kirwkc --- Support this podcast: https://anchor.fm/kirwkc/support
This Episode has EVERYTHING!It's got:IT'S CHRISTMAS!Bong Crisby!No spirit here!So, Christmas!Pilk sounds disgusting!No dairy in my pop, please!Dave's Malt Shop days!Ambrosia salad!"A Christmas Story Christmas"!To avoid "A Christmas Story Christmas" spoilers, skip to the following time: 26:16 Bunny suits and Dave's crush on Peter Billingsley!Darren McGavin died in 2006!Where is the old man's corpse??!!The carollers! What in the actual eff?!The new "Indiana Jones" trailer!Paul wants to see the new "Avatar"!"The Last of Us" Trailer looks incredible!Dave loves to talk over Paul tonight! What a jackass!Woman jabbed by needle in Toronto whilst running errands!What sort of "Criminal Minds" horse shit is this?!Paul's brain fart!Without Garcia, "Criminal Minds" wouldn't solve any crimes!"A Christmas Story" casual racism!Woman gets sick of roommate's ventilator noise!"Die Hard" German!Welcome to our newest Patreon Patron: LAUREN!!!We love you, Lauren!Episode Links (In Order):Pepsi and Milk = Pilk! (More like Puke!)"A Christmas Story Christmas"!"Indiana Jones and the Dial of Destiny" Trailer!"Avatar: The Way of Water" Trailer!"The Last of Us" Trailer!Woman jabbed with needle in Toronto!NYC LGBTQ Drugging Deaths!German police arrest woman for turning off roommate's ventilator!Music Credit!Opening Music Graciously Supplied By: John_Yasutis from Pixabay! Visit Our Patreon! Email Us Here: Disturbinglypragmatic@gmail.comWhere To Find Us!: Disturbingly Pragmatic Link Tree!
In this episode, Marion Elligsen, BScPhm, MSc, RPh, ACPR; Keith S Kaye, MD, MPH; and Andrew Shorr, MD, MPH, MBA, discuss key considerations for selecting empiric antibiotic regimens in patients with HABP/VABP in the intensive care unit, including: The role of novel β-lactam/β-lactamase inhibitor combinationsUse of clinical predictions scores (eg, Drug Resistance in Pneumonia [DRIP] score) to predict risk for pneumonia caused by multidrug-resistant pathogensApplication of rapid diagnostic testing in critically ill patients with pneumonia, including current limitationsImplementation of advanced antibiograms and clinical prediction scoresClinical utility of biomarkers for pneumonia (eg, procalcitonin)Application of updated nosocomial pneumonia classifications in clinical practiceFaculty:Marion Elligsen, BScPhm, MSc, RPh, ACPRPractice-Based ResearcherSunnybrook Research InstituteAntimicrobial Stewardship Pharmacy LeadDepartment of PharmacySunnybrook Health Sciences CentreToronto, Ontario, CanadaKeith S. Kaye, MD, MPHChief Division of Allergy, Immunology and Infectious DiseasesProfessor of MedicineRutgers Robert Wood Johnson Medical SchoolNew Brunswick, New JerseyAndrew Shorr, MD, MPH, MBADirectorPulmonary and Critical Care MedicineMedstar Washington Hospital CenterWashington, DCContent based on a CME program supported by an educational grant from Merck Sharp & Dohme Corp. Link to full program:https://bit.ly/3HaZpYwLink to downloadable slideset:https://bit.ly/3UxHoqr
Old lady didn't like her roommates Life Saving Ventilator Noise, so she unplugged it
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The RSB Show 11-7-22 - Heart health supplements, Ventilator science, A Mom-Led Rebellion, Dr. Willie Soon, The Weaponization of Science Politics, Vilification, and the Climate Debate
When you feel constrained, fix your eyes on Jesus and his Word.
On episode 64 of PSQH: The Podcast, Dian Baker, a professor at the School of Nursing, California State University, Sacramento, talks about hospital-acquired pneumonia. This episode is part of PSQH's activities for International Infection Prevention Week.
It is likely that you've heard about a child who has had RSV, or Respiratory Syncytial Virus from a friend, a family member, or perhaps you've even had your own personal experience with it. But, you may not realize how common it actually is! Did you know that almost all children get RSV at least once before they are two years old. For healthy children, it is likely to present just like a typical cold or virus, but for some children, they become very ill with RSV. Due to certain infants being more at risk of developing the severe symptoms of RSV, they may receive a series of Synagis injections during the peak RSV season. Infants born prematurely, infants diagnosed with bronchopulmonary dysplasia (BPD), or children with hemodynamically significant congenital heart disease are considered high-risk patients who may be eligible to receive Synagis.October is RSV Awareness Month, which is appropriate because the typical RSV season is from November to April. Since we are approaching the peak RSV season, we are going to review RSV, how it gets transmitted, what the typical symptoms are, and when parents should contact their provider. We will also take a closer look at Synagis, what exactly it is, the current inclusion criteria, how often it should be given, the length of treatment, and signs and symptoms parents should watch for that may be indicative of an allergic reaction. Since RSV is so common and can cause infants and children to require hospitalization, it is important for parents to know preventive measures that will minimize the risk as well as how to identify concerning symptoms. I hope you enjoy this informative episode on RSV and Synagis!Our NICU Roadmap: A Comprehensive NICU Journal: https://empoweringnicuparents.com/nicujournal/NeoTech: https://www.neotechproducts.com/NICU Mama Hats: https://empoweringnicuparents.com/hats/NICU Milestone Cards: https://empoweringnicuparents.com/nicuproducts/Empowering NICU Parents Show Notes: https://empoweringnicuparents.com/episode39Episode 37 Show Notes: https://empoweringnicuparents.com/episode39Empowering NICU Parents Instagram: https://www.instagram.com/empoweringnicuparents/Empowering NICU Parents FB Group: https://www.facebook.com/groups/empoweringnicuparentsPinterest Page: https://pin.it/36MJjmH
Literature Review Series Apr 2022 Special Guests: Philip Jacobson, PharmD and Andi Ray, PharmD 07:10 – 6-pack of studies; 45:20 – Don't go breaking my heart; 55:20 – Ventilator blues; 65:00 – Front of the fridge Pt I and II Reference List: https://pharmacytodose.files.wordpress.com/2022/10/lrs-apr-2022-references.pdf Full Article List: https://docs.google.com/document/d/1EcldymfgaszAcKmYlr6wYt4XRI5_GFhQo4DeqrGAfAE/edit?usp=sharing PharmacyToDose.Com @PharmacyToDose on Twitter PharmacyToDose@Gmail.com
For this podcast, I continued my conversation with Jessica Wolff. We discussed what their life was like once they brought Lily home. She explains how they adjusted to caring for Lily with her tracheostomy along with the necessary life-saving equipment and how all of that completely changed once COVID hit. We discussed how the plan for Lily's decannulation went completely sideways, how they coped with it, and how they learned that Lily actually needed a full laryngotracheal reconstructive surgery. Jessica proudly shares how Lily is doing today, medically, developmentally and emotionally and how they are navigating everything as a family, especially in preparation for sweet Lily to head to Preschool! We conclude the episode speaking about Nolan, Jessica and Pat's son who they welcomed earlier this year who also spent some time in the NICU. Jessica shares some great information and advice pertinent to other families who are either currently in the NICU and weighing the heavy decision of a tracheostomy for their child, or for the families who have a child at home with a tracheostomy, as well as families who have suffered or may suffer a loss. Listeners will be surprised to hear some of the unexpected emotions that Lily and the Wolff family has had to work through once Lily had her trach removed. And again, you will be amazed by how strong and resilient Lily and the entire Wolff family is! I hope you enjoy the episode! Our NICU Roadmap: A Comprehensive NICU Journal: https://empoweringnicuparents.com/nicujournal/NICU Mama Hats: https://empoweringnicuparents.com/hats/NICU Milestone Cards: https://empoweringnicuparents.com/nicuproducts/Finn + Emma: http://shrsl.com/2py7dEmpowering NICU Parents Show Notes: https://empoweringnicuparents.com/episode38Episode 37 Show Notes: https://empoweringnicuparents.com/episode37Empowering NICU Parents Instagram: https://www.instagram.com/empoweringnicuparents/Empowering NICU Parents FB Group: https://www.facebook.com/groups/empoweringnicuparentsPinterest Page: https://pin.it/36MJjmH
Contributor: Aaron Lessen, MD Educational Pearls: The management of severe asthma or COPD exacerbation is complex, especially when the patient requires intubation/ventilation Asthma is an obstructive airway disease that can cause air trapping and hyperinflation of the lungs To avoid worsening hyperinflation patients typically require slower respiratory rates, lower tidal volumes, and increased expiratory time when on a ventilator Patients on a ventilator require very close monitoring to prevent worsening hyperinflation and associated complications including barotrauma and hypotension/cardiac arrest secondary to decreased venous return If patient condition starts to worsen, decrease respiratory rate and tidal volume In these cases, a decreased oxygen saturation is acceptable until their condition improves If patient status continues to worsen, consider disconnecting the ventilator and pushing on the chest for approximately 30 seconds to help force out trapped air If patient continues to decompensate, consider the possibility of a pneumothorax and determine if a chest tube is necessary Remember to continue asthma/COPD management including albuterol/duonebs, steroids, magnesium, and alternatives including as heliox References Demoule A, Brochard L, Dres M, et al. How to ventilate obstructive and asthmatic patients. Intensive Care Med. 2020;46(12):2436-2449 Garner O, Ramey JS, Hanania NA. Management of Life-Threatening Asthma: Severe Asthma Series. Chest. 2022 Laher AE, Buchanan SK. Mechanically Ventilating the Severe Asthmatic. J Intensive Care Med. 2018;33(9):491-501 Summarized by Mark O'Brien, MS4 | Edited by John Spartz MD & Erik Verzemnieks, MD In an effort to promote diversity, equity, and inclusion in Emergency Medicine, The Emergency Medical Minute is proud to present our 2nd annual Diversity and Inclusion Award. We support increasing the representation of underrepresented groups in medicine and extend this award to individuals applying to emergency medicine residencies during the 2022-2023 cycle. For information on award eligibility and the application process, visit https://emergencymedicalminute.com/edi-award/
For our most recent podcast episode, I sat down with Jessica Wolff, a mother who has endured loss and 2 very different NICU journeys. For part one of this podcast, she shares personal details on her very complicated twin pregnancy and the difficult choices they had to make along the way. She reflects back on regrets both she and her husband, Pat have experienced as well as what helped them cope through their daughter, Lily's 256-day NICU stay. Jessica explains what helped them make the decision whether or not Lily should have a tracheostomy placed and she speaks candidly about what their expectations were after Lily's tracheostomy placement, versus their reality. She offers frank advice for NICU families, especially those with similar situations who have children with feeding issues, ostomies, bronchopulmonary dysplasia or BPD, pain medication withdrawal, tracheostomies, and what going home looked like for their family with a ventilator-dependent child. You will be amazed by what this family has been through, but even more so by their strength and resiliency. Sweet Lily has touched so many lives in her short 4 years, and this is just the beginning of her story, I know she'll pull on your heart strings as well. So sit back and listen to part one of this family's story with Jessica Wolff. Our NICU Roadmap: A Comprehensive NICU Journal: https://empoweringnicuparents.com/nicujournal/NeoTech Products: https://www.neotechproducts.com/NICU Mama Hats: https://empoweringnicuparents.com/hats/NICU Milestone Cards: https://empoweringnicuparents.com/nicuproducts/Empowering NICU Parents Show Notes: https://empoweringnicuparents.com/episode37Empowering NICU Parents Instagram: https://www.instagram.com/empoweringnicuparents/Empowering NICU Parents FB Group: https://www.facebook.com/groups/empoweringnicuparentsPinterest Page: https://pin.it/36MJjmH
Infants in the NICU are patients that require specialized care with unique clinical considerations. Specific recommendations must be considered for all systems of NICU patients and the skin is not any different. Infants who are being cared for in the NICU, especially those that were born premature have an increased risk for skin trauma. On this episode, we review some of the skin care guidelines and recommendations available for clinical practice of NICU patients. As NICU clinicians, is is important to not only be aware of the anatomical variations of a term and preterm infant's skin, but to also know how that guides their clinical care and treatment plan. Many of the topics we cover on this episode have been standards of care for years, but there are also new recommendations for practice and products available based on recent research findings. NICU clinicians will hear a great review as well as up-to-date clinical recommendations for skin care of our specialized population in the NICU. The episode will also be beneficial for parents to hear the clinical practice guidelines and recommendations for term and preterm infants as well as some of the variations that may exist between different institutions. Our NICU Roadmap: A Comprehensive NICU Journal: https://empoweringnicuparents.com/nicujournal/NeoTech Products: https://www.neotechproducts.com/Solly Baby: http://shrsl.com/2py8hNICU Mama Hats: https://empoweringnicuparents.com/hats/NICU Milestone Cards: https://empoweringnicuparents.com/nicuproducts/Empowering NICU Parents Show Notes: https://empoweringnicuparents.com/episode36Empowering NICU Parents Instagram: https://www.instagram.com/empoweringnicuparents/Empowering NICU Parents FB Group: https://www.facebook.com/groups/empoweringnicuparentsPinterest Page: https://pin.it/36MJjmH
Bui Van Phu was allowed to walk out of Bronx Criminal Court w/o bail until the public outcry convinced Governor Hochul to do something! Update to #126 --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/the-cj-bronson-show/message Support this podcast: https://anchor.fm/the-cj-bronson-show/support
Our guest this week is Jim Mullen, a disabled Chicago Police Officer who was shot and catastrophically injured in the line of duty, leaving him a ventilator dependent quadriplegic. We'll hear how Jim's life has changed, how his injury has affected him, his wife and his daughter (who was only 7 months old at the time), about his hobby of buying and selling vintage muscle cars, how he has started marketing and selling his mother's delicious apple sauce recipe through Mullen's Food Company, now available at Amazon, Walmart and other national retailers. It's a fascinating and uplifting story about gratitude and making the most of life, in the face of severe adversity, here on this week's Special Fathers Network Dad to Dad Podcast.Website - http://www.mullenfoods.com Email - Mullenfoods@outlook.com CPMF – https://cpdmemorial.org/LinkedIn – https://www.linkedin.com/in/jim-mullen-4797b010/ CBS Reporter - https://www.youtube.com/watch?v=ei74KnRvcQ4 Special Fathers Network - SFN is a dad to dad mentoring program for fathers raising children with special needs. Many of the 500+ SFN Mentor Fathers, who are raising kids with special needs, have said: "I wish there was something like this when we first received our child's diagnosis. I felt so isolated. There was no one within my family, at work, at church or within my friend group who understood or could relate to what I was going through."SFN Mentor Fathers share their experiences with younger dads closer to the beginning of their journey raising a child with the same or similar special needs. The SFN Mentor Fathers do NOT offer legal or medical advice, that is what lawyers and doctors do. They simply share their experiences and how they have made the most of challenging situations. Special Fathers Network: https://21stcenturydads.org/about-the-special-fathers-network/Check out the 21CD YouTube Channel with dozens of videos on topics relevant to dads raising children with special needs - https://www.youtube.com/channel/UCzDFCvQimWNEb158ll6Q4cA Please support the SFN. Click here to donate: https://21stcenturydads.org/donate/
Fresno State's naming rights deal with Valley Children's for its football stadium is reportedly going to cost the university millions of dollars. The authorities of Baja California stated Saturday they continue to work to maintain peace in the state, as well as regain normality after the events that occurred on Friday afternoon and night. Salman Rushdie's condition remains serious two days after suffering injuries in a stabbing at a lecture in upstate New York, but his agent confirms "The Satanic Verses" author is "on the road to recovery." A year after President Biden's chaotic and disastrous military withdrawal from Afghanistan, the US finds itself “back where we started” two decades ago when al Qaeda carried out the 9/11 attacks, a retired four-star general said. Rep. Mike McCaul, the top Republican on the House Foreign Affairs Committee, criticized the White House and State Department for the chaotic withdrawal of U.S. troops from Afghanistan one year ago, saying "there was no plan" for pulling out of the country.See omnystudio.com/listener for privacy information.
AP correspondent Julie Walker reports on Salman Rushdie Assault
Mary speaks to the weekend editor of Guardian US, Ramon Antonio Vargas, about the stabbing of British author Salman Rushdie.
The novelist Sir Salman Rushdie has been taken off a ventilator and is now able to speak, two days after being repeatedly stabbed. We hear from a friend who defended him in court, and hid him in his home. Also in the programme: Egypt's health ministry says forty-one people have been killed in a fire in a Coptic church in Giza; and we report from southwest France, where firefighting services are being pushed as never before by the summer wildfires. (Image: Salman Rushdie at the Cheltenham Literature Festival in England / Credit: David Levenson/Getty Images)
The man suspected of repeatedly stabbing author Salman Rushdie, who will likely lose an eye, entered a not guilty plea in a New York court.
In this latest SBS Hindi bulletin: Former U-S President Donald Trump being investigated for potential violations of the Espionage Act; Salman Rushdie's book agent says he is on a ventilator and unable to speak after being stabbed on-stage in New York; India's External Affairs Minister S Jaishankar says border situation with China is not normal and more news.
AP correspondent Charles de Ledesma reports on Salman Rushdie Assault.
AP correspondent Julie Walker reports on Salman Rushdie Assault
The 75-year-old underwent emergency surgery after the attack at a lecture hall where he was due to speak.
AP entertainment correspondent Oscar Wells Gabriel reports on Anne Heche Crash
Beyond the Pearls: Cases for Med School, Residency and Beyond (An InsideTheBoards Podcast)
Today's Episode Another case from Dr. Raj's new book, Medicine Morning Report: Subspecialties available August 9th. Dr. Raj and Dr. Eva Khondaker review the case of a 27 year old male who presents to the ED after having his first seizure. He is intubated for airway protection and then transferred to the ICU. He has no medical or surgical history but does have a social history of drinking and smoking. Today's Guest Dr. Eva Khondaker is a recent medical graduate from the University of Medicine and Health Sciences (UMHS) where she graduated with highest honors. She holds a Bachelor of Science Degree from the University of Alberta majoring in Biological Sciences and a Minor in Classics. Eva has over 10 years of media and broadcasting experience. Her experience ranges from appearing in local news channels to International Tv networks such as ATN (Asian television network). Eva was crowned Miss Canada Galaxy International 2007, Miss Alberta 2007 and Miss Supermodel South Asia 2006. She also went on to represent Canada at an International platform and placed 1st runner up and awarded best in swimsuit and interview. She was also awarded 1st runner up in Miss India Canada 2007 in Toronto, Ontario. In the past, Eva has been an ambassador for various charity organization such as the Canadian Red cross and the Cross cancer institute to name a few. She has helped raise awareness and funding for research. Eva is also a published co-author of a Medical Ethics and Biostatistics textbook specifically for students preparing for the USMLE exams. Recently, Eva has joined inside the boards as a podcast host, tutor, question writer, and head of social media development. In her personal life, she is a trained kathak and bharatnatyam dancer (Classical East Indian dance). She loves going to the gym and all things scifi/fantasy related. In her spare time she enjoys spending time with her dog son, Quincy! She loves to go for hikes and play fetch with Quincy. She is currently preparing for the 2023 Match cycle. About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj www.BeyondThePearls.net The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? Crush Step 1 Step 2 Secrets Physiology by Physeo Step 1 Success Stories The InsideTheBoards Study Smarter Podcast The InsideTheBoards Podcast Study on the go for free! Download the Audio QBank by InsideTheBoards for free on iOS or Android. If you want to upgrade, you can save money on a premium subscription by customizing your plan until your test date on our website! Produced by Ars Longa Media To learn more about us and this podcast, visit arslonga.media. You can leave feedback or suggestions at arslonga.media/contact or by emailing info@arslonga.media. Produced by: Christopher Breitigan Executive Producer: Patrick C. Beeman, MD Legal Stuff InsideTheBoards is not affiliated with the NBME, USMLE, COMLEX, or any professional licensing body. InsideTheBoards and its partners fully adhere to the policies on irregular conduct outlined by the aforementioned credentialing bodies. The information presented in this podcast is intended for educational purposes only and should not be construed as professional or medical advice. Learn more about your ad choices. Visit megaphone.fm/adchoices
What happens to a robust 49-year old with Omicron in a BC hospital in 31 days? A Mother's account of her son's care in a British Columbia hospital between November 2021, and a few days before Christmas.
Gefühlte Fakten - Folge 149: SCHWEINE vor GERICHT In dieser Folge hat der Gefühlte Fakten Büro-Ventilator seinen ersten unterwältigenden Auftritt! Außerdem erzählt Tarkan von seinen Tagen als Modellbauer und Christian zeigt einen Brief den er bekommen hat, der so mysteriös war, dass er von der Polizei geöffnet wurde. Und eine Liste mit ungewöhnlichen Todesfällen gibt es auch noch. Top Folge! 10 von 10 schuldfähige Schweine. Folgt uns: http://Instagram.com/TarkanBagci http://Instagram.com/Christian_Huber
Moderator: James Rathmell, M.D. Participants: Maximilian Sebastian Schaefer, M.D. and Marcelo Gama de Abreu, M.D., MS.c., Ph.D. Articles Discussed: Mechanical Power during General Anesthesia and Postoperative Respiratory Failure: A Multicenter Retrospective Cohort Study Mechanical Power: Correlate or Cause of Ventilator-induced Lung Injury? Transcript
Contributor: Aaron Lessen, MD Educational Pearls: Tidal volume is the amount of breath a patient receives in a single ventilation Traditional tidal volume (TV) setting was 10 ml/kg but studies showed lower TV had less incidence of respiratory distress, ARDS, and overall better outcomes ED ventilation settings may get carried on for hours or days when a patient is admitted, making this an important part of patient care Recent large systematic review shows that low TV setting in the ED leads to decreased incidence of ARDS, shorter ICU and hospital length of stay, shorter duration of mechanical ventilation, and decreased mortality Consider an ED low tidal volume ventilation setting at around 6 ml/kg of predicted body weight References De Monnin K, Terian E, Yaegar LH, et al. Low Tidal Volume Ventilation for Emergency Department Patients: A Systematic Review and Meta-Analysis on Practice Patterns and Clinical Impact [published online ahead of print, 2022 Feb 7]. Crit Care Med. 2022;10.1097/CCM.0000000000005459. doi:10.1097/CCM.0000000000005459 Summarized by Kirsten Hughes, MS4 | Edited by John Spartz MS4 & Erik Verzemnieks, MD The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cme-courses/ and create an account. Donate to EMM today!
DOPES D-Displacement – endotracheal tube dislodges from trachea, or falls into right mainstem bronchus O-Obstruction – Mucous plugging, bronchospasm, patient biting tube P –Pneumothorax – Look out for pneumothorax, it can be subtle E – Equipment – Disconnected/unpowered equipment, ensure everything is powered on and connected appropriately S – Stacking – common in asthma/COPD due […]
Literature Review Series Nov/Dec 2021 Special Guests: Callee Brooks, PharmD and Andy Jatis, PharmD 05:00 – 6-pack of studies; 48:25 – Ventilator blues; 60:10 – Lost in my mind; 72:38 – Don't go breaking my heart; 81:42 – Front of the fridge Reference List: https://pharmacytodose.files.wordpress.com/2022/05/nov_dec-2021-references.pdf Full Article List: https://docs.google.com/document/d/1E-inQwnlcNqkvq6q657UdFEZ4x9Zd_Bi_ii0iOALS3Q/edit?usp=sharing PharmacyToDose.Com @PharmacyToDose on Twitter PharmacyToDose@Gmail.com