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The Heavy Lies the Helmet® Podcast is by critical care professionals, for critical care professionals. Hosted by Mike Boone, Dan Rauh, and Dr. Amanda Humphries, we dive deep into the realities of emergency and critical care medicine. Our conversations are raw, honest, and practical — cutting through the noise to focus on real-world challenges, clinical decision-making, and the human side of high-acuity care. Whether we’re unpacking complex patient scenarios, discussing the nuances of teamwor ...
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I'm Paul from PassACLS.com and I'm here to help you pass ACLS. Like an audio flash card, this podcast is intended to aid any medical professional preparing for an Advanced Cardiovascular Life Support (ACLS) class. Each three-to-nine minute episode covers one of the skills needed to recognize a stroke or cardiac emergency and work as a high performing team to deliver safe, quality patient care. Listening to a tip a day for a few weeks prior to your ACLS class will help cement the core concept ...
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Bush League Sports is a weekly podcast, hosted by Jake Roth and Mac Hodgkiss, created to inform and entertain. Filled with quality content and high profile guests.
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CPR AED First Aid BLS classes
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Celebrating the clinicians who work on an ambulance!
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Blogger Craig Beam (My Life in the Shadow of The Twilight Zone) joins the Twilight Zone podcast fray with his own...um... UNIQUE take on the classic series.
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This mini series is pulled from our full length podcast: Business Leadership Series (www.blsnow.net). BLS is a podcast and radio show (ESPN regionally). Our audience is comprised of business owners, leaders, and entrepreneurs who desire to learn from our guests’ knowledge, advice, and experience for personal and professional growth. This content series is a free subscription shared through written, audio, and video interviews. Learn more at www.businessleadershipseries.com
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The World’s Okayest Medic Podcast is a podcast for all EMS providers. Whether you’re an EMT, paramedic, nurse; work in a 911 response setting or critical care transport; and are a novice or experienced clinician, this podcast is for you.
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Whether you're a newbie or an OG in the BL world, join Emma, Nilza (@Nila's World) and Flick as we share our thoughts on everything BL, talk about your unpopular options and much more.New episodes every other Wednesday (join the talk!). Follow us for some fun BL banter @UnniesBLTalk TikTok Instagram Twitter
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EMSconnect On Shift is a podcast that brings together the stories, challenges, and insights of the medical and EMS communities. Hosted by experienced professionals, this show dives into the real-world experiences of those on the frontlines of emergency medical services. From heart-pounding calls to the behind-the-scenes operations, EMSconnect On Shift offers a unique perspective on the daily lives of EMS providers. We also feature episodes for general audiences, highlighting topics that reso ...
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"That's Bush...BUSH LEAGUE!" -Ron Burgundy
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Three friends invade your personal space with their offbeat humor, crypto knowledge, and the week's news of the stupid. Uncensored. Unmoderated. Undeniably fun. Support this podcast: https://podcasters.spotify.com/pod/show/jive-turkeys/support
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This Podcast is intended to act as a forum for Maine EMS to share information with providers and service leadership. We will attempt to stick to a format of covering frequently asked questions, short section of Maine EMS updates, and a section of education. After listening to the audio you can take a short quiz and receive continuing education hours for this activity. Stay safe
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“To be Source of Positivity, Possibility & Prosperity" Investor, CEO & FM @ Turtle Wealth, Blod Grp:E+ Author-212° The Complete Trader Podcast-Wit,Wisdom&Wealth Website: www.turtlewealth.in Twitter: https://twitter.com/rohanmehta_99
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Hospital nursing staff face many post-pandemic challenges in their cardiac resuscitation programs. Ensuring all staff have the confidence, technology, and tools for optimal response is a primary goal for hospitals throughout the nation. “Beyond the Shock” offers relatable insights and experiences to use in your cardiac resuscitation programs. Download it today and uncover new ways to look at current challenges. The speakers and guests in this series may have a financial or advisory relations ...
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Built on the lifeguard mantra of "educate, prevent, rescue, and resuscitate," Lifeguards 10-8 will dive into the tradecraft, from lifesaving procedures to lifeguard history. Produced and hosted by professional ocean/river lifeguards, this education-based podcast will explore the hazardous and often rewarding profession of open water lifesaving. Episodes will include interviews and training briefs with front-line beach lifeguards and operations supervisors from various services across America ...
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Hi! Welcome to Business Lesbian! This is a creative endeavor fueld by a gentle existential crisis currently being experienced by yours truly: Brittany Diederich. The Business Lesbian.From 2011-2022 I worked at my family construction business, rose through the ranks, and ended up as the Director of Finance and Administration and Part-Owner. It was a wonderful learning experience and I'm so grateful for the opportunity and the insane amount of nepotism I benefitted from. In 2022, I made the di ...
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Listener discretion is advised.By Mike Carunchio
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Episode 22 of #UnniesBLTalk hosted by Emma, Nilza (Nila's World) and Flick is here! (recorded on 28th Apr). The long awaited premiere of 'The Next Prince' is finally here! Are you looking forward to it? Sharing our thoughts on everything BL, bringing you the hottest BL recommendations and taking on your (un)popular opinions on Korean BLs in general…
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When we should use the bradycardia algorithm. The signs & symptoms of unstable bradycardia. Atropine's bradycardic dose and maximum. The use of atropine when a patient is in a second degree type II or third degree heart block. ECG changes that indicate subsequent doses of atropine are likely to be ineffective. The starting dose of Dopamine. The use…
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The tongue is the most common airway obstruction in an unconscious patient. Insertion an oropharyngeal airway helps keep the patient’s tongue from falling to the back of the pharynx, causing an airway obstruction. The oropharyngeal airway is sometimes called an OPA or simply an oral airway. Indications for using an oral airway. Contraindication for…
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Hypoxia: An H&T Reversible Cause of Cardiac Arrest
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Hypoxia is a state of low oxygen levels in the blood. Determining hypoxia using a pulse oximeter or arterial blood gasses (ABGs). A goal of ACLS is to recognize signs of hypoxia and provide timely treatment to prevent an arrest. Examples of some things that might lead us to think of hypoxia as a cause of cardiac arrest. Why we should not rely on pu…
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Listener discretion is advised.By Mike Carunchio
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ECG characteristics of supraventricular tachycardia (SVT) vs. sinus tachycardia. Signs & symptoms that indicate a patient is unstable. Delivery of a synchronized shock for the treatment of unstable SVT using a biphasic vs monophasic defibrillator. Consideration for team safety while performing synchronized cardioversion. Actions to take immediately…
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Administration of Epinephrine During Cardiac Arrest
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When working to resuscitate a patient in sudden cardiac arrest, Epinephrine is the first IV medication we administer. When we give the first dose of epinephrine depends on whether the patient is in a shockable or non-shockable rhythm. When to give the first dose of epinephrine and its frequency for patients in asystole or PEA following the right si…
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Listener discretion is advised!By Mike Carunchio
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If a person suddenly develops symptoms such as weakness, slurred or garbled speech, loss of balance, or a massive & severe headache; it’s possible they could be having a stroke. The Cincinnati Prehospital Stroke Scale. There are several conditions that can mimic a stroke. Identification & treatment of hypoglycemia or hyperglycemia. Identification &…
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IO & ETT Routes for Medication Administration
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Most ACLS medications are given IV push. But, what happens if we can't get an IV? Why IO is better than ETT as an alternative route. The locations we should place an IO when running a code and a location we should avoid. The ACLS medications that can be given intraosseous. Where you can find more information about intraosseous access during resusci…
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EMS and Transportation to the Most Appropriate Facility
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The chain of survival for a cardiac emergency and stroke start the same: 1. preparedness & recognition of an emergency; 2. activation of EMS; 3. delivery of Advanced Life Support; and 4. transporting to the most appropriate facility. ALS ambulances are staffed with paramedics who have training in ACLS skills. Why EMS "Destination Protocols" for sus…
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Episode 129 - Little Lung Problems w/Nate Brown
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Wet or dry. Air in or out. Reactive or obstructive. The possibilities may seem endless when treating the pediatric patient with undifferentiated respiratory distress. It is confounded by the fact that pediatrics are outside the comfort zone of many novice critical care transport providers. In this podcast episode, neonatal/pediatric specialist Nate…
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Automated External Defibrillator (AED) Review
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Performing good CPR and delivering a shock as soon as possible to a patient in Ventricular Fibrillation or pulseless V-Tach are the two most critical interventions that have been shown to increase survival from sudden cardiac arrest. Studies have demonstrated significantly better out-of-hospital cardiac arrest survival outcomes in communities with …
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Asystole & Pulseless Electrical Activity (PEA) Algorithm
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For apneic patients without a carotid pulse or patients with only gasping/agonal respirations, we will follow the Adult Cardiac Arrest algorithm. For pulseless patients that the AED doesn't advise a shock, the patient's ECG shows asystole, or a non-perfusing organized rhythm (PEA), we will follow the right side of the Adult Cardiac Arrest algorithm…
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Providing good, high-quality CPR with minimal interruptions and early defibrillation are two key interventions shown to improved cardiac arrest outcomes. A training tool used in many CPR and ACLS classes is to use a song (or a song list) with a tempo of 100 to 120 beats per minute to help the person doing chest compressions maintain an adequate rat…
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Jake Potter: Sedation, Agitation, and Rabbit-holes
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Listener discretion is advised.By Mike Carunchio
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A patient’s medical history will help us identify things that may be causing (or contributing) to their current condition as well as guide our decisions so we provide the safest evidence-based care possible. Examples of information obtained in a medical history that will impact the treatment we provide. There are several mnemonics and memory aids t…
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Although magnesium can be used in the treatment of other medical conditions such as eclampsia, asthma, & digitalis toxicity; for ACLS, magnesium is primarily used to treat Torsades de Pointes. Identification of Torsades on the ECG. Administration of a magnesium infusion for stable patients vs slow IV push for patients in cardiac arrest. Procainamid…
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Hypovolemia as a H&T Cause of Cardiac Arrest
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When a patient loses excessive amounts of fluids, we say that they are in a state of hypovolemia. The most obvious cause of hypovolemia is from bleeding. Bleeding can be internal or external and caused by trauma, pathology, or iatrogenic. Classic signs & symptoms of hypovolemic shock. Volume replacement with crystalloids vs blood. Good luck with yo…
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MONA is the acronym sometimes used to help us remember the interventions to consider for patients with Acute Coronary Syndrome. Morphine's use in the Acute Coronary Syndrome (ACS) algorithm. Why Morphine is helpful for patients with ACS. Contraindications and considerations for the safe administration of Morphine. Morphine as an alternative to nitr…
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Maintaining a Chest Compression Fraction (CCF) Above 80%
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Even good CPR is far less efficient at circulating blood than a functioning heart. The indicators of high-quality CPR that were identified at the 2012 AHA CPR Quality Summit in order of importance include: Chest compression fraction (CCF); Chest compression rate; Chest compression depth; Allowing for full recoil; and Adequate ventilations. Using re…
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Listener discretion is advised.By Mike Carunchio
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Epinephrine and Dopamine are adrenergic agonist used in several ACLS algorithms. The use of epinephrine for severe anaphylaxis and unstable bradycardia. Review epinephrine’s effects on blood vessels and bronchioles. Why epinephrine is helpful for patients with anaphylaxis. Using an epi drip for unstable bradycardia. Epinephrine administration durin…
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Providing rescue breathing to apneic patients with a palpable pulse. Normal end tidal CO2 for patients with a pulse. Identification of cardiac arrest and our immediate actions. Providing artificial ventilations during CPR without an advanced airway vs with an advanced airway in place. Using quantitative waveform capnography to confirm placement of …
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Hypothermia: A H&T Reversible Cause of Cardiac Arrest
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Hypothermic patients aren't dead until they are warm and dead. When a patient’s core body temperature drops below 96.8 F (36 C), they are hypothermic. As the body’s temperature drops below 36 C, hypothermia may further be classified as moderate or severe: Moderate if the patient’s body core temp is between 30-34 C; and Severe if it's below 30 C. Mo…
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Calcium is one of the ions that move across the cellular membrane during cardiac contraction and relaxation. The primary use of calcium channel blockers in ACLS is for the treatment of stable, narrow complex tachycardias refractory to Adenosine and to lower the blood pressure of ischemic stroke patients with severe hypertension. Use of calcium chan…
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Post-Arrest Care & Targeted Temperature Management (TTM)
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The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved. Post-arrest care and recovery are the final two links in the chain of survival. Identification of ROSC during CPR. Initial patient management goals after identifying ROSC. Indications for starting TTM. Monitoring the patient’s …
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Listener discretion is advised. You all know him and love him: Mustafa Sidik from The Alert Medic One Podcast joined me for a discussion about...well, a lot of things.By Mike Carunchio
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Nitroglycerine is vasodilator that affects peripheral blood vessels and coronary arteries. Because of its widespread dilation effects on blood vessels, nitro can quickly lower a patient’s blood pressure, sometimes to the point of making a patient hypotensive. Assessment of vital signs prior to administering nitro is necessary to ensure patient safe…
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In atrial fibrillation (A-Fib) and atrial flutter (A-Flutter) the electrical impulse for cardiac contraction is in the atria but isn't the normal pacemaker of the heart, the SA node. The ECG characteristics of A-Fib and A-Flutter. Recognition and treatment of unstable patients in A-Fib/Flutter with rapid ventricular response (RVR). Suggested energy…
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Keep Calm, and CYA: Medical and Legal Considerations with David Givot
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I sat down with David Givot, author of Sirens, Lights, and Lawyers, on the EMSconnect On Shift Podcast, and let me tell you—this one’s a game-changer. This episode is a serious eye-opener about the legal blind spots in EMS. We’re not being taught enough, and David doesn’t hold back. Before you touch your next patient or write another narrative, you…
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Tablets & Toxins as a H&T Reversible Cause of Cardiac Arrest
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As an ACLS provider you do not need to be familiar with all of the different signs of various types of poisoning. You should be able to obtain a history and know to order toxicology. The majority of toxins don’t have a specific antidote. There are a few toxins for which we have emergency interventions and ACLS providers should be familiar with. Rev…
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The ACLS algorithms are designed to make it easier to remember the key interventions we should deliver, and the order in which they should be delivered, to provide the best evidence-based care possible. Generally speaking, if there’s a change in a patient’s condition, we should ensure we’re using the correct algorithm. Three key points to remember …
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Listener discretion is advised.By Mike Carunchio
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Beta blocking medications attach to Beta receptors to inhibit or “block” the effects of epinephrine (adrenaline)and norepinephrine in the body. The primary locations of Beta I, II, and III receptors. Effects of epinephrine & norepinephrine’s stimulation of beta receptors on the heart. Beta blockers effects on the heart. When we should consider the …
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This episode we are reviewing the use of advanced airways in the adult cardiac arrest algorithm. When we should consider insertion of an advanced airway for patients in a shockable vs non-shockable rhythm. In addition to an endotracheal tube (ETT), other ACLS advanced airways include the Laryngeal Mask Airway (LMA) and the Laryngeal Tube airway. Th…
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Listener discretion is advised.By Mike Carunchio
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Our primary focus immediately following return of spontaneous circulation (ROSC) is aimed at ensuring adequate perfusion of the patient’s vital organs and decreasing cerebral damage. Post-arrest goals for O2 saturation, ETCO2, and BP/MAP. Indications for use of an antiarrhythmic after ROSC. Determining which antiarrhythmic to use post cardiac arres…
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Hydrogen Ions as a H&T Reversible Cause of Cardiac Arrest
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Hydrogen ions is on one of the Hs in ACLS's H&T reversible causes of cardiac arrest. When considering hydrogen ions as a cause, what we’re looking at is the patient’s pH, or acid/base balance, and conditions that affect it. The body's normal pH. Using patient history, ABGs, & labs to determine acidosis or alkalosis. Common conditions/causes that ma…
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Being the team leader during a cardiac arrest is challenging. Using an algorithm helps by standardizing & prioritizing our interventions using an If/Then methodology. Review of BLS steps for determining if rescue breathing or CPR is needed and use of an AED for patients in cardiac arrest. If the patient is in a non-shockable rhythm on the ECG such …
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Listener discretion is advised.By Mike Carunchio
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Episode 128 - Keeping Trauma Close to the Chest
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'Tis the season for trauma. (If there truly is a season.) Chest trauma, specifically, can vary in subtlety and severity, primarily due to the presence of multiple vital organs and vessels. In this podcast, we discuss these potentials while focusing on those injuries that are associated with the highest mortality rate. We also discuss why you should…
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Clots & Clues: Decoding Stroke in the Field
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Time is brain, and early recognition is key! Clots & Clues: Decoding Stroke in the Field is an essential course designed for EMS providers seeking to sharpen their assessment skills and improve patient outcomes in stroke emergencies. This course dives into the pathophysiology of stroke, critical prehospital assessment tools, and the latest treatmen…
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BLS Provider Essentials: Altered Level of Consciousness
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The lecture covers altered mental status for EMTs, focusing on brain anatomy and causes like hypoglycemia, intoxication, and head injuries. It highlights the importance of assessing blood glucose levels, especially in diabetic patients and understanding vital signs in context. Treatment protocols include administering oral glucose or glucagon, with…
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Listener discretion is advised.By Mike Carunchio
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Episode 21 of #UnniesBLTalk hosted by Emma, Nilza (Nila's World) and Flick is here! (recorded on 1st Apr). Kenshin Kenshin Kamimura is the name of the actor for Our Youth (and NOT Kenshin Uemura...). There's been lots of not so good news in the BL world but hopefully, things will get better in the future. Right?! Sharing our thoughts on everything …
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LISTENER DISCRETION IS ADVISED. Dr. Stephen Wood, host of the "Tac Medic Whiskey Podcast" joined us again! We talk about a wide-range of topics from politics (the EMS kind, not national), blood, airway, degrees, trauma...By Mike Carunchio
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Listener discretion is advised.By Mike Carunchio
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Episode 20 of #UnniesBLTalk hosted by Emma, Nilza (Nila's World) and Flick is here! (recorded on 19th Feb). We're back after a very long while, so tune in to find out what we've been up to and meet our new co-host. Sharing our thoughts on everything BL, bringing you the hottest BL recommendations and taking on your (un)popular opinions on Korean BL…
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