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EMCrit FOAM Feed

Scott D. Weingart, MD FCCM

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Help me fill in the blanks of the practice of ED Critical Care. In this podcast, we discuss all things related to the crashing, critically ill patient in the Emergency Department. Find the show notes at emcrit.org.
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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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A Big Heart

Mike Papale

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A Big Heart is a podcast about living with heart disease. When Mike Papale was 17 years old he was seemingly healthy and being recruited to play basketball in college. On August 24, 2006, while working at a basketball camp, Mike slumped over and went into sudden cardiac arrest. There was no AED on site and doctors have said his chances of survival were one in a million. He was later diagnosed with Hypertrophic Cardiomyopathy (HCM). Mike is currently the President & CEO of In A Heartbeat, a n ...
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Explain Like I'm Five, aka ELI5, is the mini-podcast series where we take the questions you always wanted to ask, and talk about them in a way that is easy to understand. Made possible by the amazing reddit community at r/explainlikeimfive. See episode show notes for user credits.
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MPR Weekly Dose

MPR Weekly Dose

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Each week the MPR team brings you the top stories from the world of medicine and pharma in a matter of minutes. With 35 years of publishing drug information behind us, you can rely on MPR to provide accurate and up-to-date news.
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Best Medicine

BBC Radio 4

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Award-winning comedian Kiri Pritchard-McLean is joined by funny and fascinating comedians, doctors, scientists, and historians to celebrate medicine's inspiring past, present and future. In each programme, Kiri challenges her guests to make a case for what they think is 'the best medicine', and each of them champions anything from world-changing science to an obscure invention, an every-day treatment, an uplifting worldview, an unsung hero or a futuristic cure. Whether it's micro-robotic sur ...
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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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Lonars Universe is a podcast where me and my guest talk about it all, from love, peace, destruction, turmoil, Rock, maybe politics, hip hop, good people, bad people, talented individuals, women, men, any problems that come up and how to solve them, maybe video games, does anyone really read the description of these things, just a thought, for the most part I will be speaking my unfiltered beautiful damaged special mind. Sorry for not adding commas the correct area. I can go on and on just li ...
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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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What exactly is a defibrillator? Why is the analogy of jump starting a car incorrect? What’s happening in the heart when a shock is delivered? What is the AED and how do you spot one in public? What happens when you activate an AED? Who invented it? ... we explain like I'm five Thank you to the r/explainlikeimfive community and in particular the fo…
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A new epinephrine nasal spray dosage has been approved for pediatrics; FDA agree to review Semaglutide for weight management; A wearable defibrillator is cleared to prevent sudden cardiac arrest; a low dose formulation of chlorthalidone is approved to treat hypertension; and Selarsdi is now interchangeable with Stelara.…
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When treating patients with Acute Coronary Syndrome (ACS), MONA is an acronym sometimes used to help us remember the initial interventions. The O in MONA is Oxygen. When we should administer oxygen to ACS patients. When O2 administration is unnecessary based on an accurate pulse ox. Monitoring patient's oxygen saturation (SaO2) using a pulse oximet…
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Along with early defibrillation, high quality CPR with minimal interruptions is one of the two factors that has been shown to improve cardiac arrest outcomes. How do we know if high quality, effective CPR is being performed? Objective measures of high-quality CPR include: Compression rate; Compression depth & recoil; ETCO2; and Chest Compression Fr…
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What surprising fruit is botanically classified as a berry but often confuses people in everyday conversation? How do the definitions of ""berry"" and ""fruit"" differ between botanical science and everyday cooking? Did you know that watermelons, tomatoes, and cucumbers are also classified as berries? What implications does this have for our cookin…
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Nucala gains new indication; the FDA are set to require placebo-controlled trials to evaluate COVID-19 vaccines; pruritus reported following discontinuation of antihistamines; oral carbapenem antibiotic looks promising for cUTIs; investigational celiac disease Tx gets Fast Tracked
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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 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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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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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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What’s the historical reason for the U.S. using "Letter" paper size over the international standard A4 paper? What inconveniences do people face in North America due to the different paper sizes compared to the rest of the world? How does the unique aspect ratio of A4 paper help in scaling paper without wasting space? What about B and C format pape…
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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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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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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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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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At-home cervical cancer screening device gains clearance; the FDA indicates it wants to remove pediatric fluoride products from the market; the chikungunya vaccine is put on-pause for some individuals; a subcutaneous autoinjector is approved to treat migraines; and the FDA will review a gene therapy for Hunter syndrome.…
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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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Post-election Albanese has seen a surge in popularity but what is the electorate expecting from a second term Labor government and can they deliver during challenging times? Guardian Australia’s political reporter, Josh Butler sits down with chief political correspondent, Tom McIlroy and Essential Media’s executive director, Peter Lewis.…
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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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