A podcast dedicated to the ongoing education of EMS professionals produced by the University Hospitals of Cleveland EMS Institute.
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This podcast is a platform to explore, engage, and educate the emergency management community and will feature guests from diverse emergency management disciplines to discuss mitigation, preparedness, response, and recovery topics intended to promote the exchange of ideas and best practices. Episode topics are developed from our team of disaster experts, listeners, and the clients we serve.
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WYE is the podcast that responds to all emergencies on and off the job. This podcast covers four core areas of life: Physical, Financial, Emotional, and Professional. Inside each of those cores lies four phases of an emergency: Education, Preparation, Response, and Recovery. Through each core, WYE will offer different perspectives on each phase. Industry and Subject Matter Experts will offer their guidance on how best to leverage possibility and maximize results in each of the four areas.
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Dr. Hill and Scott wind up this discussion in Part 3 by addressing proper terminology to use when interacting with the patients and the public record availability of previous abuse with guests Ashley Rosser and Elisha Starkey from Thrive for Change.By University Hospitals of Cleveland EMSi
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Ashley Rosser and Elisha Starkey from Thrive for Change continue the discussion of drug abuse patients and the treatment of in this episode. The challenge of stigmatizing of these patients is significant but the crew also finds out there is stigmatization that goes on within the drug use patient community.…
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Ashley Rosser and Elisha Starkey from Thrive for Change join the crew this month to talk about the stigma of drug use or opiate use disorders. According to the Thrive for Change website, their “vision is a world free from drug overdose fatalities, where people who use drugs have equal access to basic needs and are empowered to advocate for themselv…
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A question of Dopamine or Epinephrine initiates a discussion regarding what should/should not be in a drug box, how to have a good relationship with your pharmacy and the possible use of apps in the prehospital setting. The big question in this episode, when is it appropriate to downgrade a call from an ALS to a BLS?…
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Answering questions from the listeners as the grab bag episode continues. Patient refusals, the use of Ketamine within in the seizure algorithm and sepsis are part of the discussion.By University Hospitals of Cleveland EMSi
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Some online questions have come in through the website.. time to clear out the email box. In this grab bag, chest pain assessment, the contraindications of epinephrine for anaphylaxis. EMS Education PodcastBy University Hospitals of Cleveland EMSi
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Extra Monday Episode - Cardiocast Episode 2 - The Wides and the Narrows of Arrhythmias
1:37:57
1:37:57
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1:37:57As will be the routine in 2025, the Extra Monday Episodes are dedicated to interpreting EKG rhythms. This month, the crew discusses, bradycardias, tachycardias and wide and narrow rhythms.By University Hospitals of Cleveland EMSi
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EMS Education - Creating the Best, Live
1:06:12
1:06:12
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1:06:12In this in-depth episode, host Scott Wildenheim is joined by regular contributors Caleb Ferroni and Ray Pace, along with special guest Falon Steiner, EMS Manager of Initial Training Programs. Together, they explore the full spectrum of modern EMS education—from foundational program structure and mentorship to test-taking psychology, AI integration,…
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EMS Education - Creating the Best, Part 3
43:39
43:39
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43:39As the crew prepare to head out of the studio for the live version of the podcast, the discussion of medical math and “teaching for the test” vs. preparing providers for “the real world” of EMS, becomes a thing. And, yes, you still will have to memorize some things. Finally, how about letting potential students sit in on the courses? Might that hel…
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EMS Education - Creating the Best, Part 2
34:54
34:54
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34:54Continuing the EMS education talk with Falon Steiner of the UH EMS Institute team and discusses what is practical education for EMS students and the ability to understand “why” vs. “how/when” to treat patients. The national registry is also a topic as far as assessing student competency.By University Hospitals of Cleveland EMSi
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EMS Education - Creating the Best, Part 1
40:22
40:22
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40:22EMS Education is the topic this month with Falon Steiner, EMS Manager of Initial EMS Training. What are the basics? What changes do instructors need to make in teaching methodology? EMT programs are still under oversite by the state. The paramedic programs have oversight from the Accreditation of Allied Health Education Programs (CAAHEP) is a progr…
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Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals joined the team at this Live Episode held at Parma Fire Station #2. The group discusses the varied capabilities of trauma center levels and the Golden Hour.By University Hospitals of Cleveland EMSi
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In this 3rd part of the team’s discussion of adult trauma care with Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals, the continuation of trauma center designation criteria continues. On-scene times and the use of ground and air transport methods are discussed which leads into a discussion of what will “kill” a …
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Ray, Caleb and Dr. Hill continue with Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals. The discussion of having a defined Level 4 Trauma Center designation starts this episode and then the group discussion the changes in prehospital trauma care based .. i.e. tourniquets, lactated ringers and cervical collars th…
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Ray Pace takes the lead this month as the crew talks adult trauma topics with, Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals. In this first episode of the series, Dr. Tinkoff reflects on how he came to find Trauma Surgery as a specialty including his early life as a first responder. The group discusses the va…
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Blood and Transfusion Medicine For EMS Live, Part 4
52:28
52:28
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52:28In this insightful episode of The Pre-Hospital Paradigm Podcast, Dr. John Hill and co-host Scott Wildenheim dive deep into the evolving world of blood transfusion medicine with special guests Vicki Cary, Manager of Transfusion Medicine, and Matt Howlett, System QA Coordinator for Blood Banks. Together, they explore the critical role of blood and bl…
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As Dr. Hill, Scott, Vicky and Matt start to wind up the discussion regarding transfusion medicine for EMS, i.e. using blood products in the prehospital setting, they discuss the proper storage requirements necessary for products and the costs of maintaining the blood collection, storage and distribution process. What’s being considered before imple…
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Scott and Dr. John Hill continue with their guests from the UH blood bank. The discussion continues regarding the emergent useage of blood products before and after the type and screening which can be done with 10 minutes or less depending on the type of testing equipment. They also move on to educating EMS professionals regarding being a part of t…
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This month, the crew gets together with, Victoria Cary and Matt Howlett, members of the UH system's blood bank to talk about the progress of transfusion medicine becoming within the practice scope of EMS. The information is based on rules, regulations and laws of the state of Ohio. In Part 1, the crew and guests reviews the A, B, Os basics of “bloo…
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Extra Monday Episode - Cardiocast Episode 1 - Basic vs. Advanced EMS Scope of Practice
1:20:20
1:20:20
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1:20:20From a cardiology standpoint, what can be done by a basic level EMS provider vs. an advanced level provider? How can technology be utilized to expand the BLS scope of practice? The basis of this discussion is the Ohio EMS Scope of PracticeBy University Hospitals of Cleveland EMSi
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Mental Health For First Responders Live, Part 4
1:13:32
1:13:32
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1:13:32In this month's episode, our guest, Brian Abbott, and the team discuss one of the most important topics for first responders - mental health. Thanks to the UH Portage Paramedic Program for having the team back in the classroom for this episode.By University Hospitals of Cleveland EMSi
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Focusing on the Mental Health of EMS and Firefighting Professionals - Part 3
45:35
45:35
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45:35As the team prepares for the next live show, of course, the topic being the mental health of EMS and firefighting professionals, they wind up the in-studio conversation with local firefighter, Brian Abbott who has rebounded to the fire services after treatment for mental health issues related to being in the EMS/fire service.…
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Focusing on the Mental Health of EMS and Firefighting Professionals - Part 2
41:07
41:07
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41:07Peer support, changing the stigma of the culture within the firefighter/EMS population is how Ray, Caleb, Dr. Hill and our guest, Brian Abbot start this episode. Showing signs of mental health issues can be seen as a sign of weakness. However, personal vulnerability needs to be recognized and encouraged. It builds trust in the team and between the …
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Focusing on the Mental Health of EMS and Firefighting Professionals - Part 1
34:47
34:47
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34:47In Scott's absence, Ray leads the team of Caleb, Dr. Hill and our special guest firefighter Brian Abbott, currently with the City of Elyria Fire Department. PTSD is higher in firefighters: 14.6% to 22%, compared to 6.8% in the general population. Depression is also higher in firefighters: 11% in firefighters, compared to 6.7% in the general populat…
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Neonate Patient Care for EMS 2025 - Part 4, Live Show From
1:08:09
1:08:09
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1:08:09The crew traveled to Caleb's home department, Munson Fire, Department, to bring closure to the recent discussion of caring for neonate patient in the EMS setting. Thank you Dr. Olicker for joining us this month!By University Hospitals of Cleveland EMSi
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Neonate Patient Care for EMS 2025 - Part 3
26:15
26:15
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26:15The crew and Dr. Olicker start to put a close on this additional series regarding caring for neonate patients in the EMS environment. Pediatric cardiology kicks this segment off and then the crew discusses “delivery head trauma” and wraps up with correcting developmental milestones for specific neonate patients.…
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Neonate Patient Care for EMS 2025 - Part 2
33:29
33:29
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33:29Neonates with fevers start this discussion as we are still with Arielle Olicker, MD a clinician educator in the division of Neonatal-Perinatal Medicine at U.H. We then go on to discuss vaccination differences between cultures and how to calm the parents/caretakers once EMS arrives.By University Hospitals of Cleveland EMSi
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Neonate Patient Care for EMS 2025 - Part 1
32:06
32:06
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32:06The crew is back with Arielle Olicker, MD a clinician educator in the division of Neonatal-Perinatal Medicine at U.H. In no particular order, this episode reviews the neonate patient born into an opioid dependent situation as well as patients born with physical and/or mental impairments and appropriate sedation agents an dosages.…
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EMS Pharmacology Made Simple - Live From Cardinal Fire District
1:08:32
1:08:32
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1:08:32In this month's episode, we discuss EMS Pharmacy with our guest, Derek Frost, a system EMS pharmacist. We explore the challenges of managing medications in the field, how to prevent errors, and the best practices for ensuring patient safety. #prehospitalparadigmpodcastBy University Hospitals of Cleveland EMSi
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As the team starts to wrap up the the discussion of demystifying EMS pharmacology, they discuss, what it means to "lock up" the controlled substances and what the potential realistic ramifications might be of not doing that properly. They also dig into the challenges of calculating the varied pediatric dosages within the EMS scenario. What steps ha…
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The team continues the pharmacology discussion with UH Portage's pharmacy manager, Derek Frost. Remember kicking around trade/brand names vs. generic name in your day? What steps have YOU taken to reduce confusion? What drugs constitute "controlled substances?" How can we improve automated decision-making support of potentially conflicting medicati…
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The team gathers with Derek Frost, UH Portage pharmacy manager, to talk about all things pharmacology including trying to analyze and simplify the science behind pharmacology. In Part 1, the team digs right in and talks about medication errors evaluation and elimination there of.By University Hospitals of Cleveland EMSi
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Prehospital Paradigm Podcast for EMS Best of 2024, Part 3
44:54
44:54
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44:54In Part 3 we discuss the best of SANE and sexual assault patients, field termination and DOA, air medical care, neonatal resuscitation, event medicine and access routes, capnography, MCI and the new procedures, and ECPR.By University Hospitals of Cleveland EMSi
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Prehospital Paradigm Podcast for EMS Best of 2024, Part 2
54:49
54:49
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54:49In Part 2 we discuss sports medicine and the hyperthermic patient, importance of EMS documentation, anaphylaxis in pediatric care, dosing, shock, RSI, cardiac arrest care, STEMI care and EMS, and patient capacity in psychiatric emergenciesBy University Hospitals of Cleveland EMSi
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Prehospital Paradigm Podcast for EMS Best of 2024, Part 1
46:32
46:32
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46:32We take a look back at the best five minutes of our early episodes. In part 1 we discuss CPAP and better hand off care, the use of ketamine in assisted airways, toxicology, stroke, tactical medicine, innovations in resuscitation, steroids, and speak with a cardiac arrest survivor.By University Hospitals of Cleveland EMSi
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ECMO CPR - A New Way of CPR for EMS? - Part 4 (Live)
1:02:10
1:02:10
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1:02:10As the final installment to this topic, the crew hit the road to Shaker Heights. You will appreciate the open discussion.By University Hospitals of Cleveland EMSi
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ECMO CPR - A New Way of CPR for EMS? - Part 3
25:45
25:45
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25:45The crew continues with Dr. Frank Ford and Dr. Colin McCluskey further discusscussing EMS professionals utilizing ECMO CPR. They continue define how to spread the reach and implementation of this new CPR treatment technology.By University Hospitals of Cleveland EMSi
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ECMO CPR - A New Way of CPR for EMS? Part 2
26:53
26:53
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26:53Dr. Frank Ford and Dr. Colin McCluskey join the Caleb and Scott to further discuss EMS providers performing ECMO CPR. In part 2, we discuss application parameters such as a BLS-only crew, DNR patients, the age patients and geographical factors.By University Hospitals of Cleveland EMSi
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Dr. Frank Ford and Dr. Colin McCluskey join the Caleb and Scott to discuss EMS providers performing ECMO CPR. It's not really that new of a concept. But new to EMS within the UH EMS Institute medical direction system. Exciting updates.By University Hospitals of Cleveland EMSi
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Prehospital Paradigm Podcast - New MCI for EMS "Live" Show
1:01:01
1:01:01
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1:01:01The crew and special guest, Don Zimmerman, wind-up the discussion about the new approaches to MCI's in this live show. Special thanks to Chardon Fire for hosting us!By University Hospitals of Cleveland EMSi
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Prehospital Paradigm Podcast, Episode 28 - The New MCI, Part 3
35:56
35:56
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35:56In Part 3 of the "new" MCI episode, we are talking about changing the "paradigm" no pun intended) of planning, and on-scene thinking. From tags, to staging, to determining accessibilty, all of it is changing and will continue to change by reviewing other agency's after-action reports.By University Hospitals of Cleveland EMSi
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Prehospital Paradigm Podcast, Episode 28 - The New MCI, Part 2
29:25
29:25
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29:25The team is still talking with Don Zimmerman, MCI subject matter expert and instructor. In this, part 2 of the New MCI episode, the group discusses what Don calls, “silly rules!” For example, does the first ambulance really have to be the ambulance that stays at the MCI?By University Hospitals of Cleveland EMSi
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Prehospital Paradigm Podcast, Episode 28 - The New MCI, Part 1
36:30
36:30
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36:30In this month's episode, the team discuss the evolving strategies in handling mass casualty incidents (MCI). They are joined by Don Zimmerman, an expert with extensive experience in fire service, paramedicine, and education. The episode dives deep into the traditional and modern approaches to managing MCIs, particularly in the context of active sho…
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Extra Monday Episode - UH EMS Airway Series, Part 4 - The Surgical Airway
1:03:33
1:03:33
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1:03:33In this episode, the crew dives into the critical and high-stakes world of surgical airway management. The discussion focuses on needle cricothyrotomy, cricothyrotomy kits, and the essential skills and protocols for performing surgical cricothyrotomy. They explore the scenarios where these techniques become necessary, the tools required, and the st…
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Final Call: Behind the Mic with The Crossover Show/WYE Journey
1:26:51
1:26:51
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1:26:51Ever wondered how a couple of law enforcement and firefighting professionals found their way into the world of podcasting? Join us as we recount our incredible 14-year journey that we started with the “show that shall not be named”, The Crossover Show. From the nerve-wracking early days of audio editing struggles to the joy of connecting with our a…
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End Tidal CO2 for EMS - The Live Session
1:23:18
1:23:18
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1:23:18The podcast team goes "back to school," i.e. the Portage County Paramedic Class to record this live session. We're closing out the End Tidal CO2 session! Thenk you to the class for having us!By University Hospitals of Cleveland EMSi
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What do Sponge Bob, sharks and the direction that sharks are swimming have to do with simplifying the interpretation of End Tidal CO2 for EMS? The pod crew brings the discussion of simplifying the use of End Tidal CO2 for basic and advanced level providers.By University Hospitals of Cleveland EMSi
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The crew continues to explain the theory and some practical, applicable knowledge related to the use of End Tidal CO2 for patient care. They simplify how End Tidal CO2 is used to assess and tell "the patient's clinical story" and emphasizes why it should be a day-to-day patient care standard.By University Hospitals of Cleveland EMSi
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End Tidal CO2 is not just an ALS skill. It is a "live feed" of the patient's ongoing condition. The capnograph is relatively easy to read and, at minimum, monitor changes to be reported to an ALS partner or medical control physician. The pod crew takes time to work backwards, explaining the fundamentals of CO2 production.…
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Event Medicine for EMS Pre-Assessment, Execution and Lessons Learned - Live at Canfield Fair
57:13
57:13
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57:13Where else would the crew go, other than to an event, to wrap up the event medicine episode? For this month's live session, the gang went live at the Canfield Fair. Thanks again to University Hospitals of Cleveland's Manager of EMS and Community Outreach, Laura Frost, RN. Thanks also to retired Chief Frost for the welcoming us.…
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