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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 one-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 14-30 days prior to your ACLS class will help cement the core concepts t ...
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"Heavy lies the crown" is a common misquote of "uneasy lies the head that wears a crown" from Shakespeare's Henry IV, Part 2. It refers to the responsibility and insecurity of governing an entire kingdom. Likewise, "heavy lies the helmet" refers to the responsibility we face as critical care transport providers working in an autonomous and often unpredictable environment. Our minds are eased with education that better prepares us for any situation that we may encounter. That is exactly what ...
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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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Registry Insider is the new vodcast from the National Registry of EMTs. Hosted by CEO and Executive Director Bill Seifarth, Registry Insider gives you insight, news, and in-depth conversations on a multitude of topics from the National Registry and the EMS industry. With new episodes every week, Registry Insider will keep you informed!
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EMDR Therapy is a complex but powerful form of psychotherapy, and EMDR therapists need input from other experts in the approach to keep learning how to help clients. The EMDR Maven podcast provides an opportunity to learn, ask questions, and gain expertise from someone with a strong passion for EMDR therapy, and accumulated knowledge since the year 2000. Julie Miller, MC, LPC, LISAC, has that kind of expertise, and communicates in a clear and articulate manner. Julie is an EMDRIA Approved Ba ...
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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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"That's Bush...BUSH LEAGUE!" -Ron Burgundy
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A bootstrappers podcast for founders, entrepreneurs, visionaries and dreamers who are building businesses from the ground up without the taking on debt or selling equity. Here we cover marketing, sales, organization and mindset issues that matter to you
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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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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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This episode overviews the BLS practice analysis recently completed for EMR and EMT, as well as the impact that the analysis will have on future examinations. Joining me for this episode are Dr. Mihaiela Gugiu, Dr. Nadine McBride, and Dr. Paul Rosenberger. By The National Registry of EMTs
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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 as an 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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What’s on the horizon at the National Registry?
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This episode discusses the future of the National Registry and the initiatives to be undertaken by the nation’s EMS certification organization. Joining me in this episode are Dr. Mike McEvoy, Dr. Scott Gilmore, and Mr. Alan Arguello. By The National Registry of EMTs
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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. The patient’s GCS/LOC should be evaluated to determine …
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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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Special Guest Linda Ouellette - "What if I'm Talking Too Much?"
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Linda Ouellette, LPC, EMDRIA Approved Consultant, Certified Therapist, and HAP/EMDR Institute Training Facilitator, joins us for discussion about when we talk too much as a therapist. Research is discussed related to the use of group EMDR protocols for on-going traumatic stress, and using them in schools to deal with bullying - great idea! Join us …
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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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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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This episode discusses what the Longitudinal Inquiry into Fire and EMS Study (LIFE) is and what potential benefits the study will provide the EMS and fire communities as it relates to long-term health impacts caused by the EMS and fire professions. Joining me in this episode is Dr. Ash Panchal. By The National Registry of EMTs
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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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This episode overviews what is the continued competency initiative and what it means for the broader EMS community. Joining me in this episode are Dr. Scott Gilmore and Dr. Kim McKenna.By The National Registry of EMTs
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How to approach fear of conflict/people pleasing with EMDR therapy?
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Serenity asks: I am wondering what the best approach may be to utilize EMDR for fear of conflict and people pleasing concerns. How can se use EMDR therapy to get resolve the dysfunctional behavior/emotions/beliefs. Research on dysfunctional positive affect. Resource to teach clients who can imagine a shield that would protect them from critical sta…
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Episode 120 - Sorry, We Are Closed: Interfacility Transfers w/Austin Wingate
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Interfacility transfers are not always indicated at the time and place of which they are being requested. Whether it's referring provider misinformation or a lack of advocacy by the transport agency, these transfers can result in unnecessary risk for crew members and patients. Specifically, weather conditions, time of day, crew fatigue, and other i…
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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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Ep: 16 Turtle's Master Class: Book Review - The Great Silver Bull
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Code Flow Using the Adult Cardiac Arrest Algorithm
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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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Aspirin Use in ACLS’s ACS & Stroke Algorithms
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For patients exhibiting symptoms consistent with myocardial ischemia, Aspirin is the first medications we should consider along with morphine, oxygen, and nitroglycerine; if indicated & safe. Aspirin's mechanism of action & benefits for Acute Coronary Syndrome (ACS) patients. Contraindications and considerations for aspirin’s use. The dose and rout…
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This episode discusses the current challenges facing State EMS offices in their regulatory role. Joining me in this episode are Mr. Kraig Kinney, Mr. Mike Johnson, and Mr. Steve McCoy.By The National Registry of EMTs
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To pass ACLS, you will need to be able to identify common rhythms on a monitor during your mega code and ECG strips on your written exam. If you don't normally monitor patients as part of your job, I suggest two things: 1. Find a system for ECG interpretation that works well for you; and 2. Practice reading ECGs every day for a few weeks before you…
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In the Adult Cardiac Arrest algorithm, we should administer an antiarrhythmic medication to patients in V-Fib or pulseless ventricular tachycardia approximately two minutes after the first dose of epinephrine. The two first-line ACLS antiarrhythmics that are generally used are Amiodarone and Lidocaine. Review of Lidocaine dosing and administration …
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Special Guest Carol Miles LCSW - What are EMDR Intensives?
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Carol Miles, LCSW, discusses EMDR Intensives and why they are effective. What does the research on intensives say? Discussion on CIPOS resource.By Julie Miller, MC, LPC, LISAC
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The tongue is the most common airway obstruction in an unconscious patient. For patients with a decreased level of consciousness that can't control their airway, yet have an intact gag reflex, the nasopharyngeal airway (NPA) should be used as an alternative to the oropharyngeal airway (OPA). Examples of when a NPA should be considered. Contraindica…
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Tamponade as an H&T Reversible Cause of Cardiac Arrest
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When blood, or other fluids, accumulate in the sac around the heart it’s called a cardiac tamponade or pericardial tamponade. The effects of tamponade on the electrical system and chambers of the heart. Cardiac tamponade can be acute or chronic and caused by traumatic, iatrogenic, or pathological etiologies. Common traumatic events, medical procedu…
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The Team Leader Role and Use of Quick Reference Cards
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Two things have changed in recent years to aid students that don't use ACLS in their daily practice. The role of the team leader; and The ability to use your quick reference cards. The team leader is responsible for assigning tasks and overall direction of the team but can & should ask team members for help. Using closed-loop communication to ensur…
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This episode overviews the role that evidence-based guidelines are playing with the National Registry’s examinations, as well as with continued competency. Joining CEO and Executive Director Bill Seifarth in this episode are Dr. Scott Gilmore and Dr. Paul Rosenberger. More on the prehospital guidelines consortium: https://prehospitalguidelines.org/…
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Two factors to cardiac arrest survivability that have been clearly shown to make the biggest difference is continuous, high-quality CPR and early defibrillation. The most common dysrhythmia present during the first few minutes of cardiac arrest is ventricular fibrillation. The chance of successful defibrillation decreases every minute that passes. …
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Quantitative waveform capnography is used in ACLS as a way to confirm good CPR and placement of an endotracheal tube; identify return of spontaneous circulation; and during post-cardiac arrest care. We can use waveform capnography with, and without, an advanced airway in place. Monitoring end tidal CO2 during rescue breathing. Use of capnography to…
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How soon is too soon to do EMDR with a client?
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How long do we have to wait before doing EMDR with a client who had a recent traumatic event? Research on the use of EMDR early intervention to prevent PTSD. Using coherent breathing/Heartmath as a resource.By Julie Miller, MC, LPC, LISAC
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Vagal Maneuvers for Stable Tachycardia Patients
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Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT. Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients. Commonly used vagal techniques. A less common technique to stimulate the vagus nerve is the dive reflex. Indication…
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Guidance from ILCOR: Improving Cardiac Arrest Outcomes
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Join us as we review and explore the key steps presented in the International Liaison Committee on Resuscitation (ILCOR) paper, “Ten Steps Toward Improving In-Hospital Cardiac Arrest Quality of Care and Outcomes.” Our clinical guests dive into the steps and discuss the importance of each for clinicians striving to improve outcomes from cardiac arre…
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Defibrillation & Synchronized Cardioversion Energy Settings
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Remembering all the different energy setting needed for synchronized cardioversion and defibrillation used to be confusing for a lot of people. Defibrillators can be broken down into three basic categories: 1. Automated External Defibrillator (AED); 2. Biphasic defibrillators; and 3. Monophasic defibrillators. Use of an AED to rapidly deliver a sho…
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Identification and Treatment of Unstable Bradycardia
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Patients with a heart rate less than 60 are bradycardic. Some people can have a resting heart rate in the 40s without any compromise. For others, a heart rate of 50 or less could signify the need for immediate intervention and warrants additional assessment. Signs & symptoms that indicate a bradycardic patient is unstable. Monitoring oxygen saturat…
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ALS Redesign – What is it? Why are we doing it? This episode overviews the what and why behind the ALS Redesign of the National Registry’s new AEMT and Paramedic certification examinations. Joining CEO and Executive Director Bill Seifarth in this episode are Dr. Mihaiela Gugiu, Dr. Nadine McBride, and Dr. Paul Rosenberger. For more information abou…
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Passing the National Registry Examination
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How do you prepare your students to be successful with the National Registry examinations? This episode provides some practical advice for educators and students alike as to how to prepare to be successful with the examination, and more importantly, how to be successful with being safe and effective EMS clinicians. Joining me in this episode are Dr…
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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. The patient’s GCS/LOC should be evaluated to determine …
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The Chain of Survival for Cardiac & Stroke Emergencies
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The chain of survival for ACLS is the same as was learned in your BLS class. The beginning steps of the Cardiac Emergency and Stroke chain of survival. ACLS's timed goals for first medical contact to PCI for STEMI and door-to-needle for ischemic stroke. Characteristics of areas that have significantly better stroke and out-of-hospital cardiac arres…
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Hypokalemia & Hyperkalemia as a H&T Reversible Cause
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Heart muscle contraction and repolarization is dependent on Sodium, Calcium, Magnesium, and Potassium ions crossing cellular membranes. When a patient’s potassium levels get too low or too high, hypokalemia or hyperkalemia results respectively. Two things that may lead us to suspect hypo or hyperkalemia. Medical conditions & medications that can ca…
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Time Goals for Assessment & Treatment of Stroke
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When treating patients having an MI or stroke, more minutes equals more dead cells. Because the majority of strokes are the ischemic type, the treatment for stroke is similar to an MI; to reestablish perfusion to the ischemic tissues. Review the first four steps in the Stroke Chain of Survival. Time criteria for the administration of tPA or EVT of …
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How can I get into a specialized niche as an EMDR therapist?
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Question from a listener: I have a special interest in applications of EMDR for overcoming psychological barriers to medical interventions. I'm curious to learn more about what other people pursue as niche areas of EMDR applications. Research: The effect of eye movement desensitization and reprocessing on fibromyalgia Resource: Healthy Capable Adul…
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Adenosine is the first IV medication given to stable patients with sustained supraventricular tachycardia (SVT) refractory to vagal maneuvers. Symptoms indicating a stable vs unstable patient. Common causes of tachycardia. Cardiac effects of Adenosine. Indications for use in the ACLS Tachycardia algorithm. Considerations and contraindications. Aden…
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Recognition of Second Degree Heart Blocks and Possible Interventions
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To pass the written ACLS exam and mega code, students need to be able to identify basic ECG dysrhythmias, including the two types of second-degree heart block. One method of ECG rhythm identification is to ask a series of questions such as: What's the rate (<60, 60-100, 101-149, or >150); Is the rhythm regular or irregular; What's the shape, width,…
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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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What prescription drugs interfere with EMDR therapy?
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1) Question of the week: What prescription drugs interfere with reprocessing? 2) Research on the use of EMDR for adults with suicidal ideation. 3) Using the Spiral exercise. Each podcast, we’ll answer the “Question of the Week," do a research review on a study of particular interest in EMDR therapy, and resources we can use. Free resources and adva…
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The client comes in every week with a crisis, and we can’t get to EMDR work. Research demonstrating the effectiveness of kinesthetic bilateral stimulation. Francine Shapiro's light stream visualization for state change and containment.By Julie Miller, MC, LPC, LISAC
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Do you struggle with clients who talk a lot (too much?) between sets? Research on how EMDR therapy can help clients with tinnitus. Free resource idea!By Julie Miller, MC, LPC, LISAC
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Episode 119 - Losses and Gains: Antidiuretic Hormone
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Antidiuretic hormone (ADH) plays an essential part in the body's osmotic/fluid balance, sodium homeostasis, and blood pressure regulation. This hormone is synthesized in the hypothalamus and released from the posterior pituitary gland. In conditions such as Diabetes Insipidus (DI) and Syndrome of Inappropriate ADH (SIADH), there is a lack of synthe…
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