Best Stemy Podcasts (2024)

1
Defibrillation & Synchronized Cardioversion Energy Settings 5:34

4h ago5:34

5:34

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…

1
Identification and Treatment of Unstable Bradycardia 5:19

4h ago5:19

5:19

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…

1
Post-Arrest Care & Targeted Temperature Management (TTM) 5:14

3d ago5:14

5:14

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 …

1
The Chain of Survival for Cardiac & Stroke Emergencies 5:05

4h ago5:05

5:05

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…

1
Hypokalemia & Hyperkalemia as a H&T Reversible Cause 4:32

4d ago4:32

4:32

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…

1
Time Goals for Assessment & Treatment of Stroke 4:59

5d ago4:59

4:59

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 …

1
Medication Review: Adenosine 5:51

10d ago5:51

5:51

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…

1
Recognition of Second Degree Heart Blocks and Possible Interventions 7:21

11d ago7:21

7:21

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,…

1
SaO2 and Oxygen Administration 4:42

16d ago4:42

4:42

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…

1
Objective Measures of Good CPR 6:42

19d ago6:42

6:42

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…

1
Bradycardia Dosing for Atropine & Dopamine 5:57

19d ago5:57

5:57

When we should consider using the bradycardia algorithm. The signs & symptoms of unstable bradycardia. Atropine's 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 dose of Dopamine. The use of Dopami…

1
Oropharyngeal Airway (OPA) Review 5:58

17d ago5:58

5:58

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…

1
Hypoxia: An H&T Reversible Cause of Cardiac Arrest 5:54

18d ago5:54

5:54

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…

1
Sinus Tachycardia vs. Supraventricular Tachycardia (SVT) 6:08

20d ago6:08

6:08

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…

1
Administration of Epinephrine During Cardiac Arrest 5:12

22d ago5:12

5:12

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…

1
Identification & Treatment of Common Conditions That Can Mimic a Stroke 6:01

23d ago6:01

6:01

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 &…

1
Medication Administration Via Intraosseous or Endotracheal Tube Route 5:59

24d ago5:59

5:59

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…

1
Prehospital Capabilities and EMS Destination Protocols for STEMI & Stroke 5:53

25d ago5:53

5:53

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…

1
Review of Automated External Defibrillator (AED) 6:26

26d ago6:26

6:26

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 …

1
Asystole & Pulseless Electrical Activity (PEA) 6:50

29d ago6:50

6:50

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…

1
Songs To Help Us Deliver Good CPR 4:14

30d ago4:14

4:14

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…

1
Obtaining a Medical History 5:16

1M ago5:16

5:16

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…

1
Magnesium and Procainamide Review 5:17

1M ago5:17

5:17

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…

1
Hypovolemia as an H&T Cause of Cardiac Arrest 3:49

1M ago3:49

3:49

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. Connect with me: …

1
Morphine Review 4:43

1M ago4:43

4:43

MONA is the acronym sometimes used to help us remember the interventions to consider for patients with Acute Coronary Syndrome or ACS. 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 …

1
Maintaining a Chest Compression Fraction (CCF) Above 80% 5:36

2M ago5:36

5:36

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…

1
Medication Review: Epinephrine and Dopamine 5:56

1M ago5:56

5:56

Epinephrine and Dopamine are adrenergic agonist used in several ACLS algorithms. The use of epinephrine for severe anaphylaxis or 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 during…

1
Rescue Breathing & CPR Ventilation Ratios 6:07

2M ago6:07

6:07

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 …

1
H&T Reversible Causes of Cardiac Arrest: Hypothermia 4:12

2M ago4:12

4:12

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…

1
Medication Review: Calcium Channel Blockers 4:31

2M ago4:31

4:31

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…

1
El Cucuy Fall 2023 Guest Mix 1:04:49

8M ago1:04:49

1:04:49

El Cucuy Fall 2023 Guest Mix by subductionaudioBy subductionaudio

1
Binsky Summer 2023 Mix 1:18:00

9M ago1:18:00

1:18:00

Binsky Summer 2023 Mix by subductionaudioBy subductionaudio

1
Fireground Resuscitation with Dr. Robert Dunne 31:58

9M ago31:58

31:58

In this episode, we welcome Dr. Robert Dunne, who is the EMS Medical Director for the Detroit Fire Department, as well as the Detroit East Medical Control Authority. Dr. Dunne is here to describe why fire departments and EMS agencies should be prepared to treat patients with smoke inhalation injuries. Specifically, Dr. Dunne is here to put a spotli…

1
Scot Free Summer 2023 Mix 44:43

10M ago44:43

44:43

Scot Free Summer 2023 Mix by subductionaudioBy subductionaudio

1
Zealot Summer 2023 Mix 32:48

11M ago32:48

32:48

Zealot Summer 2023 Mix by subductionaudioBy subductionaudio

1
Mr Solve Summer 2023 Mix 42:12

11M ago42:12

42:12

Mr Solve Summer 2023 Mix by subductionaudioBy subductionaudio

1
OMI vs STEMI 34:25

11M ago34:25

34:25

We’re all familiar with the concept of STEMI. But the definition is built around a single ECG sign – not the underlying problem itself. Is that the best way to do it? Should we be thinking about this in a totally different way? Is Occlusive Myocardial Infarction (OMI) the new STEMI? Notes OMI Manifesto Amal Mattu on YouTube Subtle STEMI iOS app The…

1
Squake Summer 2023 Guest Mix 1:03:13

12M ago1:03:13

1:03:13

We took some much needed time off, and we are back with the perfect summer dnb mix for you!While the Fourth of July has passed, there's no need to let the sparks of excitement fade away. Join us as we continue to kindle the energy and light up your eardrums with a special guest mix from Squake that will create musical fireworks that resonate within…

1
Managing Conflict With Patients, Colleagues, and Staff | Flourishing in Medicine 40:44

1y ago40:44

40:44

Managing Conflict With Patients, Colleagues, and Staff by Ronald Eptein, MD Flourishing in Medicine is a 7-hour online skills-building course for enhancing well-being and addressing clinician burnout. Learn more and purchase at https://courses.ccme.org/course/flour.... Address and improve your relationships with patients and colleagues to advance t…

1
Dental Disorders - EMCert Module Mastery 10:11

1y ago10:11

10:11

Dental Disorders by Drs. Diane Birnbaumer and Andrea Wu, MD. EMCert Module Mastery - Everything you need to prepare for your ABEM MyEMCert exams. Learn more and purchase at https://courses.ccme.org/course/emcer.... - Produced by the creators of the National Emergency Medicine Board Review Course - In-depth audio and videos with slides to help reinf…

1
Defference between successful entrepreneur and unsuccessful entrepreneur 24:55

1y ago24:55

24:55

Today we are taking about what are the defferences that makes a entrepreneur successful and unsuccessful.I hope this will really help you to understand the mistakes that most of the entrepreneurs do in their journey that leads them to the way of unsuccess.

1
Benefits of starting a business as a teenager 11:06

1y ago11:06

11:06

One of the biggest advantages of getting started with entrepreneurship at a young age is the opportunity to learn important skills such as teamwork, networking, problem-solving , critical thinking, innovation, self-discipline ,etc All these skills can help in school performance and later in Life.

1
Your Right To Be Rich 18:41

1y ago18:41

18:41

Be bold enough to claim that it is your right to be rich and your deeper mind will honor your claim. You don't want just enough to go around. You want all the money you need to do all the things you want to do and when you want to do them. Get acquainted with the riches of your subconscious mind.

1
Realize Your Desire 8:40

1y ago8:40

8:40

Success means successful living.A long period of peace ,joy and happiness on this plane may be termed success.The real thing of life,such as,peace, harmony, integrity, security, and happiness,are intangible.They come from our deep self.Meditating on these qualities builds these treasures of heaven in our subconscious; it is where moth and rust do n…

1
Right Action 1:45

1y ago1:45

1:45

When we radiate goodwill to all mankind in thoughts, words and deeds then we know the peace and goodwill that we radiate to our fellowman come back to us a thousand fold.Always stay tuned and motivatedRight action is a part of Expression from Riches Are You Right which is written by Dr. Joseph Murphy.…

1
Divine Guidance 8:43

1y ago8:43

8:43

Life isn't meant to be boring.You're meant to live out your purpose.Divine Guidance is a part of Expression from Riches Are You Right which is written by Dr. Joseph Murphy.

1
The Master Secret Of Ages 4:26

1y ago4:26

4:26

Within yourself subconscious depth lie wisdom, infinite power, and infinite supply of all that is necessary, which is waiting for development and expression.Begin now to recognize these potentialities of your deeper mind, and they will take form in the world without.The master secret of the age is a part of the treasure house within you from the po…

1
The Treasure House Within You 4:52

1y ago4:52

4:52

Infinite riches are all around you if you will open your metal eyes and behold the treasure house of infinity within you. There is a gold mine within you from which you can extract everything you need to live life gloriously, joyously, and abundantly.The treasure house within you is a part of the power of your subconscious mind which is written by …

1
The Divine Answer 5:11

1y ago5:11

5:11

As we know that God has the answer. With God all things are possible. God is living spirit almighty within us; He is the source of all wisdom and illumination.The Divine Answer is a part of Expression from Riches Are You Right which is written by Dr. Joseph Murphy.

1
The Answered Prayer 7:39

1y ago7:39

7:39

Have always faith in God that God always listen you when you praying he always give answers to your prayers never lose your faith in God,ask for for everything whatever you want in your life and believe that it is done and it will definitely done by God but you have to do one thing that is have faith in God and yourself that it is done.The Answered…

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