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Like a daily audio flash card. This show is intended for medical professionals preparing for an ACLS class. Each one-to-nine minute Flash Briefing-style episode covers one of the skills needed to recognize a stroke or cardiac emergency and work as a high-performing team to improve patient outcomes. Healthcare professionals that rarely participate in codes or use their BLS or ACLS skills but for their Q 2 yr recert, may find this a helpful daily reminder.
 
On Talking Liberties with the ACLU of Illinois, we are here to chat about the big issues of the day, both home in the Land of Lincoln and across our country. We are here to help educate and tell you how you can get involved so we work together towards a more perfect union. Each episode features interviews, news updates, events, and actions that you can take right now to protect your rights. Remember: dissent is patriotic!
 
For ACLP members, Child Life Specialists, partners and charities involved with the wonderful world of child life and for those looking to become a child life professional, this podcast is for you. Connect with professional opportunities, stay informed about child life news, and learn about what's new in child life. Hosted by Jennifer Lipsey, CEO and Bailey Kasten, COO from the headquarters for the Association of Child Life Professionals in Arlington, VA. We love child life!
 
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show series
 
The last ACL Open event of the year before the Pro season kicks off is this weekend, so the team dissects the roster for the event to identify some standouts. Trey, Michelle, and Anthony predict the end-of-season ACL Pro award winners, and Analyst Mike Morton joins the show to spotlight some incredible rookies this season!…
 
Today's episode we review two commonly used ACLS medications, epinephrine and dopamine. Epinephrine may be used to prevent a cardiac arrest in severe anaphylaxis or unstable bradycardia, during a cardiac arrest, and post arrest to maintain blood pressure. Epinephrine's doses and routs of administration. Dopamine is used to treat unstable bradycardi…
 
Today's ACLS tip is on rescue breathing and ventilation rates & ratios used with and without an advanced airway while doing CPR. How often to give a breath while administering rescue breathing to someone with a pulse. Advantages of using end tidal CO2 wave form capnography. Giving breaths while CPR is in progress prior to an advanced airway being p…
 
Accidental hypothermia is one of the reversible causes of cardiac arrest we consider in our Hs & Ts. Hypothermia is a body core temperature less than 96.8 degrees F or 36 degrees C. Depending on the patient's core temp, hypothermia may be moderate or severe. Classification of moderate vs severe hypothermia. Patients with hypothermia are not pronoun…
 
For ACLS, the use of calcium channel blockers is limited to the treatment of stable narrow complex tachycardias refractory to vagal maneuvers and Adenosine. Calcium channel blockers effect on the heart and blood vessels. Indications and contraindications for their use. Connect with me: @PassACLS on Twitter @Pass-ACLS-Podcast on LinkedIn Good luck w…
 
While running a code, the thing we hope for is return of spontaneous circulation (ROSC) followed by recovery so the patient can return to a normal life. The actions we take after identifying ROSC will have an impact on a patient’s eventual outcome. This episode covers: Managing O2, CO2, and Blood Pressure (BP). The use of fluids, Atropine, and IV d…
 
Nitroglycerine (NTG) is vasodilator that affects peripheral blood vessels and coronary arteries. It is used in the ACS algorithm to help relieve pain from cardiac ischemia as well as decrease the workload of the heart by reducing afterload. Indications, contraindications, and considerations for nitro's safe use. Interactions with PDE medications. A…
 
Today we review two common atrial ECG rhythms: Atrial fibrillation (or A-Fib); and Atrial flutter (or A-Flutter). What is the pathophysiology of A Fib and A Flutter and how that appears on the ECG. Signs and symptoms to differentiate stable vs unstable A Fib/flutter. Delivering biphasic synchronized cardioversion of unstable tachycardic patients. T…
 
Michelle, Anthony, and Trey dive into the big weekend that happened in Winter Haven, Mike Morton delivers some stats on Connie Altice’s performance this season, and the team debates whether or not some top players should be panicking this close to the Pro season!Trey Ryder
 
When thinking of reversible causes Hs & Ts - Tablets or Toxins, the first thing we should consider is the patient's history. What medications do they take? Do they have a history of opioid use or abuse? Have they been drinking? etc. As an ACLS provider you do not need to be familiar with all of the different signs of various types of poisoning. You…
 
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. While algorithms are helpful in this way, they can also cause some confusion when a patient’s condition changes. Generally speaking, if there’s a cha…
 
Beta blockers should be considered after MONA in the ACS algorithm and after Adenosine in the stable tachycardia algorithm. Beta receptors are adrenergic, meaning that they are stimulated by hormones released by the adrenal gland – primarily epinephrine (adrenaline) and norepinephrine. Beta receptors are located throughout the body but the receptor…
 
Advanced airways include endotracheal (ET) tube, laryngeal mask airway (LMA), and the laryngeal tube. All three will help protect the airway from aspiration and can be attached to a bag. Staff that don't bag patients that often find it easier when using an advanced airway because a good mask seal is not required. These airways also decrease the dea…
 
Our primary focus immediately following ROSC is aimed at ensuring adequate perfusion of the body’s vital organs. This is done by maintaining an O2 saturation between 92 and 98%, an end tidal CO2 of 34-45 mm Hg, and a blood pressure of at least 90 systolic. After we’ve ensured those are addressed, we may consider the use of an antiarrhythmic if the …
 
ACL Open #5 was filled with chaos and history, so the Around the ACL team recaps all of the amazing aspects of the weekend in Asheville. They cover a historic singles win, an eye-catching doubles tournament, and identify some floors and ceilings of some of the country's best players. Anthony and Trey also look ahead to Winter Haven this coming week…
 
When considering Hydrogen ions as a reversible cause of cardiac arrest, what we’re looking at is the patient’s pH or acid/base balance. pH is the negative log of H+ concentration. The pH scale goes from 0 to 14 with a pH of 7 being neutral. Different parts of the body have a different pH but when we discuss a patient’s overall pH we are using blood…
 
The algorithm approach to BLS and ACLS make things easier with regard to standardized decision making and priority of assessments & interventions. Algorithms guide our actions using an IF THEN methodology. For example: If the patient has only agonal/gasping respirations, then start high quality CPR. BLS algorithms should be second nature to every h…
 
Aspirin is the A in MONA, the acronym used to aid us in remembering the initial interventions in the ACS algorithm. Aspirin may have some beneficial anti-inflammatory effects, but it’s used in the Acute Coronary Syndrome primarily for its anti-platelet properties. Aspirin’s quick absorption and ability to inhibit platelets from aggregating makes it…
 
Today's episode, I will help you identify first and third degree heart blocks. You will need to be able to identify some basic ECG rhythms in your ACLS class. If you don't look at ECGs regularly, it will be helpful to learn a systematic approach and practice it for a few weeks before your class. Many hospitals have sim labs or medical libraries wit…
 
Amiodarone or lidocaine may be given to patients in VF or pulseless VT refractory to defibrillation and vasopressor. Recent study comparing Amiodarone to lidocaine shows no statistical difference in survival to discharge. 1-1.5 mg/kg lidocaine IV push is the initial dose for cardiac arrest. 0.5-0.75 mg/kg may be repeated in 5-10 minutes to a maximu…
 
The nasopharyngeal airway or NPA is an alternative to an oropharyngeal airway that can be used in patients with an intact gag reflex. The NPA comes in different sizes and must be measured to reduce the liklihood of complications caused from inserting a NPA too short or too long for the patient. The NPA should be used with caution in patients with a…
 
One of the biggest cornhole weekends of the year is over, so the team spend some time breaking down the 2021 National College Cornhole Championship, National High School Cornhole Championship, and US Open by USA Cornhole! Mike Morton joins us to discuss the importance of seeding at big events, and Trey and Anthony provide their players to watch thi…
 
Cardiac tamponade is one of the reversible causes of cardiac arrest that we should consider when working a code. Cardiac tamponade or pericardial tamponade is caused by an accumulation of blood or other fluid in the sac around the heart. The sac cannot expand so pressure is exerted on the heart, limiting its ability to pump effectively. A history o…
 
The ACLS quick reference cards can be used during your class while running the mega code and should be placed on your crash cart or AED in the clinical setting. Team leaders should use their team members for advice if they get confused or at a loss for the next action. Team leaders should ask their team members to suggest possible reversible cause …
 
Targeted Temperature Management (TTM) is an important part of post arrest care that has been shown to reduce cerebral damage after a prolonged cardiac arrest. If ROSC is obtained, manage the patient's O2 saturation & ETCO2, heart rate, & blood pressure. For a STEMI, get the patient to the Cath Lab for PCI as soon as possible. If the patient remains…
 
Vagal maneuvers work by stimulating the vagus nerve. Unstable patients with SVT or VT with a pulse should be cardioverted. Valsalva technique is the easiest and simply involves asking the patient to bear down. Stimulation of the dive reflex and carotid sinus massage are alternatives to Valsalva. Carotid sinus massage carries a risk of stroke for so…
 
The amount of energy needed to convert a cardiac dysrhythmia is different depending on your type of defibrillator and the patient's rhythm. Biphasic defibrillators require less energy than a monophasic. Cardioverting a beating heart requires less energy than defibrillating someone. When using a biphasic defibrillator the manufacturer's settings are…
 
Some people can rest comfortably with a heart rate of 40 and have no compromise while another person with a rate of 50 could be in distress. For this reason, it's important we treat the patient, not the monitor. Signs of hypotension, decreased level of consciousness, signs of shock or CHF, or ischemic chest pain all signify an unstable patient. 1 m…
 
With the National College Cornhole Championship happening this weekend, Trey, Anthony, and Michelle break down the top collegiate players to watch heading into the event. The team also previews the USA Cornhole US Open and the USA National Team as it prepares for its first event together as a team. Mike Morton also joins the show to discuss airmail…
 
Why does BLS and ACLS emphasize the importance of Early CPR & Defibrillation? Several studies show that patients who receive CPR early after an arrest are more likely to be successfully defibrillated. Each minute that passes decreases the likelihood of ROSC. Bystander CPR in an out of hospital arrest can improve the chance of successful defibrillat…
 
The BLS and ACLS chain of survival for cardiac emergencies is identical. The first few links in both the cardiac and stroke chain of survival are identical; recognizing symptoms and calling for help. This ensures patients get the most appropriate reperfusion therapy as soon as possible. To meet the aggressive guidelines for reperfusion of cardiac o…
 
Hypokalemia and hyperkalemia are one of the Hs we consider as a reversible cause of cardiac arrest. Some indicators regarding medical history, medications, and recent treatments as well as changes to the T wave on ECG could lead us to suspect a potassium issues. Diuretics, laxatives, and enemas can cause hypokalemia. Kidney injury or disease, ACE i…
 
Multiple studies have shown better patient outcomes the quicker that reperfusion of ischemic brain tissue occurs. Review the chain of survival and emphasis on early recognition of symptoms and activation of 9-1-1. EMS transports to an appropriate stroke center. 2020's updated goals include: 20 minutes to non-contrast CT, CT read within 45 minutes, …
 
2021 proved that the ACLU is as relevant as ever. The fights go on. In this episode, we hear from ACLU-PA Executive Director Reggie Shuford, who talks about the year that was and the year ahead in 2022. Reggie explains the issues we're prioritizing, the ongoing threats to democracy, and our commitment to living our values as an organization.…
 
Reading ECGs is a skill easily lost if not regularly practiced. Heart blocks are a problem area for many who don't look at ECGs as part of their job. How do we tell a second degree type I (Wenchebach) from a second degree type II? Why is it important to tell the difference between type I and II? What are the ACLS interventions for bradycardic patie…
 
The 2021 ACL Pro Teams Draft is now in the books, so the Around the ACL Team dives deep into which captains had the best and worst draft grades. The #1 female cornhole player in the world, Cheyenne Renner, joins the show for an interview on her sustained success in 2021. Michelle, Anthony, and Trey also cover some conference results and preview the…
 
Like other lawmakers in a handful of states, Pennsylvania Senate Republicans have initiated a sham review of the 2020 general election. On a party-line vote, a committee of the state Senate voted to subpoena the personally identifying information of all nine million registered voters in Pennsylvania. The subpoena demands voters' names, addresses, d…
 
Following the biggest ACL Open event in history this past weekend in Virginia Beach, Michelle, Trey, and Anthony discuss the results and surprises among the singles and doubles winners. Mike Morton joins the show to discuss how important winning the king/queen seat in cornhole is. The team also checks in on some conference events across the country…
 
With ACL Open #4 approaching this weekend, the team dives into which players and teams will break out, and which ones will continue to assert their dominance. Mike Morton joins the crew for a deep analytical dive into the correlation between preliminary qualifying play and ultimate finish, and the show wraps up with a look at some conference event …
 
Christopher Bruce, policy director - ACLUGA, spoke with KPFA in Berkeley, CA, about the murder trial of the 3 white men charged with murdering Mr. Ahmaud Arbery in Brunswick, GA.ACLU of Georgia
 
The fight around abortion access has once again made it to the U.S. Supreme Court. And around the country, abortion liberation activists are unpacking what a ruling overturning Roe v. Wade or rolling back access could mean for the landscape of abortion health care. On this episode of Speaking Freely, we are joined by Elicia Gonzales, executive dire…
 
This week the team reflects on players that impressed them, disappointed them, and are still leaving them puzzled through the first 3 ACL Opens of the year. Mike Morton dives into some interesting statistics surrounding scoring and winning tendencies, and some viral videos surface on the show!Trey Ryder
 
The team dives into results from ACL Open #3, including a recap of Mike Morton's "Dirty Dozen" teams that were predicted to be big winners on the weekend. Noah Almanza also makes an appearance on the show, fresh off of his big win in Cincinnati, and Anthony and Trey debate some intense Buy or Sell topics!…
 
Michelle Thompson, Anthony Ayon, and Trey Ryder recap the first ACL Open of the 2021-2022 season. Anthony and Trey provide their ACL Pro Top 10 Lists. The team also discusses some hot takes and dives into other results from across the country.Trey Ryder
 
Illinois currently has one of the most restrictive laws name change laws in the country – a law that bans people from being able to change their names for at least ten years. On this episode we discussed the harms that this law imposes and efforts in Springfield to remove this unjust restriction. We were joined by advocates Eisha Love, a transgende…
 
In August, staff at Central York High School were issued a long list of materials that could not be used in classroom instruction, per a ban by the district's board. What all of the resources had in common was that they were by or about people of color.After the situation became public in a story by the York Dispatch, students and staff at Central …
 
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