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Like a daily 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 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 deliver quality care. Listening to a tip-of-the-day for 14-30 days prior to a class will help cement core concepts that have been shown to improve outcomes in patients suffer ...
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The Torn ACL Recovery Podcast is a short series podcast about ACL surgery (known as ACLR) and the recovery process in the days, weeks, and months that follow. Tips, resources, mental health, inspiration, and more. Online at http://tornaclrecoverypodcast.com/
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ACL IT academy

ACL IT academy

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ACL IT academy is an IT training institute in Kolkata that offers courses based on IT and technologies. This institute have experienced instructors from various top notch IT farms. Our blended learning approach combines class room training, online classes, instructor-led live virtual classrooms, project work, and teaching assistance.
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Talking Liberties with the ACLU of Illinois

Talking Liberties with the ACLU of Illinois

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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!
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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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In this week's episode of ATA Wally Meesh and Trey discuss the upcoming Bag Brawl in Minnesota and winners from last weekend's state and conference tournaments. They go through the shootout singles brackets and discuss if Jeremiah Ellis can win another singles event. After that they go through the doubles brackets to discuss who is favored to win. …
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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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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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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…
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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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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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In this week's episode of Around the ACL Jake Wally and Meesh sit down to discuss the Las Vegas Open by going over some interesting partnerships to watch this weekend. They cover news around the ACL and discuss the matchups for the Pro National format as well as the Pro Shootout round limited finals. Next they dive into teams and play Overreaction …
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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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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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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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In this week's episode of Around the ACL Meesh, Trey and Anthony recap the Cornhole Mania Pro event from this past weekend in Windsor Colorado. They discuss the winners and the matchups that will finish up on ESPN in a couple weeks in Las Vegas. They discuss the upcoming opportunities from the ACL Academy and play their usual games of Buy or Sell a…
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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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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: …
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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 …
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In this week's episode of Around The ACL Trey Meesh and Jake go over all the winners around the league in various state and conference tournaments. They preview the brackets that are out for Cornhole Mania in Windsor, Colorado. Then they review the standings and play underrated, overrated or properly rated before giving their Hole-y hot takes.…
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Historically, America’s public schools have been spaces where debates and resistance to civil liberties have played out. From racial integration to political protests, protecting the rights of students has been central to the story of constitutional rights.The times we’re in now are no different. In this episode, we hear from three advocates who ha…
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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…
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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…
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In this week's episode of Around The ACL Wally, Meesh and Trey Recap the second part of the Kickoff Battle and go over the winners of the shootouts and National pro series events. They recap Open #13 and discuss who has been impressive as the pro season is underway. The Standings have been updated and they explain just how hard it will be to catch …
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In episode 83, we’re introducing our new executive director, Mike Lee. Mike joined ACLU-PA in January after serving for six years in the administration of Philadelphia District Attorney Larry Krasner. In this conversation, Mike talks about what brought him to this moment leading the ACLU of Pennsylvania, his vision for the organization, and our pri…
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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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In this week's episode of Around the ACL Trey and Meesh hold it down until Wally lands in New Orleans. They discuss the upcoming Open in Westwego Louisiana. When Wally arrives they review the top 10 highlights from the Kickoff Battle and get prepared for this weekend's broadcasts. They play some trivia to let us know who the top players of the seas…
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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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In this week's episode of Around the ACL Meesh and Jake recap the first pro event of the season in West Palm Beach, Florida. They discuss what thy thought of the winner's and look ahead to Westwego where the championships will take place in 2 weeks. They preview the teams events for Kickoff Battle number 2, play Buy or Sell and then close out the s…
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In this week's episode of Around the ACL Trey Meesh and Wally are excited as we are "Finally" ready for the first pro event weekend. They discuss singles players to watch at the kick off battle and go over the ACL Teams matchups for this weekend's broadcasts on CBS. They play pretender or contender and finish off the show with their Hole-E-Hot Take…
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On this week's episode of Around The ACL Meesh, Trey, and Wally recap the last weekend's Open from Michigan with some awesome highlights and go over news around the ACL from conference and state championships. Then they dive into teams they want to watch for next week's first pro event, The Kickoff Battle in Palm Beach, FL. before closing out the s…
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In episode 118 of Around the ACL Trey and Anthony join Meesh and discuss the upcoming Open coming up in Brighton Michigan. Then they guess over/under to analyze where players will finish the season before discussing the 2024 award winner predictions. They close out the show by bringing the Baggin and Braggin games.…
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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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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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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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In this week's episode of Around the ACL Meesh, Jake, and Trey discuss last week's Open from Triadelphia, WV. Devon Harbaugh joins them fresh off of his Open Singles win for a quick interview. Then they go over the top 10 highlight clips from the Open and review the Delaware State Championships before diving into buy or sell and their hot takes for…
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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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On this week's episode of Around the ACL Meesh Trey and Anthony discuss the upcoming Open in Triadelphia, WV and recap the Carolina Conference tournaments as well as the Kentucky and Indiana State tournaments. They go over who they think is a contender or a pretender and discuss their sleepers before offering their Hot takes.…
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Trey and Anthony welcome Jake Brannon to the show and they sit down to recap the San Diego Open. They share the winners of the South Dakota State Championships. In buy or sell they talk about "The Ellies" and Tony Forbes continuing his hot streak. A quick recap of the European Open, ACL Teams and go over the schedule before ending on their super ho…
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Trey, Anthony, and Meesh preview Open #9. They tell us which teams and players they will be watching. Meesh tells us the winners from the Midwest Conference and the South Carolina State Championship. The team previews the ACL Pro Teams matchups at Open #9. Trey and Anthony give us their Pro Singles power rankings.…
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Trey, Anthony, and Meesh recap the Canada Open #1. They also share the winners of the North Carolina state championship. In Buy or Sell find out if the team believes Brandon Brown is the top Canadian player. Trey reveals some upcoming changes for Around the ACL and other cornhole podcasts. In Underrated, Overrated, Properly Rated, Trey and Anthony …
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