Los mejores podcasts de ACL (2025)

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Around The ACL E164 49:52

hace 3 días49:52

49:52

On this week's episode of Around the ACL Trey Wally and Jake catch up as Meesh takes the week off for her women's retreat. Jake and Wally go over the singles and doubles players to watch for Open #11 in Brighton, Michigan. Then they give their opinions on which teams will stay together or split for next season. They introduce a new game called "We'…

1
Oropharyngeal Airway (OPA) Review 6:02

hace 4 horas6:02

6:02

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: An H&T Reversible Cause of Cardiac Arrest 5:51

hace un día5:51

5:51

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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Supraventricular Tachycardia (SVT) 6:06

hace 2 días6:06

6:06

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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Epinephrine Use During Cardiac Arrest 5:11

hace 3 días5:11

5:11

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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Common Conditions That Can Mimic a Stroke 5:58

hace 4 días5:58

5:58

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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IO & ETT Routes for Medication Administration 5:56

hace 7 días5:56

5:56

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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EMS and Transportation to the Most Appropriate Facility 5:51

hace 8 días5:51

5:51

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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Automated External Defibrillator (AED) Review 6:23

hace 9 días6:23

6:23

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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Asystole & Pulseless Electrical Activity (PEA) 6:57

hace 10 días6:57

6:57

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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Around The ACL E163 49:52

hace 11 días49:52

49:52

On this week's episode of Around the ACL Meesh is joined by Trey and Anthony to recap Open #10 in Louisiana. They discuss the winners from the Open as well as talk about going forward who needs a win to get themselves right. Anthony and Meesh tease a clip from the ACL Academy. The crew plays another round of Overreaction Wednesday before giving the…

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CPR Songs 4:20

hace 11 días4:20

4:20

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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Obtaining a Medical History 5:10

hace 14 días5:10

5:10

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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Medication Review: Magnesium and Procainamide 5:29

hace 15 días5:29

5:29

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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Hypovolemia: An H&T Cause of Cardiac Arrest 4:03

hace 16 días4:03

4:03

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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Around the ACL E162 50:08

hace 17 días50:08

50:08

On this week's episode of Around the ACL Meesh Trey and Jake discuss Open #10 coming up in West Monroe, LA, which will have the top 8 singles players in the field. Jake and Trey go over their top 10 players by giving their power rankings. Next Meesh offers the guys some options for the game Pretender or Contender. Lastly they all give their hot tak…

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Medication Review: Morphine 4:48

hace 17 días4:48

4:48

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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Maintaining a Chest Compression Fraction (CCF) Above 80% 5:49

hace 18 días5:49

5:49

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 Review 6:33

hace 21 días6:33

6:33

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

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Rescue Breathing & CPR Ventilation Ratios 6:19

hace 22 días6:19

6:19

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: A H&T Reversible Cause of Cardiac Arrest 4:19

hace 23 días4:19

4:19

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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Around The ACL E161 49:30

hace 24 días49:30

49:30

On this week's episode of Around the ACL, Trey Anthony and Meesh go over the remaining Signature and Open schedule. They give their power rankings for the top doubles teams in the country and watch the top 10 shots from Open #9. They play buy or sell before closing out the show giving their Hole-y Hot Takes. Please leave us a review at https://rate…

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Calcium Channel Blockers 4:21

hace 24 días4:21

4:21

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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Post-Arrest Care & Targeted Temperature Management (TTM) 5:16

hace 25 días5:16

5:16

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 Use for ACS 4:46

hace 28 días4:46

4:46

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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Atrial Fibrillation/Flutter with RVR 5:09

hace 29 días5:09

5:09

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 4:36

hace un año4:36

4:36

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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Around The ACL E160 49:35

hace un año49:35

49:35

On this week's episode of Around the ACL Wally Meesh and Trey discuss the Open # 9 results from Reno, NV. They debate over what the title race may look like for the 2025 season and discuss the current standings for singles and doubles. Meesh asks Wally and Trey are these players and teams Overrated, Underrated, or Properly rated. They close out the…

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When To Use Which ACLS Algorithm 8:44

hace un año8:44

8:44

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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Beta Blocker Use in ACLS 4:51

hace un año4:51

4:51

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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Advanced Airways 7:33

hace un año7:33

7:33

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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Antiarrhythmic Use After ROSC 5:24

hace un año5:24

5:24

Our primary focus immediately following return of spontaneous circulation (ROSC) is aimed at ensuring adequate perfusion of the patient’s vital organs and decreasing cerebral damage. Post-arrest goals for O2 saturation, ETCO2, and BP/MAP. Indications for use of an antiarrhythmic after ROSC. Determining which antiarrhythmic to use post cardiac arres…

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Hydrogen Ions as a H&T Reversible Cause of Cardiac Arrest 4:36

hace un año4:36

4:36

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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Adult Cardiac Arrest Algorithm Code Flow 8:32

hace un año8:32

8:32

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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Around The ACL E159 50:12

hace un año50:12

50:12

On this week's episode of ATA Trey Meesh and Anthony discuss the SuperBowl Experience in New Orleans before going over the registration list for Open #9 coming up this weekend in Reno, NV. They continue to discuss ideas from the fans about the future of cornhole. Finally, they end the show by giving their Hole-y Hot Takes.Please leave us a review a…

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Aspirin Use in ACLS’s ACS & Stroke Algorithms 4:23

hace un año4:23

4:23

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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Around The ACL E158 49:56

hace un año49:56

49:56

On this week's episode of Around the ACL Jake Meesh and Trey recapped last weekend's open in Albuquerque, NM. The trio goes over the winners and plays some Buy or Sell. Then the listeners tell us the future of cornhole in their eyes. Closing out the show as usual, they all give their hot takes and prepare for the big game festivities in New Orleans…

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Around The ACL E157 49:32

hace un año49:32

49:32

On this week's episode of Around The ACL Meesh is joined by Anthony and Trey to discuss the Albuquerque, NM Open this next weekend. They go through some paired up teams and talk about who they want to watch before reviewing the top 10 shots from Biloxi. Next they discuss who needs a win before closing out the shows with listeners responses and the …

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Around The ACL E156 49:31

hace un año49:31

49:31

On this week's episode of Around The ACL, Meesh Wally and Trey recap the Biloxi Open and answer if the big names in cornhole are back on top. Trey discusses all the big things happening in Europe. Meesh then asks questions to see if we are all overreacting before they play top floor bagger, top four bagger, send it or board it then would you rather…

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Around The ACL E155 49:38

hace un año49:38

49:38

On this week's episode of Around the ACL Jake Meesh and Anthony recap the top 10 highlights from Open #6 in Myrtle Beach and look forward to next week's Open in Biloxi, MS. Meesh gives a sneak peak to the ACL Academy by showing segments from Quinn Reeves and Alex Bolowich. Then the trio closes out the show by playing Buy or Sell and giving their ho…

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Around The ACL E154 49:42

hace un año49:42

49:42

On this week's episode of Around the ACL Meesh, Wally, and Trey discuss the Myrtle Beach Open and go over all the winners. They also give their way too early predictions for 2025 before playing fact or fiction. Before they look forward to 2025 they look back on some of their most memorable moments from 2024 both in the cornhole world and in their p…

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Documenting the Cruel Practices of ICE 38:29

hace un año38:29

38:29

In October, ACLU-PA released a new report called Cold Reality: Uncovering the Cruelty and Chaos of ICE Practices in Pennsylvania. The report is an analysis of documents obtained from Immigration and Customs Enforcement, known as ICE, and what they show about the harm that ICE enforcement actions do to families and communities.Here to talk about it …

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Around The ACL E153 49:52

hace un año49:52

49:52

On this week's episode of Around The ACL Meesh is joined by Trey and Jake to recap the Richmond Open and review the top ten shots from the weekend. After that they then go over the top doubles teams in the world and try to decide who is underrated, overrated and properly rated. Finishing out the show they answer listener questions before giving the…

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Pennsylvania’s Failed System of Indigent Defense 33:04

hace un año33:04

33:04

Both the U.S. and Pennsylvania constitutions guarantee the right to an attorney for someone facing criminal charges, regardless of a person’s ability to pay. But for decades, Pennsylvania has been woefully inadequate in ensuring that people living in poverty receive effective representation. So in June, the ACLU of Pennsylvania, with volunteer atto…

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Around The ACL E152 49:46

hace un año49:46

49:46

On this week's episode of Around The ACL Michelle is joined by Trey and Jake to discuss the upcoming Open in Henrico, VA. They go over the stacked registration and discuss the standings and who they are looking forward to watching this weekend. Next they play underrated, overrated or property rated before answering your questions. Finally they end …

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Getting Ready for the Challenges Ahead 27:41

hace un año27:41

27:41

Donald Trump will be the next president of the United States. And based on his first turn as president and his rhetoric in the campaign, we know that he and his cronies are a clear and present danger to our most basic freedoms and to democracy itself.So what does that mean for the ACLU, as an organization dedicated to defend people’s civil libertie…

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Around The ACL E151 49:59

hace un año49:59

49:59

In this week's episode of Around the ACL Meesh Trey and Wally recap Open #4 from Hamilton Ohio and discuss all the first time winners. They play a new game called Fact or Fiction before playing Buy or Sell. Trey and Wally then answer some questions from the viewers and go over possible new shot names before giving their Hole-y Hot Takes. Please lea…

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Around the ACL E150 50:30

hace un año50:30

50:30

On this week's episode of Around the ACL Meesh Trey and Anthony discuss the Open #4 sign ups for Hamilton Ohio and play a clip from the ACL Academy on how to build a high-performability routine. They then discuss their power rankings and answer some more questions from the listeners. As always they end the show by giving their hot takes. Please lea…

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Around The ACL E149 49:19

hace un año49:19

49:19

On this week's episode of Around the ACL Meesh is joined by Jake and Trey as they discuss Open #3 in Little Rock and just exactly how good Devon Harbaugh is right now. They go over the top 10 highlights from the last weekend. Then they answer some listener questions before getting into overreaction Wednesday. Lastly they close out the show by givin…

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Around the ACL E148 49:25

hace un año49:25

49:25

On this week's episode of Around The ACL Michelle, Trey, and Anthony look forward to Open #3 and pick some teams they want to keep a close eye on this weekend. They discuss exciting things coming up from the ACL Academy and go over Anthony and Trey's power rankings. Then they finish the show by playing Buy or Sell and give the Hole-Y Hot Takes.…

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