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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 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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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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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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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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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 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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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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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: Find a system for ECG interpretation that works well for you; and Practice reading ECGs every day for a few weeks before your clas…
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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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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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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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Two things have changed in recent years to aid students that don't use ACLS in their daily practice. 1. The role of the team leader; and 2. 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…
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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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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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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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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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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 …
  continue reading
 
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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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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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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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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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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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 and fre…
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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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The 2020 ACLS guidelines updated the dose for administration of Atropine and Dopamine for the treatment of unstable bradycardia. The signs & symptoms of unstable bradycardia. Atropine's new 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 at…
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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 and causing an airway obstruction. The oropharyngeal airway is sometimes called an OPA or simply an oral airway. Indications for using an oral airway. Contraindication …
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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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Trey, Anthony, and Meesh recap Open #8 in Bryan, Texas. They give us the winners and top players from the event. In Overreaction Monday, find out which Gore brother Trey and Anthony feel is coming out on top this season. The team shares the winners from Southeast Conference, West Conference, and Triple Crown. The team previews Canada Open #1. They …
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Trey, Anthony, and Meesh recap ACL Open #7 in Hamilton, Ohio. Trey shares how Mark Richards and Tony Smith dominated in doubles. Watch Overreaction Monday to find out if the team feels Matt and Brett Guy are back in the top 10 discussion. The team previews Open #8 in Bryan, Texas. They share which players and teams they will be watching. Trey and A…
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Trey, Anthony, and Meesh recap a jam-packed Myrtle Beach weekend including the National College Cornhole Championships, the National High School Cornhole Championships, Open #6, and ACL Pro Teams. The team tells us the winners of each championship and tournament. For ACL Pro Teams they take a look at some of the matchups in some games and discuss h…
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Jeff joins Trey and Anthony on this week’s episode of Around the ACL. Trey, Anthony, and Jeff reminisce on their favorite moments of the year. The team previews the ACL College and High School Championships in Myrtle Beach, SC. They tell us which players they predict will end up on top. Make sure to stay tuned for Buy or Sell to find out if Trey an…
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Trey, Anthony, and Meesh recap the Australia Open. The team previews Open #6 in Myrtle Beach. They tell us which players and teams they are excited to watch and could be possible breakout players of the open. Meesh shares the winners in singles and doubles for the Mid East Conference, Southwest Conference, and Ontario Conference. Trey, Anthony, and…
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Trey, Anthony, and Meesh kick off this week’s episode of Around the ACL by telling us what they are thankful for and their Thanksgiving plans. The team recaps Open #4 in Memphis, Tennessee reporting the winners for each event. The team shares the winners from the Northwest Conference, Atlantic Conference, and Mid North Conference. Trey and Anthony …
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Trey, Anthony, and Meesh recap Open #3 in Tiverton, Rhode Island. Trey emphasizes the incredible success Mark Richards had in singles. Meesh shares the winners from the Carolina Conference event, Mid South Conference event, and the Badgerland Regional. The team previews Open #4 in Memphis. They tell us which players they will be watching. Make sure…
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Trey, Anthony, and Meesh preview ACL Open #3 in Tiverton, Rhode Island. They tell us which teams and players they will be watching. Trey and Anthony provide draft grades for each of the ACL Pro Teams in the National West. Trey and Anthony give us their ACL Pro Doubles Power Rankings. Make sure to listen until the end of the episode to find out whic…
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Around the ACL is celebrating its 100th episode and reminiscing on the very beginning of their podcast. Trey and Anthony provide draft grades for each of the teams in the National Central Region. Trey and Anthony share their Pro Singles Power Rankings. In the Buy or Sell segment the team shares if they believe Ryan Traiteur will finish the season a…
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