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The weekly destination for all things American Cornhole League. Hosted by Trey Ryder, Anthony Ayon, and Michelle Thompson, Around the ACL will dive into all the latest news, results, and analytics around the cornhole world. Leave your review at https://ratethispodcast.com/acl.
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I'm Paul from PassACLS.com and I'm here to help you pass ACLS. Like an 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 episode covers one of the skills needed to recognize a stroke or cardiac emergency and work as a high performing team to deliver safe, quality patient care. Listening to a tip a day for 14-30 days prior to your ACLS class will help cement the core concepts t ...
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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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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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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 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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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 …
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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. The first four steps in the Stroke Chain of Survival. Time criteria for the administration of tPA (or a similar fi…
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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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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, 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 use the bradycardia algorithm. The signs & symptoms of unstable bradycardia. Atropine's bradycardic 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 starting dose of Dopamine. The use…
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On this week's episode of Around The ACL Wally Meesh and Trey recap the Des Moines, Iowa episode and discuss Ryan Traiteur's dominance. They then discuss some sleepers and some disappointments that they found impressive or left more to be desired. Next they play their games from the Baggin and Braggin show before they give their hot takes.…
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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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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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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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In 2024, ACLU-PA and our partners have taken a different approach with our legal strategy than in past election cycles. This year, we’ve implemented a proactive strategy to make sure that voters who want to cast a ballot can do so without unnecessary hurdles.Vic Walczak, legal director of the ACLU of Pennsylvania, joins the pod to talk about it. By…
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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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In the run up to this year’s election, we here at the ACLU knew that candidates would be talking about the two issues of immigration and public safety. Knowing that was coming, the ACLU has been engaged all year in a research project called Battleground Blueprint. We’ve deployed multiple rounds of surveys in multiple states, including Pennsylvania,…
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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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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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In this week's episode of Around the ACL Meesh and Trey pick up Wally's slack due to poor internet connection by discussing the first Open this weekend in Rock Hill South Carolina. They go over the ACL Draft and discuss some new teams for the 2024-2025 season. Finally they finish the show with Buy or Sell and give their hot takes for the first Open…
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On this week's episode of Around the ACL Wally Meesh and Trey discuss the European Tournament and talk about a few European players to keep an eye on next year at worlds. Then they go over some new partnerships for the 2025 season. Trey explains some new changes for next year in regards to memberships. They close out the show by playing games from …
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More than 20 years ago, Pennsylvania’s Commonwealth Court ruled that it was unconstitutional to prohibit people who are living with a criminal record from voting. But misinformation about those rights persists here in Pennsylvania. In this episode, we hear from ACLU-PA executive director Mike Lee and Saleem Holbrook, executive director of Abolition…
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In this week's Episode of Around the ACL Meesh Jake and Anthony discuss more partner reveals and how they think some of the new top teams will do. They congratulate more pros that made it through via the last chance qualifier and go over some of the new rule changes for next season. Lastly they finish off the show by playing Contender/Pretender and…
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On this week's episode of Around The ACL Meesh Trey and Anthony discuss the upcoming schedule by reviewing the first 6 ACL Open locations. They also go over some of the top shots from the Spencer Makenzie tournament in Ventura California before diving into new partners for the upcoming season. Jamie Graham is a special guest as he joins the show to…
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On this week's episode of Around the ACL Meesh and Trey talk about the few partner reveals that have already happened as well as partner reveals they would like to see for the upcoming 2025 season. Next they go over news around the league and preview the rookies for next season. They finish off the show with buy or sell, ACL superlatives and hole y…
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On this week's episode of Around The ACL Meesh and Wally bring back the Baggin and Braggin vibes as Wally tries to recover from Spencer Makenzie's. They discuss the results from the Pro Invitational to the Celebrity Crew cup matches and the overall finals. They end the show with their usual games and give their hot takes to put a nice bow on the 20…
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On this week's episode of Around the ACL Meesh Trey and Anthony select the teams for the Pro-Invitational and go over the top 10 shots from the ACL World Championships. They also discuss the upcoming Spencer Makenzie Throwdown rosters and go over the celebrities in attendance. They play Buy or Sell to discuss Michelle's chances and then deliver the…
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On this week's episode of Around The ACL Meesh Trey and Jake go over the results from the world championships and discuss that there is new all time leader in titles. They then discuss the ACL Pro Invitational contestants that will compete at Spencer Makenzie's. Lastly they go over the new ACL Pros that qualified via the ACL Pro Qualifier before de…
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The Pennsylvania General Assembly recently wrapped up its work on the new state budget. Elizabeth Randol, ACLU-PA’s legislative director, talks about all that has happened in this session around civil liberties. Liz dives into ACLU-PA’s priority issues, including voting rights, free speech, and decarceration, and also talks about emerging issues th…
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On this week's episode of Around the ACL Meesh Jake and Wally get ready for the final Open in Canton Ohio. Jake and Wally go over their top 5 singles players and doubles teams to watch. They take a look at the odds for who has a chance to shine on the broadcast court. Then they play some Baggin' and Braggin' games before giving their hot takes.…
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The impact that counties have on how we vote, where we vote, and even whether our vote is counted is enormous. On this episode, we hear from Beth Gilbert of Action Together NEPA and In This Together NEPA, where she is the voting and elections manager, and Marian Schneider, senior policy counsel for voting rights at the ACLU of Pennsylvania. Beth an…
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