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 three-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 a few weeks prior to your ACLS class will help cement the core concept ...
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ACLU interest group
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Why ACL tears are more common in high school. Cover art photo provided by Steven Lelham on Unsplash: https://unsplash.com/@slelham
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This is the podcast that tells the story of civil liberties in Pennsylvania. You'll hear from our staff, our clients, and our allies about the most prominent civil liberties issues of the day.
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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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Hear about a teenage girl who suffered an ACL tear and surgery, and how she recovered to return to playing basketball!
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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, 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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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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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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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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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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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 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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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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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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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: 1. Find a system for ECG interpretation that works well for you; and 2. Practice reading ECGs every day for a few weeks before you…
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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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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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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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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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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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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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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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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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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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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
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38:29In 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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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
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33:04Both 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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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
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27:41Donald 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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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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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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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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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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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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On this week's episode of Around The ACL Meesh Anthony and Trey discuss Open #2 and the field heading to Des Moines Iowa. They show highlights from the first Open then finish their draft recap. The crew then takes a look at the rookies coming into the next season by playing a rookie version of overrated, underrated or properly rated.…
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On this week's episode of Around the ACL Meesh Jake and Trey discuss the results of the first Open of the season and new pro pairings. Then they recap the rookie showcase and go over a few ACL Teams that were drafted over the weekend. Finally they give their hot takes to end the show.Trey Ryder
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