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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!
 
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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ACL IT academy

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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 start of the new season is here! Open #1 is in Rock Hill this weekend, so we are previewing some top players and teams to watch. The free agency period is still rolling, and we also bring on two special guests to announce their pro partners for the year: Tanner Halbert and Bella Surprenant! Trey and Anthony also provide their way-too-early Top …
 
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…
 
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: Automated External Defibrillator (AED); Biphasic defibrillators; and Monophasic defibrillators. Because AEDs are designed to be used by first r…
 
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…
 
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. H…
 
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 are the same. Recognizing the symptoms of a cardiac emergency or stroke; Activating an emergency response by calling 9-1-1, or a specialized code team if in the healthcare setting; Rapid assessment i…
 
Free agency is all over the cornhole world! This week Jordan Camba joins us to reveal his doubles partner for 2023; will he get back to World Championship form? Trey and Anthony also debate top finishers for next season with their way-too-early top 10s in Pro Singles. We also dive into the new format for the PDC and identify some top pros to watch …
 
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 include the patient's medical history and chan…
 
Efforts to ban books in public and school libraries across the country has more than doubled in the past year. In this episode we were joined by Deborah Stone-Caldwell, director of the Office of Intellectual Freedom at the American Library Association, and Rebecca Glenberg, Senior Supervising Attorney at the ACLU of Illinois to discuss the threats …
 
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…
 
Adenosine is the first IV medication given to stable patients with sustained supraventricular tachycardia (SVT) refractory to vagal maneuvers. Common causes of tachycardia. Symptoms indicating a stable vs unstable patient. Cardiac effects of Adenosine. Indications for the use of Adenosine in the ACLS Tachycardia algorithm. Considerations and contra…
 
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…
 
The free agency period is on fire now in the ACL! This week we talk about the newest partnerships we know of, the ones we are speculating, and the ones we are dying to know. Noah Wooten joins the show to make his big announcement of who he is playing with next season, and we make some bold predictions on the best players in 2023!…
 
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 should we administer oxygen to ACS patients. When is O2 administration unnecessary. Monitoring patient's oxygen saturation (SaO2) using a pulse oximeter. Review two common ACLS meg…
 
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 (ROSC); 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 capnogr…
 
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? The CPR coach as a new position of the code team. Objective measures of high-quality CPR include: Compression rate of 100-120…
 
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…
 
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 …
 
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…
 
ECG characteristics of supraventricular tachycardia (SVT) vs. sinus tachycardia. Signs & symptoms that indicate a patient is unstable. Treatment of unstable SVT using a biphasic vs monophasic defibrillator. Consideration for team safety while performing synchronized cardioversion. Treatment of stable patients in SVT. **American Cancer Society (ACS)…
 
In today’s episode of Around the ACL, Michelle, Trey, and Anthony talk about the blazing hot weather and talent at Airmail City for the Pro Shootout Championship and the Pro Invitational. Mike Morton joins to discuss the gaps between top players' DPRs and PPRs. Trey, Anthony, and Michelle discuss some rookies to look out for next season.…
 
When working to resuscitate a patient in sudden cardiac arrest, Epinephrine is the first IV medication we administer. When do we give the first dose of epinephrine for patient is in shockable vs non-shockable rhythm. When to give the first dose of epinephrine and its frequency for patients in asystole or PEA following the right side of the Adult Ca…
 
If a patient fails one of the FAST tests in the Cincinnati Prehospital Stroke Scale, there's a 72% chance they're having a stroke. We should assume a stroke unless we identify another condition that could be causing the symptoms. There are several medical conditions that can mimic a stroke. Some are easy to identify with point-of-care testing while…
 
Most ACLS medications are given IV push. But, what happens if we can't get an IV? When IV access isn't available, we should consider administering our IV medications via intraosseous (IO)or endotracheal tube (ETT) route. Why IO is better for than ETT as an alternative route. The locations we should place an IO when running a code and a location we …
 
The chain of survival for a cardiac emergency and stroke start the same: preparedness & recognition of an emergency; activation of EMS; delivery of Advanced Life Support; and transporting to the most appropriate facility. Depending on where you live, Emergency Medical Services (EMS) may provide prehospital Advanced Life Support (ALS). ALS ambulance…
 
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. To aid in the rapid delivery of a shock, an Automated External Defibrillator (AED) should be used in settings where…
 
We are sunburnt and exhausted, but the weekend in Ventura was incredible! This week we recap Shootout #8 and the brutal windy conditions of the Spencer Makenzie's Throwdown as Michelle and Trey were there on site. This coming weekend is another epic one as we have both the Pro Shootout Championship and the Pro Invitational, so we all deliver some p…
 
For apneic patients without a carotid pulse or pulseless 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 algorithm. Initial s…
 
Providing good, high quality, CPR with minimal interruptions and early defibrillation are two keys 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 rate. Characteristics…
 
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. E.g. Not giving nitro to patients taking PDE …
 
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…
 
Hot damn, let's talk Rotterdam! The historic ACL Europe Open just took place this weekend in the Netherlands, with some exciting play from both the traveling Americans and the Europeans defending their home turf. ACL Pro Shootout #7 was also this weekend, so we recap the big winners that booked tickets to the Pro Shootout Championships. Spencer Mak…
 
When a patient loses excessive amounts of fluids, they are in a state of hypovolemia. Bleeding is not the only cause of fluid loss that can lead to low fluid volume. Bleeding may be internal or external and have traumatic, pathogenic, or iatrogenic etiology. Other common conditions that can lead to hypovolemia. Review the signs & symptoms of hypovo…
 
Morphine is a relatively safe medication used in the ACS algorithm. Morphine should be considered for patients with severe ischemic chest pain that is unresolved after the safe administration of aspirin, oxygen, and nitroglycerine. Why its analgesic and vasodilation effects are helpful for patients with ischemic chest pain. Morphine use for ACS pat…
 
Studies in the early 2010’s correlated CPR compressions to coronary perfusion pressures and improved outcomes as measured by Return of Spontaneous Circulation (ROSC) and survival to discharge. Minimizing interruptions to chest compressions so that we can maintain a chest compression fraction of at least 80% is the first indicator of high-quality CP…
 
Epinephrine is the most commonly used medication in ACLS. Epi is used to treat certain conditions to prevent cardiac arrest, during a cardiac arrest, and post arrest. Epinephrine's use for treatment of anaphylaxis and unstable bradycardia. Administration of epi in the Adult Cardiac Arrest algorithm. Use of Epinephrine or Dopamine drip for hypotensi…
 
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 …
 
We have finally recovered from the 2022 ACL World Championships! Recap the Pro Singles magic of Mark Richard's legendary run, the Pro Doubles epic comeback with Jordan Power and Jay Rubin, and the SuperHole III electricity with Doug Flutie and Dawn Staley. Trey and Anthony also preview Pro Shootout #7 in Wichita this coming weekend with some intere…
 
People serving extreme prison sentences or who may be out of prison but find their lives complicated and harmed by a past conviction can seek relief through clemency, the process in which a sentence is commuted or a conviction is pardoned. It's a long process that involves approval from both the Pennsylvania Board of Pardons and the governor.In thi…
 
In this week’s episode of Around the ACL, Mike Morton steps in for Trey Ryder and the three discuss shootout #6 and preview many of the events happening at worlds in Rock Hill, South Carolina. The team finishes up with buy or sell and their hot takes for a jam-packed episode before our biggest event of the year.…
 
The youth movement in cornhole is here to stay! The 16th and final Open of the season in West Virginia gave us plenty to discuss as the youngsters dominated the field. The ending of the Women's Singles Pro Shootout also caused some chaos so we review that as well as recap the winners of the Men's and Doubles events. Trey and Anthony Buy or Sell the…
 
After a nice week off, we are BACK to talk all about the awesome ACL Final Chase! Between Mark Richards' perfect game, Jay Cutler's airmail in the SuperHole win, and the first ever ACL Teams broadcast, there's plenty to dive into with this week's episode. Morton's Corner analyzes the automatic qualifier "cut line" for ACL Pros and we also preview t…
 
When the U.S. Supreme Court overturned its own precedents and ruled that access to abortion is not a right guaranteed by the Constitution, five justices did something that the Supreme Court has rarely done - rolled back an existing guarantee of liberty.In this emergency episode of Speaking Freely, we hear from ACLU-PA Deputy Legal Director Sara Ros…
 
Pro Shootout #4 was epic! We recap the first event ever in the Pacific Northwest as Jimmy Youmans, Miranda Coy, and Ryan Windsor/Noah Wooten all got wins in Washington. Odds are out for the Final Chase, so Anthony and Trey debate the best value bets for the upcoming weekend. The Pro Doubles brackets are out for the final National, so we dive into s…
 
Well we had one weekend off from the cornhole circuit which means there's plenty of cornhole ahead! Pro Shootout #4 and Open #15 are this coming weekend, so Trey and Anthony spend some time discussing some historic greats that are ready for the weekend. Wally K9 Kassler joins us for a fun chat about his growth in cornhole and how much he has come t…
 
Episode 74 is part two of our discussion about cash bail. In this episode, we hear from Alex Domingos of ACLU-PA and the Dauphin County Bail Fund and Michelle Batt of the Lancaster Bail Fund. Alex and Michelle explain what a bail fund is and what role it plays in the work to end pretrial detention. As an activist in Lancaster County, Michelle also …
 
What happens in Vegas...ends up on Around the ACL! This week we recap Pro Shootout #3 that saw Ryan Smith, Kaylee Hunter, and Jamie Graham/Matt Guy all lock up spots in the Pro Shootout Championship. We also discuss the improbable run to victory by amatuer Fisher Hamilton at the Open, and dive into ACL Standings. Morton corner also has us scratchin…
 
Sandwiched between two Shootouts and Opens, there's plenty to talk about this week! This episode we chat about the dominance of Alex Rawls, the surprise of Rosie Streker, and the unlikely duo of Ryan Smith and Philip Lopez that all won at the Shootout this past weekend. Looking forward to this weekend, we debate which players can escape the temptat…
 
There are many public policies that have fed mass incarceration in Pennsylvania and in this country, from extreme sentencing to overpolicing to duplicate offenses that criminalize a single act. One of those policy choices is the commonwealth’s overuse of cash bail. On any given day, there are more than 30,000 people in Pennsylvania’s county jails. …
 
Things will heat up this weekend in the desert as the ACL heads to Mesa, AZ for Pro Shootout #2! The team previews the big event with some hot takes about some potential underdogs. Trey and Anthony make some bold predictions around ACL Award winners for the end of the season and also recap the USA Forces Event from this past Memorial Day Weekend.…
 
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