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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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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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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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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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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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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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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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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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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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 tarafından oluşturuldu
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A pro-voter legal strategy
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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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What voters really want on immigration and public safety
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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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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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Living With a Criminal History and the Right to Vote in PA
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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 Wally, Michelle and Trey recap the Final Chase 2 from Canton Ohio. They go over the results from the Open as well as the pro events before playing Overrated, Underrated and Properly rated. They list who needs a big weekend at worlds and give their Hole-y Hot Takes.…
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