Parhaat Acl Podcastit (2025)

1
Around the ACL E169 50:03

5h ago50:03

50:03

On this week's episode of Around The ACL Meesh Trey and Wall discuss what it's like to get ready for a big professional cornhole tournament. Meesh discusses mindset and mechanic techniques as well as a new fun game called guess the pro. Then Meesh turns it over to the fans and gives a chance for you all to stump Trey before going over fan predictio…

1
Hydrogen Ions as a H&T Reversible Cause of Cardiac Arrest 4:51

1d ago4:51

4:51

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…

1
Adult Cardiac Arrest Code Flow 8:32

2d ago8:32

8:32

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 …

1
Aspirin Use in ACLS’s ACS & Stroke Algorithms 4:31

5d ago4:31

4:31

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…

1
First & Third Degree AV Blocks 7:42

6d ago7:42

7:42

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…

1
Antiarrhythmics: Lidocaine & Amiodarone 6:46

7d ago6:46

6:46

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 …

1
Around the ACL E168 48:50

7d ago48:50

48:50

On this week's episode of Around The ACL, Meesh is joined by Wally and Jake to discuss the ranking after the first ACL Signature of the season. They go over the top ten singles and doubles rankings to decide if it's how they thought it would be or if there are any surprises. They then view the top 10 shots from the first ACL Signature and play high…

1
Use of the Nasopharyngeal Airway (NPA) 5:14

8d ago5:14

5:14

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…

1
Tamponade: An H&T Reversible Cause of Cardiac Arrest 5:19

9d ago5:19

5:19

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…

1
Team Leader Role and Use of Quick Reference Cards 5:10

12d ago5:10

5:10

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…

1
The Importance of Early CPR & Defibrillation 5:24

13d ago5:24

5:24

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. The chance of successful defibrillation decreases every minute that passes. How our chance of successful…

1
Quantitative Waveform Capnography Use in ACLS 5:05

14d ago5:05

5:05

Quantitative waveform capnography is used in ACLS to objectively assess good CPR; confirm 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 capnogr…

1
Around the ACL E167 49:23

15d ago49:23

49:23

On this week's episode of Around The ACL Meesh Trey and Wally discuss what it feels like to be back to the pro season style tournaments as they go over the weekend winners from Signature #1. They discuss the results for ACL teams and see which teams are off to a hot start and which teams are in trouble. To close out the show they play Buy or Sell a…

1
Vagal Maneuvers 5:51

15d ago5:51

5:51

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…

1
Defibrillation & Synchronized Cardioversion Energy Settings 5:26

16d ago5:26

5:26

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…

1
Identification and Treatment of Unstable Bradycardia 5:41

19d ago5:41

5:41

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…

1
Post-Arrest Care & Targeted Temperature Management (TTM) 5:06

20d ago5:06

5:06

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 …

1
The Chain of Survival for Cardiac & Stroke Emergencies 4:59

21d ago4:59

4:59

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…

1
Around The ACL E166 49:49

22d ago49:49

49:49

In today’s episode of Around the ACL, Meesh, Trey, and Jake go through the brackets for Signature #1. They take a break to visit the top 10 shots from Brighton, Michigan and finish up with their hot takes.Kirjoittanut Trey Ryder

1
Hypokalemia & Hyperkalemia as a H&T Reversible Cause 4:50

22d ago4:50

4:50

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…

1
Time Goals for Assessment & Treatment of Stroke 4:58

23d ago4:58

4:58

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…

1
Medication Review: Adenosine 5:50

26d ago5:50

5:50

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…

1
Second Degree Heart Blocks and Possible Interventions 7:19

27d ago7:19

7:19

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,…

1
Oxygen and Pulse Oximetry 4:40

28d ago4:40

4:40

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…

1
Around the ACL E165 49:58

29d ago49:58

49:58

On this week's episode of Around the ACL Meesh Trey and Jake discuss the winners from Open #11. They play a game called best of 3 where they talk about who would win a best of three series. Then they go over the top 10 shots from Louisiana. They try to decide if a player will finish over or under a certain place for Signature #1 before giving their…

1
Objective Measures of Good CPR 6:40

29d ago6:40

6:40

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…

1
Atropine & Dopamine for Unstable Bradycardia 5:54

1M ago5:54

5:54

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…

1
Oropharyngeal Airway (OPA) Review 6:02

1M ago6:02

6:02

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…

1
Hypoxia: An H&T Reversible Cause of Cardiac Arrest 5:51

1M ago5:51

5:51

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…

1
Supraventricular Tachycardia (SVT) 6:06

1M ago6:06

6:06

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…

1
Around The ACL E164 49:52

1M ago49:52

49:52

On this week's episode of Around the ACL Trey Wally and Jake catch up as Meesh takes the week off for her women's retreat. Jake and Wally go over the singles and doubles players to watch for Open #11 in Brighton, Michigan. Then they give their opinions on which teams will stay together or split for next season. They introduce a new game called "We'…

1
Epinephrine Use During Cardiac Arrest 5:11

1M ago5:11

5:11

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…

1
Common Conditions That Can Mimic a Stroke 5:58

1M ago5:58

5:58

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 &…

1
IO & ETT Routes for Medication Administration 5:56

1M ago5:56

5:56

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…

1
EMS and Transportation to the Most Appropriate Facility 5:51

1M ago5:51

5:51

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…

1
Automated External Defibrillator (AED) Review 6:23

1M ago6:23

6:23

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 …

1
Around The ACL E163 49:52

1M ago49:52

49:52

On this week's episode of Around the ACL Meesh is joined by Trey and Anthony to recap Open #10 in Louisiana. They discuss the winners from the Open as well as talk about going forward who needs a win to get themselves right. Anthony and Meesh tease a clip from the ACL Academy. The crew plays another round of Overreaction Wednesday before giving the…

1
Around the ACL E162 50:08

2M ago50:08

50:08

On this week's episode of Around the ACL Meesh Trey and Jake discuss Open #10 coming up in West Monroe, LA, which will have the top 8 singles players in the field. Jake and Trey go over their top 10 players by giving their power rankings. Next Meesh offers the guys some options for the game Pretender or Contender. Lastly they all give their hot tak…

1
Around The ACL E161 49:30

2M ago49:30

49:30

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…

1
Around The ACL E160 49:35

2M ago49:35

49:35

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…

1
Around The ACL E159 50:12

2M ago50:12

50:12

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…

1
Around The ACL E158 49:56

3M ago49:56

49:56

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…

1
Around The ACL E157 49:32

3M ago49:32

49:32

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 …

1
Around The ACL E156 49:31

3M ago49:31

49:31

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…

1
Around The ACL E155 49:38

3M ago49:38

49:38

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…

1
Around The ACL E154 49:42

4M ago49:42

49:42

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…

1
Documenting the Cruel Practices of ICE 38:29

4M ago38:29

38:29

In 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 …

1
Around The ACL E153 49:52

4M ago49:52

49:52

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…

1
Pennsylvania’s Failed System of Indigent Defense 33:04

4M ago33:04

33:04

Both 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…

1
Around The ACL E152 49:46

5M ago49:46

49:46

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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