35 Burst results for "TEN"

Strider strikes out 11, Riley homers as Braves beat Reds 4-1

AP News Radio

00:32 sec | 7 hrs ago

Strider strikes out 11, Riley homers as Braves beat Reds 4-1

"Spencer strider in Austin Riley carried the braves to their 23rd win in 29 games since June 1st For one over the reds Strider allowed one hit over 6 innings and matched a career high with 11 strikeouts Riley led off the second inning with his team high 20th home run and added an RBI double in the 7th He had gone 12 straight games without a Homer before going deep on Friday The braves are a season high 13 games over 500 and within two and a half games of the NL east leading mets The reds have dropped ten straight at home and four in a row overall I'm Dave

Spencer Strider Austin Riley Braves Strider Reds Riley NL Mets Dave
Calhoun 2 HRs, Pérez wins 7th straight as Rangers beat Mets

AP News Radio

00:33 sec | 8 hrs ago

Calhoun 2 HRs, Pérez wins 7th straight as Rangers beat Mets

"Cole Calhoun blasted two home runs and drove in four as the rangers came from behind and ran by the mets by the final score of 7 to three Calhoun hit a three run shot which was the first to back to back long balls in the second frame as Texas catcher Jonah heim followed with a solo Homer to the right field upper deck Calhoun then hit a solo shot of his own to left field to extend the rangers lead in the fourth Felt good Felt good Want to swallow game you know And gave martini a little bit of breathing room and go out there and do a saying like he has all your text to order more team Perez picked up his 7 victory Starling Martin Eduardo Escobar Homer for the mets who have dropped 6 out of the last ten Mike Moriarty New

Cole Calhoun Calhoun Jonah Heim Rangers Mets Texas Martini Starling Martin Eduardo Escoba Perez Mike Moriarty
Gonsolin sharp again as Dodgers outlast Padres 5-1

AP News Radio

00:32 sec | 1 d ago

Gonsolin sharp again as Dodgers outlast Padres 5-1

"Tony Gonzalez is the national league's first ten game winner after working into the 8th inning of the Dodgers 5 one victory over the Padres Gosselin was reached for a run in four hits while striking out 8 over 7 and a third innings He's ten and O this season with a major league best 1.54 ERA Max Muncie and Cody Bellinger hit home runs as the Dodgers won their third consecutive game and improved to two one zero on a season long 11 game home stand The latest victory gives LA a three and a half game lead over San Diego atop the NL west Trent Grisham homeward for the Padres losers in 5 of their last 6 games I'm Dave

Tony Gonzalez Dodgers NL Max Muncie Cody Bellinger Padres Gosselin Trent Grisham LA San Diego Dave
Escobar, Peterson lead Mets past Rangers 4-3

AP News Radio

00:31 sec | 1 d ago

Escobar, Peterson lead Mets past Rangers 4-3

"The Met snapped a three game slide with a four to three win over Texas David Peterson earned his 5th win He struck out ten with no walks in 6 innings I think it was just attacking the zone being able to get a lot of first pitch strikes and kind of put them behind the ball and be able to use the counters I wanted Defense was great The med school and all that runs against Glenn Otto in the fourth inning highlighted by Eduardo Escobar is three run Homer Marcus Simeon two hits in a homework for Texas Metz now 48 and 29 the range is 36 and 39 Mike mancuso New

David Peterson Glenn Otto Texas Eduardo Escobar Homer Marcus Simeon Mike Mancuso
Morel homers in 3rd straight game, Cubs beat Red Sox 6-5

AP News Radio

00:32 sec | 1 d ago

Morel homers in 3rd straight game, Cubs beat Red Sox 6-5

"Rookie Christopher morell homered for the third straight game and the cubs rallied from a four zero deficit to beat the Red Sox 6 5 The comeback occurred after Jackie Bradley junior hit a three run triple in the second inning Rich hill breezed through the first four frames before exiting with a sprained left knee in a three run 5th Morel tied it with a two run blast in the 6th and Wilson Contreras scored the go ahead run on a wild pitch later in the inning sending Chicago to its fourth win in 5 games 5 Boston hurlers combined to walk ten The most by the team in 34 months I'm Dave

Christopher Morell Jackie Bradley Rich Hill Cubs Red Sox Wilson Contreras Morel Boston Hurlers Chicago Dave
Are You Proud of America Today?

The Charlie Kirk Show

02:04 min | 1 d ago

Are You Proud of America Today?

"Poll from Fox News shows that only 39%, it's an important distinction and says, are you proud of the country today? My answer would be no. It doesn't say are you proud to be an American, of course I am. Are you proud of what America stands for? Of course I am. But are you proud of the country today? 39% say yes. 11 years ago, 69% of people said yes. What the heck happened over the last decade? One decade, 11 years of leadership of a generation that had waited so long to come into power. And 30 point dip in whether or not people are proud of where their country is. We're going to go through this. It's reckless deficit spending inflating the currency, adventurous foreign wars, the lies and the deceit of our politicians and leaders in Washington, D.C.. The disgust that we have for the American ruling class, one decade, 30 points down, and I believe, as I would love to hear your thoughts freedom at Charlie Kirk dot com. I believe it's intentional. I believe they want you to feel this way. I believe they are trying to metaphorically waterboard you to make it feel as if we have zero parts of America to be proud of. We have a 30 day Pride Month of LGBTQIA rainbow stuff, followed by a three day weekend for American pride. Are you proud after the Afghanistan debacle? One of the most humiliating defeats in American military history where 13 marines were bombed by a terrorist and then what does Joe Biden do in response? He carpet bombs in innocent family just because he wanted to look good and there was zero reason to do that just a random drone strike. I think ten people died in that. Are you proud of our open border where 5000 people come into our country every single day? Are you proud of the fact that we now have to vaccinate 6 months year old with an experimental gene therapy, even though we're the only country? That's doing that in the world. By the way,

Washington, D.C. Charlie Kirk Fox News America Joe Biden Afghanistan Marines
Trial for WNBA star Brittney Griner opens in Russian court

AP News Radio

01:00 min | 1 d ago

Trial for WNBA star Brittney Griner opens in Russian court

"To witnesses were heard at the start of the trial in Russia of WNBA star Britney griner griner has been held for four months accused of possessing cannabis oil while returning to play for a Russian team The witnesses were an airport customs official and an unidentified witness Alexander boycott is her attorney I could only prove that we had two witnesses that with the customs And we expect the next hearing on 7th of July That's it Griner could face up to ten years in prison Dmitri paskov a spokesman for Russian president Vladimir Putin says I can only operate with facts and the facts say the famous athlete was detained with banned substances containing narcotic compounds Elizabeth rood is deputy chief of the U.S. mission in Russia The Russian Federation has wrongfully detained miss Reiner Wrongful detention is unacceptable wherever it occurs Roode says the U.S. is working at the highest levels to get griner and other detained Americans safely home I'm Ed

Britney Griner Griner Alexander Boycott Griner Russian Federation Wnba Dmitri Paskov Russian President Vladimir Put Elizabeth Rood Reiner U.S. Roode
Mike Gallagher, Live From Oberammergau Passion Play

Mike Gallagher Podcast

01:10 min | 1 d ago

Mike Gallagher, Live From Oberammergau Passion Play

"Let's go ahead and check in with Mike. Here he is. Mike, are you made it inside the theater, look at this beautiful amphitheater where the passion play is about to get underway. You can hear the orchestra tuning up in the background and we are in the very front row of this magnificent theater where the passion play is going to take place. It started in 1634 when the villagers promised God they would produce a passion play if he spared them the plague to play again, and they've done it ever since except for during the two world wars and of course 2020 because of the pandemic. But here we are 2022 bringing you along to this theater, a beautifully tall enclosed. It's cold, it's rainy, but we are under a big roof here in this huge amphitheater. 4000 people, if you can see behind me, 4000 people in this theater to see this performance of the passion play. It's about to get underway part one is two and a half hours, a dinner break at 5 o'clock, and then part two starts at 7 30, I think it starts at 8 and then goes until ten 30. So we're here, me and the Hudson's and taking it all in and sharing it with you here on the Mike Gallagher show.

Mike Plague Hudson Mike Gallagher
What Is the Oberammergau Passion Play?

Mike Gallagher Podcast

01:40 min | 1 d ago

What Is the Oberammergau Passion Play?

"This was the reason for the trip of my dear friend peg Hudson has always wanted to see the passion play, which has been performed uninterrupted until COVID in 2020 for hundreds and hundreds of years back in the 1600s, the people in the tiny village of oberammergau made a promise to God a pledge that if you spare us from the plague, we will present a magnificent tribute to your son, Jesus Christ. The passion play. It has been performed every ten years on the decade since the 1600s. Well, 2020, it was it was delayed because of COVID and the pandemic. So this is the year it's back. Now this is so fascinating because it runs for about 5 and a half months every from about, I think march till October. Every ten years on the decade, except for this time, now it's 2022. So, peg Joey and I were, we are together and on the road to oberammergau. We're going to be there in about an hour. I have no idea what to expect. I know it's an amphitheater that is covered. It is a rainy, rainy day today in Germany. So we have our raincoats. We have our umbrellas. We have our sweatshirts. We are bundled up and ready for this. We're in the front row for the performance of the passion play in oberammergau. And it's kind of interesting. It's two parts. It goes from two 30 to 5, then there's a two and a half hour dinner break and 7 30 till ten, all in German, but they give us a book so that we can follow along in English. I think we all are pretty familiar with the story of the death and resurrection of our lord and savior Jesus

Peg Hudson Oberammergau Peg Joey Plague Germany
Trial for US basketball star begins in Moscow-area court

AP News Radio

00:50 sec | 1 d ago

Trial for US basketball star begins in Moscow-area court

"American basketball star Brittany griner has appeared in a Moscow area court for trial about four and a half months after she was arrested on cannabis possession while traveling to play for a Russian team Krona being led to the hearing in handcuffs with photographers on hand to grab shots At a closed door preliminary hearing on Monday in a Moscow suburb grinus detention was extended for another 6 months to December 20 the Phoenix mercury center and two time U.S. Olympic gold medalist was arrested in February at a Moscow airport police say she was carrying veep canisters with cannabis oil granite could face up to ten years in prison if convicted of large scale transportation of drugs I'm Charles De

Brittany Griner Moscow Phoenix Mercury Center Basketball U.S. Charles De
AP Sports SummaryBrief at 11:28 p.m. EDT

AP News Radio

01:00 min | 2 d ago

AP Sports SummaryBrief at 11:28 p.m. EDT

"AP sports I'm geffen cool bob Brooklyn Nets star forward Kevin Durant has requested a trade on the eve of the start of NBA free agency The nets have been working with Durant to find a trade partner the 12 time all star has multiple teams on his preferred list Other NBA news two time reigning MVP Nikola Jokić agreed to a supermax extension to remain with the nuggets guaranteeing him at least 264 million over 5 seasons Wizards guard Bradley Beal also re signed on a 5 year deal worth 251 million Major League Baseball Alex Bregman's go ahead two run double in the third inning lifted the Astros over the American League leading Yankees two to one in the national league the Phillies routed the defending champion braves 14 to four In college football news the Big Ten has voted to add Southern California and UCLA as conference members beginning in 2024 deshaun Watson's disciplinary hearing concluded Thursday with the NFL adamant about an indefinite suspension and an NHL news to Detroit red wings of higher Derek lalande as their new head coach Geffen coolbaugh AP sports

Bob Brooklyn Nikola Jokić NBA Bradley Beal Kevin Durant Alex Bregman Durant Nets AP Nuggets Wizards Major League Baseball Astros American League Deshaun Watson National League Yankees Phillies Braves
Lawyer: Hussle lifted up neighborhood he was gunned down in

AP News Radio

00:43 sec | 2 d ago

Lawyer: Hussle lifted up neighborhood he was gunned down in

"The jury has heard closing arguments in the Nipsey Hussle murder trial The material facts of the case are not really in dispute both the prosecution and defense say Nipsey Hussle was shot to death by Eric R holder junior in old friend of his in front of the rapper's LA clothing store in 2019 Prosecutors say it was first degree murder that the fence as it was done in the heat of passion hold as loyal told the jury his client shot hustle after the rapper told him that there was talk that he was a snitch and that allegation stirred up fear and anger and moved him to pull the trigger Prosecutors say the ten minute gap between that discussion and the shooting shows the level of premeditation that the law requires to make a first degree charge stick I'm Oscar wildes Gabriel

Nipsey Hussle Eric R Holder La Clothing Store Oscar Wildes Gabriel
USC, UCLA leave the Pac-12 for the Big Ten

AP News Radio

00:30 sec | 2 d ago

USC, UCLA leave the Pac-12 for the Big Ten

"The Big Ten is branching out to California The conference has voted to add southern Cal and UCLA as members beginning in 2024 The move coincides with the end of the PAC 12s current media rights contract with Fox and ESPN It will increase the size of the Big Ten to 16 schools The Trojans join the old Pacific Coast conference in 1922 6 years before the bruins PAC 12 schools received less than $20 million each in fiscal year 2021 compared to more than 46 million for Big Ten universities

Old Pacific Coast Ucla CAL PAC California Espn Trojans FOX Bruins
Report of Mass Rape in Ukraine by Russian Military

Mark Levin

01:27 min | 2 d ago

Report of Mass Rape in Ukraine by Russian Military

"The Russian military is committing so many Abuses It's even impossible to catalog I have a piece here I can't even read it to you About the mass rape that's taking place in Ukraine How come it's not discussed by the puke noids and their hemorrhoids in the media When the Republican Party were in the Democrat party They targeted with a long distance missile a maw with a thousand people in it There are tens of thousands of Ukrainians who have been forcibly moved How do you crane it into Russia In the past Russia has used people like that at slave labor camps Including tens of thousands of children In this bizarre alliance unintended but nonetheless reality Between the put noids and their hemorrhoids and Joe Biden and his hemorrhoids that the bizarre combination is just repudiating It's repulsive

Democrat Party Ukraine Republican Party Russia Joe Biden
AP source: USC, UCLA in process of joining Big Ten

AP News Radio

00:32 sec | 2 d ago

AP source: USC, UCLA in process of joining Big Ten

"UCLA and southern Cal are planning to leave the pack 12 for the Big Ten A person who has been briefed on the discussions between the Trojans bruins and the Big Ten tells The Associated Press that the schools have taken steps to request an invitation to join the conference The move would come as soon as 2024 After the PAC 12s current media rights contract with Fox and ESPN expire that would increase the size of the Big Ten to 16 schools PAC 12 schools received less than $20 million each in fiscal year 2021 compared to more than 46 million for Big Ten universities I'm Dave

Southern Cal Trojans Bruins Ucla The Associated Press PAC Espn FOX Dave
 Giménez homer in 9th gives Guardians 5-3 win over Twins

AP News Radio

00:27 sec | 2 d ago

Giménez homer in 9th gives Guardians 5-3 win over Twins

"The guardians claimed their second straight walk off win over the twins as Andres Jimenez launched a two run Homer in the 9th to complete a 5 three victory Cleveland leads the majors with 17 lasted bad victories 6 coming against Minnesota The twins carried a one hitter and a three one lead into the 8th inning before the guardians pulled within one game of Minnesota for the AL central lead Jose Miranda laced a three run double for the twins who dropped three of 5 in the series despite out homering the guardians ten to two I'm Dave

Andres Jimenez Homer Minnesota Al Central Cleveland Jose Miranda Dave
Judge, Stanton homer to bail out Taillon, Yanks top A's 5-3

AP News Radio

00:35 sec | 3 d ago

Judge, Stanton homer to bail out Taillon, Yanks top A's 5-3

"The New York Yankees completed a three game sweep of the Oakland athletics answering a three run first sending all James since I own with a two run Homer by Aaron judge and then pulling ahead with a three run Jack by John Carlos Stanton in the 5 three win Stanton's last 6 hits and 8 of his last ten have been home runs It's an interesting time right now or not getting too many hits but when I am of their Homer so yeah I don't think I've had one kind of like this My own gotta have a basis load of jam in the second with a pair of strikeouts and settle down over the next three innings to secure his 9th win against one loss Matt Mike which New

John Carlos Stanton Homer New York Yankees Athletics Oakland Aaron Stanton James Jack Matt Mike
Trans Competitor Beats 13-Year-Old Girl in Women's Skateboarding

Dennis Prager Podcasts

01:14 min | 3 d ago

Trans Competitor Beats 13-Year-Old Girl in Women's Skateboarding

"That. Reveals the cheating that is enabled by having trans women compete against biological women. Just came out a story in daily mail trans woman 29 beats girl 13 to first place in women's skateboarding. A 29 year old trans woman beat a 13 year old girl to in first place in a women's skateboarding competition in New York. Ricky tres, who was born male, but who now identifies as a woman won the board border open or bored open, they have a lot of typos and daily mail. A street skateboarding contest that's open to all participants at all skill levels which is split into male and female contests, tres who hails from Los Angeles, won the women's title and a prize of $500. While 13 year old Shiloh catori of Tampa, Florida, came in second taking home $250. Out of the 6 competitors forewarned of the age of 17, including a ten year old girl who came in 5th the news

Ricky Tres Shiloh Catori New York Los Angeles Tampa Florida
"ten" Discussed on The Ten News

The Ten News

02:59 min | 11 months ago

"ten" Discussed on The Ten News

"Here's a quick note for the grownups. Hi al it's trace elites kaplan with a note from today's sponsor here at dsw. We're getting back to our regularly scheduled program living your best life. It's time to head back to school back to hugs at grandma's back to cheering a little too loud in the stadium and back to well. Everything whatever's filling families calendar. We've got you covered with must have shoes for everyone in your house from all your favorite brands. Give your kids. That instant mood boost with the perfect first day back sneakers from adidas reebok and more or plan your whole look around ready to show off sandals and slip on from crocs birkenstock and steve madden basically. We'll provide the shoes. You bring the style shop the latest trends and have to have styles for women for men and for kids all at that just right price head to dsw dot com or a dsw store near you to find all the new shoes everyone in your family will love head to dsw dot com or dsw store near you to find all the new shoes. Everyone in your family will love. Hey there i'm tracy. Leads kaplan the creator and executive producer of the ten news. This podcast is basically a small business. And i've learned that every higher counts when talent is too important to leave to chance. You need help. You need indeed the job site that makes hiring incredibly simple just attract interview and hire. Don't just hope you're perfect. Candidate will find you. Indeed instant match provides a list of quality candidates whose resumes are on indeed the moment you post a sponsored job and very helpful for small business owners. You only pay for applicants who meet your must have qualifications join more than three million businesses worldwide that use indeed to hire great talent fast and a great help to get you started. Indeed is sponsoring seventy five dollar job credit to upgrade your job post and indeed dot com slash t. e. n. That's very cool. A seventy five dollars credit at indeed dot com slash t e et. This offers valid through september thirtieth terms and conditions apply. Happy hiring they for listening to the ten news. Look out for new episodes on tuesdays thursdays and extras on saturdays. You can go deeper into today's stories by visiting the ten years dot com. The ten is a co production of small but mighty media and next chapter podcast and is distributed by iheartradio. The ten news creative team is using. They're microscopes and includes kate hale tracy crooks peace must oh ends andrew hall lane farber contributed to this episode. Our production director is jeremiah. Till and are executive producers are donald albright and show creator. Tracy leads kaplan. I'm bethany van delft and thanks for listening to the news. Filling in my calendar for giant comet twenty thirty one i will be.

"ten" Discussed on The Ten News

The Ten News

09:09 min | 11 months ago

"ten" Discussed on The Ten News

"And nine seven six four three. I'm bethany van delft and this is the ten news where we get the lowdown. What's up in the world. It's tuesday august seventeenth. Science has been making the headlines this summer from climate change reports to wobbling moons. Today were putting on our lab coats and examining the science stories of the summer. Let's get caught up from wildfires to a fire in the actual ocean. Yes they're really happened. This has been a tough.

"ten" Discussed on The Ten News

The Ten News

03:48 min | 1 year ago

"ten" Discussed on The Ten News

"Is a a secret. Handshake onset lebron developed personalized. Hint shakes with actor cedric. Joe who plays lebron son and director malcolm lee. Each move is pretty elaborate and means something special. How cool lebrun make me a secret. Handshake time's up. But before we sign off we have more trivia for you. We've got ten important questions for every ten or out there that we'd love your answers to so before the end of the month. Grab and click on the link in our show notes to participate in our listeners. Survey we want to hear about. How do you think we're doing and what you want to hear. More of and bonus participants will be entered into a raffle to win an amazon gift card..

"ten" Discussed on The Ten News

The Ten News

02:13 min | 1 year ago

"ten" Discussed on The Ten News

"That sometimes the parents have to learn to and bennett. I know you love video games. What did you think about the movies message. That video games can be a great way to express creativity instead of the message that usually gets out there. That video games in screens take up too much of kids time. I thought i think until they nicer. They're showing that can be a learning tool and like they can t to To mindless and you're sitting there her out time doing nothing. One of my favorite parts of the movie was porky pig's epic rap battle which scored his team. Lots of points. How about you to. What were your favorite parts. I liked like the massive crowd at the basketball game. I'll those cool you visually. I really enjoyed all like the as i said like the The the warner brothers like pop culture stuff all the references that interesting my favorite part was probably like hearings and days voice Because she voice loa baena thought was pretty cool okay time for your rating. Which one would you recommend to the tenors. Listening the original or the remake theory. Make the remake although as you can see whether your team nineteen ninety six or you're cheering for the twenty twenty one sequel. all space..

bennett loa baena warner brothers basketball
"ten" Discussed on The Ten News

The Ten News

05:39 min | 1 year ago

"ten" Discussed on The Ten News

"You need some downtime from your summer fun stayed in today kid. Well what are we going to do. Who was to play video games. Summer hits keep on common and now. Some of these blockbusters are even on the big screen as movie theaters reopened around the country to celebrate. Here's a movie roundup no matter if you're looking to snack on popcorn in front of the silver screen or on the couch this weekend black widow. The latest action packed marvel movie focuses on the origin story of the famous evanger played by scarlett johansson. The film broke pandemic box office records when it was released earlier this month. It.

scarlett johansson
"ten" Discussed on The Ten News

The Ten News

03:42 min | 1 year ago

"ten" Discussed on The Ten News

"Now errands happy. He has school and business and his family. There's just one little thing that might make it even better. I lot a big bag johann cheese. It's going to be so cool to see how aaron grows his business get it up next. It's time for what. What's the big idea trivia on the ten when it comes to summer businesses. Lemonade never goes out of style. And speaking of lemonade stands. There's actually a world record for longest line of lemonade stands. How many were in it. Was it a twenty eight sans. Be three hundred forty nine stands or see one thousand six.

aaron ten one little thing twenty eight three hundred forty nine stand one thousand six johann
"ten" Discussed on The Ten News

The Ten News

04:00 min | 1 year ago

"ten" Discussed on The Ten News

"Megan the duchess of sussex and her husband. Prince harry have welcomed the new baby girl to their family. Lilla bit dan mountbatten windsor or lily for short is a name that honors both harry's grandmother queen elizabeth and his mother princess diana. A certain nugget must've looked really suss to one online buyer allegedly shaped lega character from the game among us. The chicken nuggets sold for nearly one hundred thousand dollars last week. That doesn't sound like a happy meal. And that's not all gamers get ready because one of the biggest events in the video game world starts on saturday. It's a gaming convention called e. Three were tons of gaming companies from experts to nintendo showcase all the cool new games. They've been working on this year. The event is all virtual and will be streamed online for free. Yes and back to some weather news. The world meteorological organization has announced the tropical storm and hurricane names for twenty twenty one. Starting with anna. The list goes through twenty one names alphabetically ending with wanda if there are more storms than names. Your organization has an additional twenty one main lined up just in case. Lucky you. it's what what's the big idea trivia on the ten. You don't have to stay on earth to find crazy clouds and souped up storms. What planet is home to a storm known as the great red spot is it. A jupiter be saturn or see mercury. Did you guess it. The answer is a jupiter. Astronomers have been studying jupiter's great red spot since the eighteen hundreds.

saturday diana ten nintendo twenty one earth both last week Megan this year twenty twenty one twenty one names elizabeth Prince tons anna nearly one hundred thousand do e. Three one online gaming companies
"ten" Discussed on The Ten News

The Ten News

02:24 min | 1 year ago

"ten" Discussed on The Ten News

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That's over <Speech_Male> today's episode. <Speech_Female> Things are <Speech_Female> listening to the ten <Speech_Female> news <Speech_Female> for new episodes <Speech_Female> on tuesdays <Speech_Female> thursdays <Speech_Female> and extras <Speech_Male> on saturday. <Speech_Female> The ten news is <Speech_Female> <Advertisement> a co production of <Speech_Music_Female> <Advertisement> small but mighty media <Speech_Music_Female> <Advertisement> and next chapter <Speech_Music_Female> podcast <Speech_Music_Female> and distributed <SpeakerChange> <Speech_Music_Female> <Advertisement> by iheartradio. <Speech_Music_Female> <Advertisement> The ten <Speech_Music_Female> <Advertisement> news creative team <Speech_Music_Female> <Advertisement> is giving <Speech_Music_Female> <Advertisement> official titles <Speech_Music_Female> <Advertisement> to all their <Speech_Music_Female> pets and includes <Speech_Music_Female> <Advertisement> <SpeakerChange> <Speech_Music_Female> kate hill. Tracy <Speech_Music_Female> crooks <Speech_Music_Female> <Advertisement> pete must've <Speech_Music_Female> andrew <Speech_Music_Female> hall jenner <Speech_Music_Female> pascua <Speech_Music_Female> even tompkins <Speech_Music_Female> and sarah ohlander <Speech_Music_Female> lane farber <Speech_Music_Female> <Advertisement> contributed <Speech_Music_Female> <Advertisement> to this episode. <Speech_Music_Female> <Advertisement> Our production <Speech_Music_Female> <Advertisement> director is jeremiah. <Speech_Music_Female> <Advertisement> Tiddle are <Speech_Music_Female> <Advertisement> executive. 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"ten" Discussed on The Ten News

The Ten News

08:17 min | 1 year ago

"ten" Discussed on The Ten News

"Today. We've got the scoop on incredible animals. Who are making a difference. Let's dive in. They pop out a trash and swim through sewers. sometimes they even cook under an animated chef's hat. Have you guessed what i'm talking about yet. That's right rats reds. Get a pretty bad rap. They are problem in many communities around the globe but when they're not out in the wild causing problems for people and other animals. Rats are actually intelligent animals. That can be trained to do amazing things. No our correspondent lane. Farber from nature nerds. Podcast has more on some of these radical rodents. They're cute they're fuzzy and they've got a powerful sense of smell that's helping save lives. I know what you're thinking another dog story not this time my friends today. We're talking about the heroes of the rodent world. The incredible giant pouched rats. Their name implies giant pouched. Rats are big rodents native to africa at over a foot long and weighing up to six pounds. It's fair to say that these rodents are beefy. But it's not their size that makes them so special. It's their sense of smell and intelligence. Specialists have been training hero rats to detect landmines since nineteen ninety eight bart reach-ins came up with the idea to train. These special rodents. After a sense study done with gerbils it took many years of research and fundraising to perfect the training routine but now these tiny rats superstars are saving lives. As part of the popo organization. Giant african trotz are the perfect landmine detectives because their sense of smell is so powerful. They're also highly intelligent and easily trainable. So how exactly do you teach. Teacher rot to detect landmines. Well the lane process starts with clicker training. Just like training dog. The rat here's the sound of the clicker and is given a tasty treat. Once they've mastered clicker training. They move on to sent training. The rats learned to distinguish different smells of active and inactive explosives after mastering lab training they practice out in the field. And if they do well they graduate from the program as a licensed hero rat. The training can take up to nine months but the reds don't mind because they get lots of treats play time and exercise while they study after graduating here. Rats can officially begin their job. The rat start their days. Bright and early thorough. Woken by their handlers. Slathered in sunscreen to protect them from the harsh uv rays and strapped into their tiny harnesses unleashes. Then they head out into the fields where they use their super sniffers to detect explosives hidden beneath the ground. But don't worry. The rats are at no risk of being harmed because there are too light to set off the weight triggered explosives so we can all agree that rats in tiny harnesses. Getting bits of banana in exchange for doing a good job is show cute. But it's also super important. The bombs that they're detecting were left behind in various countries after war. These leftover bombs have hurt and even killed many innocent people who live in these countries hero. Rats are saving lives and with their help. Hopefully soon these countries will be safer for the people that call them home. That's an incredible story and really shows how smart these animals really are. Wildfire season is kicking into high gear in many parts of the us to help fight fire. We'll need all pause on deck. That's right. I said pause if you earn a dog person before you might turn into one after you hear about these hard working pups who help out in the fight against wildfires plane farber is back to tell us more about dogs making a difference a very good girl named gareth spends her days lending a paw to firefighters battling california wildfires. Kenneth is a licensed therapy dog. Who works with firefighters in northern california with wildfires eating up the coast of california. Carrots has and kisses are more important than ever but before we hear more about this buzzy wuzzy dog. oh let's take a closer look at wildfires. So what exactly is a wildfire is an uncontrolled. Fire that burns in forest grasslands and other rural landscapes wildfires have been happening for millions of years and they actually play an important part in maintaining a healthy ecosystem. I know what you're thinking. How good fire possibly be good for plants. Well the fire burns away. Harmful insects and diseases that could spread to other plants and some trees even have seedpods that will only open when exposed to extreme heat wildfires. Become a problem when they happen. Frequently and go unmanaged. If a wildfire is not contained it can burn down thousands of acres of land and harm or displace the animals and people that live nearby right now. Wildfires are happening at increased rates because of our changing climate rising global temperatures caused intense droughts produce snowfall and increased lightning activity super dry ground. Plus crackling lightning equals wildfires central in the last few months over one point. Five million acres of land has burned down in california. That's roughly sixty times larger than disneyworld. The fires continue to spread and it's up to brave firefighters to keep them in control. This is a dangerous and super stressful job. Luckily some firefighters have special furry friends to help them manage their stress cara. The golden retriever has been visiting fire stations in northern california for over a year. Her sweet puppy dog eyes and warm. Smile don't just look you. They actually make people feel better. That's right spending time with specially trained puffs like harris king. 'cause her brain to release special hormones that boost your mood and lower anxiety levels. So here's to the firefighters putting their lives on the line and the good good dog owes who help make their job just a little bit. Easier back to you bethany. Thanks lane after that amazing story. I'd like to give all of you turner's emission. Go give doug group hug. Oh okay so. Why can't bicycle stand on. Its own because it's too tired or does that sound like a joke. Your dad or another corny type person in your life might say. Well tenors. father's day is coming up and we want to hear your best dad or just totally corny joke to air here on the show to submit the ultimate dad slash corny corn joke. Grab your adult and give us a call at our new phone line. Eight seven seven ten news and leave us a message. That's eight seven. Seven t e n n e w s or you can email us at hello at the news dot com.

Kenneth Today africa Five million acres father's day today millions of years thousands of acres california sixty times northern california harris king gareth eight seven over a foot bethany over a year nineteen ninety eight bart rea one point Eight seven seven ten news
"ten" Discussed on Ten Minute Medic

Ten Minute Medic

04:17 min | 2 years ago

"ten" Discussed on Ten Minute Medic

"The amount of kinetic energy increases to almost one hundred, twenty, thousand K. You. And when they say speed kills the really do minute. American energy increases were the white as a person goes from one hundred and fifty, two, hundred, eighty pounds. But really not quite that much. Understanding the anatomy of the human body coupled with basic grasp of Connecticut Energy You can begin to develop type six cents about the things that are going on with your trauma patient. Keep in mind outside out of mind, can often caused some real issues as far as having an effective assessment towards a patient of trauma particularly, any type of internal injuries we are looking at her patient and we begin to compare what has happened with the mechanism injury with injuries that we're seeing as well as the potential for injuries that are unseen we call busy index suspicion. Is Index of suspicion or your gut feeling will become much more accurate as you get more experience understand that early on your basic mistakes as far as what your gut is telling you. But that's okay. That's all in how you get your experience in your education as far as you're moving along and as you see more patients and USS more patients, the better off, you will get it this to understand the Bob Mechanics of trauma. We need to settle upon just a few definitions as we're moving through here. Now, for some of these definitions are going to be a no brainer. There may be others that you may or may not be familiar with it. That's that's okay. So, say penetrating trump penetrating trauma happens when objects such as a knife or a bullet or any other objects for that matter Pearson Protective Barrier of the skin and enters into the body. Any subsequent injury may be caused either directly or indirectly by the spin attraction will. Particularly Take A stronger deeper look at this type of injury causation. Particularly, we take a look at gunshot wounds a little bit later on. Compression happy injuries happened when a body stops abruptly while the internal structures are still moving forward. Now. The most common type of injury that we would see this in is a head injury with a coup contract injury to where the brain sloshes forward. You have an injury about the interior and sloshes backward and you have an injury on the post here. Stretching injuries are just opposite of compression these occur when part of the body is pulled away from from another in particular, you can see these types of injuries when you have sprains. In particular the ankle and the knee win differently, ovens and tendons begin to get stretched a porn. Now, a very medieval example of this occurred people were stretched on the rack is a type of punishment or torture or to exact a confession. In a share type of injury, the internal organs continue to move forward at varying rates Speedo. We talked about this while ago. When we were speaking about the car that stops the body shop's internal order themselves are still continuing to to pass on forward as the as the body of stopped. Win The body itself stops any type of limit or tendon that crosses the Oregon will cause it to be lacerated this quite frequently with liver lash rushes do the foul. Some four ligament crosses the interior surface of liver, as well as with injuries too theoretically or particularly within the lever. This fast inform legemaate acts much like a cheese cutter and that is very tough. It's very. Fibrous and it literally, the liver will continue to go around it on both sides until Liberte south could can become lashing right in the patient of lead to death. There are three phases of a traumatic event that we're GONNA take a look at in depth here..

penetrating trauma Speedo Liberte Connecticut Oregon
"ten" Discussed on Ten Minute Medic

Ten Minute Medic

03:04 min | 2 years ago

"ten" Discussed on Ten Minute Medic

"Here's your host thought tax bill young. We're going to take a look at some of the physics. Travel and how this would be important to you. In order to fully understand forces that going into causing trouble we're going to have to take a little bit of a look at physics itself. A physics is defined as the Division of Science Studies motion and Energy Exchange between objects that collide between each other and how that energy is changed shared modify knowing this will help you as per medics to have a better grasp on both seen as well as the unseen trauma that will occur within your patient. Your describes a Noushin. As a two-part long, it's stated as a body in motion will tend to remain in motion less something else asks opponent to slow it down. Ellen reverse is true as well for bodies at rest ill tend to stay at rest unless there's an outside force. Forces it to move upon now, this first laws known as Newton's first law. Of, this. If a bullet is fired from a gun continued move in a straight line until something impacts, it or revenue begins to. Move at that time, it leaves the stoff or change directions according to new energy is the ability to do work work in its simplest form is considered the ability for movement between two objects. Since, the law of conservation sites at energy can't be created or destroyed. It can only be changed from one form to another or transferred from one object to another wigan. Center that energy is simply being transferred from in this situation from a car into the tree. Now. This is the impact of wind any type of an auto impacts. An moot will object the energy from which the auto has about movement is transferred into the tree, which is then moved on to the grail. We referred to this energy as Connecticut Energy or for sure K.. E. IS DEPENDENT upon several variables including how much it weighs as well as how fast travel. Now, these are going to be some pretty important concept that you're going to pay attention to interest in particular because one of them is going to carry more of an impact than the other. You don't need to use a formula outlined in the book to determine Connecticut G. must keep in mind. that the speed of an object has an exponential effect on the amount of energy that's available and that's what I was just speaking about speed definitely has more of an impact than does the white of. Away. Of example, let's take a look at this hundred fifty pound person who's traveling on interstate the amount of kinetic energy that's available with a movement that person while traveling thirty miles an hour. Is Sixty, seven, thousand, five, hundred K. E. units. If we speed that same vehicle up I, only about ten miles per hour..

Connecticut Energy Division of Science Studies wigan Ellen Newton Connecticut
"ten" Discussed on Ten Minute Medic

Ten Minute Medic

03:15 min | 2 years ago

"ten" Discussed on Ten Minute Medic

"Do not live a low blood. Sugar sneak up on you. As the child is compensated shock respiratory rate is going to naturally go up this may result in a transient period of respiratory alice. Carbon dioxide is blown blown off as a child against tire from the SANTITA. The rapid breathing in breathing begins to slow. She made transition over into a state of metabolic. Pollick acidosis now. It might seem logical to administer sodium bicarbonate offset versus but this is not indicated. The key here is to use fluid lewd resuscitation restore perfusion body is designed to tolerate metabolic acidosis for a short period of time and the administration of by car would be harmful for your patient strays Asian over discussion of distributive shock. And what it does to the body distributive shock. You may hear a call. Visiting shot comes. `Bout Win The dilation and constriction of the vascular has been impaired. The big issue isn't so much that the arteries dilate because they do they're simply unable to constrict as a result. You have a much larger container with less lewd pressure inside the pathophysiology of this is something like this I I because of the massive Basal dilation peripheral vascular resistances decreased often drastically. This results had Poli- within the veins. Import tissue perfusion because of this pooling Venus return to the heart is reduced as well is the cardiac output the three primary causes of distributive shock include. NFL Alexis an injury. The central nervous system or sepsis sizes simpleton distributive shock can be misleading in that in the case of a nervous system. Injury your patient maybe in compensated shock yet had a normal or Bradley carded heart rate heart. Association's Pals Course Discusses Three types of distributive shock. Septic Genyk the single brief look at all three of these now. semper shock occurs because of a reaction to it infection that at least an instability in the perfumery status of your pediatric patient. It is the most common type of distributor shock senior children earlier that you diagnose sipped shocked the easier. It is to deal with and leads to minimize of organ damage. Septic shock tends to occur in a two phase process beginning any with peripheral Basal dilation. The first phase is often referred to as warshaw this comes about toxins. Caused by the infection. Prevent the catecholamines immune system from inducing vase on construction the heart rate increases in order to maintain cardiac output. The capillaries will also begin to become permeable allowing in fluid. Move into the interstitial tissues. Essentially shock continues unabated. The patient enters the second phase known as coach on the heart and respiratory Tori right will still be elevated but cardiac output continues to decrease at some point bodily systems began to fail affecting the kidneys and liver early on the goal of treating. Septic shock has identified the columns and eliminate. Obviously that's not going to be possible. Pre Hospital perspective. Our primary focus this will be the support perfusion for the body by giving them..

metabolic acidosis acidosis SANTITA Pre Hospital Poli Tori NFL Bradley Alexis
"ten" Discussed on Ten Minute Medic

Ten Minute Medic

06:22 min | 2 years ago

"ten" Discussed on Ten Minute Medic

"You're listening to two minute mic Lee podcast for busy paramedic students. I'm your host Dr Bill Young in my role job. I'm associate professor. The Department of Para Medicine at Eastern Kentucky University students will be taking their pediatric advanced life support course when they return in the spring so the next few podcast focus on topics from that course. This week's topic will focus on basic life support for the pediatric cardiac arrest patient. The initial assessment of the pediatric Edrich patient is very similar to that of adult. What you've determined that the patient's level of consciousness move quickly to assess in Pulse N.? Risk rations the save time assists both of these simultaneously. Keep in mind that you shouldn't take any longer than ten seconds to evaluate both of them to Jay for breathing. Look for Reisen. Follow the patient's chest. Your patient is breathing and doing so adequately with good title simply monitor the patient and transport to the nearest appropriate facility. If your patience number. We're if breathing is inadequate such gasping report TATO volume your patients considered to be in respiratory failure or respiratory arrest. Made sure that you addresses this. Is Life threatening problem before you move on. In your patient assessment. It depends on the age of the child has to where we will assess their pulse for patient as an infant. Somehow faith the break you'll artery at either one of the arms if your child is older such a school age or older you may for karate kid or ephemeral false. Sometimes it can be difficult to determine whether the patient has a pulse or not. This is even more so in children especially if they're overweight. If you don't feel a pulse within ten seconds can she must begin. CPR immediately even if the patient has a pulse. But if it's less than sixty beats per minute or if the patient shows an inadequate cardiac output you should begin in Cpr away pulse checks should be limited to duration of ten seconds every two minutes. It is imperative that you do not interrupt CPR. We are unless it is absolutely necessary. In an effort to make it easier to remember the American Heart Association has mandated a goal of one hundred to one hundred hundred twenty compressions per minute for all patients. Just a little hint here. If you're taking the pediatric advanced life support. Course most likely be a survey questions regarding this right if you do by yourself ratios thirty compressions to relations in all patient populations adults children and infants. You have a second rescue prison. Your compression ventilation. Right is fifteen corporations to to violations for most children cardiac arrest. You'll either US one or two hands to compress the chest in the event of cardiac arrest Anthony Use of the thumbs on the sternum with the rest of the fingers and circling the backs. Preferred the primary reasons for this are one. It provides a better blood supply to the cardiac muscle. Say Only it also helps to maintain a consistent depth as well as S. force of chest compressions and lastly some research studies show that it may indeed bring about an increase in blood pressure which improves perfusion to the brain and the heart he sent you compress the tissue compress about a third of the diameter of the chance to in order to provide an adequate ojection fraction of blood from the left ventricle. Then allow the chest fully recoil so that the heart and refill the blood for the knicks compression allowing the chest to fully recoil is just about as important a part Harda. CPR is compressing the chest and having the right compression rate if you happen to be alone during the cardiac arrest and the child is small enough to carry with you to the phone. Do just that child with you as you call for help. The child is too large security. Performed two minutes high-quality CPR and then activate now one above all else made sure to maintain consistent compressions although compression gets the top billing in any type of resuscitation effort. It's important to remember that. You must provide adequate ventilation for your patient as well. In order for ventilation be -ffective you must have an open patent airway. Part of the challenge with children especially very young children is that they have very large posterior Oxford. If you allow the child supine on the floor or a bed. This part of the hill pushed Chen four were causing the airway to become included. Make sure that you put the child in a neutral position padding underneath shelters one way to measure. This would be to make sure that the external ear canal is aligned. With the superior part of the child's shoulder when a child goes into cardiac arrest in most often is preceded by an occurrence of respiratory figure. Vic this is unlike many adults who have some type of cardiovascular event or disease that precipitates their cardiac arrest when the adult heart stops the oxygen content of the blood is still sufficient to fulfil the auction workload demands of the heart for a few moments after cessation pulse. Most of the time children do not have this oxygen reserve. It's very important that you provide high-quality compressions and Malaysians during cardiac arrest especially for infants and children. Because how's this very reason during a cardiac arrest and you may be called upon to use an e. It's preferable to actually use pediatric size pads. If they're available they're not inviolable. Viable use the adult pads. Come with the favorite later in this situation would be probably best to use the anterior poster position the patches on the chest I and the patients back. You do not want the pads touch but you should not trimmed past. Try to make them fit the patient apply. AD as soon as possible possible is studies. Show that the early fibrillation is most effective especially in children in a situation where you must provide defibrillation for an infant. If you have a Emmanuel Monitor defibrillator violence preferrable to use that rather than a the primary reason here is demanding differ blazer can provide a much lower energy energy content for defibrillation in an infant in Canada. You date however should a day be all that you have than make sure that you use it most situations of pediatric cardiac arrest come about as a result of airway involvement breathing abnormalities or both be aggressive in dealing with these that your patient. We'll have the best.

respiratory arrest cardiac muscle Dr Bill Young American Heart Association Reisen Department of Para Medicine Lee Eastern Kentucky University knicks Jay US Canada left ventricle Chen Vic Anthony Use
"ten" Discussed on Ten Minute Medic

Ten Minute Medic

11:58 min | 3 years ago

"ten" Discussed on Ten Minute Medic

"Magin that you're you're running a scenario. You've got a twenty two year old male patient that law enforcement is college you on they're not entirely sure what's going on. When you get there. You've identified. Guide. The patient is has history of autism. Give us some ideas in your patient assessment and your interaction with the with with this patient. How would you speak with them? How would you minimize not having multiple steps in what you're asking the patient of do or what you're telling the patient that you're going to do as as part of your assessment? I always like say it's kind of like going low and slow guy Asian you wanna get down yacht. First of all you want to reduce all the the sensory. Stop may be at light speed people. Did you know noise, everything you wanna limit that next all the things that we have on on emergency saying absolutely good and not to get off topic. But if he can teach the family, what we need to know after your first contact saying, look, you know, if we knew the child was on Tissot. We'd learned how to adjust our response. Okay. If I that's a great way. 'cause 'cause I tell my students said families are secondary patients that can be your your best friends or your worst enemies, and there are a lot easier. And you get a lot more information from them when they're your best friend. So I think what you're saying. There is is outstanding information. Well, yeah. And if you think about it that way to that with a an autistic person, it's it's that in space in oh, not gonna react. Well to an adversarial and of approach or or you know, coming in guns blazing. You know, we got our kits. We got our firefighters with us. We're just, you know, go from zero to sixty in two seconds on. It's not going to do anybody. Even neuro typical person any good you're gonna you're gonna grant them up with an autism person. You're really going to Jack up and then you're working on a meltdown. You're not getting anything done. So you know, sitting beside. Them talking softly. Finding out if they light-touch don't like touch. That's key giving them time to respond to your questions. Not all very often, especially new medics, as you know, we're often thinking of the next question before we heard the answer to the question. We just yeah. Yeah. Don't do that. Because then you're you're not going to get anywhere with any patient. But certainly not person you just got to ask the question watch their reaction give him time to respond if they can respond NFL nonverbal. There are other ways to do it. Do they have a night at do? They have you know, a tablet of some sort that helps them communicate or or you're going to have to use some other other things, you know, the county they point to things, you know, it's it's you know, how he amasses man, you just gotta adjust. So the question has to be as then I mean, we we beat into the students head what I called the BS seen safety dance. What is the likelihood of danger for someone to get hurt? Either the patient or one of the responders if you're doing everything that you're supposed to be doing your shutting down lied. You're you're clearing the room out. You have minimal number of people. What's the likelihood of a patient that has autistic of becoming violent? Well, you know, it's always there. I mean, there's a lot of aggressive autism. But I think a large majority of assistant, April are more huggers. Okay. Than an aggressive. But you know, you have to use your Spidey senses. You know, you have to get that history. From your your your family good in a bait. They mentioned that a child can be aggressive. Well, maybe you don't want to be in there alone. You know? And maybe that's a good reason have law enforcement on scene. But the last thing you wanna do is is restrain an autism person. Right as oh. From bad. Do a whole lot worse really quick drying restraint. And obviously sometimes we have to restrain bit hemicycle restraints with I said, or did, you know, a physical restraints, but onto stick people aren't developed the same way. Neuro typical people are in. There have been more fragile on the have less upper body strength. So you know, you really opening up a can of worms by trying to restrain or being aggressive in your approach. And you know, you can very easily without intending to do everything wrong. You're make us get may make that one outcome really bad. So all future outcomes for whoever response to this person in the future are going to turn out the same bat.

Dr Bill young Facebook Ed NFL Nisar Jack officer Nick Joy Ella Nixon Dustin twenty two year ten minutes two seconds ten minute six years
"ten" Discussed on Ten Minute Medic

Ten Minute Medic

10:00 min | 3 years ago

"ten" Discussed on Ten Minute Medic

"Welcome to the ten minute. They podcast for busy paramedic students. This is a podcast where we take one subject discussing for a maximum of ten minutes. I'm your host Dr Bill young. One of the areas. It's commonly failed while taking the national registry. Makings Ayman's out of IMAS operations, the problem with this is that we tend to cover evils operations at the beginning of class. Never to be mentioned again until you're sitting in front of the computer screen taking your exam. It literally becomes out sight outta mind. One of the things that I was suggested you do a good paramedic student this to periodically review. The miss opperations sanction in particular, dealing with incident response and the level of ethicality of how you treat a patient's as we podcast. We'll take a look at one of those issues focusing on. What is the right time for us to not transport a patient to the hospital, I gave a little ham. If you'll always do what's in best interest of your patient. Honestly, doing what's in the best interest of your patient? You're rarely around as podcast was recorded in April two thousand nineteen not long ago. They must roll the surprised dismayed by the report of a man who was berated treated poorly by EMS agency in South Carolina. According to news reports a patient had a history of schizophrenia. However, they invest crew responded to a report him running up and down interstate ninety five while naked ultimately released him four hours later, he was struck by vehicle and killed. On the highway the instant with paramedics show in the lack of compassion was cut a body. Cam video of the responding deputy podcast will not address lack compassion or professionalism shown on the video by the mess group. Instead, we'll take a look some of the legal aspects of releasing patients at the same than how to minimize your legal liability. Keeping my I am not an attorney nor to play one on television. Racially exciting announcement was made by Medicare under a new project. EMS is now going to be reimbursed for treatment without transport in certain situations. This Saturday at the same time causes me. Great fear, one of the areas that EMS has the Duggal sacred in as have no transport of patients who led her own show to need between transport. Let's take a look and review the criteria. Which legal ability is minimize in doing. What is best for the patient is maximized when faced with weather to transport ship patient of hospital or not after we use the word, competency when dealing. With a patient's ability to make health care decisions for themselves. More accurate term would be capacity to make decisions however, because competency is generally will be using that word Kamla within the United States hopes that patients have the right of self-determination in regard to whether or not Duceppe medical treatment, one of the greatest most basic rights humans have and must be protected as that of Tommy Tommy can be defined as the right to make decisions that are once best interest. All patients are considered to have competence to make legal decisions about their care until preventable is now in order to make those decisions the patient has to have the right to either give or withhold consent for treatment any adult that has been determined of been found competent is able to tell you whether or not they want treatment even further if a patient desires to be treated, they are right to tell you to what degree they want the treatment to continue or stop. This would include withholding particular medicines. Or trey. Tement while civility accepting transport of the hospital. Challenge rises when the pre hospital care is needed patients that may or may not be have the ability to understand their condition, and we're not sure if they're capable of making the best decisions about their care key in this. Doctor Automic is that the patient must be competent a wish that there was a tried and true method, but which you could determine competency at all times, unfortunately detail, you that would be a lie. So how do we determine whether patients comment to refuse treatment and or transport well begin with the very basics is your patient awaken alert. Now, it's important to remember that being awake is not the same thing as being alert some factors that you must take into consideration when dealing with patient carbons the to refuse treatment should often include involving the patient's family when available to determine the agree to which the patient is acting normal. Keep in mind that your patients family can become your greatest ally. Where you're worse. To enemy the treatment of the patient. Now, we sometime on the legal aspects of patient competency. Let's turn to the clinical side of it stated earlier than determination of competences, not a science, but more of an art it's important to take into consideration vase and culture the patient when trying to determine this comments can be influenced native white by the presence of dementia delirium alcohol into drugs. However, it's important to remember that simple because a patient smells of alcohol. Does not mean that they're incompetent to make their own decisions in the paramedics action of determining confidence. The history is often. The most important tool that we have must be the place where we first him as discussed earlier determinative patients normal based on this critical. The second step is to explore whether or not any change in the patient's Covent of ability is related to her versatile 'cause all patients, and I mean, all patients who exhibited change on a level. Cognition should get a finger. Stick glucose to check for Hubble glassy Mia fill raid. Listen to an earlier ten minute medic podcast, entitled you're so sweet on the approach into paramedics should take the diabetic patient determined that the impairment is not going to improve your next step should be to find out. If it's getting worse as well. As to what degree the impairment has on your patients decision making ability. Make sure that you're able to differentiate between a patient with dysphasia or difficulty in speaking from the one who is speaking gibberish, stroke patient will often have some problems speaking, clearly, but will retain the ability to make cognitive medical decisions. A the Monica can be helpful and do the detailed assessment on the middle. Competent patient is asset A S S E T A for appearance s is for speech esus for censorial is for emotional state and tears for thought process. Take a deeper dive at each of the. These look at the appearance of your patient. Although each patient will have a different socio economic status and don't let this by sheer assessment look at how they're dressed as well as the personal hygiene. If the patient is to shoveled explore the reasons why based should be assessed for proper pronunciation as well as normal patterns s. Also sounds for since Oreo does your patient know where they are the time of the day things like that one word of caution here beware of asking any patient regardless of their chief complaint. What time of day it is if you respond to them after midnight, even the best of us will have a challenge. Intranet question we've been awake in the middle of the night is their emotional state appropriate for the moment. Does the patient seem depressed or in a state of mania? Lastly, look the thought process SM them simple questions that they should be able to answer such as who is the president in. What is to listen to the like is it possible that a patient with dementia? Could still be able to make some or all of their medical decisions. While a short insures. Yes. Patient with diagnosis of dementia may require the prayer made to take a much closer look and evaluation at the mental status of him. But each situation is different take an individual approach each of these situations as you deal fairly and compassionately with each patient and their family if you have any Dallas to the patient's capacity for decision-making default in the conservative broach. This however must be done in conjunction with patients family as well. From the point of wellbeing for the patient in an article from the stat pearls website, leeann Goldstein suggested the following regarding the decision making criteria for patients. The patient must have sufficient information from the provider regarding the medical condition in the associated risks to health in person. The patient must understand that a decision has to be made. The patient must understand the rich burden. And benefits of all options, including that of doing nothing. The patient must be able to use the information to make a decision in the setting of his values and belief systems. The patient must be able to communicate his choice to the provider, and they must be acting without coercion or undue influence, including from family, friends, or even you as the provider in his responsibility of the emergency responder to identify loss of capacity for medical decision. Make it is not the patience responsibility to prove that they retain such capacity. You can find the full citation the full article in the show notes in conclusion taking the approach that you will do the very best for your patience is the best route of care for them as well. As the best source of legal predation for yourself, you're gonna wind up on video on the internet. Why not make for some form of compassion state? Need care for your patient. Thanks again for joining the ten minute medic. I'm. Excited about our next topic as it was chosen by their request from the paramedics students at Arkansas state university are Dixie stations will address IMAS interactions with autistic patients the first long will deal with what autism is. And the second will provide some ethics of dealing with these patient interactions. The best way to ensure that you hear these off your episodes follower podcast on your favorite player. Thanks again for listing.

Dr Bill young Ayman South Carolina Arkansas state university United States Tommy Tommy Medicare Doctor Automic trey attorney leeann Goldstein Oreo Duceppe president Dallas ten minute ten minutes four hours
"ten" Discussed on Ten Minute Medic

Ten Minute Medic

02:08 min | 3 years ago

"ten" Discussed on Ten Minute Medic

"Processes. Wells protecting the airway. Should he vomit? The first line drug should be considered for your inflected patient is epinephrine. Apias classified as a sympathetic agonise? Which means it will increase the heart rate result in peripheral Vice Construction and improve the cardiac output as it works to constrict the blood vessels. It'll also help to stem the plasma that his Laking from a basket jer leading to an increase in a patient's blood pressure. It's also a faked it for the reversal of the broncho constriction so common in these patients. You're dosing regimen for epinephrine zero point one zero point three of a one to ten thousand concentration solution of epi. This should be given IV this translates into three to five milliliters of this one to ten thousand concentration. Deafened hydra mean more commonly called Benadryl is more frequently administered in the allergic reaction or an flight to patient than any other drug. It is an h one and h two blocker that is effective at neutralizing the effects of history, the standard adult doses to give twenty five to fifty milligrams IV, or I am keep in mind that when administering hydrated is very painful, the paint can be lessened by ministering, slowly, the primary Sada faith from its administration will be sleeping on the part of your patient. Having a severe ineffective reaction is very frightening experience for anyone remember to remain common, compassionate with your patient the side effects from the administration of epi. And deafen Bing can add to that fear as you should with all your patience, be sure to tell them about the side effects. So that when they do begin to exhibit them their anxiety is lessened support in the emotional status of these patients is portent as. Oh pouring their physical needs. Thanks for taking time to listen to this week's ten minute medic in next week's episode will transition over to look at some of the issues behind patient consent. And why this could be a particularly thorny issue for the paramedic. Thanks again. For listening.

epinephrine Bing Vice Construction ten minute
"ten" Discussed on Ten Minute Medic

Ten Minute Medic

08:59 min | 3 years ago

"ten" Discussed on Ten Minute Medic

"You're listening to the ten minute medic the podcast for busy paramedic students. I'm your host Dr Bill young in last week's podcast. We took a look at the airway and the trauma patient and how you should go about approaching it from a basic perspective. This week's podcast will take a little bit more in depth. Look at things such as sectioning position to your patient as well as win to and just as importantly when not to use or consider drug assisted or rapid sequence innovation. Luckily for both you and your patients most of the time the airway can be managed with simple skills. It's important for your way, the benefits versus the risk of when you're moving to more advanced skills in equipment and maintenance of airway the use of simplest tools that are of the most effective the situation will generally be the best for your patient. The trauma patient that is coupled with an Alder mill status and being us upon position that has copious amounts of facial blading can be one of the most difficult challenges in airway maintenance that you'll face the ability to you suction ineffective mannequin determine whether your patient survives or not the biggest challenge that you'll need to keep a man win such thing is causing your patient to become hypoxia because of extended time of sectioning. I wish there was some way. I can tell you fixed amount of time to suction but much of that will depend upon the amount of blood or vomit us that your patients producing these preoccupation win suction. He will help offset any of the hypoxia that may develop if you're able even if your patients backboard roll the patient over their side, gravity, your friend. This'll help much of whatever fluid is in the patient's airway to exit the mouth and not wind up in the lung. If your patient has massive amounts of blading vomiting, don't waste your time using a soft suction catheter. Get the largest heart catheter that you can find that will move the most fluid from your patients airway when section of your patient. Remember the steps first pre-accident your patient by ministering hundred percent oxygen next insert your catheter without the suction being applied the seltzer adduced amount of hypoxia that patient may spirits as well as if you use a soft catheter the catheter may adhere to soft tissue on the way in of suction applied. Lastly as soon as you're finished sectioning, reaction nature patient, beware of hyperventilation for the reasons that stated earlier in this lecture in addition to bleeding vomiting. There are number of other issues that may come of that made it difficult for you to major the airwaves trauma patients. Some of these include patients who have short action large tongues. One way of minimizing in the native of face of the large sunk sizes using the Indo tracheal Laurien scope blade this wider, the normal this house to lift and move the tongue up and out of the way. Day. One method of identifying whether a patient may be difficult to innovate is by the use of the Mallam Patty score to do this. It works best. If you're patient sitting upright with the head intro position gave him this'll rarely been the case with your trauma. Patients have your patient opener mouth stick their out. Look the structures of the back of the throat to see how clearly they are able to be saying in a class. One Malam potty the best of all of them. It exists when you're able to see all the structures of the soft palate, including the villa. Clash is present when you're able to see the Euboea, but no soft palate a class three. And you're able to only say the base of the villa from where it 'attaches. A class four exist. When no extractors are violent, and is the most difficult indicator of all unreal. Cajun's you may be called medically induce your patients so that they are sedated paralyzed innovated in a person who is proficient in this practice is the safe tool to use. However, and I must stress this. This should be practiced on a regular basis, you should review the drugs and the ministration protocols in order not to make a better way situation. Even worse. These pharmacological agents to assist in the innovation process falls into two categories. One is called drug assisted innovation or DA the cygnus called rapid sequence interbay tion or are sl. Let's take a look at each of these these medications such has been dazzling him fennel or diazepam used with the goal of relaxing, your patient enough to allow you to introduce the entertain to into the trachea the purposes relax the patient, but not to cause the protective mechanisms of the airway been negated in rapid sequence innovation or. Sl. The patience for sedated, the paralytic agent Zena minister to the patient that causes muscle paralysis and removes the patient's ability to protect his own airway. Some studies have shown that patients tend to be revealing more this procedure lead into a poor outcome. Other studies show little or no difference between this and other methods of airway maintenance more study is needed indications for other drug tested innovation or rapid sequence interbay shin, including those patients who are need of secure airway and are combative because of a hey Andry or severe how boxy Mia you must be confident as well as realistic in your assessment of your ability to innovate the patient. If you're going to go this route failure to be able to manage the airway can lead to how Pasha as a result of aspirin or death from hypothalamus of crisis the drugs that you will a minister to do. This are almost all universal in the Saudi fate of causing a drop in the patient's blood pressure. The follow is the protocol approved by the Kentucky board of emergency medical services for the use of drug assisted innovation or rapid sequencing innovation. Please refer to the board. The miss website for more details on this protocol, keep in mind that it is a restricted protocol and providers must be pre approved by the board prior to doing this procedure. I may Shas you have all the equipment that you're going to need to accomplish a procedure, including suction, establishing IV of at least assize of an eighteen gauge all patients should be on entitled. CO two monitoring pre-auction night your patient in a tap to raise a pulse ox up to ninety four percent or higher administer Lada. Cain one and a half milligrams per kilogram. Every push to independent who is suffering from a hit injury stroke or hypertensive crisis. Your patient is going to be given a drunk and ministered zero point zero one milligrams per kilogram of recounting to help with decreasing the muscle facilitations that come about as a result of some of the drugs facilitations are slight tremors in our sl. Sedate the awake patient with Tommy date with zero point one to zero point three milligram per kilogram. IV push at a maximum of twenty milligrams or Maderas lamb zero point one milligram per kilogram. IV push with a maximum of five milligrams. Us lower doses. In the hypertensive patient or the overly patient sedation. Drugs can be omitted in the unconscious by shot. But please make sure that your patient is truly unconscious. Paralyze will sucks coaling the doses. One point five milligrams per kilogram IB, pushing adults and two milligrams per kilogram IV push in children flush the IV with Tennessee. Tennessee's of IV fluids fallen any Drug administration. If you using drug assisted innovation sedate, the patient with Tommy date at zero point one zero point three milligrams Ivy push at a maximum of twenty milligrams or Mme zero point one milligram per kilogram. IV push again, follow the Drug administration by flushing the line with a bowl of fluid to make sure that the drug is into the central circulation in the past silica maneuver was a favourite appear. Mish to either clued the softness or reduce the potential for vomiting to bring the trachea interview research shows that is really not very effective even make it more difficult for the person doing innovation to see the trachea one of the big challenges of paramedics and industry unabated as verification that the tube is indeed in the right place. One study showed that one out four to were in this office, especially with the availability of Intel seal to monitoring this is inexcusable but the methods of tape placement. Advocation include direct visualization of the tube as it passed. The cords seeing the chest rise and fall with each village in prisons, bilateral breast sounds in four areas. Over the chest Fargo,

Tommy Dr Bill young Intel Alder mill hypertensive Tennessee Mallam Patty muscle paralysis diazepam Cajun Pasha Cain tremors Kentucky aspirin ninety four percent hundred percent ten minute