35 Burst results for "ten minutes"
"ten minutes" Discussed on News/Talk/Sports 94.9 WSJM
"It's time for ten minutes. Would tom tom austin of austin tax and financial tax pepper preparation and planning and retirement strategies. And planning and a whole lot more. Tom how are you this morning. Good thirty six. Are you kidding me. I had to walk out the door yet that. That's that's getting down there. Yeah you might as well stay inside. I it's one of those one of those days ed frost on my windshield. This morning. just But i know you keep up to date with a lot of different things And i know We've done this in the past. But i'd love to see what What kind of tidbits you have for us this morning. Yeah occasionally like mix it up a little bit and and you know bring out. Some things have maybe happened in our economy just in our world and some interesting facts. But i got a few today johnny in the first one Find interesting that nearly seven percent of employees in accommodations and food services sector left their job just in august seven percent that means that one in fourteen hotel clerks restaurants servers. Barbeques quit their job in a single month. So this is kind of a phenomenon that we've seen you know you see that There's a lot of people that are looking for people to work. And i think there was some thought that when they the federal unemployment and which ended the first of september that people would go back to work. But we see that that just hasn't been happening and certainly the the restaurant industry and service industry hotels. And and what have you have probably been affected. The most you know but we see across a lot of the different sectors and i think a lot of people are just trying to figure out you know. I think kobe chains a lot of things way. People viewed work Hurts some talk about you know. Do we really need to have two people working in the home and also a lot of things. I think people are reevaluating that trading that absolutely and some people even shifting into two totally different jobs Whether maybe the one point lost their job during the pandemic and working in those hospitality industries and thought. Okay maybe career change so it's it's surprising thing so so as of june of this year the top one percent of households. Now hold a larger share of us wealth which is about twenty seven percents than the entire middle class which is twenty six point six percent. It's the first time in history that the middle class as held a lower share of our national wealth. And so what that tells us. I'm not exactly sure. They made the rich keep getting richer. you know. There's a lot of conversation about how you lift the lower class or middle class. You know into maybe a better standard of living You know so you know. There's a lot of things going on. You know from the political side of of the direction of our country you know and some of the spending and things that you know dictate you know. Some of the things that may occur you know with distribution of wealth and so forth with all the The flaws that we have. I think our system still is probably the capitalist system is still probably the best in the world you know and and most people have opportunities here The number of jobs created i. The commercial internet was more than has more than tripled since twenty twelve shifting united states from an industrial company to an information company and. I think we see that more and more people. I think a big part of those people wanting to work from home and and You know the opportunity that we have you know through the internet Next one nearly two thirds of americans who use social media platforms. I believe that life was better before it..
Capitals' Sprong has goal, assist in 4-1 win over Devils
"The Washington Capitals continued their strong start to the season by defeating the New Jersey Devils four to one the devils had won their first two games the camp sort out three oh and one took control early on goals by Anthony map and Dimitri all up in the first ten minutes four to nothing lead Daniel Sprong sentences the goal midway through the second period up to to three nothing strong had assisted on the first goal we got all four lines one sixty mingling goalies McLean greater things are playing a team game and we're disappointed washers ending and we want to come over to get started now that season going again because that's off also contributed a goal and assist caps goalie Vitek Bennett check you'll to just let go beyond the coconut of the devils who played without injured star Jack Hughes I'm John Merriam
William Shatner sets record in space with Blue Origin spaceflight
"In a flight that lasted about ten minutes ninety year old actor William Shatner has become the oldest person to go into space marches are a letter with the latest amenities start Q. one William Shatner and three fellow passengers blasted off from West Texas to more than sixty six miles into space as part of the blue origin flight Jenner's claim to fame is playing captain Kirk on Star Trek upon returning Shatner was overcome as he thanked blue origin founder Jeff Bezos what you have given well is the most profound experience
John Solomon: January 6 Commission Chairman Once Sympathized With Black Secessionist Group
"Back with john. Solomon you've got to listen. It's going up in ten minutes. The latest podcast from john solomon reports with president trump. follow him at j solomon reports and bookmark. justin used dot com. You sent me earlier today. An unbelievable i don't know how many man-hours this took you to research. But we tell us about this story. Hubris adjust the news dot com about the chairman of the quote unquote insurrection investigative committee. Yeah absolutely while for months weeks now. We've seen bennie thompson. The democratic congressman from mississippi on television sympathizing with the police officers were injured on january six during the capitol right and denouncing an event that he has repeatedly called and insurrection. Fifty years ago. He was on the opposite side of an insurrection. This movement back in nineteen seventy one. When a group known as the republic of new afrika was making waves throughout mississippi. Why because the fbi was closely watching as it was trying to put together a movement to take if necessary by force land from people in mississippi louisiana georgia south carolina and alabama and create a separate nation on us l. called the republic of new afrika. So you know just to be explicit here. Ethnic separatists in america. That's yes they actually wrote their own declaration of independence. They renounced their citizenship in a meeting monitored by the fbi they engaged in multiple conflicts with police. Officers usually doing something Waffle like stopping car for traffic incident or executing a search warrant three times members of the are group killed a police officer in the early seventies and bennie thompson. Then a young alderman from a tiny town called bolton mississippi then known as bg times. Not even known as benny. He spoke out in favor of this
September Jobs Report Disappointing Under Liberal Economy
"Ready to do my podcast this morning And one of the things I do because I'm always behind closed curtains in the dark all day And I get sad not sad like sand the acronym seasonal affective disorder Like I need some sun 'cause you do get sad on sand right So for like ten minutes before producer D tells me he's ready to start taping the podcast I sit outside in the sun to get some sun in my eyeballs to not turn into one of those weird looking things like the oracles from the 300 movie you know with the white nasty looking skin and stuff That's what'll happen to me So I'm outside and I'm reading a couple stories right before the podcast gets started And if these two stories are improved positive about the cancer eating this country alive that the modern liberal is I don't know what is A story number one the jobs numbers come out Now explain to me how now that the economy is reopened you have money everywhere The federal government has printed a boatload of money with no value to back it You have a bunch of people clamoring to get out to go out and eat to go back to shows You have packed college football stadiums You have Christmas coming up explain to me in what damn universe An economy should be struggling right now to hire people I will wait liberal idiots I will wait a minute because you're too stupid to figure out the question Jim's like you better say something We're gonna go to a best of it You can't take time out on radio Like after 5 or 6 seconds it kicks to a best of I can't leave you that much time even though you're very dumb and can't figure it out In what world should the jobs numbers we were expecting 500,000 new jobs And we only got a 194 for liberals listening That's less than half In what world does that make sense to you
Ep4: Unboxing The Mystery Box Film Challenge
"I can't really stressing enough. Anyone can participate in the mystery. Box film challenge you. Don't have to be in scranton wilkes-barre you don't have to be in northeast. Pennsylvania you can be anywhere in participate. We've made it so we've made it really streamlined. Like keeping announcing the items online. And that's because of the pandemic it's like okay if you wanna do a challenge during a pandemic how we're gonna do this like we don't want to give out physical boxes and it's really not that conducive if you want to grow it so announcing the items was the best way to do it and it's it's really easy to it's just like people just have to go find the items if they have them in their house or they had the borrow him or if you wanna buy 'em yourself that's that's a really good we do. We're on facebook on instagram. We'll have a facebook group so you could talk to people this where we usually put the list of the requirements items prompts on. There's usually a document i to facebook page on the facebook group in the video is always there when we announced but this is the first year that the mystery box film challenge is on film freeway. That was a decision that i made that phone. Freeways really the premier place to find film festivals film challenges and i wanted just to get more is on the challenge because last year had lake. We had i think twenty one sign ups and we got twelve films back so usually are ratio is lake. We get a lot of sign ups in usually we get about half of them to submit a film which was amazing during a pandemic all types of films different genres like first time filmmakers season professionals to it's it's everybody you can do it. You can totally participate in this challenge. It's so much fun. And it's just a great way to connect with people in network with filmmakers in your area and asking for help and we're always here he always email us if you need help or have any questions but yeah all our items in prompts and requirements and specifications are on our film freeway page. If you searched the mystery box challenge on film freeway and like i said before you have two months to make film they need to be wanna ten minutes in laying that includes your credit entitles. They can't go beyond ten minutes Ill should align with the pg thirteen rating. We don't allow our crm teen films. These are short films are not gonna be feature films. So it's pretty good for that. And then you have your technical specifications as well and we do the emission on phil freeway as well. We used to have people email us. They're finish phones but we're not doing that. Everything is going to be through film freeway We do have a submission fee this year all past years. The film challenge has been free but with Just doing the challenge. It's a lot of it's like. We want to do a lot. More marketing in the marketing costs money. And we want to give her filmmaker swag like shirts and stickers and It better prizes in that costs money so like we have a regular deadlines mission is five dollars and then we have a late deadline for this year. So regular deadline for this year's film challenges november tenth. You still have time You can do a filming day you can edit and day and do whatever and are late. Deadline is november thirtieth and that will be a ten dollar fee early We kind of Wanted to do the challenge between like late summer and fall on we try to pretty close to one the northeast. Pennsylvania film festival has a festival. The festival usually is in march But it's just a pain the butt film in the winter. that can't be done. It's just a pain in the butt to film in the winter so we had the challenge earlier this year so it was. We kicked it off on september first skinner complete in the end of november to give people that end of summer fall timeframe which is still pretty nice to film. It's actually unseasonably warm now. Still which is awesome northeast pennsylvania. So i hope everyone can participate in the film challenge. It's a really great challenge to be creative and to just get yourself out there and start making films it's a real catalyst for people on lake like this is like if you wanna skies the limit if you want to do any type of film you want and have all the requirements inc for the challenge. I wanted to participate in the challenge. One year i actually wrote my script. And i just couldn't get anyone to get enough pete. I couldn't get a crew and actors together to do it. But i was like i'm going to keep the script and i'm gonna keep working on it and i'm gonna eventually produce it so i wrote a script. Siro my script for the mystery box challenge. This call fallout. And so i kept working on it and working on the script editing. I had my colleagues rita the detailer with me at lunch. They gave me feedback. So i just kept the script that i wrote for the mystery box kept working working working at and i gave it to my friend bridget. She edited it for me. Give me feedback. I kept ending it in editing. It got to a point where i thought it was good. And i just didn't then the pandemic again the pandemic hits and i just haven't i have not produced the film yet but i do want to. It's not really conducive to film during the pandemic. Because it's all takes place in a basement so really. The premise of fallout is. There's a group of friends who are hunkering down for an impending nuclear attack. While one of their friends is outside could be dead could not be dead Who knows and they're really freaked out in steph happens in. I don't want to give too much away. But i decided to submit that script to a couple screenplay competitions recently on film freeway in. It's gotten right now. It's gotten six official selections for six different vessels which is pretty awesome Just to get it out there in get it recognized which is pretty cool and it's like all right. This is really something. So i really want to film this. But it's like don't have. It's a catalyst. The mystery box film challenges are really creative. way to really get into filmmaking. Answer really start making something i i mean. I find a lot of people even myself included you. Stop yourself sometimes. If you wanna make film you stop yourself. It's like even. I wanna participate this year. Even though i'm the organizer. I still want to participate in writing my scripts and like i know what i to ride. And it's like okay. Who am i gonna get. Who is like the crew and stuff like that and making it simple so we can get it done in a day and i can edit it on time and get it in. So it's it's in own if you don't end up if you write something you end up not making it to the deadline to keep your script and keep reworking it. I mean you know. They asked for help. Get your parents involved. If the if you need to be can't find anyone you know you don't need to have a professional camera you can. Have someone help you edit or you can try editing yourself. I mean it's just anyone can participate. So i hope you guys Take some time to go to our website. The mystery box film challenge go to our film freeway page. Take a look at the list of items and problems in specifications and requirements and see if he can get a film. We would love to see your film. And you'll get them will be the premier's gonna be at the northeast pennsylvania film festival. We don't know what they yet. Um that'll come close when it gets to march but I'm so glad you guys can join me to for the une boxing. The mystery box film challenge. And i hope you guys participate. If you have any questions you can email the mystery box. Film challenge mystery box any p. Mail dot com. The mystery box challenge is on facebook. Instagram follow us. And we're also on youtube where you can find pass emissions to get some inspiration They're really talented. People who cemented in any type of person. Like if you're just new to filmmaking you for professional like everyone's got some great stuff and it's on youtube for everyone to look at so thank you guys so much for joining us for our scranton talks podcasts. About the mystery box film challenge. To go and participate. There is still time. We're on the halfway point so so go on our phone. Freeway patients admit to our film challenge. It's gonna be awesome. I can't wait to see you guys. And i hope if you do submit You get to join us at the film festival for the premiere of the films in copa. Get to meet you. That'd be great and get to network with other filmmakers as well in scranton So the the film festival usually happens downtown. Scranton in pennsylvania so i hope you guys can participate. Thank you so much for joining us for grand talks podcast. Be sure to subscribe to our podcast to get all the latest episodes. We upload episodes once a month Be sure to check out our facebook instagram. like i said again and we do our scranton. Talks live on facebook and on electric city television. If your local once a month our next Interview is gonna be on october. Nineteenth live on our facebook page on the independent film creative hub. Electric television will be talking with bridget. Lamonica she's a local filmmaker from northeast pennsylvania. Who actually is living and working in atlanta now. So we'll be talking to her about her projects what she's been doing Like working in the film industry. She's fully in the film industry a freelance basis working atlanta. So we'll be talking with her on october nineteenth at seven fifteen pm so i hope you can join us for that and thank you once again for joining us on this episode of scranton talks Be sure to check out the independent film creative. A website at www dot com are creative dot com where you can check a directory of pete filmmakers. Who are on there if you need any help finding actors and crew. That's the place to go for the with. You're looking for your crew for your mystery. Buxom challenge in. It's free to sign up so you can make your own directory on there so go there and check it out. Thank you guys so much again. Be sure to tell all your friends about scranton talks. Podcasts can't wait to hear from you on the next episode.
Star Trek's Captain Kirk rocketing into space next week
"Says he's thrilled anxious and nervous about going into space next week our margins are a letter with the latest William Shatner says even though he will become the oldest person to go into space at the age of ninety it's nothing that he will go over around bragging about gender will be part of the blue origin space launch next Tuesday for a ten minute trip that sixty six miles up and be seed today show host Chanel Jones asked Shatner if there's a connection to playing captain Kirk on Star Trek in this trip I'm sure sorry to disappoint you no connection but all that was fiction
3 Reasons Why Democrats Can't Leftist Legeslation
"So i just had a conversation with your colleague. I believe. democrats fall into two categories liberals and leftists. there are no moderates. there isn't a pro-life democrat out. There left there are no modern liberals old school democrats and then there are leftist progressives leftist as their word they can't agree and so everything is stopped. They can't agree on what to do. Who's going to win that battle. Well here's what i think is going to happen First of all This one point. One trillion dollar bipartisan infrastructure. Thing passed the senate weeks ago. The house could always just pass it in ten minutes if they wanted. It was just sitting there one trillion dollars just sitting on the table. All you gotta do is pick. Put it in your pocket. They're going to do it and the news. This morning is nancy. Pelosi his decoupled that from this demand to pass three point five trillion dollars in social and climate spending and remember president biden caused kind of a ruckus when he came out and said that they were absolutely they had to be passed together Even though the senate had just passed this bill The house would not pass it until they also passed three point five trillion. They've given up on that. Okay so they're gonna take the money because they'd be insane not too then The the three point five trillion dollars appears to be just murky at the moment We don't know what the to mentioned in cinema and other democrats think wha- what their final position is the democrats are running into the problem. they've always had. Which is they do not control a majority of seats in the senate and it's you can't get new deal size legislation done without even bear senate. Majority last thing is they. Congress operates really only in a crisis. Remember back when the economy collapsed. They passed Tarp in about ten minutes. I mean they can think they could pass a trillion dollar bill. You know before the end of your show if they wanted to. They wait until things become a crisis so they are going to have to pass something to keep the government funded for some period of time and then something to Raise the debt ceiling.
Carr Throws for 382 Yards, Raiders Top Steelers 26-17
"Derek Carr passed for three hundred eighty two yards and a pair of touchdowns as the Las Vegas raiders beat the Pittsburgh Steelers twenty six to seventeen car second touchdown came on a third and ten with under ten minutes to play as he found Henry Ruggs for a sixty one yard bomb can be so fast speed kills and that's one of the advantages of his speech showing up to where he could get open like that so fast and so quick the the bliss you know they didn't even know really I mean it got there but I had time to throw rugs hauled in five passes for one hundred thirteen yards and the score Jon Gruden's raiders are now two went out for the Steelers Ben Roethlisberger pass for two hundred ninety five yards a touchdown and to pick Dante Johnson hauled in nine passes for one hundred five yards Pittsburgh's now one and one Josh Rowntree Pittsburgh
Facial Recognition Tech: Open Your Eyes to Radiation
"So infrared radiation. Which is the thing that we're using the tool that they're using for this facial. Recognition is thermal radiation is more electro magnetic radiation spectrum and a certain wavelength above red visible light between seven hundred nanometers and one millimeter. That's the wavelength and then there was a study done on and this is brutal. I'm sorry that this happened to the rabbits. However i am anna site. This study in service of the rabbits that unfortunately were brutally killed in this process. A hate that studies are still doing this. But this is something that was done study was done in new zealand to look at potentially harmful effects of this infrared radiation. This i are standing. For infrared radiation on the either rabbits were exposed to varying amounts of the i. r. then were unfortunately. This is where it's brutal. I'm just telling you they're heads. Were cut off. So then they were able to look at the lenses and the retinas and all of that stuff immediately after that and they concluded that the protein of the islands is very very sensitive to this infrared radiation. And that's the difference. Infrared radiation really doesn't do much in this form to the scan into the body but when it's directed at the i that's where things can go sideways and actually can contribute to cataracts. The exposure of the rabbits was up to ten minutes and keep in mind that that is not the exposures usually ten seconds for the phone. But what we don't know yet is how little and how much will create the damage. But if you're opening your phone multiple times a day than that adds up and then over time over length of you using your phone and weeks months and years and decades. Now you're starting to get the hint. That infrared radiation going into your eyeball is not a great idea. According to the international commission on non ionizing radiation protection is c. n. i. r. p. They made a statement of the i. r. energy from ira an i. r. b. poses a risk to the human eye the penetration depth of these. I are bands varies from one point. Two and three micrometres therefore the corner the lens and the retina can be damaged due to the thermal effects associated with the i. r. exposure
Secretary Antony J. Blinken's Remarks on Afghanistan
"As we are preparing for the show just a matter of ten minutes ago. We were witnessing the press conference from tony. Blinken that beta male pathetic. Excuse for a man from the state department literally. Use it again again. The phrase the inclusivity of the taliban administration hoping that they'll be inclusive. What do you think those women have in terms of expectations for the inclusivity of the taliban regime. What would the react. What would the mainstream media headlines evening. Tv shows incessant drumbeat be if the trump administration had left tens of thousands of non white afghans in afghanistan who worked for us the turps interpreters. The siv's the special interest visas
Iron Maiden Find Eastern Muse
"This is iron maiden the new album is called. Sent jitsu this is the song days of future past and here to talk about what is An absolutely epic album from iron maiden his npr music. Lar- scotch which. I have two full disclosure. I was listening to iron maiden maybe forty years ago and they've been together longer than that you know and if you told me we'd still be talking about new music from them this far along. I probably wouldn't have believed that like you said. Listen to that rift guitars on this. The songs their vision. Everything i think our i. It's just all fully intact seventeenth album in forty six years from one of the greatest heavy metal bands full time. That's not hyperbole. it's a fact. Album is ten tracks over eighty two minutes so it is long and at times help lead but this has been iron maidens mode lately these grand sweeping epochs that tell these larger than life stories are made may arenas but their music lightly has been more tailored to concert halls. Most of these songs are like eight ten minutes long. Each vase sprawl had many movements. I can. I can imagine like quite a stage. Production for whenever iron maiden contura gone. They do use a lotta runway to get these songs going but but it works. So i think it's still pulls you along. I never found myself feeling tired or like the sound was getting tired. And there's also an assist something has been doing a little bit more lately but there's also a little bit nostalgia. My favorite song written here by the basis. Steve harris is called the parchment. But it's a song that gnaws to the egyptian themes of iron mates nineteen eighty four album power slave. So that's like a nice. It's a nice little easter egg for iron maiden fans and also kind of ties into kind of like a broader idea about iron maiden that history mythology and religion have always played the matic roles in their
The Disappearance of Ryan Shtuka
"It's mid february two thousand eighteen in beaumont alberta a town about forty minutes outside edmonton and heather. Stupa is enjoying her saturday night at home with her husband's scott and their two teenage daughters. They have one more kid ryan. I mean i say kid but actually is twenty and he doesn't live with them anymore. He's out chasing adventure with a friend. Working at a ski resort called sun peaks for the winter now about ten. Pm and heather is in the midst of texts conversation when a notification pops up on her screen. From one of ryan's friends. This guy. james sexually the friend that he went out to sun peaks with for the winter and kinda registers at the messages. From james. And things you know. I wonder what he wants but before she gets to that. She wants to finish what she's doing so she just kind of like swipes up to clear the notification finish her thought or her little tech chain or whatever and then clicks back and as. She's reading this message from his friend. It's almost not registering. What james is saying. Which is basically like heads up. Ryan didn't show up for work today. He's not answering his phone. And we're worried so we just went ahead and reported him missing to police. So you're probably going to be getting a call just like f. Why heather immediately gets james on the phone. He's like okay. What the heck is going on. Start from the top. Tell me what happened the that maybe she can just help. Take the temperature down. A couple of notches like problem. Solve this mom style. Yeah is this just a couple of friends freaking out over nothing right. Yeah get him involved. I totally support us. James says that he and ryan and group of other friends had gone out on friday night. I see this bar on the resort called mommas then according to jean strong's reporting for the sun peaks independent news to another place right next door called bottoms for this like silent. Disco thing that they had going on silent. Disco is like when everybody gets their own pair of headphones. And that's how you hear music that the dj is playing right. Yeah okay well in true twenty year old fashioned. James says that no one was really ready to go home when bottoms close for the night at one. Am so they decided to all head down the hill and off the resort to this like little get together that they heard was going on. This was happening at a house. That was just around the corner from where james and ryan lived anyway so they figured like okay. We're gonna head down there. Maybe have another drink and then we'll just go home. They ended up catching a lift down from the bar to the bottom of the hill and then they were walking the rest of the way to the house party and listen to me. This whole trip took like ten minutes tops by one thirty. Though james was ready to go home he tells heather that he saw ryan stand up and he thought that he was right behind him. In a couple of other people who had left the same time but somewhere during their walk home i guess they looked around and realized he wasn't
Voice Technology Provides the Near-Equivalent of a Hospital Room at Home
"I'm so glad to be part of this opening message at the voice of healthcare to try connect the dogs across the voiced technology community and if your healthcare provider if you're a hospital administrator if you run an emergency department or physicians gruber perhaps an insurance payer. There are solutions now. That are ready now. They can work today. That can deliver the very near equivalent of a hospital room at home thinking that real time vinyls like you just saw ability to deliver virtual video telehealth solutions and if it's a real emergency with just their voice they can be connected to first responders can deliver them to the living museum within ten minutes for emergency triage to that is available now during the pandemic and we need our the voice communities partners on the event today and out there watching could be part of that solution so we hope to connect with you about amazing care
This Cult Haircare Company Has Launched a Beauty Line
"So i do wanna talk now about your be attended cosmetic live because we all know and love. It's a ten hair care. What made you say. Okay it's time to get into cosmetics in color you know what it's a natural progression for me. It's a natural listen. Beauty is head to toe and I really wanna create additional products with underneath the. It's a ton umbrella so to speak. That really creates anything that a woman is going to need to get ready so be a hair extension. it can be The makeup it can be obviously be attend. Has the same type concept behind it. Simple easy to use multifunctional makeup. That you don't need youtube tutorials you don't need a million brushes. Have the applicators really built right into the makeup itself. It's kind of you pick it up. It's self explanatory. you use it. And you get those fashionable grade beautiful results. We go holy smokes. I can't live with this product. Those are the kind of products. I like to create and i want to do it in the color world is well obviously so i love it too and i have to say when you say the word color like. You've got some really bold bright colors. do you think that your inspired clayton lori. Okay florida by puerto rican woman. And we just you know we can do. We can do muted as well. But honestly i'm all about the pop and especially now listen. We're still mass occasionally. We're still like having to make our eyes pop and and when you take your mask off we have beautiful lip stains that you still have some lip on even if a little bit came off in your mask instantly. We have a brown scare boom a little little applicator. You have a popping brow at a great dual chamber mascara so things that are just gonna make it really easy for people to really have those professional grade results without you know a lot of work and that's all about. We need a ten minute face nowadays. You know what are you. What is the lip product that you're using right now. Your lips look gorgeous. Thank you so that is definitely one of our. It's our lip gloss And it's it's the one that was in the new beauty box literally. The beautiful thing about it is. I'm pretty dark skinned i. I can get very pale as well but no matter. What whether i have my summer tan. When i have my really kind of winter skin this color goes with so many different skin tones. That's one thing. I'll as well a b. Attend makeup is literally all the way from say. The palest appeals to the darkest darkest everything from our foundations to our our lipsticks to our i colors. They really are super diversified. And so it's really about being all inclusive with beauty Bracing your own natural beauty. We don't have this cookie cutter kind of a Type of you know. It's only for this totally for that.
Interview With Joel Beasley From Modern CTO
"So i met this gentleman named at pnd bruin. Who owns seven cto's and he said you know do like executive peer groups for technology leaders. Vp's engineer cto's there on me. More like premium side or people are paying twenty thousand dollars a year and it's facilitated by a professional facilitator. You have to pay all that. So it's definitely good value. But he wanted to create something for the mid level of the market. Like you know people that are you know. They're they want to become a manager for the first time or they wanna move from manager to director in that was at a price point that was like much cheaper than that like super affordable even if they wanted to pay for it for themselves so i said okay because i have the audience and you have the knowledge of how to run these communities and the staff and the support so we created elevate one fifty dot com and the idea was elevate. Bring people up to the next level and then one fifty was like one of dunbar's numbers of community size. So we cap the community at one hundred and fifty people and so we have a hundred people now and We've grown over the past eight months and every week we have speakers and then the it's like a ten minute topic of conversation and then you go into a small group of like three to four people in that. That speaker has set you up with something. It's not like a generic cycling of speakers that are doing sales pitches like they have to adhere to our format. And so what it does is it gets you in these communities having these small discussions and building relationships. And that's been like unbelievable. So now i've now i've got this community where i can go and then every every week or every other week i'm getting introduced three or four new peers and were having legitimate conversations.
Venture Capitalist Keith Rabois Describes His Typical Cardio Workout Routine
"What would typical work look like for you like if you were going to do specifically a cardio workout designed to enhance two-minute recovery or or some flavor of interval training whether whether you want to describe what you're doing a barry's bootcamp or what you might be doing on your own. What loaded typical workout. Actually be for you. Sure capable workouts not fifty minutes. And it's probably subdivided roughly half into cardio in roughly half into resistance training with weights. And the i'd swap back and forth every called every six to ten minutes between the two so imagine two or three sets of each the cardio component would typically be a mix of jog runs. Sprint job runs french jog run sprint. So during the heart rate up. Max bring it back down not all the way but to you know so where you can breathe normal rows of normally and then spring back up and then bury the incline. Sue tried to the same fight on a plot ground surface and you guys sprint faster. Typically but then increased incline and try to maintain as much of the speed. And then there's different cycle is sector qatar's up and down. You can bury adler thirty seconds. Thirty seconds at the highest intensity or sixty six high-intensity mean or if i i kinda rotated that around somewhat for mental variety unless you're how much physical training really requires us but Up in synchronized to music. So i think music is gonna be darius active from premium performance. It also is very effective for improving Emotional tolerance of intensity training which is related on a lot of good studies. Deflecting in a nice book written by Professor mcdougall at stanford called the joy of movements out of the research on the fact of music on a particular kinds of music athletic performance. So i this is. My workouts are synchronized with like. Eds style music.
The Great Lisbon Earthquake
"Population of lisbon in seventeen fifty five was approximately two hundred and seventy five to three hundred thousand people. Lisbon was the capital of the portuguese empire which held territory in europe south africa africa asia and many smaller islands in between this made lisbon one of the most important cities in the world at the time at nine thirty a. m. as people were going to or attending church. The first tremor struck they were loud and noticeable but they didn't cause much in the way of destruction the console from the city of hamburg. Germany later reported quote. We i heard a rumble like the noise of a carriage and it became louder and louder until it was as loud as the loudest noise of a gun immediately after that we felt the i tremble unquote based on what happened. Modern estimates are that there was a slip in the azores gibraltar transform. Fault this fault line that runs. Approximately from the strait of gibraltar. to the a'sore islands. One tectonic plate was thrust over another and the movement of land might have been as much as one cluster. The epicenter of the earthquake was believed to have been just off the southwestern most point of portugal near cape saint vincent at nine forty a m. The main earthquake hit church bells ringing all over the city and just as quickly buildings began to collapse. The churches which were full of people were the largest source of casualties for a period of ten minutes. There were three major quakes that shook the city to its foundations. It's estimated that the earthquake measured eight point four on the richter scale just to give you an idea of how much the ground moved in the middle of lisbon city center. There were fissures in the ground. Five meters or sixteen feet wide. The earthquake was the first of the three
Tips for Developing and Keeping Healthy Habits
"I have all of these habits. That i want to make sure i do but sometimes like you said i struggle with consistency. And you said you know that a lot of times people will try to depend on willpower or determination alone to make these healthy habits. What do you recommend instead of this. You know determination because a lot of people think. Oh i just you know if i just really have strong willpower. But that's not the case so tell us what you've found to be. The case for forming help healthier habits. Well a big one is to not rely on motivation. So you know. Everyone has start monday. But really what's going to change like if you've had thousands of monday's in your life and nothing has changed so we tend not to rely on motivation. And that's when we talk about a lot so my biggest piece of advice would be to use something called implementation intention so it's basically a way to help you plan which has been scientifically proven to work So goes like this. I will behavior at time in location. So an example would be. I do yoga six. Pm in my living rooms or i will meditate for ten minutes on my couch at seven. Am so you really need a plan. That's that's a big thing and this implementation intention also makes it can concrete and it's also kind of embarrassing yourself if you don't do it because you know you taking the time to write it down so you know it's kind of embarrassing yourself in a way and it writing it down is super important An accountability partners. Of course if somebody's looking for to start from habits were obviously big accountability partners. So find someone who you can text every day and so that you know like when i don't work out in the morning i know that if i don't do it i have to tech sneaky that i didn't do it yourself but even better seven outside or don't want wanna disappoint me account with count ability partner commu ability group. So that's obviously what we're trying to create and we started a slack group for this reason so we say our habits every day. We hold each other accountable. We kind of put ourselves on the podium. We tell everybody what we wanna do them. You know we all eleven. Make sure jerry each other on meccan
"ten minutes" Discussed on Ten Minute Medic
"So as relocated this within any vehicle Asian, there are multiple sub collisions that are going to occur both within and. Of Vehicle. So first of all, we have the vehicle collision itself car versus tree impacts the tree the car then stops during this motor collision when the car strikes another Adriana Energy is transferred from the moving vehicle to the non moving object or to the of a car. Now, that's going to be really important particularly when we're talking about. Vehicle versus vehicle. Type of auto impacts. Thankfully, they cars are not the tanks that they used to be back in the late sixties and seventies, but they're now designed crumple-zones particularly in front of the vehicle. So as to absorb as much of the energies possible. Now, the important thing about this absorption of energy is that. If. It's absorbed in to the vehicle and that means as not being absorbed into the patient's body, which ultimately results in lastra trauma less potential if trauma for the patient, although the vehicle is stopped the occupants even if they are restrained are continuing to move along at the same speed at which the movie. And the Monte collision is the second aspect of collision that occurs and this happens when the body strikes the interior of the vehicle including the restraint devices, the airbag, the seat belts, or anything else that are found inside of the vehicle. As your patient makes contact energy contained in the patient's bodies now transformed energy that will damage or potentially cause damage to the patient centered or. The body stops but as we spoke earlier organs, themselves will continue to move forward until they impact the bony structure of muscular skeletal system that will help to stop the. Tissues and organs the patients body will continue to slide in a forward direction impact in either each other which can cause some or bony surfaces of four actual pelvis. This phase collision can cost compression stretch were sure injuries as Oregon's continue to move forward with about the same amount of force as was originally in the vehicle secondary collisions occur anything loose within the vehicle now strikes the passengers. On a professional mill, this is why that is so very important that loose out be secured in the back of an ambulance. Last thing you really want is a monitor sliding around in the back of the ambulance upon impact. Thanks for listening to this week's offering of ten minute medic. In next week's section will take a look at the different pathways or patient can take Doreen. Motor vehicle trauma as well as how understanding more about making of injury can raise your degree of suspicion for unseen trauma. Sure hope is join us. Thanks again..
"ten minutes" 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..
"ten minutes" 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..
"ten minutes" Discussed on Ten Minute Medic
"Welcome to the ten minutes host Dr Bill Young before we beginning presentation. I WanNa take a moment to thank you for taking the time to listen to this. PODCAST is over the publication of this episode. We have over three hundred fifty followers and in two thousand thousand in nineteen just a little more than thirty two thousand downloads. That is awesome and I just want to say thank you. I'd also like to know what topics makes. You liked it here in twenty twenty. Please visit our facebook. Page the ten minute medic- let us know what you would like to hear in this. The final podcast two thousand and nineteen. We'll take a look at the recognition respiratory distress and failure respiratory distress encompasses both breathing too fast as walls too slow to maintain retain life. It's important to paramedic be able to recognize entreat both simple and complex admirable respiratory conditions in infants and children children as we stated earlier podcasts positive responsibilities treatments is often quite dramatic. It's quite common that a good outcome is seen after a risk where risks I would not so much a cardiac arrest. You will improve the chances of Rauch by being able to identify early at your assessment respiratory distress in the pediatric patient Shen and aggressively treated briefly review. The physiology of Vittori System Immolation about the adults and the pediatric patient is an active process. Ross both intercostal muscles and the diaphragm contract thereby lowering the pressure inside the lungs somewhere between three to five millimeters of mercury because of this lower pressure is compared to the outside atmospheric pressure. Air Rochas in gas exchange takes place in the which are covered by multiple strands of capillaries is because the gas in the Alveoli Lawrence high oxygen and according to the law of Diffusion Ostra will move out of the lungs and attached to the hemoglobin ago because of blood capillaries is high in carbon dioxide. The reversal happened with that. Carbon Dioxide is expelled to the air when the patient sales The metabolic rate pediatric patients is about fifty percent higher than that of an adult as a result. Pasha can have a much more rapid onset in the pediatric the education then the adult four are still nations present. According to the American Heart Association axios defined as a decreased arterial oxygen saturation zachery detected by pulse luxury or direct measurement of oxygen saturation in an arterial blood gas sample in our assessment of patients as we. Julie consider how `bout exist the pulse. Ox is less than ninety four percent. Now all we're looking at issues of Pasha. We must know the difference between how Park Samia Tastes. You have parts you as we said earlier. How does having a pulse ox? Symmetry of less than ninety four percent tissue have actually occurs when a particular region the body where it could be the body as a whole does not have an adequate oxygen supply. It's important to remember that is not the same thing as tissue hypoxia you nor does have always lead to tissue partial one. Good example of this is the patient who has a chronic condition with the amount of oxygen in the blood is low over a long period of time such as may be seen in the adult. COPD patient body may respond with a condition known as polycythemia. Yeah this is an increase of red blood cells help to maintain the oxygen content of the body by an increase in the amount of hemoglobin available. Let's take a look at hyper Arbia or an increase in the amount of carbon dioxide in the body. It's important to remember that when your patients hydrocarbon. The dilatory process is inadequate. It's also important to remember that. Carbon Dioxide is not a bad guy here just a byproduct of metabolise. Let's like everything else in life though too much. Carbon Dioxide can lead to robs any increase carbon dioxide will increase as doses. In your patient the most common bodily reaction to this is an increased respiratory rate the increased rate and depth occurs in attempt to blow off the excess carbon dioxide. After a while the child becomes so fatigued with this effort of breathing that he begins become sleepy at this point respiratory failure is just a few moments away with potential for respiratory arrest being very high a decrease in the patients love of consciousness. Office is an important symptom that clues you into an inadequate Villa Tori effort. The pediatric patients often go from being very anxious and educated to becoming. I mean very quiet sleepy. And just a few moments other symptoms that may occur with this condition include nasal flaring as wells retraction of the intercostal muscles there is a difference between respiratory distress and respiratory failure respiratory distress is often marked by an increased breathing rate as well as a greater effort in work. Breathe new your patient. Restaurants air comes about as those compensatory make noodles began to fail. Lead to inadequate oxygenation inadequate ventilation In respiratory distress your patient may be agitated Wallin failure. They may become very lethargic and sleepy the pediatric patient Ristori failures often preceded by respiratory distress. But not is important to keep this amount. When you're assessing the chop some of the symptoms of respiratory distress included an increased respiratory rate diminish bristles especially in the distant ally an increased heart rate a low pulse ox and the potential for cyanosis? Now keep in mind that cyanosis lakeside. And she should not wait. Until its appearance. Before you begin to take your patients nations respiratory status very seriously signs of respiratory failure include extreme tech in cardiac followed by Brand Cardi. Your patient may exhibit dangerously usually low pulse ox symmetry level. You'll often see them begin to Bob Their head or act as if they're going to sleep this point they're becoming exhausted new must act quickly quickly respiratory failures life reading state that requires aggressive intervision. The part of the paramedic or else it will deteriorate cardiac arrest as we discussed earlier. Aggressive intervention on your part is needed to prevent the child from Progressive Cardiac arrest if the child is conscious and responsive allowing them him to determine their position of comfort will help ensure by narrowing the child's not able to maintain their own airway. Use the head Tilt Chin lift. Open it in the event of of a potential spinal cord injury you should use the jaw thrust maneuver keep in mind that just method of opening the airways difficult to maintain for long periods of time. Do the strain to places is on your failures from pushing the jaw forward. Consider the use of an advanced airway curse there is in the airway suction it until it's clear important that you remember a couple of things about sectioning. I when you're applying such thing you're decreasing the amount of air available to the patient. The normal circumstances this would not lead the major problem. But you're dealing with child so this is anything but normal secondly prolonged section and can lead to braddock harding for child who's teetering between green risk for distress and failure bread at Kearney could be disastrous provide oxygen. And make sure it's possible that it's humidifier humidifier oxygen. It'll help decrease the inflammation in the bronchial tree as well. As break-up secretions found. They're making it easier for the child to cough up use the Bravo. Dial later.
"ten minutes" 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.
"ten minutes" Discussed on NewsRadio KFBK
"Ten minutes like make a big sale surprise and delight a customer or come up with the winning idea and right now ten minutes is all it takes to help your business cut down on costs interruptions and download times introducing the Comcast business ten minute advantage ten minutes if we can't offer you faster speed or better savings on your current internet service will give you three hundred dollars for your time call one eight hundred five oh one six thousand now Comcast business goes beyond fast with high speed internet that means downloads in seconds not minutes get bandwidth for all apps and devices it all starts with our gig speed network call one eight hundred five oh one six thousand now for your Comcast business ten minute advantage Comcast business beyond fast friends ten twenty one nineteen restrictions apply not available to current Comcast business customers comparison based on download speeds it does not include Ethernet service internet speed in competitive built in the last sixty days required one three hundred dollars prepaid card per company call for details wondering when you should get a real ID federal ID requirements are changing may need a real like the fly access federal buildings were military base is a California real ID dot org to find out the best time for you to apply check which documents you'll need to bring with you to the DMV and even start the application online is a California real ID dot award brought to you by the California D. M. V. hi I'm Vanessa with P. Jeannie if you're in your home or business and you smell gas your first step is to get out travel a safe distance until you can't smell the gas and then call nine one one first responders will make it safe to learn more visit P. G. E. dot com slash safety okay we can live on news ninety three point one AMPK six oh five news ninety three point one K. F. B. K. rob or to go with you on this Saturday evening rob or to go dot com.
"ten minutes" Discussed on KOA 850 AM
"In ten minutes like make a big failed to surprise and delight a customer or come up with the winning idea and right now ten minutes is all it takes to help your business cut down on costs interruptions and download times introducing the Comcast business ten minute advantage ten minutes if we can't offer you faster speed or better savings on your current internet service will give you three hundred dollars for your time call one eight hundred five oh one six thousand now Comcast business goes beyond fast with high speed internet that means downloads in seconds not minutes get bandwidth for all apps and devices it all starts with our give speed network call one eight hundred five oh one six thousand now for your Comcast business ten minute vantage Comcast business beyond fast friends nine twenty two nineteen restrictions apply not available to current Comcast business customers comparison based on download speeds it does not include Ethernet service record internet speed in competitive built in the last sixty days required one three hundred dollar prepaid card per company call for details when it comes to save big on new windows it doesn't get any bigger than this champions best sale of the year is back right now the champion comfort three sixty five windows direct from the factory to your home for fifty percent off your that right fifty percent off there's no middle man no mark ups no hidden costs and no bigger savings on better window sites Dave Logan champions the only when a company that I personally endorsed him right now he checked the windows fifty percent off and sun rooms inciting thirty five percent off plus sixty months low interest financing millions of windows install since nineteen fifty three and recommended by more than nine out of ten customers champion is the right choice for your home book your appointment online a champion save now dot com the champion save now dot com subject to qualifying credit approval all discounts apply to regular prices select styles apply minimum purchase required cannot be combined with other advertised offers see store or website for details..
"ten minutes" Discussed on KOA 850 AM
"In ten minutes like make a big sale surprise and delight a customer or come up with the winning idea and right now ten minutes is all it takes to help your business cut down on costs interruptions and download times introducing the Comcast business ten minute advantage ten minutes if we can't offer you faster speed or better savings on your current internet service we'll give you three hundred dollars for your time call one eight hundred five oh one six thousand now Comcast business goes beyond fast with high speed internet that means downloads in seconds not minutes. bandwidth for all apps and devices it all starts with our gig speed network call one eight hundred five a one six thousand now for your Comcast business ten minute vantage Comcast business beyond fast friends nine twenty two nineteen restrictions apply not available to current Comcast business customers comparison based on download speeds it does not include Ethernet service record internet speed in competitive built in the last sixty days required one three hundred dollars prepaid card per company called her to tell Mary guys kept safe because the Army National Guard responds protects and support's our nation when it needs the most from fighting wildfires with air support helping civilians and flooded neighborhoods to delivering food and supplies to those who have lost everything the Army National Guard always responds when disaster strikes the Army National Guard also trains to be ever vigilant against threats foreign and domestic they protect our skies with missile defense weaponry they secure our information communications and infrastructure with cyber security and they protect us against chemical biological and radiological hazards with the civilian support team the Army National Guard also stands ready to deploy and provide support for conflicts forty military missions abroad join the Army National Guard and be there to respond protect and support your community and your country visit National Guard dot com to learn more about part time service sponsored by the Colorado Army National Guard here by the Colorado broadcasters.
"ten minutes" 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.
"ten minutes" 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.
"ten minutes" Discussed on Ten Minute Medic
"Uh-huh. Welcome to the ten minute. Medic the podcast for busy paramedic students. I'm your host. Dr Bill young is that time of the year. Again, when students begin to be paid for the national registry of EMT certifying exam. You spend many hours studying about the body, and how to treat it when it malfunctions why not spend a little time studying the exam that will lead to your licenses in the professional in today's podcast. We'll take a look at the exam and how you can best prepare for it. National history. Test questions are multiple choice with four potential answers. There's a popular urban legend that all the answers are correct. And the candidate must choose which one with registry believes as the most correct? This is false. The question you'll see are developed and reviewed by panel of experts from around the world who are not employed by the national registry. They must come to a consensus to question agrees with the practice analysis study determining the activities of EMS responders. They made sure that there's only one correct answer. Now, the other choices may have some great truth in them. But they are indeed incorrect now while this might seem like a process of trickery it actually serves to evaluate your level of critical thinking ability each answer must be referenced by the most common to Mt textbooks that are used in the nation today. The computer based exam that a national registry is now utilizing this call cat or meter deftest testing and sees Amos tailored specifically to the individual student candidate. This means that the exam that you take will be personalized for you, and you alone. This testing method uses a process called IOT or I don't response theory. I don't response theory testing is used in almost all other health professionals testing for licensor IOT is raking is scientific method to help you measure, your degree of competency that is based on the fact that the likelihood of testing candidate answering a question correctly is directly related to their. The ability and the difficulty level of question, computer. Adaptive national registry exams will deliver questions one at a time to the candidate. And are not randomly generated. They are rated along the same ability scale as the candidate exhibiting proficiency. In other words, the exam will measure your proficiency and give you questions at straight. You almost everyone that comes out of the exam feels that they've done poorly. The first questions on the exam are generally just below the passing standard. If a question is asked that is below the candidates level of ability. The probability is high that the candidate will answer the question, right? Additionally, there are some questions that'll be asked that are considered pilot questions for future exams. They are absolutely no bearing whatsoever on whether you're on a pass or fail. If a question that's asked is missed by the candidate, they'll received a slightly less difficult questions. Their next one the students fistful answering the question correctly, then somewhat more difficult question will pop up as a questions get more difficult. The student will be in a missile at that point the question's gonna bit easier until your successfully injuring them again at this point in the exam. The application software determines the ability estimate for the student and begins delivering questions that are slightly harder or slightly easier than the candidate's ability. Question. Difficult is determined by whether you answer them correctly or not as the CAT exam progress is this estimates more and more precise as the pattern of right or wrong answers, really begins to show, whether you have entry level competence. The example end at the point where there is a high degree of certainty that to candidates true ability is above or below the passing standard CAT matches. The question difficulty of the candidates perceived level of ability, and this limits the number of questions delivered as well. As increases accuracy. No more of the days of sitting is taking one hundred eighty multiple choice question by paper, you cannot skip a question and come back to lighter the stress some people crazy the nature of the cat exam. Requires that you answer each question. Individually before any individual questions are delivered. So what should you studied to prepare for the national registry exam? When I was completed my doctoral studies, I was required to take a comprehensive exam at the end of the course, I asked my adviser as to how this study, and what I should know his reply was that I needed to know everything about everything that wasn't much help. But also pretends to the registry exam, technically, you should know everything that was covered in the EMS course materials, there's no secret methods or inside can replace proper test preparation. But there are some things that are common. The tests are heavy and the basics. Let's take a look at some of these areas of study, no CPR in shock as well. As all the same categories of the test itself. It's broken down into multiple categories that include airway breathing cardiac medical trauma, OBM pediatrics in operations. We'll talk more about operations in a minute. Now, the major components of the airway and the normal rate. Inches of respiration for adult in pediatric patients. Keep in mind that registry will not ask you what a normal respiratory rate is, but you must be able to determine what is abnormal in how to develop a treatment plan to address. It be familiar with diabetic emergencies in the various causes of syncope. There is a large portion of the exam that's related to operations in many students overlook this since September eleven great effort has been made to incorporate more education about in them's and ICS with regards. The MS understand how these systems work and how they might applied to a mass casualty incident, and you'll be a step ahead of the other candidates. This is a commonly failed section as EMS operations are typically covered at the beginning of the class never to be referred to again when you're getting close to the end of the class. Make sure you go back and refer to it. The national registry exam is not based upon the textbook that you used in your class and. Is not based on. How you provide cap preoccupied care and your state the exam is based upon the national registry. Practice analysis done every five years the exam questions are written to fall within the department of transportation education guidelines, and as such cover the national scope of practice EMT books on the other hand give you their interpretation of the standards. So what are some strategies for you and taking the exam? Well, I read the whole question all the way through at least a couple of times and formulate the answer in your head prior to look at your answer choices. National register test questions are typically only two lines or lists and length each word is important. If you look at the answer choice prior to understand the question completely. You may be led to choose an incorrect answer also be sure that you know, where you are in the scenario there's four potential answers two of them can be eliminated. Right away after reading the question a couple of times. Now, you just have to decide the best choice between the remaining two. Now, knowing where you are in the process of assessment might make you select airway when you are actually plot down in a section that is beyond where you assess the airway. It's time to be honest here. Most of the questions that you're going to get in some of the training programs are in the knowledge category. Eighty to ninety percent of the time. These are the questions that you're going to see in your class. Respectfully, ask your instructor how they construct the questions if they're getting all of them from the publishers test Bank. You may have some challenges when you get the registries exam. These knowledge questions are not bad. But if that's all that you see then you're going to struggle when you get into the higher level critical thinking questions don't complicate the scenario of the situation when you're looking at it in other words, don't play the well, what if don't ring elements into the questions that aren't there this because you overlook basics, which is probably what the question is testing for relax. Relax. Relax and don't forget to breathe. Finally, don't rush. You have got more than enough time to answer all the questions that you're going to get and it's more important view that answer each question accurately, rather than quickly nother legis is that you can tell whether. You've passed by the number of questions, you get this is also false. Remember from earlier in our podcast, we discussed how software determines what question you'll receive. As was how difficult it'll be this is what determines whether you pass or not whether you get the minimum or the maximum number of questions only says that he took the minimum or maximum number of questions do determine whether you passed determined that you're competent or failed determining that. You are not competent. We here at the ten minute medic one wish you good luck. As you get closer to taking your certifying exam. We have a whole host of pot cash that will help you to prepare for those. So we encourage you to go back into our library. And listen to those today. Thanks again for listening.
"ten minutes" Discussed on Ten Minute Medic
"Now, you're listening to the ten minute medic the podcast for busy paramedic students. I'm your host, Dr Bill young as of this podcast. Trouble continues to be one of the leading causes of death in the United States having a mortality rate of us highest forty percent. This doesn't even begin to address the mobility issues. The caution of off to the patient during the recovery process. These cops can easily run into the hundreds of thousands of dollars depending on the severity of the trauma and the degree in length of care required. The activation of the lethal trauma. Try that includes the patient developing doses the onset of hypothermia as well as excessive non Arshi carrying fluid resuscitation can accelerate quarry allopathy maybe prison as soon as the patient arrives at the emergency department, or in many cases, while there were the amiss according to an article by Winston in military medical research journal, uncontrolled hammers from coagulation dysfunction is one of the main potentially preventable causes of the mortality in both civilian and the military settings. This condition can be made worse with the administration of large amounts of blood products as such it's important. We explore the utilization of all options both inside and outside the hospital tale the patient survive until they can arrive at a facility that has surgical capabilities is the administration of TSA in the pre hospital setting a potential game changer for trauma patients current research. Seems to indicate the terrorists and definitive benefits win given early trans Amy gas. It is one of the drugs that EMS should take a very close look at and consider implementing within the protocols when dealing with patients is severe and life threatening trauma. The quiet relation of blood is one of the most important body functions that humans possess, the physiological development of clouds with fiber is offset by the anti coagulation process. One of the largest concerns of the patient who is hemorrhaging during trauma is the breakdown of blood clots specifically, the breakdown of fiber strands this process begins when an enzyme by the name of plasminogen, that's produced by the liver and attached to the fiber stands that hold the clot in place. The substance is now known as tissue plasminogen activator TB. Yes, very similar to the TV that is used to dissolve a clot during my car. He'll infarctions is released by the end of the'll. Sales of the vascular converse plasminogen into plasma n- that accelerates. A breakdown of the clot these into filial sales are found in the lining of the vascular throughout the body. This breakdown of the clock sales is known as fiber analyzes anytime that there's any trauma to the body of fiber clock begins to form as a result of its response to the bleeding the clock starts out as a Lakewood the begins to transform into a gel like substance, eventually forming a clot. When the body is working correctly, or the bleeding is not massively severe this results in a plug being formed at the site of the blading causing it to stop. Cooperation, which is simply another name for Claudia begins almost the instant the body suffers an insult resulting in David. So the empathy lining of blood vessels. As a result of blood being exposed to the space underneath epithelial. There are to making his to begin to take place I structural and chemical changes in platelets, causing them to become very sticky. And they begin to adhere to each other. The second change that occurs is the exposure of tissue beneath epithelial cells to plasma this. Intern results in the development of a substance called fiber, simply put the platelets four of the plug and fiber and wraps around this platelet plug to help ensure stabilization and decreases movement studying on his crash to was a research trial that evaluated the healthfulness of TSA over twenty thousand adult trauma patients were treated either with a placebo or given ta say result. It showed that the death rate after four ways was significantly lower in the patients who received the TSA. The researchers found that when TSA was given within an hour of injury. The risk of death was reduced by thirty three percent. When the initial dose of TX was given three hours or greater after the trauma. The effect was not nearly as dramatic. The researchers found that there was not an increased risk of an inclusion of an artery that would lead to native outcome. The Kurd treatment guideline for trauma centers for patients that present to their facility include the administration of blood in order to maintain perfusion, including the delivery of oxygen and the removal of waste products. The administration to TSA has also been shown to reduce death rates by inhibiting Fabri, analyzes one of the major major criticisms of the crash to trial was that. There was no inclusion criteria developed from a definitive research perspective, basically, it was based upon the decision of the trading physician who decided whether the patient would receive TSA or not for some this was a research design flaw. There's some. Undefinitive benefits to the administration of TSA in the pre hospital setting. So these include the cost depending upon where it's purchased the cost of essay in America ranges from twenty five to fifty dollars per one gram dose in addition since current recommendations are the TSA be given within three hours and preferably within one hour, then administration by paramedics at the scene or while in route to the hospital is the ideal opportunity for the administration of stroke. It remains to be seen if the survival rates referenced earlier would be even higher. Hopefully, this'll be researched soon the protocol for TSA administration varies as most protocols do but should be similar to the volleying. I your patient must present with profound hemorrhagic shock vital sign parameters should include a blood pressure of less than ninety millimetres. Mercury. Stolac a heart rate of great greater than one hundred ten or a combination of both you should administer one gram of TSA over ten. Minutes for your initial dose mixed the TSA and fifty milliliters normal sailing and infuse if you have access to it or using fusion pop your pop dosing rate should be set at three hundred sixty milliliters per hour. Although it's highly unlikely that you will minister a second dose. If your patient is being transferred from a lower level of care to a trauma center, you may need to observe a maintain the second dose. This is one gram of TSA in one hundred milliliters normal sailing to be infused over eight hours. This may require direct order from your physician ticks is not recommended for use in pediatric patients younger than twelve years of age adverse reactions or side effects that may company say ministration include habitation. If the medication is infused too fast affiliate of euphoria on the part of the patient, diarrhea, nausea vomiting and blurred. Vision is contraindicated in patients who are allergic to the medication. Though suffering from a mile Cario, infarction, CVA or pulmonary embolism. In conclusion TSA should be administered to trauma patients who are suffering from severe hemorrhages soon as safely possible. This is bordered by a large amount of American international research says that include the Israeli defence force. The megani Debbie MSI, also in Israel and in various countries in Europe continue say make a difference if given the pre hospital arena, the research says yes, the benefits clearly outweigh the risk. Thanks again. For taking time to listen to the ten minute medic.
"ten minutes" 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,
"ten minutes" Discussed on KIRO Radio 97.3 FM
"Ten minutes. Kiro radio realtime traffic, I'm Tracy Taylor. So. Absolutely objective. No, political tinge sort of way, none of my opinion in an everlasting unquenchable desire to pack people into Seattle. So they get more congressional seats at cetera walking around money. Washington state is created an ambitious they call it the plan to let you have two eighty us are assisted dwelling units or some kind of accessories. Talk permit to meet, maybe I know all this nonsense. So that you can have two little tiny houses in your backyard now to be fair. They've actually also recognize the nature of of red tape in here. Okay, permit Queen. Yeah. I wish that glowed when the lights squad and the tunnel. And I don't wanna talk about it. I have my bike ride tunnel shirt on because I'm doing that on Sunday. But I hope the lifestyle go out down there. Eighty us. And then day dues are two different things. Attached dwelling unit accessory dwelling unit. Attached means your basement attached to the main house seven accessory dwelling unit. A completely different structure on your property. And these are not very big. But I do like the idea of having these families zone. So there's three of them on kind of one property as long as there's parking and accessibility for everybody. I don't think it's terrible. There's not parking one of the things that have eliminated is the requirement for off street parking owner occupancy minimum says, so I mean aside from the parking, which I don't consider red tape they've gone through and cut a lot of the red tape. There was never requirement for parking for a single family house. Anyway, I mean, so we're not really talking about a massive. I mean, I get your point start making me feel bad making you guys ever really was there was there was often for for how for dense housing such such as condominiums and apartments, but with with single family houses, they were never they never had the requirement to provide an actual onsite parking spot for that. So so that's not really any change from existing law. I think this is a really good idea. I think Seattle has its own idea that is advancing it even further and Seattle's idea ads on that the mayor's office pushing sort of in line with with this idea to do it state wide to allow you to get the have. I think it's three preapproved mother-in-law cottage plans that are ready permit such effectively they come pre permanent provided. Your plot is is adequate mic house. So you can absolutely well three different designs their MC houses. Anyway, if you take a look at these are not these are not elaborate structures, and I'm fine with that. But I like it because the permanent process in Seattle can be fairly difficult time, consuming and expensive and your architect is. It is time consuming and expensive as well. Getting out getting those out of the way and just doing slight modifications really does allow people to to make a little bit of rental income and open up a neighborhood for additional housing. Okay. So my last text message from one of my contractors. Hey, candy. The city of Seattle. Stop by and said, you need to hire an Arborist. We have the Arborist in line with the architect, if you would like to go through the architect, you would then be charged for the Arborist fee the architect fee and the contractor fee to have the Arborist look at your tree that that's red taste. So so what are you? What what was the issue with your tree is my tree to the widest growth point at base or will it continue to grow and grow and mature cedar tree? So right now, I think it's like three and a half and potentially could get to four things to say about this one the road on on tree houses, we should let people build three houses. Wouldn't that be cool? If we could just have tree houses, the other thing is here's my here's here's my. Here's my concern. Because this is from the sideline institute who published the four speech election law that someone called the honest election thing for Xi to pay for politico. Speech. You don't like I have a fear that one day, they require this that one day, they say if you have this much square footage open square footage required that you build this housing. What? So what would be your analog on that? What would be your comparison? What you've seen something like that happened. Just I go to the nature of one party politics and the desire to in other words, I don't know of one an analog, oh, forcing people to do things forcing somebody with their own private property to actually open it up for building for a private for. They don't want the oh all the time. I mean, if you talk about rural landowners, all the time they're told told they're they're told to build housing on their land for other people. They're told that you have to. So there are told you have to put this next to a stream, and you've got to grow, this type of crop, etc. Our sold out of us example that she said, no, I did that I said it would grow to that. So the what they're doing is actually allowing people to do something they want to do. So there is no state law requirement that you put an additional housing right there. There simply isn't. So I don't know why that would necessarily be a fear the fear could be in a legitimate one. In a neighborhood is that your neighborhood could get more densely populated. And then there are a set of conditions marking being a good example that come along with that. But I actually think this is not a bad idea. And it's a nice compromise from the townhouse. Idea where you live in a tiny house, and suddenly there are two fifty foot structures next to you block him out the sun. This may be a nice way to take some of the pressure off housing without actually entirely changing the neighborhoods character, I just feel misheard. I feel hurt. And my hope is that. You'll listen. Don't feel hurt. I do know, Mike. I'm just saying that I fear it because of the nature of the sideline and. Your every single law comes from the site institute, whose okay forcing didn't right this satellite reported this. This is Washington state legislature did zoo celebrating reported on the case they just want us to win the New York Times does a story. It's time of legislation. It's just turtle sideline celebrates it. Do you like this or not I like it? But he don't want it to become forceful for be. You have a yard. You have to use your yard in this way. If you would like to live in within city limits. That's a hallmark of of ultra controlling governance that okay, you got too much square footage minority. People telling us we got too much income. We need to redistribute that. I don't get heavy on it. I just telling us fear, and I don't feel validated. That's all I think when you live in Seattle, and you own a home in Seattle, you see the impacts that different way that different types of housing has on your neighborhood. And it makes you look at it. Just like the parking is a great example. All right. Well, I don't have sidewalks in my neighborhood is just an older neighbourhood that doesn't have sidewalks. Okay. Well, then do. Oh, worry you have street parking. Because not every house has a garage house has a driveway. All right. So now where are you street parking right in the grass on peoples yards or right up against the edge? So then you can't walk around it safely. You're automatically in the roads. Then you start thinking about that. Well, how many houses have Airbnb on our street and people are coming and going at all hours? And so you your neighborhoods change in Seattle pretty quickly. That's actually, that's actually a more immediate fear might even be more rational. It certainly marash about that, Mike. There's plenty of examples of government run amok telling people to use property, but I see to you the point that that's not a lot this since we're talking homeless. We do this real quick. This is down in South Carolina homeless man, and a young girl has down syndrome. They made they made a video together Kimberly Phillips in her daughter has down syndrome or visiting a homeless shelter and the girl took a liking to gentleman there. Sometimes..
"ten minutes" Discussed on The Adam Carolla Show
"Ten minutes. Going into the bathroom. The husband is. Do you want some X? It's it's funny twenty this is fucking by the way things have to be euro otherwise. But if it's not what what's been going on over the last thirty five years of people talking about what's new nutrition is spoken. Put look spray on butter on their popcorn, you know, much popcorn. And you want long as you spray that margarine on popcorn has almost no calories. It's like we literally did things like by wait. Hey, light popcorn it. I'll look I'll heaviest outcome on the SaaS your fist year. Whatever you believe me. Go stand on that scale. Now, I'll give you a pillow case of popcorn go. Good too. Big T-Bone steaks. I rest my signs. It's so insane. And then of course, you have to think well what's currently going on. That's what you always have to think so easy back and laugh at everyone being wrong. But what is currently going on covering this up on the no where else I'd bring it up. We talked about trope earlier we talked about food and outdated things one trope. I don't know. Why was every it was in so many sitcoms back in the day? I never signed off on it. And I just realized ridiculous of us Kristie mates. Some delicious, Meatloaf, why was Meatloaf, what's for dinner. Moms. Hey, big Christmas story. They don't want.
"ten minutes" Discussed on News 96.5 WDBO
"Ten minutes. Invest a pedia they're saying that are two thousand eighteen tax returns, which will file in the coming days aren't going to look anything like what we're used to. What are some of the changes we need to be watching out for Mike? I know you're not a CPA, but you have a CPA on the team. But you're also very in tune with taxes on retirement for sure. Huge part of what we do it needs to be part of any financial plan. I need to understand not just how much I'm making on my portfolio. But it's one of these things it's not just what you make. It's what you keep. Right. Keeping more of what you've earned is really important. And that's why you have to be really efficient with taxes. Now, we all are gonna pay. What we owe. Right. Vitor seem more than your fair share. And that's that's why it's so critical when it comes to taxes and all that now twenty eighteen all right? So here we are twenty nineteen. We're going to have to get these taxes done by tax time. Right. You're gonna be the middle of April. But what's happened is things have changed quite a bit? So no longer or tax firms going to look like they used to look like we used to have a ten forty eight or ten forty forty a was kind of a standard that people used in the ten forty easy was the really easy one. You just fill stuff in and they've done away with all the easy easy. Right. But basically anybody, you know, the new ten forty is going to be used by all filers, and it's just a short two pager tax return. Okay. So don't be alarmed that you can't find that ten forty ez anymore. It's just a short two pager. And I do think it's going to be a lot easier for most people now one of the things that is going to benefit people's we've got lower taxes. So that we still have a number of tax brackets. But the top tash bracket was reduced to thirty seven percent from thirty nine point six, I realize most people aren't in that top tax bracket. But regardless you're going to want to make sure that you understand where you fall, I think most people will benefit from that. No, one of the big things that you're going to see is the Senator deduction was the big deal was increased. And so if your married filing jointly your standard deduction now is twenty four thousand dollars. So that's going to eliminate the need for a lot of people to itemize deductions. A lot of people used to you know, I mean, I think of going over to to good-will writer Salvation Army or or what have you in saving those receipts and making sure that you were you had them just God forbid, you get audited. And you're declaring stuff a lot of these charities are very worried because. The incentive to make charitable contributions isn't as high anymore because you really don't benefit from the the tax deduction for most people because they probably won't itemize unless you can get itemized deductions over twenty four thousand now big thing on that itemized deductions is the salt limitation. That is it's you know, state and local taxes, but they limited that it used to be unlimited. So if you were paying state or local taxes, and you had some property in you had crazy taxes that you were paying you could write those off. Well, it's not that you can't write them off anymore, but they've limited to ten thousand dollars. Okay. So this is where Trump really got after the people in New York and California. Crazy crazy property taxes. And they got that in there. So by limiting at it's going to hurt all of those landowners, very wealthy, and we're using that. So that being said, just you know, we can certainly get you help when it comes to that. I'm not going to personally help you with your taxes. But you know, we've got people that can do that for you. And make sure you're not paying more than your fair share when it comes to taxes and all that as part of our financial planning process. So if you wanna come sit down have take a look at your investments, make sure your efficient and optimized there was put together a financial plan for you. And we'll we'll put that financial plan in your hands. You walk out of her office with it that will just show you the steps to being successful retirement. What you need to do. And then also we'll take a look at the tax situation for if you have any questions, but just give us a call the next ten minutes, and we'll be able to do that for you complimentary taxes a big deal any day of the week. But especially every day of the week in retirement. So that comprehensive financial plan know that it is going to address some of those issues where do you stand? What taxes where do you stand with fees? Where do you stand with your risk? Versus return. Are you an appropriate investments for being fifty and older here in Florida? Find out those things what that comprehensive financial plan. Mike was talking about. It's a fifteen hundred dollar value. But there's no charge. If you call within the next ten minutes, and it doesn't.