Shows
New Books in Medicine97 Buddhist Medicine and BuddhishIn this episode, Pierce Salguero comes on to discuss two of his books: Buddhish, A Guide to the 20 Most Important Buddhist Ideas for the Curious and Skeptical (Beacon Press, 2022) and A Global History of Buddhism and Medicine (Columbia UP, 2022).Pierce is a transdisciplinary scholar of health humanities, fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University’s Abington College, near Philadelphia.The major theme in his sch...2022-11-181h 25
The Imperfect Buddha Podcast97 Buddhist Medicine and BuddhishIn this episode, Pierce Salguero comes on to discuss two of his books: Buddhish, A Guide to the 20 Most Important Buddhist Ideas for the Curious and Skeptical (Beacon Press, 2022) and A Global History of Buddhism and Medicine (Columbia UP, 2022).Pierce is a transdisciplinary scholar of health humanities, fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University’s Abington College, near Philadelphia.The major theme in his sch...2022-11-181h 27
New Books in Religion97 Buddhist Medicine and BuddhishIn this episode, Pierce Salguero comes on to discuss two of his books: Buddhish, A Guide to the 20 Most Important Buddhist Ideas for the Curious and Skeptical (Beacon Press, 2022) and A Global History of Buddhism and Medicine (Columbia UP, 2022).Pierce is a transdisciplinary scholar of health humanities, fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University’s Abington College, near Philadelphia.The major theme in his sch...2022-11-181h 27
New Books in Buddhist Studies97 Buddhist Medicine and BuddhishIn this episode, Pierce Salguero comes on to discuss two of his books: Buddhish, A Guide to the 20 Most Important Buddhist Ideas for the Curious and Skeptical (Beacon Press, 2022) and A Global History of Buddhism and Medicine (Columbia UP, 2022).Pierce is a transdisciplinary scholar of health humanities, fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University’s Abington College, near Philadelphia.The major theme in his sch...2022-11-181h 27
I Love House Music PodcastILHM 29: Vocal Bombs vol. 2The 29th ep. with Full Intention, Mark Knight, David Penn, Barbara Tucker and many more.
Check out on Soundcloud, Mixcloud, Apple Podcasts and Youtube.
01. Blaze, Barbara Tucker, UDAUFL - Most Precious Love (Unreleased Michael Gray Dub)
02. David Penn, Sheylah Cuffy - Scream 4 Love (Micky More & Andy Tee Remix)
03. Full Intention - Sky's the Limit (Original Mix)
04. Alex Lo Faro - Make Your Body Hot (Extended Mix)
05. Underground Ministries, Kenny Bobien - I Shall Not Be Moved (DJ Meme Classic Vocal Mix)
06. Alex Poet, Inaya Day - Love Language (Mark Di Meo Club Mix)
07. Mark Knight, Beverley Knight - Everything's Gonna...2021-11-0159 min
Penn Medicine's TTM Academy PodcastsEpisode 25 – Interpreting the TTM2 Trial – 33C versus Controlled NormothermiaA new multicenter trial published in NEJM, commonly known as the “TTM2” trial, evaluated treating patients resuscitated from out-of-hospital cardiac arrest with targeted temperature management to 33C versus controlled normothermia, and found that outcomes were equivalent. Does this mean the end of TTM as we know it?
In this podcast, Dr. Benjamin Abella presents a comprehensive argument why he believes that such pronouncements are premature and not consistent with the larger body of laboratory and clinical science over the past 20 years. He discusses TTM2 in context of recent work from France (the Hyperion study), as well as work f...2021-06-1727 minPenn Medicine's TTM Academy PodcastsEpisode 24 - ECG Timing and Post-Cardiac Arrest Cath FindingsElectrocardiography (ECG) represents a central diagnostic tool in the post-arrest evaluation of patients resuscitated from out-of-hospital cardiac arrest (OHCA), and it should be acquired immediately after achievement of ROSC to identify the need for an urgent coronary angiography, which is indicated only in the case of ST-segment elevation myocardial infarction (STEMI). While resuscitation guidelines are clear in the recommendation and importance of obtaining an ECG during the post-ROSC phase, they don’t provide specific instructions about the best time for ECG acquisition after ROSC.
In this context some have proposed that the timing of ECG pos...2021-04-1928 minPenn Medicine's TTM Academy PodcastsEpisode 23 - Cardiac arrest, up close and personal: A discussion with @LglaucomfleckenWhile we have focused on the science of targeted temperature management and other care strategies for critically ill survivors, it is important for us to remember that real people experience cardiac arrest and the consequences. In this unique episode, Dr. Benjamin Abella interviews Kristin Flanary, who jumped into action to provide 10 minutes of bystander CPR to her husband, Dr. Will Flanary, who has thankfully made a full recovery. You may know Kristin and Will as @lglaucomflecken and @dglaucomflecken , well-known on twitter – we are grateful that Kristin has chosen to go public with her story and support advocacy for cardiac ar...2021-03-1235 minPenn Medicine's TTM Academy PodcastsEpisode 22 - The Role of Oxygen in Critical IllnessThe role of oxygenation during critical illness remains a major question. Is extra oxygen harmful or helpful? What oxygen levels should we target, both for respiratory failure and for patients after cardiac arrest? Dr. Benjamin Abella discusses these topics, and reviews a hot-of-the-press work from European investigators (the “HOT-ICU”) trial, published in New England Journal of Medicine this month. The paper evaluates two different oxygen targets for patients with respiratory failure – implications for this work as it pertains to cardiac arrest will be discussed.
Key publications:
Schjørring OL, Klitgaard TL, Perner A et al. Lower...2021-01-2921 minPenn Medicine's TTM Academy PodcastsEpisode 21 - IHCA during the COVID-19 pandemic: Implications of COVID-19 for resuscitation careCritical illness from COVID19 remains a major challenge to health systems worldwide. When patients progress to in-hospital cardiac arrest (IHCA), what is the chance of survival? Studies have so far revealing conflicting answers to this important question. What is the role of post-arrest care bundles, including TTM, in the care process? Dr. Felipe Teran will lead a conversation with Dr. Oscar Mitchell, who served as the lead author in a new multicenter study of COVID19 IHCA survival, to be presented as a late-breaking abstract at the Resuscitation Science Symposium.
Key publications:
Girotra S, Tang Y, C...2020-11-1428 minPenn Medicine's TTM Academy PodcastsEpisode 20 - Resuscitation Guideline in the time of COVID-19Dr. Felipe Teran joins Drs. Cindy Hsu and Hans van Schuppen to discuss recent guidance regarding cardiac arrest resuscitation during the COVID-19 pandemic.
Key publications referenced in this episode:
Couper K, Taylor-Phillips S, Grove A, et al. COVID-19 in cardiac arrest and infection risk to rescuers: A systematic review. Resuscitation. 2020; 151:59-66. https://pubmed.ncbi.nlm.nih.gov/32325096/
Edelson DP, Sasson C, Chan PS, et al. Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19: From the Emergency Cardiovascular Care Committee and Get With the Gu...2020-07-0337 minPenn Medicine's TTM Academy PodcastsEpisode 19 - OHCA during the COVID-19 pandemic: Implications of COVID-19 for resuscitation careDr. Felipe Teran discusses the recent studies pertainig to OHCA during the COVID-19 pandemic.
Key publications referenced in this episode:
Baldi E et al. Out-of-hospital cardiac arrest during the Covid-19 outbreak in Italy. N Engl J Med 2020 Apr 29; [e-pub]. (https://doi.org/10.1056/NEJMc2010418)
Marijon E, Karam N, Jost D, et al. Out-of-hospital cardiac arrest during the COVID-19 pandemic in Paris, France: a population-based, observational study. Lancet Public Health. 2020
Sayre MR, Barnard LM, Counts CR, et al. Prevalence of COVID-19 in Out-of-Hospital Cardiac Arrest: Implications for Bystander CPR. Circulation. 2020. DOI: 10.1161/CIRCULATIONAHA.120.048951
2020-06-1521 minPenn Medicine's TTM Academy PodcastsEpisode 18 - Survivorship: The new frontier in post-arrest careDr. Abella discusses a very recent American Heart Association scientific statement on cardiac arrest survivorship, increasingly recognized as an important topic around the globe. While many studies have evaluated survival to hospital discharge, or even survival at 90 or 180 days post-arrest – survival is not enough. Increasing data suggest that even among “good” neurologic survivors (those with Cerebral Performance Category 1 or 2), life-limited challenges remain, including depression, PTSD, cognitive deficits and other challenges to quality of life.
Key readings:
Sawyer KN, et al. Sudden Cardiac Arrest Survivorship: A Scientific Statement From the American Heart Association. Circulation 2020 Feb 12...2020-03-0621 min
Penn Medicine's TTM Academy PodcastsEpisode 17 - New evidence: physician perspectives on post-arrest neuroprognosticationDrs. Teran and Abella discuss a hot-off-the-press survey study by Maciel CB et al (Critical Care Medicine, 2020), probing physician perspectives and practice on post-arrest neurologic assessment and prognostication. Do all of us follow the international guidelines for this phase of care? What are points of confusion in current “real world” practice? Join us to answer these questions and hear about key action items for all of us who manage post-arrest care.
Key reading:
Neuroprognostication Practices in Postcardiac Arrest Patients: An International Survey of Critical Care Providers. Maciel CB, Barden MM, Youn TS, Dhakar MB, Greer DM. Crit...2020-02-1422 min
Penn Medicine's TTM Academy PodcastsEpisode 16 - Gender differences in cardiac arrest and post-arrest careDrs. Abella and Teran discuss the scientific literature surrounding gender differences in care during and following cardiac arrest. From differences in bystander CPR provision for public cardiac arrests to post-arrest DNR status and cardiac catheterization; listen to hear more.
Key publications for this episode:
Lindgren E et al. Gender differences in utilization of coronary angiography and angiographic findings after out-of-hospital cardiac arrest: A registry study. Resuscitation. 2019 Oct;143:189-195. https://www.ncbi.nlm.nih.gov/pubmed/31330199
Perman SM et al. Sex Differences in "Do Not Attempt Resuscitation" Orders After Out-of-Hospital Cardiac Arrest and the Relationship t...2020-01-1019 minPenn Medicine's TTM Academy PodcastsEpisode 15 - ReSS Year in Review: Part 2 of 2Drs. Robert Neumar and Cindy Hsu (both at University of Michigan) continue their discussion with Dr. Felipe Teran following the plenary “Year in Review” presentation by Dr. Neumar at the American Heart Association Resuscitation Science Symposium (ReSS) in Philadelphia. If you missed ReSS, this is your chance to hear summaries of the top studies that impacted cardiac arrest and post-arrest care in the past 12 months. Note that this is the second part of a two-part podcast: Check your earlier in this feed for Episode 14 contains the first half of this conversation.
Key readings for this podcast include:
N...2019-12-1525 minPenn Medicine's TTM Academy PodcastsEpisode 14 - ReSS Year in Review: Part 1 of 2Resuscitation Science Top Studies of 2019: Part 1 of 2
Drs. Robert Neumar and Cindy Hsu (both at University of Michigan) are guest presenters in this special TTM Academy Podcast, hosted by Dr. Felipe Teran. They recap the plenary “Year in Review” presentation by Dr. Neumar at the American Heart Association Resuscitation Science Symposium (ReSS) in Philadelphia. If you missed ReSS, this is your chance to hear summaries of the top studies that impacted cardiac arrest and post-arrest care in the past 12 months. Note that this is a two-part podcast: Episode 15 will present the second alf of this discussion in two...2019-12-0325 minPenn Medicine's TTM Academy PodcastsEpisode 13 – Transesophageal echocardiography during cardiac arrest resuscitationDrs. Teran and Abella discuss the role of transesophageal echocardiography (TEE) in the resuscitation of cardiac arrest patients. Listen for details of how this cutting-edge application of TEE could play a role in improving arrest diagnostics, CPR quality and possibly arrest outcomes.
Key Reading:
Teran F et al. “Evaluation of out-of-hospital cardiac arrest using transesophageal echocardiography in the emergency department.” Resuscitation. 2019 Apr;137:140-147. https://www.ncbi.nlm.nih.gov/pubmed/30779977
Catena E et al. “Association between left ventricular outflow tract opening and successful resuscitation after cardiac arrest.” Resuscitation. 2019 May;138:8-14. https://www.ncbi.nlm.nih.gov/pu...2019-11-0831 minPenn Medicine's TTM Academy PodcastsEpisode 12 - HYPERION Results - TTM following non-shockable cardiac arrestEarlier this week, results from the HYPERION trial were published in the New England Journal of Medicine. Drs. Abella and Teran discuss the use of TTM for patients resuscitated from cardiac arrest with a non-shockable initial rhythm.
Suggested Readings:
Lascarrou JB et at., “Targeted Temperature Management for Cardiac Arrest with Nonshockable Rhythm.” N Engl J Med. 2019 Oct 2.https://www.ncbi.nlm.nih.gov/pubmed/31577396
Perman SM et al., “The Utility of Therapeutic Hypothermia for Post-Cardiac Arrest Syndrome Patients With an Initial Nonshockable Rhythm.” Circulation. 2015 Dec 1;132(22):2146-51. https://www.ncbi.nlm.nih.gov/pubmed/26572795
Grossestreuer AV et al...2019-10-0426 minPenn Medicine's TTM Academy PodcastsEpisode 11 - ECMO Implementation for Refractory Cardiac Arrest in the EDFollowing the success of Episode 6, which discussed the scientific evidence for ECMO in cardiac arrest, we decided to take a deeper look at the implementation of ECMO in the ED. Drs. Felipe Teran and Joseph Tonna discuss the utilization of ECMO for refractory cardiac arrest, the expansion of hospital ECMO programs to the emergency department and implementation of an ECMO program for cardiac arrest. This episode was recorded on location in Salt Lake City, Utah.
Key Reading:
Tonna JE et al., “Practice characteristics of Emergency Department extracorporeal cardiopulmonary resuscitation (eCPR) programs in the United Sta...2019-09-2018 minPenn Medicine's TTM Academy PodcastsEpisode 10 - TTM Following Opioid Overdose Cardiac ArrestDrs. Teran and Abella discuss the role of TTM for patients following cardiac arrest caused by opioid overdose. Several recent observational studies are reviewed to understand the demographics of patients who suffer opioid-related cardiac arrest, their outcomes, and whether TTM may be beneficial during post-arrest for these patients.
Key readings:
Salcido DD et al, “Regional incidence and outcome of out-of-hospital cardiac arrest associated with overdose.” Resuscitation 2016; 99:13-19.http://dx.doi.org/10.1016/j.resuscitation.2015.11.010
Katz AZ et al, “Outcomes of patients resuscitated from cardiac arrest in the setting of drug overdose.” Resuscitation 2015; 94:23-27.http://dx.doi.org/1...2019-09-0616 minPenn Medicine's TTM Academy PodcastsEpisode 9 - MRI Imaging for Post-Arrest Neurological PrognosticationFollowing resuscitation from cardiac arrest, accurate evaluation of neurological recovery can help guide patient care and family decisions. In this podcast, Drs. Teran and Abella discuss a recent investigation into the use of MRI imaging in prognostication following resuscitation from arrest.
Key reading for this podcast:
Wallin E et al, "Acute brain lesions on magnetic resonance imaging in relation to neurological outcome after cardiac arrest."Acta Anaesthesiol Scand. 2018 May;62(5):635-647. doi: 10.1111/aas.13074. https://www.ncbi.nlm.nih.gov/pubmed/29363101
2019-08-2318 minPenn Medicine's TTM Academy PodcastsEpisode 8 – Oxygen Delivery After Cardiac Arrest ResuscitationEpisode 8 – Oxygen Delivery After Cardiac Arrest Resuscitation
During cardiac arrest resuscitation, most patients are intubated and placed on 100% oxygen. In this podcast, Drs. Teran and Abella discuss recent investigations that suggest that too much oxygen may worsen post-arrest injury. Global resuscitation guidelines suggest down-titration of oxygen as tolerated to maintain adequate O2 saturation, but it’s not clear how well this is done- many patients are left on high oxygen “dose” for hours.
Key readings for this podcast:
Robert BW et al, “Association Between Early Hyperoxia Exposure After Resuscitation From Cardiac Arre...2019-08-0918 minPenn Medicine's TTM Academy PodcastsEpisode 7 - Cardiac Arrest Regionalized CareDrs. Felipe Teran and Ben Abella discuss an important recent publication in Annals of Emergency Medicine by Elmer et al, in which some of the strongest evidence to date are presented that support the concept of “cardiac arrest centers”, much like trauma or stroke centers. This has been proposed before (Nichol G et al, Circulation 2010 – see below) – but evidence is now accumulating in support of the idea.
Key readings:
Nichol G et al, “Regional systems of care for out-of-hospital cardiac arrest: A policy statement from the American Heart Association.”, Circulation 2010;121:709-29. https://www.ncbi.nlm.nih.gov/pubmed/2...2019-07-1915 minPenn Medicine's TTM Academy PodcastsEpisode 6 - ECMO for Cardiac ArrestDrs. Benjamin Abella, John Greenwood and Felipe Teran discuss the use of ECMO (extra corporeal membrane oxygenation) for cardaic arrest patients.
Referenced article:
Weisfeldt ML, Becker LB. Resuscitation after cardiac arrest: a 3-phase time-sensitive model. JAMA. 2002 Dec 18;288(23):3035-8. https://doi.org/10.1001/jama.288.23.3035
2019-07-0525 minPenn Medicine's TTM Academy PodcastsEpisode 5 - The Importance of Neurological Monitoring Post-ArrestDr. Felipe Teran discusses with Dr. Ramani Balu the importance of post-arrest neurological monitoring.
The Online TTM Course is now OPEN! Visit upenn.cloud-cme.com/ttmonline for more information or to register.
2019-06-1524 minPenn Medicine's TTM Academy PodcastsEpisode 4 - Transnasal Cooling During Cardiac ArrestDr. Abella discusses the recent publication in JAMA regarding the PRINCESS trial of intra-arrest brain cooling.
JAMA Article: https://doi.org/10.1001/jama.2019.4149
Pre-hospital cold saline: https://doi.org/10.1001/jama.2013.282173
TTM Academy: https://pennmedonline.upenn.edu/ttmacademy/
2019-05-1310 minPenn Medicine's TTM Academy PodcastsEpisode 3 - NeuroprognosticationDr. Abella discusses neuroprognostication following cardiac arrest and how long to continue care before considering withdrawl.
TTM Academy: www.med.upenn.edu/resuscitation/ttm-academy.html
For updates: text TTM to 31996 or email TTMtraining@pennmedicine.upenn.edu
** TTM Academy podcasts are intended for medical education only and should not be used for clinical decision making.
2019-04-1211 minPenn Medicine's TTM Academy PodcastsEpisode 2 - Post-Arrest Coronary AngiographyDr. Abella discusses the recent publication - Coronary Angiography after Cardiac Arrest without ST-Segment Elevation. For the full article abstract visit: https://www.nejm.org/doi/full/10.1056/NEJMoa1816897
** TTM Academy podcasts are intended for medical education only and should not be used for clinical decision making.
2019-03-2914 minPenn Medicine's TTM Academy PodcastsEpisode 1 - Goal Temperature for Targeted Temperature ManagementWelcome to the first episode of Penn Medicine's TTM Academy Podcast. Dr. Benjamin Abella discusses the goal temperatures for TTM.
Send ideas for new topics to TTMtraining@pennmedicine.upenn.edu
Learn more about TTM Academy: www.med.upenn.edu/resuscitation/ttm-academy.html
** TTM Academy podcasts are intended for medical education only and should not be used for clinical decision making.
2019-03-0719 min