Beste Ttm podcaster (2024)

1
Post-Arrest Care & Targeted Temperature Management (TTM) 5:14

11d ago5:14

5:14

The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved. Post-arrest care and recovery are the final two links in the chain of survival. Identification of ROSC during CPR. Initial patient management goals after identifying ROSC. The patient’s GCS/LOC should be evaluated to determine …

1
Nasopharyngeal Airway (NPA) Review 4:56

1d ago4:56

4:56

The tongue is the most common airway obstruction in an unconscious patient. For patients with a decreased level of consciousness that can't control their airway, yet have an intact gag reflex, the nasopharyngeal airway (NPA) should be used as an alternative to the oropharyngeal airway (OPA). Examples of when a NPA should be considered. Contraindica…

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Tamponade as an H&T Reversible Cause of Cardiac Arrest 5:21

2d ago5:21

5:21

When blood, or other fluids, accumulate in the sac around the heart it’s called a cardiac tamponade or pericardial tamponade. The effects of tamponade on the electrical system and chambers of the heart. Cardiac tamponade can be acute or chronic and caused by traumatic, iatrogenic, or pathological etiologies. Common traumatic events, medical procedu…

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Team Leader and Use of Quick Reference Cards 5:04

3d ago5:04

5:04

Two things have changed in recent years to aid students that don't use ACLS in their daily practice. 1. The role of the team leader; and 2. The ability to use your quick reference cards. The team leader is responsible for assigning tasks and overall direction of the team but can & should ask team members for help. Using closed-loop communication to…

1
The Importance of Early CPR & Defibrillation 5:33

4d ago5:33

5:33

Two factors to cardiac arrest survivability that have been clearly shown to make the biggest difference is continuous, high-quality CPR and early defibrillation. The most common dysrhythmia present during the first few minutes of cardiac arrest is ventricular fibrillation (VF). The chance of successful defibrillation decreases every minute that pas…

1
Quantitative Waveform Capnography Use in ACLS 5:02

5d ago5:02

5:02

Quantitative waveform capnography is used in ACLS as a way to confirm good CPR and placement of an endotracheal tube; identify return of spontaneous circulation; and during post-cardiac arrest care. We can use waveform capnography with, and without, an advanced airway in place. Monitoring end tidal CO2 during rescue breathing. Use of capnography to…

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S6 E31: Crash Course in Card Grading 1:12:25

7d ago1:12:25

1:12:25

In this lucky 31st episode on the 31st, Drew and Troy answer listener questions and give their recommendations for getting your cards graded. They also bring you hobby news, our exclusive Big 3 grading numbers, and more!Av TTMCast hosted by Jeff Baker

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Review of Vagal Maneuvers 5:38

8d ago5:38

5:38

Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT. Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients. Commonly used vagal techniques. A less common technique to stimulate the vagus nerve is the dive reflex. Indication…

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Energy Settings for Defibrillation & Synchronized Cardioversion 5:34

9d ago5:34

5:34

Remembering all the different energy setting needed for synchronized cardioversion and defibrillation used to be confusing for a lot of people. Defibrillators can be broken down into three basic categories: 1. Automated External Defibrillator (AED); 2. Biphasic defibrillators; and 3. Monophasic defibrillators. Use of an AED to rapidly deliver a sho…

1
Identification and Treatment of Unstable Bradycardia 5:17

10d ago5:17

5:17

Patients with a heart rate less than 60 are bradycardic. Some people can have a resting heart rate in the 40s without any compromise. For others, a heart rate of 50 or less could signify the need for immediate intervention and warrants additional assessment. Signs & symptoms that indicate a bradycardic patient is unstable. Monitoring oxygen saturat…

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The Stroke & Cardiac Chain of Survival 5:04

12d ago5:04

5:04

The chain of survival for ACLS is the same as was learned in your BLS class. The beginning steps of the Cardiac Emergency and Stroke chain of survival. ACLS's timed goals for first medical contact to PCI for STEMI and door-to-needle for ischemic stroke. Characteristics of areas that have significantly better stroke and out-of-hospital cardiac arres…

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S6 E30: Grapher DIY! 59:55

12d ago59:55

59:55

In this advice packed episode, Drew Pelto is joined by Troy Rutter in the cohost seat again to answer listener questions, share hobby news, and talk about signing etiquette in Grapher DIY!Av TTMCast hosted by Jeff Baker

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H&T Reversible Causes of Cardiac Arrest: Hypokalemia & Hyperkalemia 4:32

15d ago4:32

4:32

Heart muscle contraction and repolarization is dependent on Sodium, Calcium, Magnesium, and Potassium ions crossing cellular membranes. When a patient’s potassium levels get too low or too high, hypokalemia or hyperkalemia results respectively. Two things that may lead us to suspect hypo or hyperkalemia. Medical conditions & medications that can ca…

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Time Goals for Stroke Assessment & Therapy 4:59

16d ago4:59

4:59

When treating patients having an MI or stroke, more minutes equals more dead cells. Because the majority of strokes are the ischemic type, the treatment for stroke is similar to an MI – to reestablish perfusion to the ischemic tissues. Review the first four steps in the Stroke Chain of Survival. Time criteria for the administration of tPA (or a sim…

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Medication Review: Adenosine 5:50

17d ago5:50

5:50

Adenosine is the first IV medication given to stable patients with sustained supraventricular tachycardia (SVT) refractory to vagal maneuvers. Symptoms indicating a stable vs unstable patient. Common causes of tachycardia. Cardiac effects of Adenosine. Indications for use in the ACLS Tachycardia algorithm. Considerations and contraindications. Aden…

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Recognition of Second Degree Heart Blocks and Possible Interventions 7:20

18d ago7:20

7:20

To pass the written ACLS exam and mega code, students need to be able to identify basic ECG dysrhythmias, including the two types of second-degree heart block. One method of ECG rhythm identification is to ask a series of questions such as: What's the rate (<60, 60-100, 101-149, or >150); Is the rhythm regular or irregular; What's the shape, width,…

1
Oxygen and Pulse Oximetry 4:40

19d ago4:40

4:40

When treating patients with Acute Coronary Syndrome (ACS), MONA is an acronym sometimes used to help us remember the initial interventions. The O in MONA is Oxygen. When we should administer oxygen to ACS patients. When O2 administration is unnecessary based on an accurate pulse ox. Monitoring patient's oxygen saturation (SaO2) using a pulse oximet…

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S6 E29: More from Les! 1:12:36

21d ago1:12:36

1:12:36

Drew Pelto is joined once again with Troy Rutter in the co-host seat! In this week's episode, they answer listener questions, bring you hobby news, and chat with Les Wolff about his experience at the Cleveland National in More from Les!Av TTMCast hosted by Jeff Baker

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Objective Measures of Good CPR 6:41

22d ago6:41

6:41

Along with early defibrillation, high quality CPR with minimal interruptions is one of the two factors that has been shown to improve cardiac arrest outcomes. How do we know if high quality, effective CPR is being performed? Objective measures of good, high-quality CPR include: Compression rate; Compression depth & recoil; ETCO2; and Chest Compress…

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Review of Atropine & Dopamine for Unstable Bradycardia 5:56

23d ago5:56

5:56

When we should use the bradycardia algorithm. The signs & symptoms of unstable bradycardia. Atropine's bradycardic dose and maximum. The use of atropine when a patient is in a second degree type II or third degree heart block. ECG changes that indicate subsequent doses of atropine are likely to be ineffective. The starting dose of Dopamine. The use…

1
Oropharyngeal Airway (OPA) Review 6:04

24d ago6:04

6:04

The tongue is the most common airway obstruction in an unconscious patient. Insertion an oropharyngeal airway helps keep the patient’s tongue from falling to the back of the pharynx, causing an airway obstruction. The oropharyngeal airway is sometimes called an OPA or simply an oral airway. Indications for using an oral airway. Contraindication for…

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Hypoxia: An H&T Reversible Cause of Cardiac Arrest 5:54

25d ago5:54

5:54

Hypoxia is a state of low oxygen levels in the blood. Determining hypoxia using a pulse oximeter or arterial blood gasses (ABGs). A goal of ACLS is to recognize signs of hypoxia and provide timely treatment to prevent an arrest. Examples of some things that might lead us to think of hypoxia as a cause of cardiac arrest. Why we should not rely on pu…

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Sinus Tachycardia vs. Supraventricular Tachycardia (SVT) 6:07

26d ago6:07

6:07

ECG characteristics of supraventricular tachycardia (SVT) vs. sinus tachycardia. Signs & symptoms that indicate a patient is unstable. Delivery of a synchronized shock for the treatment of unstable SVT using a biphasic vs monophasic defibrillator. Consideration for team safety while performing synchronized cardioversion. Actions to take immediately…

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S6 E28: Collector's Corner with Dan Ogilvy 1:20:22

28d ago1:20:22

1:20:22

We’ve got Troy Rutter back in the co-host seat this week! Drew and Troy share hobby news and TTM returns, check in with Arron Littleton On the Road, and interview Cleveland Indians and Guardians collector, Dan Ogilvy, in this month’s Collector’s Corner!Av TTMCast hosted by Jeff Baker

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Epinephrine During Cardiac Arrest 5:12

29d ago5:12

5:12

When working to resuscitate a patient in sudden cardiac arrest, Epinephrine is the first IV medication we administer. When we give the first dose of epinephrine depends on whether the patient is in a shockable or non-shockable rhythm. When to give the first dose of epinephrine and its frequency for patients in asystole or PEA following the right si…

1
Common Conditions That Can Mimic a Stroke 6:00

1M ago6:00

6:00

If a person suddenly develops symptoms such as weakness, slurred or garbled speech, loss of balance, or a massive & severe headache; it’s possible they could be having a stroke. The Cincinnati Prehospital Stroke Scale. There are several conditions that can mimic a stroke. Identification & treatment of hypoglycemia or hyperglycemia. Identification &…

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Alternative Routes for Medication Administration - IO & ETT 5:57

1M ago5:57

5:57

Most ACLS medications are given IV push. But, what happens if we can't get an IV? Why IO is better than ETT as an alternative route. The locations we should place an IO when running a code and a location we should avoid. The ACLS medications that can be given intraosseous. Where you can find more information about intraosseous access during resusci…

1
EMS and Transportation to the Most Appropriate Facility 5:52

1M ago5:52

5:52

The chain of survival for a cardiac emergency and stroke start the same: preparedness & recognition of an emergency; activation of EMS; delivery of Advanced Life Support; and transporting to the most appropriate facility. ALS ambulances are staffed with paramedics who have training in ACLS skills. Why EMS "Destination Protocols" for suspected strok…

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Automated External Defibrillator (AED) 6:26

1M ago6:26

6:26

Performing good CPR and delivering a shock as soon as possible to a patient in Ventricular Fibrillation or pulseless V-Tach are the two most critical interventions that have been shown to increase survival from sudden cardiac arrest. Studies have demonstrated significantly better out-of-hospital cardiac arrest survival outcomes in communities with …

1
S6 E27: Clemente's National Review, On the Road, and Sal Barry! 1:44:51

1M ago1:44:51

1:44:51

This episode is absolutely packed with great segments! Clemente Lisi gives his review of the Cleveland National in Clemente's World, Arron Littleton joins us from California in On the Road part II, and Drew is joined by special guest co-host Sal Barry from the Puck Junk Podcast!Av TTMCast hosted by Jeff Baker

1
Cardiac Arrest Algorithm: Asystole & Pulseless Electrical Activity (PEA) 7:07

1M ago7:07

7:07

For apneic patients without a carotid pulse or patients with only gasping/agonal respirations, we will follow the Adult Cardiac Arrest algorithm. For pulseless patients that the AED doesn't advise a shock, the patient's ECG shows asystole, or a non-perfusing organized rhythm (PEA), we will follow the right side of the Adult Cardiac Arrest algorithm…

1
CPR Songs 4:23

1M ago4:23

4:23

Providing good, high-quality CPR with minimal interruptions and early defibrillation are two key interventions shown to improved cardiac arrest outcomes. A training tool used in many CPR and ACLS classes is to use a song (or a song list) with a tempo of 100 to 120 beats per minute to help the person doing chest compressions maintain an adequate rat…

1
Obtaining a Medical History 5:13

1M ago5:13

5:13

A patient’s medical history will help us identify things that may be causing (or contributing) to their current condition as well as guide our decisions so we provide the safest evidence-based care possible. Examples of information obtained in a medical history that will impact the treatment we provide. There are several mnemonics and memory aids t…

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Antiarrhythmics: Magnesium and Procainamide 5:36

1M ago5:36

5:36

Although magnesium can be used in the treatment of other medical conditions such as eclampsia, asthma, & digitalis toxicity; for ACLS, magnesium is primarily used to treat Torsades de Pointes. Identification of Torsades on the ECG. Administration of a magnesium infusion for stable patients vs slow IV push for patients in cardiac arrest. Procainamid…

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Hypovolemia as an H&T Cause of Cardiac Arrest 4:05

1M ago4:05

4:05

When a patient loses excessive amounts of fluids, we say that they are in a state of hypovolemia. The most obvious cause of hypovolemia is from bleeding. Bleeding can be internal or external and caused by trauma, pathology, or iatrogenic. Classic signs & symptoms of hypovolemic shock. Volume replacement with crystalloids vs blood. Connect with me: …

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S6 E26: On the Road with Arron Littleton! 40:47

1M ago40:47

40:47

We’ve got an amazing episode for you this week! Drew is joined by returning co-host, Lee Alexander, featuring a special new segment On The Road with Arron Littleton. Drew and Lee talk Olympics opening events, autograph tips, share our exclusive Big 3 numbers, and more in this week’s show!Av TTMCast hosted by Jeff Baker

1
S6 E25: Nationals Week, More from Les, and All Star Village 1:41:19

2M ago1:41:19

1:41:19

Drew and Troy bring you a special episode this week! Featuring More From Les with Les Wolff, plus a special a cameo from Arron Littleton! This extra long episode is packed with tips and info about the National, stories from the All Star Village, and lots of hobby news.Av TTMCast hosted by Jeff Baker

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S6 E24: Collector’s Corner with Kevin Jairaj! 1:11:45

2M ago1:11:45

1:11:45

Listen to our great show this week to hear a fantastic Collector’s Corner interview with Sports Photographer, Editor, and Collector, Kevin Jairaj! Kevin shares his experience across all steps of the card making process. Drew and Troy talk hobby news, TTM returns, and our Exclusive Big 3 from GemRate.com…

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S6 E23: Clementes World! 1:14:32

2M ago1:14:32

1:14:32

This week, Drew is joined by Co-host Troy Rutter to bring you hobby news and your regular favorite segments. Featuring Clemente's World! with Clemente Lisi talking hockey, soccer, and more!Av TTMCast hosted by Jeff Baker

1
S6 E22: Grapher DIY! 1:05:35

2M ago1:05:35

1:05:35

Drew and Troy cohost this episode, bringing you helpful tips and tricks for prepping cards for the mail in our Grapher DIY! Segment. As always, they talk hobby news, answer listener questions, and share their TTM Returns.Av TTMCast hosted by Jeff Baker

1
S6 E21: Drew Pelto and Troy Rutter 52:08

2M ago52:08

52:08

Another great show for you this week! Drew Pelto is joined once again by Troy Rutter talking TTM returns, hobby news, and more!Av TTMCast hosted by Jeff Baker

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S6 E20: Collector's Corner with Doug Barnes 1:10:52

3M ago1:10:52

1:10:52

Drew and Troy are back with another great episode answering questions from listeners and sharing their TTM returns. Featuring our conversation with longtime Topps Heritage collector, Doug Barnes, in Collector's Corner!Av TTMCast hosted by Jeff Baker

1
S6 E19: "Buckle Up, it's Going to be Fun!" 1:13:01

3M ago1:13:01

1:13:01

Drew is joined by cohost Arron Littleton today! They answer listener questions, cover hobby news, and share their TTM returns. Featuring Clemente's World! with Clemente Lisi who talks about Stanley Cup Finals, soccer sets, and Joe Pavelski's retirement.Av TTMCast hosted by Jeff Baker

1
S6 E18: Grapher DIY! Large item TTMs and other signing Tips & Tricks 1:06:50

3M ago1:06:50

1:06:50

This week, Drew is joined by co-host Troy Rutter! Featuring a great Grapher DIY segment where Drew shares helpful TTM tips and tricks he picked up from sending out over 3,600 TTMs. They answer listener questions and cover mailing large items and signing on photographs in this episode.Av TTMCast hosted by Jeff Baker

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S6 E17: More from Les! Tom Brady Signing and Overpriced Autographs 1:00:44

4M ago1:00:44

1:00:44

It's your favorite day of the week! We're back this Saturday with another great show! This episode, Drew is joined by cohost Arron Littleton as they share hobby news and TTM successes. They talk with hobby expert Les Wolff about the recent Brady signing and other overpriced signatures in our More From Les segment! Have thoughts about the show? Cont…

1
S6 E16: Collector's Corner with Josh Durham 1:10:23

4M ago1:10:23

1:10:23

This week, we have a special guest, Josh Durham, in Collector's Corner! He and Drew chat about collecting in the Texas area and how Josh shares his love of baseball with his son. Drew and Troy also bring you all your favorite segments with this week's hobby news and their TTM successes.Av TTMCast hosted by Jeff Baker

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S6 E15: Clemente's World! Stanley Cup, Connor Bedard, Upper Deck 1:09:07

4M ago1:09:07

1:09:07

Drew and Troy are back with another great show for you this week! They share their mailbox successes, hobby news, and our exclusive Big 3 numbers from GemRate.com. Featuring Clemente’s World with Clemente Lisi, discussing the Stanley Cup Playoffs, the Connor Bedard Box Set, and the new Upper Deck Extended Series.…

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TTM #67: COWBOY CARTER 2:29:12

4M ago2:29:12

2:29:12

The episode you have all been waiting for. Join us as we deep dive into everything Cowboy Carter. Yeehaaaw! Instagram: https://www.instagram.com/teamtoomuchpodcast/Av Dom & Iben

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Season 6 Episode 14: More from Les - Fanatics & the future of the hobby 58:13

5M ago58:13

58:13

This week Drew is joined by guest co-host Arron Littleton as they share sports collectibles news, our exclusive Big 3 numbers from GemRate, and their TTM returns. Featuring a great More from Les segment with Les Wolff, talking the future of the hobby under Fanatics!Av TTMCast hosted by Jeff Baker

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Season 6 Episode 13: Collector's Corner with Andrew Loewe and Big 3 with Ryan Stuczynski! 1:31:26

5M ago1:31:26

1:31:26

This episode features a special guest cohost, Paul Buxton! We've got a fantastic Collector's Corner segment with Andrew Loewe this week! Drew is also joined by GemRate's Ryan Stuczynski for our exclusive Big 3 Segment. Great segments fill the lucky Baker's Dozen thirteenth episode of Season 6.Av TTMCast hosted by Jeff Baker

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