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    thoracic

    Explore "thoracic" with insightful episodes like "Safeguard and solutions to stemming the rising tide of High Blood Pressure and Stroke in Adults", "Chest Pain - Thoracic Dissection-recorded 10/08/17", "Episode 5 - The Deadly Dozen of Thoracic Trauma", "JRP 023: Are you feeling hunched over?" and "Complications in Spine Surgery" from podcasts like ""NASCO Moments Podcast", "Talk EM", "Trauma ICU Rounds", "Back into Alignment" and "Back Doctor"" and more!

    Episodes (19)

    Chest Pain - Thoracic Dissection-recorded 10/08/17

    Chest Pain - Thoracic Dissection-recorded 10/08/17

    2023 CME Conferences and Board Reviews

    Elemental Medicine-PANRE Board Review Course-Live Webinar

    VIRTUAL CLASSROOM

    Feb 21 , 2023 @ 08:00 AM - Feb 24 , 2023 @ 05:00 PM

    Urgent Care Conference 

    Orlando ,Florida

    Mar 13 , 2023 @ 07:00 AM - Mar 16 , 2023 @ 12:30 PM

    Life Blood Series

    St. Petersburg, Florida

    May 25, 2023 @ 08:00 AM- May 26, 2023 @ 04:00 PM

    Urgent Care Conference 

    Las Vegas ,Nevada

    Oct 16 , 2023 @ 07:00 AM - Oct 19 , 2023 @ 12:30 PM

     

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    Talk EM
    en-usApril 29, 2021

    Episode 5 - The Deadly Dozen of Thoracic Trauma

    Episode 5 - The Deadly Dozen of Thoracic Trauma

    In this episode we review the "lethal 6" and "hidden 6" chest injuries that comprise the deadly dozen of thoracic trauma. Mechanism of injury together with vital signs and findings from the physical exam should provide us with the data needed to identify life-threatening thoracic injuries on our primary survey. For hidden injuries, the diagnostic adjuncts required to identify these injuries are also discussed.

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    JRP 023: Are you feeling hunched over?

    JRP 023: Are you feeling hunched over?

    Welcome 2020 Welcome friends! In this first episode of 2020, Physiotherapist Nav Grewal shares valuable information about Thoracic Mobility I got to show you some exercises I teach in my Yoga and Pilates classes and to warm up before a training session: 1) Where is the thoracic area? ( thorax) 2) How do we lose our posture? 3) How can we improve our posture? 4) 4 exercises to practice at home daily to work around the mobility of the spine. 5) How poor posture affects us and even the way as we feel? You can find more details on Episode 11 and 12 all about NECK PAIN For any questions please follow our pages pelvicare.ca joafitness.com THANKS for your comments and support!!! :)

    The Unique Microbiome of Premature Infants with Michael Morowitz, MD

    The Unique Microbiome of Premature Infants with Michael Morowitz, MD

    Michael Morowitz, MD, is an associate professor of Surgery and an attending physician in the Division of Pediatric and General Thoracic Surgery. Dr. Morowitz’s research focuses on Necrotizing Enterocolitis (NEC), a mysterious disorder of intestinal inflammation in premature newborn infants. His lab studies the microbiome, the vast collection of microorganisms that cover our bodies, inside and out.

    ESC 2018

    ESC 2018

    The MDedge Cardiology team unpacks one of the world’s largest cardiology meetings from a Munich beer garden. Join MDedge reporters Bruce Jancin and Mitchel Zoler alongside MDedge Cardiology editor Catherine Hacket as they discuss practice-changing data as well as what the world’s leading cardiologists are talking about. Some of the stories discussed in this episode are:

    ASCEND: Aspirin, fish oil flop in diabetes

    Rivaroxaban no help for heart failure outcomes

    Rivaroxaban superior to aspirin for extended VTE treatment

    Podcast 137: Running: Limitations in thoracic spine function matter.

    Podcast 137: Running: Limitations in thoracic spine function matter.

    We cover many aspects of human movement on this podcast, the topics are broad ranging on today's show, but they are worthy of your time in our opinion.

    Key words:
    arm swing, thoracic extension, scapular retraction, arch height, rear foot posting, forefoot loading, ankle dorsiflexion, ankle rocker, shoulder extension, SSEP, F-wave, EMG/NCV testing, gait ataxia

    Here are some key quotes from today's show:

    You may have the range of motion, but are you actually able to use it?
    You haven't truly injured yourself, you've just lost your ability to compensate.

    And we discuss a case study today, where the following paragraph is germane.

    "Abnormal gait changes might be the first signs of an early slow cooking neurologic disorder. Most, not all, pathology is afferent, yet most (not all) EMG/NCV testing is geared towards the efferent pathology (motor end organ disease, not sensory compromise), hence, testing can miss your client's pathology. We discuss a classic case where the client clearly had the beginnings of a neurologic disorder on our exam (clonus and joint position sense changes and clear ataxic gait) yet the testing "that was done" showed a normal study of this client. Much pathology is afferent, the input is the problem, so you need to consider requesting Sensory nerve action potentials, SSEP and F-wave testing, because they are difficult to elicit and good technique is paramount. Hence these extra components of the test are not done, and you need to ask for this in your testing. "Maybe it's not there because you are not looking". We have much more on this topic, come listen to Podcast 138 and get the full monty."

    Our Websites:
    www.thegaitguys.com

    summitchiroandrehab.com doctorallen.co shawnallen.net

    Our website is all you need to remember. Everything you want, need and wish for is right there on the site.
    Interested in our stuff ? Want to buy some of our lectures or our National Shoe Fit program? Click here (thegaitguys.com or thegaitguys.tumblr.com) and you will come to our websites. In the tabs, you will find tabs for STORE, SEMINARS, BOOK etc. We also lecture every 3rd Wednesday of the month on onlineCE.com. We have an extensive catalogued library of our courses there, you can take them any time for a nominal fee (~$20).

    Our podcast is on iTunes and just about every other podcast harbor site, just google "the gait guys podcast", you will find us.

    Oesophageal surgery- Is there light at the end of the tunnel?

    Oesophageal surgery- Is there light at the end of the tunnel?

    The 105 years since the first successful thoracic oesophagectomy was performed saw initially slow progress in terms of operative mortality, morbidity and oncological outcomes. Even until the late 1990’s, operative mortality figures of 15-20% were commonplace and long term survival was poor, as low as 12%1. The last 20 years has seen a major change in these outcomes both within Australia and overseas. These improvements have been based on the bed rocks of improved surgical techniques, improved peri operative care, changes in the distribution of the pathophysiology of the disease, improved patient selection through better staging, Development of endoscopic techniques for early tumours, development of effective neo adjuvant regimes and the development of “high” volume centres have all contributed to the current figures of 4% preoperative mortality and overall 5 year survivals in the post surgical patient of 40%. Better understanding of the nutritional issues involved has led to an emphasis on better quality of life issues in both the curative and palliative settings. This talk outlines the forces that have brought about the changes including outlining the modern treatment algorithm and discussing the volume effects of surgery in the Australian context

    1. Earlam R, Cunha-Melo JR. Oesophageal squamous cell carcinoma: I. A critical review of surgery. Br J Surg 1980;67: 381-90

    CRACKCast E045 - Thoracic Trauma

    CRACKCast E045 - Thoracic Trauma

    This episode covers Chapter Chapter 45 of Rosen’s Emergency Medicine text book and is full of pearls for Thoracic Trauma.

    Sign Post:

    1. Differentiate Chest wall injury, rib fracture, and flail chest

    2. Describe the clinical presentation and management of a sternal fracture

    3. Describe Injuries to lung parenchyma

    4. What is Traumatic asphyxia?

    5. List 6 indication for tube thoracostomy 

    6. Indications for OR Thoracotomy 

    7. What is the management of Diaphragmatic injury?

    8. Differentiate between myocardial concussion, contusion and rupture

    9. Review indications for ED Thoracotomy

    10. Describe your approach to identification and management of pericardial tamponade

    11. CXR findings for blunt aortic injury.
    12. List the 6 most common causes of esophageal perforation

    13. What is the Nexus CT Chest Rule?

     

    WiseCracks:

    1. Clinical conditions that mimic esophageal perforation
    2. Describe the basic approach to ED thoracotomy
    3. What is Electrical Alternans?

    CRACKCast E045 - Thoracic Trauma

    CRACKCast E045 - Thoracic Trauma

    This episode covers Chapter Chapter 45 of Rosen’s Emergency Medicine text book and is full of pearls for Thoracic Trauma.

    Sign Post:

    1. Differentiate Chest wall injury, rib fracture, and flail chest

    2. Describe the clinical presentation and management of a sternal fracture

    3. Describe Injuries to lung parenchyma

    4. What is Traumatic asphyxia?

    5. List 6 indication for tube thoracostomy 

    6. Indications for OR Thoracotomy 

    7. What is the management of Diaphragmatic injury?

    8. Differentiate between myocardial concussion, contusion and rupture

    9. Review indications for ED Thoracotomy

    10. Describe your approach to identification and management of pericardial tamponade

    11. CXR findings for blunt aortic injury.
    12. List the 6 most common causes of esophageal perforation

    13. What is the Nexus CT Chest Rule?

     

    WiseCracks:

    1. Clinical conditions that mimic esophageal perforation
    2. Describe the basic approach to ED thoracotomy
    3. What is Electrical Alternans?

    Is it really carpal tunnel syndrome?

    Is it really carpal tunnel syndrome?

     

    Are you experiencing hand numbness and weakness? These symptoms are often labeled as carpal tunnel syndrome when it may actually be scalene entrapment. Scalene entrapment is when the upper part of the brachial plexus gets impinged by the lateral neck muscle called the scalene.  Stretch out the scalene and chest muscles as well as the forearm extensor and flexor muscles.