The weekly destination for all things American Cornhole League. Hosted by Trey Ryder, Anthony Ayon, and Michelle Thompson, Around the ACL will dive into all the latest news, results, and analytics around the cornhole world. Leave your review at https://ratethispodcast.com/acl.
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This is the podcast that tells the story of civil liberties in Pennsylvania. You'll hear from our staff, our clients, and our allies about the most prominent civil liberties issues of the day.
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ACLU interest group
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I'm Paul from PassACLS.com and I'm here to help you pass ACLS. Like an audio flash card, this podcast is intended to aid any medical professional preparing for an Advanced Cardiovascular Life Support (ACLS) class. Each one-to-nine minute episode covers one of the skills needed to recognize a stroke or cardiac emergency and work as a high performing team to deliver safe, quality patient care. Listening to a tip a day for 14-30 days prior to your ACLS class will help cement the core concepts t ...
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Why ACL tears are more common in high school. Cover art photo provided by Steven Lelham on Unsplash: https://unsplash.com/@slelham
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ACL IT academy is an IT training institute in Kolkata that offers courses based on IT and technologies. This institute have experienced instructors from various top notch IT farms. Our blended learning approach combines class room training, online classes, instructor-led live virtual classrooms, project work, and teaching assistance.
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The Torn ACL Recovery Podcast is a short series podcast about ACL surgery (known as ACLR) and the recovery process in the days, weeks, and months that follow. Tips, resources, mental health, inspiration, and more. Online at http://tornaclrecoverypodcast.com/
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Hear about a teenage girl who suffered an ACL tear and surgery, and how she recovered to return to playing basketball!
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On Talking Liberties with the ACLU of Illinois, we are here to chat about the big issues of the day, both home in the Land of Lincoln and across our country. We are here to help educate and tell you how you can get involved so we work together towards a more perfect union. Each episode features interviews, news updates, events, and actions that you can take right now to protect your rights. Remember: dissent is patriotic!
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On this week's episode of Around The ACL Meesh is joined by Trey and Jake to recap the Richmond Open and review the top ten shots from the weekend. After that they then go over the top doubles teams in the world and try to decide who is underrated, overrated and properly rated. Finishing out the show they answer listener questions before giving the…
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EMS and Transportation to the Most Appropriate Facility
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The chain of survival for a cardiac emergency and stroke start the same: 1. preparedness & recognition of an emergency; 2. activation of EMS; 3. delivery of Advanced Life Support; and 4. transporting to the most appropriate facility. ALS ambulances are staffed with paramedics who have training in ACLS skills. Why EMS "Destination Protocols" for sus…
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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 …
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Documenting the Cruel Practices of ICE
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In October, ACLU-PA released a new report called Cold Reality: Uncovering the Cruelty and Chaos of ICE Practices in Pennsylvania. The report is an analysis of documents obtained from Immigration and Customs Enforcement, known as ICE, and what they show about the harm that ICE enforcement actions do to families and communities.Here to talk about it …
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Asystole & Pulseless Electrical Activity (PEA)
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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…
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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…
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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
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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 a H&T Cause of Cardiac Arrest
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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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MONA is the acronym sometimes used to help us remember the interventions to consider for patients with Acute Coronary Syndrome or ACS. Morphine's use in the Acute Coronary Syndrome (ACS) algorithm. Why Morphine is helpful for patients with ACS. Contraindications and considerations for the safe administration of Morphine. Morphine as an alternative …
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Pennsylvania’s Failed System of Indigent Defense
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Both the U.S. and Pennsylvania constitutions guarantee the right to an attorney for someone facing criminal charges, regardless of a person’s ability to pay. But for decades, Pennsylvania has been woefully inadequate in ensuring that people living in poverty receive effective representation. So in June, the ACLU of Pennsylvania, with volunteer atto…
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Maintaining a Chest Compression Fraction (CCF) Above 80%
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Even good CPR is far less efficient at circulating blood than a functioning heart. The indicators of high-quality CPR that were identified at the 2012 AHA CPR Quality Summit in order of importance include: Chest compression fraction (CCF); Chest compression rate; Chest compression depth; Allowing for full recoil; and Adequate ventilations. Using re…
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Epinephrine and Dopamine are adrenergic agonist used in several ACLS algorithms. The use of epinephrine for severe anaphylaxis and unstable bradycardia. Review epinephrine’s effects on blood vessels and bronchioles. Why epinephrine is helpful for patients with anaphylaxis. Using an epi drip for unstable bradycardia. Epinephrine administration durin…
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Providing rescue breathing to apneic patients with a palpable pulse. Normal end tidal CO2 for patients with a pulse. Identification of cardiac arrest and our immediate actions. Providing artificial ventilations during CPR without an advanced airway vs with an advanced airway in place. Using quantitative waveform capnography to confirm placement of …
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Hypothermia: A H&T Reversible Cause of Cardiac Arrest
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Hypothermic patients aren't dead until they are warm and dead. When a patient’s core body temperature drops below 96.8 F (36 C), they are hypothermic. As the body’s temperature drops below 36 C, hypothermia may further be classified as moderate or severe: Moderate if the patient’s body core temp is between 30-34 C; and Severe if it's below 30 C. Mo…
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Calcium is one of the ions that move across the cellular membrane during cardiac contraction and relaxation. The primary use of calcium channel blockers in ACLS is for the treatment of stable, narrow complex tachycardias refractory to Adenosine and to lower the blood pressure of ischemic stroke patients with severe hypertension. Use of calcium chan…
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On this week's episode of Around The ACL Michelle is joined by Trey and Jake to discuss the upcoming Open in Henrico, VA. They go over the stacked registration and discuss the standings and who they are looking forward to watching this weekend. Next they play underrated, overrated or property rated before answering your questions. Finally they end …
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Post-Arrest Care & Targeted Temperature Management (TTM)
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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 …
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Getting Ready for the Challenges Ahead
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Donald Trump will be the next president of the United States. And based on his first turn as president and his rhetoric in the campaign, we know that he and his cronies are a clear and present danger to our most basic freedoms and to democracy itself.So what does that mean for the ACLU, as an organization dedicated to defend people’s civil libertie…
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Nitroglycerine is vasodilator that affects peripheral blood vessels and coronary arteries. Because of its widespread dilation effects on blood vessels, nitro can quickly lower a patient’s blood pressure, sometimes to the point of making a patient hypotensive. Assessment of vital signs prior to administering nitro is necessary to ensure patient safe…
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The ACLS algorithms are designed to make it easier to remember the key interventions we should deliver, and the order in which they should be delivered, to provide the best evidence-based care possible. Generally speaking, if there’s a change in a patient’s condition, we should ensure we’re using the correct algorithm. Three key points to remember …
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Beta blocking medications attach to Beta receptors to inhibit or “block” the effects of epinephrine (adrenaline)and norepinephrine in the body. The primary locations of Beta I, II, and III receptors. Effects of epinephrine & norepinephrine’s stimulation of beta receptors on the heart. Beta blockers effects on the heart. When we should consider the …
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This episode we are reviewing the use of advanced airways in the adult cardiac arrest algorithm. When we should consider insertion of an advanced airway for patients in a shockable vs non-shockable rhythm. In addition to an endotracheal tube (ETT), other ACLS advanced airways include the Laryngeal Mask Airway (LMA) and the Laryngeal Tube airway. Th…
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Our primary focus immediately following return of spontaneous circulation (ROSC) is aimed at ensuring adequate perfusion of the patient’s vital organs and decreasing cerebral damage. Post-arrest goals for O2 saturation, ETCO2, and BP/MAP. Indications for use of an antiarrhythmic after ROSC. Determining which antiarrhythmic to use post cardiac arres…
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Hydrogen Ions as a H&T Reversible Cause of Cardiac Arrest
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Hydrogen ions is on one of the Hs in ACLS's H&T reversible causes of cardiac arrest. When considering hydrogen ions as a cause, what we’re looking at is the patient’s pH, or acid/base balance, and conditions that affect it. The body's normal pH. Using patient history, ABGs, & labs to determine acidosis or alkalosis. Common conditions/causes that ma…
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Code Flow Using the Adult Cardiac Arrest Algorithm
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Being the team leader during a cardiac arrest is challenging. Using an algorithm helps by standardizing & prioritizing our interventions using an If/Then methodology. Review of BLS steps for determining if rescue breathing or CPR is needed and use of an AED for patients in cardiac arrest. If the patient is in a non-shockable rhythm on the ECG such …
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In this week's episode of Around the ACL Meesh Trey and Wally recap Open #4 from Hamilton Ohio and discuss all the first time winners. They play a new game called Fact or Fiction before playing Buy or Sell. Trey and Wally then answer some questions from the viewers and go over possible new shot names before giving their Hole-y Hot Takes. Please lea…
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For patients exhibiting symptoms consistent with myocardial ischemia, Aspirin is the first medications we should consider along with morphine, oxygen, and nitroglycerine; if indicated & safe. Aspirin's mechanism of action & benefits for Acute Coronary Syndrome (ACS) patients. Contraindications and considerations for aspirin’s use. The dose and rout…
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To pass ACLS, you will need to be able to identify common rhythms on a monitor during your mega code and ECG strips on your written exam. If you don't normally monitor patients as part of your job, I suggest two things: Find a system for ECG interpretation that works well for you; and Practice reading ECGs every day for a few weeks before your clas…
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Antiarrhythmics: Lidocaine & Amiodarone
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In the Adult Cardiac Arrest algorithm, we should administer an antiarrhythmic medication to patients in V-Fib or pulseless ventricular tachycardia approximately two minutes after the first dose of epinephrine. The two first-line ACLS antiarrhythmics that are generally used are Amiodarone and Lidocaine. Review of Lidocaine dosing and administration …
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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
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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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On this week's episode of Around the ACL Meesh Trey and Anthony discuss the Open #4 sign ups for Hamilton Ohio and play a clip from the ACL Academy on how to build a high-performability routine. They then discuss their power rankings and answer some more questions from the listeners. As always they end the show by giving their hot takes. Please lea…
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Team Leader and Use of Quick Reference Cards
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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…
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The Importance of Early CPR & Defibrillation
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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. The chance of successful defibrillation decreases every minute that passes. …
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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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Vagal Maneuvers for Stable Tachycardia Patients
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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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On this week's episode of Around the ACL Meesh is joined by Jake and Trey as they discuss Open #3 in Little Rock and just exactly how good Devon Harbaugh is right now. They go over the top 10 highlights from the last weekend. Then they answer some listener questions before getting into overreaction Wednesday. Lastly they close out the show by givin…
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On this week's episode of Around The ACL Michelle, Trey, and Anthony look forward to Open #3 and pick some teams they want to keep a close eye on this weekend. They discuss exciting things coming up from the ACL Academy and go over Anthony and Trey's power rankings. Then they finish the show by playing Buy or Sell and give the Hole-Y Hot Takes.…
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On this week's episode of Around The ACL Wally Meesh and Trey recap the Des Moines, Iowa episode and discuss Ryan Traiteur's dominance. They then discuss some sleepers and some disappointments that they found impressive or left more to be desired. Next they play their games from the Baggin and Braggin show before they give their hot takes.…
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On this week's episode of Around The ACL Meesh Anthony and Trey discuss Open #2 and the field heading to Des Moines Iowa. They show highlights from the first Open then finish their draft recap. The crew then takes a look at the rookies coming into the next season by playing a rookie version of overrated, underrated or properly rated.…
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On this week's episode of Around the ACL Meesh Jake and Trey discuss the results of the first Open of the season and new pro pairings. Then they recap the rookie showcase and go over a few ACL Teams that were drafted over the weekend. Finally they give their hot takes to end the show.Autor: Trey Ryder
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In 2024, ACLU-PA and our partners have taken a different approach with our legal strategy than in past election cycles. This year, we’ve implemented a proactive strategy to make sure that voters who want to cast a ballot can do so without unnecessary hurdles.Vic Walczak, legal director of the ACLU of Pennsylvania, joins the pod to talk about it. By…
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What voters really want on immigration and public safety
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In the run up to this year’s election, we here at the ACLU knew that candidates would be talking about the two issues of immigration and public safety. Knowing that was coming, the ACLU has been engaged all year in a research project called Battleground Blueprint. We’ve deployed multiple rounds of surveys in multiple states, including Pennsylvania,…
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In this week's episode of Around the ACL Meesh and Trey pick up Wally's slack due to poor internet connection by discussing the first Open this weekend in Rock Hill South Carolina. They go over the ACL Draft and discuss some new teams for the 2024-2025 season. Finally they finish the show with Buy or Sell and give their hot takes for the first Open…
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On this week's episode of Around the ACL Wally Meesh and Trey discuss the European Tournament and talk about a few European players to keep an eye on next year at worlds. Then they go over some new partnerships for the 2025 season. Trey explains some new changes for next year in regards to memberships. They close out the show by playing games from …
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Living With a Criminal History and the Right to Vote in PA
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More than 20 years ago, Pennsylvania’s Commonwealth Court ruled that it was unconstitutional to prohibit people who are living with a criminal record from voting. But misinformation about those rights persists here in Pennsylvania. In this episode, we hear from ACLU-PA executive director Mike Lee and Saleem Holbrook, executive director of Abolition…
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In this week's Episode of Around the ACL Meesh Jake and Anthony discuss more partner reveals and how they think some of the new top teams will do. They congratulate more pros that made it through via the last chance qualifier and go over some of the new rule changes for next season. Lastly they finish off the show by playing Contender/Pretender and…
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On this week's episode of Around The ACL Meesh Trey and Anthony discuss the upcoming schedule by reviewing the first 6 ACL Open locations. They also go over some of the top shots from the Spencer Makenzie tournament in Ventura California before diving into new partners for the upcoming season. Jamie Graham is a special guest as he joins the show to…
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On this week's episode of Around the ACL Meesh and Trey talk about the few partner reveals that have already happened as well as partner reveals they would like to see for the upcoming 2025 season. Next they go over news around the league and preview the rookies for next season. They finish off the show with buy or sell, ACL superlatives and hole y…
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