Do you want to go from dreading emergencies to feeling confident and ready to jump into action to rescue your patient? Well, this show will let you see emergencies unfold through the eyes of a Rapid Response Nurse. With real life stories from the frontlines of nursing, host Sarah Lorenzini MSN, RN, CCRN, CEN, a Rapid Response Nurse and educator, shares her experiences at rapid response events and breaks down the pathophysiology, pharmacology, and the important role the nurse plays during eme ...
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136: Bridging the Gap Between Pre-Hospital and In-Hospital Patient Care with Flight Medic, Sam
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42:20The flight team may be on the way, but your work isn’t done yet. Flight medic Sam, host of the Nine One One Nonsense podcast, shares what the ideal patient handoff looks like between hospital staff and flight crews, and why those final moments at the bedside matter more than you think. You’ll hear real-life examples of where in-hospital care teams …
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135: Ruptured Aortic Dissection With Guest Christian Guzman, APRN
54:49
54:49
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54:49What began as a stroke alert turned into a different kind of emergency: aortic dissection. Today's patient case study follows a series of clinical decisions that saved an elderly man from a fatal misdiagnosis. Christian Guzman APRN walks us through the case — from the patient’s misleading symptoms to the diagnostic tests that showed something more …
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134: Ruptured Ectopic Pregnancy With Guest Shenell RN
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43:39
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43:39One minute she was the nurse—then she became the emergency. Today, Shenell RN of the All One Nurse podcast shares her story of a ruptured ectopic pregnancy that sent her into emergency surgery on shift — and the second ectopic pregnancy that followed just a year later. We talk through the symptoms she felt that day, how methotrexate treatment impac…
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133: Transitioning from ED to Rapid Response with Aidan RN
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33:29
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33:29Rapid response nurses don’t just handle codes — they help prevent them from happening. Contrary to popular belief, Rapid Response Nursing is not just sprinting from code blue the next and neither is ER nursing. While there are a lot of similarities between these two specialties in Nursing, there are a lot of differences too. In this episode, Aidan …
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132: Living and Working as a Nurse With a LVAD (Left Ventricular Assist Device)
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53:48
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53:48Imagine working as a nurse, but you must stay attached to battery packs to stay alive. That’s the reality for Tiffany Davis Cannon, RN—full-time nurse, mother, and LVAD patient. After being diagnosed with peripartum cardiomyopathy, she had to adapt to life with an LVAD—but it’s been anything but easy. In this episode, Tiffany candidly shares the em…
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131 REBOOT: TACO, TRALI, and All Things Blood Transfusion Reactions
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26:05
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26:05Would you know how to identify a blood transfusion reaction? This is one of those nightmare cases because we just expect that when we give blood transfusion, the patient will get better… but what about when they get worse? In this reboot episode, host Sarah Lorenzini shares evidence-based research to shed some light and insight into this very rare,…
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130:The Do's and Don'ts of Healthy Team Dynamics (Creating a Safe Culture With Your Team)
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27:23
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27:23What makes some teams work in sync and others fall into chaos? During emergencies, team dynamics are just as important as clinical skills for saving lives. Let’s dive into what it takes to create a work culture that encourages collaboration, where mistakes are as learning opportunities, and kindness builds trust! This episode outlines the do’s and …
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What makes sickle cell disease so challenging to manage? It’s not just the pain — it’s the complications, stigma, and the need for fast, effective care. In this episode, Morgan Taylor, RN helps us unpack the science behind sickle cell crisis and how nurses can address both the medical and emotional needs of their patients. Learn how to recognize ea…
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Once called pseudoseizures, psychogenic non-epileptic seizures can confuse even seasoned clinicians — until you know the signs. These seizures mimic epilepsy but have entirely different causes, requiring a unique approach to care. In this episode, we explore how to distinguish PNES from epilepsy, the psychological factors that trigger attacks, and …
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Do you feel confident recognizing status epilepticus? When a seizure doesn’t stop on its own, knowing the signs of this high-stakes emergency is the first step to preventing complications and even death. This episode breaks everything you need to know about status epilepticus — the warning signs, critical action steps, and the interventions that sa…
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126: Hurricane Relief Nursing with Brooke RN
38:18
38:18
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38:18No power, no water, no communication. How do healthcare teams provide care during disasters? In this episode, host Sarah Lorenzini and Brooke MSN, RN, CCRN, NE-BC share their experiences working as disaster response nurses after the hurricanes in Asheville, NC and Tampa, FL. Get a glimpse into the challenges, collaboration, and determination that d…
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You never forget your most embarrassing nursing moment — especially when it happens in the middle of a critical situation. In this episode, Sarah recounts an unforgettable, cringe-worthy blunder during a rapid response call for a COPD patient in respiratory distress. Discover how she managed the patient’s COPD exacerbation and advocated for the pat…
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Caring for patients withdrawing from alcohol can be challenging to say the least. In this episode, host Sarah Lorenzini shares a case of a patient recovering from emergency surgery, and highlights the subtle but critical signs of alcohol withdrawal—like anxiety, tremors, confusion, tachycardia, and hypertension—that often go unrecognized until symp…
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123: What Makes for a Great Resuscitationist?
19:09
19:09
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19:09Bringing calm to chaos is an underrated skill in medicine. During her talk at the ResusX Conference, Sarah explored this concept and the importance of guiding teams through high-stress situations. In today’s episode, you’ll hear what happened when Sarah responded to a bloody code blue that ended in tears and defeat. This patient story is a prime ex…
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122: What is POTS and When Is It an Emergency? With Guest Dr. Alexis Cutchins
29:48
29:48
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29:48Behind every POTS diagnosis is a patient who had to fight for answers. Postural orthostatic tachycardia syndrome (POTS) is often misdiagnosed because its symptoms mimic so many other conditions. In fact, it is often dismissed as “just anxiety”, but anxiety is a secondary side effect of the fact that the patient keeps having syncopal episodes withou…
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121: Early Detection of AKI With Tom MSN, RN From Accuryn
43:43
43:43
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43:43Pee might be the key to saving your patient’s life. In this episode of Rapid Response RN, we dive into the critical yet often overlooked early sign of clinical deterioration — urine output. Join us as Tom Colabro, MNS-HCSM, RN, NEA-BC, shares his expert insights on why accurate urine output can be a cost-effective biomarker in patient care. Tom int…
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120: Medical Missions Nursing With Becca RN From Mercy Ships
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36:44Burned out by hospital life? For Becca RN, serving a two-year mission with Mercy Ships reignited her passion for nursing and introduced her to a global community of volunteers. Her experience as a nurse on a hospital ship in West Africa went beyond traditional patient care, allowing her to play a role in both the physical and emotional healing of h…
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119: Spinal Cord Ischemia with Michelle Dedeo DNP, RN, CNS, ACCNS-AG, CCRN, CNRN, SCRN, TCRN
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46:06
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46:06When Michelle discovered her patient was paralyzed, it surprised the whole medical team. This patient who was previously mobile and recovering from septic shock was now paralyzed and ultimately diagnosed with spinal cord ischemia, but could early intervention have changed the outcome? In this episode, we discuss the causes, signs, diagnosis and tre…
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This week, we are talking about every cardiac nurse’s worst nightmare: cardiac tamponade. Host Sarah Lorenzini is joined by Brian McCain RN to share a crazy case of cardiac tamponade where quick intervention made all the difference. In this episode, they discuss the critical signs, symptoms and pathophysiology of cardiac tamponade. Brian and Sarah …
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117: Pericarditis vs Myocardial Infarction
26:19
26:19
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26:19A patient arrives at the ER, complaining of chest pain that dramatically worsens when she lies down. What could this clue reveal about her condition? In this episode, host Sarah Lorenzini recounts her experience caring for her first pericarditis patient and the subtle yet critical signs that distinguish it from more common cardiac emergencies. Sara…
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116: "So You Want to Go Back to School?" with Guest Nicole Kupchik, Clinical Nurse Specialist
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37:20
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37:20Clinical Nurse Specialists are more than just experts in their field. They are advanced practice nurses who are driven to make system wide changes for both nurses and their patients. This episode sheds light on the critical role of Clinical Nurse Specialists, the extensive education and experience needed to enter the field, and their unique respons…
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115: Pediatric Empyema With Erik and Nykole, Critical Care Transport Nurses
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45:05This week's case study features a 5-week trauma injury, a critical care transport, and a pediatric patient with a surprise sepsis diagnosis. Critical Care Transport Nurses Erik and Nykole join host Sarah Lorenzini to discuss the complexities of managing a young patient with an unexpected empyema. In this episode, you’ll hear Erik's initial assessme…
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This mystery case kept everyone guessing, and now it’s time to reveal Mr. James’ surprising diagnosis: serotonin syndrome! But how did he end up with this rare condition? In this episode, host Sarah Lorenzini reviews Mr. James’ case, explains what led him to develop serotonin syndrome, and the signs that pointed to this diagnosis. If you were stump…
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Can you guess what was Mr. James' diagnosis? Why was he having periods of apnea? Why was he tachycardic? Why was he hypertensive? Why was he so rigid? Why wouldn't he wake up? Tune in Friday for Episode 114 to hear the reveal of the diagnosis and breakdown of the pathophysiology and how to treat Mr. James' condition Mentioned in this episode: Rapid…
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113: How to be the BEST Nursing Preceptor EVER!
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39:09
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39:09Awesome nurses don’t always make great preceptors. So what does it take to nurture new talent into capable and confident professionals? This episode delves into fundamental qualities, mindset and teaching strategies necessary to excel in the role of a preceptor. Host Sarah Lorenzini reflects on her experiences with both good and bad preceptors, sha…
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The summer heat brings fun in the sun, relaxing days, and even the threat of heat stroke. In this episode, host Sarah Lorenzini explores the spectrum of heat-related illnesses, highlighting the crucial differences between heat stroke and heat exhaustion. She recounts an emergency case of a young man with all the classic symptoms of heat stroke — an…
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111: Liver Failure Part 4: Hepatic Encephalopathy vs Alcohol Withdrawal
27:49
27:49
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27:49When the diseased liver is unable to filter out neurotoxins like ammonia, we can see a spectrum of the neuropsychiatric symptoms of hepatic encephalopathy. For the final installment in our liver failure series, host Sarah Lorenzini highlights a complicated case of hepatic encephalopathy where critical thinking and interdisciplinary teamwork were ke…
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110: Liver Failure Part 3: Hepatorenal Syndrome
17:20
17:20
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17:20Managing liver failure often means walking a tightrope with kidney function. This episode explores what happens when the kidneys begin to fail due to liver disease, a condition known as hepatorenal syndrome. Host Sarah Lorenzini sheds light on this common but severe complication of cirrhosis, sharing a critical case that exemplifies the challenges …
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109: Liver Failure Part 2: Esophageal Varices
25:22
25:22
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25:22A cirrhosis patient has stable vitals, but then starts vomiting blood. What do you do next? This episode delves into a case study that highlights the urgent management of esophageal varices in liver failure patients. Host Sarah Lorenzini reveals how a rapid response call quickly spiraled into a life-threatening emergency, and the critical steps tak…
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108: Liver Failure Part 1: Spontaneous Bacterial Peritonitis
24:36
24:36
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24:36No matter your specialty, every nurse cares for patients with liver failure. Host Sarah Lorenzini starts off this four-part series on liver failure by sharing the story of a rapid response call that featured classic complications of cirrhosis: ascites, jaundice, and hypotension. Exacerbating the patient’s terminal condition was a suspected diagnosi…
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NTI 2024 brought together critical care nurses from across the country, and this episode highlights over 10 of their most heartwarming and unforgettable stories. Host Sarah Lorenzini speaks to ICU nurses and nurse educators who share tales of human connection, critical thinking, and compassionate care. From navigating crazy shifts to creating new p…
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106: Are Nursing Care Plans an Absolute Waste of Time? With Flight Nurse and Educator Nurse Gwenny
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46:38
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46:38Nursing care plans are the bane of many a nursing student’s academic experience. They are seen as an unnecessary burden to their already heavy workload. But they play an important role in the nursing process, and nurses put these plans into clinical practice every day — whether they realize it or not. In this episode, Nurse Gwenny, an ER and flight…
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105: So You Want to Go Back to School Part 2 With Guest Nurse Educator Patrick McMurray
47:15
47:15
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47:15Nursing educators may not hold the most glamorous position, but they are undoubtedly the backbone of the profession. Nurse Educator Patrick McMurray exemplifies this by bringing creativity and inclusivity into nursing education, supporting nurses at every stage of their career. In this episode, host Sarah Lorenzini talks to Patrick about his approa…
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104: Obstructive Shock With Guests Bryan Boling and Brandon Oto From the Critical Care Scenarios Podcast
53:11
53:11
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53:11Obstructive shock may be the least common type of shock, but it’s no less critical. As part of Nurse PodCrawl 2024, Bryan Boling and Brandon Oto from the Critical Care Scenarios podcast join host Sarah Lorenzini in this episode to talk about the critical care management of obstructive shock. Together, they walk nurses through a patient scenario, de…
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103: Should Families Be Allowed to be Present During Resuscitation?
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47:41
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47:41Which side of the debate do you fall on? Should families be present during resuscitation or escorted to a quiet area to wait? Among those advocating for family presence are nursing researchers, Margo Halm, APRN-BC, PhD, FAHA, NEA-BC and Jessica Sexton, MSN, RN, CPEN. During their conversation with host Sarah Lorenzini, they explain why family prese…
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102: SIADH vs DI With Guest Nick McGowan RN, MSN
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40:17
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40:17We’ve talked about hyponatremia, but what do you know about Syndrome of Inappropriate Antidiuretic Hormone secretion (SIADH) and Diabetes Insipidus (DI)? In this episode, host Sarah Lorenzini and Nick McGowan RN, MSN dive into these diseases that develop from complex hormonal responses that manage the body’s water and sodium. They explore the patho…
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BONUS PodSwap: RSI Drugs with Nurse Mo From Straight A Nursing Podcast
19:56
19:56
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19:56On this special PodSwap Episode, you will be hearing from Nurse Mo from the Straight A Nursing Podcast! She does an amazing job breaking down all the pharmacology of medications we use for Rapid Sequence Intubation or RSI. Rapid sequence intubation, a procedure performed to emergently intubate a patient with an intact gag reflex in cases of acute r…
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101: So You Wanna Go Back to School Part 1: Nurse Practitioner With Guest Dr. Sandra Pagenta DNP
40:18
40:18
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40:18Are you considering a career as a nurse practitioner? Do you want to go back to school to transition into an advanced practice nursing role? Join host Sarah Lorenzini and guest Dr. Sandra Pagenta, DNP, as they discuss opportunities available in nursing and how to decide if the nurse practitioner path is the right one for you. Dr. Sandra Pagenta ref…
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100: How to Still Love Being a Nurse After 20 Years in the Profession
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25:30
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25:30Every day that you complete a shift is a day to celebrate because nursing is undoubtedly one of the hardest professions in the world, especially in the last few years. Burnout rates are extremely high, and for good reason, but there are ways to keep your passion for nursing even after decades in the field. In this milestone 100th episode of Rapid R…
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99: Hyponatremia: How Did It Happen and Why Is It So Challenging To Treat?
23:56
23:56
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23:56Treating hyponatremia, a condition characterized by low sodium levels in the blood, can be both complicated and quite risky.. Disruptions to the delicate balance of sodium in the body can lead to a spectrum of outcomes, from an asymptomatic presentation to life-threatening seizures, coma, and death. Through the patient story of Mrs. Saltman, host S…
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98: "Broken Heart Syndrome" aka Takotsubo Cardiomyopathy
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22:18
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22:18Takotsubo cardiomyopathy, also known as “broken heart syndrome,” is hard to diagnose because its symptoms mimic more common conditions like acute coronary syndrome. This stress-induced cardiomyopathy presents a mysterious challenge to nurses, as you’ll hear in today’s patient story. Host Sarah Lorenzini shares the case of a patient who went from ex…
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97: Status Asthmaticus Part 2: Strategies to Manage the Crashing Asthmatic
28:12
28:12
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28:12Part two of our crashing asthmatic series continues with a comprehensive look into what exactly happened in last week’s nightmare patient case. Host Sarah Lorenzini dives into the pathophysiology of status asthmaticus, explaining the physiological changes in the airways during severe asthma attacks and what makes these cases resistant to standard t…
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96: Nightmare Case: The Young Crashing Asthmatic Patient With Guest Brooklyn RN
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33:06Severe asthma leads to cardiac arrest in today’s gripping patient story. Brooklyn, an ER Nurse joins host Sarah Lorenzini to discuss a nightmare case of a young asthmatic patient and her team’s desperate fight to stabilize him. Despite various interventions, from albuterol, magnesium, BiPap, ketamine, and more, the patient's condition deteriorated,…
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95: "That's a Weird Blood Pressure!": Recognizing and Interpreting Wide and Narrow Pulse Pressures
18:02
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18:02Do you know how to recognize a wide or narrow pulse pressure and what each finding tells you about your patient? Following last week's discussion on the shock index, host Sarah Lorenzini introduces pulse pressure as another essential tool in the nurse's assessment arsenal. In this episode, Sarah outlines how to measure and interpret pulse pressure.…
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Looking at HR or Blood Pressure alone as determinants of how stable the patient is can lead us astray. The Shock Index allows us to detect when patients are declining… while they are still compensating. Shock Index = HR/SBP… but how can we use this tool? A patient’s vital signs can appear normal, meanwhile they’re on the brink of shock. This was ex…
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Are you familiar with BRASH syndrome? The complex interplay of Bradycardia, Renal Failure, Atrioventricular Block, Shock, and Hyperkalemia forms a collection of clinical signs known as BRASH syndrome. One condition leads to another which leads to another, heightening the severity of symptoms. Fortunately, it’s easy to manage if you know what you ar…
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92: How to Rock Your Next Stroke Alert With Guest Dr. Eric Wilson RN, AGNP-C, DNP, NREMT-P
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27:45Timing is everything when it comes to strokes because every second without treatment impacts patient outcomes. If you’ve ever wasted time debating whether or not to call a stroke alert, you don’t want to miss this episode with Dr. Eric Wilson RN, AGNP-C, DNP, NREMT-P! During his conversation with host Sarah Lorenzini, Eric emphasizes the urgency of…
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Cardiac output equals heart rate times stroke volume… but what does that really mean and how does it apply to the bedside? This formula (CO = HR x SV) is crucial for nurses to understand in the application of vasopressors and inotropes, so why is it so difficult to memorize their role in improving cardiac output? This episode is dedicated to breaki…
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Did you listen to Joey’s story in last week’s mystery episode? If you did and guessed rhabdomyolysis as his diagnosis, congratulations! Joey’s muscle injury from playing a little too hard at football camp resulted in a release of muscle proteins that ultimately caused his kidneys to shut down, which led to his diagnosis and treatment for rhabdomyol…
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89: MYSTERY EPISODE... What's Wrong With Joey?
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7:09Are you ready for some diagnosing fun?! In this episode, host Sarah Lorenzini will challenge your diagnostic skills with the mystery case of Joey, a 14-year-old patient who went from playing football at summer camp to being intubated in the ER. Joey presented with an altered mental status, and was tachycardic, tachypneic and febrile. Once in the ER…
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