Episoder
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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 save lives.
In this deep dive for Epilepsy Awareness Month, Sarah unpacks the role of nurses to take quick action and advocate for patients in status epilepticus. From what happens in the brain during prolonged seizures to proper use of benzodiazepines and anti-epileptic drugs, we get into the nitty gritty of managing this life-threatening condition.
Topics discussed in this episode:
Status epilepticus case studyDefining status epilepticus and its pathophysiologyHow to recognize the signs of status epilepticusIntervention tools and best practicesMedication use and managementPrevention and identification of underlying causesMentioned in this episode:
Rapid Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
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No 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 define hurricane relief nursing, as well as the unity and resilience shown by patients and communities in recovery. Listen to learn about the realities of crisis care, from deployment to being an effective nurse leader in a chaotic environment!
Topics discussed in this episode:
Deploying to Asheville with limited resourcesWhat it’s like working on a disaster relief nursing teamThe coordination of patient care and operations in disaster reliefStories of humanity, kindness, and uplifting moments in crisisCommon medical issues and challenges during hurricane disastersHow to maintaining team morale as a nurse leaderThe biggest lessons from working as a hurricane relief nurseCheck out Accuryn for yourself:
https://accuryn.com/why-accuryn/
Mentioned in this episode:
ANDIf you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!
Rapid Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
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Manglende episoder?
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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 patient’s care despite a lack of urgency from some on the medical team.
Sarah also dives into the pathophysiology of COPD and intervention strategies, evaluating the pros and cons of the various oxygen delivery modalities like non-rebreather masks and BiPAP. Curious how an awkward moment turned into a valuable lesson for COPD care? Tune in now!
Topics discussed in this episode:
The embarrassing BBQ incidentLessons from a COPD patient storyPathophysiology of COPDThe truth about hypoxic driveOxygen therapy and choosing the right delivery method for your patientWhen intubation is the best interventionMentioned in this episode:
Rapid Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
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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 symptoms escalate.
Key topics covered in this episode include:
The pathophysiology of alcohol withdrawal, focusing on how chronic alcohol use disrupts the balance between the brain’s inhibitory GABA and excitatory glutamate neurotransmitter systems.A detailed timeline of alcohol withdrawal symptoms, from early signs (6-12 hours) to severe complications like delirium tremens (48-72 hours).The importance of compassionate, non-judgmental care for patients with alcohol use disorder (AUD) during withdrawal, and why judgment rarely leads to positive change.The role of CIWA-Ar scoring to assess withdrawal severity and guide treatment, including common medications like benzodiazepines and the emerging use of phenobarbital for symptom management.Critical reminders to carefully evaluate all symptoms and avoid misattributing every instance of confusion or agitation to alcohol withdrawal, ensuring comprehensive care.Tune in to learn how to recognize and manage alcohol withdrawal, keep patients safe, and provide the compassionate care they need during this vulnerable time.
Mentioned in this episode:
Rapid Response Academy Link
Wanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick?click this link to learn more:https://www.rapidresponseandrescue.com/community
Rapid Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
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Bringing 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 example of why being a great resuscitationist requires more than clinical skills, and how leadership and communication can make or break a team’s performance under pressure.
So, what makes for a great resuscitationist? Tune in as Sarah breaks down three areas you should focus on to become a better resuscitationist leader!
Topics discussed in this episode:
Lessons from a chaotic code blueWhat makes a great resuscitationist?How to effectively lead a resuscitation teamThe crucial role of debriefsMentioned in this episode:
Rapid Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
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Behind 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 without explanation.
To dig deeper into its diagnosis and treatment challenges, Sarah turned to Dr. Alexis Cutchins, cardiologist and co-author of a key article on the management of POTS. In this episode, Dr. Cutchins breaks down the symptoms, possible causes and contributing factors of this complex and misunderstood disorder. She also explores treatment strategies and new research that could improve patient outcomes.
Tune in to hear Dr. Cutchins’ insights into how healthcare professionals can better recognize POTS and advocate for patients!
Topics discussed in this episode:
What is postural orthostatic tachycardia syndrome (POTS)?Causes and contributing factors of POTSCommon symptoms of POTSDiagnostic tests and diagnostic challengesThe treatment process and effective strategiesNew developments in POTS researchTreating POTS in an emergency situationHow to better manage and advocate for patientsRead Dr. Cutchins' article, Narrative Review of Postural Orthostatic Tachycardia Syndrome: Associated Conditions and Management Strategies: https://www.uscjournal.com/articles/narrative-review-postural-orthostatic-tachycardia-syndrome-associated-conditions-and
POTS patients can find more information and resources here:
https://www.dysautonomiainternational.org/
Print this guide to plan for POTS emergencies with your physician!
https://supertmastcell.org/wp-content/uploads/2024/04/SuperT-PatientReferenceGuide-2024.pdf
Mentioned in this episode:
Rapid Response Academy Link
Wanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick?click this link to learn more:https://www.rapidresponseandrescue.com/community
Rapid Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
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Pee 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 introduces the Accuryn Monitoring System, which not only identifies AKI up to 33.4 hours faster than traditional methods but also features Active Drain Line Clearance, significantly reducing the risk of CAUTI. You’ll learn how this innovative technology both eases the nursing workload and improves patient outcomes.
From a patient case study to practical tips, this episode covers everything you need to know about the development and prevention of AKI. Tune in for an engaging discussion on the importance of early detection through urine output monitoring!
Topics discussed in this episode:
Overlooked dangers of acute kidney injuryWhat happens in the body to cause AKIsGood pee versus bad peeThe correlation between urine output and patient outcomesCase study on the AKI cascadeThe three stages of AKI: prerenal, intrarenal, and postrenalChallenges in accurate urine output monitoringHow CMS mandatory reporting regulations could impact hospitalsAccuryn’s innovative work in the early detection of AKIsTips for advocating for new technology at your workplaceThe most important takeaways from this episodeStarting in October 2024, CMS is including AKI as a reportable measure under the IPPS eCQMS Patient Safety reporting. Mandatory reporting of AKI Stage 2 and greater will begin by 2026. Click here to learn more:
https://accuryn.com/why-accuryn/
Mentioned in this episode:
Rapid Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
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Burned 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 her patients.
In this episode, she shares what daily life is like on Mercy Ships, talks about the diverse education and team-focused work environment, and reflects on the personal growth that came from living and working in a multicultural setting aboard Mercy Ships.
Tune in to learn how Mercy Ships provided life-changing opportunities for both patients and volunteers!
Topics discussed in this episode:
Becca’s journey to join Mercy ShipsMercy Ships’ mission and volunteer opportunitiesThe training process to live and work on a shipA day in the life as a Mercy Ships nurseCommunity and social life on Mercy ShipsEducational perks and collaborative work environment Mercy Ships’ profound impact on patients and volunteersWant to volunteer with Mercy Ships?Mercy Ships is a global charity that operates the world’s largest hospital ships. Since its founding in 1978, Mercy Ships has brought hope and healing to Africa through surgical care, education, training, community development, and health programs. The life-changing work of our hospital ships is made possible all because of our vibrant community of volunteers from around the world. Whether you are a Perioperative, Critical Care, Ophthalmology, or a Pediatric Nurse, there is a place on board for you! Find your place and join Mercy Ship as a volunteer to help change the lives of people in great need.
Follow Mercy Ships:
Facebook: https://www.facebook.com/MercyShips
Instagram: https://www.instagram.com/mercyships/
LinkedIn: https://www.linkedin.com/company/mercy-ships/
Learn more:
https://opportunities.mercyships.org/volunteer-now/
Mentioned in this episode:
Rapid Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
Rapid Response Academy Link
Wanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick?click this link to learn more:https://www.rapidresponseandrescue.com/community
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When 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 treatment of spinal cord ischemia. Michelle shares powerful insights from her work in neurocritical care, including a technique for detecting easy-to-miss neurological changes.
Tune in to find out how you can improve patient outcomes when managing spinal cord ischemia!
Topics discussed in this episode:
Michelle’s passion for patient care and nurse advocacyCritical case study: discovering a spinal cord abscessHow the patient developed spinal cord ischemiaPathophysiology and signs of spinal cord ischemiaNeurological assessment tipsPeripheral versus central nervous system assessmentsDiagnostic criteria and the diagnostic processPrognosis and patient recoveryTreatment options and challengesThe role of the ABCDEF bundle in critical careConnect with Michelle:
https://www.michellededeo.com/
https://www.instagram.com/michellededeo/
Listen to Michelle’s podcasts, the SCRN Prep Podcast and Narrative Nurse Project Podcast!
Get 20% off Michelle’s Stroke Review Bootcamp with code RAPIDRN20!
https://www.nicolekupchikconsulting.com/booksAndCourses/online-courses/61/stroke-review-bootcamp-case-studies-in-optimizing-care
Mentioned in this episode:
Rapid Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
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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 cover clinical findings like Beck’s triad and dampened arterial line waveforms, assessment techniques for patients who rapidly decline versus those with a gradual buildup of symptoms, and the nurse’s role in preparing patients for an open arrest.
Tune in to learn how to recognize and manage this cardiac emergency!
Topics discussed in this episode:
What Brian loves about the nursing professionA classic case of cardiac tamponadePathophysiology of cardiac tamponadeThe clinical findings of cardiac tamponadeAssessment and diagnosis of cardiac tamponadeDifferentiating between cardiac tamponade and pericardial effusionPreparing the patient for an open arrestMentioned in this episode:
Rapid Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
ANDIf you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!
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A 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.
Sarah dives into the tricky nature of chest pain, sharing how the PQRST pain assessment and an EKG played a critical role in uncovering the patient’s condition. She also outlines the diagnostic criteria that help differentiate pericarditis from more serious conditions like myocardial infarction, emphasizing the symptoms that can make diagnosis challenging.
Listen to the episode for insights on recognizing the easily mistaken signs of pericarditis, diagnosing the condition, and providing effective treatment!
Topics discussed in this episode:
Patient case study of a young woman with chest painAssessment and diagnosis of pericarditisPathophysiology of pericarditisInfectious vs. noninfectious causes of pericarditisThe diagnostic criteria for pericarditisEKG characteristics in pericarditis vs. myocardial infarctionKey takeaways on the diagnosis and treatment of pericarditisLearn more by reading this Brady et al article about ECG morphology in pericarditis:
https://pubmed.ncbi.nlm.nih.gov/11581081/
Mentioned in this episode:
Rapid Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
Rapid Response Academy Link
Wanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick?click this link to learn more:https://www.rapidresponseandrescue.com/community
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Clinical 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 responsibilities compared to other nursing positions. Nicole openly shares the impact she’s been able to make as a CNS, the challenges she’s faced — and even mistakes she's made along the way. We also discuss the worrying decline in CNS programs, and what nurses can do to secure a CNS position in today's healthcare environment.
Tune in to learn more about what it takes to be a Clinical Nurse Specialist and decide if it's the right fit for you!
Topics discussed in this episode:
The importance of the CNS role in healthcareDifferences between a CNS and other nursing rolesNicole’s experience implementing an award winning sepsis programThe experience and skills required to succeed as a CNSChallenges of the CNS roleThe future of the CNS roleAdvice for aspiring Clinical Nurse SpecialistsHead to Nicole’s website to get 20% off ALL courses and educational materials with code RAPIDRN20!
https://www.nicolekupchikconsulting.com/?ref=30065
Connect with Nicole Kupchik:
https://www.instagram.com/nicolekupchik/
https://www.tiktok.com/@nicolekupchik
https://www.facebook.com/NicoleKupchikConsultingEducation
https://www.linkedin.com/in/nicole-kupchik-mn-rn-ccrn-530b8710/
https://www.youtube.com/channel/nicolekupchik5959
Mentioned in this episode:
Rapid Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
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This 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 assessment of the patient, how the diagnosis of empyema was ultimately reached, and the actions taken to keep the patient stabilized during transport. They cover important topics like fluid overload in pediatric patients, re-expansion pulmonary edema, and therapeutic presence.
Erik and Nykole also share their journey to becoming critical care transport nurses and offer insights on caring for pediatric patients. Listen to this conversation for a behind-the-scenes look at pediatric critical care transport!
Topics discussed in this episode:
The training required for critical care transport nursingInitial patient assessment and historyWhat led Erik to suspect sepsisThe pathophysiology of re-expansion pulmonary edemaManaging the patient during transportKey lessons from the caseBest practices for pediatric fluid managementSymptoms and treatment of re-expansion pulmonary edemaThe importance of therapeutic presence in pediatric casesMentioned in this episode:
Rapid Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
Rapid Response Academy Link
Wanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick?click this link to learn more:https://www.rapidresponseandrescue.com/community
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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 stumped by this case, don’t sweat it! Serotonin syndrome is hard to diagnose, but Sarah breaks down its pathophysiology and shares effective treatment methods. Discover key factors that contribute to serotonin syndrome, such as serotonergic medications, and the myriad of symptoms that can affect the patients' autonomic system, neuromuscular system, and mental state.
Tune in now to learn more about serotonin syndrome!
Topics discussed in this episode:
Overview of Mr. James’ caseUnderstanding serotonin and the causes of serotonin syndromePathophysiology of serotonin syndromeSymptoms to look for in patientsThe link between serotonin syndrome and sleep apneaDiagnosis and treatment strategiesWatch this video to learn how to assess patients for clonus:
https://youtu.be/4SrhgjGIZ30
Read the article about SSRIs exacerbating sleep apnea: Selective serotonin reuptake inhibitor use is associated with worse sleep-related breathing disturbances in individuals with depressive disorders and sleep complaints: a retrospective study
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7927326/#:~:text=Conclusions%3A,be%20confirmed%20by%20prospective%20studies
Mentioned in this episode:
ANDIf you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!
Rapid Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
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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 Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
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Awesome 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, sharing insights on how to create a supportive and empowering learning environment that encourages independence. From setting expectations and goals to dealing with difficult trainees, she outlines proven methods to help nurses become an effective mentor. You’ll learn techniques for providing constructive criticism, building up critical thinking skills, promoting self-efficacy in trainees, and more!
Tune in to learn how to become an exceptional preceptor and make a positive impact on the next generation of nurses!
Topics discussed in this episode:
Qualities of a good preceptorHow to promote self-efficacy in traineesThe importance of establishing expectationsEffective teaching strategiesGoal setting and building confidenceHow to handle difficult traineesWhy preceptors are crucial to the professionMentioned in this episode:
Rapid Response Academy Link
Wanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick?click this link to learn more:https://www.rapidresponseandrescue.com/community
Rapid Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
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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 — and the highest temperature of any patient she’s ever seen.
Sarah delves into the complications that can arise from heat stroke and effective treatment protocols for cooling down patients. You’ll learn about the factors that increase the risk of heat stroke, the danger zone of hyperthermia, and how to prevent hypothermia during the treatment of heat stroke.
Listen to this episode to learn more about recognizing and managing heat stroke!
Topics discussed in this episode:
Heat stroke case studyDifferentiating heat stroke from heat exhaustionSigns and symptoms of heat strokeEmergency steps for treating heat strokeRisk factors of heat strokeCheck out the EM Cases episode about heat stroke:
https://emergencymedicinecases.com/em-quick-hits-september-2021/
Read Dr. Swaminathan's article on environmental hyperthermia:
https://coreem.net/core/environmental-hyperthermia/
Mentioned in this episode:
Rapid Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
Rapid Response Academy Link
Wanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick?click this link to learn more:https://www.rapidresponseandrescue.com/community
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When 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 key to preventing further complications.
She examines the common signs and symptoms of hepatic encephalopathy, factors that trigger or exacerbate the condition, and challenges nurses face in the diagnostic process. This episode also dives into treatment strategies and how to differentiate between hepatic encephalopathy and alcohol withdrawal.
Tune in to learn how cirrhosis can lead to hepatic encephalopathy, the effect of neurotoxins in the brain, and how you, as a nurse, can manage patient care!
Topics discussed in this episode:
Assessment of Sarah’s rapid response consult patientThe team’s interventions and patient outcomePathophysiology of hepatic encephalopathySigns and symptoms of hepatic encephalopathyDiagnostic challenges and aggravating factorsStrategies to manage hepatic encephalopathyHepatic encephalopathy versus alcohol withdrawalMentioned in this episode:
ANDIf you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!
Rapid Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
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Managing 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 of diagnosing and treating hepatorenal syndrome.
Tune in to gain a better understanding of the pathophysiology of hepatorenal syndrome, the importance of early intervention, and effective treatment strategies. Listen to part three of this liver failure series now!
Topics discussed in this episode:
Case study of a patient with suspected hepatorenal syndromePathophysiology of hepatorenal syndromeDiagnostic and treatment strategies for hepatorenal syndromeKey takeaways for nursesMentioned in this episode:
Rapid Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
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A 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 taken to stabilize the patient.
Sarah explains the pathophysiology of cirrhosis and the development of esophageal varices, detailing the pharmacological and procedural interventions that can make the difference between life and death. You’ll get a comprehensive overview of evidence-based treatment strategies, how to manage complications, and the crucial role of nurses in patient care.
Tune in to arm yourself with the knowledge to handle this critical liver emergency!
Topics discussed in this episode:
Management of a cirrhosis patient with a GI bleed How liver failure can lead to a bleeding esophagusChallenges of giving blood transfusions to liver failure patientsPharmacological interventions: octreotide, antibiotics, and beta-blockersProcedural interventions: endoscopic variceal ligation, TIPS procedure, and balloon tamponadeListen to Episode 77, “The Trauma, Diamond of Death:” https://podcasts.apple.com/us/podcast/77-the-trauma-diamond-of-death-4-treatment-priorities/id1535997752?i=1000633582257
To learn more about balloon tamponade, check out this breakdown of the procedure: https://first10em.com/balloon-tamponade-of-massive-gi-bleeding/
Mentioned in this episode:
Rapid Response and Rescue Intro Course
CONNECT📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/🫶 Check out my membership: https://www.rapidresponseandrescue.com/community📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore🧑💻Check out my website: https://www.rapidresponseandrescue.com/📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁 Affiliation and discounts: https://hoo.be/therapidresponsernSAY THANKS💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xETo get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!This episode was produced by Podcast Boutique https://www.podcastboutique.com
Rapid Response Academy Link
Wanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick?click this link to learn more:https://www.rapidresponseandrescue.com/community
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