Rapid Response RN

Rapid response teams provide so much more than reducing morbidity and mortality! Think about how quickly things can spiral without the support of RRTs.As the former director of specialty teams, Jaclyn Bond MSN-LM, MBA-HM has seen how a rapid response program can improve outcomes while also improving nursing job satisfaction and promoting retention. We talk about the MANY benefits of rapid response teams, including fewer code blues, more confident nurses, and their impact on hospital culture.Learn how to advocate for these teams at your facility, collect data that will help you build your case, and start a program with limited resources!Topics discussed in this episode:The unique role of specialty teamsStrategies to advocate for additional staffWhy rapid response nurses are crucial in hospitalsData collection basics and tipsThe cultural impact of rapid response teamsHow to start a rapid response teamJaclyn's article on the nurse-led sepsis response:https://pubmed.ncbi.nlm.nih.gov/39526100/Download Jaclyn's SBAR template to help you make the case for rapid response teams:https://drive.google.com/file/d/12ltxvEfblwBh-ezaxyTNhU7m2p_tw9GZ/view?usp=sharingJaclyn Bond's views expressed on this podcast are her own and do not reflect the views of any organizations or entities.Mentioned in this episode:AND If 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!CONNECT

You're 30,000 feet in the air when you hear, “Is there a medical professional onboard?” Answering that call is a little more complicated than you might think.In this episode, Alexandra Jabr, PhD, EMT-P joins Sarah to discuss what happened during their first in-flight medical emergencies — what surprises came up, what resources they had, and how they responded with limited supplies. They share what they learned about caring for patients mid-flight, from the most common in-flight emergencies to the legal considerations of volunteering. Tune in to find out how you can prepare and respond if you ever hear that call in the air!Topics discussed in this episode:Alex's international flight medical emergencyWhat went wrong during Sarah's first in-flight emergencyProtocols and challenges of in-flight careAircraft medical kits and limitationsLegal protections for volunteersShould you accept gifts from airlines?Common in-flight medical emergenciesHow to prepare for in-flight emergenciesDocumentation protocols and follow-upConnect with Alex:https://www.emergencyresilience.com/https://www.instagram.com/emergencyresilienceCheck out the list of FAA mandated medical supplies on every flight:https://mobile.fpnotebook.com/ER/Pharm/FMndtdEmrgncyMdclKt.htmMentioned in this episode:Join me at NTI 2025 May 19th-21st in New Orleans!You can learn more and get registered here: www.aacn.org/25-ntiCONNECT

The 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 often go wrong and how you can help create a safer, smoother transfer.Sam also shares what it's really like to be part of a flight crew — the challenges, team dynamics, and common misconceptions that affect patient care. No matter your role, this episode will help nurses and flight crews understand their role and how to better work together!Topics discussed in this episode:The role of ground versus flight paramedicsGaps between pre-hospital care and in-hospital careCommon handoff mistakes (and how to avoid them)Misconceptions about flight transfers and patient careWhy sedation matters before takeoffManaging medications and supplies in-flightHow bedside nurses can better support flight teamsThe importance of team dynamics in flight medicineAdvice for future flight medics and nursesCheck out Sam's podcast, Nine One One Nonsense, here:https://podcasts.apple.com/us/podcast/nine-one-one-nonsense/id1673565406Connect with Sam on Instagram: https://www.instagram.com/911nonsense/Mentioned in this episode:Join me at NTI 2025 May 19th-21st in New Orleans!You can learn more and get registered here: www.aacn.org/25-ntiCONNECT

What 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 was going on.We dive into the anatomy, pathophysiology, and clinical signs of aortic dissection, including how the location of tears changes the presentation of symptoms. From emergency treatment strategies to post-op care, you'll learn how to navigate the nuances of managing this complex condition!Topics discussed in this episode:Patient's initial presentationSymptoms of aortic dissection and diagnostic imagingBilateral blood pressure and perfusion checksAortic dissection vs. aortic aneurysmWhy symptoms vary so widelyBedside assessment and monitoringTreatment priorities and pain managementPost-op care and long-term complicationsMentioned in this episode:AND If 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!Join me at NTI 2025 May 19th-21st in New Orleans!You can learn more and get registered here: www.aacn.org/25-nti CONNECT

One 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 impacted her recovery, and the range of symptoms that can make it hard to tell what's really going on. Shenell also opens up about the emotional toll of pregnancy loss, her journey to have her rainbow baby, and how her experience gave her deeper insight into the kind of support patients really need.This episode is a firsthand account of what compassionate care really looks like—and how nurses can better support patients during reproductive emergencies.Topics discussed in this episode:The importance of self-care for nursesHow her experience changed her approach to patient careFirst ectopic pregnancy and emergency surgeryEmotional aftermath and physical recovery Methotrexate treatment for her second ectopic pregnancyHow to support patients through pregnancy lossPatient education and communication tipsWhen patients need to seek careConceiving after ectopic pregnancyConnect with Shenell RN:https://www.instagram.com/allonenurse_shenell/Listen to the All One Nurse Podcast featuring Sarah Lorenzini:https://podcasts.apple.com/us/podcast/navigating-rapid-response-nursing-with-sarah-lorenzini/id1755700754?i=1000693458288Mentioned in this episode:NTI 2025 is in New Orleans May 19th-21st!If you want to learn more about NTI, you can see all that NTI has to offer and get registered here: http://www.aacn.org/25-nti CONNECT

Rapid 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 RN shares what it was like to transition from the fast-paced ER to the world of rapid response.We discuss what sets rapid response apart, the mindset shifts that helped him make the switch, and break down cases where their quick action made all the difference — including a subdural hematoma caught just in time, a STEMI with an unusual presentation, and a patient whose only symptom was neck pain.Whether you're calling rapid response or considering the role yourself, don't miss this conversation on the skills and challenges that define rapid response nursing!Topics discussed in this episode:Why transition from ER to rapid response?Differences between ER and rapid response nursingCase study: discovering a subdural hematomaThe role of intuition in rapid response nursingBest practices to work with rapid response nursesAdvice to nurses considering Rapid Response NursingLearn more about what it's like to be a Rapid Response Nurse!https://www.aacn.org/blog/exploring-the-world-of-rapid-response-nursesMentioned in this episode:CONNECT

Imagine 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 emotional and physical challenges of living with an LVAD, how her experience changed her approach to nursing, and what she wants other nurses to know about caring for LVAD patients. Tune in to hear how she's embraced her new normal and turned her experience into an opportunity to advocate for patients!Topics discussed in this episode:Early signs of peripartum cardiomyopathyTiffany's birth story and descent into heart failureMaking the decision to get an LVADHow the LVAD works and the implantation processThe reality of living life with an LVADChallenges of working as a nurse with an LVADHow her experience changed her approach to patient careCommon LVAD emergenciesTips for treating LVAD patientsHear more from Tiffany:FB: https://www.facebook.com/tiffany.cannon.397/IG: https://www.instagram.com/tiffany_cannon90/Email: Tiffany.cannonjourney@gmail.comPurchase her book, A Journey Through Supernatural Healing!https://a.co/d/av53sriMentioned in this episode:CONNECT

Would 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, but potentially life threatening situation.In today's episode, Sarah goes over a case study of one of a rapid response patient she dealt with where she discovered there was a blood transfusion reaction when it wasn't readily apparent. You will hear how the patient was reacting, how she assessed the situation, and how the patient was treated.You will also hear Sarah's cliff notes from what she researched detailing what kind of blood transfusion reactions to look out for, their treatment, what TACO and TRALI stand for along with their symptoms and treatment.This episode is full of information that you may not learn in nursing school, but is SO useful when treating a patient that is having a blood transfusion reaction.Tune in to hear this and more!Topics discussed in this episode:Synopsis of a rapid response patient after a blood transfusion reactionFirst thing to do when you discover a blood transfusion reactionBlood transfusion reactions in order of prevalenceWhat does TACO stand for?Treatment for each blood transfusion reactionsWhat does TRALI stand for?Symptoms TACO vs. TRALI and how they are treatedMentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityCONNECT

What 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 don'ts of leading a team during emergencies, covering everything from fostering a safe environment to breaking down barriers that keep people from speaking up. Tune in for insights that will help you provide the best patient care even in high-stress emergencies!Topics discussed in this episode:Lessons from a chaotic CVICU emergencyThe do's and don'ts of team leadershipHow to create a culture of safetyWhy it's important to be kind versus niceListen to  episode 62, “Resuscitation Leadership: Beyond the ABCs of CODE BLUE:”https://podcasts.apple.com/us/podcast/62-resuscitation-leadership-beyond-the-abcs-of-code-blue/id1535997752?i=1000621879820Listen to episode 123, “What Makes for a Great Resuscitationist?:”https://podcasts.apple.com/us/podcast/123-what-makes-for-a-great-resuscitationist/id1535997752?i=1000670934458Mentioned in this episode:CONNECT

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 early warning signs of severe complications like acute chest syndrome, balance efficacy and safety in treatment, and help patients prevent a sickle cell crisis. Morgan also shares five key insights that will give you the tools and confidence to provide the best care to your next sickle cell patient. Tune in to this can't-miss episode now!Topics discussed in this episode:Patient presentation and initial symptomsPathophysiology of sickle cell anemiaPain managementRole of fluids and oxygen therapyAdvanced treatments and managing severe complicationsSigns and symptoms of worst case scenarios like Acute Chest SyndromeImportance of advocacy and patient educationPsychosocial impacts of chronic illnessYou can learn more about Morgan here:https://www.linkedin.com/in/morgan-clark-taylor/Find out everything Archer Review has to offer here:https://www.linkedin.com/company/archerreview/Mentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityCONNECT

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 steps in the diagnostic process.Learn how you can identify these episodes, provide compassionate care, and educate patients and their families about this misunderstood condition!Topics discussed in this episode:Three PNES patient storiesWhat are psychogenic non-epileptic seizures?PNES versus epilepsy: key differences and signsDiagnosing PNESTreatment and the role of nursesLearn more about psychogenic non-epileptic seizures here:https://www.epilepsy.com/stories/truth-about-psychogenic-nonepileptic-seizuresMentioned in this episode:CONNECT

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 CourseCONNECT

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:AND If 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 CourseCONNECT

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 CourseCONNECT

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 LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT

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 CourseCONNECT

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-andPOTS 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.pdfMentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT

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 CourseCONNECT

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/MercyShipsInstagram: 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 CourseCONNECT

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-careMentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT

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 CourseCONNECT

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 CourseCONNECT

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=30065Connect with Nicole Kupchik:https://www.instagram.com/nicolekupchik/https://www.tiktok.com/@nicolekupchikhttps://www.facebook.com/NicoleKupchikConsultingEducationhttps://www.linkedin.com/in/nicole-kupchik-mn-rn-ccrn-530b8710/https://www.youtube.com/channel/nicolekupchik5959Mentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT

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 CourseCONNECT

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/4SrhgjGIZ30Read 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 studyhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7927326/#:~:text=Conclusions%3A,be%20confirmed%20by%20prospective%20studiesMentioned in this episode:AND If 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 CourseCONNECT

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' conditionMentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT

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 LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT

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 CourseCONNECT

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:AND If 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 CourseCONNECT

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 CourseCONNECT

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=1000633582257To 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 CourseCONNECT

No 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 diagnosis of spontaneous bacterial peritonitis.In this episode, Sarah details how her team managed this case and breaks down the pathophysiology of cirrhosis, including why liver failure leads to so many complications. She covers how to assess and care for patients with cirrhosis, emphasizing the important role of nurses in educating families on liver failure.Tune in for critical insights into the management of liver failure and its complications!Topics discussed in this episode:Initial assessment of a rapid response call for hypotensionPathophysiology of cirrhosis and its complicationsManagement of spontaneous bacterial peritonitisRole of nurses in liver failure patient careMentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT

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 patient programs, their stories showcase the incredible impact nurses have on patients' lives and the healthcare system.Tune in to celebrate the dedication, empathy, and resiliency of today's nurses!Connect with Maddi Flanagan:https://www.instagram.com/nurse.maddi/Connect with Michael DeFrancisco:https://www.instagram.com/camp_competencyConnect with Nicole Kupchik:https://www.instagram.com/nicolekupchik/Connect with Nick McGowan:https://www.instagram.com/critical_care_academy/Connect with Kali Dayton:https://www.instagram.com/daytonicuconsulting/Mentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT

Nursing 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 nurse turned EMS educator, speaks with host Sarah Lorenzini about the relevancy and value of nursing care plans. She shares real-life examples of the impact these plans have on critical care thinking and decision-making, especially in high-pressure environments. Nurse Gwenny also discusses her passion for teaching, and how she leverages her experience and insights in her role as an educator.Sarah and Nurse Gwenny also explore the “green flags” of nursing practice, diving into notable traits like a positive attitude, desire to learn from mistakes, and more.Tune in to learn how to embrace care plans, improve patient care and your nursing skills!Topics discussed in this episode:The value of nursing care plansBridging theory and practice in critical care educationUtilizing care plans in during critical care scenariosPracticing critical care thinking and decision makingIdentifying key traits of exemplary nursesThe importance of continuous learn and growth in nursingConnect with Nurse Gwenny:https://www.instagram.com/nursegwennyrn/https://www.tiktok.com/@nurse.gwenny/Check out Gwenny's book, BUT WHY?: Going Beyond the What So You Can Understand the Why of Critical Care Transport: https://a.co/d/28tLpjPMentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT

Nursing 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 approach to teaching complex concepts and preparing students to succeed beyond the classroom. Using interactive learning strategies and holistic methods, Patrick helps nurses deepen their understanding of nursing practices and effectively apply their knowledge in clinical settings.Patrick also offers a glimpse into a day in the life of a nursing educator, and discusses the profound impact nursing educators have on the future of nursing. His insights will help you determine if a transition to nursing education is the right next step in your career.Join us for part two of the “So You Want to Go Back to School” series with Patrick McMurray!Topics discussed in this episode:The appeal of nursing education as a careerWhat it means to be a good educatorRewards and challenges of being a nursing educatorRedefining nursing educationA day in the life of a nursing educatorNursing education as an act of justiceThe future of nursing educationLearn more about Patrick and find free educational resources on his website!https://www.patmacrn.com/Connect with Patrick McMurray:https://www.instagram.com/patmacrn/https://twitter.com/nursepatmacrnhttps://www.tiktok.com/@patmacrnMentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT

Obstructive 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, detailing the diagnostic process of obstructive shock due to pulmonary embolism.Sarah, Bryan and Brandon review the three main causes of obstructive shock: pulmonary embolism, tension pneumothorax, and cardiac tamponade. They also discuss the importance of clinical assessments and diagnostic tools like ultrasound to distinguish between each cause, as well as considerations for treatment.This episode is the perfect resource for nurses who want to deepen their understanding of obstructive shock. Tune in now to hear insights from three experienced pros!Topics discussed in this episode:Patient assessment and key diagnostic toolsDiagnosing obstructive shock due to pulmonary embolismTreating obstructive shock due to pulmonary embolismTreatment implications for major causes of obstructive shockDiagnosis and treatment of tension pneumothoraxTreatment strategies for cardiac tamponadeKey takeaways on obstructive shock managementCheck out the rest of Nurse PodCrawl 2024 episodes around cardiogenic, hypovolemic, and distributive shock!Critical Care Scenarios: https://podcasts.apple.com/us/podcast/critical-care-scenarios/id1491559787How Not to Kill Your Patient: https://podcasts.apple.com/us/podcast/how-not-to-kill-your-patient/id1612099061Nurse Dose Podcast: https://podcasts.apple.com/us/podcast/nurse-dose-podcast/id1486427611The Q Word Podcast: https://podcasts.apple.com/us/podcast/the-q-word-podcast/id1407523803Straight A Nursing: https://podcasts.apple.com/us/podcast/straight-a-nursing-study-for-nursing-school-exams-nclex/id1210975738Up My Nursing Game: https://podcasts.apple.com/us/podcast/up-my-nursing-game/id1527032817Mentioned in this episode:Nurse's Week 2024 SpecialHAPPY NURSE'S WEEK! You can use code: NURSESWEEK2024 When you check out to get 50% off your first month of Rapid Response AcademyRapid Response and Rescue Intro CourseCONNECT

Which 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 presence is so important in patient-centered care and how nurses can facilitate a shift towards embracing this practice in their hospital.Despite being backed by research, the concept of family presence during resuscitation is still debated by many healthcare professionals. Margo and Jessica address the common misconceptions that surround this controversial topic, provide insights on navigating institutional resistance, and share best practices of a family presence facilitator (FPF).This episode also features powerful stories on the impact of family presence, tips on how to have important conversations with families and patients, and more. Tune in now!Topics discussed in this episode:Benefits of family presence for nurses, patients, and familiesMisconceptions of family presence during resuscitationThe role of a family presence facilitatorBest practices and avoiding common mistakes as a FPFAdvocating for family presence in your hospitalStories that demonstrate the impact of family presenceHow to overcome resistance to family presenceRead more in the AACN Practice Alert, Facilitating Family Presence During Resuscitation and Invasive Procedures Throughout the Lifespan:https://aacnjournals.org/ccnonline/article/44/2/e1/32253/Facilitating-Family-Presence-During-ResuscitationLearn more about Margo and Jessica's session at the 2024 NTI Conference:https://www.aacn.org/conferences-and-events/events-calendar/national-events/event-sessions/national-teaching-institute---2024/c60m296/family-presence-during-resuscitation-and-invasive-procedures-updates-to-the-aacn-practContact Margo Halm at margohalm@gmail.com!Mentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT

We'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 pathophysiology of both conditions, contrasting the excessive water retention in SIADH with the excessive water loss in DI and how this impacts diagnostic and treatment approaches. Nick identifies which labs and assessments are crucial to accurately diagnose and treat patients, highlighting the importance of neurologic assessments and best practices for correcting sodium.Sarah and Nick also touch on the debate around cerebral salt wasting, and share interesting facts about the history of these conditions. Tune in to hear key lessons on recognizing and treating these conditions from an experienced ICU nurse!Topics discussed in this episode:Symptoms and signs of SIADH and DIThe pathophysiology of SIADH and DIDiagnostic approaches and key lab valuesTreatment and management of SIADHTreatment and management of DILessons from SIADH and DI patient storiesCheck out Nick's course over at Critical Care Academy!

On 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 respiratory failure and/or cardiovascular collapse. As a nurse working in the emergency department or ICU, you will be obtaining and may be administering the medications used to perform a rapid sequence intubation. Please be aware of your scope of practice and facility protocol regarding the administration of these medications. In some cases, the medications can only be administered by a physician.Which combination of medications the physician chooses will vary depending on a variety of factors including the patient's condition and physician preference. A common combination is a sedative with a short-acting paralytic, though analgesics may also be utilized. This episode provides an overview of the medications commonly utilized for RSI:PropofolSuccinylcholineRocuroniumVecuroniumEtomidateKetamineFentanylMidazolam___________________You can check out the following from Nurse Mo:Full Transcript – Read the article and view referencesFREE CLASS – If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES…you can thrive in nursing school without it taking over your life!Study Sesh – Change the way you study with this private podcast that includes dynamic audio formats that help you review and test your recall of important nursing concepts on-the-go. Free yourself from your desk with Study Sesh!Fast Pharmacology – Learn pharmacology concepts in 5 minutes or less in this audio based program. Perfect for on-the-go review!Pharmacology Success Pack – Want to get a head start on pharmacology? Download the FREE Pharmacology Success Pack

Are 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 reflects on the evolution of her nursing career, from her early days as an RN to her current role as a nurse practitioner. She dives into the challenges and rewards of advancing your education and career, finding your niche, and achieving work-life balance.In this episode, Dr. Sandra Pagenta also gives advice on how nurses can figure out their next career move and create the life they want. Tune in now!Topics discussed in this episode:Transitioning from RN to NPPros and cons of working as a nurse practitionerFinding passion and alignment in your careerExploring a career as an NP The flexibility of a nursing careerListen to Sandra's Podcast:https://podcasts.apple.com/us/podcast/the-success-nps-podcast/id1566107516Check out Sandra's Website:https://successnps.com/Follow Success NP's on Social Media:YouTube: ⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/channel/UCYQYlS9d6m7HyMK7Z1BI5DAInstagram: ⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thesuccessnpsMentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT

Every 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 Response RN, host Sarah Lorenzini celebrates 20 years of being a nurse and *still* loving it. It hasn't been easy, but two decades of continuous learning and navigating the challenges of the job has taught her invaluable lessons on resilience, self-care, and humanity.Sarah reflects back on her early mistakes and the hard-earned wisdom that's kept her love for nursing alive, including connecting with patients, growth through education and mentorship, prioritizing physical and mental health, and MORE.Tune in now to hear Sarah's "not so secret sauce" for loving nursing after 20 years!Topics discussed in this episode:The importance of self-advocacy and self-careCelebrating your nursing winsPreventing burnout through learningMentorship and driving changeListen to episode 38, Q&A: How to Effectively and Professionally Advocate For Your Patient… Even When the Provider is Intimidating, on Apple Podcasts!Mentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT

Treating 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 Sarah Lorenzini explains the role of sodium in the body, breaking down the science of osmosis and electrolytes so nurses can better understand the causes of hyponatremia. She goes over the three levels of hyponatremia that are categorized by blood tonicity and volume status, and how each level impacts the diagnosis and management of hyponatremia. Sarah also dives into the nuances of treating hyponatremia, including the risks of rapid sodium correction, the importance of knowing a patient's baseline, the underlying cause of their condition, and more.This episode will provide nurses with the knowledge needed to recognize the signs of hyponatremia and navigate the risks of treatment. Tune in now!Topics discussed in this episode:Introduction to Mrs. Saltman's caseThe pathophysiology of hyponatremiaCauses of hyponatremiaTypes of hyponatremia: hypertonic, hypotonic, and isotonicHyponatremia treatment strategies and their risksMentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT

Takotsubo 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 experiencing shortness of breath and nausea to a serious cardiac emergency. She breaks down the patient's initial presentation, their quick decline featuring hypoxia and flash pulmonary edema, and ultimate diagnosis of takotsubo cardiomyopathy.In this episode, Sarah dives into the pathophysiology of takotsubo cardiomyopathy, covering how emotional or physical stress leads to the condition. She goes over its symptoms and treatment, as well as the role of nurses in managing the condition.Tune in now to find out how you should be handling similar cardiac emergencies!Topics discussed in this episode:Takotsubo cardiomyopathy: a patient case studyThe pathophysiology of takotsubo cardiomyopathyDiagnosing takotsubo cardiomyopathyHow to effectively treat takotsubo cardiomyopathyFinal takeaways for nursesListen to Episode 82: Sympathetic Crashing Acute Pulmonary Edema: That Time My Patient Went From Stable A-Fib RVR to Intubated in 30 Minutes! https://podcasts.apple.com/ca/podcast/82-sympathetic-crashing-acute-pulmonary-edema-that/id1535997752?i=1000637926574Mentioned in this episode:AND If 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 CourseCONNECT

Part 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 treatment. She also breaks down treat options for patients approaching the asthma spiral of death, from pharmacological interventions to last-resort interventions like ECMO.This episode highlights the key role of nurses in the care of status asthmaticus, including the importance of recognizing the red flags like “silent chest” and managing patient anxiety.Tune in to learn everything you need to know about caring for a crashing asthmatic!Topics discussed in this episode:The pathophysiology of asthmaSigns of asthma exacerbationTreating a progression of asthma symptomsThe danger of silent chestAdvanced interventions for status asthmaticus Tips for sedation and intubationUnderstanding your role as a nurseRead this article that supports the use of magnesium for asthma:https://pubmed.ncbi.nlm.nih.gov/24865567/Read this article that shows magnesium does not help in asthma cases:https://pubmed.ncbi.nlm.nih.gov/1536485/....and there are so many more conflicting studies like these ☝️Listen to Episode 73: Resuscitate Before You Intubate: How to NOT KILL YOUR PATIENT When You Intubate https://podcasts.apple.com/us/podcast/73-resuscitate-before-you-intubate-how-to-not-kill/id1535997752?i=1000630431016Mentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT

Severe 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, requiring intubation and ultimately transfer to an ECMO center to save the patient's life. This episode highlights the challenges faced by smaller hospitals with fewer resources and the heroic care this patient received despite so many challenges.Check out part one of our series on caring for the crashing asthmatic!Topics discussed in this episode:Initial treatment of Brooklyn's asthma patientThe patient's escalating condition and challenges in careUnpacking every tool in the asthma treatment toolboxManaging complications from autopeep to pneumothorax to cardiac arrestKey takeaways from this patient caseMentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT

Do 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. She shares two patient stories to illustrate how variations in pulse pressure can indicate different underlying conditions: The case study of Mrs. D highlights the implications of narrow pulse pressure, and the case study of Mr. S explores wide pulse pressure.Through these examples, Sarah emphasizes how pulse pressure can be a key indicator in patient assessments while also clarifying its limitations. Listen in now!Topics discussed in this episode:The case study of Mrs. DMeasuring and interpreting pulse pressureCauses of narrow pulse pressureCauses of wide pulse pressureThe case study of Mr. SLimitations to pulse pressureUsing pulse pressure as a diagnostic toolMentioned in this episode:AND If 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 CourseCONNECT

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 exactly the case of Mr. Fields, a patient admitted to the ER after falling off his tractor. Initially, his vitals didn't raise alarms but there were signs pointing to a more serious situation — including a shock index of greater than one.In this episode, host Sarah Lorenzini dives into the critical role shock index plays in determining how sick patients are and improving their outcomes, especially in emergency settings. She breaks down the calculation of shock index, its limitations in screening for all types of shock, and practical applications in patient care.Tune in now to explore how you can apply this vital tool in the assessment and treatment of patients!Topics discussed in this episode:The case study of Mr. FieldsUnderstanding shock indexHow to calculate shock index… the easy wayClinical applications of shock indexLimitations of shock indexLearn more about shock index: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6698590/#:~:text=Shock%20index%20(SI)%20is%20defined,sepsis%2C%20and%20ruptured%20ectopic%20pregnancyMentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT

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 are treating.In this episode, Sarah Lorenzini breaks down the pathophysiology of BRASH syndrome as she examines a patient case study. Starting with its hallmark features and expanding into the synergistic effects of AV nodal blockers, hyperkalemia and renal failure, she provides insights on recognizing the signs of BRASH syndrome early and the importance of understanding the interplay among its components.Sarah outlines the treatment priorities for BRASH syndrome and highlights the importance of identifying the root cause of symptoms to prevent a cascade of complications leading to shock.Tune in to strengthen your knowledge of BRASH syndrome!Topics discussed in this episode:Case study analysis of a BRASH patientComponents of BRASH SyndromeHow BRASH developed in Sarah's patientTreatment and management of BRASH SyndromeThe role of calcium in treatment of BRASHYou can learn more about BRASH Syndrome at the Internet Book of Critical Care Website:https://emcrit.org/ibcc/brash/Mentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT

Timing 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 recognizing stroke symptoms early, highlighting unilateral deficits and speech issues as red flags for immediate action. He guides listeners through the assessment of patients using the NIH Stroke Scale, and dives into treatment options and diagnostic procedures.Eric and Sarah also discuss the role of nurses during a stroke alert, including when one should be called and what nurses can expect. Tune in now to learn how you can rock your next stroke alert!Topics discussed in this episode:Identifying stroke symptoms and calling a stroke alertAssessing the patient and preparing for a stroke alertThe NIH Stroke ScaleCriteria for thrombolytic treatmentWho makes a good candidate for thrombectomyTreating patients who don't qualify for a thrombolyticMentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT

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 breaking down these life-saving medications so you can not only memorize their expected effect on vital signs, but more importantly, understand how they work in the body. Host Sarah Lorenzini provides a comprehensive lesson in these three classes of medications: vasopressors, inopressors and inodilators. She covers how each affects heart rate and stroke volume, diving into the alpha and beta adrenergic receptors that impact cardiac output.Sarah also shares memory aids to help you remember these concepts and apply them to your clinical decision making.Tune in now to learn the basics of vasopressors and inotropes!Topics discussed in this episode:The role of sympathomimetics to improve cardiac outputAdrenergic and vasopressin receptorsVasopressor types and medicationsMentioned in this episode:AND If 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 CourseCONNECT

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 rhabdomyolysis.In this episode, host Sarah Lorenzini examines the complexities of the condition, from its pathophysiology to causes and treatment options. You'll learn the hallmark signs of rhabdomyolysis, the not so obvious signs and symptoms to be aware of, and what to consider when caring for patients.Tune in for a detailed exploration of rhabdomyolysis!Mentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT