Rapid Response RN

• 142: High Risk PCI for STEMI With Guests Sarah Vance and Caitlyn Nichols

  One unstable patient, three departments, and every nurse on alert... Let's break down what really happens during a high-risk STEMI. This episode follows the case of a 62-year old patient from ER to the Cath Lab to the ICU. Nurses Sarah Vance and Caitlyn Nichols help us explore the role of nurses in each stage of care, from stabilizing the patient to placing an Impella device.We cover everything from IV placement and medications to monitoring patients through each phase of care. Learn how to prepare patients for the Cath Lab, manage complications like V-fib and bleeding post-PCI, and support the next team during handoffs. This is a must-listen for nurses involved in cardiac care!Topics discussed in this episode:Case presentation of a 62-year old patientER nurse priorities for STEMI patientsInitial treatment and stabilizationWhy “M.O.N.A.” is an outdated practicePreparing the patient for the Cath Lab teamCath Lab nurse responsibilities and role during PCIHigh-risk PCI vs. standard PCIManaging common complicationsTransitioning from Cath Lab to ICUICU nurse priorities for post-PCI patientsImpella placement and monitoringManaging reperfusion arrhythmiasLong-term care and getting patients off the ImpellaPatient and family educationConnect with Sarah Vance:https://www.instagram.com/iseeu_nurse/Connect with Caitlyn Nichols:https://www.instagram.com/icunursingnotesbycaitlyn/Mentioned in this episode: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/therapidresponsern ✅ Earn CE’s for listening to podcasts through RNegade: https://rnegade.thinkific.com/?ref=d9d541 SAY 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/55LQqeDg6XFeixvZLEp4xE ⏱️ To 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 Listen to the In The Heart of Care Podcasthttps://link.cohostpodcasting.com/6598429e-e927-45b0-9b57-7dd34a09d803?d=seASyqjs7Xshears are the best shearscheck em out here: https://xshear.com//discount/Rapid10 and you can use code RAPID10 to get 10% off your purchase

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• 141: Hypertrophic Cardiomyopathy: Why Bigger is NOT Better!

  Often, the first symptom of hypertrophic cardiomyopathy is sudden death. But sometimes, we get a warning— and that’s where clinical judgment at the bedside saves lives.Today, Sarah goes over the case of her patient Ben, a 20-year-old experiencing syncope and chest pain. As his condition quickly deteriorated, the team had to carefully manage the patient before reaching a diagnosis of hypertrophic cardiomyopathy. Hear what pointed them to this diagnosis, why some standard interventions can be dangerous in HCM cases, and the critical decisions made during his treatment.Listen now for a deep dive into the pathophysiology and treatment of hypertrophic cardiomyopathy!Topics discussed in this episode:Case presentation of a young patient with chest painHow we got to the patient’s diagnosis Pathophysiology of hypertrophic cardiomyopathyWhy the patient deteriorated and our treatment approachEmergency management of HCMOther types of cardiomyopathyKey takeaways for bedside nursesListen to episode 98, “Broken Heart Syndrome” aka Takotsubo Cardiomyopathy, here: https://healthpodcastnetwork.com/episodes/rapid-response-rn/98-broken-heart-syndrome-aka-takotsubo-cardiomyopathy/Mentioned in this episode:Listen to the In The Heart of Care Podcasthttps://link.cohostpodcasting.com/6598429e-e927-45b0-9b57-7dd34a09d803?d=seASyqjs7

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• 140: Resuscitation Then and Now: How Evidence Shapes Every Beat with Guest Dr. Ashish Panchal MD, PhD

  Remember when we used to use stacked shocks for ventricular arrhythmias or load patients up with high doses of epinephrine and bicarb? Over the last 25 years, resuscitation guidelines have evolved and it’s our job to stay updated on the current protocols.Here to help us break down what’s changed and what still works is Dr. Ashish Panchal, Chair of Emergency Cardiovascular Care for the AHA and host of the In the Heart of Care podcast. We discuss how a common cardiac arrest scenario would be treated from 2000 to today, highlighting key guideline changes like the shift to neuroprotective strategies, high-quality CPR, and post-arrest care.Tune in to stay current and hear how science continues to shape the way we save lives!Topics discussed in this episode:How AHA guidelines are developedDr. Panchal’s research and impactEarly 2000s resuscitation guidelines“Save the brain” approach in the 2010sHow medication use has evolved, like epinephrineThe current focus on high-performance CPR and neuroprotective strategiesPost-arrest care and survivorshipBalancing clinical trends with scientific validationHow nurses can stay current on AHA guidelinesCheck out the In the Heart of Care Podcast here:https://rqipartners.com/podcast/Mentioned in this episode:Listen to the In The Heart of Care Podcasthttps://link.cohostpodcasting.com/6598429e-e927-45b0-9b57-7dd34a09d803?d=seASyqjs7

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• 139: Gut Feelings & Great Saves: Nursing Wisdom with Dr. Vicki Good, DNP and Andrea Schmitt RN, Hosts of the Voices in Nursing Podcast

  Think of a case where you ignored your intuition, leaned on your training, and followed protocol… but something still felt off. Today, we're talking about how to balance evidence-based practice with those gut instincts that can change patient outcomes.Dr. Vicki Good, DNP and Andrea Schmitt, hosts of the Voices in Nursing Podcast, share stories that highlight why intuition is just as important as clinical data and why nurses need to confidently speak up. You’ll learn how to develop your own intuition, teach others to trust their instincts, and the value of hindsight wisdom in building a database of red flags for patient decline.Listen now and start tapping into your nursing wisdom!Topics discussed in this episode:What it really means to be a leader in nursingWhy intuition matters in nursingHow to develop nursing intuitionPractical application of intuitionIdeas for educating nurses and building intuitionThe importance of psychological safety for growthHow to get involved with AACNThe best and worst nursing adviceConnect with Vicki and Andrea:[email protected]@aacn.orgCheck out the Voices in Nursing Podcast:https://www.aacn.org/education/podcast-series

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• 139: When the Obvious Isn't the Only Problem: Trauma Lessons with Nurse Gwenny RN

  Do you ever look back on a case and see the signs you missed? Wonder why you got stuck on the wrong thing and didn’t see the patient clearly? Nurse Gwenny is back on the show to share a case that highlights the dangers of making assumptions in trauma care.We discuss the subtle signs of the patient’s deterioration, why they were so easy to miss, and what we can learn from the case. You'll learn how anchoring bias can cloud your judgment, how to assess shock index, and which critical tool is underused in trauma care. This episode will help you sharpen your assessment skills and better manage the next trauma case!Topics discussed in this episode:Initial assessment of a trauma caseWhy hemorrhagic shock was missedThe emotional impact of nursingLearning from your mistakes without shutting downShock index for trauma assessmentTrauma patients and thirstHow to avoid anchoring biasThe ER Nurse’s Clinical Field GuideConnect with Nurse Gwenny:Website: http://www.NurseGwenny.comYoutube: https://www.youtube.com/@NurseGwennyTiktok: https://www.tiktok.com/@nurse.gwennyInstagram: https://www.instagram.com/nursegwennyrn/Mentioned in this episode:Xshears are the best shearscheck em out here: https://xshear.com//discount/Rapid10 and you can use code RAPID10 to get 10% off your purchaseCONNECT 📸 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/therapidresponsern ✅ Earn CE’s for listening to podcasts through RNegade: https://rnegade.thinkific.com/?ref=d9d541 SAY 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/55LQqeDg6XFeixvZLEp4xE ⏱️ To 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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