145: Genetic Arrhythmogenic Cardiomyopathy: Sarah and Leslie's Story
Some conditions hide in your genes, without any symptoms. One of these conditions is genetic arrhythmogenic cardiomyopathy, an inherited condition that can lead to sudden cardiac arrest — even if you feel completely fine.In this episode, Sarah and Leslie talk about their shared diagnosis of FLNC cardiomyopathy — from how this gene mutation affects the function of the heart to how they're managing this rare condition. You'll hear how Leslie's ICD has saved her life more than once, how it feels to be shocked back to life, and the resilience that's helped them move forward.This is a raw, real, emotional episode about living with a genetic heart condition. Tune in to learn the signs to watch for, when to get tested, and where to find support!Topics discussed in this episode:What is genetic arrhythmogenic cardiomyopathy?How FLNC related ACM differs from other cardiomyopathiesCommon symptoms and why some people are diagnosed too lateTreatment and lifestyle managementHow Sarah and Leslie finally got diagnosedLeslie’s first cardiac arrest and its impactHow Sarah is processing her diagnosisWhat it feels like to be shocked by your ICDTypes of ICDs: transvenous, SICD, and EV-ICDMental and emotional recovery post-cardiac arrestThe WomenHeart organizationFind support or volunteer with WomenHeart:https://www.womenheart.org/Mentioned in this episode:Voices in NursingCheck out the Voices in Nursing Podcast here:
https://www.aacn.org/education/podcast-series/voices-in-nursingCONNECT
📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/
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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=seASyqjs7
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144: Trauma Plus: Navigating Complex Trauma Care with Flight Nurse Gwenny
What happens when a trauma patient isn’t just a trauma patient? In today’s episode, we’re diving into “Trauma Plus” — those high-stakes situations where comorbidities, medications, environmental exposures, or underlying medical emergencies complicate recognition of decompensation and change everything about how we care for our patients.I’m joined by Flight Nurse Gwenny, who brings her expertise from the field to walk us through three complex trauma cases where things aren’t what they first appear to be. You’ll hear her real-time thought process as she navigates evolving scenarios and shares her assessment priorities, differential diagnoses, and critical interventions.If you’ve ever cared for a trauma patient and thought, “Something doesn’t add up,” this episode will help sharpen your assessment skills and give you a framework for approaching the next challenging trauma case.Topics discussed in this episode:Recognizing subtle signs of trauma decompensationAssessing geriatric trauma patients with limited compensatory reservesManaging trauma patients on anticoagulationUnderstanding how hypothermia worsens bleeding and coagulopathyIdentifying and interrupting the trauma “triad of death”Balancing trauma care with underlying medical emergenciesAvoiding anchoring bias when a patient’s story doesn’t add upPrioritizing assessments and interventions during flight transportBuilding a mental checklist for “Trauma Plus” patientsConnect with Nurse Gwenny:Youtube:https://www.youtube.com/channel/UCLhEo_HaDEkPFA_cpQPAz2wInstagram:https://www.instagram.com/nursegwennyrn/TikTok:https://www.tiktok.com/@nurse.gwenny?_t=8qUUMwXhv5P&_r=1Purchase her books:https://www.nursegwenny.com/shopMentioned in this episode:Listen to the In The Heart of Care Podcasthttps://link.cohostpodcasting.com/6598429e-e927-45b0-9b57-7dd34a09d803?d=seASyqjs7CONNECT
📸 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
Xshears 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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143: Neonatal Cardiogenic Shock: What Every Pediatric Nurse Needs to Know with Pediatric ICU Nurse Natalie
Why would a healthy newborn suddenly stop eating and start vomiting? When a fussy baby comes into the ER, it's easy to assume it's nothing urgent — like colic or gas. But in today's case, there were small signs that pointed to something more.This episode unpacks the high-risk condition and treatment of neonatal cardiogenic shock with Natalie Pleiman, pediatric nurse and clinical coach. From the early (often misleading) signs to critical assessments, you'll learn what makes cardiogenic shock different in neonates (specifically ductal dependent lesions), what to look for in patient labs, and how to manage the risks of treatment.Tune in for insights that will help you on your next pediatric cardiac emergency!Topics discussed in this episode:Neonatal triage: initial assessment and red flagsPhysical exam and early diagnosticsDifferences in neonatal anatomy and physiologyPreductal vs. postductal vitalsSigns of coarctation of the aortaAssessing for sepsis vs. cardiogenic shockThe dangers of fluid bolusesHow to effectively administer prostaglandinsThe risk and process of neonatal intubationPathophysiology of coarctation of the aortaICU stabilization to optimize cardiac functionKey signs of congenital heart conditionsNatalie’s framework for understanding congenital heart defectsConnect with Natalie:https://www.instagram.com/chatwithnat_rn/Listen to Chat with Nurse Nat on Spotify:https://open.spotify.com/show/7Jh2qe44KipudVKkdXFwWHListen to Chat with Nurse Nat on Apple Podcasts:https://podcasts.apple.com/us/podcast/chat-with-nurse-nat/id1815541418Mentioned in this episode:Listen to the In The Heart of Care Podcasthttps://link.cohostpodcasting.com/6598429e-e927-45b0-9b57-7dd34a09d803?d=seASyqjs7CONNECT
📸 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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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/
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🎁 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=seASyqjs7
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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: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=seASyqjs7
Do you want to go from dreading emergencies to feeling confident and ready to jump into action to rescue your patient?
Well, this show will let you see emergencies unfold through the eyes of a Rapid Response Nurse. With real life stories from the frontlines of nursing, host Sarah Lorenzini MSN, RN, CCRN, CEN, a Rapid Response Nurse and educator, shares her experiences at rapid response events and breaks down the pathophysiology, pharmacology, and the important role the nurse plays during emergencies.
If you want to sharpen your assessment skills and learn how to think like a Rapid Response Nurse, then Sarah is here to share stories, tips, tricks, and mindsets that will prepare you to approach any emergency.
Every episode is packed full of exactly what you need to know to handle whatever crisis that could arise on your shift. It’s one thing to get the right answer on the test, but knowing how to detect when YOUR patient is declining and what to do when YOUR patient is crashing is what will make or break your day… and might just save your patient’s life.
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