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PODCAST

Rapid Response RN

Sarah Lorenzini

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

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All Episodes

36:01

148: Differentiating Pulmonary Hypertension vs...

Rapid Response RN ·

2025/10/24

Differential diagnosis is part physiology, part detective work. Especially in heart failure, where similar vital signs can mean very different things.In this episode, Natalie RN is back on the show to break down two pediatric cases that looked almost identical on arrival to the ED but their workups led to two very different treatment plans. She shares the assessment findings, diagnostics, and clinical clues that helped them uncover what was really going on.Learn how to connect the dots and find the

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57:22

147: Recognize, Decompress, Stabilize: Managing a...

Rapid Response RN ·

2025/10/10

Every trauma nurse knows this feeling: your stable patient suddenly starts to decompensate and instinct tells you there’s more to the story. Today’s case starts with a stable, post-arrest patient and ends in a full-blown tension pneumothorax.Hear why this patient went from stable to crashing in minutes, how delayed recognition changed the course of care, what diagnostics and assessments could have caught earlier. Trauma Pete breaks down the tell-tale signs, how it differs from a simple pneumothorax,

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44:26

146: From Alveoli to Aftermath: The Science and...

Rapid Response RN ·

2025/09/26

This is one of those cases that tests you in every way as a nurse. A toddler is pulled out of a pool and rushed to the ER, unresponsive and deteriorating fast. Today, Nurse Amber walks us through the critical moments that followed and how this case inspired her to turn her grief into a positive resource for nurses.We discuss what was going on at the alveolar level in this patient, the interventions Amber and her team performed, and the emotional aftermath of working on critical pediatric patients

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37:36

145: Genetic Arrhythmogenic Cardiomyopathy: Sarah and...

Rapid Response RN ·

2025/09/12

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

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52:10

144: Trauma Plus: Navigating Complex Trauma Care with...

Rapid Response RN ·

2025/08/29

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

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49:58

143: Neonatal Cardiogenic Shock: What Every Pediatric...

Rapid Response RN ·

2025/08/15

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

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01:06:12

142: High Risk PCI for STEMI With Guests Sarah Vance...

Rapid Response RN ·

2025/08/01

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

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26:17

141: Hypertrophic Cardiomyopathy: Why Bigger is NOT...

Rapid Response RN ·

2025/07/18

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

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56:22

140: Resuscitation Then and Now: How Evidence Shapes...

Rapid Response RN ·

2025/07/04

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

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44:36

139: Gut Feelings & Great Saves: Nursing Wisdom with...

Rapid Response RN ·

2025/06/20

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

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52:34

139: When the Obvious Isn't the Only Problem: Trauma...

Rapid Response RN ·

2025/06/06

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

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54:35

138: Could Rapid Response Teams Be One of The...

Rapid Response RN ·

2025/05/23

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

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01:00:08

137: In Flight Medical Emergencies with Alex PhD, EMT-P

Rapid Response RN ·

2025/05/09

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

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42:20

136: Bridging the Gap Between Pre-Hospital and...

Rapid Response RN ·

2025/04/25

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,

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54:49

135: Ruptured Aortic Dissection With Guest Christian...

Rapid Response RN ·

2025/04/11

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

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43:39

134: Ruptured Ectopic Pregnancy With Guest Shenell RN

Rapid Response RN ·

2025/04/04

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

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33:29

133: Transitioning from ED to Rapid Response with...

Rapid Response RN ·

2025/03/21

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

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53:48

132: Living and Working as a Nurse With a LVAD (Left...

Rapid Response RN ·

2025/02/21

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

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26:05

131 REBOOT: TACO, TRALI, and All Things Blood...

Rapid Response RN ·

2025/02/07

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

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27:23

130:The Do's and Don'ts of Healthy Team Dynamics...

Rapid Response RN ·

2025/01/24

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

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