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PODCAST

STAT Stitch Deep Dive Podcast Beyond The Bedside

*** ATLS UPDATE******An Exciting Update. ATLS material will be available real soon! ATLS is for physicians, but if you"re a trauma junkie like me you want to know the stuff because you simply love trauma as long as it is not you on the bed in The Bay***Welcome to STAT Stitch Deep Dive: Beyond the Bedside, the podcast where nursing knowledge, clinical storytelling, and the realities of nursing school collide. Whether you’re a current nursing student, preparing for boards, or a new nurse navigating

education courses

All Episodes

45:46

ATLS | Thoracic Trauma

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/30

🫁 Thoracic Trauma High-Yield (NCLEX/ED)I) 🌪️ Tension Pneumothorax (TPTX)Key idea: Clinical dx—treat now, don’t wait for imaging. Patho: One-way valve → air traps in pleura → lung collapse + mediastinal shift → ↓venous return → obstructive shock; often from PPV with visceral injury. Meds: O₂ (often high-flow). Analgesia after stabilization. Team: MD does immediate needle/finger decompress → chest tube. RN preps gear, monitors vitals, reassesses; eFAST must not delay care. Cues (prio): 🟥

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39:54

ATLS | Shock

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/30

🚑 Trauma Shock & Thorax EmergenciesI) 🩸 Hemorrhagic (Hypovolemic) ShockPatho: Acute blood loss ↓preload → ↓SV/CO; early tachycardia + vasoconstriction; prolonged hypoperfusion → lactic acidosis; lethal triad = 🧊 hypothermia + 🩸 coagulopathy + acidosis. Fluids/Blood:Warm crystalloids (1 L adult, 20 mL/kg peds) → avoid excess; consider permissive hypotension.MTP: pRBCs/Plasma/Plts (warm). O neg for childbearing-age females; AB plasma if unknown type.TXA: within 3 hrs (bolus then 8-hr

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20:20

ATLS | Airway

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/30

🛑 Acute Airway & Ventilation Review1) 🫁 Acute Airway Obstruction & CompromisePatho: Fastest killer in trauma. Obstruction may be complete/partial/progressive. Common: tongue occluding hypopharynx with ↓LOC; also vomit, blood/secretions, teeth/FBs. ↓LOC → high aspiration risk → often needs definitive airway. RSI Meds:Etomidate 0.3 mg/kg → sedation w/ minimal BP/ICP effect; watch adrenal suppression & hypovolemia.Succinylcholine 1–2 mg/kg → rapid, brief paralysis; avoid in

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66:52

MEDSURG | Connective Tissue + Arthritis and More

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/30

🧑‍⚕️ Med-Surg Exam Guide: Rheumatic Disorders1) 🦴 Osteoarthritis (OA)Patho: Local, non-systemic wear of articular cartilage → osteophytes; brief AM stiffness (<30 min). Meds:Acetaminophen → pain (watch max dose).NSAIDs/COX-2 → pain/↑GI & CV risk; take w/ food.Intra-articular steroids → short-term relief; rest joint x1 wk.Topicals (capsaicin/diclofenac) → regular use; avoid heat/sun. Team: HCP (rx ± surgery), RN (education, safety), PT/OT (ROM, devices), RD (weight loss). Key sx: Activity

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48:19

ATLS | Initial Assessment

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/30

🫁 Airway Compromise & Obstruction (A)Pathophysiology: Life-threatening blockage → prevents gas exchange. Causes: foreign bodies, fractures, blood/secretions, trauma, ↓LOC (GCS ≤8). Failure to speak/respond = urgent airway issue. 💊 TXA: ↓bleeding, ↑survival if given ≤3 hrs post-injury. Continue infusion 8 hrs after bolus. Team Roles: 👨‍⚕️ Leader → directs & coordinates 👩‍⚕️ Airway manager → secures airway 👩‍🔬 Nurses → prep/test equip, stabilize c-spine 🩺 Surgeon → perform surgical

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59:23

MEDSURG | Musculoskeletal Problems

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/29

🦴 Medical–Surgical Exam Review Guide: Musculoskeletal Problems1️⃣ Osteomyelitis (Bone Infection)Pathophysiology: Infection of bone, bone marrow, and soft tissue (usually Staphylococcus aureus). Microbes enter via hematogenous spread (common in children, IV drug users, diabetics) or direct inoculation (open wounds, surgery, prosthetic joints). Inflammation → pus → ↑ intramedullary pressure → ↓ perfusion → ischemia → bone necrosis (sequestrum) surrounded by new bone (involucrum). Antibiotics struggle

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42:39

MEDSURG | Ortho Trauma & More

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/29

🩺 Med-Surg Review: Musculoskeletal Trauma (High-Yield, <2800 chars)1) Acute Soft-Tissue Injuries — Sprain/Strain/Dislocation • Sprain: ligament tear/stretch. • Strain: muscle/tendon tear/stretch. • Dislocation: complete joint surface separation → risk neurovascular injury & avascular necrosis. Meds: NSAIDs (GI bleed risk), analgesics (opioid constipation/resp depression). Team: MD (X-ray, reduction/cast or surgery); RN: RICE (Rest-Ice-Compression-Elevation), immobilize; PT: gradual

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13:28

MEDSURG | Musculoskeletal Assessment

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/29

🦴 I. Impaired Bone Integrity & StructureCore Concept: Bone = dynamic tissue of collagen (organic) + calcium/phosphate (inorganic). Remodeling = resorption (osteoclasts) + formation (osteoblasts). Imbalance → bone weakness, ↓ density, ↑ fracture risk.⚕️ Common Meds & Nursing Cues:Ca & Vit D: Maintain mineral balance. Monitor diet/nutrition.Opioids/NSAIDs: Pain control. Watch for GI bleed (NSAIDs), resp depression (opioids).👩‍⚕️ Interprofessional Care:MD: Orders X-ray, DEXA, bone

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7:17

ATLS Announcement

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/28

This episode lets you guys know I found an ATLS manual to upload. I am super excited

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41:20

PHARM | 1st Gen Antipsychotics Haloperidol

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/28

💊 PHARM STUDY GUIDE: HALOPERIDOL (Haldol) Class: First-generation antipsychotic 🧠 MOA (80/20): High-potency D2 receptor antagonist → ↓ mesolimbic dopamine (helps positive symptoms). D2 block in other tracts drives side effects. 🧭 Dopamine Pathways (clinical relevance):Mesolimbic: D2 block → ↓ hallucinations/delusions ✅. Nigrostriatal: D2 block → EPS/pseudoparkinsonism ⚠️. Tuberoinfundibular: D2 block → ↑ prolactin (galactorrhea, menstrual changes).📋 Indications (common): Schizophrenia; acute

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37:35

PHARM | TCAs Amitriptyline

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/28

💊 PHARM STUDY GUIDE: AMITRIPTYLINE (Elavil) Class: Tricyclic Antidepressant (TCA)🧠 MOA (80/20): Blocks neuronal reuptake of serotonin & norepinephrine; also anticholinergic, antihistamine, and sodium-channel effects → efficacy + side-effect burden. NCBI📋 Indications (what you’ll actually see):Major depressive disorder Off-label, low dose: neuropathic pain, migraine prevention, insomnia (sedating).⚠️ Red-Flag Side Effects (Prioritize 🚨):Cardiac toxicity – QT prolongation, conduction block,

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41:30

PHARM | SNRIs Venlafaxine

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/28

💊 PHARM STUDY GUIDE: VENLAFAXINE Class: SNRI – Serotonin Norepinephrine Reuptake Inhibitor🧠 Mechanism of Action (MOA): Blocks reuptake of serotonin (5-HT) and norepinephrine (NE) → ↑ levels in synaptic cleft → improved mood & anxiety control. Weak dopamine effect.📋 Indications:Major Depressive Disorder (MDD) 🧩Generalized Anxiety Disorder (GAD) 😰Panic & Social Anxiety Disorders 😳Off-label: Menopausal hot flashes 🌡⚠️ Red-Flag Side Effects (Prioritize 🚨): 1️⃣ Serotonin Syndrome

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31:27

PHARM | SSRIs-Fluoxetine

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/24

💊 HIGH-YIELD SSRI OVERVIEW (80/20 Rule) (Selective Serotonin Reuptake Inhibitors)🧠 Core Concept: SSRIs ↑ serotonin levels by blocking reuptake in the synaptic cleft — boosting mood, reducing anxiety, and stabilizing emotional regulation.📋 Top Drugs to Know: Fluoxetine (Prozac) 🌀 Sertraline (Zoloft) 🌊 Escitalopram (Lexapro) 💎 Citalopram (Celexa) 🌤 Paroxetine (Paxil) ⚠️ (sedating, more withdrawal risk)🩺 Main Indications (What You’ll Actually See):Depression (MDD)Anxiety Disorders (GAD, panic,

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47:43

ACLS | ACLS Combined Material

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/23

🫀 Core Concepts Cardiac arrest = electrical failure (VF/pVT) or mechanical/perfusion failure (Asystole/PEA). On the floor/ICU, arrests are often preceded by resp failure or hypovolemia → RR <6 or >30, HR <40 or >140, SBP <90 → activate Rapid Response. ACS pathway: plaque → rupture → thrombus → ischemia/MI. STEMI = full occlusion, NSTE-ACS = partial; ischemia makes myocardium irritable → VF. ACLS boosts chances of ROSC + neuro recovery.🧷 Chain of Survival (STEMI) Recognize →

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33:15

ACLS | Cardiac Arrest and More

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/23

🫀 Why Patients Die (and How ACLS Saves Them) Cardiac arrest = no effective circulation → global ischemia. Survival hinges on CPP (aortic diastolic − RA pressure). • High-quality CPR (≥2 in/5 cm, 100–120/min, full recoil, CCF ≥80%) maintains CPP; every pause tanks CPP. • Defibrillation for VF/pVT stuns chaotic myocardium → pacemakers can resume an organized rhythm (ROSC). Shock early.Rhythms & Management🔹 Shockable: VF / pVT ECG: VF = chaotic; pVT = fast wide-QRS + no pulse. Algorithm

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20:37

ACLS | Brady/Tachycardia

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/23

⚡ ACLS Deep Dive: Rhythms with a Pulse (Brady & Tachy) ⚡1️⃣ Core Concepts — When to Shock, When to Chill 💥 Synchronized Cardioversion: For unstable rhythms with a pulse — unstable SVT, AFib, flutter, or monomorphic VT. Sedate if possible. ⚡ Unsynchronized (Defibrillation): For pulseless VT/VF or unstable polymorphic VT (if rhythm can’t be timed safely). 🧠 Rule: If they have a pulse but are tanking → cardiovert. No pulse → shock.2️⃣ Bradycardia Algorithm 🫀 (HR < 50 + symptoms) 1️⃣ Atropine

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17:36

ACLS | Respiratory Arrest

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/23

💨 ACLS Deep Dive: Respiratory Arrest (With a Pulse) 🫁1️⃣ BLS Foundation — Keep It Basic, Keep It Alive Scene safe ✅ → Check responsiveness → Shout for help 📣 → Activate emergency response 🚑 → Check breathing + pulse simultaneously (≤10 sec). 💤 If no breathing but pulse present → Respiratory Arrest. 👉 Deliver 1 breath every 6 seconds (10/min) via BVM or advanced airway. 👉 Recheck pulse every 2 minutes (5–10 sec). 👉 If pulse disappears → start CPR immediately.2️⃣ Airway Priorities — The ABCs

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25:33

ACLS | Stroke

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/23

🧠 ACLS Deep Dive: Stroke Edition (High-Yield & Real-World) 🚨1️⃣ Stroke Chain of Survival — “Time = Brain” Recognize ➡️ Call 9-1-1 🚑 ➡️ EMS alerts hospital ➡️ Rapid diagnosis ➡️ Treatment (thrombolytics or EVT). Goal: minimize brain injury, maximize recovery. Every minute = 1.9 million neurons lost. ⏱️2️⃣ Critical Drug — Alteplase (tPA) 💉 • Window: ≤3 hr from symptom onset (extend to 4.5 hr in select pts). • EVT (mechanical thrombectomy): up to 24 hr for large-vessel occlusion (LVO). • Dose:

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21:00

ACLS | Acute Coronary Syndrome

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/23

🔥 ACLS Deep Dive: High-Yield Crash Summary 🔥1️⃣ Chain of Survival – Keep It Simple Recognize 🚨 → Activate EMS 🚑 → Rapid transport + prearrival notice → ED/cath lab diagnosis → Reperfusion 💥. STEMI survival depends on speed. Every second = muscle saved.2️⃣ Shockable vs Nonshockable – Know the Split 💥 VFib & pulseless VT = shock now. 🫀 Asystole & PEA = compress & give epi. Defib/cardioversion breaks lethal rhythms; compressions buy time.3️⃣ Key Meds & Timing ⏱️ • Aspirin:

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26:46

BONUS Compendium Medicine Neurological Assessment and...

STAT Stitch Deep Dive Podcast Beyond The Bedside ·

2025/10/22

🧠 NEUROLOGY: HIGH-YIELD NURSING STUDY GUIDE ⚡ Your rapid-fire review of the neuro system’s biggest killers and clinical traps. Straight to the point, loaded with red flags 🚨, and built for real-world nursing.🩸 TRAUMATIC BRAIN INJURY (TBI) & ICPMild TBI: GCS ≥13, LOC <30 min. 90% of all neurotrauma.Moderate–Severe TBI: GCS ≤12. Watch for Cushing’s Triad (↑BP, ↓HR, irregular respirations). ➤ ATLS protocol, maintain perfusion, give mannitol or hypertonic saline.Epidural Hematoma: ⚠️ Lucid

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