最佳Rapid Response播客 (2024)

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126: Hurricane Relief Nursing with Brooke RN 38:08

3d ago38:08

38:08

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 d…

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125: COPD and Oxygen Delivery Modalities 36:39

14d ago36:39

36:39

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 pat…

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124: ETOH Withdrawal 23:57

24d ago23:57

23:57

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 symp…

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123: What Makes for a Great Resuscitationist? 19:00

1M ago19:00

19:00

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 ex…

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122: What is POTS and When Is It an Emergency? With Guest Dr. Alexis Cutchins 29:38

2M ago29:38

29:38

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 withou…

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121: Early Detection of AKI With Tom MSN, RN From Accuryn 43:34

2M ago43:34

43:34

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 int…

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120: Medical Missions Nursing With Becca RN From Mercy Ships 36:35

2M ago36:35

36:35

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 h…

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119: Spinal Cord Ischemia with Michelle Dedeo DNP, RN, CNS, ACCNS-AG, CCRN, CNRN, SCRN, TCRN 45:57

2M ago45:57

45:57

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 tre…

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118: Cardiac Tamponade With Brian McCain 35:53

2M ago35:53

35:53

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 …

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117: Pericarditis vs Myocardial Infarction 26:19

3M ago26:19

26:19

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. Sara…

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116: "So You Want to Go Back to School?" with Guest Nicole Kupchik, Clinical Nurse Specialist 37:20

3M ago37:20

37:20

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 respons…

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115: Pediatric Empyema With Erik and Nykole, Critical Care Transport Nurses 45:05

3M ago45:05

45:05

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 assessme…

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114: Serotonin Syndrome 19:22

4M ago19:22

19:22

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 stump…

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BONUS MYSTERY EPISODE 10:27

4M ago10:27

10:27

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' condition Mentioned in this episode: Rapid…

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113: How to be the BEST Nursing Preceptor EVER! 39:09

4M ago39:09

39:09

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, sha…

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112: Heat Stroke vs Heat Exhaustion 18:57

4M ago18:57

18:57

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 — an…

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111: Liver Failure Part 4: Hepatic Encephalopathy vs Alcohol Withdrawal 27:49

4M ago27:49

27:49

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 ke…

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110: Liver Failure Part 3: Hepatorenal Syndrome 17:20

5M ago17:20

17:20

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 …

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109: Liver Failure Part 2: Esophageal Varices 25:22

5M ago25:22

25:22

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 tak…

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108: Liver Failure Part 1: Spontaneous Bacterial Peritonitis 24:36

5M ago24:36

24:36

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 diagnosi…

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107: Nurse Stories From NTI 2024 44:45

5M ago44:45

44:45

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 p…

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106: Are Nursing Care Plans an Absolute Waste of Time? With Flight Nurse and Educator Nurse Gwenny 46:38

5M ago46:38

46:38

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…

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105: So You Want to Go Back to School Part 2 With Guest Nurse Educator Patrick McMurray 47:15

6M ago47:15

47:15

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 approa…

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104: Obstructive Shock With Guests Bryan Boling and Brandon Oto From the Critical Care Scenarios Podcast 53:11

6M ago53:11

53:11

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, de…

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103: Should Families Be Allowed to be Present During Resuscitation? 47:41

6M ago47:41

47:41

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 prese…

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102: SIADH vs DI With Guest Nick McGowan RN, MSN 40:17

6M ago40:17

40:17

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 patho…

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BONUS PodSwap: RSI Drugs with Nurse Mo From Straight A Nursing Podcast 19:56

7M ago19:56

19:56

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 r…

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101: So You Wanna Go Back to School Part 1: Nurse Practitioner With Guest Dr. Sandra Pagenta DNP 40:18

7M ago40:18

40:18

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 ref…

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100: How to Still Love Being a Nurse After 20 Years in the Profession 25:30

7M ago25:30

25:30

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 R…

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99: Hyponatremia: How Did It Happen and Why Is It So Challenging To Treat? 23:56

7M ago23:56

23:56

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 S…

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98: "Broken Heart Syndrome" aka Takotsubo Cardiomyopathy 22:18

7M ago22:18

22:18

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 ex…

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97: Status Asthmaticus Part 2: Strategies to Manage the Crashing Asthmatic 28:12

8M ago28:12

28:12

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 t…

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96: Nightmare Case: The Young Crashing Asthmatic Patient With Guest Brooklyn RN 33:06

8M ago33:06

33:06

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,…

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95: "That's a Weird Blood Pressure!": Recognizing and Interpreting Wide and Narrow Pulse Pressures 18:02

8M ago18:02

18:02

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.…

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94: How Valuable is the Shock Index? 14:09

8M ago14:09

14:09

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 ex…

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93: What the Heck is BRASH Syndrome? 20:06

9M ago20:06

20:06

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 ar…

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92: How to Rock Your Next Stroke Alert With Guest Dr. Eric Wilson RN, AGNP-C, DNP, NREMT-P 27:45

9M ago27:45

27:45

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…

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91: Vasopressors and Inotropes 101 14:35

9M ago14:35

14:35

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 breaki…

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90: Rhabdomyolysis 16:21

9M ago16:21

16:21

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 rhabdomyol…

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89: MYSTERY EPISODE... What's Wrong With Joey? 7:09

9M ago7:09

7:09

Are you ready for some diagnosing fun?! In this episode, host Sarah Lorenzini will challenge your diagnostic skills with the mystery case of Joey, a 14-year-old patient who went from playing football at summer camp to being intubated in the ER. Joey presented with an altered mental status, and was tachycardic, tachypneic and febrile. Once in the ER…

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88: Autonomic Dysreflexia: The Who, What, Why, and How to Treat This Perplexing Diagnosis 15:26

10M ago15:26

15:26

As host Sarah Lorenzini insightfully explains, “think of autonomic dysreflexia symptoms as the body's way of telling you something is wrong.” Autonomic dysreflexia is a medical emergency that occurs in patients with a spinal cord injury, but it can be hard to recognize because of the body’s confusing responses to stimulation. That’s why it’s crucia…

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87: Navigating Goals of Care Discussions With Guest, Hospice Nurse AJ 32:49

10M ago32:49

32:49

Goals of care discussions are among the most difficult to navigate as a nurse, BUT there are ways to provide both comfort and clarity to patients and their families in these emotionally charged situations. In this episode, host Sarah Lorenzini and Hospice Nurse AJ share tips and insights on how to approach these challenging discussions with sensiti…

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86: Making the Transition to the ICU With Guest Sarah Vance 25:21

10M ago25:21

25:21

Orienting as a new Nurse in the ICU is much like climbing your first big mountain — both require basic knowledge, passion, and the ability to learn quickly and adapt in a demanding environment. But without these attributes, you have an arduous, possibly insurmountable journey ahead of you. In this episode, host Sarah Lorenzini and Sarah Vance RN de…

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85: Just a Spoonful of Sugar Helps Your Patient's Prolapsed Rectum Go Down 23:40

10M ago23:40

23:40

What’s your craziest, most shocking nursing story? In this episode, you’ll hear one of host Sarah Lorenzini’s most memorable stories as a rapid response nurse! Sarah recounts her experience treating a severe case of a prolapsed rectum, describing the unconventional yet effective approach that not only resolved the medical dilemma but caught the att…

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84: Urology Tips, Tricks, and Hacks... and When it's Time to Call the Urologist With Guest Dr. Shailen Sehgal 31:04

11M ago31:04

31:04

Foreign objects in the bladder, urinary retention, priapism. These are just a few of the urological emergencies host Sarah Lorenzini is discussing with Dr. Shailen Sehgal! Nurses are the first line of defense in treating emergencies and play an important role in managing their care. In this episode, Dr. Shailen Sehgal explores these emergencies and…

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83: How to Manage Snake Bites as a Nurse and as a Patient With Guest Sealy RN 23:07

11M ago23:07

23:07

Snake bite care: where the cost and long-term complications can sting harder than the bite. Managing snake bites requires quick intervention, making it crucial for nurses to understand how to navigate this type of emergency. So in this episode, host Sarah Lorenzini welcomes Sealy RN to share her firsthand experience of being bitten. As a nurse who …

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82: Sympathetic Crashing Acute Pulmonary Edema: That Time My Patient Went From Stable A-Fib RVR to Intubated in 30 Minutes! 19:00

11M ago19:00

19:00

How does AFib RVR escalate into a life-threatening situation in just 30 minutes? Join host Sarah Lorenzini as she reflects on a perplexing case of sympathetic crashing acute pulmonary edema, also known as flash pulmonary edema. This patient’s rapid deterioration led to an emergency intubation that perplexed the rapid response team, but the patient'…

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81: Mechanical Circulatory Support for Cardiogenic Shock With Guest Christian Guzman, APRN 39:44

11M ago39:44

39:44

Host Sarah Lorenzini and Christian Guzman APRN are back to conclude this three-part heart failure series by examining the use of mechanical circulatory support for cardiogenic shock. This episode expands on the topics covered in previous parts, focusing on the application of mechanical circulatory support methods like the intra-aortic balloon pump,…

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80: Medical Management of Cardiogenic Shock With Guest Christian Guzman APRN 34:39

12M ago34:39

34:39

Building on last week’s introduction to heart failure, this episode explores the nuances in the medical management of cardiogenic shock. Host Sarah Lorenzini and Christian Guzman APRN continue this three-part heart failure series by completing the case study of a patient in cardiogenic shock, and breaking down key treatment concepts and strategies.…

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79: Heart Failure 101 with Guest Christian Guzman APRN 44:27

12M ago44:27

44:27

During a normal day gardening, an active woman in her 60s was suddenly struck with chest tightness. Thinking it was just an asthma attack, she tried to let the pain pass. What she didn’t realize was that she was having a full blown myocardial infarction, and this was only the beginning of her journey. In this episode, host Sarah Lorenzini is joined…

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