We welcome back Nicole Cook, APRN and CNS to talk all about sepsis... and Nicole shares a personal story about sepsis we won't soon forget ..read more

Sara, ICU RN is on the show to share her firsthand experience battling severe COVID-19. She shares what she has learned, tips to get you prepared, and touches on the human side of caring for the sick COVID-19 patients. Resources ARDSnet - http://www.ardsnet.org/ University Washington Medicine - https://covid-19.uwmedicine.org/Pages/default.aspx Nicole Kupchik, CNS - https://www.instagram.com/nicolekupchik/?hl=en ..read more

Rob recounts the story of his first traumatic cardiac arrest as a paramedic.   CPR doesn't make sense in a traumatic arrest where hemorrhagic and obstructive shock are the suspected etiology A 'three hole punch' are bilateral finger thoracostomies and a pericardialcentesis is one way to decompress the chest in blunt traumatic cardiac arrest The nurse's role is to ensure a shared mental model once the patient arrives so that CPR is started and/or stopped Evidence PMID 29177620 https://resus.org.au/download/section_11/anzcor-guideline-11-10-1-als-traumatic-arrest-27apr16.pdf&v ..read more

Alpha, beta, V1 and V2 receptor goodness is talked about in this episode. This episode also features Allan turning into The Rock. Inotropy means increased myocardial contractility Chronotropy means increased heart rate Vasopressor means squeezing of the blood vessels Scott Weingart (reference below) coins a term Inopressor, where some drugs cause all of the above – one such example is epinephrine Alpha 1 receptors are found in the periphery and are responsible for vasoconstriction Alpha 2 receptors are in the periphery and are responsible for vasodilation Beta 1 receptors are primarily in th ..read more

Allan and Rob continue the conversation with Nicole Cook about neurotrauma. If you haven't listened to episode 26, part one of this conversation, then we suggest you go back to do so.  However, we wouldn't recommend listening to us anyway.  Nicole's paper on Co2 - https://www.injuryjournal.com/article/S0020-1383(21)00624-0/fulltext ..read more

Today Allan and Rob get the opportunity to talk to the one and only Nicole Cook.  She's a trauma nurse specialist, neurotrauma expert, and a great Twitter follow (@TraumaSoapBoxes).  This episode is part 1 of a 2 part series on neurotrauma nursing care in critical care environments big and small.  ..read more

Allan and Rob have the privilege of having a chat with Alin Gragossian about the days before her illness, heart transplant, and return to her work as an emergency medicine resident. Follow Alin! Website - https://www.achangeofhe.art/ Twitter: @ag_em33 Instagram: @a_change_of_heart_blog ..read more

In our experience, nurses get little to no education on cognitive bias in their bachelor's degree  program. For a review of anchoring bias, click here. Allan shares a clinical experience where he anchoring bias can affect patient care.  ..read more

For better or worse, Allan and Rob are reunited as they rehash some of the early COVID-19 literature and scientific direction for ED and critical care nurses ..read more

Are you looking for pathology beyond a STEMI when ordering and interpreting a 12-lead EKG? In this episode we introduce you to other patterns you should look for, especially in the undifferentiated patient presenting with a suspicious story. We'll have you quoting Sgarbossa, Brugada, and AvR pathology in no time! Sgarbossa - https://litfl.com/sgarbossa-criteria-ecg-library/ Brugada - https://litfl.com/brugada-syndrome-ecg-library/ AvR Stemi - https://litfl.com/lmca-occlusion-st-elevation-in-avr ..read more