Rapid Response RN
Sarah Lorenzini
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 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.
1d ago
Some of the most common respiratory myths are still showing up at the bedside. But it's not your fault — most of us were never taught what an oxygenation problem versus a ventilation problem looks like in real time. In this episode, Melody Bishop RT explains how respiratory therapists think through oxygenation and ventilation to choose the right intervention and recognize when a patient is ready to breathe on their own. We’re calling out the old dogma and myths that can delay treatment and worsen patient outcomes! Topics discussed in this episode: Ventilation vs. oxygenation: the core building blocks V/Q mismatch explained ABG findings for low-flow vs. high-flow vs. BiPAP When CO₂ is the problem and the benefits of BiPAP Key indicators it’s time to intubate and the dangers of waiting The myth of resting patients on ventilation How to accurately assess spontaneous breathing trials COPD, oxygen, and the hypoxic drive myth What nurses should know about working with RTs Connect with Melody: https://melodybishoprt.com/ Mentioned in this episode: Xshears are the best shears check em out here: https://xshear.com//discount/Rapid10 and you can use code RAPID10 to get 10% off your purchase AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course! CONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚 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://www.rapidresponseandrescue.com/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
Dec 5
Rural nursing is anything but simple. They have limited resources, fewer specialists, and often have to send patients hours away from their families for a higher level of care. But all that is changing as new tech like Zeto brings monitoring right to the bedside and keeps more patients close to home. In this episode, ICU nurse leader Kristen RN shares how point-of-care EEG has empowered her team to catch subclinical seizures sooner and make faster, more informed clinical decisions. From buy-in to implementation, you'll hear how she advocated for her community and successfully integrated this technology into a small ICU. If you work in a rural or resource-limited facility, don't miss this one! Topics discussed in this episode: The unique challenges rural nurses and hospitals face Why keeping patients close to home matters How telemedicine and new tech are transforming rural healthcare Why subclinical seizures are hard to recognize How Zeto’s spot EEG helps nurses keep more patients close to home The positive impact on team confidence and patient care How you can advocate for the tools your community needs Learn more about Zeto here: https://zeto-inc.com/ Mentioned in this episode: CONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚 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://www.rapidresponseandrescue.com/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
Nov 21
Your pneumonia patient is hypotensive, tachycardic, and not responding to fluids… what did you miss? It could be sepsis-induced cardiomyopathy, a common under-recognized shock state you could see at the bedside. In this episode, Dr. Mahmoud Ibrahim MD and host Sarah Lorenzini use a case study to highlight how nurses, intensivists and the ICU team can work together to recognize the signs of sepsis-induced cardiomyopathy early and give patients a better chance at recovery. You'll learn the diagnostic clues that your patient’s heart is in trouble, how to approach controversial treatments like sodium bicarb, and what has to happen before intubation in a dual shock state. Topics discussed in this episode: What the initial bedside assessment says about the patient Treatment priorities for the intensivist and nurse Signs that point to more than just sepsis Why fluids aren’t always the answer Blood pressure management: vasopressors and inotropes Pathophysiology of sepsis-induced cardiomyopathy How a sepsis-induced cardiomyopathy diagnosis changes treatment The vasopressin debate for sepsis-induced cardiomyopathy Clues your intervention isn’t working and what to do next How to prepare the patient for high-risk intubation What you need to know about administering sodium bicarb Why collaboration matters at every step for patient recovery Connect with Dr. Ibrahim: Instagram : https://www.instagram.com/icuboy_meded/ Facebook : https://www.facebook.com/share/1Dg1ZTyfsN/ TikTok : https://www.tiktok.com/@icuboy_meded Threads : https://www.threads.com/@icuboy_meded X : https://x.com/icuboy_meded Learn more about the different phenotypes in sepsis induced cardiomyopathy: https://journal.chestnet.org/article/S0012-3692(25)05143-8/abstract Mentioned in this episode: CONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚 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://www.rapidresponseandrescue.com/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 shears check em out here: https://xshear.com//discount/Rapid10 and you can use code RAPID10 to get 10% off your purchase
Nov 7
Every five years, resuscitation guidelines get a refresh. This year, a few have changed, many have stayed the same, and some are creating major controversy. In this episode, Dr. Ashish Panchal, Chair of the AHA Emergency Cardiovascular Care Committee, helps us unpack what’s new, what might surprise you, and the science behind each decision. You'll learn why there’s serious debate around epinephrine dosing, what changes matter most for the bedside, and how these updates will change the way you and your team respond to the next code! Topics discussed in this episode: The history and development of the AHA Resuscitation Guidelines Key improvements: algorithms, clear language, and unified care Big, fundamental changes in the guidelines How choking management guidelines have changed The recommended approach for synchronized cardioversion New guidelines for post-resuscitation care Why there’s controversy around mechanical CPR and DSD IV vs. IO access: best practice and key takeaways The controversy around epinephrine dosing What these changes mean for nurses and code teams Listen to E140 with Dr. Ashish Panchal: https://healthpodcastnetwork.com/episodes/rapid-response-rn/140-resuscitation-then-and-now-how-evidence-shapes-every-beat-with-guest-dr-ashish-panchal-md-phd/ Mentioned in this episode: AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course! CONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚 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://www.rapidresponseandrescue.com/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
Oct 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 right intervention when presentations look identical! Topics discussed in this episode: Presentation of two pediatric patients with similar symptoms Differential diagnosis and early clinical clues What to look for in your clinical assessment Pathophysiology of pulmonary hypertension Pathophysiology of dilated cardiomyopathy Key physical exam and diagnostic differences Dilated cardiomyopathy interventions Why it’s hard to diagnose pulmonary hypertension in the ER Nurse priorities when managing patients in the CVICU Managing pulmonary hypertension crises and reducing PVR Pearls and pitfalls of treating these conditions Connect with Natalie: https://www.instagram.com/chatwithnat_rn/ Listen to Chat with Nurse Nat on Spotify: https://open.spotify.com/show/7Jh2qe44KipudVKkdXFwWH Listen to Chat with Nurse Nat on Apple Podcasts: https://podcasts.apple.com/us/podcast/chat-with-nurse-nat/id1815541418 Mentioned in this episode: CONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚 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://www.rapidresponseandrescue.com/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 AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!
Oct 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, and why it's so easy to miss in trauma patients. In this episode, you’ll learn which patients are the most at risk, how to spot tension pneumothorax early, and why having a systematic approach to decompression make all the difference! Topics discussed in this episode: Presentation of a stable, post-arrest patient The patient's rapid decline and first interventions Why they misread the signs of tension pneumothorax Pneumothorax in intubated vs. non-intubated patients The physiology of tension simple vs. tension pneumothorax Bedside clues and diagnostic signs of tension pneumothorax Early intervention and treatment priorities Emergent needle decompression: timing, technique, and follow-up Chest tube placement and management: tips, troubleshooting, and air leaks Mentioned in this episode: CONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚 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://www.rapidresponseandrescue.com/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 Podcast https://link.cohostpodcasting.com/6598429e-e927-45b0-9b57-7dd34a09d803?d=seASyqjs7
Sep 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. You’ll learn what to prioritize, the signs of deterioration that can show hours after rescue, and how to recognize what Sarah calls the “inflammatory cascade of awfulness.” This episode is an honest breakdown of both the science and humanity of drowning care. Don’t miss this story! Topics discussed in this episode: Initial assessment of the patient First treatment priorities: ventilation, airway, and warming The pathophysiology of drowning Misconceptions about suctioning in drowning patients The nurse’s role: documentation and respiratory management Patient monitoring and signs of deterioration The emotional burden of pediatric fatalities How the Get Vitals app supports nurses’ mental health Learn more about the Get Vitals app: Website - www.getvitals.care Instagram -@getvitalsnow Mentioned in this episode: Listen to the In The Heart of Care Podcast https://link.cohostpodcasting.com/6598429e-e927-45b0-9b57-7dd34a09d803?d=seASyqjs7 CONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚 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://www.rapidresponseandrescue.com/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
Sep 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 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 cardiomyopathies Common symptoms and why some people are diagnosed too late Treatment and lifestyle management How Sarah and Leslie finally got diagnosed Leslie’s first cardiac arrest and its impact How Sarah is processing her diagnosis What it feels like to be shocked by your ICD Types of ICDs: transvenous, SICD, and EV-ICD Mental and emotional recovery post-cardiac arrest The WomenHeart organization Find support or volunteer with WomenHeart: https://www.womenheart.org/ Mentioned in this episode: CONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚 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://www.rapidresponseandrescue.com/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 Podcast https://link.cohostpodcasting.com/6598429e-e927-45b0-9b57-7dd34a09d803?d=seASyqjs7
