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Up My Nursing Game is an educational nursing podcast for curious and driven acute, emergency, and critical care nurses who seek a deeper understanding of clinical subjects and want to broaden their understanding of patient care in the hospital setting. No boring lectures here! Join Annie, RN, as she delivers high-value content, including interviews with members across the healthcare team that address common clinical questions, share unique perspectives, and covers what was missed in nursing ...
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EMGuidewire's Podcast

EMGuideWire Team - From Carolinas Medical Center Emergency Medicine Residen

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Join the faculty and residents of Carolinas Emergency Medicine Residency Program, one of the oldest programs in the country, as they explore some of the Core Concepts of Emergency Medicine as well as many of the niche environments of this important arena of specialty care.
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A medical education podcast about all things in Anaesthesia. We want to provide everyone from medical student to specialist with interesting interviews, exam tips and discuss the latest information, practice and techniques.
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Altered mental status (AMS) can be an early warning sign of serious conditions, yet it's often overlooked or dismissed as simple confusion. In this episode, critical care nurse practitioner Christian Guzman breaks down the complexities of AMS and its many causes. Christian walks us through a systematic approach to assessing and managing patients wi…
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Timely and appropriate administration of empiric broad-spectrum antibiotics for adult patients with sepsis is critical. Current guidelines recommend an antipseudomonal antibiotic for those at risk of a resistant gram-negative organism. The two most common antipseudomonal antibiotics prescribed in this setting are cefepime and piperacillin-tazobacta…
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For the full video, check out the Final Exam Course https://anaesthesia.thinkific.com/courses/finalexam Exam Stem You are seeing a 14yo female accompanied by her mother in preadmission clinic. She’s booked for a planned multilevel thoracic spine fixation in two week’s time for idiopathic scoliosis. Her regular medications are - Paracetamol - PRN di…
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Thanks Dr Priya and Dr Patricia and for all your great work on this Maddi and Luka! Here are some useful resources: Pregnancy and the anaesthetist https://libguides.anzca.edu.au/ld.php?content_id=48309025 https://libguides.anzca.edu.au/wellbeing Still a Boys' club article https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/1…
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While the concept of hypovolemic shock may seem straightforward compared to the other types of shock, it's various causes and vastly different treatment approaches may catch you off guard. In this episode, flight nurse Nyssa from The Q Word Podcast vividly illustrates the key differences between fluid volume depletion and blood volume loss. You'll …
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In this in-depth episode, cardiac nursing expert Sean from the Nurse Dose Podcast vividly illustrates how acute coronary syndromes, valve dysfunction, arrhythmias, and mechanical complications can all culminate in cardiogenic shock. You'll learn to spot the ominous signs like falling cardiac output, rising filling pressures, and poor end-organ perf…
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I was honoured to interview Professor Daniel Martin OBE Consultant in Anaesthesia and Critical Care, Derriford hospital PhD in applied physiology, University College London 2013 Prof of perioperative and intensive care, University of Plymouth Member of Caudwell Xtreme Everest expedition 2007 Former Director of the UCL Centre for Altitude, Space and…
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Thank you for your time Dr Cooray! Dr Cooray has been an examiner since 2012, and also won the prestigious Rentona nd Cecil Grey Prizes - which is a legendary feat --------- Find us at Instagram: https://www.instagram.com/abcsofanaesthesia/ Twitter: https://twitter.com/abcsofa Website: http://www.anaesthesiacollective.com Podcast: ABCs of Anaesthes…
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Imagine being a nurse faced with a patient who has taken a fistful of someone else's medications, leading to a life-threatening allergic reaction. This was the reality Dave Dovell, a registered nurse and author, confronted in a fascinating case study he shares during this podcast episode. He takes listeners on a deep dive into the clinical presenta…
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Thanks Luka, great idea for this podcast episode especially from the perspective of a medical student! --------- Find us at Instagram: https://www.instagram.com/abcsofanaesthesia/ Twitter: https://twitter.com/abcsofa Website: http://www.anaesthesiacollective.com Podcast: ABCs of Anaesthesia Primary Exam Podcast: Anaesthesia Coffee Break Facebook Pa…
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In recent years, there has been intense focus on delivering high-quality compressions during the resuscitation of patients with OHCA. In contrast, ventilation metrics in OHCA resuscitation have not been well studied. In this podcast, we discuss a recent publication from Circulation that evaluated ventilation waveforms during OHCA resuscitation and …
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The emergency severity index, or ESI, is meant to swiftly triage patients based on urgency and resource needs. In this episode emergency nurse, Kevin MacFarlane, shares his techniques for determining ESI scores, from identifying true level one resuscitation cases to non-urgent level five medication refills. You'll gain a comprehensive understanding…
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Thanks Ruth and Paolo for a fantastic session! Check out these playlists for more useful information! https://www.youtube.com/playlist?list=PLKoga8GNPk1UXMPF5ekMymno4N7Y_G1sZ https://www.youtube.com/playlist?list=PLKoga8GNPk1Xr5_ZZ2oRCmMqKsy2ANp0j --------- Find us at Instagram: https://www.instagram.com/abcsofanaesthesia/ Twitter: https://twitter.…
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Sedation and delirium can derail even the strongest patient's recovery in the ICU - but spontaneous awakening trials (SATs) can empower nurses to get ahead of this vicious cycle. In this candid episode, I pick the brain of Kali Dayton, an ICU nurse practitioner fervent about early mobility, pulls back the curtain on SATs, a tragically misunderstood…
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Critically ill patients commonly develop a dysregulated inflammatory response. Corticosteroids are hypothesized to be beneficial due to their anti-inflammatory properties. In recent years, several studies have been published on the use of corticosteroids in select critical illnesses. In this podcast, we review a recently published clinical update o…
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Amazing to have you on the podcast Dr Anne! for more resources check out our airway playlists https://www.youtube.com/playlist?list=PLKoga8GNPk1WTHr8FsZ8L5Y-vM2EYoVbF https://www.youtube.com/playlist?list=PLKoga8GNPk1XVIBJQwGbv5smUFYKeToBV Articles https://www.bjanaesthesia.org/article/S0007-0912(17)33209-9/fulltext https://www.rcoa.ac.uk/research/…
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Proper sedation management is critical for improving outcomes, yet studies show a widespread problem of inaccurate Richmond Agitation-Sedation Score (RASS) assessments by nurses. In this revealing episode, Kali Dayton DNP, shares her technique to accurately and objectively measure the RASS and why this matter for our patient's outcomes. Check out N…
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Ever wonder what goes on behind the operating room doors? In this episode, we pull back the curtain on the fascinating world of anesthesia and surgery. Certified Registered Nurse Anesthetists Tanner and Cole from the Core Anesthesia podcast provide an insider's look at the perioperative process, from pre-op preparation to the orchestrated induction…
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We all know that staying in bed increases the risk of pressure injuries and DVTs. But the adverse effects of immobilization go far beyond those basics. In this eye-opening episode, Margaret Arnold, PT pulls back the curtain on the rapid and surprising physiological changes that occur when your patients are inactive. You’ll learn about the hidden da…
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Thanks for all the fantastic information and lessons in cardiac bypass Dr Grant! Check out our podcast ABCs of Anaesthesia on all platforms --------- Find us at Instagram: https://www.instagram.com/abcsofanaesthesia/ Twitter: https://twitter.com/abcsofa Website: http://www.anaesthesiacollective.com Podcast: ABCs of Anaesthesia Primary Exam Podcast:…
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In this episode, Tim Madeira, cardiothoracic DNP, provides an overview of the primary heart valve diseases. He expertly guides us through the complex physiological processes underlying conditions like stenosis and valve regurgitation arising from congenital abnormalities, calcifications, infective endocarditis, and trauma. In addition, Tim outlines…
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Thanks Dr James for sharing your insights and all your extremely considered thoughts and professional approach to anaesthetic practice! --------- Find us at Instagram: https://www.instagram.com/abcsofanaesthesia/ Twitter: https://twitter.com/abcsofa Website: http://www.anaesthesiacollective.com Podcast: ABCs of Anaesthesia Primary Exam Podcast: Ana…
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Listen in as I chat with Philip Gonzalez, a critical care occupational therapist. He will help us de-mystify the philosophy of occupational therapy, discuss how nurses cane help their patients make the most of their therapy sessions, and introduce us to verticalization therapy. Discussed in episode Verticalization therapy is a therapeutic approach …
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Acute mental status changes after the ingestion of alcohol or other substances are a common presentation to the ED. Those with severe obtundation may require intubation for airway protection while the substance metabolizes. In fact, more than 20,000 patients are intubated each year in the United States for acute poisoning or intoxication. Notwithst…
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Thanks Dr Megan for a great exam performance! For the full video, check out the Final Exam Course https://anaesthesia.thinkific.com/courses/finalexam Exam Stem You are asked to review a 76-year-old man for planned abdominal aortic aneurysm (AAA) repair on your list in seven days time. His aneurysm extends above the renal arteries. He has a backgrou…
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Thanks Dr Michelle for a candid and honest discussion on how to pass this exam after a major set back Check out our online course for trainees needing extra help https://anaesthesia.thinkific.com/courses/I-EXCEL https://anaesthesia.thinkific.com/courses/FinalExam --------- Find us at Instagram: https://www.instagram.com/abcsofanaesthesia/ Twitter: …
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Amazing to chat to a specialist with the lived experience of how anaesthesia has changed over the last 4 decades! Please check out her book The Chloroformist https://www.mup.com.au/authors/christine-ball Dr Christine is an anaesthesiologist at the Alfred Hospital in Melbourne and co-convenor of the Master of Perioperative Medicine at Monash Univers…
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Really interesting chat about rapid sequence inductions and the history, method, myths, facts and how we use the RSI in the modern day Check out these great resources! References: · https://litfl.com/rapid-sequence-intubation-rsi/ · Oxford Handbook for Anaesthesia, 5th Edn · ACE Course Notes final 2023 · https://sjtrem.biomedcentral.com/articles/10…
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Understanding Diltiazem is an important part of your cardiac skillset. It's indications range from blood pressure management, long term stable angina, to it's mainstay in the hospital setting: acute rate control of arrhythmias with rapid ventricular rates. This episode will cover Diltiazem's mechanism of action, its multiple indications for both ac…
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Thanks Dr Rebecca! great performance and congratulations on passing the ANZCA Final Exam! welcome to the other side ;) Here are some useful resources VIVA STEM You are asked to review your next patient. A 25yo 130kg transgender female (She/her/hers) for augmentation mammoplasty (implants and lipofilling). Past history Asthma Anxiety Depression Obes…
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REBOA is a relatively new and novel technique that in animal studies has demonstrated benefit in controlling hemorrhage. However, the evidence for the efficacy of REBOA in humans remains scant. In this podcast, we discuss the recently published UK-REBOA Trial, which randomized patients to receive REBOA with standard care compared to those randomize…
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Thanks Dr Megan for a great exam performance! For the full video, check out the Final Exam Course https://anaesthesia.thinkific.com/courses/finalexam Exam Stem You are on the night shift at your tertiary hospital. You are called to resus bay in ED as a 55yo male presents to emergency with severe respiratory distress. You arrive to see a patient wit…
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In this episode, I'll give you the inside scoop on amiodarone so you can truly grasp why it is *the* most prescribed antiarrhythmic medication. We'll unpack its unique mechanism of action that makes it so effective, share a real-world case that shows amiodarone in action, as well as have a candid talk about its adverse effects. Join me to find out …
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Thanks Dr Ralph for a great exam performance! For the FULL video check out https://anaesthesia.thinkific.com/courses/FinalExam The Stem 13yo male presents to emergency department in a small rural hospital (2 theatres, 1 ward, no HDU/ICU) with right iliac fossa abdominal pain. Past history Duchenne’s muscular dystrophy Wheelchair bound Severe scolio…
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Do you want to enhance your understanding and effectively use atropine in the treatment of bradycardia? Starting with atropine's mechanism of action, we will explore its proper use for symptomatic bradycardia, including it's important contraindications. We'll also cover some of atropine's other fascinating roles beyond the heart. You'll walk away w…
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Thanks Dr Catherine for sharing your insights! Here are some useful links: https://sash.asn.au/training/ https://www.amazon.com.au/Handbook-Communication-Anaesthesia-Critical-Care/dp/0199577285 https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10.1111/j.1365-2044.2009.05887.x --------- Find us at Instagram: https://ww…
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RSI is one of the most common procedures in critically ill patients. Despite its frequency, there remains significant practice variation on numerous aspects of RSI in the critically ill. In this podcast, we review pertinent recommendations from the recently published SCCM Guidelines on RSI in the critically ill patient.…
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Part one of our cardiac medication mini-series spotlights Milrinone. We'll unpack milrinone's mechanism of action, indications, and potential pitfalls. This high-value overview distills need-to-know details about milrinone for seasoned critical care nurses and students alike. Check out Nicole Kupchik's exam reviews and practice questions at nicolek…
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When I found myself struggling to communicate a patient's HIV status during a rapid response, it was a wake-up call that I needed to expand my knowledge. This podcast episodes delves deeper into HIV/AIDS than nursing school did, covering common hospital presentations, labs, medications, and opportunistic infections. By enhancing my own understandin…
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We often draw blood gasses looking for an ACIDosis, but what about when you discover an ALKAlosis? In this episode, I share a story of a patient with a history of CHF, admitted for diuresis. She was initially improving but becames lethargic and difficult to arouse. We were surprised when her VBG showed alkalosis instead acidosis. Guest Sarah Lorenz…
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Thanks Dr Rahul for the insights into ophthalmic anaesthesia! check out this link https://www.bjaed.org/article/S2058-5349(23)00008-2/fulltext and check out this episode on our podcast ABCs of Anaesthesia on all podcast players --------- Find us at Instagram: https://www.instagram.com/abcsofanaesthesia/ Twitter: https://twitter.com/abcsofa Website:…
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In nursing, we're taught certain conventions in school. But what happens when those practices don't match up with real-life situations? Join me as we delve into the controversial topics of administering medication one-by-one through feeding tubes, the presence of air bubbles in IV lines, and the appropriate size of IV catheters for blood transfusio…
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Care of the patient with ROSC following OHCA can be complex and typically includes a protocolized approach to optimizing oxygenation, ventilation, hemodynamics, early cardiac catheterization for patients with STEMI, seizure detection, and possibly TTM. In this podcast, we review two recent articles that focused on the use of mild hypercapnia compar…
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