This episode of HNTKYP Kevin and Dr. Lisa Wolf take a deep dive into the high-stakes world of shock management. Why does it matter you ask? If you miss the early signs of septic shock, and 30% of those patients won’t make it home. This episode provides a comprehensive overview of the different types of shock – hypovolemic, distributive, cardiogenic…

This episode of HNTKYP delves into the crucial distinction between merely knowing nursing protocols and truly understanding them. Kevin and Dr. Wolf discuss the importance of nurses not merely performing tasks or following protocols blindly but grasping the underlying pathophysiology and the reasoning behind the actions they take and the medication…

This episode of HNTKYP takes a no-holds-barred look at burnout among emergency nurses, and it's not for the faint of heart. We're getting real about the brutal reality of the emergency department, where the relentless pressure cooks even the toughest among us. We talk about how burnout not only affects the nurse, but the team and most importantly t…

Understanding how to prioritize patient care is essential, particularly for new ER nurses. This HNTKYP episode offers a systematic approach to assessing and managing a typical patient assignment ranging from four to six individuals. We delve into the critical nature of effective report-giving and receiving, the significance of delegation and teamwo…

In this episode, Kevin makes it back from the brink of death from the deadly "man flu." Just kidding, but he really was sick, and it inspired this week's topic on the respiratory season. We cover some of the most prevalent viral respiratory diseases and how to prevent them. We discuss red flags that may signify that your patient is in trouble. Our …

In this episode, Kevin and Dr. Wolf explore the scary task of triaging a pediatric patient. We will discuss the differences in completing a pediatric triage. We will talk about common emergencies by age and the fine art of a pediatric assessment. Follow us on: Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/ YouTube: htt…

In this "intoxicating" episode of HNTKYP, Kevin McFarlane and Dr. Lisa Wolf explore the challenges of triaging intoxicated patients in the emergency department. They emphasize that managing intoxicated patients is far more complex than often perceived. The discussion includes intoxication as either a primary issue or a secondary complication, the p…

In this episode, Kevin and Dr. Wolf explore the effects of heat on both the body and mind. They discuss common heat emergencies, identify populations at heightened risk for heat-related issues, and discuss how certain medications can impact the body's capacity to cope with elevated temperatures. Follow us on: Facebook: https://www.facebook.com/Art-…

In this episode, join Kevin and Dr. Lisa Wolf as they delve into the updates of the Emergency Severity Index (ESI) triage algorithm fifth edition. As the first contributor to this latest iteration, Dr. Wolf brings invaluable expertise, and provides profound insights into the changes incorporated in version 5. We will discuss practical guidance on h…

Good documentation allows for a retrospective understanding of a patient's condition when they arrived and how it has progressed. Vital signs are particularly critical as they reveal trends and can help detect potential issues. But here's the real challenge, finding that sweet spot between meeting the demands of documentation and actually deliverin…

In this episode, Lisa and Kevin have a special guest, Annie Fulton, from Up My Nursing Game. Join us as we dive into the topic of delirium, a commonly overlooked and misdiagnosed condition in emergency departments with serious implications for patients. In this episode, we'll explore delirium identification, effective treatment options, and discuss…

In this episode, Kevin and Dr. Wolf delve into the crucial topic of assessing and addressing changes in mental status. Mental status changes can be alarming and could be a result of various underlying medical conditions, which require prompt evaluation and management. During the episode, we will provide a comprehensive review of the most common cau…

This episode is a little different, In this episode, Kevin and Dr. Wolf have a conversation about a viral video showing a healthcare worker striking a patient who spits on him. This video had a lot of mixed reactions from healthcare workers online. Give it a listen and see how we think this is just a symptom of bigger problems. Links to a couple of…

How Not to Kill your Patient. Just how vital are vital signs? In this episode, Lisa and Kevin talk about how vital signed effect your triage designation.

Kevin and Dr. Wolf discuss communication with providers and communicating a great hand-off. This information just might save your patient's life. Enjoy. If you are interested in the report sheet click hereBy Kevin McFarlane & Dr. Lisa Wolf

In this episode, Kevin and Dr. Wolf provide a little feedback to a question that was posted online by a new grad nurse. If you have clinical questions you would like to have discussed send a message to Kevin on social media or by email kevin@artofemergencynursing.com.By Kevin McFarlane & Dr. Lisa Wolf

We think of the obstetric patient as a special population, one that we want to get the heck out of our EDs ASAP. However, lots of Obstetric units have closed, and in the current climate after Dobbs, patients will have a hard time getting good care, whether they want to be pregnant or not. Guess where all those patients are going to go? Exactly. You…

In this episode, Kevin and Dr. Wolf talk about assessing and addressing pain in the emergency department. This is the episode that will help new and even experienced emergency nurses to see the pain assessment in a whole new light.By Kevin McFarlane and Dr. Lisa Wolf

Geriatric patients make up a large portion of the people who come to the ER. In this episode Kevin and Dr. Wolf talk about what to look for in geriatric patients and how not to kill grandma when she shows up in triage.By Kevin McFarlane & Dr. Lisa Wolf

In this episode, Kevin and Dr. Wolf talk about triaging respiratory patients. This is the episode everyone needs to hear during the pandemic.By Kevin McFarlane & Dr. Lisa Wolf

Kevin McFarlane and Dr. Lisa Wolf take a look at the many causes of headaches. From the minor to the critical. Missing some of these in triage could definitely kill your patient. Enjoy.By Kevin McFarlane & Dr. Lisa Wolf

Kevin McFarlane and Dr. Lisa Wolf explore the varied presentation of behavioral health patients. Presentations may be complicated by factors like health, medications, and alcohol. Here is a link to a great article about anxiety https://www.jenonline.org/article/S0099-1767(10)00002-4/pdfBy Kevin McFarlane & Dr. Lisa wolf

Dr. Wolf and Kevin review the ins and outs of chest pain.By Kevin McFarlane & Dr. Lisa Wolf

HNTKYP is a series that address symptomatic presentation and how to move to a working diagnosis and plan for patient care. Kevin McFarlane and Lisa Wolf cover red flags, cognitive pitfalls, and ways to make sure your patients survive their encounter with the health system. In this episode, they review all the possibilities of trauma.…

By Kevin McFarlane RN & Dr. Lisa Wolf

By Kevin McFarlane

By Kevin McFarlane RN