show episodes
 
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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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 eme ...
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The USMLE Guys podcast is a tool to help you succeed on your USMLE exams, to help you navigate your way through medical school, & to help you get into your dream Residency program. Learn how we can help you beyond the Podcast by visiting our website USMLEGUYS.com
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The Better Pill Podcast

Adrian Teves & Michael Sibulo

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Young Filipino doctors Adrian Teves and Michael Sibulo discuss anything related to premed, med proper, clerkship, internship, PLE, USMLE and beyond. Welcome to the Better Pill–your weekly prescription of tips and insights to become better students, better interns, and better doctors. You can reach us at: Email: thebetterpillpodcast@gmail.com Facebook: facebook.com/thebetterpillpodcast Youtube: The Better Pill Podcast
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The DocWhisperers

TheDocwhisperers

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Welcome to The DocWhisperers, the podcast for medical students. We are four young doctors aiming to cover various aspects of the medical field such as case discussions, the world of research, and even how to survive med school. Join us on this journey of enlightenment regarding the medical world, we promise it will be worth it.
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I am a physician (M.D.) practicing a mix of hospitalist medicine, urgent care and procedure based clinic. I learned a lot in my journey to becoming a physician and about more than just medicine. Follow along as I reflect and teach what I wish I knew, which for the most part, is the stuff you don’t learn in school.
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MCAT Mastery

MCAT Mastery Mentors

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From plateauing MCAT scores, and having to retake, to breaking down days before exam day, all 30+ MCAT Mastery Mentors suffered the frustrations and disappointments that come with MCAT prep. Yet we ALL ended up getting top MCAT scores (avg. 519) and are now on our way to (or already in) med-school! Now we want to help you do the same! If you're struggling with the MCAT, need some extra motivation, want to know how top scorers before you studied and learn their best strategies, this show is f ...
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show series
 
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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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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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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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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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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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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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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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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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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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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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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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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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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Welcome back! This is a 15-minute, 5-round, high-yield Cellular Pathology drill session for the USMLE Step 1 exam. Today's drill session will cover a variety of foundational cellular pathology topics that you need to know for your USMLE Step 1 exam. Want more? Visit us on Substack where we're posting more drills, written training & tutorials, and a…
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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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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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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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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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Welcome back! This is a 15-minute, 5-round, high-yield Endocrine Physiology drill session for the USMLE Step 1 exam. Today's drill session will cover a variety of endocrine-related topics that are likely to be tested on your USMLE Step 1 exam. Like this episode? Copy the show's link and share it with 1-2 of your friends if you think they could bene…
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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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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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Welcome back! This is a 15-minute, 6-round, high-yield Microbiology drill session for the USMLE Step 1 exam. Today's drill session will cover a variety of microbiology topics that are likely to be tested on your USMLE Step 1 exam. Liked this episode? Copy the show's link and share it with 1-2 of your friends if you think they could benefit from it …
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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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Welcome back! This is a 15-minute, 6-round, high-yield biochemistry drill session for the USMLE Step 1 exam. Today's drill session will cover topics such as metabolic pathways, heme synthesis, important rate-limiting enzymes & co-factors, and glycogen & lysosomal storage diseases. Liked this episode? Share it with 1-2 of your friends if you think t…
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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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Have you ever started a new and promising job, only to discover that it wasn’t the nurturing and supportive space you thought it was? In this episode, host Sarah Lorenzini, armed with nearly two decades of nursing experience in various departments and leadership roles, provides a guideline to spotting the red and green flags that can signal a healt…
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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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You may already be familiar with the trauma triad… but in this episode, host Sarah Lorenzini is once again joined by her friend and critical care nurse and educator, Sarah Vance to break down a 4th component to trauma resuscitation. Last week, they discussed the treatment of a trauma patient with neuro and respiratory injuries, but today they’re ge…
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If you hear “trauma” and immediately think of blood and guts, this episode with host Sarah Lorenzini’s friend, critical care nurse and educator Sarah Vance, will show you that there’s so much more to trauma cases. Because even localized injuries can affect the whole body, and issues can pile up and require conflicting treatments. That’s why trauma …
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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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Every nurse knows the havoc chemotherapy wreaks on the body, but most nurses aren’t as knowledgeable on how to treat chemo reactions as, say, chemo or oncology nurses. Even host Sarah Lorenzini is slightly intimidated by unpredictable reactions from chemotherapy! That’s why this episode is centered around those super scary chemotherapy reactions an…
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In this episode of Rapid Response RN, host Sarah Lorenzini is joined by Casey BSN, RN, CCRN-CMC, CFRN, CTRN, CEN, TCRN, CPEN, CNRN, NRP. And yes, you read her title right — Casey has a whopping eight certifications and is one of the few nurses with ALL five BCEN certifications. And she’s using her knowledge and skills to advocate for her patients a…
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