019 Nursing Intubation Checklist

Nursing Intubation Checklist – Yes, Really. Over the years I’ve developed a personal Nursing Intubation Checklist that I have for myself when preparing for RSI, DSI, or an awake intubation. This has saved my ass while working on very sick patients. Some of my checklist items cross over with the provider’s checklist. I’m sure it… Read More 019 Nursing Intubation Checklist

014 You’re TOO Sweet! DKA Emergency w/Marc Probst, MD

“I find it very gratifying to treat because you can see the effects of your treatment right in front of your eyes. And your patients can go from very sick to well within a matter of hours.” – Marc Probst, MD Who is Marc Probst, MD? Marc Probst, MD, MS is an Academic Emergency Physician… Read More 014 You’re TOO Sweet! DKA Emergency w/Marc Probst, MD

007 Push Dose Pressors – The Full Safety Dance

  I’m not a powerful Jedi Master with Force Visions and frankly, unable to see into the future. Hello Star Wars fans!   This is a follow-up bonus episode in response to Episode 5 Push Dose Pressors, listeners’ questions, and also in light of recent journal articles that recently got published. Timing was completely coincidental… Read More 007 Push Dose Pressors – The Full Safety Dance

006 Push Dose Pressor – Safety Dance

Hi Everyone! Thank you all for listening and sending me comments about the Push Dose Pressor episode that was released a few days ago. A safety issue has come up about mixing epinephrine for push dose concentrations and it warrants a follow-up comment.  Everyone thank Craig Button, RN! It is advised to NOT used pre-filled… Read More 006 Push Dose Pressor – Safety Dance

005 Push Dose Pressors

Why Use Push Dose Pressors? To buy yourself some time with your super hypotensive patients!! Ensure your patient’s perfusion status while you are trying to: intubate managing transient hypotension preparing a drip preparing a central line Know which medication to use based on clinical presentation of patient. Dr. Scott Weingart’s Easy Push Dose Printout (It… Read More 005 Push Dose Pressors

004 Own Your Practice!

“Use your critical thinking skills!” Do any of you remember hearing that being drilled in nursing school? How many of us are actually make critical decisions for your patients or are you deferring all decisions to the providers?  Really think about this. Decisions in triage – nurses do everything in this domain.  Most ED’s don’t even… Read More 004 Own Your Practice!

003 Hello Modified Valsalva Maneuver. Good-Bye Ice. Adenosine, Take a Backseat.

Chief Complaint Pt comes in with a heart rate of 170-200. Complains of palpitations/sob/chest pain/dizziness/or nothing.  Is this SVT or A-Fib? Hint! Today we are talking about SVT. Bedside Checklist Take off clothing waist up. Put on a hospital gown. Immediately place pulse ox, leads, and bp cuff – in that order. If oxygenation is… Read More 003 Hello Modified Valsalva Maneuver. Good-Bye Ice. Adenosine, Take a Backseat.