{"podcast":{"title":"Rapid Response RN","slug":"rapid-response-rn-1369016","podcast_index_feed_id":1369016,"rss_url":"https://feeds.captivate.fm/rapid-response-rn/","website_url":"https://healthpodcastnetwork.com/show/rapid-response-rn/","image_url":"https://artwork.captivate.fm/0d4d1d36-cd14-43dc-a814-446dee71ba71/rrrn-logo-with-name.jpg","author":"Sarah Lorenzini","episode_count":168,"summary":"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.","last_synced_at":"2026-06-19T22:19:22.292365+00:00","page_url":"https://stenobird.com/podcast/rapid-response-rn-1369016"},"episode":{"title":"153: Remix: Managing Crashing Pulmonary Embolism Patients","slug":"153-remix-managing-crashing-pulmonary-embolism-patients","published_at":"2026-01-02T11:00:00+00:00","page_url":"https://stenobird.com/podcast/rapid-response-rn-1369016/153-remix-managing-crashing-pulmonary-embolism-patients","show_page_url":"https://stenobird.com/podcast/rapid-response-rn-1369016","url":"https://healthpodcastnetwork.com/show/rapid-response-rn/","audio_url":"https://pscrb.fm/rss/p/episodes.captivate.fm/episode/723d7f7c-0c99-4ec6-a4df-7cc53aeeee9a.mp3","summary":"Pulmonary embolisms don’t always announce themselves... sometimes they ambush. One minute your patient is walking with physical therapy, the next they’re hypotensive, hypoxic, and coding. This re-released early episode dives deep into why PE patients can look deceptively stable… right up until they aren’t. In this episode, I revisit one of my earliest case-based teachings on pulmonary embolism, updated with an added segment on vasopressin use in obstructive shock from PE. Through real bedside stories from my time as a rapid response and ER nurse, we break down the physiology behind PE-related collapse, why intubation isn’t always the answer, and how to think through management when the right ventricle is failing in front of you. This is a sobering but essential refresher on one of the most dangerous diagnoses we encounter. Topics discussed in this episode: Why pulmonary embolism is a common cause of in-hospital cardiac arrest (even if it’s not common overall) Classic and subtle PE presentations and why they’re often missed A real-time rapid response case: stable to crashing in minutes Risk factors for PE and the anticoagulation double-edged sword Obstructive shock explained: what’s actually killing the patient Right ventricular failure, septal bowing, and the spiral of death Why intubation can worsen outcomes in massive PE Vasopressors in PE: norepinephrine, epinephrine, and vasopressin The unique benefits of vasopressin in obstructive shock Thrombolysis vs. thrombectomy: when TPA helps — and when it’s deadly Bedside echo findings that point to massive PE Why PE patients can crash during transport (and what to always bring) Nursing vigilance, rapid escalation, and activating help early When perfect care still isn’t enough and the heart of nursing in end-of-life moments…","meta_description":"Pulmonary embolisms don’t always announce themselves... sometimes they ambush. One minute your patient is walking with physical therapy, the next they’re…","key_points":[],"chapters":[],"topics":[],"duration_seconds":1614,"processing_state":"processed","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/rapid-response-rn-1369016/episodes/153-remix-managing-crashing-pulmonary-embolism-patients/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/rapid-response-rn-1369016/153-remix-managing-crashing-pulmonary-embolism-patients.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}