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Showing episodes and shows of
Max Hastings CEN, CCRN
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Trauma Bay Podcast
High Dose Nitro for SCAPE and Sedation Discussion with Robert Mokszyscki PharmD, BCPS
In this episode we welcome our first guest Rob Mokszyscki PharmD, BCPS to the podcast. We discuss high dose Nitroglycerin for SCAPE, and also have a brief discussion on sedation agents.Agrawal, N., Kumar, A., Aggarwal, P., & Jamshed, N. (2016). Sympathetic crashing acute pulmonary edema. Indian Journal of Critical Care Medicine, 20(12), 719–723. https://doi.org/10.4103/0972-5229.195710Ashok, H., Shtembari, J., Achhami, E., Gaire, S., Shrestha, D. B., & Joshi, T. (2022). Valvular heart disease presenting as Sympathetic Crashing Acute Pulmonary Edema (SCAPE) phenomenon: A diagnostic and management paradigm. Cureus, 14(12), e32352. https://doi.org/10.7759/cureus.32352Kelly, R. P., Gi...
2025-09-28
41 min
Trauma Bay Podcast
The Trauma Code - Traumatic Cardiac Arrest
In this episode we discuss the physiology and management behind the traumatic cardiac arrest.
2025-09-28
30 min
Trauma Bay Podcast
A Bloody Mess, The Upper GI Bleed
In this episode we review a tragic case of an upper GI bleed and the resuscitation efforts that ensue.Antunes, C., Tian, C., & Copelin II, E. L. (2018). Upper gastrointestinal bleeding. StatPearls [Internet]. StatPearls Publishing. https://pubmed.ncbi.nlm.nih.gov/29262121/Desai, R., Patel, U., Doshi, S., Rupareliya, C., Bhuva, R., & Shah, N. (2017, October). Burden of arrhythmias in gastrointestinal hemorrhage patients: A nationwide inpatient analysis (Abstract 2714). The American Journal of Gastroenterology, 112(Suppl), S1475.Jennings, L. K., & Watson, S. (2018, May 16). Massive transfusion. StatPearls. StatPearls Publishing. PMID: 29763104. https://www.ncbi.nlm.nih.gov/books/NBK499929/
2025-08-09
22 min
Trauma Bay Podcast
ECMO in the ED? An Overview of ECPR
In this episode we discuss the basics of ECPR and VA-ECMO. Included is a case review and discussion. Later in the episode we outline some landmark ECPR studies, and review inclusion and exclusion criteria. Bartos, J. A., Grunau, B., Carlson, C., Duval, S., Ripeckyj, A., Kalra, R., Raveendran, G., John, R., Conterato, M., Frascone, R. J., Trembley, A., Aufderheide, T. P., & Yannopoulos, D. (2020). Improved survival with extracorporeal cardiopulmonary resuscitation despite progressive metabolic derangement associated with prolonged resuscitation. Circulation, 141(11), 877–886. https://doi.org/10.1161/CIRCULATIONAHA.119.042173Richardson, A. C., Tonna, J. E., Nanjayya, V., Abrams, D., Brodie, D...
2025-05-17
34 min
Trauma Bay Podcast
Intro to Cardiac Arrest and The Epinephrine Debate
In this episode we start our dive into ACLS and managing a patient in Cardiac Arrest. We also discuss the debate surrounding giving epinephrine in cardiac arrest.Williams, C. A., Fairley, H. E., Tran, Q. K., & Pourmand, A. (2024). Use of epinephrine in cardiac arrest: Advances and future challenges. Medicina, 60(11), 1904. https://doi.org/10.3390/medicina60111904
2025-04-29
42 min
90 Days with Nurse Dan
Take Care of Your Body | 61-90 Day Challenge | 12 of 12
Today we are on Exercise 36 of 36 on our 90 Day journey and 12 of 12 in our final 30 Day Challenge. That means that after this episode, we have completed our goal of exercising 12 times this month and 36 times in 90 days. But if you missed an exercise this month, like I have, we still have our final Day 90 exercise that I will release sometime tonight in anticipation that most people will listen to it Thursday morning, April 24, which will be exactly 90 days from our introduction on Saturday, January 25. But this isn’t about a one and done goal. This is about creating a sy...
2025-04-23
34 min
90 Days with Nurse Dan
Grief, Stress and Anxiety, Oh My! | 30 Day Challenge | 4 of 12
Welcome to the 90 Days with Nurse Dan Podcast. Today is week 2, Episode 4 of our 90 Days with Nurse Dan journey.Timothy Keller, Gospel In Life: A Better Resurrection (Easter):https://podcasts.apple.com/us/podcast/timothy-keller-sermons-podcast-by-gospel-in-life/id352660924?i=1000684369111Huberman Lab Essentials: Tools for Managing Stress & Anxiety:https://podcasts.apple.com/us/podcast/huberman-lab/id1545953110?i=10006842086235 minutes of prayer which will include…The Lord’s Prayer (today is Debtor Monday)https://www.lords-prayer-words.com/images/res/Lords_prayer_print_800.jpgThe Serenity Prayerhttps://www.cele...
2025-04-17
47 min
90 Days with Nurse Dan
Addiction, Grief and Religious Transformation | 30 Day Challenge | 3 of 12
Welcome to the 90 Days with Nurse Dan Podcast. Today is week 1, Episode 3 of our 90 Days with Nurse Dan journey. Huberman Lab, Dec 30, 2024: Dr. Jordan Peterson: How to Best Guide Life Decisions & Path:https://podcasts.apple.com/us/podcast/huberman-lab/id1545953110?i=1000682112550Linda Pulver, Director of Hope is oxygenhttps://hopeisoxygen.orgFinding Meaning: The Sixth Stage of Griefhttps://www.davidkesslertraining.comThe Lord’s Prayerhttps://www.lords-prayer-words.com/images/res/Lords_prayer_print_800.jpgThe Serenity Prayerhttps://www.celebraterecovery.ca/pr...
2025-04-17
51 min
90 Days with Nurse Dan
Intermittent fasting follow up | 30 Day Challenge | 2 of 12
Welcome to 90 Days with Nurse Dan. The Lord’s Prayerhttps://www.lords-prayer-words.com/images/res/Lords_prayer_print_800.jpgThe Serenity Prayerhttps://www.celebraterecovery.ca/prayer-of-serenity/The Apostles Creedhttps://learn.ligonier.org/articles/the-apostles-creed2 min of meditative breathingRelaxation skillshttps://hopeisoxygen.orghands behind your head or clasp hands behind your back (forces belly breathing and relieves panic)“Willing hands” (extend hands out in receiving position . Pulls you out of anger)Grief is not a mental health problem it’s a natura...
2025-04-17
47 min
Trauma Bay Podcast
Optimizing the Intubation
In this episode we take a look into some general intubation practices and principles. Also examine best practices to take during RSI and discuss some tips and tricks to optimize your practice. Reference:Baker, J., Khan, N., Singh, M., & Kuza, C. M. (2022). The efficacy of apneic oxygenation to prevent hypoxemia during rapid sequence intubation in trauma patients. Current Opinion in Anaesthesiology, 35(2), 182–188. https://doi.org/10.1097/aco.0000000000001103Fuller, B. M., Ferguson, I. T., Mohr, N. M., Drewry, A. M., Palmer, C., Wessman, B. T., Ablordeppey, E., Keeperman, J., Stephens, R. J., Br...
2025-04-02
32 min
Trauma Bay Podcast
Managing the Penetrating Trauma
In this episode we take a look into a handful of penetrating trauma cases to understand the nuances and share some tips along the way. Cothren CC, Moore EE. Emergency department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. World J Emerg Surg. 2006 Mar 24;1:4. (License: CC BY-2.0)
2025-03-17
27 min
Trauma Bay Podcast
Cardiogenic Trauma?
In this episode we review a trauma case that took an unexpected turn. Viewer discretion is advised. Reference:Dalal, R. (2024, November 23). Epinephrine. StatPearls . https://www.ncbi.nlm.nih.gov/books/NBK482160/#:~:text=Through%20its%20action%20on%20α1,renin%20release%20via%20β1%20receptors. Farkas, J. (2025, January 4). Bradycardia. EMCrit Project. https://emcrit.org/ibcc/bradycardia/#3rd_degree_block Knabben, V. (2023, July 31). Third-degree atrioventricular block. StatPearl. https://www.ncbi.nlm.nih.gov/books/NBK545199/ Robichaud L;Ross D;Proulx MH;Légaré S;Vacon C;Xue X;Segal E; (n.d.). Prehospital nitroglycerin safety in inferior...
2025-03-02
23 min
Trauma Bay Podcast
Deep Dive on Trauma Criteria
In this episode, we review a handful of trauma activation criteria, and speak on their merits and potential downfalls. Viewer discretion advised. Citations: Adult trauma team activation criteria. Trauma Protocols. (2023, July 10). https://wp.uthscsa.edu/surglearning/docs/adult-trauma-team-activation-criteria/#1689019243695-de1fef58-5ce4School, M. M. (2024, September 17). Trauma team activation policy. Surgery. https://med.uth.edu/surgery/trauma-team-activation-policy/Trauma activation protocol. (n.d.-a). https://www.waterburyhospital.org/contentassets/97aa09c644df40b0b65000308863a0de/wh-trauma-response-protocol-7.1.19.pdfTrauma alert/activation criteria. (n.d...
2025-02-22
37 min
Trauma Bay Podcast
Dissecting Aortic Dissections
In this episode we review a case of an ascending aortic dissection and talk about the pathology and typical plan of care prior to OR. Reference:Harris KM, Nienaber CA, Peterson MD, et al. Early Mortality in Type A Acute Aortic Dissection: Insights From the International Registry of Acute Aortic Dissection. JAMA Cardiol. 2022;7(10):1009–1015. doi:10.1001/jamacardio.2022.2718Nappi, F., Gambardella, I., Singh, S. S., Salsano, A., Santini, F., Spadaccio, C., Biancari, F., Dominguez, J., & Fiore, A. (2023). Survival following acute type A aortic dissection: A multicenter study. Journal of Thoracic Disease, 15(12), 6604–6622. https://doi.org/10.21037/jtd...
2025-02-12
29 min
Trauma Bay Podcast
Introductions and choosing your first ER nursing job.
Listener discretion advised. Medical topics and graphic descriptions may be present.
2025-02-07
29 min