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Atomic Anesthesia

Atomic Anesthesia

117 episodes — Page 2 of 3

Ep 67YOU JUST GOT INTO CRNA SCHOOL...NOW WHAT? │ EP67

In this episode of the Atomic Anesthesia Podcast, we’re talking to future nurse anesthetists who’ve just crushed the biggest milestone yet — getting accepted into CRNA school. Between acceptance and day one, there’s often a long waiting period, and this episode is your roadmap for using that time strategically. From tackling financial readiness and creating a solid academic foundation to preparing your family, refining your clinical skills in the ICU, and strengthening your mindset, we cover every step of the “Pre‑CRNA School Survival Checklist.” You’ll learn how to simplify your finances, refresh your physiology and pharmacology knowledge, set up realistic support systems, and mentally prepare for the demands ahead. Whether you start in a few months or next year, this episode gives you a clear, actionable plan to transition smoothly from RN to SRNA with confidence and focus.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Dec 8, 202524 min

Ep 66WHAT NOT TO DO WHEN WORKING WITH CRNA PRECEPTORS │ EP66

This episode of the Atomic Anesthesia Podcast features guest Cori James, DNP, CRNA, for a candid and practical discussion on what not to do when working with CRNA preceptors. Designed for nurse anesthesia residents, this conversation highlights the most common pitfalls students unknowingly fall into during clinical rotations—from over-socializing and being unprepared to showing poor teachability, lacking situational awareness, or demonstrating unsafe habits in the OR. Cori shares firsthand insights on maintaining professionalism, demonstrating initiative, and developing adaptability across different teaching styles. The episode also explores critical aspects of communication, infection control, and teamwork that can make or break a student’s clinical experience. Whether you’re just beginning your first rotation or refining your professional presence, this episode equips you with the self-awareness and mindset needed to build strong preceptor relationships and thrive in the clinical setting.If you want to contact Cori, follow her on TikTok @corijamess or IG at @coricrna. You can also email her at [email protected]💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Dec 4, 202544 min

Ep 65PROPOFOL SECRETS YOUR PRECEPTORS EXPECT YOU TO KNOW │ EP65

In this episode of the Atomic Anesthesia Podcast, host Dr. Rhea Temmermand provides a detailed pharmacology review of propofol, the main IV sedative hypnotic used for induction, maintenance, and procedural sedation in anesthesia practice. The episode covers propofol’s drug class and chemistry, its lipid emulsion formulation and infection risk, and key physicochemical properties including high lipophilicity and protein binding. Listeners learn the mechanism of action at the GABA A receptor, translating into CNS effects, cardiovascular and respiratory depression, and no analgesia. The discussion walks through pharmacokinetics and context‑sensitive half‑time in a clinically practical way, tying concepts to infusion planning and dosing strategies for various cases. Major adverse effects, toxicity including propofol infusion syndrome, allergy and infection‑control practices, and drug synergies are highlighted, with high‑yield clinical pearls on patient selection, hemodynamics, and airway rescue.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Dec 1, 202544 min

Ep 64ETOMIDATE + ADRENAL SUPPRESSION: IS IT CLINICALLY RELEVANT? │ EP64

This episode of the Atomic Anesthesia Podcast unpacks the real clinical risk of adrenal suppression after a single dose of etomidate, challenging common debates every anesthesia resident faces. Drawing on the latest studies, listeners will discover exactly which patient groups—cardiac, septic, trauma, pediatric, and elective—are actually vulnerable to etomidate’s effects, and when transient adrenal suppression matters for outcomes. The discussion highlights the drug’s unique origins, why its hemodynamic stability often outweighs risks in routine cases, and why infusions are off the table. Tune in for practical guidance on using etomidate safely, tips for steroid coverage in critically ill patients, and a sneak peek at promising new etomidate analogs. Whether you’re prepping for exams or your next high-stakes induction, this episode helps you make smarter, evidence-based choices in the OR..💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Nov 12, 202515 min

Ep 63HOW TO CRUSH YOUR PEDIATRIC ANESTHESIA ROTATION │ EP63

In this episode of the Atomic Anesthesia Podcast, pediatric CRNA and educator Dr. Becky Motykiewicz presents a comprehensive guide for nurse anesthesia residents preparing for their pediatric anesthesia rotation. From preoperative communication strategies with parents and pediatric patients to practical tips for inhalational induction, airway management, and safe emergence, Dr. Motykiewicz shares her real-world advice. The discussion covers essential topics such as age-appropriate communication, preoperative assessment, differences in pediatric and adult induction, critical emergency drugs and dosages, IV equipment considerations, and safe practices for emergence and extubation. Lists of must-know calculations, including formulas for endotracheal tube size, IV fluids, and emergency drugs, are highlighted along with recommendations for trusted resources. Emphasizing preparation, humility, and patient-centered care, this episode equips listeners with actionable steps and practical wisdom to approach pediatric anesthesia rotations with confidence and curiosity.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Nov 8, 202516 min

Ep 62THE EDUCATOR'S TRACK: HOW CRNAs STEP INTO TEACHING W/ DR. HALLIE EVANS │ EP62

In this episode of the Atomic Anesthesia Podcast, we talk with Dr. Hallie D. Evans, DNP, CRNA, APRN, CNE, a nationally recognized nurse anesthesia educator and clinician, about what it takes for CRNAs to step into the world of teaching. Dr. Evans discusses how her journey from clinical anesthesia to academic leadership began, the personal qualities that make an effective educator, and how to determine if you have the right temperament for academia. Listeners will learn the practical steps to becoming a nurse anesthesia educator, essential skills to develop when transitioning from the OR to the classroom, and what to expect in terms of salary, schedule, and sacrifices. With over 15 years of anesthesia experience and more than a decade in education, Dr. Evans shares her insights on balancing clinical practice with teaching, building innovative programs, and fostering future generations of CRNAs through mentorship and evidence-based pedagogy.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Nov 3, 202545 min

Ep 61BLOW, BOOZE & BENNIES: ACUTE INTOXICATION & ANESTHESIA | EP61

In this episode of the Atomic Anesthesia Podcast, we tackle the complex reality of caring for patients under the influence of drugs or alcohol, a frequent challenge for nurse anesthesia residents and CRNAs. Covering the physiological effects and anesthetic implications of acute and chronic intoxication with alcohol, benzodiazepines, hallucinogens (such as LSD, PCP, and MDMA), cocaine, and cannabinoids, this episode offers fast, practical guidance for optimizing perioperative care and minimizing patient risk. Listeners will learn how substance use alters anesthetic requirements, impacts drug metabolism, and poses unique airway and hemodynamic risks, while also receiving actionable tips for drug class-specific management like when to use or avoid certain agents, the importance of invasive monitoring, and strategies for handling withdrawal or overdose. Tune in for a high-yield rundown that will help you make safer decisions when handling intoxicated patients in the OR.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Oct 30, 202519 min

Ep 60FROM NURSE PRACTITIONER TO CRNA W/ DR. DAVID WARREN │ EP60

In this episode of the Atomic Anesthesia Podcast, we connected with Dr. David Warren, DNP, CRNA, NP to discuss the unique journey of transitioning from nurse practitioner to nurse anesthesiologist. Dr. Warren shares insights from his clinical practice, case mix, and favorite patient populations while reflecting on how his background as an NP shaped his approach to anesthesia. Listeners will learn how previous advanced practice experience can both prepare and challenge those entering CRNA training, the advantages it can bring to clinical practice, and the mindset needed to succeed in this career shift. Dr. Warren also talks about his own podcast and social media presence, explaining how he uses these platforms to educate and inspire other clinicians. The conversation concludes with valuable advice for NPs considering the leap to anesthesia, making this episode a motivating and practical listen for aspiring CRNAs.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Oct 27, 202540 min

Ep 59PERIPHERAL VASCULAR DISEASE & VASCULAR ANESTHESIA (PART 2) │ EP59

In this episode of the Atomic Anesthesia Podcast, host Dr. Rhea Temmermand is joined by vascular anesthesia expert Rick Heuermann, DNP, MBA, CRNA, to unravel the complex pathophysiology of peripheral vascular disease (PVD) and its impact on anesthetic management. Together, they break down healthy versus diseased arterial function, highlight why patients with PVD present unique challenges in the OR, and provide practical, evidence-based strategies for optimizing hemodynamics and minimizing perioperative risks in vascular surgery. Whether a seasoned clinician or a student navigating CRNA school, listeners will gain clinical insight and case-based wisdom for safer, more effective care of patients with PVD.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Oct 23, 202529 min

Ep 58PERIPHERAL VASCULAR DISEASE & VASCULAR ANESTHESIA (PART 1) │ EP58

In this episode of the Atomic Anesthesia Podcast, host Dr. Rhea Temmermand is joined by vascular anesthesia expert Rick Heuermann, DNP, MBA, CRNA, to unravel the complex pathophysiology of peripheral vascular disease (PVD) and its impact on anesthetic management. Together, they break down healthy versus diseased arterial function, highlight why patients with PVD present unique challenges in the OR, and provide practical, evidence-based strategies for optimizing hemodynamics and minimizing perioperative risks in vascular surgery. Whether a seasoned clinician or a student navigating CRNA school, listeners will gain clinical insight and case-based wisdom for safer, more effective care of patients with PVD.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Oct 20, 202523 min

Ep 57WHY ARE MY EXTUBATIONS SO SLOW? │ EP57

In this episode of the Atomic Anesthesia Podcast, nurse anesthesia residents are guided through the pivotal moments of emergence and extubation—recognized as one of the riskiest steps in the operating room. Listeners will gain practical strategies for timing and executing a safe, efficient wake-up following general anesthesia, including the choice between restoring spontaneous breathing early for extremity and head or neck surgeries, or precisely titrating off anesthetics and using nitrous oxide during abdominal and thoracic procedures. The episode breaks down emergence criteria, ventilatory and hemodynamic parameters, medication effects, and the consequences of mixing techniques, all illustrated with clear, experience-based teaching points drawn from years of practice. CRNAs at all levels are invited to reflect, share their own perspectives, and incorporate these actionable insights to optimize patient safety, comfort, and workflow in the perioperative environment.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Oct 16, 202515 min

Ep 56PHARMACOGENETICS: WHY DRUG RESPONSES DIFFER IN A POPULATION OF PEOPLE │ EP56

This is a joint episode recorded with Dr. Chloe Gomez of the My Favorite Learner podcast. This episode explores the foundational concepts of pharmacogenetics and its impact on drug responses during anesthesia, highlighting how genetic, genomic, and epigenetic variations shape individual reactions to commonly used medications in perioperative care. Designed for nurse anesthesia residents, the show walks through the scenarios of variable drug response, the roles of metabolizing enzymes, transport molecules, and molecular targets, as well as the influence of environmental factors and polymorphisms such as single-nucleotide variants and ethnic differences in metabolism. Key topics include disease-specific considerations like G6PD deficiency, acute intermittent porphyria, long QT syndrome, Brugada syndrome, atypical pseudocholinesterase, and malignant hyperthermia, with a focus on clinical implications for personalized medicine, precision dosing, and ethical issues surrounding genetic testing, privacy, and patient equity. Practical advice covers vigilant monitoring, individualized dosing, preoperative assessment for genetic risk, and strategies for documenting and communicating findings for safer anesthesia practice.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Oct 13, 202542 min

Ep 55MULTIMODAL, PREEMPTIVE AND NEXT-GEN ANALGESIA WITH JR PHILLIPS | EP55

This episode of the Atomic Anesthesia Podcast explores the emerging role of Suzetrigine, a novel non-opioid NaV1.8 channel inhibitor, in multimodal surgical pain management. Host Rhea and guest JR Phillips, a DNAP student, discuss the science, efficacy, and safety profile of Suzetrigine, its potential for opioid-sparing strategies, and its unique advantages over traditional opioids and sodium channel blockers. Listen in for an evidence-based look at how this new FDA-approved analgesic could reshape perioperative care, improve patient outcomes, and what its current limitations and future possibilities might be for anesthesia professionals and learners.To take a quiz about this topic, check out this link: [HERE]For references for this episode, click [HERE]💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Oct 6, 202520 min

Ep 54TRAUMA ANESTHESIA SERIES (PART 10): BURN PATIENTS | EP 54

In the final installment of the Trauma and Burn Anesthesia Series, we explore the unique physiology and management of burn patients, a population that differs significantly from blunt or penetrating trauma. This episode covers the classification and severity of burns, the pathophysiology of burn shock, and essential principles like calculating burn extent using the rule of nines, applying the Parkland formula for fluid resuscitation, and monitoring for fluid creep. We also examine systemic complications affecting the cardiovascular, pulmonary, and metabolic systems, challenges of smoke inhalation injury and carbon monoxide poisoning, and the altered pharmacology that impacts anesthesia care. Finally, we discuss perioperative considerations such as blood loss, temperature control, and multimodal pain management, emphasizing why burn patients require such specialized care and preparation from anesthesia providers.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Oct 2, 202528 min

Ep 53TRAUMA ANESTHESIA SERIES (PART 9): MASS CASUALTY | EP 53

In part 9 of the Trauma Anesthesia Series, we dive into the critical topic of mass casualty events—what defines them, how hospitals respond when resources are overwhelmed, and the principles of patient triage that determine who gets treated first. Using real-world examples, we explore common triage algorithms, the color-coded tagging system, and the difficult but necessary decisions providers must make to save the greatest number of lives. The episode also addresses the emotional toll of these crises, highlighting second victim syndrome and the importance of resilience, mental health support, and teamwork for healthcare providers navigating these high-stakes situations.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Sep 29, 202516 min

Ep 52TRAUMA ANESTHESIA SERIES (PART 8): PREGNANT, PEDIATRIC & GERIATRIC POPULATIONS | EP52

Welcome to part 8 of the Trauma & Burn Anesthesia Series. In this episode, we take a broad look at special populations in trauma anesthesia—pregnant, pediatric, and geriatric patients. Each of these groups presents unique physiologic challenges, risk factors, and perioperative considerations that require anesthesia providers to adapt their trauma management strategies. From managing airway swelling and aspiration risk in pregnant patients, to balancing fluid resuscitation and minimizing radiation exposure in children, to mitigating postoperative delirium and cognitive dysfunction in older adults, this episode offers a high-level overview of principles you can apply in clinical practice. Because each of these populations deserves a deeper dive, we’ve included links in the show notes to key articles and guidelines so you can explore further on your own. In future episodes, we’ll dedicate entire discussions to each special population for a more detailed breakdown. Join us as we highlight essential principles and considerations for trauma anesthesia providers caring for these vulnerable groups.ADDITIONAL RESOURCES:Pregnant Patients:Guidelines for the Management of Pregnant Trauma Patients (Jain, 2015)Trauma in the Obstetric Patient: A Bedside Tool (ACEP)Pediatrics:Initial assessment and management of pediatric trauma patients (McFadyen, 2012)Geriatrics:Perioperative Management of the Geriatric Trauma Patient (Muldowney, 2025)Trauma in the elderly patient (Atinga, 2018)💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Sep 25, 202514 min

Ep 51TRAUMA ANESTHESIA SERIES (PART 7): SPINAL CORD INJURY | EP51

This episode of the Trauma and Burn Anesthesia Series explores the acute management of spinal cord injury, from mechanisms like motor vehicle accidents and falls to the growing impact on older adults. Key topics include early recognition, imaging strategies, spinal precautions, maintaining supranormal mean arterial pressure for cord perfusion, and the use of methylprednisolone to reduce inflammation. We break down injury types—including Brown-Séquard, anterior, posterior, and central cord syndromes—along with crucial anesthesia pearls for airway management and safe patient transfer. The episode also highlights complications like neurogenic shock and autonomic dysreflexia, detailing when succinylcholine can be used safely and practical steps for treating hypertensive crises in chronic cord injuries.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Sep 22, 202524 min

Ep 50TRAUMA ANESTHESIA SERIES (PART 6): TRAUMATIC BRAIN INJURY | EP50

In this episode of the Trauma and Burn Anesthesia Series, we examine traumatic brain injury, the leading cause of trauma-related death in the U.S., affecting over a million people annually and leaving millions with long-term disability. We discuss the importance of the Glasgow Coma Scale, the types of primary injuries such as subdural, epidural, and intraparenchymal hematomas as well as diffuse axonal injury, and how these lead to increased intracranial pressure, herniation, and neurological decline. We explore secondary brain injury from hypotension, hypoxemia, hypercapnia, and hyperthermia, emphasizing the need to maintain adequate perfusion and oxygenation while balancing damage control resuscitation. Key management strategies include hyperosmolar therapy, ICP monitoring, CSF drainage, hyperventilation, mannitol use, steroids, seizure and infection prophylaxis, and cautious fluid therapy. We also cover practical intraoperative considerations, avoiding excessive anesthetics, carefully managing CSF drains, and adjusting ventilation, while highlighting the added complexity when TBI patients also present with massive hemorrhage.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Sep 18, 202518 min

Ep 49TRAUMA ANESTHESIA SERIES (PART 5): ANESTHETIC MANAGEMENT | EP49

In this episode of the Trauma and Burn Anesthesia Series, we take a deep dive into one of the most critical moments in trauma care: the induction and maintenance of anesthesia in hemodynamically unstable patients. We break down the principles behind choosing the right agents, why dose reductions and careful titration are essential, and how rapid sequence induction sets the standard in trauma. You’ll hear about the role of etomidate and ketamine, why propofol is dangerous in unstable patients, and when vasopressors may actually be appropriate to support induction. We also cover strategies for managing volatile anesthetics, why nitrous oxide should be avoided, and how to prevent intraoperative recall in patients at extremely high risk. From heating strategies to avoid coagulopathy, to lung-protective ventilation in the face of pulmonary injury, and even emergency interventions like thoracotomy and REBOA, this episode takes you through the challenges and nuanced decision-making of trauma anesthesia. If you’ve ever wondered how to balance unconsciousness, perfusion, and safety in critically injured patients, this is the episode for you.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Sep 15, 202525 min

Ep 48TRAUMA ANESTHESIA SERIES (PART 4): AIRWAY MANAGEMENT & IV ACCESS | EP48

In part 4 of the Trauma and Burn Anesthesia series, we turn to the critical steps of securing the airway, establishing reliable vascular access, and safely transitioning the patient from the trauma bay to the operating room. This episode highlights the challenges of airway management in unstable and severely injured patients, including techniques for rapid sequence induction, surgical airways, and strategies to minimize the risks of hypoxemia and aspiration. Intravenous and arterial line placement are discussed in the context of urgent access for fluid resuscitation, vasoactive support, blood sampling, and continuous hemodynamic monitoring. The episode also examines the logistical and physiologic considerations of patient transfer, emphasizing teamwork, communication, and vigilance to maintain stability during this vulnerable phase of trauma care.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Sep 11, 202540 min

Ep 47TRAUMA ANESTHESIA SERIES (PART 3): BLOOD PRODUCTS, VASOPRESSORS & MASSIVE TRANSFUSION | EP47

In part 3 of the Trauma and Burn Anesthesia series, we focus on blood product administration and fluid resuscitation, exploring how transfusions are tailored to support oxygen delivery, coagulation, and hemodynamic stability in critically injured patients. The episode examines the indications and composition of packed red blood cells, platelets, plasma, and cryoprecipitate, as well as the role of crystalloids and colloids in resuscitation. Key complications of transfusion—including transfusion related acute lung injury (TRALI) and transfusion associated circulatory overload (TACO)—are highlighted with emphasis on recognition, prevention, and management. Listeners are also guided through the principles of massive transfusion protocols (MTPs), including balanced product ratios, calcium supplementation, and rapid delivery systems that optimize outcomes in life-threatening hemorrhage.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Sep 8, 202522 min

Ep 46TRAUMA ANESTHESIA SERIES (PART 2): UNDERSTANDING HEMORRHAGE & COAGULOPATHIES | EP46

In part 2 of the Trauma and Burn Anesthesia series, we discuss hemorrhage management in trauma, covering the causes and treatment of trauma-induced coagulopathies and the significance of essential lab values such as thromboelastography (TEG), blood gases and PT/INR/PTT. The discussion integrates key concepts from trauma anesthesia, including the lethal triad and diamond of death, underscoring how hypothermia, acidosis, coagulopathy, and hypocalcemia interact to worsen outcomes. Listeners are introduced to advanced diagnostics like TEG for real-time assessment of coagulation, and learn best practices for addressing hyperfibrinolysis with antifibrinolytics such as tranexamic acid to optimize resuscitative care and reduce mortality.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Sep 2, 202532 min

Ep 45TRAUMA ANESTHESIA SERIES (PART 1): ADVANCED TRAUMA LIFE SUPPORT & DAMAGE CONTROL SURGERY | EP45

In this first installment of the Trauma and Burn Anesthesia series, we dive into the critical foundations of caring for severely injured patients in the perioperative setting. Designed for nurse anesthesiologists and nurse anesthesia residents, this episode reviews the guiding principles of Advanced Trauma Life Support (ATLS) and explores how these frameworks shape anesthetic decision-making. We also walk through the concepts of damage control surgery and damage control resuscitation, emphasizing their role in stabilizing critically ill trauma patients, optimizing outcomes, and prioritizing life over limb. Listeners will gain a deeper understanding of how resuscitation strategy, surgical timing, and anesthetic management intersect when every second matters. Whether you’re new to trauma anesthesia or refining your expertise, this episode sets the stage for a high-yield exploration of trauma and burn care.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Aug 25, 202546 min

Ep 44TWO LIVES, ONE CRISIS: MATERNAL CARDIAC ARREST UNPACKED | EP 44

This episode delivers a high-impact overview of maternal cardiac arrest—a rare but profoundly challenging emergency that demands rapid intervention and seamless multidisciplinary teamwork. Listeners will learn about the recognizable causes, unique pregnancy physiology, and critical modifications for resuscitation, including when to implement perimortem cesarean delivery. The discussion highlights the anesthesia provider’s leadership role, the value of simulation training, and actionable strategies to improve outcomes for both mother and baby. Whether in anesthesia, obstetrics, or nursing, this episode provides concise, evidence-based insights to prepare you for one of the highest-stakes situations in clinical practice.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Aug 18, 202515 min

Ep 43"SNEAK PEEK" COMPETITION - ATOMIC PLATFORM UPDATE | EP43

You spoke, we listened.CRNA school is extremely demanding--tight schedules, limited resources, and tough academic and clinical challenges. Not to mention, self-doubt and burnout are all too real.You shouldn't have to face CRNA school alone. After 2 years of researching, designing and building, we're excited to finally share our next-generation educational platform for CRNAs. Here's a sneak peek of what you'll find:A space-themed platform to make learning entertaining Interactive lessons with multimedia features, plus dark and light mode A community hub to connect with other CRNAs, NARs and RNs Gamification with space gems, badges, exclusive gear, levels and leaderboards And that’s just the beginning! Our official launch is right around the corner with even more major features, including a quiz bank and flashcard builder—just as many of you requested.Here’s how to join our “SNEAK PEEK COMPETITION” this Sunday, August 10th at 8 am CST:1. Attend the AANA Annual Congress in person, or join our competition from home.2. Find Rhea or Sachi at the event to get your lanyard, a free drug badge, and instructions. If you are joining from home, visit our website (www.atomicanesthesia.com).3. Create a FREE account. 4. Complete the Atomic Missions to earn space gems and win prizes! The competition runs for just a few days, so sign up this weekend for your chance to win BIG.Don’t let overwhelm and stress take over. Our platform offers engaging content and a strong community so you can master complex anesthesia concepts and feel confident and supported.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Aug 5, 202513 min

Ep 42COULD THIS NEW NON-OPIOID COMPLETELY REPLACE FENTANYL? | EP 42

Discover the future of pain management on this episode of Atomic Anesthesia as we explore a major breakthrough: the FDA approval of suzetrigine, a first-in-class, nonopioid pain medication. Guided by cutting-edge research and expert editorial insight from Anesthesiology, we dig into how suzetrigine works—targeting the NaV1.8 sodium channel in peripheral nerves—and what this means for patients and providers facing acute pain. You’ll hear about the pivotal NAVIGATE clinical trials, real-world patient experiences, and the medication’s advantages over traditional opioids, including fewer side effects and no risk of addiction. Whether you’re a healthcare professional, patient, or someone passionate about medical innovation, join us to learn how suzetrigine is poised to reshape pain relief and help bridge the gap left by the opioid crisis.References:Bertoch T, D'Aunno D, McCoun J, Solanki D, Taber L, Urban J, Oswald J, Swisher MW, Tian S, Miao X, Correll DJ, Negulescu P, Bozic C, Weiner SG. Suzetrigine, a Nonopioid Na V 1.8 Inhibitor for Treatment of Moderate-to-severe Acute Pain: Two Phase 3 Randomized Clinical Trials. Anesthesiology. 2025 Jun 1;142(6):1085-1099. doi: 10.1097/ALN.0000000000005460. Epub 2025 Mar 21. PMID: 40117446; PMCID: PMC12061372.Rathmell JP, Clark JD, Eisenach JC. Suzetrigine: First in a New Class of Nonopioid Analgesics for Acute Pain. Anesthesiology. 2025 Jun 1;142(6):989-991. doi: 10.1097/ALN.0000000000005465. Epub 2025 May 13. PMID: 40358331.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Jul 15, 202511 min

Ep 41PAIN PATHWAYS [WEBINAR REPLAY] | EP41

In this live webinar, we discuss pain pathways in extreme detail, which is a foundational topic for anyone in anesthesia or in the ICU. We explore the four stages of pain—transduction, transmission, modulation, and perception—breaking down complex neurophysiology into manageable segments. We also look at how acute pain transitions into chronic pain, covering nociceptive, neuropathic, and nociplastic pain, and explaining the key roles of nociceptors, ion channels, and neurotransmitters. Whether you're new to this topic or reviewing for boards, this session offers clear explanations of difficult material, including referred pain and the gate control theory. Stick around until the end to hear about groundbreaking therapies like NAV1.8 blockers and the future of non-opioid pain management that could transform how we treat acute and chronic pain.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Jun 30, 20251h 13m

Ep 40ANESTHESIA TECHNICIANS AND EFFECTIVE COLLABORATION WITH KERRIE KLEIN | EP40

In this episode, with CRNA Kerrie Klein, we discuss the essential but often misunderstood role of certified anesthesia technicians and technologists. We break down the differences between uncertified techs, certified technicians, and certified technologists—and why this matters for anesthesia providers. We explore their training, scope of practice, and how these professionals can be an untapped asset in improving efficiency and patient safety in the OR. We also talk culture, advocacy, and practical ways CRNAs can elevate the role of these team members. Listen until the end to learn a surprising skill that certified technologists are trained to perform—one that could change how you run your next high-acuity case.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Jun 23, 202540 min

Ep 39EI/EQ AND LEADERSHIP WITH THERESA REED | EP39

In this episode, we discuss the crucial role emotional intelligence (EI) plays in the journey of becoming a CRNA. We explore what EI really means—understanding and managing your emotions and those of others—and why it’s essential in both the classroom and clinical settings. We unpack how skills like self-awareness, communication, and stress management directly impact your performance, especially during high-stakes situations. You’ll hear how EI can be developed through self-assessment, mentorship, and even simulation training. We also explore real-world strategies for handling difficult preceptors, building trust with OR staff, and maintaining your emotional resilience over the long haul. If you’ve ever felt overwhelmed in clinicals or doubted your confidence under pressure, this episode is for you. Stick around to the end to learn a surprising communication trick that can defuse tension and help you earn trust—even in the most high-stress OR moments. To contact Dr. Theresa Reed, email her at [email protected]💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Jun 16, 202552 min

Ep 38PEDIATRIC EMERGENCIES WITH DR. MOTYKIEWICZ | EP38

In this episode, Pediatric CRNA Dr. Becky Motykiewicz dives into the most critical pediatric anesthesia complications you need to know—whether you're just starting out or already deep into practice. We break down airway issues like laryngospasm and bronchospasm, and explain how to manage these high-stakes situations effectively. We also touch on common postoperative concerns like stridor and emergence delirium, and why pediatric patients desaturate and destabilize faster than adults. You'll learn how to prevent and treat hypotension, bradycardia, and even hypoglycemia. Most importantly, we emphasize the life-saving importance of precise drug dosing and early recognition of emergencies. Stay tuned to the end for a tool that can help you avoid the most common medication errors in pediatric cases. 💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

May 29, 202513 min

Ep 37MAKING SMART FINANCIAL DECISIONS AFTER CRNA SCHOOL | EP37

In this episode, Professor T discusses something at the top of everyone's minds when going to CRNA school - how am I going to pay for this?! We break down the smart, intentional decisions that made this possible—from qualifying for Public Service Loan Forgiveness and maximizing a 401(k), to avoiding lifestyle inflation and strategically investing in a surgery center. We also touch on practical tips like using 0% interest loans for home repairs, maintaining excellent credit, and leveraging employer benefits like HSA and childcare accounts. If you're navigating your own financial future after CRNA school, this episode will give you both actionable steps and long-term strategies. Stick around until the end to learn how one savvy investment—without using a single dollar of personal savings—yielded over $180,000 annually. 💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

May 23, 202527 min

Ep 36TIPS FOR YOUR CARDIAC ANESTHESIA ROTATION [WEBINAR REPLAY] | EP36

This episode is a replay of a live webinar by cardiac CRNA, Alex Gorman, who gives an excellent presentation on Cardiac Anesthesia. He explores the essentials for managing complex heart cases in the OR. We walk through the entire process—from pre-op evaluations and cath report interpretation to hemodynamic management and weaning off bypass. Whether you're a CRNA, resident, or ICU nurse, you'll gain valuable insight into real-world decision-making, including drug selection, TEE basics, and how to collaborate effectively with perfusionists and surgeons. This episode is packed with tips to help you feel more prepared and confident in cardiac rotations, and we share actionable advice on soft skills that can make or break your clinical experience. Stick around until the end to learn the one mistake you should never make with protamine—and how it could be fatal if you do.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

May 20, 20251h 12m

Ep 35SUGAMMADEX PHARMACOLOGY | EP35

In this episode, we dive into the game-changing drug sugammadex—a powerful agent that rapidly reverses neuromuscular blockade caused by rocuronium and vecuronium. We explore its unique mechanism of action, pharmacokinetics, and pharmacodynamics, along with how it differs from traditional reversal agents like neostigmine. You'll gain clarity on proper dosing strategies across populations, including pediatrics, obese patients, and those with renal impairment. We also break down important administration details, adverse effects, and drug interactions—especially the one that could compromise hormonal contraceptives. If you want to know how to avoid recurrent paralysis and make the most of this revolutionary medication in your clinical practice, stay tuned until the end. 💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

May 2, 202519 min

Ep 34RAPID FIRE DIFFERENTIAL DIAGNOSIS W/ JEREMY HEINER | EP34

In this episode featuring Jeremy Heiner (Editor of the Nurse Anesthesia textbook), we dive into rapid-fire differential diagnosis and crisis management, tackling some of the most intense and high-stakes scenarios nurse anesthesia providers can face. From airway fires and venous air embolisms to anaphylaxis, malignant hyperthermia, and local anesthetic systemic toxicity, we break down ten real-time clinical situations, analyzing clues, discussing pathophysiology, and outlining critical management strategies. Whether you're a student learning to recognize subtle cues or a provider refining your response to emergencies, this episode sharpens your diagnostic instincts and clinical confidence. We also share practical insights on using crisis checklists, decision-making under pressure, and leading in high-stress OR environments. Stick around to the end to hear our breakdown of a tricky intraoperative myocardial infarction scenario—a case that might just change how you handle hemodynamic instability during surgery. You’ll walk away better prepared for the unexpected. 💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Apr 22, 202548 min

Ep 33INTRO TO ANESTHESIA PHARMACOLOGY [WEBINAR REPLAY] | EP33

In this episode, we dive deep into the basics of anesthesia pharmacology—perfect for ICU nurses starting CRNA school or senior residents needing a solid refresher. We break down foundational topics like pharmacodynamics, pharmacokinetics, and pharmacogenomics, and explain why understanding physiology is key to mastering pharmacology. You’ll learn about drug targets like GABA and NMDA receptors, and the real mechanisms behind anesthetics, opioids, local anesthetics, and muscle relaxants. We also walk through “top drawer drugs” in the OR, including quick quizzes to reinforce your understanding of real-time drug decisions—like when to choose ephedrine over phenylephrine. This is a science-heavy episode, but one that sets the groundwork for more advanced content.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Apr 11, 20251h 16m

Ep 32COGNITIVE AIDS + CRISIS CHECKLIST IN ANESTHESIA w/ JEREMY HEINER │ EP32

In this episode, Rhea Temmermand and Jeremy Heiner (editor of the Nagelhout Nurse Anesthesia textbook) dive deep into the under-discussed but vital topic of cognitive aids and crisis checklists in anesthesia. You'll learn how tools like the Stanford Emergency Manual and the Nurse Anesthesia Crisis Checklists can sharpen clinical decision-making during high-stress scenarios like anaphylaxis or hypotension. The episode explores how our brains make decisions under pressure, the difference between intuitive and deliberate thinking (System 1 vs. System 2), and how to develop better clinical heuristics. Plus, they walk through a real-world case of intraoperative anaphylaxis, using a step-by-step cognitive framework to manage the crisis. Stay tuned to the end to discover a powerful breathing technique Navy SEALs use that can also help anesthesia providers stay calm and focused under pressure.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Apr 4, 202549 min

Ep 31RESIDENT'S CORNER: FALLING BEHIND IN DIDACTICS AND HOW TO CATCH UP │ EP31

In this episode of "Resident's Corner," we discuss the universal challenge of falling behind in didactics, particularly in demanding programs like CRNA school. Our anonymous resident shares her personal insights on recognizing the problem, managing overwhelm, and strategies for getting back on track. From creating concise calendars and prioritizing study time to adopting a mindset that treats quizzes like finals, we explore practical tools for recovery. We also discuss the emotional struggles of being behind, the importance of dedication and discipline, and how to prevent future setbacks by working ahead and embracing the learning journey. Tune in for a relatable and actionable conversation that will help you stay focused and motivated throughout your academic journey.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Mar 29, 202537 min

Ep 30PART 2: TIPS FOR SURVIVING AND THRIVING IN CLINICALS (LIVE WEBINAR REPLAY) │ EP30

PART 2/2: In this must-listen episode, Professor Temmermand shares strategies for thriving during clinical rotations. Transitioning from didactics to clinicals can be challenging, so in this live webinar replay, we outline what to expect when beginning this new phase of your training, provide tips for success, and explore how to navigate this challenging but exciting phase of your journey.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Mar 20, 202530 min

Ep 29PART 1: TIPS FOR SURVIVING AND THRIVING IN CLINICALS (LIVE WEBINAR REPLAY)│ EP29

PART 1/2: In this must-listen episode, Professor Temmermand shares strategies for thriving during clinical rotations. Transitioning from didactics to clinicals can be challenging, so in this live webinar replay, we outline what to expect when beginning this new phase of your training, provide tips for success, and explore how to navigate this challenging but exciting phase of your journey.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Mar 13, 202548 min

Ep 28PREPARING FOR THE SEE/NCE EXAM: OVERVIEW & STUDY PLANS │ EP28

This episode details a comprehensive study plan designed to help nurse anesthesia residents prepare for the Self-Evaluation Examination (SEE) and the National Certification Examination (NCE) for CRNAs. We discuss a detailed 24-week schedule, study tips, healthy habits, and exam prep strategies. The plan outlines specific topics from the NCE outline to cover each week, along with recommended resources and textbook chapters. It also emphasizes the importance of self-reflection, consistent study habits, and maintaining a healthy lifestyle to reduce test-taking anxiety and prevent burnout.Download the plan below to follow along this episode!💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Mar 3, 202534 min

Ep 27PEDIATRIC A&P - HINT: THEY'RE NOT TINY ADULTS! │ EP27

In this mini-episode, Dr. Becky Motykiewicz, a pediatric CRNA specializing in cardiac anesthesia, unpacks the fascinating anatomical and physiological differences between pediatric and adult patients that make pediatric anesthesia a unique specialty. From the neonate's HR-dependent cardiac output and immature baroreceptor reflex to the challenges of managing a smaller, more compliant airway, this episode highlights the critical nuances of caring for young patients. Dr. Motykiewicz also discusses the underdeveloped CNS, immature liver and kidney functions, and the heightened metabolic demands of pediatric patients—all of which require precise dosing and proactive management. Whether you're a student or a seasoned provider, this episode offers valuable insights into the art and science of pediatric anesthesia.To contact Dr. Becky Motykiewicz for questions or to request new pediatric topics, email her at: [email protected]💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Feb 23, 20259 min

Ep 26HOW TO START YOUR OWN ANESTHESIA GROUP WITH GRASSHOPPER ANESTHESIA SERVICES │ EP26

This episode explores starting and managing an anesthesia group, featuring James and Kendra Stockman, founders of Grasshopper Anesthesia Services. We not only explain the "how to" of creating your own group, but also we examine the benefits of joining a CRNA-owned group for those not yet ready to start their own, drawing from the Stockmans' extensive experience in rural and outpatient settings. James, a Texas Wesleyan University graduate with expertise in regional anesthesia and chronic pain management, and Kendra, a Newman University alumna specializing in outpatient and vascular anesthesia, share insights on various aspects of running an anesthesia business. Topics covered include securing contracts, choosing the right business structure, navigating billing and insurance enrollment, staffing considerations, malpractice insurance, quality assurance reporting, and strategies for business growth and development. This comprehensive discussion offers valuable guidance for CRNAs considering entrepreneurship in the field of anesthesia management.Want to get in touch with James & Kendra? Check out their website: GRASSHOPPER ANESTHESIA SERVICES [email protected]@grasshopperanesthesia.com Facebook and instagram handles grasshopperanesthesia 💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Feb 16, 20251h 2m

Ep 25MASTERING TIME MANAGEMENT IN CRNA SCHOOL - WEBINAR │ EP25

In this episode, we dive into the essential topic of time management for CRNA students, featuring a live recording from a recent webinar. Navigating the rigorous demands of advanced doctoral-level education can be overwhelming, but effective time management is the key to balancing academic, clinical, and personal responsibilities. We explore common challenges like procrastination, distractions, and multitasking, and discuss actionable strategies such as time blocking, prioritization techniques, and leveraging digital tools. You'll learn how to break down large tasks, set SMART goals, and establish healthy boundaries to prevent burnout. Whether you're struggling to stay organized or looking to optimize your routine, this episode offers practical tips and resources to help you thrive in CRNA school and beyond. 💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Feb 9, 202559 min

Ep 24CRNA JOB MARKET FOR NEW GRADS WITH JOY ADEMUYEWO OF LOKUM APP │ EP24

Do you understand the current CRNA job market? If you're a senior NAR or a recent graduate, you don't want to miss this recording from our recent Instagram LIVE with Joy Ademuyewo - Founder of the Lokum App. She's an expert on the economics of the CRNA job market and has designed this app that specializes in job matchmaking. Her goal is to match you with your perfect job directly without the middle-man (AKA the recruiter!). To build this app, Joy definitely had to take a DEEP DIVE into the CRNA market to understand all the nuances and stakeholders. She discusses what influences the CRNA job market, healthcare system trends, compensation trends, and tips for CRNAs to succeed in the job market. Our social media audience also submitted tons of questions that we answer during this episode.To reach Joy and learn more about Lokum:Email: [email protected] Lokum App: [iOS] [Android]💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Feb 2, 202559 min

Ep 23DOCTORAL DEGREE FOR CRNAS (PhD, DNP, DNAP) - WHAT'S THE DIFFERENCE? │ EP23

This podcast episode covers doctoral degrees available to CRNAs, including DNP, DNAP, and different types of PhDs. This episode discusses their distinctions, application requirements, completion timelines, and associated costs. The conversation covers the challenges of balancing work, life, and advanced education, as well as the motivations for pursuing doctoral degrees in the CRNA profession. Listeners will gain valuable information about the impact of these degrees on daily practice and the broader significance of having doctorally-trained professionals in the field. The episode features Lukeythia Alice Bastardi, a CRNA with extensive experience and two doctoral degrees, who shares her unique perspective on the topic, making it an informative and engaging discussion for CRNAs considering further education.To get in touch with Dr. Lukeythia Bastardi, you can email her and check her out on social media:Email: [email protected]💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Jan 26, 202555 min

Ep 22INTRO TO LOCAL ANESTHETICS - MECHANISM, STRUCTURE, USES & SIDE EFFECTS │ EP22

In this episode, Professor Rhea Temmermand gives nurse anesthesia residents and aspiring CRNA students a introduction to the pharmacology of LOCAL ANESTHESIA. Discover the fundamental structure, classification, and mechanism of action of these essential drugs, including how they block voltage-gated sodium channels to prevent pain signal transmission. Learn about the critical concept of pKa and its impact on drug effectiveness, explore the pharmacokinetics of esters and amides, and understand key clinical considerations for various administration routes. Professor Temmermand also covers crucial safety aspects, including recognizing and managing local anesthetic systemic toxicity (LAST). Whether you're preparing for boards or enhancing your clinical practice, this episode provides invaluable insights into the pharmacology and practical application of local anesthetics in anesthesiology.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Jan 19, 202528 min

Ep 21DEVELOPING PERSONALITY TRAITS + EFFECTIVE COMMUNICATION SKILLS FOR SUCCESS IN THE OR │ EP21

In this episode, Professor Temmermand discusses the importance of effective communication and how it can make our break people's perception of you in the clinical setting. She also discusses characteristics to foster, how to develop a growth mindset, and tips on accepting feedback in a positive way. She also give some examples of questions to ask your preceptors that every student can be asking. This episode is an excellent listen not only for current anesthesia students but also for RNs getting ready to shadow in the OR, or who are getting ready to start CRNA school. Tune in!💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Jan 12, 202532 min

Ep 20PROTAMINE: REACTIONS, SYMPTOMS + TREATMENT │ EP20

In this episode of the Atomic Podcast, practicing CRNA Alex Gorman dives into the complexities of protamine, a critical medication used to reverse heparin's anticoagulant effects in cardiac and vascular procedures. Alex explains the types of protamine reactions, detailing their mechanisms, symptoms, and treatments. With a focus on vigilance and preparedness, he shares insights on recognizing and managing adverse reactions in the OR, emphasizing the importance of quick interventions and patient monitoring.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Jan 5, 20259 min

Ep 19SUBSTANCE USE DISORDER (PART 2) - PHARMACOLOGY AND MANAGEMENT │ EP19

In this episode, Atomic Anesthesia Co-Founder Rhea Temmermand dives into the critical and nuanced topic of managing pain in patients with substance use disorder (SUD). From understanding the pharmacology of medications like methadone and buprenorphine to crafting individualized pain management strategies, this discussion equips CRNAs and other healthcare professionals with essential tools for compassionate care. Explore the challenges and solutions for addressing acute and chronic pain while minimizing relapse risk. Don’t miss this deep dive into one of the most complex issues in anesthesia practice today!💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Dec 29, 202428 min

Ep 18TWO HEART MODEL - A UNIQUE APPROACH TO UNDERSTANDING CARDIAC PHYSIOLOGY │ EP18

In this episode of the Atomic Podcast, Alex Gorman, a practicing CRNA and cardiac anesthesia expert, introduces the "Two Heart Model," a unique approach to understanding cardiac physiology and pathophysiology. By visualizing the heart as two separate organs — the right heart and the left heart — this model helps clarify complex concepts like preload, afterload, and contractility.💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.[WEBINAR SIGN UP]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.[SEE/NCE STUDY PLAN][RN ICU DRUG CHART]💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our launch newsletter ⬇️[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]

Dec 22, 20249 min