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 y...
Jun 30, 2025•1 hr 13 min•Ep. 41
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 practi...
Jun 23, 2025•41 min•Ep. 40
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, mentorshi...
Jun 16, 2025•53 min•Ep. 39
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 lear...
May 29, 2025•14 min•Ep. 38
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 employ...
May 23, 2025•27 min•Ep. 37
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...
May 20, 2025•1 hr 13 min•Ep. 36
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 administr...
May 02, 2025•20 min•Ep. 35
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...
Apr 22, 2025•49 min•Ep. 34
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 ...
Apr 11, 2025•1 hr 16 min•Ep. 33
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 ...
Apr 04, 2025•50 min•Ep. 32
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...
Mar 29, 2025•38 min•Ep. 31
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. 🎉 FREE RESOURCES: [FREE DOWNLOAD] FOR THE SRNA: GRAB YOUR FREE SEE/NCE STUDY PLAN HERE [FREE DOWNLOAD] FOR...
Mar 20, 2025•31 min•Ep. 30
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. 🎉 FREE RESOURCES: [FREE DOWNLOAD] FOR THE SRNA: GRAB YOUR FREE SEE/NCE STUDY PLAN HERE [FREE DOWNLOAD] FOR...
Mar 13, 2025•48 min•Ep. 29
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 ha...
Mar 03, 2025•34 min•Ep. 28
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...
Feb 23, 2025•9 min•Ep. 27
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 man...
Feb 16, 2025•1 hr 2 min•Ep. 26
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, ...
Feb 09, 2025•1 hr•Ep. 25
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 ...
Feb 02, 2025•1 hr•Ep. 24
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 br...
Jan 26, 2025•56 min•Ep. 23
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...
Jan 19, 2025•29 min•Ep. 22
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...
Jan 12, 2025•33 min•Ep. 21
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 ...
Jan 05, 2025•9 min•Ep. 20
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 min...
Dec 29, 2024•28 min•Ep. 19
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. 👉 CHECK OUT OUR PHARM COURSE HERE 🔥 Our popular TRIPLE BADGE BUDDIES HERE [FREE DOWNLOAD] FOR THE SRNA: GRAB YOUR ...
Dec 22, 2024•9 min•Ep. 18
In this episode of the Atomic Podcast , practicing CRNA Alex Gorman discusses the dural puncture epidural (DPE), particularly in the obstetrical setting. By incorporating a spinal needle to confirm midline placement and epidural space entry, the DPE provides immediate objective feedback, reducing the likelihood of failed epidurals and improving patient outcomes. Alex highlights the technique’s benefits, including faster analgesia onset and fewer complications like one-sided pain relief or hot sp...
Dec 15, 2024•12 min•Ep. 17
In this special short-form episode, practicing CRNA and Atomic Anesthesia content expert Alex Gorman dives into the use of liposomal Bupivacaine (Exparel) in regional anesthesia, highlighting its unique sustained-release properties and practical tips for effective use. 👉 CHECK OUT OUR PHARM COURSE HERE 🔥 Our popular TRIPLE BADGE BUDDIES HERE [FREE DOWNLOAD] FOR THE SRNA: GRAB YOUR FREE SEE/NCE STUDY PLAN HERE [FREE DOWNLOAD] FOR THE RN: GRAB YOUR FREE ICU DRUG CHART HERE Follow us on Instagram...
Dec 08, 2024•9 min•Ep. 16
In this episode, Rhea discusses Substance Use Disorder (SUD), it's prevalence, indications for anesthesia providers, and how we can best treat patients affected by this condition. 👉 CHECK OUT OUR PHARM COURSE HERE 🔥 Our popular TRIPLE BADGE BUDDIES HERE [FREE DOWNLOAD] FOR THE SRNA: GRAB YOUR FREE SEE/NCE STUDY PLAN HERE [FREE DOWNLOAD] FOR THE RN: GRAB YOUR FREE ICU DRUG CHART HERE Follow us on Instagram at: @Atomic_Anesthesia Check out our other free resources at AtomicAnesthesia.com...
Oct 27, 2024•37 min•Ep. 15
In this episode, Rhea and Sam discuss what it was like being a parent in CRNA school. Sam gives shares her experiences, gives some excellent advice and encouragement. A must-listen for anyone planning or considering parenthood and CRNA school! Contact Sam at ssimmo20@jhmi.edu 👉 CHECK OUT OUR PHARM COURSE HERE 🔥 Our popular TRIPLE BADGE BUDDIES HERE [FREE DOWNLOAD] FOR THE SRNA: GRAB YOUR FREE SEE/NCE STUDY PLAN HERE [FREE DOWNLOAD] FOR THE RN: GRAB YOUR FREE ICU DRUG CHART HERE Follow us on In...
Oct 17, 2024•48 min•Ep. 14
In this episode, Jake Bevilacqua, President of The Incomologists, a group of healthcare insurance providers, breaks down some excellent financial tips for those embarking on the journey of CRNA school. Whether you're applying and wondering how to prepare and save, or are in school trying to manage a budge, this episode is for you! The Incomologist Website Here Contact Jake: jake@cmpadvisors.com 👉 CHECK OUT OUR PHARM COURSE HERE 🔥 Our popular TRIPLE BADGE BUDDIES HERE [FREE DOWNLOAD] FOR THE SR...
Sep 09, 2024•1 hr 4 min•Ep. 13
In this episode, Rhea and Dr. Gus Gesumaria, an ER physician, discuss the challenges of emergency airway management in the ER and how it differs from the controlled OR setting. Contact Dr. Gesumaria at gesumaria@gmail.com 👉 CHECK OUT OUR PHARM COURSE HERE 🔥 Our popular TRIPLE BADGE BUDDIES HERE [FREE DOWNLOAD] FOR THE SRNA: GRAB YOUR FREE SEE/NCE STUDY PLAN HERE [FREE DOWNLOAD] FOR THE RN: GRAB YOUR FREE ICU DRUG CHART HERE Follow us on Instagram at: @Atomic_Anesthesia Check out our other free...
Aug 26, 2024•1 hr 2 min•Ep. 12
