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.

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