When kidneys strike back: What every medic should know
Inside EMS15 Aug 2025

When kidneys strike back: What every medic should know

This week on the Inside EMS podcast, Chris Cebollero and Kelly Grayson shine a spotlight on the kidneys and their impact on patient outcomes. What starts as a chat about chronic kidney stones quickly dives into a sharp, clinical breakdown of renal anatomy, physiology and the far-reaching consequences of kidney dysfunction in EMS care.

Chris and Kelly unpack the kidneys’ role in fluid balance, blood pressure regulation and acid-base stability, including how the renin angiotensin aldosterone system (RAAS) system can either save a patient … or make things worse. They outline the key types of acute kidney injury (pre-renal, intrinsic, post-renal), tie them back to underlying anatomy, and explain why perfusion matters long before labs confirm failure.

With field-focused tips on what to ask (yes, diaper counts matter), what to look for and how to manage critical complications, this episode gives medics the tools to recognize renal red flags early — and act fast.

Additional resources:

Memorable quotes
  • “In EMS, we don't really pay attention to the functioning of the kidneys until everything goes south.”

  • “They're not lying when they say the kidneys are the windows to the viscera.”

  • “Kidney problems don't happen in isolation.”

Enjoying the show? Email theshow@ems1.com to share feedback or suggest guests for a future episode.

Episoder(717)

The pediatric call that makes your stomach drop

The pediatric call that makes your stomach drop

In this episode of the Inside EMS podcast, Chris Cebollero and Kelly Grayson tackle one of the most nerve-wracking scenarios in EMS: the pediatric respiratory emergency. From the moment you see a gasp...

11 Jul 202527min

Tactical empathy: The leadership tool you’re not using enough

Tactical empathy: The leadership tool you’re not using enough

When conflict flares up in your organization, do you fuel the fire or douse it with empathy? In this week’s episode of the Inside EMS podcast, Chris Cebollero and Kelly Grayson break down how to handl...

27 Jun 202522min

Not just trainers: How FTOs build culture, confidence and hotshot crews

Not just trainers: How FTOs build culture, confidence and hotshot crews

In this episode of Inside EMS, Chris Cebollero unpacks what it really means to be a field training officer and, spoiler alert: it’s not just about ticking boxes or passing protocols. From the importan...

13 Jun 202527min

Fusion medicine meets EMS: Inside Utah’s newest care approach

Fusion medicine meets EMS: Inside Utah’s newest care approach

When most people see red tape, they stop. Darin Johnson saw an opportunity. In this episode of Inside EMS, Chris and Kelly welcome Darin — a paramedic, operations supervisor and now urgent care owner ...

30 Mai 202525min

‘If you think Taco Bell is a post location, you might be in EMS’

‘If you think Taco Bell is a post location, you might be in EMS’

It’s EMS Week wrap-up time, and Chris Cebollero and Kelly Grayson are back in classic form in this episode of the Inside EMS podcast. From jokes about Sloppy Joe leftovers from Hospital Week to heartf...

23 Mai 202518min

Criticism 101: Why you should stop blowing off feedback

Criticism 101: Why you should stop blowing off feedback

When it comes to taking criticism, EMS professionals are … not great. In this episode of Inside EMS, cohosts Chris Cebollero and Kelly Grayson get real about why criticism hits so hard and how we can ...

16 Mai 202528min

Hot as a hare, mad as a hatter: Cracking the toxidrome code

Hot as a hare, mad as a hatter: Cracking the toxidrome code

In this episode of the Inside EMS podcast, hosts Chris Cebollero and Kelly Grayson dig deep into one of EMS's most overlooked (and often forgotten) topics — toxidromes. You might remember the word fro...

9 Mai 202521min

Not your average sugar rush: EMS strategies for DKA

Not your average sugar rush: EMS strategies for DKA

This week on the Inside EMS podcast, hosts Chris Cebollero and Kelly Grayson tackle a metabolic monster that every EMS provider needs to master: diabetic ketoacidosis (DKA). They kick off with a commo...

2 Mai 202523min

Populært innen Politikk og nyheter

giver-og-gjengen-vg
aftenpodden
aftenpodden-usa
lydartikler-fra-aftenposten
forklart
stopp-verden
popradet
fotballpodden-2
dine-penger-pengeradet
rss-gukild-johaug
det-store-bildet
hanna-de-heldige
rss-ness
aftenbla-bla
nokon-ma-ga
rss-penger-polser-og-politikk
e24-podden
rss-utenrikskomiteen-med-bogen-og-grasvik
frokostshowet-pa-p5
chit-chat-med-helle