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(719)

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

Is your EMS agency all talk, no accountability? Here’s how to fix that

Is your EMS agency all talk, no accountability? Here’s how to fix that

What does accountability actually look like in EMS? In this episode of the Inside EMS podcast, cohosts Chris Cebollero and Kelly Grayson get into the gritty details — beyond the management-speak — and...

25 Apr 202524min

EMS on the Hill: Why advocacy matters now more than ever

EMS on the Hill: Why advocacy matters now more than ever

Guest host Rob Lawrence joins Kelly Grayson to reflect on the recent EMS on the Hill Day. Rob offers a behind-the-scenes look at his experience leading the California delegation and provides insights ...

11 Apr 202528min

Exhausted and overworked: The fatigue crisis in EMS

Exhausted and overworked: The fatigue crisis in EMS

In this episode of the Inside EMS Podcast, co-host Kelly Grayson is joined by international guest host Rob Lawrence for a candid and timely conversation on one of the most pressing issues in EMS today...

4 Apr 202522min

Future-proofing EMS: How a new course is building results-driven problem solvers

Future-proofing EMS: How a new course is building results-driven problem solvers

Note: Thanks for following the Inside EMS podcast! Enjoy this special EMS One-Stop crossover episode with host Rob Lawrence, who will also join Kelly Grayson as a guest cohost during the month of Apri...

1 Apr 20251h 1min

‘Death was staring me in the face’: Kelly Grayson’s no-BS guide to getting healthy

‘Death was staring me in the face’: Kelly Grayson’s no-BS guide to getting healthy

In honor of First Responder Wellness Week, Inside EMS hosts Chris Cebollero and Kelly Grayson go beyond the surface-level tips and dig into what true wellness looks like in this profession. Spoiler: i...

28 Mar 202528min

Show me the money: How EMS can tap into opioid funding

Show me the money: How EMS can tap into opioid funding

Billions of dollars from opioid settlements are flowing into communities, but how does EMS get a slice of the pie? In this episode of the Inside EMS podcast, host Chris Cebollero is joined by Corey Ca...

21 Mar 202523min

Populært innen Politikk og nyheter

giver-og-gjengen-vg
aftenpodden
aftenpodden-usa
forklart
stopp-verden
popradet
lydartikler-fra-aftenposten
det-store-bildet
nokon-ma-ga
rss-gukild-johaug
fotballpodden-2
dine-penger-pengeradet
aftenbla-bla
rss-ness
rss-espen-lee-usensurert
hanna-de-heldige
rss-dannet-uten-piano
e24-podden
frokostshowet-pa-p5
rss-penger-polser-og-politikk