EMCrit Blog - Emergency Department Critical Care
Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation
Richard Dutton is a trauma anesthesiologist who was one of the primary formulators of the concept of 1:1:1 resuscitation. Here he is speaking on hemostatic resuscitation.
This lecture was recorded at the EMCrit Conference 2011.
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If you have just attended one of my two lectures at ACEP 2010, here are the promised additional resources:
Hey folks,
I’m lecturing at ACEP in Las Vegas this year. This is one of two lectures I’m giving there. If you are going to the conference and plan on coming to my lecture, don’t listen to this lecture; I’d rather you hear the real one in person.
But if you can’t make it this year, and you have 50 minutes, take a listen and let me know what you think.
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The audio only version of Part I of the sedation talk.
Remember to check out Part II next…
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It seems the government and other specialties are trying hard to make sedation as difficult as possible in the ED. We must persevere to provide the best procedural sedation for the maximal comfort and safety for our patients. This brief lecture was originally posted on the defunct EMCrit Lecture Site on 8/7/2009.
I’m reposting it here so I can post part II sometime this week.
This episode, Part I, covers general concepts on sedation as well as ketamine and etomidate/fentanyl.
Part II will cover propofol, ketofol, and dexmedetomidine.
Part III, to be done some time in the future, will cover really difficult sedations.
In a separate post, I will place an update I did for EM Practice with my fiance on sedation guidelines.
Podcast: Play in new window | Download (21.0MB) | Embed
At this stage of the game, if your hospital is not offering hypothermia to out-of-hospital cardiac arrests, you are probably lagging behind optimal care. For shockable rhythms, you essentially double your patient’s chances of leaving the hospital with good neurological outcome. However hypothermia can be tough, unless you have done a bunch. Learn from my mistakes in this lecture.
I’d love to hear your comments and what you are doing at your hospital.
for more hypothermia resources, see my NYC Hypothermia Section
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When I was a resident, every vent lecture either put me to sleep or left me dazed and bewildered. I gave a lecture of that ilk when I started working after fellowship. I had become part of the problem. I decided there must be a way to make vent management more understandable and if not interesting, at least bearable.
This lecture was up on the soon to be defunct EMCrit Lecture site. It offers a path to managing any patient on the ventilator in the ED. I have tried to simplify as much as possible while still maintaining an evidence-based approach.
This is Part I, it deals with the lung injury strategy. Next week, we’ll talk about the strategy for patients with obstructive lung disease.
There are only 4 things you need to remember for a lung injury patient:
Vt (Tidal Volume) = Lung Protection
Flow Rate = Patient Comfort
Resp Rate = Ventilation
FiO2/PEEP = Oxygenation
First Print out this Handout
If you need just the audio [right or cntrl click here]
Podcast: Play in new window | Download (72.1MB) | Embed
This post is just to place the vent handout into itunes.
E-Book PDF: Open in New Window | Download (550.2KB)
Hi, my name is Scott Weingart.
I am an ED Intensivist from New York City. My career goal and the purpose of this blog and podcast is to bring Upstairs Care, Downstairs-–that is to bring ICU level care to the ED, so our patients can receive optimum treatment the moment they roll through the door.
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Best Medical Weblog of 2010 from the folks at Medgadget.com
