EMCrit Podcast 35 – Extubation in the ED

In this podcast, I discuss extubating patients in the ED. Specifically, I deal with patients who have only been intubated for a few hours in distinction to extubation of the patient who has been lingering in your ED for 2-3 days. The best patients for this short-term extubation are those intox folks with a low GCS and signs of trauma, overdoses, or endoscopy cases.

My approach is outlined in this article; click on the link for the full text:

Weingart SD, Menaker J, et al. Trauma Patients Can Safely Be Extubated in the Emergency Department. J Emerg Med. 2009 Aug 22. [Epub ahead of print]

Here are the steps from the article:

Photo by EddieB55

Update: George Douros has written another excellent guideline for ED extubation.

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