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this podcast is really brief–I gave a lecture at Jacobi last week (thanks for having me Jacobites!), and in response to a question I gave this rant on my vision of sedation after intubation.
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This Post was by Scott Weingart, MD.
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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Creative Commons License 2009-2011. This site represents my opinions only. See here for full disclaimer and here for credits and attribution.
{ 2 comments… read them below or add one }
From Jacobi Alumnus, I appreciate this EmCrit site with its lectures and blogs.
Much appreciated sharing of knowledge.
What sedation would you recommend for the hypotensive multi trauma patient?
Different from the trauma patient with the isolated head injury?
I recall you mentioned paralytic once or twice to get a study done such as a panscan. But emphasized analgesia, making them comfortable on fentanyl and giving ativan for sedation prn to supplement the fentanyl. Any new medications that would be better for these trauma patients? You must have great experience in this from being at Shockley Trauma.
Will ketamine with sedation like propofol have a future role in the trauma patient? I have read an article done on soldiers in the field, in Israel on agitated patients with head injuries. Perhaps the bad things mentioned about ketamine about head trauma patients today, will be recanted in the near future.
Hi there!
THX for awesome points!
Just a short one; what’s UR rate of fentanyl drip for sedation after intubation?
THX, gregor