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EMCrit Blog - Emergency Department Critical Care
Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation
Who am I?
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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Awards
Best Medical Weblog of 2010 from the folks at Medgadget.com
Hi Scott! Great video. Believe it or not, I watched this on my iPad standing over a intubated patient, while setting up an A-line set! I’m at a small hospital where none of the nurses knew how to set it up…worked just fine, though!
WOW, great tutorial. Thanks.
Thanks Scott! I used to measure it by ruler for a long time. Yesterday is the 1st day to set up with the monitor (Nihhon). Thanks for sharing this!!
We recently installed new monitors that allow us to monitor CVP and I really need a little more than 10 minute review. Thank you.
Amazing video, thanks for taking the time!
Great video for teaching others!!!!
Great video! Very helpful! I’m in a critical care residency right now and have to set one of these up come Monday. Thanks!!!
Wow, thanks so much!
Great video and incredibly helpful for a quick refresher! Thanks!
I do a lot of these; this is a great tutorial. I just want to mention an easier way to purge the air from the saline bag at the beginning of the set up. After spiking the bag and squeezing and filling the chamber of your line set, turn the bag upside down and poke an 18 gauge blunt fill needle into the medication injection port of the NS bag. The needle is not attached to anything. Squeeze the air out until you get a few drops of saline out of the needle hub and withdraw the needle while squeezing the bag. This purges the all the air out of your bag and I find it makes priming the line without air bubbles a little easier. Of course, the saline bag is not under pressure while doing this. Pressurize after purging the air. Thanks SW!!
Phaedra, thanks for the comment. This definitely works. Can’t say it is easier though. Requires a needle, requires sticking through the port and then disposing of the needle. Vs. just flushing the air through the system which you have to do anyway. Both work so go with what you like.