EMCrit Podcast 30 – Hemorrhagic Shock Resuscitation

surg-airway

This week we discuss the resuscitation of the hemorrhagic shock patient with Dr. Richard Dutton, MD. Rick was director of trauma anesthesia at the Shock Trauma Center when I trained there. He is an incredible teacher, clinician, and researcher. Here are the take home points: Induction agent choice does not matter in these patients; what matters is DOSE! Reduce dose to … [Read more...]

EMCrit Podcast 29 – Procedural Sedation, Part II

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 to allow maximal comfort and safety for our patients. This continues the discussion started in Part I, where we discussed etomidate, ketamine, and versed/fentanyl. In this podcast, I discuss propofol, … [Read more...]

Procedural Sedation – Part I

sedation-my

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 … [Read more...]