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.
Search Results for: procedural sedation
EMCrit 4 – Procedural Sedation – Part I
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 brief lecture was originally posted on the defunct EMCrit Lecture Site on 8/7/2009.
Practical Evidence 014 – ACEP Procedural Sedation Update for 2013
This one is really good!
PulmCrit: MidaKet for procedural sedation in critical illness
intro: the challenge of procedural sedation in critical illness Procedural sedation for critically ill patients is a minefield for several reasons: Patients are already physiologically unstable. Procedures are emergent (a factor widely associated with greater complications). Time constraints often prevent a complete pre-anesthetic evaluation (e.g., medical history and laboratory studies may be unknown). A single […]
EMCrit 376 – Do We Need ETCO2 (Capnography) for Procedural Sedation in the ED? with Sam Campbell (Procedural Sedation 4)
Do we need ETCO2 for PSA in the ED?
EMCrit 151 – Procedural Sedation Part 3 with Jim Miner
Jim Miner discusses the fine points of ED/ICU procedural sedation
EMCrit 379 – Procedural Sedation Part IV – the Critically Ill Patient and MidaKet
How do you sedate a critically ill patient for a procedure?
EMCrit 283 – Dexmedetomidine (Precedex) – You’d have to be Delirious Not to Use It
Dexmedetomidine (Precedex) – You’d have to be Delirious Not to Use It –
Foundational Stabilization (FoundStab) Project
Purpose of the Project We started the Foundational Stabilization Project to create the absolute baseline for acceptable resuscitation and acute critical care. This baseline or foundational level of care is still above the current care provided in many locations in North America. If you were a patient, and you were brought to a center using the SOPs […]
PulmCrit: The ketamine-tolerant patient
The ketamine-tolerant patient presents a quandary to clinicians who aren’t familiar with this phenomenon. The first time I encountered this, I was baffled and aborted the procedure after giving 200 mg ketamine. Eventually I realized that the drug isn’t “failing” to work, but rather we are failing to administer a sufficiently high dose.
EMCrit 40 – Delayed Sequence Intubation (DSI)
Delayed Sequence Intubation (DSI) is a procedural sedation, the procedure in this case being effective preoxygenation. Give ketamine, put them on the mask, and in 3 minutes paralyze and intubate.
Delayed Sequence Intubation (DSI)
This page is a compilation of all things Delayed Sequence Intubation (DSI) The Delayed Sequence Intubation (DSI) Publication is in Ann Emerg Med 2014 and is currently available as FOAM (http://dx.doi.org/10.1016/j.annemergmed.2014.09.025) CJEM DSI Journal Club DSI is one of 4 things that I think need to be used for cutting edge airway management in the […]
Preoxygenation, Reoxygenation and Deoxygenation
What is this page about? Scott Weingart, MD and Richard Levitan, MD published an article in the Annals of Emergency Medicine entitled Preoxygenation and Prevention of Desaturation during Emergency Airway Management. This page serves as a repository for supplementary material on the subjects raised in the article. The article is available for free on the […]
EMCrit 279 – The Decision to use Ketamine – Disruptive and Dangerous with Reub Strayer
I frequently see both residents and attendings inappropriately using ketamine for agitated patients. Inappropriately both by giving it when it is unecessary and giving it in poor fashion when it is indicated.
Opioid intoxication
CONTENTS Rapid Reference 🚀 Diagnosis Presentation Differential diagnosis Evaluation Naloxone basics Treatment overview Opioid naive pathway Doing OK pathway Too Sleepy pathway Dying pathway Intubated pathway Additional treatment may be needed for certain agents: Methadone Loperamide Podcast Questions & discussion Pitfalls opioid toxidrome – key features Somnolence Reduced respiratory rate This is the most important […]
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