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
- George Douros has written another excellent guideline for ED extubation.
- Sara Gray has also done a swell job discussing Sara Gray-ED Extubation
- Newest study from UMich (West J Emerg Med. 2020 May; 21(3): 532–537. )
More on Extubation from the EMCrit Crew
- PulmCrit Wee – The meaning of nocturnal extubation is 42
- High-flow nasal cannula to prevent post-extubation respiratory failure