I have previously blogged about a study demonstrating that there are ED patients being intubated and then not sedated or pain-controlled.
So it was no surprise to see a new study showing the same thing:
Watt et al. Effect of paralytic type on time to post-intubation sedative use in the emergency department (Emerg Med J 2013;30:893-895)
If the patient received sux, they got their sedatives started at the 15 minute mark (still sucks), but if they got rocuronium (they won't be flailing about and alarming the vent) it took a mean of 27 minutes.
We can do better.
- COVID19 – Awake Pronation (aka the Pig Roast) A guest write-up by David Gordon, MD - April 6, 2020
- EMCrit Wee – Webinar I Gave to Pulm/Crit Care Fellows on Avoiding Intubation and Initial Ventilation of COVID19 Patients - April 4, 2020
- EMCrit 269 – Rationing of Critical Care and Ventilators in COVID19 with Reub Strayer - March 31, 2020