The 2nd FoundStab SOP is on standard intubation…
Search Results for: procedural sedation
Asthma
CONTENTS Rapid Reference 🚀 Non-intubated asthmatic 🚀 Intubated asthmatic 🚀 Initial evaluation Asthma exacerbation diagnosis Risk stratification Non-intubated patients Inhaled bronchodilators Systemic bronchodilators Noninvasive ventilation (BiPAP) Sedation strategies Dexmedetomidine IV haloperidol/droperidol Benzodiazepines Opioids Ketamine Unable to tolerate BiPAP: Heliox vs. HFNC Steroid Other medications Evaluation & goals Beware of asthma treatment pseudofailure Intubation Indications for […]
Rapid Sequence Termination (RST) of status epilepticus
[PLEASE NOTE: This post has been updated with a new post. If you have time, consider reading them in sequence, starting with this post first] 0 Introduction 0 Status Epilepticus is our favorite neurologic emergency. If managed correctly, patients will often have excellent neurologic outcomes and short ICU stays. Incorrect management increases risk of […]
Severe hemoptysis
CONTENTS Rapid Reference 🚀 Basics General principles of hemoptysis management Ddx vs pseudohemoptysis Triage: Who needs ICU? Common causes of severe hemoptysis Roadmap for management of severe hemoptysis 0) Initial evaluation Nebulized tranexamic acid 1) Reverse coagulopathy 2) Indications for intubation 3) CT scan 4) IR embolization 5) Intubation 6) Bronchoscopy 7) Interventional pulmonology 8) […]
COVID 19 Complete Chapter
CONTENTS Basic biology Infection control Transmission Personal protective equipment (PPE) Diagnosis Signs & symptoms Labs Imaging CXR & CT scan Lung ultrasonography General approach to imaging Bronchoscopy Diagnostic approach for admitted patients Treatment: General protocols ED patients getting admitted to the hospital Inpatient management of hypoxemic, non-intubated patients Intubated patients Treatment: Specific anti-viral & immunosuppressive […]
Preoxygenation & apneic oxygenation using a nasal cannula
0 Starting Point: We do a bad job at preoxygenation 0 We could do better at preoxygenating patients before emergent intubations. In my experience the most commonly used device for preoxygenation is a bag-valve mask, which has many pitfalls. We often accept a poor mask seal in efforts to remain gentle with awake patients. […]
Epiglottitis
CONTENTS Signs & symptoms Differential diagnosis Diagnosis Management Medical Management Epiglottic abscess Airway management Indications for intubation Intubation procedure Extubation procedure Podcast Questions & discussion Pitfalls symptoms Sore throat (92%)(31173373) Swallowing problems Odynophagia (82%) Dysphagia (80%) Drooling (18%) Voice change (43%) Hoarseness (26%) Muffled voice (30%) Respiratory dysfunction Stridor (8%) Dyspnea (33%) Inability to lie […]
EMCrit Shadowboxing Case 4 – When to Pull the Trigger
When to pull the trigger…
EMCrit 360 – A Taxonomy of Key Performance Errors for Emergency Intubation (Primer)
We categorized intubation errors and published a paper about it…
Ventricular arrhythmias
CONTENTS approach to wide-complex monomorphic tachycardia Diagnostic approach to wide complex tachycardia [1] Consider pretest probability for VT [2] Compare to old ECG if available [3] Initiation of wide complex tachycardia [4] Signs of potential VT mimic [5] Evidence of AV dissociation? [6] Morphology in Leads II & aVR Morphology rules [7a] RBBB-type [7b] LBBB-type […]
ICU care post craniotomy
CONTENTS General approach to neuroworsening after cranial surgery General postoperative management considerations Hemodynamics Seizure prophylaxis Analgesia & sedation Nausea and vomiting Fever Sodium abnormalities DVT prophylaxis General complications Intracranial hemorrhage Cerebral infarction Seizure Cerebral edema CSF leak Hydrocephalus Infectious complications Tension pneumocephalus Selected procedures Decompressive craniectomy Posterior fossa surgery Pituitary resection Carotid endarterectomy or stenting […]
EMCrit 142 – Airway Things I Learned from George Kovacs at the NYC Airway Course
In this 3rd post for JanuAirway, I am joined by airway educator extraordinaire: George Kovacs.
Liberation from the ventilator
CONTENTS Rapid Reference: Optimization & items to consider prior to extubation 🚀 Spontaneous Breathing Trial (SBT) If the patient fails the SBT Causes of failed SBT Investigation If the patient passes the SBT A trial of extubation Post-extubation support Timing of tracheostomy Some additional concepts Unplanned extubation Nocturnal extubation Understanding & navigating the obesity quagmire […]
COVID19 – Awake Pronation – A guest write-up by David Gordon, MD
Awake Proning for COVID19
PulmCrit Table of Contents (TOC)
TOPICS airway & procedures cardiology endocrinology gastroenterology hematology/oncology infectious diseases nephrology neurology pulmonology rheumatology toxicology methodology & miscellaneous Airway pharmacology Medication sequence: rocketamine vs. keturonium Ketamine-tolerant patient Catastrophic complications, ROC vs. SUX Arterial lines: wrist versus the groin? Cricothyrotomy in asphyxial cardiac arrest Difficult airway communication via allergy list Drowned airway Large-bore suction strategies & […]