We need to be able to respond instantly to the sickest patients rolling into the resus bay–sometimes with no warning at all.
Search Results for: airway
Flash cigarette burns: To intubate or not to intubate?
0 Getting warmed up with a multiple-choice question 0 A 70-year-old man with oxygen-dependent COPD is admitted following a flash burn. He started smoking with his oxygen running, and the cigarette “exploded” in his face. Currently he is in the emergency department on four liters nasal cannula (twice his chronic oxygen prescription). He is mentating […]
EMCrit 231 – How to Practice Cricothyroidotomy (Cric)
How to use the cric models and optimal surgical airway technique.
SALAD Devices
SSCOR DuCanto Suction Catheter The SSCOR DuCanto Catheter is a single-use, non-sterile, rigid suction catheter specifically designed to be used by emergency care providers to aspirate liquids or semi-solids from a patient’s upper airway. The SSCOR DuCanto Catheter has a larger inside diameter than a standard Yankauer suction tip to facilitate the removal of fluids […]
Guest Post: More from Minh Le Cong on Needle Cricothyrotomy
Oxygenation with a needle cricothyrotomy based technique:
Additional Intubation Checklists
Other folks’ Checklists for Inspiration The Safer Intubation Project From the folks who brought you NAP4 comes the safer intubation project Strayer’s EDICT Strayer’s EDICT Checklist George Douros George makes amazing videos and algorithms to improve your practice. Here is his RSI checklist and Failed Airway Progression: Paul Mayo and Seth Koenig I debated […]
The New Elaine Bromiley Videos
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Anaphylaxis
CONTENTS Rapid Reference 🚀 Diagnosis Clinical findings & definition Causes Differential diagnosis Investigation Anaphylaxis vs. bradykinin-mediated angioedema Treatment Source control Components of therapy Epinephrine IV epinephrine infusion Fluid resuscitation Antihistamines Steroid Inhaled beta-2 agonists Overall treatment strategy General treatment strategy Anaphylaxis in the beta-blocked patient Airway management Recovery phase & extubation Disposition Podcast Questions & […]
High-flow nasal cannula for apneic oxyventilation
0 Introduction 0 Last summer I wrote a postabout preoxygenation and apneic oxygenation using high-flow nasal cannula (HFNC). At that point there was no evidence supporting it, so the post was based primarily on the physiology of HFNC. Recently two papers were published supporting the use of HFNC for preoxygenation and apneic oxygenation (Patel 2015, […]
EMCrit 184 – Needle Cric (Again) and Transtracheal Jet Ventilation with Laura Duggan
The needle vs. knife debate rages on, but it looks like the knife may be winning
Pulmonary Function Tests (PFTs)
CONTENTS Rapid reference: Approach to PFT interpretation 🚀 Approach to spirometry Approach to lung volumes About pulmonary function tests (PFTs) Contraindications to PFTs Brief discussion of commonly utilized tests Obstruction Large airway obstruction Restriction Nonspecific ventilatory limitation PRISM (preserved ratio impaired spirometry) DLCO Bronchial responsiveness: Bronchodilator response Methacholine bronchoprovocation Neuromuscular weakness & inspiratory pressures Changes […]
EMCrit 247 – The Dissociated Awake Intubation with my buddy, Ketamine
All the dope on Dissociated Awake Intubation using Ketamine
PulmCrit Wee- Could the best mode of noninvasive support for COVID-19 be… CPAP ??
COVID-19 patients seem to behave in a somewhat unique fashion, compared to other patients with ARDS. This isn’t based on high-level data, but it seems to be a theme emerging from a variety of centers (including my experience with one patient). Some salient points are: Low driving pressures are seen among ventilated patients. Thus, it […]
EMCrit Guest Post – Bougie Lessons from the Literature and Experience by George Kovacs
George Kovacs’ take on Bougie Use
Respiratory acidosis (hypercapnia)
CONTENTS Symptoms Laboratory diagnosis of hypercapnia Causes of hypercapnia Evaluation Consequences of hypercapnia Management of hypercapnia Podcast Questions & discussion Pitfalls symptoms of severe hypercapnia Delirium, somnolence, and eventually coma (“CO2 narcosis”). Coarse tremor, multifocal myoclonus, and asterixis. Headache (e.g., nocturnal hypoventilation may cause headache upon awakening). acute-on-chronic hypercapnia can be insidious Patients with chronic […]
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