When I was a resident, every vent lecture either put me to sleep or left me dazed and bewildered. I gave a lecture of that ilk when I started working after fellowship–I had become part of the problem. I decided there must be a way to make vent management more understandable and if not interesting, at least bearable.
More on a Diagnostic Strategy for C-Spine Injuries
Podcast 63 set off some expected controversy given my take that plain films are a dead imaging modality for c-spine injuries. I wanted to briefly outline my impression of the existing evidence:
EMCrit 63 – A Pain in the Neck – C-Spine Imaging and Clearance
In this episode, I discuss the diagnosis of c-spine injuries. I argue that we should not send patients to imaging unless we have used the NEXUS rule and then added the Canadian C-spine Rule to the sequence. If we are imaging, it should be with a 3-view reconstructed CT scan. And even after that is done, you still need a clearance exam before removing the collar.
EMCrit Podcast – Hard Six – My Picks from 2011
My favorite discoveries in the medical blogosphere and podcast land
Replay of the Emergency Ultrasound Podcast – Wall Motion Abnormality Lecture
Replay of the incredible Wall Motion Abnormality Talk from the Emergency Ultrasound Podcast
EMCrit 62 – Needle vs. Knife II: Needle Thoracostomy (Decompression)?
In this podcast, I explain why I don’t think needle compression is such a clever idea. Main points are: most people can’t find anterior target, most angiocaths won’t reach, and if used diagnostically you may not be in the pleura leading to an unidentified pneumo or hemothorax. Also, when used diagnostically, if the chest was negative you just caused a pneumothorax.
EMCrit 61 – Debate: Paralytics for ICU Intubations?
I recently spoke at a symposium at the Greater NY Hospital Assoc’s with the title: Controversies in Critical Care. I debated Paul Mayo, MD on the topic of whether paralytics should be used for ICU emergent intubations. Of course, I took the pro side of the debate. Dr. Mayo based his con side on an amazing study that came out of his ICU at LIJ hospital in NY.
Two OR Intubation Videos
Jim is an anesthesiologist at the Medical College of Wisconsin. He has recorded 100’s of intubations in the OR. The above video shows two of them.
EMCrit 60 – On Human Bondage and the Art of the Chemical Takedown (Violent Patient Sedation)
In this episode, I discuss the takedown and restraint of the violent, agitated delirium patient. This is a team sport and requires a coordinated approach for the safety of the patient and staff.
Essentials of EM 2011
I just got back from Essentials of Emergency Medicine 2011. In my opinion, this is the premiere Emergency Medicine Conference in the world! Mel Herbert continues to be a visionary in EM education.
How to generate constant CPAP with a BVM for Preoxygenation and Reoxygenation
How to make your crappy BVM into a powerful preoxygenation device–on the cheap.
EMCrit 59 – Bath Salts with Leon Gussow
Today I am joined by toxicology master, Leon Gussow to discuss a new quasi-legal class of drugs: Bath Salts. I saw my first OD of this a month ago; despite the drug’s name, this patient was neither clean nor pleasantly refreshed. He was violent, agitated, and overheated.
When to wean the CPAP in SCAPE
A listener asks how to wean CPAP when a SCAPE patient is getting better.
A novel set-up to allow suctioning during direct endotracheal and fiberoptic intubation
New device to allow you to suction until you pass through the cords
Brief Review of the King Vision Video Laryngoscope
Minh Le Cong, retrieval physician extraordinaire, shares a review of the King Vision Video Laryngoscope.
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