Intubation is a sexy procedure, there is no doubt about it.NIV does not have the glamour; it's not nearly as cinematic. But for the patient, to spend 30 minutes on a NIV mask is preferable to a couple of days on the ventilator. In this episode, I discuss some of the basic ideas and methods of NIV.It is pretty simple as the mode only has 3 main settings:FiO2 - set … [Read more...]
EMCrit Podcast 1 – Sympathetic Crashing Acute Pulmonary Edema (SCAPE)
Here it is, the 1st EMCrit podcast.It's on the topic of Sympathetic Crashing Acute Pulmonary Edema (SCAPE).To boil it down to 10 seconds:Start patient on Non-invasive ventilation with a PEEP of 6-8; quickly titrate to a PEEP of 10-12. Start the patient on a nitroglycerin drip. Administer a loading dose of 4oo mcg/min for 2 minutes (120 ml/hour on the pump for 2 … [Read more...]