New to Meducation?
Sign up
Already signed up? Log In

Category

Rsi 1 answers1
0
12

Rapid Sequence Intubation, Episode 1: “Answers”

1. What is RSI, and why do we use it for most ED intubations? "Rapid Sequence Intubation (RSI) is the administration, after preoxygenation, of a potent induction agent followed immediately by a rapidly acting neuromuscular blocking agent to induce unconsciousness and motor paralysis for tracheal intubation" (Walls and Luten). We use RSI in the ED…  
emlyceum.com
about 5 years ago
Preview
0
14

When RSI isn’t the Right SI

Rapid sequence intubation, the simultaneous administration of a paralytic and induction agent immediatel  
emupdates.com
about 5 years ago
Preview
0
36

Direct Laryngoscopy

http://www.youtube.com/watch?v=ThISkClbv7o   This week we have another awesome post from Dr. Eric Shappell!  This is an excerpt on DL from his video on Introduction to Intubation. Check out his YouTube site for more fantastic EM videos!  https://www.youtube.com/user/ericshappell  
emin5.com
about 5 years ago
Preview
0
35

EMCrit Intubation Checklist

A call/response intubation checklist for Emergency Medicine and Critical Care Airway Management  
emcrit.org
about 5 years ago
Preview
0
17

Post-Intubation Package

There is a ton of stuff to do post-intubation besides confirming the tube and giving the team high-fives. Here is the post-intubation package to make it so.  
emcrit.org
about 5 years ago
Preview
0
10

Post-intubation Sedation in the Emergency Department

Pushing some ativan followed by vecuronium is no longer an acceptable strategy to manage post-intubation sedation. A good analgesia and sedation package is essential if you care about your patient's comfort and well-being. We need to move to PAIN-FIRST paradigm. Optimize analgesia and then add in sedative agents as a bonus. In this episode of the EMCrit Podcast, I expand on a previous rant to discuss the optimal way to handle routine post-intubation patients and some special scenarios you may encounter.  
emcrit.org
about 5 years ago
Preview
0
25

Preoxygenation, Deoxygenation and Reoxygenation during Intubation

What is this page about? Scott Weingart, MD and Richard Levitan, MD published an article in the Annals of Emergency Medicine entitled Preoxygenation and Pr  
emcrit.org
about 5 years ago
Preview
0
11

Fiberoptic Awake Oral Intubation | Resus Review

Tutorial and procedure steps for performing fiberoptic awake oral intubation including equipment, preparation, and medications.  
resusreview.com
about 5 years ago
Preview
0
10

Comparison of the rate of successful endotracheal intubation between the “sniffing” and “ramped” positions in patients with an expected difficult intubation – a prospective randomized study

Thanks to our Korean colleagues for providing this open access research article on intubation success compared between sniffing vs ramped position! Read HERE  
prehospitalmed.com
about 5 years ago
Preview
0
39

Intubation 2015

Check out this great up to date overview of RSI/intubation in 2015 by Western Health Intubation 2015  
prehospitalmed.com
about 5 years ago
Preview
0
12

Pollster Infographic: Delayed Sequence Intubation

Do you perform DSI? A visual tour through the steps to proper DSI and some data on real world experience in a concise infographic format.   
emcurious.com
about 5 years ago
Preview
0
10

Apneic oxygenation and high-flow nasal cannula don’t prevent desaturation during intubation?

0 0 Introduction 0 Recently there has been increased interest in the use of high-flow nasal cannula (HFNC) to provide preoxygenation and apneic oxygenation  
pulmcrit.org
about 5 years ago
Sinaiem dark
0
23

a-tale-of-two-trachs

34 year old male with PMHx quadriplegia 2/2 GSW 8 years prior, with elective tracheostomy after his early disease course was complicated by frequent intubations for sepsis, presents to ED from NH with fever x1 day.  
sinaiem.org
about 5 years ago
Preview
0
20

Don’t just pre-oxygenate: have an Oxygenation Strategy |

A key component in the planning of intubation is pre-oxygenation. Recently apnoeic oxygenation during laryngoscopy has been adopted too. These are just two components of an overall oxygenation strategy to consider when intubating the critically ill. Some patients will require proactive preparation of the components of successful post-intubation oxygenation, especially those with severe lung pathology like ARDS.  
resus.me
about 5 years ago
Preview
0
6

Difficult airways can’t be reliably predicted |

This paper1 proves what Rich Levitan has been saying (and writing) for years – that there is no method of prediction of difficult intubation that is both highly sensitive (the test wouldn’t miss many difficult airways) and highly specific (meaning those predicted to be difficult would indeed turn out to be difficult). Most importantly, this means one should always have a plan for failure to intubate and failure to mask-ventilate regardless of how ‘easy’ the airway may appear.  
resus.me
about 5 years ago