A few weeks ago, Dr Harriott gave a talk on out-of-hospital cardiac arrest (OHCA) and pre-hospital airway management. She reviewed some historical context for the current EMS system and airway management. Her literature search suggested that for OHCA, paramedic-operated endotracheal intubation (ETI) was associated with increased mortality and decreased neurologic Read more…
Today’s Morning Report is courtesy of Dr. DiMare! Color Change Capnography How does it work? pH based REVERSIBLY reacts with expired CO2 purple with ETCO2 < 3mmHg yellow with ETCO2> 15mmHg How good is it? – nearly 100% specific (97-100% different studies, different devices) WHEN USED PROPERLY Read more…
We like to think we’re always practicing evidence-based medicine. So we inform our consultants about likelihood ratios and ask how can they be “so sure.” We try to be very aware of the sensitivities and specificities of the tests we use so that their results can be qualified. But sometimes, Read more…
Here’s Dr. Kong with today’s Morning Report! Intubation of the Asthmatic Summary: 1. Exhaust all pharmacologic and non-invasive breathing therapies 2. The decision to intubate is usually clinical. 3. Remember good pre-intubation prep. 4. Predicted difficult intubation: hard to pre-oxygenate/ poor O2 reserve/ fast desat. because of hyperinflation, Read more…
Today’s Morning Report is courtesy of Dr. Basile! Delayed Sequence Intubation Why do this? – Standard preoxygenation with NRB mask (65-80% FiO2) for 3 min or 8 vital capacity breaths has been shown to provide a buffer of 8 min in a healthy, non-obese adult patient before desats to Read more…
Welcome to this month’s edition of Staten Island Corner. The subject of this month’s edition comes from a recent topic on EMRAP. There was an interview with Dr. Ron Walls, who is a well known Emergency Medicine Physician and nationally recognized airway expert. The topic of the discussion was the Read more…