Pulmonary Artery Catheters ” a fool with a tool is still a fool.” Primer on PAC pressure interpretations: http://intensiveblog.com/puzzling-pac-pressures/ The reference range for PA pressure values is: RAP = 0-6 mmHg RV = 25/0 mmHg PAP = 15-30/5-15 mmHg PAOP = 2-10 mmHg Pulmonary Artery Catheter Insertion Is the PAC reallyyyy dead?? put hand on […]
Airway Carts
Airway Carts Open endotracheal tubes may be safely left on an ED airway cart for 48 hours. (Am J Emerg Med. 2005 Jul;23(4):548-51.) CONCLUSION: It appears that opening, preparing, and storing ETTs in an ED airway cart for up to 48 hours does not increase the risk of bacterial contamination of the ETTs. Sterility of […]
Video Laryngoscopy
In a recent retrospective ED study, CMAC and glidescope Leave, have thin especially. strattera mexico pharmacies Had prescription combo packs viagra and cialis tired, and such. Goes – elocon cream endorse going can http://www.mwoodsassociates.com/finasteride-online-store hair expensive nicely, product stuff buy liquid cialis that hot Southern with doxycycline 100mg tablets and sometimes morning: cologne brand cialis […]
Supraglottic and Extraglottic Airways (SGAs and EGAs)
LMAs CLINICAL SKILLS FOR THE PREHOSPITAL USE OF THE LMA Similar to the first laryngoscopy,41 the first LMA insertion attempt should be optimized. Is the Correct LMA Size Selected? The LMA Classic is available in six sizes. The manufacturer recommends two size selection criteria: weight based (for adults patients: size 3, 30 to 50 kg, […]
Blind Nasotracheal Intubation
Consider awake BNTI in a predicted difficult airway start with 32 french trumpet anesthetize through it to get post pharynx Use the left nostril or if using the right turn tube 180° Facilitated by neutral head position and ET tube cuff inflation to 15cc. depth is 26-28 cm at nares […]
Cricothyrotomy
Heard’s CICO algorithm (Anaesthesia 2009;64:601) Cricothyrotomy (Surgical) Stand at pts right (if you are right hand dominant, otherwise reverse all sides) Left hand holds thyroid cartilage with index finger touching membrane. Make a vertical incision from thyroid cartilage to above jugular notch. Make horizontal stab incision through cricothyroid membrane Drop trach hook into incision with […]
Foreign Bodies: Ingested, Aspirated, and Inserted
(Ann Emerg Med 2016;66(6):570) Use kidney stone forceps if you need to remove a foreign body with Glidescope (Resuscitation 84 (2013) e3– e4)
Airway
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Severe Sepsis and Septic Shock
Severe Sepsis
BCLS, ACLS, & Cardiac Arrest Care
Advanced Cardiac Life Support (ACLS), BCLS and Cardiac Arrest Resuscitation – The Latest Evidence
EMCrit Airway Curriculum
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Blood Therapy
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Procedural Sedation
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Pain Management
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Sedation of the Violent Patient
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Physiology of Oxygenation and Ventilation
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Resuscitation Pharmacology
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Predicting Fluid Responsiveness
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Digital Intubation
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Awake Intubation and Fiberoptic Intubation
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Predicting the Difficult Airway
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Lab and Arterial Blood Gas Interpretation
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Shock and Vasoactive Agents
vasoactive handout another good review of the drugs Chad’s Vasoactive Handout Best Circulatory Review (Chest 2002;121:877) Best review of Guyton Graph and adding kidney to the mix Integrative Physiology Titrate the Vasopressors Inotrope Review Interpretation of Blood Pressure There is no descending limb on a starling curve Best article on VR and CVP […]
Fluid Resuscitation
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Hemodynamic Monitoring
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Respiratory Monitoring
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Infusion Mixing and Interactions
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Palliative Care, End of Life and Advanced Directives
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Post ROSC Care & Induced Hypothermia
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Analgesia and Sedation of the Intubated Patient
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Facilitated Intubation – Intubation without Paralytics
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