Podcasts about delayed sequence intubation

Listener discretion is advised. References: PMID 37058727, 25447559, 29405806

Show notes at pharmacyjoe.com/episode816. In this episode, I'll discuss a randomized controlled trial about delayed sequence intubation. The post Episode 816: Delayed Sequence Intubation With Ketamine RCT Results appeared first on Pharmacy Joe.

Show notes at pharmacyjoe.com/episode816. In this episode, I ll discuss a randomized controlled trial about delayed sequence intubation. The post Episode 816: Delayed Sequence Intubation With Ketamine RCT Results appeared first on Pharmacy Joe.

In this week's episode of the EMS Handoff, Eric takes the lead as David took the week off. Eric and Bradley are joined in the EMS Handoff Studio to discuss the process of delayed sequence intubation. This spirited discussion, which may have a little heckling of David, includes the current evidence in airway management, especially when using medication to support the process. Tune in and see what you think. 

The Delayed Sequence Intubation episode you've all been waiting for! Plus Spiders! Plus Mmmhopps beer! What a time to be alive, and hopefully the crew in this call can keep a very sick patient from falling off the oxygenation cliff!

Case study with ATLS refreshers and discussion of using DSI v. RSI in head injured patients. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

Today’s show is all about the changes in how we approach intubation in EMS. Dr. Jeff Jarvis will relate how he got interested in the topic of airway management and specifically the process of delayed sequence intubation. Dr. Jarvis is the EMS medical director for Williamson County Texas EMS. He will present data from the recent Annals of Emergency Medicine paper his group authored on the topic. MCHD quality lead, Kevin Crocker, will present our data following DSI Implementation in Montgomery County. Weingart Emcrit podcast and Annals of EM article https://emcrit.org/dsi/ http://dx.doi.org/10.1016/j.annemergmed.2014.09.025 Jarvis Annals paper http://www.annemergmed.com/article/S0196-0644(18)30071-4/abstract Wilco EMS: https://www.wilco.org/Departments/EMS 2017 SOCs DSI protocol DSI checklist for both WCEMS and Marble Falls Area EMS

Delayed Sequence Intubation o Secuencia de Intubación retardada en urgencias

Dr. Jeffrey Jarvis is a paramedic turned EMS medical director. You might end up listening more than once because this talk is rich. He packs a ton into the hour. Video Laryngoscopy, Ketamine, Delayed-Sequence Intubation, ultrasound, push-dose pressors, and how he asks his medics to approach EKGs. If you hang around until the end, you get to hear him share a bit about the challenges he faced as a paramedic. Show notes at medicmindset.com

“ipsa scientia potestas est” This is FOAMed. Thus there are a lot of people that are nothing short of obsessed with airways. It’s as if humans were primarily a giant "Pass the Parcel" game with a super difficult intubation inside. This will allow us individually to be the airway super-hero that we dream we could be. But we don’t have super powers. None of us do. We do have some information though and information is power. NAP-4 out of the UK was the product of information collected by the College of Anaesthetists in the UK. Before that was published Toby Fogg had already started collecting airway data at the Royal North Shore Hospital in Sydney, Australia and beyond. Toby spoke to Minh Le Cong on his PHARM podcast 5 years ago. This rather helped get the word out and he followed up with a post on Lifeinthefastlane. https://lifeinthefastlane.com/do-you-know-if-you-really-own-the-airway/ 5 years later we caught up with him to find out how it is all going. Toby is still collecting the data. Some people collect stamps, some collect beer glasses. Toby collects airway data. He's been at it for about 7 years now with the cooperation of a significant number of hospitals around the country. He has been able to see the changing trends in Australian airway management from the publication of the NAP-4 audit to emerging practices such as Delayed Sequence Intubation, Apnoeic Oxygenation and the increasing use of ketamine and rocuronium for RSI. He has also had to learn the intricacies of setting up a database for potentially sensitive information. In the background Luna Park was in full swing with music playing and rides running, which reflected the rollercoaster ride that Toby has undertaken. Sounds like a laugh. The Airway Registry - http://www.airwayregistry.org.au/airway-heros.html 
The Emergency Care Institute - https://www.aci.health.nsw.gov.au/networks/eci https://lifeinthefastlane.com/do-you-know-if-you-really-own-the-airway/ Musical inspiration today is the reggae classic “Give me Power” by Lee “Scratch” Perry & The Upsetters. (I don’t think Lee was thinking of airway data though.)

BLS CPAP / JEMS: http://www.jems.com/articles/print/volume-38/issue-11/patient-care/argument-bls-cpap.html   Optimizing Preoxygenation, Delayed Sequence Intubation: Must read: http://emcrit.org/preoxygenation Paper in Annals @emcrit @mdaware: http://www.annemergmed.com/article/S0196-0644(14)01365-1/abstract LITFL DSI: http://lifeinthefastlane.com/ccc/delayed-sequence-intubation/     Follow us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD www.emsnation.org

Pearls from our weekly conference discussing severe asthma and COPD exacerbations. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_17_0_Final.m4a Download 4 Comments Tags: Asthma, BPAP, COPD, NIPPV, Respiratory Show Notes Shownotes EMCrit: Delayed Sequence Intubation REBEL EM: The Crashing Asthmatic EM:RAP: The Rule of 2s Abdo WF, Heunks LM. Oxygen-induced hypercapnia in COPD: myths and facts. Critical Care 16(5):323. PMID: 23106947 Read More

Pearls from our weekly conference discussing severe asthma and COPD exacerbations. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_17_0_Final.m4a Download 4 Comments Tags: Asthma, BPAP, COPD, NIPPV, Respiratory Show Notes Shownotes EMCrit: Delayed Sequence Intubation REBEL EM: The Crashing Asthmatic EM:RAP: The Rule of 2s Abdo WF, Heunks LM. Oxygen-induced hypercapnia in COPD: myths and facts. Critical Care 16(5):323. PMID: 23106947 Read More

Pearls from our weekly conference discussing severe asthma and COPD exacerbations. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_17_0_Final.m4a Download 4 Comments Tags: Asthma, BPAP, COPD, NIPPV, Respiratory Show Notes Shownotes EMCrit: Delayed Sequence Intubation REBEL EM: The Crashing Asthmatic EM:RAP: The Rule of 2s Abdo WF, Heunks LM. Oxygen-induced hypercapnia in COPD: myths and facts. Critical Care 16(5):323. PMID: 23106947 Read More

Hot on the heels of Dr. Weingart's latest publication in the Annal of EM on Preoxygenation & Delayed Sequence Intubation, we have Dr. Weingart, perhaps the world's most influential critical care educator, and Dr. Walter Himmel, 'The Walking Encyclopedia of EM' discussing how the community ED doc can use preoxygenation, apneic oxygenation and delayed sequence intubation to help improve airway management knowledge and skills. Whether you work in a rural setting or a big urban community hospital, Dr. Himmel and Dr. Weingart explain how these concepts and skills are easily adaptable to your work environment. We introduce the Triple 15 Rule for preoxygenation as a memory aid that will help you the next time you're faced with a critically ill patient who's oxygen saturation isn't good enough on a non-rebreather. The post Episode 54: Preoxygenation and Delayed Sequence Intubation appeared first on Emergency Medicine Cases.

Hot on the heels of Dr. Weingart's latest publication in the Annal of EM on Preoxygenation & Delayed Sequence Intubation, we have Dr. Weingart, perhaps the world's most influential critical care educator, and Dr. Walter Himmel, 'The Walking Encyclopedia of EM' discussing how the community ED doc can use preoxygenation, apneic oxygenation and delayed sequence intubation to help improve airway management knowledge and skills. Whether you work in a rural setting or a big urban community hospital, Dr. Himmel and Dr. Weingart explain how these concepts and skills are easily adaptable to your work environment. We introduce the Triple 15 Rule for preoxygenation as a memory aid that will help you the next time you're faced with a critically ill patient who's oxygen saturation isn't good enough on a non-rebreather. The post Episode 54: Preoxygenation and Delayed Sequence Intubation appeared first on Emergency Medicine Cases.

Delayed Sequence Intubation (DSI) is a procedural sedation, the procedure in this case being effective preoxygenation. Give ketamine, put them on the mask, and in 3 minutes paralyze and intubate.

There are so many emergency airway controversies in emergency medicine! Dr. Jonathan Sherbino, Dr. Andrew Healy and Dr. Mark Mensour debate dozens of these controversies surrounding emergency airway management. A case of a patient presenting with decreased level of awareness provides the basis for a review of the importance, indications for, and best technique of bag-valve-mask (BVM) ventilation, as well as a discussion of how best to oxygenate patients. This is followed by a discussion of what factors to consider in deciding when to intubate and some of the myths of when to intubate. The next case, of a patient with severe head injury who presents with a seizure, is the fodder for a detailed discussion of Rapid Sequence Intubation (RSI). Tips on preparation, pre-oxygenation and positioning are discussed, and some great debates over pre-treatment medications, induction agents and paralytic agents ensues. The new concept of Delayed Sequence Intubation is explained and critiqued. They review how to identify a difficult airway, how best to confirm tube placement and how to avoid post-intubation hypotension. In the last case of a morbidly obese asthmatic they debate the merits of awake intubation vs RSI vs sedation alone in a difficult airway situation and explain the best strategies of ventilation to avoid the dreaded bradysystlolic arrest in the pre-code asthmatic. Finally, some key strategies to help manage the morbidly obese patient's airway effectively are reviewed.

There are so many emergency airway controversies in emergency medicine! Dr. Jonathan Sherbino, Dr. Andrew Healy and Dr. Mark Mensour debate dozens of these controversies surrounding emergency airway management. A case of a patient presenting with decreased level of awareness provides the basis for a review of the importance, indications for, and best technique of bag-valve-mask (BVM) ventilation, as well as a discussion of how best to oxygenate patients. This is followed by a discussion of what factors to consider in deciding when to intubate and some of the myths of when to intubate. The next case, of a patient with severe head injury who presents with a seizure, is the fodder for a detailed discussion of Rapid Sequence Intubation (RSI). Tips on preparation, pre-oxygenation and positioning are discussed, and some great debates over pre-treatment medications, induction agents and paralytic agents ensues. The new concept of Delayed Sequence Intubation is explained and critiqued. They review how to identify a difficult airway, how best to confirm tube placement and how to avoid post-intubation hypotension. In the last case of a morbidly obese asthmatic they debate the merits of awake intubation vs RSI vs sedation alone in a difficult airway situation and explain the best strategies of ventilation to avoid the dreaded bradysystlolic arrest in the pre-code asthmatic. Finally, some key strategies to help manage the morbidly obese patient's airway effectively are reviewed. The post Episode 8: Emergency Airway Controversies appeared first on Emergency Medicine Cases.