Podcasts about intubated

Takotsubo cardiomyopathy, also known as “broken heart syndrome,” is hard to diagnose because its symptoms mimic more common conditions like acute coronary syndrome. This stress-induced cardiomyopathy presents a mysterious challenge to nurses, as you'll hear in today's patient story.Host Sarah Lorenzini shares the case of a patient who went from experiencing shortness of breath and nausea to a serious cardiac emergency. She breaks down the patient's initial presentation, their quick decline featuring hypoxia and flash pulmonary edema, and ultimate diagnosis of takotsubo cardiomyopathy.In this episode, Sarah dives into the pathophysiology of takotsubo cardiomyopathy, covering how emotional or physical stress leads to the condition. She goes over its symptoms and treatment, as well as the role of nurses in managing the condition.Tune in now to find out how you should be handling similar cardiac emergencies!Topics discussed in this episode:Takotsubo cardiomyopathy: a patient case studyThe pathophysiology of takotsubo cardiomyopathyDiagnosing takotsubo cardiomyopathyHow to effectively treat takotsubo cardiomyopathyFinal takeaways for nursesListen to Episode 82: Sympathetic Crashing Acute Pulmonary Edema: That Time My Patient Went From Stable A-Fib RVR to Intubated in 30 Minutes! https://podcasts.apple.com/ca/podcast/82-sympathetic-crashing-acute-pulmonary-edema-that/id1535997752?i=1000637926574Mentioned in this episode:AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!Rapid Response and Rescue Intro CourseCONNECT

Step by step intubation steps every APP should follow --- Send in a voice message: https://podcasters.spotify.com/pod/show/rnp2ceo/message

How does AFib RVR escalate into a life-threatening situation in just 30 minutes?Join host Sarah Lorenzini as she reflects on a perplexing case of sympathetic crashing acute pulmonary edema, also known as flash pulmonary edema. This patient's rapid deterioration led to an emergency intubation that perplexed the rapid response team, but the patient's true condition became clear in hindsight.In this episode, Sarah walks us through the case, sharing the patient's presentation and medical history, how the team treated his symptoms, and why their initial interventions failed. She delves into the pathophysiology of SCAPE, the patient's progression into sympathetic surge, and his ultimate treatment.Tune in to learn from Sarah's look back at this patient story!Topics discussed in this episode:Sarah's complex A-Fib RVR patient storyReflecting on the patient's treatment and hindsight lessonsThe progression of sympathetic crashing acute pulmonary edema (SCAPE)Causes of SCAPE and stopping the spiral towards deathManaging SCAPE (what to and not to use)Case summary and key takeawaysMentioned in this episode:Coming Soon! Rapid Response Academy: The Heart and Science of Caring for the SickClick here to learn more about the community that Sarah is building: https://www.rapidresponseandrescue.com/community Rapid Response and Rescue Intro CourseCONNECT

First Look at OceanGate Titan Wreckage, Madonna Intubated in ER, Ryan Seacrest Theory, plus Rosanne Barr's latest comments, Richard Branson preparing space expeditions for the rich, Andy Cohen kisses Jennifer Lawrence, Biden snaps, J Sabs fundraising recap & more #TitanWreck #Madonna #RyanSeacrest Get Erin C's book here: https://amzn.to/3ITDoO7 Donate to Star Legacy (JSabs Charity) here: https://secure.qgiv.com/event/swingforthestars-2023/ Get Merch here - https://bit.ly/AnthonyMerch Subscribe to the Anthony On Air Podcast here: Facebook - https://bit.ly/AntOnAirFB YouTube - https://bit.ly/AntOnAirYT Apple Podcast - https://bit.ly/AntOnAirApple Google Podcast - https://bit.ly/AntOnAirGoo Spotify - https://bit.ly/AntOnAirSpot Stitcher - https://bit.ly/AntOnAirSti Overcast - https://bit.ly/AntOnAirOv Twitter - https://bit.ly/AntOnAirTwitter Instagram - https://bit.ly/AntOnAirInsta Get more at https://www.AnthonyOnAir.com --- Send in a voice message: https://podcasters.spotify.com/pod/show/anthonyonair/message

Madonna Rushed To Hospital, Intubated in ICU After Being Found Unresponsive (Page Six) (13:20)Pete Davidson Is In Rehab But is Expected ‘Out Pretty Soon' (People) (24:23)John Legend Shares Photo With Four Kids After Chrissy Teigen Revealed They Secretly Welcome Baby (Page Six) (26:56)Bravo Planning ‘Vanderpump Rules' Spinoff with Jax Taylor, Kristen Route and Brittany Cartwright (Page Six) (34:55)‘Presumed Human Remains' Recovered From ‘Titan' Sub Wreckage, Coast Guard Says (People) (38:09)The Toast with Jackie (@JackieOshry) and Claudia Oshry (@girlwithnojob) The Camper and The Counselor by Jackie OshryMerchThe Toast PatreonGirl With No Job by Claudia Oshry

Today's episode of "PICU Doc On Call," with Dr. Pradip Kamat and Dr. Rahul Damania, pediatric ICU physicians, delves into intriguing case and management strategies within the acute care pediatric setting.This episode focuses on a 2-year-old child transferred to the PICU due to pneumonia-induced respiratory distress. As the child's condition deteriorates, intubation becomes necessary to address acute hypoxemic respiratory failure.We discuss the significance of minimizing unnecessary blood cultures in febrile patients with central lines in the PICU. A study implementing a quality improvement program is referenced, which successfully reduces blood culture rates, broad-spectrum antibiotic usage, and CLABSI rates without impacting mortality or length of stay.Next, we'll explore the comparison between a high-flow nasal cannula (HFNC) and continuous positive airway pressure (CPAP) in pediatric patients experiencing respiratory distress. Findings from a randomized controlled trial revealed that HFNC is non-inferior to CPAP in terms of time required for liberation from respiratory support.We further investigate the application of pediatric early warning scores (PEWS) and automated clinical prediction models to identify patients at risk of deterioration and transfer to the PICU. The importance of employing clinical judgment and a combination of assessment tools to determine the need for transfer is emphasized.Lastly, we'll highlight the significance of screening for social determinants of health in critically ill children and their families. A study demonstrates that a substantial number of participants had unmet social needs, underscoring the importance of screening to provide appropriate interventions and resources.To summarize, this podcast episode covers key topics such as reducing unnecessary blood cultures, comparing HFNC and CPAP in respiratory distress, utilizing PEWS and clinical prediction models for patient identification, and the importance of screening for social determinants of health.Be sure to listen in entirety as we discuss the case.

Welcome to PICU Doc On Call, A Podcast Dedicated to Current and Aspiring Intensivists.I'm Pradip Kamat coming to you from Children's Healthcare of Atlanta/Emory University School of Medicine and I'm Rahul Damania from Cleveland Clinic Children's Hospital. We are two Pediatric ICU physicians passionate about all things MED-ED in the PICU. PICU Doc on Call focuses on interesting PICU cases & management in the acute care pediatric setting so let's get into our episode.In today's episode, we're bringing together some of the best content from our previous podcasts to present a comprehensive clinical case. We're also excited to share with you some of the most highly cited articles from the past year, presented in a practical, case-based format. This episode will offer you valuable insights into the latest research findings while also highlighting the real-world application of this knowledge in a clinical setting.We'll start by presenting an interesting case of a toddler who was transferred to the PICU due to increasing respiratory distress:A 2-year-old male was brought to the emergency department with a chief complaint of increased work of breathing and URI symptoms, including a cough and runny nose. The child had no significant past medical history, was not taking any medications, and had no known allergies. The child was up-to-date on immunizations, and there were no significant sick contacts.The family brought the child to the emergency department after noticing a significant increase in work of breathing, including the use of accessory muscles, nasal flaring, and chest retractions. The initial physical exam revealed tachypnea and decreased breath sounds on the right side. The child's vital signs were concerning for respiratory distress, with a heart rate of 170 beats per minute, respiratory rate of 50 breaths per minute, and oxygen saturation of 85% on room air. Chest X-ray revealed right lower lobe pneumonia.The child was started on supplemental oxygen, and broad-spectrum antibiotics, and trialed with albuterol. Despite initial treatment, the child's respiratory distress worsened, and the decision was made to transfer the child to the PICU and place the patient on HFNC 1.5 L/kg. Upon admission to the PICU, the child's vital signs were still concerning, he was afebrile, with a heart rate of 180 beats per minute, respiratory rate of 60 breaths per minute, and oxygen saturation of 85% on 1.5L/kg HFNC at 75% FiO2. Given the persistent respiratory distress, the decision was made to intubate the child in the PICU for acute hypoxemic respiratory failure. Shortly after intubation, a central line is placed in the R internal jugular vein.To summarize key elements from this case:2-year-old with a prodrome of URI symptomsIs otherwise previously healthy with no significant medical history or allergiesDeveloped respiratory distress and diagnosed with pneumoniaTransferred to PICU, intubated for respiratory failureLet's fast forward in the case and talk about a scenario that frequently arises in the PICU. It's hospital day 2, and the patient's RSV swab is positive, and we're seeing some improvement on the X-ray....

I am accidentally muted from 4:50 to 5:50. 06:45 Elliott Blatt joins 44:00 Chris Kavanagh of Decoding the Gurus, https://soundcloud.com/politeconversations/ep-67-chris-kavanagh-pt-2-differences-similarities 1:13:00 Yale philosopher Jason Stanley, https://www.patreon.com/DecodingTheGurus/posts 1:22:00 Left-wing writer Owen Jones https://en.wikipedia.org/wiki/Scott_Ritter https://en.wikipedia.org/wiki/Douglas_Macgregor https://noahcarl.substack.com/p/where-did-wokeness-come-from https://www.patreon.com/parrotroom/posts https://www.patreon.com/DecodingTheGurus What's The Matter With Kansas? (2004) https://lukeford.net/blog/?p=146614 https://en.wikipedia.org/wiki/World_Happiness_Report https://www.economist.com/christmas-specials/2022/12/20/why-cricket-and-america-are-made-for-each-other https://en.wikipedia.org/wiki/My_Life_and_Loves https://www.sportstiger.com/news/what-is-the-new-cricketing-term-bazball https://en.wikipedia.org/wiki/Brendon_McCullum Messi & Ye, https://lukeford.net/blog/?p=146549 Israel's dumb culture, https://lukeford.net/blog/?p=146547 The Atlantic: WHY IS MARJORIE TAYLOR GREENE LIKE THIS?, https://radixjournal.substack.com/p/negative-theology https://en.wikipedia.org/wiki/Daniel_Goldhagen https://www.latimes.com/california/story/2022-12-16/as-tom-girardi-skated-the-state-bar-went-after-black-attorneys https://www.washingtonpost.com/politics/2022/12/12/stephen-miller-america-first-legal-biden-race-policies/ https://study.com/academy/lesson/abductive-reasoning-definition-examples.html https://www.rollingstone.com/politics/politics-news/kanye-west-gavin-mcinnes-nick-fuentes-jews-forgive-hitler-1234642059/ https://www.msn.com/en-us/news/us/ye-s-hate-spewing-career-tanking-descent-through-the-alt-media/ar-AA157LPl https://www.latimes.com/sports/soccer/story/2022-12-12/world-cup-underdog-morocco-france-semifinal FT columnist quits twitter because it is low status, https://www.ft.com/content/8a040159-502d-491d-8ad3-2200609dae71 https://forward.com/culture/527354/hitler-demon-president-biden-tweet-kanye-west-nick-fuentes-trump/ https://www.angelfire.com/mt/talmud/three.html https://www.angelfire.com/mt/talmud/gentiles.html https://www.washingtonpost.com/dc-md-va/2022/12/09/reopening-mass-shootings-walmart-club-q/ https://www.msn.com/en-us/news/us/ye-s-hate-spewing-career-tanking-descent-through-the-alt-media/ar-AA157LPl https://anchor.fm/aksubversive/episodes/Steve-Sailer---A-Lifetime-Of-Noticing-e1rsv89 https://radixjournal.substack.com/p/good-times https://twitter.com/RichardBSpencer/status/1599928437862707201 https://twitter.com/RichardBSpencer/status/1598421835032694785 Join this channel to get access to perks: https://www.youtube.com/channel/UCSFVD7Xfhn7sJY8LAIQmH8Q/join https://odysee.com/@LukeFordLive, https://lbry.tv/@LukeFord, https://rumble.com/lukeford https://dlive.tv/lukefordlivestreams Listener Call In #: 1-310-997-4596 Superchat: https://entropystream.live/app/lukefordlive Bitchute: https://www.bitchute.com/channel/lukeford/ Soundcloud MP3s: https://soundcloud.com/luke-ford-666431593 Code of Conduct: https://lukeford.net/blog/?p=125692 https://www.patreon.com/lukeford http://lukeford.net Email me: lukeisback@gmail.com or DM me on Twitter.com/lukeford Support the show | https://www.streamlabs.com/lukeford, https://patreon.com/lukeford, https://PayPal.Me/lukeisback Facebook: http://facebook.com/lukecford Feel free to clip my videos. It's nice when you link back to the original.

06:45 Elliott Blatt joins 44:00 Chris Kavanagh of Decoding the Gurus, https://soundcloud.com/politeconversations/ep-67-chris-kavanagh-pt-2-differences-similarities 1:13:00 Yale philosopher Jason Stanley, https://www.patreon.com/DecodingTheGurus/posts 1:22:00 Left-wing writer Owen Jones https://en.wikipedia.org/wiki/Scott_Ritter https://en.wikipedia.org/wiki/Douglas_Macgregor https://noahcarl.substack.com/p/where-did-wokeness-come-from https://www.patreon.com/parrotroom/posts https://www.patreon.com/DecodingTheGurus What's The Matter With Kansas? (2004) https://lukeford.net/blog/?p=146614 https://en.wikipedia.org/wiki/World_Happiness_Report https://www.economist.com/christmas-specials/2022/12/20/why-cricket-and-america-are-made-for-each-other https://en.wikipedia.org/wiki/My_Life_and_Loves https://www.sportstiger.com/news/what-is-the-new-cricketing-term-bazball https://en.wikipedia.org/wiki/Brendon_McCullum Messi & Ye, https://lukeford.net/blog/?p=146549 Israel's dumb culture, https://lukeford.net/blog/?p=146547 The Atlantic: WHY IS MARJORIE TAYLOR GREENE LIKE THIS?, https://radixjournal.substack.com/p/negative-theology https://en.wikipedia.org/wiki/Daniel_Goldhagen https://www.latimes.com/california/story/2022-12-16/as-tom-girardi-skated-the-state-bar-went-after-black-attorneys https://www.washingtonpost.com/politics/2022/12/12/stephen-miller-america-first-legal-biden-race-policies/ https://study.com/academy/lesson/abductive-reasoning-definition-examples.html https://www.rollingstone.com/politics/politics-news/kanye-west-gavin-mcinnes-nick-fuentes-jews-forgive-hitler-1234642059/ https://www.msn.com/en-us/news/us/ye-s-hate-spewing-career-tanking-descent-through-the-alt-media/ar-AA157LPl https://www.latimes.com/sports/soccer/story/2022-12-12/world-cup-underdog-morocco-france-semifinal FT columnist quits twitter because it is low status, https://www.ft.com/content/8a040159-502d-491d-8ad3-2200609dae71 https://forward.com/culture/527354/hitler-demon-president-biden-tweet-kanye-west-nick-fuentes-trump/ https://www.angelfire.com/mt/talmud/three.html https://www.angelfire.com/mt/talmud/gentiles.html https://www.washingtonpost.com/dc-md-va/2022/12/09/reopening-mass-shootings-walmart-club-q/ https://www.msn.com/en-us/news/us/ye-s-hate-spewing-career-tanking-descent-through-the-alt-media/ar-AA157LPl https://anchor.fm/aksubversive/episodes/Steve-Sailer---A-Lifetime-Of-Noticing-e1rsv89 https://radixjournal.substack.com/p/good-times https://twitter.com/RichardBSpencer/status/1599928437862707201 https://twitter.com/RichardBSpencer/status/1598421835032694785 Join this channel to get access to perks: https://www.youtube.com/channel/UCSFVD7Xfhn7sJY8LAIQmH8Q/join https://odysee.com/@LukeFordLive, https://lbry.tv/@LukeFord, https://rumble.com/lukeford https://dlive.tv/lukefordlivestreams Listener Call In #: 1-310-997-4596 Superchat: https://entropystream.live/app/lukefordlive Bitchute: https://www.bitchute.com/channel/lukeford/ Soundcloud MP3s: https://soundcloud.com/luke-ford-666431593 Code of Conduct: https://lukeford.net/blog/?p=125692 https://www.patreon.com/lukeford http://lukeford.net Email me: lukeisback@gmail.com or DM me on Twitter.com/lukeford Support the show | https://www.streamlabs.com/lukeford, https://patreon.com/lukeford, https://PayPal.Me/lukeisback Facebook: http://facebook.com/lukecford Feel free to clip my videos. It's nice when you link back to the original.

CHEST October 2022, Volume 162, Issue 4 Garrett Rampon, MD, and Nicholas A Bosch, MD, joins CHEST Podcast Moderator, Gretchen Winter, MD, to discuss the effectiveness of smartphone-guided self-prone positioning recommendations. DOI: https://doi.org/10.1016/j.chest.2022.05.009

Intro: The Amplified Elephants Shore from Deep Creatures  Hymns of the Intubated by FACETOUCHER (z0 records Brazil 2022)REMEMBER THE EMPTY CITY STREETS  Live recordings from the Make it up Club 060922Nina Maskiell and Cody Scharff Brigid Burke and Nat Grant Peter Knight and Brian O'Dwyer

In this episode from the series “Key Decisions in HIV Care,” Cristina Mussini, MD, and William R. Short, MD, MPH, AAHIVS, discuss important considerations for ART with opportunistic infections, including: When to start ART with pneumocystis pneumonia including discussion of the ACTG 5164 study of immediate vs delayed ART with opportunistic infectionsEACS, DHHS, and IAS-USA guideline recommendations for starting ART in the setting of most opportunistic infectionsConsiderations for the administration of ART to patients who are unable to swallow or critically ill and intubatedTreatment of Kaposi sarcoma and considerations for starting ART to avoid drug–drug interactions with Kaposi sarcoma treatmentConsiderations for starting ART with cytomegalovirus and the risk for IRIS from cytomegalovirusDiscussion of treatment of cytomegalovirus and overlapping toxicities between its treatment and ARTWhen to start ART with cryptococcal meningitis and the data to support delayed treatment initiation with this particular opportunistic infectionEACS, DHHS, and IAS-USA guideline recommendations for starting ART in the setting of cryptococcal meningitis specificallyTreatment of cryptococcal meningitis and managing drug–drug interactions between ART and antifungal therapyPresenters:Cristina Mussini, MDHead of Department of Infectious Diseases and Tropical MedicineFull Professor of Infectious DiseasesInfectious Diseases Clinics University HospitalUniversity of Modena and Reggio EmiliaReggio Emilia, Italy William R. Short, MD, MPH, AAHIVSAssociate Professor of MedicineDivision of Infectious DiseasesDepartment of MedicinePerelman School of Medicine at the University of PennsylvaniaPhiladelphia, Pennsylvania Content based on an online CME program supported by educational grants from Gilead Sciences, Inc.; Janssen Therapeutics, Division of Janssen Products, LP; and ViiV Healthcare.Follow along with the slides at:https://bit.ly/3uktrm1Link to full program:https://bit.ly/3q2DlGd

In April of 2020-the world got to know a beautiful and resilient woman's emotional and heart-wrenching story. Newly diagnosed with COVID-19 while being 6 months pregnant and unable to breathe on her own, she was put into a medically induced coma, only to wake up many days later, as a new mommy to a very premature baby. To me, she was Jo. The woman I admired from work, a then, 39 year old rockstar, who knew that she was meant to be a mommy and that her baby was waiting to meet her. she left tradition and societal expectations at the door and designed her own path to motherhood. That's why this episode is called: An Empowered Single Woman's Road to Motherhood & Her Triumph Over COVID. This episode is dedicated to all the single rockstars who are finding themselves at a mature age and longing to meet their babies. Johana Mendoza Chancay's story is a reminder that there are many roads to motherhood and one path doesn't make you more of a mother. Remember that your road to your baby is the right one for you.

Susanne was admitted to the ICU for ludwig's angina. When she required intubation only for airway protection, she was placed on the conveyor belt of ICU care. How did deep sedation and immobility impact her physical and psychological outcomes? How much more unnecessary time did she spent suffering in delirium on the ventilator? She tells us all in this episode. Www.daytonicuconsulting.com --- Support this podcast: https://anchor.fm/restoringlife/support

Dr Seana Molloy and Dr Simon Jackson debate whether video or direct laryngoscopy should be used to intubate critically ill children. This talk is part of the Paediatric Emergencies 2021 event. To get your CME certificate for listening to the podcast please visit https://www.paediatricemergencies.com/conference/paediatric-emergencies-2021/

Rapid sequence intubation and management of the recently intubated patient is a common scenario faced in any emergency department. This podcast will discuss the role of the EM pharmacist, potential strategies for success, and potential pitfalls and controversies regarding the management of these patients.  The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

Should we be proning COVID patients who are not intubated/spontaneously breathing? The short answer is yes. Prone positioning works. Show Notes: https://eddyjoemd.com/proning-covid/ Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way.

Covid Room 5215 is a real depiction of how I dealt with contracting Covid-19 in 2020. I share my bubble-like preventions, how I was infected, symptoms, hospitalization, the constant aftereffects that remind you that Covid has not entirely left your soul and why getting vaccinated is imperative. Many thanks to: Saint Barnabas Hospital staff (especially the 5th Floor Ward) in Livingston, New Jersey, my sister Gina, Gangadai, friends Jeff Adams, Sweden Aleong, Pascal Arthis, The Soto Family and countless family members for the concerns and positive affirmations. It is truly mind over matter!!

Episode 02 -- Show NotesNurses, being the largest sector of healthcare workers in every country, play such a vital role during a global pandemic. Today we speak with Trinity Goodman, an ICU nurse whose passion for healthcare developed at a young age. During her childhood, Trinity spent a significant amount of time in hospitals while she looked after her mother, a domestic violence survivor who underwent multiple surgeries. This experience inspired Trinity to pursue her nursing career. Her passion to help people eventually led her to travel to multiple states to help fight the pandemic and treat coronavirus patients. In April 2020, she worked in New York City when it was the epicenter of the epidemic in the United States. She also went to Texas, where personal protective equipment was extremely scarce. Trinity shares her insights on what it is like as a nurse fighting in the frontlines during the coronavirus. Trinity also reveals the best advice that she has been given and how she manages to handle her busy career while completing her Master’s program and still taking care of herself and her relationships. Tune in to hear more of Trinity Goodman’s remarkable story and insights. Key Points From This Episode:• Trinity studied nursing in Berea College in Kentucky.• Hear how her mother’s domestic violence situation drew Trinity into the medical field.• Trinity’s passion for the ICU.• The pandemic inspired her and her friends to travel to New York and Texas to treat coronavirus patients, which was an exhausting but amazing experience.• How FEMA contacted a company to contract nurses during the pandemic.• How compartmentalizing helped her get through everything.• The devastating effects of coronavirus and how different the situations were between New York and Texas.• How nurses had to handle situations with little or no equipment.• The militaristic routine she and fellow nurses went through every day.• How the pandemic was the best and worst thing that has happened to Trinity, changed the trajectory of her career, and gave her a purpose in life.• Her emotional attachment to Rachel Platten – Fight Song, which was played at her hospital celebrating each time a patient successfully came off a ventilator.• Trinity is completing her Master of Nursing-Nurse Practitioner program while working during the pandemic.• Information about her new website and podcast: Intubated and Sedated• Hear the best piece of advice that Trinity has ever been given.Links Mentioned in Today’s Episode:Trinity Goodman – Personal Instagram - https://www.instagram.com/trinitydall/?hl=enBerea College, Berea, Kentucky - https://www.berea.edu/Maryville University, St. Louis, Missouri - https://www.maryville.edu/FEMA - https://www.fema.gov/Intubated and Sedated - Website - https://www.intubatedandsedated.com/Intubated and Sedated – Instagram - https://www.instagram.com/intubatedandsedatedpodcast/?hl=enNBC Lex18 Article Covering Trinity’s Time in NYC - https://www.lex18.com/news/coronavirus/kentucky-nurse-working-in-nyc-hospital-battling-covid-19?

In this 179th episode I welcome Kali Dayton, an ICU NP, to the show to discuss a major area of interest for her, getting intubated patients up and walking. Kali has a podcast dedicated to the topic called Walking Home from the ICU where she interviews patients about their experiences. Links: Anchor: https://anchor.fm/restoringlife iTunes: https://podcasts.apple.com/us/podcast/walking-home-from-the-icu/id1497431005 Spotify: https://open.spotify.com/show/61pYjGvlyitt3sgALgHYBg Google: https://podcasts.google.com/?feed=aHR0cHM6Ly9hbmNob3IuZm0vcy8xMmU1NWRhMC9wb2RjYXN0L3Jzcw&ved=2ahUKEwjFudzsof_pAhWNaM0KHRLrBLIQ4aUDegQIARAC&hl=en  … Continue reading "Episode 179: Ambulating While Intubated with Kali Dayton"

After developing Acute Respiratory Distress Syndrome or ARDS during her intubation, Dr. CJ Castillo regains consciousness and wins battle against a severe form of COVID-19. For more updates, follow us on our social media accounts: FACEBOOK: facebook.com/gmapublicaffairs TWITTER: facebook.com/gma_pa TIKTOK: GMA Public Affairs

In the swan song of ERcast Lite, we speak with Scott Weingart about the truths, misunderstandings, and physiology of ECMO. To subscribe to ERcast and get 2.5 hours of high yield monthly content, CME, and all sorts of goodies, use the code 'bacon' for a 3 month free trial. https://www.hippoed.com/em/ercast/   Pearls: VV ECMO takes over lung function and is used for those with severe lung disease (ie. ARDS, pneumonia, severe asthma). VA ECMO takes over the heart and lung. Ideal candidates are patients with massive PE or cardiogenic shock. Intubated patients who you can’t oxygenate despite rapidly escalating PEEP and a high FiO2 should be considered for VV ECMO.     There are 2 primary types of extracorporeal membrane oxygenation (ECMO):  veno-venous (VV) and veno-arterial (VA). VV ECMO takes over lung function. It drains blood from the IVC or SVC, sends it through a pump which delivers it to an oxygenator (a membrane which allows the influx of oxygen and removes CO2), and then pumps the oxygenated blood back into the right heart system (returning it to the IVC or SVC).   Useful for those with severe lung disease but decent heart function. Examples:  pneumonia, ARDS, severe asthma with CO2 retention, immunologic lung diseases, cystic fibrosis awaiting lung transplant Limited by its complications, cost, and logistical catastrophes. VA ECMO takes over lung AND heart function. It drains blood from the IVC/SVC, pumps it out and sends it to an oxygenator, and then returns the blood retrograde up the aorta so it can perfuse the abdominal viscera, brain, and possibly even the heart.   For patients with cardiogenic shock or massive PE. Does not yield as much benefit for patients with septic shock or other vasodilatory states (unless they had a sepsis-induced cardiomyopathy). Shares the same limitations as VV ECMO, with the addition that the physiology induced by the VA ECMO itself can be deleterious.   Which patients might benefit from transfer to an ECMO center? The threshold for transfer depends in part on the capabilities at your institution for advanced ventilatory modalities (ie. airway pressure release ventilation, proning patients, nitric oxide).  A large percentage of patients transferred for ECMO never end up receiving or needing it. However, they still greatly benefit from moving to a facility that has the ability to provide other nuanced critical care options. In general, transfer young patients who are on very high vent settings and not getting better.  At a community hospital with few vent resources, these patients should be transferred within hours.  At bigger institutions, transfer within 48 hours. Often people wait too long (5-7 days) to initiate the transfer.     Use the ARDSnet Mechanical Ventilation Protocol and Murray Score to help decide if a patient would be a good VV ECMO candidate.  The ARDSnet protocol is evidence-based and communicates where the patient is on their vent settings. It gives receiving centers a clean way to evaluate patients for potential transfer. Patients should be

Background Out-of-hospital tracheal intubation is an accepted practice that has increased in frequency due to advancements in aeromedical technology and transport. A flight nurse, sometimes referred Continue reading The post Episode 20: RSI From the Sky: Caring for Intubated Patients as a Flight Nurse with Everett Moss II, BSN, RN, NRP appeared first on The Pharm So Hard Podcast.

How can you better prepare yourself for a NICU stay? Listen to Melissa's tips on the research you can do, what you can (Somewhat) expect from your baby's gestation, and common terms used in the NICU. In this episode, Melissa covers...- What to expect from a 24-28 week old preemie- What to expect for feeding your baby- Common NICU visitor restrictions (Covid guidelines as well)- What do NICU terms such as "Brady's, Intubated & Dosed" mean?- General guidelines to anticipate discharge

From the frontlines of the NZ SAS to the frontline of a global pandemic, Anaesthetist Bill Bestic has seen the best and worst of humanity and understands leadership during uncertainty. In this episode of Crisis Talks, Bill gives us a unique insight into the preparations that are underway in our hospitals, the fears of our medical staff and the courage people are showing every day as they prepare for the worst case.  “As a healthcare worker, I know exactly why I’m being Intubated. ‘Cos my lungs have failed and my fear then is if well my lungs have failed and I’m being put to sleep on a ventilator, there’s a possibility I'm not going to be waking up from this”.Faced with the question of his mortality and that of his colleagues, Bill shares his perspectives on courage, leadership and decision making in uncertainty. Bill gives a pretty raw assessment on his disappointment with the leadership being shown at the NSW and Federal government levels and compares this with the real clarity in communications as all levels in NZ. Equally, he shares his optimism on what we can learn and take stock of as a society once we get through this pandemic.

Author: Aaron Lessen, MD Educational Pearls: Dyspnea can occur in up to 50% of intubated patients Dyspnea is associated with prolonged mechanical intubation Often goes undiagnosed as these patients have difficulty communicating Expert opinion on reducing sensation of dyspnea Reduce stimulation of respiratory drive like fever and acidosis Give bronchodilators for patients with wheezing Optimize the ventilator settings Use medications for comfort (i.e. opioids, benzodiazepines) References: Decavèle M, Similowski T, Demoule A. Detection and management of dyspnea in mechanically ventilated patients. Curr Opin Crit Care. 2019 Feb;25(1):86-94. doi: 10.1097/MCC.0000000000000574. PubMed PMID: 30531366. Summarized by Travis Barlock, MS4 | Edited by Erik Verzemnieks, MD  

A comatose 35-year-old man is admitted to the hospital after being involved in a motorcycle collision

Rounding out the trifecta of wonderful nurse guests this month on Maybe Medical is Flight Nurse Colleen R.! We covered how she feels you need to be able to fly by the seat of your pants to perform in her role, as well as have an emergency and critical care background. We talked about work and home partnerships and how to balance it all while supporting each other. She was extremely inspirational and I can not express my gratitude enough for her taking the time to sit down with us. Thank you Colleen!   Registered Nurses* Registered nurses (RNs) provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and emotional support to patients and their family members.   2017 Median Pay: $70,000 per year ($33/hour)   Educational Degree: Initially Associate's Degree or Bachelor's Degree   Number of US jobs in 2016: 2,955,200   10 Year Job Outlook: 15% growth, much faster then avg.   *Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Registered Nurses, on the Internet at https://www.bls.gov/ooh/healthcare/registered-nurses.htm (visited November 16, 2018).       Terms Covered in Episode American Nurses Association Trauma Surgery - Surgical field dealing with acute traumatic injuries such as falls, motor vehicle crashes, gunshots, blunt and penetrating injuries, etc. Pulmonology - A medical specialty that deals with diseases involving the respiratory tract. Consult - When asked to weigh in officially with your medical opinion from your specialty on a patient managed by another team. Perforated Bowel - Opening in the intestines due to trauma (knife, bullet, etc) or disease (infection, cancer, etc).  Is a surgical emergency.  Yuck. Sepsis - A potentially life-threatening condition caused by the body's response to an infection. Ventilator - To move breathable air into and out of the lungs, to provide breathing for a patient who is physically unable to breathe, or breathing insufficiently. "Coding" - What we casually use to describe a cardiopulmonary arrest in which there is a sudden loss of function of the heart or loss of respiratory function that requires immediate intervention in a life or death situation. IR (Interventional Radiology) -  A subspecialty of radiology that uses minimally invasive, image-guided procedures to diagnose and treat diseases in nearly every system or organ of the body. CVA (Cerebral Vascular Assault, Stroke) – Possible permanent damage to the brain from a loss of blood flow from either rupture of a blood vessel or obstruction from a tumor, clot, plaque, etc. MI (Miocardial Infarction) - "Heart Attack" refers to a blocked coronary artery that has caused, or is moments away from causing, irreversible cardiac (heart) tissue damage. ET (Endotracheal) Tube - A tube of varied sizes that is inserted into the trachea for establishing and maintaining a patient's airway. Choose Your Own Adventure Books ER (Emergency Room, Emergency Department, Emergency Ward, Accident & Emergency Dept) - Department that must provide initial treatment for a broad spectrum of illnesses and injuries, some of which may be life-threatening and require immediate attention that arrive unplanned by walk-in, private vehicle, or ambulance. ICU (Intensive Care Unit, Critical Care Unit, or Intensive Therapy/Treatment Unit) - Part of the hospital with the sickest patients requiring the most intervention from both staff and equipment.  May consist of intubated, sedated, and ventilated patients. Bachelor's Degree - On average four to five year University Program to pursue a degree in a specific field. Sacred Heart University College of Nursing Bridge Program - A postgraduate program that is usually shorter then traditional programs that take into account previous experience. Physical Therapist - An important medical provider and part of the rehabilitation team to help assist with treatment, recovery, and overall well being of patients with chronic conditions, illnesses, or injuries. Prerequisites - Classes you may need to take before further applying to a program.  Usually a focus on science/math for the medical field. PA (Physician Assistant) - Providers who practice medicine on teams with physicians and other healthcare workers. They examine, diagnose, and treat patients autonomously and as part of a team in all various specialties of medicine. On average a Master's level degree of education. NP (Nurse Practitioner) - A nurse practitioner is trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose illness and disease, prescribe medication and formulate treatment plans.  They may work in a solo practice independently or they may work within part of a hospital system.  They graduate from a Master's or Doctorate level medical program. ASN/ADN - Associate’s Degree in Nursing.  Usually around two years. EMT/Paramedic - Emergency medical technicians and paramedics care for the sick or injured in emergency medical settings by responding to emergency calls, performing medical services and transporting patients to medical facilities as needed. ER Techs - Staff who in all aspects of patient care under the supervision of the Practitioners and Nursing staff.  Many have a paramedic/firefighting background. Travel RN - Nurse who travels for limited contracts working in all variety of places and roles.  On average 8 to 13 week contracts. Smart Pumps Compact Nursing States NCLEX (National Council Licensure Examination) - A standardized exam that each state board of nursing uses to determine whether or not a candidate is prepared for practice. Wake Forest School of Medicine PA Program Harborview Medical Center King County Medic One "Board & Collared" - Refers to the practice of placing a patient on scene on a very hard and rigid backboard to immobilize them and place a neck collar on them to prevent any head movement in the event of a spine injury while they are transported to the hospital.  They are incredibly uncomfortable. Intubated - When an ET Tube, or similar artificial airway, is placed, either in an emergency, where there is loss of respiratory function or planned such as in surgeries. First Responder - Generally refers to the first on scene in an event.  May be police officers, firefighters, or paramedics for example. "Packaged" - Patient is ready to be transported.  IVs are in, airway is secure if one is present, patient is strapped in, paperwork is read.  Let's roll!   EZ-IO - Used to gain access for medications or fluids when unable to get a line in a blood vessel.  Using a drill a hollow bore is inserted into the broad side of a bone.  Yeah, you drill into bone. "Push Line" - An IV that gives you access for medications that need to be administered over a short amount of time.  Pain meds, sedatives, cardiac meds, etc.   Vasopressors - Class of Antihypotensive medications that are used to raise blood pressure by contracting blood vessels.   EJ - An IV placed into the external jugular of the neck.   Central Line - Larger then an traditional IV placed into veins in the neck, chest, groin, or through veins in the arms.   EMS (Emergency Medical Services) - Services that treat illnesses and injuries that requiring an urgent medical response, providing out-of-hospital treatment and transport to definitive care.  Paramedics, Police, Firefighters, etc.   Level One Trauma Center - A Level I Trauma Center is capable of providing total care for every aspect of injury – from prevention through rehabilitation and includes teaching residents and medical students in all fields.   Med/Surg/Floor Nursing - Refers to what you would think of "general hospital patients." Those with pneumonia, new cardiac issues, skin infections, etc that do not require focal subspecialty involvement (cardiac, neuro, ortho, etc) or critical care support.   Nocturnist - Hospital-based practitioner who only works overnight.   Admit - To be brought in to the hospital for specific medical care.  Entails obtaining a medical history, making a medical diagnosis, writing orders for treatment and other diagnostic procedures, diet, activity, etc.   Post-Op/Recovery Room - The period right after surgery.   GI (Gastroenterology) - The branch of medicine focused on the digestive system.   Orthopedics - Branch of surgery concerned with conditions involving the musculoskeletal system.   Neurology - The area of medicine focused on the nervous system.  This includes the nerves, brain, and spine.   Potassium - A naturally occurring mineral and electrolyte consumed in our diet.  Involved in metabolism, hormone secretion, blood pressure control, fluid and electrolyte balance, and more.  Normal standard range is around 3.5-5mEq/L. Critical Values - Any values considered to be too high or low and requires immediate medical attention to prevent further issues. "Bagging" - The act of using a manual balloon like bag that is squeezed for each breath to a patient. "Titrate a Drip" - To adjust the flow rate or dose delivered of medication in a IV or central line. Peggy Sue - Badass Patient Advocate "Shake and Bake" - Hyperthermic Intraperitoneal Chemotherapy is a highly concentrated, heated chemotherapy treatment that is delivered directly to the abdomen during surgery. Patient Advocacy - Doing what is best for the patient in all facets of care provided. Listening to and understanding their needs. Multi System Organ Failure - A cascading domino like effect where multiple organ systems start to shut down due to injury/illness. Krista Haugen and Survivors’s Network Post Resuscitation - The fragile period after performing CPR or similar resuscitation of a patient. M&M (Morbidity and Mortality Meeting) - Where we dissect individual challenging cases to identify what other choices could have been made for possible alternate outcomes. Off-Label - Using a medication that may not necessarily be the indication that it was originally intended for.  For example Demerol that is a pain medication is excellent for post-operative rigors (shakes).  A small dose works like magic...fun! IV Fluids - Intravenous fluids are given through an IV, central line, or IO and usually consist of normal saline or lactated ringer's solution. Levophed (norepinephrine bitartrate) - Medications used to raise blood pressure in critical patients. Used to be referred to as "Leave 'em dead" as any patient sick enough to require norepinephrine to manage their shock, then they were most likely going to die.  Very commonly used nowadays. Epinephrine - Endogenous hormone that is given to patient's to treat a number of conditions including anaphylaxis, cardiac resuscitation, and bleeding.  Inhaled epinephrine is used to help treat symptoms of croup.  Is used in the ICU and cardiac unit to help maintain a high enough blood pressure.   PRBC (Packed Red Blood Cells) – Blood that is transfused after finding the right compatible blood type for the patient.   Plasma – Fluid in blood that is responsible for carrying red blood cells, white blood cells, platelets, etc. Is often used during blood transfusion to help stop the active bleeding by adding pro-clotting factors.   Credo Cube   Transfusion Guidelines Airlift NorthWest   MONA - Morphine, Oxygen, Nitroglycerin, and Aspirin are all meds that should be administered to a patient experiencing chest pain.   Emergency Nurse Association   Balloon Pumps - Intra-Aortic Balloon Pumps use a thin flexible tube that is inserted into the aorta of the heart to pump blood artificially in a heart-like fashion.   ECMO (Extra Corporeal Membrane Oxygenation) - Treatment that uses a pump to circulate blood through an artificial lung back into the bloodstream of a very ill patient.  Provides heart-lung bypass support outside of the body.  You are damn near dead at this point   Skills Lab/”Sims” - Focused area to learn new medical techniques or further practice known skills.   Society of Critical Care Medicine PFCCS - Pediatric Fundamental Critical Care Support ACLS - Advanced Life Support PALS - Pediatric Advanced Life Support Certification NRP - Neonatal Resuscitation Program ATLS - Advanced Trauma Life Support Certification   CCRN - Critical Care Registered Nurse CEN - Board Certification of Emergency Nurses Each and every episode of Maybe Medical is for educational purposes only, not to be taken as medical advice.  The opinions of those involved are of their own and not representative of their employer.  

Selecting the intervention in Intubated patients: Evidence, Guidelines and Clinical Application This is a chat with Rachael Moses (@rachaelmoses) who is a consultant respiratory physiotherapist. I noticed from a twitter post that she had been at a meeting and presented on the above topic. She was kind enough to chat with me for the podcast. […]

Selecting the intervention in Intubated patients: Evidence, Guidelines and Clinical Application This is a chat with Rachael Moses (@rachaelmoses) who is a consultant respiratory physiotherapist. I noticed from a twitter post that she had been at a meeting and presented on the above topic. She was kind enough to chat with me for the podcast. […] The post CCP Podcast 056: Got to help them cough! With Rachael Moses appeared first on Critical Care Practitioner.

In this podcast, Dr. Gerhard Wolf and Craig Smallwood review important steps in managing and improving ventilation in an intubated asthmatic patient. Please visit: http://www.openpediatrics.orgOPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

The only chief complaint that you are guaranteed to eventually have to manage in a colleague Respiratory Exposures Meningococcus​ (meningococcemia, meningitis, etc) Give prophylaxis (ceftriaxone) if… Intubated a pt without a mask Suctioned a pt without a mask Performed mouth to mouth resuscitation Tuberculosis​  CDC recommends testing if exposed Treat if positive CDC recommends prophylaxis in.. […]

We have Tyler Christifulli from FOAMfrat back on to discuss two acronyms (we each developed one) for post-intubation agitation and sedation.  We also talk about the utility of acronyms in general.  As a fair warning, there is some explicit language in the podcast itself.  However, this is not only a great post but is entertaining and sure to help you better understand the topic.

Hard, fast, unrelenting chest compressions are the core of ACLS!!! Step 1: Check the Patient's Pulse If the patient does not have a pulse, start CPR Hard, fast, unrelenting compressions Intubated patients Continuous Compressions Non-intubated adults 30 compressions then 2 breaths… Repeat Non-intubated pediatrics 15 compressions then 2 breaths… Repeat Step 2: Determine if the […]

Gareth Grier discusses who should be intubated following severe trauma pre-hospital.

This week we review how to ventilate the intubated asthmatic patient. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_42_0_Final_Cut.m4a Download One Comment Tags: Asthma, Crashing Asthmatic, Permissive Hypercapnea, Ventilation Show Notes REBEL EM: The Crashing Asthmatic EMCrit: Podcast 15 – The Severe Asthmatic EMCrit: Dominating the Vent: Part I + Part II Read More

This week we review how to ventilate the intubated asthmatic patient. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_42_0_Final_Cut.m4a Download One Comment Tags: Asthma, Crashing Asthmatic, Permissive Hypercapnea, Ventilation Show Notes REBEL EM: The Crashing Asthmatic EMCrit: Podcast 15 – The Severe Asthmatic EMCrit: Dominating the Vent: Part I + Part II Read More

This week we review how to ventilate the intubated asthmatic patient. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_42_0_Final_Cut.m4a Download One Comment Tags: Asthma, Crashing Asthmatic, Permissive Hypercapnea, Ventilation Show Notes REBEL EM: The Crashing Asthmatic EMCrit: Podcast 15 – The Severe Asthmatic EMCrit: Dominating the Vent: Part I + Part II Read More

Learn about the principles and goals of sedation and analgesics, including medication choices, and the transition to extubation. Initial publication: September 1, 2012. Last reviewed date: May 14, 2019.