Podcasts about nodesat

You came back for part two! In this episode Dr. Jeff Jarvis and I discuss his system's technique for pre-oxygenation, and why pre-loading your bougie can help increase your first pass success. Tip 3. NODESAT! “Nasal Oxygen During Efforts To Secure a Tube” (NODESAT) is a term coined by Rich Levitan in regards to placing a nasal cannula at high flow on a patient during the pre-ox and intubation process. This allows not only augmentation of FI02 from a NRB or BVM, but also the ability to provide apneic oxygenation during intubation. The idea is during the pre-ox period you place a NC at 15lpm, a NRB at 15lpm, and try to achieve an SP02 of 100 % for at least 3 minutes prior to intubation. Because this provides little positive pressure, it will likely not work in a patient with physiological shunting. If you HAVE to ventilate a patient due to inadequate peri-intubation ventilation, then the use of CPAP or BVM with a PEEP valve will be needed. By utilizing Henry’s law we can not only increase the surface area of alveoli by recruitment, but also apply pressure to the oxygen to assist in diffusion. Tip 4. Ditch The Stylet! I may be crucified by some for saying this, but statistics and anecdotal experience has shown you are much more likely to achieve first pass success if you utilize a bougie. Now the old way that we were taught to use the bougie required two people to perform. One person would intubate the trachea with the bougie, and the other would assist in railroading an ET tube over the bougie. A more common and efficient trick in the pre-hospital realm, is to preload the bougie with either a Kiwi grip or D grip. The cudae tip allows for easier anterior access, and the tactile feel of the bougie allows you to feel the tracheal rings upon successful placement. The bougie is commonly used as an emergency tool for difficult airways. If we are intubating a patient, it is an emergency, and we need to use everything possible to optimize our FPS. The occasional intubator recognizes the need to utilize every strategy possible to achieve their goal. A study showed providers increased their FPC success rates from 66% to 96% just by utilizing the bougie. This is a must in every pre-hospital airway kit. Sources: Comparison of the stylet and the gum elastic bougie in tracheal intubation in a simulated difficult airway Riaz Ahmed Khan*,Farah Ashraf Khan **, Muhammad Azam*** Anaesthesia, Pain & Intensive Care ISSN 1607-8322, ISSN (Online) 2220-5799

What’s up, SecondShift-ers? It’s been a couple nights since we birthed a new episode from the proverbial creative womb of the SecondShift podcast. Lucky for you this episode is classed up by our good friend, and FlightBridgeED writer, Mister Klint W. Kloepping—otherwise known as @NoDesat from the Twitter thingy. In this episode, the guys embarrass themselves with their (lack of) knowledge of gaming, and run all the way through to active violent events, some new freaky disease that likes the ladies, and end up with some legitimate conversation about medical stuff that gets the nerd juices flowing. You can not miss this episode! Seriously. It’s illegal to not download and listen to this episode. Internationally. Globally. Intergalactic-ly. Just download this so you won’t get pulled over by the SWAT’s.

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Pearls and take home points from our challenging airway workshops. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_6_Finial.m4a Download Leave a Comment Tags: Airway, Challenging Airway, DSI Show Notes Highlighted Resources EMCrit: Podcast 40 – Delayed Sequence Intubation (DSI) EMCrit Wee: Mind Blowing Cricothrotomy Video EP Monthly: NO DESAT! EMCrit: Podcast 65 – A Primer on BVM Ventilation with Reuben Strayer EMUpdates: Optimize the Head During Laryngoscopy Read More

Pearls and take home points from our challenging airway workshops. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_6_Finial.m4a Download Leave a Comment Tags: Airway, Challenging Airway, DSI Show Notes Highlighted Resources EMCrit: Podcast 40 – Delayed Sequence Intubation (DSI) EMCrit Wee: Mind Blowing Cricothrotomy Video EP Monthly: NO DESAT! EMCrit: Podcast 65 – A Primer on BVM Ventilation with Reuben Strayer EMUpdates: Optimize the Head During Laryngoscopy Read More

Pearls and take home points from our challenging airway workshops. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_6_Finial.m4a Download Leave a Comment Tags: Airway, Challenging Airway, DSI Show Notes Highlighted Resources EMCrit: Podcast 40 – Delayed Sequence Intubation (DSI) EMCrit Wee: Mind Blowing Cricothrotomy Video EP Monthly: NO DESAT! EMCrit: Podcast 65 – A Primer on BVM Ventilation with Reuben Strayer EMUpdates: Optimize the Head During Laryngoscopy Read More

Podcast 5.0 features pearls from Howie Mell's Grand Rounds talk "48 Tweets on 24 Topics" https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_5.m4a Download Leave a Comment Tags: Grand Rounds, Howie Mell Show Notes Ovarian Hyperstimulatoin Syndrome (OHSS) Braude P, Rowell P. ABC of subfertility – Assisted conception III – problems with assisted conception. BMJ 2003; 327: 920-923. PMC: 218823 Backboards ACEP Clinical Policy Statement: EMS Management of Patients with Potential Spinal Injury EM Cases: Episode 66 Backboard and Collar Nightmares from the Emergency Medicine Update Confernce. Tranexamic Acid (TXA) HIPPO EM: “Stop the Bleeding!” – TXA in Prehospital Care The Skeptics Guide to EM: SGEM#80: CRASH-2 (Classic Paper) INSERT LINK TO OUR CRASH 2 REVIEW Nasal Oxygen During Efforts Securing a Tube (NO DESAT) EP Monthly: NO DESAT! Read More

Podcast 5.0 features pearls from Howie Mell's Grand Rounds talk "48 Tweets on 24 Topics" https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_5.m4a Download Leave a Comment Tags: Grand Rounds, Howie Mell Show Notes Ovarian Hyperstimulatoin Syndrome (OHSS) Braude P, Rowell P. ABC of subfertility – Assisted conception III – problems with assisted conception. BMJ 2003; 327: 920-923. PMC: 218823 Backboards ACEP Clinical Policy Statement: EMS Management of Patients with Potential Spinal Injury EM Cases: Episode 66 Backboard and Collar Nightmares from the Emergency Medicine Update Confernce. Tranexamic Acid (TXA) HIPPO EM: “Stop the Bleeding!” – TXA in Prehospital Care The Skeptics Guide to EM: SGEM#80: CRASH-2 (Classic Paper) INSERT LINK TO OUR CRASH 2 REVIEW Nasal Oxygen During Efforts Securing a Tube (NO DESAT) EP Monthly: NO DESAT! Read More

Podcast 5.0 features pearls from Howie Mell's Grand Rounds talk "48 Tweets on 24 Topics" https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_5.m4a Download Leave a Comment Tags: Grand Rounds, Howie Mell Show Notes Ovarian Hyperstimulatoin Syndrome (OHSS) Braude P, Rowell P. ABC of subfertility – Assisted conception III – problems with assisted conception. BMJ 2003; 327: 920-923. PMC: 218823 Backboards ACEP Clinical Policy Statement: EMS Management of Patients with Potential Spinal Injury EM Cases: Episode 66 Backboard and Collar Nightmares from the Emergency Medicine Update Confernce. Tranexamic Acid (TXA) HIPPO EM: “Stop the Bleeding!” – TXA in Prehospital Care The Skeptics Guide to EM: SGEM#80: CRASH-2 (Classic Paper) INSERT LINK TO OUR CRASH 2 REVIEW Nasal Oxygen During Efforts Securing a Tube (NO DESAT) EP Monthly: NO DESAT! Read More

A week ago, I posted an airway review paper by Scott Weingart and Richard Levitan that I think is a must read. Today I decided to do a podcast reviewing the paper in order to really get it out there and talk about the major points. The best part of the paper is the description of the NO DESAT technique which virtually eliminates hypoxia during RSI and will make your next intubation a lot easier. While this podcast is a lot more advanced than the usual "basic" topics that I usually talk about, its important to know about these techniques. My 0.02- they will become the new standard of care in the near future but you can hear about them now.