Keeping the Beat

Keeping the Beat

Heart Failure for the Resuscitationist: The Basics I don’t have to tell you that heart failure is a common condition in the general population and in patients presenting to the emergency department (ED). We see it on a daily basis. Even with this familiarity there are still some conundrums in the care of these patients.

Critical Care

We Have No Beds: Ventilator Series

We Have No Beds: Ventilator Series Assist Control So now that we have discussed how to read a ventilator screen, let’s discuss our first mode of ventilation… Assist Control (AC) This mode has the ability to completely control the patients ventilatory status. With this mode you set the rate, the means by which tidal volume is

Critical Care

The Sedation Vacation

Sedation Vacations in the Intensive Care Unit Sorry, pure EM folk, this topic primarily applies to the unit. For most of us, the idea of a “daily sedation vacation” is probably a familiar and standard practice in the intensive care unit (ICU). Generally defined, a sedation vacation is when sedatives are discontinued for a period

Critical Care

We Have No Beds: Ventilator Series

We Have No Beds: Ventilator Series Reading a Ventilator Screen Before diving into a specific mode of ventilation, we should address what you see on a ventilator screen first.  What do all these abbreviations mean?… Note: the pictures and order of descriptions reflect the Puritan-Bennett 840 ventilator.  However, most of the information will reflect most

Critical Care

We Have No Beds: Ventilator Series

We Have No Beds: Ventilator Series Noninvasive Ventilation Part 2 Remember our 60 yo male with COPD who has been on NIV for about an hour, he was looking a little less sick, let’s check back in with him. (If you missed the last post click here) Our initial settings for the BiPAP: rate 8,

Critical Care

We Have No Beds: Ventilator Series

We Have No Beds: Ventilator Series Noninvasive Ventilation Part 1 It’s a busy night in the ED and in comes… …a 60 y/o male with OSA and COPD in extremis, sitting up on the gurney gripping the side rails, huffing and puffing, struggling to breathe.  You are informed that he has not used his CPAP in

InternationalResident Narratives

100 Days: The Resiliency of the Kenyan Physicians’ Strike

The wheels of my suitcase were the only audible noise in the corridors of Kenyatta National Hospital. On our first day in Nairobi, as we made our way through the clinics to the lecture hall, a shortcut led us to the Accident & Emergency (A&E) Department. Preceding our trip, we had heard stories about the