EM/IM Sessions

EM/IM Sessions: Preoxygenation with Flush Rate O2

Preoxygenation With Flush Rate Oxygen: Comparing the Nonrebreather Mask With the Bag-Valve Mask Driver, Brian E et al. Annals of Emergency Medicine, March 2018. [paper] Why I chose this study While preoxygenating during rapid sequence intubation for spontaneously breathing patients, I’ve typically used bag valve mask (BVM) and nonrebreather mask (NRB) interchangeably. This is mainly based

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

Knowledge Bomb

Knowledge Bomb! Elevate Head of Bed for Intubation

We continue on with the series with Knowledge Bomb #9. The purpose and motivation for this series is outlined in the first entry. This entry we discuss a different technique for intubation of patients. Background Intubation is a popular topic in emergency medicine and everyone has an opinion on the best technique. Video laryngoscopy only? First

Knowledge Bomb

Knowledge Bomb! Another Look At Apneic Oxygenation

We continue on with the series with Knowledge Bomb #8. The purpose and motivation for this series is outlined in the first entry. This entry we return to Apneic Oxygenation and its use during intubation. Thanks to Dr. Albert Vien, PGY3, and Dr. Randy Hebert for their work on this entry. Background “Sats are dropping..

HYFTF

High Yield for the Field (HYFTF) Conference Pearls 12/3/15

  This week’s episode presented by Dr. John Purakal covers Dr. Laura Kwoh’s M&M presentation on Foreign Body Aspiration in the Pediatric Patient. Also, be sure to check out guest lecturer and UIC EM Alumnus Dr. Eashwar Chandrasekaran on Prognositication in the ED below! Link to Eashwar’s Lecture: https://vimeo.com/147404880

Knowledge Bomb

Knowledge Bomb! – Apneic Oxygenation during Intubation

Article Randomized Trial of Apneic Oxygenation during Endotracheal Intubation of the Critically Ill. Why!? Airway management is a cornerstone of emergency medicine and critical care medicine. Patients who require either aggressive oxygenation or airway protection (and to a lesser extent, others with indications for endotracheal intubation) are at risk for hypoxia during Efforts Securing A

Airway Shorts

Making the Decision to Intubate

What is a more appropriate start to an EM blog than an airway discussion? Let’s start with the basics, and expand as we progress through the year. Most of this discussion comes from the teaching I received from Airway Guru Dr. Steve Carleton (Cincinnati Dept of EM) and Dr. Ron Wall’s Manual of Emergency Airway