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PHARM Podcast 57 : Mr EmCrit & his Amazing Airway checklist

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happy New Year!

Scott and I have a friendly discussion on his Upcoming EmCrit Intubation checklist

What we talk about :

  1. Sux vs Roc
  2. Propofol vs ketamine vs etomidate
  3. Pretreatment drugs for RSI

here are some other intubation checklists that PHARM endorses!

EDICT

Airway registry RSI checklist

Scottish Retrieval Service pre RSI checklist

GSA HEMS Prehospital RSI manual ( inc checklist)

Now on to the Podcast

Right Click and Choose Save-as to Download the Podcast.

6 Comments Post a comment
  1. ambofoam #

    Reblogged this on AmboFOAM and commented:
    I’ve re-reblogged this due to a minor technical error. This one IS Minh and Scott having a passionate discussion about various issues surrounding airway management and RSI. For those of you (like me) who are still stuck with only fentanyl and midazolam as induction agents, Scott’s comments around the 20 minute mark are excellent. Thanks Minh!

    February 1, 2013
  2. hey I’ve heard the Sux v Roc arguments going around including on this podcast. People often argue that the fact that sux is short acting doesn’t matter because patients critically desaturate before sux wears off. However one aspect that has not been discussed is whether with the advent of apnoeic oxygenation via Nasal Prongs the duration of safe apnoea may now be more likely to be extended to beyond the time when Sux wears off and the patient starts breathing. This adds a new element to the discussion.
    Also I think the argument that in emergent airways waiting till the patient starts breathing doesn’t solve your problem because you still need to intubate the patient is very simplistic and fails to reflect reality. Many of our airways in ED are urgent but not emergent – eg for airway protection. If the patient starts breathing and you are oxygenating you are in the Vortex green zone and you have time to mobilise your resources. That may include (in the ED) obtaining senior airway support (eg anaesethetics or an on call ED physician) who may have access to better intubating tools for difficult airways. Or you may choose to throw an LMA Supreme down under sedation without paralysis + NGT and be happy with the reasonably good protected airway in a patient you can oxygenate and ventilate. In the prehospital or smaller ED this might be adequate until you transfer the patient to a place where intubation can occur more safely.
    Also while many patients are easier to ventilate with paralysis on board some are the opposite so sux wearing off in a timely manner may still be useful.

    May 29, 2013
  3. Glad you endorse checklists Minh

    February 12, 2014
  4. …your secret is safe with me

    bwah…ha…ha…haaaaaaaa

    February 12, 2014

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