Remove Administration Remove Airway Management Remove Seizures
article thumbnail

Grand Rounds Recap 5.22.24

Taming the SRU

Use checklists for complex procedures, such as airway management. Get a blood gas when possible to help guide your ventilation. glenn, haffner, and jackson In Flight Emergencies: As a responding physician to an in-flight emergency, you may recommend diverting the plane, however, the captain (lead pilot) will make the final decision.

Shock 91
article thumbnail

REBEL Core Cast 90.0 – Methemoglobinemia

RebelEM

benzocaine) Consider the diagnosis in any patient with cyanosis and hypoxia that doesn’t respond to oxygen administration Administer methylene blue to any patient with abnormal vital signs, metabolic acidosis, end organ dysfunction or, a serum level > 25% References: Price DP. Chapter 127. Read more

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

emDOCs Revamp: Esophageal Perforation

EMDocs

1 , 2 The most common non-iatrogenic cause is spontaneously due to increased intraesophageal pressure, Boerhaave syndrome, from forceful retching, coughing, straining, seizures, or even childbirth (15% of cases). PPI administration to decrease gastric acid secretion. 5 Consider antifungal administration.

article thumbnail

Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

First described in 1970, RSI with the near-simultaneous administration of a sedative agent and NMBA has been shown to have increased first-pass success compared with intubation facilitated by a sedative alone (6,7). Contraindicated seizures or porphyria. Minimal histamine release. Cons: Short duration of action. Pain upon injection.

article thumbnail

ToxCard: Acute Organophosphate Toxicity

EMDocs

Airway management should not be delayed. 7 Airway management: consider early airway management. Used for treatment of acutely symptomatic anxiety, muscle fasciculations, and seizures. Millions are poisoned, and hundreds of thousands die each year worldwide. 7 May lead to respiratory failure.