May 2009

EMCrit Podcast 4 – Awake Intubation

by emcrit

The video for this lecture is up at this link. Awake intubation can save your butt. It requires forethought and humility–you must be able to say to yourself, “I am not sure I will be able to successfully intubate this patient.” However, the payoff for this thought process is enormous. You can try an intubation [...]

4 comments Read the full article →

EMCrit Podcast 3-Intubating the patient with Severe Metabolic Acidosis

by emcrit

Sorry about the voice–blame the swine flu. Case Thanks to Joe Chiang Severe DKA; Obtunded with pH 6.65, PaCO2 18, Bicarb 5 Pt’s mental status is worsening The decision is made to intubate Should you give NaBicarb? Probably won’t help as patient is already breathing at their maximum. Unless they blow off the Bicarb-generated CO2, [...]

3 comments Read the full article →

EMCrit Podcast 2 – ETCO2

by emcrit

I did a spot on ETCO2 for Amal Mattu’s podcast a couple of weeks ago. I try to clear up some of the myths on the use of ETCO2. Of course the most pervasive and potentially dangerous myth is that ETCO2=PaCO2. Long story short, in our patients, it doesn’t. Listen to the podcast for more… [...]

0 comments Read the full article →

Creative Commons License 2010. This site represents my opinions only. See here for full disclaimer