Episode Chapters
- Introduction – Swami Gets Pumped9:09Rib Fractures in the Elderly15:41Paper Chase 1 – Helmet PAP5:13Dyspnea in the Palliative Care PatientFree Chapter11:58Bouncebacks – Beta Blocker Overdose19:57Paper Chase 2 – Apneic Oxygen and the Airway Hero3:59Ankle Fractures21:16Point of Care Pediatric Urinalysis12:07Paper Chase 3 – Step-by-Step-Again4:23Toxicology Sessions – Loperamide Isn’t So Benign7:02Critical Care Mailbag – Head Trauma Etiquette14:47Nurse Practitioner Response Unit8:44Catheter Directed Thrombolysis for PE22:39Paper Chase 4 – Albuterol, Lactate, and Potassium3:52Lido in the IO4:21Strayerisms – Preventing Alcohol Withdrawal11:57Paper Chase 5 – Flex Ex Gets Spanked4:20Peri-arrest3:46Annals of Emergency Medicine – Postpartum Headache17:23Induction Doses in Shock6:05Summary19:11EM:RAP 2017 January Canadian Edition22:10EM:RAP 2017 January Australian Edition43:30EM:RAP 2017 January German Edition1h, 30mEM:RAP 2017 January French Edition32:33EM:RAP 2017 January Spanish Edition1h, 05m
Nurses Edition Commentary
Lisa Chavez, RN and Kathy Garvin, RN
No me gusta!
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EM:RAP 2017 January Written Summary 926 KB - PDF
Last month we talked about hypotension in head trauma. In this critical care mailbag, Scott lays out his optimal management of post intubation care of the head injured patients.
Broken Ankles, Ribs, and Pumps Full episode audio for MD edition 227:43 min - 318 MB - M4AEM:RAP 2017 January Canadian Edition Canadian 22:10 min - 31 MB - MP3EM:RAP 2017 January Australian Edition Australian 43:30 min - 60 MB - MP3EM:RAP 2017 January German Edition Deutsche 90:03 min - 124 MB - MP3EM:RAP 2017 January French Edition Français 32:33 min - 45 MB - MP3EM:RAP 2017 January Spanish Edition Español 65:46 min - 90 MB - MP3EM:RAP 2017 January Board Review Answers 220 KB - PDFEM:RAP 2017 January Board Review Questions 202 KB - PDFEM:RAP 2017 January Separate MP3 Files 265 MB - ZIPEM:RAP 2017 January Spanish Written Summary 1 MB - PDFEM:RAP 2017 January Written Summary 926 KB - PDF
Lily M. - January 7, 2017 8:42 AM
Are these goal SPO2 values based on sea level? Should it change for patients at 6,000 feet?
Kaitlin G. - January 11, 2017 7:05 AM
Thanks for having this topic! I was surprised to here that we should be targeting sBPs of 140-160 in traumatic head injuries. I am aware of the current guidelines regarding the management of hypertension in the setting of spontaneous ICH (although the evidence for these guidelines are lukewarm at best, especially in light of the ATTACH II trial ). However, with regards to traumatic ICH, the 2016 Brain Trauma Foundation do not mention anything about lowering BP, and it was my understanding that HTN in the setting of traumatic ICH is generally thought to reflect physiologic compensation in order to maintain CPP. Of course, if HTN is in the setting of cushing's or a blown pupil, then the patient should be treated with mannitol, hypertonic saline, or surgical decompression (but not antihypertensives). I would be really interested to read any studies that support lowering BP in the setting of traumatic ICH. Thank you!
robert k., mr - April 3, 2017 2:24 PM
my institution uses fentanyl drips for sedation and not propofol anymore. we are part of a 5 hospital system including
a level 1 trauma center.
scott, can you explain why your icu/institution uses dexmedetomidine instead of fentanyl
for your icu sedation.
many thanks,
rob k