Episode Chapters
- Introduction – A Hot Red Arm13:31Blood Pressure Control in Acute Stroke11:10Paper Chase 1 - Pacemakers and MRI5:28Hand, Foot, and Mouth Disease8:45Difficult Conversations with Physicians11:53Wound Repair Pt 6 – Gnarly Wounds12:15Paper Chase 2 - Epi, Anaphylaxis, and the Elderly4:06Critical Care Mailbag: Vitamin C for Sepsis?6:41Pharmacology Rounds – What Works for Acute Migraine6:43Paper Chase 3 - Lysis of Intermediate Risk PE4:34Against Medical Advice26:28Annals of Emergency Medicine - Intranasal Medications8:55Strayerisms - Why Do We Intubate?Free Chapter10:21Intra-articular Lidocaine6:07Cardiology Corner - Epi In Cardiac Arrest, Again10:34Paper Chase 4 - Keeping Opioids Safe at Home3:56Down Syndrome Emergencies19:23Pharmacology Rounds – Gonorrhea Gets Some Muscle5:08EM:RAP On Location – A Case of Unusual Discharge2:40Paper Chase 5 - Do All Chest Pain Patients Need Monitoring?4:20Subarachnoid, Syncope, and Cardiac Arrest16:56The Challenging Foley24:53Mailbag and Summary20:36EM:RAP 2017 August Aussie Edition16:18EM:RAP 2017 August German Edition1h, 09mEM:RAP 2017 August French Edition41:16EM:RAP 2017 August Spanish Edition2h, 33m
Nurses Edition Commentary
Lisa Chavez, RN and Kathy Garvin, RN
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EM:RAP 2017 August Summary 718 KB - PDF
For a few medications, in particular, the intranasal route is fast, effective, and does not require an intravenous line. We review indications for intranasal medications, the pharmacology, and when and why IN can be a good choice.
Challenging Foleys, Conversations, and Intubations Full episode audio for MD edition 245:15 min - 342 MB - M4AEM:RAP 2017 August Aussie Edition Australian 16:18 min - 22 MB - MP3EM:RAP 2017 August German Edition Deutsche 69:31 min - 96 MB - MP3EM:RAP 2017 August French Edition Français 41:16 min - 57 MB - MP3EM:RAP 2017 August Spanish Edition Español 153:43 min - 211 MB - MP3EM:RAP 2017 August Board Review Answers 234 KB - PDFEM:RAP 2017 August Board Review Questions 180 KB - PDFEM:RAP 2017 August MP3 315 MB - ZIPEM:RAP 2017 August Spanish Summary 1 MB - PDFEM:RAP 2017 August Summary 718 KB - PDF
Ian L., Dr - October 19, 2017 10:12 PM
Can the intranasal route be repeated after 5-15 minutes example treat anaphylaxis or status Asthmaticus or Status Epilepsy.
Also there is the buccal route .
Problem people with hayfever or acute URTI premodern with vasoconstrictor? Could decrease absorption .
Suction also could clear nares .
Bryan H. - October 20, 2017 4:52 AM
Thank you for your question and comments. A dose can be repeated after 10-15 minutes (or a large dose split into two administrations). Intranasal.net has some great information about the IN route.