Episode Chapters
- Introduction – Calling an Admission9:33Strayerisms - Something for Pain20:54Paper Chase 1 - Hypothermia Post Peds Arrest4:09Wound Repair Part 1 - Wound Prep9:45Pediatric Pearls – Pediatric Weight Estimation10:47Calcaneal Fractures15:55Paper Chase 2 - Downstream Effects of Coronary CTA3:09Critical Care Mailbag – Case of the Slow Crash21:56Pharmacology Rounds – NSAID Allergies4:43LIN Session – Can You Multitask16:38Paper Chase 3 - Cardiac Arrest Text Alerts4:15Decision Fatigue17:20Pharmacology Rounds – Are Opiates Bad for ACS3:01Tactical EMS11:59Paper Chase 4 - Fast Fluids in Sepsis3:55Trauma Surgeons Gone Wild – Removing Pelvic Binders6:50HIV Cardiovascular Risk6:34Community Medicine Rants – Tape Measure Ventilation10:57Paper Chase 5 - Sooner is Better in Trauma Transfusion3:17Pediatric Pearls – Peds Card Codes19:17Annals of Emergency Medicine - Erythroderma Not Your Everyday Sunburn14:11Mailbag and Summary19:17EM:RAP 2017 March German Edition1h, 13mEM:RAP 2017 March Spanish Edition1h, 29mEM:RAP 2017 March Aussie Edition16:33EM:RAP 2017 March French Edition25:15EM:RAP 2017 March Canadian Edition28:50
Nurses Edition Commentary
Lisa Chavez, RN and Kathy Garvin, RN
No me gusta!
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EM:RAP 2017 March Written Summary 580 KB - PDF
A patient you recently intubated becomes hypoxic and difficult to bag. What’s going on? The DOPES mnemonic is a good first step to troubleshoot.
Crashing Slowly Full episode audio for MD edition 238:10 min - 332 MB - M4AEM:RAP 2017 March German Edition Deutsche 73:21 min - 101 MB - MP3EM:RAP 2017 March Spanish Edition Español 89:05 min - 122 MB - MP3EM:RAP 2017 March Aussie Edition Australian 16:33 min - 23 MB - MP3EM:RAP 2017 March French Edition Français 25:15 min - 35 MB - MP3EM:RAP 2017 March Canadian Edition Canadian 28:50 min - 40 MB - MP3EM:RAP 2017 March Board Review Answers 262 KB - PDFEM:RAP 2017 March Board Review Questions 218 KB - PDFEM:RAP 2017 March MP3 Files 316 MB - ZIPEM:RAP 2017 March Written Summary 580 KB - PDF
Marlene G. - March 4, 2017 6:16 AM
Ok. I work in the same circumstance as the doc in this episode, minus the hospitality or anesthesiologist. I need some more guidance as to timing of intubation, please.
Rob O - March 6, 2017 11:15 AM
Hey Marlene, this is a matter of great debate (as illustrated by the different phiosophies Scott and I posited in the segment). When posing this question to a large group of ED docs, the inflection point of when to go from observation to intervention varied widely. Most I've spoken with intervene when there are findings or symptoms of airway involvement. This is more gestalt than something that can be clearly measured. Some docs who work in urban areas with a high frequency of angioedema patients feel more comfortable with watching and waiting even with some degree of airway involvement, such as minor to moderate tongue swelling. Most, however, are more proactive and intubate when there is even a sense of progressive airway swelling. I am going to pose this question to the twitterverse and we'll get some more opinions. I wish there were a hard and fast answer
Donald Z., M.D. - March 6, 2017 12:42 PM
From what i heard i wound not have intubated this patient. I have seen many and i wait until they have some laryngeal signs/symptoms. I would definitely have marked the neck (for cric) and put them on close observation. I would have tried some epinephrine too(cant recall if this was done).
David G., M.D. - March 25, 2017 2:03 PM
I can't see how isolated lip swelling requires airway management. Open your mouth and breath, or breath through your nose.