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Introduction

Jan Shoenberger, MD and Stuart Swadron, MD, FRCPC
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09:46
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Nurses Edition Commentary

Kathy Garvin, RN and Lisa Chavez, RN
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03:33

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EMRAP 2019 01 January Written Summary 302 KB - PDF

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Jon P. -

Very glad to hear Kathy and Lisa push back and offer an opposing viewpoint on this. Nurses don't push for sedation and restraints because it saves time, they do it because after the doctor/PA/NP "verbally deescalates" an intoxicated person and makes nice for a few minutes, the nurse is the one getting assaulted or having to chase the patient down the hallway when they inevitably lose their composure again a few minutes later. If you're concerned about patient safety then after you give your sedation put the patient on ETCO2 and/or a cardiac monitor, problem solved.
Verbal de escalation should be used carefully and in appropriate patients, much like all other interventions we perform. This often excludes patients under the influence of intoxicants or in a decompensated psychiatric state. Recognizing which patients will benefit from this tactic comes with experience. Your senior nursing staff likely has this experience, your residents likely do not.

CAMILLE H. -

Loved the beginning intro on codes. When I was a medical student back in the 80’s , I rotated through a private hospital where “ codes” were never called. If there was a cardiac emergency, the overhead page would be for Dr. Starling ( ie , the Starling curve) to room ——. Fires were; Mr. Red.

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EM:RAP 2019 January Full episode audio for MD edition 226:18 min - 211 MB - M4AEM:RAP 2019 January German Edition Deutsche 103:05 min - 142 MB - MP3EM:RAP 2019 January Canadian Edition Canadian 27:18 min - 38 MB - MP3EM:RAP 2019 January Spanish Edition Español 80:39 min - 111 MB - MP3EM:RAP 2019 French Edition Français 20:32 min - 28 MB - MP3EM:RAP 2019 January Aussie Edition Australian 0:44 min - 1 MB - MP3EMRAP 2019 01 January Board Review Answers 125 KB - PDFEMRAP 2019 01 January Board Review Questions 302 KB - PDFEMRAP 2019 01 January Individual Written 655 KB - ZIPEMRAP 2019 01 January Written Summary 302 KB - PDFEM:RAP 2019 January Individual MP3 Files 204 MB - ZIPEM:RAP 2019 January Spanish Written 803 KB - PDF

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