Category Archives: Challenges

EMCrit #9 – Can you take sick patients to CT?

Sick patients in CT By Seth Trueger MD Is radiology still a dark place to go to die? Why should patients languish in the ED instead of getting their important studies? Here’s what you need in order to safely take … Continue reading

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Awake Intubation : ERCAST meets EMCRIT

General principle: “If it’s gonna be a difficult airway, do an awake intubation” THE KEY TO AWAKE INTUBATION: It’s really not that big a deal (not that different from what we usually do) Awake intubation = intubation with SEDATION + … Continue reading

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Minor Head Injury: Who has the badness – SMARTEM 11/2010

SMARTEM: Minor Head Injury: Who has the badness? November 2010 In this episode Dr. Newman and Dr. Shreves evaluate the literature regarding which patients get value from head imaging after minor trauma. Why don’t we just image everyone? The issue … Continue reading

Posted in 1Advanced, 1Intermediate, Challenges, Head Trauma, SMARTEM | Leave a comment

EMCRIT GI Bleeder

Podcast #5: Intubating the Critical GI Bleeder: Empty the stomach NGT prior to intubation i.     2 articles show safe in patients with varicies Reglan 10mg i.     Increase LES tone Position 45 degrees (semi-Fowler’s position) i.     Fiberoptics? ii.     Keeps fluid down … Continue reading

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EMCRIT DOPES

Podcast #16: Coding Asthmatic/DOPES DISCONNECT VENTILATOR DOPE(S) (S in asthma) S – Stacked breaths – D/c vent E – Equipment failure – BVM on O2 D – Displaced tube – Put on ETCO2 O – Obstructed – Suction catheter, could … Continue reading

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