Airway update podcast

EM Basic

EM Basic LLC

Residency, Student, Medicine, Er, Em, Intern, Health & Fitness, Medical, Education, Emergency

4.6 • 665 Ratings

🗓️ 13 April 2012

⏱️ 20 minutes

🔗️ Recording | iTunes | RSS

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Summary

A week ago, I posted an airway review paper by Scott Weingart and Richard Levitan that I think is a must read. Today I decided to do a podcast reviewing the paper in order to really get it out there and talk about the major points. The best part of the paper is the description of the NO DESAT technique which virtually eliminates hypoxia during RSI and will make your next intubation a lot easier. While this podcast is a lot more advanced than the usual "basic" topics that I usually talk about, its important to know about these techniques. My 0.02- they will become the new standard of care in the near future but you can hear about them now.

Transcript

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0:00.0	This is Steve Carroll, and you're listening to the YAM Basic podcast. So today we're going to do something
0:05.6	completely different, called a mini episode, if you will. So recently, I read a review article in the Annals of
0:12.3	Emergency Medicine that I really liked and I really think is important. So I wanted to go over that
0:17.7	review article real quickly. This is just going to be me, no script, just kind of speaking my mind about what I think about
0:23.3	this article.
0:24.4	The title of this article is pre-oxygenation and prevention of desaturation during
0:29.1	emergency airway management by Scott Warngart and Richard Levittan.
0:33.0	If you follow the EM Basic blog, you'll see that about a week ago I posted this review article online
0:38.6	because I thought it was important. I thought everyone should read it. And the great thing is,
0:42.3	is that analysis of emergency medicine has made it free and available online. So I'll post a link to
0:47.9	it. I'll even post a download of the PDF for it because I think it's a article that everyone
0:52.6	should read if you're in emergency medicine.
0:55.0	So what I'm going to do is just going to go over the big points of the article, kind of give my take
0:58.6	on it, and that'll be it. Okay. So as always, this podcast doesn't represent the views or opinions of
1:04.6	the Department of Defense, U.S. Army, and the Shawshack EM Residency Program. So let's get started.
1:10.3	The major point of this article was,
1:12.5	how do we prevent people from desaturating while we're performing rapid sequence innovation in the
1:18.1	emergency room? This is an extremely important thing to avoid because hypoxia is extremely
1:24.0	harmful to our patients, especially the groups of patients that we most often invade, those with head injuries or those who are critically ill. So it's really important that we
1:32.6	really try to keep their oxygenation level as high as possible. But I'm sure everyone's seen this
1:38.6	where someone has an RSI done and they desaturate to 60 or 70% or even lower than that. And I'm sure a few of
1:46.8	us out there, probably more than a few of us, has also seen the patient that just crashes and
	...

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