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EM Basic

Airway

EM Basic

EM Basic LLC

Medicine, Health & Fitness

4.8666 Ratings

🗓️ 16 August 2011

⏱️ 50 minutes

🧾️ Download transcript

Summary

Today we are breaking from the usual format and doing something a little different. If your patient doesn't have an adequate airway then we need to provide one. We are the experts in the emergent airway and there's a lot more to it than shouting out "20 of etomidate and 100 of suxs" like they used to do on the TV show ER. This podcast will go over why we intubate patients, how to prepare for an intubation, the commonly used medications for RSI, tricks of the trade (and maybe a war story or two), and post-intubation management. This is the first topic podcast that is a lot longer than the usual podcasts but airway is our number one priority so it deserves a little extra time.

Also- for the first time ever- a bonus section on a common medical myth. Should you use the D-word for pain from cholecystitis...as in Demerol? Stay tuned after the airway podcast for why this may not be a great idea and why you should just strike Demerol from your memory.

Transcript

Click on a timestamp to play from that location

0:00.0

Hi, this is Steve Carroll and you're listening to EM Basic.

0:03.4

Today we're going to break away from the usual show format and do something a little different.

0:07.6

Instead of talking about a chief complaint from the ground up,

0:10.1

we're going to be talking about my favorite subject, airway.

0:13.3

Yes, I love airways. I really do.

0:15.4

It's one of the big reasons why I do this job.

0:17.8

In fact, I have a little secret.

0:19.5

Ptsk! Don't tell anyone. But if an anesthesia residency was nothing but

0:22.9

inhibiting 30 or 40 people a day, I would be there in a heartbeat. And that's the truth.

0:27.8

But since anesthesia is like flying commercial plane where there's lots to do on the way up

0:31.9

and on the way down, but not a lot in the middle, it's just not for me. So today we're going to go over a bare bones airway primer for adults. Pediatric Airways will be another episode. As always, I can't teach you everything

0:42.6

you need to know about Airway in 30 minutes or less, but we're going to focus on the basics.

0:46.9

And actually, this is probably going to be a much longer episode than you're used to. First,

0:51.2

why do we innovate people? Then, how do we prepare for an innovation?

0:55.1

What are some commonly used drugs in their dosages?

0:57.8

Post-inobation care and some tricks of the trade.

1:00.7

Making sure the patient has an adequate airway is the basic tenet of emergency medicine.

1:04.9

Today, we will talk about the airway basics, but we won't be talking about pediatric

1:08.2

airway concerns, awake inhibitions, or how to specifically perform a surgical chrykothyroidomy.

1:14.3

Also, there will be a short bonus section at the end, so stay tuned for that. It's going to be a good one.

1:19.0

As always, this podcast doesn't represent the views or opinions of the Department of Defense, the U.S. Army, or the Shawshack Emergency Medicine Residency. First, we need to talk about why we inobate people.

1:29.5

This may be obvious.

...

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