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EM Clerkship

Breathing

EM Clerkship

Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

Health & Fitness, Science, Education, Medicine, Life Sciences

4.9 • 816 Ratings

🗓️ 19 April 2016

⏱️ 8 minutes

🧾️ Download transcript

Summary


Hypoxemia fixed by only TWO things: FiO2 and PEEP



Step 1: Add FiO2



* If the patient is breathing…* Nasal cannula* Non-rebreather mask* If the patient is NOT breathing…* Bag-valve mask



Step 2: Add PEEP



* *Cannot be completed in 60 seconds, but equipment can be requested* If patient is breathing…* BiPAP* If the patient is NOT breathing…* Intubation



Additional Reading



* Ventilator Basics (EM Clerkship)* Airway Part 1 – Immediate Actions (EM Clerkship)* Circulation (EM Clerkship)

Transcript

Click on a timestamp to play from that location

0:00.0

Hello, med students. This episode has been sponsored by Freed AI. Do you dread the thought of

0:07.1

endless charting once you become a doctor? Do you think that doctors should be spending more

0:11.9

time with our patients and less time mindlessly writing notes? Freed AI is the product for you. It is a

0:20.4

secure, hippocompliant scribe that anybody can use.

0:24.7

Focus your energy on what matters, providing good patient care.

0:29.5

Use coupon code EM50 to save 50% the first month you try it,

0:34.1

and you can cancel at any time if you decide it's not right for you.

0:37.7

You can learn more at www.gitfreed.a.i.

0:44.6

Hello, med students. My name is Zach Olson, and today is episode B, breathing.

0:52.5

It is the second episode in our three-part podcast series on the

0:56.6

approach to a crashing patient, or as most people usually think of it, the A, B, C's of

1:02.7

emergency medicine. As I said in the last episode when discussing Airway, my goal is to give you

1:09.4

the ability to control any scary situation immediately.

1:14.6

And when you're on your clerkship, I guarantee you these situations are absolutely going to happen

1:19.8

in your calm, controlled, demeanor, and decision making.

1:25.3

A, B, C, A, B, C, A, B, C, are going to make you look like a baller for your attending,

1:36.5

and it's going to get you one huge step closer to dominating your emergency medicine clerkship

1:41.7

and getting that top one-third rank in your slow.

1:45.0

And that is our goal. So, in this episode, there is one thing that I'm going to want you to

1:50.9

understand. This is the big takeaway. When it comes to the A-B-C's, breathing equals two things.

1:59.6

It equals F-I-O-2, which stands for the fraction of inspired oxygen,

2:04.8

and it equals peep, which is the pressure applied at the end of a patient's expiration.

...

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