Breathing
EM Clerkship
Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD
4.9 • 816 Ratings
🗓️ 19 April 2016
⏱️ 8 minutes
🔗️ Recording | iTunes | RSS
🧾️ 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
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| 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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