This is Steve Carroll, and you're listening to the Amb Basic podcast.

This is a short bonus podcast following up the amazing episode on COPD from Dr. Tim Peck,

Colby Redfield, and the famous Peter Rosen.

After the episode was published, there was some great conversation on Twitter about some

things that were said about the use of high flow oxygen and COPD. Tim and Colby were gracious enough to make a follow-up podcast to explain their thinking on this

and provide some literature to help you best care for your patients. I don't want to steal their thunder,

but I do want to emphasize the big overriding theme here. Never withhold oxygen from a critically ill

hypoxic patient with

COPD in the first 30 to 60 minutes of resuscitation. If the patient comes in with a set of 50

percent looks cyanotic and is working to breathe, then they need high flow oxygen and lots of it

to get their oxygen level up. However, if you get the patient stabilized and they are doing

better and breathing easier, this is where you want to tighten down the oxygen to a sap between

88 and 92%. What was said in the original podcast was not meant to be a prohibition on high flow

oxygen during the initial resuscitation, just a caution to not let the patient ride on high flow

oxygen with a set of 100% for a long time after they are better. Before we get started, I still have to

say this podcast doesn't represent the views of the opinions of the Department of Defense, the U.S.

Army of the Ford Hood Bus Command. With that said, let's get started with the COPD follow-up

podcast by Dr. Tim Peck and Colby Redfield

with some more wisdom at the end from Peter Rosen.

There's only four or five ways you can die.

That's a death spiral.

And a rectal.

...