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Induction Reduction?
Rapid sequence intubation (RSI) is frequently performed under emergent conditions in acutely ill patients. RSI is a technique for managing the emergency airway that induces immediate unresponsiveness (induction agent) and muscular relaxation (neuromuscular blocking agent). In properly selected patients, it is a quick, safe, and effective approach that results in optimal intubating conditions. However, one of the feared complications of RSI is post-intubation hypotension leading to cardiovascular collapse. Although there are multiple possible reasons for hypotension post-intubation, the choice and dosing of induction agents has been implicated.
Grand Rounds Recap 9.13.23
Join us to recap another week of UCEM Grand Rounds! We start with a quick hits EKG lecture with Dr. Baez, focusing on common EKG findings associated with electrolyte abnormalities. Dr. Tillotson teaches us how to set up inhaled therapies for our critically-ill patients, while thousands of feet in the air! We then turn to Dr. Chang and learn how to expertly treat pain and perform procedural sedation on the smallest of patients we encounter as emergency physicians.
Grand Rounds Recap 9.6.23
Join us for a review of another fantastic week of Grand Rounds. We start with Dr. Minges expertly guiding us through performing DVT studies in the ED, to help us better address the needs of the patients in front of us. Dr. Kreitzer presents the data, as well as and personal experience, to passionately advocate for including family members in the ED and ICU’s- including procedures, resuscitation, rounds, and multidisciplinary meetings. Meanwhile, Dr. Onuzuruike refreshes our foundation knowledge pertaining to AICD’s in the ED. Lastly, Drs. Negron and Wright reflect on their expertise as leaders in the SRU to teach us all about managing the most difficult airways- including intubating through the nose and even an supraglottic device.