This week, we have another Medicine in the Mediterranean Conference speaker from January 2025. Our Vice Dean Eric Bauer talks about the PHACTORS mnemonic for

managing patients in the post-intubation phase, emphasising the importance of understanding and addressing post-intubation hypotension, the role of positive pressure ventilation, and the need for ongoing resuscitation efforts. The discussion highlights various factors that can impact patient outcomes, including the transfer phase and the importance of proactive care in emergency medical settings.

Takeaways

Post-intubation hypotension remains a significant challenge.

The 'Platinum 10' refers to the critical 10 minutes post-intubation.

Positive pressure ventilation can negatively impact haemodynamics.

Hypoxia must be evaluated continuously after intubation.

The transfer phase is often overlooked but crucial for patient care.

Ongoing resuscitation is essential and should not stop after intubation.

Good BLS and ALS care can significantly improve outcomes.

Understanding the patient's history is vital for effective management.

Proactive airway management leads to better patient outcomes.

Continuous education on ventilation techniques is necessary.

Chapters

00:00 Introduction to Post-Intubation Management

01:14 Understanding Post-Intubation Hypotension

03:49 Factors Affecting Post-Intubation Outcomes

10:10 The Role of Positive Pressure Ventilation

14:19 Evaluating Hypoxia and Its Causes

19:15 The Importance of Transfer Phase

23:09 Ongoing Resuscitation and Pharmacology

28:57 Final Thoughts on Post-Intubation Care