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Podcast 92 – EMCrit Intubation Checklist


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Intubation Checklist
Checklists
Since Peter Pronovost's landmark study on how a simple checklist can nearly abolish central line infections, checklists have been the darling of the medical literature. But central lines generally are for elective procedures, allowing us the time and patience to run through the list. Can we gain the same safety and cognitive benefits in an adrenaline-laden procedure like intubation? Hell yeah!
It all starts with the EMCrit Intubation Checklist


Download the checklist
The Components
HOp Killers
Here is the wee on the HOp Killers: Hemodynamic Kills, Oxygenation Kills, and pH Kills

* Intubating the Hemodynamically Unstable Patient
* Intubating the Patient at Risk for Critical Hypoxemia
* Intubating the Patient with Metabolic Acidosis

RSI or Awake? · DSI? · RSA? · ICP/Vascular?

* Awake Intubation Lecture
* More info on Delayed Sequence Intubation (DSI)
* Rapid Sequence Airway (RSA)
* ICP/Vascular Intubation

Are the peri-intubation medications ready?

Push-Dose Pressors

* Push-Dose Pressor Podcast and Mixing Sheet

What is the plan for unexpected difficult or failed airway?

* I use a modified version of the Shock Trauma Center Failed Airway Algorithm
* Cook Gas ILA (My preferred Extraglottic Airway)

Can the cricothyroid membrane be palpated?

* Cric-Con Approach to Cricothyrotomy Preparation

What is the plan for post-intubation sedation?

* A bad sedation package traps your patient in a nightmare

Is the patient positioned adequately?
from AirwayCam Site
Would the patient benefit from pre-intubation NGT?

* Intubating the GI Bleeder

Skills of Intubation
Laryngoscopy
http://vimeo.com/17542057
Video Laryngoscopy
Here are some tips
Cricothyrotomy
See this post for all things surgical airway
Post Intubation Management

* Ventilator Lecture
* The Package

Building Checklists

* The Checklist Project and their
...more
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EMCrit FOAM FeedBy Scott D. Weingart, MD FCCM

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