One of the most common reason of people dying peri intubation because Not all emergent intubation needs emergent intubation: if one can bag the patient, give of seal you have time, and if you can oxygenate, unless you need airway in case of GI bleed etc etc: My approach -- fluids wide open, start vasopressin whatever available , use neo stick, use ketamine and minimal medication. Use VL, I will wait for VL instead of DL to make sure it’s first pass. Get A line if I can and have time, get IO or access, get pads on if I have time. Again not all emergent intubation are truly emergent. It’s the physician anxiety not the patient condition is going to kill the patient.
One of the most common reason of people dying peri intubation because Not all emergent intubation needs emergent intubation: if one can bag the patient, give of seal you have time, and if you can oxygenate, unless you need airway in case of GI bleed etc etc:
My approach -- fluids wide open, start vasopressin whatever available , use neo stick, use ketamine and minimal medication. Use VL, I will wait for VL instead of DL to make sure it’s first pass. Get A line if I can and have time, get IO or access, get pads on if I have time.
Again not all emergent intubation are truly emergent. It’s the physician anxiety not the patient condition is going to kill the patient.
These are some good points
It all comes down to resuscitating your patient before incubating them. A mantra worth repeating. Thank you for your comments.
I have seen ED physicians intubating pts in icu starting them on levophed drip even when the SBP are as high as 130 - is this necessary
Adds a buffer of safety with the BP