The debate on the ideal neuromuscular blocking agent for RSI in emergency intubations rages on. In this podcast, we review the latest randomized trial comparing rocuronium with succinylcholine in out-of-hospital patients needing emergency tracheal intubation – The CURASMUR Trial. Emergency medicine airway guru Dr. Ken Butler takes us through the paper and provides his expert opinion on which NMBA you should be reaching for in your next intubation!
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In 2009 and 2013 investigators published studies that demonstrated improved outcomes in patients with IHCA who received vasopressin and steroids in addition to epinephrine. However, both US and European cardiac arrest guidelines have not endorsed these medications due to lack of additional evidence. In this podcast we discuss the recently published VAM-IHCA trial, which evaluated vasopressin and steroids for patients with IHCA. Should we now be administering this combination of medications along with epinephrine for IHCA? Download Companion HandoutDownload You can get CME credit for this episode hereClick here for CME Account Creation Instructions ...
Many critically ill patients are acidotic. Often, bicarbonate is administered to severely acidotic patients, but does it really improve outcomes? The BICAR-ICU was just published in the NEJM and evaluated the use of bicarbonate in patients with severe metabolic acidosis. In this podcast, we go over the results and discuss the use of bicarbonate in critically ill patients. Download Companion MaterialDownload ...
Mechanically ventilating the patient with a severe asthma exacerbation is fraught with peril. Incorrect settings for tidal volume, respiratory rate, pressure triggers, or inspiratory flow can quickly worsen hyperinflation and case hemodynamic collapse. In this episode we tackle the pitfalls and provide the key pearls you NEED to know! Download Companion HandoutDownload You can get CME credit for this episode hereClick here for CME Account Creation Instructions ...
