Remember, our patients in critical condition may often deteriorate following intubation. Ever wondered why? It’s usually because they’re not adequately resuscitated before the procedure. This tends to happen predominantly with patients needing emergency intubations, as these individuals are often in precarious hemodynamic states and might be volume depleted. Let’s dive […]
Some thoughts from our recent experiences and courses… 1. Preparation 1.1. Make sure your team is operating based on a shared common mental model. 1.2. Eliminate variation, standardize your process and make it obsessively simple. 1.3. Run training/simulations in full PPE with ultraviolet tag germs (gel, powder and mist) to identify potential areas of contamination […]
We have been running training programs/simulations in our Protected Code and Airway Course with UV glow germs… Some quick thoughts from our experiences… 1. Preparation Think about safety first. “There are no emergecies in a pandemic” Run training/simulations with ultraviolet tag germs (powder, gel and mist) to identify potential areas of contamination when the blacklights come […]
Setting up BVM Correctly by The Gurney RoomIntubation Done Right by The Gurney Room
The oxyhemoglobin dissociation curve represents the relationship between the partial pressure of oxygen (PaO2) and the percentage of oxygen-saturated hemoglobin (SaO2). The sigmoidal shape of the curve reflects the cooperative binding of oxygen to the four heme groups in hemoglobin.Cooperative BindingWhen one oxygen molecule binds to a heme group, it induces a conformational change […]
Physiology of PEEP Clinical Application and Monitoring Conclusion PEEP is a complex and vital component of mechanical ventilation, with multifaceted effects on respiratory mechanics, gas exchange, hemodynamics, and even neurodynamics. Its application requires a nuanced understanding of underlying pathophysiology, continuous monitoring with advanced tools, and individualized titration to optimize patient outcomes. The integration of PEEP […]
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In the high-stakes world of nurse executives, being productive isn’t just about getting through your to-do list; it’s about making smart choices that amplify impact without inflating your work hours. Here’s how you can turn the tide on timewasters with a dash of creativity and a sprinkle of humor:Problem: Your workspace looks like a […]
The principle of “resuscitate before you intubate” is a critical aspect of patient management in pre hospital, intensive care unit (ICU) or emergency department (ED). Let’s delve into why this practice is so integral to the process of patient care. Mitigating Peri-intubation Hypoxia: During the process of intubation, patients typically experience a period of […]
In the dynamic world of emergency nursing education, mastering the art of attention management is not just a beneficial skill—it’s a critical one. The emergency room is a theater of sudden developments and rapid decisions, where the ability to focus amidst chaos can mean the difference between life and death. For those teaching and learning […]
