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EMGuidewire's Podcast

Sep 3, 2020

Join the EMGuideWire team as Drs. Serven and Shreve are joined by Dr. Trigonis to discuss simple strategies to make sure your room is set up and you are prepared for performing an emergent intubation on your patients in the Emergency Department.

Shownotes - Once through start to finish: 

  • Set up suction 
  • Set up pre-oxygenation (nasal cannula, NRB, BVM as backup)
  • Choose a tube + back up tube 
  • Lube the tube, check the tube 
  • Choose a stylet
  • Set up video and DL 
  • Ask nurse for meds (nicely) 
  • Check hemodynamics 
  • Acknowledge preoxygenation 
  • Positioning 
  • Give meds 
  • Wait for paralytic medications to work
  • Tube ‘em  
  • Call out your tube positioning 
  • Leave the blade in place until tube placement assured 
  • Confirm with color change, EtO2, bilateral breath sounds 
  • Wait for RT to secure the tube
  • Call for post-intubation meds 
  • Check CXR for position