A Clean Kill? Ventilating the Asthmatic Patient

ccpempod

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!

Acute Aortic Syndromes

ccpempod

Acute aortic syndromes such as aortic dissection are incredibly stressful and challenging to manage.  In this episode, we tackle the difficult management pearls and pitfalls in the resuscitation of patients with an acute aortic syndrome.

Post-Arrest Ventilator Management

ccpempod

In this episode, we review the critical pearls and pitfalls in ventilating the post cardiac arrest patient.  Are lung protective strategies useful? What is the target SpO2, FiO2, and PaO2 for these patients?  Is mild hypercapnea beneficial?  We answer these questions and much more on this can’t miss episode.

Top Articles 2017 – Part II

ccpempod

In this podcast we complete our discussion of articles from the 2017 emergency medicine and critical care literature that have potential practice changing implications.  ED mechanical ventilation, sedation and analgesia, and sepsis.  What you NEED to know!

An Approach to Refractory Hypoxemia

ccpempod

The use of a PEEP recruitment maneuver is common among ventilated patients with refractory hypoxemia.  However, a recent JAMA study questions whether we should be using this in our patients.  In this podcast we discuss this article and an approach to the patient with refractory hypoxemia while on the ventilator.

Noninvasive Ventilation for the Emergency Physician

ccpempod

We know NIV works well for patients with acute COPD or acute CHF exacerbations.  In this episode we discuss the evidence for NIV not only in COPD and CHF, but also a myriad of other conditions.  Do you know what the latest guidelines say on NIV for asthma, immunocompromised patients, or undifferentiated acute respiratory failure?  Take a listen!