Podcast 575:  Light on the Sedation

Podcast 575: Light on the Sedation

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Studies have shown that patients who are under deeper sedation in the ICU have worse outcomes.
  • Recent study compared lighter vs heavier sedation of patients in the emergency department receiving mechanical ventilation
  • Patients receiving lighter sedation in the ED were often continued in the ICU
  • Patients who had lighter sedation also tended to do better, meaning less days on the ventilator, less days in the ICU, and lower mortality supporting prior observations.
  • Though purely observational, interesting suggestion that lighter sedation starting in the emergency department could have significant impact on important clinical outcomes

References

Fuller BM, Roberts BW, Mohr NM, et al. The ED-SED Study: A Multicenter, Prospective Cohort Study of Practice Patterns and Clinical Outcomes Associated With Emergency Department SEDation for Mechanically Ventilated Patients. Crit Care Med. 2019;47(11):1539‐1548. doi:10.1097/CCM.0000000000003928

Summarized by Jackson Roos, MS4 | Edited by Erik Verzemnieks, MD



Episoder(1146)

Podcast 592:  Rapid Antihypertensives

Podcast 592: Rapid Antihypertensives

Contributor: Ramnik Dhaliwal, MD, JD Educational Pearls: Nitrates Nitroprusside: becomes effective in under a minute, and becomes ineffective 10 minutes after stopping it.  Nitroprusside can meta...

1 Sep 20206min

Podcast 591: Pediatric Documentation Pearls

Podcast 591: Pediatric Documentation Pearls

Emergency Medical Minute collaborated with CarePoint Health in early March for a night of education on Pediatric Emergencies at a local Denver brewery for our latest Brewcast. Pediatric patients requi...

31 Aug 202011min

Pharmacy Phriday #2: Penicillin and Cephalosporin Allergies

Pharmacy Phriday #2: Penicillin and Cephalosporin Allergies

The penicillin and cephalosporin drug classes include many first line drug options for infectious disease although high rates of self-reported allergies may cause physicians to seek alternative option...

28 Aug 202014min

Mental Health Monthly #4: Trauma, Loss and Grief in First Responders Heightened by COVID-19

Mental Health Monthly #4: Trauma, Loss and Grief in First Responders Heightened by COVID-19

Trauma and loss are common issues faced by emergency personnel and first responders. These challenges have since been heightened by the COVID-19 pandemic. On this installment of Mental Health Monthly,...

26 Aug 202020min

Podcast 590: Esophageal Food Impactions

Podcast 590: Esophageal Food Impactions

Contributor: Aaron Lessen, MD Educational Pearls: Carbonated beverages have shown efficacy in helping patients spontaneously pass esophageal food impactions Glucagon, while historically used for trea...

25 Aug 20202min

Podcast 589:  Management of Dental Trauma

Podcast 589: Management of Dental Trauma

Contributor: Peter Bakes, MD Educational Pearls: Dental fractures are described by the Ellis classifications, which are based on the involvement of layers of the teeth: Ellis I: involvement of the ...

24 Aug 20206min

Pharmacy Friday #1: Antibiotic Alternatives to Fluoroquinolones for Infectious Disease

Pharmacy Friday #1: Antibiotic Alternatives to Fluoroquinolones for Infectious Disease

Welcome to EMM's first Pharmacy Friday where we dive deeper on a certain pharmacological topic as it pertains to emergency medicine. Dr. Rachael Duncan, emergency medicine clinical Pharmacist, joins u...

21 Aug 202019min

Buprenorphine after Naloxone

Buprenorphine after Naloxone

EMM would like to extend a large thank you to the Pain Management and Addiction Medicine section of the American College of Emergency Physicians for allowing us to post their webinar panel discussion ...

19 Aug 20201h 18min

Populært innen Vitenskap

fastlegen
rekommandert
tingenes-tilstand
jss
rss-rekommandert
liberal-halvtime
villmarksliv
forskningno
rss-paradigmepodden
sinnsyn
fjellsportpodden
rss-nysgjerrige-norge
vett-og-vitenskap-med-gaute-einevoll
nevropodden
diagnose
smart-forklart
dekodet-2
abid-nadia-skyld-og-skam
tidlose-historier
nordnorsk-historie