Just left ER and reflecting back on my shift. I just wanna send a special shoutout to respiratory therapists. We’re seeing so much COVID and they’re always having to put themselves directly in harms way. You guys don’t get enough credit. Thank you for everything you do.
Intubatrd 1st covid 19 pt, SpO2 90-93 15 L. RR 22, talking sentences easily but followed advice RSI early. No BVM, held mask 10 PEEP. Sats 68 in 20s. Bagged up fine. Beware
I don’t know who needs to hear this but you’re bagging too fast during CPR. Shoot for a rate of 10-12 breaths per minute. That’s one breath every 5-6 seconds. Cardiac output during arrest is so low that bagging faster doesn’t ventilate any better it just worsens venous return!
Power of #POCUS - abscess on palm, planned for I&D - but access block... likely to delay 2-3 h. Median+Ulnar block, dense anesthesia, patient couldn't believe it didn't hurt, discharge within 20 min !