BOSTON—Many may know Scott D. Weingart, MD, FACEP, as the chief of the Division of Emergency Critical Care at Stony Brook Hospital in New York City, and clinical associate professor of emergency medicine at Stony Brook Medicine. However, his coworkers often refer him to as “The Tube Stealer,” for advocating noninvasive positive pressure (NIPP) ventilation in specific patients. The advantages are clear, he said, including the elimination of crash intubations and reduced ICU stays.
For emergency physicians who wish to join Dr. Weingart’s camp, he suggested preparing for these patients by, first, acquiring a decent non-invasive or standard ventilator and learning to use it.
“We always get the crappiest ventilators in the ED,” he told a jam-packed room at ACEP15. “Fight to get a good one.” If that is impossible, he recommended investing in stand-alone continuous positive airway pressure (CPAP) devices that hook up to wall oxygen, at a cost of approximately $30 for a single-use package that includes a mask.