For references and the related podcast, please go to http://emcrit.org/podcasts/intubation-patient-shock.
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ACEP Now: Vol 33 – No 05 – May 2014
Dr. Scofi is a resident in emergency medicine Icahn School of Medicine at Mount Sinai in New York.
Dr. Weingart is an ED intensivist. This column is a distillation of the best material from the EMCrit Blog and Podcast (http://emcrit.org).
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One Response to “How To Prevent Peri-intubation Deaths with Careful Medication Choice”
May 24, 2014
jschaff112@gmail.comWhere is the mention of Rocuronium and Versed combo. I have used this or Vecuronium exclusively for many years without any incident. I have seen PLENTY of hypotension from Etomidate, the latest and greatest coming out of residency programs. And I routinely see the adrenergic state dissipate once the patient is paralyzed. A double whammy with Etomidate. I bet it is very useful for procedural sedation, just not for me.
And Sux is an old standard, but it has caveats in trauma and intracranial conditions where increased ICP occurs. Not my best choice again when the others are lacking in these adverse events and are just as useful or easy to use.