Emergency Medicine Cases EM Quick Hits 62 Optimizing RSI Medication Timing, ED Boarding of Older Patients, Prolonged Tourniquet Use, Rural Peer Support Programs, ECG Reciprocal Changes, Nutrition Tips for Shift Workers
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Jan 28, 2025 This discussion features Brittany Ellis, an emergency physician and geriatric care advocate, who addresses challenges in emergency care for older patients. Dave Jerome shares expert insights on managing prolonged tourniquet use. Phil Gillick highlights the benefits of peer support programs in rural settings. ECG guru Jesse McLaren decodes the critical nuances of ST elevation and depression in acute cases. Finally, Melody Ng offers practical nutrition tips for shift workers, focusing on meal timing and dietary choices to enhance well-being. A riveting blend of expert knowledge!
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Optimizing RSI Medication Timing
- Time RSI medications for simultaneous onset, not administration.
- Give paralytic first, then induction agent after 20 seconds.
ED Boarding and Older Patients
- Older patients are disproportionately affected by ED boarding.
- Delirium, functional decline, and pressure ulcers are significant risks.
Systemic Solutions for ED Boarding
- Advocate for systemic solutions like geriatric-focused hospital teams and improved discharge planning.
- Implement electronic health records and AI to prioritize admissions based on risk.
