EMCrit Podcast EMCrit 359 - FoundStab Project - Foundational Stabilization Guideline for Post-Intubation Sedation
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Oct 8, 2023 This podcast explores the concept of guidelines for optimal care in emergency medicine and introduces the Foundational Stabilization Project. It discusses the use of propofol for post-intubation sedation and emphasizes the need for minimal resources in resuscitative care. The podcast also addresses the importance of partial sedation and pain management, as well as the use of soft restraints for intubated patients in the emergency department. It concludes with a discussion on the potential risks of not using soft restraints and introduces the Found Stab Project for resuscitation and acute critical care.
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Need for Baseline Critical Care Standard
- Scott Wangar noticed essential critical care practices are missing in many emergency departments despite available information.
- This gap calls for establishing a baseline care standard everyone must meet regardless of location or resources.
Foundational Stabilization Concept
- Foundational Stabilization focuses on a minimal, low-resource level of care to stabilize critically ill patients.
- This baseline enables safe patient management until higher levels of care can be applied.
Prefer Propofol for Post-Intubation Sedation
- Post-intubation sedation should primarily use propofol rather than benzodiazepines due to better outcomes.
- If rocuronium was used, provide higher doses of propofol or 2 mg midazolam to ensure adequate amnesia.