EMCrit Podcast EMCrit 357 - AMAX4 Crashing Anaphylaxis Explosion with Ben McKenzie
Sep 10, 2023
The podcast discusses the AMAX4 protocol for crashing anaphylaxis and asthma, developed after the personal tragedy of losing Ben McKenzie's son. They delve into administering epinephrine in a crashing patient, managing breathing during anaphylaxis, and the debate over second intubation vs. cricothyrotomy. The effectiveness of infusion and push-dose epinephrine in treating anaphylaxis is also explored.
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Transcript
Max's Story
- Ben McKenzie's son, Max, tragically died from mismanaged anaphylaxis and asthma.
- This inspired him to create the AMAX4 protocol.
Heuristic Failure
- Standard heuristics for intubation fail in crashing anaphylaxis/asthma.
- A new set of reflexive actions, like AMAX4, are needed.
Intubate Unconscious Patients
- If a patient presents with anaphylaxis or asthma and is unconscious, intubate immediately.
- Don't hesitate or wait.