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Emergency Medicine Cases

EM Quick Hits 55 – Induction Agents, Gabapentinoids, Neuroprotective Intubation, Approach to Paresthesias, Preventing Burnout

Feb 27, 2024
58:02
Snipd AI
The podcast covers topics such as selecting induction agents for intubation, using gabapentinoids for pain control, neuroprotective intubation techniques, approaching paresthesias in the ED, and preventing burnout in emergency medicine. Experts share insights on drug choices, avoiding rapid titration, optimizing intubation, deciphering neurological symptoms, and prioritizing mental health for healthcare providers.
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Podcast summary created with Snipd AI

Quick takeaways

  • Consider ketamine as an alternative to atomidate for induction agents in critically ill patients.
  • Tailor induction agent dosages based on intrinsic properties to prevent hemodynamic fluctuations post-RSI.

Deep dives

Focusing on Induction Agents in Emergency Medicine Care

Emergency physicians often debate the use of induction agents such as atomidate, ketamine, and propofol. Atomidate has been a popular choice due to its rapid action and minimal vasodilatory effects. However, recent discussions point to potential negative outcomes associated with atomidate use, such as increased mortality rates, prompting consideration for alternative agents like ketamine. Ketamine's longer half-life and analgesic properties make it a viable replacement for atomidate, especially in critically ill patients.

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