EMCrit Podcast

Expert Jarrod Mosier discusses strategies for managing hypoxemic difficult airways, emphasizing pre-oxygenation methods and monitoring techniques. The podcast explores denitrogenation techniques, high-flow nasal oxygenation in shunt patients, and challenges of mask ventilating a hypoxemic airway. It also covers the pendulum phenomenon in refractory hypoxemia, physiological changes in sick lungs, delayed sequence intubation, and airway management strategies.

Karim Brohi, a leading professor in trauma resuscitation, shares his invaluable expertise on modern trauma care. He sheds light on the REFILL trial, which investigates blood component use in resuscitation. The conversation dives into the underused tranexamic acid and challenges like coagulopathy. Brohi emphasizes updating trauma activation criteria post-COVID and highlights the importance of advanced imaging for ischemic limbs. His insights provide a fresh perspective on adapting trauma management to maximize patient outcomes.

In this engaging discussion, Paul Atkinson, a Professor of emergency medicine at Dalhousie University, and Grant Innes, an emergency physician and health services researcher, tackle the flaws within emergency medicine. They dive into how systemic reforms are crucial to evolving practices, especially for elderly care. The duo critiques current admission protocols, advocating for a shift from the four-hour rule to better prioritize real patient needs. They also address the importance of efficient management strategies to improve emergency department outcomes and patient safety.