EMS calls ahead for a patient in respiratory extremis. They are just a few minutes out and your team is calmly putting the resuscitation space together and preparing for intubation. A question catches you off guard - do you want this patient in a ramped or sniffing position?
A 56 yo male with a hx of TBI, subglottic stenosis, tracheomalacia, and tracheal stenosis presents in acute respiratory distress. There is a strange looking trach in place with no balloon for a cuff. You begin to wonder how you will manage this pt if he ultimately requires mechanical ventilation.....
A 41 yo male is brought in by EMS after self inflicted stab wounds to the neck and chest. As the patient is transferred to the ED stretcher, you frantically try to recall the initial priorities in the management of this potentially deadly injury....
A 50 year old male with history of atrial fibrillation and a seafood allergy presents after eating seafood. He is on a beta-blocker for rate control. He has facial swelling, hives, trouble breathing and nausea. You give epinephrine x 2 intramuscularly but the patient is not improving. What is your next step in management.
A. Epinephrine IM
B. Epinephrine IV
Answer: C - Glucagon
You are caring for a 2 yo with multifocal pneumonia who is hypoxic on standard nasal canula. You decide to institute high flow nasal canula (HFNC) in an effort to stave off orotracheal intubation. Your repspiratory therapist requests parameters including flow rate (typically 0-40 LPM). What is the optimal flow rate to decrease work of breathing in this pediatric patient?