Justin Cook

Yes!

Anyone using a COVID “protected code blue” model that incorporates a P100 respirator for the immediate first responder to start CPR/apply O2 by mask? Versus N95, for which many don’t pass fit testing, and PAPR donning which takes obviously longer . . .

@critcareguys Winters: Predictors of peri-intubation cardiac arrest (DeJong 2019) ✓ Hypotension prior to intubation ✓ Hypoxemia prior to intubation ✓ Absence of preoxygenation ✓ Obesity ✓ Age over 75 years Hypoxemia: the most significant factor. #CritPoints19

@ER_Dr_ummer: Deliberate practice for vascular access and nerve blocks: extra-firm tofu is your friend. Take a tofu time-out. vimeo.com/159548726

“We are playing a team game, and they are still testing us as solo athletes.” Dr Jeff Drazen, editor of NEJM, on continuing certification & assessment in medicine. Thought provoking! @KLIC_SF @KPMedSchool @KPShare #MedEd @theMedEdGuru @ZivTali @ucsfklic

@GoodCPR @emcrit N.B. Other loveliness about original SPEEDBOMB is it also has POST-intubation checklist of same mnemonic. Check it out.

#FOAMed #PRFest19 #EuSEM What about airway checklist? If you are not using one, then pick one! Not using is "no bueno". @ER_Dr_ummer suggests the "SPEEDBUMP" checklist. Another popular is @EMCrit's checklist emcrit.org/emcrit/emcrit-…

@GoodCPR @emcrit Thanks for sharing! To clarify, this is a team-focused modification of previously-published SPEEDBOMB checklist here: dropbox.com/s/pk1k3bddp9he…

(2/2) When doing nerve blocks, also avoid LAST (local anesthetic systemic toxicity) by: -incremental injections of 3-5 mL at a time -use nomogram to dose your local anesthetic safely: aliem.com/2014/06/pv-car… #PRFest19

Superficial cervical plexus block uses: -laceration to the helix or lobule of ear -laceration in submandibular region, adjacent to angle of mandible -placement of IJ vein central line . . . and may have some benefit for clavicle fractures #PRFest19

(1/2) When doing nerve blocks, avoid LAST (local anesthetic systemic toxicity) by: -using the smallest volume of the least-toxic local anesthetic -using ultrasound! -avoiding multiple injections -aspirating before you inject . . . #PRFest19

@emlitofnote "In the bougie group, the operator attempted to pass the bougie into the trachea. If successful, an assistant loaded the endotracheal tube..." So ETT not preloaded or Kiwi/D-grip. Speaks to need for role assignments + team training 4 community ED practice.

- When you’re a PGY-3 resident. - When you’re trained to use the bougie routinely. - When you do all your intubations via C-MAC video laryngoscopy. twitter.com/emcrit/status/…

2wk old has glucose of 30. Draw these labs (=orderset) BEFORE dextrose (unless seizing or coding); 11 cc required. #NateMick #CritPointsIES

Why Nate uses only cuffed tubes in peds intubations. #NateMick #CritPointsIES

@bedsidesono @HGHED @JoeLex5 So true! Otis has the Ken of a poet.

First Stranger Things, now 24k Magic. We have just reached peak 80s nostalgia, folks. Sell your Jovi concert T now

I just heard the raddest Gap Band/Grandmaster Flash mashup! Oh wait, it's the new Bruno Mars song

Breaking news! 2016 @ACEP_EUS ACEP ultrasound guidelines just published bit.ly/2dcphlP #FOAMed

Our course is only two months away! Register now at criticalpoints.net to learn, refresh, and play at the Rancho Bernardo Inn.

@britfltdoc @critpoints Funny you should ask—was going to drop this ~Thursday from Critical Points account. In- and out-of-plane . . .

@britfltdoc My pleasure! Hope you have success with whatever strategy you choose.