By now everyone should have read this paper:
Weingart SD, Levitan RM. Preoxygenation and Prevention of Desaturation During Emergency Airway Management. Ann Emerg Med. 2012 Mar;59(3):165-75.e1. Epub 2011 Nov 3. Review. PubMed PMID: 22050948.
It is the only paper to have been included in two separate editions of R&R in the FASTLANE (because it is SO DAMN IMPORTANT) and it was the inaugural R&R Hall of Famer. If you haven’t read it, you really have no excuse because the article is available for free on the Annals EM Site (pdf) (no idea why that link has a line through it – it works!).
I gave a talk on this paper soon after it was epublished last year. Here is the slide show, it’s an easy question and answer format so that you can get the main messages with a minimum of fuss:
I was thinking of uploading a ‘voiced over’ version, again because the paper is SO DAMN IMPORTANT, but now I don’t have too.
Why? You ask.
Update 18 May 2012:
Seth Trueger (@MDaware) talks about the work he has been doing with Scott Weingart on the Delayed Sequence Intubation (DSI) approach to oxygenation of the critically patient.
For more resources on oxygenation for emergency intubation check out:
- LITFL’s Own the Airway online video resource compendium
- This is how Darren Braude preoxygenates his patients as part of RSI on EMRAPTV using an LMA.
- EMCrit.org has a great page of resources on preoxygenation, reoxygenation and deoxygenation. The Scott Weingart approach to ‘delayed sequence intubation’ is described in Emcrit Podcast 40. Finally, don’t miss Podcast 70 – Airway Management with Rich Levitan
- Levitan R. NO DESAT! EP Monthly Dec 9, 2010. [fulltext online]