Dunn Part II - word pad.txt

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Author:
JDR
ID:
127550
Filename:
Dunn Part II - word pad.txt
Updated:
2012-01-12 21:57:02
Tags:
emergency partII ACEM
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Description:
emergency ACEM part II
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  1. Airway Ax (3)
    • Physiology
    • ?FRC (kids, Pregnant, obese)
    • ?Pre 02 (HI, chronic Lung Ds)
    • ?BP (any cause)
    • Electrolyte/Acidotic (ARF, DKA)l\
    • Airway (3)
    • Anesthetic: (jaw opening, MP, TMD)
    • �Objects� Epiglottis, dentition, tongue (inc studs)
    • Other: RA, soiling, S/LBO
    • Trauma (3)
    • Fractures: Mandibular, facial
    • Bleeding
    • C-Spine collar/immobilisation
  2. Sedation Components (3) EMC
    • 1. Anxiolysis
    • 2. Hypnosis
    • 3. Amnesia
    • Not analgesia (separate)
  3. Blind �Boogie� Confirmation (3)
    • Palpation of tracheal rings with �coude� tip
    • Sensation of booge passing from �cricoid pressure� operator
    • Carinal obstruction
  4. ETT Safety features
    • Anatomical from connector to tip
    • Universal adaptor
    • Markings (size, single use, length, VC mark, Cutting mark
    • Cuff: High/low, pilot tube protected inside tube, one way valve, palpable/visual cushion
    • Holes: bevel for selective intubation, VC passage, ventilation of L lung (inadvertent RMStem), murphy�s eye.
    • Rotate tube 90degrees ANTIclockwise to pass arytenoids if obstruction.
  5. Ventilation Strategies (2)
    • Lung Injury (default)
    • CAP, APO, Lung injury, Chest Trauma
    • Based on ARDSNET
    • Obstructive
    • Asthma
    • COPD
  6. Ventilation Concepts
    • 1. ARDSNET
    • 2. TV based on LBM (lean body mass)
    • 3. Fi02 / peep scales
  7. Oxygen Normotension
    • 1. Reduced O2 free radical
    • 2. Reduced arterial vasoconstriction
    • 3. Physiological Threshold monitoring (ie Pa02 of 400 gives O2Sats of 100% even if loose half lung acutely � no warning).

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