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Pressure – Managing Hypotension in the Peri-Intubation Period

A NEXTGEN LEARNING SPACE DESIGNED TO ELEVATE YOUR AIRWAY PRACTICE

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start here

After listening here, getting started is as simple as scrolling down, or go directly to the content you want by using the links below👇

Rapid ReviewHow’s Your FlowIO Access
Prevent ArrestGive FluidsStart Pressors
Make Your OwnHemodynamically NeutralA Meme
FOAMedWhat’s NextMasterclass

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Rapid Review of critical actions

Is real time too slow for you? Accelerate through this review of the critical actions you need to take in your hypotensive patient before you intubate in 54 seconds flat. Then dive deeper into the details.

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FLOW RATES

Want to know what kind for flow rates you get with an IO? Check out this great infographic from REBELEM on your options and how effective they are at delivering volume.

EXPERT Pearl – Don’t put the fluids on a pump. If you need volume in your patient fast, then use a pressure bag instead. For more on why this is true, check out this twitter thread by Dr Sam Ghali, and then don’t forget to add him to your learning network.

Tibial IO Placement

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IO Access – when you need it fast

Knowing how to place an intraosseous line is a game changer. Imagine if you could use a drill to place a central line in under 30 seconds? That’s an IO for you. Listen to the introduction below and then dive in.

START HERE

IO locations & placment techniques

TIBIAL PLACEMENT

HUMERAL PLACEMENT 1

HUMERAL PLACEMENT 2

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prevent peri-intubation arrest

Stay ahead of the game. If you understand the impact sedation and intubation will have on your hypotensive patient, you can act to prevent it from happening in the first place.

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GIVE iv fluids

Is your hypotensive patient fluid responsive? Unless they are clearly volume overloaded don’t forget to give fluids to support a MAP over 70mmHg prior to intubation.

  • Start with 1-2 Liters of NS or LR
  • Goal of MAP >70 mmHg
  • Prior to intubation.

News Update: normal saline is just fine (didn’t we already know that?) Don’t let anyone tell you otherwise.

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Start Pressors

Start pressors before intubation if your patient is hypotensive, if they’re sick but not hypotensive, at least have them ready to go at the bedside, or have push-dose pressors at hand if needed. Here is a review of some of the common ones we use.

Click Me
Click Me
Click Me

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MAKE YOUR OWN

Sometimes you can’t wait for pharmacy, and you just need it fast. That’s what the crash cart epi is for. You just know how to use it.

Watch this video from FOAMfrat another of our favorite learning network resources. We suggest you add them to yours for great learning.

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prevent peri-intubation arrest

When your patient’s pressure is tenuous picking the intubation meds in the appropriate doses is critical. We go over it for you here.

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rememeber this


Not sure what your target blood pressure is prior to intubation? Remember this meme.

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FOAM Pearls

How successful is IO placement on average? What kind of flow rates can you get? Just a couple of questions answered by Salim Rezaie and REBELEM.

Instructions

  1. Look for this tabletop card
  2. Snap the QR codes
  3. Begin your practice

✋👇

WHAT’S NEXT

You could stop here but why would you. If you’re with us in person visit any of the other posters, training labs, deliberate practice or coaching stations in the installation. Otherwise head back to the online masterclass to learn more.

DON’T FORGET TO FOLLOW US

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