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Or mention of the environmental impact. Meanwhile other settings are limiting its use if possible.

Looking at a hospital's 990 is kinda interesting. The margins are a lost slimmer than you'd think. There are years that some big, brand name hospital systems operate on a deficit and only stay out of the red through their assets (real estate, bonds, stocks etc). Recently NYC Health and...

Although airway management comes up with most patients, you realize that anesthesiologists/CRNAs do 99 other things during a day too?

Is there anything to say that her CV wasn't up to muster though?

Possibly. People talk of the bradycardic periarrest death spiral. Physiologically the bradycardia -> more low CO/hypoperfusion -> more ischemic myocardium -> more bradycardia.

Still is an overdose when you realize he weighed <65kg. I've used substantially smaller IM mg/kg doses as my induction dose for general anesthesia.

Sighhh...can't believe this is still happening. Let me know if you want any pointers on simultaneously being ICU MD/RN/RRT/UA/EVS on your anesthesia machines while trying to help derm/pmr/ophtho in the ICU and leading an ortho prone team.

Natural selection though. Higher numbers of unvaccinated individuals increase the number of available hosts. The more hosts, the faster a particular viral strain may become dominant and increase the risk of escape/lack of immune protect from the vaccine. Thus limit the number of available hosts...

From the American Diabetes Association position statement on classification: Type 1 diabetes (due to autoimmune β-cell destruction, usually leading to absolute insulin deficiency) Type 2 diabetes (due to a progressive loss of adequate β-cell insulin secretion frequently on the background of...

If attempts to provide more analgesia/sedation are unsuccessful or if one feels like transport is going to be unsafe then NMB is ideal. Certain patients don't really need to even prove themselves in my mind like ARDS patient already on high doses of multiple sedatives (think needing...

I don't think you should prophylactically, but in the same vein no one should automatically sedate deeper just because keeping RASS -1 to -2 is perceived as too hard in transport. 100% agree that no one knows how sedation during transport affects outcomes, but we do know how sedation in the ICU...

Would you stay to titrate the patient back to their original RASS goal once you complete the transport? Often sedation doesn't get adjusted for hours once a new accepting team or even oncoming bedside RN after shift change starts caring for the patient. As a result some of the hard work to...

Is there a negative pressure alarm on the vent?

What is this a quote from? The relationship is very reliable. However CO and MAP do not equal tissue perfusion.

Just adding to what others have said with a reason why: Some people with class II (BMI >35) and more so class III (BMI >40) have arms that are conically shaped and as a result have inaccuracies using a standard shaped rectangular BP cuff.

I'd like to clarify this isn't an "emergency" before the provider pushed fentanyl, and this is a very known, extremely common, and expected adverse effect. That provider (or if a system is designed like ED, rapid response/code, ICU team etc) is responsible for doing all that can be done, within...

A BVM and narcan is not the end all be all. What do you do when you can't ventilate adequately with your BVM? One shouldn't be giving fast acting opioids to an opioid naive patient without someone immediately available who is educated in advanced airway interventions and ACLS. EMT curriculum...

You really shouldn't be giving fentanyl unless you can deal with the potential decreased respiratory drive. Fentanyl lozenges in opioid naive people and under education is just a set up for disaster.

Well you could do a large case-control. Almost all health systems already track occupational exposures and place people on quarantine through an occupational health office. You have your exposure (like patient testing positive within 24-48hrs after interaction with employee) and then just look...

I feel like I'm going to sound like the quack skeptic now, but there is a paucity of data to suggest that N95s meaningfully prevent infections compared to surgical masks (especially for non-aerosolizing procedures) in health care workers though.