Thrilled to be listening to @EMSwami about pearls in the crashing asthmatic (👂🏻 just like he does on @Core_EM !#fanclub 🙌🏻)
✅Maximize preload➡️20-30mL/kg fluid bolus
✅Start IM epi (anaphylaxis dosing)➡️quickly move to IV if no response (IV: 5-10 mcg bolus ➡️ 5-10 mcg/min inf)
✅Maximize preload➡️20-30mL/kg fluid bolus
✅Start IM epi (anaphylaxis dosing)➡️quickly move to IV if no response (IV: 5-10 mcg bolus ➡️ 5-10 mcg/min inf)
Make use of Mg+➡️ causes relaxation of pulm smooth muscle @ ⬆️ doses
✅2-4g bolus ➡️ 2-4g/hr infusion (infusion req due to rapid redistribution!)
✅Ketamine preferred 4 induction (cooperation in a bottle 😂)
✅Roc pref paralytic: dose 1.2 mg/kg ➡️crucial 4 quick onset
✅2-4g bolus ➡️ 2-4g/hr infusion (infusion req due to rapid redistribution!)
✅Ketamine preferred 4 induction (cooperation in a bottle 😂)
✅Roc pref paralytic: dose 1.2 mg/kg ➡️crucial 4 quick onset
In a stress situation, @EMSwami suggests 2 mg/kg facilitates quick calculation & paralytic administration➡️ under dosing is more harmful ‼️⚠️
#resus2019
#resus2019
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