plateau is what the lung (alveoli) feels. easiest to check inmediately after intubation (pt must be passive on ventilator). one more reason to use rocuronium 🤣 #StoweEM20 by @SkylerLentz
use the plateau pressure to sort through high peak-pressure alarms. #StoweEM20 by @SkylerLentz
take-home points. remember not to worry too much about the blood gas (ie permissive hypercapnia). #StoweEM20 by @SkylerLentz
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how to place a consult: you MUST understand the five stages of consultant grief.
once you can understand this painful and natural process, requesting consults will make a LOT more sense
buckle up, it can be a little rough…
🧵 1/6…
stage 1: denial
- You dont need a consult.
- You called the wrong service.
- 18 years old? consult pediatrics
- I’m not actually on call now
- Everything’s fine, just walk it off…
stage 2: anger
- you should have consulted us earlier/later
- you should have checked this test before calling us
- you’re a terrible doctor/student/human being