Foamcast - Emergency Medicine Core Content

ITUNES OR LISTEN HERE We cover pearls from smaccDUB (Social Media and Critical Care Conference in Dublin, Ireland), Day 3. We are here thanks to the Rosh Review. Dr. Scott Weingart - "Post-Intubation Sedation" Analgesia first. Try a hydromorphone 1mg push while you're waiting for the fentanyl drip. The endotracheal tube is uncomfortable. Minimize sedation. There's this principle: eCASH: early Comfort using Analgesia, minimal Sedatives and maximal Humane care [1].  Sedation: go for dexmedetomidine if you have it (but it's expensive) or propofol. This is supported by the Society of Critical Care Medicine (SCCM) Pain, Agitation, and Delirium guidelines [2]. Be careful with rocuronium.  The long duration of rocuronium means that you can't assess for pain or discomfort so you must be responsible and get these Dr. David Carr - "The Aorta Will #!&?% You Up" Dr. Kathleen Thomas - "Oh Sh**! They’re bombing the hospital!" We should not need a website entitled STOPBOMBINGHOSPITALS.ORG but, unfortunately, over th