Dr. Amit Shah - The art of procedural sedation in the emergency department

Dr. Amit Shah discusses the art of procedural sedation in the emergency department in this exciting grand rounds video
For more information, see: emlondon.ca
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[@mohammadtheeb8088]

Anesthesia and emergency medicine have a lot in common.. As an anesthetist I enjoyed that very much, thx

[@mariburn6515]

I recently witnessed a patient in PACU go into laryngospasm post ketamine administration by the CRNA. I never heard of ketamine causing laryngospasm. As you have mentioned it's very rare. Very informative video. Thanks for sharing.

[@PaulBishop-v1o]

The only time I have ever seen this happen was in a Pediatric ED where it was given too rapidly. IV etomidate and succinylcholine was pushed, an LMA was placed, and the patient was bagged until the ketamine wore off (~15 minutes). Wasn’t a big deal because the situation was immediately dealt with and the peds ED attending in the room immediately recognized the issue.

[@sportstours24]

​​@@PaulBishop-v1owhat signs led to a rapid recognition/diagnosis? Inspiratory stridor?
I take it that the saturation had not started dipping at that point..

[@shamailarizwan4083]

Very practical n knowledgeable, l really didn't know how to handle laryngospam or resp. Depression caused by sedatives...great discussion

[@davidmbeckmann]

Well done!

[@shamailarizwan4083]

Dr, plz tell me if we can give every .5 ml intranasally spontaneously or we need to wait for a time interval to give next .5 ml in same nostril

[@JCResDoc94]

42:10 dystonic rhythm from pfol

[@MrTana48]

IM Succs??? what is that 19:05??

[@marlylimpo]

he meant Intra muscular of Succinylcholine IM SUCCS

[@Kim-ou7lc]

Now it .6ml dead space

[@Uneekabilitys]

Hard stop 🛑 Ain’t no one giving the crazy old guy ketamine in ct 😂 he’s getting versed and a sitter