O2: Optimization and Oxygenation: Part 1

A review

The lecture duration is 13min.

0.25 CPD Points, 0.25 CEUs, 0.25 CME credits approval pending.
Accredited by CPDUK, CBRN and Provider Pending.

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Nicholas Caputo
Associate chief of emergency medicine at NYC Health + Hospitals/Lincoln in the Bronx, New York, USA
Lecture Summary

A review of oxygenation in the context of critical illness and Rapid Sequence Intubation. What are the historical recommendations, how has this changed over time, and what does the evidence support currently?

Target Audience

Emergency Medicine Doctors
Emergency Medicine Nurses
Paramedics
Rural GP's

Learning Objectives:

Upon completion of this activity, you should be able to:

  • Understand the importance of objective measurement of fraction of expired oxygen in determining proper pre-oxygenation during rapid sequence intubation and how denitrogenation of the FRC and maximal oxygenation of the blood will lead to longer duration of apnea without desaturation times
  • Understand the impact denitrogenation and patient positioning have on potential pulmonary shunting which may place the patient at risk of rapid desaturation
  • Understand the importance human factors play in challenging procedural situations such as rapid sequence intubation and how situational awareness can be lost during times of high stress