We’re only emergency back up. Intubations done by ED...

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Mar 31, 2020
1:28:55am

IGlowInTheDark All-American

We’re only emergency back up. Intubations done by ED...

If it’s in their domain or a member of the intensivist team if it’s in theirs.

We have a really stupid system. If you have a COVID airway emergency and a “can’t ventilate/can’t intubate” situation we’re going to end up killing someone with our policy.

This message has been modified

Originally posted on Mar 31, 2020 at 1:28:55am

Message modified by IGlowInTheDark on Mar 31, 2020 at 1:29:32am

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IGlowInTheDark

Previous username: chachaching
Bio page: IGlowInTheDark
Joined: Mar 23, 2011
Last login: Jun 27, 2024
Total posts: 20,079 (4,408 FO)

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Messages

Author

Time

Anesthesiologists: Do you use your OB Anesthesiologist for overnight COVID intub

Dr MoBYU

3/30/20 10:47pm

Cohorting is the right way to go. But, I'm not an anesthesiologist

doctorcoug

3/30/20 10:48pm

What does your hospital do?

Dr MoBYU

3/30/20 10:50pm

I don't know. In totally outpatient, though that might change soon. But, we've

doctorcoug

3/30/20 10:54pm

We have in house trauma and OB. Trauma anesthesiologist intubates in ICU

gaspasscoug

3/30/20 10:55pm

Our anesthesia team intubates everyone - no matter the location

Spocougar

3/30/20 11:03pm

Sounds good. It was hospital admin that decided the airway protocol a long time

gaspasscoug

3/30/20 11:41pm

RE: Anesthesiologists: Do you use your OB Anesthesiologist for overnight COVID

Manavu10

3/30/20 10:59pm

Large hospital?

Dr MoBYU

3/30/20 11:18pm

We have a “Code Green” team

Spocougar

3/30/20 11:00pm

Wow, you guys are busy with Covid. What state, may I ask?

gaspasscoug

3/30/20 11:03pm

Washington

Spocougar

3/30/20 11:04pm

Not all of those will turn out to be COVID

Spocougar

3/30/20 11:05pm

I’m just grateful for a job right now as so many others don’t have one

Spocougar

3/30/20 11:08pm

Oh, agree 100%. You have to see the length of this, not the current impact.

gaspasscoug

3/30/20 11:43pm

Do you get a stipend from the hospital for having code green teams?

Dr MoBYU

3/30/20 11:21pm

Nope - wouldn’t dare ask

Spocougar

3/30/20 11:27pm

When intubating are ya'll avoiding manual ventilation after your RSI?

3/30/20 11:15pm

RSI on everyone. N95 for all at the head of the bed. No manual ventilation.

Spocougar

3/30/20 11:17pm

Sounds like a good plan.

3/30/20 11:25pm

No masking. Yes N95 for all cases but we reuse same one.

Dr MoBYU

3/30/20 11:23pm

We have a recycling process in place now for all masks

Spocougar

3/30/20 11:39pm

We RSI everyone. We wear PAPR, gowns, double gloves and booties. Have only an

jlangager

3/30/20 11:23pm

Is that PAPR for everybody, even the unknowns/asymptomatics?

3/30/20 11:27pm

Every intubation outside of the OR at this point

jlangager

3/30/20 11:34pm

Way to be safe

3/30/20 11:36pm

We set up a 24/7 intubation team. The hospital requested that we do all

jlangager

3/30/20 11:20pm

Do you get a stipend? a few intubations isn’t much RVU income.

Dr MoBYU

3/30/20 11:24pm

Our hospital gave us a stipend and let us bill all procedures after 7pm. Our

jlangager

3/30/20 11:32pm

We’re only emergency back up. Intubations done by ED...

3/31/20 1:28am

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