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Jason West
EM educator. Researcher. Bronx. alumnus.
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Jason West Jun 15
Is long-term continuous QI data collection of ED intubations possible? Yes. Can this improve patient care? Yes. More emergency departments should be doing it. First Pass Success rate in Year 1: 73% First Pass Success rate in Year 10: 92%
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Jason West Jun 15
Replying to @Jacobi_EM
If you put the second VL image in place of the first, you will have a more correct picture of the point you're trying to make.
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Jason West retweeted
Lincoln EM Residency Jun 5
Panel discussion on airway management, sedation, critical cardiac procedures, opioid alternative analgesia with and Ram Parekh; moderated by Dr. Daniel Singer
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Jason West Mar 22
New article addressed the use of TTE, TEE, and manual compressions during ED CPR regarding compressions delay. -TTE has consistently demonstrated prolonged pauses in compressions. -TEE, unlike TTE, does not delay compressions.
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Resuscitative TEE Project Mar 1
Highlighted study by our friends : TEE During CPR Is Associated With Shorter Compression Pauses Compared With Transthoracic Echocardiography Fantastic work Jimmy Fair and team stay tuned for blog post w review ➡️
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Jason West Mar 22
From Question: How well are patients denitrogenated during RSI in the ED? Answer: Not so well. ETO2>85% ➡️ 26% ETO2 70-85% ➡️ 36% ETO2 50-69 % ➡️ 27% ETO2<50% ➡️ 11%
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Jason West Mar 19
Also keep in mind that "flush rate" is not equal among all EDs. Some ED wall O2 flush rates exceed 50L/min or more in the USA. This is not the case for our Aus co-authors, where there "flush rate" flows were not substantially higher than 15L/min.
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AnnalsofEM Mar 18
Hot off the Press: Use of End Tidal Oxygen Monitoring to Assess Preoxygenation During Rapid Sequence Intubation in the Emergency Department
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Nicholas Caputo Mar 17
Great work in to help improve in the ED through multidisciplinary collaboration, ! More research to come to help answer this question...stay tuned!
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Jason West Mar 15
The reference: does provide post-intubation blood gas (PaO2 values), and I find this to be very interesting to our secondary study of our EtO2 data and post-intubation blood gas analysis at Lincoln using an EtO2 monitor.
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Jason West Mar 15
No problem. Always willing to help with lit research.
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Jason West Mar 15
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Nicholas Caputo Mar 14
The latest airway research from and Univ of Sydney/RPA looking at ETO2 and Preox in the ED. Best part was this collaboration was born out and Twitter. Great work , , and !
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Rob Hackett Mar 15
What this first phase study has shown is that most patients in ED did not receive maximal PreOxygenation. I don’t believe flush rate works as well as mask seal and positive pressure ventilation during apnoeic phase. More to come on this. Great work being done.
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Anu Mitra Mar 13
“Tomorrow I’ll be talking about the national scandal of how 50% of doctors are below average. I personally will not rest until 100% of all doctors are above average!”
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Jason West retweeted
NEJM Mar 4
: Among critically ill adults undergoing tracheal intubation, patients receiving bag-mask ventilation had higher oxygen saturations and a lower incidence of severe hypoxemia than those receiving no ventilation. Read the full text abstract:
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Jason West Mar 14
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Jason West Mar 14
Futhermore, the authors did not intend to letting patients "desaturate." This is has been a common misconception in Twitter debate.
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Jason West Mar 14
I think your estimate of apnea/apoea time is misguided based on the information provided. The vast majority of patients in PreVent received a paralytic agent, I don't know how may also received etomidate or ketamine, but the hallmark of RSI is paralysis.
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Jason West Mar 14
The time from induction of intubation to the confirmation on ETI does not indicate any period of apnea.
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