Stop Giving Amps of Bicarb

This article was provided to the IA MED team by Dr. Duncan Grossman, PGY-3 in Emergency Medicine at Maimonides Medical Center.  We thought it was exceptionally enjoyable and are pleased to share it with you! Hopefully, this ruffles some nerdy-feathers – I welcome further discussion from the tox-minded folks, crit-care peeps, and our pharmacy colleagues. […]

Paralyzing the COVID-19 Patient by Joshua Fountain RN, CCRN, CFRN, TCRN

Paralyzing the COVID-19 Patient The use of neuromuscular blocking agents (NMBA) during rapid sequence intubation (RSI) is arguably the cornerstone of the procedure. NMBA paralytics prevent gagging when utilizing a laryngoscope during intubation and allow for a more complete view of the glottis versus sedatives alone (Caro, 2020). NMBAs used in RSI can be categorized […]

Intranasal: The Perfect Route? by Jeremy Singleton, RN, CEN

Intranasal: The Perfect Route? Jeremy Singleton, RN, CEN Intranasal (IN) administration of medications is an excellent tool that serves a wide variety of situations that may be seen in the prehospital/emergency environment. The ability to deliver medication in seconds without a needle saves the patient from a potentially traumatic experience while allowing the clinician to […]