Hidden in the depths of the EM Crit site I found this video
[vimeo http://www.vimeo.com/23282023 w=400&h=300]
And it reminded me of something that we had in the ICU and ED where I worked in NZ. I don’t think it was unique to there but it was the first time I’d seen it.
In the fridge of both the ED and the ICU there were what I call “lunch boxes” with all the drugs you might need for an emergency intubation.
These were (in the main) already drawn up and labelled syringes of:
- sux 100mg
- rocuronium 50mg
- propofol 200mg
- thio to be reconstituted
- midaz 5m
- spares in vials of all of the above
So any time there was an RSI to be done, you just grabbed a box broke the seal and you were ready to go.
When I was there, most of what I used it for were arrest calls to the wards and transferring patients to radiology.
I thought they were the best things since sliced bread.
I raised the idea with one of the pharmacists when I got back home and got nowhere… We can’t even get access to paracetamol in our place. The nurses get a fob but we can’t. Sigh.
Anyone else using these or even the kits that Scott describes in the video?