Procedural Sedation Errors

Error #1: Delaying deep sedation until fasting times are met Error #2: Believing PSA carries less risk than endotracheal intubation Error #3: Minimizing risk of airway and breathing complications while using ketamine Error #4: Not having full intubation setup nearby Error #5: Responding to hypoventilation or apnea with early and/or aggressive use of the bag-valve […]

Prostate Cancer Screening Test (PSA)…A Waste of Time!

No level of Prostate Specific Antigen (PSA) completely excludes prostate cancer. The prevalence of undiagnosed prostate cancer at autopsy is high and increases with age (> 40% among men aged 40-49 yr to > 70% among men aged 70-79 yr) Only a small proportion of men with prostate cancer have symptoms or die from the disease; […]

When you have to put the child to sleep for a painful procedure

When dosing oral midazolam for anxiolysis – like when you’re doing a procedure – you can dose above the listed limit of 0.5 mg/kg. In fact, you can dose up to 1 mg/kg! For the child who is preschool and under I will typically give the following dose: 0.7 to 0.8 mg/kg DO NOT FORGET […]

Emergency Medicine Kenya Foundation

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