Mechanical ventilation

It really is.

From there, we have to talk about how we force that oxygen into the blood through mechanical ventilation.

Then how the cardiovascular system pumps it in shock states.

How we manipulate that system with pharmacology.

The data explicitly warns that chemical restraints like Haldol and physical restraints should be used extremely cautiously, noting that Haldol acts as a potential neurotoxin that can prolong the overall duration of the delirium.

Moving down the body to the gastrointestinal system, we have to actively protect the gut from the stress of critical illness.

Stress gastritis prophylaxis with an intravenous H2 blocker is strongly indicated for patients who are coagulopathic, suffering from severe burns, or who are on mechanical ventilation for more than 48 hours.

If they were taking a proton pump inhibitor at home daily, you can simply continue that home regimen.

And due to the heterogeneity of this data, it's actually very difficult to draw very strong uniform conclusions, as most of the studies published on phenobarb are retrospective in nature.

But GRACE four feels that phenobarb may actually reduce the need for intubation and mechanical ventilation, decrease ICU admission, decrease hospital length of stay, and reduce the need for continuous infusions.

And this is really globally looking at the data from the ICU as well as the emergency department.

And although you mentioned that these RCTs are small, what's actually becoming larger is, uh, the publications and the robustness of the retrospective data that's been published.

Finally, confirm ventilation objectively.

An ABG or a VBG should be done within 30 minutes or sooner if the patient's unstable in order to guide adjustments and ensure ventilation is safe.

Understanding mechanical ventilation is not about becoming an intensivist or a respiratory therapist.

It's really about having a reliable ED framework.