Work at a large community hospital.
Elderly female last night with obvious LVO and on CTP a huge amount of MCA territory brain at risk (almost the entire hemisphere). GCS is 11 at best. She is going for EVT. I'm with her in scanner and she starts looking a little worse, some grunting respiration and increased respiratory effort. I decide to intubate for airway protection before she goes up to lab. RT comes in and says "Should we get a gas first?" and then scoffs when I say "no".
When I admit a COPD patient - "whats the gas show?"
Always an ABG mind you. I rarely if ever get ABGs where Itrained, intubation is a clinical decision and a gas will only rarely help (and even then a VBG is fine). Am i the outlier here?
Elderly female last night with obvious LVO and on CTP a huge amount of MCA territory brain at risk (almost the entire hemisphere). GCS is 11 at best. She is going for EVT. I'm with her in scanner and she starts looking a little worse, some grunting respiration and increased respiratory effort. I decide to intubate for airway protection before she goes up to lab. RT comes in and says "Should we get a gas first?" and then scoffs when I say "no".
When I admit a COPD patient - "whats the gas show?"
Always an ABG mind you. I rarely if ever get ABGs where Itrained, intubation is a clinical decision and a gas will only rarely help (and even then a VBG is fine). Am i the outlier here?