Procedural Sedation and Analgesia in the Emergency Department (Pharmacology CME) | Podcast

Procedural Sedation and Analgesia in the Emergency Department (Pharmacology CME)

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Date: 06/08/2022 | Length: 57:18


Show Notes

  • Procedural sedation and analgesia (PSA): terminology
  • Levels of sedation
    • Minimal
    • Moderate
    • Deep
    • General anesthesia
  • Prehospital care
  • ED care: patient assessment
    • ASA class system
    • Complications
    • Equipment needed (Table 1)
    • Larson maneuver (Figure 2)
  • Procedural technique
    • Current ACEP and AAP recommendations
    • Data for 1- or 2-physician sedation
  • Preprocedural fasting
    • Do we even need to consider this in PSA?
  • Capnography
  • Oxygen supplementation
  • Preprocedural opioids
  • Preprocedural sedatives
  • Anticholinergics
  • Antiemetics
  • Treatment (Table 2)
    • Fentanyl
    • Remifentanil
    • Midazolam
    • Nitrous oxide
    • Propofol
    • Ketamine
    • Ketofol
    • Etomidate
  • Reversal agents
    • Naloxone
    • Flumazenil
  • Special populations
    • Pediatrics
    • Pregnancy
    • Geriatrics
  • 16.Cutting edge
    • Dexmedetomidine

Meet the Host

Sam Ashoo, MD, FACEP

Dr. Ashoo is a practicing emergency physician, board-certified in emergency medicine and clinical informatics. Join him as he takes you through the June 2022 issue of Emergency Medicine Practice: Procedural Sedation and Analgesia in the Emergency Department (Pharmacology CME)

About The Podcast

Get quick-hit summaries of hot topics in emergency medicine. EMplify summarizes evidence-based reviews in a monthly podcast. Highlights of the latest research published in EB Medicine's peer-reviewed journals educate and arm you for life in the ED.


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Publication Information

Joshua Kern, MD; Alexander Guinn, MD; Prayag Mehta, MD

Peer Reviewed By

Jennifer Maccagnano, DO, FACEP, FACOEP; Mark Silverberg, MD

Publication Date

June 1, 2022

CME Expiration Date

June 1, 2025    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credits.

Pub Med ID: 35616493

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