FOAM Eye-Catchers 5: ACEP says fasting is not required for procedural sedation in ED

HOT OFF THE PRESS: ACEP has just published a new Clinical Policy: Procedural Sedation and Analgesia in the Emergency Department, in the February edition of Annals of Emergency Medicine. After reviewing the relevant literature they have made several important recommendations including:

1. Do not delay procedural sedation in adults or pediatrics in the ED based on fasting time. Pre procedural fasting for any duration has not demonstrated a reduction in the risk of emesis or aspiration when administering procedural sedation and analgesia [Level B]

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Bite-Sized Basics: Preoxygenation

This is our very first Bite-Sized Basics post and the topic is Preoxygenation.

Preoxygenation (PreOx) is a critical step performed prior to intubation or sedation to extend the period of safe apnoea. We take a look at:

– how best to perform it and the choice of Preox devices in the ED

– what to do when we run into problems achieving PreOx

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