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Interesting. I’ll have to discuss this with my kidney guys. We get a few cases a year that might be worth throwing the kitchen sink at. I’ve always stopped at the FST. Thanks for the discussion

So in place of a furosemide stress test?

For an ignorant EM/CCM doc, when would you use this?

Something to think about for teaching my newbies for sure. That’s why I like these discussions. Makes me think

I don’t empirically choose not to ventilate during apnea. I’d agree the rule not to is old dogma. I just use d-grip to intubate most patients so I’m in and out in ~ 10-15 seconds. So I don’t see the need to ventilate before I’ve got the BVM on my ETT.

My argument is if the patient complies with pre-ox then I can intubate before the SPO2 has even registered their desat. If they don’t comply with preox, I DSI (so essentially agree with you at that point).

Agree with some of these but not all. I intentionally dont ventilate after meds unless doing DSI, if you preox it’s unnecessary. Think big deal here is to recognize the different “subtypes” of RSI and know them well. One size will never fit all.

This is my number one recommendation for anyone who wants to “just understand this stuff” better in medicine

Maybe we were wrong to respect every opinion