EPISODE · Jun 7, 2026 · 30 MIN
Pressure Matters: Oxygenation vs. Ventilation in Pre-Oxygenation with Scott Weingart
from Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers · host Ross Orpet, Paramedic turned EMS Physician
Pre-Oxygenation is not just putting oxygen on the patient and hoping the sat buys you enough time. In this episode, Ross talks with Scott Weingart after his FAST26 talk on preventing peri-intubation arrest. They get into why many peri-intubation arrests are predictable and preventable, why shunt physiology requires pressure and not just FiO2, and how EMS clinicians can build a field-ready setup with a nasal cannula, BVM mask, PEEP valve, and continuous pressure. Scott also walks through low-, moderate-, and high-risk patients, why high-risk oxygenation patients may not be good RSI candidates, and what changes for asthma, aspiration risk, and morbid obesity. Book a FREE Coaching Call with Us Here Learn More About the Loud & Clear Fellowship American Burn Association ABLS Now giveaway and 10% listener discount PREOXI trial: Noninvasive Ventilation for Preoxygenation during Emergency Intubation PreVent trial: Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults EMS World Live + FAST 26 conference coverage Guest: Scott Weingart / EMCrit — https://emcrit.org/
What this episode covers
Pre-Oxygenation is not just putting oxygen on the patient and hoping the sat buys you enough time. In this episode, Ross talks with Scott Weingart after his FAST26 talk on preventing peri-intubation arrest. They get into why many peri-intubation arrests are predictable and preventable, why shunt physiology requires pressure and not just FiO2, and how EMS clinicians can build a field-ready setup with a nasal cannula, BVM mask, PEEP valve, and continuous pressure. Scott also walks through low-, moderate-, and high-risk patients, why high-risk oxygenation patients may not be good RSI candidates, and what changes for asthma, aspiration risk, and morbid obesity. Book a FREE Coaching Call with Us Here Learn More About the Loud & Clear Fellowship American Burn Association ABLS Now giveaway and 10% listener discount PREOXI trial: Noninvasive Ventilation for Preoxygenation during Emergency Intubation PreVent trial: Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults EMS World Live + FAST 26 conference coverage Guest: Scott Weingart / EMCrit — https://emcrit.org/
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Pressure Matters: Oxygenation vs. Ventilation in Pre-Oxygenation with Scott Weingart
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