EMDocs

JUNE 7, 2023

Airway management should not be delayed. 7 Airway management: consider early airway management. Parenteral organophosphorus poisoning in a rural emergency department: a case report. She is speaking one word at a time and constantly coughing. Iran Red Crescent Med J 16: e5072, 2014. 2013; 6:524.

Poisoning 81

Poisoning Airway Management Seizures PPE 81

ACEP Now

JULY 7, 2023

CASE A 30-year-old woman presents to the emergency department with left arm pain from a chronic wound. Initial stabilization includes airway management and circulatory support. Currently, there is no FDA-approved pharmacotherapy for either the reversal of xylazine in humans or the management of withdrawal.

Forensics 98

Forensics Airway Management Administration Emergency Department 98

EM SIM Cases

DECEMBER 13, 2022

Today, she developed new confusion today and was taken to the local emergency department where a CT scan showed “SAH with hydrocephalus”. She is admitted to ICU by the junior resident who attempts management and calls for the fellow. The patient had severe headache for 5 days and was initially treated by GP as migraine.

Airway Management 40

Airway Management Academics Emergency Department Hospitals 40

EB Medicine

MARCH 1, 2019

This month, after a few months of primarily medical topics, we’re talking trauma, specifically Blunt Cardiac Injury: Emergency Department Diagnosis and Management. Moreover, when airway management is needed, advanced airway techniques by ALS crews were associated with decreased odds of survival. topics.php?paction=showTopic&topic_id=597)

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

The Skeptics' Guide to EM

MARCH 2, 2019

Case: EMS arrive to your emergency department with a 68-year-old man post cardiac arrest patient. They had a difficult time getting a definitive airway pre-hospital. For many years endotracheal intubation has been the standard of care for airway management in out-of-hospital cardiac arrest (OHCA).

Airway Management 52

Airway Management CPR Outcomes Hyperthermia / Hypothermia 52

ACEP Now

JULY 7, 2023

A total of 400 mL of blood was suctioned throughout the procedure The SALAD Approach to Airway Management The presence of contaminants in the airway has been shown to decrease first-pass success at intubation, regardless of whether direct or video laryngoscopy is employed. Acad Emerg Med. References Prekker ME, et al.

Airway Management 59

Airway Management EMS Burns Operations 59

PHEM Cast

APRIL 21, 2021

Positioning From: [link] Recommended Rich Levitan resources Podcast 70 – Airway Management with Rich Levitan Airway axes From: McGuire B, Hodge K. Emergency tracheal intubation: complications associated with repeated laryngoscope attempts. Annals of Emergency Medicine 2012; Volume 60, Issue 6, Pages 749–754.e2

Airway Management 52

Airway Management Resuscitation Hospitals EMS 52

The Skeptics' Guide to EM

JANUARY 25, 2020

His primary interests are resuscitation, critical care, airway management, and point-of-care ultrasound. Case: A 60-year-old male is […] The post SGEM#281: EM Docs Got an AmbuBag – The PreVent Trial first appeared on The Skeptics Guide to Emergency Medicine.

Airway Management 40

Airway Management EMS Administration Resuscitation 40

Taming the SRU

SEPTEMBER 15, 2023

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED?

CPR 79

CPR Burns Airway Management Wellness 79

EM Curious

AUGUST 19, 2015

Onto the FOAMed THE AIRWAY MANAGEMENT ROUNDTABLE [ARTICLE]: Read a great piece from the anesthesia world regarding 7 questions on the current state of airway management answered by 6 airway experts. Make sure to also listen to Part 1 of this series here.

Airway Management 52

Airway Management Ultrasounds EMS Emergency Department 52

Taming the SRU

DECEMBER 6, 2023

In patients with head trauma requiring airway management, the goal is to bag the patient with a goal EtCO2 35-45 and RR 10. If there is concern that the advanced airway will increase agitation and therefore ICP, then it should be avoided prehospital. Maintain euglycemia and euthermia in sICH patients.

Leadership 54

Leadership Stroke Airway Management Administration 54

ACEP Now

OCTOBER 15, 2023

On arrival to the emergency department (ED) she was awake and breathing with stridor. Anesthetic management of acute laryngeal trauma. Trauma airway management. Difficult airway management algorithm in trauma updated by COTEP. Oral Maxillofac Surg Clin North Am. 2008;20(3):415-30. Flood LM, Astley B.

Fractures 52

Fractures Dislocations Airway Management Operations 52

EM Curious

JULY 15, 2015

Onto the Foamed AIRWAY MANAGEMENT IN THE CRITICALLY ILL [PAPER]: If you intubate patients this is a must read for management of the airway of sick patients. Check out our indexing section #FOAMED REVIEW which allows you to view previous weekly reviews by edition or by selecting from CORD curriculum categories.

Airway Management 52

Airway Management EMS Poisoning Emergency Department 52

Taming the SRU

JANUARY 1, 2024

Establishing reliable vascular access is absolutely critical for ED patients requiring resuscitation, airway management, or medication administration. Ann Emerg Med. Intraosseous vascular access in adults using the EZ-IO in an emergency department. Int J Emerg Med. J Emerg Med. 2020 Aug;76(2):134–42.

Emergency Department 80

Emergency Department Ultrasounds Administration Burns 80

PHEM Cast

MARCH 17, 2016

Apneic oxygenation was associated with decreased desaturation rates during rapid sequence intubation by an Australian helicopter emergency medicine service. Annals of Emergency Medicine. Preoxygenation and Prevention of Desaturation During Emergency Airway Management. Annals of Emergency Medicine.

Airway Management 52

Airway Management Burns Emergency Department Resuscitation 52

EM Curious

MAY 6, 2015

Onto the FOAMed CRITICALLY ILL AIRWAY PRECOURSE [VIDEO]: Over at EM Curious we can never get enough airway education so we would like to recommend these excellent videos on airway management over at @ The Intensive Blog from a variety of airway experts. Check out the podcast here @ Ultrasound Podcast.

Dislocations 52

Dislocations Hyperthermia / Hypothermia Airway Management Ultrasounds 52

Don't Forget the Bubbles

NOVEMBER 29, 2023

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. Key take-home points While Ben’s case is tragic, we can learn important points about airway management.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

RebelEM

MARCH 27, 2023

Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. The effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients. Paper: Owyang CG, et al. J Crit Care. N Engl J Med. 2000 May 4; PMID: 10793162 Harvey CE, et al.

Emergency Department 52

Emergency Department Operations Documentation/Coding Academics 52

ETM Course

FEBRUARY 27, 2015

Checklist use is becoming more common in Emergency Departments in Australia, particularly for airway management and rapid sequence intubation.

Airway Management 52

Airway Management Administration Emergency Department 52

Resus Review

APRIL 23, 2015

P ediatric airway management is one of the most stressful and fearful activities within the emergency department. Conclusion As we know from our experience with the ILMA in adults, having these devices readily available (and knowing how to use them) is critical to optimizing the safety of pediatric airway management.

Pediatrics 52

Pediatrics Airway Management Resuscitation Emergency Department 52

ACEP Now

MARCH 14, 2024

A 24-year-old male with history of quadriplegia and traumatic brain injury presents to the emergency department with hemorrhage in his oral cavity and blood from his tracheostomy tube. Tracheo-innominate fistula (TIF) is an unusual and frequently lethal complication of such definitive airway placement.

Operations 52

Operations Pediatrics Airway Management Radiology 52

RebelEM

SEPTEMBER 13, 2023

Take Home Points: Airway management is paramount; expect a challenging intubation and consider controlling the airway early if there is apparent airway compromise. Understanding the cause of angioedema (mast cell vs. bradykinin mediated) helps dictate directed management. Emergency Medicine Practice.

Allergic Reactions 87

Allergic Reactions Airway Management Anaphylaxis Emergency Department 87

EB Medicine

NOVEMBER 1, 2018

But this month’s episode is special in its own way - we’ll be tackling Electrical Injuries in the emergency department - from low and high voltage injuries to the more extreme and rare lightning related injuries. Jeff: Let’s move on to evaluation in the emergency department. Jeff: You’re right. Jeff: You’re right.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

EMDocs

SEPTEMBER 25, 2023

It is particularly useful in cases of physically difficult airway management, such as in patients with obesity, limited neck mobility, or cervical spine immobilization. Incidence and factors associated with cardiac arrest complicating emergency airway management. Int J Emerg Med. J Emerg Med.

Emergency Department 64

Emergency Department Operations Soft Tissue Injuries Airway Management 64

Pediatric EM Morsels

JULY 21, 2023

Consider other indicators of need for airway management, such as gag reflex. Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. GCS scores are validated in trauma populations , but it has its limitations in the medical populations. It’s complicated. J Surg Res.

Head Injuries 230

Head Injuries Pediatrics Outcomes Shock 230

PulmCCM

JULY 3, 2023

emergency departments and ICUs were randomized to undergo either DL or VL for intubation. More than 90% of the intubations were performed by emergency medicine residents (~70%) or critical care fellows (~23%). Most studies have been small, single center, and only some have favored video.

Outcomes 105

Outcomes Airway Management Hospitals Emergency Department 105

Don't Forget the Bubbles

MAY 3, 2023

This single-centre academic urban institution in the United States (US) undertook a 10-year retrospective observational study of paediatric intubation and bougie use in their emergency department (ED). Also, the study was conducted in a centre where clinicians commonly use a bougie for airway management.

CPR 52

CPR Airway Management Emergency Department Resuscitation 52

RebelEM

JULY 31, 2023

In this blog post, we explore the study’s key findings, strengths, and limitations, providing valuable insights while navigating the complexities of airway management in critically ill adults. 11 medical centers in the United States enrolled 1417 patients from 17 sites, including 7 emergency departments and 10 intensive care units.

Operations 86

Operations Outcomes Emergency Department Airway Management 86

ACEP Now

NOVEMBER 14, 2023

One of the most hair-raising presentations to the emergency department (ED) can be massive hemoptysis with respiratory failure. The emergency department evaluation and management of massive hemoptysis. Am J Emerg Med. J Emerg Med. References Deshwal H, Sinha A, Mehta AC. Life-threatening hemoptysis.

Radiology 52

Radiology Radiology Emergency Department Airway Management 52

EM Guide Wire

MARCH 22, 2019

Can also try awake intubation with propofol, fentanyl or ketamine Avoid pyridostigmine during a crisis as it increases secretions and make airway management difficult! Myasthenia Gravis and Crisis: Evaluation and Management in the Emergency Department. The Journal of Emergency Medicine , 53(5): 843-853.

Airway Management 40

Airway Management EKG/ECG Emergency Department 40

EM Updates

MARCH 24, 2021

The primary tool for emergency airway management then became the traditional laryngoscope , a device little improved since the 1940s, until the advent of video laryngoscopy in the early 2000s which changed everything.

Operations 52

Operations Airway Management EMS Wellness 52

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

Airway management by first responders when using a bag-valve device and two oxygen-driven resuscitators in 104 patients. Preoxygenation, reoxygenation, and delayed sequence intubation in the emergency department. The Journal of emergency medicine, 40(6), 661-667. Noordergraaf, G. Van Dun, P. Kramer, B. Schors, M.

Resuscitation 40

Resuscitation CPR Documentation/Coding EMS 40