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AIR – Learning from the Airway Registry (November 2023)

Greater Sydney Area HEMS

Sydney HEMs is proud of its commitment to excellence in airway management. A change of operator or removal of the blade from the mouth ends the attempt). Follow this link to see all our burns-related airway videos: [link] These two videos come from the same patient, who had life-threatening burns.

Burns 144
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Bougie: First Pass or Rescue Device?

ACEP Now

There was no analysis of operator experience or expertise. These limitations are sufficient to question the recommendation to use a bougie as first line airway management. For patients requiring emergency airway management, the use of a bougie is an important technique.

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A Simplified Approach to Managing the Difficult Airway in Children

Don't Forget the Bubbles

Table 1: Airway assessment Can we predict a difficult pediatric airway? Even though there is no clear-cut answer, there are some risk factors that make a difficult airway more likely. Airway complications are also more likely to occur in the emergency department (ED) than in the operating theatre. Br J Anaesth.

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Video beats direct laryngoscopy for intubation--even for experts

PulmCCM

The real world success rates by operators experienced with intubation remained unknown. That uncertainty has been largely dispelled by large randomized trials in 2023 and 2024 confirming that video laryngoscopy is a superior method for obtaining first pass intubation success for patients with average risk airways.

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Fourteen Emergency Medicine Research Gems from 2023

ACEP Now

The Right Way to Airway Video largyngoscopy (VL) is simply, in most situations, the better tool for the job. 7 The operators involved in the trial were mostly emergency medicine residents or critical care fellows, but this fact does not diminish the generalizability of these observations. N Engl J Med. 2023;389(5):418-429.

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emDOCs Revamp: Esophageal Perforation

EMDocs

2 Despite advances in imaging and surgical methods, overall mortality approaches 20%, which doubles to 40% with delays to definitive management exceeding than 24 hours. Answer : Esophageal Perforation 1-6 Epidemiology : Most frequent etiology is iatrogenic injury from instrumentation accounting for 60% of cases (e.g.

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How To Use SALAD To Manage Unstable Epistaxis and the Airway

ACEP Now

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. References Prekker ME, et al. Crit Care Med.