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NICO – Noninvasive Airway Management of Comatose Patients with Acute Poisoning

The Bottom Line

Effect of Noninvasive Airway Management of Comatose Patients with Acute Poisoning: A Randomized Clinical Trial Freund Y. Background The decision to intubate a poisoned patient with […] DOI: 10.1001/jama.2023.24391 DOI: 10.1001/jama.2023.24391

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Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning: A Randomized Clinical Trial

EM Ottawa

Question and Methods: Multicenter RCT involving comatose patients with suspected acute poisoning and GCS <9 compared a conservative airway strategy of withholding intubation versus routine practice for the primary hierarchical composite end point of in-hospital death, length of ICU stay, and length of […] The post Effect of Noninvasive Airway (..)

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GCS less than 9, Intubate or Not?

Emergency Medicine Education

In November 2023, JAMA published an article on noninvasive airway management among patients with depressed consciousness. The watch-and-wait approach, involving close monitoring for individuals with traditional GCS scores <9 and suspected acute poisoning, demonstrated positive outcomes. Link to article

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ToxCard: Acute Organophosphate Toxicity

EMDocs

2,7 Organophosphate poisonings in agriculturally-centered communities are of public health concern in developing countries. Millions are poisoned, and hundreds of thousands die each year worldwide. Millions are poisoned, and hundreds of thousands die each year worldwide. Airway management should not be delayed.

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Ep 124 Burn and Inhalation Injuries: ED Wound Care, Resuscitation and Airway Management

Emergency Medicine Cases

Maria Ivankovic discuss dozens of pearls and pitfalls in the management of both pediatric and adult burn and inhalation injuries management with a special appearance by airway master George Kovacs to talk about awake intubation in the burn and inhalation injuries patient.

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Fourteen Emergency Medicine Research Gems from 2023

ACEP Now

Now, a randomized, controlled trial clearly demonstrates some patients with low GCS are far more likely to be harmed by an aggressive approach to airway management. Effect of noninvasive airway management of comatose patients with acute poisoning: a randomized clinical trial. N Engl J Med. 2023;389(5):418-429.

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MRCEM SBA

RCEM Learning

Curriculum Category Syllabus Questions SLO1 Complex stable patient Allergy Cardiology Dermatology Ear, nose and throat Elderly care / frailty Endocrinology Environmental emergencies Gastroenterology and hepatology Haematology Infectious diseases Maxillofacial / dental Mental Health Musculoskeletal (non-traumatic) Nephrology Neurology Obstetrics & (..)