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Glasgow Coma Scale in Children

Pediatric EM Morsels

We had just received a young child from EMS who was post-ictal with decreased mentation. Consider other indicators of need for airway management, such as gag reflex. The post Glasgow Coma Scale in Children appeared first on Pediatric EM Morsels. Less than 8, intubate! It’s complicated. A practical scale.

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Don’t Become Obsolete: The EM Physician’s Fight Against Procedural Decay

RebelEM

EMS radios in for a burn patient and to anticipate a difficult airway. She was smoking with her home O2 on and has severe mixed partial and full thickness burns to the chest, neck, face, and airway. Emergency Medicine (EM) is an amazing specialty because anything can come through the door at any moment. Human Performance.

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Video beats direct laryngoscopy for intubation--even for experts

PulmCCM

Although most EM and CCM trainees intubate more than that, fewer than 30 intubations per year for EM residents, and fewer than 100 total for critical care fellows over a fellowship are common benchmarks. This is highly convincing evidence that that video is better overall for first-pass intubation success.

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

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. Chest 2000; 117(1): 260 – 7. 2000 Jan-Mar;4(1):14-8.

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Assume the position … ??Awkward Airway Positions

Advanced Emergency Nursing from AENJ

How versatile are your airway skills? Most airway management is done with the patient supine and on a table. Importantly, you should practice airway support and BVM facing the patient "from the south" (facing cephalad). A Tight Squeeze Airway management for the limited-access patient. Weinberg, G.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

2000 May 4; PMID: 10793162 Harvey CE, et al. Rezaie, MD (Twitter: @srrezaie ) The post Impact of Emergency Department Crowding on Lung Protective Ventilation appeared first on REBEL EM - Emergency Medicine Blog. REFERENCES: Acute Respiratory Distress Syndrome Network et al. N Engl J Med. Crit Care Explor.