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Glasgow Coma Scale in Children

Pediatric EM Morsels

Consider other indicators of need for airway management, such as gag reflex. 2001 Apr;68(4):311-4. Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6 GCS scores are validated in trauma populations , but it has its limitations in the medical populations. It’s complicated.

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Video beats direct laryngoscopy for intubation--even for experts

PulmCCM

Video laryngoscopy was introduced in 2001 as a technique for orotracheal intubation. We reviewed the DEVICE trial in 2023, which you can read about here: The Goalposts Are Moving An increasing share of intubations have been performed with video since 2001.

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Xylazine: “Zombie Drug” is an Emerging Threat

ACEP Now

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. Typically, xylazine is mixed with fentanyl. Forensic Sci Int. 2014;240:1-8. Capraro AJ, et al. Pediatr Emerg Care.

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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. NREMT (2008).

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Airway Choices in the Era of Many Choices

EM Updates

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.