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Airway Choices in the Era of Many Choices

EM Updates

The age of VL was ushered in by the 2001 Glidescope, which simultaneously introduced two technologies: video (putting a camera at the end of the blade and projecting the image onto a screen), and hyperangulated geometry (blades with a much steeper curve that are designed not to move the tongue out of the way, but to advance around the tongue).

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The Latest in Critical Care, 4/1/24 (Issue #36)

PulmCCM

That could (and should) change if improved functional outcomes, persisting for months after hospital discharge, are ever confirmed in large, well-conducted trials. Authors also had no information on operators’ experience levels. In skilled hands using ultrasound, CVC complications are much lower than 3%.

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Episode 20: End Tidal Carbon Dioxide

PHEM Cast

H Spontaneously breathing carbon dioxide waveforms where phase III is not well delineated. 2013;118(1):192-201. doi:10.1097/ALN.0b013e318278c8b6 0b013e318278c8b6 A Prolonged phase II, increased α angle, and steeper phase III suggest bronchospasm or airway obstruction. I Dual capnogram in one lung transplantation patient.

CPR 52
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Mouth-to-Airway (adjunct)

Advanced Emergency Nursing from AENJ

The idea of placing one's mouth on the mouth of an apparently dead victim, particularly where the mouth may be covered with foam, mucus or blood, as often the case in asphyxia victims, as well as the fear of possible transmittal of disease is revolting to the average person and is difficult to overcome." Bauer, Robert O.

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Mask Ventilation and Bagging Errors That Will Kill or Hurt Your Patient!

Advanced Emergency Nursing from AENJ

Greenland's two-curve theory); unloads the visceral weight that impedes the diaphragm, thus, increasing functional reserve capacity; and may well minimize silent aspiration of regurgitation. One hand may maintain this maneuver (so-so) but it's harder to initiate and may not maintain it as well under adverse conditions.

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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. The real world success rates by operators experienced with intubation remained unknown. In the relatively few studies comparing video to direct laryngoscopy, intubations were usually performed by inexperienced trainees, and sample sizes were small.

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Foreign Bodies in the Head and Neck

Pediatric Emergency Playbook

Steady the operating hand by placing your hypothenar eminence on the child’s zygoma or temporal scalp, to avoid jutting the instrument into the ear canal with sudden movement. Look for a small tip diameter (to fit in the ear canal as well as the nose) and a strong “hold” (at least a 3-lb hold). button batteries in the nose or ears).29,30