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SGEM#450: Try Again – Andexanet for Factor Xa Inhibitor–Associated Acute Intracerebral Hemorrhage

The Skeptics' Guide to EM

Background: In hemorrhagic stroke, the ABCs for resuscitation remain the same, but can also be categorized as: Airway Management: This is an important aspect for patients with a poor neurologic exam or those who are not protecting their airways. Reversal of Warfarin: Freeman et al.

Stroke 70
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Intubation

PHEM Cast

Positioning From: [link] Recommended Rich Levitan resources Podcast 70 – Airway Management with Rich Levitan Airway axes From: McGuire B, Hodge K. 2004 Aug;99(2):607-13, Hasegawa K et al. Guidance documents College of Paramedics Statement on Intubation, available here. Tracheal intubation. 20(12);681-686.

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Supraglottic Airways

Pediatric Emergency Playbook

An update on out-of-hospital airway management practices in the United States. 2004 Sep;39(9):1376-80. Evolution of the extraglottic airway: a review of its history, applications, and practical tips for success. Elective use of supraglottic airway devices for primary airway management in children with difficult airways.

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Episode 19: Surgical Airway

PHEM Cast

Other fantastic #FOAM resources regarding airway management are available: From Nicholas Chrimes at [link] From the fabulous people over at Life in the Fast Lane including a video demo from Scott Weingart from EMCrit: [link] References This is Tim’s recent publication we mention in the ‘cast! Abrahams, P. Meiring, J.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

Consider other indicators of need for airway management, such as gag reflex. 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. A practical scale.

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

RebelEM

A randomized controlled trial on the effect of educational interventions in promoting airway management skill maintenance. Guest Post By: Jason Hine MD, FAAEM Medical Director of Education SMHC Southern Maine Healthcare Scarborough ME Twitter: @JayHineMD SimKit Website: [link] References Ericsson KA. PMID: 15383395. Link is HERE ).

EMS 75
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Oxygen Powered Resuscitators

Advanced Emergency Nursing from AENJ

Airway management by first responders when using a bag-valve device and two oxygen-driven resuscitators in 104 patients. Oxygen Therapy: The First 150 Years Curiosities, Quackeries, and Other Historical Trivia A CHRONOLOGY FROM PRIESTLEY TO HALDANE, BASED MAINLY ON ORIGINAL SOURCES With Editorial Comment Website updated 4/12/2011.