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

The Skeptics' Guide to EM

Case: A 65-year-old man is brought into the emergency department (ED) by emergency medical services (EMS) after his family saw him slump over at the dinner table. He is an assistant professor in Emergency Medicine, Neurology, and Neurosurgery at the School of Medicine at the University of Washington. Reversal of Warfarin: Freeman et al.

Stroke 70
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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. PMID: 15383395.

EMS 75
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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. Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. Tracheal intubation.

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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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Episode 19: Surgical Airway

PHEM Cast

[link] The West Midlands surgical skills course offers cadaveric training for PHEM and EM practitioners on rare life saving procedures. Anatomy The Guidelines Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Difficult Airway Society: Intubation guidelines working group.

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Oxygen Powered Resuscitators

Advanced Emergency Nursing from AENJ

Automatic transport ventilator versus bag valve in the EMS setting: a prospective, randomized trial. Study finds EMS able to do more tasks, document better, perform physiological monitoring, with use of ATV. Efficacy and safety in patients on a resuscitator, Oxylator EM-100, in comparison with a bag-valve device. Grainge, C.

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Ten Commandments for Emergency Professionals; a compendium

Advanced Emergency Nursing from AENJ

Classic Advice to New Interns (Commentary upon 10 Commandments of EM) Ten Commandments of Emergency Medicine Luke & Cusack Cork Emergency Medicine 2014 The Derriford twelve commandments of emergency medicine: a model for good practice in a changing world, or a survival guide for new medical staff Smith, J. 2004 Aug;27(2):193-4.