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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

A retrospective cohort analysis of the ED portion of the National Hospital Ambulatory Medical Care Survey from 2006 to 2009 in the US revealed that less than one-half of patients undergoing ETI in the ED received sedative drugs while in the ED. Pediatric Endotracheal Intubations for Airway Management in the Emergency Department.

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Diagnostics and Therapeutics: Vascular Access in the Emergency Department

Taming the SRU

Establishing reliable vascular access is absolutely critical for ED patients requiring resuscitation, airway management, or medication administration. It is a relatively new procedure first described in 2009 (13). 2009 Sep 11;2(3):155–60. 2009 Nov;37(4):419. Ann Emerg Med. 2020 Aug;76(2):134–42. Int J Emerg Med.

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Grand Rounds Recap 5.22.24

Taming the SRU

CESAR Trial Published in 2009 Found that even those who didn’t get ECMO, but were transported to a tertiary care center had better outcomes No matter where you go, critical care transport will be part of your life as a sending physician, receiving physician, or both. Use checklists for complex procedures, such as airway management.

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Myasthenic Crisis

EM Guide Wire

Can also try awake intubation with propofol, fentanyl or ketamine Avoid pyridostigmine during a crisis as it increases secretions and make airway management difficult! Start at one-third to one-half the standard dose. & Levine, J.M & Levine, J.M Myasthenic crisis. Eicheler & G. Finlay (Ed.),

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

Crit Care Explor. 2022 Feb 8; PMID: 35156050 Higgins TL et al. Prospective validation of the intensive care unit admission Mortality Probability Model (MPM0-III). Crit Care Med. PMID: 19325480 Gajic O, et al. Early identification of patients at risk of acute lung injury: evaluation of lung injury prediction score in a multicenter cohort study.

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Ten Commandments for Emergency Professionals; a compendium

Advanced Emergency Nursing from AENJ

Critical care nurse , 29 (1), 67-73. The Ten Commandments of Wound Management Ernst, A., Ten commandments of burn management Gupta J L. Ten commandments of burn management. NHS Airway The Ten Commandments of Airway Management Slovis, C. Alanazi, H., Campbell, D., Redfearn, D. P., … & Abdollah, H.

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Diagnostics and Therapeutics: Inhalation Injuries

Taming the SRU

Upper Airway Injury to the upper airway, defined as airway structures proximal to the glottis (i.e. Because inhalational injuries often co-occur with large cutaneous burns, aggressive fluid resuscitation can rapidly worsen upper airway edema making airway management especially challenging. doi: 10.1586/ERS.09.21.

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