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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. While some studies showed that CPRIC is associated with increased survival to hospital discharge, administering muscle relaxants during resuscitation increased mortality. Another attempt led to an oesophageal intubation.

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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. IOs can be used both for resuscitation, medication administration, and for laboratory testing, but there are a few important considerations. 2009 Sep 11;2(3):155–60.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

What They Did: Retrospective, observational cohort study in a single high-volume academic hospital The ED had a 5 bed area used for ongoing management and resuscitation of patients who clinically deteriorate while boarding or while actively undergo a workup in other sections of the ED. J Crit Care. Crit Care Explor. Crit Care Med.

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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.

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The Nose: the other route to the lungs

Advanced Emergency Nursing from AENJ

This Blog episode concerns aspects of the concept of using the nose to obtain an airway or to ventilate emergency patients; it does not deal comprehensively with all aspects thereof that a specialist might do. Few people now remember that a strong early proposal in the move for expired air resuscitation was Mouth to Nose.