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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. Ann Emerg Med. Intraosseous vascular access in adults using the EZ-IO in an emergency department. Int J Emerg Med. J Emerg Med. 2010 Oct;39(4):468–75.

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REBEL Core Cast 108.0 – Angioedema

RebelEM

Take Home Points: Airway management is paramount; expect a challenging intubation and consider controlling the airway early if there is apparent airway compromise. Understanding the cause of angioedema (mast cell vs. bradykinin mediated) helps dictate directed management. of people who take NSAIDs ( Nzeako 2010 ).

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. The effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients. 2011 Feb 15; Epub 2010 Aug 27. Paper: Owyang CG, et al. J Crit Care. N Engl J Med.

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Episode 6: Oxygenation

PHEM Cast

Apneic oxygenation was associated with decreased desaturation rates during rapid sequence intubation by an Australian helicopter emergency medicine service. Annals of Emergency Medicine. Preoxygenation and Prevention of Desaturation During Emergency Airway Management. Annals of Emergency Medicine.

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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! Myasthenia Gravis and Crisis: Evaluation and Management in the Emergency Department. The Journal of Emergency Medicine , 53(5): 843-853.

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Oxygen Powered Resuscitators

Advanced Emergency Nursing from AENJ

The History of Dräeger **An in-house corporate history and profile, shows early respiratory developments from 1889-2010. Airway management by first responders when using a bag-valve device and two oxygen-driven resuscitators in 104 patients. The Journal of emergency medicine, 40(6), 661-667. Pulmotor is 1907. Van Dun, P.