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Establishing reliable vascular access is absolutely critical for ED patients requiring resuscitation, airwaymanagement, or medication administration. Ann Emerg Med. Intraosseous vascular access in adults using the EZ-IO in an emergencydepartment. Int J Emerg Med. J Emerg Med. 2010 Oct;39(4):468–75.
Take Home Points: Airwaymanagement 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 ).
Over the past few years, there has been an increase in emergencydepartment (ED) volumes and lengths of stay. The effect of emergencydepartment 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.
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 EmergencyAirwayManagement. Annals of Emergency Medicine.
Can also try awake intubation with propofol, fentanyl or ketamine Avoid pyridostigmine during a crisis as it increases secretions and make airwaymanagement difficult! Myasthenia Gravis and Crisis: Evaluation and Management in the EmergencyDepartment. The Journal of Emergency Medicine , 53(5): 843-853.
The History of Dräeger **An in-house corporate history and profile, shows early respiratory developments from 1889-2010. Airwaymanagement 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.
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