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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. Human Performance.

EMS 75
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emDOCs Revamp: Esophageal Perforation

EMDocs

Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp!

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Assume the position … ??Awkward Airway Positions

Advanced Emergency Nursing from AENJ

How versatile are your airway skills? Most airway management is done with the patient supine and on a table. Importantly, you should practice airway support and BVM facing the patient "from the south" (facing cephalad). A Tight Squeeze Airway management for the limited-access patient. Mar 27, 2014.

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emDOCs Revamp: Alcohol Withdrawal

EMDocs

Upon EMS arrival the male is noted to be anxious and tremulous with a GCS of 14. Outpatient management of alcohol withdrawal syndrome. Inpatient management of acute alcohol withdrawal syndrome. 2014; 28(5): 401-410. A 36-year-old male presents to the emergency department after being found down at home by his spouse.

Seizures 105
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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. doi: 10.1136/archdischild-2014-306851. Epub 2014 Sep 8. 2014 Oct;29(10):1299-304. Epub 2014 Feb 13. Less than 8, intubate!

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

It is particularly useful in cases of physically difficult airway management, such as in patients with obesity, limited neck mobility, or cervical spine immobilization. Incidence and factors associated with cardiac arrest complicating emergency airway management. PLoS One 2014; 9(11): e112779. Epub 2014 Feb 17.

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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.