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Glasgow Coma Scale in Children

Pediatric EM Morsels

Consider other indicators of need for airway management, such as gag reflex. 2015 Feb;100(2):207-8. Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6 GCS scores are validated in trauma populations , but it has its limitations in the medical populations. It’s complicated.

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emDOCs Revamp: Alcohol Withdrawal

EMDocs

2015; 17(6): 1-19. Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergency department. fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold Br J Addict.

Seizures 105
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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. 2015; 372(5):418-25. N Engl J Med.

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Supraglottic Airways

Pediatric Emergency Playbook

Use airway adjuncts such as the oropharyngeal airway or a nasal trumpet. If you have difficulty bagging, or anticipate or encounter a difficult airway, then don't forget your friend the supraglottic airway (SGA). • Development of a guideline for the management of the unanticipated difficult airway in pediatric practice.

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Episode 19: Surgical Airway

PHEM Cast

Anatomy The Guidelines Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Difficult Airway Society: Intubation guidelines working group. Appendix 4 NAP4 Summary: major complications of airway management in the United Kingdom. Frerk et al. link] Bair, A.

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Pertrach Emergency Cricothyrotomy Kit

Resus Review

Acad Emerg Med 2015 Aug;22(8):908. The role of cricothyrotomy, tracheostomy, and percutaneous tracheostomy in airway management. Anesthesiol Clin 2015 Jun;33(2):357. The Inaccuracy of Using Landmark Techniques for Cricothyroid Membrane Identification: A Comparison of Three Techniques. Akulian J, Yarmus L, et al.

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#FOAMed Review 57th Edition

EM Curious

Onto the FOAMed THE AIRWAY MANAGEMENT ROUNDTABLE [ARTICLE]: Read a great piece from the anesthesia world regarding 7 questions on the current state of airway management answered by 6 airway experts.