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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. Intraosseous vascular access in adults using the EZ-IO in an emergency department. Int J Emerg Med. J Emerg Med. 2015 Feb;78(2):295–9.

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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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emDOCs Revamp: Alcohol Withdrawal

EMDocs

A 36-year-old male presents to the emergency department after being found down at home by his spouse. Emerg Med Pract. 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.

Seizures 103
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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.

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ETM Journal Club: A procedural check list for pleural decompression and intercostal catheter insertion for adult major trauma.

ETM Course

Care Injured 46 (2015) 42–44 (As of Feb 28th 2015 – available full-text free) The goal of treatment for traumatic pneumothoraces is pleural decompression, not placement of a tube. Checklist use is becoming more common in Emergency Departments in Australia, particularly for airway management and rapid sequence intubation.

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Intubation

PHEM Cast

Positioning From: [link] Recommended Rich Levitan resources Podcast 70 – Airway Management with Rich Levitan Airway axes From: McGuire B, Hodge K. Emergency tracheal intubation: complications associated with repeated laryngoscope attempts. Annals of Emergency Medicine 2012; Volume 60, Issue 6, Pages 749–754.e2

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A Simplified Approach to Managing the Difficult Airway in Children

Don't Forget the Bubbles

Table 1: Airway assessment Can we predict a difficult pediatric airway? Even though there is no clear-cut answer, there are some risk factors that make a difficult airway more likely. Airway complications are also more likely to occur in the emergency department (ED) than in the operating theatre.