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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. 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. Br J Addict. 1989; 84(11): 1353-1357.

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. 2015 Feb;100(2):207-8. In emergency medicine, we often use illness scripts and protocols to help drive our decision-making. Less than 8, intubate!

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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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#FOAMed Review 57th Edition

EM Curious

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest. A must listen here at EM Crit.

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Video beats direct laryngoscopy for intubation--even for experts

PulmCCM

Although most EM and CCM trainees intubate more than that, fewer than 30 intubations per year for EM residents, and fewer than 100 total for critical care fellows over a fellowship are common benchmarks. This is highly convincing evidence that that video is better overall for first-pass intubation success.

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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. British Journal of Anaesthesia (2015) 115 (6): 827-848.

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Prehospital Management of Traumatic Brain Injury

Critical Care Now

Reading Time: 5 minutes Simon Taxel NRP, BA Simon is a paramedic, crew chief, and public safety diver with the Pittsburgh Bureau of EMS. The Excellence in Prehospital Injury (EPIC) Study The EPIC TBI study ran from 2007 to 2019 and involved an EMS and public health partnership in Arizona.