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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. Br J Anaesth.

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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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emDOCs Revamp: Esophageal Perforation

EMDocs

2 Despite advances in imaging and surgical methods, overall mortality approaches 20%, which doubles to 40% with delays to definitive management exceeding than 24 hours. McGraw-Hill Education; 2015. upper endoscopy, transesophageal echo, etc.). 2 Additional etiologies include caustic ingestion, trauma, foreign body, or malignancy.

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Assume the position … ??Awkward Airway Positions

Advanced Emergency Nursing from AENJ

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). You may be assisting an airway manager (who's in the vertex position) who needs extra jaw thrust or lift. Video] Jan 28, 2015.

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

Improved Visualization: Video laryngoscopes allow for the use of standard or hyperangulated geometry, essentially allowing the operator to “look around the corner” on an anterior airway. Incidence and factors associated with cardiac arrest complicating emergency airway management. The Physiologically Difficult Airway.

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Episode 26 – Blunt Cardiac Injury: Emergency Department Diagnosis and Management (Trauma CME)

EB Medicine

Moreover, when airway management is needed, advanced airway techniques by ALS crews were associated with decreased odds of survival. In one RCT, the FAST exam reduced the time from arrival in the ED to operative care by 64% in the setting of trauma. for pericardial effusion. Jeff: Not only is US accurate, it’s also quick.

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Video beats direct laryngoscopy for intubation--even for experts

PulmCCM

The real world success rates by operators experienced with intubation remained unknown. That uncertainty has been largely dispelled by large randomized trials in 2023 and 2024 confirming that video laryngoscopy is a superior method for obtaining first pass intubation success for patients with average risk airways.