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emDOCs Revamp: Alcohol Withdrawal

EMDocs

Management of drug and alcohol withdrawal. 2016; 83(1): 67-79. Outpatient management of alcohol withdrawal syndrome. Inpatient management of acute alcohol withdrawal syndrome. fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold N Engl JMed. 2003; 348:1786-1795.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

Consider other indicators of need for airway management, such as gag reflex. 2016 Aug;23(8):878-84. Epub 2016 Aug 1. GCS scores are validated in trauma populations , but it has its limitations in the medical populations. It’s complicated. Less than 8 doesn’t always mean intubate ! References : Teasdale G, Jennett B.

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Proning for ARDS

Northwestern EM Blog

In this study, they found that prone positioning resulted in significant improvement in oxygenation, as well as a 50% decrease in mortality at 28 days (Guerin et. The PROSEVA study is the most recent and famous randomized control trial. This maneuver improves oxygenation and gas exchange via three main mechanisms (Malhotra, 2022): 1.

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Episode 6: Oxygenation

PHEM Cast

Preoxygenation and Prevention of Desaturation During Emergency Airway Management. 2016: 28(1); 67-72. 2016; 193(3): 273-280. 2016 [cite Date Accessed]. video cast from Emergency Medicine colleagues in the States discussing and demonstrating techniques for optimal bag-valve-mask ventilation. 2015; 65(4): 371-376.

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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. For laboratory testing, it is important to be aware that not all values obtained via an intraosseous line correlate well with peripheral venous samples (11). 2015 Feb;78(2):295–9.

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

They increase the risks of hypoxia and acidosis during the apneic period as well as hypotension and hypoperfusion caused by the abrupt transition from negative-pressure to positive-pressure ventilation (10). Incidence and factors associated with cardiac arrest complicating emergency airway management. 2021): e12373.

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Don’t Become Obsolete: The EM Physician’s Fight Against Procedural Decay

RebelEM

This can be plotted as a Forgetting Curve (Figure 2), the slope of which depends on many things – the quality of the teacher, if stress is included in the training, if you’re well fed, have good sleep, etc. This is the idea of learning something so well you bring yourself well above the line of competence.

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