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Post-Tonsillectomy Hemorrhage: A Three-Pronged Approach

ACEP Now

A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. Additionally, one must be prepared for definitive airway management and know when laboratory investigations will prove valuable to guide further management. Published August 6, 2018. Morgenstern J.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

cats and dogs have their own GCS scores [Lapsley 2019, Ash 2018] Moral of the Morsel Modified can make it Merrier! Consider other indicators of need for airway management, such as gag reflex. Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. 2018): 192–200.

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Bougie: First Pass or Rescue Device?

ACEP Now

A 68-year-old man presents to the emergency department (ED) with altered mental status and fever. These limitations are sufficient to question the recommendation to use a bougie as first line airway management. For patients requiring emergency airway management, the use of a bougie is an important technique.

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SGEM#247: Supraglottic Airways Gonna Save You for an OHCA?

The Skeptics' Guide to EM

Effect of a Strategy of a Supraglottic Airway Device
vs. The AIRWAYS-2 Randomized Clinical Trial. The AIRWAYS-2 Randomized Clinical Trial. Case: EMS arrive to your emergency department with a 68-year-old man post cardiac arrest patient. They had a difficult time getting a definitive airway pre-hospital.

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Episode 22 - Electrical Injuries in the Emergency Department An Evidence-Based Review

EB Medicine

But this month’s episode is special in its own way - we’ll be tackling Electrical Injuries in the emergency department - from low and high voltage injuries to the more extreme and rare lightning related injuries. In total, they pulled references from 1966 until 2018. Jeff: Let’s move on to evaluation in the emergency department.

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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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ToxCard: Acute Organophosphate Toxicity

EMDocs

7 Check out ToxCard: Nerve Agents by Dr. Sahi & Dr. Santos from July 2018 Organophosphates exert their toxic effects by inhibiting acetylcholinesterase within the synaptic cleft, which leads to accumulation of acetylcholine, with subsequent overstimulation of postsynaptic nicotinic and muscarinic receptors, and a predominant cholinergic effect.