The Skeptics' Guide to EM

JANUARY 25, 2020

NEJM February 2019 Guest Skeptic: Andrew Merelman is a critical care paramedic and second year medical student at Rocky Vista University in Colorado. His primary interests are resuscitation, critical care, airway management, and point-of-care ultrasound. Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults.

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EM Guide Wire

MARCH 22, 2019

Can also try awake intubation with propofol, fentanyl or ketamine Avoid pyridostigmine during a crisis as it increases secretions and make airway management difficult! Retrieved February 27, 2019, from [link] Howard, J.F. Start at one-third to one-half the standard dose. & Levine, J.M & Levine, J.M Myasthenic crisis.

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PHEM Cast

APRIL 21, 2021

Positioning From: [link] Recommended Rich Levitan resources Podcast 70 – Airway Management with Rich Levitan Airway axes From: McGuire B, Hodge K. Airway management by physician-staffed Helicopter Emergency Medical Services – a prospective, multicentre, observational study of 2,327 patients. 20(12);681-686.

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Northwestern EM Blog

MARCH 1, 2025

Relative contraindications are several, including difficulty with airway management, facial trauma, ventricular assist device, intra-aortic balloon pump, severe chest wall lesions or rib fractures, massive hemoptysis, unstable pelvic or long bone fractures, and open abdominal wounds. Tolcer, M.C., McKinney, J.R., Eppes, C.S.,

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Taming the SRU

JANUARY 1, 2024

Establishing reliable vascular access is absolutely critical for ED patients requiring resuscitation, airway management, or medication administration. 2019 May 31;14(5):e0217629. Schindler P, Helfen A, Wildgruber M, Heindel W, Schülke C, Masthoff M. Li Y, editor. Von Hoff DD, Kuhn JG, Burris HA, Miller LJ. Am J Emerg Med.

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EMDocs

SEPTEMBER 25, 2023

It is particularly useful in cases of physically difficult airway management, such as in patients with obesity, limited neck mobility, or cervical spine immobilization. Incidence and factors associated with cardiac arrest complicating emergency airway management. 2019, 64:617-28. References: Heffner AC et al.

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RebelEM

MARCH 27, 2023

2019 Aug; PMID: 30954692 Clinical Question: What is the impact of system factors in the implementation of standard-of-care LPV in critically ill ED patients admitted to the ICU? Paper: Owyang CG, et al. The effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients. J Crit Care.

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Don't Forget the Bubbles

MAY 24, 2023

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. The three non-surgical airway lifelines are arranged in a circular fashion around a central area representing the CICO situation.

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EMDocs

JUNE 7, 2023

Airway management should not be delayed. 7 Airway management: consider early airway management. Laboratory testing methods have a prolonged turnaround time which can place the patient in a worse clinical state if you withhold treatment in lieu of confirmatory results. Br J Clin Pharmacol. 2016;81(3):462-470.

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Emergency Medicine Journal

DECEMBER 30, 2024

Background Patients with traumatic out-of-hospital cardiac arrest (t-OHCA) require on-scene airway management to maintain tissue oxygenation. Methods This retrospective cohort study used a Japanese nationwide trauma registry from 2019 to 2021.

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