Pediatric EM Morsels

JUNE 9, 2023

Banc-Husu, 2023 ] Cholestastis Inflammatory conditions Genetic and Metabolic diseases Pediatric cirrhotic liver disease has many complications. Multimodal management can help avoid variceal bleeding. Banc-Husu, 2023 ; Luoto, 2020; Carneiro de Moura, 2018 ] Basics are best (always)! 2023 Feb;43(1):100-116. Semin Liver Dis.

Pediatrics 154

Pediatrics Head Injuries Airway Management Resuscitation 154

The Skeptics' Guide to EM

JANUARY 13, 2024

Resuscitation 2023. Resuscitation 2023. Airway management in OHCA has also been covered in SGEM#247 and SGEM#396. Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest.

Hospitals 109

Hospitals CPR Resuscitation Airway Management 109

Don't Forget the Bubbles

OCTOBER 12, 2024

doi: 10.1136/archdischild-2023-326773 Two-year-old Moyo is brought to the emergency department because her parents were concerned about noisy breathing. Much of the evidence in this blog is a translation of a recent 2023 Cochrane review of 45 randomised control trials involving 5888 children. Published 2023 Jan 10.

Airway Management 85

Airway Management Emergency Department Administration Hospitals 85

Pediatric EM Morsels

JULY 21, 2023

Consider other indicators of need for airway management, such as gag reflex. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. 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 ! A practical scale.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

ACEP Now

APRIL 5, 2024

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. Having a bougie readily available with the usual airway equipment may expedite airway management.

Airway Management 73

Airway Management Operations Emergency Department Research 73

ACEP Now

MARCH 6, 2024

The Sisyphean task remains to try to keep up—and, in that vein—here is a light round of the emergency medicine literature from 2023. Now, a randomized, controlled trial clearly demonstrates some patients with low GCS are far more likely to be harmed by an aggressive approach to airway management. All bleeding stops.

Research 52

Research Airway Management Stroke Outcomes 52

Broome Docs

MAY 31, 2024

Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning: A Randomized Clinical Trial. 2023 Dec 19;330(23):2267-2274. 2023 Mar;64(3):400-404. 2023 Nov 28;27(1):465. 2023 Sep 8;9(1):73. doi: 10.1001/jama.2023.24391. 2023.24391. J Emerg Med. doi: 10.1016/j.jemermed.2023.01.013.

Airway Management 82

Airway Management Poisoning Pediatrics 82

Thinking Critical Care

MAY 20, 2023

A message from Katie Wiskar: I cannot express how excited I am to be a part of H&R 2023, and to finally get to experience the magic in person. Go over and practice intubation and basic airway management, central and arterial line placement, thoracic and abdominal pigtail insertion and more! This is gold.

Airway Management 95

Airway Management Resuscitation EKG/ECG CPR 95

PulmCCM

APRIL 18, 2024

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. The real world success rates by operators experienced with intubation remained unknown.

Airway Management 98

Airway Management Operations EMS Research 98

EB Medicine

JANUARY 3, 2023

2) 2023 E/M coding guidelines are in effect. 2) 2023 E/M coding guidelines are in effect. Announcements: 1) The interactive Clinical Pathways have launched and they are available for free!

Shock 52

Shock Pediatrics Airway Management Sepsis 52

Taming the SRU

OCTOBER 16, 2024

ED Discharge after trauma WITH rachael collman In 2023, 1689 trauma patients were discharged from the University of Cincinnati Medical Center (UCMC) ED Patients discharged from the ED after trauma have high rates of recidivism, poor pain management, and non-adherence with follow-up care (Battle et.

Airway Management 74

Airway Management Fractures CDC Pediatrics 74

ACEP Now

JULY 7, 2023

Initial stabilization includes airway management and circulatory support. Currently, there is no FDA-approved pharmacotherapy for either the reversal of xylazine in humans or the management of withdrawal. 2023 Mar;61(3):173-180. Accessed June 16, 2023. 2023; 15;388(24):2209-2212. Clin Toxicol (Phila).

Forensics 98

Forensics Airway Management Emergency Department Administration 98

RebelEM

AUGUST 7, 2023

Anesth Analg 2023. PMID: 37058727 Clinical Question: Does delayed sequence intubation decrease peri-intubation hypoxia in trauma patients requiring definitive airway control compared to rapid sequence intubation? Anesth Analg 2023.

Head Injuries 98

Head Injuries Airway Management Outcomes Burns 98

The Skeptics' Guide to EM

MARCH 11, 2023

Date: March 8, 2023 Reference: Smida et al. A Retrospective Nationwide Comparison of the iGel and King Laryngeal Tube Supraglottic Airways for Out-of-Hospital Cardiac Arrest Resuscitation. Date: March 8, 2023 Reference: Smida et al. Reference: Smida et al.

Airway Management 52

Airway Management Basic Life Support CPR Resuscitation 52

EMDocs

NOVEMBER 1, 2023

6 Treatment : Airway Definitive airway management should be performed in those with respiratory distress with attention to appropriate resuscitation started beforehand in the setting of potential distributive shock from mediastinitis. Accessed September 30, 2023. Accessed September 30, 2023. aid=1104586430 Bono MJ.

Operations 93

Operations Radiology Radiology Fluid Resuscitation 93

Emergency Medicine Education

MARCH 7, 2024

In November 2023, JAMA published an article on noninvasive airway management among patients with depressed consciousness. The watch-and-wait approach, involving close monitoring for individuals with traditional GCS scores <9 and suspected acute poisoning, demonstrated positive outcomes. Link to article

Airway Management 40

Airway Management Poisoning Outcomes 40

PulmCCM

JULY 3, 2023

Every airway manager should ideally be an expert with both DL and VL, but mathematics and muscle memory suggest that if your training included video, and you keep doing some intubations with video, it will be more difficult to achieve or maintain the same expertise at DL as airway experts who trained exclusively on DL.

Airway Management 105

Airway Management Outcomes Hospitals Emergency Department 105

EMDocs

OCTOBER 19, 2024

Definitive airway management should be pursued early. Published 2023. Empiric treatment includes vancomycin or clindamycin in addition to a third-generation cephalosporin (e. ceftriaxone , cefotaxime) or a penicillin beta-lactamase inhibitor (e. ampicillin-sulbactam). Georgiaemsacademy.com. Accessed August 11, 2024.

EMS 110

EMS Pediatrics Sepsis Airway Management 110

Taming the SRU

JUNE 3, 2024

Knowing the capabilities of your system BEFORE disaster strikes is crucial top 10 air care cases of 2023-2024 with drs. Use checklists for complex procedures, such as airway management. Maintain a routine during shift work, especially when it comes to obtaining adequate sleep during a string of night shifts.

Shock 91

Shock Seizures Airway Management Stroke 91

Taming the SRU

JANUARY 1, 2024

Establishing reliable vascular access is absolutely critical for ED patients requiring resuscitation, airway management, or medication administration. Ultrasound guidance for difficult peripheral venous access: systematic review and meta-analysis. Emerg Med J. 2013 Jul;30(7):521–6. Presley B, Isenberg JD. StatPearls. J Emerg Med.

Emergency Department 92

Emergency Department Ultrasounds Administration Burns 92

ACEP Now

OCTOBER 15, 2023

Treasure Island, FL: StatPearls Publishing 2023. Accessed September 16, 2023. Treasure Island, FL: StatPearls Publishing 2023. Accessed September 16, 2023. Management of acute blunt and penetrating external laryngeal trauma. Anesthetic management of acute laryngeal trauma. Trauma airway management.

Fractures 52

Fractures Dislocations Airway Management Operations 52

Don't Forget the Bubbles

MAY 3, 2023

Published 2023 Feb 17. Insulin is one of the mainstays of paediatric diabetic ketoacidosis (DKA) management. The Pediatric Bougie for the First Tracheal Intubation Attempt in Critically Ill Children [published online ahead of print, 2023 Feb 23]. 2023;S0196-0644(23)00030-6. Crit Care Explor. 2023;5(2):e0857.

CPR 52

CPR Airway Management Emergency Department Resuscitation 52

ACEP Now

OCTOBER 11, 2024

8 The 2023 Pediatric Advanced Life Support (PALS) guidelines recommend the following formulas for ET tubes. 10 If the patient cannot be intubated, mask ventilation should be optimized; then an LMA supraglottic airway should be attempted, followed by surgical airway. Pediatric airway management. 2014;4(1):65-70.

Pediatrics 52

Pediatrics Airway Management Emergency Department Wellness 52

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. Specifically, the ramped position offers several benefits.

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

ACEP Now

NOVEMBER 14, 2023

EMCrit 196 – Having a vomit SALAD with Dr. Jim DuCanto – airway management techniques during massive regurgitation, emesis, or bleeding. Accessed October 11, 2023. J Emerg Med. 2017;52(4):433-437. Weingart S. EMCrit blog website. Published April 3, 2017. Lopez JK, Lee HY. Semin Intervent Radiol. 2006;23(3):223-9.

Radiology 52

Radiology Radiology Emergency Department Airway Management 52

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.

Airway Management 98

Airway Management Pediatrics Teamwork Emergency Department 98

RebelEM

JULY 31, 2023

In this blog post, we explore the study’s key findings, strengths, and limitations, providing valuable insights while navigating the complexities of airway management in critically ill adults. Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults [published online ahead of print, 2023 Jun 16].

Operations 98

Operations Outcomes Emergency Department Airway Management 98