The Bottom Line

APRIL 19, 2024

Effect of Noninvasive Airway Management of Comatose Patients with Acute Poisoning: A Randomized Clinical Trial Freund Y. Background The decision to intubate a poisoned patient with […] DOI: 10.1001/jama.2023.24391 DOI: 10.1001/jama.2023.24391

Airway Management 59

Airway Management Poisoning Hospitals 59

EM Ottawa

FEBRUARY 26, 2024

2023 Dec 19;330(23):2267-2274. Methodology: 3.5/5 5 Usefulness: 3/5 Freund Y, et al.

Airway Management 67

Airway Management Poisoning Hospitals 67

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

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

RebelEM

FEBRUARY 15, 2024

These patients can be at risk of vomiting and aspiration and often prompts clinicians to pursue definitive airway management to avoid pneumonia and other complications. There has been no high level evidence to help guide practice until now…the Non-Invasive Airway Management of Comatose Poisoned Emergency Patients (NICO) trial.

Poisoning 140

Poisoning Airway Management Seizures Shock 140

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 97

Airway Management Poisoning Pediatrics 97

Pediatric EM Morsels

JULY 21, 2023

We have mentioned the Glasgow Coma Scale in multiple delicious morsels: Minor closed head injuries in <3 month olds and in the rebaked morsel , Blunt cerebrovascular injury , Cerebral edema in DKA , Pediatric Trauma Pitfalls , and Carbon monoxide poisoning. Consider other indicators of need for airway management, such as gag reflex.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246