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Proning for ARDS

Northwestern EM Blog

While a randomized control trial should be done to evaluate the effect of early proning in a controlled environment, these studies suggest that we should consider using this in our Emergency Department for patients who present with hypoxia and concern for mild to moderate ARDS without urgent need for intubation. Crit Care Med.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. The effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients. Paper: Owyang CG, et al. J Crit Care. J Crit Care. N Engl J Med. Crit Care Explor.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

Consider other indicators of need for airway management, such as gag reflex. Acad Emerg Med. Academic emergency medicine 12.9 Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. It’s complicated. Less than 8 doesn’t always mean intubate !

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2024 Emergency Medicine Research Highlights: Forced Air, Sepsis, and More

ACEP Now

The PREOXI trial compared oxygen mask pre-oxygenation versus noninvasive positive-pressure ventilation (NIPPV) in patients requiring intubation in emergency departments (EDs) and intensive care units. Effect of noninvasive airway management of comatose patients with acute poisoning: a randomized clinical trial.

Sepsis 40
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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

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. Int J Emerg Med. J Emerg Med.

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Critical Care 1 – Subarachnoid Hemorrhage

EM SIM Cases

These cases can help individuals and teams prepare to identify and manage these patients who become newly, and sometimes unexpectedly, unstable. Today, she developed new confusion today and was taken to the local emergency department where a CT scan showed “SAH with hydrocephalus”.

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The 70th Bubble Wrap – DFTB x MSc in PEM

Don't Forget the Bubbles

Ann Emerg Med. This single-centre academic urban institution in the United States (US) undertook a 10-year retrospective observational study of paediatric intubation and bougie use in their emergency department (ED). Also, the study was conducted in a centre where clinicians commonly use a bougie for airway management.

CPR 52