ACEP Now

JULY 7, 2023

Since 2020 to 2021, the Drug Enforcement Administration has reported a sharp rise in xylazine use across the U.S., 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.

Forensics 98

Forensics Airway Management Emergency Department Administration 98

Taming the SRU

JANUARY 1, 2024

Establishing reliable vascular access is absolutely critical for ED patients requiring resuscitation, airway management, or medication administration. IOs can be used both for resuscitation, medication administration, and for laboratory testing, but there are a few important considerations. 2016 Dec 14;20(1):102.

Emergency Department 92

Emergency Department Ultrasounds Administration Burns 92

RebelEM

AUGUST 7, 2023

The potential for soiled airways, cervical spine injuries, maxillofacial injuries and head injuries combined with agitation/delirium, altered mental status and hypoxemia can make securing a definitive airway both an anatomic and physiologic challenge.

Head Injuries 96

Head Injuries Airway Management Outcomes Burns 96

The Skeptics' Guide to EM

JANUARY 25, 2020

His primary interests are resuscitation, critical care, airway management, and point-of-care ultrasound. His primary interests are resuscitation, critical care, airway management, and point-of-care ultrasound. Case: A 60-year-old male is in your emergency department with sepsis from pneumonia. Reference: Casey et al.

EMS 40

EMS Airway Management Administration Resuscitation 40

ACEP Now

MARCH 6, 2024

The PATCH-Trauma trial took a critical look at TXA in major trauma in the advanced trauma systems of Australia and found a mixed result: a slightly greater number of patients were still alive six months following TXA administration, but there was no difference in survival with a good functional outcome. N Engl J Med. 2023;389(2):127-136.

Research 52

Research Airway Management Stroke Outcomes 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. PPI administration to decrease gastric acid secretion.

Operations 86

Operations Radiology Radiology Fluid Resuscitation 86

Taming the SRU

JUNE 3, 2024

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. Routines are also helpful when applied to intentional, on-shift teaching.

Shock 91

Shock Seizures Airway Management Stroke 91

RebelEM

NOVEMBER 16, 2022

benzocaine) Consider the diagnosis in any patient with cyanosis and hypoxia that doesn’t respond to oxygen administration Administer methylene blue to any patient with abnormal vital signs, metabolic acidosis, end organ dysfunction or, a serum level > 25% References: Price DP. Chapter 127. Read more

Seizures 52

Seizures Administration Airway Management COPD 52

ETM Course

FEBRUARY 27, 2015

Checklist use is becoming more common in Emergency Departments in Australia, particularly for airway management and rapid sequence intubation. The post implementation rate was only measured over 2 years. Had the study period been extended the average empyema rate over time may have dropped, and the subsequent difference been less.

Airway Management 52

Airway Management Emergency Department Administration 52

Taming the SRU

DECEMBER 6, 2023

ems grand rounds: southwest ohio protocol updates WITH dr. weekley Ideally, medications will be administered IV or IO, therefore endotracheal tube drug administration will be de-emphasized. In patients with head trauma requiring airway management, the goal is to bag the patient with a goal EtCO2 35-45 and RR 10.

Leadership 57

Leadership Stroke Airway Management Administration 57

ACEP Now

JULY 7, 2023

The non-rebreather was increased to 15 L per minute without initial bag-valve mask assistance due to concern for worsening an already aspirated airway. She was kept upright until immediately before paralytic administration. The process of prehospital airway management: challenges and solutions during paramedic endotracheal intubation.

Airway Management 45

Airway Management EMS Burns Operations 45

EMDocs

SEPTEMBER 25, 2023

First described in 1970, RSI with the near-simultaneous administration of a sedative agent and NMBA has been shown to have increased first-pass success compared with intubation facilitated by a sedative alone (6,7). Incidence and factors associated with cardiac arrest complicating emergency airway management.

Emergency Department 84

Emergency Department Soft Tissue Injuries Airway Management Operations 84

Mind The Bleep

DECEMBER 19, 2023

patient is becoming drowsy), seek anaesthetic assistance straight away for airway management. The patient’s blood capillary glucose and ketones must be measured to confirm the diagnosis and DKA and guide management. If there are signs of progressive deterioration of consciousness (e.g.,

Dehydration 98

Dehydration Fluid Resuscitation Shock Resuscitation 98

ACEP Now

NOVEMBER 14, 2023

EMCrit 196 – Having a vomit SALAD with Dr. Jim DuCanto – airway management techniques during massive regurgitation, emesis, or bleeding. Tranexamic acid for treatment of pulmonary hemorrhage after tissue plasminogen activator administration for intubated patient. J Emerg Med. 2017;52(4):433-437. Weingart S. EMCrit blog website.

Radiology 52

Radiology Radiology Emergency Department Airway Management 52

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. worsening hypoxemia, hypotension, bradycardia, vomiting, bleeding) Technical failure of the laryngoscope (e.g., 1420 patients were enrolled.

Operations 96

Operations Outcomes Emergency Department Airway Management 96

EMDocs

JUNE 7, 2023

Airway management should not be delayed. 7 Airway management: consider early airway management. Case Follow-up: The patient required benzodiazepine administration for seizure management and subsequent intubation for airway protection.

Poisoning 97

Poisoning Airway Management Seizures PPE 97

The Skeptics' Guide to EM

NOVEMBER 30, 2024

Missy has been teaching airway management for over a decade and is the creator of the Prehospital Emergency Airway Course which is taught throughout Washington State. Epinephrine has long been a cornerstone in the management of OHCA. Intraosseous (IO) access provides an alternative in challenging clinical scenarios.

Administration 98

Administration CPR Airway Management Outcomes 98