ACEP Now

JANUARY 5, 2025

Additionally, one must be prepared for definitive airway management and know when laboratory investigations will prove valuable to guide further management. Secondary hemorrhage occurs between days five and 14 post-operatively, peaking around days five to seven. CREDIT: Dr. P.

Airway Management 98

Airway Management Operations Resuscitation Pediatrics 98

Pediatric EM Morsels

JULY 19, 2024

With that in mind, let’s review how to manage the post-tonsillectomy hemorrhage in children : Post-Tonsillectomy Hemorrhage : Management General Preparation Call for help… no time for your pride to get in the way! Get a hold of ENT early as OR management and/or admission are common. Set up suction x2 in the room!

Airway Management 290

Airway Management Pediatrics Wellness Operations 290

Don't Forget the Bubbles

NOVEMBER 29, 2023

Even though sedation after endotracheal intubation (ETI) reduces the risk of self-extubation, uncontrolled pain, and awakening awareness, several small single-centre studies demonstrate low rates of sedative drug administration after ETI in the emergency department (ED). When there is an immediate threat to life (e.g., DOI: 10.1097/PEC.0b013e3182713316

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

EMDocs

NOVEMBER 1, 2023

2 Despite advances in imaging and surgical methods, overall mortality approaches 20%, which doubles to 40% with delays to definitive management exceeding than 24 hours. PPI administration to decrease gastric acid secretion. 5 Consider antifungal administration. upper endoscopy, transesophageal echo, etc.).

Operations 86

Operations Radiology Radiology Fluid Resuscitation 86

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. Re-oxygenation with BMV can increase airway-related adverse events (i.e.

Head Injuries 96

Head Injuries Airway Management Outcomes Burns 96

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

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