Remove Airway Management Remove Documentation/Coding Remove Resuscitation
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SGEM#450: Try Again – Andexanet for Factor Xa Inhibitor–Associated Acute Intracerebral Hemorrhage

The Skeptics' Guide to EM

A code stroke is activated, and a CT head shows a left basal ganglia hemorrhage with no vascular lesions on CT angiography. Initial evaluation by medics revealed right arm weakness, a right facial droop, and decreased responsiveness. When he arrives at your ED, the family tells you he was doing fine until dinner.

Stroke 86
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Grand Rounds Recap 9.6.23

Taming the SRU

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED? ETT onto a fiberoptic scope.

CPR 90
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Proning for ARDS

Northwestern EM Blog

Hemodynamic instability and ongoing cardiac arrhythmias are a strong contraindication as chest access for cardiopulmonary resuscitation is limited (Koulouras et. Document thorough skin assessment every nursing shift, and inspect weight-bearing ventral surfaces. Reattach EKG leads to back. Tilt patient into reverse Trendelenburg.

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Intubation

PHEM Cast

Guidance documents College of Paramedics Statement on Intubation, available here. Positioning From: [link] Recommended Rich Levitan resources Podcast 70 – Airway Management with Rich Levitan Airway axes From: McGuire B, Hodge K. Resuscitation. Resuscitation. Tracheal intubation. 20(12);681-686.

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Assume the position … ??Awkward Airway Positions

Advanced Emergency Nursing from AENJ

How versatile are your airway skills? Pull out the manikins (or use a volunteer; BVM only) and run some awkward codes! Most airway management is done with the patient supine and on a table. Importantly, you should practice airway support and BVM facing the patient "from the south" (facing cephalad).

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

What They Did: Retrospective, observational cohort study in a single high-volume academic hospital The ED had a 5 bed area used for ongoing management and resuscitation of patients who clinically deteriorate while boarding or while actively undergo a workup in other sections of the ED. J Crit Care.

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Episode 26 – Blunt Cardiac Injury: Emergency Department Diagnosis and Management (Trauma CME)

EB Medicine

Moreover, when airway management is needed, advanced airway techniques by ALS crews were associated with decreased odds of survival. Jeff: And if it does happen to be an ALS transport crew, without delaying transport, pain management with fentanyl is both safe and reasonable and preferred over morphine.