RebelEM

MARCH 27, 2023

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. N Engl J Med. 2000 May 4; PMID: 10793162 Harvey CE, et al.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

ACEP Now

APRIL 5, 2024

A 68-year-old man presents to the emergency department (ED) with altered mental status and fever. These limitations are sufficient to question the recommendation to use a bougie as first line airway management. For patients requiring emergency airway management, the use of a bougie is an important technique.

Airway Management 73

Airway Management Emergency Department Operations Research 73

EMDocs

DECEMBER 18, 2024

A 36-year-old male presents to the emergency department after being found down at home by his spouse. Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergency department. Acad Emerg Med.

Seizures 73

Seizures Emergency Department Hyperthermia / Hypothermia EMS 73

EB Medicine

JANUARY 3, 2023

In this episode, Sam Ashoo, MD, interviews Ara Festekjian, MD, one of the authors of the November 2022 Pediatric Emergency Medicine Practice article on Pediatric Septic Shock in the Emergency Department Introduction: How common is sepsis in kids and what is the mortality rate in the US?

Shock 52

Shock Pediatrics Airway Management Sepsis 52

Pediatric EM Morsels

JULY 21, 2023

Consider other indicators of need for airway management, such as gag reflex. Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. GCS scores are validated in trauma populations , but it has its limitations in the medical populations. It’s complicated. J Surg Res.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

ACEP Now

JULY 7, 2023

CASE A 30-year-old woman presents to the emergency department with left arm pain from a chronic wound. 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 Administration Emergency Department 98

EMDocs

JUNE 7, 2023

Airway management should not be delayed. 7 Airway management: consider early airway management. Parenteral organophosphorus poisoning in a rural emergency department: a case report. She is speaking one word at a time and constantly coughing. Iran Red Crescent Med J 16: e5072, 2014. 2013; 6:524.

Poisoning 84

Poisoning Airway Management Seizures PPE 84

The Skeptics' Guide to EM

APRIL 27, 2024

She is also the local director of the difficult airway EMS course at Washington State. When emergency department (ED) staff roll her to remove her clothing her humeral intraosseous (IO) is dislodged. Case: EMS arrives with a 58-year-old woman who suffered an out-of-hospital cardiac arrest (OOHCA).

Resuscitation 73

Resuscitation Airway Management EMS Outcomes 73

The Skeptics' Guide to EM

AUGUST 10, 2024

He is an assistant professor in Emergency Medicine, Neurology, and Neurosurgery at the School of Medicine at the University of Washington. Case: A 65-year-old man is brought into the emergency department (ED) by emergency medical services (EMS) after his family saw him slump over at the dinner table.

Stroke 69

Stroke Airway Management Documentation/Coding Outcomes 69

EM Curious

AUGUST 19, 2015

Onto the FOAMed THE AIRWAY MANAGEMENT ROUNDTABLE [ARTICLE]: Read a great piece from the anesthesia world regarding 7 questions on the current state of airway management answered by 6 airway experts. Make sure to also listen to Part 1 of this series here.

Airway Management 52

Airway Management Ultrasounds EMS Emergency Department 52

The Skeptics' Guide to EM

MARCH 2, 2019

Case: EMS arrive to your emergency department with a 68-year-old man post cardiac arrest patient. They had a difficult time getting a definitive airway pre-hospital. For many years endotracheal intubation has been the standard of care for airway management in out-of-hospital cardiac arrest (OHCA).

Airway Management 52

Airway Management CPR Hyperthermia / Hypothermia Outcomes 52

EB Medicine

NOVEMBER 1, 2018

But this month’s episode is special in its own way - we’ll be tackling Electrical Injuries in the emergency department - from low and high voltage injuries to the more extreme and rare lightning related injuries. Jeff: Let’s move on to evaluation in the emergency department. Jeff: You’re right. Jeff: You’re right.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

PulmCCM

JULY 3, 2023

emergency departments and ICUs were randomized to undergo either DL or VL for intubation. More than 90% of the intubations were performed by emergency medicine residents (~70%) or critical care fellows (~23%). Most studies have been small, single center, and only some have favored video.

Airway Management 105

Airway Management Outcomes Hospitals Emergency Department 105

Taming the SRU

SEPTEMBER 15, 2023

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?

CPR 88

CPR Burns Airway Management Wellness 88

EB Medicine

MARCH 1, 2019

This month, after a few months of primarily medical topics, we’re talking trauma, specifically Blunt Cardiac Injury: Emergency Department Diagnosis and Management. Moreover, when airway management is needed, advanced airway techniques by ALS crews were associated with decreased odds of survival. topics.php?paction=showTopic&topic_id=597)

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

EM Curious

JULY 15, 2015

Onto the Foamed AIRWAY MANAGEMENT IN THE CRITICALLY ILL [PAPER]: If you intubate patients this is a must read for management of the airway of sick patients. Check out our indexing section #FOAMED REVIEW which allows you to view previous weekly reviews by edition or by selecting from CORD curriculum categories.

Airway Management 52

Airway Management EMS Poisoning Emergency Department 52

Emergency Medicine Journal

JUNE 22, 2023

Introduction This month’s update is from the emergency department and critical care unit at Salford Care Organisation, within the Northern Care Alliance NHS Foundation Trust. We used a multimodal search strategy, drawing on free open-access medical education resources and focused literature searches.

Airway Management 40

Airway Management Emergency Department Outcomes 40

ACEP Now

MARCH 6, 2024

7 The operators involved in the trial were mostly emergency medicine residents or critical care fellows, but this fact does not diminish the generalizability of these observations. Many clinicians staffing emergency departments intubate infrequently, as well, and these results are likely applicable to a wide scope of practice.

Research 52

Research Airway Management Stroke Outcomes 52

EMDocs

NOVEMBER 6, 2024

He denies any past medical history other than polysubstance abuse and depression. Neurotransmitter. 2015;2:10-14800/nt. doi:10.14800/nt.491

Poisoning 79

Poisoning Airway Management Dislocations Forensics 79

EM Curious

MAY 6, 2015

Onto the FOAMed CRITICALLY ILL AIRWAY PRECOURSE [VIDEO]: Over at EM Curious we can never get enough airway education so we would like to recommend these excellent videos on airway management over at @ The Intensive Blog from a variety of airway experts. Check out the podcast here @ Ultrasound Podcast.

Dislocations 52

Dislocations Hyperthermia / Hypothermia Airway Management Ultrasounds 52

The Skeptics' Guide to EM

JANUARY 25, 2020

His primary interests are resuscitation, critical care, airway management, and point-of-care ultrasound. Case: A 60-year-old male is […] The post SGEM#281: EM Docs Got an AmbuBag – The PreVent Trial first appeared on The Skeptics Guide to Emergency Medicine.

EMS 40

EMS Airway Management Administration Resuscitation 40

ACEP Now

OCTOBER 11, 2024

Introduction Pediatric intubations in the emergency department (ED) occur at only a tenth the frequency of adult intubations. 2,4,5 Given these issues, it is imperative that emergency physicians anticipate the unique challenges of RSI in this patient population. Endotracheal intubation in the pediatric emergency department.

Pediatrics 52

Pediatrics Airway Management Emergency Department Wellness 52

PHEM Cast

MARCH 17, 2016

Apneic oxygenation was associated with decreased desaturation rates during rapid sequence intubation by an Australian helicopter emergency medicine service. Annals of Emergency Medicine. Preoxygenation and Prevention of Desaturation During Emergency Airway Management. Annals of Emergency Medicine.

Airway Management 52

Airway Management Burns Emergency Department Resuscitation 52

PHEM Cast

APRIL 21, 2021

Positioning From: [link] Recommended Rich Levitan resources Podcast 70 – Airway Management with Rich Levitan Airway axes From: McGuire B, Hodge K. Emergency tracheal intubation: complications associated with repeated laryngoscope attempts. Annals of Emergency Medicine 2012; Volume 60, Issue 6, Pages 749–754.e2

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

EMDocs

SEPTEMBER 25, 2023

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.

Emergency Department 66

Emergency Department Soft Tissue Injuries Operations Airway Management 66

ETM Course

FEBRUARY 27, 2015

Checklist use is becoming more common in Emergency Departments in Australia, particularly for airway management and rapid sequence intubation.

Airway Management 52

Airway Management Administration Emergency Department 52

EM SIM Cases

DECEMBER 13, 2022

Today, she developed new confusion today and was taken to the local emergency department where a CT scan showed “SAH with hydrocephalus”. She is admitted to ICU by the junior resident who attempts management and calls for the fellow. The patient had severe headache for 5 days and was initially treated by GP as migraine.

Airway Management 40

Airway Management Academics Emergency Department Hospitals 40

EM Guide Wire

MARCH 22, 2019

Can also try awake intubation with propofol, fentanyl or ketamine Avoid pyridostigmine during a crisis as it increases secretions and make airway management difficult! Myasthenia Gravis and Crisis: Evaluation and Management in the Emergency Department. The Journal of Emergency Medicine , 53(5): 843-853.

Airway Management 40

Airway Management EKG/ECG Emergency Department 40

Resus Review

APRIL 23, 2015

P ediatric airway management is one of the most stressful and fearful activities within the emergency department. Conclusion As we know from our experience with the ILMA in adults, having these devices readily available (and knowing how to use them) is critical to optimizing the safety of pediatric airway management.

Pediatrics 52

Pediatrics Airway Management Resuscitation Emergency Department 52

ACEP Now

JULY 7, 2023

A total of 400 mL of blood was suctioned throughout the procedure The SALAD Approach to Airway Management The presence of contaminants in the airway has been shown to decrease first-pass success at intubation, regardless of whether direct or video laryngoscopy is employed. Acad Emerg Med. References Prekker ME, et al.

Airway Management 45

Airway Management EMS Burns Administration 45

Taming the SRU

DECEMBER 6, 2023

In patients with head trauma requiring airway management, the goal is to bag the patient with a goal EtCO2 35-45 and RR 10. If there is concern that the advanced airway will increase agitation and therefore ICP, then it should be avoided prehospital. Maintain euglycemia and euthermia in sICH patients.

Leadership 56

Leadership Stroke Airway Management Administration 56

EM Updates

MARCH 24, 2021

The primary tool for emergency airway management then became the traditional laryngoscope , a device little improved since the 1940s, until the advent of video laryngoscopy in the early 2000s which changed everything.

Operations 52

Operations Airway Management EMS Wellness 52

ACEP Now

OCTOBER 15, 2023

On arrival to the emergency department (ED) she was awake and breathing with stridor. Anesthetic management of acute laryngeal trauma. Trauma airway management. Difficult airway management algorithm in trauma updated by COTEP. Oral Maxillofac Surg Clin North Am. 2008;20(3):415-30. Flood LM, Astley B.

Fractures 52

Fractures Dislocations Airway Management Operations 52

ACEP Now

NOVEMBER 14, 2023

One of the most hair-raising presentations to the emergency department (ED) can be massive hemoptysis with respiratory failure. The emergency department evaluation and management of massive hemoptysis. Am J Emerg Med. J Emerg Med. References Deshwal H, Sinha A, Mehta AC. Life-threatening hemoptysis.

Radiology 52

Radiology Radiology Emergency Department Airway Management 52

ACEP Now

MARCH 14, 2024

A 24-year-old male with history of quadriplegia and traumatic brain injury presents to the emergency department with hemorrhage in his oral cavity and blood from his tracheostomy tube. Tracheo-innominate fistula (TIF) is an unusual and frequently lethal complication of such definitive airway placement.

Operations 52

Operations Pediatrics Radiology Radiology 52

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

Airway management by first responders when using a bag-valve device and two oxygen-driven resuscitators in 104 patients. Preoxygenation, reoxygenation, and delayed sequence intubation in the emergency department. The Journal of emergency medicine, 40(6), 661-667. Noordergraaf, G. Van Dun, P. Kramer, B. Schors, M.

Resuscitation 40

Resuscitation CPR Documentation/Coding EMS 40

Don't Forget the Bubbles

MAY 3, 2023

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

CPR Airway Management Emergency Department Resuscitation 52