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 87

Forensics Airway Management Administration Emergency Department 87

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.

Research 52

Research Airway Management Stroke Outcomes 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

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

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. The Effect of Paramedic Rapid Sequence Intubation on Outcome in Patients with Severe Traumatic Brain Injury. Scand J Trauma Resusc Emerg Med 23, 57 (2015).

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

ACEP Now

JULY 7, 2023

As with other entities, management of the airway must take precedence. While unusual, nosebleeds may present with life-threatening airway compromise. This is a discussion of a potentially disastrous airway outcome. Acad Emerg Med. References Prekker ME, et al. Crit Care Med. 2014;42(6):1372-1378.

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 57

Leadership Stroke Airway Management Administration 57

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

NOVEMBER 14, 2023

One of the most hair-raising presentations to the emergency department (ED) can be massive hemoptysis with respiratory failure. Dr. Helman is an emergency physician at North York General Hospital in Toronto. The emergency department evaluation and management of massive hemoptysis. Am J Emerg Med.

Radiology 52

Radiology Radiology Airway Management Emergency Department 52

Pediatric EM Morsels

JULY 21, 2023

Motor Fingernail bed pressure with a pencil first If flexion outcome, then apply painful stimulus to neck or head (trapezius or supraorbital notch) to look for localization Spinal reflex can result in a falsely elevated score if lower extremity pain induced Verbal Orientated- Able to answer all questions. Ann Emerg Med. PMID: 4136544.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

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

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 82

Poisoning Airway Management Seizures PPE 82

EMDocs

SEPTEMBER 25, 2023

Still, there are those that believe that FPS is more of a physician-centered endpoint that does not fully reflect important patient-centric outcomes (16). It is particularly useful in cases of physically difficult airway management, such as in patients with obesity, limited neck mobility, or cervical spine immobilization.

Emergency Department 65

Emergency Department Soft Tissue Injuries Airway Management Operations 65

Don't Forget the Bubbles

MAY 3, 2023

Results of this study showed that the use of low-dose insulin infusion led to similar clinical outcomes and fewer adverse events compared to the standard-dose insulin infusion. Also, the study was conducted in a centre where clinicians commonly use a bougie for airway management. Why does it matter? Why does it matter?

CPR 52

CPR Airway Management Emergency Department Resuscitation 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. 11 medical centers in the United States enrolled 1417 patients from 17 sites, including 7 emergency departments and 10 intensive care units.

Operations 95

Operations Outcomes Emergency Department Airway Management 95

ACEP Now

JANUARY 5, 2025

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. 1 The primary outcome was the frequency of observed hypoxemia, defined as any pulse oximetry reading below 85 percent.

Sepsis 40

Sepsis Research Airway Management Outcomes 40

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 89

CPR Burns Airway Management Wellness 89

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