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. J Chest Surg.

Operations 52

Operations Pediatrics Radiology Radiology 52

Pediatric EM Morsels

JULY 21, 2023

We have mentioned the Glasgow Coma Scale in multiple delicious morsels: Minor closed head injuries in <3 month olds and in the rebaked morsel , Blunt cerebrovascular injury , Cerebral edema in DKA , Pediatric Trauma Pitfalls , and Carbon monoxide poisoning. Consider other indicators of need for airway management, such as gag reflex.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Don't Forget the Bubbles

NOVEMBER 29, 2023

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. Key take-home points While Ben’s case is tragic, we can learn important points about airway management.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

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. Authors of one study clearly felt the same way and implemented a direct admission program across three pediatric health systems.

Sepsis 40

Sepsis Research Airway Management Stroke 40

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

Don't Forget the Bubbles

MAY 3, 2023

Insulin Infusion Dosing in Pediatric Diabetic Ketoacidosis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. The Pediatric Bougie for the First Tracheal Intubation Attempt in Critically Ill Children [published online ahead of print, 2023 Feb 23]. Ann Emerg Med. Prehosp Emerg Care. Crit Care Explor.

CPR 52

CPR Airway Management Emergency Department Resuscitation 52

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 Emergency Department Administration 98

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

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

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 Military 40

Don't Forget the Bubbles

MAY 24, 2023

A 5-year-old boy with a past medical history of Crouzon syndrome presents in the Pediatric ED. While you prepare the difficult airway cart, a young trainee asks about cannot intubate cannot oxygenate scenarios. Though many children are often not cooperative, things may be even more difficult during an emergency.

Airway Management 98

Airway Management Pediatrics Teamwork 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. See figure below. 8 Figure 1. BMC Res Notes.

Poisoning 98

Poisoning Airway Management Seizures PPE 98

EMDocs

NOVEMBER 6, 2024

Pediatr Neonatol. He denies any past medical history other than polysubstance abuse and depression. Neurotransmitter. 2015;2:10-14800/nt. doi:10.14800/nt.491 2021;21(1):e103-e105. doi:10.7861/clinmed.2020-0841 2020-0841 Lin TS, Chen LK, Lin TY, Wen SH, Chen MC, Jan RH. Autonomic Dysfunction Because of Severe Tetanus in an Unvaccinated Child.

Poisoning 98

Poisoning Airway Management Dislocations Forensics 98