PHEM Cast

MARCH 17, 2016

video cast from Emergency Medicine colleagues in the States discussing and demonstrating techniques for optimal bag-valve-mask ventilation. Apneic oxygenation was associated with decreased desaturation rates during rapid sequence intubation by an Australian helicopter emergency medicine service. Annals of Emergency Medicine.

Airway Management 52

Airway Management Burns Emergency Department Resuscitation 52

Resus Review

APRIL 23, 2015

P ediatric airway management is one of the most stressful and fearful activities within the emergency department. The rigid shape works extremely well for seating the mask in the hypopharynx, and is reuseable. The figure below is the pediatric airway cart in our pediatric resuscitation bay.

Pediatrics 52

Pediatrics Airway Management Resuscitation Emergency Department 52

ACEP Now

JULY 7, 2023

Per discussion with family over the phone it was determined she had mild dementia, but had been feeling well prior to her mechanical fall. 8,9 The SALAD maneuver was developed to overcome the challenges faced during intubation of a massively contaminated airway. Acad Emerg Med. References Prekker ME, et al. Crit Care Med.

Airway Management 45

Airway Management EMS Burns Operations 45

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

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 105

Seizures Hyperthermia / Hypothermia Emergency Department EMS 105

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

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: Vascular injuries include coagulation necrosis as well as thrombosis. Jeff: You’re right.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

EMDocs

SEPTEMBER 25, 2023

These clinically challenging intubations prompted emergency clinicians to turn to a KOBI technique and forgoing the use of an NMBA, which are not without risk. Additionally, many if not most emergency physicians do not receive adequate training on topical awake intubations (TAI) (11). Int J Emerg Med. 2017 Dec;10(1):1.

Emergency Department 90

Emergency Department Soft Tissue Injuries Airway Management Operations 90

Don't Forget the Bubbles

MAY 3, 2023

There was no difference between the low-dose and high-dose insulin infusion groups regarding the time to resolution of hyperglycaemia, time to resolution of acidosis as well as the rate of blood glucose change. Also, the study was conducted in a centre where clinicians commonly use a bougie for airway management. Low-dose ( 0.05

CPR 52

CPR Airway Management Emergency Department Resuscitation 52

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. Yes, mostly in the O.R.

Airway Management 105

Airway Management Outcomes Hospitals Emergency Department 105

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

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. Nachi: This month’s team parsed through roughly 1200 articles as well as guidelines from the eastern association for surgery in trauma also known as EAST.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

ACEP Now

NOVEMBER 14, 2023

One of the most hair-raising presentations to the emergency department (ED) can be massive hemoptysis with respiratory failure. True hemoptysis is usually bright red and/or foamy blood, and is associated with respiratory symptoms as well as a sensation of warmth in the chest. Am J Emerg Med. J Emerg Med.

Radiology 52

Radiology Radiology Emergency Department Airway Management 52

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

It was extremely well-liked by field personnel, but virtually unknown in hospitals. Esophageal Obturator Airways [EOA] and Esophageal Gastric Tube Airways [EGTA] precluded gastric inflation, and oxygen was delivered via periglottal ports; but were awkward to intubate “around.” The Journal of emergency medicine, 40(6), 661-667.

Resuscitation 40

Resuscitation CPR Documentation/Coding Military 40

Don't Forget the Bubbles

MAY 24, 2023

Table 1: Airway assessment Can we predict a difficult pediatric airway? Even though there is no clear-cut answer, there are some risk factors that make a difficult airway more likely. Even with the best planning, you still may not anticipate the difficult airway. difficult intubations in neonates and infants.

Airway Management 98

Airway Management Pediatrics Teamwork Emergency Department 98

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 98

Operations Outcomes Emergency Department Airway Management 98

Taming the SRU

MARCH 3, 2025

Because of this, emergency department (ED) physicians need to maintain a high index of suspicion for inhalation injury in the case of any exposure to smoke or fire, especially in closed or small space exposures. Upper Airway Injury to the upper airway, defined as airway structures proximal to the glottis (i.e.

Burns 52

Burns Fluid Resuscitation Emergency Department Resuscitation 52