The Skeptics' Guide to EM

JANUARY 13, 2024

Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest. Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest. Case: You are dispatched to an out-of-hospital cardiac arrest (OHCA). Resuscitation 2023.

Hospitals 105

Hospitals CPR Resuscitation Airway Management 105

RebelEM

FEBRUARY 15, 2024

These patients can be at risk of vomiting and aspiration and often prompts clinicians to pursue definitive airway management to avoid pneumonia and other complications. There has been no high level evidence to help guide practice until now…the Non-Invasive Airway Management of Comatose Poisoned Emergency Patients (NICO) trial.

Poisoning 139

Poisoning Airway Management Seizures Shock 139

EMDocs

OCTOBER 19, 2024

We’ll keep it short, while you keep that EM brain sharp. Definitive airway management should be pursued early. Care Variations and Outcomes for Children Hospitalized With Bacterial Tracheostomy-Associated Respiratory Infections. Hospital Pediatrics. ampicillin-sulbactam). Rev Infect Dis. 1990;12(5):729-735.

EMS 106

EMS Pediatrics Sepsis Airway Management 106

Emergency Medicine Cases

MAY 21, 2019

Maria Ivankovic discuss dozens of pearls and pitfalls in the management of both pediatric and adult burn and inhalation injuries management with a special appearance by airway master George Kovacs to talk about awake intubation in the burn and inhalation injuries patient.

Airway Management 52

Airway Management Burns Resuscitation Fluid Resuscitation 52

University of Maryland Department of Emergency Med

JANUARY 19, 2023

Should EMS place an advanced airway in out of hospital cardiac arrests? Current studies suggest that advanced airway management is not sup. Click to view the rest

Airway Management 40

Airway Management Pediatrics EMS Hospitals 40

The Skeptics' Guide to EM

APRIL 27, 2024

Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Prehospital Emergency Care.

Resuscitation 90

Resuscitation Airway Management EMS Outcomes 90

Pediatric EM Morsels

JULY 21, 2023

We had just received a young child from EMS who was post-ictal with decreased mentation. Consider other indicators of need for airway management, such as gag reflex. The post Glasgow Coma Scale in Children appeared first on Pediatric EM Morsels. Less than 8, intubate! It’s complicated. A practical scale.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

EMDocs

MARCH 9, 2024

1: Epinephrine or Airway First in OHCA? Spoon Feed In adults presenting to EMS after OHCA, those receiving epinephrine prior to advanced airway management (AAM = supraglottic airway, SGA, or endotracheal tube) experienced better outcomes and prehospital ROSC than those receiving AAM before epinephrine.

Head Injuries 97

Head Injuries Airway Management Outcomes EMS 97

RebelEM

JULY 20, 2023

INTRODUCTION You’re moonlighting in a remote access hospital. EMS radios in for a burn patient and to anticipate a difficult airway. She was smoking with her home O2 on and has severe mixed partial and full thickness burns to the chest, neck, face, and airway. You can hear the tension in their voice. Human Performance.

EMS 74

EMS Burns Airway Management Wellness 74

JournalFeed

JUNE 1, 2024

Monday Spoon Feed : A retrospective study of 60 patients who received a fixed-dose ketamine of 250 mg by EMS observed that 6 were intubated in the ED. There was no association between weight-based dose of ketamine and risk for intubation.

Airway Management 52

Airway Management EMS Outcomes Hospitals 52

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

Intraosseous Vascular Access Is Associated With Lower Survival and Neurologic Recovery Among Patients With Out-of-Hospital Cardiac Arrest. Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado.

Basic Life Support 52

Basic Life Support Airway Management CPR Resuscitation 52

The Skeptics' Guide to EM

MARCH 2, 2019

Effect of a Strategy of a Supraglottic Airway Device
vs. Tracheal Intubation During Out-of-Hospital Cardiac Arrest on Functional Outcome. The AIRWAYS-2 Randomized Clinical Trial. Effect of a Strategy of a Supraglottic Airway Device
vs. Tracheal Intubation During Out-of-Hospital Cardiac Arrest on Functional Outcome.

Airway Management 52

Airway Management CPR Hyperthermia / Hypothermia Outcomes 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. Date: January 9th, 2020 Reference: Casey et al.

EMS 40

EMS Airway Management Administration Resuscitation 40

The Skeptics' Guide to EM

MARCH 11, 2023

A Retrospective Nationwide Comparison of the iGel and King Laryngeal Tube Supraglottic Airways for Out-of-Hospital Cardiac Arrest Resuscitation. A Retrospective Nationwide Comparison of the iGel and King Laryngeal Tube Supraglottic Airways for Out-of-Hospital Cardiac Arrest Resuscitation. Reference: Smida et al.

Airway Management 52

Airway Management Basic Life Support CPR Resuscitation 52

EM Curious

AUGUST 5, 2015

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest. You must watch this video here !

Airway Management 52

Airway Management EMS Ultrasounds Pediatrics 52

EMDocs

NOVEMBER 1, 2023

Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp!

Operations 86

Operations Radiology Radiology Fluid Resuscitation 86

Critical Care Now

APRIL 5, 2022

Reading Time: 5 minutes Simon Taxel NRP, BA Simon is a paramedic, crew chief, and public safety diver with the Pittsburgh Bureau of EMS. The Excellence in Prehospital Injury (EPIC) Study The EPIC TBI study ran from 2007 to 2019 and involved an EMS and public health partnership in Arizona.

Airway Management 52

Airway Management EMS CDC Pediatrics 52

RebelEM

AUGUST 7, 2023

PMID: 37058727 Post Peer Reviewed By: Anand Swaminathan, MD (Twitter: @EMSwami ) The post REBEL Cast Ep122 – Delayed vs Rapid Sequence Intubation in Agitated Trauma Patients appeared first on REBEL EM - Emergency Medicine Blog. Background: Getting a definitive airway in a critically ill trauma patient can be a stressful situation.

Head Injuries 96

Head Injuries Airway Management Outcomes Burns 96

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. Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. AAGBI Safer Prehospital Anaesthesia 2017, available here. Sunde, G.A.,

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

ACEP Now

MARCH 6, 2024

Gotta catch ‘em all!” Now, a randomized, controlled trial clearly demonstrates some patients with low GCS are far more likely to be harmed by an aggressive approach to airway management. Survival to hospital discharge favored the “standard care” group, 47.9 How Best to Stop the Bleeding in Trauma? percent to 38.3

Research 52

Research Airway Management Stroke Outcomes 52

EM SIM Cases

DECEMBER 13, 2022

These cases can help individuals and teams prepare to identify and manage these patients who become newly, and sometimes unexpectedly, unstable. Clinical Vignette EMS has brought a direct transfer to Neurosurgery from surrounding hospital for SAH. Download Case Here Critical Care Case 1- Subarachnoid Hemorrhage Download

Airway Management 40

Airway Management Academics Emergency Department Hospitals 40

ACEP Now

JULY 7, 2023

She was reported to have had a mechanical fall, landing face forward without loss of consciousness, and has had a continuous nosebleed since then, per EMS and the home care provider. On EMS arrival, it was noted that the patient had what seemed to be a controllable nosebleed with difficulty locating the source due to constant oozing.

Airway Management 45

Airway Management EMS Burns Operations 45

RebelEM

MARCH 27, 2023

2 Finally the settings initiated early in a patient’s care are often carried forward unchanged into their hospital and ICU stay. Hospitals should focus on both systemic factors and bedside physician and/or respiratory therapist interventions to increase LPV utilization in times of ED boarding and crowding for all patients. J Crit Care.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

Classic Advice to New Interns (Commentary upon 10 Commandments of EM) Ten Commandments of Emergency Medicine Luke & Cusack Cork Emergency Medicine 2014 The Derriford twelve commandments of emergency medicine: a model for good practice in a changing world, or a survival guide for new medical staff Smith, J.

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

ACEP Now

NOVEMBER 14, 2023

Bourke Tillmann and Scott Weingart for their expertise on the EM Cases podcast that inspired this column. Dr. Helman is an emergency physician at North York General Hospital in Toronto. EMCrit 196 – Having a vomit SALAD with Dr. Jim DuCanto – airway management techniques during massive regurgitation, emesis, or bleeding.

Radiology 52

Radiology Radiology Emergency Department Airway Management 52

EB Medicine

NOVEMBER 1, 2018

It was peer reviewed by Dr. O’Keefe and Dr. Silverberg from Florida State University College of Medicine and Kings County Hospital, respectively. In at least one study, the incidence of DVT in hospitalized burn patients was as high as 23%. Schieche from the Oklahoma University School of Community Medicine. That’s -- high.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

Don't Forget the Bubbles

MAY 3, 2023

Also, the study was conducted in a centre where clinicians commonly use a bougie for airway management. Clinically Relevant Bottom Line: Using a bougie as a safe alternative for airway management in children when clinicians have experience. O’Connell KJ, Sandler A, Dutta A, et al. Garabon JJW, Gunz AC, Ali A, Lim R.

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. Most facilities were teaching hospitals, limiting generalizability to community hospitals. 1420 patients were enrolled.

Operations 96

Operations Outcomes Emergency Department Airway Management 96

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

It was extremely well-liked by field personnel, but virtually unknown in hospitals. The antipathy between field personnel with demand valves and hospital staff with bags was so great that there was seldom any agreement. Pre-hospital tracheal intubation versus esophageal gastric tube airway use: a prospective study.

Resuscitation 40

Resuscitation CPR Documentation/Coding Military 40

EMDocs

JUNE 7, 2023

Airway management should not be delayed. 7 Airway management: consider early airway management. Laboratory testing methods have a prolonged turnaround time which can place the patient in a worse clinical state if you withhold treatment in lieu of confirmatory results.

Poisoning 97

Poisoning Airway Management Seizures PPE 97

The Skeptics' Guide to EM

NOVEMBER 30, 2024

The Paramedic 3 Trial: A randomized clinical trial of drug route in out-of-hospital cardiac arrest. Missy has been teaching airway management for over a decade and is the creator of the Prehospital Emergency Airway Course which is taught throughout Washington State. Date: November 10, 2024 Reference: Couper et al.

Administration 98

Administration CPR Airway Management Outcomes 98

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Buffington] NTI largely supplanted by RSI: Current resuscitation practice focuses on the oral route for airway management and intubation. We’ve heard, or been through, tales of early EM when BNTI was the fall-back for awkward intubations before EM could claim credentialing for RSI. Be alert to changes in waveform.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40