ACEP Now

OCTOBER 11, 2024

Introduction Pediatric intubations in the emergency department (ED) occur at only a tenth the frequency of adult intubations. 1 Pediatric rapid sequence intubation (RSI) in the ED is associated with a higher frequency of failed first attempts and adverse effects than in adult patients. mg/kg IV, ketamine at 1.5–2 3 mg/kg IV.

Pediatrics 52

Pediatrics Airway Management Emergency Department Wellness 52

RebelEM

SEPTEMBER 13, 2023

Take Home Points: Airway management is paramount; expect a challenging intubation and consider controlling the airway early if there is apparent airway compromise. Understanding the cause of angioedema (mast cell vs. bradykinin mediated) helps dictate directed management.

Allergic Reactions 104

Allergic Reactions Airway Management Anaphylaxis Emergency Department 104

Taming the SRU

OCTOBER 16, 2024

ALiEM provides a great overview of how to manage these injuries here: [link]. Amputations Distal to DIP may require revision amputation, which is in the purview of EM physicians. Rongeur bone until soft tissue is available for closure; close skin loosely with non-absorbable sutures. Consider antibiotics for high risk patients (e.g.,

Airway Management 75

Airway Management Fractures CDC Pediatrics 75

Emergency Medicine Cases

AUGUST 24, 2021

Just as pediatric patients are not small adults, geriatric patients are not just old adults. In this Part 1 of our 2-part EM Cases podcast series on Geriatric Trauma, Dr. Barbara Haas, Dr. Camilla Wong and Dr. Bourke Tillman answer questions such as: why are older patients under-triaged to trauma centers and how does that affect outcomes?

Resuscitation 52

Resuscitation Head Injuries Airway Management Shock 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

Emergency Medicine Cases

MAY 18, 2020

Hilary Whyte, Dr. Jabeen Fayyaz, Dr. Emily MacNeill discuss a neonatal resuscitation algorithm, airway management, fluid resuscitation, central access tips, glucose and temperature control and transport tips.

Resuscitation 52

Resuscitation Fluid Resuscitation Airway Management CPR 52

Advanced Emergency Nursing from AENJ

JULY 9, 2015

How versatile are your airway skills? Most airway management is done with the patient supine and on a table. Importantly, you should practice airway support and BVM facing the patient "from the south" (facing cephalad). A Tight Squeeze Airway management for the limited-access patient. NREMT (2008).

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40

Pediatric EM Morsels

JULY 21, 2023

We had just received a young child from EMS who was post-ictal with decreased mentation. Orso 2020] One pediatric study in this systematic review, and the intubated patients had worse outcome than non-intubated Early airway protection = lower rates of complications (in TRAUMA), but this is not always true with medical patients.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

EMDocs

OCTOBER 19, 2024

We’ll keep it short, while you keep that EM brain sharp. CT scans are typically not recommended in pediatric patients, but can be useful in adults with concern for tracheal stenosis or recurrent tracheitis, however airway stabilization takes precedence. [2][3] Definitive airway management should be pursued early.

EMS 110

EMS Pediatrics Sepsis Airway Management 110

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]. Which way should we go? Forestell B, Battaglia F, Sharif S, et al.

CPR 52

CPR Airway Management Emergency Department Resuscitation 52

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. Effect of noninvasive airway management of comatose patients with acute poisoning: a randomized clinical trial. JAMA Pediatr.2023;177(8):782.

Research 52

Research Airway Management Stroke Outcomes 52

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

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. J Emerg Med. Alanazi, H.,

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. EMCrit 196 – Having a vomit SALAD with Dr. Jim DuCanto – airway management techniques during massive regurgitation, emesis, or bleeding. A special thanks to Drs. J Emerg Med. 2017;52(4):433-437. Weingart S. Lopez JK, Lee HY.

Radiology 52

Radiology Radiology Emergency Department Airway Management 52

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

Automatic transport ventilator versus bag valve in the EMS setting: a prospective, randomized trial. Study finds EMS able to do more tasks, document better, perform physiological monitoring, with use of ATV. Efficacy and safety in patients on a resuscitator, Oxylator EM-100, in comparison with a bag-valve device. Filbrun, T.,

Resuscitation 40

Resuscitation CPR Documentation/Coding Military 40

EB Medicine

NOVEMBER 1, 2018

As always, it’s ABC and IV, O2, monitor first with early airway management in those with head and neck burns being a top priority. Jeff: With your initial stabilization underway, you can begin to gather a more thorough history either from bystanders or EMS if they are still present. Address pain with analgesia.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 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. See figure below. 8 Figure 1.

Poisoning 98

Poisoning Airway Management Seizures PPE 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

EMDocs

NOVEMBER 6, 2024

Pediatr Neonatol. 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. 2011;52(3):169-171. doi:10.1016/j.pedneo.2011.03.010

Poisoning 98

Poisoning Airway Management Dislocations Forensics 98