The Skeptics' Guide to EM

JANUARY 13, 2024

Resuscitation 2023. Date: January 11, 2024 Guest Skeptic: Dr. Chris Root is an EMS fellow in the Department of Emergency Medicine at the University of New Mexico Health […] The post SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine.

Hospitals 87

Hospitals CPR Resuscitation Airway Management 87

The Skeptics' Guide to EM

NOVEMBER 30, 2024

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. Case: You’re doing a ride along with your local emergency medical service (EMS) crews and responding to an out-of-hospital cardiac arrest (OHCA).

Administration 85

Administration CPR Airway Management Outcomes 85

Emergency Medicine Cases

JUNE 4, 2019

The post EM Quick Hits 5 Ludwig’s Angina, Transient Monocular Vision Loss, D-dimer for PE Workup in Pregnancy, Pediatric Nasal Foreign Bodies, Trimethoprim Drug Interactions, Airway Management in Cardiac Arrest appeared first on Emergency Medicine Cases.

Airway Management 52

Airway Management Pediatrics EMS Resuscitation 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

Pediatric EM Morsels

JUNE 9, 2023

Of course, we all have a healthy respect for post-tonsillectomy hemorrhage and we like to talk about Damage Control Resuscitation. Multimodal management can help avoid variceal bleeding. Prepare airway management tools (hoping to avoid needing them). Keep patient comfortable. Obtain large-bore access. Hepatology.

Pediatrics 152

Pediatrics Head Injuries Airway Management Administration 152

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 73

Resuscitation Airway Management EMS Outcomes 73

Emergency Medicine Cases

AUGUST 24, 2021

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? How should we adjust airway management for the older trauma patient?

Resuscitation 52

Resuscitation Head Injuries Airway Management Shock 52

Emergency Medicine Cases

APRIL 2, 2024

Please support EM Cases with a donation: [link] The post Ep 193 The Crashing Asthmatic – Recognition and Management of Life Threatening Asthma appeared first on Emergency Medicine Cases. What role do blood gases play in the decision to intubate? and many more.

EMS 141

EMS Airway Management Resuscitation 141

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

This is the fifth part of our series on "Early Modern Resuscitation." " Part I: Oral Airways, early resuscitation, and recognition of airway care. It was not a practical resuscitative aid until production could be commercially successful (~1895) and made portable in compressed form. Pulmotor is 1907.

Resuscitation 40

Resuscitation CPR Documentation/Coding Military 40

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

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. His primary interests are resuscitation, prehospital critical […] The post SGEM#231: You’re So Vein – IO vs. IV Access for OHCA first appeared on The Skeptics Guide to Emergency Medicine.

Basic Life Support 52

Basic Life Support Airway Management CPR Resuscitation 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.

Basic Life Support 52

Basic Life Support Airway Management CPR Resuscitation 52

The Skeptics' Guide to EM

AUGUST 10, 2024

Case: A 65-year-old man is brought into the emergency department (ED) by emergency medical services (EMS) after his family saw him slump over at the dinner table. He is an assistant professor in Emergency Medicine, Neurology, and Neurosurgery at the School of Medicine at the University of Washington.

Stroke 69

Stroke Airway Management Documentation/Coding Outcomes 69

The Skeptics' Guide to EM

MARCH 2, 2019

Case: EMS arrive to your emergency department with a 68-year-old man post cardiac arrest patient. They had a difficult time getting a definitive airway pre-hospital. For many years endotracheal intubation has been the standard of care for airway management in out-of-hospital cardiac arrest (OHCA).

Airway Management 52

Airway Management CPR Hyperthermia / Hypothermia Outcomes 52

Emergency Medicine Cases

JUNE 19, 2018

In this EM Cases CritCases blog - a collaboration between STARS Air Ambulance Service, Mike Betzner and EM Cases, a middle aged woman presents to a rural ED with headache and vomiting, normal vital signs with subsequent status epilepticus and serum sodium of 110 mmol/L.

Seizures 52

Seizures Ambulance Services Airway Management EMS 52

RebelEM

AUGUST 7, 2023

This helps relieve agitation/pain while maintaining spontaneous breathing and airway reflexes allowing for adequate pre-oxygenation as well as facilitates other resuscitation interventions including IV access, vasopressors, fluids, etc. that would not be possible in an agitated/combative patient.

Head Injuries 98

Head Injuries Outcomes Airway Management Burns 98

PHEM Cast

JULY 6, 2017

[link] The West Midlands surgical skills course offers cadaveric training for PHEM and EM practitioners on rare life saving procedures. Anatomy The Guidelines Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Difficult Airway Society: Intubation guidelines working group.

Airway Management 52

Airway Management Academics Operations Resuscitation 52

Emergency Medicine Cases

OCTOBER 10, 2017

What alterations to airway management are necessary for the GI bleed patient? What are the goals of resuscitation in a massive GI bleed? What's the evidence for using an NG tube for diagnosis and management of upper GI bleeds? Which patients require red cell transfusions? Which patients require red cell transfusions?

Airway Management 52

Airway Management Resuscitation EMS 52

EMDocs

JUNE 7, 2023

Airway management should not be delayed. 7 Airway management: consider early airway management. Case Follow-up: The patient required benzodiazepine administration for seizure management and subsequent intubation for airway protection.

Poisoning 84

Poisoning Airway Management Seizures PPE 84

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 68

Operations Radiology Radiology Fluid Resuscitation 68

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. Resuscitation. Resuscitation. Tracheal intubation.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

Emergency Medicine Cases

MAY 22, 2018

The last decade has seen a torrent of literature and expert opinion on emergency airway management. It is challenging to integrate all this new information into a seamless flow when faced with a challenging airway situation.

Airway Management 52

Airway Management Resuscitation EMS 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.

Research 52

Research Airway Management Stroke Outcomes 52

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 Administration 45

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). Resuscitation, 56(1), 83-89. Pediatric Airway Management. Gather everyone.

Airway Management 40

Airway Management Pediatrics Resuscitation Documentation/Coding 40

EMDocs

SEPTEMBER 25, 2023

It is particularly useful in cases of physically difficult airway management, such as in patients with obesity, limited neck mobility, or cervical spine immobilization. Incidence and factors associated with cardiac arrest complicating emergency airway management. Resuscitation 2013; 84(11): 1500 – 4.

Emergency Department 66

Emergency Department Soft Tissue Injuries Airway Management Operations 66

RebelEM

MARCH 27, 2023

What They Did: Retrospective, observational cohort study in a single high-volume academic hospital The ED had a 5 bed area used for ongoing management and resuscitation of patients who clinically deteriorate while boarding or while actively undergo a workup in other sections of the ED. J Crit Care.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

EB Medicine

NOVEMBER 1, 2018

Thankfully, that gentleman was successfully resuscitated despite no bystander CPR, and if you listen carefully, we hope to arm you with the tools to do so similarly. 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.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

Emergency Medicine Cases

MAY 24, 2022

In this first part of our 2-part series on Cardiac Arrest Controversies Rob Simard, Bourke Tillman, Sara Gray and Scott Weingart discuss with Anton how best to ensure high quality chest compressions, the pros and cons of mechanical CPR, the literature on dual sequential defibrillation and optimizing pad placement, epinephrine vs vasopressin, amiodarone (..)

CPR 52

CPR Airway Management Resuscitation EMS 52

EB Medicine

MARCH 1, 2019

Moreover, when airway management is needed, advanced airway techniques by ALS crews were associated with decreased odds of survival. Jeff: And don’t forget to get the crash details from the EMS crew before they depart! There is reasonably good data to support BLS over ALS, even when controlling for trauma severity.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 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. Resuscitation. O’Connell KJ, Sandler A, Dutta A, et al.

CPR 52

CPR Airway Management Emergency Department Resuscitation 52

Emergency Medicine Cases

MARCH 28, 2020

There are many complicated guides on airway management and protected intubation since the COVID-19 pandemic broke. In this podcast, part of the COVID-19 EM Cases 5-part series, we aim to simplify protected intubation so that you can adapt it to your ED rapidly.

Airway Management 52

Airway Management EMS Resuscitation 52

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

This Blog episode concerns aspects of the concept of using the nose to obtain an airway or to ventilate emergency patients; it does not deal comprehensively with all aspects thereof that a specialist might do. Few people now remember that a strong early proposal in the move for expired air resuscitation was Mouth to Nose.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40