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

Taming the SRU

SEPTEMBER 15, 2023

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED? ETT onto a fiberoptic scope.

CPR 91

CPR Burns Airway Management Wellness 91

Taming the SRU

JUNE 3, 2024

Myth: Some patients are “too sick to transport” Myth Part B: The receiving hospital gets to decide if a patient is too sick to transport. Use checklists for complex procedures, such as airway management. What drives the concern? Benefits of transport are evidenced based.

Shock 92

Shock Seizures Airway Management Stroke 92

The Injectable Orange

FEBRUARY 21, 2017

This post captures some of the resources discussed in the ED Nurses Vent and Haemodynamic Monitoring workshop at Redcliffe Hospital. These resources are high quality FOAM and can help with expanding upon the learning and piqued curiosity from the workshop. Happy self-directed learning.

Airway Management 52

Airway Management Documentation/Coding Outcomes Evidence-Based Practice 52

The Skeptics' Guide to EM

JANUARY 25, 2020

His primary interests are resuscitation, critical care, airway management, and point-of-care ultrasound. His primary interests are resuscitation, critical care, airway management, and point-of-care ultrasound. Secondary Outcome: The incidence of severe hypoxemia (oxygen saturation of less than 80%).

EMS 40

EMS Airway Management Administration Resuscitation 40

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. Click here to hear what our friends over at the Resus Room think about Airways 2 References (kindly shared by Rich) Davis DP et al. Tracheal intubation. 20(12);681-686.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

Ziqitza HealthCare Ltd

JANUARY 25, 2024

This swift response is instrumental in stabilizing patients before they reach the hospital, significantly improving their chances of recovery. Advanced cardiac monitors, cutting-edge defibrillators, and high-tech airway management tools have been integrated into the ambulances.

Ambulance Services 52

Ambulance Services Basic Life Support Airway Management Hospitals 52

ACEP Now

JULY 7, 2023

As with other entities, management of the airway must take precedence. While unusual, nosebleeds may present with life-threatening airway compromise. This is a discussion of a potentially disastrous airway outcome. Prevalence of difficult airway predictors in cases of failed prehospital endotracheal intubation.

Airway Management 45

Airway Management EMS Burns Operations 45

RebelEM

MARCH 27, 2023

Ventilator-associated lung injury and inflammation can occur even during short-term mismanagement can worsen patient outcomes. 2 Finally the settings initiated early in a patient’s care are often carried forward unchanged into their hospital and ICU stay. J Crit Care. REFERENCES: Acute Respiratory Distress Syndrome Network et al.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

EMDocs

DECEMBER 18, 2024

Management of drug and alcohol withdrawal. This series provides evidence-based updates to previous posts so you can stay current with what you need to know. fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold

Seizures 105

Seizures Hyperthermia / Hypothermia Emergency Department EMS 105

Pediatric EM Morsels

JULY 21, 2023

Motor Fingernail bed pressure with a pencil first If flexion outcome, then apply painful stimulus to neck or head (trapezius or supraorbital notch) to look for localization Spinal reflex can result in a falsely elevated score if lower extremity pain induced Verbal Orientated- Able to answer all questions. References : Teasdale G, Jennett B.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

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 141

Poisoning Airway Management Seizures Shock 141

ACEP Now

JANUARY 5, 2025

1 The primary outcome was the frequency of observed hypoxemia, defined as any pulse oximetry reading below 85 percent. Serious patient-oriented outcomes such as cardiac arrest were rare, but almost all occurred in the oxygen mask cohort. The obvious winner was NIPPV, whose 9.1

Sepsis 40

Sepsis Research Airway Management Stroke 40

Don't Forget the Bubbles

NOVEMBER 29, 2023

A retrospective cohort analysis of the ED portion of the National Hospital Ambulatory Medical Care Survey from 2006 to 2009 in the US revealed that less than one-half of patients undergoing ETI in the ED received sedative drugs while in the ED. This could be due to paralysis of the muscles which protect the upper airway.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

EMDocs

OCTOBER 19, 2024

2][3][9] Glucocorticoid were not shown to alter clinical course or patient outcomes. [2][3] Definitive airway management should be pursued early. Care Variations and Outcomes for Children Hospitalized With Bacterial Tracheostomy-Associated Respiratory Infections. Hospital Pediatrics. ampicillin-sulbactam).

EMS 110

EMS Pediatrics Sepsis Airway Management 110

PulmCCM

JULY 3, 2023

But like many other trials before it, DEVICE can’t answer the question of how video vs direct laryngoscopy perform in the “real world,” i.e. by experienced intensivists and emergency physicians intubating at community hospitals (because clinical trials are almost never done there).

Airway Management 105

Airway Management Outcomes Hospitals Emergency Department 105

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

ACEP Now

MARCH 6, 2024

The PATCH-Trauma trial took a critical look at TXA in major trauma in the advanced trauma systems of Australia and found a mixed result: a slightly greater number of patients were still alive six months following TXA administration, but there was no difference in survival with a good functional outcome.

Research 52

Research Airway Management Stroke Outcomes 52

ACEP Now

JULY 7, 2023

Her last hospitalization was one month ago for a similar wound, at which time she received intravenous antibiotics and was subsequently discharged. Initial stabilization includes airway management and circulatory support. Many of these infections require hospitalization with intravenous antibiotics and surgical debridement.

Forensics 98

Forensics Airway Management Emergency Department Administration 98

Don't Forget the Bubbles

MAY 3, 2023

Results of this study showed that the use of low-dose insulin infusion led to similar clinical outcomes and fewer adverse events compared to the standard-dose insulin infusion. Also, the study was conducted in a centre where clinicians commonly use a bougie for airway management. Why does it matter? Why does it matter?

CPR 52

CPR Airway Management Emergency Department Resuscitation 52

Critical Care Now

APRIL 5, 2022

While anyone can experience a TBI, the available data suggests that the social determinants of health have a substantive impact on the outcomes associated with them. If indicated aggressive BLS airway management with positive pressure ventilation (PPV) is appropriate. Advanced airway management should be approached with caution.

Airway Management 52

Airway Management EMS CDC Pediatrics 52

ACEP Now

NOVEMBER 14, 2023

So next time you are faced with a patient with massive hemoptysis heading for respiratory failure in your ED, take an organized approach such as this seven-step one to maximize your patient’s chance of survival with good neurologic outcome. Dr. Helman is an emergency physician at North York General Hospital in Toronto. J Emerg Med.

Radiology 52

Radiology Radiology Emergency Department Airway Management 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. Outcomes: Primary Outcome: Successful intubation on the first attempt. 1420 patients were enrolled. 1420 patients were enrolled.

Operations 98

Operations Outcomes Emergency Department Airway Management 98

Emergency Medicine Journal

DECEMBER 30, 2024

Background Patients with traumatic out-of-hospital cardiac arrest (t-OHCA) require on-scene airway management to maintain tissue oxygenation. However, the benefits of prehospital endotracheal intubation remain unclear, particularly regarding neurological outcomes. to 1.90; p=0.012). and 2.00; 95% CI 1.89

Outcomes 98

Outcomes Hospitals Airway Management 98

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 100

Administration CPR Airway Management Resuscitation 100

Don't Forget the Bubbles

MARCH 21, 2025

set out to explore in the Kids THRIVE study investigating whether NHF apnoeic oxygenation could improve intubation outcomes in critically unwell children needing emergency airway management. Secondary outcomes There were no differences between groups in any of the secondary outcomes. Lancet Respiratory Medicine.

Outcomes 108

Outcomes Operations Airway Management Hospitals 108

American Medical Compliance

MARCH 20, 2025

The Operating Room Protocols Training equips healthcare providers with essential guidelines to enhance surgical safety, prevent complications, and improve patient outcomes. Ensuring Patient Safety in Surgery Maintaining patient safety in the operating room is a top priority for surgeons, hospitals, and surgical facilities.

Operations 52

Operations Patient Safety Best Practices Infectious Diseases 52

EMDocs

JUNE 7, 2023

Airway management should not be delayed. 7 Airway management: consider early airway management. Indira M, Andrews MA, Rakesh TP: Incidence, predictors, and outcome of intermediate syndrome in cholinergic insecticide poisoning: a prospective observational cohort study. In: Mattu A and Swadron S, ed.

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. Raja, MD, MBA, MPH Trauma Airway Management J Emerg Med. Advances in prehospital airway management. Sukhupragarn, “ Airway Management ,” In: P. Rogue Medic.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40