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The NICO Trial: NIV in Comatose Patients with Acute Poisoning

RebelEM

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.

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Alkali Exposure

EB Medicine

Eckler, MD discuss the January 2025 Emergency Medicine Practice article, Alkali Exposure: An Evidence-Based Approach to Diagnosis and Treatment Patient Demographics and Case Scenarios: Types of patients prone to alkali exposure Causes and scenarios leading to alkali exposure (e.g.,

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NICO – Noninvasive Airway Management of Comatose Patients with Acute Poisoning

The Bottom Line

Effect of Noninvasive Airway Management of Comatose Patients with Acute Poisoning: A Randomized Clinical Trial Freund Y. Background The decision to intubate a poisoned patient with […] DOI: 10.1001/jama.2023.24391 DOI: 10.1001/jama.2023.24391

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Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning: A Randomized Clinical Trial

EM Ottawa

Question and Methods: Multicenter RCT involving comatose patients with suspected acute poisoning and GCS <9 compared a conservative airway strategy of withholding intubation versus routine practice for the primary hierarchical composite end point of in-hospital death, length of ICU stay, and length of […] The post Effect of Noninvasive Airway (..)

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Ep 124 Burn and Inhalation Injuries: ED Wound Care, Resuscitation and Airway Management

Emergency Medicine Cases

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.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

We have mentioned the Glasgow Coma Scale in multiple delicious morsels: Minor closed head injuries in <3 month olds and in the rebaked morsel , Blunt cerebrovascular injury , Cerebral edema in DKA , Pediatric Trauma Pitfalls , and Carbon monoxide poisoning. Consider other indicators of need for airway management, such as gag reflex.

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2024 Emergency Medicine Research Highlights: Forced Air, Sepsis, and More

ACEP Now

Use of Bones Although the topic hardly rises to the level of serious controversy, the best protocol for vascular access in the context of out-of-hospital cardiac arrest is an ongoing unanswered question. In a setting where the ED is frequently described as the front door to the hospital, a very reasonable question to ask is: Why?

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