Greater Sydney Area HEMS

APRIL 15, 2023

It is a rare but confronting situation where a pre-hospital and retrieval medicine team are presented with a sick newborn. As a pre-hospital and retrieval service, it’s rare for us to even be around in the first few minutes of a baby’s life, but as our colleagues described, not impossible.

Hospitals 85

Hospitals Resuscitation Hyperthermia / Hypothermia Teamwork 85

Don't Forget the Bubbles

NOVEMBER 29, 2023

Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. While some studies showed that CPRIC is associated with increased survival to hospital discharge, administering muscle relaxants during resuscitation increased mortality. Another attempt led to an oesophageal intubation.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

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. February 2024.

Resuscitation 93

Resuscitation Airway Management EMS Outcomes 93

Thinking Critical Care

MAY 20, 2023

Building on the energy and ethos that Philippe has curated in the Resuscitation side, I’m thrilled to bring a killer set of on-demand lectures and in-person content delivered by a top-notch, multi-disciplinary faculty. Montreal – both at the Heart Institute (core days) and my shop, Santa Cabrini Hospital (pre/post courses).

Airway Management 95

Airway Management Resuscitation EKG/ECG CPR 95

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. His primary interests are resuscitation, prehospital critical care, airway management, and point-of-care ultrasound.

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

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.

Airway Management 52

Airway Management Basic Life Support CPR Resuscitation 52

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

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 90

CPR Burns Airway Management Wellness 90

Pediatric Emergency Playbook

MARCH 1, 2017

How much force is required to dislodge an alternate airway? An update on out-of-hospital airway management practices in the United States. Resuscitation. Successful tracheal intubation through an intubating laryngeal airway in pediatric patients with airway hemorrhage. Resuscitation.

Airway Management 52

Airway Management Pediatrics Resuscitation Hospitals 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 95

Operations Radiology Radiology Fluid Resuscitation 95

Emergency Medicine Journal

JANUARY 22, 2024

This month’s update is by the Academic Department of Military Emergency Medicine and University Hospitals Plymouth NHS Trust. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches.

Airway Management 40

Airway Management Military Academics Resuscitation 40

EMDocs

OCTOBER 19, 2024

2][3] Management/Disposition ABCs and resuscitation if indicated Assessment for need of definitive airway is imperative as rate of intubation is high (38-100%) in various studies. [2][3][9] 2] Antibiotics Antibacterial management should be prompt and include broad-spectrum coverage, including MRSA. [2] Rev Infect Dis.

EMS 110

EMS Pediatrics Sepsis Airway Management 110

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 Airway Management Outcomes Burns 98

PHEM Cast

MAY 3, 2020

Where trained and equipped to use level 3 PPE, this may be used where it will not cause a delay commence resuscitation where this is indicated by local clinical guidance. From the Resuscitation Council: Click here for more from the Resus Council on COVID-19. Just before you go … something to make you smile!

PPE 52

PPE Airway Management Resuscitation Hospitals 52

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. Resuscitation. Airway management by physician-staffed Helicopter Emergency Medical Services – a prospective, multicentre, observational study of 2,327 patients.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

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. Case: A 60-year-old male is in your emergency department with sepsis from pneumonia.

EMS 40

EMS Airway Management Administration Resuscitation 40

ACEP Now

MARCH 6, 2024

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. 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.

Research 52

Research Airway Management Stroke Outcomes 52

Mind The Bleep

OCTOBER 17, 2024

What my elective entailed I undertook a four-week Pre-Hospital Emergency Medicine (PHEM) elective with the Midlands Air Ambulance Charity. I was able to see what they were able to do compared to other paramedic crews, such as airway management with endotracheal tubes and administering drugs like ketamine.

Ambulance Services 52

Ambulance Services Anaphylaxis Hospitals Airway Management 52

EM SIM Cases

FEBRUARY 15, 2023

Most hospitals have a critical care outreach or rapid response team that can be activated in these cases. Case Summary 57-year-old female with known history of myasthenia gravis and thymoma is admitted to hospital 48 hours prior for CAP and started on Ceftriaxone and Azithromycin. Download Case Here: Download Case

Airway Management 40

Airway Management Academics Resuscitation Hospitals 40

Mind The Bleep

DECEMBER 19, 2023

Therefore, they require fluid resuscitation to restore blood pressure, correct the ketonemia and electrolyte abnormalities, and oliguria. patient is becoming drowsy), seek anaesthetic assistance straight away for airway management. For shocked patients fluid resuscitation should begin as quickly as possible.

Dehydration 98

Dehydration Fluid Resuscitation Shock Resuscitation 98

Northwestern EM Blog

MARCH 1, 2025

Hemodynamic instability and ongoing cardiac arrhythmias are a strong contraindication as chest access for cardiopulmonary resuscitation is limited (Koulouras et. Maren Leibowitz, MD Critical Care Fellow Mount Sinai Hospital How To Cite This Post: [Peer-Reviewed, Web Publication] Goins, E. Obstetrics & Gynecology. 136(2): 259-261.

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

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

EM SIM Cases

MARCH 14, 2023

He is a staff physian at McMaster Children’s Hospital, scholar with the McMaster Education Research, Innovation and Theory (MERIT) program and Founding Program Director for the Pediatric Emergency Medicine subspecialty residency program. She’s also a keen and recognized medical educator within the department.

CPR 52

CPR Resuscitation Pediatrics Academics 52

ACEP Now

JULY 7, 2023

Otolaryngology (ENT) was emergently consulted and the patient was brought to a resuscitation bay because of worry concerning possible aspiration secondary to posterior epistaxis, requiring further airway stabilization. Assuming a difficult airway, both a video laryngoscope and cricothyroidotomy kit were prepared at bedside.

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

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. It was peer reviewed by Dr. O’Keefe and Dr. Silverberg from Florida State University College of Medicine and Kings County Hospital, respectively. That’s -- high.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

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.

Resuscitation 40

Resuscitation CPR Documentation/Coding EMS 40

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 98

Poisoning Airway Management Seizures PPE 98

Thinking Critical Care

NOVEMBER 28, 2021

Montreal, May 19th-21st, 2022, at the Montreal Heart Institute Conference Center (19th-20th) and Santa Cabrini Hospital (21st)! One thing, however, that is without a doubt, is that we will put together some amazing content in a unique, hybrid format that will have everyone leave with a few more concepts and skills. Where & When?

Sepsis 52

Sepsis Airway Management Wellness Resuscitation 52

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 Outcomes 100

Taming the SRU

MARCH 3, 2025

Upper Airway Injury to the upper airway, defined as airway structures proximal to the glottis (i.e. Because inhalational injuries often co-occur with large cutaneous burns, aggressive fluid resuscitation can rapidly worsen upper airway edema making airway management especially challenging.

Burns 52

Burns Fluid Resuscitation Emergency Department 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

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2015

Preface: In January 2015, this blog provided resources for Emergencies of the Third Trimester , however, we did not separately discuss airway management in third trimester pregnancy. In rural Critical Access Hospitals, or austere conditions, you may be all that is available. What’s different about late-gravidity airways?

Airway Management 40

Airway Management Resuscitation Critical Access Emergency Nursing 40