EMDocs

NOVEMBER 1, 2023

2 Despite advances in imaging and surgical methods, overall mortality approaches 20%, which doubles to 40% with delays to definitive management exceeding than 24 hours. Answer : Esophageal Perforation 1-6 Epidemiology : Most frequent etiology is iatrogenic injury from instrumentation accounting for 60% of cases (e.g.

Operations 66

Operations Radiology Radiology Fluid Resuscitation 66

ACEP Now

MARCH 6, 2024

The Right Way to Airway Video largyngoscopy (VL) is simply, in most situations, the better tool for the job. 7 The operators involved in the trial were mostly emergency medicine residents or critical care fellows, but this fact does not diminish the generalizability of these observations. N Engl J Med. 2023;389(5):418-429.

Research 52

Research Airway Management Stroke Outcomes 52

EM Updates

MARCH 24, 2021

The primary tool for emergency airway management then became the traditional laryngoscope , a device little improved since the 1940s, until the advent of video laryngoscopy in the early 2000s which changed everything. HAVL , which uses a blade that goes around the tongue, requires that the operator look at the screen.

Operations 52

Operations Airway Management EMS Wellness 52

ACEP Now

JULY 7, 2023

A total of 400 mL of blood was suctioned throughout the procedure The SALAD Approach to Airway Management The presence of contaminants in the airway has been shown to decrease first-pass success at intubation, regardless of whether direct or video laryngoscopy is employed. References Prekker ME, et al. Crit Care Med.

Airway Management 45

Airway Management EMS Burns Administration 45

ACEP Now

OCTOBER 15, 2023

She was transported to the operating suite where a tracheostomy was performed. The Difficult Airway: A Brief Overview of the Airway Disruption Algorithm The American Society of Anesthesiologists (ASA) in 2005 modified the ASA Difficult Airway Algorithm. Anesthetic management of acute laryngeal trauma. Br J Anesth.

Fractures 52

Fractures Dislocations Airway Management Operations 52

RebelEM

MARCH 27, 2023

First ED-based study to evaluate how operational effects such as crowding can affect patient care in the form of LPV Included ARDS criteria relating to the usage of LPV in the ED allowing evaluation as to whether patients with ARDS were more likely to receive LPV settings. Prior studies have used annual census or shift level crowding.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

Ten commandments of burn management Gupta J L. Ten commandments of burn management. NHS Airway The Ten Commandments of Airway Management Slovis, C. Indian J Burns 2012;20:7-10 Transfusion ten commandments U.K. Simple lessons to guide oxygenation & ventilation.

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

Don't Forget the Bubbles

MAY 24, 2023

Table 1: Airway assessment Can we predict a difficult pediatric airway? Even though there is no clear-cut answer, there are some risk factors that make a difficult airway more likely. Airway complications are also more likely to occur in the emergency department (ED) than in the operating theatre. Br J Anaesth.

Airway Management 98

Airway Management Pediatrics Teamwork Emergency Department 98

EMDocs

SEPTEMBER 25, 2023

Improved Visualization: Video laryngoscopes allow for the use of standard or hyperangulated geometry, essentially allowing the operator to “look around the corner” on an anterior airway. Incidence and factors associated with cardiac arrest complicating emergency airway management. References: Heffner AC et al.

Emergency Department 65

Emergency Department Soft Tissue Injuries Airway Management Operations 65

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. worsening hypoxemia, hypotension, bradycardia, vomiting, bleeding) Technical failure of the laryngoscope (e.g., 1420 patients were enrolled.

Operations 95

Operations Outcomes Emergency Department Airway Management 95

PulmCCM

APRIL 18, 2024

The real world success rates by operators experienced with intubation remained unknown. That uncertainty has been largely dispelled by large randomized trials in 2023 and 2024 confirming that video laryngoscopy is a superior method for obtaining first pass intubation success for patients with average risk airways.

Airway Management 98

Airway Management Operations EMS Research 98

Don't Forget the Bubbles

MAY 3, 2023

This could be explained by less experienced personnel dealing with the paediatric airway. Because of the retrospective nature of the study, the decision to use the bougie was operator-dependent. Also, the study was conducted in a centre where clinicians commonly use a bougie for airway management.

CPR 52

CPR Airway Management Emergency Department Resuscitation 52

ACEP Now

JANUARY 5, 2025

In a prospective study comparing clinician gestalt against systemic inflammatory response syndrome, Sequential Organ Failure Assessment (SOFA), quick SOFA, Modified Early Warning Score (MEWS), and a logistic regression machine learning model using Least Absolute Shrinkage and Selection Operator (LASSO), the obvious winner was the clinician.

Sepsis 40

Sepsis Research Airway Management Outcomes 40

EB Medicine

MARCH 1, 2019

Moreover, when airway management is needed, advanced airway techniques by ALS crews were associated with decreased odds of survival. In one RCT, the FAST exam reduced the time from arrival in the ED to operative care by 64% in the setting of trauma. for pericardial effusion. Jeff: Not only is US accurate, it’s also quick.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

Advanced Emergency Nursing from AENJ

JULY 9, 2015

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). You may be assisting an airway manager (who's in the vertex position) who needs extra jaw thrust or lift. NREMT (2008).

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40

PHEM Cast

JULY 6, 2017

Other fantastic #FOAM resources regarding airway management are available: From Nicholas Chrimes at [link] From the fabulous people over at Life in the Fast Lane including a video demo from Scott Weingart from EMCrit: [link] References This is Tim’s recent publication we mention in the ‘cast! Woodall, N., & Frerk, C.

Airway Management 52

Airway Management Academics Operations Resuscitation 52

ACEP Now

MARCH 14, 2024

18 The finger is inserted through the stoma alongside the endotracheal tube and, while 90 percent success rate has been reported with this method in controlling bleeding, the pressure must be maintained until the patient is transferred to the operating room. Operative technique for trachea-innominate artery fistula repair. J Vasc Surg.

Operations 52

Operations Pediatrics Radiology Radiology 52

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

It wrongly frightened some medical personnel as it was operated by a 50 psi wall source or from a step-down regulator from a tank (some thought the patient received wall 50 psi or 1500 psig from the tank directly to the lung. The Demand Valve was the answer to this, appearing in 1964.Upon Noordergraaf, G. Van Dun, P. Kramer, B. Schors, M.

Resuscitation 40

Resuscitation CPR Documentation/Coding Military 40

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

They also proved that only expired air resuscitation guaranteed sufficient inflation volumes; that exhaled air was a suitable resuscitating gas; and that the operator would have continuous feedback from each breath. Raja, MD, MBA, MPH Trauma Airway Management J Emerg Med. Advances in prehospital airway management.

Airway Management 40

Airway Management Resuscitation EMS CPR 40