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REBEL Cast Ep122 – Delayed vs Rapid Sequence Intubation in Agitated Trauma Patients

RebelEM

Re-oxygenation with BMV can increase airway-related adverse events (i.e. What They Did: Prospective randomized clinical trial Patients randomized to: Delayed Sequence Intubation (DSI): IV ketamine 1.5mg/kg in 0.5

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Airway Choices in the Era of Many Choices

EM Updates

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.

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How To Use SALAD To Manage Unstable Epistaxis and the Airway

ACEP Now

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. The post How To Use SALAD To Manage Unstable Epistaxis and the Airway appeared first on ACEP Now.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

However, that practice is long-outdated and patients managed on lower tidal volumes (6 ml/kg) were found to have decreased mortality. Ventilator-associated lung injury and inflammation can occur even during short-term mismanagement can worsen patient outcomes. Prior studies have used annual census or shift level crowding.

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How To Manage Tracheo-Innominate Fistula

ACEP Now

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.

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

ACEP Now

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 3 The machine learning model trailed just behind.

Sepsis 40
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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

Awake fiberoptic intubation where the patient consents, co-operative AND the airway is prepared with local anaesthesia. This could be due to paralysis of the muscles which protect the upper airway. Key take-home points While Ben’s case is tragic, we can learn important points about airway management.