The Skeptics' Guide to EM

AUGUST 10, 2024

Background: In hemorrhagic stroke, the ABCs for resuscitation remain the same, but can also be categorized as: Airway Management: This is an important aspect for patients with a poor neurologic exam or those who are not protecting their airways. However, the management of ICH in the setting of DOAC use remains complex.

Stroke 70

Stroke Airway Management Documentation/Coding Outcomes 70

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. percent to 38.3

Research 52

Research Airway Management Stroke Outcomes 52

The Skeptics' Guide to EM

APRIL 27, 2024

It was a secondary analysis of an observational study which showed an association between decreased favourable neurologic outcomes in the IO group compared to the IV group. This is because of the ease of finding anatomic landmarks and their location away from other procedures like defibrillation, CPR, and airway management.

Resuscitation 75

Resuscitation Airway Management EMS Outcomes 75

Don't Forget the Bubbles

NOVEMBER 29, 2023

This could be due to paralysis of the muscles which protect the upper airway. In studies including patients with trauma or Glasgow Coma Scale less than 8, intubation without sedation led to poorer neurological outcomes. Key take-home points While Ben’s case is tragic, we can learn important points about airway management.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

The Skeptics' Guide to EM

MARCH 11, 2023

The fire-based crew has basic life support (BLS) airway supplies including the King Laryngeal Tube, the paramedic crew carries iGel supraglottic airways (SGAs) in addition to their intubation equipment. Background: Airway management strategies for out of hospital cardiac arrest (OHCA) have been hotly debated since the dawn of CPR.

Basic Life Support 52

Basic Life Support Airway Management CPR Resuscitation 52

Taming the SRU

OCTOBER 16, 2024

Major contributing factors for poor outcomes in this patient population (Dalton et.

Airway Management 72

Airway Management Fractures CDC Pediatrics 72

Emergency Medicine Journal

JUNE 22, 2023

Peri-intubation hypoxia after delayed versus rapid sequence intubation in critically injured patients on arrival to trauma triage: a randomized controlled trial Topic: rapid sequence induction Outcome rating: head turner Conventional rapid sequence induction (RSI) is a familiar technique for definitive airway management in the agitated.

Airway Management 40

Airway Management Emergency Department Outcomes 40

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

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

Emergency Medicine Cases

AUGUST 24, 2021

Camilla Wong and Dr. Bourke Tillman answer questions such as: why are older patients under-triaged to trauma centers and how does that affect outcomes? How should we adjust airway management for the older trauma patient? What is the utility of the Shock Index in older patients?

Resuscitation 52

Resuscitation Head Injuries Airway Management Shock 52

RebelEM

AUGUST 7, 2023

Re-oxygenation with BMV can increase airway-related adverse events (i.e. Author Conclusion: “DSI appears promising in critically injured trauma patients who do not allow adequate preoxygenation due to agitation and delirium and require definitive airway on arrival.”

Head Injuries 98

Head Injuries Outcomes Airway Management Burns 98

Pediatric EM Morsels

JUNE 9, 2023

Multimodal management can help avoid variceal bleeding. Luoto, 2020 ] Acute Esophageal Variceal Bleeding: Management Guidelines on the management of acute variceal bleeding in children are limited and debated due to limited pediatric-specific evidence. Prepare airway management tools (hoping to avoid needing them).

Pediatrics 152

Pediatrics Head Injuries Airway Management Administration 152

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. ampicillin-sulbactam). Rev Infect Dis. 1990;12(5):729-735.

EMS 87

EMS Pediatrics Sepsis Airway Management 87

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

PulmCCM

JULY 3, 2023

Every airway manager should ideally be an expert with both DL and VL, but mathematics and muscle memory suggest that if your training included video, and you keep doing some intubations with video, it will be more difficult to achieve or maintain the same expertise at DL as airway experts who trained exclusively on DL.

Airway Management 101

Airway Management Outcomes Hospitals Emergency Department 101

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

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

His primary interests are resuscitation, prehospital critical care, airway management, and point-of-care ultrasound. More advanced skills such as airway management, vascular access, and cardiac medications are being de-emphasized. Case: A 46-year-old man has a cardiac arrest at home, witnessed by family.

Basic Life Support 52

Basic Life Support Airway Management CPR Resuscitation 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. The post How To Use SALAD To Manage Unstable Epistaxis and the Airway appeared first on ACEP Now.

Airway Management 59

Airway Management EMS Burns Administration 59

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 52

Airway Management Resuscitation EMS Hospitals 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 83

Poisoning Airway Management Seizures PPE 83

Ziqitza HealthCare Ltd

JANUARY 25, 2024

Advanced cardiac monitors, cutting-edge defibrillators, and high-tech airway management tools have been integrated into the ambulances. The integration of high-tech monitoring devices aligns with Sweta Mangal dedication to utilizing technology for the betterment of patient outcomes and overall service quality.

Ambulance Services 52

Ambulance Services Basic Life Support Airway Management Hospitals 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?

CPR 89

CPR Burns Airway Management Wellness 89

RCEM Learning

APRIL 9, 2024

By following these steps and dedicating sufficient time and effort to your preparation, you can increase your chances of achieving a favourable outcome. Remember, consistent practice and exposure to a variety of SBA questions are key to success in the FRCEM SBA exam. The post FRCEM SBA appeared first on RCEMLearning.

Infectious Diseases 52

Infectious Diseases Airway Management Resuscitation Poisoning 52

ACEP Now

JULY 7, 2023

Initial stabilization includes airway management and circulatory support. Currently, there is no FDA-approved pharmacotherapy for either the reversal of xylazine in humans or the management of withdrawal. Typically, xylazine is mixed with fentanyl. Dr. Marco is professor of emergency medicine at Penn State Health Milton S.

Forensics 98

Forensics Airway Management Administration Emergency Department 98

Taming the SRU

JUNE 3, 2024

CESAR Trial Published in 2009 Found that even those who didn’t get ECMO, but were transported to a tertiary care center had better outcomes No matter where you go, critical care transport will be part of your life as a sending physician, receiving physician, or both. Use checklists for complex procedures, such as airway management.

Shock 91

Shock Seizures Airway Management Stroke 91

University of Maryland CC Project

JANUARY 31, 2024

His research is focused on advanced life support for acute respiratory failure and patient outcomes from critical illness. His research is focused on advanced life support for acute respiratory failure and patient outcomes from critical illness.

Research 40

Research Outcomes Airway Management 40

Taming the SRU

DECEMBER 6, 2023

In patients with head trauma requiring airway management, the goal is to bag the patient with a goal EtCO2 35-45 and RR 10. If there is concern that the advanced airway will increase agitation and therefore ICP, then it should be avoided prehospital. Maintain euglycemia and euthermia in sICH patients.

Leadership 57

Leadership Stroke Airway Management Administration 57

The Injectable Orange

FEBRUARY 21, 2017

Quite simply, document your intended personal learning objective; identify a high quality resource that addresses this (article, workshop, conference); document a reflection on your achieved personal learning outcome. For a comprehensive overview of a Nursing Professional Portfolio head to this guide from the ACN.

Airway Management 52

Airway Management Documentation/Coding Outcomes Evidence-Based Practice 52

RebelEM

MARCH 27, 2023

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. REFERENCES: Acute Respiratory Distress Syndrome Network et al.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 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.

Operations 52

Operations Airway Management EMS Wellness 52

EMDocs

SEPTEMBER 25, 2023

Still, there are those that believe that FPS is more of a physician-centered endpoint that does not fully reflect important patient-centric outcomes (16). It is particularly useful in cases of physically difficult airway management, such as in patients with obesity, limited neck mobility, or cervical spine immobilization.

Emergency Department 65

Emergency Department Soft Tissue Injuries Operations Airway Management 65

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. A special thanks to Drs. J Emerg Med. 2017;52(4):433-437. Weingart S. EMCrit blog website.

Radiology 52

Radiology Radiology Emergency Department Airway Management 52

ACEP Now

MARCH 14, 2024

Fatal outcomes postoperatively may be due to re-bleeding after attempts to preserve flow in the innominate artery or using sutures or prosthetic material in an infected area.22,23 20 Reverse saphenous graft has also been employed to produce aorto-carotid and aorto-subclavian anastomoses.

Operations 52

Operations Pediatrics Radiology Radiology 52

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

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

EB Medicine

MARCH 1, 2019

Moreover, when airway management is needed, advanced airway techniques by ALS crews were associated with decreased odds of survival. Early defibrillation is linked to better outcomes. of cases and contributed to the death of 45.2% of those patients. RBBB is the most commonly associated conduction block. Ann Emerg Med.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

PulmCCM

APRIL 18, 2024

This outcome measure was less robust than intubation attempts, because the “failure” definition included simply switching devices, which the intubator was permitted to do at any time for any reason. Patients randomized to direct laryngoscopy were four times more likely to require multiple intubation attempts (7.6%

Airway Management 97

Airway Management Operations EMS Research 97