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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. Additionally, intubation can risk hemodynamic instability as well as hypoxemia from the procedure itself. Paper: Freund Y et al.

Poisoning 137
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Grand Rounds Recap 10.9.2024

Taming the SRU

Pregnant patients are inherently higher risk for VTE, and because of this are excluded from normal clinical decision tools like Wells Criteria that would normally be able to help guidance our clinical decisions. Major contributing factors for poor outcomes in this patient population (Dalton et. of all cases of maternal mortality.

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The Latest in Critical Care, 7/3/23 (Issue #7)

PulmCCM

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. (If

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

RebelEM

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. Re-oxygenation with BMV can increase airway-related adverse events (i.e.

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Current Extraglottic Airway Devices and Prehospital Practices

ACEP Now

Airway management remains a fundamental skill for all emergency physicians. Extraglottic airway devices (EGAs) have become a widely accepted means of airway management along with rescue airway devices. 9 LMAs use an inflatable mask expanded using a similar technique to the endotracheal tube cuff.

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Fourteen Emergency Medicine Research Gems from 2023

ACEP Now

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.

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EM@3AM: Bacterial Tracheitis

EMDocs

Leukocytosis, as well as mild leukopenia, are common. 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.

EMS 99