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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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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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Grand Rounds Recap 9.6.23

Taming the SRU

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?

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Ziqitza Rajasthan – Enhancing Patient Care in Transit: Advanced Life Support (ALS) in Ambulances

Ziqitza HealthCare Ltd

Advanced cardiac monitors, cutting-edge defibrillators, and high-tech airway management tools have been integrated into the ambulances. The incorporation of advanced critical care equipment ensures that ALS ambulances are well-equipped to handle a wide range of medical emergencies.

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Video beats direct laryngoscopy for intubation--even for experts

PulmCCM

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%

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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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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.

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