Emergency Medicine Cases

JUNE 4, 2019

The post EM Quick Hits 5 Ludwig’s Angina, Transient Monocular Vision Loss, D-dimer for PE Workup in Pregnancy, Pediatric Nasal Foreign Bodies, Trimethoprim Drug Interactions, Airway Management in Cardiac Arrest appeared first on Emergency Medicine Cases.

Airway Management 52

Airway Management Pediatrics EMS Resuscitation 52

Emergency Medicine Cases

MAY 21, 2019

Maria Ivankovic discuss dozens of pearls and pitfalls in the management of both pediatric and adult burn and inhalation injuries management with a special appearance by airway master George Kovacs to talk about awake intubation in the burn and inhalation injuries patient.

Airway Management 52

Airway Management Burns Resuscitation Fluid Resuscitation 52

University of Maryland Department of Emergency Med

JANUARY 19, 2023

Should EMS place an advanced airway in out of hospital cardiac arrests? Current studies suggest that advanced airway management is not sup. Click to view the rest

Airway Management 40

Airway Management Pediatrics EMS Hospitals 40

EB Medicine

JANUARY 3, 2023

See the summary here. In this episode, Sam Ashoo, MD, interviews Ara Festekjian, MD, one of the authors of the November 2022 Pediatric Emergency Medicine Practice article on Pediatric Septic Shock in the Emergency Department Introduction: How common is sepsis in kids and what is the mortality rate in the US?

Shock 52

Shock Pediatrics Airway Management Sepsis 52

Resus Review

APRIL 23, 2015

P ediatric airway management is one of the most stressful and fearful activities within the emergency department. There is also a tremendous cognitive load during pediatric resuscitations determining the appropriate sized equipment and medication dosing, increasing the pressure. Use a pediatric bronchoscope.

Pediatrics 52

Pediatrics Airway Management Resuscitation Emergency Department 52

ACEP Now

OCTOBER 11, 2024

Introduction Pediatric intubations in the emergency department (ED) occur at only a tenth the frequency of adult intubations. 1 Pediatric rapid sequence intubation (RSI) in the ED is associated with a higher frequency of failed first attempts and adverse effects than in adult patients. mg/kg IV, ketamine at 1.5–2 3 mg/kg IV.

Pediatrics 52

Pediatrics Airway Management Emergency Department Wellness 52

Don't Forget the Bubbles

NOVEMBER 29, 2023

Key take-home points While Ben’s case is tragic, we can learn important points about airway management. Pediatric Endotracheal Intubations for Airway Management in the Emergency Department. Pediatric Emergency Care 28(11): p 1129-1131, November 2012. | In our case, it led to a preventable death.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

RebelEM

SEPTEMBER 13, 2023

Take Home Points: Airway management is paramount; expect a challenging intubation and consider controlling the airway early if there is apparent airway compromise. Understanding the cause of angioedema (mast cell vs. bradykinin mediated) helps dictate directed management.

Allergic Reactions 101

Allergic Reactions Airway Management Anaphylaxis Emergency Department 101

EMDocs

OCTOBER 19, 2024

CT scans are typically not recommended in pediatric patients, but can be useful in adults with concern for tracheal stenosis or recurrent tracheitis, however airway stabilization takes precedence. [2][3] 3] Differential Epiglottitis can also present with fever, upper airway obstruction, and toxic appearance. Hospital Pediatrics.

EMS 106

EMS Pediatrics Sepsis Airway Management 106

Pediatric Emergency Playbook

MARCH 1, 2017

Comparative Efficacy of the Air-Q Intubating Laryngeal Airway during General Anesthesia in Pediatric Patients: A Systematic Review and Meta-Analysis. Black AE, Flynn PE, Smith HL, Thomas ML, Wilkinson KA; Association of Pediatric Anaesthetists of Great Britain and Ireland. Pediatr Emerg Care. J Pediatr Surg.

Airway Management 52

Airway Management Pediatrics Resuscitation Hospitals 52

JournalFeed

NOVEMBER 28, 2020

We cover seat belt sign and CT sensitivity, PT for sciatica, 3% saline or mannitol for pediatric CNS infection with increased ICP, reducing pediatric critical care transport risk, and POCUS for emergency airway management. It’s the JournalFeed Podcast for the week of Nov 23-37, 2020.

Airway Management 52

Airway Management Pediatrics 52

JournalFeed

DECEMBER 5, 2020

We cover seat belt sign and CT sensitivity, PT for sciatica, 3% saline or mannitol for pediatric CNS infection with increased ICP, reducing pediatric critical care transport risk, and POCUS for emergency airway management. It’s the JournalFeed Podcast for the week of Nov 23-37, 2020.

Airway Management 52

Airway Management Pediatrics 52

Taming the SRU

OCTOBER 16, 2024

research grand rounds - r1 core content: thromboembolic disease in pregnancy - r4 discharge/transfer/treat: hand injuries - ed discharge after trauma - pediatric respiratory emergencies and airway management Research Grand Rounds WITH dr. Freiermuth Peer Review Not common practice until the 1970s Intent was to ensure scientific integrity Equity The (..)

Airway Management 74

Airway Management Fractures CDC Pediatrics 74

ACEP Now

JANUARY 5, 2025

Authors of one study clearly felt the same way and implemented a direct admission program across three pediatric health systems. Effect of noninvasive airway management of comatose patients with acute poisoning: a randomized clinical trial. Pediatrics. 2023;330(23):2267-2274. Leyenaar JK, Acquilano SC, Freyleue SD, et al.

Sepsis 40

Sepsis Research Airway Management Stroke 40

JournalFeed

OCTOBER 2, 2021

We cover paratracheal vs cricoid pressure, BVM or ETT for pediatric OHCA, first pass success in COVID-19 patients, best practices for prehospital airway management, VL and first pass success in trauma airways. It’s the JournalFeed Podcast for the week of September 27-October 1, 2021.

Airway Management 52

Airway Management Best Practices Pediatrics 52

Broome Docs

MAY 31, 2024

Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning: A Randomized Clinical Trial. JAMA Pediatr. 2023 Dec 19;330(23):2267-2274. doi: 10.1001/jama.2023.24391. 2023.24391. PMID: 38019968 write something here Justin’s longer / Full write up here. 2024 Apr 1:e240167. doi: 10.1001/jamapediatrics.2024.0167.

Airway Management 82

Airway Management Poisoning Pediatrics 82

Emergency Medicine Cases

AUGUST 24, 2021

Just as pediatric patients are not small adults, geriatric patients are not just old adults. How should we adjust airway management for the older trauma patient? What is the utility of the Shock Index in older patients? What is the utility of the Shock Index in older patients?

Resuscitation 52

Resuscitation Head Injuries Airway Management Shock 52

EB Medicine

FEBRUARY 6, 2020

Evan Dingle, MD and Corey Slovis, MD, FACP, FACEP, FAAEM, FAEMS American Diabetes Association (ADA) and International Society for Pediatric and Adolescent Diabetes (ISPAD) guidelines are reviewed in addition to the references used by each consensus statement.

Airway Management 40

Airway Management Pediatrics EKG/ECG 40

Critical Care Now

APRIL 5, 2022

In 2020 the EPIC4Kids study was published and the findings among pediatric TBI patients were similar to that of adults. 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

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. Pediatr Emerg Care. Typically, xylazine is mixed with fentanyl. Forensic Sci Int. 2014;240:1-8. Capraro AJ, et al.

Forensics 98

Forensics Airway Management Emergency Department Administration 98

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 90

CPR Burns Airway Management Wellness 90

Emergency Medicine Cases

MAY 18, 2020

Hilary Whyte, Dr. Jabeen Fayyaz, Dr. Emily MacNeill discuss a neonatal resuscitation algorithm, airway management, fluid resuscitation, central access tips, glucose and temperature control and transport tips.

Resuscitation 52

Resuscitation Fluid Resuscitation Airway Management CPR 52

EM Curious

AUGUST 5, 2015

Onto the FOAMed RICH LEVITAN AIRWAY MANAGEMENT [VIDEO LECTURE]: A fantastic airway lecture discussing novel ideas about management of the difficult airway. More FOAMed THE FEBRILE CHILD THE CHALLENGE OF FEVER IN KIDS [BLOG]: Pediatric fever in the ED can be difficult and frustrating. Read on here.

Airway Management 52

Airway Management EMS Ultrasounds Pediatrics 52

ACEP Now

MARCH 6, 2024

Now, a randomized, controlled trial clearly demonstrates some patients with low GCS are far more likely to be harmed by an aggressive approach to airway management. Effect of noninvasive airway management of comatose patients with acute poisoning: a randomized clinical trial. JAMA Pediatr.2023;177(8):782.

Research 52

Research Airway Management Stroke Outcomes 52

Advanced Emergency Nursing from AENJ

JULY 9, 2015

How versatile are your airway skills? 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). A Tight Squeeze Airway management for the limited-access patient. NREMT (2008).

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40

Advanced Emergency Nursing from AENJ

OCTOBER 18, 2014

An example would be the recent ACLS graduate who tells the airway manager, who is ventilating the patient well without a leak, that he/she is holding the mask “upside-down”. . […] the skills you need to produce a right answer are exactly the skills you need to recognize what a right answer is.

Airway Management 40

Airway Management Emergency Nursing Pediatrics Wellness 40

EM SIM Cases

MARCH 14, 2023

This primer on Rapid Cycle Deliberate Practice was written by academic pediatric emergency medicine specialist and simulation guru Dr. Quang Ngo. The Problem Sam is on faculty at an academic pediatric residency program with an interest in simulation enhanced education. Academic Life in Emergency Medicine. Ericsson KA. Hunt et al.

CPR 52

CPR Resuscitation Pediatrics Academics 52

Pediatric Education

MARCH 31, 2024

Related Cases Disease: Torus Palatinus | Child Dental Health | Bone Diseases Symptom/Presentation: Mass or Swelling Specialty: Dentistry / Orthodontia | Orthopaedic Surgery and Sports Medicine Age: Toddler To Learn More To view pediatric review articles on this topic from the past year check PubMed. Torus Palatinus and Airway Management.

Airway Management 40

Airway Management Pediatrics Wellness 40

Pediatric Emergency Playbook

NOVEMBER 1, 2015

Pediatric airway management is a skill that integrates the three types of knowledge as described by the ancient Greeks: episteme , or theoretical knowledge, techne , or technical knowledge, and phronesis , or practical wisdom, also called prudence. Give a test dose of 10 mL/kg NS.

Shock 40

Shock Sepsis Airway Management Pediatrics 40

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

Emergency Medicine Journal , 25 (12), 824-826. The Ten Commandments of Medical Emergency Management for Dentists Pediatric Emergency Medicines Ten Commandments of Pediatric Emergency Medicine Givens T. The Ten Commandments of Pediatric Emergency Medicine. Ten commandments of burn management Gupta J L.

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

ACEP Now

MARCH 14, 2024

Tracheo-innominate fistula (TIF) is an unusual and frequently lethal complication of such definitive airway placement. First reported in 1879 in the case of diphtheria in a pediatric patient, TIF is fatal without surgical treatment due to hemorrhage and failure of airway security. European J Pediatr Surg Rep.

Operations 52

Operations Pediatrics Radiology Radiology 52

ACEP Now

NOVEMBER 14, 2023

EMCrit 196 – Having a vomit SALAD with Dr. Jim DuCanto – airway management techniques during massive regurgitation, emesis, or bleeding. Inhaled tranexamic acid as a novel treatment for pulmonary hemorrhage in critically ill pediatric patients: An observational study. J Emerg Med. 2017;52(4):433-437. Weingart S. 2020;2(1):e0075.

Radiology 52

Radiology Radiology Emergency Department Airway Management 52

EB Medicine

NOVEMBER 1, 2018

As always, it’s ABC and IV, O2, monitor first with early airway management in those with head and neck burns being a top priority. For pediatric patients with oral electric injuries from biting on a cord, consult ENT early and consider admission for observation of delayed arterial bleeding. Address pain with analgesia.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

Don't Forget the Bubbles

MAY 24, 2023

A 5-year-old boy with a past medical history of Crouzon syndrome presents in the Pediatric ED. While you prepare the difficult airway cart, a young trainee asks about cannot intubate cannot oxygenate scenarios. Table 1: Airway assessment Can we predict a difficult pediatric airway? Don’t Forget the Bubbles.

Airway Management 98

Airway Management Pediatrics Teamwork Emergency Department 98

Don't Forget the Bubbles

MAY 3, 2023

Insulin Infusion Dosing in Pediatric Diabetic Ketoacidosis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. The Pediatric Bougie for the First Tracheal Intubation Attempt in Critically Ill Children [published online ahead of print, 2023 Feb 23]. Which way should we go? Forestell B, Battaglia F, Sharif S, et al.

CPR 52

CPR Airway Management Emergency Department Resuscitation 52

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

Airway management by first responders when using a bag-valve device and two oxygen-driven resuscitators in 104 patients. **One of two small simultaneously published studies comparing bag-valve vs. Oxylator in intubated patients. Noordergraaf, G. Van Dun, P. Kramer, B. Schors, M. Hornman, H. De Jong, W., & Noordergraaf, A.

Resuscitation 40

Resuscitation CPR Documentation/Coding Military 40

EMDocs

JUNE 7, 2023

Airway management should not be delayed. 7 Airway management: consider early airway management. Laboratory testing methods have a prolonged turnaround time which can place the patient in a worse clinical state if you withhold treatment in lieu of confirmatory results. See figure below. 8 Figure 1.

Poisoning 97

Poisoning Airway Management Seizures PPE 97