article thumbnail

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. There has been no high level evidence to help guide practice until now…the Non-Invasive Airway Management of Comatose Poisoned Emergency Patients (NICO) trial.

Poisoning 139
article thumbnail

Pediatric Septic Shock

EB Medicine

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
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Major burns in adults: a practice review

Emergency Medicine Journal

The scope of the present practice review is the immediate management of the adult patient with severe burns, including inhalation injury and burn shock. There is discussion on new options for pain relief in the ED and the principles governing the early stages of burn intensive care.

Burns 98
article thumbnail

Glasgow Coma Scale in Children

Pediatric EM Morsels

Consider other indicators of need for airway management, such as gag reflex. Pediatric adjusted reverse shock index multiplied by Glasgow Coma Scale as a prospective predictor for mortality in pediatric trauma. Fun fact for animal lovers!- It’s complicated. Less than 8 doesn’t always mean intubate ! A practical scale.

article thumbnail

EM@3AM: Murine Typhus

EMDocs

Ischemic Hepatitis and Septic Shock Secondary to Murine Typhus Infection in Pregnancy. The RUSH exam: Rapid Ultrasound in SHock in the evaluation of the critically lll. Clinical Infectious Diseases , vol. 6, 2008, pp. Oxford University Press. Accessed 19 Aug. Berry M, Wang AM, Lahham RF, Zhang X, Pacheco LD. Blanton LS. 2009.09.010.

EMS 101
article thumbnail

Grand Rounds Recap 5.22.24

Taming the SRU

Use checklists for complex procedures, such as airway management. Get a blood gas when possible to help guide your ventilation. glenn, haffner, and jackson In Flight Emergencies: As a responding physician to an in-flight emergency, you may recommend diverting the plane, however, the captain (lead pilot) will make the final decision.

Shock 91
article thumbnail

Ep 159 Geriatric Trauma Part 1: The Under-Triaging Problem, Resuscitation, Airway, Head and C-spine Imaging, Clearing the C-spine

Emergency Medicine Cases

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