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UK-REBOA on Trial: Innovative or Over-Inflated?

RebelEM

Military practice guidelines recommend REBOA for profound shock (SBP <90mmHg) 1 and ACEP along with the American College of surgeons recommend REBOA for traumatic life-threatening hemorrhage below the diaphragm in patients with hemorrhagic shock who are unresponsive or transiently responsive to resuscitation.

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Mouth-to-Airway (adjunct)

Advanced Emergency Nursing from AENJ

It is a curious paradox of history that Nerve Gas was the product of agricultural research by the burgeoning chemical industry in Germany in the latter 19 th and early 20 th centuries, and that modern understanding of resuscitation came from WWII military investigations (Edgar A. Review of old methods for resuscitating babies. Tercier, J.

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Oxygen Powered Resuscitators

Advanced Emergency Nursing from AENJ

It wrongly frightened some medical personnel as it was operated by a 50 psi wall source or from a step-down regulator from a tank (some thought the patient received wall 50 psi or 1500 psig from the tank directly to the lung. In fact, the pressure delivered was limited to ~50 cm/H2O, relieving the excess, but holding that amount for CPR.

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The Nose: the other route to the lungs

Advanced Emergency Nursing from AENJ

factor than oral (which still suffers from the too-personal-contact-reluctance of the lay rescuer, as in “hands only CPR”), and to the more euphonious persuasion of “Mouth to Mouth” and “Kiss of Life.” At that time, too, it was felt that the cause, or —at least, the major focus of investigation, of Upper Airway Obstruction was the tongue.