by Hans Rosenberg | Aug 10, 2020 | Airway, Anesthesiology, Journal Club
Methodology: 2/5 Usefulness: 4/5 Brown CA 3rd, et al. Acad Emerg Med. 2020 Feb;27(2):100-108. Question and Methods: This was one the largest prospective, observational, ED-only airway studies to date comparing first-pass success (FPS) rates in “augmented” DL (A-DL)...
by George Mastoras | Mar 26, 2020 | Airway, COVID-19, Infographics, Resuscitation
Guiding Principles Suspected SARS-COV-2 patients showing signs of hypoxemic respiratory failure should be intubated proactively, as early as possible. Signs may include FiO2 requirement > 50%, clinical signs of respiratory fatigue despite supplemental oxygen, or...
by Bo Zheng | Jan 16, 2020 | Airway, All Posts, cardiac arrest, Critical Care, Featured, Grand Round Summaries, Resuscitation
What is pulseless electric activity (PEA)? Pulseless electrical activity is diagnosed based on a patient having an organized, non-shockable rhythm and no palpable pulse. However, PEA is not always a cardiac arrest state. In many cases, patients with PEA have...
by Adam Parks | Oct 24, 2019 | Airway, Anesthesiology, Featured, Grand Round Summaries
Here we seek to provide a guide on when to consider awake intubation in the Emergency Department (ED), with an approach to the procedure! The Difficult Airway When assessing patients who may require any form of airway intervention, we should be assessing for two main...
by Richard Hoang | Aug 29, 2019 | Airway, Featured, Toxicology, Trauma
Patients with both burn and inhalation injuries have significantly increased morbidity and mortality compared to those with just burn injuries alone, as there are multiple toxic industrial chemicals that act on the respiratory tract. In this post, we review...
by Hans Rosenberg | Jul 15, 2019 | Airway, Anesthesiology, Critical Care, Journal Club, Resuscitation
Journal Club Summary Casey JD, et al. N Engl J Med. 2019 Feb 28;380(9):811-821. Methodology Score: 3.5/5 Usefulness Score: 3.5/5 Question and Methods: Multicenter, unblinded RCT in 7 ICUs comparing rates of hypoxia in patients undergoing BVM vs no ventilation during...
by Adam Parks | May 23, 2019 | Airway, Grand Round Summaries, Resuscitation
Securing definitive control of a threatened airway is a fundamental skill in the care of critically ill patients and remains an ever-popular topic of discussion in Emergency Medicine. As Emergency Medicine providers, we find few procedures as satisfying or potentially...
by Nicholas Schouela | Apr 25, 2019 | Airway, Grand Round Summaries, Quality Improvement, Resuscitation
A checklist is a physical, cognitive aid that lists essential actions required for a task to compensate for limitations in human memory. While checklists have been around forever, the concept of checklists in medicine is much newer. Medical checklists have been...
by Hans Rosenberg | Feb 18, 2019 | Airway, cardiac arrest, Full Article, Journal Club, Resuscitation
Journal Club Summary Methodology: 4/5 Usefulness: 3.5/5 Wang HE, et al. JAMA. 2018 Aug 28;320(8):769-778. Editorial: Pragmatic Airway Management in Out-of-Hospital Cardiac Arrest. Question and Methods: This multicenter pragmatic cluster-crossover randomized trial...
by Hans Rosenberg | Feb 11, 2019 | Airway, cardiac arrest, Critical Care, Featured, Full Article, Journal Club, Pre-Hospital
Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 2.5/5 Jabre P, et al. JAMA. 2018 Feb 27;319(8):779-787. Question and Methods: This was a multicenter randomized trial comparing bag valve mask ventilation with endotracheal intubation performed by...