Tagged ‘Airway’

Journal Review

Video vs Direct Laryngoscopy in the Emergency Department

Filed Under: Tags: , , , , July 5th, 2018 Leave a Comment

This analysis was originally posted on REBEL EM here

Endotracheal intubation is a common occurrence in the Emergency Department (ED). Many patients requiring airway management are at a higher risk of hypoxia due to deranged respiratory physiology (i.e.
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Journal Review

Succinylcholine vs. Rocuronium for 1st Pass Success Rate

Filed Under: Tags: , , June 7th, 2018 Leave a Comment

This post was also featured on REBEL EM.

Administration of a neuromuscular blocker (NMB) is an essential part of Emergency Department  (ED) airway management for facilitating ideal airway conditions and is most commonly performed with either succinylcholine or rocuronium.
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Journal Review

The HEAVEN Difficult Airway Prediction Tool

Filed Under: Tags: , , April 26th, 2018 Leave a Comment

This review was previously posted on REBEL EM here.

Predicting an anatomically and/or physiologically challenging airway is not a straightforward task by any stretch of the imagination.  There are some existing difficult-airway prediction tools available (i.e.
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Journal Review

The Role of Intubation in In-Hospital Cardiac Arrest

Filed Under: Tags: , , , August 24th, 2017 One Comment

Recent years have seen a paradigm shift in cardiac arrest from the traditional mantra of airway, breathing circulation (ABC’s) to circulation, airway, breathing (CAB). This change represents the understanding that circulation is of paramount importance and thus,
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Journal Review

Etomidate vs. Ketamine in Trauma RSI

Filed Under: Tags: , , , , , May 18th, 2017 One Comment

This post is cross-posted on REBEL EM here.

Etomidate and ketamine are both routinely used as induction agents during rapid sequence intubation (RSI) in trauma patients. It is well established that etomidate transiently suppresses the adrenal gland through inhibition of the 11-beta hydroxylase enzyme.
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Core

Common Tracheostomy Issues

Filed Under: Tags: , , , 4 Comments

This post explores the most common tracheostomy issues encountered in the ED with practical tips for management.
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Journal Review

Bed-Up-Head-Elevated Position for Emergent Intubation

Filed Under: Tags: , , May 19th, 2016 2 Comments

Emergent endotracheal intubation has risks of complications including hypoxia, pulmonary aspiration, and prolonged time to intubation. Previous studies from the anesthesiology literature suggests that bed-up head-elevated (BUHE) positioning is associated with improved glottic views and prolonged apnea time.
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