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Timing Resuscitation Sequence Intubation for Critically Ill Patients
Image Credit: © SHUTTERSTOCK.COM ACEP Now features one article each issue related to an ACEP eCME CME activity. Log on to the ACEP eCME CME site to complete the activity for this article and earn free...
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How to Use End-tidal Capnography to Monitor Asthmatic Patients
Image Credit: © Gareth Hardy Source: St.Emlyn’s Blog The clinical exam is inherently subjective from one provider to another, but it has even been shown that individual physicians are not consistent...
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Tips for Using a Hyperangulated Video Laryngoscope
Hyperangulated video laryngoscopes have blade shapes with a curvature more acute than a standard Macintosh blade. Commercial products include the GlideScope, Storz D-Blade, and McGrath X blade. In the...
View ArticleVideolaryngoscope Helps Residents Learn Neonatal Endotracheal Intubation
Residents learning neonatal endotracheal intubation (ETI) had higher success rates but longer duration to successful intubation with a videolaryngoscope (VL) rather than a classic laryngoscope,...
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Four Techniques for Handling the Omega-Shaped Epiglottis
Curved blade laryngoscopy, whether with a conventional direct blade or video laryngoscope (with a Macintosh design or hyperangulated shape), depends on indirect elevation of the epiglottis. The tip of...
View ArticleILCOR Guidelines on Asthma, Concussion, Dental Avulsion, and Anaphylaxis...
The International Liaison Committee on Resuscitation (ILCOR) appointed a task force in 2013 to prepare recommendations regarding first-aid care by trained or untrained rescuers. The recommendations...
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Oxygen Insufflated Into Lungs Can Prevent Desaturation, Aid in Emergency...
(click for larger image)Dr. Chevalier Jackson‘s drawings of his 1915 bronchoscope IMAGE: Jackson C. Peroral Endoscopy and Laryngeal Surgery. 1915. It was a simple idea that actually has a...
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Tips to Improve Airway Management
Figure 1: Pulse oximeter reading. Procedural sedation and emergency airway management are recognized risks to patient safety. Sedation, induction agents, and muscle relaxants can quickly impact oxygen...
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Emergency Medicine’s 50-Year Evolution of Airway Management
My first response on being asked to write an article on the progression of emergency airway management since ACEP was founded was that I am not that old. But actually, my career in emergency care...
View ArticleStudies Test Common Cardiac-Arrest Advanced Life Support Practices
SHUTTERSTOCK.com There’s a big difference between patients who are mostly dead and all dead. Mostly dead is, by logical extension, slightly alive. Slightly alive we can work with. However, this leads...
View ArticleMaster Clinicians Address Large Problems One Step at a Time
Chris Whissen & Shutterstock.com I have long questioned the utility of airway algorithms and their relevance to emergency airways. This notion that if we just memorize X, Y, and Z, we will...
View ArticleACEP’s New Online Resource: Conversations with Industry
ACEP’s Conversations with Industry initiative is a new way for ACEP members to learn about industry products, services, and treatments in this socially distant era. While you may not be able to see...
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Cushions Help Larger COVID-19 Patients with Proning
The Prone2Help founders, from left: Dr. Richard Levitan, Dan Levitan, and Robert Levitan. Richard Levitan As COVID-19 cases continued to escalate in the United States in April 2020, Richard M. Levitan,...
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Case Report: Blunt Tracheal Injury Creates Difficult Airway
A 34-year-old male was involved in a motorcycle rollover. His vehicle hit a pole, and he was hit in the throat with the handlebars of his bike. He presents alert and awake, with gross facial and neck...
View ArticleED Management of Drowning
Drowning is any degree of respiratory impairment because of immersion or submersion in a liquid.1 It is the third leading cause of unintentional injury death worldwide, and there are an estimated 4,000...
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How To Use SALAD To Manage Unstable Epistaxis and the Airway
Standard reviews of epistaxis in the emergency medicine literature center on the epidemiology, etiology, whether the bleeding is anterior or posterior, and methods by which bleeding can be controlled....
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Fourteen Emergency Medicine Research Gems from 2023
Every year, the volume of published research continues to outpace capacity to consume. “Gotta catch ‘em all!” may be an appealing mantra, however it is impracticable to achieve with the medical...
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How To Manage Tracheo-Innominate Fistula
A 24-year-old male with history of quadriplegia and traumatic brain injury presents to the emergency department with hemorrhage in his oral cavity and blood from his tracheostomy tube. He has had a...
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How To Manage Adult Asthma
This past summer, it became quite apparent that larger and more intense forest fires were contributing to poor health in the United States.1 One of the consequences of the increase in forest fires was...
View ArticleVisual Dx Question: What Is Causing This Sore Throat?
Question: A 22-year-old man presents with a sore throat. What is the diagnosis? Epiglottitis Peritonsillar abscess Retropharyngeal abscess Uvulitis See the answer here. The post Visual Dx Question:...
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