Prehospital Airway Management
Spoon Feed
There was no clear winner between bag valve mask, supraglottic airway, or endotracheal intubation when patients needed ventilatory support or airway protection in the prehospital setting.
September 2021
intubateCOVID – How to Get First-Pass Success in COVID Patients
Spoon Feed
When intubating COVID-19 confirmed or suspected patients, greater experience, use of RSI, use of a PAPR, and intubation in a high vs low-income country were all associated with higher first pass success.
BVM or ETT in Pediatric OHCA?
Spoon Feed
In pediatric out-of-hospital cardiac arrest, patients managed by emergency physicians in a mobile ICU who had endotracheal intubation were found to have lower odds of survival at 30 days when compared to bag valve masking or supraglottic airway.
Should Paratracheal Pressure Replace Cricoid Pressure?
Spoon Feed
Paratracheal pressure was non-inferior to cricoid pressure in degrading direct laryngoscopic view. Many have abandoned cricoid pressure for RSI with no ill effects, and I don’t see this replacing it.
Ketamine vs Midazolam-Haloperidol for Acute Agitation
Spoon Feed
Use of intramuscular ketamine for patients with severe agitation resulted in significantly shorter time to sedation compared to a combination of intramuscular midazolam and haloperidol (5.8 vs 14.7 minutes).
IM Droperidol versus Olanzapine for the Agitated Patient – Which to Choose?
Spoon Feed
There was no difference between IM droperidol and IM olanzapine in time to adequate sedation for the acutely agitated ED patient. Droperidol carried a slightly higher risk of extrapyramidal effects.
NSAIDS and Risk of Non-union
Spoon Feed
There was no short-term impact of NSAIDs/COX-2 inhibitors on long-bone fracture healing BUT using NSAIDs >3 weeks was associated with higher rates of non-union or delayed union.
ETCO2 and OHCA with PEA
Spoon Feed
A rising ETCO2 in the setting of out-of-hospital cardiac arrest (OHCA) due to PEA has a higher chance of achieving return of spontaneous circulation (ROSC). If the change in ETCO2 is >20 mmHg during resuscitation, CPR efforts should be continued.
The EM Physician Workforce in 2030
Spoon Feed
If current trends stay the same, emergency medicine will likely face an oversupply of physicians in 2030. We as a specialty need to work together to find ways to mitigate this and continue doing what we do best—save lives…and livelihoods.
Are Balanced Crystalloids Still Better? – The BaSICS RCT Part 2
Spoon Feed
A large RCT in Brazilian ICUs found no difference in 90-day mortality between patients who received balanced crystalloids versus normal saline.