The current medical equipment recommendations from CoTCCC. You will notice that the list of recommended TQ has been expanded. A full paper is forthcoming and will include a "Recommended" and "Not Recommended" list of TQ.
Presented at the 2019 Annual Meeting of the Academic Surgical Congress, Houston, TX, February 2019. E Reed Smith, MD, Babak Sarani, MD, FACS, FCCM, Geoff Shapiro, NREMT-P, Stephen Gondek, MD, MPH, Lisbi Rivas, MD, Tammy Ju, MD, Bryce RH. Robinson, MD, FACS, Jordan M. Estroff, MD, FACS, John Fudenberg, MBA, Richard Amdur, PhD, Roger Mitchell, MD. Background The incidence and severity of civilian public mass shooting (CPMS) events continue to rise. Understanding the wounding pattern and incidence of potentially preventable death (PPD) after CPMS is key to updating prehospital response strategy. Methods A retrospective study of autopsy reports after...
Background: The clinical importance of immediate coronary angiography, with subsequent percutaneous coronary intervention (PCI) in OHCA patients without STEMI is a matter of debate. We have already covered the COACT trial on REBEL EM, but this is a second study, the pilot phase of the DISCO trial, assessing immediate vs delayed coronary angiography in patients with OHCA and without STEMI on ECG.
Background: Predicting a challenging airway is important to assist in the most optimal approach to airway management during RSI. Two such tools include the Mallampati and LEMON scores and were derived in the pre-operative setting. Major limitations of these scores include the requirement of patients to be awake and cooperative and they don’t incorporate physiologic factors into them. The HEAVEN criteria is a recently developed tool thought to be more relevant and feasible for emergency airway assessment. Each letter of HEAVEN stands for the difficult airway characteristic: Hypoxemia – ≤93% at the time of initial laryngoscopy Extremes of size – Pediatric patient ≤8 years of age or clinical obesity Anatomic challenge – any structural abnormality that is anticipated to limit laryngoscopic view Vomit/blood/fluid – Clinically significant fluid noted in the pharynx or hypopharynx prior to laryngoscopy Exsanguination – Suspected anemia raising concerns about limiting safe apnea times Neck mobility issues – Limited cervical range of motion
It turns out that for all burn patients—from minor to severe—there is a lot of room for improvement in ED management, counselling and disposition. Things like inaccurate estimation of burn size, unnecessary endotracheal intubation, over- and under-estimation of fluid resuscitation volumes, inadequate analgesia and inappropriate wound dressings are just some of the issues where a small change to ED practice patterns could have a huge impact on patient care. In this EM Cases main episode podcast we have the director of the Burn Unit at Hospital for Sick Children, Dr. Joel Fish and EM educator Dr. Maria Ivankovic discuss dozens of pearls and pitfalls in the management of both pediatric and adult burn and inhalation injuries management with a special appearance by airway master George Kovacs to talk about awake intubation in the burn and inhalation injuries patient... The post Ep 124 Burn and Inhalation Injuries: ED Wound Care, Resuscitation and Airway Management appeared first on Emergency Medicine Cases.
