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Tactical Medicine News

VividTrac Single-Use Intubation Device tm / Video intubation devices. Top Innovation Awards 2013

by EMS Solutions International
Jan 15, 2023
VividTrac Single-Use Intubation Device tm  / Video intubation devices One of the cool things about modern disposable technology is it doesn't ...
Tactical Medicine News

Etomidate Vs. Ketamine: A Systematic Review and Meta-Analysis

Background: Rapid sequence intubation (RSI) induction agent selection remains a heavily debated matter. Etomidate causes adrenal suppression in cri...
Tactical Medicine News

REBEL Cast Ep112: The Pre-AeRATE Trial – HFNC vs NC for RSI

Background: Hypoxemia is a commonly encountered adverse event during rapid sequence intubation (RSI) in the ED.  Critically ill patients in the ED ...
Tactical Medicine News

The EvK Trial: Ketamine vs Etomidate for Rapid Sequence Intubation

Background: The use of ketamine and etomidate for induction in rapid sequence intubation is heavily debated. The Ketased Trial (Jabre 2009) reporte...
Tactical Medicine News

REBEL Cast Ep111: The PREPARE II Trial – Fluid Bolus Prior to Intubation?

Background:  Some of the feared complications of endotracheal intubation include hypotension, cardiac arrest, and death (cardiovascular collapse). ...
Tactical Medicine News

REBEL Core Cast 59.0 – C-Spine Intubation

Take Home Points Neck movement (both extension and flexion) has the ability to cause cord damage. Using hyperangulated blade in video laryngoscopy...
Tactical Medicine News

Dogmalysis: GCS

In emergency medicine, the standard of care is to place an advanced airway for ventilatory or oxygenation failure, impending airway compromise, or ...
Tactical Medicine News

EM Quick Hits 13 – One Syringe Adenosine, Pertussis Pearls, Hyperemesis Gravidarum, Tramadol, Hypertension Myths, KOBI

Salim Rezaie on single syringe adenosine for SVT, Sarah Reid on pertussis pearls, Elisha Targonsky on management of hyperemesis gravidarum , Joe Ne...
Tactical Medicine News

The CURASMUR Trial: Roc Rocks & Sux Sucks?

Background: Rapid sequence intubation (RSI) is the most widely utilized approach for patients requiring emergency tracheal intubation.  RSI typical...
Tactical Medicine News

Should Bed Up Head Elevated (BUHE) be the New Standard Position for RSI in the ED?

Background: Although the standard positioning for intubation is supine in the sniffing position, there has been recent literature in the past decad...
Tactical Medicine News

PrePARE: Effect of Fluid Bolus on CV Collapse During RSI

Background: Peri-intubation cardiovascular collapse (shock, cardiac arrest or death) is an all too common complication of airway management in crit...
Tactical Medicine News

Rebellion in EM 2019: 3 Things That Have Changed the Way I Intubate

Background: Despite decades of experience with endotracheal intubation, we continue to find approaches to improving the process of how we intubate....
Tactical Medicine News

Does Head of Bed Elevation During Intubation Improve Patient Oriented Outcomes?

You are working an ED shift with an experienced EM resident. As the resident prepares to intubate a 100kg patient with pneumonia you suggest that t...
Tactical Medicine News

Succinylcholine or Rocuronium for 1st Pass Success Rate

Background: Administration of a neuromuscular blocker (NMB) is an essential part of Emergency Department  (ED) airway management for facilitating i...
Tactical Medicine News

Bougie 1st Intubation in the ED?

Background: Successful first-pass endotracheal intubation is the desired outcome of all ER physicians as this can stave off hypoxemia and aspiratio...
Tactical Medicine News

Best Case Ever 39 – Airway Strategy & Mental Preparedness in EM Procedures with Richard Levitan

I caught up with airway educator, innovator and self-described enthusiast Dr. Richard Levitan at SMACC in Chicago this past June. In this Best Case...
Tactical Medicine News

Video Laryngoscopy or Direct Laryngoscopy for Trainees

According to a 2012 meta-analysis difficult and failed intubations in the operating room occur 1.8 – 5.8% and 0.13 – 0.30% of the time respectively...
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