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SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest

The Skeptics' Guide to EM

Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Date: January 11, 2024 Guest Skeptic: Dr. Chris Root is an EMS fellow in the Department of Emergency Medicine at the University of New Mexico Health Sciences Center in Albuquerque, NM. Resuscitation 2023. Resuscitation 2023.

CPR 274
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SGEM#443: Don’t Stop Me Now – REBOA for Hemorrhage Control in Trauma Patients?

The Skeptics' Guide to EM

Reference: Jansen et al. 2023 Date: June 10, 2024 Guest Skeptic: Dr. Rob Leeper is an intensivist, trauma surgeon, and general surgeon at Western University where he also serves as the director of the Royal College Surgical Foundations program. You wonder what the evidence is for this additional approach.

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I smell a pool, we don't have a pool.

FOAMfrat

If they are not already there, get ALS-level care to the patient as soon as possible. According to the CDC (Centers for Disease Control, 2023) some respiratory exposures can result in the long-term development of “reactive airway dysfunction syndrome (RADS)” This is a type of chemical induced asthma and is a life-long condition.

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How Much O2 Is Right in COVID?

REBEL EM

Paper: Nielsen FM et al. Lower vs higher oxygenation target and days alive without life support in COVID-19. This data supports current practice of targeting a lower O2 sat. As therapies are escalated, it’s critical for clinicians to have high-quality data on target oxygen levels.

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The Pediatric Airway: Considerations and Challenges

ACEP Now

8 The 2023 Pediatric Advanced Life Support (PALS) guidelines recommend the following formulas for ET tubes. Kerrey BT, Rinderknecht AS, Geis GL, et al. Rinderknecht AS, Mittiga MR, Meinzen‐Derr J, et al. Bertrand P, Navarro H, Caussade S, et al. Peyton J, Park R, Staffa SJ, et al. PALS Algorithms 2024.

E-9-1-1 52
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The Science on Targeted Temperature Management

ACEP Now

Several recent studies yield insights into this hypothesis: In a single site retrospective cohort study, Callaway et al demonstrated that TTM efficacy may be impacted by arrest severity.10 In a multisite retrospective cohort study, a study by Nishikimi, et al., Group W, Nolan JP, et al. Nielsen N, Wetterslev J, et al.

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Targeted Temperature Management in Paediatric Traumatic Brain Injury

Don't Forget the Bubbles

However, therapeutic hypothermia is supported for controlling intracranial pressure. A 2024 consensus guideline on TBI management in adults recommends therapeutic hypothermia for the management of raised ICP when other treatments have failed to control ICP. Kochanek et al. The guidelines by Kochanek et al.

ALS 117