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SGEM#186: Apneic and the O, O, O2 for Rapid Sequence Intubation

The Skeptics' Guide to EM

EmergeNcy Department use of Apneic Oxygenation versus usual care during rapid sequence intubation: A randomized controlled trial (The ENDAO Trial). EmergeNcy Department use of Apneic Oxygenation versus usual care during rapid sequence intubation: A randomized controlled trial (The ENDAO Trial). Reference: Caputo et al.

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Threading the Needle: Bougie-First Intubation

REBEL EM

Included patients from out-of-hospital, emergency department, intensive care unit, and operating-room intubations. Intubation performed in all settings (out-of-hospital, emergency department, ICU, and operating room). to 1.36). to 2.39) might outweigh the benefits.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

REBEL EM

Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. The effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients. Paper: Owyang CG, et al. J Crit Care. N Engl J Med. 2000 May 4; PMID: 10793162 Harvey CE, et al.

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The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

REBEL EM

If pre-made syringes are not financially feasible then the creation of these medications should be done by a dedicated emergency department pharmacist. Clinical Bottom Line: Acute hypotension must be treated emergently in order to decrease morbidity and mortality. Am J Emerg Med. J Med Toxicol. Epub 2019 Jul 3.

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Potato vs Potato

FOAMfrat

During Orientations, new crew members must do a minimum of 10 live intubations in the operating room before being cleared to intubate in the field. From experience, some emergency departments would not even allow the nurse to administer a paralytic. The conclusion of this article…drum roll….

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Platelet-Lymphocyte Ratio and Neutrophil-Lymphocyte Ratio: Updates in Prognosticating Fournier Gangrene in the Emergency Department

AAEM RSA

A thorough physical exam, imaging, and laboratory studies can assist, but definitive diagnosis can only be made in the operating room. West J Emerg Med. Inadequate Sensitivity of Laboratory Risk Indicator to Rule Out Necrotizing Fasciitis in the Emergency Department. West J Emerg Med. Click to learn more.

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Trifecta: Amniotic Fluid Embolism

FOAMfrat

Earlier in the summer, I wrote a blog discussing the challenges, intricacies, and educational pitfalls of postpartum hemorrhage in EMS. For patients suffering from intrapartum cardiac arrest, I would encourage you to transport the patient as expeditiously, but safely, as possible to the closest emergency department.