Gastroenterology , Airway

The Bougie: Not Just for a Difficult Airway

3/19/2025 Kelcie Hill, MD

Up to 200,000 patients per year in the U.S. are given percutaneous endoscopic gastrostomy (PEG) tubes. A sizeable portion of those struggle with dislodged feeding tubes. A simple piece of airway equip

Airway , Pediatric EM

Partial Foreign Body Airway Obstruction (FBAO): Difficult Airway Planning and the Benefits of Interdisciplinary Care

3/19/2025 Cynthia Rincon, DO , Scott Crawford, MD, FACEP, CHSOS

Can’t-intubate/can’t-ventilate scenarios are critical, and the difficulty ramps up when your patient is a young child. Planning ahead for the difficult airway can make the difference between life and

Airway

A Tricky Case of Peri-intubation Trismus

3/1/2025 Gracey McGrory, MD , Jerad Eldred, MD , Kristina Domanski, MD

When trismus occurs, unconventional methods might be required to achieve and maintain the airway. This case highlights emergency medicine’s nimble approach to the difficult airway.

Airway , Vascular , Ultrasound

Silent Strangulation: A Unique and Unpredictable Encounter of a Spontaneous Thyroid Hematoma in the Emergency Department

12/3/2024 Tibor Nagy, DO , Austin King , David Gregory, MD

Airway management of expanding neck hematomas can challenge even the most expert of emergency clinicians. Management becomes even more challenging in atypical presentations.

Critical Care , Critical Care Roadblock , Airway

Roadblock: Refractory Hypoxia on the Ventilator

11/5/2024 Dominique Gelmann, MD

The EMRA Critical Care Committee's Roadblock series is the resuscitationist's guide to overcoming the obstacles in the normal algorithm of critically ill patients. Through this series, we will ask the

Airway , Ventilator Management , Medical Education

The Vent Experience: Becoming the Ventilated Patient

10/22/2024 Brent Veerman, MD , Adam Anderson, MD , Alex Piszker, DO

A solid background in ventilator management is a necessary skill for the emergency physician. Understanding mechanical ventilation, its different modes and settings, is paramount to providing intubate

Otolaryngology , ENT , Airway , Critical Care

Case Series: Successful Management of Primary Post-Tonsillectomy Hemorrhage With IV Tranexamic Acid

6/10/2024 Dillon Schneider , Francisco Javier Andrade Jr., MD , Nancy Churosh, MD , Brian Casillas, MD

We present 2 cases of severe post-tonsillectomy hemorrhage (PTH). Our cases highlight the potential role of IV-administered tranexamic acid (TXA) as an effective treatment option in acutely bleeding p

Airway , Critical Care , Prehospital Care

Hidden Triggers: Unmasking Anaphylaxis

3/18/2024 Lynnsey Moss, MD , Andrew Michalak, MD , Ray Isenburg, DO

Anaphylaxis is a true and potentially life-threatening emergency. Understanding that this condition has broader diagnostic criteria than are commonly recognized will help with early recognition and tr

Critical Care Alert , Critical Care , Airway , Toxicology

Critical Care Alert: Effect of Noninvasive Airway Management of Comatose Patients with Acute Poisoning: A Randomized Clinical Trial

2/22/2024 Alex Lucas, MD , Christian Kasianko, MD , Dustin Slagle, MD

How reliable is the old adage, "GCS less than 8, intubate"? A randomized trial examines the effect of intubation vs. noninvasive airway management for poisoned patients with GCS less than 8.