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.

Critical Care , Critical Care Roadblock , Airway

Roadblock: Difficult Intubations

12/13/2023 Kunj Bhatt, MD , Colin Pesyna, MD , Evan Leibner, MD, PhD

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

Critical Care Alert , Critical Care , Airway

Critical Care Alert: Video v. Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults: The DEVICE Trial

8/3/2023 Gabriel Colon, MD , Alexandra Hallagan, MD , Evan McMurray, MD

More evidence is stacking up in favor of video laryngoscopy. The DEVICE Trial shows that when intubating critically ill patients in the ED or ICU, consider using video over direct laryngoscopy to impr

Critical Care Alert , Critical Care , Airway

CCA: Effect of NIV after Extubation in Critically Ill Patients with Obesity

7/24/2023 Alex Lucas, MD , Evan McMurray, MD

The EXTUB-OBESE study showed a decrease in extubation failure rates when extubating to non-invasive ventilation for obese patients vs. standard oxygen therapy.

Critical Care , Airway , Pain Management

Post-Intubation Sedation in the ED: The Basics

7/5/2023 Christine Yang, MD , Christian Kasianko, MD , Alex Lucas, MD , Allison Donahue, MD , Erin Bell, MD , Samantha Strickler, DO, FACEP

Emergent intubation requires critical thinking and precision. The same level of care should be extended to managing post-intubation sedation. This summary explores the most commonly used analgesics an

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Critical Care Devices , Critical Care , Pulmonary , Airway

Critical Care Device Series: Heated High-Flow Nasal Cannula (HFNC)

6/20/2023 Christine Yang, MD , Dustin Slagle, MD , Robert Jared Klemisch, MD

Heated high-flow nasal cannula (HFNC) is capable of delivering 100% humidified and heated oxygen at higher flow rates, providing important support for patients with respiratory distress. Learn more ab

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