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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

Critical Care Alert , Critical Care , EMS , Airway , Trauma

Critical Care Alert: Delayed Versus Rapid Sequence Intubation in Critically Injured Trauma Patients

6/5/2023 Gabriel Colon, MD , Evan McMurray, MD

Consider delayed sequence intubation with ketamine in trauma patients requiring emergent airway intervention, as a 2023 study shows it was associated with a reduction in the incidence of peri-intubati

Critical Care Devices , Critical Care , Airway

Critical Care Device Series: Noninvasive Positive Pressure Ventilation

5/2/2023 Christine Yang, MD , Alexandra Hallagan, MD , Dustin Slagle, MD , Gabriel Wardi, MD, MPH

Noninvasive positive pressure ventilation (NPPV) is the delivery of ventilatory support and positive pressure into the lungs without the need for an invasive endotracheal or tracheostomy tube. This su

Airway , Orthopedics

Oh Snap! Ketamine-Induced Laryngospasm in an Adult Patient

1/30/2023 Ashleigh MacLean, MD , Neha Sehgal, DO

Overall, laryngospasm is rare. When it does occur, it almost always resolves with simple interventions such as pressure to Larson’s notch and assisted positive pressure ventilation. Supplemental oxyge

Critical Care Devices , Critical Care , Airway

Critical Care Device Series: Bag-Valve-Mask

1/18/2023 Barret Zimmerman, MD , Brendan Innes, MD , Allie Schick, MD

The bag-valve-mask (BVM) is ubiquitous and highly utilized in all fields of emergency care. Yet despite its seemingly intuitive operation and perceived simplicity, the BVM is an overlooked and misunde

Critical Care Alert , Critical Care , Airway

Critical Care Alert: Recall During Paralysis Among ED Patients Being Intubated

11/2/2022 Alex Lucas, MD , Taylor Miller, MD

How many of your patients can recall events during what you believed was a sedated endotracheal intubation? This study finds an appreciable number of patients who are paralyzed for intubation in the e

Critical Care Devices , Surgical Airway , Critical Care

Critical Care Device Series: Tracheostomy Complications and Troubleshooting in the ED

10/24/2022 Evan McMurray, MD , Brendan Innes, MD , Taylor Miller, MD

Tracheostomies are a common surgical procedure for long-term airway management that involves creating a permanent connection between the anterior neck and trachea. Complications occur in up to 50% of

Critical Care , Critical Care Alert , Cardiology , Airway

Critical Care Alert: PREPARE II - A Randomized Clinical Trial

8/22/2022 Taylor Miller, MD , Evan McMurray, MD

Critical Care Alert: The PREPARE II trial investigated whether a fluid bolus would impact cardiovascular collapse in critically ill patients undergoing intubation.

Airway , Ventilator Management , EMS , Pediatric EM

Pediatric Drowning Case: Favorable Neurologic Outcomes Possible With Prolonged CPR

6/10/2022 Dimitri Livshits, DO , Brenda Sokup, DO , Jordan Jeong, DO , Nirav Patel, DO , Mark Kindschuh, MD

Currently, there are no definitive guidelines or robust clinical evidence on which to base the duration of CPR in pediatric drowning cases. However, we make the case that in select drowning patients,

Critical Care , Critical Care Alert , Airway

Critical Care Alert: The EvK Clinical Trial: Etomidate vs. Ketamine For Emergency Endotracheal Intubation

4/10/2022 Evan McMurray, MD , Taylor Miller, MD

The emergent airway is central to emergency medicine. And a new study explores medications central to emergency endotracheal intubation. Which is better: etomidate or ketamine?

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