An update on awake intubation with a discussion of the needed supplies, various techniques, complications, and modifications.
Airway management is one of the most challenging and critical skills that the emergency medicine physician must master. This is particularly true in the setting of the trauma patient, where the ABCs of trauma evaluation begin with establishing the patency of the airway and ensuring adequate oxygenation and ventilation before moving through the remainder of the trauma algorithm. It is well known that delays in adequate airway management are one of the most common causes of preventable death in both the prehospital and emergency department setting.
What if the viscosity of a patient’s blood—that is, how “fluid” it is and how easily it flows—contributed to a unique stellate of symptoms?
Continuing with our EM Mindset series, here is another piece by Dr. Motov to kick off your week with another great piece. Enjoy!
An update on pacemakers and AICDs: What do you need to worry about? What are vital components of the history and EKG? What are the management strategies for these patients?
The airways that even the experts at airway cringe at a little. The ones you pee your pants over. The ones you hear in myths and legends. These airways, my friends, are where heroes are made.
To the Class of 2015 – Congratulations!! You’ve made it. After at least 11 years of post-high school education, you have finally reached that proverbial finish line and are ready to transition from resident to attending. What I would like to share with you is some advice about what life is like on the other side. Now that you have finished residency, it’s safe to say that you know the medicine really well. But, I have come to find that your learning about life as a professional is just beginning.
A 64 year-old woman with past medical history of diabetes mellitus type 2 that is well-controlled on insulin, hypertension, and asthma presents with 1 week of shortness of breath and cough productive of blood-tinged sputum. The shortness of breath became suddenly worse about an hour ago as she was walking into your emergency department for evaluation and at that time she had symptoms of pre-syncope. She is denying chest pain, palpitations, diaphoresis, nausea, recent travel, or surgery. The patient takes both a beta-blocker and a calcium channel blocker to control her hypertension. She took all of her medications this morning prior to presentation. The patient has no personal history of cancer and there is no significant family history. She denies the use of tobacco, alcohol, or any other drugs.