Beyond Ketamine: When to use Facilitated Intubation in the ED
What is facilitated intubation, and what should you know?
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airway
emDOCs Podcast – Episode 73: Upper Airway Obstruction Part 1
Today’s podcast covers a challenging case of an upper airway obstruction with Jess Pelletier, MD. We look at the differential of airway obstruction, predicting the difficult airway, guidelines, and preoxygenation.
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Maxillofacial Trauma
What do you need to know about maxillofacial trauma?
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Video Laryngoscopy in the ED: A Review of Devices, Techniques, and Evidence
What devices are available for video laryngoscopy, what are the techniques, and what are the data behind it? This post by Cameron Jones discusses this and more.
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EM@3AM: Epiglottitis
A 33-year-old male presents to the ED for odynophagia and mild dyspnea. He has had pain with swallowing for the past 24 hours and it has gotten progressively worse. He is having difficulty tolerating oral secretions. VS include BP 91/49, HR 130, T 102.2 temporal, RR 25, SpO2 91% on room air. He appears toxic. The ENT exam reveals a midline uvula; cervical lymphadenopathy; soft mouth floor, and no evidence of dental infection, no neck erythema, though voice changes. He has severe pain with palpation of the hyoid bone. What’s the most likely diagnosis?
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emDOCs Podcast: Episode 48 – Ventilator Management
How can you optimize mechanical ventilation in the ED? Brit Long and Skyler Lentz discuss key strategies for the ED.
emDOCs Podcast: Episode 48 – Ventilator Management Read More »
ED Management of the Post-Laryngectomy Patient
What do you need to consider when managing the post-laryngectomy patient?
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EM@3AM: Laryngospasm
An 8-year-old male presents after falling onto an outstretched hand. He has an obvious dinner fork deformity to the right forearm. X-ray confirms a fracture of the distal radius and ulna. You prepare for procedural sedation with ketamine while you reduce and splint the fracture. You run through the pre-sedation assessment and exam, then gather all medications and airway supplies. Once the ketamine is pushed you hear a high-pitched stridor and see the patient’s chest rise and fall irregularly as his oxygen saturation drops. What is the diagnosis and management?
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Upper Airway Foreign Bodies: Emergency Department Presentation, Evaluation and Management
How should we evaluate and work up suspected foreign bodies? When should foreign bodies be removed in the ED vs. managed in the OR? What equipment do you need to manage an airway with a foreign body?
emDOCs Podcast – Episode 15: High-Risk Airway Management Part 1
We are experts at airway management, but some scenarios can be tricky… This edition of the emDocs Podcast covers managing the high-risk airway, specifically metabolic acidosis and shock/hypotension.
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