Epinephrine has been a fundamental therapeutic agent in the management of cardiac arrest since the inception of advanced life support. Despite its ubiquitous use, this practice has never been supported by high quality evidence. With the publication of the PARAMEDIC-2 trial by Perkins et al1, we are now far closer to understanding the true value […]
Search Results for: prehospital
EMCrit 131 – Cricothyrotomy – Cut to Air: Emergency Surgical Airway
Comprehensive information of surgical airway, cricothyrotomy, and the bougie cric
The Case of the Perfect Imperfection
The Enemy of Good is Perfect The interpretation of literature is not dissimilar from the interpretation of the Rorschach tests. To one person the data appears to be a freshly hatched butterfly full of hope and promise. While to another it is a discomforting stain resulting from the splatter of improperly handled bodily excrement. What you […]
Point of Care Ultrasound Handbook – RUSH Chapter
A free chapter from a POC ultrasound book
Introduction to the SALAD Technique
Conceptualized by Jim DuCanto, SALAD comprises a set of techniques to optimize airway management. Airway management is often complicated with the occurrence of airway contamination in the form of blood or regurgitated material, especially in cases of out-of-hospital-cardiac arrest (OHCA). A 2011 review of major complications of hospital based airway management in the United Kingdom […]
EMCrit 48 – PhD in EKGs Part II – Left Bundle Branch Block
A few months ago, we had Dr. Stephen Smith on the podcast to discuss a variety of EKG issues. Dr. Smith has an EKG blog that is required reading for every ED and ICU doc. This is Part II and I think it discusses an incredibly important issue: right now major medical societies including the AHA and ACEP are asking us to fibrinolyse or PCI patients with new or presumed new LBBB. However, your interventionalists will tell you that this strategy is a ridiculous waste given how few acute occlusions will actually be found. Why this discrepancy?
ED Intensivist Roles
Appendix Resource Intensivist Model Detroit Receiving Hospital/Wayne State University Detroit Receiving Hospital (DRH) has addressed the challenges of caring for critically ill ED patients with an ED-centric model. A novel emergency department-based critical care (ED-CC) rotation was established in 2006 for all PGY-2 emergency medicine residents. The ED-CC resident functions as a floating resident 7:00 […]
Guest Post: More from Minh Le Cong on Needle Cricothyrotomy
Oxygenation with a needle cricothyrotomy based technique:
Invictus: Survival, Sustainment, and Service in the Era of COVID-19
Invictus – William Ernest Henley These are difficult and challenging times. The current situation with the pandemic is unprecedented. The impact it has imposed in terms of economic cost, human suffering, and strain on our healthcare teams around the globe is unbelievable. Furthermore, while there is a glimmer of hope on the horizon, the […]
EMCrit 146 – Who Needs an Acute PCI with Steve Smith (Part I)
Finally in one place, all of the STEMI equivalents with Steve Smith
PulmCrit: Large-bore suction for intubation: strategies & devices
The ideal suction tool for intubations is debatable, but it seems clear that the Yankauer is a poor choice. Persistent use of the Yankauer suction catheter for airway management represents a profession-wide failure in our ability to manage large-volume regurgitation.
Enhancing Human Performance in Resuscitation Part 3 – Performance-Enhancing Psychological Skills
Part 3 of enhancing human performance
Credits and Attributions
EMCrit Wee Image Observe the Banana Wee – Two Awake Intubations Photo credit: basheertome Podcast 165 Photo credit: cliff1066™ Stress Inoculation Post Photo credit: USACE Europe District Podcast 163 Photo Credit Love for Tetris by CookiemagiK Sepsis Measures Post Photo credit Legoexpress Tumblr Podcast 149-Thyroid Storm photo credit: Strike III Podcast 145-Awake Intubation photo credit: […]
Stress Inoculation Training by Mike Lauria
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“The Adventure of the Dancing Men”
The illustrious Cardinal Commendoni suffered sixty epileptic paroxysms in the space of 24 hours, under which nature being debilitated and oppress’d he at leangth sank, and died. His skull being immediately taken off, I found his brain affected with a disorder of the hydrocephalous kind. -Gavassetti, 1586 The […]