CONTENTS Rapid Reference 🚀 Diagnosis Presentation Differential diagnosis Evaluation Naloxone basics Treatment overview Opioid naive pathway Doing OK pathway Too Sleepy pathway Dying pathway Intubated pathway Additional treatment may be needed for certain agents: Methadone Loperamide Podcast Questions & discussion Pitfalls opioid toxidrome – key features Somnolence Reduced respiratory rate This is the most important […]
Search Results for: airway
EMCrit 176 – Updated EMCrit Rapid Sequence Intubation Checklist
The new improved version of the EMCrit RSI checklist
EM Nerd-The Case of the Needless Imperative
Airway has been paramount to the management of cardiac arrest since the earliest endeavors in resuscitation. The use of tobacco smoke enemas to resuscitate drowning victims on the banks of the Thames was documented as far back as 17461. Such efforts while anatomically misplaced, were in principle well intended. Although, we have since discovered alternative […]
Epiglottitis
CONTENTS Signs & symptoms Differential diagnosis Diagnosis Management Medical Management Epiglottic abscess Airway management Indications for intubation Intubation procedure Extubation procedure Podcast Questions & discussion Pitfalls symptoms Sore throat (92%)(31173373) Swallowing problems Odynophagia (82%) Dysphagia (80%) Drooling (18%) Voice change (43%) Hoarseness (26%) Muffled voice (30%) Respiratory dysfunction Stridor (8%) Dyspnea (33%) Inability to lie […]
EM Nerd-The Peculiar Case of the Parallel Pathways
So rarely is a study published that directly and effortlessly translates into clinical practice. Very few of these studies examine the nuances of everyday practice in the fast paced milieu of the Emergency Department. Given the infrequency of such studies, I am continually amazed by the work put forth by Brian Driver and colleagues at […]
EMCrit 372 – FoundStab Intubation SOP
The 2nd FoundStab SOP is on standard intubation…
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 […]
PulmCrit- Liberating the patient with no cuff leak
A new joint practice guideline by the ATS and ACCP addresses how to approach cuff leaks. This guideline recommends a clever compromise between these extremes, which is the basis of the algorithm below. This provides a streamlined, evidence-based pathway to extubate patients without a cuff leak.
EMCrit 253 – Kovacs Kata to Optimize a Failing Laryngoscopy Attempt
dedicated to my friend, George Kovacs
EMCrit 92 – EMCrit Intubation Checklist
Since Peter Pronovost’s landmark study on how a simple checklist can nearly abolish central line infections, checklists have been the darling of the medical literature
EMCrit 158 – The FELLOW Trial on Apneic Oxygenation in ICU Patients
Matt Semler, MD and colleagues performed an RCT on Apneic Oxygenation in Medical ICU patients
EMCrit 347 – How to Teach & Learn Laryngoscopy
How to teach and learn intubation and laryngoscopy
EMCrit Wee – A Cric Case with Rob Bryant
Rob Bryant presents a case
CC Nerd-The Case of the Inverted Premise
No mode of ventilation is burdened with more emotional baggage than airway pressure release ventilation (APRV). The mere suggestion of its use is met with either the delight of recognizing an old friend whom you are meeting for the first time, or the type of disgust typically reserved for the likes of snake oil salesmen. […]
EMCrit 374 – ShadowBoxing – An AMAXimally Sick Patient
An AMAX4 shadowboxing case
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