Case A 58 year old woman is brought in by EMS with acute onset respiratory distress. Over the last few hours, she has found it increasingly difficult to breathe. On arrival, she is diaphoretic and using accessory muscles. She is quite tachypneic at a rate of 45 breaths a minute, […]
First10EM resuscitation plans
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I have written a lot about airway management on this blog. You can find the main 5 part series on emergency airway management starting here. I have also covered a prior Difficult Airway Society guideline on the intubation of critically ill patients here. One topic I have not spent a […]
It has been a busy day in your emergency department. The precipitous delivery that occurred at triage was complicated by shoulder dystocia. Luckily you had some help, and one of your colleagues is managing the neonatal resuscitation. Nurses are starting to congratulate mom and pat you on the back, when […]
Case EMS arrives with a 39 year old woman in the midst of a generalized tonic clonic seizure. The seizure has lasted at least 12 minutes now, so this is status epilepticus. No information is available about her past history. The paramedics were unable to start an IV, but did […]
I have ranted previously about my concern that sucrose, despite its widespread use in pediatrics, is not actually a pain medication. I repeated that rant this week as part of the SMACCmini pre-conference day. However, it is always frustrating when people point out problems without offering solutions. This blog post […]
A summary of the emergency medicine approach to respiratory distress in the patient with a tracheostomy