Airway management in cardiac arrest part 3: PART trial (Wang 2018)

So far this week, I have covered 2 large trials looking at airway management strategies in out of hospital cardiac arrest. In both instances, outcomes were similar whatever strategy was employed. Maybe our choice of airway management doesn’t matter? Not so fast, we finish the series with a final RCT, and this time there is a winner. Continue reading “Airway management in cardiac arrest part 3: PART trial (Wang 2018)”

Airway management in cardiac arrest part 2 (Jabre 2018)

Airway management is cardiac arrest is always a hot topic of debate. Yesterday we looked at AIRWAYS2, demonstrating no difference in survival with good neurologic outcomes between a laryngeal mask airway and intubation. (Benger 2018) However, those are both advanced interventions. Are either required? Where does the mighty bag valve mask fit in? Today we tackle the second paper in our series of 3, comparing BVM to intubation in out of hospital cardiac arrest.

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Articles of the month (July 2018)

A monthly (ish) summary of the emergency medicine literature

You will probably notice a new format to the articles of the month. I was getting sick of not being able to find papers that I knew I had previously commented upon. Having them listed as one 10 papers in the articles of the month made them very difficult to search for. Therefore, on bigger, more important papers, I have started writing stand alone blog posts. I will still include those papers in the articles of the month, but the summary will be truncated, with a link to the blog for all the details. The articles of the month will probably still contain extra articles, including papers that don’t warrant their own post and my usual “just for fun” kind of papers. Let me know what you think. Continue reading “Articles of the month (July 2018)”

Emergency Airway Management Part 2: Is the patient ready for intubation?

An approach to managing important pre-intubation physiology

Case

A 55 year old man was found unconscious in the bathroom by his family. He has a GCS of 7. His vital signs on arrival are a heart rate of 130, a blood pressure of 90/55, a respiratory rate of 28, and an oxygen saturation of 89% on room air. Although he was originally making sonorous noises, after elevating the head of the bed to 30 degrees, inserting a nasopharyngeal airway, and applying a jaw thrust, he is breathing quietly at 23 breaths a minutes, and his oxygen saturation has climbed to 92% with facemask oxygen…

Continue reading “Emergency Airway Management Part 2: Is the patient ready for intubation?”

Articles of the month (September 2017)

A monthly summary of the emergency medicine literature

Back with another edition of the “articles of the every month or so”. I love reading these papers and sharing them with everyone, but I’ve decided I should have at least a modicum of a pathetic social life as well, so every 2 months is probably the best I can do. Even then, I’m not sure they are worth what you are paying for them….

Continue reading “Articles of the month (September 2017)”

Articles of the month (May 2017)

A monthly summary of the emergency medicine literature

I took another month off, but the blog and accompanying podcast are back with what I think is an interesting collection of articles… Continue reading “Articles of the month (May 2017)”

Articles of the month (November 2016)

It’s that time again. Sure, there may be a lot to do during the month of December, but what better way to procrastinate than to grab a mug of hot chocolate, sit down in front of the fire, and read about some evidence based medicine….

(If that doesn’t sound appealing, you could toss in some earphones while you do your holiday shopping and listen to me and Casey ramble about these papers in the audio version on the BroomeDocs podcast.) Continue reading “Articles of the month (November 2016)”