Blind Insertion or Blindly Inserted: Advanced Airways Revisited
Blind insertion or blindly inserted? One thing we do in EMS that many of us most pride ourselves on is advanced airway management—though gaining that pride may have required a few moments of pants-wetting terror along the way. For patients in respiratory failure rapidly progressing to respiratory or cardiac arrest, there are few scenarios that run us right up against the front lines of life and death, and with so much potential to affect the outcome. These cases bring into focus the cognitive (knowledge), psychomotor (manual), and affective (emotional/psychological) elements of our job like nothing else we do. Yet evidence keeps piling up about how much of a mess we often find ourselves in while managing them. Skill Burn-In &Maintenance Initial skill "burn-in," for one, is inadequate. Only five live intubations are required for national certification. For perspective, emergency medicine residents and nurse anesthetists need at least 35 and 200 tubes, respectively, for certification and, in both cases, these are placed in the controlled and supervised environment of an ED or operating room.1 A 1998 study demonstrated that anesthesiology residents must place more than 50 tubes under direct supervision before they can achieve a success rate of 90%.2 Somehow, though, after those first five tubes and several years' fewer training, paramedics are miraculously supposed to hit the mark on their knees, in dark rooms, intubating morbidly obese patients with full sto...
CONCLUSION: Oat bran supplementation was effective in improving triglyceride, total cholesterol and HDL-cholesterol levels, suggesting that it is a therapeutic option for cardiovascular risk control in patients with psychiatric disorders. PMID: 32490954 [PubMed - in process]
CONCLUSION: BD on a single or multiple occasion during the month was associated with a higher prevalence of overweight. Therefore, such a lifestyle should be considered in weight gain prevention strategies. PMID: 32490946 [PubMed - in process]
Publication date: Available online 3 June 2020Source: Journal of Advanced ResearchAuthor(s): Nesrine M. Hegazi, Rasha A. Radwan, Sherein M. Ali, Hamada H. Saad
Publication date: Available online 3 June 2020Source: Annals of Medicine and SurgeryAuthor(s): Rami Alqassieh, Mahmoud Al-Balas, Hamzeh Al-Balas
CONCLUSIONS: Pregnant women are overweight/obese, with a mean age of 30.9 years and are socially vulnerable. Pregnant women with chronic hypertension are older and have a higher number of abortions. PMID: 32491150 [PubMed - as supplied by publisher]
Publication date: Available online 3 June 2020Source: PhytomedicineAuthor(s): Fan Wu, Xueping Yang, Meilin Hu, Qingqing Shao, Ke Fang, Jingbin Li, Yan Zhao, Lijun Xu, Xin Zou, Fuer Lu, Guang Chen
Publication date: Available online 3 June 2020Source: BurnsAuthor(s): Mehdi Ayaz
Publication date: June 2020Source: Burns, Volume 46, Issue 4Author(s):
Publication date: Available online 30 May 2020Source: BurnsAuthor(s): Mohammad Hossein Farjah, Mohammad Reza Farahpour
This study was conducted to compare the anesthetic and analgesic efficacy of bupivacaine with other local anesthetic agents routinely used for mandibular third molar surgery.Method and materials: Four electronic databases (PubMed, Scopus, Cochrane, and Web of Science) were explored to isolate randomized controlled trials up to 10 February 2019. The anesthetic and analgesic efficacies were assessed using six evaluation outcomes: onset of anesthesia, success of anesthesia, duration of anesthesia, duration of analgesia, pain score on the fourth postoperative hour, and number of analgesics consumed. Stata software (version 13,...