The Dreaded Cricothyrotomy

​I'll admit it. I hate the cricothyrotomy. It's not because I haven't done one for a decade or because it is a complicated procedure. Or because I dread the thought of leaving a permanent cosmetic defect on someone's neck. Or because it is a procedure performed as a last resort under extreme time pressure on a hypoxic patient who will almost assuredly die if you fail.It has something to do with the word failed, as in failed airway. That surgical airway is there because the physician could not gain effective control of the patient's airway using all of the other airway tools at his disposal. We all understand that failure is part of the reason we have to perform a surgical airway. And we know that all of our colleagues will be Monday morning quarterbacks debating whether a surgical airway was necessary.I remember during a residency rotation in the SICU listening to derisive comments about the emergency department when an admission arrived with a cricothyrotomy. My worst nightmare played out. Someone even referred to the bloody bandage on the patient's neck as the "red badge of shame."There are, however, actual occasions where it remains necessary and appropriate to perform a cricothyroidotomy because of facial trauma or extreme swelling. Depending on the type of hospital, it occurs about one percent of the time, lower now most likely due to the availability of video laryngoscopes and increased sophistication of alternative airway options.We can break the cricothyro...
Source: M2E Too! Mellick's Multimedia EduBlog - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

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At any given time, more than a third of Americans are on a specific diet, with weight loss as a leading reason. Most are going to be disappointed, because even when successful, lost weight is frequently regained within a few months. While most weight-loss diets can help you lose weight, they may be unsuccessful over the long run for a number of reasons. Some people don’t follow their diets carefully and don’t lose much weight even from the start. Others may go off the diet entirely after a while, because it’s too restrictive or the foods aren’t appealing. Some may engage in less physical activity as...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Diet and Weight Loss Source Type: blogs
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Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pre-Medical - MD Source Type: forums
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Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Obesity Interventions:   Drug: Naltrexone/bupropion;   Other: Lifestyle Sponsors:   Oslo University Hospital;   Orexigen Therapeutics, Inc Not yet recruiting
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Source: Brain, Behavior, and Immunity - Category: Neurology Source Type: research
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Source: International Journal of Risk and Safety in Medicine - Category: Drugs & Pharmacology Tags: Int J Risk Saf Med Source Type: research
Discussion Galactorrhea is a milky discharge from the breast in a non-lactating female. Neonatal galactorrhea is sometimes called “Witch’s Milk” based on ideas from the 17th century or earlier that witches would steal the milk for use in their magic. Infant breasts were often compressed to express the fluid and prevent its collection. During the 19th century, reports of breast inflammation and even abscess were reported because of this practice and it was strongly discouraged, and continues to not be recommended today. Enlargement of neonatal breasts and galactorrhea, both for males and females, is fel...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
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Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
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