Podcast: Bedside examination tests to detect beforehand adults who are likely to be difficult to intubate
In conclusion, therefore, standard bedside airway examination tests for difficult airways in patients with no apparent airway abnormalities do not appear to be good screening tests, and we urge great caution in their use and interpretation. "Read the Cochrane ReviewVisit theCochrane Anaesthesia, Critical and Emergency Care websiteListen to more Cochrane PodcastsGet Cochrane Podcasts on iTunesTuesday, November 13, 2018 (Source: Cochrane News and Events)
Source: Cochrane News and Events - November 13, 2018 Category: Information Technology Authors: Muriah Umoquit Source Type: news

Raising the Intubation Bar is Noble, But Not Practical
We thank Mr. Wood and Mr. Podsialdo for their insightful comments regarding the Pragmatic Airway Resuscitation Trial (PART) results.  With regards to their comment of prior studies finding better outcomes with intubation than supraglottic airways, one must bear in mind that these prior studies were biased by their retrospective designs; the airway was selected by paramedic choice and may have been influenced by a range of factors such as the patient’s condition, anatomy, the physical environment or the practitioner’s level of comfort. Meta-analysis or systematic reviews of these retrospective studies ...
Source: JEMS Patient Care - November 6, 2018 Category: Emergency Medicine Authors: Shannon W. Stephens, EMT-P Tags: Airway & Respiratory Exclusive Articles Source Type: news

It ’s About Paramedic Intubation Skill Maintenance, Not ETI vs. SGA
In this study, for all-comers, that was an abysmal 6%. This is an important number because it tells us that overall, successful resuscitation from cardiac arrest is rare and that a number of our efforts may have some statistically significant differences but the absolute effect on the gold standard outcome is rather small. But that’s a story for another time. The focus here is on airway management in cardiac arrest, and the suggestion that the “verdict is out” on whether or not paramedics should be using an endotracheal tube or a supraglottic device. (Source: JEMS Patient Care)
Source: JEMS Patient Care - November 6, 2018 Category: Emergency Medicine Authors: Stephen P. Wood, MS, ACNP-BC Tags: Airway & Respiratory Exclusive Articles Source Type: news

Airway, Breathing or Consequences: Medical-Legal Consequences of Airway Mismanagement
In the first part of this two-part article, we reviewed the tools and technology available to help ensure proper endotracheal tube placement through the detection and evaluation of end-tidal carbon dioxide (EtCO2). The key takeaway from part one is that we need to understand, use and trust the equipment available and the information we are given. Each time; every time; all the time. When we lose track of that key principle, bad things happen. As healthcare professionals, whether we work outside of hospitals, inside hospitals or between hospitals, our experience often leads us beyond direct patient care. For some, that mean...
Source: JEMS Patient Care - October 4, 2018 Category: Emergency Medicine Authors: Scott DeBoer, RN, MSN, CEN, CPEN, CCRN, CFRN, EMT-P Tags: Airway & Respiratory Exclusive Articles Source Type: news

ETI vs. SGA: The Verdict Is In
Engine 32 and Rescue 4 respond to a person not breathing at a youth sports complex. They arrive to see bystanders performing CPR and applying the facility’s automated external defibrillator (AED). While exiting the vehicle, paramedics hear the AED deliver a shock. Because of the large crowd gathered around the patient, paramedics and EMTs quickly load the patient into the back of the ambulance. En route, one medic starts an IV line while the other attempts intubation. The patient’s short neck and small mouth make the intubation effort very difficult. The medic attempts laryngoscopy three times, each time with a...
Source: JEMS Patient Care - August 30, 2018 Category: Emergency Medicine Authors: Shannon W. Stephens, EMT-P Tags: Airway & Respiratory Exclusive Articles Source Type: news

Teleflex launches CleanSweep closed suction ventilation study
Teleflex (NYSE:TFX) said today it launched a US-based clinical study of its CleanSweep closed suction system and that it enrolled the first patient in the trial. The Wayne, Penn.-based company’s CleanSweep system uses both balloon sweeping tech and traditional suction collection to remove secretion build-up on the insides of endotracheal tubes. In early bench top testing the system was shown to remove 2.5 times more secretions than leading, traditional closed suction devices, the company said. “Evaluating the effectiveness of closed suction devices further supports Teleflex’s commitment to developing...
Source: Mass Device - August 28, 2018 Category: Medical Devices Authors: Fink Densford Tags: Clinical Trials Respiratory Teleflex Source Type: news

Special Report: Ten Tips for Airway Management that Absolutely Have to be Part of Your Practice
No abstract available (Source: Emergency Medicine News)
Source: Emergency Medicine News - August 1, 2018 Category: Emergency Medicine Tags: Special Report Source Type: news

FDA Drug Shortages Task Force Applauded by EMS Physicians
Last week the Food and Drug Administration announced the formation of a Drug Shortages Task Force aimed at alleviating nationwide shortages of life-saving drugs. The National Association of EMS Physicians (NAEMSP) and other medical groups representing physicians and medical professionals across the country are throwing their support behind the new FDA task force, which was created at the urging of Congress. The NAEMSP, an organization of more than 1,500 physicians and EMS professionals who advocate for all levels of EMS care providers, has been actively engaged on drug shortages issues in Washington since shortages of esse...
Source: JEMS Administration and Leadership - July 16, 2018 Category: Emergency Medicine Authors: JEMS Staff Tags: News Administration and Leadership Source Type: news

FDA Drug Shortages Task Force Applauded by EMS Physicians
Last week the Food and Drug Administration announced the formation of a Drug Shortages Task Force aimed at alleviating nationwide shortages of life-saving drugs. The National Association of EMS Physicians (NAEMSP) and other medical groups representing physicians and medical professionals across the country are throwing their support behind the new FDA task force, which was created at the urging of Congress. The NAEMSP, an organization of more than 1,500 physicians and EMS professionals who advocate for all levels of EMS care providers, has been actively engaged on drug shortages issues in Washington since shortages of esse...
Source: JEMS: Journal of Emergency Medical Services News - July 16, 2018 Category: Emergency Medicine Authors: JEMS Staff Tags: News Administration and Leadership Source Type: news

Breathing Easier with Single-Use Bronchoscopes
This study was specifically done for bronchoscopes because that data was lacking,” says Lars Marcher, CEO and President Ambu A/S, in an interview with MD+DI. Contamination of reusable endoscopes has been known for some time now. “Endoscope Reprocessing Failures Continue to Expose Patients to Infection Risk” was number two on ECRI Institute’s list of Top 10 health technology hazards for 2018. And it has been on the organization’s top 10 list for the past eight years. Shifting to single-use instruments will likely be cost effective as well. According to a 2017 study, “Early Assessment...
Source: MDDI - July 12, 2018 Category: Medical Devices Authors: Susan Shepard Tags: Sterilization Source Type: news

The Technology of Video Laryngoscopy The Technology of Video Laryngoscopy
This article reviews the technical aspects of video laryngoscopy, its advantages and limitations, and its impact on difficult airway management.Anesthesia & Analgesia (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - May 23, 2018 Category: Consumer Health News Tags: Anesthesiology Journal Article Source Type: news

Findings of game-changing EMS airway study to be presented at SAEM18
(Society for Academic Emergency Medicine) Endotracheal intubation (ETI) is the most common advanced airway technique used in the resuscitation of out-of-hospital cardiac arrest (OHCA), but Supraglottic airway devices such as the King Laryngeal Tube (LT) offer simpler airway management alternatives. A Plenary Session to be held May 16, on opening day of SAEM18 in Indianapolis, will present the findings of a multicenter, pragmatic clinical trial comparing the effectiveness of initial LT insertion versus initial ETI upon outcomes in adult OHCA. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - May 2, 2018 Category: International Medicine & Public Health Source Type: news

EMS Physicians Gather on Capitol Hill to Address Critical Drug Shortages Affecting Patient Care
WASHINGTON, DC (April 16, 2018) – Members of the National Association of EMS Physicians (NAEMSP) gathered in Washington, D.C. last week to advocate for issues affecting quality out-of-hospital emergency medical care, including ongoing drug shortages affecting EMS providers. Medical facilities across the country are currently experiencing shortages in powerful, injectable painkillers as well as other essential emergency medications needed by patients undergoing surgery, fighting cancer or suffering traumatic injuries. The shortage is due largely to manufacturing setbacks. “Drug shortages impede our nation&rsqu...
Source: JEMS Administration and Leadership - April 16, 2018 Category: Emergency Medicine Authors: National Association of EMS Physicians Tags: Administration and Leadership Industry News Source Type: news

EMS Physicians Gather on Capitol Hill to Address Critical Drug Shortages Affecting Patient Care
WASHINGTON, DC (April 16, 2018) – Members of the National Association of EMS Physicians (NAEMSP) gathered in Washington, D.C. last week to advocate for issues affecting quality out-of-hospital emergency medical care, including ongoing drug shortages affecting EMS providers. Medical facilities across the country are currently experiencing shortages in powerful, injectable painkillers as well as other essential emergency medications needed by patients undergoing surgery, fighting cancer or suffering traumatic injuries. The shortage is due largely to manufacturing setbacks. “Drug shortages impede our nation&rsqu...
Source: JEMS: Journal of Emergency Medical Services News - April 16, 2018 Category: Emergency Medicine Authors: National Association of EMS Physicians Tags: Administration and Leadership Industry News Source Type: news

EMS Physicians Gather on Capitol Hill to Address Critical Drug Shortages Affecting Patient Care
WASHINGTON, DC (April 16, 2018) – Members of the National Association of EMS Physicians (NAEMSP) gathered in Washington, D.C. last week to advocate for issues affecting quality out-of-hospital emergency medical care, including ongoing drug shortages affecting EMS providers. Medical facilities across the country are currently experiencing shortages in powerful, injectable painkillers as well as other essential emergency medications needed by patients undergoing surgery, fighting cancer or suffering traumatic injuries. The shortage is due largely to manufacturing setbacks. “Drug shortages impede our nation&rsqu...
Source: JEMS Administration and Leadership - April 16, 2018 Category: Emergency Medicine Authors: National Association of EMS Physicians Tags: Administration and Leadership Industry News Source Type: news

EMS Physicians Gather on Capitol Hill to Address Critical Drug Shortages Affecting Patient Care
WASHINGTON, DC (April 16, 2018) – Members of the National Association of EMS Physicians (NAEMSP) gathered in Washington, D.C. last week to advocate for issues affecting quality out-of-hospital emergency medical care, including ongoing drug shortages affecting EMS providers. Medical facilities across the country are currently experiencing shortages in powerful, injectable painkillers as well as other essential emergency medications needed by patients undergoing surgery, fighting cancer or suffering traumatic injuries. The shortage is due largely to manufacturing setbacks. “Drug shortages impede our nation&rsqu...
Source: JEMS: Journal of Emergency Medical Services News - April 16, 2018 Category: Emergency Medicine Authors: National Association of EMS Physicians Tags: Administration and Leadership Industry News Source Type: news

A Modern Approach to Basic Airway Management
A modern approach to the essentials of ventilation & oxygenation Administering oxygen via nasal cannula while treating a patient with CPAP increases the fraction of inspired oxygen and doesn’t typically interfere with the mask seal. Photos courtesy Andrew Merelman You arrive on scene and find a 68-year-old man is lying on the couch with difficulty breathing. He’s obese and obtunded, with severe respiratory distress. His wife tells you he has a history of congestive heart failure. He appears pale and diaphoretic, with snoring, slow, shallow breaths and his initial oxygen saturation is 72%. What are the m...
Source: JEMS Patient Care - April 1, 2018 Category: Emergency Medicine Authors: Andrew Merelman, BS, NRP, FP-C Tags: Airway & Respiratory Patient Care Source Type: news

In the Bag or Out of Control? BVM Revisited
In the bag or out of control? A recent article highlighting new changes to the comprehensive 2015 European Research Council (ERC) Guidelines for Resuscitation states that there’s “little new in how we should manage the airway in 2017.”1,2 The article references two studies that demonstrate increased use of, and better success rates with, videolaryngoscopy for endotracheal intubation (ETI), as well as another study showing that inexperienced providers can successfully perform cricothyroidotomies on fresh cadavers using pocket knives and ballpoint pens. Although the increasing use of video technology may le...
Source: JEMS Patient Care - April 1, 2018 Category: Emergency Medicine Authors: Neal Richmond, MD, FACEP Tags: Airway & Respiratory Patient Care Columns Source Type: news

Advancing Patient Safety in Airway Management Advancing Patient Safety in Airway Management
Which major advances in airway management have positively impacted patient safety in recent years?Anesthesiology (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - March 16, 2018 Category: Consumer Health News Tags: Anesthesiology Journal Article Source Type: news

Masimo touts ORi obese patient arterial hemoglobin desaturation warning study results
Masimo (NSDQ:MASI) yesterday released results from a study of its Oxygen Reserve Index’s ability to function as an early warning of impending arterial hemoglobin desaturation in obese patients, touting its ability to provide advanced warning in the high risk patient population. An abstract from the study, which Masimo claims is the first published research investigating the use of the index in the population, was presented at the Society for Technology in Anesthesia’s annual meeting in Miami, Fla. The ORi is a relative indicator of oxygen reserve in the moderate hyperoxic region and serves as an index para...
Source: Mass Device - January 23, 2018 Category: Medical Devices Authors: Fink Densford Tags: Clinical Trials Diagnostics Masimo Source Type: news

Association of prehospital intubation with decreased survival among pediatric trauma patients in Iraq and Afghanistan - Schauer SG, Naylor JF, Hill GJ, Arana AA, Roper JL, April MD.
INTRODUCTION: Airway compromise is the second leading cause of preventable death on the battlefield among US military casualties. Airway management is an important component of pediatric trauma care. Yet, intubation is a challenging skill with which many p... (Source: SafetyLit)
Source: SafetyLit - December 14, 2017 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Postoperative Management of the Difficult Airway Postoperative Management of the Difficult Airway
What factors may cause postoperative airway problems, and how might they affect airway management strategy?BJA Education (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 30, 2017 Category: Consumer Health News Tags: Anesthesiology Journal Article Source Type: news

Ambu pays $261m for Invendo Medical
Ambu (CPH:AMBU-B) this week said it agreed to put $261 million on the table for Invendo Medical and its line of disposable endoscopy devices. Copenhagen-based Ambu said it paid $133.2 million (€115 million) up front for Invendo, with another $127.4 million (€110 million) in possible milestones. Those include a $81.1 million (€70 million) payment pegged to FDA clearances and $46.3 million (€40 million) in earnouts over four years. Some $11.6 million (€10 million) is expected to come due this fiscal year after Invendo wins 510(k) clearance from the FDA for the next iteration of its HD colon...
Source: Mass Device - October 27, 2017 Category: Medical Devices Authors: Brad Perriello Tags: Hospital Care Mergers & Acquisitions Wall Street Beat Ambu Invendo Medical Source Type: news

Salter Labs acquires InnoMed Technologies, Parker Medical, IntuBrite
Salter Labs acquired a trio of medical device companies: Innomed Technologies, Parker Medical and IntuBrite for undisclosed amounts. Coconut Grove, Fla.-based InnoMed makes non-invasive ventilation and continuous positive airway pressure masks. Parker Medical, based in Highlands Ranch, Colo., makes tips for endotracheal tubes. IntuBrite makes laryngoscopes and is based in Vista, Calif. Lake Forest, Ill.-based Salter Labs makes respiratory therapy devices for the home and healthcare provider markets. “With these acquisitions, Salter offers a wide range of innovative, clinically-preferred airway management product...
Source: Mass Device - October 27, 2017 Category: Medical Devices Authors: Brad Perriello Tags: Hospital Care Mergers & Acquisitions Respiratory innomed intubrite parkermedical salterlabs Source Type: news

Vyaire Medical acquires Revolutionary Medical Devices
Vyaire Medical, a joint venture from Becton Dickinson & Co. (NYSE:BDX) and Apax Partners, said today it acquired airway management developer Revolutionary Medical Devices for an undisclosed amount. Tucson, Ariz.-based Revolutionary Medical Devices’ main product is the SuperNO2VA, a noninvasive nasal positive airway pressure ventilation system designed to treat respiratory insufficiency from collapsed airways during or after sedation or during intubation. “The acquisition of Revolutionary Medical Devices allows Vyaire to bring another clinically-differentiated airway management solution to the medical d...
Source: Mass Device - October 20, 2017 Category: Medical Devices Authors: Fink Densford Tags: Business/Financial News Mergers & Acquisitions Respiratory revolutionarymedicaldevices Vyaire Medical Source Type: news

Verathon launches GlideScope Go portable video laryngoscope
Verathon Inc. yesterday announced the launch of its portable GlideScope Go video laryngoscope. The Bothell, Wash.-based company’s device is a portable, high-res system for clinicians to use in hospital and pre-hospital settings. The display was designed for improved visualization and first-pass intubation, Verathon said. The unit is compatible with GlideScope Spectrum single-use blades for patients of all ages, according to the company. “GlideScope Go is an intuitive, handheld solution that adds versatility to clinical airway management,” Tim Shauf, VP & GM of Verathon’s respiratory & surgic...
Source: Mass Device - September 1, 2017 Category: Medical Devices Authors: Sarah Faulkner Tags: Imaging Respiratory Verathon Inc. Source Type: news

Prehospital management of pediatric hanging - Rehn M, Davies G, Foster E, Lockey DJ.
We describe the management of pediatric hangings attended by an urban physician-led prehospital trauma service to provide information on a ... (Source: SafetyLit)
Source: SafetyLit - August 31, 2017 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Anesthesiology Residents' OOOR Emergent Airway Management Anesthesiology Residents' OOOR Emergent Airway Management
How familiar are anesthesiology residents with the contents of, and correct adherence to, the American Society of Anesthesiologists'Difficult Airway Algorithm?BMC Anesthesiology (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - August 30, 2017 Category: Consumer Health News Tags: Anesthesiology Journal Article Source Type: news

Mike Steuerwald, MD Joins the Difficult Airway Course: EMS as Associate Medical Director
FARMINGTON, Connecticut.—First Airway, LLC, the creator of The Difficult Airway Course: EMS, is pleased to announce the appointment of Mike Steuerwald, MD as the new Associate Medical Director. Dr. Steuerwald is the Director of Emergency Airway Management and the Assistant Medical Director of UW Med Flight, as well as an Assistant Professor at the University of Wisconsin School of Medicine and Public Health. He has been an instructor in prehospital and emergency medicine since 2011 and is a regular contributor to Free Open-Access Medical Education (FOAMed).  Dr. Steuerwald has been an active EMS provider since 2...
Source: JEMS Administration and Leadership - July 7, 2017 Category: Emergency Medicine Tags: Administration and Leadership Industry News Source Type: news

Mike Steuerwald, MD Joins the Difficult Airway Course: EMS as Associate Medical Director
FARMINGTON, Connecticut.—First Airway, LLC, the creator of The Difficult Airway Course: EMS, is pleased to announce the appointment of Mike Steuerwald, MD as the new Associate Medical Director. Dr. Steuerwald is the Director of Emergency Airway Management and the Assistant Medical Director of UW Med Flight, as well as an Assistant Professor at the University of Wisconsin School of Medicine and Public Health. He has been an instructor in prehospital and emergency medicine since 2011 and is a regular contributor to Free Open-Access Medical Education (FOAMed).  Dr. Steuerwald has been an active EMS provider since 2...
Source: JEMS: Journal of Emergency Medical Services News - July 7, 2017 Category: Emergency Medicine Tags: Administration and Leadership Industry News Source Type: news

Intersurgical to Attend Social Media and Critical Care Conference, Berlin
Intersurgical has announced it will be showcasing a comprehensive range of airway management products at the Social Media and Critical Care Conference (SMACC). (Source: Hospital Management)
Source: Hospital Management - June 20, 2017 Category: Hospital Management Source Type: news

Surgical intervention During a CICO Event Surgical intervention During a CICO Event
This commentary offers guidance on approach to emergency airway management when attempts at tracheal intubation, face-mask ventilation, or placement of a supraglottic airway device have all failed.British Journal of Anaesthesia (Source: Medscape General Surgery Headlines)
Source: Medscape General Surgery Headlines - April 12, 2017 Category: Surgery Tags: Anesthesiology Journal Article Source Type: news

An Evidence-Based Review of Prehospital Traumatic Cardiac Arrest
"Medic 1, please respond to 123 Maple Tree Drive for a gunshot wound." After a short drive, you arrive at a scene that has been secured by police to see a young male lying supine in the middle of the road with several gunshot wounds to his chest. He yells "help me" several times before going unresponsive. You check for a pulse and find none. What interventions should be considered? Are advanced cardiac life support (ACLS) medications and guidelines appropriate to follow? Should you transport the patient in cardiac arrest if the nearest trauma center is five minutes away? What about 20 minutes away? Curr...
Source: JEMS Patient Care - April 10, 2017 Category: Emergency Medicine Authors: Matthew Chinn, MD Tags: Trauma Cardiac & Resuscitation Source Type: news

New Pediatric Ambulance Joins Life EMS Fleet in Kalamazoo, Mich.
The ambulance is designed to transport sick and injured children to Bronson Children's Hospital and carries medical equipment designed for young patients such as small blood pressure cuffs, IVs and breathing tubes. currently, pediatric patients are transferred in ambulances designed for adults and the transport team must being along child-specific medical equipment. More JEMS.com pediatric coverage: A Prehospital Digest for Physiological Pediatric Care An Overview of Prehospital Airway Management Read More at Mlive (Source: JEMS: Journal of Emergency Medical Services News)
Source: JEMS: Journal of Emergency Medical Services News - March 7, 2017 Category: Emergency Medicine Tags: Ambulances & Vehicle Ops News imported Operations Source Type: news

New Pediatric Ambulance Joins Life EMS Fleet in Kalamazoo, Mich.
The ambulance is designed to transport sick and injured children to Bronson Children's Hospital and carries medical equipment designed for young patients such as small blood pressure cuffs, IVs and breathing tubes. currently, pediatric patients are transferred in ambulances designed for adults and the transport team must being along child-specific medical equipment. More JEMS.com pediatric coverage: A Prehospital Digest for Physiological Pediatric Care An Overview of Prehospital Airway Management Read More at Mlive (Source: JEMS Operations)
Source: JEMS Operations - March 7, 2017 Category: Emergency Medicine Tags: Ambulances & Vehicle Ops News imported Operations Source Type: news

An Overview of EMS Pediatric Airway Management
You arrive on scene, walk into the home and find a mother sitting on the couch with a 1-year-old child on her lap. She explains her daughter has been sick for several days, but today it was much harder than usual to wake her up from a nap and, “She just isn’t acting like herself.” The girl appears limp in her mother’s arms and doesn’t look up at you. She appears diaphoretic and her respiratory rate is approximately 8 breaths per minute. You look at your partner, who appears just as worried about the patient as you are, and quickly begin taking action. Your partner hooks up the small patient to...
Source: JEMS Patient Care - February 27, 2017 Category: Emergency Medicine Authors: Dorothy A. Habrat, DO Tags: Airway & Respiratory Source Type: news

Highlights from the 2017 EMS State of the Science: Gathering of Eagles Retreat & Conference
Forty medical directors from some of the largest population and call volume EMS systems in the U.S. and other countries—representing a cumulative 450+ years of medical direction experience—attended the Eagles' annual Eagle Creek closed retreat in Dallas Texas. The group conducted a lively roundtable of issues being confronted in their systems. Exact details and discussions are restricted to attendees, but we can say that the following topics were reviewed and considered for future action. Roundtable of EMS Issues Airway management Proper management of patient refusal Unsafe driving practices Transporting to f...
Source: JEMS Administration and Leadership - February 16, 2017 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT-P Tags: Administration and Leadership Source Type: news

Studies Underway to Evaluate the Use of Supraglottic Airways vs. Intubation in Cardiac Arrest Patients
Supraglottic vs. Intubation Taylor J, Black S, Brett SJ, et al. Design and implementation of the AIRWAYS-2 trial. A multi-centre cluster randomised controlled trial of the clinical and cost effectiveness of the i-gel supraglottic airway device versus tracheal intubation in the initial airway management of out of hospital cardiac arrest.Resuscitation. 2016;109:25–32. As the debates about endotracheal intubation (ETI) continue in EMS crew quarters and medical director offices, South Western Ambulance Service National Health Service (NHS) Foundation Trust in Exeter, England, is taking the lead on a multicenter randomiz...
Source: JEMS Patient Care - December 20, 2016 Category: Emergency Medicine Authors: David Page, MS, NRP Tags: Airway & Respiratory Columns Patient Care Source Type: news

Improving the Index of Suspicion for Spinal Injuries in Drowning Victims
Cervical spine injuries have become the hot topic for EMS professionals over the past few years. New studies have proven the most fundamental treatment practices to be ineffective and sometimes harmful to patients. Today, a person who complains of minor neck pain from a low speed traffic collision is treated with a C-collar and placed in position of comfort on a gurney. This is a stark contrast to the previous practice, in which this same patient would have received full spinal immobilization with a backboard and minimal manipulation of the spine. The advancement in research-driven treatment practices has paved the way for...
Source: JEMS Patient Care - November 18, 2016 Category: Emergency Medicine Authors: Ben Hunt, EMT-P, BA Tags: Patient Care Source Type: news

Tracheobronchial injury caused by blunt trauma: case report and review of literature - Pandey V, Meena DS, Choraria S, Guria S.
We report a challenging case of tracheobronchial injury in a young adult who was run over by a tractor and was referred to us from a peripheral hospital with endotracheal tube i... (Source: SafetyLit)
Source: SafetyLit - November 8, 2016 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

The Perfect MCI Resources
Seattle Fire Department Mass Casualty Incident Vehicle (MCI-1) The early dispatch of the mass casualty incident (MCI) assignment in Seattle was critical to the success of the Aurora Bridge incident because MCI-1, the Seattle Fire Department's (SFD's) MCI vehicle, arrived on scene just eight minutes into the incident. This specialized mobile response unit is able to rapidly deploy equipment and supplies, including lifting and moving devices and lighting and power supplies, to care for more than 100 MCI patients. MCI-1 is set up with easy-to-find equipment and supply sections. Equipment on the street side includes: lightin...
Source: JEMS Operations - November 1, 2016 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT-P Tags: Operations Ambulances & Vehicle Ops Source Type: news

What ’s the Deal with Osteopathic Medicine?
There has long been an air of mystery surrounding the practice of osteopathic medicine. What do these physicians study? What is manipulative medicine? John C. Prestosh, DO, president of the American College of Osteopathic Emergency Physicians (ACOEP) sheds some light on what DOs do. JOHN C. PRESTOSH DO President, American College of Osteopathic Emergency Physicians There has always been a mystery in the House of Medicine. Questions asked; credentials questioned. While much of the mystery has been answered over the years, some questions still remains: What is osteopathic medicine? How are DOs different from MDs? What is t...
Source: EPMonthly.com - September 27, 2016 Category: Emergency Medicine Authors: Matt McGahen Tags: Uncategorized Source Type: news

Consciousness disorders from toxicological view - B ündgens L, Tacke F, Trautwein C, Koch A.
Poisoning with impaired mental state is a frequent cause for hospital admission. The initial management includes assessment of vital functions and airway management followed by focussed diagnostics. Poison Emergency Centers can provide valuable assistance ... (Source: SafetyLit)
Source: SafetyLit - September 23, 2016 Category: Global & Universal Tags: Alcohol and Other Drugs Source Type: news

Ultrasound as an Adjunct for Prehospital Airway Management
You're dispatched to a 45-year-old male involved in a high-speed motorcycle accident. On scene you find the un-helmeted rider unresponsive with a Glasgow coma scale of 5 and significant facial trauma. The patient is breathing, but is in significant respiratory distress. You determine he's unable to protect his own airway and begin to think about how to manage the airway effectively. You anticipate endotracheal (ET) intubation and bag-valve mask (BVM) ventilation will be difficult given his facial injuries, and mentally prepare for the possibility of needing to perform a cricothyroidotomy. Your extraglottic airway device an...
Source: JEMS Patient Care - August 2, 2016 Category: Emergency Medicine Authors: Jenna M. B. White, MD Tags: Airway & Respiratory Source Type: news

Ultrasound as an Adjunct for Prehospital Airway Management
You're dispatched to a 45-year-old male involved in a high-speed motorcycle accident. On scene you find the un-helmeted rider unresponsive with a Glasgow coma scale of 5 and significant facial trauma. The patient is breathing, but is in significant respiratory distress. You determine he's unable to protect his own airway and begin to think about how to manage the airway effectively. You anticipate endotracheal (ET) intubation and bag-valve mask (BVM) ventilation will be difficult given his facial injuries, and mentally prepare for the possibility of needing to perform a cricothyroidotomy. Your extraglottic airway device an...
Source: JEMS Patient Care - August 2, 2016 Category: Emergency Medicine Authors: Jenna M. B. White, MD Tags: Airway & Respiratory Source Type: news

Human Factors in Complex Airway ManagementHuman Factors in Complex Airway Management
How do human variables, such as leadership and communication, factor in when dealing with patients with an anticipated difficult airway? A complex case illustrates a pragmatic approach. BJA Education (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - July 14, 2016 Category: Consumer Health News Tags: Anesthesiology Journal Article Source Type: news

John Gargaro, MD and Douglas Smith join Mercury Medical
Mercury Enterprises, Inc., dba Mercury Medical, Clearwater, Florida is pleased to announce that John Gargaro MD has joined the Corporate Board of Directors and Douglas Smith has joined the company as Vice President of Sales and Marketing. Dr. Gargaro is currently a board certified orthopedic surgeon and graduate of Harvard University and the University of Michigan Medical School. He is currently Chief of the Department of Orthopedic Surgery at Kaiser Permanente Colorado. He is the former Chairman of the Department of Orthopedic Surgery and former Treasurer of the medical staff at St. Joseph Hospital in Denver. Industry ex...
Source: JEMS Administration and Leadership - July 14, 2016 Category: Emergency Medicine Tags: Administration and Leadership Industry News Source Type: news

John Gargaro, MD and Douglas Smith join Mercury Medical
Mercury Enterprises, Inc., dba Mercury Medical, Clearwater, Florida is pleased to announce that John Gargaro MD has joined the Corporate Board of Directors and Douglas Smith has joined the company as Vice President of Sales and Marketing. Dr. Gargaro is currently a board certified orthopedic surgeon and graduate of Harvard University and the University of Michigan Medical School. He is currently Chief of the Department of Orthopedic Surgery at Kaiser Permanente Colorado. He is the former Chairman of the Department of Orthopedic Surgery and former Treasurer of the medical staff at St. Joseph Hospital in Denver. Industry ex...
Source: JEMS: Journal of Emergency Medical Services News - July 14, 2016 Category: Emergency Medicine Tags: Administration and Leadership Industry News Source Type: news