Airway, Breathing or Consequences: Medical-Legal Consequences of Airway Mismanagement
Conclusion
Although practice may not make perfect, it certainly can make proficiency. And when it comes to airway management, for every tube, every time, every age, everywhere ... capnographic (or at least capnometric or colorimetric) verification of proper initial and ongoing placement is the standard of care.
If being the subject of a serious medical malpractice lawsuit is among the things you strive to avoid, get in habit of using your tools and trusting the technology. (Source: JEMS Special Topics)
Source: JEMS Special Topics - 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
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 45 seco...
Source: JEMS Patient Care - August 30, 2018 Category: Emergency Medicine Authors: Shannon W. Stephens, EMT-P Tags: Airway & Respiratory Exclusive Articles Source Type: news
ETI vs. SGA: The Verdict Is In
This study had several important limitations. The EMS agencies that participated in this trial have many years of experience in OHCA research, including additional training on CPR quality performance.
As previously noted, due to limitations in funding, we couldn’t assess the influence of CPR quality. We studied a relatively limited number of out-of-hospital and in-hospital adverse events. It also wasn’t possible to blind EMS providers to treatment assignment.
Although randomization was uneven in two sites, the overall characteristics of the study groups were similar. We observed a lower than expected ETI success rate; ...
Source: JEMS Special Topics - 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 technol...
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: Journal of Emergency Medical Services News - 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 Administration and Leadership - 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 of the Likely Cost Effectiv...
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’s ability ...
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’s ability ...
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’s ability ...
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’s ability ...
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
