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
Pre-Hospital Laryngeal Tube Ups Cardiac Arrest Survival
(MedPage Today) -- Trials cast doubt on endotracheal intubation as preferred treatment (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - August 29, 2018 Category: Cardiology Source Type: news
Laryngeal Tube Insertion Beats Endotracheal Intubation in OHCA
TUESDAY, Aug. 28, 2018 -- For patients with out-of-hospital cardiac arrest (OHCA), 72-hour survival is better with initial laryngeal tube (LT) insertion compared to endotracheal intubation (ETI), while a supraglottic airway device (SGA) is no better... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - August 28, 2018 Category: Pharmaceuticals Source Type: news
Adhesive respiratory monitor detects breathing problems early
[Image from Exspiron]Children can be at risk for compromised breathing after surgery or from conditions like asthma, congestive heart failure or sleep apnea. Opioid therapy and sedation for medical procedures can also depress breathing. Unless a child is sick enough to have a breathing tube, respiratory problems can be difficult to detect early. Yet early detection can mean the difference between life and death.
“There is currently no real-time objective measure,” says Viviane Nasr, MD, an anesthesiologist with Boston Children’s Hospital’s Division of Cardiac Anesthesia. “Instead, respiratory assessment relies on...
Source: Mass Device - July 25, 2018 Category: Medical Devices Authors: Danielle Kirsh Tags: Blog Vector Blog Source Type: news
Bispectral index in poisoning cases with multi-drug ingestion: a predictable role for early endotracheal intubation - Eizadi-Mood N, Halakoei L, Yaraghi A, Jabalameli M, Talakoub R, Sabzghabaee AM.
This study... (Source: SafetyLit)
Source: SafetyLit - May 18, 2018 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs 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
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 lead to decrea...
Source: JEMS Patient Care - April 1, 2018 Category: Emergency Medicine Authors: Neal Richmond, MD, FACEP Tags: Airway & Respiratory Patient Care Columns Source Type: news
Bag-Mask Ventilation Fails to Improve on Intubation for OHCA Bag-Mask Ventilation Fails to Improve on Intubation for OHCA
A randomized comparison of bag-mask ventilation and endotracheal intubation during out-of-hospital CPR failed to show noninferiority or inferiority for the outcome of favorable 28-day neurologic function.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - March 5, 2018 Category: Consumer Health News Tags: Cardiology News Source Type: news
BMV vs ETI for Out-of-Hospital Heart Attacks
(MedPage Today) -- Noninferiority of bag-mask ventilation compared to endotracheal intubation inconclusive (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - March 1, 2018 Category: Cardiology Source Type: news
BMV vs ETI for Out-of-Hospital Cardiac Arrest
(MedPage Today) -- Noninferiority of bag-mask ventilation compared to endotracheal intubation inconclusive (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - March 1, 2018 Category: Cardiology 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 paramete...
Source: Mass Device - January 23, 2018 Category: Medical Devices Authors: Fink Densford Tags: Clinical Trials Diagnostics Masimo Source Type: news
Prehospital Field Amputation Leads to Improved Patient Outcome
Industrial accident leads to extrication by amputation
Your aeromedical team responds to a 29-year-old female whose right hand has been entrapped between the inside of a hopper wall and industrial auger for five hours.
She’s found in a semi-erect position on top of a platform. Although she’s in pain, she expresses that she’s losing sensation to her hand.
Upon physical examination, you find that her right hand is entrapped proximal to the metacarpophalangeal joints, excluding the patient’s thumb.
Multiple attempts at freeing the hand are made to no avail.
Upon arrival of a second aeromedical team with an emergency m...
Source: JEMS Patient Care - January 1, 2018 Category: Emergency Medicine Authors: Calvin Yang, DO Tags: Trauma Patient Care Source Type: news
Temple researchers identify genetic factors linked to acquired narrowing of the airway
(Temple University Health System) Endotracheal intubation and tracheotomy are widely used in the hospital setting for elective surgery and in cases of serious illness or critical injury. In rare instances the procedures result in the development of scarring and narrowing of the larynx and trachea, or acquired laryngotracheal stenosis (ALTS). Who is susceptible to ALTS -- and why -- is unclear, but according to new research at Temple's Lewis Katz School of Medicine, genetic and ethnic background may be underlying factors. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - November 22, 2017 Category: International Medicine & Public Health Source Type: news
