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 succes...
Source: JEMS Special Topics - August 30, 2018 Category: Emergency Medicine Authors: Shannon W. Stephens, EMT-P Tags: Airway & Respiratory Exclusive Articles Source Type: news
Laryngeal Mask Airway Effective for Newborn Resuscitation in Uganda Laryngeal Mask Airway Effective for Newborn Resuscitation in Uganda
A laryngeal mask airway is more effective than face mask ventilation for neonatal resuscitation in a low-resource setting, according to results from a small, prospective randomized trial in Uganda.Reuters Health Information (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - October 11, 2017 Category: Intensive Care Tags: Pediatrics News Source Type: news
The Solus Laryngeal Mask - Flexible Wire-Reinforced Airway Tube
The Solus laryngeal mask - flexible wire-reinforced airway tube. (Source: Hospital Management)
Source: Hospital Management - August 7, 2017 Category: Hospital Management 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
A Double Sequential External Defibrillation Review and Discussion
One Tuesday morning, a Bernalillo County Fire Department (BCFD) engine and paramedic rescue unit are dispatched to a 58-year-old male who's suffering a witnessed cardiac arrest at his home in a very rural service area. They arrive on scene simultaneously with Albuquerque Ambulance, the ALS transport service, nine minutes after the 9-1-1 call. Family members are providing dispatcher-assisted bystander CPR. The crews jump into action and began resuscitation according to local protocols, which includes manual pit crew CPR for a non-hypoxic adult cardiac arrest (specifically, six minutes of continuous chest compressions and pa...
Source: JEMS Patient Care - December 1, 2016 Category: Emergency Medicine Authors: Brenda J. Lanan, MD Tags: Cardiac & Resuscitation Source Type: news
Pediatric Airway Presents Unique Challenges in Airway Management
Your aeromedical EMS crew is dispatched directly to a preschool for a patient with a possible head injury. The patient is a 4-year-old, 20-kg boy with known Hurler's syndrome who was struck in the head during a fall from a standing position. The school nurse arrived to find him unconscious, apneic and without a palpable pulse. She initiated CPR, which resulted in a palpable pulse, and continued ventilations via mouth-to-mouth until an ambulance arrived. On arrival of ground EMS, ventilations were continued via a bag-valve mask (BVM) and supplemental oxygen while C-spine precautions where maintained. Endotracheal (ET) intub...
Source: JEMS Patient Care - June 1, 2016 Category: Emergency Medicine Authors: Ken Davis Tags: Airway & Respiratory Source Type: news
Teleflex closes $400m debt offering
Teleflex (NYSE:TFX) said Monday it closed a $400 million debt offering round through the offering of 4.875% senior notes due in 2026. The Wayne, Penn.-based company said it expects to net approximately $393 million from the offering after deducting underwriters discounts and commissions, and intends to use the proceeds to repay borrowings from its revolving credit facility, according to an SEC filing. The refi comes in the wake of a solid 2016 1st quarter for Teleflex. The company reported $50.7 million in profit, or $1.04 per share, on sales of $424.9 million for the quarter ending March 27. ...
Source: Mass Device - May 18, 2016 Category: Medical Equipment Authors: Fink Densford Tags: Blog Teleflex Source Type: news
Teleflex prices $400m debt offering
Teleflex (NYSE:TFX) yesterday priced $400 million worth of debt that the maker of surgical tools and equipment plans to use for debt refinancing. The offering, of 4.875% senior notes due in 2026, is expected to close May 16. Teleflex said it plans call to use the money to refinance $393 million in debt under its revolving credit facility. J.P. Morgan and BofA Merrill Lynch are the joint book-runners for the flotation, Teleflex said. The refi comes in the wake of a solid 2016 1st quarter for Teleflex. The Wayne, Pa.-based company reported $50.7 million in profit, or $1....
Source: Mass Device - May 12, 2016 Category: Medical Equipment Authors: Mark Hollmer Tags: Funding Roundup Teleflex Source Type: news
Teleflex’s Q1 profits surge, earnings outlook raised
Teleflex (NYSE:TFX) shares ticked down today despite a 17¢ earnings beat, as investors likely interpreted the Wayne, Pa.-based company’s raised earnings outlook as too tepid for the circumstances. Teleflex posted profits of $50.7 million, or $1.04 per share, on sales of $424.9 million for the 3 months ended March 27, representing a 32.2% bottom-line gain on a -1.1% sales decline. Adjusted to exclude 1-time items, earnings per share were $1.52, well ahead of Wall Street’s consensus $1.35 outlook. Analysts were expecting sales of $423.8 million. Still, investors sent TFX shares down -1.2% to $158.24 api...
Source: Mass Device - April 28, 2016 Category: Medical Equipment Authors: Brad Perriello Tags: MassDevice Earnings Roundup Wall Street Beat Teleflex Source Type: news
Laryngeal Mask for Keratoplasty Anesthesia Safe, EffectiveLaryngeal Mask for Keratoplasty Anesthesia Safe, Effective
A laryngeal mask for keratoplasty under general anesthesia appeared to be safe, lowered risk for potential ocular hypertension during recovery, and saved recovery time compared with endotracheal tube. Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 4, 2015 Category: Consumer Health News Tags: Ophthalmology News Source Type: news
The BVM Effect: An Overview of Studies Assessing Airway Management in Out-of-Hospital Cardiac Arrest
Evolving CPR guidelines follow the growing understanding of the physiology surrounding cardiac arrest. For example, it’s been shown that the maintenance of high-quality chest compressions with minimal interruptions is a cornerstone of providing adequate CPR.1 However, the role of airway and ventilation management during CPR remains less well understood. Although the safest and most effective airway management for the patient in cardiac arrest still remains to be ascertained, the initial approach in airway management in out-of-hospital cardiac arrest (OHCA), however, is typically the application of the bag-valve ...
Source: JEMS Patient Care - September 28, 2015 Category: Emergency Medicine Authors: Raymond L. Fowler, MD, FACEP Tags: Airway & Respiratory Resuscitation Shock Patient Care Source Type: news
Training, Practice, Research Lead to Successful Airway Management
Improving Intubation Lockey DJ, Healey B, Crewdson K, et al. Advanced airway management is necessary in prehospital trauma patients. Br J Anaesth. Dec. 23, 2014. [Epub ahead of print]. First and foremost, we’d like to congratulate JEMS on 35 years of quality EMS reporting. We’re honored and privileged to be part of this monthly, ground-breaking publication. Coming to us from the British Journal of Anaesthesia, David Lockey, MD, and associates set out to determine the demand for on-scene advanced airway interventions in London, U.K. In a one-year prospective observational study, they asked enhanced care teams (E...
Source: JEMS Special Topics - March 9, 2015 Category: Emergency Medicine Authors: Alexander L. Trembley, NREMT P Tags: Airway & Respiratory Columns Patient Care Source Type: news
Saturday with SMACC: Scott Weingart on Cutting Edge Intra-Arrest Care
The main theme of this extremely thought-provoking talk by Scott Weingart (@emcrit) is that CPR should not be limited to the cookbook algorithms taught in the American Heart Association’s ACLS course. Scott argues that ACLS teaches what can be done easily, not necessarily what’s needed to achieve an optimal outcome. He covers everything from the laryngeal mask airway to intra-arrest extracorporeal membrane oxygenation (ECMO.) You may not agree with all of Scott’s points, but this is a must-listen lecture. This talk was given at the 2014 SMACC Gold conference in Australia last March. I was there, and ...
Source: The Poison Review - December 20, 2014 Category: Toxicology Authors: Leon Tags: Medical cardiopulmonary arrest Chicago cpr Medical conference resuscitation Scott Weingart SMACC Source Type: news
Intersurgical Laryngeal Mask Airways Range
Due to growing concerns about the risk of cross infection, Intersurgical has developed a single use laryngeal mask airway, the Solus™. (Source: Hospital Management)
Source: Hospital Management - July 14, 2014 Category: Hospital Management Source Type: news
Minimally Invasive Surfactant Therapy: An Update
Preterm infants who have respiratory distress syndrome have for many years been managed with a combination of early intubation and exogenous surfactant therapy. It is now recognized that applying continuous positive airway pressure (CPAP) in an extremely preterm infant is a reasonable alternative to early intubation after birth. Meta-analysis of large controlled trials comparing these two approaches suggests a benefit of CPAP, with a small reduction in the risk of the composite outcome of death or bronchopulmonary dysplasia. In the past decade, there has been an upsurge in the use of CPAP as primary therapy for preterm inf...
Source: NeoReviews recent issues - July 1, 2014 Category: Pediatrics Authors: Aguar, M., Vento, M., Dargaville, P. A. Tags: Articles Source Type: news
Teleflex Signs New Agreement with HealthTrust for Complete Line of LMA(R) Laryngeal Masks
LIMERICK, Pa.--(Healthcare Sales & Marketing Network)--Teleflex Incorporated (TFX), a leading global provider of medical devices for critical care and surgery, has announced it was recently awarded a new agreement from HealthTrust for its complete line of ... Devices, Group PurchasingTeleflex, HealthTrust, LMA Laryngeal Masks, laryngeal mask (Source: HSMN NewsFeed)
Source: HSMN NewsFeed - June 25, 2013 Category: Pharmaceuticals Source Type: news