Author: Tucker Matthews Back with another dive into some airway literature. Got a few studies looking at prehospital airway management of out-of-hospital cardiac arrest, which seems to be a pretty popular area of publication these days. Then have a study looking at tube confirmation with ultrasound, so we don’t have to just cross our fingers…
Author: Tucker Matthews Four more papers about airways! Paper 1: Nauka PC, Moskowitz A, Fein DG. Appraising First-Pass Success: During Emergency Airway Management, What Does It Mean to Be Successful? Ann Am Thorac Soc. 2023 Jan;20(1):21-23. doi: 10.1513/AnnalsATS.202208-661VP. PMID: 36227712; PMCID: PMC9819272. This paper is pretty much mandatory for anyone interested in airway literature. For…
Author: Tucker Matthews Lit Review: OHCA Resuscitation Termination I’ve started thinking more about calling codes. It’s always been odd to me how lacking we are in concrete rules to help us decide when another round of CPR is useless, and when to just end our efforts. In particular, as ED folks, most of what we…
Author: Tucker Mathews, MD Edition 4: Airways, airways, airways! Paper 1: Mohr NM, Santos Leon E, Carlson JN, Driver B, Krishnadasan A, Harland KK, Ten Eyck P, Mower WR, Foley TM, Wallace K, McDonald LC, Kutty PK, Santibanez S, Talan DA; Project COVERED Emergency Department Network. Endotracheal Intubation Strategy, Success, and Adverse Events Among Emergency…
Author: Tucker Matthews, MD Edition 3: We’re back to look at more new airway papers! Paper 1: Cm A, Rao SS, K R, R V, Kn V, T S D. The Ratio of Height to Thyromental Distance (RHTMD) and Height to Sternomental Distance (RHSMD) as the Predictive Tests for Difficult Tracheal Intubation. Cureus. 2022 Sep…
Author: Tucker Matthews, MD It’s time for edition 2! I never really gave much of a background for this, but my goal is stay up to date on the airway literature coming out, and to maybe help others do the same in the process. So these are all going to be papers hot off the…
Author: Tucker Matthews, MD Paper 1: Singh N, Sawyer T, Johnston LC, et al. Impact of multiple intubation attempts on adverse tracheal intubation associated events in neonates: a report from the NEAR4NEOS. Journal of Perinatology : Official Journal of the California Perinatal Association. 2022 Sep;42(9):1221-1227. DOI: 10.1038/s41372-022-01484-5. PMID: 35982243. Methods: Using a prospective airway registry…
Image: https://www.patheos.com/blogs/rogerwolsey/2019/10/oh-my-g-od/omg-funny-baby-face-picture/ In this post, I will cover some of the basics regarding breech deliveries. This topic may cause tachycardia in many resident physicians (including myself) so let’s try and increase our preparedness with a review of the topic. Breech Presentation Definition Feet first or bottom first presentation Background 3-4% of term deliveries Most common…
Author: Dr. Ashley Penington Article: “A randomized controlled trial of ceftriaxone and doxycycline, with or without metronidazole, for the treatment of acute pelvic inflammatory disease” Wiesenfeld and colleagues (2019) Background: As with most things in the realm of infectious diseases, the treatment guidelines and recommendations for pelvic inflammatory disease (PID) have been constantly evolving through…
Author: Dr. Tucker Matthews We see a whole lot of flank pain in the ED, and more and more, we go for non-contrast CT scans (19% of acute flank pain encounters in 2000 had NCCTs, whereas 45% did in 2008). And these NCCTs are pretty damn effective at detecting urolithiasis. Unfortunately, however, a lot of…
