keyword
https://read.qxmd.com/read/37563043/tracheostomy-in-otorhinolaryngology-education-and-training-programs-a-japanese-nationwide-survey
#21
JOURNAL ARTICLE
Masaaki Higashino, Koichiro Saito, Kiyoaki Tsukahara, Masamitsu Hyodo, Hideki Hirabayashi, Ryo Kawata
OBJECTIVE: Surgical airway management is one of the most effective techniques for safe airway management. Within the training programs relating to knowledge and skills required by otorhinolaryngologists, tracheostomy and postoperative management are important items that must be fully understood by airway surgeons. We performed a nationwide survey to identify problems within tracheostomy and postoperative management in Japan in order to establish practical and safe guidelines for surgical airway management...
August 8, 2023: Auris, Nasus, Larynx
https://read.qxmd.com/read/37547539/out-of-hospital-emergency-airway-management-practices-a-nationwide-observational-study-from-aotearoa-new-zealand
#22
JOURNAL ARTICLE
Chris Kibblewhite, Verity F Todd, Graham Howie, Josh Sanders, Craig Ellis, Bryan Dittmer, Elena Garcia, Andy Swain, Tony Smith, Bridget Dicker
BACKGROUND AND OBJECTIVES: Airway management is crucial for emergency care in critically ill patients outside the hospital setting. An Airway Registry is useful in providing essential information for quality improvement purposes. Therefore, this study aimed to develop an out-of-hospital airway registry and describe airway management practices in Aotearoa New Zealand (AoNZ). METHODS: Data from the Aotearoa New Zealand Paramedic Care Collection (ANZPaCC) database were used in a retrospective cohort study covering July 2020 to June 2021...
September 2023: Resuscitation plus
https://read.qxmd.com/read/37465661/acute-exacerbation-of-copd
#23
JOURNAL ARTICLE
Dominic Pappas, Amrita Vempati
AUDIENCE: This case is targeted to emergency medicine residents of all levels. INTRODUCTION: Shortness of breath (SOB) is one of the top ten most common chief complaints seen in the Emergency Department, accounting for close to 10% of presenting complaints.1 An acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is a frequent culprit, accounting for roughly 15.4 million visits and 730,000 hospitalizations per year.2 The diagnosis of treatment of mild to moderate AECOPD can be relatively uncomplicated; however, multiple factors can increase the complexity of management and pose additional challenges that the emergency physician (EP) must be prepared for...
April 2023: Journal of education & teaching in emergency medicine
https://read.qxmd.com/read/37456585/accuracy-of-two-rescuer-adult-cpr-performed-by-medical-registrars-at-a-south-african-university
#24
JOURNAL ARTICLE
Bianca Hartslief, Carmen Janse van Rensburg, Alicia Maartens, Pieter G Marais, Erwain T Meyer, Joleen P Cairncross, Gina Joubert, Wilhelm Johannes Steinberg
BACKGROUND: Cardiopulmonary resuscitation (CPR) is performed to manually keep brain function intact until the patient's spontaneous blood circulation and breathing are restored. In South Africa, registrars, who are qualified doctors training to specialise in a medical field, are usually the team leaders and oversee junior doctors and nurses during resuscitation. OBJECTIVES: This study aimed to determine the accuracy of the execution of two-rescuer adult CPR on a Resusci-Anne® manikin performed by registrars from the University of the Free State, South Africa...
September 2023: African Journal of Emergency Medicine Revue
https://read.qxmd.com/read/37391243/out-of-hospital-cardiac-arrest
#25
REVIEW
Ryan B Gerecht, Jose V Nable
Survival from out-of-hospital cardiac arrest (OHCA) is predicated on a community and system-wide approach that includes rapid recognition of cardiac arrest, capable bystander CPR, effective basic and advanced life support (BLS and ALS) by EMS providers, and coordinated postresuscitation care. Management of these critically ill patients continues to evolve. This article focuses on the management of OHCA by EMS providers.
August 2023: Emergency Medicine Clinics of North America
https://read.qxmd.com/read/37350778/development-and-validation-of-the-missed-nursing-care-tool-for-pre-operative-patients-with-lung-cancer-in-china
#26
JOURNAL ARTICLE
Xin-Ping Shi, Ma Encarnacion A Dychangco, Xu-Ming Yang, Jennifer Joy R Olivar
INTRODUCTION: Current research suggests that missed nursing care is widespread in preoperative lung cancer patients in China, and preoperative airway management nursing care for lung cancer patients is not standardized. Missed nursing care for preoperative lung cancer patients, on the other hand, is rarely investigated, particularly from the patient's perspective. This study aimed to develop and validate the MISSCARE Survey for pre-operative patients with lung cancer in China. METHODS: This study generated the preliminary draft of the MISSCARE Survey - Lung Cancer Patient (MS-LCP) and tested its reliability and stability through three rounds of lung cancer resection (494, 50, and 309 cases, respectively)...
2023: Patient Preference and Adherence
https://read.qxmd.com/read/37335717/case-series-primary-aldosteronism-diagnosed-despite-normal-screening-investigations-a-report-of-three-cases
#27
JOURNAL ARTICLE
Minyue Jia, Liya Lin, Hanxiao Yu, Boyun Yang, Xiaohong Xu, Xiaoxiao Song
RATIONALE: Since the introduction of the aldosterone-to-renin ratio (ARR) as a screening tool for primary aldosteronism (PA), there has been a marked increase in the reported prevalence of this condition among hypertensive, even normotensive, subjects. PATIENT CONCERNS: But ARR as a spot blood draw for estimating a patient's aldosterone secretory status is influenced by many factors. DIAGNOSES: Here, we describe a series of patients with biochemically confirmed PA, whose diagnosis was delayed by the initial ARR assessment with non-suppressed renin...
May 19, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37276151/emergency-medical-services-management-of-bronchospasm-in-the-united-states-a-cross-sectional-analysis-and-nationwide-quality-assessment
#28
JOURNAL ARTICLE
Gregory A Peters, Rebecca E Cash, Scott A Goldberg, Lily M Kolb, Alexander J Ordoobadi, Carlos A Camargo
Background/Objective : Bronchospasm, caused by asthma and other related conditions, is a significant cause of morbidity and mortality commonly managed by emergency medical services (EMS). We aimed to evaluate the quality of prehospital management of bronchospasm by EMS in the US. Methods : The National EMS Information System Public Release Research dataset, a nationwide convenience sample of prehospital patient care report data from 2018 to 2019, was used to capture 9-1-1 activations where patients aged ≥2 years were treated and transported by EMS for suspected bronchospasm...
June 16, 2023: Prehospital Emergency Care
https://read.qxmd.com/read/37256089/clinical-application-of-intubation-free-anesthesia-in-radical-resection-of-lung-cancer
#29
JOURNAL ARTICLE
Zhenhai Liu, Shengjie Ren, Ning Liu, Yanhua Luo
BACKGROUND: In recent years, video-assisted thoracic surgery (VATS) has become increasingly widespread. However, the implementation of VATS requires the assistance with lung isolation techniques. Spontaneous breathing with laryngeal masks is also increasingly used in VATS. However, evidence on the characteristics of intubated anesthesia is insufficient. OBJECTIVE: This study aimed to explore whether intubation-free anesthesia has more advantages than other intubation methods in the clinical setting...
2023: Frontiers in Medicine
https://read.qxmd.com/read/37244725/a-patient-with-severe-anxiety-and-episodes-of-fainting-in-need-of-dental-restoration
#30
REVIEW
Nikhil Mistry, Kenneth Kufta, Mel Mupparapu, Neeraj Panchal
Patients with extreme dental anxiety and dental phobia are candidates for syncope attacks in a dental chair. Early recognition and management of these episodes is important. Vasovagal syncope is often preceded by prodromal signs and symptoms like facial pallor, diaphoresis, fainting, dizziness, nausea, or vomiting. If any element of the patient's airway, breathing, or cardiovascular system is no longer intact, the provider should commence emergency basic life support protocols and notify emergency medical services immediately...
July 2023: Dental Clinics of North America
https://read.qxmd.com/read/37222768/-development-of-a%C3%A2-competence-catalogue-for-physicians-in-training-for-curriculum-creation-with-respect-to-delivery-room-training
#31
JOURNAL ARTICLE
Markus Flentje, Hendrik Eismann, Simon Schwill, Daniel Forstner, Peter Kranke
BACKGROUND: Anesthesiologic expertise is used at various points in the delivery room. The natural turnover of professionals requires continuous education and training for patient care. In a first survey among consultants and trainees, the desire for a delivery room-specific anesthesiologic curriculum has emerged. In order to enable a curriculum with decreasing supervision, a competence-oriented catalogue is used in many medical fields. The gain in competence develops gradually...
May 24, 2023: Anaesthesiologie
https://read.qxmd.com/read/37137509/furin-as-a-therapeutic-target-in-cystic-fibrosis-airways-disease
#32
REVIEW
Lisa E J Douglas, James A Reihill, Bethany M Montgomery, S Lorraine Martin
Clinical management of cystic fibrosis (CF) has been greatly improved by the development of small molecule modulators of the CF transmembrane conductance regulator (CFTR). These drugs help to address some of the basic genetic defects of CFTR; however, no suitable CFTR modulators exist for 10% of people with CF (PWCF). An alternative, mutation-agnostic therapeutic approach is therefore still required. In CF airways, elevated levels of the proprotein convertase furin contribute to the dysregulation of key processes that drive disease pathogenesis...
June 30, 2023: European Respiratory Review: An Official Journal of the European Respiratory Society
https://read.qxmd.com/read/37122776/lunch-box-penetrating-injury-in-the-craniofacial-region-impedes-the-primary-airway-management-and-surgical-intervention
#33
Ankita Dahiya, Virendra Singh, Amrish Bhagol, Aakash Britto, Deepti Chhikara
Penetrating Cranio-Maxillofacial trauma obscuring the clear view of the face in addition to an impediment to emergency airway management has been a rare occurrence in the archives of emergency trauma. A four-year-old girl reported to the emergency following a lunch box sharp rim penetrating wound to her left supraorbital region, limiting the access and clear view of her face. CT scan ruled out the serious orbital injury, but clearly revealed the piercing of the brain matter in the frontal region. The toddler's golden hour of primary management was spent in the darkness with the lunch box covering her entire face, obstructing the basic intubation methods required for primary airway management...
June 2023: Journal of Maxillofacial and Oral Surgery
https://read.qxmd.com/read/37042505/successful-surgical-airway-performance-in-the-combat-prehospital-setting-a-qualitative-study-of-experienced-military-prehospital-providers
#34
JOURNAL ARTICLE
Timothy B Pekari, John L Melton, Ronald M Cervero, Anita Samuel
INTRODUCTION: Military first responders are in a unique category of the healthcare delivery system. They range in skill sets from combat medic and corpsman to nurses, physician assistants, and occasionally, doctors. Airway obstruction is the second leading cause of preventable battlefield death, and the decision for intervention to obtain an airway depends on the casualty's presentation, the provider's comfort level, and the available equipment, among many other variables. In the civilian prehospital setting cricothyroidotomy (cric) success rates are over 90%, but in the US military combat environment success rates range from 0-82%...
2023: The Medical journal
https://read.qxmd.com/read/37019689/characteristics-of-paediatric-pre-hospital-intubation-by-intensive-care-paramedics
#35
JOURNAL ARTICLE
Tom Solan, Daniel Cudini, Matthew Humar, Nathan Forsyth, Ben Meadley, Toby St Clair, Darren Hodge, Karen Smith, Franz E Babl, Elliot Long
OBJECTIVES: Emergency intubation in children is an infrequent procedure both in the pre-hospital and hospital setting. The anatomical, physiological and situational challenges together with limited clinician exposure can make this a difficult procedure with high risk of adverse events. The aim of this collaborative study between a state-wide ambulance service and a tertiary children's hospital was to describe the characteristics of pre-hospital paediatric intubations by Intensive Care Paramedics...
April 5, 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/36966409/-basics-and-novelties-of-neonatal-resuscitation
#36
JOURNAL ARTICLE
András Széll
This recommendation summarizes the recent neonatal resuscitation guidelines of the European Resuscitation Council (ERC), but it takes into account the guidelines of the American Heart Association (AHA) and the statements of the International Liaison Committee on Resuscitation (ILCOR) Consensus on Science with Treatment Recommendations (CoSTR) for neonatal life support. The goal of the management of the newly born infants is to support the cardiorespiratory transition. Personnel and equipment should be prepared for neonatal life support before every delivery...
March 26, 2023: Orvosi Hetilap
https://read.qxmd.com/read/36757942/airway-management-during-ongoing-chest-compressions-direct-vs-video-laryngoscopy-a-randomised-manikin-study
#37
RANDOMIZED CONTROLLED TRIAL
Richard Steffen, Simon Hischier, Fredy-Michel Roten, Markus Huber, Jürgen Knapp
BACKGROUND: Tracheal intubation is used for advanced airway management during cardiac arrest, particularly when basic airway techniques cannot ensure adequate ventilation. However, minimizing interruptions of chest compressions is of high priority. Video laryngoscopy has been shown to improve the first-pass success rate for tracheal intubation in emergency airway management. We aimed to compare first-pass success rate and time to successful intubation during uninterrupted chest compression using video laryngoscopy and direct laryngoscopy...
2023: PloS One
https://read.qxmd.com/read/36742468/pediatric-airway-foreign-bodies-and-their-management-by-rigid-bronchoscopy-how-i-experienced
#38
JOURNAL ARTICLE
Suhail Amin Patigaroo, Nazia Mehfooz, Omar Mohammed Shafi, Sajad Majid Qazi, Rauf Ahmad
Rigid bronchoscopy is the gold standard treatment for pediatric tracheobronchial foreign bodies. This procedure gives jitters to young ENT surgeons. The only aim of this study is to aware young ENT surgeons of different challenges they may face during bronchoscopy and their subsequent management. Clinical and demographic presentations of airway foreign bodies are also presented. This prospective observational study was conducted from Jan 2013 to Jan 2020 on patients with tracheobronchial foreign bodies. Patients were divided in four Groups (A, B, C and D) on the basis of mode of presentation...
December 2022: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/36719885/safety-and-efficacy-of-pulmonary-physiotherapy-in-hospitalized-patients-with-severe-covid-19-pneumonia-pptcovid-study-a-prospective-randomised-single-blind-controlled-trial
#39
RANDOMIZED CONTROLLED TRIAL
Mohammad Javaherian, Azadeh Shadmehr, Abbasali Keshtkar, Mohammad Taghi Beigmohammadi, Narges Dabbaghipour, Aabis Syed, Behrouz Attarbashi Moghadam
BACKGROUND: Pulmonary physiotherapy (PPT) is an important treatment in the management of patients with different types of pulmonary disorders. We aimed to evaluate safety and efficacy of PPT in hospitalized patients with severe COVID-19 pneumonia. METHODS: In this randomised, single-blind, controlled trial, we enrolled hospitalized, non-intubated patients (18 to 75 years with oxygen saturation (Spo2) in free-air breathing ≤90%) with COVID-19 pneumonia at a referral hospital...
2023: PloS One
https://read.qxmd.com/read/36703273/a-circulation-first-approach-for-resuscitation-of-trauma-patients-with-hemorrhagic-shock
#40
JOURNAL ARTICLE
Jonathon Chon Teng Chio, Mark Piehl, Valerie J De Maio, John T Simpson, Chelsea Matzko, Cameron Belding, Jacob M Broome, Juan Duchesne
The original guidelines of cardiopulmonary resuscitation focused on the establishment of an airway and rescue breathing before restoration of circulation through cardiopulmonary resuscitation. As a result, the airway-breathing-circulation approach became the central guiding principle of resuscitation. Despite new guidelines by the American Heart Association for a circulation-first approach, Advanced Trauma Life Support guidelines continue to advocate for the airway-breathing-circulation sequence. Although definitive airway management is often necessary for severely injured patients, endotracheal intubation (ETI) before resuscitation in patients with hemorrhagic shock may worsen hypotension and precipitate cardiac arrest...
January 1, 2023: Shock
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