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Operational Realities of Evidence-Based Medicine in Prehospital Airway Management
There are challenges in bringing inside care outside.
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Acute respiratory distress is a serious emergency. Good patient outcomes require a skilled assessment of the airway, breathing and oxygenation.
This column will explain how you can use end tidal CO2 measurements to titrate and evaluate the effectiveness of CPAP.
Years ago, I authored an article in the Wisconsin EMS Association Journal titled “CPAP for Everyone.” At that time, “everyone” meant “everyone with respiratory distress.”
Knowing how much oxygen is in the tank could be a matter of life and death.
As a kid growing up in Fort Worth, Texas I had little interest in ambulances or medicine. I do remember one thing about the ambulances in the late 1960s in that they always had signs on the side that stated “oxygen equipped" in big letters.
Once you’ve decided to use CPAP, and convinced your patient to cooperate, you’ll need to monitor the effectiveness of CPAP. It may be necessary to adjust your CPAP pressure, resolve significant mask leaks, reassure your patient or progress to assisted ventilation when CPAP fails.
Mike Brown and Mark Litwinko discuss dealing with a patient who has a chest wound during a mass-casualty incident.
Mike McEvoy shares some tips on delivering medicine to a patient for using a small-volume nebulizer.
The art of selling CPAP to a patient can make or break chances for success.
Although the device still works as designed, is still in service and being used by well-intentioned clinicians, it should be on the shelf with the Medical Anti-Shock Trousers, LifePak 5 and Biophone. While change is sometimes slow, and healthcare providers can be described as conservatively fixed, lung protective ventilation is the current standard of care.
Deployment of CPAP and BIPAP in EMS has evolved over the last decade and is arguably first line ...
Capnography was first proposed for use in the operating room in 1978 and has since become the standard of care for ...
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