The Agency for Healthcare Research and Quality (AHRQ), in partnership with the NHTSA Office of EMS, has released draft questions that will guide a subsequent review related to prehospital airway management.
There has been much debate over which type of neuromuscular blockade should be used to paralyze patients during RSI. A recent JEMS article compares and contrasts two of the more popular drugs used for RSI.
Creating a patent airway by cricothyrotomy is the ultimate maneuver to allow oxygenation (and ventilation) of the patient. Given the rarity of airway management catastrophes necessitating cricothyrotomy, sufficiently sized prospective randomized trials are difficult to perform. Our Helicopter Emergency Medical Service (HEMS) documents all cases electronically, allowing a retrospective analysis of a larger database for all cases of prehospital cricothyrotomy.
This large nationwide cohort study showed that rehabilitation indeed contributed to a reduction of in-hospital mortality. These findings underscore the importance of adopting rehabilitation as part of the treatment of COPD.
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