Episode Chapters
- June Introduction10:20Airway Corner - The PART Trial20:34Cardiology Corner - ACEP Clinical Policy on NSTEMI16:55Medicolegal Briefs - The Case of the Wrist Injury18:40EGLS - Echo-Guided Life support19:11Pediatric Pearls - Pediatric Mild Traumatic Brain Injury10:03Heat StrokeFree Chapter21:49Pharmacology Rounds -Newer Medications for Diabetes and Euglycemia DKA10:57Antibiotic Stewardship7:33Critical Care Mailbag - Dexmedetomidine15:20Trauma Surgeons Gone Wild - Kenji's Top 8 Tips on Chest Tube Insertion17:20Child Abuse15:31June Mailbag8:21June Mega Summary35:09EMRAP 2019 June Canadian Edition17:11EMRAP 2019 June German Edition1h, 32mEM:RAP 2019 June Spanish Edition1h, 18mEM:RAP 2019 June French Edition30:59EM:RAP 2019 June Farsi Edition2h, 12mEM:RAP 2019 June Aussie Edition57s
Nurses Edition Commentary
Kathy Garvin, RN and Lisa Chavez, RN
No me gusta!
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EMRAP 2019 June Written Summary 367 KB - PDF
EM:RAP 2019 June Full episode audio for MD edition 227:40 min - 317 MB - M4AEMRAP 2019 June Canadian Edition Canadian 17:11 min - 24 MB - MP3EMRAP 2019 June German Edition Deutsche 92:42 min - 127 MB - MP3EM:RAP 2019 June Spanish Edition Español 78:44 min - 108 MB - MP3EM:RAP 2019 June French Edition Français 30:59 min - 43 MB - MP3EM:RAP 2019 June Farsi Edition Farsi 132:49 min - 182 MB - MP3EM:RAP 2019 June Aussie Edition Australian 0:57 min - 1 MB - MP3EMRAP 2019 06 June Individual MP3s 294 MB - ZIPEMRAP 2019 June Board Review Answers 131 KB - PDFEMRAP 2019 June Board Review Questions 177 KB - PDFEMRAP 2019 June Spanish Written (SPA) 4 MB - PDFEMRAP 2019 June Written Summary 367 KB - PDF
Ian L., Dr - June 2, 2019 8:37 PM
There is no mention of gastric aspiration as some cardiac arrests have recently eaten .
How often is this a problem severe enough to affect survival and neurological damage?
Darren B., M.D. - June 3, 2019 8:19 PM
This was one of the most fascinating findings in both PART and AIRWAYS-2, aspiration rates were not significantly different between intubated patients and those managed with an EGD (iGel or King Laryngeal Tube). Historically, protection against aspiration has been one of the primary arguments for intubation. This equivalence is most likely because patients in cardiac arrest aspirated when they collapsed and during CPR, before EMS crews ever get to them to manage their airway.
Henry W., MD - June 17, 2019 7:28 AM
In PART and Airways-2, rates of aspiration were similar between the groups. Bear in mind that aspiration is an entity that is difficult to define. For example, how do you detect aspirated vomit that was not visible in the oropharynx?
However, the Cardiac Arrest Airway Management (CAAM) study performed in France and Belgium (Jabre, et al., JAMA 2018) found higher rates of visible regurgitation with bag-valve-mask than endotracheal intubation in adult OHCAs. This supports the notion that intubation and supraglottic airways may in fact have this important benefit compared with BVM..