Recorded live at High Risk EM - Hawaii 2012. This segment brings you an in-deth review on the most effective diagnostic approach to a penetrating neck injury.
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Great lecture. I do take exception to the presenter's "call anesthesia" plan if fiber-optic intubation is needed. Flexible fiber-optic scopes are becoming increasingly affordable and available to emergency departments as many centers teach this valuable skill. As a critical airway experts, emergency physicians no longer cede Rapid sequence intubation or video laryngoscopy to consultants. Why should we look at flexible fiber-optic techniques any differently?
Thank you for the excellent review. It was refreshing to have a tertiary care emergency medicine doctor acknowledge the difficulties encountered by more rural sites and indicate the expertise that is required to work at sites that transfer out to trauma centers. Too often there are derogatory remarks made about decisions made at the centers of first contact for the patients without consideration of the limitations these facilities may face that the more robust centers have not faced. The airway management and overall approach to neck trauma was concise and very applicable to any site. I am sure those tidbits will come In handy at some point in the future.
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Shawn L. - October 21, 2012 8:07 PM
Great lecture. I do take exception to the presenter's "call anesthesia" plan if fiber-optic intubation is needed. Flexible fiber-optic scopes are becoming increasingly affordable and available to emergency departments as many centers teach this valuable skill. As a critical airway experts, emergency physicians no longer cede Rapid sequence intubation or video laryngoscopy to consultants. Why should we look at flexible fiber-optic techniques any differently?
Shelley O. - November 26, 2012 5:31 AM
Thank you for the excellent review. It was refreshing to have a tertiary care emergency medicine doctor acknowledge the difficulties encountered by more rural sites and indicate the expertise that is required to work at sites that transfer out to trauma centers. Too often there are derogatory remarks made about decisions made at the centers of first contact for the patients without consideration of the limitations these facilities may face that the more robust centers have not faced. The airway management and overall approach to neck trauma was concise and very applicable to any site. I am sure those tidbits will come In handy at some point in the future.