Replacing Needle Decompression with Simple Thoracostomy: A Paradigm Shift in EMS Chest Trauma Management

Trauma is a leading cause of death across various age groups, accounting for a substantial number of fatalities annually. Chest injuries, in particular, significantly contribute to this toll and are…

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The Misuse of NIBP Pressures for Titration of Blood Pressure Medications in ICUs and Pre-Hospital Settings

In both ICU and pre-hospital settings, non-invasive blood pressure (NIBP) monitoring has become a cornerstone of patient management. However, a common and concerning practice has emerged: using NIBP-derived systolic and…

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Mastering the Use of the Hypercurved Mac Blade with a Video Laryngoscope: A Comprehensive Guide

Introduction The advent of video laryngoscopy has revolutionized airway management in both pre-hospital and hospital settings, providing unparalleled visualization and improving intubation success rates【1】. However, the traditional Macintosh (Mac) blade,…

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The Critical Role of Proper Ventilation: Challenges of Using a BVM with an ETT Tube

In the pre-hospital environment, paramedics often face the challenging task of managing a patient's airway under less-than-ideal conditions. Among the various tools at their disposal, the bag-valve-mask (BVM) connected to…

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The Importance of Mechanical Ventilators for Intubated Patients in the Prehospital Environment

In the high-stress prehospital environment, managing intubated patients effectively is crucial for their survival and long-term outcomes. While bag-valve-mask (BVM) devices are essential in emergencies, their prolonged use can lead…

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Improving Airway Management in Trauma: Delayed Sequence Intubation (DSI) vs. Rapid Sequence Intubation (RSI) for Prehospital Providers

Securing an airway in critically injured patients is one of the most challenging and essential tasks for prehospital providers. A recent study published in Anesthesia & Analgesia (2023) has revealed…

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