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Strengthen Pediatric Emergency Care with New Free Modules
Lower mortality by 76%. Access free modules to empower your PECC and prep for the 2026 Pediatric Readiness Assessment. The post Strengthen Pediatric Emergency Care with New Free Modules appeared first on ACEP Now.
The Historic Freedom House and the Future of Equity in Medicine
Freedom House, the first U.S. EMS, proved that excellence and equity are linked. See why its legacy is a vital call to action for doctors. The post The Historic Freedom House and the Future of Equity in Medicine appeared first on ACEP Now.
Airway management training might improve ROSC rate in OHCA using supraglottic airways vs. endotracheal intubation: a systematic review and meta-analysis
Background The optimal airway management strategy in out-of-hospital cardiac arrest has been controversial. While endotracheal intubation currently represents the gold standard, supraglottic airway securement may provide advantages with respect to handling in out-of-hospital cardiac arrest. Objectives This meta-analysis of randomized controlled and clinical studies evaluates the effects of the advanced airway strategy (supraglottic versus endotracheal intubation) on return of spontaneous circulation (ROSC). Methods This systematic review and meta-analysis was performed based on a predefined protocol. Literature search included PubMed, Web of Science and the Cochrane Library. Results A total of 8 clinical studies including 14,797 patients were analyzed. Pooled analysis indicated no higher rate of ROSC in patients treated with supraglottic airway versus endotracheal intubation (risk difference (RD) 0.02, 95% CI 0.0–0.04, p=0.11) and no higher rate of survival to hospital discharge (RD 0.01, 95% CI -0.01–0.02, p=0.30). Interestingly, additional training indicated a significant effect of supraglottic airway on ROSC, while the subgroup difference was not significant (RD (additional training) 0.02, 95% CI 0.0–0.04, p=0.02, RD (no additional training) 0.01, 95% CI -0.05–0.01, p=0.72, test for subgroup differences p=0.73). Training programs differed between the investigated studies. Statistical heterogeneity was not observed. Conclusion Overall, the type of advanced airway (supraglottic versus endotracheal intubation) did not impact ROSC or survival to hospital discharge. However, after additional training, supraglottic airway use may have a positive effect on ROSC in out-of-hospital cardiac arrest.
Reconsidering Spinal Immobilization: Evidence, Evolution, and the Case for Gentle Patient Handling
Reconsidering Spinal Immobilization: Evidence, Evolution, and the Case for Gentle Patient Handling
Emergency Medical Services Time on Scene Associated with Reduced Dead-on-Arrival Status Among Pediatric Patients with Severe Traumatic Brain Injury
Emergency Medical Services Time on Scene Associated with Reduced Dead-on-Arrival Status Among Pediatric Patients with Severe Traumatic Brain Injury
Maternal Cardiac Arrest: Physiologic Considerations, Resuscitation Modifications, and Resuscitative Hysterotomy
Authors: William Freeman, MD (Emergency Medicine Resident Physician, WashU School of Medicine); Emma Altieri, MD (Obstetrics and Gynecology Resident Physician, WashU School of Medicine); James Li, MD (Assistant Professor of Emergency Medicine, WashU School of Medicine)Editor: Alex Blau, DO (EMS Phys
Understanding the RSI Trial and Its Implications for EMS Airway Management
Author: Michael DeFilippo, DO Assistant Professor of EM and EMS – Washington University at St. Louis School of MedicineEditors: Aaron Lacy, MD Assistant Professor of EM – Washington University at St. Louis School of Medicine; Sarah E. Fabiano, MD, FACEP, FAAEM, FAEMS Clinical Associate Professor, De
PulmCrit: Hot take on RSI trial of ketamine vs etomidate
The RSI trial was just published, comparing ketamine versus etomidate. Unless you're living under a rock, you've probably already heard about it. So I'm not going to recap the trial, I'll get right into the key bits. Mortality differences For a long time, it's been unclear whether etomidate increase