Older adult trauma patients present unique challenges for the emergency care provider. Airway anatomic and physiologic changes associated with age may pose difficulties in the setting of trauma and may affect the overall care of the patient. Understanding the geriatric variations and developing alternative strategies is critical in the acute care setting.
Emergency medicine clinicians need to be adept at the acute treatment of both minor and major burns and be confident in their ability to decide which patients need referral to a burn center. The authors outline current recommendations for the treatment of minor burns, the initial treatment of more serious thermal injury, and the decision-making algorithm for burn center referral.
In this prospective study, use of a flexible bronchoscope as a flexible stylet and a Glidescope to provide visual guidance while intubating patients in the operating room was associated with shorter time to intubation than the use of Glidescope alone.
Burn injuries are complex injuries that the acute care physician must be prepared to assess and manage. In addition, an understanding of potential systemic effects from inhalation of toxic components in fires is critical to guide management. The authors provide a timely review of the critical aspects of assessment and management of burn patients.
The process of airway management has evolved considerably to include rapid sequence intubation (RSI), the use of various procedures, and sophisticated devices designed to assist in the placement of an endotracheal tube. This article summarizes the basic concepts of airway management, the technique of RSI, and post-intubation management in trauma patients.
Pediatric patients frequently present with respiratory complaints. Fortunately, most children respond well to simple medical interventions. Understanding a child's anatomic and physiologic differences is critical to effectively preventing respiratory failure and stabilizing a child when it occurs.