11 results
Predicting a Difficult Airway
Prior to attempting intubation one should assess the airway. 
3-3-2 rule indicates normal
to attempting intubation ... Mallampati Classification ... of endotracheal intubation ... - Classification ... based on which parts
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Bronchiectasis, Trauma ... Alveolar Hemorrhage, Lung ... Contusion, Pneumonitis ... Indications for Intubation ... 2) Bad Lung Down
Algorithm for management of Multiple Trauma in Mountain Environment
Complete primary survey
 - Haemorrhage control (regional and
management of Multiple Trauma ... desmopressin) - A - Airway ... management, intubation ... mechanism (e.g. long ... SMR - Consider POCUS
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Inspiratory Positive Airway ... upper & lower airway ... in obstructive lung ... indication for intubation ... deformity (facial trauma
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
300 mL in 24h Airway ... Malignancy: Primary lung ... hemoptysis • Trauma ... Postprocedural, Lung ... contusion • Drugs
Tracheal Airway POCUS prior to anticipated difficult airway
1. ID cricothyroid membrane evaluation
2. Confirm tracheal intubation
3. Detect
Tracheal Airway ... POCUS prior to anticipated ... difficult airway ... by identifying lung ... #POCUS #trachea
Pulmonary Contusion on Lung POCUS

A 20yo M presents after high speed MVA. BP 140/80, HR 95,
Pulmonary Contusion ... on Lung POCUS ... #Pulmonary #Contusion ... #Lung #POCUS #BLines ... clinical #ultrasound #trauma
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Pediatric Trauma ... applied) A - Airway ... suction; oral airway ... Binder) • Use POCUS ... #Pediatrics #Trauma
Causes of no Lung Sliding - Differential Diagnosis
 • Massive atelectasis - If the lung is
Causes of no Lung ... non-ventilated lung ... • Main-stem intubation ... sliding • Contusions ... arrest (without an airway
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
suffered no head trauma ... This post will focus ... Due to their short ... monitored for airway ... Radiology #CTChest #Lung