Airway Mythology

As promised, here are selected references from today’s talk on Airway Management Mythology. Thanks to the organizers of the International Conference on Emergency Medicine (ICEM) for the invitation to speak.

Some of the topics discussed are supported by plenty of evidence (ie the use of RSI as an intubation technique), some were simply fun to discuss (holding your breath while intubating) and some remain quite reasonably controversial (the use of etomidate for RSI in sepsis).

I highly recommend visiting Dr. Reuben Strayer’s blog for a brief and enlightening discussion of the use of rocuronium for RSI. Also, Dr. Scott Weingart’s EMCrit blog and podcasts are an excellent source for ED critical care topics. Finally, The Airway Site contains links to key airway management references as well as information on the Difficult Airway Course.

Selected References:

Status Epilepticus

Here are some key references from today’s lecture on Status Epilepticus at ICEM:

FERNE’s seizure and status epilepticus management guide

Key practice guidelines related to seizures:

  • ACEP Clinical Policy: Critical Issues In The Evaluation And Management Of Adult Patients Presenting To The Emergency Department With Seizures
  • Treatment of convulsive status epilepticus. Epilepsy Foundation of America. JAMA 1993; 270:854-859.
  • The neurodiagnostic evaluation of the child with first simple febrile seizure. AAP. Pediatrics 1996; 97:769-775.
  • The role of phenytoin in the management of alcohol withdrawal syndrome. Am Soc Addiction Med 1994 / 1998
  • Evaluating the first nonfebrile seizure in chilren. AAN. Neurology 2000; 55:616-623.
  • Role of antiseizure prophylaxis following head injury. BTF / AANS. J Neurotrauma 2000; 17:549-553.
  • Treatment of the child with a first unprovoked seizure. AAN. Neurology 2003; 60:166-175
  • Antiepileptic drug prophylaxis in severe traumatic brain injury. Neurology 2003; 60:10-16

Special thanks to Professor Andy Jagoda (Department of Emergency Medicine, Mount Sinai, New York)

Research scholars

The ultrasound division is proud to welcome two research scholars: Dr. Hong Chuen Toh and Dr. Shiang-Hu Ang.

Drs. Shiang-Hu Ang (Ash) and Hong Chuen Toh

Dr Hong Chuen Toh is an Associate Consultant from the Department of Emergency Medicine, Alexandra Hospital, Singapore. He obtained his bachelor degree in medicine and surgery M.B.B.S (Singapore) in 2000 and post graduate degree in Accident and Emergency Medicine MRCSEd (A&E) in 2007. He’s a member of the Royal College of Surgeons of Edinburgh, and his main sub-clinical interest is in emergency ultrasound. He has organized many WINFOCUS courses at his home hospital.
Dr. Shiang-Hu Ang (also known as Ash) is from Singapore’s Changi General Hospital Department of Emergency Medicine. He has been tasked to set up an emergency ultrasound service for his department. His interests include emergency ultrasound as well as emergency critical care, and his research interests lie in the ever expanding field of emergency soft-tissue ultrasound. He also manages the website of the Society for Emergency Medicine in Singapore- please check it out!