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April/June 2020 - Volume 42 - Issue 2

  • K. Sue Hoyt, PhD, RN, FNP-BC, ENP-C, FAEN, FAANP, FAAN
  • 1931-4485
  • 1931-4493
  • 4 issues / year

 Editor Karen Sue Hoyt

Editor’s Remarks – Unprecedented Times – April 2020

As the Director of the NP Programs at the University of San Diego, I have listened to several heartfelt COVID-19 stories over the past month, from students and faculty who struggle each day with their personal and professional life stories. From the student who is currently living in a hotel, unable to see her family because she heads up the COVID unit, to the faculty member who recently has had to self-quarantine due to an exposure. Her small child cannot seem to understand, “Why won’t mommy hug me today?”. These are unprecedented times…

We all have stories. Some have lost loved ones, unable to even say goodbye. Others are struggling with family members in intensive care units, unable to visit. Every new story I hear each day is gut-wrenching. Every day brings about new ordeals for emergency healthcare workers – no personal protective equipment (PPE) again today. Administrators challenging staff in the workplace. These are unprecedented times…

I do not have many answers right now, but perhaps the answers are in the listening. Listening to those around us. Being patient. Being quiet. Just being present. Whether it is on an audio call, a face time call, a google hangout, or a zoom chat. Right now, maybe it is just time for those around us to just be heard. For…every human being is an unprecedented miracle (James Baldwin) and these are truly unprecedented times…

Be well,
K. Sue Hoyt


SUGGESTIONS 2020-10 {May 25th, 2020}

** = COVID‑19 content 

Neth, MR, Idris, A, McMullan, J, Benoit, JL, Daya, MR. A review of ventilation in adult outofhospital cardiac arrest. JACEP Open. 2020; 1– 12. First published: 28th April 2020. DOI: https://doi.org/10.1002/emp2.12065

**Miller, D.C., Beamer, P., Billheimer, D., Subbian, V., Sorooshian, A., Campbell, B.S. and Mosier, J.M. (2020), Aerosol Risk with Noninvasive Respiratory Support in Patients with COVID19. Ann. Emerg. Med. Accepted Author Manuscript. DOI: 10.1002/emp2.12152

Lumba‐Brown, A, Lee, MO, Brown, I et al. Emergency department implementation of abbreviated magnetic resonance imaging for pediatric traumatic brain injuryJACEP Open. 2020; 1– 6.
DOI: https://doi.org/10.1002/emp2.12055

Lentz S, Grossman A, Koyfman A, Long B, High-Risk Airway Management in the Emergency Department: Diseases and Approaches Part I, The Journal of Emergency Medicine (2020), {Abstract & PDF only; free} [PDF] DOI: https://doi.org/10.1016/j.jemermed.2020.05.008

Kaiser, Sunitha V. et al. Pathways to Improve Pediatric Asthma Care: A Multisite, National Study of Emergency Department Asthma Pathway Implementation. The Journal of Pediatrics, Volume 0, Issue 0. [In Press] {Abstract & Paywall} DOI: https://doi.org/10.1016/j.jpeds.2020.02.080

William Bost, MD. ToxCard: Methylxanthines. emDocs.net. May 12th, 2020.

Avidan, Alexander; Shapira, Yoel; Cohen, Avital; Weissman, Charles; Levin, Phillip D. Difficult airway management practice changes after introduction of the GlideScope videolaryngoscope, A retrospective cohort study. European Journal of AnaesthesiologyJune 2020 - Volume 37 - Issue 6 - p 443-450, {Brief Abstract & Paywall} DOI: 10.1097/EJA.0000000000001199

Bick, E., Barnes, J., & Roberts, J. (2020). Can't intubate can't oxygenate: It takes more than a patent airway to oxygenate a patient. European Journal of Anaesthesiology (EJA)37(6), 503-504. [Letter] [Preview & Paywall] DOI: 10.1097/EJA.0000000000001143

"We suggest that current guidelines, while purporting to deal with failed oxygenation, in fact deal only with one aspect; establishing a patent upper airway. Although this is obviously essential to achieving adequate oxygenation, a patent airway constitutes only one part of the oxygenation process, which extends from oxygen source to mitochondria. While 'can't intubate' is always an airway problem, 'can't oxygenate' may not be. When we face difficult or impossible oxygenation it is neither true that upper airway loss is the indisputable diagnosis …"

Luther, Mathew et al. Management of Traumatic Tooth Avulsion Using 2-Octyl Cyanoacrylate Tissue Adhesive Splint: A Case Report. Journal of Emergency Nursing, Volume 0, Issue 0. [In Press] May 12th, 2020. [PDF] DOI: https://doi.org/10.1016/j.jen.2020.03.017

 

Jennifer Potter, MD and Nicholena Richardson, MD. Pediatric CXR Cases 012. LITFL: :iving in the Fast Lane. May 12th, 2020.

** Ott M, et al. Exploration of strategies to reduce aerosol-spread during chest compressions: A simulation and cadaver model. Resuscitation (2020), [In Press] [PDF] DOI: https://doi.org/10.1016/j.resuscitation.2020.05.012

**Amal Mattu, MD. 'Cardio-COVID': Amal Mattu on COVID-19 and Matters of the Heart. Medscape.com. May 8th, 2020.

**Gussow, Leon MD. The Lowdown on Drugs to Treat COVID-19. Emergency Medicine News. May 13, 2020 - Volume 42 - Issue 5A. DOI: 1097/01.EEM.0000666848.23280.6f

Mimi Lu, MD. May 2020: EMedHome's Video with Mimi Lu, MD: The Critically Ill Obese Child. EMedHome.com's video featured in Emergency Medicine News's 'Video Gallery' from 'The 2019 Crashing Patient Conference'. May 2020. Published April 20th, 2020.

Clay Smith, MD. Does Your Albuterol Contain a Hidden Bronchoconstrictor? JournalFeed.org. May 14th, 2020. Derived from: Continuous Albuterol With Benzalkonium in Children Hospitalized With Severe Asthma. Pediatrics. 2020 Apr;145(4). pii: e20190107. Epub 2020 Mar 12. DOI: 10.1542/peds.2019-010

Brian Sumner, MD. Fracture Radiographs: A Rapid Review of Terminology. emDocs.net. May 13th, 2020.

**Claire Bodkin, MD. Kevin Junghwan Dong MD CCFP-EM. Approach to Caring for Homeless Patients in the ED during the COVID-19 Pandemic. canadiEM.org. May 14th,2020.

Dr. Suhail Agarwal. Must Not Miss Pediatric Fractures. canadiEM.org. May 21st, 2020.

CDC. Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with Coronavirus Disease 2019 (COVID-19). Health Alert Network. May 14th, 2020.

"trevorc" D-dimer for aortic dissection screening: is it ADvISEDable? A (relatively) brief lit review. CountyEM. May 14th, 2020.

Gottlieb, M., Manchanda, S., & Patel, K. A. (2020). What Is the Accuracy of the Aortic Dissection Detection Risk Score?  [In Press] [Full-Text HTML] [PDF] Annals of Emergency Medicine. May 14th, 2020. DOI: https://doi.org/10.1016/j.annemergmed.2020.04.005

** Andy Jian Kai Chua, Eunice Chee Yun Chan, Jiashen Loh, Tze Choong Charn. Acute olfactory loss is specific for Covid-19 at the Emergency Department. Annals of Emergency Medicine. [In Press] [PDF]  Published online: May 14th, 2020. DOI: https://doi.org/10.1016/j.annemergmed.2020.05.015

**Radecki RP, Spiegel RS, Avoiding Disinformation Traps in COVID-19, Annals of Emergency Medicine (2020) [In Press], [PFD]  DOI: https://doi.org/10.1016/j.annemergmed.2020.05.002

Carin A. Hagberg, MD FASA. Current Concepts In the Management of the Difficult Airway: Volume 17, Number 1. Anesthesiology News. May 15th, 2020. [PDF] [Free]

Lars-Kristofer Peterson, MD. Stay sharp overnight. EMDaily. May 15th, 2020. {"10 EBM interventions"}

Danielle Rucker, MD. EM@3AM: Encephalitis. emDocs.net. May 15th, 2020.

Pandey, S., Sahu, A. K., Sreenivasan, R., & Ekka, M. (2020). Spontaneous subcutaneous emphysema: An uncommon presentation of a common disease. The American Journal of Emergency Medicine. [In Press] {Abstract & Paywall} Published: May 15, 2020. DOI: https://doi.org/10.1016/j.ajem.2020.05.034

Flores, S. (2020). Anaphylaxis induced bradycardia, renal failure, AV-nodal blockade, shock, and hyperkalemia: A-BRASH in the emergency department. The American Journal of Emergency Medicine. [In Press] {Abstract & Paywall} Published: May 15th, 2020. DOI: https://doi.org/10.1016/j.ajem.2020.05.033

**Michael Stanley. Da liegt was in der Luft – Inhalationstherapie und NIV bei COVID-19. "There is something in the air - inhalation therapy and NIV with COVID-19" dasFOAM.org. May 16th, 2020. ["The German Society for Pneumology and Respiratory Medicine eV (DGP) . . .    position paper on the practical implementation of the differential therapy of acute respiratory failure in COVID-19"]

Dr. Dennis Kim. Trauma ICU Rounds – The Deadly Dozen of Thoracic Trauma. emDocs.net. May 22nd, 2020.

John Murphy. 8 very unexpected ways COVID-19 has affected medicine. MDlinx.com. May 22nd, 2020.

**Singh B, Garg R, Chakra Rao S S, Ahmed SM, Divatia J V, Ramakrishnan T V, Mehdiratta L, Joshi M, Malhotra N, Bajwa SJ. Indian resuscitation council (IRC) suggested guidelines for comprehensive cardiopulmonary life support (CCLS) for suspected or confirmed coronavirus disease (COVID-19) patient. Indian J Anaesth [serial online] 2020 [cited 2020 May 23];64, Suppl S2:91-6. Available from: 
http://www.ijaweb.org/text.asp?2020/64/14/91/284914  [PDF]

Zack Shinar, MD & Dr. Garrett Sterling.  65: ECPR Journal Club: Dual Sequential Defibrillation, CT after ECMO, and much, much more. [Podcast 33:44; comments; links] EDECMO.org. May 23rd, 2020. [Website of: Joe Bellezo, MD. Zack Shinar, MD. Scott Weingart, MD FCCM.]

Aaron Lacy. Differentiating STEMI from Pericarditis. JournalFeed.org. May 22nd, 2020. Derived from: Witting, M. D., Hu, K. M., Westreich, A. A., Tewelde, S., Farzad, A., & Mattu, A. (2020). Evaluation of Spodick's Sign and OtEvaluation of Spodick's Sign and Other Electrocardiographic Findings as Indicators of STEMI and Pericarditis. J Emerg Med. 2020 Mar 25. [Epub ahead of print] pii: S0736-4679(20)30020-2. DOI: 10.1016/j.jemermed.2020.01.017

Aaron Lacy. Does a Shoulder Roll Make Infant Intubation Easier? JournalFeed.org. May 19th, 2020. Derived from: Alfahel, W., Gopinath, A., Arheart, K. L., Gensler, T., & Lerman, J. The Effects of a Shoulder Roll During Laryngoscopy in Infants: A Randomized, Single-Blinded, Crossover Study. Anesth Analg. 2020 Apr 10. [Epub ahead of print] DOI: 10.1213/ANE.0000000000004802.

Sam Parnell. Is Bagging vs Intubation Saving Lives - and Brains - in OHCA? JournalFeed.org. May 18th, 2020. Derived from: Lupton, J. R., Schmicker, R. H., Stephens, S., Carlson, J. N., Callaway, C., Herren, H., ... & Wang, H. Outcomes With the Use of Bag-Valve-Mask Ventilation During Out-of-hospital Cardiac Arrest in the Pragmatic Airway Resuscitation Trial. Acad Emerg Med. 2020 Mar 27. [Epub ahead of print] {
Our note: Small poorly delineated samples in large trial not designed for this question -secondary study. May reflect delays in advanced airway management vs. earlier attention to ventilation than to airway device insertion. Cannot  draw conclusion}
DOI: 10.1111/acem.13927

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                     Sincerely,

                        Tom Trimble, RN
                        ORCID ID: 0000-0003-2516-8443

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