What Are the Indications for Inserting a Laryngeal Mask?

what are the indications for inserting a laryngeal mask
Dr. Rick Rutherford, M.D., FAAFP
More Articles – Featured, Hospital Procedures, Laryngeal Mask Airway
More Tags – laryngeal airway masks, laryngeal mask airway, laryngeal mask airway indications, the laryngeal mask airway (lma) is indicated when:, what are the indications for inserting a laryngeal mask, what is a laryngeal mask airway, what is a lma
Laryngeal airway masks are an invaluable tool in effective airway management, especially in emergency situations. They are particularly helpful during “can’t intubate, can’t ventilate” scenarios as they are easy to insert for airway rescues. They can be blindly placed and…
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Emergency Cricothyrotomy: Enabling Airway Access in Emergency Situations

emergency cricothyrotomy
Dr. Rick Rutherford, M.D., FAAFP
More Articles – Emergency Procedures, Featured, Hospital Procedures
More Tags – emergency cricothyrotomy in adults, emergency cricothyrotomy kit, what is an emergency cricothyrotomy
During life-threatening situations, the airway of a patient may be severely compromised. The condition requires critical and timely intervention by establishing a front-of-neck access (FONA) emergency airway, otherwise known as emergency cricothyrotomy or cricothyroidotomy. Cricothyroidotomy is performed as a final…
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Peudoexudative Pleural Effusions: Correctly Reclassifying Transudate Effusions

Pseudoexudative pleural effusion
Joseph Esherick, M.D., FAAFP, FHM
More Articles – Emergency Procedures, Featured, Hospital Procedures
More Tags – exudative effusion, exudative pleural effusion, pleural effusion, pleural effusion criteria, transudate pleural fluid, transudative pleural effusion, transudative vs exudative pleural effusion
Pleural effusions occur when excessive fluid such as blood or pus accumulates between the visceral pleura and parietal pleura of the pleural cavity. Evaluating patients for pleural effusions involves certain challenges. However, prompt diagnosis and treatment are essential to reduce…
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Bacterial Meningitis Diagnosis and Management

bacterial meningitis diagnosis
Joseph Esherick, M.D., FAAFP, FHM
More Articles – Featured, Hospital Procedures, Lumbar Puncture
More Tags – diagnosis for bacterial meningitis, treatment for meningitis
The number of bacterial meningitis cases is over 1.2 million each year while 1 in 10 people who have it may die from the infection despite receiving treatment. Bacterial meningitis is an extremely serious and life-threatening condition requiring prompt diagnosis.…
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Basic Management of Refractory Ascites: Part 2

refractory ascites
Dr. Rick Rutherford, M.D., FAAFP
More Articles – Featured, Hospital Procedures
More Tags – how long can you live with ascites, liver ascites life expectancy, refractory ascites cirrhosis prognosis, refractory ascites life expectancy, severe ascites life expectancy, what is refractory ascites
In the first part of this article, we covered that ascites occur when excessive fluid accumulates in the peritoneal cavity. Such occurrences must be treated with diuretics, paracentesis, and possibly TIPPS procedure. We also mentioned how refractory ascites occurs when…
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Basic Management of Refractory Ascites: Part 1

refractory ascites
Dr. Rick Rutherford, M.D., FAAFP
More Articles – Featured, Hospital Procedures
More Tags – life expectancy with ascites, refractory ascites life expectancy, refractory ascites symptoms, what is refractory ascites
Ascites is the accumulation of free fluid in the peritoneal cavity and can occur as a complication of a scarred liver, otherwise known as cirrhosis. While ascites is treated according to its underlying root cause, refractory ascites poses a bigger…
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Clinical Uses of POCUS for Emergency and Hospital Clinicians

clinical uses of pocus
Dr. Rick Rutherford, M.D., FAAFP
More Articles – Emergency Procedures, Featured, Hospital Procedures, medical procedures, Ultrasound-Guided Peripheral IV
Point-of-care ultrasound (POCUS) is a revolutionary diagnostic method that helps enhance physical examination at the point of care, that is, the patient’s bedside. Clinicians can use this tool to quickly diagnose medical conditions and guide treatment or bedside procedures, including…
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Conscious Sedation. What It Is, When to Apply It, and the Latest Updates

concious-sedation
Joseph Esherick, M.D., FAAFP, FHM
More Articles – Cardiovascular diseases, Chest Tube, Emergency Procedures, Endotracheal Intubation, Events, Hospital Procedures, King Tube, Laryngeal Mask Airway, Medical General, medical procedures, Procedural Sedation
More Tags – central line placement, chest tube placement, E-FAST, featured procedure, HPC updates, intraosseous line placement, intubation, lumbar puncture, paracentesis, POCUS, RUSH Exams, sedation procedure, thoracentesis, tube thoracostomy, Vascular access
What is conscious sedation? Conscious sedation, also known as procedural sedation, is a common practice in emergency departments for patients undergoing painful or anxiety-provoking procedures.  It is intended as a less invasive method. Generally, those who undergo this type of…
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Airway Management Pearls to Optimize Your Chances of Securing an Airway

https://hospitalprocedures.org/endotracheal-intubation-course/
Joseph Esherick, M.D., FAAFP, FHM
More Articles – Cardiovascular diseases, Emergency Procedures, Featured, Hospital Procedures, Medical General, medical procedures, Procedural Sedation, Respiratory diseases
More Tags – airway management, Bougie, delayed sequence intubation, difficult airway, endotracheal intubation, featured, HPC updates, intubation, King tube, LMA, mechanical ventilation, rapid sequence intubation
TOP TEN AIRWAY MANAGEMENT PEARLS TO OPTIMIZE YOUR CHANCES OF SECURING AN AIRWAY Develop a difficult airway management plan Huddle with your nurse and respiratory therapist in advance to alert everybody what plan A/B/C/D are for the patient If plan…
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Recommendations for Invasive Hospital Procedures in Patients with Cirrhosis

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Arterial line, Chest Tube, Featured, Gastrointestinal diseases, Hospital Procedures, Paracentesis, Thoracentesis
More Tags – Arterial line placement, central line placement, chest tube placement, cirrhosis, DIC, featured, HPC updates, hyperfibrinolysis, paracentesis, thoracentesis, tube thoracostomy
This blog aims to summarize the data available on how to safely perform invasive hospital procedures in patients with cirrhosis. Unfortunately, no prospective randomized controlled trials have been conducted to inform the practice of procedural medicine in cirrhotic patients. Therefore,…
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Informed Consent and Ethical Challenges During the COVID-19 Pandemic

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Featured, Hospital Procedures, Medical General, medical procedures, Respiratory diseases
More Tags – COVID, CPR, featured, HPC updates, Informed consent
Informed consent can be challenging during “normal” times, but it has become increasingly complicated during the COVID-19 pandemic. The informed consent process ensures that a patient or their surrogate decision-maker understands the benefits, potential risks and any alternatives of a…
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Management of Vasopressor Extravasation Injuries

norepinephrine extravasation
Joseph Esherick, M.D., FAAFP, FHM
More Articles – Central line, Featured, Hospital Procedures, Ultrasound-Guided Peripheral IV
More Tags – antidote for norepinephrine, central lines, extravasation injuries, extravasation injury, featured, HPC updates, levophed infiltration treatment, norepinephrine, norepinephrine antidote, norepinephrine extravasation, phenylephrine, treatment of norepinephrine extravasation, Vasopressor
Peripheral vasopressor infusions are generally safe at low-moderate doses and for short durations, but you must watch the patient carefully for extravasation that can cause serious tissue injury. Traditionally, central lines were placed for administration of vasopressor infusions at any rate. We…
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Which cirrhotic patients are at high risk for bleeding during hospital procedures?

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Arterial line, Cardiovascular diseases, Central line, Featured, Gastrointestinal diseases, Hospital Procedures, Lumbar Puncture, medical procedures, Paracentesis, Ultrasound-Guided Peripheral IV
More Tags – Arterial line placement, central line placement, chest tubes, cirrhosis, featured, HPC updates, lumbar puncture, paracentesis, thoracentesis, tube thoracostomy
This blog will offer some expert recommendations to help guide the safety of hospital procedures at different platelet and coagulation profiles.  Unfortunately, there are no strong evidence-based guidelines for hospital procedures dedicated to the study of patients with decompensated cirrhosis.…
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Why are Patients with Cirrhosis Readmitted to the Hospital?

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Featured Procedure, Gastrointestinal diseases, Hospital Procedures, Medical General, medical procedures
More Tags – Alcoholic liver disease, cirrhosis, featured procedure, HPC updates, Nonalcoholic liver disease, readmission
Patients diagnosed with cirrhosis are regularly admitted and readmitted to the hospital. Statistics show that the 90-day readmission rate is approximately 50%. A recent study analyzed the rate of readmission at 30-days and 90-days and the relevant causes among patients…
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