Pre-hospital cardiac arrest patients do best with supraglottic airway or BVM ventilation

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Cardiovascular diseases, Endotracheal Intubation, King Tube, Mechanical Ventilation, Medical General, medical procedures, Respiratory diseases
More Tags – airway management, cardiac arrest, HPC updates, intubation, King tube, supraglottic airways
Cardiac arrest patients who were intubated had similar outcomes to those who had a supraglottic airway device (e.g., King tube) inserted in the pre-hospital setting. A literature review of 5 studies and over 300,000 patients with pre-hospital cardiac arrest demonstrated…
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Review on pneumonia

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Mechanical Ventilation, medical procedures, Respiratory diseases
More Tags – HPC updates, intubation, mechanical ventilation, pneumonia
This is an excellent review on the diagnosis, triage, and management of both community-acquired pneumonia and healthcare-associated pneumonia (HCAP).  This review also contains important information about clinical scoring tools to know which patients require admission, which patients require ICU care,…
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Continuous capnography beneficial during mechanical ventilation

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Chest Tube, Mechanical Ventilation, medical procedures, Respiratory diseases
More Tags – capnography, Capnometry, HPC updates, mechanical ventilation
The American Association of Respiratory Care developed a clinical policy describing the benefit of continuous capnography during mechanical ventilation.  This policy statement recommends continuous capnometry during mechanical ventilation for a number of reasons:   1.  It confirms that the endotracheal…
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What is All the Fuss about Auto-PEEP?

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Hematology, Mechanical Ventilation, medical procedures, Respiratory diseases
More Tags – Auto-PEEP, hemodynamic monitoring, HPC updates, mechanical ventilation, ventilator
Lungs normally empty by passive recoil and the pressure in the alveoli at end-expiration is the intrinsic positive end-expiratory pressure (PEEP).  During spontaneous respirations and with normal lungs, the PEEP is equal to atmospheric pressure.  On a ventilator, auto-PEEP occurs…
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