SAEM Podcasts

Emergency providers (EPs) are uniquely placed to advocate for firearm safety and have been shown to be at risk of exposure to firearms in the emergency department (ED). We sought to characterize EPs’ knowledge of firearms, frequency of encountering firearms in the ED and level of confidence with safely removing firearms from patient care settings.

Academic emergency medicine is a constant balance between efficiency and education. The authors developed a new model called swarming, where the bedside nurse, resident, and attending/fellow simultaneously evaluate the patient, including initial vital signs, bedside triage, focused history and physical examination, and discussion of the treatment plan, thus creating a shared mental model.

This study compared first attempt intubation success using direct laryngoscopy augmented by laryngeal manipulation, ramped patient positioning and use of a bougie (A-DL) with unaided video laryngoscopy (VL) in adult emergency department intubations.

Video laryngoscopy used without any augmenting maneuver, device or technique resulted in higher first attempt success than does direct laryngoscopy that is augmented by use of a bougie, external laryngeal manipulation, ramping, or combinations thereof.

This was a one-year prospective, multicenter trial involving ten EM residencies from 2017 to 2018. Subjects were PGY 1-4 EM residents. Grit-S scores, MCAT percentile, remediation rates, ITE scores, and the ITE score’s prediction of passing the ABEM Qualifying Examination were collected. Correlation coefficients were computed to assess the relationship between residents’ grit and achievement.