Calvin A. Brown

Utility of CT Angiography in Patients with Lower Extremity Fractures

Lower extremity fractures may result in arterial injury, and delayed recognition can worsen outcomes. Computed tomography angiography (CTA) is

Endotracheal Tubes with Subglottic Suctioning Reduce Ventilator-Associated Pneumonia in Trauma Patients

Ventilator-associated pneumonia (VAP), caused by aspiration of oral secretions that collect above the endotracheal tube (ETT) cuff, increases the risk

Use Video Laryngoscopy for Patients in Cervical Spine Precautions

Previous studies have shown McGrath video laryngoscopy to be superior to direct laryngoscopy when patients are intubated with manual in-line cervical stabilization and an opened collar (NEJM JW Emerg Med Oct 2014 and Anaesthesia 2014; 69:1345; NEJM JW Emerg Med Mar 2013 and Anaesthesia 2013; 68:142). Whether this holds true when …

No Benefit from Open Cardiac Massage Following Traumatic Arrest

Open chest cardiac massage (OCCM) is an option following emergency department thoracotomy. Previous research has suggested OCCM may improve survival in

Buccal Oxygenation During Prolonged Laryngoscopy Prevents Desaturation in Obese Patients

Obese patients can desaturate quickly during emergency airway management, placing them at risk for hypoxic injury. Apneic oxygenation via nasal cannula

Fentanyl-Based Analgosedation Strategy for Intubated ICU Patients

Complications from long-term deep sedation and the lack of adequate pain control for mechanically ventilated intensive care unit (ICU) patients has

Does Patient Position Affect Administration of Intranasal Agents

A concern with squeeze-bottle atomizers that administer intranasal medications is that they cannot ensure delivery of precise amounts of agents such as

McGrath MAC Video Laryngoscope Does Not Provide Adequate Direct Views of the Airway

Video laryngoscopes improve glottic view and first-attempt intubation success compared with direct laryngoscopes. Curved blade designs help “see around corners” and can obtain adequate video views of the glottic inlet even in difficult airways. Concerns about sudden equipment failure and maintenance of direct laryngoscopic skills call into question whether indirect (video) laryngoscopy should be used exclusively. Traditionally shaped video laryngoscopes can be used …

Markers of Difficult Ventilation with a Supraglottic Airway Device

Risk factors for difficult bag-and-mask ventilation have been well validated, but less is known about risk factors for difficult use of supraglottic airway (SGA) devices. Investigators reviewed records for 14,480 adult surgery patients in whom an SGA was used between 2011 and 2013 at a tertiary hospital in Southeast Asia. Devices were chosen by the operator and included a …

Video Intubating Stylet for Nasotracheal Intubation in Patients with Reduced Mouth Opening

Nasal intubation is required when oral access is limited or nonexistent. Flexible fiber-optic scopes have been the standard tool in this situation, but the technique is challenging and equipment is not readily available in many emergency departments. The Trachway, a newer semirigid intubating video stylet, can be preformed and fitted with …