JACEP Open Matthew DeLaney, MD

In this episode of JACEP Open, Luke Wood and Matthew DeLaney dig into a recent paper from JACEP Open looking at risk stratifying patients who present with altered mental status.

When is VL actually VL? Much of the literature around video laryngoscopy fails to describe how the video laryngoscope is actually used. Too often, we lump all VL devices and techniques into one group when there are actually two broad types of devices (standard and hyperacute geometry blades) as well as two techniques of using standard geometry (direct vs indirect visualization). We review a JACEP open systemic review of the literature to learn how often the literature makes these distinctions. And we even throw a bit of laryngoscope history in for good measure.

References:
1. Pieters BM, Eindhoven GB, Acott C, Van Zundert AAJ. Pioneers of Laryngoscopy: Indirect, Direct and Video Laryngoscopy. Anaesth Intensive Care. 2015;43(1_suppl):4-11. doi:10.1177/0310057X150430S103

2. Dean P, Kerrey BT. Video screen visualization patterns when using a video laryngoscope for tracheal intubation: A systematic review. JACEP Open. 2022; 3: e212630.

This month we dive deep into Urine Pregnancy Testing. Despite being used widely to make major clinical decisions the real world performance of urine pregnancy testing is far from perfect.

Myths are common in Emergency Medicine but often don’t hold up to scrutiny. We cover two papers from JACEP Open that help shed light on two myths: only paramedics can give epinephrine in cardiac arrest and all rollover collisions should be transported to a trauma center because they are predictive of major injury.

Intoxicated patients can pose a unique challenge in the emergency department. While some patients may just need a few hours to sleep it off, intoxicated patients have high rates of both short and long term medical outcomes. In this month's JACEP Open Podcast we dive into the challenge of risk stratifying intoxicated patients.

At the beginning of the pandemic, we all had to change many of our practices to protect ourselves and our colleagues from COVID-19, even though we had little evidence to work with. Fortunately, we are starting to get good data in to help revise our these practices and reach our goal of good care for our patients with good protection for us. Dr. Jarvis covers two JACEP Open papers discussing the risk of oxygenation strategies and the effectiveness of personal protective equipment (PPE).