Facial angioedema from allergen exposure. Photo from Wikipedia.
Think you know everything about anaphylaxis? Every see a case of Exercise Induced Anaphylaxis (EIA)? The EM:RAP October podcast called; Exercise Induced Anaphylaxis by Jess Mason MD and Gita Pensa MD will give you hives…or at least goosebumps.
Points to ponder: Is there a relationship to food? Can EIA be fatal? What are the clues to diagnosis? All these answers and more await you in this October EM:RAP podcast.
Who Knew? Professor Charles Richet was a French physiologist who coined the term aphylaxis in 1902. This was later changed to anaphylaxis and his pioneering work in Immunology earned him a Nobel Prize in Physiology or Medicine in 1913.
Twenty years ago I was a volunteer at a small rural hospital. A trauma patient was on the way in and I asked the nurse to prime two IV bags, open the BVM and ETT. She declined and said their policy was not to open supplies until at bedside. I get it…supplies are a resource not to be wasted…but having a dedicated airway kit prepped and ready at the bedside is crucial to RSI success.
The crash airway mnemonic SOAP ME runs down the list of everything you need for a successful Rapid Sequence Intubation (RSI) in the crashing airway patient. EM:RAP’s September podcast of Critical Care Mailbag: The Crash Checklist by Anand Swaminathan MD and Scott Weingart MD should be on everyone listening list.
Review what the mnemonic SOAP ME checklist stands for; how to temporize the crashing airway; how to treat the obstructed airway; and most importantly…tips on how to be ready for any airway headed for a crash and burn.
Heres a quick reference for SOAP ME. What’s in your kit? Leave a comment and start the dialogue.
Photo courtesy of Wikimedia Commons.
Who Knew? William Macewan (1848-1924), a Glasgow surgeon, invented a type of endotracheal tube pictured. He was the first person to use an endotracheal tube to give a patient anaesthetic, in 1878. A tube was placed in the larynx to give the patient a dose of chloroform. These examples are made from steel and brass. They range in length from 210 mm to 80 mm for patients of all sizes.