Carolinas Core Concepts Core Concepts in EM; a repository for Carolinas lecture summaries.


M&M – PE and Airway Management

Kelley Cardeira, MD

  • 13% prevalence of thromboembolic disease in all COPD patients.  30% prevalence in atypical presentations.
  • Those at high risk of contrast "allergy" are those with previous reactions, asthma, or ANY severe allergy (not more likely with seafood allergy).
  • Pre-treatment only works if given at least 12 hours prior to contrast load.
  • When using fiberoptic scope for intubation, place the ETT in the nare almost all the way before putting the scope in - will place your view right above the cords from the start.
  • Use lots of nebulized and spray lidocaine for awake intubations.


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