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Prehospital Noninvasive Positive Pressure Ventilation Saves Lives

Daniel J. Pallin, MD, MPH   Pooled data from seven trials demonstrate major benefits.   Several prior studies have suggested benefit from prehospital noninvasive positive pressure ventilation (NIPPV) for respiratory distress. To determine whether there was benefit across all of the prior studies, researchers pooled data from seven randomized trials in which NIPPV was... Read more..

A New Twist on i-gel Insertion

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Nasogastric Tube-Guided Blind Nasotracheal Intubation

R. Eleanor Anderson, MD, Ron M. Walls, MD, FRCPC, FAAEM   This technique reduces epistaxis and the need for manipulations.   During nasotracheal intubation, the desired path of the tracheal tube is inferiorly along the nasal floor, beneath the inferior turbinate. Superior paths are suboptimal and may increase complications, including epistaxis and trauma to... Read more..