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Abolishing the H’s and T’s 1707 2560 Richie Cunningham

Abolishing the H’s and T’s

When I was rotating through the emergency department on my sub-I’s as a medical student, I remember the differential diagnosis being heavily emphasized throughout, often in the form of the…

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The Bougie Revisited 468 416 Richie Cunningham

The Bougie Revisited

A little over a year ago I was lucky enough to write a post for CriticalCareNow.com on the bougie which can be found here. A more detailed version of this…

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Pay No Attention to the Intern Behind the Curtain: Tips for Success on your Anesthesia Rotation 512 396 Richie Cunningham

Pay No Attention to the Intern Behind the Curtain: Tips for Success on your Anesthesia Rotation

As originally published in EM Resident magazine. Endotracheal intubation is one of the most high-stakes and critical procedures we as emergency physicians perform; one study found that 4.2% of Emergency…

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Case Report: SVT, A-fib, or A-flutter? 564 255 Richie Cunningham

Case Report: SVT, A-fib, or A-flutter?

Post Authors: Anisa Mughal, MD (PGY-2) and Kevin Drechsel, MD (Attending, Mayo Clinic-Phoenix) CC: Shortness of breath HPI: This patient was a 61-year-old male with a history of epilepsy and…

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Case Report: 28-year-old Male with Fatigue 732 549 Richie Cunningham

Case Report: 28-year-old Male with Fatigue

Post Author: Anisa Mughal, MD, PGY-2 History and Physical Examination: A 28-year-old male with a history of renal tubular acidosis and urinary retention presents with 4 days of lethargy and…

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Battle of the Blades: Part 4 690 539 Richie Cunningham

Battle of the Blades: Part 4

Part 4: Can we have one without the other? First to consider is the problem common to both principal types of video laryngoscopes, the standard geometry and hyperangulated blades. If…

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Battle of the Blades: Part 3 690 539 Richie Cunningham

Battle of the Blades: Part 3

Part 3: Can we be competent at both? As alluded to previously, direct laryngoscopy, standard-geometry or Macintosh (CMAC) video laryngoscopy, and hyperangulated (GlideScope) video laryngoscopy are all distinct devices, with…

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Battle of the Blades: Part 2 690 539 Richie Cunningham

Battle of the Blades: Part 2

Part 2: Who is the King of First-Pass Success?             In our last post, we saw that the NEAR III data suggested video laryngoscopy increases first pass success, although there…

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Battle of the Blades: The Death of DL? 690 539 Richie Cunningham

Battle of the Blades: The Death of DL?

“I will unequivocally state that it is wrong for people to practice direct laryngoscopy in 2012.”  — Ron Walls on EMRAP September 2012 Awfully harsh words from the man who…

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Defining Procedural Competency in Emergency Medicine 1550 800 Richie Cunningham

Defining Procedural Competency in Emergency Medicine

As originally published in EM Resident. A recent retrospective review analyzing a group of academic, community and free-standing EDs published in JACEP Open showed that emergency physicians performed a median…

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Front Room Rules 2560 1395 Richie Cunningham

Front Room Rules

Here at ‘Copa, our ED is divided into the “Front” and the “Back.” The stable(ish) patients will go to the back of the ED, since they (relatively) have time to…

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The Bougie as an Airway Savior 1024 490 Richie Cunningham

The Bougie as an Airway Savior

Ever since the BEAM (Bougie Use in Emergency Airway Management) trial was published in JAMA in 2018, the use of the bougie has become increasingly mainstream.1 Some of the advantages of using…

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Approach to the Patient with Difficult Vascular Access 834 706 Richie Cunningham

Approach to the Patient with Difficult Vascular Access

As originally published at emDOCS.net. Authors: Richard J. Cunningham, MD (@HappyDays_EM, EM Resident Physician, Creighton/Maricopa Emergency Medicine Residency, Phoenix, AZ) and Geoffrey Comp, DO (@gbcomp, EM Attending, Creighton/Maricopa Emergency Medicine…

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