Even minor wounds can be distressing, especially in patients with bleeding disorders or communicable diseases. Major wounds can be life-threatening, necessitating a prompt response that anticipates complications such as bradycardia and shock. Wound management is a cornerstone of good emergency medicine, and so careful planning and frequent preparation should be part of every team’s continuing education. 

Prehospital care is about much more than just stabilizing patients and moving them on to the next step. The decisions you make can have far-reaching implications for a patient’s life and well-being. This is why it’s so important to gather as much information as possible, and to act collaboratively with family members. Include them in the decision-making process as much as you can, and remember that the patient has final say over their treatment. 

Prehospital airway suctioning can treat aspiration, choking, obstructed airways, and other common emergencies. Yet many first responders spend little time thinking about, let alone practicing, this vital skill. Because all interventions, including suctioning, carry some risks, this lack of experience may make providers reluctant to suction patients. Training EMS teams on prehospital airway suctioning can counteract this reluctance and empower teams to provide prompt, efficient, effective care in a wide variety of emergency settings. 

Respiratory issues are common in children. Choking remains a leading cause of childhood injury and death. About 1 percent of newborns experience respiratory distress, and respiratory issues are the leading cause of death among premature infants. Drowning and aspiration are relatively common. An injured or sick child is always a crisis, and caregivers may be panicking as you tend to their beloved little one. The following tips can help you masterfully treat children in a way that saves their lives, protects their dignity, and reassures their caregivers. 

Airway management may seem like the exclusive domain of emergency medicine physicians and anesthesiologists. But protecting the airway can be lifesaving in a variety of medical contexts. Airway problems can be unpredictable, manifesting quickly and demanding a prompt response. The dentist treating a routine cavity may suddenly find that the patient is having an anaphylactic reaction to latex. Or a pediatrician assessing a child for asthma may have to intervene to stop an intense attack. 

Since 1955, 218 people have died under general anesthesia, including multiple children. In several cases, aspiration was a contributing factor or even the cause of death. This is a small mortality rate compared to the millions of dental procedures performed annually. But no death is an acceptable outcome in dentistry, and aspiration is almost always a preventable tragedy, or at least a treatable one. A few simple strategies can mitigate the risk and ensure safe patient outcomes. 

More than 17,000 people suffer spinal cord injuries each year, and an estimated 249,000-363,000 Americans are living with spinal cord injuries. A few generations ago, a spinal cord injury was often a death sentence, and almost always meant a much shorter life. Thanks to better medical care and greater awareness, most spinal cord injury sufferers survive, and many go on to live long and healthy lives. Despite these improvements, respiratory issues are common in SCI survivors. Pneumonia is a leading cause of death in this group, often due to complications of respiratory infections and poorly managed airway obstructions. First responders and other providers must be prepared to rapidly respond to airway issues in SCI patients, whether treating the immediate aftermath of a spinal cord injury or providing care to long-term SCI survivors.