Publications by authors named "Allen C Wolfe"
Background: Existing difficult airway prediction tools are not practical for emergency intubation and do not incorporate physiological data. The HEAVEN criteria (Hypoxaemia, Extremes of size, Anatomic challenges, Vomit/blood/fluid, Exsanguination, Neck mobility) may be more relevant for emergency rapid sequence intubation (RSI).
Methods: A retrospective analysis included air medical RSI patients.
Article Synopsis
- Traditional vital sign thresholds indicate increased mortality risk but aren't timely for immediate rescue therapy; this study aims to analyze vital sign patterns before cardiac arrest due to shock.
- The research used data from adult helicopter patients who experienced cardiac arrest, modeling pre-arrest vital signs like blood pressure and heart rate to identify critical inflection points that precede arrest.
- Findings revealed specific patterns in vital signs, with inflection points appearing 2-5 minutes before arrest, potentially aiding in timely therapeutic interventions to prevent further decline.
Advances in mechanical circulatory assist device technology have allowed dozens of patients with different types of devices to live in any community in the United States. Some of the newer devices pump blood continuously, resulting in patients without pulses. The mechanical circulatory assist device teams and emergency medical services providers in the mid-Atlantic region wondered how best to prepare the community to respond appropriately to emergencies in patients with these mechanical devices.
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