Publications by authors named "Gary Lee Geis"
Article Synopsis
- Rapid sequence intubation (RSI) is critical for managing airways in emergency pediatric cases, but a previous study noted high variability and adverse effects like low oxygen saturation.
- A local initiative in a busy pediatric emergency department tested four interventions, including an RSI checklist and video laryngoscopy, to enhance safety and performance, with data collected pre- and post-implementation.
- Results showed significant improvements, with a 50% reduction in desaturation rates, indicating that the new strategies made RSI more reliable and safer for patients.
Objective: Implement and demonstrate feasibility of in situ simulations to identify latent safety threats (LSTs) at a higher rate than lab-based training, and reinforce teamwork training in a paediatric emergency department (ED).
Methods: Multidisciplinary healthcare providers responded to critical simulated patients in an urban ED during all shifts. Unannounced in situ simulations were limited to 10 min of simulation and 10 min of debriefing, and were video recorded.
Background: Investigators report endotracheal tube misplacement in up to 40% of emergent intubations. The standard elements of confirmation have significant limitations. Diaphragmatic ultrasound is a potentially viable addition to the confirmatory process.
View Article and Find Full Text PDF