Darren Braude

Bio

Darren Braude, MD, EMT-P is currently a Professor of Emergency Medicine and Anesthesiology and the Tim Fleming Professor of EMS at the University of New Mexico where he serves as the EMS Section Chief and Fellowship Director. He is the 2014 recipient of the ACEP National Teaching Award and serves as the International Medical Director for the Difficult Airway Course: EMS and faculty for the Difficult Airway Course: Emergency.   His academic interests include, but are definitely not limited to, airway management, cervical spine immobilization (or hopefully the lack thereof) and antiemetic agents.  He wrote a textbook entitled Rapid Sequence Intubation and Rapid Sequence Airway, 2nd Edition: an Airway911 Guide and hosts an occasional segment for EM:Rap.

Darren is still an EMS provider and drives an emergency response vehicle so he always has an excuse to get out of the hospital. He lives on a very small farm with his wife, son, dog, cats, three goats, three horses and 8 chickens.


It is time to throw away the hard cervical collar

Spinal immobilization is passe
The author takes the position that cervical spine immobilization in general, and the hard cervical collar in particular, are historical holdovers from an era of trauma care before evidence prevailed. The hard collar causes more harm than benefit and should be replaced by guidelines to limit spinal motion restriction to patients likely to benefit – if such patients exist – and alternative immobilization strategies .

Don't DSI...Rapid Sequence Airway!

RSA is an alternative to RSI that involves the drug-faciliated placement of an extraglottic device

Rapid Sequence Airway (RSA) involves the same preparation and pharmacology as RSI with the immediate planned placement of an extraglottic device (EGD) instead of intubation. Like DSI, RSA is an alternative airway management strategy that may be ideal for preoxygenation of hypoxemic patients as well for prehospital and in-flight use. Depending on the chosen EGD, RSA can facilitate gastric decompression, positive pressure ventilation with PEEP delivered by a ventilator and endoscopic intubation. The speaker presents the evolution of this novel concept in New Mexico, reviews their clinical experience with RSA in both the prehospital and hospital settings and assesses the available literature.


Rapid Sequence Airway (RSA) involves the same preparation and pharmacology as RSI with the immediate planned placement of an extraglottic device (EGD) instead of intubation. Like DSI, RSA is an alternative airway management strategy that may be ideal for preoxygenation of hypoxemic patients as well for prehospital and in-flight use. Depending on the chosen EGD, RSA can facilitate gastric decompression, positive pressure ventilation with PEEP delivered by a ventilator and endoscopic intubation. The speaker presents the evolution of this novel concept in New Mexico, reviews their clinical experience with RSA in both the prehospital and hospital settings and assesses the available literature.



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