Adam Parks
@ParxEM
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Emergency Physician | Airway Enthusiast | Husband + Dad | Shawarma Lover 🇨🇦
Halifax, Nova Scotia
Joined March 2015
RT @CJA_Journal: Accuracy of tactile bougie use in infrequent intubators: a cadaveric airway study - Canadian Journal of Anesthesia #CJA #A….
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RT @georgemastoras: Fired up for an awesome day in rainy Halifax working on awake airway techniques with the GOAT. .
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RT @AkshayRajaram: Hot off the press! Thank you @mellybou11 for letting me help out with this terrific project! . cc: @ParxEM . Contaminate….
cureus.com
The massively contaminated airway is an important and often daunting entity for airway providers. Although massively contaminated airways are considered high acuity, low-occurrence presentations...
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RT @jducanto: Happy to see some Canadian SALAD! @tbouthillet @TBayEDguy @AirwayMxAcademy @cliffreid @Gas_Air_CCdoc @christifulli88 @airwayG….
cureus.com
The massively contaminated airway is an important and often daunting entity for airway providers. Although massively contaminated airways are considered high acuity, low-occurrence presentations...
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Another great day of awakes! Still floored that I’m afforded the privilege to work and teach with these legends. @SowersMD included.
AIME Awake cadaver course in Halifax. Awesome to spend the day soaking up pearls with master clinicians/mentors Adam Law and George Kovacs again. @ParxEM @CAEP_Docs
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First time seeing/using the peds Glidescope HAVL blade. Found the handle extremely small rendering laryngoscopy challenging. Any tips/tricks on troubleshooting this from #AirwayTwitter?
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RT @MHowattzer: Great day representing @EMSaintJohn at AIME Awake learning from the best in emergency airway management from @DalDeptEmergM….
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RT @TheResusCourse: How to manage massive airway contamination - SALAD SAACI and esophageal intubation. @ParxEM @So….
theresuscourse.com
Dr. Adam Parks shows us how to manage the contaminated airway: SALAD, SAACI and Esophageal intubation
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RT @emergmedottawa: For Ace inhibitor-induced angioedema should we be doing steroids/epi/antihistamines? . What about FFP? . TXA? . Icatiba….
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RT @emergmedottawa: We often talk about performing awake intubations in the ED, but there are some nuances in the actual process to conside….
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RT @emergmedottawa: Historically, we have approached angioedema the same way we do anaphylaxis, out of a paucity of evidence. Dr. Murray….
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Be sure to check your kids' Halloween candy this year. I cut into my son's Butterfinger and it's recommending he routinely perform cricoid pressure.
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That one guy in the corner of the room shouting out sats during your intubation
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More evidence showing high rates (7.4%) of awareness of paralysis among ED patients 😬😬😬.
journal.chestnet.org
Among patients intubated emergently using a neuromuscular blocking agent, 7.4% of patients recalled awareness without being able to move, which was more likely when patients had a normal level of...
Pretty jarring study in Annals of EM showing prevalence of awareness following ED intubation of 2.6% (more common in patients who received rocuronium). (1/3). A few recommendations below.
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Great case of "glottic impersonation", where proximal esophagus can mimic glottis. This is why it's important to be methodical with laryngoscopy and to NEVER rely solely on direct visualization for ETT placement. Always confirm placement with waveform CO2.
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AIME Awake!. Our first ever cadaver-based awake course is in the books. Privileged to teach alongside Adam Law + George Kovacs. Innumerable pearls around decision making, patient coaching, topicalization, and device use. Looking forward to the next one. @CAEP_Docs
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This NEJM video on BVM technique is really acknowledging how bad ED overcrowding is getting
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