EM Cases · Upper airway obstruction
Threatened airway with stridor — resus station
ACEM OSCE on airway planning, early airway help, cause-specific therapy and FONA readiness.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
Adult with drooling and stridor; possible epiglottitis vs angioedema.
Station brief
Format. Clinical-management (resus) station, 11 minutes.
References8ShowHide
- [1]Bridwell RE, Koyfman A, Long B High risk and low prevalence diseases: Adult epiglottitis. The American journal of emergency medicine, 2022.PMID 35489220
- [2]Booth AWG, Pungsornruk K, Llewellyn S, et al. Airway management of adult epiglottitis: a systematic review and meta-analysis. BJA open, 2024.PMID 38230383
- [3]Depetri F, Tedeschi A, Cugno M Angioedema and emergency medicine: From pathophysiology to diagnosis and treatment. European journal of internal medicine, 2019.PMID 30220453
- [4]Hahn J, Hoffmann TK, Bock B, et al. Angioedema. Deutsches Arzteblatt international, 2017.PMID 28818177
- [5]Rosenbaum S, Wilkerson RG, Winters ME, et al. Clinical Practice Statement: What is the Emergency Department Management of Patients with Angioedema Secondary to an ACE-Inhibitor? The Journal of emergency medicine, 2021.PMID 34006418
- [6]Cardona V, Ansotegui IJ, Ebisawa M, et al. World allergy organization anaphylaxis guidance 2020. The World Allergy Organization journal, 2020.PMID 33204386
- [7]Frerk C, Mitchell VS, McNarry AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. British journal of anaesthesia, 2015.PMID 26556848
- [8]Cook TM, Woodall N, Harper J, et al. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 2: intensive care and emergency departments. British journal of anaesthesia, 2011.PMID 21447489