Emergency Medicine Journal 2009;26:465
© 2009 BMJ Publishing Group Ltd and the College of Emergency Medicine.
MISCELLANEA
For questions on page 394
| The first 150 words of the full text of this article appear below. |
ANSWER 1
- False. Applied correctly, cricoid pressure (also termed Sellick’s manoeuvre) aims to prevent passive reflux of gastric contents into the pharynx. It is widely practised in the UK and USA but not universally in Europe. Incorrectly applied it may make intubation more difficult.1 2
- False. The evidence is contradictory. One clinical study found a significant improvement in view when the BURP manoeuvre was used.3 A large, unblinded cadaveric study found that the BURP manoeuvre frequently led to deterioration of the laryngeal view. The emergency department (ED) authors recommended a third manoeuvre—bimanual laryngoscopy.4
- True.5
- True. A mean time of 214 s (sitting) versus 162 s (supine) in one small Chilean study.6
ANSWER 2
- False. Increased etCO2 and oxygen requirements, tachycardia and masseter muscle spasm are highly suggestive of malignant hyperthermia. Rising temperature is a later sign. Dantrolene, cooling and removal of all potential trigger drugs are initial treatments if this is suspected.7
- True. This
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Emerg. Med. J. 2009 26: 394.[Extract] [Full Text] [PDF]
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