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Glasgow Coma Scale in Children

Pediatric EM Morsels

Consider other indicators of need for airway management, such as gag reflex. GCS scores are validated in trauma populations , but it has its limitations in the medical populations. It’s complicated. Less than 8 doesn’t always mean intubate ! References : Teasdale G, Jennett B. Assessment of coma and impaired consciousness.

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Video beats direct laryngoscopy for intubation--even for experts

PulmCCM

Anesthesiology residents literally stop counting, generally performing well over a thousand intubations in a four-year residency (compared to pulmonary-critical care fellows’ mere nine months total in the ICU on a traditional research/clinical split), including extensive experience on difficult airways and advanced airway management.

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

It is particularly useful in cases of physically difficult airway management, such as in patients with obesity, limited neck mobility, or cervical spine immobilization. Incidence and factors associated with cardiac arrest complicating emergency airway management. Chest 2000; 117(1): 260 – 7. 2000 Jan-Mar;4(1):14-8.

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Assume the position … ??Awkward Airway Positions

Advanced Emergency Nursing from AENJ

How versatile are your airway skills? Most airway management is done with the patient supine and on a table. Importantly, you should practice airway support and BVM facing the patient "from the south" (facing cephalad). A Tight Squeeze Airway management for the limited-access patient. Weinberg, G.

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Don’t Become Obsolete: The EM Physician’s Fight Against Procedural Decay

RebelEM

A randomized controlled trial on the effect of educational interventions in promoting airway management skill maintenance. Human Performance. 11(1):57 – 101. Link is HERE ). Kovacs G, Bullock G, Ackroyd-Stolarz S, Cain E, Petrie D. Ann Emerg Med. PMID: 11020676. Maehle V, Cooper K, Kirkpatrick P.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

2000 May 4; PMID: 10793162 Harvey CE, et al. REFERENCES: Acute Respiratory Distress Syndrome Network et al. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. Crit Care Explor. 2022 Feb 8; PMID: 35156050 Higgins TL et al.

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Adventures in RSI

Pediatric Emergency Playbook

Pediatric airway management is a skill that integrates the three types of knowledge as described by the ancient Greeks: episteme , or theoretical knowledge, techne , or technical knowledge, and phronesis , or practical wisdom, also called prudence. in Anethesia and Analgesia in 2000.

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