Pediatric EM Morsels

JULY 21, 2023

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.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

PulmCCM

APRIL 18, 2024

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.

Airway Management 98

Airway Management Operations EMS Research 98

EMDocs

SEPTEMBER 25, 2023

They increase the risks of hypoxia and acidosis during the apneic period as well as hypotension and hypoperfusion caused by the abrupt transition from negative-pressure to positive-pressure ventilation (10). Incidence and factors associated with cardiac arrest complicating emergency airway management. 2000 Jan-Mar;4(1):14-8.

Emergency Department 93

Emergency Department Soft Tissue Injuries Airway Management Operations 93

RebelEM

JULY 20, 2023

This can be plotted as a Forgetting Curve (Figure 2), the slope of which depends on many things – the quality of the teacher, if stress is included in the training, if you’re well fed, have good sleep, etc. This is the idea of learning something so well you bring yourself well above the line of competence.

EMS 75

EMS Burns Airway Management Wellness 75

Advanced Emergency Nursing from AENJ

JULY 9, 2015

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). Flexibility of mind and skill bodes well. Wiget, Urs & Torres, Eric.

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40

RebelEM

MARCH 27, 2023

There may have very well been a policy where only RTs can make changes to a ventilator after an order was placed to ensure accurate documentation. 2000 May 4; PMID: 10793162 Harvey CE, et al. Unfortunately, its not clear whether the documentation came from RTs or ED providers. N Engl J Med. Crit Care Explor.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

Pediatric Emergency Playbook

NOVEMBER 1, 2015

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. It is safe in head trauma.

Shock 40

Shock Sepsis Airway Management Pediatrics 40