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Glasgow Coma Scale in Children

Pediatric EM Morsels

Motor Fingernail bed pressure with a pencil first If flexion outcome, then apply painful stimulus to neck or head (trapezius or supraorbital notch) to look for localization Spinal reflex can result in a falsely elevated score if lower extremity pain induced Verbal Orientated- Able to answer all questions. 2001 Apr;68(4):311-4.

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Xylazine: “Zombie Drug” is an Emerging Threat

ACEP Now

Initial stabilization includes airway management and circulatory support. Currently, there is no FDA-approved pharmacotherapy for either the reversal of xylazine in humans or the management of withdrawal. Typically, xylazine is mixed with fentanyl. Dr. Marco is professor of emergency medicine at Penn State Health Milton S.

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Airway Choices in the Era of Many Choices

EM Updates

The primary tool for emergency airway management then became the traditional laryngoscope , a device little improved since the 1940s, until the advent of video laryngoscopy in the early 2000s which changed everything.

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Video beats direct laryngoscopy for intubation--even for experts

PulmCCM

Video laryngoscopy was introduced in 2001 as a technique for orotracheal intubation. This outcome measure was less robust than intubation attempts, because the “failure” definition included simply switching devices, which the intubator was permitted to do at any time for any reason.