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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. 2003 Jul;40(7):620-5.

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Current Extraglottic Airway Devices and Prehospital Practices

ACEP Now

Airway management remains a fundamental skill for all emergency physicians. Extraglottic airway devices (EGAs) have become a widely accepted means of airway management along with rescue airway devices. I-Gel The i-gel was designed in the UK in 2003 and features a gel-style cuff that surrounds the larynx.

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emDOCs Revamp: Alcohol Withdrawal

EMDocs

Management of drug and alcohol withdrawal. 2003; 348:1786-1795. Outpatient management of alcohol withdrawal syndrome. Alcohol withdrawal syndrome: improving outcomes through early identification and aggressive treatment strategies. N Engl JMed. Gortney J, Raub J, Patel P, et al. Cleve Clin J Med. 2016; 83(1): 67-79.

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Intubation

PHEM Cast

Positioning From: [link] Recommended Rich Levitan resources Podcast 70 – Airway Management with Rich Levitan Airway axes From: McGuire B, Hodge K. Click here to hear what our friends over at the Resus Room think about Airways 2 References (kindly shared by Rich) Davis DP et al. J Trauma 2003; 54:444-453 Mort TC.

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The Nose: the other route to the lungs

Advanced Emergency Nursing from AENJ

Buffington] NTI largely supplanted by RSI: Current resuscitation practice focuses on the oral route for airway management and intubation. Raja, MD, MBA, MPH Trauma Airway Management J Emerg Med. Advances in prehospital airway management. Sukhupragarn, “ Airway Management ,” In: P. Rogue Medic.