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Acute Esophageal Variceal Bleeding in Children

Pediatric EM Morsels

Prepare airway management tools (hoping to avoid needing them). Specific Therapies for Variceal Hemorrhage : [ Luoto, 2020 ; Castillo, 2019; Garcia-Tsao, 2007 ] Antibiotic prophylaxis (usually for 7 days) Ceftriaxone is reasonable 1st choice. 2007 Sep;46(3):922-38. 2007 Dec;46(6):2052. Keep patient comfortable.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

Consider other indicators of need for airway management, such as gag reflex. [Simpson 1991] No one system universally accepted like adult standard GCS [Simpson 1991, Jain 2022] “There is an evident need for valid standards of paediatric head injury severity, to permit comparisons of different methods of treatment.” A practical scale.

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Prehospital Management of Traumatic Brain Injury

Critical Care Now

The Excellence in Prehospital Injury (EPIC) Study The EPIC TBI study ran from 2007 to 2019 and involved an EMS and public health partnership in Arizona. It included the statewide implementation of the Brain Trauma Foundation and the NAEMSP guidelines for prehospital management of TBI.

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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. 2007): 748. References: Heffner AC et al.