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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

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. References : Teasdale G, Jennett B.

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Prehospital Management of Traumatic Brain Injury

Critical Care Now

While anyone can experience a TBI, the available data suggests that the social determinants of health have a substantive impact on the outcomes associated with them. 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.

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

Still, there are those that believe that FPS is more of a physician-centered endpoint that does not fully reflect important patient-centric outcomes (16). It is particularly useful in cases of physically difficult airway management, such as in patients with obesity, limited neck mobility, or cervical spine immobilization.