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Glasgow Coma Scale in Children

Pediatric EM Morsels

[Orso 2020] One pediatric study in this systematic review, and the intubated patients had worse outcome than non-intubated Early airway protection = lower rates of complications (in TRAUMA), but this is not always true with medical patients. Consider other indicators of need for airway management, such as gag reflex. J Surg Res.

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REBEL Core Cast 108.0 – Angioedema

RebelEM

Take Home Points: Airway management is paramount; expect a challenging intubation and consider controlling the airway early if there is apparent airway compromise. Understanding the cause of angioedema (mast cell vs. bradykinin mediated) helps dictate directed management. Emergency Medicine Practice.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. The effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients. 2011 Feb 15; Epub 2010 Aug 27. Paper: Owyang CG, et al. J Crit Care. N Engl J Med.

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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. Emergency tracheal intubation: complications associated with repeated laryngoscope attempts. Annals of Emergency Medicine 2012; Volume 60, Issue 6, Pages 749–754.e2

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A Simplified Approach to Managing the Difficult Airway in Children

Don't Forget the Bubbles

Table 1: Airway assessment Can we predict a difficult pediatric airway? Even though there is no clear-cut answer, there are some risk factors that make a difficult airway more likely. Airway complications are also more likely to occur in the emergency department (ED) than in the operating theatre.

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Oxygen Powered Resuscitators

Advanced Emergency Nursing from AENJ

Oxygen Therapy: The First 150 Years Curiosities, Quackeries, and Other Historical Trivia A CHRONOLOGY FROM PRIESTLEY TO HALDANE, BASED MAINLY ON ORIGINAL SOURCES With Editorial Comment Website updated 4/12/2011. Airway management by first responders when using a bag-valve device and two oxygen-driven resuscitators in 104 patients.

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Diagnostics and Therapeutics: Inhalation Injuries

Taming the SRU

Because of this, emergency department (ED) physicians need to maintain a high index of suspicion for inhalation injury in the case of any exposure to smoke or fire, especially in closed or small space exposures. Upper Airway Injury to the upper airway, defined as airway structures proximal to the glottis (i.e.

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