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Acute Esophageal Variceal Bleeding in Children

Pediatric EM Morsels

Of course, we all have a healthy respect for post-tonsillectomy hemorrhage and we like to talk about Damage Control Resuscitation. Multimodal management can help avoid variceal bleeding. Prepare airway management tools (hoping to avoid needing them). 2011 Jun;52(6):751-5. Keep patient comfortable. Call them early!

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Supraglottic Airways

Pediatric Emergency Playbook

How much force is required to dislodge an alternate airway? An update on out-of-hospital airway management practices in the United States. Resuscitation. Successful tracheal intubation through an intubating laryngeal airway in pediatric patients with airway hemorrhage. 2011 Oct;41(4):369-73.

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Episode 19: Surgical Airway

PHEM Cast

Other fantastic #FOAM resources regarding airway management are available: From Nicholas Chrimes at [link] From the fabulous people over at Life in the Fast Lane including a video demo from Scott Weingart from EMCrit: [link] References This is Tim’s recent publication we mention in the ‘cast! Woodall, N., & Frerk, C.

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Episode 36: COVID-19

PHEM Cast

Where trained and equipped to use level 3 PPE, this may be used where it will not cause a delay commence resuscitation where this is indicated by local clinical guidance. From the Resuscitation Council: Click here for more from the Resus Council on COVID-19. 2011; 6(11): e27932. Lisa Casanova (a1), William A. Sobsey (a1).

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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. Resuscitation. 2011 Dec;82(12):1519-24. Epub 2011 Jul 2. Resuscitation. AAGBI Safer Prehospital Anaesthesia 2017, available here. 20(12);681-686.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

What They Did: Retrospective, observational cohort study in a single high-volume academic hospital The ED had a 5 bed area used for ongoing management and resuscitation of patients who clinically deteriorate while boarding or while actively undergo a workup in other sections of the ED. 2011 Feb 15; Epub 2010 Aug 27. J Crit Care.

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Adventures in RSI

Pediatric Emergency Playbook

Pediatric airway management is a skill that integrates the three types of knowledge as described by the ancient Greeks: episteme , or theoretical knowledge, techne , or technical knowledge, and phronesis , or practical wisdom, also called prudence. She needs her airway taken over. Is this child stable enough for intubation?

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