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Post-Tonsillectomy Hemorrhage: ReBaked Morsel

Pediatric EM Morsels

Since the original morsel ( way back in 2012 ), the literature has shown that there are a few extra ingredients that we can add to our morsel recipe when we care for children with post-tonsillectomy hemorrhage. Get a hold of ENT early as OR management and/or admission are common. Set up suction x2 in the room!

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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. Key take-home points While Ben’s case is tragic, we can learn important points about airway management.

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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. of people who take NSAIDs ( Nzeako 2010 ).

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Episode 6: Oxygenation

PHEM Cast

In this position the patient’s tragus is lined up with their sternal notch to make the airway as straight as possible. Taken from Weingart & Levitan 2012. Apneic oxygenation was associated with decreased desaturation rates during rapid sequence intubation by an Australian helicopter emergency medicine service. Weingart SD.

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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. Association Between Repeated Intubation Attempts and Adverse Events in Emergency Departments: An Analysis of a Multicenter Prospective Observational Study.

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Episode 26 – Blunt Cardiac Injury: Emergency Department Diagnosis and Management (Trauma CME)

EB Medicine

This month, after a few months of primarily medical topics, we’re talking trauma, specifically Blunt Cardiac Injury: Emergency Department Diagnosis and Management. Moreover, when airway management is needed, advanced airway techniques by ALS crews were associated with decreased odds of survival. topics.php?paction=showTopic&topic_id=597)

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Oxygen Powered Resuscitators

Advanced Emergency Nursing from AENJ

Airway management by first responders when using a bag-valve device and two oxygen-driven resuscitators in 104 patients. One of two small simultaneously published studies comparing bag-valve vs. Strayer, Reuben MD – “ Podcast 65 – A Primer on BVM Ventilation with Reuben Strayer ” – 2012 – EMCrit.org **NOT TO BE MISSED!