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Post-Tonsillectomy Hemorrhage: ReBaked Morsel

Pediatric EM Morsels

With that in mind, let’s review how to manage the post-tonsillectomy hemorrhage in children : Post-Tonsillectomy Hemorrhage : Management General Preparation Call for help… no time for your pride to get in the way! Get a hold of ENT early as OR management and/or admission are common. Well… sometimes it starts again.

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Proning for ARDS

Northwestern EM Blog

In this study, they found that prone positioning resulted in significant improvement in oxygenation, as well as a 50% decrease in mortality at 28 days (Guerin et. This leads to hyperinflation of anterior alveoli and increased atelectasis in the posterior alveoli (Maley, 2020; Malhotra, 2022).

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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.

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Prehospital Management of Traumatic Brain Injury

Critical Care Now

According to CDC data , more than 64000 Americans died in 2020 from TBI, and many more experience long-term sequelae, making them one of the major causes of mortality and morbidity across all age groups. In 2020 the EPIC4Kids study was published and the findings among pediatric TBI patients were similar to that of adults.

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EM@3AM: Bacterial Tracheitis

EMDocs

Leukocytosis, as well as mild leukopenia, are common. Definitive airway management should be pursued early. Published 2020. Signs and symptoms include stridor (inspiratory or expiratory), fever, productive and painful cough, thick secretions, and tenderness of the trachea. [2-4] ampicillin-sulbactam). Published 2023.

EMS 106
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emDOCs Revamp: Esophageal Perforation

EMDocs

ECG – May show tachycardia or rate related ST depressions Laboratory evaluation: CBC w/ differential – may reveal leukocytosis with left shift CMP, Lipase – can reveal alternative intra-abdominal diagnoses as well as show findings of end-organ hypoperfusion (elevated serum creatinine, transaminitis, etc.) McGraw-Hill Education; 2020.

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

They increase the risks of hypoxia and acidosis during the apneic period as well as hypotension and hypoperfusion caused by the abrupt transition from negative-pressure to positive-pressure ventilation (10). Incidence and factors associated with cardiac arrest complicating emergency airway management. Epub 2020 Dec 9.