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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. 2021 Aug;147:110807.

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Episode 55 -Management of Acute Urinary Retention in the Emergency Department

EB Medicine

EMplify - March 2021 Management of Acute Urinary Retention in the Emergency Department An algorithmic approach to urinary retention. EMplify - March 2021Management of Acute Urinary Retention in the Emergency Department * An algorithmic approach to urinary retention.*

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Corticosteroids for Croup

Don't Forget the Bubbles

doi: 10.1136/archdischild-2023-326773 Two-year-old Moyo is brought to the emergency department because her parents were concerned about noisy breathing. Most children can be discharged from the emergency department after a dose of corticosteroids and an appropriate safety net. Published Online First: 15 April 2024.

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Proning for ARDS

Northwestern EM Blog

While a randomized control trial should be done to evaluate the effect of early proning in a controlled environment, these studies suggest that we should consider using this in our Emergency Department for patients who present with hypoxia and concern for mild to moderate ARDS without urgent need for intubation. Crit Care Med.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

Gag reflex is much better predictor (45% vs 6%) [Conzelmann 2021] Positive predictive value of GCS indicating aspiration in intoxication was only 3%. Consider other indicators of need for airway management, such as gag reflex. Interrater reliability of Glasgow Coma Scale scores in the emergency department.

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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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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

It is particularly useful in cases of physically difficult airway management, such as in patients with obesity, limited neck mobility, or cervical spine immobilization. Incidence and factors associated with cardiac arrest complicating emergency airway management. Int J Emerg Med. J Emerg Med.