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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. 2022 Sep-Oct;43(5):103582.

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Post-Tonsillectomy Hemorrhage: A Three-Pronged Approach

ACEP Now

Additionally, one must be prepared for definitive airway management and know when laboratory investigations will prove valuable to guide further management. Even if you are successful in stopping the bleed in the ED, these patients need rapid ENT consultation for urgent definitive management in the operating room.

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AIR – Learning from the Airway Registry (November 2023)

Greater Sydney Area HEMS

Sydney HEMs is proud of its commitment to excellence in airway management. In 2022, we achieved: 95% overall first pass success rate (first pass of laryngoscope into mouth results in successful intubation, from both prehospital and inter hospital cases, including cold tube and RSI. The patient went on to have a surgical airway.

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EM@3AM: Murine Typhus

EMDocs

January 2022. Answer : Murine Typhus Epidemiology: Murine typhus is endemic in several parts of the U.S.: Revisiting doxycycline in pregnancy and early childhood–time to rebuild its reputation? Expert Opin Drug Saf. 2016;15(3):367-82. Food and Drug Administration. Doxycycline Capsules USP. Available at: [link].

EMS 105
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The Ducanto Catheter—It Sucks!

RebelEM

James DuCanto, developed the DuCanto catheter to enhance airway management in these high-stakes situations. The commonly used 14 Fr Yankauer catheter, with its smaller bore, may struggle to clear heavily contaminated airways effectively. Published 2022 Sep 10. Published 2022 Sep 10. BMC Anesthesiol. 2022;22(1):285.

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SAS 2022 Prehospital airway management

PHARM

youtube.com/watch

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Acute Esophageal Variceal Bleeding in Children

Pediatric EM Morsels

Multimodal management can help avoid variceal bleeding. Luoto, 2020 ] Acute Esophageal Variceal Bleeding: Management Guidelines on the management of acute variceal bleeding in children are limited and debated due to limited pediatric-specific evidence. Prepare airway management tools (hoping to avoid needing them).