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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. Secondary hemorrhage occurs between days five and 14 post-operatively, peaking around days five to seven. CREDIT: Dr. P.

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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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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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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

First ED-based study to evaluate how operational effects such as crowding can affect patient care in the form of LPV Included ARDS criteria relating to the usage of LPV in the ED allowing evaluation as to whether patients with ARDS were more likely to receive LPV settings. 2022 Feb 8; PMID: 35156050 Higgins TL et al. N Engl J Med.

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Video beats direct laryngoscopy for intubation--even for experts

PulmCCM

The real world success rates by operators experienced with intubation remained unknown. That uncertainty has been largely dispelled by large randomized trials in 2023 and 2024 confirming that video laryngoscopy is a superior method for obtaining first pass intubation success for patients with average risk airways.

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REBEL Cast Ep121: The Battle of the Blades – Video Laryngoscopy vs. Direct Laryngoscopy

RebelEM

In this blog post, we explore the study’s key findings, strengths, and limitations, providing valuable insights while navigating the complexities of airway management in critically ill adults. worsening hypoxemia, hypotension, bradycardia, vomiting, bleeding) Technical failure of the laryngoscope (e.g., 1420 patients were enrolled.

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The Kids THRIVE study: high-flow apnoeic oxygenation for intubation

Don't Forget the Bubbles

set out to explore in the Kids THRIVE study investigating whether NHF apnoeic oxygenation could improve intubation outcomes in critically unwell children needing emergency airway management. Thats exactly what Shane George et al. George S, Williams T, Humphreys S, et al. Who were the patients?

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