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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. Fibrinogen levels should also be obtained, where available, if severe hemorrhage suggests the potential need for administration of fibrinogen concentrate.

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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. Set up suction x2 in the room!

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Current Extraglottic Airway Devices and Prehospital Practices

ACEP Now

Airway management remains a fundamental skill for all emergency physicians. Extraglottic airway devices (EGAs) have become a widely accepted means of airway management along with rescue airway devices. References National Association of State EMS Officials, National Highway Traffic Safety Administration.

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EM@3AM: Murine Typhus

EMDocs

Food and Drug Administration. Emerg Infect Dis. 2017;23(8):1268-1273. doi:10.3201/eid2308.161861 Cross R, Ling C, Day NP, McGready R, Paris DH. Revisiting doxycycline in pregnancy and early childhood–time to rebuild its reputation? Expert Opin Drug Saf. 2016;15(3):367-82. Doxycycline Capsules USP. January 2022. Available at: [link].

EMS 105
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Corticosteroids for Croup

Don't Forget the Bubbles

When comparing corticosteroids to a placebo, children who received corticosteroids had a more significant reduction in croup scores between 2 and 12 hours of administration. Five studies explored different routes of dexamethasone administration. Additionally, it is more palatable, better tolerated, and has fewer side effects.

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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).

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Diagnostics and Therapeutics: Vascular Access in the Emergency Department

Taming the SRU

Establishing reliable vascular access is absolutely critical for ED patients requiring resuscitation, airway management, or medication administration. IOs can be used both for resuscitation, medication administration, and for laboratory testing, but there are a few important considerations. 2016 Dec 14;20(1):102.