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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

First described in 1970, RSI with the near-simultaneous administration of a sedative agent and NMBA has been shown to have increased first-pass success compared with intubation facilitated by a sedative alone (6,7). Resuscitation 2013; 84(11): 1500 – 4. Cons: Significant respiratory depression, requiring careful monitoring.

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Pediatric Pain

Pediatric Emergency Playbook

CRIES is a 10-point scale, using a physiologic basis similar to APGAR: Crying; Requires increased oxygen administration (distress and breath-holding); Increased vital signs; Expression; and Sleeplessness ( Krechel 1995 ). Once the pain is controlled, less frequent administration of medications, with frequent reassessments, are indicated.