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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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Post-Tonsillectomy Hemorrhage: A Three-Pronged Approach

ACEP Now

A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. Additionally, one must be prepared for definitive airway management and know when laboratory investigations will prove valuable to guide further management.

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emDOCs Revamp: Alcohol Withdrawal

EMDocs

A 36-year-old male presents to the emergency department after being found down at home by his spouse. Upon EMS arrival the male is noted to be anxious and tremulous with a GCS of 14. Acad Emerg Med. This series provides evidence-based updates to previous posts so you can stay current with what you need to know.

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REBEL Core Cast 108.0 – Angioedema

RebelEM

Take Home Points: Airway management is paramount; expect a challenging intubation and consider controlling the airway early if there is apparent airway compromise. Understanding the cause of angioedema (mast cell vs. bradykinin mediated) helps dictate directed management. Emergency Medicine Practice.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

In emergency medicine, we often use illness scripts and protocols to help drive our decision-making. We had just received a young child from EMS who was post-ictal with decreased mentation. Consider other indicators of need for airway management, such as gag reflex. Ann Emerg Med. Less than 8, intubate! J Surg Res.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. The effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients. Paper: Owyang CG, et al. J Crit Care. N Engl J Med. 2000 May 4; PMID: 10793162 Harvey CE, et al.

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SGEM#438: Bone, Bone, Bone, Tell Me What Ya Gonna Do – for IO Access Location?

The Skeptics' Guide to EM

She is also the local director of the difficult airway EMS course at Washington State. Case: EMS arrives with a 58-year-old woman who suffered an out-of-hospital cardiac arrest (OOHCA). When emergency department (ED) staff roll her to remove her clothing her humeral intraosseous (IO) is dislodged. February 2024.