Remove Airway Management Remove Emergency Department Remove Pediatrics
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Post-Tonsillectomy Hemorrhage: ReBaked Morsel

Pediatric EM Morsels

Since tonsillectomy is one of the most common pediatric surgeries in the US (~500,000 per year) and the rate of post-tonsillectomy hemorrhage is about 1-5% , it is a good idea that we all are familiar with how to manage this issue! Get a hold of ENT early as OR management and/or admission are common. SUCTION, SUCTION, SUCTION!

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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. Int J Pediatr Otorhinolaryngol.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

We have mentioned the Glasgow Coma Scale in multiple delicious morsels: Minor closed head injuries in <3 month olds and in the rebaked morsel , Blunt cerebrovascular injury , Cerebral edema in DKA , Pediatric Trauma Pitfalls , and Carbon monoxide poisoning. Consider other indicators of need for airway management, such as gag reflex.

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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. Key take-home points While Ben’s case is tragic, we can learn important points about airway management.

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Pediatric Septic Shock

EB Medicine

See the summary here. In this episode, Sam Ashoo, MD, interviews Ara Festekjian, MD, one of the authors of the November 2022 Pediatric Emergency Medicine Practice article on Pediatric Septic Shock in the Emergency Department Introduction: How common is sepsis in kids and what is the mortality rate in the US?

Shock 52
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The Pediatric Airway: Considerations and Challenges

ACEP Now

Introduction Pediatric intubations in the emergency department (ED) occur at only a tenth the frequency of adult intubations. 1 Pediatric rapid sequence intubation (RSI) in the ED is associated with a higher frequency of failed first attempts and adverse effects than in adult patients. mg/kg IV, ketamine at 1.5–2

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Pediatric Supraglottic Airways

Resus Review

P ediatric airway management is one of the most stressful and fearful activities within the emergency department. There is also a tremendous cognitive load during pediatric resuscitations determining the appropriate sized equipment and medication dosing, increasing the pressure. Use a pediatric bronchoscope.