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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

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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Assume the position … ??Awkward Airway Positions

Advanced Emergency Nursing from AENJ

Most airway management is done with the patient supine and on a table. Importantly, you should practice airway support and BVM facing the patient "from the south" (facing cephalad). You may be assisting an airway manager (who's in the vertex position) who needs extra jaw thrust or lift. NREMT (2008).

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How To Manage Tracheo-Innominate Fistula

ACEP Now

Tracheo-innominate fistula (TIF) is an unusual and frequently lethal complication of such definitive airway placement. First reported in 1879 in the case of diphtheria in a pediatric patient, TIF is fatal without surgical treatment due to hemorrhage and failure of airway security. European J Pediatr Surg Rep. J Vasc Surg.

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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

Awake fiberoptic intubation where the patient consents, co-operative AND the airway is prepared with local anaesthesia. Key take-home points While Ben’s case is tragic, we can learn important points about airway management. Pediatric Endotracheal Intubations for Airway Management in the Emergency Department.

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2024 Emergency Medicine Research Highlights: Forced Air, Sepsis, and More

ACEP Now

In a prospective study comparing clinician gestalt against systemic inflammatory response syndrome, Sequential Organ Failure Assessment (SOFA), quick SOFA, Modified Early Warning Score (MEWS), and a logistic regression machine learning model using Least Absolute Shrinkage and Selection Operator (LASSO), the obvious winner was the clinician.

Sepsis 40
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The 70th Bubble Wrap – DFTB x MSc in PEM

Don't Forget the Bubbles

Insulin Infusion Dosing in Pediatric Diabetic Ketoacidosis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. The Pediatric Bougie for the First Tracheal Intubation Attempt in Critically Ill Children [published online ahead of print, 2023 Feb 23]. Which way should we go? Forestell B, Battaglia F, Sharif S, et al.

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