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Field Amputation Part 3: Who Performs It?

The Trauma Pro

Much depends on local policies and procedures, training, as well as availability. Emergency physicians have more experience with airway management, sedation, and anesthesia and can thus add value to the process. This allows them to tailor the amputation to optimize the eventual recovery from this operation.

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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. Well… sometimes it starts again.

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A Simplified Approach to Managing the Difficult Airway in Children

Don't Forget the Bubbles

Table 1: Airway assessment Can we predict a difficult pediatric airway? Even though there is no clear-cut answer, there are some risk factors that make a difficult airway more likely. Even with the best planning, you still may not anticipate the difficult airway. difficult intubations in neonates and infants.

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emDOCs Revamp: Esophageal Perforation

EMDocs

2 Despite advances in imaging and surgical methods, overall mortality approaches 20%, which doubles to 40% with delays to definitive management exceeding than 24 hours. 6 Fluoroscopic esophagography: Reveals presence of as well as localizes perforation with 60% sensitivity for cervical perforations and 90% for intrathoracic perforations.

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Fourteen Emergency Medicine Research Gems from 2023

ACEP Now

7 The operators involved in the trial were mostly emergency medicine residents or critical care fellows, but this fact does not diminish the generalizability of these observations. Many clinicians staffing emergency departments intubate infrequently, as well, and these results are likely applicable to a wide scope of practice.

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Airway Choices in the Era of Many Choices

EM Updates

The primary tool for emergency airway management then became the traditional laryngoscope , a device little improved since the 1940s, until the advent of video laryngoscopy in the early 2000s which changed everything. HAVL , which uses a blade that goes around the tongue, requires that the operator look at the screen.

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REBEL Cast Ep122 – Delayed vs Rapid Sequence Intubation in Agitated Trauma Patients

RebelEM

This helps relieve agitation/pain while maintaining spontaneous breathing and airway reflexes allowing for adequate pre-oxygenation as well as facilitates other resuscitation interventions including IV access, vasopressors, fluids, etc. Re-oxygenation with BMV can increase airway-related adverse events (i.e.