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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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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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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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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.

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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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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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How To Use SALAD To Manage Unstable Epistaxis and the Airway

ACEP Now

Per discussion with family over the phone it was determined she had mild dementia, but had been feeling well prior to her mechanical fall. 8,9 The SALAD maneuver was developed to overcome the challenges faced during intubation of a massively contaminated airway. Review of systems was unable to be obtained due to confusion. Resusc Plus.