Pediatric EM Morsels

JULY 21, 2023

Consider other indicators of need for airway management, such as gag reflex. Pediatric adjusted reverse shock index multiplied by Glasgow Coma Scale as a prospective predictor for mortality in pediatric trauma. Fun fact for animal lovers!- It’s complicated. Less than 8 doesn’t always mean intubate ! A practical scale.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Taming the SRU

JUNE 3, 2024

Susan Wilcox Increasing regionalization due to: Growth of specialty centers Increasing development of healthcare systems Hub-and-spoke models Development of ECMO, trauma, transplant, and stroke centers The higher the acuity of the centers, the higher the acuity of the patient that needs to get there.

Shock 91

Shock Seizures Airway Management Stroke 91

Pediatric Emergency Playbook

NOVEMBER 1, 2015

Pediatric airway management is a skill that integrates the three types of knowledge as described by the ancient Greeks: episteme , or theoretical knowledge, techne , or technical knowledge, and phronesis , or practical wisdom, also called prudence. We often have limited information in critical situations. Relax, it’s a myth.

Shock 40

Shock Sepsis Airway Management Pediatrics 40

ACEP Now

MARCH 14, 2024

Tracheoinnominate fistula: acute bleeding and hemorrhagic shock due to a trachea-innominate artery fistula. Tracheo-innominate artery fistula after stroke. The anatomical basis for post tracheostomy innominate artery ruptures. Laryngoscope. 1998;98:1061-64. Khanafer A, Hellstern V, Meissner H, et al. CVIR Endovasc. 2021;4(30):1-4.

Operations 52

Operations Pediatrics Radiology Radiology 52

EB Medicine

NOVEMBER 1, 2018

Nachi: Each year, in the US, approximately 10,000 patients present with electrical burns or shocks. Pay attention to the entry and exit sites, as the pathway of the shock is predictive of the potential for myocardial injury and arrhythmia. Their search yielded 477 articles, which was narrowed to 88 after initial review. That’s -- high.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40