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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

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. 2014 May;32(5):452-6. 2014 May;32(5):452-6. Epub 2014 Jan 15. 2014 Oct;113(4):549-59. Epub 2014 Sep 9.

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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. The three non-surgical airway lifelines are arranged in a circular fashion around a central area representing the CICO situation.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

Consider other indicators of need for airway management, such as gag reflex. doi: 10.1136/archdischild-2014-306851. Epub 2014 Sep 8. 2014 Oct;29(10):1299-304. Epub 2014 Feb 13. GCS scores are validated in trauma populations , but it has its limitations in the medical populations. It’s complicated.

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Supraglottic Airways

Pediatric Emergency Playbook

How much force is required to dislodge an alternate airway? An update on out-of-hospital airway management practices in the United States. 2014 Jul;85(7):885-92. Successful tracheal intubation through an intubating laryngeal airway in pediatric patients with airway hemorrhage. 2014 Apr;112(4):742-8.

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ToxCard: Acute Organophosphate Toxicity

EMDocs

Airway management should not be delayed. 7 Airway management: consider early airway management. Iran Red Crescent Med J 16: e5072, 2014. The goal is to act swiftly to prevent aging, dry respiratory secretions that lead to respiratory failure, and deter eventual cardiopulmonary collapse. BMC Res Notes.

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Xylazine: “Zombie Drug” is an Emerging Threat

ACEP Now

Initial stabilization includes airway management and circulatory support. Currently, there is no FDA-approved pharmacotherapy for either the reversal of xylazine in humans or the management of withdrawal. Typically, xylazine is mixed with fentanyl. Reyes JC, et al. J Urban Health. 2012;89(3):519-26. Ruiz-ColĂłn K, et al.

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Episode 36: COVID-19

PHEM Cast

The most recent assessment by WHO (2014) states that there is only consistent evidence that there is an increased risk of transmission for the following procedures: tracheal intubation, tracheotomy procedure, non-invasive ventilation, and manual ventilation before intubation as AGPs. link] (2014). World Health Organization.

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