As a prelude to a more detailed post on high flow (coming tomorrow) I thought that it would be a good idea to brush up on standard oxygen delivery devices and techniques - you know, the ones we use every day. Blow-by Temporary O2 delivery Oxygen tubing, corrugated tubing, or simple mask held at a short distance from the child's face [...]
Check out this video on using the push-pull method for rapid administration of IV fluids. It is a much more efficient method than using prefilled syringes alone, and can allow for rates of administration much faster than traditional pumps. http://vimeo.com/35337388
I'm reviewing ACLS in preparation for recertification, and aside from it being a great review of stuff I'd pushed to the nether-regions of my mind, because well, adults... it reminded me that many of my pediatric colleagues see adults when they least expect it. An adult with chest pain may or may not have an MI. Reflexively that will lead [...]
Sepsis is such a gigantic topic that one lousy post won't do it justice, so just like the bronchiolitis series from this winter I'll be posting a series on pediatric sepsis. Look for posts on management of shock, antibiotics, labs and more. Coming soon to a PEMBlog near you!
Here are some criteria for immediate/urgent referral to a regional burn center: Partial thickness burns >10% BSA in a child <10 years of age Partial thickness burns >20% BSA in a child >10 years of age Full thickness burns >2% BSA Burns to the hands, feet, face or genitals Circumferential burns Burns that overly a joint Burns associated with inhalational [...]
As promised here are the slides of my presentation on altered mental status in the ED. Remember, the workup is concise, focused, and initially centered around identifying reversible causes (hypoxia, hypoglycemia) before moving on to imaging and lumbar puncture. If you have any questions I'd be happy to address them in the comments. Management of Altered Mental Status in the [...]
As a follow up to today's lectures at Cincinnati Children's here are links to both a video on bag mask ventilation and IO insertion. You never know when these skills might come in handy. Bag mask ventilation http://vimeo.com/57016752 [divider scroll_text=""] IO needle insertion using the EZ-IO http://vimeo.com/35338622
Video laryngoscopy is the wave of the future and it has already crested onto the shores of the pediatric ED. Unlike New Coke (TM) it is here to stay. Check out these videos that give an overview of the use of video laryngoscopy in the pediatric ED, as well as specifics on the Stroz C-MAC and Glide Scope. And yes, I'm [...]
As a follow up to today's breakout sessions here is our defibrillator tutorial. It is always helpful to review a critical piece of equipment before actually needing it on a real patient.
