Case by Maria Elena Arrate MD, CNH PEM Fellow A 15-month-old female presents to the ED for fever and umbilical drainage. Seen 9 days ago for drainage from the belly button that had been ongoing for 6 weeks, and intermittent fevers. Had been on a course of a first generation cephalosporin for soft tissue infection […]
Push-Pull Fluid Bolus in Pediatrics
✅ Indications for Push-Pull Bolus: Typical Fluid Dose: Push-Pull Technique Using a 3-Way Stopcock Equipment Needed: ✅ Steps to Set Up: ✅ Pro Tips: Keep the IV site visible—stop immediately if infiltration is suspected. Use the largest-bore IV possible for effective flow rates. Limit disconnections to maintain sterility and prevent air embolism. Monitor for signs […]
Nasogastric Tube Placement Guide
✅ Preparation: ✅ Insertion Procedure: ✅ Secure the Tube: ✅ Confirm Placement (Critical Safety Step): ⚠ Safety Tips: ✅ Example: NG Tube Placement Video – OPENPediatrics
Gastrostomy Replacement Guide
Steps to Replace: *Lidocaine jelly can be used to decrease the pain of insertion but there is no literature about the safety or efficacy of its use for this purpose.* ** If a G-tube has been out for several hours, its stoma may have already started to close. If this occurs, a smaller G-tube can […]
Tracheostomy Replacement Guide
Steps to Replace: ** If unable to obtain a tracheostomy of appropriate size, can use 6.0 endotracheal tube cut down to 12 cm; insert no more than 1 cm past the cuff** VISUALIZE with Videos! CHANGING A TRACHEOSTOMY – OPENPediatrics TRACHEOSTOMY TROUBLE SHOOTING – OPENPediatrics