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Hot Seat #239 Denouement

This week’s case focuses on a 5-year-old who presents with eye pain. The crux of the discussion centers on strategies to examine an eye in an uncooperative patient. Pediatric cooperation is a key barrier to detailed exams. Strategies such as distraction, anxiolytics, and, if needed, procedural sedation can be employed. Before considering procedural sedation, topical […]

Hot Seat #240: Under Pressure

Case by Nikki Animasaun MD, CNH Pediatric Emergency Medicine Fellow An 11-year-old female with history of recent sepsis in the setting of recent group A strep skin and soft tissue infection presents with altered mental status and possible seizure activity. Per grandma, yesterday, the patient developed a headache which continued until this morning. This morning […]

Intubation Skills

S uction O xygen A irway Equipment P ersonnel Me dications       Succinylcholine) Laryngoscope blade types: Miller (straight): 00, 0, 1, 2, 3 (pick up epiglottis) Wisconsin/Wishipple (straight with slight curve at end): 1, 1.5, 2, 2.5 (pick up epiglottis) Macintosh (curved): 1, 2, 3 (insert into vallecula, for older patients) Size of airway: 4 […]

CPR Skills

Chest compressions For 2 rescuer CPR Hands Compressions/min Compressions: Respirations Newborn Two thumbs encircling or two fingers 90-100* 3:1 Infant/Child 1-2 hands 100* 15:2 >8 years old 2 hands 100* 30:2 * To help you feel what 100 beats per minute is, you can use the beat of “Stayin’ Alive” or “Another One Bites the […]

Airway Skills

Bag-valve mask ventilation Contraindications: complete airway obstruction, spontaneously breathing patient Complications: barotrauma, gastric distention Procedure for bag-valve mask ventilation: Airway Adjuncts Oropharyngeal Airway: Nasopharyngeal airway: