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 Skill Guide
Appropriate Steps to Complete Takes or verbalizes body substance isolation precautions Directs assistant to pre-oxygenate patient Identifies/selects proper equipment for intubation Checks laryngoscope to assure operational with bulb tight Places patient in neutral or sniffing position Opens the airway manually Inserts blade while displacing tongue Elevates mandible with laryngoscope Introduces ET tube and advances to […]
CPR Skill Guide
✅ When to Start CPR Compression to Ventilation Ratios Rescuer(s) Compression: Ventilation Ratio Single rescuer 30:2 Two or more rescuers 15:2 *If advanced airway placed: Continuous compressions (100–120/min) + 1 breath every 2–3 sec (20–30/min) Compression Depth & Technique Age Depth Hand Placement Infant (<1 yr) 1.5 inches (4 cm) or 1/3 chest depth Two […]
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:
Hot Seat #239: Eye Hurt
Richmond Castillo MD, Children’s National Health System A 5-year-old male with no past medical history presents with right eye pain. Per mom, who had not witnessed event, describes that patient was at school three days prior and was told by school nurse that he fell and hit his eye on the floor. Unclear if he […]