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 […]
Hot Seat Case # 238 Denouement: 6 year old with nausea and vomiting
Alicia Rollin MD, Children’s National Medical Center Case: This is a 6-year-old patient who presented initially with several days of fever, vomiting and diarrhea. Found to be profoundly hyponatremic and hypoglycemic in the setting of diarrhea and poor PO intake. On arrival, he was febrile, tachycardic, and hypotensive. Labs notable for pH 7.1, Na 123, […]