Cuffed Endotracheal Tubes for Children: ReBaked Morsel
Selecting the correct Endotracheal tube (ETT) in children often requires math and many will consider Cuffs vs Uncuffed. Let's make it easier. Do the math and select the Cuffed ETT.
Tag intubation
Succinylcholine and the Risk of Pediatric Hyperkalemic Arrest
Intubating a child is a nerve-racking procedure for everyone in the room. We have previously talked about medications (ex, Atropine , Propofol, Ketamine) that are in your toolbox as you prepare for intubation. We have discussed their risks and benefits (Yes, Dr. Fox……
Neonatal Intubation and RSI
Congratulations! You have made it successfully to 2021! While 2020 was challenging for EVERYONE, and may have required some brute force to endure, let us take this opportunity to consider avoiding using brute force (“Brutane“) when intubating our smallest of…
Propofol Infusion Syndrome in Children
Keeping children calm and cooperative is part of our job and often leads us to using fancy medicines like Ketamine and Nitrous Oxide. Of course, it is important to have a patient safely sedated during a minor procedure like Lumbar Puncture,…
Endotracheal Tube Depth
We all know that airway management is a critical skill for those of us who care for pediatric patients in the acute environment! Due to conditions like severe respiratory illness (ex, asthma), acute trauma (ex, pulmonary contusion), or acute metabolic…
Mechanical Ventilation for Severe Asthma
“Wheezing” is a prominent complaint in the Ped ED and it has been a frequent topic of the PedEM Morsels. We have covered a wide variety of Asthma management aspects: from initial therapies (MDIs vs Nebs) to potential hydration issues;…
Atropine Not Needed for RSI
We have covered several other pediatric EM myths and misconceptions previously: Cuffed ETT are ok, a doughnut is not a good shape for LP Positioning, the 500:1 rule should not be used, Oral Rehydration is faster than IV, and you can/should give morphine…