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Tiny Tips: Pediatric Airway Anatomy Considerations

In Medical Concepts, Tiny Tips by Justin HsuLeave a Comment

Intubation in children is an uncommon but high-risk procedure in the emergency department.​1​ The incidence of adverse events during intubation is high, particularly desaturation and hypotension.1 Thus, pediatric airway management is an important and lifesaving skill. The pediatric airway has significant anatomical differences from an adult. To remember these variations, consider the mnemonic “CHILD”.   How is it different? How do we change management? Cricoid​2​ Narrowest portion of airway. Risk of subglottic stenosis. …

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PEM Pearls 01: Pediatric Airway Differences

In Featured, Infographics by Andrew TolmieLeave a Comment

Welcome to PEM Pearls: a new CanadiEM Infographic Series focused on providing approaches and high-yield pearls for important pediatric EM topics! Today we will be discussing differences in pediatric airway anatomy and airway management considerations.​1​ Physiology Even in a healthy child, pediatric patients are incredibly prone to rapid oxygen desaturation during apnea. Furthermore, The rate of desaturation is proportional to the child’s age: infants can reach 90% SpO2 in as little as two …

Case Report: Parkour aftermath – Andy’s fall from height in The Office

In Case Series, Featured by Denise Wooding1 Comment

History A 36-year-old male with no medical conditions was brought to the ED by ambulance after a one-story fall in a workplace parkour incident at the Dunder-Mifflin Paper Company. While it’s debatable if the awkward leapfrogging preceding the incident could be considered parkour, Jim explains that the goal of parkour is “to get from point A to point B as creatively as possible, so technically they are doing parkour as long as point …

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Teaching EBM? You can sim that!

In Education & Quality Improvement, Infographics by Isabelle GrayLeave a Comment

If you’re in medicine, you’ve probably had to sit through at least one literature searching session. You were probably introduced to a long list of acronyms (most of which you’ve long forgotten) representing different literature databases. Perhaps you were asked to try out a search strategy in some of these databases, which you carefully assembled line by line. Did you ever wonder what the goal of these sessions were? Not sufficiently in depth …

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2020 American Heart Association Guidelines for Adult Basic and Advanced Life Support

In Featured, Infographics by Samuel Wilson1 Comment

This year, the American Heart Association (AHA) released the updated 2020 Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care; the first major update to the internationally recognized guideline in five years. In collaboration with the AHA, the authors highlighted the “Top 10 Things to Know” regarding the guideline updates. As in previous years, the authors emphasize recognizing prevalence and mortality of cardiac arrest in both a community and hospital setting. They also reaffirm …

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Taking a Sexual History in the ED

In All Posts, Education & Quality Improvement, Infographics, Mentorship by Monika BilicLeave a Comment

A complete sexual history is important in the investigation of several emergency department (ED) presentations. This is often challenging for students, as it can feel intimidating and uncomfortable to breach this topic with patients. Also, the setting of the ED is not inherently conducive to conversations like these, given the lack of established patient-staff rapport and perceived lack of privacy and time. As such, an organized approach with attention to the environment and …