Big Tests in Little People
Can laboratory tests that are routinely used in adult patients also be used in pediatric patients? Does the current literature support the routine use of troponin, brain natriuretic peptide, D-dimer,…
EMERGENCY MEDICINE
Emerging and Re-emerging Infections in Children
The role of the emergency provider lies at the forefront of recognition and treatment of novel and re-emerging infectious diseases in children. Familiarity with disease presentations that might be considered…
Overlooking the Basics and Focusing on Medications That Do Not Matter During Pediatric Codes
Overlooking the Basics and Focusing on Medications That Do Not Matter During Pediatric Codes Michael S. Mitchell, MD Crick Watkins, DO The crashing pediatric patient can induce anxiety for providers…
Chapter 19 – Thoracostomy Tube Insertion
Abstract Traditionally, a tube thoracostomy is placed using the open technique; however, percutaneous techniques, and those using serial dilation, are also acceptable. Care should be taken with trocar techniques due…
Chapter 18 – Cricothyroidotomy
Abstract When attempts at orotracheal intubation or airway rescue techniques (e.g., laryngeal mask airway) have failed in a patient who cannot oxygenate or ventilate, cricothyroidotomy is the emergency surgical airway…
Chapter 25 – Ultrasound in Trauma
Abstract Ultrasound offers a quick, repeatable, and moderately sensitive assessment for an important subset of traumatic injuries. The Focused Assessment with Sonography for Trauma (FAST) exam is performed at the…
Chapter 24 – Splinting
Abstract Splints should be used to temporarily immobilize possible fractures and dislocations during the evaluation and management of life- and limb-threatening injuries. Chapter 24 Splinting Carl R. Chudnofsky General Principles…
Chapter 21 – Resuscitative Endovascular Occlusion of the Aorta (REBOA)
Abstract REBOA is an endovascular occlusion balloon, inserted through the femoral artery, designed to occlude the aorta in the setting of severe abdominal or pelvic hemorrhage (Figure 21.1). Chapter 21…
Chapter 20 – Emergency Room Resuscitative Thoracotomy
Abstract In traumatic cardiac arrest, especially due to hemorrhage or cardiac tamponade, external cardiac compression has no role in the emergency room. Chapter 20 Emergency Room Resuscitative Thoracotomy Demetrios Demetriades…
Chapter 23 – Tourniquet Application for Extremity Bleeding Control
Abstract Place the tourniquet around the limb and weave the strap through the buckle. Alternatively, in tourniquets that come preassembled, they can be slipped over the limb. If possible, clothing…
