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Dilemmas: The Art of Medicine

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Airway Adjuncts

This session covers: A. Overview Indications: Contraindications: Complications: B. Procedure for bag-valve mask ventilation: Steps to Perform the C-E Hold: Key Tips: Video Demonstration: Watch a Pediatric BVM Ventilation with C-E Hold (Video: Proper BVM technique, including C-E hold and jaw thrust demonstration) C. Ensuring Proper Ventilation with BVM How to Confirm Adequate Ventilation: ⚠️ […]

Hot Seat Case #242 Denouement: Puffy Predicament

Haroon Shaukat MD, Children’s National Hospital The Case:An unvaccinated 6-year-old male presents to the ED with pain and swelling to the left neck for one day. Exam showed tender swelling (~10 cm) over left lateral face/neck, spanning the mandible. Here’s How You Answered Our Questions:   Discussion: The most important branching point in this case […]

Hot Seat # 242: Puffy Predicament

Case by Kala Frye Bourque MD, CNH PEM Fellow A 6-year-old male presents to the ED with pain and swelling to the left neck that started this morning. His symptoms began with pain in the left gums the prior evening, with swelling noted after awakening. He denies fevers, chest pain, shortness of breath, or drooling. […]

Hot Seat Denouement #241

This week’s case focuses on a child with decreased neck movement. The initial presentation of decreased neck movement in a 12-month-old male prompted consideration of torticollis, atlantoaxial rotary subluxation (AARS), and deep neck space infections. The distinction between subluxation, which typically presents with a fixed neck position rather than pain-limited range of motion, is helpful […]

Hot Seat #241: Stiff Odds

Case by Kammeron Brissett MD, CNH PEM Fellow 12 month old male presents with 3 days of left-sided neck stiffness and increased fussiness.  Neck stiffness was first noticed after waking up from a nap 3 days ago. Mom states he appears to be reluctant to turn his neck to the left. He continues to maintain oral […]