Author: Haroon Shaukat MD

I was born and raised in Silver Spring, Maryland, but with very little knowledge of all things DC. “Crabs and football, that’s what Maryland does”, unfortunately I could only partake in one of those. I grew up with a crab allergy so blue crabs are a make believe creature to me, much like the lochness monster. I decided to take the leap of faith and attend medical school abroad but family and home could not keep me away for too long. Residency took me to New Jersey where I began to cultivate my love for medical education and low tolerance for poor pain control. Did I mention I also learned that I outgrew my crab allergy in NJ! Alas, to the DMV I return! Hopefully to contribute to medical education and quality improvement while feasting on a Maryland blue crab or two.

Intubation Skills

S uction O xygen A irway Equipment P ersonnel Me dications       Succinylcholine) Laryngoscope blade types: Miller (straight): 00, 0, 1, 2, 3 (pick up epiglottis) Wisconsin/Wishipple (straight with slight curve at end): 1, 1.5, 2, 2.5 (pick up epiglottis) Macintosh (curved): 1, 2, 3 (insert into vallecula, for older patients) Size of airway: 4 […]

CPR Skills

Chest compressions For 2 rescuer CPR Hands Compressions/min Compressions: Respirations Newborn Two thumbs encircling or two fingers 90-100* 3:1 Infant/Child 1-2 hands 100* 15:2 >8 years old 2 hands 100* 30:2 * To help you feel what 100 beats per minute is, you can use the beat of “Stayin’ Alive” or “Another One Bites the […]

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 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, […]

Hot Seat #238: 6 year old with nausea and vomiting

Alicia Rolin MD, Children’s National Health Systemwith Haroon Shaukat MD, Children’s National Health System Patient is a 6-year-old male with autism spectrum disorder who presents with nausea and vomiting. Parents report that for the past 2-3 days he has been feeling unwell. Report tactile fevers and rigors. Has had multiple episodes of NBNB emesis. Decreased […]