✅ When to Use an IO Indications (Emergent situations when IV access is delayed or impossible): Consider IO when: ✅ Equipment Needed: ✅ Common IO Insertion Sites: Site Landmark & Notes Proximal Tibia (Most Common) 2 cm below the tibial tuberosity, medial flat surface Distal Femur (Infants) 2–3 cm above the patella, midline Distal Tibia […]
Pediatric Peripheral IV (PIV) Insertion Guide
✅ Common Peripheral IV Sites in Pediatrics Site Notes Dorsum of hands Often easiest, visible veins, easy to secure Forearm / Antecubital (AC) Fossa Good flow, easier in older kids Wrist veins May be superficial and visible Scalp veins (infants) Use vein above the ear or temporal veins (last resort) Feet / Saphenous vein (ankle) […]
Monitor/Defibrillator (Zoll)
Key Operational Features of ZOLL Defibrillators: Steps for Defibrillation: Steps for Synchronized Cardioversion: Steps for External Pacing: Using the ZOLL Defibrillator in AED Mode ✅ Purpose: When set to AED mode, the ZOLL defibrillator analyzes the patient’s heart rhythm and prompts the user to deliver a shock only if indicated—ideal for BLS providers or during […]
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 […]