Surgical Cricothyrotomy
Surgical Cricothyrotomy Gary R. Strange Leo G. Niederman Introduction The majority of children who require airway control or assisted ventilation can be managed with standard means such as bag-valve-mask (BVM)…
PEDIATRICS
Cardioversion and Defibrillation
Cardioversion and Defibrillation Richard J. Scarfone Christine S. Cho Introduction Synchronized cardioversion is the application of direct current electricity to terminate dysrhythmias. Current is timed (synchronized) so that it is…
Diagnostic Peritoneal Lavage
Diagnostic Peritoneal Lavage Deborah M. Fernon Brent R. King Introduction When assessing children who have sustained abdominal trauma, the emergency physician or surgeon must quickly determine if these children have…
Cardiac Pacing
Cardiac Pacing Kathleen P. Kelly Michael Altieri Dr. Michael Altieri passed away in January 2004. It has been a great loss to me and to pediatric emergency medicine. He and…
Helmet Removal
Helmet Removal Kathleen P. Kelly Introduction Pediatric trauma patients who are injured while involved in sports or recreational activities may present to the emergency department (ED) wearing various types of…
Cervical Spine Immobilization and Imaging
Cervical Spine Immobilization and Imaging George A. Woodward Nanette C. Dudley Introduction Cervical spine injuries, fortunately, are uncommon in the pediatric population. It has been estimated that cervical spine injuries…
Intraosseous Infusion
Intraosseous Infusion Dee Hodge III Introduction After ensuring an adequate airway and providing adequate ventilation, assessing circulation and establishing vascular access are the next priorities in pediatric resuscitation. Traditional approaches…
Central Venous Cannulation
Central Venous Cannulation Jane M. Lavelle Andrew T. Costarino Introduction Central venous cannulation (CVC) involves percutaneous placement of a vascular catheter so that its tip is within the lumen of…
Management of the Difficult Airway
Management of the Difficult Airway Brent R. King Carin A. Hagberg Introduction One of the most challenging tasks facing caregivers is maintaining the technical skills necessary for the management of…
Venous Cutdown Catheterization
Venous Cutdown Catheterization Robert J. Vinci Introduction Obtaining vascular access is an integral component of pediatric resuscitation. It allows for the emergency administration of fluids, blood products, and pharmacologic agents…
