Control of Exsanguinating External Hemorrhage William Tsai Kathleen Brown Introduction The control of exsanguinating external hemorrhage is an important skill needed in the treatment of childhood injuries. While most injuries…
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)…
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 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 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 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 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 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 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 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…
