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Pediatric Airway Management for the Prehospital Professional

  • Buy nowFirst Edition
    2004
    ISBN: 9780763720667
    £47.99
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    First Edition
    ISBN: 9780763720667
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Marianne Gausche-Hill, MD

Emergency management of the pediatric airway requires an understanding of the anatomic, physiologic, and behavioral differences in infants and children. It also requires specific skills that EMS providers do not have many opportunities to practice. This comprehensive, easily understandable text teaches EMS providers how to assess and manage pediatric airway emergencies. Core to this text is the Pediatric Airway Management Algorithm - a chart that teaches the process for assessing and managing any pediatric airway emergency. Each chapter describes a different component of this invaluable tool.

Over 30 million children seek emergency care each year in U.S. emergency departments. Children represent 30% of emergency department patient visits. By contrast, children represent only 10% of all prehospital calls. Of these calls, less than 5% are life- or limb-threatening. Respiratory complaints comprise 10% of all pediatric prehospital calls and 1% of these patients present in cardiopulmonary arrest from both medical and traumatic causes.

What impact do these statistics have on your practice as an EMS provider?

One of the first decisions EMS providers make when assessing a pediatric patient is whether to manage the patient's medical needs in the field or initiate rapid transport to allow for additional management in the emergency department. Certainly patients with severe conditions such as respiratory failure will require immediate field management to ensure adequate oxygenation and ventilation en route to the hospital. The question of whether to intubate a patient in the field versus providing bag-mask ventilation is a complex one and requires knowledge of what intervention is most effective, has the least complications, and which procedure promises a better outcome. The decision about airway management of pediatric patients in the field versus the emergency department will always require careful consideration and is likely to change with new research and collective experience.

Features & Benefits
  • Where’s the Evidence?—These boxes provide a quick synopsis of the literature and efficacy of the techniques and management trends discussed in the chapter. 
  • Core to this text is the Pediatric Airway Management Algorithm—a chart that teaches the process for assessing and managing any pediatric airway emergency. Each chapter describes a different component of this invaluable tool. Topics include:
  1. Assessment
  2. Positioning and opening the airway
  3. Bag-mask ventilation
  4. Foreign body removal
  5. Endotracheal intubation
  6. Rapid sequence intubation
  7. Needle cricothyrotomy
  8. Laryngeal mask airway
  9. Tracheostomy management
  • Skill Drills - Provide written step-by-step explanations and visual summaries of important skills and procedures.
  • Tricks of the Trade—These boxes provide brief airway management tips gained from experience in the field.
  • Quick Quiz—Test your knowledge with this brief multiple-choice quiz presented at the end of each chapter.
Table of Contents

Chapter 1: Introduction
Chapter 2: Assessment
Chapter 3: Managing the Pediatric Airway in a Step-by-Step Approach
Chapter 4: Positioning the Patient and Opening the Airway
Chapter 5: Bag-Mask Ventilation
Chapter 6: Foreign Body Removal
Chapter 7: Endotracheal Intubation
Chapter 8: Advanced Techniques in Pediatric Airway Management
Chapter 9: Special Needs: Tracheostomy

Quick Quiz Answers
Glossary
Index
Photo Credits


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