Peds O- Oxygen, Airway, and Respiratory Disorders

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5 • 795 Ratings

🗓️ 14 January 2018

⏱️ 10 minutes

🔗️ Recording | iTunes | RSS

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Summary

Applying oxygen is one of the first steps in treating any crashing child!!! Airway Emergencies Foreign body (FB) Patient presentation Stridor Choking episode Testing CXR May directly show foreign body May show secondary effects of a foreign body Hyperinflated/collapsed lobes of the lung Patient needs bronchoscopy if suspicion is high Peritonsillar abscess Visible in the […]

Transcript

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0:00.0	Hello, med students. My name is Zach Olson, and thank you for downloading this week's episode of the EM Clerkship Podcast.
0:11.9	Here's our case.
0:18.3	Okay, everybody, this is Dakota. He's a three and a half year old male is awoken with diffuse abdominal pain
0:23.6	According to mom he vominated about five times some of that was productive
0:27.6	Um has a rash on the anterior chest he was lethargic when we got there since we've been there with him and through the transport now crying as you can see
0:36.6	Lone sounds were clear as far as we
0:38.6	could tell. We then noticed O2 sats dropping and had cyanosis around the lips. So he put
0:43.8	him on O2. He's one of, he had no previous fever, now 102.3 rectal. Mom and extended family
0:51.7	are out here, so just FYI. GCS at 10, BP 100 over 60.
0:56.0	Pulsal 12, 997% on the O2, and no allergies, no meds had not been sick for the past couple days.
1:03.0	Any questions?
1:04.0	Anybody, I know it was a lot.
1:05.0	He's kind of crunking on us.
1:07.0	Okay?
1:08.0	Thank you.
1:10.0	All right. Same case as last week. We've already talked about general
1:17.8	peds. We've talked about peds exam. And last week, we stepped it up a few levels and kicked
1:23.6	off our series on the approach to a sick child. When everybody's sphincters are tight and something is wrong with a pediatric patient,
1:32.7	fall back on your mnemonic.
1:35.1	Oh shit.
1:36.5	Grab the brazlo.
1:37.8	And we're going step by step through this, starting this week with the O.
	...

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