Thanks to all who responded to my survey about intubation of pediatric
patients in the ED...Here are the results for any who are interested:
16 people responded, most from teaching institutions that have dedicated
100% of the responders said that a board certified Peds EM or straight
EM physician was the person who performed any rapid sequence intubation
in the ED.
As to whether a Peds resident was the one performing the procedure
under supervision, 19% said Never, 44% said Sometimes, 25% said Most of
the time, and 12% said Always.
Only 2 of the 16 responders said their institution maintained a
pre-defined upper airway obstruction team. In most cases, these
problems were handled by the ED attending with backup from Peds Surgery
and/or ENT who were not always in-house. Being that epiglottitis is so
much less of a concern, this has become less common.
Ben Alexander, MD
Chapel Hill, NC
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