On Wed, 4 Dec 1996, Ben Alexander wrote:
> At your institution:
> 1) When a child requires rapid sequence intubation in the ED, who
> performs the procedure?
Pediatric ED physician with B/U from PICU physician in cases where
. Multiple patients or where 2 MDs at code and one passes to other.
> 2) How often is a pediatric resident, with supervision from any of
> the above services, the person performing the intubation?
Pediatric resident_never ( but we have few)
FP resident- never
EM resident sometimes depending on skill level patient condition
Always with attending beside resident
> 3) Do you have a predefined upper airway obstruction team?
> (i.e. Anesthesia, ENT, Surgery?, who can respond with a simple
> activation, like a code team)
No use trauma team ( PEM, PICU, Resp. Ther)
can get anesthesisa immediately if needed and
surgeon about as quick
ENT a problem.
we used to have an epiglottitis protocol that had anesthesia come
down to ED now with full PEM attending coverage we take patient to them
and ENT in the OR ( all Beta strep now !)
Mary Bridge Children's Hospital
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