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Look at NAEMSP - Model Pediatric Protocols - outstanding set and has
passes NUMEROUS clinical standard of care tests in various
disciplines, and they're free!. 

The issue of G tubes prior to BVM is questionable due to "how much
benefit does it provide versus the risk?"   One of the issues of the
volume and force of bag ventilation specifically related to
effectiveness and efficiency of BVMV should be addressed before moving
to other procedures which care their own set of implications /
complications.

 If you're placing a  G tube in anticipation of an ET, again the
risk vs benefit of a rarely used skill with significant clinical
implications / complications should be WELL thought out.  

Depending on your system design and resources you may need to review
Maryann Gausche's 2000 ish study on pediatric intubation in the
prehospital environment.  Amazing study if you put your ego and
testosterone level in check - think about the patient and their
outcome, not your bag of tricks.

Take care,

Bob Waddell II
(307) 9967030

----- Original Message -----
From: "Matthew Hansen" 
To:
Cc:
Sent:Fri, 20 Feb 2015 14:57:38 +0000
Subject:Airway questions

 We are working on developing an intubation protocol for our PED. Two
questions for the group:

 1) Does anyone routinely place a gastric tube prior to intubation in
patients who require BVM? This would be to prevent the stomach from
becoming distended during BVM and causing difficulty ventilating.

 2) Does anyone have a pediatric intubation protocol or checklist they
are willing to share?

 Thanks,
 Matt Hansen

 Matt Hansen MD, MCR
 Assistant Professor of Emergency Medicine
 NIH/NHLBI K12 Scholar
 Oregon Health Science University

 For more information, send mail to [log in to unmask] with
the message: info PED-EM-L
 The URL for the PED-EM-L Web Page is:
 http://listserv.brown.edu/ped-em-l.html


For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is:
                 http://listserv.brown.edu/ped-em-l.html