Listen to the nurses

A 9-year old male was brought to the ED after fainting in school. Upon awakening in the morning, he vomited twice, but he was sent to school. At school, he vomited three more times and continued to feel ill and weak. He fainted briefly, which prompted the school nurse to call his mother who brought…

Intubation

Indication: to secure the airway: severe airway obstruction/inadequate protective reflexes (coma or prolonged seizures) to facilitate ventilation: hypoxaemic and/or hypercarbic respiratory failure Intubation should NOT be attempted by the inexperienced if more skilled personnel are available. Two doctors always present if possible! Assessment: how urgent is the intubation? anatomical abnormality, which would suggest difficult intubation?…