Emergency responders have a million thoughts racing through their heads when treating patients, especially when it comes to pediatrics. In the event of a pediatric airway blockage, the stakes are high, and emergency responders must think on their feet. The best way to protect children from dangerous scenarios is to educate yourself on the anatomy of the airway and to know when and how to effectively perform a pediatric airway assessment.

An obese, 72-year old male comes into the ER experiencing acute respiratory distress. He has a history of obstructive sleep apnea. The patient is suctioned and attempts to provide bag-mask ventilation are unsuccessful. His condition rapidly deteriorates. It becomes evident that intubation is needed, and noting the blue bracelet on the patient’s wrist reading “Difficult to Intubate”, the ER doctor pages the airway response team stat…

Depending on the emergency and treatment circumstance, it can often be helpful to have patients’ family members present to answer questions about a patient’s background or medical history, but it can also be overwhelming and add even more stress for the providers and patients involved.

March was National Developmental Disabilities Awareness Month, an opportunity to raise awareness about the inclusion of people with developmental disabilities and address the barriers they face in daily life. 

One of the most critical scenarios a paramedic will respond to is a respiratory emergency. Respiratory distress can be linked to many underlying medical problems, so it must be recognized immediately, treated proficiently, and monitored continuously. But like any medical emergency, treatment begins with a good assessment.

Obstructive sleep apnea (OSA) is a chronic medical condition that affects a person’s nighttime breathing. This can lead to fatigue, dry mouth, and issues with daytime wakefulness. Sleep apnea also correlates with a higher risk of serious health problems, including stroke, heart attack, respiratory disease, pneumonia, and premature death.

Pediatric airway problems can lead to devastation for families. According to the Pediatric Perioperative Cardiac Arrest (POCA) registry, respiratory events led to 27% of all pediatric perioperative cardiac arrests.

Likely, this is the first traumatic event the child has experienced and causing further distress will only increase the severity of the problem. It falls to responders to keep an open and friendly disposition during these events, making medical care less intimidating. To be able to focus on that type of demeanor, prior education and comprehension of the causes and solutions to these complications is vital to potentially saving a child’s life or preventing long-term harm.

When we think of traumatic injury, we typically envision gruesome wounds: amputations, avulsions, impaled objects, and compound fractures. Any of these injuries can impact the thoracic cavity, but thoracic trauma can also be frighteningly subtle. Let’s explore the various ways the chest can be impacted by trauma and some of the clinical signs that may accompany such injuries. 

Often when we think of the airway, we consider the entire respiratory system, forgetting that the upper and lower airway structures have different anatomies and, thus, are affected by different respiratory issues.

On January 2, people around the nation — be they football fans or not — were stunned by the live images from the Monday night football game, as the Buffalo Bills’ Damar Hamlin collapsed seconds after a tackle. Trainers soon began performing CPR, as it was later revealed the young player’s heart stopped twice on the field and he could not breathe without medical assistance.