 The triple 15 rule of pre-oxygenation:
To help optimize oxygenation, the triple 15 rule can be used prior to endotracheal intubation: 1. 15L O2 via nasal prongs 2. 15L O2 via non-rebreather 3. 15 cm H2O of CPAP if SO2 still < 95% #FOAMED https://www.jems.com/articles/print/volume-43/issue-4/features/a-modern-approach-to-basic-airway-management.html?c=1 https://emergencymedicinecases.com/episode-54-weingart-himmel-sessions-preoxygenation-delayed-sequence-intubation/  Conjuncitivits-otitis syndrome Younger children and those with multiple AOM that year had higher risk for developing Otitis media associated with the conjunctivitis. Up to 25% of patients with conjunctivitis have concurrent otitis media (even in the abscence of ear pain) and up to 73% of patients with purulent conjunctivitis. Non-typeable H. influenzae is the most common recovered bacteria. For these patients, systemic (oral) antibiotics are recommended and the topical ophthalmic antibiotics are NOT necessary. Antibiotics should cover beta-lactamase producing organisms, e.g. high dose amoxicillin-clavulanic acid (45 mg/kg BID). Every patient with conjunctivitis should have an examination of his/her tympanic membraness, as your management may change. http://pedemmorsels.com/conjunctivitis-and-conjunctivitis-otitis-syndrome/  |
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