The SWORBHP Podcast

sworbhppodcasts

An educational podcast covering a wide variety of topics for the paramedics of the Southwestern Ontario Region.

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Pediatric Endotracheal Intubation
Jul 4 2022
Pediatric Endotracheal Intubation
Description:  In this episode, Special Guest Dr. Alexander Chase (Western Pediatric Emergency Medicine Fellow) sits down to talk to Dr. Lauren Valdis (Medical Director of Education at SWORBHP) about pediatric endotracheal intubation. Together they discuss the evidence behind the switch from uncuffed to cuffed tubes, along with some of the other recent changes to pediatric airway management. Myths are debunked, evidence is unpacked. Join us for this deep dive into pediatric airway management!   Associated TOTW: Pediatric ETT Size Equation Changes with Cuffed Tube   Resources for Pediatric Intubations Webinar: · De Orange FA, et al. Cuffed versus uncuffed endotracheal tubes for general anaesthesia in children aged eight years and under. Cochrane Database of Systematic Reviews 2017, Issue 11. Art. No.: CD011954. DOI: 10.1002/14651858.CD011954.pub2 · Eschertzhuber S, et al. Cuffed endotracheal tubes in children reduce sevoflurane and medical gas consumption and related costs. Acta Anaesthesiol Scand. 2010 Aug;54(7):855-8. doi: 10.1111/j.1399-6576.2010.02261.x. Epub 2010 Jun 15. PMID: 20560884. · Khine HH, et al. Comparison of cuffed and uncuffed endotracheal tubes in young children during general anesthesia. Anesthesiology. 1997 Mar;86(3):627-31; discussion 27A. doi: 10.1097/00000542-199703000-00015. PMID: 9066329. · Topjian AA, et al. Pediatric Basic and Advanced Life Support Collaborators. Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020 Oct 20;142(16_suppl_2):S469-S523. doi: 10.1161/CIR.0000000000000901. Epub 2020 Oct 21. PMID: 33081526. · Wampler DA. Capnography as a clincal tool. August 2011. EMSWorld. From Weiss M, et al. Comparison of cuffed and uncuffed preformed oral pediatric tracheal tubes. Paediatr Anaesth. 2006 Jul;16(7):734-42. doi: 10.1111/j.1460-9592.2006.01844.x. PMID: 16879515.
Pediatric Endotracheal Intubation
Jul 4 2022
Pediatric Endotracheal Intubation
Description:  In this episode, Special Guest Dr. Alexander Chase (Western Pediatric Emergency Medicine Fellow) sits down to talk to Dr. Lauren Valdis (Medical Director of Education at SWORBHP) about pediatric endotracheal intubation. Together they discuss the evidence behind the switch from uncuffed to cuffed tubes, along with some of the other recent changes to pediatric airway management. Myths are debunked, evidence is unpacked. Join us for this deep dive into pediatric airway management!   Associated TOTW: Pediatric ETT Size Equation Changes with Cuffed Tube   Resources for Pediatric Intubations Webinar: · De Orange FA, et al. Cuffed versus uncuffed endotracheal tubes for general anaesthesia in children aged eight years and under. Cochrane Database of Systematic Reviews 2017, Issue 11. Art. No.: CD011954. DOI: 10.1002/14651858.CD011954.pub2 · Eschertzhuber S, et al. Cuffed endotracheal tubes in children reduce sevoflurane and medical gas consumption and related costs. Acta Anaesthesiol Scand. 2010 Aug;54(7):855-8. doi: 10.1111/j.1399-6576.2010.02261.x. Epub 2010 Jun 15. PMID: 20560884. · Khine HH, et al. Comparison of cuffed and uncuffed endotracheal tubes in young children during general anesthesia. Anesthesiology. 1997 Mar;86(3):627-31; discussion 27A. doi: 10.1097/00000542-199703000-00015. PMID: 9066329. · Topjian AA, et al. Pediatric Basic and Advanced Life Support Collaborators. Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020 Oct 20;142(16_suppl_2):S469-S523. doi: 10.1161/CIR.0000000000000901. Epub 2020 Oct 21. PMID: 33081526. · Wampler DA. Capnography as a clincal tool. August 2011. EMSWorld. From Weiss M, et al. Comparison of cuffed and uncuffed preformed oral pediatric tracheal tubes. Paediatr Anaesth. 2006 Jul;16(7):734-42. doi: 10.1111/j.1460-9592.2006.01844.x. PMID: 16879515.
Evidence and Best Practices in Pediatric Out of Hospital Cardiac Arrest
May 27 2022
Evidence and Best Practices in Pediatric Out of Hospital Cardiac Arrest
Special Guest Dr. Sara-Pier Piscopo (Western Pediatric Emergency Medicine Fellow) sits down to talk to Dr. Lauren Valdis (Medical Director of Education at SWORBHP) to discuss the latest evidence and best practices in resuscitation of pediatric out of hospital cardiac arrest.  Topics include: Considerations in when to transport, when to consider IO vs. IV access and some hot-off-the-press local data to share.   March 2022 - Ask MAC referenced: SWORBHP Ask MAC   References: Burgert, JM et al.  An Evidence-Based Review of Epinephrine Administered via the Intraosseous Route in Animal Models of Cardiac Arrest, Military Medicine, Volume 179, Issue 1, January 2014, Pages 99–104,Hansen HL et al. Time to epinephrine administration and survival from nonshockable out-of-hospital cardiac arrest among children and adults. Circulation. 2018; 137:2032-2040Nguyen L et al. Effect of intravenous versus intraosseous access in prehospital cardiac arrest. Air Medical Journal. 2019; 38:147-149Matsuyama T et al. Pre-hospital administration of epinephrine in pediatric patients with out-of-hospital cardiac arrest. JACC. 2020; 75:194-204Meyers LA et al. Prehospital peripheral intravenous vascular access success rates in children. Prehosp emerg care. 2013; 17:425-428Meyers LA et al. Semiautomatic intraosseous devices in pediatric prehospital care. Prehosp emerg care. 2011; 15:473-476Reades R et al. Comparison of first-attempt success between tibial and humeral intraosseous insertions during out-of-hospital cardiac arrest. Prehosp Emerg Care. 2011 Apr-Jun;15(2):278-81. doi: 10.3109/10903127.2010.545479. Epub 2011 Jan 28. PMID: 21275573.Tijssen, JA et al. Time on the scene and Interventions are associated with improved survival in pediatric out-of-hospital cardiac arrest. Resuscitation. 2015; 94:1-7Wampler D et al. Paramedics successfully perform humeral EZ-IO intraosseous access in adult out-of-hospital cardiac arrest patients. Am J Emerg Med. 2012 Sep;30(7):1095-9. doi: 10.1016/j.ajem.2011.07.010. Epub 2011 Oct 24. PMID: 22030185.