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I struggled to find PEM resources for my CT3 year, despite the variety of excellent resources out there. I hope this website will help point you in the right direction. I'm not a PEM expert, but am following the guidance CEM have issued (in the form of a syllabus) to put together this page. This page is not endorsed by CEM, and any mistakes are mine.

Please comment with corrections, additions and further suggestions.

All the information here is collected from the internet, and it might be out of date or inaccurate, so please use your judgement and adhere to your hospital's protocols. If you do notice any errors or omissions please comment so we can put them right!

To navigate, decide whether you want to start with a PMP or a PAP. You can then select which PMP or PAP you want to look at. You will then be taken to the summary page for that PMP, with links expanded topic collections. If you know what topic you want to look at already, click on the link on the right hand side.

Tuesday 30 July 2013

The airway in children

Before we started to think about how to recognise a problematic airway, it is useful to think about the airway of a child, and how this differs from adults.

This page has a nice summary. It's written for anaesthetists so has more information than we'll need to know (hopefully!).There's a very good summary here and here, with some practical suggestions.

LITFL has not let us down, and they also have an excellent summary together with some management tips. e-LfH has a module about stridor.

There is a very thorough powerpoint presentation all about the difficult airway in children here. The pictures are well placed, and makes you realise that children really aren't just little adults.

Basically, children are much more likely to have difficult airways, and have a high anterior larynx. There are lots of pictures that demonstrate these differences really well:



http://www.ceu-emt.com/images/childadultupperair.gif

This is a really good overview, with every difference labelled on a very clear picture.

http://www.revcolanest.com.co/en/la-via-aerea-pediatrica-algunos/articulo/90149961/


There is a nice little case based e-learning module on doctors.net here:
http://www.doctors.net.uk/ecme/wfrmNewIntro.aspx?moduleid=1562
It is a useful reminder of some of the common, and not so common, airway problems in children. 

Ventilate - which ever way you can!


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