Category Archives: Ped EM Section Columns

Managing Childbirth and Newborn Resuscitation Toolkit for the EMS Provider

Work from the  2020 Section Grant “Managing Childbirth and Newborn Resuscitation Toolkit for the EMS Provider” has been completed. Section members Denise Whitfield, MD, MBA, and Marianne Gausche-Hill, MD, were jointly awarded this grant to complete work products on behalf of the Pediatric Emergency Medicine Section and Emergency Medical Services- Prehospital Care Section.

A video toolkit was developed consisting of 3 educational programs to serve as a resource for the individual paramedic looking for continuing education, a framework for educators hosting training for EMS personnel, and a just-in-time resource for providers caring for patients in the field.

  1. Normal Childbirth https://vimeo.com/623901793/02d4624af5

2. Complicated Childbirth https://vimeo.com/623898146/1a64f80bcd

3. Newborn Resuscitation https://vimeo.com/623900266/fcb998542a

ACEP Reference Cards

Complicated Delivery: Breech Delivery and Cord Prolapse read more

CO Poisoning – Pearls and Management

Anthony Del Zotto, DO, Charleston Area Medical Center and Jaryd Zummer, MD , University of Kentucky

Better late than never. It is still winter, and we are all trying to stay warm inside while awaiting warmer days to arrive! We thought this would be a fitting time to review CO toxicity, with some pearls and management tips.

Carbon monoxide (CO) is the true “silent” killer. A major contributor to indoor fire-related incidents, it is responsible for up to 500 deaths per year in the US and has both significant short and long-term morbidity. This colorless, tasteless, and odorless gas is formed via the incomplete combustion of carbon-containing fuels. Most common implicated devices include furnaces, fireplaces, space heaters, stoves, and automobile or boats, especially in poorly ventilated areas or with faulty or blocked exhaust systems. Hemoglobin’s affinity for CO is approximately 200-250 times stronger than that of oxygen. When hemoglobin binds CO to form carboxyhemoglobin, it effectively reduces hemoglobin’s O2 carrying capacity (leftward shift of the oxyhemoglobin dissociation curve) and delivery of O2 to vital tissues. This tissue hypoxia not only causes a shift to anaerobic metabolism and consequently lactate production, but also increases cerebral blood flow and capillary permeability to cause cerebral edema in the most severe cases. read more