"In next-door DC, historically we have used the rule of thumb that transport should be initiated by the on-scene unit if the closest available appropriate unit is farther away than the closest appropriate hospital. Generally this has…"
"45 minutes is a long transport to me as I work in DC; RSI would be cool if only I had the meds -- again, I work in DC; still think airway is priority here as the ped airway is small to begin with and ped CRA is usually secondary to respiratory…"
"I would call for a helicopter. The child is crying now, so the airway is patent now; however, this could change at any moment, given the burns around the mouth and nose. The pediatric airway is so problematic that if a helicopter was…"
"I use the size I need to meet the needs of the patient. As for pain, my patients tell me my sticks hurt very little or not at all -- my trick? I let the alcohol dry before introducing the catheter. Otherwise, you're just…"