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由JRavera著作—PediatricMechanicalVentilationintheEmergencyDepartment:...andmustbetailoredtotheclinicalscenarioandtimingtodefinitivecare.

Authors: Joe Ravera, MD (@pemuvm1, Director of Pediatric Emergency Medicine, Assistant Professor of Surgery, Division of Emergency Medicine, University of Vermont Medical Center) and Skyler Lentz, MD (@skylerlentz, Assistant Professor in the Departments of Surgery and Medicine, Divisions of Emergency Medicine and Pulmonary & Critical Care, University of Vermont Medical Center) // Edited by: Alex Koyfman, MD (@EMHighAK) and Brit Long, MD (@long_brit)

A 4-year-old boy, approximately 20 kg, presents to your rural ED after a submersion injury at a local pool.  Paramedics and family do not know how long he was under water, but he was pulled out of the pool minimally responsive.  There are no obvious signs of trauma.  He never lost pulses.  He arrives to the ED with bag mask ventilation in process.  Bagging with 100% FiO2, his oxygen saturation is 92%.  He...