Pediatric Airway Team Based Learning
While all levels of learner could potentially benefit from this classic team-based learning (cTBL), it is designed for senior emergency medicine (EM) residents or pediatric emergency fellows who are already familiar with basic pediatric airway topics.
Respiratory complaints are one of the most common reasons that pediatric patients present to the emergency room, with 9.6 million visits for respiratory-related reasons in 2015.1 While many of these visits require only minimal interventions such as supportive care, bronchodilators, or oral medications, the emergency provider must always be prepared in the event of a life-threatening airway emergency requiring immediate intervention. However, identifying and managing these cases may be challenging for residents, especially those with infrequent or seasonal pediatric exposure. While there are many individual articles on topics related to respiratory or airway emergencies, there are few case-based activities for emergency medicine providers available, and these are either simulation-based,2-5 targeted towards anesthesiologists,6 focused on one disease process,7,8 or targeted towards medical students.9,10 Therefore, the goal of this cTBL is to review a variety of unique but complementary life-threatening pediatric airway cases for emergency medicine physicians, including the presentation, workup, and management of each: foreign body obstruction, bacterial tracheitis, status asthmaticus, and post-tonsillectomy bleeding.
This cTBL covers a variety of pediatric airway emergencies. Therefore, by the end of this cTBL, the learner will be able to: 1) List the signs and symptoms associated with airway foreign body obstructions. 2) State the appropriate management of upper and lower airway foreign bodies. 3) Discuss the symptoms, signs, and management of bacterial tracheitis. 4) Discuss a step-wise algorithm for emergency asthma treatment in the emergency department setting. 5) Identify the potential complications of tonsillectomy and the acute management of post-tonsillectomy hemorrhage.
This didactic session is a classic TBL.
Pediatric airway emergencies, airway foreign body, foreign body aspiration, bacterial tracheitis, pediatric asthma, status asthmaticus, post-tonsillectomy hemorrhage.