I swam with my grandchild today for about six (6) or seven (7) hours. She is the cutest and sweetest girl ever, but she tells me everything to do and is very bossy. I did like the one hour exercise program she put me through and my muscles are feeling the pain. I will sleep very good tonight because I'm exhausted.

Pediatric Needle Cricothyroidotomy

Indication:
Child < 10 years old which you cannot intubate or ventilate = needle cricothyrotomy

Supplies:
3mL syringe
16 gauge needle
Adapter to 7-0 ETT or adapter to 3-0 ETT
Bag Valve Mask (BVM)

Method:
1. Locate cricothyroid membrane
2. Pierce membrane with angiocath directed 30-45 deg caudal
3. Advance catheter over needle, hub to skin
4. Remove needle
5. Attach 3-0 ETT adapter directly to angiocath (best option) OR attach 3 mL syringe to catheter, then attach 7-0 ETT adapter to syringe.
6. Attach BVM to ETT adapter
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