38 results
Thyroid Goiter in Severe Hypothyroidism on Neck Physical Examination

TSH 124. Hashimoto’s, lost to care and thyroid
Hypothyroidism on Neck ... DrCindyCooper Note the neck ... Thyroid #Mass #Neck ... #PhysicalExam #clinical ... endocrinology #Hashimotos #otolaryngology
Anatomical Differences Between Pediatric and Adult Airways 
Pediatric airway is... 
• Proportionally smaller larynx 
• Narrowest
proportionally larger • Neck ... Risk of mainstem intubation ... Differences #Anatomical #CriticalCare ... #Intubation #Diagnosis
COVID-19 Patient Intubation Checklist and Supplies

Intubation Equipment List
 • Appropriately sized tracheal tube with subglottic suction
COVID-19 Patient Intubation ... and Supplies Intubation ... Circuit • If intubating ... Emergency front of neck ... Checklist #Supplies #CriticalCare
Intubation Confirmation on POCUS

See the round, shadowing structures?
1. ET Tube in Trachea
2. NG Tube in Esophagus

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Intubation Confirmation ... twitter.com/EM_RESUS #Intubation ... Confirmation #POCUS #ETT #Clinical ... #Neck #Ultrasound
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
previously flat neck ... #PhysicalExam #clinical ... video #vascular #neck ... SVC #Syndrome #otolaryngology
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
rate of requiring intubation ... Extubation to HFNC ... lower rates of re-intubation ... patients - Nick ... management #pulmonary #criticalcare
Airway Intubation Confirmation on POCUS
Linear probe is placed on anterior neck at the level of the
Airway Intubation ... placed on anterior neck ... If esophageal intubation ... #endotracheal #Intubation ... Confirmation #POCUS #clinical
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
for endotracheal intubation ... for endotracheal intubation ... DO NOT: Delay intubation ... Society of Critical ... management #schema #criticalcare
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
likelihood and clinical ... • Difficult intubation ... choices: • Awake intubation ... vs. intubation ... Anesthesiology #Anesthesia #CriticalCare
Thyroid Goiter on Physical Exam

Mother and daughter both presenting with thyroid goiters caused by iodine deficiency.
endocrinology #clinical ... #video #neck #hypothyroidism ... #otolaryngology