https://stream.echo6.co/videos/watch/f5cafca5-ad23-4b76-a01f-d0c8f28cc690 In this high-yield, no-fluff episode, Dennis is joined by Dr. Michael Falk, a pediatric emergency medicine physician, former academic, and combat-experienced relief worker who has run airways in Haiti post-earthquake, Mosul during the ISIS fight, Ukraine, and Gaza. They break down exactly why pediatric airways are a completely different beast in prolonged field care and give you field-proven tactics that actually work when you’re the only one there with a BVM and a prayer. Key Takeaways You Can Use Tomorrow -Positioning is everything: One to two inches under the shoulders (or whole body) prevents automatic obstruction from the massive occiput. -Adjuncts: early tube: NPA or OPA + side-lying (gravity is your friend) can keep you from tubing in the field.Tube sizing rule: Child’s pinky ≈ ET tube diameter. Depth = 3× tube size. Always go smaller — you can ventilate, you can’t un-damage a ripped airway. -Intubation mindset: Kid airway is more anterior and cephalad. Slow down, work your way in, or you’ll be in the esophagus.GCS decision: 8–9 = tube. GCS 9+ with good positioning/NPA? Buy time and move. -Sedation: Ketamine 0.5–1 mg/kg IV (post-tube). Longer acting, hemodynamically friendly.Ventilation: 20–30 breaths/min (one every 2–3 seconds). CO₂ buildup kills faster than low O₂. -Fluids: 20 mL/kg NS/LR bolus, then 10 mL/kg blood. Push-pull technique with stopcock = fast. -Shock recognition: Tachycardia + skin/mottling/mental status changes — they compensate until they don’t. -Resource mindset: Permissive hypotension (70 mmHg), conservative management, and don’t burn your whole blood bank on one patient. Chapters 01:57 – Why kids crash so damn fast (high metabolic demand + tiny reserves) 03:00 – The big-head/tiny-neck problem: Why laying a kid flat kills the airway 05:10 – Shoulder elevation hack (T-shirt, plate carrier, demo pouch — anything works) 06:59 – Gear reality check: What peds equipment should you actually carry? 09:31 – Dosing apps that save lives (EM Stat / Stadia) + pinky rule for ET tubes 12:01 – Go smaller, never bigger — and why 13:12 – Croup physiology, floppy epiglottis, and dynamic airway collapse in trauma 14:56 – The intubation trap: Your adult muscle memory will kill the kid 17:12 – When to avoid intubation (GCS 9+ and supraglottic airways buy time) 19:23 – Decision-making: Positioning → NPA/OPA → side-lying → tube 22:32 – Oxygen vs. ventilation: CO₂ kills faster than hypoxia in kids 25:35 – Supraglottic airways, King/Combi, and why cric is off-limits under ~10–12 29:09 – Post-intubation sedation: Ketamine is king (0.5–1 mg/kg) 32:28 – Ventilation goals, rates, and the “automatic BVM” vent limitations 35:27 – Hypertonic saline hack for ICP and avoiding the tube 39:42 – Circulation: Kids hide shock like pros (20 mL/kg crystalloid, 10 mL/kg blood) 44:16 – Hypothermia, tourniquets (don’t fit), packing over tourniquets, and permissive hypotension 48:50 – Monitoring traps: Adult cuffs lie, go analog (skin, pulses, cap refill, mental status) 50:12 – Other peds trauma pearls (liver/spleen below ribs, no rib fractures = still bad chest injury) 52:37 – Wrap-up & future deep-dive tease (peds chest trauma cases) For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠ Mon, 11 May 2026 11:40:21 GMT https://validator.w3.org/feed/docs/rss2.html PeerTube - https://stream.echo6.co https://stream.echo6.co/client/assets/images/icons/icon-512x512.png https://stream.echo6.co/videos/watch/f5cafca5-ad23-4b76-a01f-d0c8f28cc690 All rights reserved, unless otherwise specified in the terms specified at https://stream.echo6.co/about and potential licenses granted by each content's rightholder.