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Trauma Multidisciplinary Case Review: A systematic approach for a safer airway management during trauma and medical resuscitations.


By Osama El-Assal , FAAP, FACEP , Akron Children's, Akron, OH

Emergency Medicine

More about Osama El-Assal, MD, PhD

Objectives (Educational Content) :

1. Understand the definition and characteristics of pediatric mass casualty incidents. 2. Identify common causes, scenarios, and unique challenges in pediatric mass casualty incidents. 3. Describe the key components of pre-incident preparation, including response planning, personnel training, communication protocols, and resource availability. 4. Explain the principles of pediatric triage, including triage categories and prioritization, and demonstrate pediatric triage techniques. Discuss pediatric-specific medical considerations, age-appropriate interventions, psychological support, and coordination and communication strategies during pediatric mass casualty incidents.

Target Audience:

Emergency medicine, surgery, and trauma providers

Identified Gap:

The American College of Surgeons Committee on Trauma requires a structured effort by trauma programs to demonstrate a continuous process for improving care for injured patients and states that an evidence-based rather than an empiric approach presents more meaningful criteria against which trauma care can be measured. A standardized approach to recurring care issues minimizes unnecessary variation, allow better outcome assessment, and makes changes in care easier to implement and more uniform. They further recommend that all members of the trauma team are knowledgeable about current practices in trauma care, that multidisciplinary education should be ongoing in all trauma centers, and that performance improvement programs should be an important part of educational activities.

Estimated Time to Complete the Educational Activity:

1 hour(s)

Expiration Date for CE/CME Credit:


Method of Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.


Dr. El-Assal has indicated that he has no relevant financial interest in any pharmaceutical or medical device company and that this activity was developed independent of commercial interest. The commercial/financial relationship listed for this individual has been mitigated.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.


Capone, Christine A., et al. "Intubation practice and outcomes among pediatric emergency departments: A report from National Emergency Airway Registry for Children (NEAR4KIDS)." Academic Emergency Medicine 29.4 (2022): 406-414.

Pokrajac, Nicholas, et al. "Risk factors for peri-intubation cardiac arrest in a pediatric emergency department." Pediatric emergency care 38.1 (2022): e126-e131.

Myatra, Sheila Nainan, Jigeeshu Vasishtha Divatia, and David J. Brewster. "The physiologically difficult airway: An emerging concept." Current Opinion in Anaesthesiology 35.2 (2022): 115-121.

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