Harefuah
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Secured airway is a must in spontaneous or assisted ventilation. A variety of methods are in clinical use for establishing an airway, of which endotracheal intubation is the most common. Difficulties in establishing a secured airway may deteriorate to a serious, and even a life-threatening situation. ⋯ This article describes an alternative technique for tracheal intubation, useful in such cases. Retrograde tracheal intubation is carried out by percutaneous insertion of a needle into the trachea in the subglotic region, passing a guidewire through the needle cephaled until it exits the mouth or nose and threading an endotracheal tube over the guidewire into the trachea. This technique is relatively easy and safe, and should be considered in difficult airway management.
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Rotavirus is a major cause of infantile gastroenteritis worldwide and remains a common cause of hospitalizations in developed countries. The study aimed to assess the hospitalizations due to rotavirus gastroenteritis in Israel and their characteristics. ⋯ Rotavirus gastroenteritis is an important cause for hospitalizations and complications in children < 5 years in Israel, stressing the need for safe and efficacious vaccines to reduce the burden of the infection.
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Compartment syndrome in the thigh is an uncomon but potentially devastating condition that has been associated with multiple etiologies mainly for motor vehicle trauma, closed or open femur fractures, and vascular injuries. The entity is more known to occur in the leg. ⋯ Early recognition of the signs and symptoms of an acute compartment syndrome and knowledge of the anatomy of the compartments of the thigh will help in the diagnosis and treatment of this potentially devastating complication. Arteriography with embolization if necessary is advised for all cases of suspected thigh compartment syndrome in which their hemodynamic situation is not stable.