Mediastinal Mass

13yo M found pulseless at home. 1 round CPR by EMS and arrives awake, agitated with very noisy breathing. Cough for past week. When laid flat for CXR has second cardiac arrest due to mediastinal mass.

Mediastinal Mass Case Outline PDF

Mediastinal Mass Teaching Debrief Powerpoint

Critical Actions:

1. Recognition of positional component of airway compromise

2. Diagnosis of mediastinal mass

3. Airway management without paralysis

   1. Discussion around safe imaging and airway management practices