SlideShare a Scribd company logo
1 of 56
Pediatrics Respiratory Emergencies
Respiratory Emergencies ,[object Object],[object Object],[object Object]
Respiratory Emergencies Most pediatric cardiac arrest begins as respiratory failure or respiratory arrest
Pediatric Respiratory System ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pediatric Respiratory System ,[object Object],[object Object],[object Object],[object Object]
Pediatric Respiratory System Decrease respiratory reserve + Increased O 2  demand =  Increased respiratory failure risk
Respiratory Distress
Respiratory Distress ,[object Object],[object Object],[object Object],[object Object]
Respiratory Emergencies ,[object Object],[object Object],[object Object],[object Object],[object Object]
Laryngotracheobronchitis Croup
Croup: Pathophysiology ,[object Object],[object Object],[object Object]
Croup: Incidence ,[object Object],[object Object],[object Object]
Croup: Signs/Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Croup: Management ,[object Object],[object Object],[object Object]
Croup: Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epiglottitis
Epiglottitis: Pathophysiology ,[object Object],[object Object],[object Object],Complete Airway Obstruction
Epiglottitis: Incidence ,[object Object],[object Object],[object Object],[object Object],[object Object]
Epiglottitis: Signs/Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epiglottitis Respiratory distress+  Sore throat+Drooling =  Epiglottitis
Epiglottitis: Management ,[object Object],[object Object],[object Object],[object Object]
Epiglottitis Immediate Life Threat Possible Complete Airway Obstruction
Asthma
Asthma: Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Asthma: Pathophysiology Bronchospasm Bronchial Edema Increased Mucus Production
Asthma: Pathophysiology
Asthma: Pathophysiology Cast of airway produced by asthmatic mucus plugs
Asthma: Signs/Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Asthma: Signs/Symptoms ,[object Object],[object Object],[object Object],[object Object]
Asthma: Prolonged Attacks ,[object Object],[object Object],[object Object]
Asthma: History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Asthma: Physical Exam ,[object Object],[object Object],[object Object],[object Object],[object Object]
Asthma: Risk Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Asthma ,[object Object]
Golden Rule ,[object Object],[object Object],[object Object],[object Object],ALL THAT WHEEZES IS NOT ASTHMA
Asthma: Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Asthma: Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
Asthma: Management ,[object Object],[object Object],[object Object]
Asthma: Management ,[object Object],[object Object]
Asthma: Management ,[object Object],[object Object],POSSIBLE BENEFIT IN PATIENTS WITH VENTILATORY FAILURE
Asthma: Management ,[object Object],[object Object]
Asthma: Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Status Asthmaticus Asthma attack unresponsive to   -2 adrenergic agents
Status Asthmaticus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Status Asthmaticus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bronchiolitis
Bronchiolitis: Pathophysiology ,[object Object],[object Object],[object Object]
Bronchiolitis: Incidence ,[object Object],[object Object],[object Object]
Bronchiolitis: Signs/Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Asthma vs Bronchiolitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bronchiolitis: Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
Foreign Body Airway Obstruction FBAO
FBAO: High Risk Groups ,[object Object],[object Object]
FBAO: Signs/Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FBAO: Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FBAO: Management ,[object Object],[object Object],[object Object]

More Related Content

What's hot

Wheezy chest in pediatrics
Wheezy chest in pediatrics Wheezy chest in pediatrics
Wheezy chest in pediatrics
danielrawand
 
Status Asthmaticus In Children
Status Asthmaticus In ChildrenStatus Asthmaticus In Children
Status Asthmaticus In Children
Dang Thanh Tuan
 
bronchiolitis in paediatrics
bronchiolitis in paediatricsbronchiolitis in paediatrics
bronchiolitis in paediatrics
meducationdotnet
 

What's hot (20)

Childhood Asthma Management
Childhood Asthma ManagementChildhood Asthma Management
Childhood Asthma Management
 
Wheezy chest in pediatrics
Wheezy chest in pediatrics Wheezy chest in pediatrics
Wheezy chest in pediatrics
 
Respiratory failure in children
Respiratory failure in childrenRespiratory failure in children
Respiratory failure in children
 
Status Asthmaticus In Children
Status Asthmaticus In ChildrenStatus Asthmaticus In Children
Status Asthmaticus In Children
 
Bronchiolitis
BronchiolitisBronchiolitis
Bronchiolitis
 
bronchiolitis in paediatrics
bronchiolitis in paediatricsbronchiolitis in paediatrics
bronchiolitis in paediatrics
 
Bronchopulmonary Dysplasia
Bronchopulmonary DysplasiaBronchopulmonary Dysplasia
Bronchopulmonary Dysplasia
 
RESPIRATORY SYSTEM EXAMINATION IN PEDIATRICS
RESPIRATORY SYSTEM EXAMINATION IN PEDIATRICSRESPIRATORY SYSTEM EXAMINATION IN PEDIATRICS
RESPIRATORY SYSTEM EXAMINATION IN PEDIATRICS
 
Croup in children
Croup in childrenCroup in children
Croup in children
 
Approach to a wheezing child
Approach to a wheezing childApproach to a wheezing child
Approach to a wheezing child
 
4. pneumonia paediatrics
4. pneumonia paediatrics4. pneumonia paediatrics
4. pneumonia paediatrics
 
Bronchiolitis in children
Bronchiolitis in childrenBronchiolitis in children
Bronchiolitis in children
 
Paediatric respiratory problems
Paediatric respiratory problemsPaediatric respiratory problems
Paediatric respiratory problems
 
Dd wheezy chest in infant for fm
Dd wheezy chest in infant for fmDd wheezy chest in infant for fm
Dd wheezy chest in infant for fm
 
upper air way obstruction
upper air way obstruction upper air way obstruction
upper air way obstruction
 
Approch to cough in children
Approch to cough in childrenApproch to cough in children
Approch to cough in children
 
approach to a chid with wheezing
approach to a chid with wheezingapproach to a chid with wheezing
approach to a chid with wheezing
 
Croup
Croup Croup
Croup
 
Pneumonia in children by dr. sundar karki
Pneumonia in children  by dr. sundar karkiPneumonia in children  by dr. sundar karki
Pneumonia in children by dr. sundar karki
 
Pneumonia Pediatric
Pneumonia PediatricPneumonia Pediatric
Pneumonia Pediatric
 

Similar to Pediatric Resp Emergencies

pedsrespemer (1).ppt
pedsrespemer (1).pptpedsrespemer (1).ppt
pedsrespemer (1).ppt
sharifi3
 
Respiratory disorders peds
Respiratory disorders pedsRespiratory disorders peds
Respiratory disorders peds
marcosmuniz71
 
Pediatric respiratory emergency : upper
Pediatric respiratory emergency : upperPediatric respiratory emergency : upper
Pediatric respiratory emergency : upper
Duangruethai Tunprom
 
Respiratory disorders in children
Respiratory disorders in childrenRespiratory disorders in children
Respiratory disorders in children
specialclass
 
Pediatric Airway, Respiratory Distress & Failure, & Hypoperfusion Eme...
Pediatric Airway, Respiratory Distress & Failure, & Hypoperfusion Eme...Pediatric Airway, Respiratory Distress & Failure, & Hypoperfusion Eme...
Pediatric Airway, Respiratory Distress & Failure, & Hypoperfusion Eme...
Steve Marchbank
 
C:\Documents And Settings\Administrator\桌面\13 Uri
C:\Documents And Settings\Administrator\桌面\13 UriC:\Documents And Settings\Administrator\桌面\13 Uri
C:\Documents And Settings\Administrator\桌面\13 Uri
Sumit Prajapati
 
16 Infections Of The Respiratory Tract
16 Infections Of The Respiratory Tract16 Infections Of The Respiratory Tract
16 Infections Of The Respiratory Tract
ghalan
 

Similar to Pediatric Resp Emergencies (20)

pedsrespemer (1).ppt
pedsrespemer (1).pptpedsrespemer (1).ppt
pedsrespemer (1).ppt
 
Pedi respiratory
Pedi respiratoryPedi respiratory
Pedi respiratory
 
Respiratory disorders peds
Respiratory disorders pedsRespiratory disorders peds
Respiratory disorders peds
 
Pediatric respiratory emergency : upper
Pediatric respiratory emergency : upperPediatric respiratory emergency : upper
Pediatric respiratory emergency : upper
 
Respiratory disorders in children
Respiratory disorders in childrenRespiratory disorders in children
Respiratory disorders in children
 
Pediatric Airway, Respiratory Distress & Failure, & Hypoperfusion Eme...
Pediatric Airway, Respiratory Distress & Failure, & Hypoperfusion Eme...Pediatric Airway, Respiratory Distress & Failure, & Hypoperfusion Eme...
Pediatric Airway, Respiratory Distress & Failure, & Hypoperfusion Eme...
 
C:\Documents And Settings\Administrator\桌面\13 Uri
C:\Documents And Settings\Administrator\桌面\13 UriC:\Documents And Settings\Administrator\桌面\13 Uri
C:\Documents And Settings\Administrator\桌面\13 Uri
 
Bronchiolitis final 1
Bronchiolitis final 1Bronchiolitis final 1
Bronchiolitis final 1
 
Respiratory system in children
Respiratory system in childrenRespiratory system in children
Respiratory system in children
 
16 Infections Of The Respiratory Tract
16 Infections Of The Respiratory Tract16 Infections Of The Respiratory Tract
16 Infections Of The Respiratory Tract
 
Acute lower respiratory tract infections
Acute lower respiratory tract infectionsAcute lower respiratory tract infections
Acute lower respiratory tract infections
 
Bronchiolitis, croup
Bronchiolitis, croupBronchiolitis, croup
Bronchiolitis, croup
 
Asthma ppt
Asthma pptAsthma ppt
Asthma ppt
 
Croup and Epiglottitis by DR.PREMRAJ
Croup and Epiglottitis by DR.PREMRAJCroup and Epiglottitis by DR.PREMRAJ
Croup and Epiglottitis by DR.PREMRAJ
 
42.upper airway obstructions
42.upper airway obstructions42.upper airway obstructions
42.upper airway obstructions
 
Emt dyspnea
Emt dyspneaEmt dyspnea
Emt dyspnea
 
pathophysiology of asthma and COPD
pathophysiology of asthma and COPDpathophysiology of asthma and COPD
pathophysiology of asthma and COPD
 
pneumonia.pptx
pneumonia.pptxpneumonia.pptx
pneumonia.pptx
 
BRONCHIOLITIS AND ASTHMA
BRONCHIOLITIS AND ASTHMABRONCHIOLITIS AND ASTHMA
BRONCHIOLITIS AND ASTHMA
 
Croup syndrome.pptx
Croup syndrome.pptxCroup syndrome.pptx
Croup syndrome.pptx
 

More from Dang Thanh Tuan

Sutherland chi dinh thuc hien crrt-vn
Sutherland   chi dinh thuc hien crrt-vnSutherland   chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vn
Dang Thanh Tuan
 
Smoyer dialysis va dich thay the crrt-vn
Smoyer   dialysis va dich thay the crrt-vnSmoyer   dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vn
Dang Thanh Tuan
 
Skippen chong dong crrt-vn
Skippen   chong dong crrt-vnSkippen   chong dong crrt-vn
Skippen chong dong crrt-vn
Dang Thanh Tuan
 
Internet tiep can mach mau crrt-vn
Internet   tiep can mach mau crrt-vnInternet   tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vn
Dang Thanh Tuan
 
Internet mang loc va dich loc crrt-vn
Internet   mang loc va dich loc crrt-vnInternet   mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vn
Dang Thanh Tuan
 
Internet dieu tri thay the than crrt-vn
Internet   dieu tri thay the than crrt-vnInternet   dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vn
Dang Thanh Tuan
 
Internet cac phuong thuc dieu tri thay the than crrt-vn
Internet   cac phuong thuc dieu tri thay the than crrt-vnInternet   cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vn
Dang Thanh Tuan
 
Goldstein crrt tre em - chi dinh - crrt-vn
Goldstein   crrt tre em - chi dinh - crrt-vnGoldstein   crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vn
Dang Thanh Tuan
 
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro   dieu tri thay the than lien tuc crrt-vnGambro   dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vn
Dang Thanh Tuan
 
07 capnography trends in procedural sedation
07 capnography trends in procedural sedation07 capnography trends in procedural sedation
07 capnography trends in procedural sedation
Dang Thanh Tuan
 
The evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsThe evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilators
Dang Thanh Tuan
 
19 introduction of volumetric capnography
19 introduction of volumetric capnography19 introduction of volumetric capnography
19 introduction of volumetric capnography
Dang Thanh Tuan
 
18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management
Dang Thanh Tuan
 
17 capnography part4 non-intubated
17 capnography part4 non-intubated17 capnography part4 non-intubated
17 capnography part4 non-intubated
Dang Thanh Tuan
 
16 capnography part3 intubated
16 capnography part3 intubated16 capnography part3 intubated
16 capnography part3 intubated
Dang Thanh Tuan
 
15 capnography part2 introduction
15 capnography part2 introduction15 capnography part2 introduction
15 capnography part2 introduction
Dang Thanh Tuan
 
14 capnography part1 overview
14 capnography part1 overview14 capnography part1 overview
14 capnography part1 overview
Dang Thanh Tuan
 
13 icu monitoring standards and capnography
13 icu monitoring standards and capnography13 icu monitoring standards and capnography
13 icu monitoring standards and capnography
Dang Thanh Tuan
 
12 mainstream sidestream capnpgraphy
12 mainstream   sidestream capnpgraphy12 mainstream   sidestream capnpgraphy
12 mainstream sidestream capnpgraphy
Dang Thanh Tuan
 

More from Dang Thanh Tuan (20)

Sutherland chi dinh thuc hien crrt-vn
Sutherland   chi dinh thuc hien crrt-vnSutherland   chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vn
 
Smoyer dialysis va dich thay the crrt-vn
Smoyer   dialysis va dich thay the crrt-vnSmoyer   dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vn
 
Skippen chong dong crrt-vn
Skippen   chong dong crrt-vnSkippen   chong dong crrt-vn
Skippen chong dong crrt-vn
 
Internet tiep can mach mau crrt-vn
Internet   tiep can mach mau crrt-vnInternet   tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vn
 
Internet mang loc va dich loc crrt-vn
Internet   mang loc va dich loc crrt-vnInternet   mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vn
 
Internet dieu tri thay the than crrt-vn
Internet   dieu tri thay the than crrt-vnInternet   dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vn
 
Internet cac phuong thuc dieu tri thay the than crrt-vn
Internet   cac phuong thuc dieu tri thay the than crrt-vnInternet   cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vn
 
Goldstein crrt tre em - chi dinh - crrt-vn
Goldstein   crrt tre em - chi dinh - crrt-vnGoldstein   crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vn
 
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro   dieu tri thay the than lien tuc crrt-vnGambro   dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vn
 
07 capnography trends in procedural sedation
07 capnography trends in procedural sedation07 capnography trends in procedural sedation
07 capnography trends in procedural sedation
 
The evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsThe evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilators
 
20 patient monitoring
20 patient monitoring20 patient monitoring
20 patient monitoring
 
19 introduction of volumetric capnography
19 introduction of volumetric capnography19 introduction of volumetric capnography
19 introduction of volumetric capnography
 
18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management
 
17 capnography part4 non-intubated
17 capnography part4 non-intubated17 capnography part4 non-intubated
17 capnography part4 non-intubated
 
16 capnography part3 intubated
16 capnography part3 intubated16 capnography part3 intubated
16 capnography part3 intubated
 
15 capnography part2 introduction
15 capnography part2 introduction15 capnography part2 introduction
15 capnography part2 introduction
 
14 capnography part1 overview
14 capnography part1 overview14 capnography part1 overview
14 capnography part1 overview
 
13 icu monitoring standards and capnography
13 icu monitoring standards and capnography13 icu monitoring standards and capnography
13 icu monitoring standards and capnography
 
12 mainstream sidestream capnpgraphy
12 mainstream   sidestream capnpgraphy12 mainstream   sidestream capnpgraphy
12 mainstream sidestream capnpgraphy
 

Recently uploaded

Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
chetankumar9855
 

Recently uploaded (20)

Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
 
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
 
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
 
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
 
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
 
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
 
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
 

Pediatric Resp Emergencies