Pediatric Emergency Playbook

NOVEMBER 1, 2015

Case 1: Sepsis Laura is a 2-month-old baby girl born at 32 weeks gestational age who today has been “breathing fast” per mother. She is in respiratory failure from bronchiolitis and likely viral sepsis. Induction Agent in Sepsis The consensus recommendation for the induction agent of choice for sepsis in children is ketamine.

Shock 40

Shock Sepsis Airway Management Pediatrics 40

Don't Forget the Bubbles

NOVEMBER 15, 2023

Jasmine, a hypothetical case Jasmine is a 5-year-old girl weighing 18kg admitted to PICU with suspected sepsis. Park, The role of albumin in critical illness, BJA: British Journal of Anaesthesia , Volume 85, Issue 4, 1 October 2000, Pages 599–610, [link] Malbrain MLNG, Regenmortel N Van, Saugel B, et al. Pediatrics. PMID: 13431307 J.

Resuscitation 80

Resuscitation Dehydration Administration Shock 80

RebelEM

MARCH 27, 2023

4 Using factors such as shock, pneumonia, and sepsis this score allows an accurate prediction of developing ARDS. 2000 May 4; PMID: 10793162 Harvey CE, et al. Patients at risk for ARDS were stratified by the Lung Injury Prevention Score (LIPS) which predicts the probability of developing ARDS and subsequent mortality. N Engl J Med.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

EMDocs

OCTOBER 5, 2024

8 Workup and Diagnosis Evaluation should be tailored to the patient presentation, but may include studies such as: CBC, CMP, UA, lactate (if concern for sepsis), Cultures (blood, urine, etc.) Therefore, his presentation is most consistent with sepsis due to acute complicated UTI. 2000; 6:460–3. Lee JA, Kang CI, Joo EJ, et al.

EMS 98

EMS Infectious Diseases Sepsis Hospitals 98

PulmCCM

MAY 22, 2023

centers, patients with sepsis and systolic blood pressure <100 mm Hg all received at least 1000 mL of crystalloid. In an NHLBI-sponsored trial enrolling 1563 patients at 60 U.S.

Fluid Resuscitation 86

Fluid Resuscitation Resuscitation Hospitals Sepsis 86

Taming the SRU

NOVEMBER 13, 2024

haffner and wright The number of psychiatric emergencies across the U.S., mg/kg (of 0.1 mg/kg (of 0.1 2x maintenance rate

Psychiatric 89

Psychiatric Seizures Emergency Department Pediatrics 89

Sensible Medicine

AUGUST 14, 2024

This sort of sepsis would produce many of the common autopsy findings. The pneumococcal vaccine arrived in 2000, solving 700 cases of meningitis, 17,000 cases of bloodstream infections, 200 deaths and five million ear infections per year in children. A safer version of the pertussis vaccine was introduced in 1996.

CDC 91

CDC Sepsis Research Pediatrics 91

RebelEM

DECEMBER 17, 2024

Bottom Line Up Top: There doesnt appear to be a morbidity or mortality benefit to treating fever in sepsis and fever may have a protective effect. A large observational study of > 2000 patients found an association with fever at presentation and ICU survival for patients with severe sepsis or septic shock ( Sunden-Culberg 2017 ).

Sepsis 75

Sepsis Shock EMS Emergency Department 75

Advanced Emergency Nursing from AENJ

FEBRUARY 27, 2015

died of sepsis from an infected blister on his foot resulting from a tennis game at the White House. Diagnosing Jefferson: Evidence of a Condition that Guided His Beliefs, Behavior, and Personal Associations (2000 Future Horizons. He succeeded to the Presidency upon Harding’s death by heart attack. His son, Calvin, Jr.,

Stroke 40

Stroke COPD Emergency Nursing Sepsis 40