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Glasgow Coma Scale in Children

Pediatric EM Morsels

2003 Jul;40(7):620-5. Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6 Indian J Pediatr. 2001 Apr;68(4):311-4. doi: 10.1007/BF02721834. PMID: 11370435. Indian Pediatr.

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Blood Pressure Management in Neurologic Emergencies: What Does the Evidence Say?

EMDocs

Introduction: Neurologic emergencies are common in the Emergency Department (ED), and blood pressure management is critical to immediate management. This article will discuss blood pressure goals and preferred pharmacotherapy for non-traumatic ischemic and hemorrhagic strokes.

Stroke 91
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Diagnostics: Inflammatory Markers

Taming the SRU

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. 2003 Jun;111(12):1805-12. 2003 Jul;112(2):299. 2003 Jun;111(12):1805-12. 2003 Jul;112(2):299.

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Testicular torsion

Don't Forget the Bubbles

My first real encounter with the healthcare system took place when I was about seven years old and had to go into hospital for an orchidopexy, so I can empathize with all the young people who come through our emergency department with acute testicular pain. Pediatric emergency care , 35 (12), pp.821-825. Mellick, L.B.,

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Pediatric Pain

Pediatric Emergency Playbook

Children have long suffered from an under-treatment of their pain, due both to our incomplete acknowledgement of their pain and our fear of treatment ( Howard 2003 ). Use soothing sensory measures: speak softly, offer a pacifier, and stroke the skin softly. Acad Emerg Med. Pediatr Emerg Care. Emerg Med Australas.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

The ROSE (Risk Stratification of syncope in the emergency department) Study. 2009.09.049 Objectives: The aim of this study was to develop and validate a clinical decision rule (CDR) to predict 1-month serious outcome and all-cause death in patients presenting with syncope to the emergency department.

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Sickle Cell Disease Module

Don't Forget the Bubbles

The Kilifi algorithm includes five clinical situations that are common sickle cell presentations – clinical jaundice, severe anaemia, bone and joint infections, and stroke. A 6-year-old girl from Saudi Arabia was referred by her General Practitioner to the local emergency department. How is sickle cell disease diagnosed?