Pediatric Emergency Playbook

JUNE 1, 2017

This child is at risk for expected complications, as well as overdiagnosis and iatrogenia. These children depend on their preload to run blood passively into the pulmonary circuit; afterload reduction is also important to compensate for a poor left ejection fraction, as well as to avoid the development of pulmonary hypertension.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Smith comment: This patient did not have a bedside ultrasound. Had one been done, it would have shown a feature that is apparent on this ultrasound (however, this patient's LV function would not be as good as in this clip): This is recorded with the LV on the right. In fact, bedside ultrasound might even find severe aortic stenosis.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

EMDocs

JULY 15, 2023

A lower extremity radiograph does not reveal any gas formation and an ultrasound of the lower extremity is negative for DVT or cobblestoning, WBC is within normal limits and there are mild elevations in ESR and CRP. No fungal infections are identified on the feet. Given the patient’s comorbidities laboratory and imaging studies are ordered.

EMS 84

EMS Infectious Diseases Shock Ultrasounds 84

Pediatric Emergency Playbook

JANUARY 1, 2017

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 ). Tachycardia, tachypnea, and a change in behavior can be indicators not only to the presence of pain, but possibly to its etiology as well.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. Vasovagal syncope is generally benign. orthostatic vitals b.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

PEMBlog

FEBRUARY 22, 2024

Pediatrics 2003 July; 112(1):191-2. Well, a lot of people out there are actually refusing vitamin k for their newborns. Well, families state that they have concerns about the preservative in the injection, maybe that it could cause autism. Encourage your colleagues to listen to the podcast as well. Ross, JA, Davies SM.

Pediatrics 72

Pediatrics Anaphylaxis Administration Wellness 72

Don't Forget the Bubbles

JULY 5, 2023

SCD, therefore, is not only a mechanical disease but there are also many other cellular and plasma factors as well as endothelial interaction that generate chronic inflammation. Recent studies have shown that low-dose ketamine can reduce pain in acute painful crises of sickle cell patients as well as being an opioid-sparing drug.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

RebelEM

FEBRUARY 7, 2024

Sheridan (2003). References: Abbrescia, K. “Complications of second and third trimester pregnancies.” ” Emerg Med Clin North Am 21 (3): 695-710, vii. PMID: 12962354 Apantaku, O. Mulik (2007). “Maternal intra-partum fever.” ” J Obstet Gynaecol 27 (1): 12-15.

Sepsis 91

Sepsis Shock Hospitals Ultrasounds 91

Taming the SRU

JULY 24, 2024

Transvaginal ultrasound images can be optimized by obtaining a transvaginal ultrasound first, having the patient empty their bladder, and using gel inside the probe cover as well as on the outside. What is an IUP? Can an airway assessment score predict difficulty at intubation in the ED? “Can

Domestic Violence 52

Domestic Violence Leadership Ultrasounds Academics 52