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The Pediatric Surgical Abdomen

Pediatric Emergency Playbook

Pediatr Rev. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem. 2004; 199(4):628-635. Pediatr Surg Int. Eur J Pediatr Surg 2016; 26:192. Pediatrics 1977; 60:457. J Pediatr Gastroenterol Nutr 2008; 46:13. J Pediatr 2005; 146:787. Pediatr Surg Int 2003; 19:439. J Emerg Med.

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Diagnostics: Inflammatory Markers

Taming the SRU

Bacterial Meningitis: IDSA guidelines for 2004 report that a normal CRP value has a high negative predictive value for bacterial meningitis, but sensitivities and specificities vary between studies [35]. Sepsis PCT may have some utility in guiding posttest probability for sepsis when the diagnosis is unclear. Procalcitonin.

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The Undifferentiated Sick Infant

Pediatric Emergency Playbook

The Pediatric Assessment Triangle is a rapid, global assessment tool using only visual and auditory clues to make determinations on three key domains: appearance, work of breathing, and circulation to the skin. Before you decide on sepsis, ask yourself, could this be a cardiac problem?* Pediatr Clin N Am. 2006; 53:69-84.

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Neonatal Jaundice

Pediatric Emergency Playbook

Pediatrics. Pediatrics. Check the bilirubin in any neonate you are working up for sepsis. Pediatrics. Pediatrics. 2004; 114(1). Pediatrics. Pediatrics. Pediatrics. Pediatrics in Review. Pediatrics. This will tell you: home or admission. Can I go Home Now? Bhutani et al.

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Please STOP LIMPING!

Pediatric Emergency Playbook

Children with limb-length discrepancy only need a non-urgent referral to pediatric orthopedics to look for congenital dysplasia of the hip, or other growth abnormalities. In 2004 the same group validated their prediction tool, with a slightly decreased sensitivity and specificity in the validation population. Surgical options vary.

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Persistent Pulmonary Hypertension of the Newborn

Don't Forget the Bubbles

Hence, PPHN can be idiopathic or secondary to a variety of conditions such as meconium aspiration syndrome , respiratory distress syndrome, sepsis, asphyxia and congenital diaphragmatic hernia. Pediatric Critical Care Medicine , 11(2 Suppl), S79-S84. Imagine being a few hours old and dealing with this). Neonatal pulmonary hypertension.

Sepsis 52
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emDOCs Revamp – Acute Chest Syndrome

EMDocs

Pediatr Allergy Immunol Pulmonol. 2004 Jul;15(4):248-250. Pediatr Blood Cancer. smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02 mg/kg, max 0.4 C or 100.4