Pediatric Emergency Playbook

JULY 1, 2016

For bacterial focal pyomyositis , give empiric antibiotics, admit them for major inpatient workup, and think about early surgical consultation if you think you need sepsis source control. In 2004 the same group validated their prediction tool, with a slightly decreased sensitivity and specificity in the validation population.

Fractures 52

Fractures Poisoning Wellness Sepsis 52

RebelEM

MAY 29, 2023

Background: Sepsis can induce numerous physiologic derangements. The Influence of Methylene Blue infusion on Cytokine Levels During Severe Sepsis. Crit Care 2004. At the most severe end, this includes endothelial dysfunction leading to increased vascular permeability, abnormal nitric oxide metabolism, and vasodilation (i.e.

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Shock Fluid Resuscitation Sepsis Resuscitation 144

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This is true in life-threatening conditions such as sepsis. However, when children do not have features of sepsis, oral antibiotics are equally effective. The take home is that although IV antibiotics are key in sepsis management, oral antibiotics are equally as effective as IV antibiotics for children without critical illness.

Emergency Department 142

Emergency Department Infectious Diseases Pediatrics Sepsis 142

Northwestern EM Blog

JANUARY 24, 2022

Acidosis Acidosis in shock states can present from multiple different sources, including sepsis, hypoxemia, ingestions, hyperlactatemia from hypoperfusion, amongst others. Hypothyroidism and Adrenal Insufficiency in Sepsis and Hemorrhagic Shock. 2004; 139(11):1199-1203. Decompensated Hypothyroidism. Arch Surgery. 5) Kerns W.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

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. Spring 2004. Calvin Coolidge Often remembered for being taciturn, he had an effective career before as Massachusetts Governor. He succeeded to the Presidency upon Harding’s death by heart attack. His son, Calvin, Jr., Vadakan, VV.

Stroke 40

Stroke COPD Emergency Nursing Sepsis 40

Don't Forget the Bubbles

JULY 17, 2023

Evaluating the Impact of the 2017 Dutch Neonatal Early-Onset Sepsis Guideline. 2023 Jun 14;46:8-23 One-year survival and outcomes of infants born at 22 and 23 weeks of gestation in Sweden 2004-2007, 2014-2016 and 2017-2019. Screen time and preschool children: Promoting health and development in a digital world. Paediatr Child Health.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

RebelEM

JANUARY 29, 2024

PMID: 21422387 Wan S et al. Thrombolysis Compared with Heparin for the Initial Treatment of Pulmonary Embolism: A Meta-Analysis of the Randomized Controlled Trials. PMID: 15262836 Sharifi M et al. Pulseless Electrical Activity in Pulmonary Embolism Treated with Thrombolysis (from the “PEAPETT” Study). PMID: 27422214 Wang C et al.

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Outcomes Stroke Hospitals Administration 124

Pediatric Emergency Playbook

AUGUST 1, 2017

2004; 199(4):628-635. 2004 Aug;44(2):131-7. Intestinal Malrotation in Children: A Problem-Solving Approach to the Upper Gastrointestinal Series. Radiographics. 2006; 26:1485-1500. Kapfer SA, Rappold JF. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem. J Am Coll Surg. Lee HC et al. J Emerg Med. 2012; 43(1):49-51.

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Pediatrics Ultrasounds Resuscitation Sepsis 52

EMDocs

OCTOBER 23, 2023

This may also predispose a patient to sepsis, peritonitis, or bowel infarction, which need to be recognized quickly. Complications after benign hysterectomy, according to procedure: a population-based prospective cohort study from the Danish hysterectomy database, 2004-2015. 21 May 2004 Hoges K, Davids B, Swaim L. March 2014.

OB/GYN 67

OB/GYN Operations EMS Ultrasounds 67

PulmCCM

SEPTEMBER 23, 2021

New England Journal of Medicine 2004, 351(11):1097-1105. Landesberg G, Gilon D, Meroz Y, Georgieva M, Levin PD, Goodman S et al : Diastolic dysfunction and mortality in severe sepsis and septic shock. Marik P, Bellomo R: A rational approach to fluid therapy in sepsis. Aurigemma GP, Gaasch WH: Diastolic heart failure.

Stroke 40

Stroke Sepsis Shock Ultrasounds 40

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Check a glucose ad drug screen Sepsis - Saved for last - You'll almost always treat the sick neonate empirically for sepsis - think of congenital and acquired etiologies. Before you decide on sepsis, ask yourself, could this be a cardiac problem?* Philadelphia, PA, Lipincott Williams & Wilkins, 2004.

Seizures 40

Seizures Sepsis Pediatrics Shock 40

Pediatric Emergency Playbook

MAY 1, 2017

Check the bilirubin in any neonate you are working up for sepsis. 2004; 114(1). The neonate may be sleepy but hypotonic or have a high-pitched cry; he maybe irritable or inconsolable, jittery or lethergic. The dehydration and neurologic dysfnction from the hyperbilirubinemia may even cause fever. Pediatrics. 2015; 135(5):948-53.

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52

RebelEM

MAY 15, 2024

Antibiotics are effectively the only thing standing between these patients and overwhelming sepsis. Improving the immediate management of neutropenic sepsis in the UK: Lessons from a national audit. Neutropenic Fever: Fever (one reading of 38.3C Neutropenic Fever: Fever (one reading of 38.3C Support Care Cancer. Epub 2017 Nov 22.

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Infectious Diseases Administration Sepsis Anaphylaxis 80