The Skeptics' Guide to EM

DECEMBER 14, 2024

Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. Is this pneumonia or could this be sepsis? Background: Pediatric sepsis is a major global health concern, causing an estimated 3.3 Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock.

Sepsis 103

Sepsis Shock Pediatrics Hospitals 103

Taming the SRU

AUGUST 30, 2023

Sepsis PCT may have some utility in guiding posttest probability for sepsis when the diagnosis is unclear. A 2013 meta-analysis of 30 studies including 3,244 patients published in The Lancet found PCT to have a pooled sensitivity of 77% and specificity of 79% for sepsis in critically ill patients [52]. 2005 Nov;6(11):1045-56.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

Taming the SRU

AUGUST 27, 2024

Mortality rates related to bullous skin lesions are typically related to disruption of the skin barrier and include subsequent dehydration, electrolyte imbalances, hypothermia, increased metabolic needs, and secondary infection leading to bacteremia and/or sepsis. Proc Natl Acad Sci U S A 2005; 102:4134. N Engl J Med 1995; 333:1600.

Emergency Department 83

Emergency Department Dehydration Burns Sepsis 83

Pediatric Emergency Playbook

AUGUST 1, 2017

J Pediatr 2005; 146:787. J Pediatr Surg 2005; 40:197. 2005; 40:1848-1851. J Pediatr Gastroenterol Nutr 2008; 46:13. De Lorijn F, Reitsma JB, Voskuijl WP, et al. Diagnosis of Hirschsprung's disease: a prospective, comparative accuracy study of common tests. Hirschsprung's disease and mimicking conditions. Dig Dis 1994; 12:106.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

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

FEBRUARY 12, 2024

Complications include corneal ulceration, meningitis, or sepsis. 2005 Jul 2;366(9479):37-43. Swabs should be sent for (urgent) gram stain and culture, and the baby should be started immediately on IV cefotaxime. Chloramphenicol drops can also be given. The Lancet. Sheikh A, Hurwitz B, van Schayck CP, McLean S, Nurmatov U. 2012(9).

Sepsis 59

Sepsis 59

PEMBlog

AUGUST 20, 2024

2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. These could include severe sepsis. Stratton, M., & Edmunds, K. Extracorporeal Cardiopulmonary Resuscitation. Pediatric Emergency Care , 40(8), 618-622. Circulation. 2005;112(suppl):IV1–IV203.

CPR 52

CPR Resuscitation Pediatrics Hospitals 52