Pediatric Emergency Playbook

APRIL 1, 2016

There are two main reasons for an elevated lactate: the stress state and the shock state. The shock state is due to tissue hypoxia, seen in septic shock. We should use lactate to detect occult shock. Children compensate so well for shock, that subtle tissue hypoxia may not be detected until later. Am J Cardiol.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

EB Medicine

OCTOBER 1, 2018

This month, we’ll be talking Updates and Controversies in the Early Management of Sepsis and Septic Shock. And sepsis-3 redefined septic shock as “hypotension not responsive to fluid resuscitation” with the added requirement of vasopressors to maintain a MAP greater than or equal to 65 and with a lactate > 2. That’s where we’re at.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Perhaps, not insignificantly, they were accustomed to receiving systematized government-supplied medical and trauma care, with "shock rooms" receiving an influx of victims, as contrasted to those later who opposed "socialized medicine." Committee on Shock. EMS in America: The Foundation Documents. Sakran, J.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

PulmCCM

OCTOBER 16, 2023

A 2006 analysis showed much lower rates of CLABSI with PICC lines, compared to conventional central venous catheters (0.5 Are PICCs Less Infection-Prone than Other Central Lines? Peripherally-inserted central catheters (PICCs) are inserted through the skin into an arm vein, and advanced under ultrasound into large central veins.

CDC 52

CDC Hospitals Ultrasounds Documentation/Coding 52

Pediatric Emergency Playbook

JUNE 1, 2017

The best documented cormorbidity is sickle cell disease, although other pro-thrombotic conditions also put the child at risk. The infant in shock after a ‘cold’: myocarditis Beware of the poor feeding, tachycardic, ill appearing infant who “has a cold” because everyone else around him has a ‘cold’. 2006; 87:e168-e171.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

EB Medicine

MAY 3, 2019

Jeff: If those figures seem a bit high, another CDC study found that in a general population survey of a quarter million people between 2006-2008, 9% met the criteria for major depression. Jeff: And while it seems crass to even mention the financial impact, the number is shocking - suicide has an estimated economic burden of $5.4

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

RebelEM

MAY 15, 2024

2006 May 15;106(10):2258-66. Coding for Mucositis. Neutropenic Fever: Fever (one reading of 38.3C Give appropriate fluids, vasopressors, and antibiotics. Clin Infect Dis. 2004;39(Suppl. 1):S32–S37 Kuderer NM, Dale DC, Crawford J, Cosler LE, Lyman GH. Marín M, Gudiol C, Ardanuy C, Garcia-Vidal C. Antimicrob Agents Chemother.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101