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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

RebelEM

Except for patients with poor gut absorption or those with critical infectious processes such as septic shock or necrotizing fasciitis, this belief appears to be unfounded. 2006; 333(7580):1193. Cochrane Database Syst Rev 2006(2). PMID: 8874253 Oosterheert JJ, Bonten MJ, Schneider MM. BMJ (Clinical research ed.). Pneumonia 2017.

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The Pediatric Surgical Abdomen

Pediatric Emergency Playbook

Pediatr Rev. 2006; 26:1485-1500. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem. 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. Radiographics.

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Big Labs, Little People

Pediatric Emergency Playbook

Read on to go from bread-and-butter pediatric blood work to answer the question – what’s up with troponin, lactate, d-dimer, and BNP in kids? This is especially true in children – the majority of pediatric ambulatory visits do not require blood work to make a decision about acute care. The punchline is, use a pediatric reference.

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Episode 28: LOST

PHEM Cast

The outcomes from different resuscitative interventions in a haemorrhagic shock model in porcine model: From: Watts et al. Use of CPR in hemorrhagic shock, a dog model. Annals of Emergency Medicine; 2006. Survival and neurological outcome after OOH TCA in pediatric & adult populations: a systematic review.

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Neonatal Jaundice

Pediatric Emergency Playbook

Pediatrics. Pediatrics. He will be dehydrated – possibly in shock. Pediatrics. Pediatrics. Pediatrics. Pediatrics. Pediatrics in Review. Pediatrics. 2006 Jun;11(3):214-24. This will tell you: home or admission. Use the Bilitool or Bhutani Nomogram (below). Can I go Home Now?

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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. Pediatr Clin N Am. 2006; 53:69-84. You have all of the skills you need to care for an acutely ill infant.

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The Technologically Dependent Child in the ED

Pediatric Emergency Playbook

He is in compensated shock. Pediatr Surg Int (2002) 18: 50-53 DiBaise JK, Scolapio JS. Pediatr Clin N Am 55 (2008) 1343–1358 Garton HJ. Pediatr Clin N Am 51 (2004) 305– 325 Kusminsky RE. Pediatr Clin N Am 55 (2008) 1299–1314 Munck A et al. Pediatr Nurs Nov 2005 Vol 31, No 6 Trachsel D, Hammer J.