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Glasgow Coma Scale in Children

Pediatric EM Morsels

2006 May;34(5):379-87. Pediatric adjusted reverse shock index multiplied by Glasgow Coma Scale as a prospective predictor for mortality in pediatric trauma. Fun fact for animal lovers!- cats and dogs have their own GCS scores [Lapsley 2019, Ash 2018] Moral of the Morsel Modified can make it Merrier! Academic emergency medicine 12.9

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Electrical injuries

Don't Forget the Bubbles

Was the patient thrown from the source (suggestive of DC shock and may result in further blunt force trauma)? Children, especially toddlers, may insert objects into outlets, leading to shocks or burns. Electrical devices used near water sources can cause severe shocks. Was the voltage high or low (as below)?

Burns 80
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Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

EB Medicine

This month, we’ll be talking Updates and Controversies in the Early Management of Sepsis and Septic Shock. Jeff : So as well all know Sepsis is bread and butter emergency medicine, but, what is sepsis? Jeff : So get this -- one study showed that out-of-hospital shock index and respiratory rate were highly predictive of ICU admission.

Sepsis 40
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The Latest in Critical Care, 10/9/23 (Issue #16)

PulmCCM

After two studies published in NEJM 2001 and 2006 showed intensive glucose control (to 80-110 g/dL) improved outcomes in adult medical and surgical patients, and then in kids (all at a single center in Leuven, Belgium), tight glucose control quickly became standard care in the U.S. and many other countries.

Shock 52
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Big Labs, Little People

Pediatric Emergency Playbook

Brain natriuretic peptide (BNP) In adults, we typically think of a BNP Luckily, we have data in children with congenital heart disease as well. This has been studied in children as well, and an elevated lactate in children – typically above 4 – was a predictor of prolonged ICU course and mortality in septic patients.

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Vomiting in the Young Child: Nothing or Nightmare

Pediatric Emergency Playbook

Be aware that later stages of malrotation may present as shock – they present in hypovolemic shock due to third-spacing from necrotic bowel and/or septic shock from translocation or perforation. Consider surgical causes of forceful vomiting, especially if the child does not look anything other than well. Radiographics.

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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

However, as shock resolved and hemodynamic stability improved, RV strain and underfilling of the LV remained apparent 30 minutes after ROSC (Vid 4). If RV pressure is extreme, it can exceed LV pressure causing paradoxical septal wall motion toward the LV as well. 4, 2006, pp. RV pressures > LV pressures. Chest , vol.