Pediatric Emergency Playbook

MARCH 1, 2016

On arrival, he was in compensated shock, with tachycardia. Often children even with high-grade splenic and liver lacerations can be managed non-operatively. Unfortunately, a negative FAST cannot help with detecting or grading the laceration for non-operative management. 2010 Nov;19(4):286-91. Semin Pediatr Surg.

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

PHEM Cast

SEPTEMBER 6, 2017

You can also see when your treatment is working- if you give a patient in septic shock some fluid and improve their CO, you’ll see a rise in ETC02 You can confirm adequacy of respiratory function in the fitting or post-ictal patient when all other methods fail PITFALLS Device failure- lines blocking, batteries running out, pump failure.

CPR 52

CPR Resuscitation Operations Shock 52

Pediatric Emergency Playbook

JUNE 1, 2017

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’. Fontan Operation and the Single Ventricle. 2010; 12(3): 3–8. 2010 Oct 1;33(10):821-42. References Congenital AboulHosn JA et al. Congenit Heart Dis.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

PEMBlog

JUNE 5, 2024

Epub 2010 Oct 29. You should also consider the possibility of quote unquote spinal shock. than it is spinal shock. And hypotension, bradycardia, or temperature instability can result from hemorrhagic and or spinal shock. That’s a spine or neurosurgery operation. Ann Emerg Med. 2011 Aug;58(2):145-55.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

EB Medicine

JULY 8, 2019

Additionally, back in 2010, it was estimated that 6.6% Nachi: Unfortunately this procedure is associated with a relatively high re-operation rate – one study found 20% of patients required removal or revision. Jeff: Even more shockingly, some series showed a 52% repeat operation rate. That’s almost half of the population.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Taming the SRU

AUGUST 30, 2023

This finding was not significantly different among operators with different levels of experience, or between adults and children. Critical Care Medicine 38():p S26-S34, February 2010. | Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. N Engl J Med. 2023 Feb 2;388(5):439-452.

Infectious Diseases 89

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

EB Medicine

AUGUST 1, 2018

Jeff: There are a shocking 22 million past-month users of marijuana in the US, followed by pain relievers at 3.8 From 2010 to 2011, the number of ED visits by children aged 12 to 17 years old due to synthetic cannabinoid use also has doubled. Marijuana actually maintains the highest lifetime use of an illicit drug used within the US.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Pediatric Emergency Playbook

JANUARY 1, 2017

Assessing and managing children’s pain can be challenging, because they may not exhibit typically recognized signs and symptoms ( Srouji 2010 ). Neonatal observational scales have been validated in the intensive care and post-operative settings; ED-specific quantitative scales are lacking. Knowing the context of the episode may help.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

EB Medicine

JANUARY 2, 2019

Jeff: Perhaps most importantly, no history or physical alone can rule in or out an ectopic pregnancy, for that you’ll need testing and imaging or operative findings. A 2010 Meta-Analysis found a NPV of 99.96% when an er doc identified an IUP on bedside ultrasound. Jeff: Up first is the urine pregnancy test.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

EMDocs

NOVEMBER 13, 2023

26 With regards to penetrating neck injuries, particularly those in which the platysma is violated, CTA of the neck has allowed a shift away from mandatory operative exploration of Zone 2 neck wounds (those in the mid-neck). However, IgE-mediated or not, anaphylactic shock is possible in either case. Am J Med Sci 2010, 339 (1), 25-30.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

Pediatric EM Morsels

MARCH 7, 2025

of IV form TXA [O’Neill 2020] Inexpensive !

Pediatrics 231

Pediatrics Blood Transfusions Anaphylaxis Military 231

EMDocs

JANUARY 16, 2025

Trajectory of Mortality and Health-Related Quality of Life Morbidity Following Community-Acquired Pediatric Septic Shock. Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. but PPV ranges from 25.1-39.5% years Internal validation cohort: 43,400 patients with mean age 3.7 0.38 (95% CI 0.20-0.39)

Sepsis 95

Sepsis Pediatrics Shock Hospitals 95

Don't Forget the Bubbles

JULY 5, 2023

Afro-Caribbean patients should be screened for sickle cell before anaesthesia for possible pre-operative transfusion. Symptoms may be non-specific in the beginning with patients quickly developing septic shock and disseminated intravascular coagulation. What could be the differential diagnosis? coli and Staphylococcus aureus.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126