Pediatric Emergency Playbook

AUGUST 1, 2017

2010; 26:769-781. 2010; 149(3):386-391. 2010; 45:1182-1186. 2010; 28(11):544-548. 2010 Oct;40(4):613-20. . J Emerg Med. 2012; 43(1):49-51. Martin V, Shaw-Smith C. Review of genetic factors in intestinal malrotation. Pediatr Surg Int. Nehra D, Goldstein AM. Am J Emerg Med. 2012; 30:426-431. Whitehouse et al.

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Broome Docs

APRIL 6, 2023

Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension. 2010 Oct 5;182(14):1527-32. Epub 2010 Aug 23. Casey The CLOVERS trial: National Heart, Lung, and Blood Institute Prevention and Early Treatment of Acute Lung Injury Clinical Trials Network; Shapiro NI, Douglas IS, Brower RG, et al. N Engl J Med.

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Taming the SRU

FEBRUARY 5, 2024

The LP is now a standard procedure and in 2010 well over 135,000 LPs were performed in Emergency Departments throughout the US (3). The UK joint specialist societies guideline on the diagnosis and management of acute meningitis and meningococcal sepsis in immunocompetent adults. WHO - Who Needs an LP in the ED? C., & Solomon, T.

Infectious Diseases 97

Infectious Diseases Seizures Ultrasounds Sepsis 97

Northwestern EM Blog

JANUARY 24, 2022

Acidosis Acidosis in shock states can present from multiple different sources, including sepsis, hypoxemia, ingestions, hyperlactatemia from hypoperfusion, amongst others. Hypothyroidism and Adrenal Insufficiency in Sepsis and Hemorrhagic Shock. 2010; 36: 2019-2029. Curr Opin Crit Care. 2008;14:379-83. 3) Farkas J. Arch Surgery.

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RebelEM

MARCH 9, 2023

Pompili 2010) However, >65% of patients who endorse suicidal ideation when intoxicated no longer endorse suicidal ideation once sober. Pain / Additional Complaints : Alcohol can weaken the immune system with only moderate use, predisposing individuals to pneumonia, soft tissue infections, and sepsis. 2010 Apr;7(4):1392-431.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

Don't Forget the Bubbles

MAY 28, 2024

Hence, PPHN can be idiopathic or secondary to a variety of conditions such as meconium aspiration syndrome , respiratory distress syndrome, sepsis, asphyxia and congenital diaphragmatic hernia. Imagine being a few hours old and dealing with this). Or it could be due to a delay in circulatory transition. Early identification is key!

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Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Check a glucose ad drug screen Sepsis - Saved for last - You'll almost always treat the sick neonate empirically for sepsis - think of congenital and acquired etiologies. Before you decide on sepsis, ask yourself, could this be a cardiac problem?* Part 15: Neonatal Resuscitation: 2010 American Heart Association Guidelines.

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Pediatric Emergency Playbook

MAY 1, 2016

meningoencephalitis, overwhelming alternate source of sepsis) T – Toxins (e.g. sludge phenomenon, secondary sepsis, hypoglycemia from supply-demand mismatch) S – Seizure (e.g. meningoencephalitis, overwhelming alternate source of sepsis) T – Toxins (e.g. 2010 May-Jun; 15(5): 263–265. V – Vascular (e.g. V – Vascular (e.g.

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Seizures Sepsis Stroke Pediatrics 40

Northwestern EM Blog

FEBRUARY 14, 2022

This data shows us that angiotensin II can make the blood pressure better but I would never let it distract you from the things we know matter in sepsis resuscitation. Expert Review of Cardiovascular Therapy 2010; 8(12): 1723-9 PMID: 21108554 Santacruz CA, Pereira AJ, Celis E, Vincent JL. NEJM 2008; 358(9): 877 – 87.

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Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Pediatric status epilepticus is analogous to the multi-organ dysfunction syndrome in severe sepsis. 2010; 26(5):380-1. This is the second reason to act quickly and avoid this kindling effect. In other words – time is brain. Or… is it something else as well? Status epilepticus affects almost every organ system. 2004;291:605-614.

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PulmCCM

FEBRUARY 19, 2024

In my anecdotal experience, these phrases have an impressively high positive predictive value for badness (early sepsis, often). Well … no.

Hospitals 52

Hospitals Resuscitation Burns Documentation/Coding 52

RebelEM

MARCH 27, 2023

4 Using factors such as shock, pneumonia, and sepsis this score allows an accurate prediction of developing ARDS. 2011 Feb 15; Epub 2010 Aug 27. Patients at risk for ARDS were stratified by the Lung Injury Prevention Score (LIPS) which predicts the probability of developing ARDS and subsequent mortality. Am J Respir Crit Care Med.

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EB Medicine

JULY 8, 2019

Additionally, back in 2010, it was estimated that 6.6% Leakage from the staple line typically presents within the first week, but can present up to 35 days, usually with fevers, tachycardia, abdominal pain, nausea, vomiting sepsis, or peritonitis. Patients often present with abdominal pain, vomiting, sepsis, and peritonitis.

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Mind The Bleep

MAY 12, 2023

These include infection & sepsis, GI bleeding, dehydration, AKI, alcohol consumption, constipation, and certain medications. 2010 Feb;12(1):1-6. 9 Encephalopathy Look closely for a precipitant and treat accordingly! Prescribe lactulose 20-30ml QDS with or without phosphate enema aiming for 2 soft bowel movements per day.

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EB Medicine

SEPTEMBER 1, 2018

Next month we are talking sepsis and the ever frequently changing guidelines so it’s not something you want to miss. Review of eastern coral snake ( Micrurus fulvius fulvius ) exposures managed by the Florida Poison Information Center Network: 1998-2010. Feel free to share the link with your colleagues or through social media too.

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RebelEM

MAY 15, 2024

Antibiotics are effectively the only thing standing between these patients and overwhelming sepsis. Neutropenic Fever: Fever (one reading of 38.3C Neutropenic Fever: Fever (one reading of 38.3C Pathogens ( Gudiol 2013 ) : The pathogens responsible for neutropenic fever have changed over time.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

EMDocs

OCTOBER 17, 2023

These risk factors are immunosuppression, recent or current antibiotic use, signs of sepsis, symptoms > 5 days, unstable comorbidity, vomiting, CRP > 14 mg/dL or 140 mg/L, or if there are signs of perforation, bleeding, obstruction, or abscess. 2010 Mar;12(3):179-86. 2010 Jun;53(6):896-904. Erratum in: Ann Intern Med.

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Don't Forget the Bubbles

JULY 17, 2023

Evaluating the Impact of the 2017 Dutch Neonatal Early-Onset Sepsis Guideline. Trends in Reasons for Human Papillomavirus Vaccine Hesitancy: 2010-2020. Screen time and preschool children: Promoting health and development in a digital world. Paediatr Child Health. 2023 May 16;28(3):184-202. Van Rossem EJD, et al. Pediatr Infect Dis J.

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Don't Forget the Bubbles

SEPTEMBER 18, 2023

This is true in life-threatening conditions such as sepsis. However, when children do not have features of sepsis, oral antibiotics are equally effective. The take home is that although IV antibiotics are key in sepsis management, oral antibiotics are equally as effective as IV antibiotics for children without critical illness.

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PEMBlog

JANUARY 17, 2024

Full blown sepsis and toxic shock syndrome. Well, you definitely shouldn’t be sending a blood culture because if you’re worried about bacteremia and sepsis, that kid needs to stay in the hospital. You’re concerned about SIRS or sepsis. Pediatrics. 2011 Mar;127(3):e573-80. doi: 10.1542/peds.2010-2053.

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Infectious Diseases Sepsis Wellness Pediatrics 59

EMDocs

JANUARY 16, 2025

Today we cover the Phoenix Sepsis Criteria. years Best performing criteria identified by AUPRC and AUROC 4-organ-system model translated into the Phoenix Sepsis Score had best mortality prediction characteristics AUPRC of 0.23-0.38 Well provide summaries of the evidence to support your decisions at the bedside. but PPV ranges from 25.1-39.5%

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Sensible Medicine

AUGUST 14, 2024

This sort of sepsis would produce many of the common autopsy findings. They looked at 770 sudden unexpected infant deaths (SUID) across seven states between 2010 and 2012 to see how comprehensive the autopsies and death-scene investigations were.

CDC 91

CDC Sepsis Research Pediatrics 91

Don't Forget the Bubbles

FEBRUARY 24, 2025

Because of this possible diagnosis, they were commenced on a macrolide antibiotic (azithromycin) in addition to treatment for neonatal sepsis +/- meningitis (ceftriaxone and acyclovir). Post-ET, careful monitoring is essential, particularly for secondary bacterial infections and sepsis.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

Don't Forget the Bubbles

JULY 5, 2023

Vaccination: PCV13 (pneumococcal vaccination), meningococcal vaccines, and Hib conjugated vaccines are important to prevent life-threatening sepsis. Sickle cell patients also qualify to receive the annual influenza vaccine, since influenza virus infection predisposes to bacterial pneumonia and sepsis caused by S. Pneumococcal sepsis B.

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Blood Transfusions Stroke Dehydration Sepsis 126

EMDocs

JANUARY 20, 2025

Sepsis There has been much controversy over the last two decades around the various nuances of volume resuscitation in ED patients with suspected sepsis, much of which goes beyond the scope of this limited review. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021.

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Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Mind The Bleep

SEPTEMBER 17, 2024

Always consider management as per ATLS protocol and SEPSIS 6 if relevant. Management The management is guided by the examination findings which are covered in the respective chapter, this section will delve into the importance of a number of those steps, as well as further long-term care. Ensure the wound has been adequately washed out.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52