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’. Cardiovasculr Ultrasound. 2011; 2(1):70-72. 2011 Jan-Jun; 4(1): 81–83. 2011; 32:492-497. 2011; 552-555. 2011; 128(6):1-6 Munk K et al.

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Pediatrics EKG/ECG Wellness Seizures 52

Greater Sydney Area HEMS

FEBRUARY 20, 2024

Obtaining access in shocked trauma patients can be notoriously difficult due to circulatory collapse. Those who are shocked, shut down with limited or no other options for peripheral access require central access. The evidence for improved safety and quality with the use of ultrasound for CVC implementation is well established [i].

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Ultrasounds Shock Research Operations 98

EMDocs

APRIL 22, 2024

Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. Multiorgan POCUS The diagnostic power of POCUS often resides in combining multiple ultrasound exams. 1-3 As many as 25% of acute PE cases present as sudden cardiac death.

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Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 93

Pediatric Emergency Playbook

AUGUST 1, 2017

2011; 364(3):255-264. Hypertrophic pyloric stenosis: tips and tricks for ultrasound diagnosis. J Ultrasound. 2011; 29:1136-1140.:205-211. Necrotizing Enterocolitis. N Eng J Med. Niño DF et al. Necrotizing enterocolitis: new insights into pathogenesis and mechanisms. 2016; 13:590-600. Walsh MC et al. Semin Pedaitr Surg.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Mind The Bleep

AUGUST 5, 2023

Example of pneumoperitoneum following perforated NEC Other Investigations Blood tests and abdominal ultrasound. Abdominal ultrasound may show bowel wall thickening, altered vascular state and free fluid. 2011 Jan 20;364(3):255-64. Necrotizing Enterocolitis. Updated 2022 Aug 8]. In: StatPearls [Internet]. link] Neu J, Walker WA.

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Sepsis Ultrasounds Radiology Radiology 52

Pediatric Emergency Playbook

JANUARY 1, 2017

neutropenia) ( Babl 2011 , Dokko 2014 ). Ultrasound-guided peripheral nerve blocks are a good pain control adjunct, after initial treatment, and in communication with referring consultants ( Ganesh 2009 , Suresh 2014 ). Unexplained tachycardia may be the early signs of shock. 2011 Jun;27(6):496-9. Acad Emerg Med.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Taming the SRU

AUGUST 30, 2023

A 2011 meta-analysis in the journal of Academic Emergency Medicine found ESR, CRP, and PCT were not acutely useful in the diagnosis of septic arthritis due to wildly varying sensitivities and specificities between studies. Instead, they strongly advocated for the use of lung ultrasound to diagnose bacterial CAP [45]. Acad Emerg Med.

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Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 88

Pediatric Emergency Playbook

MARCH 1, 2016

On arrival, he was in compensated shock, with tachycardia. In other words, feel free to use ultrasound – especially for things that we in the ED will react to and intervene on – but CT may help to manage the traumatized child non-operatively. 2011 May;18(5):477-82. He decompensates and needs blood. Acad Emerg Med. Ann Emerg Med.

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

Pediatric Emergency Playbook

DECEMBER 1, 2015

It’s a high-flow artery to the face, and if disrupted, the child may have significant bleeding and possibly hemorrhagic shock. Ultrasound can be used to troubleshoot when needed. Electrical Injuries: Shocking or Subtle?” 2011; 40(5):598-604. In a review of tasers used by law enforcement, Vilke et al. J Emerg Med.

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Burns Emergency Department EKG/ECG Shock 40

EB Medicine

JANUARY 2, 2019

So to get us all on the same page, the discriminatory zone is the b-HCG at which an IUP is expected to be seen on ultrasound. Nachi: Definitely concerning, but this is all the more reason you need to employ our favorite imaging modality… the ultrasound. For a threatened abortion, the os would be closed with an IUP seen on ultrasound.

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Ultrasounds Radiology Radiology Infectious Diseases 40

Mind The Bleep

JUNE 17, 2023

A study in 2011 of 258 children admitted to hospital with pneumonia found that 8.5% Kirovski I, 2011) It’s important to think about the possibility of an empyema or bad pneumonia in a child with difficulty in breathing, fever and abdominal pain. of patients present initially with acute abdominal pain. Gadiparthi R, W. 2023, June 14).

Shock 93

Shock Wellness Emergency Department Ultrasounds 93

Mind The Bleep

JUNE 17, 2023

A study in 2011 of 258 children admitted to hospital with pneumonia found that 8.5% Kirovski I, 2011) It’s important to think about the possibility of an empyema or bad pneumonia in a child with difficulty in breathing, fever and abdominal pain. of patients present initially with acute abdominal pain. Gadiparthi R, W. 2023, June 14).

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Shock Wellness Emergency Department Ultrasounds 52

ALiEM

OCTOBER 30, 2024

Clinical impact: The patient’s DVT ultrasounds were negative. 2011 Dec;6:1-4. Evaluation for nephrotic syndrome due to viral hepatitis, endocarditis, venous thromboembolism or other cause of chronic lymphedema is reasonable. Clonidine is often added back to their regimens inpatient as their vital signs tolerate. 2022; 06/26/2023.

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Emergency Department Operations Psychiatric Hospitals 64

EB Medicine

AUGUST 1, 2018

It was peer-reviewed by Joseph Habboushe, assistant professor at NYU and Nadia Maria Shaukat, director of the emergency and critical care ultrasound at Coney Island Hospital in Brooklyn, New York. Jeff: There are a shocking 22 million past-month users of marijuana in the US, followed by pain relievers at 3.8 million, and cocaine at 1.9

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EMDocs

JANUARY 20, 2025

Patients were enrolled in these trials if they had signs of shock, with mortality ranging from 18-29%. 13 While there is good data that early antibiotics for patients in septic shock reduce mortality 18-19 the role of early and aggressive volume resuscitation and its impacts on patient-centered outcomes remain unclear. Andrews et al.

Dehydration 69

Dehydration Fluid Resuscitation Sepsis Resuscitation 69