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EM@3AM: Stercoral Colitis

EMDocs

Clinical exam: 2, 3, 9 Abdominal distension and tenderness Nausea and vomiting Stool present in the rectal vault Peritonitis may be accompanied by hemodynamic instability in the case of sepsis. 2-4, 6 If there is a concern for perforation or sepsis, surgical consultation, blood cultures, empiric antibiotics, and fluids are recommended.

EMS 94
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The Pediatric Surgical Abdomen

Pediatric Emergency Playbook

Pediatr Rev. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem. 2012; 43(1):49-51. Pediatr Surg Int. BMJ 2012; 345:e5521. Eur J Pediatr Surg 2016; 26:192. Pediatrics 1977; 60:457. J Pediatr Gastroenterol Nutr 2008; 46:13. J Pediatr 2005; 146:787. 1988; 9(7):219-226.

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SGEM#190: Wee are the Champions of Pediatric Urine Samples

The Skeptics' Guide to EM

Natalie May trained as an emergency physician with subspecialty paediatric emergency medicine in the UK and worked in Manchester and Oxford before moving to Australia in 2015 to work for Sydney […] The post SGEM#190: Wee are the Champions of Pediatric Urine Samples first appeared on The Skeptics Guide to Emergency Medicine.

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Pediatric Status Epilepticus

Pediatric Emergency Playbook

Get up-to-date in the understanding and management of pediatric status epilepticus. Pediatric status epilepticus is analogous to the multi-organ dysfunction syndrome in severe sepsis. Pediatric Seizures and Strokes: Beyond Benzos and Brain Scans. 2012; DOI 10.1007/s12028-012-9695-z Capovilla G et al. Boston, MA.

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Dacryocystitis 

Don't Forget the Bubbles

Sepsis: The spread of infection through the bloodstream, known as sepsis, is a critical condition that can lead to organ failure and death if not promptly treated. Acute dacryocystitis in pediatric patients and frequency of nasolacrimal duct patency. 2012 Apr;14:137-46. Management of pediatric acute dacryocystitis.

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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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Diagnostics: Inflammatory Markers

Taming the SRU

Sepsis PCT may have some utility in guiding posttest probability for sepsis when the diagnosis is unclear. A 2013 meta-analysis of 30 studies including 3,244 patients published in The Lancet found PCT to have a pooled sensitivity of 77% and specificity of 79% for sepsis in critically ill patients [52]. 2012 Jul 23;2(1):32.