Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Was there any prenatal care or ultrasound done? 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?* ACEP/McGraw-Hill, 2013.

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Seizures Sepsis Pediatrics Shock 40

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

ST elevation (STE) in lead augmented vector right (aVR), coexistent with multilead ST depression, was endorsed as a sign of acute occlusion of the left main or proximal left anterior descending coronary artery in the 2013 STEMI guidelines.

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EKG/ECG Shock Sepsis Emergency Department 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Smith comment: This patient did not have a bedside ultrasound. Had one been done, it would have shown a feature that is apparent on this ultrasound (however, this patient's LV function would not be as good as in this clip): This is recorded with the LV on the right. In fact, bedside ultrasound might even find severe aortic stenosis.

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EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

Pediatric Emergency Playbook

AUGUST 1, 2017

Hypertrophic pyloric stenosis: tips and tricks for ultrasound diagnosis. 2013; 95(6): 474-477. 2013; 48:1789-1793. J Ultrasound. Pyloric Stenosis Aspelund G, Langer JC. Current management of hypertrophic pyloric stenosis. Semin Pedaitr Surg. 2007; 16:27-33. Dias SC et al. Insights Imaging. 2012; 3:247-250. J Pediatr Surg.

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Pediatrics Ultrasounds Resuscitation Sepsis 52

Taming the SRU

AUGUST 30, 2023

Similarly, a 2013 meta-analysis of 6 studies with 1,006 patients published in the American Journal of Emergency Medicine showed neither CRP nor PCT are sufficient to rule-in or rule-out infective endocarditis, with PCT having a pooled sensitivity of 64% and specificity of 73% and CRP having a pooled sensitivity of 75% and specificity of 73% [40].

Infectious Diseases 88

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

EMDocs

MAY 11, 2024

Cavernous sinus syndrome (B) usually presents with cranial nerve deficits, diplopia, periorbital cellulitis, and facial swelling that may progress to meningitis or sepsis. Semin Ultrasound CT MR. 2013 Apr;34(2):131-41. anatomic region). Brainstem stroke: anatomy, clinical and radiological findings. doi: 10.1053/j.sult.2013.01.004.

Stroke 101

Stroke EMS EKG/ECG Radiology 101

Mind The Bleep

AUGUST 5, 2023

Common signs and symptoms include: Abdominal distention with prominent veins and discolouration Umbilical flaring Poor feeding Bilious vomiting Abdominal tenderness Bowel changes, including diarrhoea, blood and mucus Lethargy, apnoea, bradycardia Sepsis Risk factors of low birth rate, prematurity and formula feeding. (1, Updated 2022 Aug 8].

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Sepsis Ultrasounds Radiology Radiology 52

EB Medicine

JULY 8, 2019

Jeff: Do note, however that 2013 guidelines do not recommend one procedure over another and leave that decision up to local surgical expertise, patient specific risk factors, and treatment goals. Some may present with isolated tachycardia while others may present with profound sepsis – tachycardia, hypotension, and fever.

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Emergency Department Sepsis Operations Dehydration 40

PulmCCM

SEPTEMBER 23, 2021

With the explosion of bedside ultrasound and automated methods to capture LVEF, the ejection fraction will grow in clinical prominence and affect decisions for the acutely-ill. Critical Care 2013, 17(2):213. Marik P, Bellomo R: A rational approach to fluid therapy in sepsis. Circulation 2013, 127(1):55-62. Jon-Emile S.

Stroke 40

Stroke Sepsis Shock Ultrasounds 40

EMDocs

OCTOBER 23, 2023

Diagnosis can be confirmed with ultrasound (for deep vein thrombosis) or CT angiography (CTA) chest (for pulmonary embolism) and patients treated with anticoagulants. This may also predispose a patient to sepsis, peritonitis, or bowel infarction, which need to be recognized quickly. 2013 Mar; 121 (3): 654-673. Clarke-Pearson D.

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OB/GYN Operations EMS Ultrasounds 78

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Consider sepsis and treat it accordingly. An ultrasound scan of the graft is usually sufficient to rule out these complications. Hebert MF et Al (2013) Interpreting tacrolimus concentrations during pregnancy and postpartum.Transplantation 95:908–915 Liverman, R., CAKUT, catheterization requirement). When in doubt, call the team.

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Pediatrics Fractures Dehydration Sepsis 52

Dr. Smith's ECG Blog

DECEMBER 23, 2024

She was resuscitated and admitted to ICU for presumed sepsis. If you do not have an arterial line, use bedside ultrasound to verify myocardial contractility corresponds to pacing. If you don't have ultrasound (but you should), then palpate a pulse! adapted from Grauer K: ACLS-2013-ePub Section 15, KG/EKG Press ).

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EKG/ECG Shock Ultrasounds Sepsis 117

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. 2024, 33 use of ultrasound may lead to a reduction in mortality, less volume of fluids given, and decreased hospital stay.

Dehydration 69

Dehydration Fluid Resuscitation Sepsis Resuscitation 69