Remove 2018 Remove Hyperthermia / Hypothermia Remove Pediatrics
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Neurogenic Shock in Children

Pediatric EM Morsels

To celebrate the end of trauma season ( is it ever really over? ), we here at the Ped EM Morsels Bakery have cooked up a morsel to remind you that pediatric trauma can be even more difficult than you think. Unfortunately, there are numerous other pitfalls that can be encountered during the management of pediatric trauma patients.

Shock 304
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Congenital Syphilis

Pediatric EM Morsels

We have previously discussed hypothermia presentations , GBS infections , and HSV infections. Foles, 2024 ] In the US, from 2013-2018, cases increased from 362 to 1,306. The post Congenital Syphilis appeared first on Pediatric EM Morsels. Fortunately, we have addressed many neonatal issues in the PedEMMorsels. Emerg Radiol.

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Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

Pediatric and elderly patients were more predisposed to developing an arrhythmic event in the setting of fever [7]. Alexandra Schick ( with edits by Dr. Smith ) of an elderly woman who was seen in the ED for altered mental status, hyperthermia, and the initial ECG shown above. Heart Rhythm, 4(2), 198-199. [6]

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Super Refractory Status Epilepticus

Don't Forget the Bubbles

Ketogenic diet treatment for pediatric super-refractory status epilepticus. Ketogenic Diet in the Treatment of Super-Refractory Status Epilepticus at a Pediatric Intensive Care Unit: A Single-Center Experience. Pediatric super-refractory status epilepticus treated with allopregnanolone. 2018 May 17;378(20):1888-1897.

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

In the bleeding trauma patient, fluid resuscitation aims to avoid the diamond of death (acidosis, coagulopathy, hypothermia and hypocalcaemia). Pediatric Neurology 2022; 126: 114-119 Dani Hall , Kat Priddis , Team PEM Adventures. Don’t Forget the Bubbles, 2018. These should be given as boluses of 5-10ml/kg.

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emDOCs Podcast – Episode 103: Thermal Burn Injury

EMDocs

Typically for adults with a TBSA of at least 20% or 10% in pediatric patients. Severely burned patients have impaired thermoregulation and are at risk of hypothermia. National Burn Repository 2019 Update, Report of data from 2009–2018. IOs and central lines are also options. References American Burn Association. link] (2019).

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A man in his 70s with weakness and syncope

Dr. Smith's ECG Blog

This discussion comes from this previous post: Hyperthermia and ST Elevation Discussion Brugada Type 1 ECG changes are associated with sudden cardiac death (SCD) and the occurrence of ventricular dysrhythmias. Pediatric and elderly patients were more predisposed to developing an arrhythmic event in the setting of fever [7].

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