The Trauma Pro

JUNE 18, 2024

All of the trauma professionals are busy with the patient and are rudely surprised when they ask for the first unit of blood. The ABC score and the shock index are two of the more common methods. A score greater than or equal to one predicts at least a 2x higher need for blood. J Pediatr Surg. But what about children?

Pediatrics 113

Pediatrics Blood Transfusions Resuscitation Shock 113

Don't Forget the Bubbles

NOVEMBER 27, 2023

What is Shock? Shock is defined as a type of circulatory failure where lack of oxygen leads to dysfunction of vital organs. There are many types of shock which may affect children, and management is specific to the type of shock. The overall goal in managing any cause of shock is to restore oxygen delivery to the organs.

Shock 143

Shock Sepsis Fluid Resuscitation Resuscitation 143

Pediatric EM Morsels

NOVEMBER 3, 2023

Acute Kidney Injury Is Common in Pediatric Severe Malaria and Is Associated with Increased Mortality. Pediatric Malaria: Global and North American Perspectives. Pediatr Clin N Am 69 (2022) 47–64. Higher Rates of Misdiagnosis in Pediatric Patients versus Adults Hospitalized with Imported Malaria. Pediatr Emerg Care.

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

EMDocs

DECEMBER 6, 2024

Stage 3 (timing variable) Shock 1 : Can occur within hours for massive ingestion, but may occur over a longer time course. 6 Severe toxicity and shock are typically seen with serum iron concentrations above 500 g/dL and serum iron concentrations above 1000 g/dL are associated with significant mortality. Arch Pediatr Adolesc Med.

Poisoning 94

Poisoning Fluid Resuscitation Seizures Resuscitation 94

ALiEM

MAY 29, 2023

If left untreated, it can lead to significant blood loss, shock, airway obstruction, and even death. Because he presumably had uremia-induced thrombasthenia (weak platelets), he received blood transfusions and IV TXA. Unfortunately, the bleeding still continued. And still — he continued bleeding heavily.

Blood Transfusions 98

Blood Transfusions Emergency Department Shock Hospitals 98

Don't Forget the Bubbles

JANUARY 10, 2024

Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda. Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. However, there is a huge variation in transfusion practice globally.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

Don't Forget the Bubbles

OCTOBER 28, 2024

These definitions include blood loss of 40 mL/kg over 24 hours, transfusion of ≥50% of total blood volume in 3 hours, transfusion of 100% of total blood volume in 24 hours, and bleeding with clinical signs of hypovolaemic shock that is unlikely to be controlled. What is the ‘diamond of death’?

Blood Transfusions 72

Blood Transfusions Hyperthermia / Hypothermia Shock Pediatrics 72