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Big Labs, Little People

Pediatric Emergency Playbook

There are two main reasons for an elevated lactate: the stress state and the shock state. The shock state is due to tissue hypoxia, seen in septic shock. We should use lactate to detect occult shock. Children compensate so well for shock, that subtle tissue hypoxia may not be detected until later. Am J Cardiol.

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ACEP Board Meeting Tackles Current Issues, Practice Trends

ACEP Now

The inaugural ACEP Accelerate conference – which combined the ED Director’s Academy, the Advanced Pediatrics EM Assembly, Reimbursement & Coding, and Teaching Fellowship—took place in Arlington, TX in March 2023. Open applications will be coming soon, but you can find out more and get on the interest list today at acep.org/EDap.

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You’re Now A Paediatric Registrar: Step Up, Survive & Thrive 

Don't Forget the Bubbles

Don’t forget the essentials: Eat Hydrate +/- caffeinate Exercise Unwind Sleep It’s not rocket science, but it’s shocking how many of us forget! Don’t be afraid to ask the simple questions: Where do I document? Top tip: verbally communicating your plan followed by clear documentation can help avoid confusion!

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Transplant surgeons allege corruption and mismanagement in organ transplant system

PulmCCM

Surprise witnesses then made shocking allegations under oath that employees of organ procurement organizations (OPO) pressured staff to obtain organs from living patients. 39:35 Dr. Cannon: “I’ve had an OPO administrator recommend I proceed with organ procurement despite legitimate concerns that the donor was still alive.”