Pediatric EM Morsels

JULY 28, 2023

Kendra Jackson and Rebecca Raffler While we’ve gotten to snack on a Morsel on this subject before , new guidelines and research surrounding DKA and cerebral edema have come to light since the first go ‘round! The Pediatric Emergency Medicine Collaborative Research Commitee. Authors: Drs. Lesson = treat early! 2002 Dec;141(6):793-7.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

RebelEM

NOVEMBER 30, 2023

This systematic review and meta-analysis attempts to elucidate whether a more conservative fluid resuscitation approach is warranted in volume sensitive sepsis patients, such as those with congestive heart failure (CHF). What They Did: Researchers performed a systematic review and meta-analysis. Am J Emerg Med. 2023;73:34-39.

Sepsis 121

Sepsis Fluid Resuscitation Resuscitation Administration 121

Sensible Medicine

MARCH 14, 2025

I’ve also been attracted to the research because too often I see systems interventions adopted without data. Instead of just instituting the screening, the researchers did a cluster randomization wherein the alert was sequentially adopted. Maybe because of my skepticism, I’ve found studies of sepsis screening interesting.

Sepsis 99

Sepsis Wellness Documentation/Coding Fluid Resuscitation 99

RebelEM

MAY 29, 2023

Judicious fluid resuscitation is indicated in patients with signs of hypo perfusion but is often inadequate necessitating the administration of vasoactive medications. Most of the research on the use of MB has been in patients with vasoplegia following cardiopulmonary bypass. septic shock). 95% CI 15.4 vs 0.5% (Range 0.4

Shock 145

Shock Fluid Resuscitation Sepsis Resuscitation 145

EMDocs

DECEMBER 18, 2023

13,14 Fluids Fluid resuscitation is a mainstay of sepsis therapy, as the condition is commonly associated with both absolute and relative hypovolemia. 15 Two changes were elucidated in the 2021 SSC guidelines for fluid resuscitation. Additionally, the recommendation to use a 30 cc/kg bolus was downgraded.

Sepsis 90

Sepsis Fluid Resuscitation Resuscitation Shock 90

Don't Forget the Bubbles

MARCH 31, 2025

The Bridge is a Postgraduate Doctor in Training (PGDiT)- led paediatric research forum in Yorkshire and Humber, UK, with the aim of bridging the gap in research access among PGDiT. Sepsis is a significant cause of mortality in children, and fluid resuscitation is a key treatment strategy. Why does it matter?

Sepsis 59

Sepsis Fluid Resuscitation Shock Resuscitation 59

ACEP Now

OCTOBER 3, 2023

These guidelines present the best available evidence to support clinical decision making in the prehospital setting when TBI care may have the most significant impact on outcomes; they also establish a research agenda for future investigations.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

Taming the SRU

MAY 11, 2024

r1 clinical knowledge - r4 capstone - research grand rounds - the art of em - Community corner - PEM Lecture r1 Clinical knowledge: transplant complications WITH dr. gabor Time-sensitive peri-transplant emergencies: Bleeding fistula- stop the bleed. Flood syndrome- start fluids, give antibiotics, consult surgery. Ways to get involved?

Administration 92

Administration Resuscitation Fluid Resuscitation Research 92

EMDocs

JULY 30, 2024

PNU was withdrawn from the US market in 1979, however, there is still active small-scale manufacturing in the People’s Republic of China, and it is available online for purchase as a research chemical.¹ In these cases, PNU ingestion would most likely originate from exposure to an old household rodenticide or exposure to a “research chemical”.

Poisoning 74

Poisoning Seizures Fluid Resuscitation Pediatrics 74

EMDocs

DECEMBER 16, 2023

BMC research notes , 8 , 758. Temps greater than 41.5C per minute) 1,4 Body bag may be utilized if no immersion tank available 3 Evaporative cooling (DT 0.1C link] Kakoki, K., Hakariya, T., Takehara, K., Izumida, S., Kinoshita, N., Fukuoka, J., & Sakai, H. link] Swee, duS., L., & Lim, A.

Hyperthermia / Hypothermia 94

Hyperthermia / Hypothermia EMS Stroke Seizures 94

Don't Forget the Bubbles

JUNE 10, 2024

NEC remains a significant challenge in neonatology, prompting ongoing research and clinical trials to understand its pathogenesis better, improve prevention strategies, and develop more effective treatments. Pediatric Research, 63(2), 117-123. How do you treat necrotising enterocolitis? Hunter, C.J., Upperman, J.S., Meinzen-Derr, J.,

Pediatrics 40

Pediatrics Sepsis Fluid Resuscitation Outcomes 40

Don't Forget the Bubbles

MARCH 18, 2024

She receives fluid resuscitation, and you organise some tests to find out why she is so tired. Excessive transfusion can increase the risk of hyperkalaemia and fluid overload. It may worsen HUS, according to some research, though even if platelets are given, the risk of bleeding during a procedure in HUS may not change.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

EB Medicine

OCTOBER 1, 2018

Optimal management of septic patients has been a source of intense research, stemming from the landmark study by Rivers in 2001. Also, for research purposes we have to have a common definition, so Sepsis 3 came up with something called the SOFA score. Jeremy, can you give us a little historical context there? So quite a few changes!

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

EMDocs

JANUARY 20, 2024

It was first described in Japan in 1991, where researchers noted a balloon shape to the left atrium resembling a trap used to catch octopuses in Japan. Additional fluids will not improve her condition and may worsen it. Which of the following is the best next step in the management of this patient’s condition?

EMS 100

EMS Fluid Resuscitation Shock EKG/ECG 100

RebelEM

DECEMBER 23, 2024

VOE is often complicated by hypovolemia, making fluid administration a common intervention ( Lovett 2017 ). saline (NS) solutions are both isotonic crystalloids widely used for intravenous fluid resuscitation across many contexts and disease states ( Myburgh 2013 ). Lactated Ringer (LR) and 0.9% JAMA Intern Med.

Fluid Resuscitation 128

Fluid Resuscitation Resuscitation Documentation/Coding Outcomes 128

Don't Forget the Bubbles

FEBRUARY 17, 2025

These differences underscore the need for further research to clarify the role of venous congestion in pediatric critical care. Differences in thresholds, assessment techniques, and underlying causes underscore the need for further research to define the role of venous congestion in children and tailor interventions accordingly.

Pediatrics 78

Pediatrics Ultrasounds Shock Resuscitation 78

Don't Forget the Bubbles

NOVEMBER 18, 2024

Various studies, such as those pooling data from the National Neonatal Research Database, indicate that the incidence of hypotension varies based on neonatal age, with the highest rates observed immediately post-birth and within the first days of life. Effective management of MAS will often result in the stabilization of blood pressure.

Sepsis 59

Sepsis Shock Hyperthermia / Hypothermia Administration 59

EMDocs

JANUARY 20, 2025

For patients without frank signs of shock, it is reasonable to trial oral hydration prior to moving on to IV fluids. The Restrictive IV Fluid Trial in Severe Sepsis and Septic Shock (RIFTS): A Randomized Pilot Study. Fluid resuscitation in sepsis: the great 30 mL per kg hoax. Critical Care Medicine. Keijzers, G.,

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Taming the SRU

FEBRUARY 3, 2025

In recent research, it has been discovered that as high as 42% of adult cancer patients and 70% of pediatric cancer patients suffer from laboratory changes associated with TLS, but have no associated clinical symptoms (9). original document created by author of post. for more information visit [link] POST BY Parker maddox, MD Dr.

Fluid Resuscitation 56

Fluid Resuscitation Seizures Dehydration Emergency Department 56

EMDocs

JULY 19, 2023

8 As always, remember to correct electrolyte abnormalities and provide fluid resuscitation as indicated. Case Follow-Up: This is a real case of a researcher who worked with dimethylmercury in her lab. However, in extreme cases with highly toxic levels, one could consider plasma exchange if no other suitable alternative exists.

Poisoning 91

Poisoning Fluid Resuscitation Administration Seizures 91

Don't Forget the Bubbles

JULY 3, 2024

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Characterizing Biomarkers of Continuous Peristalsis and Bolus Transit during Oral Feeding in Infants at pH-Impedance Evaluation: Clinical and Research Implications.

Pediatrics 105

Pediatrics Fluid Resuscitation Research Hospitals 105