JournalFeed

JULY 17, 2021

We cover high risk pediatric bruising, urine concentration and UA accuracy, atrial fibrillation management, shorter NPO time for formula fed infants, and TTM2, which showed normothermia was as good as hypothermia post-arrest. It’s the JournalFeed Podcast for the week of July 12-16, 2021.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia 52

Taming the SRU

APRIL 11, 2024

Management Antibiotics with staph coverage Most spontaneously drain and do not require I&D Hypothermia in neonates Varying definitions with consensus < 36-36.5 Ask people how to pronounce their name and listen carefully to where the person puts emphasis and inflections. The sooner you correct people, the better. Fr < 2.5

Ultrasounds 95

Ultrasounds Pediatrics Hyperthermia / Hypothermia Burns 95

EMDocs

NOVEMBER 6, 2023

Patients with severe agitation from sympathomimetic poisoning require sedation to manage hyperthermia and acidosis, to prevent rhabdomyolysis and injury, and to allow evaluation for other life-threatening conditions. Life-Threatening Cocaine Toxicity We recommend rapid external cooling for life-threatening hyperthermia from cocaine poisoning.

Poisoning 115

Poisoning Hyperthermia / Hypothermia Seizures Administration 115

Don't Forget the Bubbles

MAY 17, 2023

’, ‘ Who can best score postoperative pain: parents or the children? ’, ‘ Is functional constipation associated with hypohydration? ’, ‘ Who is best at assessing foreign body aspiration on chest X-ray: pediatric pulmonologists, pediatric residents, or radiologists? ’ Eur J Pediatr. Eur J Pediatr. Eur J Pediatr.

Pediatrics 72

Pediatrics X-Ray Interpretation Sepsis Fractures 72

Taming the SRU

APRIL 13, 2023

Vaishnav Hyperthermia: abnormally high body temperature due to thermoregulatory failure Severe hyperthermia: temp greater than 40.5C stent, percutaneous nephrostomy) by urology or IR Hypokalemia evaluate for EKG changes assess for underlying cause and factors that may influence ability to replete (i.e.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 52

Pediatric Education

MAY 7, 2023

Malignant hyperthermia is associated with inhaled anesthetics and some muscle relaxants and occurs usually very suddenly within minutes to hours. Pediatr Neurol. Resolution is also longer (9 or so days). Anticholinergic toxicity occurs with taking an anticholinergic agent usually within 1-2 hours with resolution within hours to days.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Infectious Diseases Pediatrics Poisoning 40

EM Literature of Note

JANUARY 9, 2022

The Annals of Emergency Medicine Podcast continues apace, with free monthly updates from the original research published in the journal: iTunes Link SoundCloud Link Likewise, the Annals of Emergency Medicine Journal Club has published several monthly installments: Predicting Outcomes in Pediatric Pneumonia: Are We Omnipotent or Incompetent?

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Stroke Emergency Department Outcomes 40

Pediatric Education

APRIL 30, 2023

Treatment may include anti-epileptics, antibiotics, therapeutic hypothermia, and other interventions. How is pediatric stroke different than perinatal stroke? Pediatr Neurol. Semin Pediatr Neurol. D’Alessandro, MD Professor of Pediatrics, University of Iowa A review can be found here 3. 2017;69:37-48.

Stroke 52

Stroke Seizures Pediatrics Hyperthermia / Hypothermia 52

Advanced Emergency Nursing from AENJ

MAY 2, 2017

Useful combinations can be made such as near-drowning & hypothermia & intoxication. Consider preparing, or recording them, in a digital format that can be used and shared when personally convenient, that can be a supplement or alternative to traditional staff meetings. Not an impossible likelihood, eh?)

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Emergency Nursing Documentation/Coding Pediatrics 40

Pediatric Education

SEPTEMBER 3, 2023

Other states which could also affect sickling would be dehydration, acidosis, hypoxia and hyperthermia. There is no positive association for deep venous thrombosis, cardiomyopathy, heart failure, stroke and no abnormalities of growth parameters in the pediatric population. Pediatr Emerg Med Pract. Subramaniam S, Chao JH.

Dehydration 40

Dehydration Hyperthermia / Hypothermia Pediatrics Military 40

Don't Forget the Bubbles

JUNE 26, 2023

The JET is treated by deepening sedation (to minimise exogenous and endogenous catecholamines), optimizing electrolytes and active mild hypothermia. The LCOS is treated with careful IV fluid boluses and low-dose adrenaline. Ultimately, an amiodarone infusion is needed to control the rate. link] Goldberg CS, Lu M, Sleeper LA, et al.

Operations 128

Operations Research Hyperthermia / Hypothermia Hospitals 128

Don't Forget the Bubbles

NOVEMBER 11, 2024

Targeted temperature management (TTM) is the induction of varying degrees of patient temperature targeting within Paediatric Intensive Care Unit (PICU): Therapeutic hypothermia- induction of varying degrees of hypothermia. What are the potential complications of therapeutic hypothermia? It can also increase blood pressure.

Hyperthermia / Hypothermia 117

Hyperthermia / Hypothermia Pediatrics Outcomes Resuscitation 117

EMDocs

FEBRUARY 9, 2024

The same principles can be applied to pediatric patients with modified doses. Common causes include hypokalemia, hypocalcemia, hypomagnesemia, and hypothermia 3. If the response is appropriate, get another EKG and assess the QT interval. mg/kg/hour infusion 1. Identify and discontinue all QT-prolonging medications.

EKG/ECG 96

EKG/ECG Hyperthermia / Hypothermia EMS Documentation/Coding 96

Don't Forget the Bubbles

JUNE 30, 2023

Still, after a quick Google search, you realise that hypothermia potently affects potassium shift from the extracellular to the intracellular and extravascular spaces. Still, after a quick Google search, you realise that hypothermia potently affects potassium shift from the extracellular to the intracellular and extravascular spaces.

Hyperthermia / Hypothermia 145

Hyperthermia / Hypothermia Military CPR EKG/ECG 145

Emergency Medicine Cases

JANUARY 18, 2022

In this months EM Quick Hits podcast: Ken Milne expertly walks us through the 10 biggest EM papers of 2021, Brit Long on a careful structured approach to Febrile Neutropenia to improve outcomes, Catherine Varner on how not to miss Peripartum Cardiomyopathy, Joe Nemeth on Anaphylaxis update and Anand Swaminathan gives us his approach to the Crashing (..)

Anaphylaxis 52

Anaphylaxis EMS Outcomes Hyperthermia / Hypothermia 52

ACEP Now

OCTOBER 11, 2024

Pediatric submersion injuries are one of the leading causes of preventable morbidity and mortality in the pediatric population. percent of pediatric drowning patients with clinically significant traumatic injuries, with intracranial injuries being the most common. 9,11 As with many pediatric issues, prevention is key.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Resuscitation 52

Emergency Medicine Cases

DECEMBER 6, 2016

In anticipation of EM Cases Episode 90 on the Pediatric Advanced Life Support (PALS) guidelines with the lead author Dr. Allan DeCaen and Dr. Anthony Crocco, Dr. DeCaen tells his Best Case Ever showing us the value of orchestrated team work and a great example of the saying, "they're not dead until they're warm and dead".

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Pediatrics EMS CPR 52

Dr. Smith's ECG Blog

JANUARY 30, 2019

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.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Wellness Documentation/Coding 52

ACEP Now

NOVEMBER 6, 2024

2 Initial Resuscitation All necessary personnel and equipment needed for advanced pediatric resuscitation should be present before delivery. 3 In the post-resuscitative state, the patient should be transferred to a higher level of care, where they can be monitored for further complications and undergo therapeutic hypothermia.

Resuscitation 98

Resuscitation Pediatrics Hyperthermia / Hypothermia EMS 98

Don't Forget the Bubbles

JANUARY 24, 2024

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. 2016 Oct;41:62-5. doi: 10.1016/j.seizure.2016.07.006.

Seizures 111

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 111

Don't Forget the Bubbles

FEBRUARY 5, 2025

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. These should be given as boluses of 5-10ml/kg. General Medical Council. TXA in head injuries.

Domestic Violence 59

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault 59

ACEP Now

OCTOBER 3, 2023

Pediatric patients with suspected TBI should be treated in a pediatric trauma center or in an adult trauma center with added qualifications to treat children in preference to a Level I or II adult trauma center without added qualifications for pediatric treatment.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

Pediatric EM Morsels

AUGUST 9, 2024

We have previously discussed hypothermia presentations , GBS infections , and HSV infections. The post Congenital Syphilis appeared first on Pediatric EM Morsels. Fortunately, we have addressed many neonatal issues in the PedEMMorsels. Obviously, one of the most concerning considerations in neonates is the potential for infection.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

Pediatric Emergency Playbook

AUGUST 1, 2020

Pediatrics 2011; 128:e741. Hyperthermia. In: Pediatric Emergency Medicine, Baren JM, Rothrock SG, Brennan JA, Brown L (Eds), Saunders Elsevier, Philadelphia 2008. Pediatr Rev 2007; 28:249. Casa DJ et al. J Athl Train. 2013 Jul-Aug; 48(4): 546–553. Environmental issues for team physicians. Am J Sports Med. Ishimine P.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Stroke Burns Pediatrics 52

Sensible Medicine

JUNE 5, 2023

Contrast this with the THAPCA trial of cooling pediatric survivors of cardiac arrest. The conclusion therefore read that therapeutic hypothermia “did not confer a significant benefit in survival with a good functional outcome at 1 year.” And the conclusions were that patients with heart disease benefit from this drug.

Stroke 98

Stroke Hyperthermia / Hypothermia Outcomes Shock 98

EMDocs

MAY 28, 2024

Hypothermia, hypotension, and vasoconstriction may affect pulse oximetry reading, which is based on light absorption from fingertip blood flow. There are a variety of triggers, including infection (most common in pediatric patients), fat embolism, vaso-occlusive pain crisis, pulmonary embolism, and others.

Blood Transfusions 97

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 97

EMDocs

JUNE 25, 2024

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. Best option is two large bore IV lines through unburned skin, but may obtain IV access through burned skin if necessary. IOs and central lines are also options.

Burns 97

Burns Fluid Resuscitation Resuscitation Poisoning 97

Don't Forget the Bubbles

AUGUST 12, 2024

There is weak evidence to suggest that moderate hypothermia (32-33 o C) can be used for ICP control in specialist settings. Pediatric Moderate and Severe Traumatic Brain Injury: A Systematic Review of Clinical Practice Guideline Recommendations. An update on pediatric traumatic brain injury. Pediatr Crit Care Med.

Seizures 75

Seizures Pediatrics Emergency Department Ambulance Services 75

Dr. Smith's ECG Blog

JULY 22, 2023

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].

EKG/ECG 91

EKG/ECG Hyperthermia / Hypothermia Documentation/Coding Wellness 91

Taming the SRU

MAY 1, 2023

Exertional Hyperthermia Patients with heat stroke will present with Temp > 104, AMS, or seizures. Poisoned patients will have a Digoxin level, but it is not at all quantitative like it is when dealing with an actual Digoxin overdose.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Seizures Emergency Department 52

Don't Forget the Bubbles

JUNE 30, 2023

Traditionally thought to result from the dilutional effects of massive transfusion, acidaemia or hypothermia, trauma-induced coagulopathy is now known to be triggered at the time of injury, long before these factors have developed or any medical intervention has taken place. J Pediatr Surg. Pediatr Surg Int.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

Pediatric Emergency Playbook

MARCH 1, 2016

Pediatric Massive Transfusion 40 mL/kg of blood products given at any time within the first 24 hours. The Trauma Death Spiral Lethal triad of hypothermia, acidosis, and coagulopathy. Do everything you can to support perfusion and avoid the death spiral of hypothermia, coagulopathy, and acidosis. Semin Pediatr Surg.

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

The Skeptics' Guide to EM

MARCH 5, 2022

This includes therapeutic hypothermia for out-of-hospital cardiac arrest (OHCA), tranexamic acid (TXA) for epistaxis and electrolyte solutions for mild pediatric gastroenteritis. They have already seen several things come into fashion and go out of fashion during this short time. Tricoci et al.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Research Pediatrics Outcomes 40

Don't Forget the Bubbles

JANUARY 10, 2024

These were presented as hazard ratios and included fever at presentation, previous transfusion ever, haemoglobinuria, malaria, sickle cell disease on enrolment, HIV, evidence of sepsis, malnutrition, shock, hypothermia, and dehydration. Pediatr Crit Care Med. Transfusion strategies for patients in pediatric intensive care units.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

Taming the SRU

APRIL 17, 2023

The majority of ingestion cases occur in pediatric patients and are often minor due to low quantities of exposure. If a plant was ingested, activated charcoal can be used for GI decontamination at a dose of 50 mg (or 1 mg/kg in pediatric patients) depending on time since ingestion. Decontaminate.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Anaphylaxis Pediatrics 52

EB Medicine

AUGUST 1, 2018

Jeff: For more on synthetic intoxications in the ED, be sure to take a look at the recent May 2018 issue of Pediatric Emergency Medicine Practice on Synthetic Drug Intoxication in Children if you haven’t already read it. Nachi: Let’s talk about some special populations next -- starting with Pediatrics.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2016

Research into post-arrest after-care, therapeutic hypothermia, reanimatology. Helped establish the Freedom House ambulance with paramedic level care. Expanding focus of resuscitation to include the brain: CPCR; CardioPulmonary Cerebral Resuscitation. Support of prevention activities to lessen the need for resuscitation.

Resuscitation 40

Resuscitation CPR Emergency Nursing Basic Life Support 40