JournalFeed

APRIL 24, 2021

We cover leadership through change, IN midazolam for pediatric seizure, hypothermia and young infant sepsis risk, VICTAS RCT, and clinically diagnosing GHB intoxication. It’s the JournalFeed Podcast for the week of Apr 19-23, 2021.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Seizures Sepsis Leadership 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

JULY 13, 2021

The post EM Quick Hits 30 Scaphoid Fracture, Therapeutic Hypothermia, HEADS-ED, Pelvic Trauma, Kratom, Femoral Lines appeared first on Emergency Medicine Cases.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fractures EMS Pediatrics 52

Don't Forget the Bubbles

JUNE 19, 2023

Hypothermia should be prevented both directly after birth (this includes considering the use of polythene bags in very small neonates born >32 weeks) and during admission. J Pediatr 2018;196:71-6. Pediatrics 2022;149:e2021053413. Curr Pediatr Rev 2018;14:212–8. Eur J Pediatr 2016;175:1047-57. Burchard PR et al.

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Pediatrics Ultrasounds Hyperthermia / Hypothermia Sepsis 143

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

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 152

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 152

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 94

Ultrasounds Pediatrics Hyperthermia / Hypothermia Burns 94

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

AUGUST 4, 2024

In the current issue of JAMA Pediatrics, Roumeliotis and colleagues found that stricter restrictions resulted in more hospitalisations for adolescent eating disorders. In this month’s issue of the European Journal of Pediatrics, Ruelas and colleagues published a meta-analysis on the role of green-banana-based treatments for diarrhoea.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Pediatrics Burns Sepsis 52

EMDocs

NOVEMBER 19, 2024

1,2 Neuroleptic malignant syndrome (NMS) (hyperthermia, autonomic instability, rigidity, altered mental status [AMS]) can occur as well and is most often seen with clozapine but has been observed with other atypicals. Rigidity and hyperthermia should raise concerns for NMS. 1 Seizures may occur due to lowered seizure threshold.

Poisoning 90

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 90

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

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

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 94

Poisoning Hyperthermia / Hypothermia Seizures Administration 94

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.

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Hyperthermia / Hypothermia Stroke Best Practices Pediatrics 52

Don't Forget the Bubbles

OCTOBER 2, 2024

In our guideline section, we chose a review in Pediatrics looking at phototherapy to prevent severe neonatal hyperbilirubinemia. In this issue of Pediatrics , Leyenaar and colleagues reported on a trial to compare the effectiveness of direct admission to bypass their emergency departments. Pediatrics. Eur J Pediatr.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Urgent Care 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 91

Stroke Outcomes Hyperthermia / Hypothermia Shock 91

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

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

Pediatric Education

DECEMBER 15, 2024

We have to order the nurses to use an isolette so hypothermia doesn’t become an issue. However it caries risk of dehydration, sunburn, and hypothermia. Even with sunlight filters hypothermia continues to be a major issues. D’Alessandro, MD Professor of Pediatrics, University of Iowa 2022;150(3).

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Hyperthermia / Hypothermia Pediatrics Dehydration Wellness 40

EMDocs

JUNE 27, 2024

Pediatr Allergy Immunol Pulmonol. Pediatr Blood Cancer. Pediatr Blood Cancer. smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02 mg/kg, max 0.4 C or 100.4

Pediatrics 75

Pediatrics Dehydration EMS Hospitals 75

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

Don't Forget the Bubbles

DECEMBER 6, 2023

In the current issue of Pediatrics, Ten Kate and colleagues conducted a meta-analysis on the accuracy of transcutaneous bilirubin (TcB) before, during, and after phototherapy. Gutman and colleagues , in their publication in JAMA Pediatrics, delved into a question many ponder. Eur J Pediatr. Pediatrics. Pediatrics.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Research Hospitals 52

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

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 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 Documentation/Coding Emergency Nursing Pediatrics 40

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 73

Burns Fluid Resuscitation Resuscitation Poisoning 73

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 Emergency Department Seizures 52

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

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 74

EKG/ECG Hyperthermia / Hypothermia Documentation/Coding Wellness 74

EMDocs

NOVEMBER 6, 2024

Recovery from profound lactic acidosis, hyperthermia, and rhabdomyolysis. Pediatr Neonatol. Clin Toxicol. 1970;3(2):267-273. doi:10.3109/15563657008990475 Boyd RE, Brennan PT, Deng JF, Rochester DF, Spyker DA. Strychnine poisoning. 1983;74(3):507-512. doi:10.1016/0002-9343(83)90999-3 Hardin J, Griggs R. The Lancet. doi:10.7861/clinmed.2020-0841

Poisoning 78

Poisoning Airway Management Dislocations Forensics 78

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

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 Outcomes Research Hospitals 78

Taming the SRU

AUGUST 25, 2023

wrist in extension clavicle tibial pediatric forearm Most likely injuries to need an x-ray? bicarb <18mEq/L) ketosis (preferably serum beta-hydroxybutyrate >3mmol/L) Risk factors SGLT2 inhibitor use fasting state ketogenic diet intra-abdominal pathology (AGE, pancreatitis, etc.) to 1 mcg/kg/hour procedural sedation loading dose: 0.5-1

Seizures 75

Seizures Fractures EKG/ECG Resuscitation 75

Don't Forget the Bubbles

NOVEMBER 18, 2024

Hypothermia: Newborns, particularly preterm infants, are prone to hypothermia. “Practical Aspects of Blood Pressure Management in Neonatal Intensive Care Units,” Pediatric Critical Care Medicine. “Role of Hydrocortisone in Treating Neonatal Hypotensive Shock,” Journal of Pediatrics and Neonatal Care.

Sepsis 59

Sepsis Shock Hyperthermia / Hypothermia Administration 59