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.” We are shocked at the response this newsletter has achieved. Thank you x 1000.

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Stroke Hyperthermia / Hypothermia Outcomes Shock 98

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. American Burn Association Clinical Practice Guidelines on Burn Shock Resuscitation. IOs and central lines are also options. link] (2019). J Burn Care Res.

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Burns Fluid Resuscitation Resuscitation Poisoning 97

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

Ranulf went white with the shock. 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.

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Resuscitation Operations Sepsis Pediatrics 139

Pediatric Emergency Playbook

MARCH 1, 2016

On arrival, he was in compensated shock, with tachycardia. 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. Massive transfusion and blood product use in the pediatric trauma patient.

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Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 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. Pediatr Blood Cancer. Groups were well matched at baseline.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

EB Medicine

AUGUST 1, 2018

Jeff: There are a shocking 22 million past-month users of marijuana in the US, followed by pain relievers at 3.8 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.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

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. How do we prevent hypothermia? What is the ‘diamond of death’?

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Blood Transfusions Hyperthermia / Hypothermia Shock Pediatrics 72

Dr. Smith's ECG Blog

DECEMBER 5, 2019

Drug toxicity , especially diphenhydramine , which has sodium channel blocking effects, and also anticholinergic effects which may result in sinus tachycardia, hyperthermia, delirium, and dry skin. Implantable Cardioverter-Defibrillator ), with long-term potential for device-related complications from the ICD, including inappropriate shocks?

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EKG/ECG Hyperthermia / Hypothermia Seizures Documentation/Coding 52

Don't Forget the Bubbles

NOVEMBER 18, 2024

Hypothermia: Newborns, particularly preterm infants, are prone to hypothermia. Check electrolytes and consider the diagnosis, especially if the infant shows signs of shock or has a family history suggestive of CAH. Effective management of MAS will often result in the stabilization of blood pressure. Kleinman, M. Fernandez, E.

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Sepsis Shock Hyperthermia / Hypothermia Administration 59

PEMBlog

JANUARY 17, 2024

Randomized controlled trial of cephalexin versus clindamycin for uncomplicated pediatric skin infections. Pediatrics. Transcript Note: This transcript was partially completed with the use of the Descript AI  Welcome to another episode of PEM Currents, the Pediatric Emergency Medicine Podcast. 2011 Mar;127(3):e573-80. What is it?

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

EMDocs

JUNE 27, 2024

Pediatr Allergy Immunol Pulmonol. 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 2 mcg/kg, max 100 mcg) while obtaining IV access 20 IV/IM ketorolac (1 mg/kg, max 15 mg) Morphine (05-0.1 mg/kg, max 0.4

Pediatrics 97

Pediatrics Dehydration EMS Hospitals 97

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.

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Pediatrics Hyperthermia / Hypothermia Emergency Department Urgent Care 52

Taming the SRU

JUNE 6, 2023

mg/kg of IBW Seek to match a patient's minute ventilation with TV and RR after intubation Intentionally match patient's intrinsic RR noted prior to intubation Note that healthy lungs can handle 8 mL/kg, based on IBW, if that is useful for compensation Secure your ETT Thomas Tube Holder is a new ETT holder on Air Care for ETT down to size 6.5

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Documentation/Coding Seizures Psychiatric Wellness 64

EMDocs

JANUARY 6, 2025

Based on available hospital resources, the patient is treated for septic shock secondary to pneumonia and an infected wound using broad-spectrum antibiotics and IV crystalloid fluids. She is sent to the medical ward after three days in the ED with the diagnoses of resolving septic shock, severe malaria, and AKI.

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Infectious Diseases CDC PPE Rapid Diagnostic Testing 75