Don't Forget the Bubbles

JANUARY 24, 2024

The first human trials for children with SRSE were conducted in 2014 where 2 patients responded well to the treatment and there have been encouraging results in open label adult trials more recently. Ketogenic diet treatment for pediatric super-refractory status epilepticus. Pharmacotherapy for Pediatric Convulsive Status Epilepticus.

Seizures 111

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 111

ACEP Now

OCTOBER 3, 2023

Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented. In a metropolitan area, pediatric patients with severe TBI should be transported directly to a pediatric trauma center if available.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

EMDocs

JUNE 25, 2024

Consider escharotomy if there is any issue with perfusion or neurologic deficit, as well as difficult ventilation in the intubated patient. 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.

Burns 92

Burns Fluid Resuscitation Resuscitation Poisoning 92

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

Dr. Smith's ECG Blog

JULY 22, 2023

The patient did well and was ultimately discharged home. 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. There were no dysrhythmias on cardiac monitor during observation.

EKG/ECG 91

EKG/ECG Hyperthermia / Hypothermia Documentation/Coding Wellness 91

Pediatric Education

MAY 7, 2023

The fever was responsive to antipyretics, and he was taking some dextromethorphan as well. Malignant hyperthermia is associated with inhaled anesthetics and some muscle relaxants and occurs usually very suddenly within minutes to hours. Maximum temperature was 102.4F 5 days ago. Resolution is also longer (9 or so days).

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Infectious Diseases Pediatrics Poisoning 40

Don't Forget the Bubbles

JUNE 26, 2023

Too much pulmonary blood flow and we will see well-oxygenated blood ( SpO2 >85% ) but insufficient systemic blood flow (pallor/mottling, cool peripheries, delayed capillary refill time, weak pulses, hypotension, narrow pulse pressure) and hypoxia (lactic acidosis). This is the most nuanced aspect. 2014;165(3):490-496.e8. Ann Thorac Surg.

Operations 128

Operations Research Hyperthermia / Hypothermia Hospitals 128

Advanced Emergency Nursing from AENJ

MAY 2, 2017

Consider the traumas and medical emergencies that have a seasonal prominence in your locality, then prepare topical presentations in formats that work well with your group. Useful combinations can be made such as near-drowning & hypothermia & intoxication. Not an impossible likelihood, eh?)

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Emergency Nursing Documentation/Coding Pediatrics 40

Don't Forget the Bubbles

JUNE 30, 2023

You will be running the show today, and you want to use your preparation time well. Balanced hemostatic resuscitation for bleeding pediatric trauma patients: A nationwide quantitative analysis of outcomes. J Pediatr Surg. Pediatr Surg Int. The trauma call goes out. So, what are your key priorities?

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

Pediatric Education

SEPTEMBER 3, 2023

He had no concerns and he was doing well in school and with his friends. He had a sprained ankle the previous year that he says was well-healed. Other states which could also affect sickling would be dehydration, acidosis, hypoxia and hyperthermia. Managing Acute Complications Of Sickle Cell Disease In Pediatric Patients.

Dehydration 40

Dehydration Hyperthermia / Hypothermia Pediatrics Military 40

EMDocs

FEBRUARY 9, 2024

She is well appearing, and while being placed on the monitor becomes anxious stating the symptoms are recurring. The same principles can be applied to pediatric patients with modified doses. Common causes include hypokalemia, hypocalcemia, hypomagnesemia, and hypothermia 3. An ECG is performed and is shown below: Figure 1.

EKG/ECG 91

EKG/ECG Hyperthermia / Hypothermia EMS Documentation/Coding 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

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. Adults tolerate hypotension relatively well, and is sufficient until we send them to the OR or interventional radiology suite. Semin Pediatr Surg.

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

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. Thankfully, some of the more common and/or dangerous plant poisonings have been well-categorized, and are summarized below. Deadly Nightshade and Jimson Weed are well known among the poisonous plants. Decontaminate.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Anaphylaxis Pediatrics 52

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. Groups were well matched at baseline. Pediatr Crit Care Med. Pediatr Blood Cancer.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

EB Medicine

AUGUST 1, 2018

Jeff: Because the current DEA controlled substances schedule designations are based on original chemical names, synthetics have gained popularity as manufacturers are able to produce newer compounds and circumvent DEA designation as well as routine urine drug screening tests. Jeff: And the etiology of CHS is not well understood.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

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. How well does the computer interpretation perform? Hyperkalemia 2. Other drugs with sodium channel blockade: Tricyclic antidepressants.

EKG/ECG 52

EKG/ECG Hyperthermia / Hypothermia Seizures Documentation/Coding 52

EMDocs

JUNE 27, 2024

His medical history is significant for three prior admissions for vaso-occlusive crises that have responded well to appropriate therapy, including pain control with NSAIDs and opioids, blood transfusions, antibiotics, and intravenous (IV) crystalloids. Pediatr Allergy Immunol Pulmonol. Pediatr Blood Cancer. C or 100.4

Pediatrics 94

Pediatrics Dehydration EMS Hospitals 94

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

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. Well, it’s clinical, right?

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

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

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

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

Pediatric Education

DECEMBER 15, 2024

He was acting well, and attempting to breastfeed. 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.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Pediatrics Dehydration Wellness 40

Don't Forget the Bubbles

NOVEMBER 18, 2024

However, if the infant is well-perfused, cardiovascularly stable, and showing no signs of organ dysfunction, active treatment may not be necessary. Hypothermia: Newborns, particularly preterm infants, are prone to hypothermia. This can manifest as hypotension. This can lead to peripheral vasoconstriction and hypotension.

Sepsis 59

Sepsis Shock Hyperthermia / Hypothermia Administration 59

Don't Forget the Bubbles

JANUARY 6, 2025

If a well-child had a sudden cardiac arrest with no downtime before good CPR was started, I’m sure everyone would be doing a fairly long resuscitation effort regardless of this research. Samuels-Kalow, Inaccuracy of temporal thermometer measurement by age and race, Academic Pediatrics, (2024) doi:[link] Whats it about?

Dislocations 59

Dislocations CPR Ultrasounds Resuscitation 59

Don't Forget the Bubbles

MARCH 4, 2025

Pediatrics. Pediatr Nephrol. Pediatr Nephrol. Pediatr Nephrol. Pediatr Infect Dis J. Obstacles to meeting nutritional recommendations in a tertiary pediatric intensive care unit. J Pediatr Gastroenterol Nutr. Pediatr Nephrol. J Pediatr Gastroenterol Nutr. J Pediatr Gastroenterol Nutr.

Pediatrics 59

Pediatrics Hyperthermia / Hypothermia Hospitals Documentation/Coding 59

EMDocs

JANUARY 6, 2025

She receives IV calcium gluconate and bicarbonate as well as oral potassium binders for hyperkalemia. Signs of malnutrition – which places patients at higher risk for infection – can include cachexia, muscular wasting, sunken eyes, redundant skin folds, edema, brittle skin and hair, bradycardia, hypotension, and hypothermia.

Infectious Diseases 72

Infectious Diseases CDC PPE Rapid Diagnostic Testing 72