Pediatric EM Morsels

AUGUST 9, 2024

We have previously discussed hypothermia presentations , GBS infections , and HSV infections. Fortunately, we have addressed many neonatal issues in the PedEMMorsels. Obviously, one of the most concerning considerations in neonates is the potential for infection. Can identify T. pallidum before antibodies against it can be detected.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

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. Researchers also looked at neurodevelopmental status three years after the operation. The LCOS is treated with careful IV fluid boluses and low-dose adrenaline. 2017;51(1):50-57.

Operations 128

Operations Research Hyperthermia / Hypothermia Hospitals 128

Taming the SRU

NOVEMBER 4, 2023

Despite research assessing interventions at various points along the coagulation cascade/inflammatory pathways, there remains no consensus for best treatment and treating the underlying cause is recommended Clinical Decision Rules: Head and C spine Imaging WITH Drs. The ISTH tool on MDcalc can be used to assess the presence of overt DIC.

Hyperthermia / Hypothermia 84

Hyperthermia / Hypothermia Resuscitation Burns Emergency Department 84

ACEP Now

APRIL 3, 2024

Early work on TTM in 2002 showed benefit to cooling to 33 degrees Celsius, which subsequently influenced international resuscitation guidelines to recommend mild hypothermia at 32 degrees to 34 degrees Celsius in 2005. Adding nuance, this study also showed that the highest-severity arrests did not benefit from hypothermia.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Resuscitation Outcomes Hospitals 40

RebelEM

JUNE 19, 2023

This balance is upset in trauma by loss of blood and factors, acidosis, hypothermia and the inflammatory cascade. The PATCH-trauma researchers sought to address this critique. Our bodies have a finely tuned system that allows blood to flow freely and not clot too easily while also allowing the body to form clots when needed.

Blood Transfusions 105

Blood Transfusions Outcomes Administration Hyperthermia / Hypothermia 105

The Skeptics' Guide to EM

FEBRUARY 11, 2023

Research interests include simulation-based assessment, transport medicine, and critical care analgesia. He is an assistant professor at the Northern Ontario School of Medicine University and is passionate about health equity for rural and indigenous populations.

Shock 56

Shock CPR Hyperthermia / Hypothermia Hospitals 56

Broome Docs

OCTOBER 31, 2022

PMID: 34904190 Not surprisingly, this paper has been covered by basically everyone who talks about research, so if you want to hear some other opinions, check out the SGEM , REBEL EM , or St. Intensive Care Med. 2022 Jan;48(1):78-91. doi: 10.1007/s00134-021-06577-x. Epub 2021 Dec 14. Ortho vs Anaesthesia – bigger, stronger and smarter!

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Seizures Emergency Department 52

Don't Forget the Bubbles

JANUARY 24, 2024

We are the trainee arm of the Paediatric Critical Care Society – Study Group (PCCS-SG) and work with them on research, audit and service evaluation. Hypothermia for Neuroprotection in Convulsive Status Epilepticus. N Engl J Med. 2016 Dec 22;375(25):2457-2467. doi: 10.1056/NEJMoa1608193. PMID: 28002714.

Seizures 111

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 111

The Skeptics' Guide to EM

FEBRUARY 27, 2021

Previous research in Australia has shown that the median time can be between 40-70 minutes for analgesia administration (19, 20). Delays in providing adequate analgesia leads to poorer patient outcomes, prolonged ED length of stay and reduced patient satisfaction (17, 18).

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Emergency Department Administration Research 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

JANUARY 10, 2024

The factorial design chosen by Dr Maitland and her research group means that several comparisons in transfusion practice could be carried out at the same time. What were the research questions? Does the study address a clearly focused research question? N Engl J Med. 2019;381(5):407-419. Was blinding achieved?

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

Don't Forget the Bubbles

MAY 17, 2023

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. To feed or not to feed during therapeutic hypothermia in asphyxiated neonates: a systematic review and meta-analysis. Romijn M, et al. Kumar J, et al. Eur J Pediatr.

Pediatrics 72

Pediatrics X-Ray Interpretation Sepsis Fractures 72

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 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

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. About PICSTAR PICSTAR is a trainee-led research network open to all doctors, nurses and allied health trainees within Paediatric Intensive Care.

Seizures 75

Seizures Pediatrics Emergency Department Ambulance Services 75

Greater Sydney Area HEMS

APRIL 26, 2023

Thus, ST management has been heavily based on lay opinion, and until recently, lightly on peer-reviewed research. – Concurrent traumatic injuries , along with hypothermia, hypoglycaemia, pain and fear can all stimulate maladaptive compensation, potentiating the above mechanisms. Health and Safety Executive Research Report 451.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Shock Research Operations 52

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2016

It is a 11:39 minute film, by Walter Reid Army Institute of Research Production of experimental research done by Peter Safar, MD, and associates, at Baltimore City Hospital's Department of Anesthesiology. Research: an integral function of anesthesiology department. Founded first ICU that was multi-disciplinary.

Resuscitation 40

Resuscitation CPR Emergency Nursing Basic Life Support 40

Thinking Critical Care

MAY 18, 2023

In 1983 I was an Englishman abroad, the London anaesthetist who was appointed to be the English anaesthetist on the Shock Team only because the outstanding candidate from Oxford had preferred to take up a job doing muscle relaxant research with Kitz and Katz in the USA. 4] The research agenda at the time was broad.

Shock 40

Shock Research Resuscitation Sepsis 40

Northwestern EM Blog

JANUARY 24, 2022

While the diagnosis of hypothyroidism can be delayed by lab results, clues to the diagnosis include thyroidectomy scar, non-pitting edema of the extremities, macroglossia, altered mental status, hypoglycemia and hypothermia. Critical Care Research and Practice. California Medicine. 12) Wang H, Jones A, and Donnelly J.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

Mind The Bleep

JULY 8, 2023

That might reflect a number of factors, for instance, candidates being further into their medical training, and the exam being more focussed on what they are actually doing on the job rather than theoretical basic sciences & physiology. Therefore, I’m sharing the things that worked well and were time-effective, and those that didn’t.

EKG/ECG 52

EKG/ECG Wellness Hyperthermia / Hypothermia Poisoning 52

EMDocs

DECEMBER 16, 2023

Broad-spectrum antibiotics (A) for septic shock are not inappropriate given the hyperthermia, tachycardia, and hypotension. Hyperthermia. As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. What is your diagnosis, and what are your next steps in evaluation and management? 1 Fever is usually < 40C.

Hyperthermia / Hypothermia 94

Hyperthermia / Hypothermia EMS Stroke Seizures 94

Don't Forget the Bubbles

OCTOBER 28, 2024

This makes comparing data across research trials challenging. How do we prevent hypothermia? Hypothermia is another part of the ‘ diamond of death ’. Care must be taken to avoid the ‘diamond of death’ (coagulopathy, acidosis, hypothermia, and hypocalcemia).

Blood Transfusions 72

Blood Transfusions Hyperthermia / Hypothermia Shock Pediatrics 72

ALiEM

MARCH 5, 2024

With severe toxicity, patients can have altered mental status, seizures, hyperthermia, and pulmonary edema. Phytotherapy Research. Salicylate has a direct effect on the respiratory center of the medulla causing tachypnea. Tinnitus, nausea, vomiting, and abdominal pain are common. European Journal of Clinical Pharmacology.

Hyperthermia / Hypothermia 114

Hyperthermia / Hypothermia Anaphylaxis Poisoning Administration 114

The Skeptics' Guide to EM

JUNE 24, 2017

Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline). His background includes working as a Research Assistant […] The post SGEM#183: Don’t RINSE, Don’t Repeat first appeared on The Skeptics Guide to Emergency Medicine.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR Resuscitation EMS 40

The Skeptics' Guide to EM

MARCH 5, 2022

AEM 2021 Guest Skeptic: Professor Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. AEM 2021 Guest Skeptic: Professor Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. Tricoci et al.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Research Pediatrics Outcomes 40

EB Medicine

AUGUST 1, 2018

Jeff: This DEA designation limits the ability to do research and obtain federal funding for such research. Synthetics were initially developed in the 1980s largely for research purposes. Nachi: Among metabolic abnormalities, patients can present with hyperthermia, hypoglycemia, hypokalemia, hyponatremia, and metabolic acidosis.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

RebelEM

DECEMBER 19, 2022

I am hopeful this trial encourages future research on the subject matter so we can answer additional questions it has left us (ie. Although additional research is needed before considering double defibrillation the standard of care, it should still be considered in patients with RVF.

EMS 52

EMS CPR Shock Resuscitation 52

Dr. Smith's ECG Blog

MAY 23, 2022

The peak troponin did not meet our research definition of OMI (Peak high sensitivity troponin I 10,000 ng/L, but this is only because there was such rapid reperfusion, with resolution of symptoms. The CHALLENGE: In 2008 Hassaguerre found an increased prevalence of ER in patients with idiopathic VFib ( N Engl J Med 358:2016-2023, 2008 ).

EKG/ECG 52

EKG/ECG Documentation/Coding Hyperthermia / Hypothermia Research 52

Don't Forget the Bubbles

AUGUST 4, 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. Morris and colleagues investigated the efficacy of refrigerated gel packs for therapeutic hypothermia in neonatal retrieval. Gallo Ruelas M, et al. Eur J Pediatr.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Pediatrics Burns Sepsis 52

Don't Forget the Bubbles

OCTOBER 2, 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. Original clinical studies Prevention of NICU Admission Hypothermia in Moderate- and Late-Preterm Infants. Pecenka C, et al. 2024 Sep 21;404(10458):1157-1170.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Urgent Care 52

Don't Forget the Bubbles

DECEMBER 6, 2023

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. Future research should incorporate longitudinal analyses to test these associations robustly. Hepnar L, et al. J Paediatr Child Health. 2023 Nov 27. Chiu M, et al.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Research Hospitals 52

PulmCCM

JANUARY 20, 2025

Although millions of cardiac arrests happen each year globally, high-quality clinical research on resuscitation is very difficult to conduct, due in part to challenges in obtaining consent and randomization. Unless otherwise noted, the CPR guidelines referenced here are ILCOR’s weak recommendations based on low-certainty evidence.

CPR 75

CPR Resuscitation Hyperthermia / Hypothermia Seizures 75

Don't Forget the Bubbles

MARCH 24, 2025

For example, research suggests that children receiving Dexmed have a lower risk of contrast-induced nephropathy , and in paediatric cardiac surgery, it has demonstrated cardioprotective effects. Because Dexmed can blunt these responses, they are particularly vulnerable to hypothermia during its use. How is Dexmedetomidine administered?

Pediatrics 59

Pediatrics Emergency Department Research Hyperthermia / Hypothermia 59

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. Hypothermia: Newborns, particularly preterm infants, are prone to hypothermia.

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. Clinically Relevant Bottom Line This study provides further evidence that prolonged CPR is associated with less favourable neurological outcomes.

Dislocations 59

Dislocations CPR Ultrasounds Resuscitation 59

Don't Forget the Bubbles

JANUARY 2, 2025

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. The researchers found that ultrasounds did not significantly contribute to diagnosing or managing the condition, with only 25-30% concordance with surgical diagnoses.

Pediatrics 59

Pediatrics Ultrasounds Ethical Issues Hospitals 59

Don't Forget the Bubbles

MARCH 4, 2025

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. Further research is needed to establish its long-term safety and efficacy in this population fully. In this collection you can find the study of Ali et al.

Pediatrics 59

Pediatrics Hyperthermia / Hypothermia Hospitals Documentation/Coding 59