Pediatric Emergency Playbook

APRIL 1, 2016

Read on to go from bread-and-butter pediatric blood work to answer the question – what’s up with troponin, lactate, d-dimer, and BNP in kids? This is especially true in children – the majority of pediatric ambulatory visits do not require blood work to make a decision about acute care. The punchline is, use a pediatric reference.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

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

The Skeptics' Guide to EM

SEPTEMBER 28, 2019

Dr. Carly Eastin is an Associate Professor, Division of Research and Evidence Based Medicine, Department of Emergency Medicine, University of Arkansas for Medical Sciences. But you remember seeing in the news there was a study claiming vitamin C could cure sepsis. You wonder if giving vitamin C will affect her outcome?

Sepsis 52

Sepsis Shock Outcomes Stroke 52

PEMBlog

MARCH 27, 2024

My special guest podcaster, Emily Groopman, is an actual Pediatric Geneticist in training and we hope that you will find this episode useful. Pediatr Rev. Pediatrics. Transcript Note: This transcript was partially completed with the use of the Descript AI Welcome to PEM Currents, the Pediatric Emergency Medicine Podcast.

Pediatrics 59

Pediatrics Seizures Emergency Department Sepsis 59

Broome Docs

AUGUST 2, 2022

Vitamin C in sepsis: STOP IT, we do not LOVE IT Lamontagne F, Masse MH, Menard J, et al; LOVIT Investigators and the Canadian Critical Care Trials Group. Intravenous Vitamin C in Adults with Sepsis in the Intensive Care Unit. PMID: 35704292 Bottom line: Sepsis is not treated with vitamins. JAMA Pediatr. N Engl J Med.

Sepsis 52

Sepsis Emergency Department Radiology Radiology 52

The Skeptics' Guide to EM

FEBRUARY 10, 2018

Lancet January 2018 Guest Skeptic: Dr. Tessa Davis is a Pediatrician specialising in Pediatric Emergency Medicine and currently practicing in a central London hospital. Lancet January 2018 Guest Skeptic: Dr. Tessa Davis is a Pediatrician specialising in Pediatric Emergency Medicine and currently practicing in a central London hospital.

Emergency Department 40

Emergency Department Pediatrics Sepsis Hospitals 40

EB Medicine

MARCH 4, 2020

Literature Review: There is abundant literature on pediatric AGE but sparse research on AGE in adults. Therefore, many recommendations are extrapolated from the pediatric literature. Higher sugar solutions can be diluted 50% Coconut water Half strength apple juice has been studied in pediatrics and decreased treatment failure.

Emergency Department 40

Emergency Department Dehydration Poisoning Allergic Reactions 40

Don't Forget the Bubbles

NOVEMBER 15, 2023

Jasmine, a hypothetical case Jasmine is a 5-year-old girl weighing 18kg admitted to PICU with suspected sepsis. Pediatrics. About PICSTAR PICSTAR is a trainee-led research network open to all doctors, nurses and allied health trainees within Paediatric Intensive Care. Crit Care Med. 2020;48:1034-1041. doi:10.1097/CCM.0000000000004376

Resuscitation 80

Resuscitation Dehydration Administration Shock 80

Don't Forget the Bubbles

JUNE 10, 2024

NEC remains a significant challenge in neonatology, prompting ongoing research and clinical trials to understand its pathogenesis better, improve prevention strategies, and develop more effective treatments. Differential diagnoses include septic ileus, and infection causes such as sepsis, meningitis and pneumonia. ANZNN Annual Report.

Pediatrics 40

Pediatrics Sepsis Fluid Resuscitation Outcomes 40

Taming the SRU

MAY 1, 2023

Paulsen - Taming the SRU: ETHYLENE GLycol POISONING WITH Dr. KletseL - R1 CLinical DIAGNOSTICS: Toxic Plants WITH Dr. Arnold - Quick Hit: FASCICULAR Blocks WITH Dr. Baez - Research Lit Blitz WITH Dr. Wosiski-Kuhn and Dr. Zalesky - Oral Boards CPC WITH Dr. Davis and Dr. Paulsen Patient is a teenager with a history of a seizure disorder… The patient (..)

Poisoning 52

Poisoning Hyperthermia / Hypothermia Seizures Emergency Department 52

ACEP Now

JULY 7, 2024

14 Future research is needed to determine the sensitivity and specificity of this device, particularly in the ED environment, where patients may have taken medications or recreational drugs, or may have received sedative or antiepileptic medications. Utility of electroencephalogram in the pediatric emergency department. Ann Emerg Med.

Seizures 52

Seizures Emergency Department Outcomes EMS 52

Don't Forget the Bubbles

MAY 28, 2024

Hence, PPHN can be idiopathic or secondary to a variety of conditions such as meconium aspiration syndrome , respiratory distress syndrome, sepsis, asphyxia and congenital diaphragmatic hernia. Ongoing research and innovation are critical to develop strategies to reduce disease burden further. Early identification is key!

Sepsis 52

Sepsis Ultrasounds Pediatrics Research 52

Don't Forget the Bubbles

MARCH 4, 2024

Article 1: Infections in Foreign Travellers Bird C, Hayward GN, Turner PJ, Wasala D, Merrick V, Lyttle MD, Mullen N, Fanshawe TR; for Paediatric Emergency Research in the UK and Ireland (PERUKI). Reviewed by: John Coveney Article 2: How do we define sepsis in children? Paediatr Int Child Health. 2024 Jan 11:1-7. doi:10.1001/jama.2024.0179

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

Don't Forget the Bubbles

AUGUST 21, 2023

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

Pediatrics 98

Pediatrics Outcomes Research Sepsis 98

Don't Forget the Bubbles

MAY 8, 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. The researchers compared children diagnosed via screening with those diagnosed after clinical symptoms appeared. Pediatr Nephrol. Eur J Pediatr.

Pediatrics 69

Pediatrics Emergency Department Outcomes Research 69

Don't Forget the Bubbles

JULY 22, 2024

They were then able to run their planned subgroup analysis and see which variables were important to the research question. It’s undebatable that the authors have applied rigorous methodology to address this important research question. Each study was weighted proportionate to its contribution to the analysis. used IgE testing.

Outcomes 105

Outcomes Research Pediatrics Hospitals 105

Mind The Bleep

FEBRUARY 27, 2024

2] Since this data was published the APLS guidelines have altered to reflect these results and the need for more research in this area and now recommend the 10ml/kg boluses as above compared to the previous recommendation of 20ml/kg. saline), however more research is needed in this area. [4] Which type of fluid to use?

Fluid Resuscitation 96

Fluid Resuscitation Dehydration Hospitals Research 96

EMDocs

NOVEMBER 25, 2023

Source Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. 3: High or Low Fluid Volume in Sepsis? Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Am J Hematol. 2023 Apr;98(4):620-627.

Sepsis 63

Sepsis Emergency Department Pediatrics Academics 63

Don't Forget the Bubbles

JULY 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. Reviews and opinion articles Point-of-care ultrasound in pediatric nephrology. Pediatr Nephrol. JAMA Pediatr. Eur J Pediatr. Eur J Pediatr.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

Don't Forget the Bubbles

FEBRUARY 5, 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. In the review part of the list, we found an interesting systematic review in JAMA Pediatrics about the relationship between 100% juice consumption and weight gain.

Pediatrics 52

Pediatrics Research Resuscitation Psychiatric 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. In the current issue of JAMA Pediatrics, Roumeliotis and colleagues found that stricter restrictions resulted in more hospitalisations for adolescent eating disorders.

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. In our guideline section, we chose a review in Pediatrics looking at phototherapy to prevent severe neonatal hyperbilirubinemia. Pediatrics. Eur J Pediatr.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Urgent Care 52

Don't Forget the Bubbles

FEBRUARY 24, 2025

Because of this possible diagnosis, they were commenced on a macrolide antibiotic (azithromycin) in addition to treatment for neonatal sepsis +/- meningitis (ceftriaxone and acyclovir). Post-ET, careful monitoring is essential, particularly for secondary bacterial infections and sepsis. Pediatr Crit Care Med J. Pediatrics.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

Don't Forget the Bubbles

JANUARY 1, 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. This retrospective cohort study in JAMA Pediatrics looked at the impact of the COVID-19 pandemic on the socioemotional development of infants and toddlers.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

Sensible Medicine

AUGUST 14, 2024

Researchers comb through the victims’ genomes for mutations in cardiorespiratory function and autonomic arousal systems. This sort of sepsis would produce many of the common autopsy findings. ”) A 2016 study by Lambert et al in The Journal of Pediatrics shows how variable death investigations can be. Dr. Paul N.

CDC 94

CDC Sepsis Research Pediatrics 94

EMDocs

JANUARY 16, 2025

Authors: Kyle Smiley (EM Resident, BAMC, San Antonio, TX) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to Critical Kids, an emDOCs series focused on pediatric emergency medicine. Pediatric emergencies are challenging. Today we cover the Phoenix Sepsis Criteria. but PPV ranges from 25.1-39.5%

Sepsis 88

Sepsis Pediatrics Shock Hospitals 88

Don't Forget the Bubbles

NOVEMBER 6, 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. Eur J Pediatr. Pediatrics. JAMA Pediatr. Eur J Pediatr. Eur J Pediatr. Eur J Pediatr. Eur J Pediatr. Eur J Pediatr.

Pediatrics 52

Pediatrics Sepsis Fractures Hospitals 52

Don't Forget the Bubbles

FEBRUARY 17, 2025

He has received 20ml/kg in 5 to 10ml/kg aliquots in the ED, as his blood pressure keeps dropping, and the ED team is concerned about possible sepsis. Understanding venous congestion in pediatric patients may identify new causal pathways of organ injury for critically ill patients, with potential treatment implications.

Pediatrics 78

Pediatrics Ultrasounds Shock Resuscitation 78

EMDocs

JULY 26, 2023

2 In 1996, the World Health Organization (WHO) called for the remaining stocks of variola virus to be destroyed or transferred to one of two designated biosafety level 4 facilities: the Center for Disease Control (CDC) in Atlanta, Georgia or the State Research Center of Virology and Biotechnology in Koltsovo, Russia. McGraw-Hill; 2019.

CDC 88

CDC Research Pediatrics Wellness 88

EM Literature of Note

FEBRUARY 3, 2025

Piperacillin/Tazobactam, Cefepime, and the Risk of Harm: December 2024 Annals of Emergency Medicine Journal Club ACEPNow Settling the Cefepime versus Piperacillin-Tazobactam Debate 2024 Emergency Medicine Research Highlights: Forced Air, Sepsis, and More Tweet

Sepsis 62

Sepsis Shock Pediatrics Research 62

EMDocs

JANUARY 20, 2025

Sepsis There has been much controversy over the last two decades around the various nuances of volume resuscitation in ED patients with suspected sepsis, much of which goes beyond the scope of this limited review. 43 found that IV fluids did not improve symptoms in headache patients in a single pediatric ED. Andrews et al.

Dehydration 73

Dehydration Fluid Resuscitation Sepsis Resuscitation 73

Don't Forget the Bubbles

JULY 3, 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. In this month’s issue of Pediatrics, Brewster and colleagues investigated how well Google Translate and ChatGPT perform in translating discharge instructions.

Pediatrics 105

Pediatrics Fluid Resuscitation Research Hospitals 105

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. Hypotension in the setting of sepsis may be one of the first signs of a systemic infection.

Sepsis 59

Sepsis Shock Hyperthermia / Hypothermia Administration 59

Don't Forget the Bubbles

JANUARY 13, 2025

Often, these babies are managed as more common neonatal illnesses initially, such as persistent pulmonary hypertension of the newborn, sepsis, or respiratory distress syndrome. About PICSTAR PICSTAR is a trainee-led research network open to all doctors, nurses and allied health trainees within Paediatric Intensive Care. Copel, et al.,

Operations 59

Operations Outcomes Pediatrics EKG/ECG 59

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Consider sepsis and treat it accordingly. BK virus infection, replication, and diseases in pediatric kidney transplantation. Pediatric nephrology , 22 (9), pp.1243-1250. Challenges in pediatric renal transplantation. Pediatric Nephrology , 34 (1), pp.31-43. Pediatric transplantation , 23 (6), p.e13514.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Taming the SRU

FEBRUARY 3, 2025

It is also worth noting that these aggressive hematologic cancers occur more commonly in children and thus the risk of TLS can be higher in the pediatric population6. mg/dl (pediatrics) calcium < 7 mg/dl Clinical Tumor Lysis Syndrome (2) - laboratory TLS + one of the following: cardiac arrhythmia seizure sudden death creatinine > 1.5x

Fluid Resuscitation 56

Fluid Resuscitation Seizures Dehydration Emergency Department 56

PulmCCM

FEBRUARY 10, 2025

There’s no diagnostic test for sepsis, which leads to high rates of overdiagnosis, delayed care from missed cases, and flawed clinical research. Several new blood tests claim to solve the problem of diagnostic imprecision in the early management of suspected sepsis. missed bacterial infections).

Sepsis 52

Sepsis Urgent Care Emergency Department Pediatrics 52