University of Maryland Department of Emergency Med

NOVEMBER 17, 2023

This small study suggests using reverse shock index times the Glasgow Comma Scake score may give a prognostication on pediatric trauma seve. Click to view the rest

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Shock Pediatrics 90

Pediatric EM Morsels

MARCH 29, 2024

Pediatrics. Pediatr Rev (2022) 43 (7): 371–383. link] The post Rebaked: Inborn Errors of Metabolism presenting in the ED appeared first on Pediatric EM Morsels. Incidence of inborn errors of metabolism in British Columbia, 1969–1996. 2000; 105:e 10. Inborn Errors of Metabolism: Becoming Ready for Rare. Samantha A.

Dehydration 297

Dehydration Pediatrics Sepsis EMS 297

The Skeptics' Guide to EM

DECEMBER 14, 2024

Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. Background: Pediatric sepsis is a major global health concern, causing an estimated 3.3 The 2005 International Pediatric Sepsis Consensus Conference (IPSCC) criteria were established based on expert consensus and used for diagnosis.

Sepsis 101

Sepsis Shock Pediatrics Hospitals 101

EMDocs

MARCH 9, 2025

This is thought to be secondary to increased microtrauma for boys 1 In pediatric patients long bones (femur, tibia) are more commonly infected nearing 75% of the time. Pediatric osteomyelitis treatment algorithm. Bacterial osteomyelitis in pediatric patients: a comprehensive review. Osteoarticular infections in pediatrics.

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Pediatrics EMS Infectious Diseases Fractures 52

EMDocs

APRIL 6, 2024

. #1: Phoenix Criteria – New Pediatric Sepsis Score Spoon Feed The Phoenix Sepsis Score, which is a novel clinical criterion for pediatric sepsis and septic shock developed using measures of organ dysfunction, outperforms existing IPSCC criteria for the diagnosis of pediatric sepsis and septic shock. Pediatrics.

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Sepsis Pediatrics Shock 94

Sensible Medicine

SEPTEMBER 3, 2024

If I was a doctor at a pediatric research hospital, I would focus on transformational drugs. Establishing GLP-1 drugs as a bridge treatment to gene therapies for pediatric rare disease, as GLP-1 drugs may be a bridge treatment to gene therapy for some types of diabetes, would be transformational. Maybe one with a bowling alley?

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Pediatrics Poisoning Research Military 79

JournalFeed

MARCH 28, 2020

We cover cast vs walking boot for Achilles tendon rupture; treating toddler's fracture - boot, cast, or nothing; digital distractors for painful pediatric procedures; WEST’s c-spine clearance algorithm; and RAFF2 - drug-shock or just shock a-fib. Special thanks to Lara Fesdekjian for writing theme music!

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Shock Fractures Pediatrics 52

Emergency Medicine Cases

NOVEMBER 5, 2019

The post EM Quick Hits 10 – TXA CRASH-3, CJEM Cellulitis, Double Defib, Serratus Anterior Block, PARC score, Toxic Shock Syndrome appeared first on Emergency Medicine Cases.

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Shock Head Injuries EMS Pediatrics 52

Pediatric Emergency Playbook

JUNE 1, 2016

Do we recognize shock early enough? World wide, shock is a leading cause of morbidity and mortality in children, mostly for failure to recognize or to treat adequately. So, what is shock? Simply put, shock is the inadequate delivery of oxygen to your tissues. How do we prioritize our interventions? Pericardial Effusion?

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Shock Sepsis Pediatrics Ultrasounds 40

Pediatric Emergency Playbook

AUGUST 1, 2017

Pediatr Rev. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem. Pediatr Surg Int. Eur J Pediatr Surg 2016; 26:192. Pediatrics 1977; 60:457. J Pediatr Gastroenterol Nutr 2008; 46:13. J Pediatr 2005; 146:787. Pediatr Surg Int 2003; 19:439. Pediatr Surg Int 2003; 19:247.

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Pediatrics Ultrasounds Resuscitation Sepsis 52

Pediatric EM Morsels

MARCH 17, 2023

J Emerg Trauma Shock. Management of pediatric snake bites: are we doing too much? J Pediatr Surg. Pediatr Nephrol. doi:10.1186/1757-1626-1-16 The post Snake Bites and Children appeared first on Pediatric EM Morsels. But that puts them at risk for snake bites in some areas. 2008;1(2):97-105. 2014;49(6):1009-1015.

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CDC Poisoning Pediatrics Shock 130

EMDocs

OCTOBER 8, 2024

Pediatric rate cut off for tachycardia varies with age but again is defined as a heart rate great than what the normal appropriate resting heart rate for that particular age range. Additional resuscitation Have we addressed all potential sources of shock for the patient in front of us? What is this patient’s disposition? Ann Emerg Med.

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Shock Emergency Department Pediatrics EKG/ECG 105

The Skeptics' Guide to EM

FEBRUARY 25, 2023

Sodium bicarbonate use during pediatric cardiopulmonary resuscitation: a secondary analysis of the icu-resuscitation project trial. Pediatric Crit Care Med. 2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center. Pediatric Crit Care Med.

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Pediatrics Hospitals CPR Resuscitation 52

EMDocs

JANUARY 13, 2024

sodium chloride) reduced acute kidney injury and improved other outcomes in these pediatric patients with septic shock. Source Multiple Electrolytes Solution Versus Saline as Bolus Fluid for Resuscitation in Pediatric Septic Shock: A Multicenter Randomized Clinical Trial. Crit Care Med. 2023 Nov 1;51(11):1449-1460.

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Stroke Shock Pediatrics Resuscitation 77

EMDocs

NOVEMBER 6, 2023

Venoarterial extracorporeal membrane oxygenation can be lifesaving for patients with cardiogenic shock or dysrhythmias that are refractory to other treatment measure s. The usefulness of administering methylene blue for refractory vasodilatory shock due to CCB poisoning is uncertain. COR 2a, LOE C-LD. COR 2a, LOE C-LD. COR 1, LOE C-LD.

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Poisoning Hyperthermia / Hypothermia Seizures Administration 112

PEMBlog

OCTOBER 18, 2023

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. Neonatal Toxic Shock Syndrome C. Neonatal Toxic Shock Syndrome-Like Exanthematous Disease E. This condition is Induced by the superantigen toxic shock syndrome toxin-1 (TSST-1), produced by Staphylococcus aureus.

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

Taming the SRU

DECEMBER 17, 2024

Other contraindications include those who are unable to drink liquid (respiratory problems or impaired unconsciousness) and patients in shock, persistent vomiting, or with an ileus. This has been particularly validated in pediatric literature; however, this can be applicable to the adult patient population within the right circumstances i.e

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Dehydration Fluid Resuscitation Administration Resuscitation 84

EMDocs

OCTOBER 19, 2024

CT scans are typically not recommended in pediatric patients, but can be useful in adults with concern for tracheal stenosis or recurrent tracheitis, however airway stabilization takes precedence. [2][3] Pediatric Bacterial Tracheitis—A Variable Entity: Case Series with Literature Review. Hospital Pediatrics. Published 2023.

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EMS Pediatrics Sepsis Airway Management 106

Taming the SRU

JANUARY 12, 2024

pediatric small groups WITH our cchmc colleagues Dermatologic emergencies Children can present with a wide range of rashes, many of which are benign, however identifying concerning rashes is very important. Use your resources to differentiate scary from benign! Children are not just small adults!

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Fluid Resuscitation Pediatrics Sepsis Shock 59

Emergency Medicine Cases

MARCH 10, 2020

Dr. Allan Shefrin tells his Best Case Ever of a child who presents in shock and discusses the causes of tension hydrothorax, indications for tube thoracostomy for hydrothorax and integration of POCUS into pediatric resuscitation. The post BCE 81 Tension Hydrothorax appeared first on Emergency Medicine Cases.

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Shock Pediatrics Resuscitation Ultrasounds 52

ALiEM

NOVEMBER 1, 2023

Critical illness requiring intubation and propofol sedation Cyanide toxicity requiring sodium thiosulfate Iron toxicity treated with deferoxamine Refractory vasoplegic shock treated with methylene blue Septic shock treated with vancomycin and cefepime Reveal the Answer 3. Curr Opin Pediatr 2006;18(2):174-9. Deferoxamine.

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Shock Poisoning Pediatrics 64

EMDocs

OCTOBER 9, 2023

6 However, due to the vasoconstrictive effects, hydrocortisone may be useful in refractory shock. Corticosteroids in septic shock: a systematic review and network meta-analysis. Pediatr Nephrol. Given its mineralocorticoid properties, hydrocortisone is traditionally used for adrenal insufficiency. 2015;116(6):960-975.

Basic Life Support 101

Basic Life Support CPR Fractures Emergency Department 101

AED Leader

MAY 27, 2024

Pediatric Capability Children are not immune to sudden cardiac arrest, and having an AED with pediatric capability is crucial for schools. Look for AEDs with pediatric pads or electrodes specifically designed for children. However, AEDs with pediatric capability can be safely used on children. Q2: Can children use AEDs?

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CPR Pediatrics Shock Administration 52

EMDocs

DECEMBER 6, 2024

Stage 3 (timing variable) Shock 1 : Can occur within hours for massive ingestion, but may occur over a longer time course. 6 Severe toxicity and shock are typically seen with serum iron concentrations above 500 g/dL and serum iron concentrations above 1000 g/dL are associated with significant mortality. Arch Pediatr Adolesc Med.

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Poisoning Fluid Resuscitation Seizures Resuscitation 94

JournalFeed

JULY 6, 2024

The panel recommended against high-dose/short duration corticosteroids in patients with septic shock. Tuesday Spoon Feed : In pediatric patients who have an Alvarado score 6 and below, the absence of free fluid or periappendiceal fat inflammation, when the appendix was not visualized on ultrasound, had a negative predictive value of 99.4%

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Shock Ultrasounds Pediatrics Hospitals 52

EMDocs

JULY 1, 2023

BMC Pediatrics. Upon further research in the 1970’s, retrospective data from autopsies of those patients showed coronary aneurysms 5 Pathophysiology: Kawasaki Disease is a vasculitis of medium sized arteries. Rosh Review Website Link FOAMed: [link] [link] [link] References: Noorani, M., Lakhani, N. 2018;18(334). link] McCrindle, B.,

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EMS Infectious Diseases Pediatrics Research 84

Taming the SRU

JUNE 7, 2023

CPC: Rheumatic Fever - Carbon Monoxide Poisoning - Pediatrics: Toxicology - Combined EM/IM: Competency CPC: Rheumatic Fever WITH Drs.

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Poisoning EKG/ECG Pediatrics Burns 76

JournalFeed

JANUARY 16, 2021

We cover non-invasive ventilation for severe asthma, prognostication in near-hanging patients, push-dose phenylephrine for septic shock, safety bundles for critical pediatric intubation, and when to intubate patients with ACE inhibitor angioedema. It’s the JournalFeed Podcast for the week of Jan 11-15, 2021.

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Shock Pediatrics 52

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

AED Leader

JUNE 11, 2024

Quick Shock Delivery and Fast Charging In a life-threatening situation, quick response time is vital. Philips defibrillators are designed to deliver a shock quickly, minimizing the time between chest compressions and defibrillation. This rapid shock delivery feature can significantly improve the chances of a successful resuscitation.

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CPR Shock Resuscitation Operations 52

AED Leader

APRIL 23, 2024

A manual defibrillator is a device used to deliver an electric shock to the heart to restore its normal rhythm. When activated, the defibrillator delivers a controlled electric shock, interrupting the heart’s chaotic electrical activity and allowing it to reset and resume its regular beating pattern.

Shock 52

Shock Best Practices Outcomes Pediatrics 52

Taming the SRU

MARCH 10, 2024

For example breath holding spells in pediatrics, loss of autonomic sensitivity in the elderly, loss of vasculature compliance in the elderly, and compression of the IVC by a gravid uterus. Keep in mind special populations such as the elderly, children and pregnant women who may have slightly different physiology leading to syncope.

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EKG/ECG Shock Wellness EMS 97

AED Leader

APRIL 22, 2024

The Role of AEDs in Sudden Cardiac Arrest AEDs are portable electronic devices designed to deliver an electric shock to the heart and restore its rhythm during SCA. AEDs analyze the heart’s rhythm and determine whether a shock is needed. Quick Shock Technology Time is of the essence in a sudden cardiac arrest situation.

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CPR Shock Resuscitation Operations 52

AED Leader

JULY 5, 2024

The HeartStart OnSite AED boasts a quick start-up time and delivers a shock within eight seconds if it detects a shockable rhythm. The HeartStart OnSite AED has a long-life lithium battery that can deliver up to 200 shocks or provide approximately four hours of continuous monitoring.

CPR 52

CPR Resuscitation Shock Pediatrics 52

Don't Forget the Bubbles

MAY 6, 2024

Acad Pediatr. Pediatric Critical Care Medicine , 25 (3), pp.e117-e128. Article 1: Positive urine cultures without pyuria Wang ME, Jones VG, Kane M, et al. Clinical Course of Children 1 to 24 Months Old With Positive Urine Cultures Without Pyuria. 2024;24(1):111-118. doi:10.1016/j.acap.2023.06.023 2023.06.023 What’s it about?

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Sepsis Outcomes Pediatrics Documentation/Coding 75

The Skeptics' Guide to EM

NOVEMBER 18, 2017

Fever in the Emergency Department Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. Fever in the Emergency Department Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. We have covered fever before on the SGEM in pediatric patients.

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Sepsis Emergency Department Seizures Pediatrics 52

AED Leader

SEPTEMBER 28, 2024

Key takeaways AEDs, like the Philips HeartStart OnSite and ZOLL AED Plus, help save lives during sudden cardiac arrest by checking the heart’s rhythm and delivering a shock if needed. Models designed for home or public spaces have different features like durability and automatic shocks. They are easy for anyone to use.

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CPR Shock Pediatrics Operations 52