Pediatric EM Morsels

NOVEMBER 3, 2023

With concern for malaria, it is very important to identify who is non-immune and semi-immune as this can affect both the timeframe for illness after departure from the endemic country as well as severity of illness. Acute Kidney Injury Is Common in Pediatric Severe Malaria and Is Associated with Increased Mortality. Pediatr Emerg Care.

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

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.

Poisoning 94

Poisoning Fluid Resuscitation Seizures Resuscitation 94

EMDocs

JANUARY 11, 2025

Well keep it short, while you keep that EM brain sharp. 2, 8-10, 14 The clinical symptoms range from vague abdominal pain to florid septic shock and peritonitis secondary to bowel perforation. 2-4 Any patient with evidence of complications or septic shock may need surgical management or a higher level of care. DOI: 10.1097/PEC.0000000000001600

EMS 94

EMS Sepsis Shock Fluid Resuscitation 94

Sensible Medicine

SEPTEMBER 3, 2024

It is well-recognized that our commercial drug development process, a process that has led to so many nearly miraculous advancements, serves people with rare diseases poorly. Sensible Medicine readers appreciate a well-designed clinical trial. If I was a doctor at a pediatric research hospital, I would focus on transformational drugs.

Pediatrics 78

Pediatrics Poisoning Research Military 78

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. Tachycardia may be present both from many medications or drugs, as well as withdrawal. What is this patient’s disposition? Do they have edema?

Shock 105

Shock Emergency Department Pediatrics EKG/ECG 105

EMDocs

NOVEMBER 19, 2024

1,2 Neuroleptic malignant syndrome (NMS) (hyperthermia, autonomic instability, rigidity, altered mental status [AMS]) can occur as well and is most often seen with clozapine but has been observed with other atypicals. Low-dose lipid emulsion for pediatric vasoplegic shock due to quetiapine and fluvoxamine overdose: a case report.

Poisoning 108

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 108

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. Ahmed 2008) Tetanus toxoid booster is usually recommended. 2008;1(2):97-105. 2014;49(6):1009-1015.

CDC 130

CDC Poisoning Pediatrics Shock 130

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.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

PEMBlog

OCTOBER 18, 2023

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. The night prior to presentation, mom noticed he was not feeding as well and seemed fussy. Initially in the emergency department he was generally well-appearing with normal vital signs. No medication exposures.

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

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.

Pediatrics 52

Pediatrics Hospitals CPR Resuscitation 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.

EKG/ECG 97

EKG/ECG Shock Wellness EMS 97

EMDocs

OCTOBER 19, 2024

Leukocytosis, as well as mild leukopenia, are common. 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] Hospital Pediatrics. Pediatric Pulmonology. Published 2023.

EMS 106

EMS Pediatrics Sepsis Airway Management 106

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.

Poisoning 112

Poisoning Hyperthermia / Hypothermia Seizures Administration 112

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!

Fluid Resuscitation 59

Fluid Resuscitation Pediatrics Sepsis Shock 59

AED Leader

MAY 27, 2024

This article will discuss the essential features to look for when selecting an AED for schools, ensuring the safety and well-being of students, staff, and visitors. Pediatric Capability Children are not immune to sudden cardiac arrest, and having an AED with pediatric capability is crucial for schools. Q2: Can children use AEDs?

CPR 52

CPR Pediatrics Shock Administration 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.,

EMS 84

EMS Infectious Diseases Pediatrics Research 84

AED Leader

APRIL 29, 2024

In today’s fast-paced world, businesses must prioritize their employees’ and customers’ safety and well-being. AEDs are portable devices that can be used to deliver an electric shock to the heart in case of sudden cardiac arrest (SCA), a condition that can strike anyone, anywhere, at any time.

Shock 52

Shock Resuscitation Pediatrics CPR 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

Taming the SRU

JANUARY 24, 2024

The case highlights how we as providers can grieve the loss of our patients, as well as the profound relationships with can make with their family members. ETT Depth = ETT size x3 initial defibrillation: 2J/kg (next shock is 4J/kg) Toxicology Quick Hits Fomepizole is the treatment for both polyethylene glycol and methanol toxicity.

Fractures 89

Fractures Leadership Dislocations Resuscitation 89

EM Curious

MAY 27, 2015

How well do you think the INR is as an indicator of coagulopathy in these patients? More FOAMed THINGS THAT WILL MAKE YOUR LIFE EASIER PEDIATRIC ED HACKS [BLOG] : Rebel EM with an outstanding post on pediatric ED management hacks that will make you a more efficient, kind and creative ED doc. Read on here at Boring EM.

EMS 52

EMS Shock EKG/ECG Pediatrics 52

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.

Sepsis 52

Sepsis Emergency Department Seizures Pediatrics 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

AED Leader

MAY 3, 2024

AEDs are designed to deliver an electric shock to the heart, restoring its normal rhythm. Knowing that a church is well-prepared for emergencies instills confidence in the congregation and the surrounding community. It sends a message that the church values the well-being of its members and visitors.

CPR 52

CPR Operations Shock Pediatrics 52

AED Leader

JUNE 2, 2024

With innovative technology and intelligent algorithms, this AED delivers high-quality, accurate shocks to restore normal heart rhythm. The Philips HeartSaver AED is engineered to deliver a shock quickly and reliably, minimizing the time between the onset of cardiac arrest and the delivery of life-saving treatment.

CPR 52

CPR Shock Pediatrics Operations 52

AED Leader

SEPTEMBER 24, 2024

Key takeaways Automated External Defibrillators (AEDs) increase survival rates by detecting irregular heart rhythms and delivering shocks during cardiac arrest. Various AED models exist, including those designed for home use with features like pediatric mode and self-testing capabilities. The process is straightforward.

Pediatrics 52

Pediatrics Shock Operations Wellness 52

AED Leader

JULY 10, 2024

These devices are designed to deliver an electric shock to the heart, restoring its normal rhythm. Look for trainers that simulate real-life scenarios, including voice prompts, visual cues, and simulated shock delivery. AED trainers are essential tools for training individuals on properly using an AED in emergencies.

CPR 52

CPR Shock Pediatrics Wellness 52

Don't Forget the Bubbles

MAY 6, 2024

Acad Pediatr. Pediatric Critical Care Medicine , 25 (3), pp.e117-e128. While the use of oral corticosteroids to treat wheeze in asthma is well-established, evidence for their benefit in viral-induced wheeze is mixed. Article 1: Positive urine cultures without pyuria Wang ME, Jones VG, Kane M, et al. 2024;24(1):111-118.

Sepsis 75

Sepsis Outcomes Pediatrics Documentation/Coding 75

AED Leader

JUNE 17, 2024

These devices are designed to analyze the heart rhythm and deliver a potentially life-saving electric shock called defibrillation to restore the heart’s normal rhythm. These devices utilize biphasic waveform technology, which delivers a controlled amount of energy to the heart for a more efficient and effective shock.

CPR 52

CPR Pediatrics Shock Operations 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.

CPR 52

CPR Shock Pediatrics Operations 52

AED Leader

SEPTEMBER 23, 2024

Use pediatric pads for children under eight years old or weighing less than 55 pounds. That tiny shock given by the defibrillator? Think of it this way: if they’re alert enough to complain about your cooking, they probably don’t need an electric shock. Check for pacemakers or medical patch es before use.

Shock 52

Shock Resuscitation CPR Pediatrics 52

Pediatric Emergency Playbook

OCTOBER 1, 2016

Well appearing? Consider allergic proctocolitis if the child is well. It is important to note that 15% of necrotizing enterocolitis occurs in full-term babies; malrotation can present simply in shock, without initial overt bleed. Think -- pink stain, without clot: Infants and Young Children Well appearing?

Pediatrics 52

Pediatrics Wellness Shock Resuscitation 52

AED Leader

NOVEMBER 15, 2023

The device will perform charge and shock tests and prompt the user to press the shock button (on semi-automatic units) when required. Please note that running a manual self-test on this unit depletes the battery capacity by one shock. As the pads dry out, they may not attach as well to the skin, resulting in poor conductivity.

Shock 52

Shock CDC Pediatrics Wellness 52

AED Leader

NOVEMBER 15, 2023

The device will perform charge and shock tests and prompt the user to press the shock button (on semi-automatic units) when required. Please note that running a manual self-test on this unit depletes the battery capacity by one shock. As the pads dry out, they may not attach as well to the skin, resulting in poor conductivity.

Shock 52

Shock CDC Pediatrics Wellness 52

Taming the SRU

SEPTEMBER 15, 2023

Limited availability of radiology-performed US services in certain hospitals, especially overnight Can avoid unnecessary anticoagulation in patients Reduce time in ED to disposition In terms of workflow, when there is suspicion for a DVT, you need to first calculate a Wells’ Score for a DVT If low/moderate risk, can start with a D-dimer prior to committing (..)

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CPR Burns Airway Management Wellness 90

AED Leader

JULY 10, 2024

The Powerheart G5 is a user-friendly AED that provides real-time CPR feedback and can be used for adult and pediatric patients. It provides real-time feedback on the quality of CPR being performed and adjusts the shock energy accordingly. Philips AEDs Philips is a well-established brand in the medical industry.

CPR 52

CPR EKG/ECG Shock Pediatrics 52

The Skeptics' Guide to EM

SEPTEMBER 28, 2019

Case: A 45-year-old female in the emergency department is being admitted to the intensive care unit (ICU) for septic shock secondary to urinary tract infection (UTI). This was because of a well-known critical care physician Dr. Paul Marik.

Sepsis 52

Sepsis Shock Outcomes Stroke 52

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. American Burn Association Clinical Practice Guidelines on Burn Shock Resuscitation. link] (2019).

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Burns Fluid Resuscitation Resuscitation Poisoning 92