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Paediatric Resuscitation Basics

Life-threatening presentations, whether it be medical or surgical emergencies, are rare in the paediatric population. Hardly any doctors see really sick kids everyday. As a result, inevitably there is a ‘fear factor’ but we need to get over it.

You don’t have the pathology, it is the child in front of you who is sick!

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Featured

  Pediatric Emergency Medicine Portal

Here you will find clinical pathways and important documents to help you take care of children using a standardized and evidence-based approach. Pathway list starts with ABCs then alphabetical from there.

  EM Cases Digest

From a pedagogical and instructional design standpoint, this innovative approach makes sense. It optimizes and solidifies learning based on Mayer’s cognitive theory of multimedia learning. Incorporating both visual (ebook) and auditory (podcast) elements optimizes working memory and thus learning.

  Pediatric EM Morsels

Archives

 Damage Control Resuscitation

The practice of Permissive Hypotension is the plan of tolerating below normal BPs and limiting IV fluids until definitive management of the bleeding can be performed (surgery or embolization). What is the goal BP? Dunno.

Articles of Interest

Airway: Pearls and Pitfalls

One cannot over-emphasize the importance of the appropriate equipment size for children. One size does not fit all. The pediatric age group represents a spectrum from neonates to infants, children, and adolescents.

Pain Management

Pediatric pain is all too often under-estimated and under-treated. Why does this matter? Under-estimating and under-treating pediatric pain may have not only short term detrimental effects but life-long detrimental effects as well; not to mention, screaming miserable children disturbing other patients in your ED and complaints to the hospital from parents.

Trauma Pitfalls

Pediatric Patients are NOT Aliens! They do, however, have different anatomy and physiology that must be considered! Pediatric Trauma patients can be even more challenging than adults to evaluate.

Urological Emergencies

In this blog, we’re going to dive into the topic of pediatric urologic emergencies. We’re going to focus on some of the more uncommon emergencies such as: phimosis, paraphimosis, priapism, entrapment injuries, testicular torsion, epididymitis, varicocele, and hydrocele. It’s important to note that UTI’s and Kidney stones are also common in peds, and often require additional work-up as often indicate abnormal anatomy or disease processes.

What is the state of emergency pediatrics in your country/region?

A global survey snapshot from Emergency Physicians International Issue #9.

Zany Zipper

The method of removal depends on where the genital skin is entrapped. The skin of the foreskin or scrotum may become stuck in two main sites: Between the teeth of the zipper. Within the sliding part of the zipper

Cutting-edge management of pediatric emergencies

Taking care of children is both tough and rewarding at the same time. The emergency room is a battleground of patients presenting with life-threatening situations to seemingly simple situations such as rashes or minor injuries. It is the former that present major challenges, which are, fortunately, infrequent.

Life or Death: Hospital Readiness for Pediatric Emergencies

Critically ill children brought to hospital emergency departments that are ill-prepared to care for pediatric emergencies have more than three times the odds of dying compared to those brought to hospitals well-equipped to care for them, according to an analysis led by University of Pittsburgh and University of California-Los Angeles physician-scientists.

National Pediatric Readiness Project

The National Pediatric Readiness Project is a multi-phase quality improvement initiative to ensure that all U.S. emergency departments have the essential guidelines and resources in place to provide effective emergency care to children.

PalmPEDi app aids physicians in managing pediatric emergencies

As far as clinical application, this app is a great resource for physicians managing pediatric emergencies, neatly presenting pertinent information for common emergent scenarios. Unfortunately, the app only gives information for children from 3 kg (6.6 lbs) to 36 kg (79.4 lbs).

Pediatric emergencies in the Outpatient Setting

“The key thing in the office is assessing the patient so that you don’t miss anything.” Dr. Jeff Gill, Peds.

Pediatric in-hospital emergencies: real life experiences, previous training and the need for training among physicians and nurses

To achieve pediatric emergency preparedness, many different approaches have been described, but often without evaluation of their short- and long-term outcomes

Peds Emergency Medicine Bootcamp

Finally, a comprehensive online video course that gives you the foundational tools you need to handle kids in the emergency department, whether it’s your first shift or 10th year in practice.