Pediatric Emergency Playbook

  “You don’t have to get ready if you stay ready.” Selected References Selected References Desai NM, Tsukerman A. Vaginal Delivery. [Updated 2023 Jul 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559197/ Gallos I, Devall A, Martin J, et al. Randomized Trial of Early Detection and...

Sick or Not Sick works until it doesn’t. The “gap kids” may need observation or further investigation. SIRS is OUT — your clinical judgement is IN . Use the Phoenix Sepsis Score to determine the diagnosis of sepsis and septic shock, decide level of care.   Sepsis diagnosis is operationalized as 2 points or more on the Phoenix Sepsis Score, and septic shock as sepsis wi...

Selected References Fąfara-Leś A, Kwiatkowski S, Maryńczak L, et al. Torticollis as a first sign of posterior fossa and cervical spinal cord tumors in children. Childs Nerv Syst . 2014; 30:425. Gundrathi J, Cunha B, Mendez MD. Congenital Torticollis. [Updated 2023 Jan 31]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing . 2023 Jan-. Available from: https://www.ncbi.nlm.nih.g...

Selected References Aramendi E, Irusta U. To interrupt, or not to interrupt chest compressions for ventilation: that is the question! J Thorac Dis. 2016 Jan;8(1):E121-3. doi: 10.3978/j.issn.2072-1439.2016.01.04. PMID: 26904239; PMCID: PMC4740154. Aziz K, Lee CHC, Escobedo MB, Hoover AV, Kamath-Rayne BD, Kapadia VS, Magid DJ, Niermeyer S, Schmölzer GM, Szyld E, Weiner GM, Wyckoff MH, Yamada NK, Zai...

MO_04_03_0915-0945_Debriefing_Horeczko Download Selected References Anders Ericsson K et al. Deliberate Practice and Proposed Limits on the Effects of Practice on the Acquisition of Expert Performance: Why the Original Definition Matters and Recommendations for Future Research. Front. Psychol., 25 October 2019 Arriaga AF et al. Real Time Debriefing After Critical Events: Exploring the Gap Between...

You always have a moment before departure to explain and troubleshoot ahead of time. Thanks, Sean Fox! Take that moment, come up with a plan together.

“The Thinker’s Rash…” MAKES A MRC “Makes a Mark” M easles A rthritis K awasaki E ndocarditis S yphilis A llergy/Atopy M eningococcemia R ickettsia C oxsackie Measles Koplik spots appear in the mouth before the macular rash that starts at the hairline, and progresses to the extremities. Arthritis Reactive arthritis (Reiter’s syndrome) — genitourinary...

Selected References Bigliardi P, Langer S, Cruz JJ, Kim SW, Nair H, Srisawasdi G. An Asian Perspective on Povidone Iodine in Wound Healing. Dermatology. 2017;233(2-3):223-233. doi: 10.1159/000479150. Epub 2017 Aug 29. PMID: 28848111. Broughton II G et al.  War and Medicine: A Brief History of the Military’s Contribution. Advances in W California Department of Public Health. Rabies Surveillanc...

Selected References O’Keefe E, Singh P. Physiology, Cardiac Preload. [Updated 2021 Oct 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK541109/ Singh GK. Congenital Aortic Valve Stenosis. Children (Basel). 2019;6(5):69. Published 2019 May 13. doi:10.3390/children6050069 Thomas SL, Heaton J, Makaryus A...

Selected References Donofrio MT, Engle MA, O’Loughlin JE, Snyder MS, Levin AR, Ehlers KH, Gold J. Congenital aortic regurgitation: natural history and management. J Am Coll Cardiol. 1992 Aug;20(2):366-72. doi: 10.1016/0735-1097(92)90104-u. PMID: 1634673. Elliot LP et al. CONGENITAL MITRAL STENOSIS. Pediatrics October 1962; 30 (4): 552–562. 10.1542/peds.30.4.552 Ferreira S, Barbosa A, Gomes F...

Selected References Hardison JE. The Cervical Venous Hum: A Help and a Hindrance. N Engl J Med 1975; 292:1239-1240 Mejia E, Dhuper S. Innocent Murmur. [Updated 2021 Sep 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507849/ Ngo ML, Aggarwal A, Knudson JD. Peripheral pulmonary artery stenosis: an unusual c...

From: Inter-Tribal Council of Michigan From: Dr Shankar Dey From: Dr Tala

From: Chong J H. Atopic dermatitis in children: when topical steroid treatment “does not work” BMJ 2021; 372 :n297 doi:10.1136/bmj.n297 From: Devaraj NK, Aneesa AR, Abdul Hadi AM, Shaira N. Topical corticosteroids in clinical practice. Med J Malaysia. 2019 Apr;74(2):187-189. PMID: 31079135. One Finger Tip Unit (FTU) – 0.5 g Wet Wrap in Older Child Wet Wrap in Younger Child Selected Reference...

General Approach – all patients Pain-coping behaviors in children and adults with sickle cell disease are not typical. Often they use distraction (e.g. eating, watching TV, using smart phone). For the stable patient, consider butterfly needles for blood draws, sparing veins from IVs (i.e. preserve veins whenever possible). Give supplemental O 2 only for hypoxia (blunts bone marrow response). Any a...

Myth : “No olive, no problem”    Reality : Rare finding, since we diagnose earlier Pyloric stenosis occurs in young infants because the pyloric sphincter hypertrophies, causing near-complete obstruction of the gastric outlet. More common in boys, preterm babies, first-born. Less common in older mothers. Association with macrolide use.   Presentation Young infant arrives with forcefu...