by Joshua Emery | Dec 28, 2023 | cardiac arrest, Critical Care, Pediatrics, Resuscitation
Trauma is the leading cause of child and youth mortality globally (1). Pediatric trauma is a high acuity but low frequency event (2). Trauma is children is 7 times less frequent in comparison to the adult population (2). There is a well-documented correlation amongst...
by Rosa Ramaekers, Courtney Price | Oct 26, 2023 | Featured, Grand Round Summaries, Pediatrics
You are seeing your next patient in urgent care, a 35-year-old female with a wrist injury who has been waiting for 6-hours. After sending her for an x-ray and offering pain control in the ED, she tells you she is 3-months post-partum and is currently nursing. She asks...
by Kate O'Connell, Sam Wilson | Oct 5, 2023 | Critical Care, Featured, Grand Round Summaries, Pediatrics, Resuscitation
Do you remember when every newborn under 30 days with a fever needed an LP/admission/blood cultures? Well.. times are a little different but its nuanced. The goal of this update is to provide a practical update in pediatric emergency medicine to the average Canadian...
by Sheena Nandalal, Hans Rosenberg, Jeff Perry | Jun 5, 2023 | Featured, Full Article, Journal Club, Pediatrics, Trauma
Methodology: 4.5/5 Usefulness: 5/5 Beno S, al. CJEM. 2022 Aug;24(5):535-543. Editorial: Reducing overuse of CT imaging in pediatric trauma: a model example of the Model for Improvement. Question and Methods: The aim of this QI project was to reduce unnecessary CT...
by Jerry Yuchen Zheng, Hans Rosenberg, Venkatesh Thiruganasambandamoorthy | Mar 26, 2023 | Full Article, Journal Club, Pediatric Care, Pediatrics, Trauma
Methodology: 3/5 Usefulness: 3.5/5 Abid Z, et al. Ann Emerg Med. 2021 Sep;78(3):321-330.e1. Question and Methods: The study assessed the risk of brain injuries and fractures among infants <3 months with/without PECARN low-risk criteria by secondary analysis of...
by Ceilidh Kinlin | Feb 9, 2023 | cheo, Featured, Grand Round Summaries, Infectious Disease, Pediatric Care, Pediatrics
You have just seen an 10 month old previously healthy well-appearing female with 2 day history of fever (Tmax 39.5). No focus of infection is obvious on history of examination. Vitals are normal when ibuprofen is on board. She is completely unimmunized. What is your...
by Caitlin Hutchings, Hans Rosenberg, Debra Eagles | Oct 24, 2022 | Journal Club, Orthopedics, Pediatrics
Methodology: 4/5 Usefulness: 4.5/5 Perry DC, et al. Lancet. 2022 Jul 2;400(10345):39-47. Question and Methods: This large, multicentre, pragmatic RCT aimed to show equivalence between treating pediatric buckle fractures of the distal radius with soft bandage versus...
by Sheena Nandalal | May 26, 2022 | Airway, cardiac arrest, Featured, Grand Round Summaries, Pediatrics
Pediatric cardiac arrests are rare occurrences in Canada Due to the infrequency, pediatric cardiac arrest and resuscitation are challenging areas to study so the data we have is limited in scope and quality. This is an area for future research and improvement...
by Ceilidh Kinlin, Elyssia Adamo | Mar 17, 2022 | cheo, emergency, Featured, Gastroenterology, Pediatric Care, Pediatrics
We’re back this week with some new pediatric content — Managing Pediatric GERD! Check out our recent peds post on managing pediatric agitation here. Reflux disease is often considered as a common etiology for infants presenting with vomiting and perceived...
by Michael Schlegelmilch, Sam Wilson | Mar 10, 2022 | Featured, Pediatrics, psychiatry, Resuscitation
Pediatric mental health complaints are common presentations to the emergency department. Many providers are comfortable managing symptoms of depression, anxiety, suicidality. But what about pediatric patients with severe agitation and aggression? Between 6 and 10% of...