Pediatrics Archives - EMOttawa Blog

An Update for the Adrenaline Junky: Refine Your Anaphylaxis Management

by Graham Wilson | Mar 18, 2021 | All Posts, Critical Care, Featured, Grand Round Summaries, Immunology, Main page, Pediatrics

What chief complaint will you manage on both an adult and pediatric emergency shift? When you’re running through differentials for hypotension or shock, what life threatening conditions are on the list? When you think of airways that keep you up at night, scenarios...

$Effect of Nebulized Magnesium vs Placebo Added to Albuterol on Hospitalization Among Children With Refractory Acute Asthma Treated in the Emergency Department: A Randomized Clinical Trial$

Effect of Nebulized Magnesium vs Placebo Added to Albuterol on Hospitalization Among Children With Refractory Acute Asthma Treated in the Emergency Department: A Randomized Clinical Trial

by Hans Rosenberg | Feb 15, 2021 | Featured, Journal Club, Pediatrics, Respirology

Methodology: 4.5/5 Usefulness: 4/5 Schuh S, et al. JAMA. 2020 Nov 24;324(20):2038-2047. Question and Methods: RCT assessing the effectiveness of nebulized magnesium versus placebo in children presenting with an acute asthma exacerbation refractory to standard therapy,...

Randomized Trial of Three Anticonvulsant Medications for Status Epilepticus

by Hans Rosenberg | Mar 2, 2020 | Journal Club, Neurology, Pediatrics

Methodology Score: 4/5 Usefulness Score: 3.5/5 Kapur J et al. N Engl J Med. 2019 Nov 28;381(22):2103-2113. Question and Methods: A multicenter, randomized, blinded, comparative-effectiveness trial to determine the efficacy and safety of fosphenytoin, valproic acid...

Levetiracetam versus phenytoin for second-line treatment of paediatric convulsive status epilepticus (EcLiPSE): a multicentre, open-label, randomised trial

by Hans Rosenberg | Jan 27, 2020 | Full Article, Journal Club, Neurology, Pediatrics

Methodology: 4/5 Usefulness: 4/5 Lyttle MD, et al. Lancet. 2019 May 25;393(10186):2125-2134. Question and Methods: Eclipse was an open label RCT that evaluated time to seizure cessation in pediatric SE between Keppra and Dilantin Findings: They found that Keppra was...

Development and Validation of a Calculator for Estimating the Probability of Urinary Tract Infection in Young Febrile Children

by Hans Rosenberg | Apr 22, 2019 | Infectious Disease, Journal Club, Pediatrics, Urology

Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 3/5 Shaikh N, Hoberman A, Hum SW, Alberty A, Muniz G, Kurs-Lasky M, Landsittel D, Shope T. JAMA Pediatr. 2018 Jun 1;172(6):550-556. Question and Methods: The objective was to develop a risk-tool (UTICalc)...

Procedural Sedation in the ED – Part 1: Preprocedural Fasting

by Jim Yang | Oct 18, 2018 | Airway, Anesthesiology, Grand Round Summaries, Pediatrics

Procedural sedation is commonly performed in the Emergency Department. It is a critical tool that helps facilitate unpleasant but often necessary procedures that our patients would otherwise not tolerate. However, procedural sedation is also an extraordinarily...

Accuracy of PECARN, CATCH, and CHALICE head injury decision rules in children: a prospective cohort study

by Hans Rosenberg | Jul 9, 2018 | Journal Club, Pediatrics, Trauma

Methodology Score: 3.5/5 Usefulness Score: 4/5 Babl FE, et al. Lancet. 2017 Jun 17;389(10087):2393-2402. Question and Methods: This prospective observational study sought to externally validate and subsequently compare the relative performance of the PECARN, CATCH,...

Association Between Early Participation in Physical Activity Following Acute Concussion and Persistent Postconcussive Symptoms in Children and Adolescents

by Hans Rosenberg | Sep 25, 2017 | Full Article, Journal Club, Neurology, Pediatrics, Trauma

Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 3/5 Grool AM, et al. JAMA. 2016 Dec 20;316(23):2504-2514. EDITORIAL: Physical Activity or Rest After Concussion in Youth: Questions About Timing and Potential Benefit. Chrisman SP JAMA. 2016 Dec...