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...
by Eusang Ahn, Hans Rosenberg | Jan 10, 2022 | Featured, Full Article, Journal Club, Pediatrics
Methodology: 4/5 Usefulness: 2/5 Desjardins MP, et al. CJEM. 2021 Sep;23(5):655-662. doi: 10.1007/s43678-021-00130-x. Epub 2021 May 26. Question and Methods: This double-blinded RCT compares analgesic efficacy of oral sucrose versus placebo in bladder catheterization...
by Hans Rosenberg | Jul 19, 2021 | Infectious Disease, Journal Club, Pediatrics
Methodology: 3/5 Usefulness: 1/5 Mas-Dalmau G, et al. Pediatrics. 2021 Mar;147(3):e20201323. doi: 10.1542/peds.2020-1323. Question and Methods: This RCT assessed effectiveness and safety of delayed (DAP), immediate (IAP) and no antibiotic prescription (NAP) in...
by Graham Wilson, Alex Coutin | Mar 18, 2021 | 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...
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,...
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...
