Archive

Medical Category: Pediatrics

Pediatric Push Dose Epinephrine: Getting the Epi Dose Right During Pediatric Resuscitation

Warning: Limited Published Evidence on this Topic You have just intubated a 4 year old with sepsis from a bad pneumonia. Post intubation BP is 70 systolic, while waiting for the epinephrine (adrenaline) infusion to come up from pharmacy you ...

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PediatricsResuscitation

IV and/or Nebulized MgSO4 in Pediatric Asthma Exacerbations?

Background: Acute asthma exacerbations are a common presentation to pediatric emergency departments (EDs). Standard treatment with inhaled beta agonists and corticosteroids are often sufficient in mild asthma but can fall short in the treatment of moderate to severe exacerbations. Magnesium sulfate ...

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PediatricsThoracic and Respiratory

Pediatric DKA: Do Fluids Really Matter?

Background: The most feared complication in the clinical course of children with diabetic ketoacidosis (DKA) is the development of cerebral edema. Cerebral edema is rare (<1%) but is the leading cause of death in pediatric DKA. Many of the details ...

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Pediatrics

REBEL Cast Episode 49: Pediatric Pain Management Pearls with Sebrina Perkins

Background: There has been lots of research published in past years on how to minimize pain and anxiety in children brought to the ED.  Unfortunately, as we all know there is often a lag time from research publication to clinical ...

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Pediatrics

The PARIS Trial: HFNC in Infants with Bronchiolitis

Background: Bronchiolitis is an acute inflammatory injury of the distal smaller airways, most commonly caused by viral infections.  There have been a host of medications studied in the treatment of bronchiolitis, including steroids, albuterol, epinephrine, and  inhaled hypertonic saline, with ...

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PediatricsThoracic and Respiratory

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