Let's check out another in the top ten articles presented at the recent AAP NCE in San Diego. This study examined the relationship between time to antibiotics and morbidity and mortality in pediatric sepsis. Links PubMed Critical Care Medicine The bottom line Early administration of antibiotics in sepsis [...]
I can't think of a recent shift in which I haven't placed a patient on oxygen. Given that, I wanted to share a brief teaching video on some of the various modalities for oxygen therapy in use in the Pediatric Emergency Department. Enjoy! http://vimeo.com/101403657
CPR can save a life. But, it has to be effective. The recent move to compressions only CPR has simplified matters for the lay provider, but are we actually seeing improved outcomes. Essentially, is asking someone to just "push hard and fast" on the chest [...]
Spoiler alert... There is currently a shortage of intravenous fluids in the US. This knowledge may come in handy if your ED is beset by dehydrated St. Patrick's Day revelers. Specifically supplies are constrained for both normal saline and lactated ringers, plus 5% dextrose solutions. [...]
Hematemesis in the newborn period can be alarming for parents and doctors. In this edition of Briefs we are going to look specifically at bloody emesis only in the neonatal period - age less than 4 weeks. Obviously the initial questions should focus on the [...]
High Flow, High Flow, it's off to work we go. Let's give some CPAP and… stop singing. OK, anyway, as a follow up to yesterday's article on standard oxygen therapy I wanted to dive into High Flow. It entails the delivery of heated and humidified [...]
As a prelude to a more detailed post on high flow (coming tomorrow) I thought that it would be a good idea to brush up on standard oxygen delivery devices and techniques - you know, the ones we use every day. Blow-by Temporary O2 delivery [...]
Check out this video on using the push-pull method for rapid administration of IV fluids. It is a much more efficient method than using prefilled syringes alone, and can allow for rates of administration much faster than traditional pumps. http://vimeo.com/35337388
I'm reviewing ACLS in preparation for recertification, and aside from it being a great review of stuff I'd pushed to the nether-regions of my mind, because well, adults... it reminded me that many of my pediatric colleagues see adults when they least expect it. An [...]
Sepsis is such a gigantic topic that one lousy post won't do it justice, so just like the bronchiolitis series from this winter I'll be posting a series on pediatric sepsis. Look for posts on management of shock, antibiotics, labs and more. Coming soon to [...]