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SGEM #417: Everybody’s Changing…the Reference Ranges for Pediatric Vital Signs

The Skeptics' Guide to EM

Case: A 5-year-old boy presents to the emergency department (ED) with his parents for fever and fatigue. Vital sign ranges from common guidelines such as Pediatric Advanced Life Support (PALS) [1] or Advanced Pediatric Life Support (APLS) [2] can differ. He has had three days of high fevers at home.

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The Broselow-Luten System

Pediatric EM Morsels

DeBoer 2020] Now seen as industry standard in pediatric emergency care. Broselow-Luten System: Supportive Data Physician estimates of weight can underdose children by 49% or overdose by up to 116%. PAWPER was more accurate than EPLS (European life support formula) as well. Came out in 1986. x exp[0.02 x exp[0.02

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SGEM#350: How Did I Get Epi Alone? Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrests

The Skeptics' Guide to EM

Neil Dasgupta is an emergency physician and ED intensivist from Long Island, NY, and currently an assistant clinical professor and Director of Emergency Critical Care at Nassau University Medical Center. Case: A code blue is called for a 71-year-old male in-patient that is boarding in the emergency department (ED).

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Most EMS Terminology Comes Down to Initials, Abbreviations and Acronyms

NCOAE

20, 2020: Surfing Terminology and Slang: You Can’t Play BINGO Without the Lingo From Oct. 10, 2020: On Belay — Climbing Terminology and Slang From Oct. If you recall, we started out with some “gnarly” surfing terms, then we “tied in” to a conversation about climbing, finally pulling a “wet exit” on the language of paddling.

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Reference ranges of paediatric heart rate and respiratory rate

Don't Forget the Bubbles

Heart rate (HR) and respiratory rate (RR) are THE major vital signs used in Advanced Paediatric Life Support ( APLS) guidance , sepsis guidelines , and Paediatric Early Warning Scores (e.g., Evaluating the Pediatric Early Warning Score (PEWS) System for Admitted Patients in the Pediatric Emergency Department. Emerg Med J.

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Updates in the Management of Refractory Ventricular Tachycardia or Ventricular Fibrillation Arrest

ACEP Now

emergency departments (EDs), with statistics reporting more than 356,000 out-of-hospital cardiac arrests per year. More recent literature and guidelines support the use of lidocaine as an alternative agent, and currently both are included in standard advanced cardiovascular life support. Circulation. 2018;137(12).

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Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

However, evidence emerged in the 1980’s demonstrating that calcium chloride had no effect on return of spontaneous circulation (ROSC) rates, and in fact could be detrimental (Landry, Foran, & Koyfman, 2014). 2020) thus lending itself to a potential drug for cardiac arrest. Annals of Emergency Medicine, 64 (2), 187-189.

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