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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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Systemic Steroids: An ED Focused Overview

EMDocs

Yoo, MD (Assistant Professor/Core Faculty, San Antonio, TX) // Reviewed by Brit Long, MD (@long_brit) Case An 18-year-old man with a history of asthma and medication noncompliance presents to the emergency department (ED) with acute onset shortness of breath. He states that he recently moved to Texas from Colorado. Which one do you select?

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2023 AHA Update on Management Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning

EMDocs

This post will focus on the key parts of the guideline that affect ED evaluation and management. High-dose insulin therapy is recommended early in the treatment of patients with life-threatening β-blocker and calcium channel blocker poisoning. Top 10 Take Home Pearls 1. COR 2a, LOE C-LD. COR 2a, LOE C-LD. COR 2a, LOE C-EO.

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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., Paediatric advanced life support Guidelines [Internet]. and one in the US by Bonafide et al. What is the problem?

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A Beginner’s Guide to Vasoactive Drug use in Children with Septic Shock

Don't Forget the Bubbles

Four-year-old Ed is being resuscitated for presumed Invasive Group A Streptococcal Sepsis from tonsilitis. Although historically used quite frequently, dopamine is no longer recommended by advanced life support guidelines for septic shock unless adrenaline/noradrenaline are unavailable. After 40ml/kg of IV 0.9%

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Most EMS Terminology Comes Down to Initials, Abbreviations and Acronyms

NCOAE

Here, we present them in alphabetical order: ABC – Airway, Breathing and Circulation – “This is the Golden Rule of emergency medical professionals” AED – Automated External Defibrillator – The device that delivers electric shock to the heart of patients experiencing sudden cardiac arrest A-EMT – Advanced EMT ALS – Advanced Life Support Anaphylaxis— (..)

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Recognizing and Removing Disparities in Patient Care

ESO

One of these areas is assessing patients with ED-diagnosed strokes. In order to overcome these disparities, it is incredibly important for the industry to recognize and monitor where the discrepancies lie. Closing the gap Through data, ESO is working to identify areas in which we can improve outcomes for all patients.

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