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BROWSE EVIDENCE REPOSITORY

 

Acute Otitis Media

Bottom Line Recommendations: Acute Otitis Media

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Le Saux, N & TREKK Network

Bottom line recommendations for the treatment and management of acute otitis media. Published online: October 2016.

Recommandations de Base: Otite moyenne aiguë

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Le Saux, N & TREKK Network

Bottom line recommendations for the treatment and management of acute otitis media - French. Published online: December 2016.

Bottom Line Recommendations: Flow diagram for the management of children with suspected and confirmed acute otitis media

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Le Saux N, Robinson JL, Canadian Paediatric Society, Infectious Diseases and ...

This flow diagram from the position statement of the Canadian Paediatric Society illustrates the management of children with suspected and confirmed acute otitis media.

Bottom Line Recommendations: Videos in clinical medicine. Diagnosing otitis media--otoscopy and cerumen removal

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Shaikh N, Hoberman A, Kaleida PH, Ploof DL, Paradise JL

Pneumatic otoscopy and cerumen removal is discussed in this video. Mastery of otoscopic examination techniques is necessary for the accurate diagnosis of otitis media.

Asthma

Bottom Line Recommendations: Asthma

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Johnson D & TREKK Network

Bottom line recommendations for the treatment and management of asthma. Published online: August 2017.

Recommandations de Base: Asthme

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Johnson D & TREKK Network

Recommandations de base pour le traitment et la gestion de l'asthme - FRANÇAIS. Publié en ligne: août 2017.

Bottom line recommendations for the treatment and management of asthma - FRENCH. Published online: August 2017.

Bronchiolitis

Bottom Line: Bottom Line Recommendations: Bronchiolitis

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Plint, A & TREKK Network

Bottom line recommendations for the treatment and management of bronchiolitis. Updated April 2017

Bottom Line: Recommandations de Base: La Bronchiolite

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Plint, A & TREKK Network

Bottom line recommendations for the treatment and management of bronchiolitis - en franais.

Concussion

Bottom Line: Management of Acute Symptoms Algorithm

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Ontario Neurotrauma Foundation

This document is intended to guide health care professionals in diagnosing and managing pediatric concussion. See Page 48 of this document for the Management of Acute Symptoms Algorithm (Tool 2.1).

Bottom Line: Acute Concussion Evaluation (ACE): Physician/Clinician Office Version

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Goia G, Collins M

The ACE is intended to provide an evidence-based clinical protocol to conduct an initial evaluation and diagnosis of patients (both children and adults) with known or suspected mild traumatic brain injury.

Bottom Line: The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5)

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Davis GA, Purcell L, Schneider KJ, Yeates KO, Gioia GA, Anderson V, Ellenboge...

The Child SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The Child SCAT5 is to be used for evaluating Children aged 5 to 12 years. For athletes aged 13 years and older, please use the SCAT5.

Bottom Line: The Sport Concussion Assessment Tool 5th Edition (SCAT5)

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Echemendia RJ, Meeuwisse W, McCrory P, Davis GA, Putukian M, Leddy J, Makdiss...

The SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The SCAT5 is to be used for evaluating athletes aged 13 years and older. For children aged 12 years or younger, please use the Child SCAT5.

Congenital Heart Defect

Bottom Line: Approach to cyanotic congenital heart disease in the newborn

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Cheung C

This document summarizes causes, symptoms, and management of cyanosis in newborns.

Constipation

Bottom Line: Flowchart of evaluation and management of functional constipation in children

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Koppen IJ, Lammers LA, Benninga MA, Tabbers MM

Flowchart of evaluation and management of functional constipation in children.

Croup

Bottom Line Recommendations: Croup

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Johnson, DW. & TREKK Network

Bottom line recommendations for the treatment and management of croup. Published online: September 2014.

Recommendations de Base: Laryngite Aigu

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Johnson, DW. & TREKK Network

Bottom line recommendations for the treatment and management of croup- French. Published online: October 2014.

Diabetic ketoacidosis

Bottom Line Recommendations: Diabetic Ketoacidosis

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Reid, S & TREKK Network

Bottom line recommendations for the treatment and management of diabetic ketoacidosis (DKA).

Recommendations de Base: Acidocetose Diabtique (ACD)

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Reid, S, & TREKK Network

Bottom line recommendations for the treatment and management of diabetic ketoacidosis (DKA).

Bottom Line: Immediate Assessment and Magement of Diabetic Ketoacidosis (DKA) in Children

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Wherrett, D, Huot, C, Mitchell, B, & Pacaud, D

Figure from Canadian Diabetes Association Clincial Practice Guidelines on Type 1 Diabetes in Children and Adolescents.

Bottom Line: Diabetic Ketoacidosis Protocol: For Children up to Age 19 Years

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BC Children's Hospital

This protocol is designed as an algorithm for treating the majority of cases of diabetic ketoacidosis in infants, children and adolescents.

Febrile Status Epilepticus

Emergency Medicine Cases Podcast: Emergency management of pediatric seizures - Guidance and podcast

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Helman A

With the help of two of Canadas Pediatric Emergency Medicine seizure experts hand picked by TREKK, Dr. Lawrence Richer and Dr. Angelo Mikrogianakis, well give you the all the tools you need to approach the child who presents to the ED with seizure with the utmost confidence.

Bottom Line: Managing febrile seizures infographic

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Stahl-Timmins W

This infographic provides general information on managing febrile seizures.

Bottom Line: Emergency management of febrile seizure in children

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Guidelines & Protocols Advisory Committee

This pathway from the clinical practice guideline presents a decision tree for emergency management of febrile seizures in children

Fractures

Bottom Line Recommendations: Fractures

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Boutis, K, Camp, M & TREKK Network

The purpose of this document is to provide healthcare professionals with key facts and recommendations for the diagnosis and treatment of fractures in children. Published online: November 2015.

Recommendations de base: Fractures chez l'enfant

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Boutis, K, Camp, M & TREKK Network

Bottom line recommendations for the treatment and management of pediatric fractures - French. Published online: December, 2015.

Gastroenteritis

Bottom Line Recommendations: Gastroenteritis

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Freedman S, & TREKK Network

Bottom line recommendations for the treatment and management of pediatric gastroenteritis

Recommendations de Base: Gastro-entérite

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Freedman S, & TREKK Network

Bottom line recommendations for the treatment and management of pediatric gastroenteritis

Intussusception

Bottom Line Recommendations: Intussusception

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Timmons Z, Bulloch B & TREKK Network

The purpose of this document is to provide healthcare professionals with key facts and recommendations for the diagnosis and management of intussusception in children. Published online: December 2015.

Recommendations de Base: Invagination (2016)

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Timmons Z, Bulloch B & TREKK Network

The purpose of this document is to provide healthcare professionals with key facts and recommendations for the diagnosis and management of intussusception in children. Published online: February 2016. 

Bottom Line: Intussusception

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Princess Margaret Hospital for Children

This general summary aids in the diagnosis and management of intussusception.

Lower Extremity Fractures

Bottom Line Recommendations: Fractures

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Boutis, K, Camp, M & TREKK Network

The purpose of this document is to provide healthcare professionals with key facts and recommendations for the diagnosis and treatment of fractures in children. Published online: November 2015.

Recommendations de base: Fractures chez l'enfant

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Boutis, K, Camp, M & TREKK Network

Bottom line recommendations for the treatment and management of pediatric fractures - French. Published online: December, 2015.

Management of children with aggression in the ED

Executive Summary: Evaluation and Management of Children and Adolescents With Acute Mental Health or Behavioral Problems. Part I: Common Clinical Challenges of Patients With Mental Health and/or Behavioral Emergencies

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Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediat...

This executive summary is an overview of the common clinical challenges pediatric caregivers face when a child or adolescent presents with a psychiatric chief complaint or emergency.

Executive Summary: Evaluation and Management of Children With Acute Mental Health or Behavioral Problems. Part II: Recognition of Clinically Challenging Mental Health Related Conditions Presenting With Medical or Uncertain Symptoms

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Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediat...

This executive summary is an overview of the common clinical challenges pediatric caregivers face when a mental health condition may be an unclear or complicating factor in a non-mental health ED presentation.

Management of children with developmental disabilities in the ED

Bottom Line: Autism and the Hospital Emergency Room: A Practical Guide for Health Professionals to Meet the Needs of Individuals with Autism Spectrum Disorders

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Center for Autism & Related Disabilities (CARD)

A practical guide for health professionals to meet the needs of individuals with Autism Spectrum Disorder.

Executive Summary: Evaluation and Management of Children and Adolescents With Acute Mental Health or Behavioral Problems. Part I: Common Clinical Challenges of Patients With Mental Health and/or Behavioral Emergencies

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Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediat...

This executive summary is an overview of the common clinical challenges pediatric caregivers face when a child or adolescent presents with a psychiatric chief complaint or emergency.

Executive Summary: Evaluation and Management of Children With Acute Mental Health or Behavioral Problems. Part II: Recognition of Clinically Challenging Mental Health Related Conditions Presenting With Medical or Uncertain Symptoms

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Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediat...

This executive summary is an overview of the common clinical challenges pediatric caregivers face when a mental health condition may be an unclear or complicating factor in a non-mental health ED presentation.

Bottom Line: Autism Information for Paramedics and Emergency Room Staff

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Gammicchia C, Johnson C, Autism Society

Information for paramedics and emergency room staff on providing services to a person on the autism spectrum.

Management of children with special needs in the ED

Bottom Line: Autism and the Hospital Emergency Room: A Practical Guide for Health Professionals to Meet the Needs of Individuals with Autism Spectrum Disorders

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Center for Autism & Related Disabilities (CARD)

A practical guide for health professionals to meet the needs of individuals with Autism Spectrum Disorder.

Executive Summary: Evaluation and Management of Children and Adolescents With Acute Mental Health or Behavioral Problems. Part I: Common Clinical Challenges of Patients With Mental Health and/or Behavioral Emergencies

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Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediat...

This executive summary is an overview of the common clinical challenges pediatric caregivers face when a child or adolescent presents with a psychiatric chief complaint or emergency.

Executive Summary: Evaluation and Management of Children With Acute Mental Health or Behavioral Problems. Part II: Recognition of Clinically Challenging Mental Health Related Conditions Presenting With Medical or Uncertain Symptoms

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Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediat...

This executive summary is an overview of the common clinical challenges pediatric caregivers face when a mental health condition may be an unclear or complicating factor in a non-mental health ED presentation.

Bottom Line: Autism Information for Paramedics and Emergency Room Staff

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Gammicchia C, Johnson C, Autism Society

Information for paramedics and emergency room staff on providing services to a person on the autism spectrum.

Presenting Pain

Dosing Chart: Analgesic starting dosages for children

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World Health Organization

Analgesic starting doses for children.

Chart: WHO pain wall chart for waiting rooms

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World Health Organization

Is your child in pain? The doctor can help. As for pain treatment!

Reference Guide and Poster: The recognition and assessment of acute pain in children: Quick reference guide and poster

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Royal College of Nursing

The guideline identifies reliable and valid measures of pain intensity (pain measurement scales and other tools) appropriate for neonates, preverbal infants and verbal children, and makes a series of key recommendations regarding timing and triggers for formal pain assessment. The updated guideline also includes an additional section on assessing pain in children with cognitive impairments.

Measurement Tool: Faces Pain Scale - Revised for children 4 years of age and older

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International Association for the Study of Pain

Scores are from the left to the right (for the child): 0, 2, 4, 6, 8, 10 (0 for no pain at all and 10 for very, very much in pain).

Procedural Pain

Recommandations de Base: Douleur procédurale

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French Bottom line recommendations for the treatment and management of procedural pain. Published online: March 2017.

Bottom Line: Pain Ease(R): Topical anesthetic skin refrigerant (for children 4 years and older)

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BC Children's Hospital

Purpose: Pain Ease spray is a vapocoolant (skin refrigerant) intended for topical application to skin and minor open wounds. It controls pain associated with injections (venipunctures, IV start) and minor surgical procedures (eg. irrigating laceration/abrasions).

Bottom Line: Psychological Interventions

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BC Children's Hospital

Even with sedation, the success of a procedure is equally reliant upon careful consideration of psychosocial aspects as it is reliant on physical aspects. A sense of mastery and control experienced by parents and children is crucial to their confidence in managing any future procedures. Reducing both pain and anxiety will facilitate effective coping.

Bottom Line: Sucrose as a procedural analgesic for infants up to 12 monts of age

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BC Children's Hospital

Purpose: Oral sucrose and other sweet tasting solutions have been used for management of pain in infants for centuries. Studies done since the early 1990's have demonstrated that the administration of sucrose and non-nutritive sucking are effective non-pharmacological interventions for relief of procedural pain in neonates and infants and may help reduce pain in infants up to 12 months of age. Sucrose and non-nutritive sucking are thought to elevate pain thresholds via endogenous opioid pathways.

Bottom Line Recommendations: Procedural Pain

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Ali, S, Drendel A & TREKK Network

Bottom line recommendations for the treatment and management of procedural pain. Published online: November 2016.

Procedural Sedation

Bottom Line Recommendations: Procedural Sedation

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Evered L, Bhatt M & TREKK Network

Bottom line recommendations for pediatric procedural sedation. Published online: June 2015.

Recommendations de Base: La Sédation Procédurale

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Evered L, Bhatt M & TREKK Network

Bottom line recommendations for pediatric procedural sedation - French. Published online: July 2015.

Sepsis

Bottom Line: Paediatric Sepsis 6 (2015)

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National Health Service

Sepsis practice guideline from National Health Service. Published: 2013.

Bottom Line: Recommendations: Special considerations in pediatrics (2013)

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Surviving Sepsis Campaign

Special consideration in pediatrics from the Surviving Sepsis Campaign. Published: 2013.

Severe Head Injury

Bottom Line Recommendations: Severe Head Injury

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Beno S & TREKK Network

Bottom line recommendations for the treatment and management of severe head trauma. Published online: July 2015.

Recommendations de Base: Traumatisme Crânien Sévère

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Beno S & TREKK Network

Bottom line recommendations for the treatment and management of severe head trauma - French. Published online: October 2017.

Bottom Line: Assessment in the emergency department for patients with head injury

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National Institute for Health and Care Excellence (NICE), National Clincial G...

A NICE pathway brings together all NICE guidance, quality standards and materials to support implementation on a specific topic area. The pathways are interactive and designed to be used online.

Suspected Physical Child Abuse

Bottom Line: NICE Guidance: Child maltreatment: when to suspect maltreatment in under 16s

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National Institute for Health and Care Excellence

This guideline covers the signs of possible child maltreatment in children and young people aged under 18 years. It aims to raise awareness and help health professionals who are not child protection specialists to identify the features of physical, sexual and emotional abuse, neglect and fabricated or induced illness.

Thoracoabdominal Trauma

Bottom Line Recommendations: Multisystem Trauma

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Beno S, TREKK Network

The purpose of this document is to provide health care professionals with key facts and recommendations for the diagnosis and treatment of multisystem trauma in children in the emergency department.

Recommendations de Base: Polytrauma

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Beno S, TREKK Network

Le but du prsent document est de fournir aux professionnels de la sant les faits et recommandations cls pour le diagnostic et le traitement du polytrauma chez les enfants dans un service durgence.

Pediatric Practice Management Guideline: Blunt Abdominal Trauma Evaluation and Management Guideline

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Iowa Methodist Medical Center,

To address the evaluation of pediatric patients presenting acutely after blunt abdominal trauma.

Upper Extremity Fractures

Bottom Line Recommendations: Fractures

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Boutis, K, Camp, M & TREKK Network

The purpose of this document is to provide healthcare professionals with key facts and recommendations for the diagnosis and treatment of fractures in children. Published online: November 2015.

Recommendations de base: Fractures chez l'enfant

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Boutis, K, Camp, M & TREKK Network

Bottom line recommendations for the treatment and management of pediatric fractures - French. Published online: December, 2015.