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December 10, 2015

TREKK E-update: December 10th, 2015

In this latest e-update, find out about some new exciting resources from TREKK and upcoming conferences.

In This Issue...

EM Cases - Emergency management of pediatric seizures

Pediatric Respiratory Assessment Measure (PRAM) App

UBC & BC Children's 13th Annual Pediatric Emergency Medicine Update & Advanced Pediatric Life Support (APLS)

Bottom Line Recommendations: Fractures (English & French)

EM Cases - Emergency management of pediatric seizures

EM Cases releases its latest podcast, "Emergency Management of Pediatric Seizures."

With the help of two of Canada’s Pediatric Emergency Medicine seizure experts chosen by TREKK, Dr. Lawrence Richer and Dr. Angelo Mikrogianakis give you the all the tools you need to approach the child who presents to the ED with seizure.

Approximately 5% of all children will have a seizure by the time they're 16 years old.  While most of the kids who present to the ED with a seizure will end up being diagnosed with a benign simple febrile seizure, some will suffer from complex febrile seizures, requiring more thought, work-up and management. At the other end of the spectrum of disease is status epilepticus, a true emergency with a scary mortality rate. 

Listen to the latest podcast and read the written summary and blog post here.

Read More →

Pediatric Respiratory Assessment Measure (PRAM) App

The Pediatric Respiratory Assessment Measure (PRAM) is a 12-point scoring system to objectively assess asthma severity and response to treatment in an acute care setting. Valid for use in patients 1 – 17 years of age, the PRAM score is used by many clinical pathways that guide health professionals in the acute assessment and management of asthmatic exacerbations in children and youth. Asthma severity is categorized by the following PRAM scores: Mild (0-3), Moderate (4-7) or Severe (8-12).

This PRAM app quickly calculates a PRAM score based on 5 clinical findings (oxygen saturation, suprasternal retractions, scalene muscle use, air entry and wheezing). The corresponding asthma severity and specific management is then provided, based on the Ontario Lung Association’s Pediatric Emergency Department Asthma Clinical Pathway.

The PRAM app is now available for download from iTunes and Google Play. Click here to download for Apple and Android products.

Please note: The management recommendations align with the Ontario Lung Association's Asthma Pathway.

Read More →

UBC & BC Children's 13th Annual Pediatric Emergency Medicine Update & Advanced Pediatric Life Support (APLS)

The Division of Emergency Medicine at BC Children’s Hospital and UBC Continuing Professional Development present the 13th Annual Pediatric Emergency Medicine Update for Pediatricians and Emergency Physicians.  The 2-day conference highlights the latest trends in the practice of pediatric emergency medicine in urban and rural settings.

When: May 13th - 14th, 2016 (optional Advanced Pediatric Life Support (APLS) course offered Thursday, May 12th)

Where: UBC Robson Square, Vancouver BC

Target Audience: Pediatricians, emergency physicians, family physicians, & residents

Credits: Up to 11.5 Mainpro-M1/ MOC Section 1


  • Clinically relevant information on the latest trends in pediatric emergency medicine.
  • Focus on Emergencies in Infants: neonatal seizures, the septic infant, 2015 Newborn Resuscitation Guidelines, head injuries, surgical emergencies, EKG’s and more!

For more information or to register for this event, please visit the event website

Read More →

Bottom Line Recommendations: Fractures (English & French)

Now available in both English & French, content advisors Dr. Kathy Boutis and Dr. Mark Camp from the Hospital for Sick Children lay out key facts and recommendations for the management of pediatric fractures in the emergency department.  

For more in-depth information, be sure to visit our 3 evidence repositories for lower-extremity fractures, upper-extremity fractures, and fractures (general).

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Contact the Central Admin Team at or  call (204) 975 7744.  Or send your comments via the feedback tab on our website.

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Phone: (204) 975-7744