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Topics",{"node":702},{"name":12},{"edges":704},[705,710,715,720,725],{"cursor":706,"node":707},"YXJyYXljb25uZWN0aW9uOjE2OQ==",{"label":441,"uri":435,"target":14,"menu":708},{"node":709},{"name":448},{"cursor":711,"node":712},"YXJyYXljb25uZWN0aW9uOjE3MA==",{"label":448,"uri":481,"target":14,"menu":713},{"node":714},{"name":448},{"cursor":716,"node":717},"YXJyYXljb25uZWN0aW9uOjE3MQ==",{"label":455,"uri":487,"target":14,"menu":718},{"node":719},{"name":448},{"cursor":721,"node":722},"YXJyYXljb25uZWN0aW9uOjE3Mg==",{"label":462,"uri":493,"target":14,"menu":723},{"node":724},{"name":448},{"cursor":726,"node":727},"YXJyYXljb25uZWN0aW9uOjIxMjk=",{"label":469,"uri":499,"target":14,"menu":728},{"node":729},{"name":448},{"edges":731},[732,738],{"cursor":733,"node":734},"YXJyYXljb25uZWN0aW9uOjE3NA==",{"label":506,"uri":507,"target":14,"menu":735},{"node":736},{"name":737},"Info",{"cursor":739,"node":740},"YXJyYXljb25uZWN0aW9uOjE3Mw==",{"label":510,"uri":511,"target":14,"menu":741},{"node":742},{"name":737},{"edges":744},[745],{"cursor":746,"node":747},"YXJyYXljb25uZWN0aW9uOjE3NQ==",{"label":748,"uri":749,"target":14},"Terms of Use","/terms-of-use/",{"edges":751},[752,755,758,761],{"cursor":753,"node":754},"YXJyYXljb25uZWN0aW9uOjE5Nw==",{"label":516,"url":517,"target":14},{"cursor":756,"node":757},"YXJyYXljb25uZWN0aW9uOjE5OA==",{"label":520,"url":521,"target":14},{"cursor":759,"node":760},"YXJyYXljb25uZWN0aW9uOjE5OQ==",{"label":524,"url":525,"target":14},{"cursor":762,"node":763},"YXJyYXljb25uZWN0aW9uOjIwMA==",{"label":528,"url":529,"target":14},{"optionsTheme":765},{"newsletterTitle":766,"newsletterTitleFr":767,"newsletterDescription":768,"newsletterDescriptionFr":769,"newsletterUrl":770,"newsletterUrlFr":774,"landAcknowledgement":776,"landAcknowledgementFr":777},"Subscribe to our Newsletter","Abonnez-vous à notre bulletin d'information","When you subscribe to this e-update, new issues will be sent to your email address the moment they are published.","Lorsque vous vous abonnez à cette mise à jour électronique, les nouveaux numéros seront envoyés à votre adresse e-mail dès leur publication.",{"title":771,"url":772,"target":773},"Subscribe","https://trekk.us16.list-manage.com/subscribe?u=31840b6f27d1074425db8898a&id=2c90e9e1a9","_blank",{"title":775,"url":772,"target":773},"S'inscrire","\u003Cp>TREKK acknowledges that our network is situated on the unceded and ancestral territories of diverse Indigenous Peoples across Turtle Island. \u003C/p>\n\u003Cp>From coast to coast to coast, we respect and acknowledge Inuit, Métis, and First Nations Peoples as the traditional stewards of the lands we work and live on. For those of us who are settlers, we recognize that processes of colonization continue to impact Indigenous Peoples today. TREKK is committed to working toward cultural safety, decolonization, and reconciliation.\u003C/p>\n","\u003Cp>TREKK reconnaît que notre réseau est situé sur les territoires non cédés et ancestraux de divers peuples autochtones de l'Île de la Tortue.\u003C/p>\n\u003Cp>D’un océan à l’autre, nous respectons et reconnaissons les Inuits, les Métis et les Premières Nations en tant que gardiens traditionnels des terres sur lesquelles nous travaillons et vivons. Pour ceux d’entre nous qui sont des colons, nous reconnaissons que les processus de colonisation continuent d’avoir un impact sur les peuples autochtones aujourd’hui. TREKK s’engage à œuvrer en faveur de la sécurité culturelle, de la décolonisation et de la réconciliation.\u003C/p>\n",{"debug":779,"queryAnalyzer":780},[],{"keys":781,"keysLength":782,"keysCount":783,"skippedKeys":680,"skippedKeysSize":681,"skippedKeysCount":681,"skippedTypes":784},"d9a1e4a4227d63ecc282d2b69b4b64d07ba73e19765e9d47f113fdada604cd45 graphql:Query list:menuitem cG9zdDoxNjY= cG9zdDoyMDM4 cG9zdDoxNjg= cG9zdDoxNjk= cG9zdDoxNzA= cG9zdDoxNzE= cG9zdDoxNzI= cG9zdDoyMTI5 cG9zdDoxNzQ= cG9zdDoxNzM= cG9zdDoxNzU= cG9zdDoxOTc= cG9zdDoxOTg= cG9zdDoxOTk= cG9zdDoyMDA= YWNmX29wdGlvbnNfcGFnZTp0aGVtZS1zZXR0aW5ncw== dGVybTo3Ng== dGVybTo3Nw== dGVybTo3OA==",371,22,[],{"data":786,"extensions":820},{"post":787},{"databaseId":788,"date":789,"content":790,"title":791,"slug":792,"categories":793,"featuredImage":800,"translations":806},4306,"2025-02-24T21:04:38","\u003Cp>TREKK content advisor, Dr. Samina Ali, has received special commendations in the IHDCYH Talks competition for her infographic, \u003Ca href=\"https://kidsinpain.ca/wp-content/uploads/2024/04/IN-Fentanyl_FactSheet_EN.pdf\" target=\"_blank\" rel=\"noopener\">Just the Facts for Families: Intranasal Fentanyl\u003C/a>. This resource is designed to help healthcare providers explain the safe and effective use of medically prescribed fentanyl for pain management in children. It was \u003Cspan data-olk-copy-source=\"MessageBody\">co-created with families as a part of \u003Ca href=\"http://kidsinpain.ca\" target=\"_blank\" rel=\"noopener\">Solutions for Kids in Pain\u003C/a>‘s (SKIP’s) efforts to improve pain care for children across Canada.\u003C/span>\u003C/p>\n\u003Cp>\u003Ca href=\"https://kidsinpain.ca/wp-content/uploads/2024/04/IN-Fentanyl_FactSheet_EN.pdf\" target=\"_blank\" rel=\"noopener\">Click here to see the infographic\u003C/a>\u003C/p>\n\u003Ch2>Understanding Intranasal Fentanyl for Pain Relief\u003C/h2>\n\u003Cp>Pain management is a critical aspect of pediatric emergency care. Intranasal fentanyl is increasingly being used in emergency departments due to its ability to provide rapid pain relief without requiring an intravenous (IV) line. However, many families are unfamiliar with medical fentanyl and may have concerns due to its association with illicit street fentanyl.\u003C/p>\n\u003Cp>Dr. Ali, a leading expert in pediatric emergency medicine, emphasized the importance of this resource in a recent email statement:\u003C/p>\n\u003Cp>“More and more, intranasal fentanyl is used in emergency departments. Intranasal fentanyl is a very effective medication for providing quick pain relief to children with severe pain. Many families are unfamiliar with medical fentanyl and worry about its use, given what they have heard about illicit (‘street’) fentanyl. This handout answers the most common questions that families identified as wanting answered, so that they could feel comfortable with its use.”\u003C/p>\n\u003Ch2>Key Takeaways from the Infographic\u003C/h2>\n\u003Ch3>What is Intranasal Fentanyl?\u003C/h3>\n\u003Cp>Intranasal fentanyl is a fast-acting pain reliever that is administered as a nose spray. It is commonly used in emergency settings for children experiencing severe pain when oral or intravenous medications would take too long to work.\u003C/p>\n\u003Ch3>How is Intranasal Fentanyl Given?\u003C/h3>\n\u003Cp>The medicine is sprayed into the nose, taking just a few seconds.\u003C/p>\n\u003Cp>It starts working within five minutes, with significant pain relief within an hour.\u003C/p>\n\u003Cp>Some children may experience minor side effects like sleepiness, nausea, or a bitter taste, but these effects are temporary.\u003C/p>\n\u003Cp>Additional pain management strategies, such as oral medications, IV pain relievers, and non-medical options like warm blankets and distraction techniques, may also be used.\u003C/p>\n\u003Ch3>Is Medicinal Intranasal Fentanyl the Same as Street Fentanyl?\u003C/h3>\n\u003Cp>No. Illicit fentanyl is made in unregulated conditions and can contain harmful substances. Medical fentanyl is safely manufactured and prescribed in controlled doses by healthcare professionals to ensure both effectiveness and safety.\u003C/p>\n\u003Ch3>Is There a Risk of Overdose or Addiction to Intranasal Fentanyl?\u003C/h3>\n\u003Cp>The doses used for pediatric pain relief are carefully controlled by healthcare providers.\u003C/p>\n\u003Cp>Overdose is extremely rare in a medical setting, and emergency reversal medications like Naloxone are available if needed.\u003C/p>\n\u003Cp>One or two doses used for pain management is not likely to cause addiction. If families have concerns about substance use disorder, they are encouraged to speak with a doctor or nurse.\u003C/p>\n\u003Ch2>Helping Families Feel Confident in Their Child’s Care\u003C/h2>\n\u003Cp>This new infographic from Dr. Samina Ali is an essential tool for healthcare providers and families alike. By offering clear, accessible information, it helps ensure that children in severe pain receive the best possible care.\u003C/p>\n\u003Cp>View all winning submissions from the IHDCYH Talks competition on the \u003Ca href=\"https://cihr-irsc.gc.ca/e/54197.html\" target=\"_blank\" rel=\"noopener\">Canadian Institutes of Health Research\u003C/a> (CIHR) webpage.\u003C/p>\n\u003Cp>\u003Ca href=\"https://trekk.ca/topics\">Explore more TREKK resources for evidence-based pediatric care.\u003C/a>\u003C/p>\n","Dr. Samina Ali Receives Special Commendation for Infographic on Intranasal Fentanyl","intranasal-fentanyl-infographic",{"edges":794},[795],{"cursor":796,"node":797},"YXJyYXljb25uZWN0aW9uOjE=",{"name":798,"slug":799},"General News","general-news",{"cursor":801,"node":802},"YXJyYXljb25uZWN0aW9uOjQzMDc=",{"altText":803,"sourceUrl":804,"mediaItemUrl":805},"Portrait of Dr. Samina Ali","https://cdn.trekk.ca/wp-content/uploads/2025/02/Untitled-design.jpg?strip=all","https://cms.trekk.ca/wp-content/uploads/2025/02/Untitled-design.jpg",[807],{"languageCode":808,"slug":809,"featuredImage":810,"categories":813},"fr","la-dre-samina-ali-recoit-une-mention-speciale-pour-son-infographie-sur-le-fentanyl-intranasal",{"node":811},{"databaseId":812,"altText":803,"sourceUrl":804,"mediaItemUrl":805},4307,{"edges":814},[815],{"cursor":816,"node":817},"YXJyYXljb25uZWN0aW9uOjI=",{"name":818,"slug":819},"Non classifié(e)","non-classifiee",{"debug":821,"queryAnalyzer":822},[],{"keys":823,"keysLength":824,"keysCount":825,"skippedKeys":680,"skippedKeysSize":681,"skippedKeysCount":681,"skippedTypes":826},"8484b8c98922dc671f69fc0c7d1f89421179da85b0598b049cdd20335f11b852 graphql:Query cG9zdDo0MzA2 cG9zdDo0MzIw dGVybTox cG9zdDo0MzA3 dGVybToy",135,7,[],{"data":828,"extensions":872},{"posts":829},{"edges":830},[831,853],{"cursor":832,"node":833},"YXJyYXljb25uZWN0aW9uOjUxODk=",{"databaseId":834,"date":835,"content":836,"title":837,"slug":838,"categories":839,"featuredImage":848},5189,"2026-08-21T19:06:58","\u003Cp>Bronchiolitis is a \u003Cstrong>common viral illness\u003C/strong>, most often caused by respiratory syncytial virus (RSV), and typically \u003Cstrong>peaks during the late fall and winter months\u003C/strong>. With supportive care being key to effective treatment, ensuring appropriate hydration and oxygenation is important for effective management.\u003C/p>\n\u003Cp>To support clinicians during busy respiratory seasons, TREKK offers \u003Ca href=\"https://trekk.ca/topic/bronchiolitis\" target=\"_blank\" rel=\"noopener\">\u003Cstrong>evidence-based resources\u003C/strong>\u003C/a> to guide the diagnosis, treatment, and management of bronchiolitis.\u003C/p>\n\u003Ch3>\u003Cstrong>Evidence-Based Guidance for Frontline Care \u003C/strong>\u003C/h3>\n\u003Cp>TREKK’s \u003Ca href=\"https://trekk.ca/resources/bottom-line-recommendations-bronchiolitis/\" target=\"_blank\" rel=\"noopener\">\u003Cstrong>Bottom Line Recommendations (BLR) on bronchiolitis\u003C/strong>\u003C/a> provide a summary of \u003Cstrong>best practices and the latest knowledge for frontline clinicians\u003C/strong>. This resource includes up-to-date evidence on:\u003C/p>\n\u003Cul>\n\u003Cli>Diagnosis\u003C/li>\n\u003Cli>Treatment\u003C/li>\n\u003Cli>Criteria for both hospitalization and safe discharge home\u003C/li>\n\u003Cli>Typical clinical course\u003C/li>\n\u003Cli>When to contact a pediatric referral centre or transport team\u003C/li>\n\u003C/ul>\n\u003Cp>This resource was developed by \u003Cstrong>Dr. Gabrielle Freire\u003C/strong> (The Hospital for Sick Children) and \u003Cstrong>Dr. Amy Plint\u003C/strong> (Children’s Hospital of Eastern Ontario (CHEO)), and was \u003Cstrong>published in 2023\u003C/strong>.\u003C/p>\n\u003Cp>In addition to TREKK’s BLR, clinicians can access the \u003Ca href=\"https://trekk.ca/resources/evidence-repository-bronchiolitis/\" target=\"_blank\" rel=\"noopener\">\u003Cstrong>bronchiolitis evidence repository\u003C/strong>\u003C/a> to find a curated collection of best available resources and evidence.\u003C/p>\n\u003Ch3>\u003Cstrong>Expanding Learning Through Virtual Education \u003C/strong>\u003C/h3>\n\u003Cp>In December 2024, TREKK hosted a \u003Ca href=\"https://trekk.ca/resources/video-bronchiolitis-education-session/\" target=\"_blank\" rel=\"noopener\">\u003Cstrong>virtual education session on bronchiolitis\u003C/strong>\u003C/a> for healthcare providers. This education session was led by \u003Cstrong>Dr. Tracy Ridley\u003C/strong> (Winnipeg Children’s Emergency Department) and organized by TREKK and the \u003Cstrong>University of Manitoba\u003C/strong>.\u003C/p>\n\u003Cp>During the session, Dr. Ridley reviewed key topics, including:\u003C/p>\n\u003Cul>\n\u003Cli>What is bronchiolitis?\u003C/li>\n\u003Cli>When investigations can be helpful\u003C/li>\n\u003Cli>Best practices for management\u003C/li>\n\u003Cli>Asthma vs. Bronchiolitis\u003C/li>\n\u003Cli>The importance of immunizations\u003C/li>\n\u003C/ul>\n\u003Ch3>\u003Cstrong>Providing Accessible Resources to Inform Clinician Decisions \u003C/strong>\u003C/h3>\n\u003Cblockquote>\u003Cp>“Bronchiolitis is a clinical diagnosis, so chest x-rays are not helpful in the typical presentation,” says Dr. Amy Plint, “Care is predominantly supportive, such as using supplemental oxygen for persistent oxygen saturations that are less than 90% and fluids by NG or IV to maintain hydration if needed.”\u003C/p>\u003C/blockquote>\n\u003Cp>Bronchiolitis is the leading cause of admission to hospital for children less than one year old. Even with the increasing uptake of RSV immunizations, bronchiolitis continues to be one of the leading causes of emergency department (ED) visits. TREKK’s straightforward, easy-to-access resources support clinicians in making informed decisions and avoiding unnecessary tests and treatments.\u003C/p>\n\u003Ch3>\u003Cstrong>Supporting Healthcare Providers with the Latest Knowledge\u003C/strong>\u003C/h3>\n\u003Cp>TREKK’s bronchiolitis resources are designed to provide clinicians with timely, trustworthy guidance when caseloads are high, and decisions need to be made quickly. During peak respiratory seasons, having clear, \u003Cstrong>evidence-based tools at your fingertips can make a meaningful difference in patient care\u003C/strong>.\u003C/p>\n\u003Cp>Healthcare providers can access these \u003Ca href=\"https://trekk.ca/topic/bronchiolitis\" target=\"_blank\" rel=\"noopener\">bronchiolitis resources\u003C/a>, along with TREKK’s full suite of pediatric evidence-based tools, on the \u003Ca href=\"https://trekk.ca/\" target=\"_blank\" rel=\"noopener\">TREKK\u003C/a> website at any time.\u003C/p>\n","Busy Respiratory Seasons Call for Easy-to-Use Resources","busy-respiratory-seasons-call-for-easy-to-use-resources",{"edges":840},[841,843],{"cursor":796,"node":842},{"name":798,"slug":799},{"cursor":844,"node":845},"YXJyYXljb25uZWN0aW9uOjI3Nw==",{"name":846,"slug":847},"Resource","resource",{"cursor":849,"node":850},"YXJyYXljb25uZWN0aW9uOjUyMDc=",{"altText":680,"sourceUrl":851,"mediaItemUrl":852},"https://cdn.trekk.ca/wp-content/uploads/2026/08/Bronchiolitis-News-Post-EN.jpg?strip=all","https://cms.trekk.ca/wp-content/uploads/2026/08/Bronchiolitis-News-Post-EN.jpg",{"cursor":854,"node":855},"YXJyYXljb25uZWN0aW9uOjUxMzU=",{"databaseId":856,"date":857,"content":858,"title":859,"slug":860,"categories":861,"featuredImage":867},5135,"2026-07-31T20:58:18","\u003Cp>\u003Ca href=\"https://trekk.ca/topic/croup\" target=\"_blank\" rel=\"noopener\">\u003Cstrong>Croup\u003C/strong>\u003C/a>\u003Cstrong> is a common cause of upper airway obstruction in pediatrics\u003C/strong>, and is characterized by \u003Cstrong>acute onset of a barky cough\u003C/strong> and may be accompanied by noisy breathing. Typically, most cases occur in patients between 6 months old to 5 years old and often peaks in patients around 2 years old. Since \u003Cstrong>croup is usually caused by a viral infection\u003C/strong>, antibiotics are often not useful in treatment.\u003C/p>\n\u003Ch3>\u003Cstrong>Providing Evidence-Based Knowledge for Busy Clinicians\u003C/strong>\u003C/h3>\n\u003Cp>TREKK offers our \u003Ca href=\"https://trekk.ca/resources/bottom-line-recommendations-croup/\" target=\"_blank\" rel=\"noopener\">\u003Cstrong>Bottom Line Recommendations (BLR) resource\u003C/strong>\u003C/a> for all clinicians to provide \u003Cstrong>best practices and evidence-based information when diagnosing and managing pediatric patients with croup\u003C/strong>. This clear, concise resource has the most recent information on:\u003C/p>\n\u003Cul>\n\u003Cli>Assessment\u003C/li>\n\u003Cli>Management\u003C/li>\n\u003Cli>Safe Home Discharge Criteria\u003C/li>\n\u003Cli>Hospital Admission and Transfer to the Pediatric Intensive Care Unit (PICU) Criteria\u003C/li>\n\u003C/ul>\n\u003Cp>Additionally, healthcare providers can view TREKK’s \u003Ca href=\"https://trekk.ca/resources/video-croup-in-kids/\" target=\"_blank\" rel=\"noopener\">\u003Cstrong>virtual education recording on croup\u003C/strong>\u003C/a> on our website. This education session was led by \u003Cstrong>Dr. Shannon MacPhee\u003C/strong> and was presented in partnership with the \u003Cstrong>IWK Health Centre\u003C/strong> and the \u003Cstrong>Nova Scotia Health Authority\u003C/strong>. This video outlines an overview of croup, common symptoms and causes, key information to know, and more.\u003C/p>\n\u003Cp>Clinicians can also access TREKK’s \u003Ca href=\"https://trekk.ca/resources/evidence-repository-croup/\" target=\"_blank\" rel=\"noopener\">\u003Cstrong>evidence repository on croup\u003C/strong>\u003C/a> to find a curated list of the best available resources and evidence.\u003C/p>\n\u003Ch3>\u003Cstrong>The Importance of Distinguishing Croup\u003C/strong>\u003C/h3>\n\u003Cp>Our Croup BLR resource was developed by \u003Cstrong>Dr. David Johnson\u003C/strong> (University of Calgary, Cumming School of Medicine), \u003Cstrong>Dr. Jennifer Turnbull\u003C/strong> (McGill University Health Centre, McGill Global Child Health Program, Montreal Children’s Hospital), and \u003Cstrong>Dr. Terry Klassen\u003C/strong> (University of Saskatchewan), and was recently \u003Cstrong>updated in February 2026\u003C/strong>.\u003C/p>\n\u003Cblockquote>\u003Cp>“\u003Cstrong>Croup is among the top ten reasons for parents to bring their child to an emergency department\u003C/strong>,” says Dr. David Johnson, “Distinguishing croup from less common, but more serious diseases is critically important. Confirmation is accurately made using clinical features and does not require laboratory or radiological testing. The use of evidenced-based therapies rapidly resolves respiratory distress, leads to substantially better outcomes and reduces unnecessary health care utilization.”\u003C/p>\u003C/blockquote>\n\u003Ch3>\u003Cstrong>Clear Guidelines Supports Patient Care\u003C/strong>\u003C/h3>\n\u003Cp>TREKK’s Croup BLR is the ideal resource to be used as bedside reference for busy clinicians. With our \u003Cstrong>clear, concise format\u003C/strong>, this tool \u003Cstrong>gets to the point efficiently and highlights the most recent evidence available\u003C/strong>. This allows healthcare providers the peace of mind to know that they’re providing accurate, up-to-date care.\u003C/p>\n\u003Ch3>\u003Cstrong>Supporting Healthcare Providers with Up-to-Date Evidence\u003C/strong>\u003C/h3>\n\u003Cp>TREKK’s \u003Ca href=\"https://trekk.ca/topic/croup\" target=\"_blank\" rel=\"noopener\">\u003Cstrong>croup resources\u003C/strong>\u003C/a> are created with busy healthcare providers in mind to \u003Cstrong>efficiently diagnose and manage pediatric patients with croup\u003C/strong>. By providing clear, evidence-based guidance, this allows clinicians to make quick decisions during busy respiratory seasons and helps improve patient care.\u003C/p>\n\u003Cp>Healthcare providers can access these croup resources, along with TREKK’s full suite of pediatric evidence-based tools, on the \u003Ca href=\"https://trekk.ca/\" target=\"_blank\" rel=\"noopener\">TREKK\u003C/a> website at any time.\u003C/p>\n","A Barky Cough Likely Means Croup","a-barky-cough-likely-means-croup",{"edges":862},[863,865],{"cursor":796,"node":864},{"name":798,"slug":799},{"cursor":844,"node":866},{"name":846,"slug":847},{"cursor":868,"node":869},"YXJyYXljb25uZWN0aW9uOjUxMzY=",{"altText":680,"sourceUrl":870,"mediaItemUrl":871},"https://cdn.trekk.ca/wp-content/uploads/2026/07/EN-News-Story.jpg?strip=all","https://cms.trekk.ca/wp-content/uploads/2026/07/EN-News-Story.jpg",{"debug":873,"queryAnalyzer":874},[],{"keys":875,"keysLength":876,"keysCount":877,"skippedKeys":680,"skippedKeysSize":681,"skippedKeysCount":681,"skippedTypes":878},"e53ec57dd25a1963c6a3edacbc8c833eabf719ac4071fe0a812e0da258db8208 graphql:Query list:post cG9zdDo1MTg5 cG9zdDo1MTM1 dGVybTox dGVybToyNzc= cG9zdDo1MjA3 cG9zdDo1MTM2",162,9,[],1788995581742]