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Canadian Children Need Improved Pain Management in Emergency Departments

Young patients across the country are being undertreated for pain, according to a study by University of Alberta pediatrics researcher Dr. Samina Ali.
Posted: Jan 06, 2015



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Emergency Medicine Cases Bronchiolitis Podcast

February 2015- Check out the latest pediatric podcast on the treatment and management of bronchiolitis from Emergency Medicine Cases as well as a bonus mini-podcast with Dr. Amy Plint.
Posted: Feb 10, 2015



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Bicycle helmets – now that’s using your head!

April 6, 2015 - This week's blog is contributed from the Cochrane Child Health Field and is about bicycle helmet safety for children.
Posted: Apr 02, 2015



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New! Multisystem Trauma Bottom Line Recommendations

April 7th, 2015 - bottom line recommendations for multisystem trauma are now available on trekk.ca
Posted: Apr 02, 2015



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Treating Gastroenteritis: Evidence for Clinicians

April 13, 2015 - This week's blog is contributed from the Cochrane Child Health Field and is about treatments for gastroenteritis.
Posted: Apr 10, 2015



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Making Medical Procedures Less Painful for Kids - Evidence for Clinicians

April 20, 2015 - This week's blog is contributed from the Cochrane Child Health Field and is about making medical procedures less painful.
Posted: Apr 17, 2015



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Evidence-Based Treatments for Acute Otitis Media

April 27, 2015 - This week's blog is contributed from the Cochrane Child Health Field and is about treating acute otitis media (middle ear infection).
Posted: Apr 24, 2015



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Does a child's cough sound like a barking seal? Could be croup

May 4, 2015 - This week's blog is contributed from the Cochrane Child Health Field and is about managing croup.
Posted: May 01, 2015



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DKA Podcast on Emergency Medicine Cases

May 1st 2015 - Join TREKK content advisors Drs. Sarah Reid and Sarah Curtis as they discuss the treatment and management of pediatric diabetic ketoacidosis in the emergency department with Dr. Anton Helman and Emergency Medicine Cases.
Posted: May 01, 2015



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CMAJ: Ultrasound or near-infrared vascular imaging to guide peripheral intravenous catheterization in children

May 2015: This months Canadian Medical Association Journal features TREKK meningitis content advisor Dr. Sarah Curtis and TREKK Director Dr. Terry Klassen and their study on ultrasound or near-infrared vascular imaging to guide peripheral intravenous catheterization in children.
Posted: May 25, 2015



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Dr. Marilyn Li Pediatric Emergency Medicine Leadership Award

June 2015 - Dr. Terry Klassen is this year's recipient of the inaugural Dr. Marilyn Li Pediatric Emergency Medicine Leadership Award from the Canadian Association of Emergency Physicians. Congratulations Dr. Klassen!
Posted: Jun 02, 2015



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Podcast: Emergency Medicine Cases and The Neonatal Lazy Feeder

June 2015 - Join Dr. Anthony Crocco as he discusses an approach to the neonatal lazy feeder and why we should abandon the use of codeine in pediatrics as well as in breastfeeding mothers on this episode of Emergency Medicine Cases - Best Case Ever.
Posted: Jun 18, 2015



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New Resource - Bottom Line Recommendations for Procedural Sedation

June 2015- TREKK's bottom line recommendations for procedural sedation are now available on trekk.ca. Created by content advisors Dr. Lisa Evered & Dr. Maala Bhatt, this two page summary outlines key facts and recommendations for procedural sedation in children.
Posted: Jun 24, 2015



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Building a connection: TREKK and NENA

June 2015 - Read the latest TREKK blog about connections made at this years NENA conference. Written by Manitoba Coordinator Laura Ebenspanger
Posted: Jun 30, 2015



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New resources available on trekk.ca!

July 2015 - New resources are available on trekk.ca, including bottom line recommendations for procedural sedation (French), severe head trauma, and an evidence repository on thoracoabdominal trauma. Also, check out the new podcast by Dr. Samina Ali and Dr. Anthony Crocco on Pediatric Pain Management.
Posted: Jul 10, 2015



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TREKK featured on CTV Winnipeg

TREKK featured on CTV Winnipeg's monthly segment: Small Wonders
Posted: Jul 31, 2015



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TREKK 2014-2015 Annual Report Highlights

TREKK 2014-2015 Annual Report Highlights - now available!
Posted: Sep 01, 2015



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TREKK co-director earns Royal Society honours

Dr. Shannon Scott, TREKK co-director, inducted into Canada's oldest and most prestigious scholarly institute.
Posted: Sep 28, 2015



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New Resources on trekk.ca!

5 new evidence repositories and 1 bottom line recommendation now live on trekk.ca!
Posted: Nov 13, 2015



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TREKK e-update: November 13th 2015

Get up to date on new TREKK resources and upcoming blog topics. Read our latest e-update!
Posted: Nov 16, 2015



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EM Cases - Emergency management of pediatric seizures

Drs. Lawrence Richer and Angelo Mikrogianakis discuss the emergency management of pediatric seizures in this new podcast by EM Cases.
Posted: Dec 02, 2015



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Pediatric Respiratory Assessment Measure (PRAM) App

New App now available for iPhone and Android to facilitate the use of the PRAM tool for the assessment and management of acute asthma.
Posted: Dec 08, 2015



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Useful tips for parents this holiday season

When to take your child to the ED and when to stay home? TREKK's Stephen Porter outlines helpful tips for parents this holiday season.
Posted: Dec 15, 2015



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Dr. Kathy Boutis and Dr. Amy Plint with landmark study on ankle injuries

Is it a fracture or a sprain? Boutis and colleagues debunk common presumptive diagnosis of SH1DF in children with lateral ankle injuries.
Posted: Jan 06, 2016



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TREKK croup story book

New tools for parents and families: find out about Michael and his parents' experience with croup through an interactive story book.
Posted: Feb 09, 2016



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What works and what's safe in pediatric emergency procedural sedation: an overview of reviews

Published in Academic Emergency Medicine February 2016
Posted: Mar 18, 2016



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Federal Government Renews Support for TREKK

TREKK renewed by the Government of Canada
Posted: May 01, 2016



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Mona Jabbour receives the Michel Weber Education Award

Congratulations to TREKK co-director, Dr. Mona Jabbour, who received the Michel Weber Education Award for her significant and positive impact on learners in child and youth health.
Posted: Jul 06, 2016



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CanadiEM blog: TREKK Series | Bronchiolitis

TREKK and CanadiEM have come together to translate the latest PEM guidelines on bronchiolitis.
Posted: Jul 20, 2016



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Pain Assessment and Management Initiative (PAMI)

Pain Assessment and Management Initiative (PAMI) is an e-Learning and patient safety educational project aimed at improving the safety of patients of all ages by developing tools and learning modules for health care providers to recognize, assess, and manage acute and chronic pain in acute care settings.
Posted: Aug 10, 2016



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New topic: febrile status epilepticus

Read up on our latest topic, febrile status epilepticus. The new resources, compiled by TREKK content advisor Dr. Lawrence Richer, include bottom line recommendations, clinical guidelines, systematic reviews, systematic review summaries and key studies.
Posted: Aug 18, 2016



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CanadiEM Blog: TREKK Series | Multisystem Trauma

TREKK and CanadiEM have come together to translate the latest guidelines in pediatric emergency medicine. The second post in this blog series is on multisystem trauma. Join Drs. Ashley Lubberdink, Kaif Pardhan & Sue Beno, as they translate the TREKK Bottom Line Recommendation and run through the case - a 10 year old boy brought into the Pediatric ED after he has been in a collision on an ATV. R...
Posted: Sep 08, 2016



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Updated gastroenteritis bottom line recommendation

The TREKK gastroenteritis bottom line recommendations have undergone their 2 year review with content advisor Stephen Freedman and the TREKK Steering committee. See the updated recommendations here. The updated French translation will be available soon.
Posted: Sep 13, 2016



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New website helps parents manage common childhood illnesses and injuries

A new resource to help parents manage common childhood illnesses and injuries that don’t require emergency department (ED) treatment is available online. Created by a team of emergency doctors and clinicians from Alberta Children's Hospital and Stollery Children's Hospital, Health Education and Learning (HEAL) aims to provide families across Alberta with easily accessible, reliable information ...
Posted: Sep 22, 2016



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New Bottom Line Recommendation: Asthma

Asthma is the most common chronic disease in children. Our new Bottom Line Recommendation on asthma is now available in English!
Posted: Sep 27, 2016



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New Evidence Repository

Our new Evidence Repository is acute otitis media — a common, symptomatic infection of the middle ear. Bottom Line Recommendations are coming soon, thanks to our content adviser, Dr. Nicole Le Saux, from the Children's Hospital of Eastern Ontario.
Posted: Oct 18, 2016



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Outstanding Mentor Award

Congratulations to Dr. Amy Plint, TREKK content advisor for bronchiolitis and TREKK Board of Directors member, for winning the Outstanding Mentor Award from the Children's Hospital of Eastern Ontario Research Institute. Find out more about Dr. Plint's award here.
Posted: Nov 03, 2016



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Gastroenteritis video for parents

Vote now for our latest parent resource! We are thrilled to have supported ECHO and ARCHE on the creation of this whiteboard video called "My Child is Vomiting and Has Diarrhea." This tool is for parents to help them decide when to take their child to the emergency department with gastroenteritis.
Posted: Nov 03, 2016



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New Bottom Line Recommendation: Procedural Pain

Minimizing procedure-related pain should be a routine part of emergency department care for children. Our new Bottom Line Recommendation on procedural pain was produced by TREKK content advisors Dr. Samina Ali and Dr. Amy Drendel and is available here. French version coming soon!
Posted: Nov 07, 2016



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Knowledge Nudge: How does TREKK transform the latest evidence into useful tools?

We translate the latest evidence in pediatric emergency care into tools for healthcare professionals, patients and families. How? TREKK Knowledge Broker Leah Crockett breaks our process down into 7 steps. To read the full article on how we do it, click here.
Posted: Nov 22, 2016



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Bronchiolitis resources

Bronchiolitis season is in full effect. See our resources for managing and treating bronchiolitis here.
Posted: Dec 05, 2016



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Croup video

We have a new resource available for parents! Watch our new video about croup to learn about symptoms to watch for, ways to manage croup at home and when you need to seek medical attention. Please feel free to share the video with colleagues and parents. Watch the croup video here and check out our other parent tools here.
Posted: Dec 15, 2016



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Gastroenteritis video wins runner-up prize

We're happy to announce that our gastroenteritis video won second place in the Canadian Institutes of Health Research IHDCYH Video Talks contest. This is a team success, as we partnered with the Alberta Research Centre for Health Evidence (ARCHE) and Evidence in Child Health to enhance Outcomes (ECHO) to produce it. Congratulations to all involved.
Posted: Jan 19, 2017



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TREKK Needs Assessment publication in CJEM

The results from our Needs Assessment on health care professionals pediatric preferences in the emergency department have now been published in the Canadian Journal of Emergency Medicine (CJME). See the full publication here.
Posted: Jan 23, 2017



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New video tells parents what to do about croup

The Winnipeg Free Press recently featured our croup video, saying it should be on every parents' "must-watch list". Click here to watch the video, which talks about the symptoms and treatments of croup, including what you can do at home, and when you need to go to the emergency room. Read the article here.
Posted: Feb 13, 2017



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TREKK featured in WAVE Magazine

“Kids coming here are doing a lot better, and I think TREKK has a lot to do with that” - Dr. David Pontin, Clinical Director of the Emergency Department, Stanton Territorial Hospital, Yellowknife Last month we were featured in WAVE magazine! Check out the article here and read about how TREKK was started and how we're helping staff in the emergency department.
Posted: Feb 22, 2017



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TREKK on Global Morning Live

Dr. Terry Klassen was on Global Morning Live in Winnipeg this week talking about TREKK and our current and upcoming parent tools. If you haven't seen the interview yet, watch it here.
Posted: Feb 23, 2017



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Dr. Terry Klassen on CTV Morning Live Winnipeg

On March 10th, our Network Director, Dr. Terry Klassen, was on CTV Morning Live talking about croup and the important work we are doing pediatric for emergency medicine.
Posted: Mar 13, 2017



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Learning to Live With Chronic Pain

Know pain - know gain. Parents, check out this storybook on chronic pain in children and how to manage the daily challenges that come with chronic pain. The book was created through a collaboration of researchers from ECHO, Stollery Children's Hospital, and the Women and Children's Health Research Institute. You can read the book here.
Posted: Apr 11, 2017



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Bronchiolitis Bottom Line: Two Year Review

As part of our process, we review our resources every two years and update them based on any new evidence. The two year review of our bronchiolitis bottom line is now complete. Dr. Amy Plint, the content adviser for bronchiolitis, is based at the Children's Hospital of Eastern Ontario and her research is focused on managing bronchiolitis and adverse events in the emergency department.
Posted: May 02, 2017



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New Evidence Repositories

There are three new Evidence Repositories on trekk.ca. Check them out by clicking the links below
Posted: May 23, 2017



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WHA and WHO Name Sepsis a Global Priority

On May 26, 2017, the World Health Assembly (WHA), the decision-making body of the World Health Organization (WHO) established Sepsis as a global priority. The executive Board of the WHO unanimously recommended the resolution adopted by the WHA to improve, prevent, diagnose, and manage sepsis through a series of measures directed at developed and developing countries around the world. This comes...
Posted: Jun 06, 2017



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Why should Canada invest in emergency care for children:

Are we ready to commit nationally to emergency care for children? When a child is sick or injured, our health system usually delivers excellent care. That’s good news. Yet the adage that “children are not small adults” – and have specific medical needs – reflects the challenge still facing most Canadian emergency departments. Check out the TREKK opinion piece that was published in Policy Option...
Posted: Jul 18, 2017



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New resources

Have you heard? We have some new resources available for you in the Evidence Repository. As part of our two year review process, the concussion Evidence Repository was updated. The Bottom Line Recommendation for concussion is also being updated and will be up soon. Check out the new resources for concussion here. We have also added a new Evidence Repository for constipation. Bottom Line Recomme...
Posted: Aug 14, 2017



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Sick All Night - A storybook on gastroenteritis

Learn about Salima and Ali's experiences with gastroenteritis through an interactive story book, created in partnership with Evidence in Child Health to Enhance Outcomes (ECHO) & Alberta Research Centre for Health Evidence. Browse through the interactive gastroenteritis page for information on the signs, symptoms, treatment, and management of gastroenteritis and what to do if you are a parent o...
Posted: Oct 17, 2017



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IWK implements TREKK sepsis PedsPac

Last week the IWK Health Centre in Halifax announced that they’re implementing the TREKK sepsis PedsPac in their ED. As sepsis is one of the leading causes of death in children worldwide, early recognition is critical. “It’s really important for people in the healthcare world to have early recognition of sepsis, so that we can save lives,” said Dr. Shannon MacPhee, the Chief of Pediatric Emerge...
Posted: Nov 16, 2017



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Rapid Review Series: DKA

In Emergency Medicine Cases new Rapid Review Video, get the key take home points from the original pediatric DKA podcast. Learning Objectives include: Review diagnostic pearls for DKA. Review definition and classification of DKA in pediatrics. Review general approach to pediatric DKA management. Watch the Rapid Review Video here.
Posted: Dec 11, 2017



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NENA Conference 2018

Experience emergency nursing education with nurses from across Canada. Registration for the 2018 National Emergency Nurses Association Conference is now open. Hosted at at the Delta Grand Okanagan Resort from April 20 to the 22, experience dynamic and engaging speakers during two and half days of learning, networking and playing.
Posted: Feb 15, 2018



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Updated resources: Fractures Bottom Line Recommendations

As part of our two year review process, the Bottom Line Recommendations for pediatric fractures have been reviewed and updated based on the latest evidence. See the new Bottom Line Recommendations for fractures here.
Posted: Feb 27, 2018



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Managing trauma patients in Community EDs

Check out this new whiteboard video on Trauma Care for Community Emergency Departments, created by the University of Toronto Trauma & ACS, Sunnybrook Hospital, SickKids, and St. Michael's Hospital. The video was primarily developed by Dr. Alun Ackery, Dr. Suzanne Beno, and Dr. Kealin Wong.
Posted: Mar 08, 2018



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New Podcast: Pediatric Physical Abuse Recognition and Management

In this new EM Cases podcast Drs. Carmen Coombs (TREKK content advisor) and Alyson Holland discuss the recognition and management of child abuse in the ED
Posted: Mar 27, 2018



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Updated resources: Procedural Sedation Bottom Line Recommendation

To ensure our resources are up-to-date based on the latest evidence, we complete a two-year review for all of our Bottom Line Recommendations and our Evidence Repositories. The Bottom Line Recommendations for pediatric procedural sedation have recently been updated. See the new resources here.
Posted: Apr 17, 2018



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New study: Do IV Fluids affect risk of Cerebral Edema in DKA?

A new study by Dr. Nathan Kupperman and the Pediatric Emergency Care Applied Research Network (PECARN) will change the standard of practice for the management of pediatric diabetic ketoacidosis (DKA). Through a randomized controlled trial across 13 centers, the study found that neither the rate of administration nor the sodium chloride content of IV fluids significantly influenced neurologic ou...
Posted: Jun 18, 2018



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Updated Bottom Line Recommendations: Concussion

Our Bottom Line Recommendations for pediatric concussion have been updated as part of our two-year review process. The updates include step-by-step strategies for returning back to school and physical activity, and a new Concussion Awareness Training Tool. See what's new here.
Posted: Jun 28, 2018



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Updated Bottom Line Recommendations: Concussion

Our Bottom Line Recommendation and Evidence Repository for pediatric concussion have been updated as part of our two-year review process. The updates include step-by-step strategies for returning back to school and physical activity, and a new Concussion Awareness Training Tool. See what's new here.
Posted: Jul 03, 2018



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Updated Bottom Line Recommendations: Intussusception

Our Bottom Line Recommendation and Evidence Repository for intussusception have been updated as part of our two-year review process. Intussusception is the most common abdominal emergency of early childhood and is usually idiopathic. The vast majority of cases (80%) occur in children less than 2 years, with the most frequent age range being 5-10 months.
Posted: Jul 09, 2018



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New Bottom Line Recommendation: Pain Treatment

We have a new Bottom Line Recommendation for the treatment and management of pediatric pain in the Emergency Department (ED)! Created by Drs. Samina Ali and Amy Drendel, the Bottom Line includes a pain scale to measure the child's pain and outlines the physical, psychological, and pharmacological ways to treat pain. Find the Bottom Line Recommendation here, now available in French and English!
Posted: Jul 16, 2018



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New Evidence Repository: Urinary Tract Infections

We have a new evidence repository for urinary tract infections (UTI). A common diagnosis among infants and children, UTI can lead to renal scarring, hypertension and end stage renal disease (ESRD) if missed. Click here to see our resources for UTI, Bottom Line Recommendation coming soon!
Posted: Jul 23, 2018



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New Bottom Line Recommendation: Suspected Physical Child Maltreatment

Physical child maltreatment is any action by a caregiver resulting in or presenting a significant risk of physical harm to a child. Infants and toddlers are at the highest risk for death due to maltreatment. TREKK has developed a new Bottom Line Recommendation (BLR) to help healthcare providers better recognize and manage physical abuse in the ED. In addition to the BLR, Emergency Medicine Case...
Posted: Aug 28, 2018



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New Bottom Line Recommendation: Anaphylaxis

Anaphylaxis is a serious allergic reaction that is rapid in onset and may cause death. Although fatalities are rare, anaphylaxis must always be considered a medical emergency requiring immediate treatment. Our Bottom Line Recommendation for pediatric anaphylaxis is here! Learn how to establish the diagnosis of anaphylaxis, as well as the risk factors for severe anaphylaxis and tips for manageme...
Posted: Sep 10, 2018



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Updated sepsis algorithm

Our sepsis algorithm has a new look! We simplified the colour scheme of the algorithm to make it easier to read and follow. Click here to see the new design.
Posted: Sep 26, 2018



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UPDATE: Fever Bottom Line Recommendation

It has come to our attention that the ceftriaxone dosing on the Fever Bottom Line Recommendation is not clear and may cause confusion on the frequency of the dose. We have removed the resource from our website while we update it. It will be available again shortly. In the meantime, if you have downloaded a copy of the Fever Bottom Line Recommendation, please discard or refer to your local drug ...
Posted: Sep 27, 2018



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VOTING NOW OPEN: Ear infection video for parents

Voting for the CIHR IHDCYH Talks Video Competition is now open! Check out this video, created in partnership with ECHO and ARCHE, which aims to help parents and caregivers help when their child has an ear infection. Log into either a YouTube or Gmail account and click "thumbs up" to vote for our entry. Click here to vote for and watch the video.
Posted: Nov 19, 2018



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Multicenter trial of a combination probiotic for children with gastroenteritis

Gastroenteritis accounts for approximately 1.7 million visits to the emergency department (ED) by children in the United States every year. Data to determine whether the use of probiotics improves outcomes in these children are lacking. Dr. Stephen Freedman from Pediatric Emergency Research Canada and TREKK content advisor for gastroenteritis led this fantastic multicenter trial looking at the ...
Posted: Dec 03, 2018



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Updated Resources - Revised PedsPacs

Our practical tools, Pediatric Packs (PedsPacs) have recently undergone minor revisions for consistency and formatting. The updated resources are listed below: Sepsis Status epilepticus Anaphylaxis These updates have only been applied to the English versions, the French updates are coming soon! Please ensure you have the most up-to-date versions of these resources – click the buttons below to c...
Posted: Dec 18, 2018



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New PedsPacs!

We have two new Pediatric Packs (PedsPacs) available online: Asthma is the most common chronic disease in children, and acute exacerbations of asthma are one of the most common reasons for children to seek emergency care and require urgent hospitalization. Our practical tools for severe asthma include a pocket card, management algorithm, pre-printed order set, and a transport checklist. View th...
Posted: Dec 20, 2018



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Publication highlight: Creation of an Integrated Knowledge Translation Process to Improve Pediatric Emergency Care in Canada

Can an integrated KT process address an information gap in healthcare practice? Check out this TREKK publication describing the methods for developing and disseminating the TREKK Evidence Repository to improve pediatric emergency care in Canada. Learn more about our process here.
Posted: Jan 22, 2019



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New PedsPac!

We have a new Pediatric Pack (PedsPac) available: Diabetic Ketoacidosis is a complication of new or existing Type 1 Diabetes. Pediatric DKA may be complicated by cerebral edema and due to this risk, is treated differently than adult DKA. Health care providers must follow a published pediatric-specific protocol when treating pediatric DKA. Early communication with the diabetes specialist at your...
Posted: Jan 31, 2019



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Heart Month

February is Heart Month and the 7th-14th is Congenital Heart Defect (CHD) Awareness Week. CHD Awareness Week is an annual awareness effort to help educate the public about congenital heart defects.
Posted: Feb 14, 2019



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Canadian Anaphylaxis Action Plan for Kids

The Canadian Anaphylaxis Action Plan for Kids (Kids’ CAP) is a tool to educate children and caregivers about anaphylaxis. The main focus of this tool is to answer two questions: 1) How to recognize the symptoms of anaphylaxis; 2) What are the appropriate treatment steps of a child experiencing an anaphylactic reaction.
Posted: Feb 25, 2019



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Brain Awareness Week

March 11-17 is Brain Awareness Week (BAW)! BAW is the global campaign to increase public awareness of the progress and benefits of brain research. Concussion is “a traumatic brain injury, induced by biomechanical forces”. Concussion results from acceleration and deceleration forces which may be caused either by a direct blow to the head, face, neck or elsewhere on the body with an 'impulsive' f...
Posted: Mar 11, 2019



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Updated resource - Croup Bottom Line Recommendations

Our Bottom Line Recommendations for croup have recently gone through their two year review and update. As a part of our resource development process, all of our TREKK resources are reviewed and updated based on the latest evidence every two years. Croup is a common respiratory illness caused by a viral infection in the airway. Accompanied by a barky cough and respiratory distress, this illness ...
Posted: Mar 21, 2019



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TREKK Education Session - Brandon, Manitoba

On Friday, April 5, a team from Health Sciences Centre Winnipeg (HSC Winnipeg) traveled to Brandon, Manitoba to provide a TREKK education session at the Brandon Regional Health Centre (BRHC). The team included four pediatric emergency medicine specialists, two members from TREKK's administrative team, and representatives from the Shock Trauma Air Rescue Society (STARS) mobile education program....
Posted: Apr 09, 2019



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Updated resource - Gastroenteritis Bottom Line Recommendations

Our Bottom Line Recommendations for gastroenteritis have recently gone through their two-year review and update. As a part of our resource development process, all of our TREKK resources are reviewed and updated based on the latest evidence every two years. Gastroenteritis is an infection of the bowel (intestines) caused by a virus or bacteria that can cause diarrhea and vomiting. It is common ...
Posted: Apr 09, 2019



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New French PedsPacs

ALL of our practical tools (Pediatric Pacs) are now available in both French and English! We have PedsPacs available for the following pediatric conditions: Anaphylaxis Asthma Critically Ill Neonate Diabetic Ketoacidosis Sepsis Status Epilepticus Click here to check out all of PedsPacs, in both French and English! Remember to refresh your TREKK app by clicking the "Refresh Data" button on the h...
Posted: Apr 23, 2019



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UPDATE: Asthma Pocket Card

It has come to our attention that there was a discrepancy in the PRAM score between the pocket card in our asthma Pediatric Packages (PedsPacs) and the algorithm poster. Please discard the asthma pocket card and refer to the algorithm. The asthma pocket card is being updated and will be available shortly. If you have downloaded the TREKK app, please make sure you have the most up-to-date resour...
Posted: May 10, 2019



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TREKK Board Announcement

On behalf of Dr. Terry Klassen, Network Director, Translating Emergency Knowledge for Kids (TREKK), we are pleased to announce that Dr. Douglas Sinclair took on the role of Chair, Board of Directors for the TREKK Network, starting January 2019.
Posted: May 21, 2019



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NEW Parent Tools!

We have a variety of knowledge translation tools for parents and caregivers on common acute pediatric conditions. These tools are designed to provide evidence-based health information to parents and families to aid them in caring for their sick children at home, and to aid them in understanding when emergency department care should appropriately be sought. We work hard to engage health care pro...
Posted: May 30, 2019



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Brain Injury Awareness Month 2019

June is Brain Injury Awareness Month (BIAM)! BIAM is all about raising awareness about the prevalence of acquired brain injury, the impact on individuals and families, the ways we can make changes and do better, and how everyone can support a person in their community. Our evidence repository is full of resources for treating and managing pediatric concussion and severe head trauma in the ED. C...
Posted: Jun 13, 2019



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New Bottom Line Recommendation: Fever in Young Infants

Neonates and young infants with fever account for a significant number of emergency department visits. Most of these infants have self-limited viral illnesses, however up to 10-13% of febrile young infants have a serious bacterial infection. Our Bottom Line Recommendations (BLR) for fever in young infants are now available in English and French! See our BLR for key facts and management recommen...
Posted: Jul 04, 2019



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2018/19 Annual Report Summary

Children are not small adults – they have unique differences that need specialized knowledge and care. In an effort to close critical knowledge gaps and improve emergency care for children across Canada, TREKK provides instant access to information for those who need it most. Looking back on the highlights of 2018-19 in our Annual Report Summary, it’s easy to see that the past year was full of ...
Posted: Aug 20, 2019



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New Bottom Line Recommendations: Urinary Tract Information

A urinary tract infection (UTI) is among the most common serious bacterial infections seen in infants and children. UTI with fever indicates an upper tract infection/pyelonephritis, as opposed to afebrile cystitis. It is important to diagnose and empirically treat febrile UTIs in infants and children, as delayed treatment may increase the risk of bacteremia. There are a number of risk factors a...
Posted: Aug 20, 2019



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Updated Bottom Line Recommendations: Acute Otitis Media

We know that health information and evidence changes rapidly. We work with child health experts to make sure our resources for each condition have been updated a minimum of 2 years. Our Bottom Line Recommendations for pediatric acute otitis media have recently been updated based on the latest evidence. Check them out here.
Posted: Oct 03, 2019



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Canadian Paediatric Society Position Statement: Pain Management

Managing pain and distress in children undergoing brief diagnostic and therapeutic procedures Managing pain and distress is an essential part of health care. A new position statement from the Canadian Paediatric Society provides evidence-based strategies for minimizing children’s pain and distress during common diagnostic and therapeutic procedures, and offers guidance for health administrators...
Posted: Nov 05, 2019



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Parent tools - UTI and Bronchiolitis

We have a variety of knowledge translation tools for parents and caregivers on common acute pediatric conditions. These tools are designed to provide evidence-based health information to parents and families to aid them in caring for their sick children at home, and to aid them in understanding when emergency department care should appropriately be sought. We work hard to engage health care pro...
Posted: Jan 09, 2020



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National Emergency Nurses Association Conference

Save the date for the 2020 National Emergency Nurses Association (NENA) Conference, held in Winnipeg, Manitoba, from May 1 - 3, 2020! This year's conference theme is "empowERed". NENA is the national voice for the highest standards and practices in emergency nursing and emergency departments across Canada. Learn more here.
Posted: Feb 18, 2020



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I Love to Read Month

Reading aloud to young children is not only one of the best activities to stimulate language and cognitive skills; it also builds motivation, curiosity, and memory. Since February is I Love to Read Month, we're sharing our FREE storybooks for children and their families on common childhood illnesses. These books (and our other parent tools) were designed to empower parents and families with evi...
Posted: Feb 18, 2020



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COVID-19 Resources for Families

Stressful public events - such as the COVID-19 pandemic - can lead to the loss of routine for you and your family. Information around the outbreak is constantly evolving and can be confusing or unsettling for parents, children, and youth. We know that families may be wondering what to do or where to look for credible information, so we've put together a list of resources from trusted organizati...
Posted: Mar 31, 2020



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Parents Needed for COVID-19 Study

Has your child tested positive for COVID-19? The ECHO research program and Alberta Research Centre for Health Evidence (ARCHE) are interviewing Canadian parents of children who tested positive for the novel coronavirus disease (COVID-19). Their goal is to understand parent experiences and information needs. Find more information and contact details here: http://www.echokt.ca/covidstudy/
Posted: Apr 21, 2020



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Updated Resource for Ear Infections

Approximately 75% of children will experience at least one ear infection before starting school. Our management summaries (Bottom Line Recommendations) for pediatric acute otitis media have recently been updated based on the latest evidence. Check them out in their new template, available in both French and English! See the new resources here.
Posted: May 14, 2020



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Information on COVID-19

We understand there is growing concern around the COVID-19 (coronavirus) pandemic internationally and within Canada. Find resources developed from reliable sources on COVID-19, hospital preparedness, planning guidelines, and more here: We also recommend checking with your provincial ministry or regional health office for local guidelines and resources (list below*) Provincial/Territory resource...
Posted: Jun 26, 2020



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New Resources for Multisystem Trauma

Trauma is the leading cause of morbidity and mortality in children. Children have unique injury patterns and substantial differences in their response to trauma when compared with adults, requiring special consideration when addressing the assessment and management of pediatric trauma.
Posted: Jul 14, 2020



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Has your child tested positive for COVID-19?

The ECHO research program and Alberta Research Centre for Health Evidence (ARCHE) are interviewing Canadian parents of children who tested positive for the novel coronavirus disease (COVID-19). Their goal is to understand parent experiences and information needs. Click here to find more information and contact details. Check out episode 1 of EM Quick Hits, featuring helpful tips for pediatric e...
Posted: Jan 26, 2021



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Updated Resources for Bronchiolitis

Bronchiolitis is a common viral illness, characterized by acute inflammation in the airways, edema and necrosis of epithelial cells lining the small airways, bronchospasm, and increased mucus production. Our Bottom Line Recommendations for bronchiolitis recently went through a two-year review and are now updated based on the latest evidence! The two-page summary has information on diagnosis, tr...
Posted: Feb 09, 2021



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NEW Burns Bottom Line Recommendations

Burns are a leading cause of unintentional injury and death in children, with the vast majority of cases occurring in the home. Regardless of the burn depth or extent, these injuries can have significant long-term functional, aesthetic, and psychological consequences for the child. We have a NEW Bottom Line Recommendation available for pediatric thermal burns! The two-page summary has evidence-...
Posted: Feb 23, 2021



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Brain Awareness Week

It's Brain Awareness Week! Brain Awareness Week is a global campaign founded by the Dana Foundation, designed to foster public enthusiasm and support for brain science. We're highlighting two important resources related to treating children with brain injuries and developmental disabilities in the emergency department (ED):
Posted: Mar 15, 2021



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New asthma video for parents

Asthma is a common condition that causes your airways to swell and fill with mucus. This can make it hard to breathe. Symptoms of asthma can be mild, moderate, or severe and can vary between children over time and across seasons. ⠀ ⠀ ECHO Research has created a new video for parents, with tips to help families understand common symptoms of asthma, how to manage symptoms at home, and when to see...
Posted: Mar 22, 2021



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Updated fact sheet on COVID-19 and kids

Our fact sheet on pediatric COVID-19 was recently reviewed and updated! The resource is designed for emergency healthcare providers and has evidence-based information on clinical presentation, symptoms, testing and treatment for kids with COVID-19. Download the new resource here.
Posted: Mar 29, 2021



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AGMP Fact Sheet

What is an Aerosol Generating Medical Procedure (AGMP)? Aerosol-generating medical procedures (AGMPs) are procedures that can generate aerosols when an infected person’s airway is manipulated.
Posted: Jun 21, 2021



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TREKK 2020 Report Highlights

Check out some of the highlights from the TREKK 2020 Report.
Posted: Jun 22, 2021



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TREKK Welcomes New Board Members

TREKK is pleased to welcome three new members to our Board of Directors.
Posted: Jun 29, 2021



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TREKK Scholars & Fellows Program

A key part of achieving TREKK’s goals is increasing our engagement of trainees (e.g. residents, graduate students) in resource development and implementation. This1-2 year program is designed to support trainees, early career clinicians and professionals.
Posted: Jul 05, 2021



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Reaching Far and Wide- TREKK in the North

With the goal of providing every child with the highest standard of emergency care, TREKK has been reaching far and wide to accomplish that. Many rural and remote hospitals, nursing stations and health centers have been using our evidence-based resources and tools to better the care provided to the children they treat.
Posted: Jul 08, 2021



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July 2021 TREKK E-Update

View the July 2021 TREKK E-Update!
Posted: Jul 15, 2021



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TREKK Webinar

Find out more about TREKK with this informative webinar!
Posted: Aug 03, 2021



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TREKK E-Update- August

August E-Update
Posted: Sep 01, 2021



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2021 CIHR IHDCYH Talks Video Competition

CIHR IHDCYH Talks Video Competition
Posted: Sep 22, 2021



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TREKK E-Update- September

View the latest TREKK E-Update! 
Posted: Oct 02, 2021



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New Resource- Suicidal Risk Screening & Assessment

Suicide is the second leading cause of death for North American adolescents. Children as young as 10 years old can experience suicidal ideation and engage in suicidal behavior. Suicide risk must be determined for all pediatric patients receiving mental health care in an emergency department. 
Posted: Oct 14, 2021



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Welcome Dr. Baril

TREKK is excited to announce the new TREKK Scholars who have joined our team. Dr. Laurence Baril is an emergency medicine resident based in Québec. Welcome to the TREKK network Dr. Baril!
Posted: Nov 15, 2021



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Welcome Dr. Shwetz

TREKK is excited to share the new TREKK Scholars who have joined our team. Dr. Sey Shwetz is originally from Saskatchewan and is currently working in Alberta . Welcome to the TREKK network Dr. Shwetz!
Posted: Nov 15, 2021



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Updated Resource- Bottom Line Recommendations for Constipation

The prevalence of functional constipation in infants and toddlers is ~20%. IBS is also common, found in up to 15% of children. Learn more about treating children with constipation with TREKK's recently updated Bottom Line Recommendations.
Posted: Dec 07, 2021



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NEW- Bottom Line Recommendations, Cannabis Intoxication

Cannabis contains two well known components, Delta-9 Tetrahydrocannabinol (Δ-9-THC) and Cannabidiol (CBD). The psychoactive properties of cannabis are typically attributed to Δ-9-THC, which is present in variable concentrations dependent on the strain, and absorbed at variable rates dependent on the mode of ingestion. We have a NEW Bottom Line Recommendation available for Cannabis Intoxication....
Posted: Dec 16, 2021



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MyHEARTSMAP- Mental Health Self Assessment Tool

MyHEARTSMAP is a highly reliable mental health self-assessment tool designed for use by youth and their families in the emergency department or at home.
Posted: Jan 11, 2022



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Job posting: Project Coordinator

Join the TREKK team! We're looking for a bilingual Project Coordinator.
Posted: Mar 09, 2022



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NEW RESOURCE- French Concussion BLR

TREKK has another new resource to share! We've recently added the French version of our Concussion Bottom Line Recommendations to our website.
Posted: May 09, 2022



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Happy Nurses Week

This week is National Nurses Week. Thank you to nurses everywhere!
Posted: May 09, 2022



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New Parent Resource from ECHO

Did you know 15-39% of children live with chronic pain? Our partners are ECHO Research have a new parent tool all about Chronic Pain. See the new infographic here.
Posted: May 13, 2022



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Welcome Dr. Jen Turnbull!

TREKK is pleased to welcome Dr. Turnbull as a TREKK representative at Montréal Children's Hospital!
Posted: Jun 21, 2022



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POPCORN

TREKK is excited to be a part of the POPCORN platform! TREKK Scientific Director, Dr. Terry Klassen, will be leading the knowledge mobilization piece of the project.
Posted: Sep 06, 2022



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New Parent Tools- Fractures

Our partners at ECHO have created two new resources for parents and families all about fractures. Find out more about what to expect if your child or teens has a fracture by watching the video or reading the online infographic.
Posted: Oct 11, 2022



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Technical Difficulties

Please note that we are currently experiencing technical difficulties with our website Resources section. We are aware of this issue and are working to resolve it as quickly as possible. We apologize for the inconvenience.
Oct 24, 2022, 11:05 am to 11:05 am



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New Parent Tools from ECHO

We are excited to share that our partners at ECHO and ARCHE have created new resources for parents and families surrounding COVID-19.
Posted: Nov 29, 2022



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