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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...

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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 b...

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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 ...

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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.

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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 ...

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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.

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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 mana...

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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 C...

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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!

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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!

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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.

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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.

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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.

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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...

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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.

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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

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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.

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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.

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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.

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