TREKK conducted a survey of healthcare professionals and parents/families in general emergency departments across Canada. Through this survey, respondents identified the childhood conditions that they would like more information on to provide the best care to children in emergency departments. Using this information, TREKK began to collect existing, evidence-based resources for these conditions to share on trekk.ca.
TREKK collects resources for each condition using a “knowledge pyramid” framework. The top level of the pyramid is called “Bottom Line Recommendations” and represents the most condensed and summarized information for healthcare professionals working in emergency settings. Moving down the pyramid, resources become more in-depth and specific as different sources of information are included.
In order to bring together the most current, evidence-based resources available, a research librarian connects with a leading Canadian advisor with expertise in each condition. Content advisors are pediatric researchers identified by the TREKK Steering Committee based on their experience dealing with and researching specific conditions.
For each condition, the research librarian performs a preliminary literature search for resources specific to the categories in the knowledge pyramid framework. The research librarian and content advisor then work together to review the results and identify missing or inappropriate resources.
In order to identify “key studies” related to each condition, the research librarian searches the CENTRAL database maintained by the Cochrane Collaboration for high-quality clinical trials. In addition, the research librarian coordinates with each content advisor to identify the most relevant, up-to-date evidence-based studies. Together, the content advisor(s) and research librarian finalize a list of the most relevant and up-to-date studies, which is posted in the Evidence Repository on trekk.ca.
All TREKK developed tools and resources for healthcare professionals are translated to French by a professional medical translator. All translated tools and resources are then reviewed by a French Emergency Medicine Physician for appropriate language use and consistency before being published to the website.
French Reviewers:
Dr. Ariane Boutin
Pediatric Emergency Physician – CHU Ste Justine
Dr. Matthieu Vincent
Pediatric Emergency Physician – CHU Sainte-Justine
Dr. Laurence Baril
Emergency Physician and Medical Education Fellow – Kingston Health Science Centre
Acute Otitis Media - Dr. Nicole Le Saux, Physician, Division of Infectious Diseases, Children's Hospital of Eastern Ontario (CHEO); Clinical Investigator, CHEO Research Institute; Associate Professor, Department of Pediatrics, University of Ottawa.
Procedural Pain and Pain Treatment - Dr. Samina Ali, MDCM, FRCPC (PEM); Professor, Departments of Pediatrics & Emergency Medicine, University of Alberta, and Adjunct Professor of Emergency Medicine, Dr. Amy L. Drendel, DO, MS; Pediatric Emergency Medicine Physician; Associate Professor, Department of Pediatrics, Section of Emergency Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, Corrie Chumpitazi, MD, MS Associoate Professor of Pediatrics Baylor College of Medicine, Division of Emergency Medicine, Texas Children's Hospital, & Naveen Poonai, MSC, MD, FRCPC Associate Professor, Pediatrics, Internal Medicine, Epidemiology & Biostaistics, Schulich School of Medicine & Dentistry Scientist, Child Health REsearch Institute Research Director, Division of Pediatric Emergency Medicine.
Anaphylaxis - Dr. Waleed Alqurashi, Clinical Investigator, CHEO Research Institute; Pediatric Emergency Physician, Division of Emergency Medicine, CHEO; Assistant Professor, Department of Pediatrics and Emergency Medicine, Faculty of Medicine, University of Ottawa & Dr. Anne Ellis, Associate Professor, Division Chair, Allergy & Immunology, Queen's University.
Asthma - Dr. David Johnson, TREKK Co-Director Implementation; Pediatric Emergency Physician; Medical Toxicologist; Professor of Pediatrics and Physiology and Pharmacology; Theme Lead, Alberta Children’s Hospital Research Institute at the University of Calgary, Faculty of Medicine. Dr. Jennifer Turnbull, Staff Physician, Montreal Children's Hospital; Assistant Professor, McGill University.
Bronchiolitis - Dr. Amy Plint, Emergency Pediatrician, Children’s Hospital of Eastern Ontario (CHEO); Senior Investigator, CHEO Research Institute; Associate Professor, Department of Pediatrics and Department of Emergency Medicine, University of Ottawa & Dr. Gabrielle Freire, MDCM FRCPC MHSc, Paediatric Emergency Medicine Physician, Assistant Professor of Paediatrics, University of Toronto, The Hospital for Sick Children.
Concussion - Dr. Roger Zemek, Scientist, Children's Hospital of Eastern Ontario (CHEO) Research Institute; Director of Research, Division of Pediatric Emergency Medicine, CHEO; Physician, Division of Pediatric Emergency Medicine, CHEO; Associate Professor, Departments of Pediatrics and Emergency Medicine, Faculty of Medicine, University of Ottawa; Chair, Pediatric Concussion Guideline Development, Ontario Neurotrauma Foundation; Co-Chair: Diagnosis and Early Education Working Group, Ontario Concussion/Mild Traumatic & Dr. Jennifer Dawson, PhD, Research Associate, CHEO Research Institute.
Congenital Heart Defect - Dr. Karen Black, Pediatric Emergency Physician, BC Children's Hospital; Clinical Associate Professor, Department of Pediatrics, Faculty of Medicine, University of British Columbia.
Constipation - Dr. Mohamed Eltorki, Assistant Clinical Professor, Division of Emergency Medicine, McMaster University & Dr. Paige Landy, BSc, MBChB, Western University, Paediatric Emergency Medicine Fellow
Diabetes Ketoacidosis - Dr. Sarah Reid, Emergency Pediatrician, Division of Emergency Medicine, Children's Hospital of Eastern Ontario (CHEO); Assistant Professor, Departments of Pediatrics and Emergency Medicine, University of Ottawa; Director, Continuing Medical Education, CHEO; Clinical Investigator, CHEO Research Institute.
Fever - Dr. Brett Burstein, MD, PhD, MPH; Clinical Research Scholar, Pediatric Emergency Medicine, Montreal Children's Hospital, McGill University Health Centre, Department of Epidemiology and Biostatistics.
Fractures - Dr. Kathy Boutis, Physician, Pediatric Emergency Medicine, Hospital for Sick Children; Senior Associate Scientist, Child Health Evaluative Sciences; Associate Professor, University of Toronto.
Gastroenteritis - Dr. Stephen Freedman, Physician; Associate Professor in the Department of Paediatrics, Sections of Emergency Medicine and Gastroenterology; Alberta Children’s Hospital Research Institute Healthy Outcomes Theme Group Leader.
Intussusception - Dr. Blake Bulloch, Division Chief, Emergency Medicine, Phoenix Children's Hospital;Associate Professor of Clinical Pediatrics, University of Arizona College of Medicine, Tucson, AZ & Dr. Zebulon Timmins, Physician, Emergency Medicine/Urgent Care, Phoenix Children's Hospital.
Meningitis - Dr. Shannon McPhee, & Dr. Jeanette Comeau, MD, MSc, FRCPC, Assistant Professor, Subspecialty Program Director, Dalhousie University.
Multi-system trauma (including severe head injury & thoracoabdominal trauma) - Dr. Suzanne Beno, Associate Professor, Department of Paediatrics, University of Toronto; Co-Director Trauma Program, Co-Director Paediatric Emergency Medicine Fellowship, The Hospital for Sick Children.
Procedural Sedation - Dr. Maala Bhatt, Children's Hospital of Eastern Ontario, Dr. Corrie Chumpitazi, Baylor College of Medicine.
Sepsis - Dr. Graham Thompson, Physician; Assistant Professor, Department of Paediatrics, Alberta Children’s Hospital Research Institute at the University of Calgary, Faculty of Medicine.
Status epilepticus - Dr. Sarah Buttle, BScH, MD, Children's Hospital of Eastern Ontario, Katherine Muir, CHEO, MD FRCPC Program Director, Pediatric Neurology Residency Training Program, Assistant Professor, Department of Pediatrics; Manish Shah, MD, MS, Professor, Department of Pediatrics, Baylor College of Medicine Associate Division Chief, Academic Development and Strategy, division of Emergency Medicine, Attending Physician, Texas Children's Hopistal, Emergency Center.
Special needs (e.g. autism spectrum disorder & fetal alcohol syndrome disorder) – Ana Hanlon-Dearman, MD, MSc, FRCPC, FAAP
Suspected physical child abuse - Dr. Amy Ornstein, MDCM, MSc, FRCPC, FAAP; Medical Director, IWK Suspected Trauma and Abuse Response Team (START); Head, Division of General Pediatrics, Dalhousie University; Assoicate Professor, Department of Pediatrics, Dalhousie University & Dr. Kathy Boutis, Physician, Pediatric Emergency Medicine, Hospital for Sick Children; Senior Associate Scientist, Child Health Evaluative Sciences; Associate Professor, University of Toronto & Dr. Carmen Coombs, MD, IWK; Director of Postgraduate Training for the pediatric emergency department, IWK.
Urinary Tract Infection - Dr. Gina Neto, Clinical Investigator, CHEO Research Institute; Assistant Professor, Department of Pediatrics; Associate Chief, Division of Emergency Medicine, Children's Hospital of Eastern Ontario (CHEO) & Dr. Nicole LeSaux, Clinical Investigator, CHEO Research Institute; Physician, Division of Infectious Disease, CHEO; Associate Professor, Department of Pediatrics, Faculty of Medicine, University of Ottawa
The purpose of trekk.ca is to provide a user-friendly directory of links to existing online resources. As such, free resources are selected whenever possible. In cases where a resource requires payment or subscription to access, the user is directed to the abstract for the resource in order to offer some level of information.