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User can click on icon to access the healthcare worker resources page.",{"edges":549},[550,553,556,558,561,564,567,570,573,575,578,581,584,587,589,591,593,595,597,600,603,606,609,611,613,615,618,620,623,626,628,630,632,635,638,640,643,646,648,650,653,656,659,662,665,667,669,671],{"node":551},{"name":552},"Procedural Anxiety and Fear",{"node":554},{"name":555},"Measles",{"node":557},{"name":172},{"node":559},{"name":560},"Agitation",{"node":562},{"name":563},"Anxiety",{"node":565},{"name":566},"Iron Deficiency Anemia",{"node":568},{"name":569},"Influenza",{"node":571},{"name":572},"Advanced Life Support",{"node":574},{"name":53},{"node":576},{"name":577},"Migraine",{"node":579},{"name":580},"Abdominal Pain",{"node":582},{"name":583},"Pneumonia (Community Acquired)",{"node":585},{"name":586},"Chronic Pain",{"node":588},{"name":61},{"node":590},{"name":69},{"node":592},{"name":76},{"node":594},{"name":83},{"node":596},{"name":90},{"node":598},{"name":599},"COVID-19",{"node":601},{"name":602},"Cannabis",{"node":604},{"name":605},"Developmental and Intellectual Disabilities",{"node":607},{"name":608},"Child Abuse",{"node":610},{"name":97},{"node":612},{"name":104},{"node":614},{"name":111},{"node":616},{"name":617},"Critically Ill Neonate",{"node":619},{"name":119},{"node":621},{"name":622},"Eating Disorders",{"node":624},{"name":625},"Febrile Seizures",{"node":627},{"name":126},{"node":629},{"name":133},{"node":631},{"name":141},{"node":633},{"name":634},"Hand Foot and Mouth",{"node":636},{"name":637},"High Flow Nasal Cannula",{"node":639},{"name":148},{"node":641},{"name":642},"Meningitis",{"node":644},{"name":645},"Mental Health Self Assessment Tool",{"node":647},{"name":156},{"node":649},{"name":164},{"node":651},{"name":652},"Procedural Pain",{"node":654},{"name":655},"Procedural Sedation",{"node":657},{"name":658},"Sepsis",{"node":660},{"name":661},"Severe Head Injury",{"node":663},{"name":664},"Sickle Cell Disease",{"node":666},{"name":180},{"node":668},{"name":188},{"node":670},{"name":196},{"node":672},{"name":673},"Visiting the Emergency Department",{"debug":675,"queryAnalyzer":676},[],{"keys":677,"keysLength":678,"keysCount":679,"skippedKeys":680,"skippedKeysSize":681,"skippedKeysCount":681,"skippedTypes":682},"6d6b3d1b2eca580f2aae3985d71dc00ef8fba31240f69e3257cf81d43dbf639a graphql:Query list:menuitem list:audience list:topic cG9zdDoxODY4 cG9zdDo0ODU5 cG9zdDoxNjQ= cG9zdDo5NDc= cG9zdDoxNjA= cG9zdDo0NzAz cG9zdDoxNjE= cG9zdDoxNjM= cG9zdDoyMDE= cG9zdDoyMDI= cG9zdDoyMDM= cG9zdDoyMDU= cG9zdDoyMDY= cG9zdDoyMDg= cG9zdDoyNzkx cG9zdDoyMDk= cG9zdDoyMTA= cG9zdDoyNzky cG9zdDoyMTE= cG9zdDoyNzk2 cG9zdDoyNzkz cG9zdDo0NzA0 cG9zdDoyNzk3 cG9zdDoyNzk0 cG9zdDoyNzk1 cG9zdDoxOTE= cG9zdDoxOTI= cG9zdDoxOTY= cG9zdDoxOTU= cG9zdDoxOTQ= cG9zdDoxOTM= cG9zdDoxMjY= cG9zdDoxMjU= cG9zdDoxOTc= cG9zdDoxOTg= cG9zdDoxOTk= cG9zdDoyMDA= dGVybToxMDg= dGVybToyMA== dGVybTo0ODE= dGVybTo0NzY= dGVybTo0Njk= dGVybTo0NDc= dGVybTo0NTQ= dGVybTo0NTg= dGVybTo0NjE= dGVybTo0NjM= dGVybTo0NjQ= dGVybTo0NzE= dGVybTo0NzI= dGVybTo0MzI= dGVybTo0MzQ= dGVybToyMg== dGVybToyNQ== dGVybToyNw== dGVybToyOA== dGVybTozMA== dGVybTozNQ== dGVybTozMQ== dGVybTozMg== dGVybTo1OQ== dGVybTozMw== dGVybTozNA== dGVybTozNw== dGVybTozNg== dGVybTozOA== dGVybTo0MjE= dGVybToxMTQ= dGVybTo0MA== dGVybTo0MQ== dGVybTo0Mg== dGVybTo2MQ== dGVybToxMTA= dGVybTo0NA== dGVybTo0Ng== dGVybToxMDU= dGVybTo0Nw== dGVybTo0OA== dGVybTo1MQ== dGVybTo1Mg== dGVybTo1NA== dGVybTo1NQ== dGVybTo1Ng== dGVybTo1Nw== dGVybTo1OA== dGVybTo2MA== dGVybToxMDM= cG9zdDoyMzc3 cG9zdDoyMzc1",1274,94,"",0,[],{"data":684,"extensions":1051},{"topics":685},{"edges":686},[687,696,702,709,717,725,733,739,745,751,759,765,773,778,786,794,802,810,818,825,833,841,849,857,865,873,881,889,897,905,913,921,928,936,943,951,959,967,974,981,989,997,1005,1013,1021,1028,1035,1043],{"cursor":688,"node":689},"YXJyYXljb25uZWN0aW9uOjQ4MQ==",{"name":552,"slug":690,"description":691,"translations":692},"procedural-fear-and-anxiety","Anxiety and fears about medical procedures are common in children/youth: two-thirds report needle fear and 10% report needle phobia. Addressing this anxiety/fear is critical, as up to half of children seen in the Emergency Department undergo painful procedures (e.g., IVs, blood tests, catheterizations, wound repair). Procedural pain is complex, involving both physical pain and anxiety/fear. Inadequate management of either increases future anxiety and can lead to healthcare avoidance that persists into adulthood. Managing both improves procedural success and optimizes future care. ",[693],{"languageCode":694,"slug":695},"fr","peur-et-anxiete-procedurale",{"cursor":697,"node":698},"YXJyYXljb25uZWN0aW9uOjQ3Ng==",{"name":555,"slug":699,"description":700,"translations":701},"measles","Measles is a single stranded, enveloped RNA virus belonging to the Morbillivirus genus in the Paramyxoviridae family. The virus can cause a measles infection which starts in the respiratory epithelium of the nasopharynx. Measles is highly contagious.\r\n\r\nMore information coming soon. ",[],{"cursor":703,"node":704},"YXJyYXljb25uZWN0aW9uOjQ2OQ==",{"name":172,"slug":705,"description":171,"translations":706},"respiratory-distress",[707],{"languageCode":694,"slug":708},"detresse-respiratoire-fr",{"cursor":710,"node":711},"YXJyYXljb25uZWN0aW9uOjQ0Nw==",{"name":560,"slug":712,"description":713,"translations":714},"agitation","A clinical tool to guide decision-making when caring for agitated pediatric patients in emergency settings.",[715],{"languageCode":694,"slug":716},"prise-en-charge-du-patient-agite",{"cursor":718,"node":719},"YXJyYXljb25uZWN0aW9uOjQ1NA==",{"name":563,"slug":720,"description":721,"translations":722},"anxiety","Anxiety is a normal emotional and physiological response to uncomfortable, novel or frightening situations. During an emergency department (ED) visit, anxiety can be experienced by any child or adolescent as well as by their caregivers. It may be the primary reason for the visit or develop during assessments, procedures, or investigations. \r\nHow individuals experience anxiety during an ED visit can vary. Approaches to recognize, assess and manage anxiety need to be patient- and family-centred.\r\n",[723],{"languageCode":694,"slug":724},"anxiete",{"cursor":726,"node":727},"YXJyYXljb25uZWN0aW9uOjQ1OA==",{"name":566,"slug":728,"description":729,"translations":730},"iron-deficiency-anemia","Iron deficiency anemia (IDA) is most commonly found in toddlers and adolescents. A primary diagnosis should be identified to explain insufficient intake or excessive loss of iron. The treatment for IDA is supplemental iron. Blood transfusion is restricted to emergency management of patients with hemodynamic instability. ",[731],{"languageCode":694,"slug":732},"iron-deficiency-anemia-fr",{"cursor":734,"node":735},"YXJyYXljb25uZWN0aW9uOjQ2MQ==",{"name":569,"slug":736,"description":737,"translations":738},"influenza","Resources to support informed decision-making in the care of pediatric patients with influenza in emergency settings.",[],{"cursor":740,"node":741},"YXJyYXljb25uZWN0aW9uOjQ2Mw==",{"name":572,"slug":742,"description":743,"translations":744},"advanced-life-support","Pediatric Advanced Life Support (PALS) is a set of clinical guidelines and techniques used to provide emergency care to infants and children experiencing life-threatening medical conditions, such as cardiac arrest, respiratory failure, or shock. It focuses on rapid assessment, early intervention, and the use of advanced airway management, medications, and defibrillation to stabilize and resuscitate pediatric patients. ",[],{"cursor":746,"node":747},"YXJyYXljb25uZWN0aW9uOjQ2NA==",{"name":53,"slug":748,"description":749,"translations":750},"education-session","The tool provides access to all the  TREKK and University of Manitoba's virtual education session videos.",[],{"cursor":752,"node":753},"YXJyYXljb25uZWN0aW9uOjQ3MQ==",{"name":577,"slug":754,"description":755,"translations":756},"migraine","Migraine accounts for up to 30% of pediatric Emergency Department (ED) visits for headache and results in frequent ED revisits. The average age of onset is 7 years in boys and 9 years in girls. Migraine is more common in girls by adolescence. Evidence for ED management of acute migraine attacks in children and adolescents is limited, resulting in significant practice variation.",[757],{"languageCode":694,"slug":758},"migraine-fr",{"cursor":760,"node":761},"YXJyYXljb25uZWN0aW9uOjQ3Mg==",{"name":580,"slug":762,"description":763,"translations":764},"abdominal-pain","Abdominal pain is a common complaint in children, often leading to visits to the emergency department (ED). It can be caused by various conditions, ranging from mild issues like constipation or gas to more serious concerns such as infections or gastrointestinal conditions. Children may experience abdominal pain differently, with younger children having difficulty describing their discomfort. Recognizing, assessing, and managing abdominal pain requires a patient- and family-centred approach to address both the physical and emotional aspects of care.",[],{"cursor":766,"node":767},"YXJyYXljb25uZWN0aW9uOjQzMg==",{"name":583,"slug":768,"description":769,"translations":770},"pneumonia","Viruses are the leading cause of pneumonia in healthy young children, followed by bacteria and rarely, other organisms. These resources focus on uncomplicated community acquired pneumonia (CAP).",[771],{"languageCode":694,"slug":772},"pneumonie",{"cursor":774,"node":775},"YXJyYXljb25uZWN0aW9uOjQzNA==",{"name":586,"slug":776,"description":14,"translations":777},"chronic-pain",[],{"cursor":779,"node":780},"YXJyYXljb25uZWN0aW9uOjIy",{"name":61,"slug":781,"description":782,"translations":783},"aom","Acute Otitis Media (AOM) is common in children under 5 years of age and is often a self-limited illness lasting several days. The mainstay of AOM management is symptom/pain control. In some cases, AOM can be more prolonged or severe and requires antibiotic treatment.",[784],{"languageCode":694,"slug":785},"aom-fr",{"cursor":787,"node":788},"YXJyYXljb25uZWN0aW9uOjI1",{"name":69,"slug":789,"description":790,"translations":791},"anaphylaxis","Anaphylaxis is a serious systemic hypersensitivity reaction that is rapid in onset and can be fatal. The highest incidence of anaphylaxis is in children and youth. The three principal triggers of anaphylaxis are foods, insect stings, and drugs. In Canada, there is an Emergency Department (ED) visit for food allergy approximately every 10 minutes, and up to 80% of anaphylactic reactions in children are triggered by foods such as peanuts, tree nuts, and milk.",[792],{"languageCode":694,"slug":793},"anaphylaxis-fr",{"cursor":795,"node":796},"YXJyYXljb25uZWN0aW9uOjI3",{"name":76,"slug":797,"description":798,"translations":799},"asthma","Approximately one-third of children with asthma presenting to the emergency department (ED) have moderate respiratory distress, and less than 5% will have a severe exacerbation. There are some differences between provincial asthma pathways with regards to PRAM scores and treatment. ",[800],{"languageCode":694,"slug":801},"asthme",{"cursor":803,"node":804},"YXJyYXljb25uZWN0aW9uOjI4",{"name":83,"slug":805,"description":806,"translations":807},"bronchiolitis","Bronchiolitis is a common viral illness. It is most commonly caused by respiratory syncytial virus and typically occurs over the late fall and winter months. Children less than 2 years of age are most commonly affected, with the largest burden of illness being in children less than 12 months of age.",[808],{"languageCode":694,"slug":809},"bronchiolitis-fr",{"cursor":811,"node":812},"YXJyYXljb25uZWN0aW9uOjMw",{"name":90,"slug":813,"description":814,"translations":815},"burns","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.",[816],{"languageCode":694,"slug":817},"burns-fr",{"cursor":819,"node":820},"YXJyYXljb25uZWN0aW9uOjM1",{"name":599,"slug":821,"description":14,"translations":822},"covid-19",[823],{"languageCode":694,"slug":824},"covid-19-fr",{"cursor":826,"node":827},"YXJyYXljb25uZWN0aW9uOjMx",{"name":602,"slug":828,"description":829,"translations":830},"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. Acute intoxication is rare from cannabidiol (CBD) products unless given in excess or with high THC:CBD ratio. Since Canadian legalization of cannabis for adults, there has been an increasing rate of hospitalization for cannabis exposures in children 14 years and younger.",[831],{"languageCode":694,"slug":832},"cannabis-intoxication-fr",{"cursor":834,"node":835},"YXJyYXljb25uZWN0aW9uOjMy",{"name":605,"slug":836,"description":837,"translations":838},"developmental-and-intellectual-disabilities","Children and youth with developmental or intellectual delays/disorders (DD) use Emergency Department (ED) 1.8 times more frequently than the general pediatric population. This population of patients includes those with autism spectrum disorder (ASD), fetal alcohol spectrum disorder (FASD), or other conditions. This document provides recommendations for the medical approach to these patients to assist in optimizing care.",[839],{"languageCode":694,"slug":840},"caring-for-children-with-developmental-and-intellectual-disabilities-fr",{"cursor":842,"node":843},"YXJyYXljb25uZWN0aW9uOjU5",{"name":608,"slug":844,"description":845,"translations":846},"child-abuse","Children under 3 years of age are at highest risk for serious injuries from abuse. Being alert to findings that suggest abuse will improve early recognition and prevent recurrent, escalating abuse. The extent of the workup performed in the emergency department will vary based on geography, acuity of injury, and services available. Early consultation with a Pediatric Referral Centre or child protection team is recommended.",[847],{"languageCode":694,"slug":848},"child-abuse-fr",{"cursor":850,"node":851},"YXJyYXljb25uZWN0aW9uOjMz",{"name":97,"slug":852,"description":853,"translations":854},"concussion","Concussion is a traumatic brain injury resulting from acceleration/deceleration forces from a direct blow to the head, face, neck or elsewhere on the body with an 'impulsive' force transmitted to the head. Loss of consciousness and amnesia are not required to make the diagnosis.",[855],{"languageCode":694,"slug":856},"concussion-fr",{"cursor":858,"node":859},"YXJyYXljb25uZWN0aW9uOjM0",{"name":104,"slug":860,"description":861,"translations":862},"constipation","Children with functional constipation (FC) often present to the ED with impaction or colicky abdominal pain. The prevalence of FC in infants and toddlers is approximately 20%. While organic causes are responsible for less than 5% of constipation in children, FC may mimic surgical causes of abdominal pain, such as appendicitis, intussusception and bowel obstruction, thus a careful assessment is required before making this diagnosis.",[863],{"languageCode":694,"slug":864},"constipation-fr",{"cursor":866,"node":867},"YXJyYXljb25uZWN0aW9uOjM3",{"name":111,"slug":868,"description":869,"translations":870},"croup","Croup is the most common cause of upper airway obstruction in children. It is characterized by acute onset of barky cough +/- stridor. The typical age of presentation is between 6 months and 5 years with a peak around 2 years. Consider other causes of upper airway obstruction such as bacterial tracheitis, epiglottitis and retropharyngeal abscess in children presenting with severe symptoms and a transient or lack of response to croup treatment.",[871],{"languageCode":694,"slug":872},"croup-fr",{"cursor":874,"node":875},"YXJyYXljb25uZWN0aW9uOjM2",{"name":617,"slug":876,"description":877,"translations":878},"critically-ill-neonate","A clinical tool to guide decision-making when caring for critically ill pediatric patients in emergency settings. \r\nUse in infants 0-28 days. At birth, refer to NRP guidelines. Not intended for preterm infants less than 37 weeks",[879],{"languageCode":694,"slug":880},"critically-ill-neonate-fr",{"cursor":882,"node":883},"YXJyYXljb25uZWN0aW9uOjM4",{"name":119,"slug":884,"description":885,"translations":886},"dka","Diabetic ketoacidosis is a complication of new or existing pediatric diabetes and may be complicated by cerebral injury. Due to this risk, it 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 pediatric referral site is a key element of the management of these patients. \r\n\r\nKey highlights include dehydration is a key component of DKA pathophysiology; all patients with DKA should receive a 20 ml/kg IV bolus of normal saline or Ringer's lactate over 20 minutes at the initiation of treatment, which can be repeated if the patient remains hypoperfused; ongoing fluids in DKA should be weight-based and account for the significant fluid deficit, with an increased maximum of 500 ml/hr; and every patient in DKA is at risk of cerebral injury before and during treatment, especially if DKA is more severe. Assess every patient with DKA for signs of cerebral injury and follow the TREKK DKA algorithm. \r\n\r\nIn June 2023, TREKK’s DKA resources have been updated to reflect the 2022 International Society for Pediatric and Adolescent Diabetes (ISPAD) guidelines.",[887],{"languageCode":694,"slug":888},"dka-fr",{"cursor":890,"node":891},"YXJyYXljb25uZWN0aW9uOjQyMQ==",{"name":622,"slug":892,"description":893,"translations":894},"eating-disorders","Eating disorders are complex biopsychosocial disorders with significant medical sequelae and a high mortality rate. They exist across diverse populations regardless of age, race, ethnicity, gender, sexual orientation, body habitus, and socioeconomic background. Over the past several years, eating disorder diagnoses have increased globally.",[895],{"languageCode":694,"slug":896},"troubles-alimentaires",{"cursor":898,"node":899},"YXJyYXljb25uZWN0aW9uOjExNA==",{"name":625,"slug":900,"description":901,"translations":902},"febrile-seizures","A febrile seizure is a convulsion accompanied by a fever or illness. The child usually has muscle twitching, jerking or stiffness for a few minutes. The child usually loses consciousness and it is common for the child’s eyes to roll upward. Most children are sleepy afterward and are not responsive to your voice.\r\n\r\nFebrile seizures are common. Between 2-5% of children will have at least one febrile seizure when they are between 6 months and 5 years old. This video will help you to understand what is happening to your child and will help prepare you for your medical visit.",[903],{"languageCode":694,"slug":904},"febrile-seizures-fr",{"cursor":906,"node":907},"YXJyYXljb25uZWN0aW9uOjQw",{"name":126,"slug":908,"description":909,"translations":910},"fever","Neonates (less than or equal to 28 days of age) and young infants (29-60 days of age) with fever account for a significant number of emergency department (ED) visits. At this age, there is an increased risk of urinary tract infections and invasive bacterial infections (IBIs), specifically bacteremia and bacterial meningitis. Most febrile young infants have self-limited viral illnesses, however up to 2-3% harbour life-threatening IBIs. Clinical examination can be unreliable in determining the source or severity of infection. The difficulty lies in differentiating the infant with IBIs from those without, while minimizing the risks of over-investigations. Additionally, infants with IBIs are at risk of poor outcomes if not diagnosed and treated promptly.",[911],{"languageCode":694,"slug":912},"fever-fr",{"cursor":914,"node":915},"YXJyYXljb25uZWN0aW9uOjQx",{"name":133,"slug":916,"description":917,"translations":918},"fractures","Children break bones more easily than adults - so pediatric fractures are very common. There are several unique features of the pediatric musculoskeletal system that need to be considered in management decisions of all of these injuries - growth plates, plasticity, callus formation, remodeling potential, and partial breaks are some of the key ones. Recognition and appropriate management of pediatric fractures by ED providers is critical. While some common minor wrist and ankle fractures can be treated with a less conservative approach encouraging an early return to activities, other fractures if not treated properly can result in long term functional problems for the child and/or be a sign of child maltreatment.",[919],{"languageCode":694,"slug":920},"fractures-fr",{"cursor":922,"node":923},"YXJyYXljb25uZWN0aW9uOjQy",{"name":141,"slug":924,"description":140,"translations":925},"gastroenteritis",[926],{"languageCode":694,"slug":927},"gastroenteritis-fr",{"cursor":929,"node":930},"YXJyYXljb25uZWN0aW9uOjYx",{"name":634,"slug":931,"description":932,"translations":933},"hand-foot-mouth","Hand-foot-mouth disease or coxsackie is a common viral illness that most children get at some point that can cause symptoms including fever, rash, spots in the mouth and decreased feeding. This short video will help you to understand what to expect when your child has coxsackie and how you can care for them.",[934],{"languageCode":694,"slug":935},"hand-foot-mouth-fr",{"cursor":937,"node":938},"YXJyYXljb25uZWN0aW9uOjExMA==",{"name":637,"slug":939,"description":14,"translations":940},"high-flow-nasal-cannula",[941],{"languageCode":694,"slug":942},"high-flow-nasal-cannula-fr",{"cursor":944,"node":945},"YXJyYXljb25uZWN0aW9uOjQ0",{"name":148,"slug":946,"description":947,"translations":948},"intussusception","Intussusception is invagination of the intestine into an adjacent segment, most commonly involving the ileocecal valve. This process occludes blood supply to the bowel and can progress from tissue ischemia to necrosis/perforation. It is most likely to be idiopathic, but can be caused by a variety of pathological lead points.",[949],{"languageCode":694,"slug":950},"intussusception-fr",{"cursor":952,"node":953},"YXJyYXljb25uZWN0aW9uOjQ2",{"name":642,"slug":954,"description":955,"translations":956},"meningitis","Most cases of childhood meningitis are caused by an enterovirus. Bacterial meningitis is less common, with 90% of cases occurring in children less than 5 years of age. Bacterial meningitis has a mortality rate of 20% in infants and 2% in children; neurologic sequalae occur in approximately one-third of children who survive their infection. Early diagnosis and treatment of bacterial meningitis is associated with better outcomes. Viral meningitis is a diagnosis of exclusion.",[957],{"languageCode":694,"slug":958},"meningitis-fr",{"cursor":960,"node":961},"YXJyYXljb25uZWN0aW9uOjEwNQ==",{"name":645,"slug":962,"description":963,"translations":964},"mental-health-self-assessment-tool","On this page, you will find evidence-based tools and information surrounding pediatric mental health concerns. The information provided on TREKK.ca is designed to complement, not replace, the relationship between a patient and their own physician or healthcare provider.",[965],{"languageCode":694,"slug":966},"mental-health-self-assessment-tool-fr",{"cursor":968,"node":969},"YXJyYXljb25uZWN0aW9uOjQ3",{"name":156,"slug":970,"description":155,"translations":971},"multisystem-trauma",[972],{"languageCode":694,"slug":973},"multisystem-trauma-fr",{"cursor":975,"node":976},"YXJyYXljb25uZWN0aW9uOjQ4",{"name":164,"slug":977,"description":163,"translations":978},"pain-treatment",[979],{"languageCode":694,"slug":980},"pain-treatment-fr",{"cursor":982,"node":983},"YXJyYXljb25uZWN0aW9uOjUx",{"name":652,"slug":984,"description":985,"translations":986},"procedural-pain","Common medical procedures used to assess and treat children can cause significant pain and distress. Untreated pain has short-term (pain and distress for the child, caregivers, and healthcare providers; prolonged procedure time; slower healing) and long-term consequences (increased sensitivity to pain; avoidance of healthcare settings; needle phobia, higher levels of anxiety before a procedure). Timely and effective multi-modal pain care improves procedure success rates, prevents the need for repeated attempts, improves patient flow, and improves patient and caregiver satisfaction. Before initiating any procedure: consider whether it is truly necessary, batch procedures together, optimize pain management, and engage caregivers in planning/decision-making. ",[987],{"languageCode":694,"slug":988},"procedural-pain-fr",{"cursor":990,"node":991},"YXJyYXljb25uZWN0aW9uOjUy",{"name":655,"slug":992,"description":993,"translations":994},"procedural-sedation","A brief summary of current knowledge needed to perform safe and effective procedural sedation in children.",[995],{"languageCode":694,"slug":996},"procedural-sedation-fr",{"cursor":998,"node":999},"YXJyYXljb25uZWN0aW9uOjU0",{"name":658,"slug":1000,"description":1001,"translations":1002},"sepsis","Sepsis is a systemic response to infection; it is a leading cause of morbidity and mortality worldwide. Early recognition, aggressive resuscitation (fluids, metabolic correction, antibiotics) and escalation of care (vasoactive medications) are key to improving patient outcomes.",[1003],{"languageCode":694,"slug":1004},"sepsis-fr",{"cursor":1006,"node":1007},"YXJyYXljb25uZWN0aW9uOjU1",{"name":661,"slug":1008,"description":1009,"translations":1010},"severe-head-injury","Head trauma is considered severe in a child with a Glasgow Coma Scale (GCS) score of ≤ 8. These children often have intracranial injury identified on neuroimaging and all have suffered traumatic brain injury (TBI). Injury is the leading cause of death in children >1 year of age, and TBI is the most significant cause of death and disability across all ages.",[1011],{"languageCode":694,"slug":1012},"severe-head-injury-fr",{"cursor":1014,"node":1015},"YXJyYXljb25uZWN0aW9uOjU2",{"name":664,"slug":1016,"description":1017,"translations":1018},"scd","Sickle cell disease (SCD) is a genetic disorder of hemoglobin, in which sickling of red blood cells results in hemolysis and vasoocclusion. Newborn screening has led to early identification of SCD in many regions across Canada. While homozygous SCD (HbSS) is the most severe, other sickling syndromes (e.g., HbSC) may present similarly.",[1019],{"languageCode":694,"slug":1020},"scd-fr",{"cursor":1022,"node":1023},"YXJyYXljb25uZWN0aW9uOjU3",{"name":180,"slug":1024,"description":179,"translations":1025},"status-epilepticus",[1026],{"languageCode":694,"slug":1027},"status-epilepticus-fr",{"cursor":1029,"node":1030},"YXJyYXljb25uZWN0aW9uOjU4",{"name":188,"slug":1031,"description":187,"translations":1032},"suicidal-risk-screening-assessment",[1033],{"languageCode":694,"slug":1034},"suicidal-risk-screening-assessment-fr",{"cursor":1036,"node":1037},"YXJyYXljb25uZWN0aW9uOjYw",{"name":196,"slug":1038,"description":1039,"translations":1040},"uti","UTI is among the most common serious bacterial infections seen in infants and children. UTI with fever is indicative of 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 associated with increased rates of UTI in young children such as age, gender and height of fever. ",[1041],{"languageCode":694,"slug":1042},"uti-fr",{"cursor":1044,"node":1045},"YXJyYXljb25uZWN0aW9uOjEwMw==",{"name":673,"slug":1046,"description":1047,"translations":1048},"visiting-ed","The Emergency Department (ED) is a place where people go for immediate care.\r\nVisiting the ED can be scary and overwhelming, especially when you don’t know what to expect. We hope these resources helps reduce stress and helps you prepare.\r\n",[1049],{"languageCode":694,"slug":1050},"visiting-ed-fr",{"debug":1052,"queryAnalyzer":1053},[],{"keys":1054,"keysLength":1055,"keysCount":1056,"skippedKeys":680,"skippedKeysSize":681,"skippedKeysCount":681,"skippedTypes":1057},"9ba504182e5375d8ee802ccd07f58575ad4f11b79a3c746ac62c55429115da0f graphql:Query list:topic dGVybTo0ODE= dGVybTo0NzY= dGVybTo0Njk= dGVybTo0NDc= dGVybTo0NTQ= dGVybTo0NTg= dGVybTo0NjE= dGVybTo0NjM= dGVybTo0NjQ= dGVybTo0NzE= dGVybTo0NzI= dGVybTo0MzI= dGVybTo0MzQ= dGVybToyMg== dGVybToyNQ== dGVybToyNw== dGVybToyOA== dGVybTozMA== dGVybTozNQ== dGVybTozMQ== dGVybTozMg== dGVybTo1OQ== dGVybTozMw== dGVybTozNA== dGVybTozNw== dGVybTozNg== dGVybTozOA== dGVybTo0MjE= dGVybToxMTQ= dGVybTo0MA== dGVybTo0MQ== dGVybTo0Mg== dGVybTo2MQ== dGVybToxMTA= dGVybTo0NA== dGVybTo0Ng== dGVybToxMDU= dGVybTo0Nw== dGVybTo0OA== dGVybTo1MQ== dGVybTo1Mg== dGVybTo1NA== dGVybTo1NQ== dGVybTo1Ng== dGVybTo1Nw== dGVybTo1OA== dGVybTo2MA== dGVybToxMDM=",713,51,[],{"data":1059,"extensions":1153},{"footer_1":1060,"footer_2":1078,"footer_3":1105,"footer_privacy":1118,"social":1125,"footer":1139},{"edges":1061},[1062,1067,1072],{"cursor":1063,"node":1064},"YXJyYXljb25uZWN0aW9uOjE2Ng==",{"label":29,"uri":31,"target":14,"menu":1065},{"node":1066},{"name":12},{"cursor":1068,"node":1069},"YXJyYXljb25uZWN0aW9uOjIwMzg=",{"label":36,"uri":38,"target":14,"menu":1070},{"node":1071},{"name":12},{"cursor":1073,"node":1074},"YXJyYXljb25uZWN0aW9uOjE2OA==",{"label":1075,"uri":13,"target":14,"menu":1076},"All Topics",{"node":1077},{"name":12},{"edges":1079},[1080,1085,1090,1095,1100],{"cursor":1081,"node":1082},"YXJyYXljb25uZWN0aW9uOjE2OQ==",{"label":441,"uri":435,"target":14,"menu":1083},{"node":1084},{"name":448},{"cursor":1086,"node":1087},"YXJyYXljb25uZWN0aW9uOjE3MA==",{"label":448,"uri":481,"target":14,"menu":1088},{"node":1089},{"name":448},{"cursor":1091,"node":1092},"YXJyYXljb25uZWN0aW9uOjE3MQ==",{"label":455,"uri":487,"target":14,"menu":1093},{"node":1094},{"name":448},{"cursor":1096,"node":1097},"YXJyYXljb25uZWN0aW9uOjE3Mg==",{"label":462,"uri":493,"target":14,"menu":1098},{"node":1099},{"name":448},{"cursor":1101,"node":1102},"YXJyYXljb25uZWN0aW9uOjIxMjk=",{"label":469,"uri":499,"target":14,"menu":1103},{"node":1104},{"name":448},{"edges":1106},[1107,1113],{"cursor":1108,"node":1109},"YXJyYXljb25uZWN0aW9uOjE3NA==",{"label":506,"uri":507,"target":14,"menu":1110},{"node":1111},{"name":1112},"Info",{"cursor":1114,"node":1115},"YXJyYXljb25uZWN0aW9uOjE3Mw==",{"label":510,"uri":511,"target":14,"menu":1116},{"node":1117},{"name":1112},{"edges":1119},[1120],{"cursor":1121,"node":1122},"YXJyYXljb25uZWN0aW9uOjE3NQ==",{"label":1123,"uri":1124,"target":14},"Terms of Use","/terms-of-use/",{"edges":1126},[1127,1130,1133,1136],{"cursor":1128,"node":1129},"YXJyYXljb25uZWN0aW9uOjE5Nw==",{"label":516,"url":517,"target":14},{"cursor":1131,"node":1132},"YXJyYXljb25uZWN0aW9uOjE5OA==",{"label":520,"url":521,"target":14},{"cursor":1134,"node":1135},"YXJyYXljb25uZWN0aW9uOjE5OQ==",{"label":524,"url":525,"target":14},{"cursor":1137,"node":1138},"YXJyYXljb25uZWN0aW9uOjIwMA==",{"label":528,"url":529,"target":14},{"optionsTheme":1140},{"newsletterTitle":1141,"newsletterTitleFr":1142,"newsletterDescription":1143,"newsletterDescriptionFr":1144,"newsletterUrl":1145,"newsletterUrlFr":1149,"landAcknowledgement":1151,"landAcknowledgementFr":1152},"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":1146,"url":1147,"target":1148},"Subscribe","https://trekk.us16.list-manage.com/subscribe?u=31840b6f27d1074425db8898a&id=2c90e9e1a9","_blank",{"title":1150,"url":1147,"target":1148},"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":1154,"queryAnalyzer":1155},[],{"keys":1156,"keysLength":1157,"keysCount":1158,"skippedKeys":680,"skippedKeysSize":681,"skippedKeysCount":681,"skippedTypes":1159},"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":1161,"extensions":1236},{"resource":1162},{"title":1163,"databaseId":1164,"excerpt":680,"uri":1165,"language":1166,"translations":1168,"ptResources":1191},"Evidence Repository: Migraine",4433,"/resources/evidence-repository-migraine/",{"code":1167},"en",[1169],{"slug":1170,"uri":1171,"title":1172,"languageCode":694,"ptResources":1173},"referentiel-medical-migraine","/fr/resources/referentiel-medical-migraine/","Référentiel médical : Migraine",{"mainTitle":577,"subTitle":14,"media":1174,"pdf":1175,"link":14,"videos":14,"sections":1182},"PDF",{"cursor":1176,"node":1177},"YXJyYXljb25uZWN0aW9uOjQ1NDE=",{"fileSize":1178,"mediaItemUrl":1179,"translations":1180},360936,"https://cms.trekk.ca/wp-content/uploads/2025/05/2025_05_13_Migraine_Evidence-Repository_v1.0_FR.pdf",[1181],{"languageCode":694,"mediaItemUrl":1179},[1183,1185,1186,1187,1188,1189,1190],{"__typename":1184},"PtResourcesSectionsContentLayout",{"__typename":1184},{"__typename":1184},{"__typename":1184},{"__typename":1184},{"__typename":1184},{"__typename":1184},{"publish":1192,"description":14,"eyebrow":1193,"mainTitle":577,"subTitle":14,"lastUpdated":14,"developed":14,"developedBy":14,"developedByCopy":14,"underReview":1192,"englishOnlyFlag":1192,"multipleLanguages":1192,"mainImage":14,"media":1174,"pdf":1194,"link":14,"videos":14,"footnote":14,"sections":1199,"audience":1220,"topic":1225,"type":1230},false,"Evidence Repository",{"cursor":1195,"node":1196},"YXJyYXljb25uZWN0aW9uOjQ0MzQ=",{"fileSize":1197,"mediaItemUrl":1198},336172,"https://cms.trekk.ca/wp-content/uploads/2025/04/2024_11_20_Migraine_ER_v1.0_final.pdf",[1200,1203,1205,1208,1211,1214,1217],{"__typename":1184,"title":1201,"subTitle":1192,"content":1202},"EVIDENCE REPOSITORIES","\u003Cp>This evidence repository is a collection of best available resources and evidence collated by a knowledge synthesis team at Alberta Research for Health Evidence (\u003Ca href=\"https://www.ualberta.ca/pediatrics/pediatric-research/affiliated-research-units/alberta-research-centre-for-health-evidence-arche/index.html\">ARCHE\u003C/a>) and the clinical content team.\u003C/p>\n\u003Cp>The knowledge synthesis team utilizes a pyramid-shaped framework, built upon the \u003Ca href=\"https://ebn.bmj.com/content/8/1/4\" target=\"_blank\" rel=\"noopener\">“4S” hierarchy of\u003C/a> \u003Ca href=\"https://ebn.bmj.com/content/8/1/4\" target=\"_blank\" rel=\"noopener\">evidence model\u003C/a>, to provide detailed evidence appropriate to meet stakeholders’ needs. They search a combination of databases (Cochrane Library, PubMed, TRIP Database) and web-based search engines (Google, Google Scholar) to locate evidence for the knowledge pyramids. Publication types sought in the initial topic searches are organized into five levels that determine the order in which resources are presented:\u003C/p>\n\u003Col>\n\u003Cli>Bottom Line Recommendations\u003C/li>\n\u003Cli>Clinical Practice Guidelines and Pathways\u003C/li>\n\u003Cli>Overviews and Summaries of Systematic Reviews\u003C/li>\n\u003Cli>Systematic Reviews\u003C/li>\n\u003Cli>Key Studies\u003C/li>\n\u003C/ol>\n\u003Cp>Where applicable resources for families and parents are also listed.\u003C/p>\n",{"__typename":1184,"title":14,"subTitle":1192,"content":1204},"\u003Cp>The knowledge synthesis team collaborates with the clinical content team to select the most relevant guidelines, reviews, and key studies, which can be found below. This evidence repository is not intended to be an exhaustive list of resources for a topic, but rather a curated list of current, evidence-based resources, based on expert consensus of relevance and usability for a general emergency department setting. Every effort is made to identify resources that are open access (i.e. publicly available, free of charge, not requiring a subscription).\u003C/p>\n\u003Cp>More information about the creation of our evidence repositories can be found \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/28537762/\">here\u003C/a>.\u003C/p>\n",{"__typename":1184,"title":1206,"subTitle":1192,"content":1207},"Content Team","\u003Cp>Thank you to the following clinical content experts and Knowledge Synthesis team who led the development of this evidence repository.\u003C/p>\n\u003Cp>\u003Cstrong>Sarah Rogers\u003C/strong>, MD, FRCPC; \u003Cem>Pediatric Emergency Medicine Fellow, Children’s Hospital of Eastern Ontario, University of Ottawa \u003C/em>\u003C/p>\n\u003Cp>\u003Cstrong>Garth Meckler\u003C/strong>, MD, MSHS; \u003Cem>Associate Professor, Department of Pediatrics, University of British Columbia; BC Children’s Hospital, Division Head, Division of Pediatric Emergency Medicine, BC Children’s Hospital \u003C/em>\u003C/p>\n\u003Cp>\u003Cstrong>Liza Bialy\u003C/strong>, BSc, MPH, \u003Cem>Knowledge Synthesis Project Coordinator, Alberta Research Centre for Health\u003C/em> \u003Cem>Evidence, Department of Pediatrics, University of Alberta\u003C/em>\u003C/p>\n\u003Cp>\u003Cstrong>Sarah Elliott\u003C/strong>, PhD, \u003Cem>Assistant Director, Alberta Research Centre for Health Evidence, Department of\u003C/em> \u003Cem>Pediatrics, University of Alberta\u003C/em>\u003C/p>\n\u003Cp>TREKK developed resources for healthcare providers and parents & families can be found \u003Ca href=\"https://trekk.ca/topic/migraine\">here\u003C/a>.\u003C/p>\n",{"__typename":1184,"title":1209,"subTitle":1192,"content":1210},"Clinical Practice Guidelines And Pathways","\u003Col>\n\u003Cli>The Royal Children’s Hospital Melbourne. \u003Ca href=\"https://choosingwiselycanada.org/recommendation/headache/\">Headache: Clinical practice guidelines.\u003C/a> 2022.\u003C/li>\n\u003Cli>Cromb D, Grigoratos D. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/33293301/\" target=\"_blank\" rel=\"noopener\">Acute treatment of migraine in children \u003C/a>\u003Ca href=\"http://dx.doi.org/10.1002/14651858.CD005220.pub2.\" target=\"_blank\" rel=\"noopener\">and adolescents\u003C/a>\u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/33293301/\" target=\"_blank\" rel=\"noopener\">: Review of the\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/33293301/\" target=\"_blank\" rel=\"noopener\">American academy of neurology practice guideline update\u003C/a>. Arch Dis Child Educ Pract Ed. 2021;106(6):358-61.\u003C/li>\n\u003Cli>Hoover LE. \u003Ca href=\"https://www.aafp.org/pubs/afp/issues/2020/0501/p569.html\" target=\"_blank\" rel=\"noopener\">Migraines in children: Recommendations for acute and preventive treatment\u003C/a>. American Family Physician. 2020.\u003C/li>\n\u003Cli>Choosing Wisely Canada (Canadian Headache Society). \u003Ca href=\"https://choosingwiselycanada.org/recommendation/headache/\">Headache\u003C/a>. 2020\u003C/li>\n\u003Cli>Oskoui M, Pringsheim T, Holler-Managan Y, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/31413171/\" target=\"_blank\" rel=\"noopener\">Practice guideline update summary: Acute\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/31413171/\" target=\"_blank\" rel=\"noopener\">treatment of migraine in children and adolescents: Report of the guideline development\u003C/a>, \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/31413171/\" target=\"_blank\" rel=\"noopener\">dissemination, and implementation subcommittee of the American academy of neurology and the\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/31413171/\" target=\"_blank\" rel=\"noopener\">American \u003C/a>\u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/31413170/\" target=\"_blank\" rel=\"noopener\">headache society\u003C/a>. Neurology. 2019;93(11):487-99.\u003C/li>\n\u003Cli>Oskoui M, Pringsheim T, Billinghurst L, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/31413170/\">Practice guideline update summary: Pharmacologic treatment for pediatric migraine prevention: Report of the guideline development, dissemination, and implementation subcommittee of the American academy of neurology and the American headache society.\u003C/a> Headache. 2019;59(8):1144-57.\u003C/li>\n\u003Cli>Holland S, Silberstein SD, Freitag F, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/22529203/\">Evidence-based guideline update: NSAIDS and other complementary treatments for episodic migraine prevention in adults: Report of the quality standards subcommittee of the American academy of neurology and the American headache society.\u003C/a> Neurology. 2012;78(17):1346-53.\u003C/li>\n\u003C/ol>\n",{"__typename":1184,"title":1212,"subTitle":1192,"content":1213},"Systematic Reviews & Other Reviews","\u003Col>\n\u003Cli>Abu-Arafeh I, Morozova M. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/38307664/\" target=\"_blank\" rel=\"noopener\">Migraine in children \u003C/a>\u003Ca href=\"http://dx.doi.org/10.1002/14651858.CD005220.pub2.\" target=\"_blank\" rel=\"noopener\">and adolescents\u003C/a>\u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/38307664/\" target=\"_blank\" rel=\"noopener\">: Assessment and diagnosis\u003C/a>. Handb Clin Neurol. 2024;199:475-85.\u003C/li>\n\u003Cli>Abu-Arafeh I, Howells R. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/38307665/\" target=\"_blank\" rel=\"noopener\">Management of migraine in children and adolescents\u003C/a>. Handb Clin Neurol. 2024;199:487-502.\u003C/li>\n\u003Cli>Patniyot I, Qubty W. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/36400554/\">Headache in adolescents.\u003C/a> Neurol Clin. 2023;41(1):177-92.\u003C/li>\n\u003Cli>Barad M, Ailani J, Hakim SM, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/34382092/\" target=\"_blank\" rel=\"noopener\">Percutaneous interventional strategies for migraine prevention\u003C/a>: \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/34382092/\" target=\"_blank\" rel=\"noopener\">A systematic review and practice guideline\u003C/a>. Pain Med. 2022;23(1):164-88.\u003C/li>\n\u003Cli>Cook C. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/32000184/\" target=\"_blank\" rel=\"noopener\">Acute treatment of \u003C/a>\u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/12390641/\" target=\"_blank\" rel=\"noopener\">pediatric migraine\u003C/a>\u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/32000184/\" target=\"_blank\" rel=\"noopener\">: A review of the updated guidelines\u003C/a>. Adv Emerg Nurs J. 2020;42(1):4-12.\u003C/li>\n\u003Cli>Chi PW, Hsieh KY, Chen KY, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/31644605/\" target=\"_blank\" rel=\"noopener\">Intranasal lidocaine for acute migraine: A meta-analysis of\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/29456086/\" target=\"_blank\" rel=\"noopener\">randomized controlled trial\u003C/a>\u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/31644605/\" target=\"_blank\" rel=\"noopener\">s\u003C/a>. PLoS One. 2019;14(10):e0224285.\u003C/li>\n\u003Cli>Miller AC, B KP, Lawson MR, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/31566727/\" target=\"_blank\" rel=\"noopener\">Intravenous magnesium sulfate to treat acute headaches in\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/31566727/\" target=\"_blank\" rel=\"noopener\">the emergency department: A systematic review\u003C/a>. Headache. 2019;59(10):1674-86.\u003C/li>\n\u003Cli>Richer L, Billinghurst L, Linsdell MA, et al. \u003Ca href=\"http://dx.doi.org/10.1002/14651858.CD005220.pub2.\">Drugs for the acute treatment of migraine in children and adolescents.\u003C/a> Cochrane Database of Systematic Reviews. 2016(4).\u003C/li>\n\u003Cli>Patniyot IR, Gelfand AA. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/26790849/\">Acute treatment therapies for pediatric migraine: A qualitative systematic review.\u003C/a> Headache. 2016;56(1):49-70.\u003C/li>\n\u003Cli>Orr SL, Aubé M, Becker WJ, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/24875925/\" target=\"_blank\" rel=\"noopener\">Canadian \u003C/a>\u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/31413170/\" target=\"_blank\" rel=\"noopener\">headache society\u003C/a>\u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/24875925/\" target=\"_blank\" rel=\"noopener\"> systematic review and\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/24875925/\" target=\"_blank\" rel=\"noopener\">recommendations on the treatment of migraine pain in emergency settings\u003C/a>. Cephalalgia. 2015;35(3):271-84.\u003C/li>\n\u003Cli>Abu-Arafeh I, Razak S, Sivaraman B, Graham C. \u003Ca href=\"file://storeit/Shares/ARCHE/common/ARCHE_ECHO/TREKK/Evidence%20Repositories/Migraine/1.%09https:/pubmed.ncbi.nlm.nih.gov/20875042/\">Prevalence of headache and migraine in children and adolescents: A systematic review of population-based studies.\u003C/a> Dev Med Child Neurol. 2010;52(12):1088-97.\u003C/li>\n\u003Cli>Singh A, Alter HJ, Zaia B. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/18976336/\" target=\"_blank\" rel=\"noopener\">Does the addition of dexamethasone to standard therapy for acute\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/18976336/\" target=\"_blank\" rel=\"noopener\">migraine headache decrease the incidence of recurrent headache for patients treated in the\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/18976336/\" target=\"_blank\" rel=\"noopener\">emergency department? A meta-analysis and systematic review of the literature\u003C/a>. Acad Emerg Med. 2008;15(12):1223-33.\u003C/li>\n\u003C/ol>\n",{"__typename":1184,"title":1215,"subTitle":1192,"content":1216},"Key Studies","\u003Col>\n\u003Cli>Lefchak B, Morgan D, Finch M, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/39411422/\" target=\"_blank\" rel=\"noopener\">Ketorolac Dose Ceiling Effect for Pediatric \u003C/a>\u003Ca href=\"https://choosingwiselycanada.org/recommendation/<a href=\" target=\"_blank\" rel=\"noopener\">headache in the \u003C/a>\u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/39411422/\" target=\"_blank\" rel=\"noopener\">Emergency Department\u003C/a>. J Pediatr Pharmacol Ther. 2024 Oct;29(5):494-500.\u003C/li>\n\u003Cli>Tsze DS, Thiele C, Hirschfeld G, Dayan PS. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/38400616/\" target=\"_blank\" rel=\"noopener\">Clinically significant differences in self-reported pain\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/38400616/\" target=\"_blank\" rel=\"noopener\">scores in children with headaches\u003C/a>. Acad Emerg Med. 2024.\u003C/li>\n\u003Cli>Hauser Chatterjee J, Hartford EA, Law E, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/36958085/\" target=\"_blank\" rel=\"noopener\">Sumatriptan as a first-line treatment for headache\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/36958085/\" target=\"_blank\" rel=\"noopener\">in the pediatric emergency department\u003C/a>. Pediatr Neurol. 2023;142:68-75.\u003C/li>\n\u003Cli>Almuqbil M, Alsayed SA, Almutairi AM, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/36981570/\" target=\"_blank\" rel=\"noopener\">Diagnostic yield of neuroimaging for headache in a\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/36981570/\" target=\"_blank\" rel=\"noopener\">pediatric emergency department: A single tertiary centre experience\u003C/a>. Healthcare (Basel). 2023;11(6).\u003C/li>\n\u003Cli>Tsze DS, Lubell TR, Carter RC, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/34822214/\" target=\"_blank\" rel=\"noopener\">Intranasal ketorolac versus intravenous ketorolac for\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/34822214/\" target=\"_blank\" rel=\"noopener\">treatment of migraine headaches in children: A randomized clinical trial\u003C/a>. Acad Emerg Med. 2022;29(4):465-75.\u003C/li>\n\u003Cli>Richer LP, Ali S, Johnson DW, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/35670115/\" target=\"_blank\" rel=\"noopener\">A \u003C/a>\u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/17405970/\" target=\"_blank\" rel=\"noopener\">randomized trial\u003C/a>\u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/35670115/\" target=\"_blank\" rel=\"noopener\"> of ketorolac and metoclopramide for\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/35670115/\" target=\"_blank\" rel=\"noopener\">migraine \u003C/a>\u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/25624377/\" target=\"_blank\" rel=\"noopener\">in the emergency department\u003C/a>. Headache. 2022;62(6):681-9.\u003C/li>\n\u003Cli>Prezioso G, Suppiej A, Alberghini V, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/35207430/\" target=\"_blank\" rel=\"noopener\">Pediatric headache in primary care and emergency\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/35207430/\" target=\"_blank\" rel=\"noopener\">departments: Consensus with RAND/UCLA method\u003C/a>. Life (Basel). 2022;12(2).\u003C/li>\n\u003Cli>Maki K, Doan Q, Sih K, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/36200101/\" target=\"_blank\" rel=\"noopener\">A randomized controlled pilot study of intranasal lidocaine in acute\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/36200101/\" target=\"_blank\" rel=\"noopener\">management of paediatric migraine and migraine-like headache\u003C/a>. Paediatr Child Health. 2022;27(6):340-5.\u003C/li>\n\u003Cli>Hassan R, Gudiwala V, Jeynes L, Saraswatula A. \u003Ca href=\"https://adc.bmj.com/content/archdischild/107/Suppl_2/A221.full.pdf\" target=\"_blank\" rel=\"noopener\">365 greater occipital nerve block as a treatment\u003C/a> \u003Ca href=\"https://adc.bmj.com/content/archdischild/107/Suppl_2/A221.full.pdf\" target=\"_blank\" rel=\"noopener\">for paediatric migraines\u003C/a>. Archives of Disease in Childhood. 2022;107(Suppl 2):A221-A.\u003C/li>\n\u003Cli>Mousa MA, Aria DJ, Mousa AA, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/33400444/\" target=\"_blank\" rel=\"noopener\">Sphenopalatine ganglion nerve block for the treatment of\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/33400444/\" target=\"_blank\" rel=\"noopener\">migraine headaches in the pediatric population\u003C/a>. Pain Physician. 2021;24(1):E111-e6.\u003C/li>\n\u003Cli>Kouri M, Somaini M, Cárdenas VHG, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/34356585/\" target=\"_blank\" rel=\"noopener\">Transnasal sphenopalatine ganglion block for the\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/34356585/\" target=\"_blank\" rel=\"noopener\">preventive treatment of chronic daily headache in adolescents\u003C/a>. Children (Basel). 2021;8(7).\u003C/li>\n\u003Cli>Turner AL, Shandley S, Miller E, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/31902550/\" target=\"_blank\" rel=\"noopener\">Intranasal ketamine for abortive migraine therapy in\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/31902550/\" target=\"_blank\" rel=\"noopener\">pediatric patients: A single-center review\u003C/a>. Pediatr Neurol. 2020;104:46-53.\u003C/li>\n\u003Cli>Patniyot I, Qubty W. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/32568383/\" target=\"_blank\" rel=\"noopener\">Short-term treatment of migraine in children \u003C/a>\u003Ca href=\"http://dx.doi.org/10.1002/14651858.CD005220.pub2.\" target=\"_blank\" rel=\"noopener\">and adolescents\u003C/a>. JAMA Pediatr. 2020;174(8):789-90.\u003C/li>\n\u003Cli>Orr SL, OʼSullivan L, Zemek R, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/28926506/\" target=\"_blank\" rel=\"noopener\">Family perspectives on visiting the pediatric emergency\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/28926506/\" target=\"_blank\" rel=\"noopener\">department for migraine: A qualitative study\u003C/a>. Pediatr Emerg Care. 2020;36(6):e310-e7.\u003C/li>\n\u003Cli>Bilhimer MH, Groth ME, Holmes AK. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/32358422/\" target=\"_blank\" rel=\"noopener\">Ketamine for migraine in the emergency department\u003C/a>. Adv Emerg Nurs J. 2020;42(2):96-102.\u003C/li>\n\u003Cli>Kirkpatrick L, Sogawa Y, Cleves C. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/32098684/\" target=\"_blank\" rel=\"noopener\">Acute dystonic reactions in children treated for headache with\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/32098684/\" target=\"_blank\" rel=\"noopener\">prochlorperazine or metoclopramide\u003C/a>. Pediatr Neurol. 2020;106:63-4.\u003C/li>\n\u003Cli>Orr SL FB, Dodick DW. \u003Ca href=\"https://www.cambridge.org/ca/universitypress/subjects/medicine/neurology-and-clinical-neuroscience/emergency-headache-diagnosis-and-management?format=HB&isbn=9781107177208.\" target=\"_blank\" rel=\"noopener\">Emergency headache: Diagnosis and management\u003C/a>. Cambridge: Cambridge University Press. 2017.\u003C/li>\n\u003Cli>\u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/29368949/\" target=\"_blank\" rel=\"noopener\">Headache classification committee of the International Headache Society (IHS) the international\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/29368949/\" target=\"_blank\" rel=\"noopener\">classification of headache disorders\u003C/a>, 3rd edition. Cephalalgia. 2018;38(1):1-211.\u003C/li>\n\u003Cli>Sheridan DC, Hansen ML, Lin AL, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/29456086/\" target=\"_blank\" rel=\"noopener\">Low-dose propofol for \u003C/a>\u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/12390641/\" target=\"_blank\" rel=\"noopener\">pediatric migraine\u003C/a>\u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/29456086/\" target=\"_blank\" rel=\"noopener\">: A prospective\u003C/a>, \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/29456086/\" target=\"_blank\" rel=\"noopener\">randomized controlled trial\u003C/a>. J Emerg Med. 2018;54(5):600-6.\u003C/li>\n\u003Cli>Bachur RG, Monuteaux MC, Neuman MI. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/25624377/\">A comparison of acute treatment regimens for migraine in the emergency department.\u003C/a> Pediatrics. 2015;135(2):232-8.\u003C/li>\n\u003Cli>Sheridan D, Sun B, O’Brien P, Hansen M. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/25986331/\">Intravenous sodium valproate for acute pediatric headache.\u003C/a> J Emerg Med. 2015;49(4):541-5.\u003C/li>\n\u003Cli>Woldeamanuel YW, Rapoport AM, Cowan RP. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/25576463/\" target=\"_blank\" rel=\"noopener\">The place of corticosteroids in migraine attack\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/25576463/\" target=\"_blank\" rel=\"noopener\">management: A 65-year systematic review with pooled analysis and critical appraisal\u003C/a>. Cephalalgia. 2015;35(11):996-1024.\u003C/li>\n\u003Cli>Richer L, Craig W, Rowe B. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/25168404/\" target=\"_blank\" rel=\"noopener\">Randomized controlled trial of treatment expectation and intravenous\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/25168404/\" target=\"_blank\" rel=\"noopener\">fluid in pediatric migraine\u003C/a>. Headache. 2014;54(9):1496-505.\u003C/li>\n\u003Cli>Gallelli L, Avenoso T, Falcone D, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/23808884/\" target=\"_blank\" rel=\"noopener\">Effects of acetaminophen and ibuprofen in children with\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/23808884/\" target=\"_blank\" rel=\"noopener\">migraine receiving preventive treatment with magnesium\u003C/a>. Headache. 2014;54(2):313-24.\u003C/li>\n\u003Cli>Derosier FJ, Lewis D, Hershey AD, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/22585767/\" target=\"_blank\" rel=\"noopener\">Randomized trial of sumatriptan and naproxen sodium\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/22585767/\" target=\"_blank\" rel=\"noopener\">combination in adolescent migraine\u003C/a>. Pediatrics. 2012;129(6):e1411-20.\u003C/li>\n\u003Cli>Slater SK, Nelson TD, Kabbouche MA, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/21586650/\" target=\"_blank\" rel=\"noopener\">A randomized, double-blinded, placebo-controlled\u003C/a>, \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/21586650/\" target=\"_blank\" rel=\"noopener\">crossover, add-on study of coenzyme q10 in the prevention of pediatric and adolescent migraine\u003C/a>. Cephalalgia. 2011;31(8):897-905.\u003C/li>\n\u003Cli>Cady RK, Freitag FG, Mathew NT, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/19220503/\" target=\"_blank\" rel=\"noopener\">Allodynia-associated symptoms, pain intensity and time\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/19220503/\" target=\"_blank\" rel=\"noopener\">to treatment: Predicting treatment response in acute migraine intervention\u003C/a>. Headache. 2009;49(3):350-63.\u003C/li>\n\u003Cli>Goadsby PJ, Zanchin G, Geraud G, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/18294251/\" target=\"_blank\" rel=\"noopener\">Early vs. Non-early intervention in acute migraine-‘act\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/18294251/\" target=\"_blank\" rel=\"noopener\">when mild (AWM)’. A double-blind, placebo-controlled trial of almotriptan\u003C/a>. Cephalalgia. 2008;28(4):383-91.\u003C/li>\n\u003Cli>Freitag FG, Finlayson G, Rapoport AM, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/17445101/\" target=\"_blank\" rel=\"noopener\">Effect of pain intensity and time to administration on\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/17445101/\" target=\"_blank\" rel=\"noopener\">responsiveness to almotriptan: Results from axert 12.5 mg time versus intensity migraine study\u003C/a> (aims). Headache. 2007;47(4):519-30.\u003C/li>\n\u003Cli>Richer L, Graham L, Klassen T, Rowe B. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/17501852/\" target=\"_blank\" rel=\"noopener\">Emergency department management of acute migraine\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/17501852/\" target=\"_blank\" rel=\"noopener\">in children in Canada: A practice variation study\u003C/a>. Headache. 2007;47(5):703-10.\u003C/li>\n\u003Cli>Brandes JL, Kudrow D, Stark SR, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/17405970/\">Sumatriptan-naproxen for acute treatment of migraine: A randomized trial.\u003C/a> JAMA. 2007;297(13):1443-54.\u003C/li>\n\u003Cli>Brousseau DC, Duffy SJ, Anderson AC, Linakis JG. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/14747817/\" target=\"_blank\" rel=\"noopener\">Treatment of pediatric migraine headaches: A\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/14747817/\" target=\"_blank\" rel=\"noopener\">randomized, double-blind trial of prochlorperazine versus ketorolac\u003C/a>. Ann Emerg Med. 2004;43(2):256-62.\u003C/li>\n\u003Cli>Wang F, Van Den Eeden SK, Ackerson LM, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/12786918/\" target=\"_blank\" rel=\"noopener\">Oral magnesium oxide prophylaxis of frequent\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/12786918/\" target=\"_blank\" rel=\"noopener\">migrainous headache in children: A randomized, double-blind, placebo-controlled trial\u003C/a>. Headache. 2003;43(6):601-10.\u003C/li>\n\u003Cli>Lewis DW, Kellstein D, Dahl G, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/12390641/\">Children’s ibuprofen suspension for the acute treatment of pediatric migraine.\u003C/a> Headache. 2002;42(8):780-6.\u003C/li>\n\u003Cli>Hämäläinen ML, Hoppu K, Valkeila E, Santavuori P. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/9008503/\" target=\"_blank\" rel=\"noopener\">Ibuprofen or acetaminophen for the acute\u003C/a> \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/9008503/\" target=\"_blank\" rel=\"noopener\">treatment of migraine in children: A double-blind, randomized, placebo-controlled, crossover study\u003C/a>. Neurology. 1997;48(1):103-7.\u003C/li>\n\u003C/ol>\n",{"__typename":1184,"title":1218,"subTitle":1192,"content":1219},"Resources For Families","\u003Col>\n\u003Cli>National Institutes of Health Neurological Disorders and Stroke. \u003Ca href=\"https://www.ninds.nih.gov/health-information/public-education/migraine-trainer-app\" target=\"_blank\" rel=\"noopener\">Migraine trainer\u003Csup>®\u003C/sup> app\u003C/a>. 2024.\u003C/li>\n\u003Cli>National Headache Foundation. \u003Ca href=\"https://headaches.org/migraine-management-for-parents/\" target=\"_blank\" rel=\"noopener\">Migraine management for parents\u003C/a>. 2024.\u003C/li>\n\u003Cli>American Migraine Foundation. \u003Ca href=\"file://storeit/Shares/ARCHE/common/ARCHE_ECHO/TREKK/Evidence%20Repositories/Migraine/1.%09https:/americanmigrainefoundation.org/resource-library/pediatric-migraine-parents/\">Pediatric migraine: A guide for parents.\u003C/a> 2023.\u003C/li>\n\u003Cli>HealthLink British Columbia. \u003Ca href=\"https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=hw116874\" target=\"_blank\" rel=\"noopener\">Migraine headaches\u003C/a>. 2022..\u003C/li>\n\u003Cli>Migraine. \u003Ca href=\"https://migrainecanada.org/\" target=\"_blank\" rel=\"noopener\">Migraine Canada\u003C/a>. 2022.\u003C/li>\n\u003Cli>MyHealth Alberta. \u003Ca href=\"https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=hw116874\">Migraine headaches.\u003C/a> 2022.\u003C/li>\n\u003C/ol>\n",{"edges":1221},[1222],{"cursor":541,"node":1223},{"name":29,"link":32,"slug":1224},"healthcare-providers",{"edges":1226},[1227],{"cursor":752,"node":1228},{"name":577,"link":1229,"slug":754},"https://cms.trekk.ca/topic/migraine/",{"edges":1231},[1232],{"cursor":1233,"node":1234},"YXJyYXljb25uZWN0aW9uOjE1",{"name":1193,"slug":1235},"evidence-repository",{"debug":1237,"queryAnalyzer":1238},[],{"keys":1239,"keysLength":1240,"keysCount":1241,"skippedKeys":680,"skippedKeysSize":681,"skippedKeysCount":681,"skippedTypes":1242},"55fcf872d1c9781fd7cc80330a8a6bd7acdda26dad620b325b97da6999fefc83 graphql:Query cG9zdDo0NDMz cG9zdDo0NTM5 cG9zdDo0NTQx cG9zdDo0NDM0 dGVybToyMA== dGVybTo0NzE= dGVybToxNQ== cG9zdDo0NTQw",182,10,[],1789499055602]