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Acute Otitis Media English (2) French All (2)

Does Your Child Have Ear Pain?

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Acute otitis media (or middle ear infections)  are infections caused by viruses or bacteria, and are very common in children. This infographic provides useful information for parents and families with a child who has an ear infection. Browse through to learn about common symptoms, how to manage symptoms, and when to seek care.

 

This infographic was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

VIDEO: How to manage your child’s ear infection

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Acute otitis media (or middle ear infections) are infections caused by viruses or bacteria and are very common in children. This video provides useful information for parents and families about symptoms, how to manage symptoms, and when to seek care for a child who has an ear infection.

This video was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

Does Your Child Have Ear Pain?

Visit

Acute otitis media (or middle ear infections)  are infections caused by viruses or bacteria, and are very common in children. This infographic provides useful information for parents and families with a child who has an ear infection. Browse through to learn about common symptoms, how to manage symptoms, and when to seek care.

 

This infographic was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

VIDEO: How to manage your child’s ear infection

Visit

Acute otitis media (or middle ear infections) are infections caused by viruses or bacteria and are very common in children. This video provides useful information for parents and families about symptoms, how to manage symptoms, and when to seek care for a child who has an ear infection.

This video was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

Anaphylaxis English (2) French All (2)

Canadian Anaphylaxis Action Plan for Kids (Kids' CAP)

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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. The action plan document was developed by a research team at the Children's Hospital of Eastern Ontario (CHEO) in 2015 and include validated pictograms with written instructions that are easily understood by students at grade 7 and above.

Children's Allergy & Asthma Education Centre

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R, Choonidass

Being the parent of a child with life-threatening food allergies can be challenging. Visit the Children's Allergy and Asthma Education Resource Centre to view a series of videos that provide parent's views on life with a food allergy (accessed online: March 2017).

Canadian Anaphylaxis Action Plan for Kids (Kids' CAP)

Visit

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. The action plan document was developed by a research team at the Children's Hospital of Eastern Ontario (CHEO) in 2015 and include validated pictograms with written instructions that are easily understood by students at grade 7 and above.

Children's Allergy & Asthma Education Centre

Visit

R, Choonidass

Being the parent of a child with life-threatening food allergies can be challenging. Visit the Children's Allergy and Asthma Education Resource Centre to view a series of videos that provide parent's views on life with a food allergy (accessed online: March 2017).

Asthma English (6) French All (6)

Emergency Medicine Cases Rapid Review: Pediatric Asthma Part 1

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Gilbride P, Lloyd T, Cheng E, Calldrige N & Yee M

Learning Objectives

  1. To assess pediatric asthma severity
  2. To use diagnostic tests effectively for pediatric asthma in the ED

Emergency Medicine Cases Rapid Review: Pediatric Asthma Part 2

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Gilbride P, Lloyd T, Cheng E, Calldrige N & Yee M

Learning Objectives

  1. To review evidence-based treatment options for pediatric asthma
  2. To list the discharge criteria for pediatric asthma from the ED
  3. To communicate effective discharge instructions for pediatric asthma

Emergency Medicine Cases Podcast: Management of Acute Pediatric Asthma Exacerbations (2016)

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Dr. Dennis Scolnik & Dr. Sanjay Mehta

Episode 79: In this EM Cases episode on Pediatric Asthma, Dr. Dennis Scolnik and Dr. Sanjay Mehta discuss risk stratification (including the PASS and PRAM scores), indications for CXR, the value of blood gases, MDIs with spacer vs nebulizers for salbutamol and ipatropium bromide, the best way to give corticosteroids, the value of inhaled steroids, the importance of early administration of magnesium sulphate in the sickest kids, and the controversies around the use of ketamine, heliox, high flow nasal cannuala oxygen, NIPPV, epinephrine and IV salbutamol in severe asthma exacerbations. With the multinational and extensive experience of Dr. Dennis Scolnik, the clinical fellowship Program Director at The Hospital for Sick Children in Toronto and Dr. Sanjay Mehta, multiple award winning educator, you'll become more comfortable the next time you are faced with a child presenting with asthma in your ED. Published online: April 2016.

Children's Allergy & Asthma Education Centre

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R, Choonidass

Being the parent of a child with life-threatening food allergies can be challenging. Visit the Children's Allergy and Asthma Education Resource Centre to view a series of videos that provide parent's views on life with a food allergy (accessed online: March 2017).

Multimedia: Pediatric Respiratory Assessment Measure (PRAM) App [for iPhone]

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Ontario Lung Association

The Pediatric Respiratory Assessment Measure (PRAM) is a 12-point scoring system to objectively assess asthma severity and response to treatment in an acute care setting. Valid for use in patients 1 – 17 years of age, the PRAM score is used by many clinical pathways that guide health professionals in the acute assessment and management of asthmatic exacerbations in children and youth. Asthma severity is categorized by the following PRAM scores: Mild (0-3), Moderate (4-7) or Severe (8-12).

This PRAM app quickly calculates a PRAM score based on 5 clinical findings (oxygen saturation, suprasternal retractions, scalene muscle use, air entry and wheezing). The corresponding asthma severity and specific management is then provided, based on the Ontario Lung Association’s Pediatric Emergency Department Asthma Clinical Pathway.

Multimedia: Pediatric Respiratory Assessment Measure (PRAM) App [for Android]

Visit

Ontario Lung Association

The Pediatric Respiratory Assessment Measure (PRAM) is a 12-point scoring system to objectively assess asthma severity and response to treatment in an acute care setting. Valid for use in patients 1 – 17 years of age, the PRAM score is used by many clinical pathways that guide health professionals in the acute assessment and management of asthmatic exacerbations in children and youth. Asthma severity is categorized by the following PRAM scores: Mild (0-3), Moderate (4-7) or Severe (8-12).
This PRAM app quickly calculates a PRAM score based on 5 clinical findings (oxygen saturation, suprasternal retractions, scalene muscle use, air entry and wheezing). The corresponding asthma severity and specific management is then provided, based on the Ontario Lung Association’s Pediatric Emergency Department Asthma Clinical Pathway.

Emergency Medicine Cases Rapid Review: Pediatric Asthma Part 1

Visit

Gilbride P, Lloyd T, Cheng E, Calldrige N & Yee M

Learning Objectives

  1. To assess pediatric asthma severity
  2. To use diagnostic tests effectively for pediatric asthma in the ED

Emergency Medicine Cases Rapid Review: Pediatric Asthma Part 2

Visit

Gilbride P, Lloyd T, Cheng E, Calldrige N & Yee M

Learning Objectives

  1. To review evidence-based treatment options for pediatric asthma
  2. To list the discharge criteria for pediatric asthma from the ED
  3. To communicate effective discharge instructions for pediatric asthma

Emergency Medicine Cases Podcast: Management of Acute Pediatric Asthma Exacerbations (2016)

Visit

Dr. Dennis Scolnik & Dr. Sanjay Mehta

Episode 79: In this EM Cases episode on Pediatric Asthma, Dr. Dennis Scolnik and Dr. Sanjay Mehta discuss risk stratification (including the PASS and PRAM scores), indications for CXR, the value of blood gases, MDIs with spacer vs nebulizers for salbutamol and ipatropium bromide, the best way to give corticosteroids, the value of inhaled steroids, the importance of early administration of magnesium sulphate in the sickest kids, and the controversies around the use of ketamine, heliox, high flow nasal cannuala oxygen, NIPPV, epinephrine and IV salbutamol in severe asthma exacerbations. With the multinational and extensive experience of Dr. Dennis Scolnik, the clinical fellowship Program Director at The Hospital for Sick Children in Toronto and Dr. Sanjay Mehta, multiple award winning educator, you'll become more comfortable the next time you are faced with a child presenting with asthma in your ED. Published online: April 2016.

Children's Allergy & Asthma Education Centre

Visit

R, Choonidass

Being the parent of a child with life-threatening food allergies can be challenging. Visit the Children's Allergy and Asthma Education Resource Centre to view a series of videos that provide parent's views on life with a food allergy (accessed online: March 2017).

Multimedia: Pediatric Respiratory Assessment Measure (PRAM) App [for iPhone]

Visit

Ontario Lung Association

The Pediatric Respiratory Assessment Measure (PRAM) is a 12-point scoring system to objectively assess asthma severity and response to treatment in an acute care setting. Valid for use in patients 1 – 17 years of age, the PRAM score is used by many clinical pathways that guide health professionals in the acute assessment and management of asthmatic exacerbations in children and youth. Asthma severity is categorized by the following PRAM scores: Mild (0-3), Moderate (4-7) or Severe (8-12).

This PRAM app quickly calculates a PRAM score based on 5 clinical findings (oxygen saturation, suprasternal retractions, scalene muscle use, air entry and wheezing). The corresponding asthma severity and specific management is then provided, based on the Ontario Lung Association’s Pediatric Emergency Department Asthma Clinical Pathway.

Multimedia: Pediatric Respiratory Assessment Measure (PRAM) App [for Android]

Visit

Ontario Lung Association

The Pediatric Respiratory Assessment Measure (PRAM) is a 12-point scoring system to objectively assess asthma severity and response to treatment in an acute care setting. Valid for use in patients 1 – 17 years of age, the PRAM score is used by many clinical pathways that guide health professionals in the acute assessment and management of asthmatic exacerbations in children and youth. Asthma severity is categorized by the following PRAM scores: Mild (0-3), Moderate (4-7) or Severe (8-12).
This PRAM app quickly calculates a PRAM score based on 5 clinical findings (oxygen saturation, suprasternal retractions, scalene muscle use, air entry and wheezing). The corresponding asthma severity and specific management is then provided, based on the Ontario Lung Association’s Pediatric Emergency Department Asthma Clinical Pathway.

Bowel obstruction English (1) French All (1)

Emergency Medicine Cases Podcast: Pediatric gastroenteritis, constipation & bowel obstruction

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Dr. Anna Jarvis & Dr. Stephen Freedman

Episode 19 Part 2:In Part 2 of this pediatric abdominal pain Episode Pediatric Gastroenteritis, Constipation & Bowel Obstruction, Dr. Anna Jarvis & Dr. Stephen Freedman discuss the assessment, work-up and treatment of pediatric gastroenteritis, with particular attention to gastroenteritis & acute abdomen mimics, how best to assess hydration status, the nuances of the use of ondansetron and the prose and cons of various rehydration methods. A detailed discussion of the most common and lethal causes of acute abdomen bowel obstruction in pediatrics follows, including intussesception and midgut volvulus. Finally, the differential diagnosis and best management of the most common cause of pediatric abdominal pain, constipation, is reviewed. Published online: January 2012. 

Emergency Medicine Cases Podcast: Pediatric gastroenteritis, constipation & bowel obstruction

Visit

Dr. Anna Jarvis & Dr. Stephen Freedman

Episode 19 Part 2:In Part 2 of this pediatric abdominal pain Episode Pediatric Gastroenteritis, Constipation & Bowel Obstruction, Dr. Anna Jarvis & Dr. Stephen Freedman discuss the assessment, work-up and treatment of pediatric gastroenteritis, with particular attention to gastroenteritis & acute abdomen mimics, how best to assess hydration status, the nuances of the use of ondansetron and the prose and cons of various rehydration methods. A detailed discussion of the most common and lethal causes of acute abdomen bowel obstruction in pediatrics follows, including intussesception and midgut volvulus. Finally, the differential diagnosis and best management of the most common cause of pediatric abdominal pain, constipation, is reviewed. Published online: January 2012. 

Bronchiolitis English (5) French All (5)

What to do when your child has a cold and is having difficulty breathing

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Bronchiolitis is a viral infection, commonly caused by respiratory syncytial virus (RSV), that affects the lower part of the lungs. It mainly affects babies and young children under 2 and is very contagious. This infographic provides information on the symptoms of bronchiolitis, how to manage it at home, and when to seek emergency care.

This infographic was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

VIDEO: Cough, Cold, and Wheeze: How to help manage your childs bronchiolitis

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Bronchiolitis is a viral infection, commonly caused by respiratory syncytial virus (RSV), that affects the lower part of the lungs. It mainly affects babies and young children under 2 and is very contagious. This video provides information on the symptoms of bronchiolitis, how to manage it at home, and when to seek emergency care.

This video was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

More than just a cold: what to do when your child has a cold and is having difficulty breathing

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Bronchiolitis is a viral infection, commonly caused by respiratory syncytial virus (RSV), that affects the lower part of the lungs. It mainly affects babies and young children under 2 and is very contagious. This eBook provides information on the symptoms of bronchiolitis, how to manage it at home, and when to seek emergency care.

This eBook was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

Emergency Medicine Cases Podcast: Bronchiolitis

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Dr. Dennis Scolnik & Dr. Sanjay Mehta

Episode 59:This EM Cases episode is on the diagnosis and management of Bronchiolitis. Bronchiolitis is one of the most common diagnoses made in both general and pediatric EDs, and like many pediatric illnesses, theres a wide spectrum of severity of illness as well as a huge variation in practice in treating these children. Bronchiolitis rarely requires any work up yet a lot of resources are used unnecessarily. We need to know when to worry about these kids, as most of them will improve with simple interventions and can be discharged home, while a few will require complex care. Sometimes its difficult to predict which kids will do well and which kids wont.With the help of Dr. Dennis Scolnik, the clinical fellowship program director at Torontos only pediatric emergency department and Dr. Sanjay Mehta, an amazing educator who you might remember from his fantastic work on our Pediatric Ortho episode, well sort through how to assess the child with respiratory illness, how to predict which kids might run into trouble, and what the best evidence-based management of these kids is. 

Emergency Medicine Cases Podcast: Bronchiolitis Part 2

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Dr. Amy Plint

Episode 59B: In response to Episode 59 with Dr. Sanjay Mehta and Dr. Dennis Scolnik on the emergency department diagnosis and management of Bronchiolitis, Dr. Amy Plint, one of Canadas most prominent researchers in Bronchiolitis and the Chair of Pediatric Emergency Research Canada, tells her practical approach to choosing medications in the emergency department, the take home message from her landmark 2009 NEJM study on the use of nebulized epinephrine and dexamethasone for treating Bronchiolitis, and the future of Bronchiolitis research. Published online: February 2015 

What to do when your child has a cold and is having difficulty breathing

Visit

Bronchiolitis is a viral infection, commonly caused by respiratory syncytial virus (RSV), that affects the lower part of the lungs. It mainly affects babies and young children under 2 and is very contagious. This infographic provides information on the symptoms of bronchiolitis, how to manage it at home, and when to seek emergency care.

This infographic was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

VIDEO: Cough, Cold, and Wheeze: How to help manage your childs bronchiolitis

Visit

Bronchiolitis is a viral infection, commonly caused by respiratory syncytial virus (RSV), that affects the lower part of the lungs. It mainly affects babies and young children under 2 and is very contagious. This video provides information on the symptoms of bronchiolitis, how to manage it at home, and when to seek emergency care.

This video was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

More than just a cold: what to do when your child has a cold and is having difficulty breathing

Download

Bronchiolitis is a viral infection, commonly caused by respiratory syncytial virus (RSV), that affects the lower part of the lungs. It mainly affects babies and young children under 2 and is very contagious. This eBook provides information on the symptoms of bronchiolitis, how to manage it at home, and when to seek emergency care.

This eBook was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

Emergency Medicine Cases Podcast: Bronchiolitis

Visit

Dr. Dennis Scolnik & Dr. Sanjay Mehta

Episode 59:This EM Cases episode is on the diagnosis and management of Bronchiolitis. Bronchiolitis is one of the most common diagnoses made in both general and pediatric EDs, and like many pediatric illnesses, theres a wide spectrum of severity of illness as well as a huge variation in practice in treating these children. Bronchiolitis rarely requires any work up yet a lot of resources are used unnecessarily. We need to know when to worry about these kids, as most of them will improve with simple interventions and can be discharged home, while a few will require complex care. Sometimes its difficult to predict which kids will do well and which kids wont.With the help of Dr. Dennis Scolnik, the clinical fellowship program director at Torontos only pediatric emergency department and Dr. Sanjay Mehta, an amazing educator who you might remember from his fantastic work on our Pediatric Ortho episode, well sort through how to assess the child with respiratory illness, how to predict which kids might run into trouble, and what the best evidence-based management of these kids is. 

Emergency Medicine Cases Podcast: Bronchiolitis Part 2

Visit

Dr. Amy Plint

Episode 59B: In response to Episode 59 with Dr. Sanjay Mehta and Dr. Dennis Scolnik on the emergency department diagnosis and management of Bronchiolitis, Dr. Amy Plint, one of Canadas most prominent researchers in Bronchiolitis and the Chair of Pediatric Emergency Research Canada, tells her practical approach to choosing medications in the emergency department, the take home message from her landmark 2009 NEJM study on the use of nebulized epinephrine and dexamethasone for treating Bronchiolitis, and the future of Bronchiolitis research. Published online: February 2015 

Burns English (1) French All (1)

Emergency Medicine Cases Podcast: Burn and Inhalation Injuries

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Episode 124: Burn and inhalation injury patients present to the ED more often than one might think, with a staggering half a million annual visits in the USA alone. It turns out that for all burn patients—from minor to severe—there is a lot of room for improvement in ED management, counselling and disposition. Things like inaccurate estimation of burn size, unnecessary endotracheal intubation, over- and under-estimation of fluid resuscitation volumes, inadequate analgesia and inappropriate wound dressings are just some of the issues where a small change to ED practice patterns could have a huge impact on patient care. In this EM Cases main episode podcast we have the director of the Burn Unit at Hospital for Sick Children, Dr. Joel Fish and EM educator Dr. Maria Ivankovic discuss dozens of pearls and pitfalls in the management of both pediatric and adult burn and inhalation injuries management with a special appearance by airway master George Kovacs to talk about awake intubation in the burn and inhalation injuries patient. Published online: May 2019

Emergency Medicine Cases Podcast: Burn and Inhalation Injuries

Visit

Episode 124: Burn and inhalation injury patients present to the ED more often than one might think, with a staggering half a million annual visits in the USA alone. It turns out that for all burn patients—from minor to severe—there is a lot of room for improvement in ED management, counselling and disposition. Things like inaccurate estimation of burn size, unnecessary endotracheal intubation, over- and under-estimation of fluid resuscitation volumes, inadequate analgesia and inappropriate wound dressings are just some of the issues where a small change to ED practice patterns could have a huge impact on patient care. In this EM Cases main episode podcast we have the director of the Burn Unit at Hospital for Sick Children, Dr. Joel Fish and EM educator Dr. Maria Ivankovic discuss dozens of pearls and pitfalls in the management of both pediatric and adult burn and inhalation injuries management with a special appearance by airway master George Kovacs to talk about awake intubation in the burn and inhalation injuries patient. Published online: May 2019

COVID19 English (1) French All (1)

Overview of systematic reviews: Systematic review of reviews of symptoms and signs of COVID-19 in children and adolescents.

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Viner RM, Ward JL, Hudson LD, et al.

Objective: To undertake a systematic review of reviews of the prevalence of symptoms and signs of COVID-19 in those aged under 20 years.

Overview of systematic reviews: Systematic review of reviews of symptoms and signs of COVID-19 in children and adolescents.

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Viner RM, Ward JL, Hudson LD, et al.

Objective: To undertake a systematic review of reviews of the prevalence of symptoms and signs of COVID-19 in those aged under 20 years.

Concussion English (5) French All (5)

Commentary: Concussion management for children has changed: new pediatric protocols using the latest evidence

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DeMatteo C, Randall S, Falla K, et al.

This study aims to update CanChild's 2015 RTA and RTS protocols, on the basis of empirical data and feedback collected from our recently completed prospective cohort study, focusing on concussed children and their caregivers; systematic review of evidence published since 2015; and consultation with concussion management experts.

Review: Prognosis of concussion in children

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Torres AR, Espinosa B

The objective of this paper is to review the literature about prognostic factors that influence recovery from concussion. Also, we provide an overview of the duration of the symptoms, criteria to return to school and sports, and retirement of sports.

Commentary: Options for evaluating and tracking pediatric concussion

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Lynch W

The present article describes some of the principal providers of concussion detection and tracking technology available without attempting to critique or recommend one system over another.

Concussion Awareness Training Tool (CATT)

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Dr. Shelina Babul and BC Injury Research and Prevention Unit, BC Children’s H...

The Concussion Awareness Training Tool (CATT) is a series of online educational modules and resources with­ the goal of standardizing concussion recognition, diagnosis, treatment, and management. Good concussion management may decrease the risk of brain damage and potentially reduce long-term health issues.

Video: Concussions 101, a Primer for Kids and Parents (2011)

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Evans, M

This is a quick review of concussions: what they are and what they do.

Commentary: Concussion management for children has changed: new pediatric protocols using the latest evidence

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DeMatteo C, Randall S, Falla K, et al.

This study aims to update CanChild's 2015 RTA and RTS protocols, on the basis of empirical data and feedback collected from our recently completed prospective cohort study, focusing on concussed children and their caregivers; systematic review of evidence published since 2015; and consultation with concussion management experts.

Review: Prognosis of concussion in children

Visit

Torres AR, Espinosa B

The objective of this paper is to review the literature about prognostic factors that influence recovery from concussion. Also, we provide an overview of the duration of the symptoms, criteria to return to school and sports, and retirement of sports.

Commentary: Options for evaluating and tracking pediatric concussion

Visit

Lynch W

The present article describes some of the principal providers of concussion detection and tracking technology available without attempting to critique or recommend one system over another.

Concussion Awareness Training Tool (CATT)

Visit

Dr. Shelina Babul and BC Injury Research and Prevention Unit, BC Children’s H...

The Concussion Awareness Training Tool (CATT) is a series of online educational modules and resources with­ the goal of standardizing concussion recognition, diagnosis, treatment, and management. Good concussion management may decrease the risk of brain damage and potentially reduce long-term health issues.

Video: Concussions 101, a Primer for Kids and Parents (2011)

Visit

Evans, M

This is a quick review of concussions: what they are and what they do.

Congenital Heart Defect English (4) French All (4)

Emergency Medicine Cases Rapid Review: Congenital Heart Disease Part 1

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Gilbride P, Lloyd T, Cheng E, Calldrige N & Yee M

Learning Objectives

  1. To develop a simple approach to CHD using age, colour and bedside tests
  2. To understand how the hyperoxia test and 4 limb BP narrow the differential diagnosis

Emergency Medicine Cases Rapid Review: Congenital Heart Disease Part 2

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Gilbride P, Lloyd T, Cheng E, Calldrige N & Yee M

Learning Objectives

  1. Investigations for congenital heart disease emergencies
  2. Management of congenital heart disease emergencies

Emergency Medicine Cases Podcast: Cyanotic Infant

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Dr. Gary Joubert & Dr. Anton Helman

Best Case Ever #48: In anticipation of EM Cases’ upcoming episode, Congenital Heart Disease Emergencies, Dr. Gary Joubert discusses his Best Case Ever of a four month old infant who presents with intermittent cyanosis. The Cyanotic Infant can present a significant challenge to the EM provider as the differential is wide, ranging from benign causes such as GERD to life threatening heart disease that may present atypically in a well-appearing child. Dr. Joubert provides some simple clinical pearls to help ED providers along the way. Published online: July 2016. 

Emergency Medicine Cases Podcast: Congenital Heart Disease Emergencies

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Dr. Gary Joubert & Dr. Ashley Strobel

Episode 84: You might be surprised to learn that the prevalence of critical cardiac disease in infants is almost as high as the prevalence of infant sepsis. Critical congenital heart defects are often missed in the ED. For a variety of reasons, there are currently more children with congenital heart disease presenting to the ED than ever before and these numbers will continue to grow in the future. With the goal of learning a practical approach to congenital heart disease emergencies using the child’s age, colour and few simple tests, Dr. Strobel and Dr. Joubert will discuss some key actions, pearls and pitfalls so that the next time you’re faced with that crashing baby in the resuscitation room, you’ll know exactly what to do. This podcast topic was chosen based on a Canada-wide needs assessment by TREKK – translating emergency knowledge for kids. 

Published online: August 2016. 

Emergency Medicine Cases Rapid Review: Congenital Heart Disease Part 1

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Gilbride P, Lloyd T, Cheng E, Calldrige N & Yee M

Learning Objectives

  1. To develop a simple approach to CHD using age, colour and bedside tests
  2. To understand how the hyperoxia test and 4 limb BP narrow the differential diagnosis

Emergency Medicine Cases Rapid Review: Congenital Heart Disease Part 2

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Gilbride P, Lloyd T, Cheng E, Calldrige N & Yee M

Learning Objectives

  1. Investigations for congenital heart disease emergencies
  2. Management of congenital heart disease emergencies

Emergency Medicine Cases Podcast: Cyanotic Infant

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Dr. Gary Joubert & Dr. Anton Helman

Best Case Ever #48: In anticipation of EM Cases’ upcoming episode, Congenital Heart Disease Emergencies, Dr. Gary Joubert discusses his Best Case Ever of a four month old infant who presents with intermittent cyanosis. The Cyanotic Infant can present a significant challenge to the EM provider as the differential is wide, ranging from benign causes such as GERD to life threatening heart disease that may present atypically in a well-appearing child. Dr. Joubert provides some simple clinical pearls to help ED providers along the way. Published online: July 2016. 

Emergency Medicine Cases Podcast: Congenital Heart Disease Emergencies

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Dr. Gary Joubert & Dr. Ashley Strobel

Episode 84: You might be surprised to learn that the prevalence of critical cardiac disease in infants is almost as high as the prevalence of infant sepsis. Critical congenital heart defects are often missed in the ED. For a variety of reasons, there are currently more children with congenital heart disease presenting to the ED than ever before and these numbers will continue to grow in the future. With the goal of learning a practical approach to congenital heart disease emergencies using the child’s age, colour and few simple tests, Dr. Strobel and Dr. Joubert will discuss some key actions, pearls and pitfalls so that the next time you’re faced with that crashing baby in the resuscitation room, you’ll know exactly what to do. This podcast topic was chosen based on a Canada-wide needs assessment by TREKK – translating emergency knowledge for kids. 

Published online: August 2016. 

Constipation English (1) French All (1)

Emergency Medicine Cases Podcast: Pediatric gastroenteritis, constipation & bowel obstruction

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Dr. Anna Jarvis & Dr. Stephen Freedman

Episode 19 Part 2:In Part 2 of this pediatric abdominal pain Episode Pediatric Gastroenteritis, Constipation & Bowel Obstruction, Dr. Anna Jarvis & Dr. Stephen Freedman discuss the assessment, work-up and treatment of pediatric gastroenteritis, with particular attention to gastroenteritis & acute abdomen mimics, how best to assess hydration status, the nuances of the use of ondansetron and the prose and cons of various rehydration methods. A detailed discussion of the most common and lethal causes of acute abdomen bowel obstruction in pediatrics follows, including intussesception and midgut volvulus. Finally, the differential diagnosis and best management of the most common cause of pediatric abdominal pain, constipation, is reviewed. Published online: January 2012. 

Emergency Medicine Cases Podcast: Pediatric gastroenteritis, constipation & bowel obstruction

Visit

Dr. Anna Jarvis & Dr. Stephen Freedman

Episode 19 Part 2:In Part 2 of this pediatric abdominal pain Episode Pediatric Gastroenteritis, Constipation & Bowel Obstruction, Dr. Anna Jarvis & Dr. Stephen Freedman discuss the assessment, work-up and treatment of pediatric gastroenteritis, with particular attention to gastroenteritis & acute abdomen mimics, how best to assess hydration status, the nuances of the use of ondansetron and the prose and cons of various rehydration methods. A detailed discussion of the most common and lethal causes of acute abdomen bowel obstruction in pediatrics follows, including intussesception and midgut volvulus. Finally, the differential diagnosis and best management of the most common cause of pediatric abdominal pain, constipation, is reviewed. Published online: January 2012. 

Croup English (1) French All (1)

VIDEO: A barky, seal-like cough in children

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Scott S, Hartling L, Klassen, T, Dyson M, Knisley L & Albrecht L

Croup is a common respiratory illness caused by a viral infection in the airways. Accompanied by a barky cough and respiratory distress, this illness is most common in children from birth to 6 years of age, peaking at 2 years of age. This is a short, animated video about signs and symptoms of croup, and what to do if you are a parent or a family dealing with a child who has croup. This video was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Canadian Institutes of Health Research (CIHR).

VIDEO: A barky, seal-like cough in children

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Scott S, Hartling L, Klassen, T, Dyson M, Knisley L & Albrecht L

Croup is a common respiratory illness caused by a viral infection in the airways. Accompanied by a barky cough and respiratory distress, this illness is most common in children from birth to 6 years of age, peaking at 2 years of age. This is a short, animated video about signs and symptoms of croup, and what to do if you are a parent or a family dealing with a child who has croup. This video was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Canadian Institutes of Health Research (CIHR).

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Emergency Medicine Cases Podcast: Pediatric DKA (2015)

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Dr. Sarah Reid & Dr. Sarah Curtis

Episode 63: In this episode well be asking our guest pediatric emergency medicine experts Dr. Sarah Reid and Dr. Sarah Curtis about the key historical and examination pearls to help pick up this sometimes elusive diagnosis, what the value of serum ketones are in the diagnosis of DKA, how to assess the severity of DKA to guide management, how to avoid the dreaded cerebral edema that all too often complicates DKA, how to best adjust fluids and insulin during treatment, which kids can go home, which kids can go to the floor and which kids need to be transferred to a Pediatric ICU. Published online: April 2015 

Emergency Medicine Cases Podcast: Pediatric DKA (2015)

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Dr. Sarah Reid & Dr. Sarah Curtis

Episode 63: In this episode well be asking our guest pediatric emergency medicine experts Dr. Sarah Reid and Dr. Sarah Curtis about the key historical and examination pearls to help pick up this sometimes elusive diagnosis, what the value of serum ketones are in the diagnosis of DKA, how to assess the severity of DKA to guide management, how to avoid the dreaded cerebral edema that all too often complicates DKA, how to best adjust fluids and insulin during treatment, which kids can go home, which kids can go to the floor and which kids need to be transferred to a Pediatric ICU. Published online: April 2015 

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Sick All Night: When to go to the Hospital with Childhood Vomiting and Diarrhea

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ECHO (Evidence in Child Health to enhance Outcomes), ARCHE (Alberta Research ...

Gastroenteritis is an infection of the bowel (intestines) caused by a virus or bacteria that can cause diarrhea and vomiting. It is common in infants and children and can lead to dehydration. Browse through this eBook for information on the signs, symptoms, treatment, and management of gastroenteritis and what to do if you are a parent or family dealing with gastroenteritis.

This eBook was created by ECHO Research (University of Alberta), ARCHE (University of Alberta), and TREKK. Funding was provided by the Canadian Institutes of Health Research (CIHR). 

Sick All Night: When to go to the Hospital with Childhood Vomiting and Diarrhea

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ECHO (Evidence in Child Health to enhance Outcomes), ARCHE (Alberta Research ...

Gastroenteritis is an infection of the bowel (intestines) caused by a virus or bacteria that can cause diarrhea and vomiting. It is common in infants and children and can lead to dehydration. Browse through this eBook for information on the signs, symptoms, treatment, and management of gastroenteritis and what to do if you are a parent or family dealing with gastroenteritis.

This eBook was created by ECHO Research (University of Alberta), ARCHE (University of Alberta), and TREKK. Funding was provided by the Canadian Institutes of Health Research (CIHR). 

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How to manage your child's fever

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Fevers are the body’s natural response to infection. It can be scary when your child has a fever, but fevers will not hurt your child. This infographic provides information about how to take your child’s temperature, how to manage their symptoms, and when to seek medical care.

This infographic was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

VIDEO: How to manage your child’s fever

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Fevers are the body’s natural response to infection. It can be scary when your child has a fever, but fevers will not hurt your child. This video provides information about how to take your child’s temperature, how to manage their symptoms, and when to seek health care.

This video was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

How to manage your child's fever

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Fevers are the body’s natural response to infection. It can be scary when your child has a fever, but fevers will not hurt your child. This infographic provides information about how to take your child’s temperature, how to manage their symptoms, and when to seek medical care.

This infographic was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

VIDEO: How to manage your child’s fever

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Fevers are the body’s natural response to infection. It can be scary when your child has a fever, but fevers will not hurt your child. This video provides information about how to take your child’s temperature, how to manage their symptoms, and when to seek health care.

This video was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

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Sick All Night: When to go to the Hospital with Childhood Vomiting and Diarrhea

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ECHO (Evidence in Child Health to enhance Outcomes), ARCHE (Alberta Research ...

Gastroenteritis is an infection of the bowel (intestines) caused by a virus or bacteria that can cause diarrhea and vomiting. It is common in infants and children and can lead to dehydration. Browse through this eBook for information on the signs, symptoms, treatment, and management of gastroenteritis and what to do if you are a parent or family dealing with gastroenteritis.

This eBook was created by ECHO Research (University of Alberta), ARCHE (University of Alberta), and TREKK. Funding was provided by the Canadian Institutes of Health Research (CIHR). 

Emergency Medicine Cases Podcast: Dilute Apple Juice for Gastroenteritis

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Dr. Stephen Freedman & Dr. Anthony Crocco

This is EM Cases Journal Jam podcast on a randomized control trial of dilute apple juice vs PediaLyte for mild pediatric gastroenteritis.

While IV rehydration is required in cases of severe gastroenteritis (which we rarely see in North America) and oral rehydration with electrolyte maintenance solutions is still the mainstay in treating moderate gastroenteritis, could better-tasting, more cost-effective fluids such as diluted apple juice be just as effective as traditional electrolyte solutions in milder cases? Listen to Dr. Justin Morgenstern (@First10EM) interviewing Dr. Stephen Freedman, the world-renowned pediatric EM researcher who put ondansetron for pediatric gastroenteritis on the map about this practice-changing paper. This is followed by a discussion of the topic from Dr. Anthony Crocco, the Division head and medical director of pediatric EM at Hamilton Health Sciences.

 

Emergency Medicine Cases Podcast: Pediatric gastroenteritis, constipation & bowel obstruction

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Dr. Anna Jarvis & Dr. Stephen Freedman

Episode 19 Part 2:In Part 2 of this pediatric abdominal pain Episode Pediatric Gastroenteritis, Constipation & Bowel Obstruction, Dr. Anna Jarvis & Dr. Stephen Freedman discuss the assessment, work-up and treatment of pediatric gastroenteritis, with particular attention to gastroenteritis & acute abdomen mimics, how best to assess hydration status, the nuances of the use of ondansetron and the prose and cons of various rehydration methods. A detailed discussion of the most common and lethal causes of acute abdomen bowel obstruction in pediatrics follows, including intussesception and midgut volvulus. Finally, the differential diagnosis and best management of the most common cause of pediatric abdominal pain, constipation, is reviewed. Published online: January 2012. 

Sick All Night: When to go to the Hospital with Childhood Vomiting and Diarrhea

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ECHO (Evidence in Child Health to enhance Outcomes), ARCHE (Alberta Research ...

Gastroenteritis is an infection of the bowel (intestines) caused by a virus or bacteria that can cause diarrhea and vomiting. It is common in infants and children and can lead to dehydration. Browse through this eBook for information on the signs, symptoms, treatment, and management of gastroenteritis and what to do if you are a parent or family dealing with gastroenteritis.

This eBook was created by ECHO Research (University of Alberta), ARCHE (University of Alberta), and TREKK. Funding was provided by the Canadian Institutes of Health Research (CIHR). 

Emergency Medicine Cases Podcast: Dilute Apple Juice for Gastroenteritis

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Dr. Stephen Freedman & Dr. Anthony Crocco

This is EM Cases Journal Jam podcast on a randomized control trial of dilute apple juice vs PediaLyte for mild pediatric gastroenteritis.

While IV rehydration is required in cases of severe gastroenteritis (which we rarely see in North America) and oral rehydration with electrolyte maintenance solutions is still the mainstay in treating moderate gastroenteritis, could better-tasting, more cost-effective fluids such as diluted apple juice be just as effective as traditional electrolyte solutions in milder cases? Listen to Dr. Justin Morgenstern (@First10EM) interviewing Dr. Stephen Freedman, the world-renowned pediatric EM researcher who put ondansetron for pediatric gastroenteritis on the map about this practice-changing paper. This is followed by a discussion of the topic from Dr. Anthony Crocco, the Division head and medical director of pediatric EM at Hamilton Health Sciences.

 

Emergency Medicine Cases Podcast: Pediatric gastroenteritis, constipation & bowel obstruction

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Dr. Anna Jarvis & Dr. Stephen Freedman

Episode 19 Part 2:In Part 2 of this pediatric abdominal pain Episode Pediatric Gastroenteritis, Constipation & Bowel Obstruction, Dr. Anna Jarvis & Dr. Stephen Freedman discuss the assessment, work-up and treatment of pediatric gastroenteritis, with particular attention to gastroenteritis & acute abdomen mimics, how best to assess hydration status, the nuances of the use of ondansetron and the prose and cons of various rehydration methods. A detailed discussion of the most common and lethal causes of acute abdomen bowel obstruction in pediatrics follows, including intussesception and midgut volvulus. Finally, the differential diagnosis and best management of the most common cause of pediatric abdominal pain, constipation, is reviewed. Published online: January 2012. 

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Emergency Medicine Cases Podcast: Pediatric orthopedics pearls & pitfalls

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Dr. Sanjay Mehta & Dr. Jonathan Pirie

Episode 35:Dr. Sanjay Mehta & Dr. Jonathan Pirie, two experienced Pediatric EM docs from The Hospital for Sick Children in Toronto discuss their approach to a variety of common, occult, challenging and easy to miss pediatric orthopedics diagnoses including: differentiating Septic Arthritis from Transient Synovitis of the hip, Toddlers Fracture, Tillaux Fracture, Suprachondylar Fracture, ACL tear, tibial spine & Segond fractures. They also debate the value of the Ottawa Knee Rules in kids, non-accidental trauma, pediatric orthopedic pain management, the evidence for the best management of Buckle, Greenstick, Salter 1 and 2 distal radius fractures and lateral malleolus fractures. Published online: August 2013. 

Emergency Medicine Cases Podcast: Pediatric orthopedics pearls & pitfalls

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Dr. Sanjay Mehta & Dr. Jonathan Pirie

Episode 35:Dr. Sanjay Mehta & Dr. Jonathan Pirie, two experienced Pediatric EM docs from The Hospital for Sick Children in Toronto discuss their approach to a variety of common, occult, challenging and easy to miss pediatric orthopedics diagnoses including: differentiating Septic Arthritis from Transient Synovitis of the hip, Toddlers Fracture, Tillaux Fracture, Suprachondylar Fracture, ACL tear, tibial spine & Segond fractures. They also debate the value of the Ottawa Knee Rules in kids, non-accidental trauma, pediatric orthopedic pain management, the evidence for the best management of Buckle, Greenstick, Salter 1 and 2 distal radius fractures and lateral malleolus fractures. Published online: August 2013. 

Pain English (2) French All (2)

Website: Pain Assessment and Management Initiative (PAMI)

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Pain Assessment and Management Initiative (PAMI) is an e-Learning and patient safety educational project funded through a grant by the Florida Medical Malpractice Joint Underwriting Association. The overall goal of PAMI is to improve 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 such as the Emergency Department. The tools and resources developed are designed to be used, adapted and implemented by any health care facility or agency based on their specific needs. The PAMI site also includes pain related resourcesapps/podcasts and learning modules. PAMI learning modules and materials are developed by a state and national expert panel and are multidisciplinary, targeting physicians, nurses, PAs, pharmacists, paramedics, hospital patient safety officers, risk managers and other providers.

Resource - Acute Procedural Pain Toolkits

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Canadian Association of Paediatric Health Centres Pain Community of Practice

These Toolkits are a resource for clinicians who work with children that may experience acute procedural pain and support moving best practice recommendations into practice. Based on the best research evidence and clinical practice, these Toolkits bring together a collection of evidence-based recommendations, clinical and family resources, policy examples, pre-populated power point templates, videos, and background articles with the purpose of making these recommendations easier to move into practice. 

There are eight toolkits to choose from: 

  • Assessment
  • Distraction
  • Intranasal fentanyl
  • Breast feeding, non-nutritive sucking, and positioning
  • Oral sucrose
  • Pain with suturing
  • Topical anesthetics (venipuncture)
  • Implementation strategies

Website: Pain Assessment and Management Initiative (PAMI)

Visit

Pain Assessment and Management Initiative (PAMI) is an e-Learning and patient safety educational project funded through a grant by the Florida Medical Malpractice Joint Underwriting Association. The overall goal of PAMI is to improve 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 such as the Emergency Department. The tools and resources developed are designed to be used, adapted and implemented by any health care facility or agency based on their specific needs. The PAMI site also includes pain related resourcesapps/podcasts and learning modules. PAMI learning modules and materials are developed by a state and national expert panel and are multidisciplinary, targeting physicians, nurses, PAs, pharmacists, paramedics, hospital patient safety officers, risk managers and other providers.

Resource - Acute Procedural Pain Toolkits

Visit

Canadian Association of Paediatric Health Centres Pain Community of Practice

These Toolkits are a resource for clinicians who work with children that may experience acute procedural pain and support moving best practice recommendations into practice. Based on the best research evidence and clinical practice, these Toolkits bring together a collection of evidence-based recommendations, clinical and family resources, policy examples, pre-populated power point templates, videos, and background articles with the purpose of making these recommendations easier to move into practice. 

There are eight toolkits to choose from: 

  • Assessment
  • Distraction
  • Intranasal fentanyl
  • Breast feeding, non-nutritive sucking, and positioning
  • Oral sucrose
  • Pain with suturing
  • Topical anesthetics (venipuncture)
  • Implementation strategies

Pain Treatment English (1) French All (1)

Website: Pain Assessment and Management Initiative (PAMI)

Visit

Pain Assessment and Management Initiative (PAMI) is an e-Learning and patient safety educational project funded through a grant by the Florida Medical Malpractice Joint Underwriting Association. The overall goal of PAMI is to improve 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 such as the Emergency Department. The tools and resources developed are designed to be used, adapted and implemented by any health care facility or agency based on their specific needs. The PAMI site also includes pain related resourcesapps/podcasts and learning modules. PAMI learning modules and materials are developed by a state and national expert panel and are multidisciplinary, targeting physicians, nurses, PAs, pharmacists, paramedics, hospital patient safety officers, risk managers and other providers.

Website: Pain Assessment and Management Initiative (PAMI)

Visit

Pain Assessment and Management Initiative (PAMI) is an e-Learning and patient safety educational project funded through a grant by the Florida Medical Malpractice Joint Underwriting Association. The overall goal of PAMI is to improve 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 such as the Emergency Department. The tools and resources developed are designed to be used, adapted and implemented by any health care facility or agency based on their specific needs. The PAMI site also includes pain related resourcesapps/podcasts and learning modules. PAMI learning modules and materials are developed by a state and national expert panel and are multidisciplinary, targeting physicians, nurses, PAs, pharmacists, paramedics, hospital patient safety officers, risk managers and other providers.

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Emergency Medicine Cases Podcast: Pediatric Procedural Sedation (2016)

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Dr. Amy Drendel

Episode 76: Join Dr. Amy Drendel, a world leader in pediatric pain management and procedural sedation research, as she discusses how best to manage pain and anxiety in three situations in the ED: the child with a painful fracture, the child who requires imaging in the radiology department and the child who requires a lumbar puncture.

Published online: February 2016

How to Help When Your Child Needs to Get a Needle Poke

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ECHO, ARCHE & TREKK

Needle pokes are one of the most common sources of pain for children seeking emergency medical care. Needle pokes may be used during healthcare visits to collect blood, deliver medication and fluids, or to numb certain body parts while stitching, for example. This interactive infographic provides useful age-specific tips for parents and families who have a child that may require a needle poke.

This infographic was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

Website: Pain Assessment and Management Initiative (PAMI)

Visit

Pain Assessment and Management Initiative (PAMI) is an e-Learning and patient safety educational project funded through a grant by the Florida Medical Malpractice Joint Underwriting Association. The overall goal of PAMI is to improve 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 such as the Emergency Department. The tools and resources developed are designed to be used, adapted and implemented by any health care facility or agency based on their specific needs. The PAMI site also includes pain related resourcesapps/podcasts and learning modules. PAMI learning modules and materials are developed by a state and national expert panel and are multidisciplinary, targeting physicians, nurses, PAs, pharmacists, paramedics, hospital patient safety officers, risk managers and other providers.

Resource - Acute Procedural Pain Toolkits

Visit

Canadian Association of Paediatric Health Centres Pain Community of Practice

These Toolkits are a resource for clinicians who work with children that may experience acute procedural pain and support moving best practice recommendations into practice. Based on the best research evidence and clinical practice, these Toolkits bring together a collection of evidence-based recommendations, clinical and family resources, policy examples, pre-populated power point templates, videos, and background articles with the purpose of making these recommendations easier to move into practice. 

There are eight toolkits to choose from: 

  • Assessment
  • Distraction
  • Intranasal fentanyl
  • Breast feeding, non-nutritive sucking, and positioning
  • Oral sucrose
  • Pain with suturing
  • Topical anesthetics (venipuncture)
  • Implementation strategies

VIDEO: How to help when your child needs a needle poke

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Needle pokes are one of the most common sources of pain for children seeking emergency medical care. Needle pokes may be used during healthcare visits to collect blood, deliver medication and fluids, or to numb certain body parts while stitching, for example. This video provides information about needle pokes and useful tips for parents and families who have a child that may require a needle poke. 

This video was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

 

Emergency Medicine Cases Podcast: Pediatric Procedural Sedation (2016)

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Dr. Amy Drendel

Episode 76: Join Dr. Amy Drendel, a world leader in pediatric pain management and procedural sedation research, as she discusses how best to manage pain and anxiety in three situations in the ED: the child with a painful fracture, the child who requires imaging in the radiology department and the child who requires a lumbar puncture.

Published online: February 2016

How to Help When Your Child Needs to Get a Needle Poke

Visit

ECHO, ARCHE & TREKK

Needle pokes are one of the most common sources of pain for children seeking emergency medical care. Needle pokes may be used during healthcare visits to collect blood, deliver medication and fluids, or to numb certain body parts while stitching, for example. This interactive infographic provides useful age-specific tips for parents and families who have a child that may require a needle poke.

This infographic was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

Website: Pain Assessment and Management Initiative (PAMI)

Visit

Pain Assessment and Management Initiative (PAMI) is an e-Learning and patient safety educational project funded through a grant by the Florida Medical Malpractice Joint Underwriting Association. The overall goal of PAMI is to improve 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 such as the Emergency Department. The tools and resources developed are designed to be used, adapted and implemented by any health care facility or agency based on their specific needs. The PAMI site also includes pain related resourcesapps/podcasts and learning modules. PAMI learning modules and materials are developed by a state and national expert panel and are multidisciplinary, targeting physicians, nurses, PAs, pharmacists, paramedics, hospital patient safety officers, risk managers and other providers.

Resource - Acute Procedural Pain Toolkits

Visit

Canadian Association of Paediatric Health Centres Pain Community of Practice

These Toolkits are a resource for clinicians who work with children that may experience acute procedural pain and support moving best practice recommendations into practice. Based on the best research evidence and clinical practice, these Toolkits bring together a collection of evidence-based recommendations, clinical and family resources, policy examples, pre-populated power point templates, videos, and background articles with the purpose of making these recommendations easier to move into practice. 

There are eight toolkits to choose from: 

  • Assessment
  • Distraction
  • Intranasal fentanyl
  • Breast feeding, non-nutritive sucking, and positioning
  • Oral sucrose
  • Pain with suturing
  • Topical anesthetics (venipuncture)
  • Implementation strategies

VIDEO: How to help when your child needs a needle poke

Visit

Needle pokes are one of the most common sources of pain for children seeking emergency medical care. Needle pokes may be used during healthcare visits to collect blood, deliver medication and fluids, or to numb certain body parts while stitching, for example. This video provides information about needle pokes and useful tips for parents and families who have a child that may require a needle poke. 

This video was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

 

Procedural Sedation English (2) French All (2)

Emergency Medicine Cases Podcast: Pediatric Procedural Sedation (2016)

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Dr. Amy Drendel

Episode 76: Join Dr. Amy Drendel, a world leader in pediatric pain management and procedural sedation research, as she discusses how best to manage pain and anxiety in three situations in the ED: the child with a painful fracture, the child who requires imaging in the radiology department and the child who requires a lumbar puncture.

Published online: February 2016

Website: Pain Assessment and Management Initiative (PAMI)

Visit

Pain Assessment and Management Initiative (PAMI) is an e-Learning and patient safety educational project funded through a grant by the Florida Medical Malpractice Joint Underwriting Association. The overall goal of PAMI is to improve 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 such as the Emergency Department. The tools and resources developed are designed to be used, adapted and implemented by any health care facility or agency based on their specific needs. The PAMI site also includes pain related resourcesapps/podcasts and learning modules. PAMI learning modules and materials are developed by a state and national expert panel and are multidisciplinary, targeting physicians, nurses, PAs, pharmacists, paramedics, hospital patient safety officers, risk managers and other providers.

Emergency Medicine Cases Podcast: Pediatric Procedural Sedation (2016)

Visit

Dr. Amy Drendel

Episode 76: Join Dr. Amy Drendel, a world leader in pediatric pain management and procedural sedation research, as she discusses how best to manage pain and anxiety in three situations in the ED: the child with a painful fracture, the child who requires imaging in the radiology department and the child who requires a lumbar puncture.

Published online: February 2016

Website: Pain Assessment and Management Initiative (PAMI)

Visit

Pain Assessment and Management Initiative (PAMI) is an e-Learning and patient safety educational project funded through a grant by the Florida Medical Malpractice Joint Underwriting Association. The overall goal of PAMI is to improve 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 such as the Emergency Department. The tools and resources developed are designed to be used, adapted and implemented by any health care facility or agency based on their specific needs. The PAMI site also includes pain related resourcesapps/podcasts and learning modules. PAMI learning modules and materials are developed by a state and national expert panel and are multidisciplinary, targeting physicians, nurses, PAs, pharmacists, paramedics, hospital patient safety officers, risk managers and other providers.

Sepsis English (1) French All (1)

Emergency Medicine Cases Podcast: Recognition and management of pediatric sepsis and septic shock

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Dr. Sarah Reid & Dr. Gina Neto

Episode 50:In this episode, a continuation of our discussion on Fever from with Ottawa PEM experts, Sarah Reid and Gina Neto, we discuss the pearls and pitfalls in the recognition and management of pediatric sepsis and septic shock. We review the subtle clinical findings that will help you pick up septic shock before its too late as well as key maneuvers and algorithms to stabilize these patients. We cover tips for using IO in children, induction agents of choice, timing of intubation, ionotropes of choice, the indications for steroids in septic shock, and much more.Posted online: August 2014. 

Emergency Medicine Cases Podcast: Recognition and management of pediatric sepsis and septic shock

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Dr. Sarah Reid & Dr. Gina Neto

Episode 50:In this episode, a continuation of our discussion on Fever from with Ottawa PEM experts, Sarah Reid and Gina Neto, we discuss the pearls and pitfalls in the recognition and management of pediatric sepsis and septic shock. We review the subtle clinical findings that will help you pick up septic shock before its too late as well as key maneuvers and algorithms to stabilize these patients. We cover tips for using IO in children, induction agents of choice, timing of intubation, ionotropes of choice, the indications for steroids in septic shock, and much more.Posted online: August 2014. 

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Clinical Practice Guideline: Suicide Risk Assessment

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Emergency Nursing Association

Clinical Practice Guideline: Suicide Risk Assessment: Authored by the 2017 ENA Clinical Practice Guideline Committee

Clincal Practice Guideline: Suicide and Suicide Attempts in Adolescents

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American Academy of Pediatrics

This report updates the previous statement of the American Academy of Pediatrics and is intended to assist pediatricians, in collaboration with other child and adolescent health care professionals, in the identification and management of the adolescent at risk for suicide

Clincal Practice Guideline: Suicidal ideation and behaviour

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Canadian Paediatric Society

The present practice point provides paediatricians and child health professionals with a framework for assessing the adolescent with suicidal thoughts and/or behaviours.

Clincal Practice Guideline: Practice Guideline for the Assessment and Treatment of Patients With Suicidal Behaviors

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American Psychology Association

Non peds specific practise guidline for assessment treatment suicidal behavors

Clincal Practice Guideline: Practice Parameter for the Assessment and Treatment of Children and Adolescents With Suicidal Behavior. American Academy of Child and Adolescent Psychiatry

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American Academy of Child and Adolescent Psychiatry

These guidelines review what is known about the epidemiology, causes, management, and prevention of suicide and attempted suicide in young people. Detailed guidelines are provided concerning the assessment and emergency management of the children and adolescents who present with suicidal behavior.

Clinical Practice Guideline: Suicide Risk Assessment

Visit

Emergency Nursing Association

Clinical Practice Guideline: Suicide Risk Assessment: Authored by the 2017 ENA Clinical Practice Guideline Committee

Clincal Practice Guideline: Suicide and Suicide Attempts in Adolescents

Visit

American Academy of Pediatrics

This report updates the previous statement of the American Academy of Pediatrics and is intended to assist pediatricians, in collaboration with other child and adolescent health care professionals, in the identification and management of the adolescent at risk for suicide

Clincal Practice Guideline: Suicidal ideation and behaviour

Visit

Canadian Paediatric Society

The present practice point provides paediatricians and child health professionals with a framework for assessing the adolescent with suicidal thoughts and/or behaviours.

Clincal Practice Guideline: Practice Guideline for the Assessment and Treatment of Patients With Suicidal Behaviors

Visit

American Psychology Association

Non peds specific practise guidline for assessment treatment suicidal behavors

Clincal Practice Guideline: Practice Parameter for the Assessment and Treatment of Children and Adolescents With Suicidal Behavior. American Academy of Child and Adolescent Psychiatry

Visit

American Academy of Child and Adolescent Psychiatry

These guidelines review what is known about the epidemiology, causes, management, and prevention of suicide and attempted suicide in young people. Detailed guidelines are provided concerning the assessment and emergency management of the children and adolescents who present with suicidal behavior.

Suspected Physical Child Maltreatment English (1) French All (1)

Emergency Medicine Cases Podcast: Pediatric Physical Abuse Recognition and Management

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Dr. Carmen Coombs and Dr. Alyson Holland

Episode 108: In this EM Cases main episode podcast on Pediatric Physical Abuse Recognition and Management Dr. Carmen Coombs and Dr. Alyson Holland discuss the 6 B’s of child abuse, the TEN-4 FACE decision rule, the Pittsburgh Infant Brain Injury Score, disclosure tips, screening tests, reporting responsibilities and more.

Published online: March 2018

Emergency Medicine Cases Podcast: Pediatric Physical Abuse Recognition and Management

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Dr. Carmen Coombs and Dr. Alyson Holland

Episode 108: In this EM Cases main episode podcast on Pediatric Physical Abuse Recognition and Management Dr. Carmen Coombs and Dr. Alyson Holland discuss the 6 B’s of child abuse, the TEN-4 FACE decision rule, the Pittsburgh Infant Brain Injury Score, disclosure tips, screening tests, reporting responsibilities and more.

Published online: March 2018

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VIDEO: Did you know babies and children can get urinary tract infections?

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Urinary tract infections (UTIs) are a bacterial infection of the urinary tract (kidneys, ureters, bladder, and urethra). They can occur at any stage of life and symptoms may be different depending on your child’s age. This video provides information about symptoms, when to seek medical care, and how to manage and prevent UTIs in children.

This video was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

Did you know babies and children can get urinary tract infections?

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Urinary tract infections (UTIs) are a bacterial infection of the urinary tract (kidneys, ureters, bladder, and urethra). They can occur at any stage of life and symptoms may be different depending on your child’s age. This interactive infographic provides information about symptoms, when to seek medical care, and how to manage and prevent UTIs in children.

This infographic was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

Emergency Medicine Cases Podcast: Pediatric UTI Myths and Misperceptions

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Episode 123: On the one hand, UTI is one of the most common bacterial infections in children younger than 2 years of age and could lead to sepsis acutely and theoretically renal failure in the long run. On the other hand, it is important not to over-diagnose UTIs because we know that overuse of antibiotics increases costs, side effects and leads to antibiotic resistance. The first principles questions very much apply here: who to screen, how to screen, and what to do with the screen results. There are risks associated with not having a standardized approach to diagnosing pediatric UTIs. In this EM Cases main episode podcast with Dr. Olivia Ostrow and Dr. Michelle Science we discuss an approach to diagnosing pediatric UTIs whilst revealing some common pediatric UTI myths and misperceptions. Published online: April 2019

VIDEO: Did you know babies and children can get urinary tract infections?

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Urinary tract infections (UTIs) are a bacterial infection of the urinary tract (kidneys, ureters, bladder, and urethra). They can occur at any stage of life and symptoms may be different depending on your child’s age. This video provides information about symptoms, when to seek medical care, and how to manage and prevent UTIs in children.

This video was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

Did you know babies and children can get urinary tract infections?

Visit

Urinary tract infections (UTIs) are a bacterial infection of the urinary tract (kidneys, ureters, bladder, and urethra). They can occur at any stage of life and symptoms may be different depending on your child’s age. This interactive infographic provides information about symptoms, when to seek medical care, and how to manage and prevent UTIs in children.

This infographic was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.

Emergency Medicine Cases Podcast: Pediatric UTI Myths and Misperceptions

Visit

Episode 123: On the one hand, UTI is one of the most common bacterial infections in children younger than 2 years of age and could lead to sepsis acutely and theoretically renal failure in the long run. On the other hand, it is important not to over-diagnose UTIs because we know that overuse of antibiotics increases costs, side effects and leads to antibiotic resistance. The first principles questions very much apply here: who to screen, how to screen, and what to do with the screen results. There are risks associated with not having a standardized approach to diagnosing pediatric UTIs. In this EM Cases main episode podcast with Dr. Olivia Ostrow and Dr. Michelle Science we discuss an approach to diagnosing pediatric UTIs whilst revealing some common pediatric UTI myths and misperceptions. Published online: April 2019

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Sick All Night: When to go to the Hospital with Childhood Vomiting and Diarrhea

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ECHO (Evidence in Child Health to enhance Outcomes), ARCHE (Alberta Research ...

Gastroenteritis is an infection of the bowel (intestines) caused by a virus or bacteria that can cause diarrhea and vomiting. It is common in infants and children and can lead to dehydration. Browse through this eBook for information on the signs, symptoms, treatment, and management of gastroenteritis and what to do if you are a parent or family dealing with gastroenteritis.

This eBook was created by ECHO Research (University of Alberta), ARCHE (University of Alberta), and TREKK. Funding was provided by the Canadian Institutes of Health Research (CIHR). 

Sick All Night: When to go to the Hospital with Childhood Vomiting and Diarrhea

Download

ECHO (Evidence in Child Health to enhance Outcomes), ARCHE (Alberta Research ...

Gastroenteritis is an infection of the bowel (intestines) caused by a virus or bacteria that can cause diarrhea and vomiting. It is common in infants and children and can lead to dehydration. Browse through this eBook for information on the signs, symptoms, treatment, and management of gastroenteritis and what to do if you are a parent or family dealing with gastroenteritis.

This eBook was created by ECHO Research (University of Alberta), ARCHE (University of Alberta), and TREKK. Funding was provided by the Canadian Institutes of Health Research (CIHR).