Evidence Repository: Anaphylaxis (2023)
Dr. Waleed Alqurashi and Dr. Anne Ellis
Dr. Waleed Alqurashi and Dr. Anne Ellis
For a list of references that informed this Bottom Line Recommendation, see the Evidence Repository: Anaphylaxis (2023).
Algorithm: Anaphylaxis (2022)
Dr. Anne Ellis and Dr. Waleed Alqurashi
Dr. Anne Ellis and Dr. Waleed Alqurashi
This resource if for the treatment of pediatric anaphylaxis. Published online February 2023. Version 2.0.
Pocket Card: Anaphylaxis (2022)
Dr. Anne Ellis and Dr. Waleed Alqurashi
Dr. Anne Ellis and Dr. Waleed Alqurashi
This pocket card is for the treatment of pediatric anaphylaxis. Published online February 2023. Version 2.0.
Bottom Line Recommendations: Severe Head Injury (2022)
Dr. Suzanne Beno and Dr. Joe Nemeth
Dr. Suzanne Beno and Dr. Joe Nemeth
Bottom line recommendations for severe head injury. Uploaded to the website on November 15, 2022.
Procedural Sedation: Evidence Repository (2022)
Dr. Maala Bhatt and Dr. Corrie Chumpitazi
Dr. Maala Bhatt and Dr. Corrie Chumpitazi
For a list of references that were used in the creation of this resource, see Evidence Repository: Procedural Sedation (2022)
Evidence Repository: Gastroenteritis (2022)
Dr. Stephen Freedman & Ms. Liza Bialy
Dr. Stephen Freedman & Ms. Liza Bialy
For a list of references that were used in the creation of this resource, see Evidence Repository: Gastroenteritis (2022).
Bottom Line Recommendations: Procedural Pain (2022)
Bottom Line Recommendations: Pain Treatment (2022)
Bottom Line Recommendations: Intussusception (2022)
Dr. Blake Bulloch and Dr. Zebulon Timmons
Dr. Blake Bulloch and Dr. Zebulon Timmons
Bottom line recommendations for the treatment of Intussusception. Published online January 2023.
Bottom Line Recommendations: Acute Otitis Media (2022)
Dr. Nicole Le Saux
Dr. Nicole Le Saux
Bottom line recommendations for the treatment of acute otitis media. Published online November (2022).
Evidence Repository: Urinary Tract Infection (2022)
For a list of references that informed this Bottom Line Recommendation, see the Evidence Repository: Urinary Tract Infection (2022).
How to use clinical signs of meningitis.
Tracy, A & Waterfield T.
Tracy, A & Waterfield T.
Evidence Repository: Aerosol Generating Medical Procedure (AGMP) (2023)
Dr. Kate Maki and Dr. Garth Meckler
Dr. Kate Maki and Dr. Garth Meckler
Evidence repositories are collections of best available resources and evidence (clinical guidelines, peer reviewed literature, systematic reviews, etc.), collated by our knowledge synthesis team and content advisors.
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. We search databases (Cochrane Library, PubMed, TRIP Database) and web search engines (Google, Google Scholar) to locate evidence. Additionally, hospital websites are browsed for guidance documents, such as clinical practice guidelines (CPG) for healthcare professionals.
Every effort is made to identify resources that are open access (i.e. publicly available, free of charge, not requiring a subscription).
More information about the creation of our evidence repositories can be found at https://pubmed.ncbi.nlm.nih.gov/28537762
Status Epilepticus Development Sheet
Sickle Cell Disease (SCD) Evidence Repository (2022)
Dr. Rachel Kesselman and Dr. Jayson Stoffman
Dr. Rachel Kesselman and Dr. Jayson Stoffman
For a list of references that will inform the development of this resource, see Evidence Repository: Sickle Cell Disease (2022).
Bottom Line Recommendations: Diabetic Ketoacidosis
Dr. Sarah Reid and Dr. Karen Gripp
Dr. Sarah Reid and Dr. Karen Gripp
Bottom line recommendations for the treatment and management of diabetic ketoacidosis (DKA).
Diabetic Ketoacidosis Development Team
This document outlines the references used and team involved in the development of the diabetic ketoacidosis PedsPac.
Diabetic Ketoacidosis Algorithm
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
An algorithm for recognizing and managing pediatric diabetic ketoacidosis
Diabetic Ketoacidosis Pocket Card
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
A pocket guide to red flags for pediatric diabetic ketoacidosis
Diabetic Ketoacidosis Order Set
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
This order set is for management of pediatric diabetic ketoacidosis in the ED. This document is adaptable to your hospitals form policy.
Algorithm: Status Epilepticus
Dr. Katherine Muir and Dr. Sarah Buttle & TREKK Network; and Dr. Manish Shah & EIIC Network
Dr. Katherine Muir and Dr. Sarah Buttle & TREKK Network; and Dr. Manish S...
Pediatric status epilepticus algorithm
Evidence Repository: Asthma Exacerbations
Dr. David W Johnson & Dr. Jennifer Turnbull
Dr. David W Johnson & Dr. Jennifer Turnbull
Evidence repositories are collections of best available resources and evidence (clinical guidelines, peer reviewed literature, systematic reviews, etc.), collated by our knowledge synthesis team and content advisors.
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. We search databases (Cochrane Library, PubMed, TRIP Database) and web search engines (Google, Google Scholar) to locate evidence. Additionally, hospital websites are browsed for guidance documents, such as clinical practice guidelines (CPG) for healthcare professionals.
Every effort is made to identify resources that are open access (i.e. publicly available, free of charge, not requiring a subscription).
More information about the creation of our evidence repositories can be found at https://pubmed.ncbi.nlm.nih.gov/28537762
Evidence Repository: Bronchiolitis
Dr. Amy Plint & Dr. Gabrielle Freire
Dr. Amy Plint & Dr. Gabrielle Freire
Evidence repositories are collections of best available resources and evidence (clinical guidelines, peer reviewed literature, systematic reviews, etc.), collated by our knowledge synthesis team and content advisors.
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. We search databases (Cochrane Library, PubMed, TRIP Database) and web search engines (Google, Google Scholar) to locate evidence. Additionally, hospital websites are browsed for guidance documents, such as clinical practice guidelines (CPG) for healthcare professionals.
Every effort is made to identify resources that are open access (i.e. publicly available, free of charge, not requiring a subscription).
More information about the creation of our evidence repositories can be found at https://pubmed.ncbi.nlm.nih.gov/28537762
Bottom Line Recommendations: Concussion 2022
Dr. Roger Zemek, Dr. Jennifer Dawson & TREKK Network
Dr. Roger Zemek, Dr. Jennifer Dawson & TREKK Network
Bottom line recommendations for the treatment and management of concussion. Updated: February 2022
Evidence Repository: Pain Treatment (2022)
For a list of references that were used in the creation of this resource, see Evidence Repository: Pain Treatment (2022)
Bottom Line Recommendations: Status Epilepticus
Dr. Katherine Muir and Dr. Sarah Buttle & TREKK Network; and Dr. Manish Shah & EIIC Network
Dr. Katherine Muir and Dr. Sarah Buttle & TREKK Network; and Dr. Manish S...
Bottom Line recommendations for assessment and management of status epilepticus in children over 1 month of age. May 2022. Version 1.0
MyHeartsMap Ressources en Santé Mentale
MyHEARTSMAP - Outil d’auto-évaluation de la santé mentale
Les visites aux urgences liées à la santé mentale des enfants et des adolescents sont en augmentation. Cependant, il existe peu d'outils permettant d'identifier rapidement ces problèmes et de mettre les jeunes en contact avec les services de santé mentale appropriés. MyHEARTSMAP est un outil numérique d'auto-évaluation qui a été développé pour évaluer les services dont les jeunes et les familles peuvent avoir besoin, en fonction de leur score d'auto-évaluation. Consultez les infographies et les vidéos sur cette page pour en savoir plus sur l'outil ou cliquez sur le bouton ci-dessous pour accéder directement à l'outil d'auto-évaluation MyHEARTSMAP.
Recommandations de Base: Risque suicidaire: Dépistage & évaluation
Dr. Matthew Morrissette, Dr. Amanda Newton, Dr. Stephen Freedman, Dr. Laurence Katz & TREKK Network; and Dr. Susan Duffy, Dr. Vera Feuer & EIIC Network
Dr. Matthew Morrissette, Dr. Amanda Newton, Dr. Stephen Freedman, Dr. Laurenc...
Bottom line recommendations for screening and assessment of suicide risk. March 2022. Version 1.0
Bottom Line: Management of Acute Symptoms Algorithm
Ontario Neurotrauma Foundation
Ontario Neurotrauma Foundation
This document is intended to guide health care professionals in diagnosing and managing pediatric concussion. See Page 48 of this document for the Management of Acute Symptoms Algorithm (Tool 2.1).
Bottom Line Recommendations: Fractures
Boutis K & TREKK Network
Boutis K & TREKK Network
The purpose of this document is to provide healthcare professionals with key facts and recommendations for the diagnosis and treatment of fractures in children. Original (version 1.0) published online: November 2015. Updated (version 2.0) published online: February 2018. Updated (version 3.0) published online: May 2021.
Bottom Line Recommendations: Anaphylaxis
Dr. Waleed Alqurashi & Dr. Anne Ellis
Dr. Waleed Alqurashi & Dr. Anne Ellis
Bottom line recommendations for the treatment and management of pediatric anaphylaxis - version 1.2. Published online: December 2018.
Bottom Line Recommendations: Constipation
Eltorki, M., Landy, P.and TREKK Network
Eltorki, M., Landy, P.and TREKK Network
Bottom line recommendations for the treatment and management of pediatric constipation - version 2.0. Published online: November 2021.
UNDER REVIEW: Fact Sheet: Pediatric COVID-19
TREKK Network
TREKK Network
Fact sheet for the treatment and management of pediatric COVID-19 (novel coronavirus)
COVID-19 information and resources for paediatricians
Canadian Association of Emergency Physicians - COVID-19 Information, Resources and Advocacy Centre
Emergency Medicine Cases: Practical COVID-19 resources for front line healthcare professionals
Bottom Line Recommendations: Pediatric Thermal Burns
Crombie T & Malic C and TREKK Network
Crombie T & Malic C and TREKK Network
Bottom line recommendations for the treatment and management of pediatric thermal burns - version 1.0. Published online: February 2021.
UNDER REVIEW: Aerosol Generating Medical Procedure (AGMP)
Dr. Kate Maki and Dr. Garth Meckler
Dr. Kate Maki and Dr. Garth Meckler
Aerosol-generating medical procedures (AGMPs) are procedures that can generate aerosols when an infected person’s airway is manipulated.
Infographic for Parents & Families: Asthma and Children: What You Should Know
ECHO Research
ECHO Research
Asthma is a common condition that causes airways to swell and fill with mucus. This can make it hard to breathe.
Asthma can be caused by genetics or the environment. Asthma is long-lasting, but there are ways to help keep your child’s asthma under control.
Infographic: Opioids- Information for Parents
Infographic: Opioids- Information for Youth
Opioids- Information for Clinicians
Video for Parents & Families: Understanding and Managing your Child's Anaphylaxis
ECHO Research and ARCHE
ECHO Research and ARCHE
Anaphylaxis is a severe allergic reaction that involves two or more parts of the body and happens quickly. Watch this video to learn how to recognize anaphylaxis and what can help mange your child's anaphylaxis.
Bottom Line: Autism and the Hospital Emergency Room: A Practical Guide for Health Professionals to Meet the Needs of Individuals with Autism Spectrum Disorders
Center for Autism & Related Disabilities (CARD)
Center for Autism & Related Disabilities (CARD)
A practical guide for health professionals to meet the needs of individuals with Autism Spectrum Disorder.
Bottom Line Recommendations: Suicidal Risk Screening and Assessment
Dr. Matthew Morrissette, Dr. Amanda Newton, Dr. Stephen Freedman, Dr. Laurence Katz & TREKK Network; and Dr. Susan Duffy, Dr. Vera Feuer & EIIC Network
Dr. Matthew Morrissette, Dr. Amanda Newton, Dr. Stephen Freedman, Dr. Laurenc...
Bottom Line Recommendations for screening and assessment of suicide risk. September 2021, Version 1.0
Bottom Line Recommendations: Cannabis Intoxication
Dr. Kaitlin Hogue, Dr. Neil Desai and TREKK Network
Dr. Kaitlin Hogue, Dr. Neil Desai and TREKK Network
Bottom line recommendations for cannabis intoxication. Published online: December 2021
Formulations and Methods of Delivery: Cannabis
Dr. Kaitlin Hogue, Dr. Neil Desai, Danica Irwin and TREKK Network
Dr. Kaitlin Hogue, Dr. Neil Desai, Danica Irwin and TREKK Network
Formulations and methods of delivery table for cannabis. Uploaded 2021-12-06
High-flow nasal cannula oxygen therapy in children
Nagler J, Torrey SB, Wiley JF
Nagler J, Torrey SB, Wiley JF
This topic will focus on the use of high-flow nasal cannula (HFNC) in pediatric patients, including discussion of equipment, proposed mechanisms of action, comparison with other oxygen delivery devices, indications and contraindications, approach to initiation, assessment of effectiveness, and potential complications.
Bottom Line Recommendations: Gastroenteritis
Freedman S, & TREKK Network
Freedman S, & TREKK Network
Bottom line recommendations for the treatment and management of pediatric gastroenteritis
Bottom Line Recommendations: Croup
Johnson, DW. & TREKK Network
Johnson, DW. & TREKK Network
Bottom line recommendations for the treatment and management of croup.
Bottom Line Recommendations: Bronchiolitis
Plint, A & TREKK Network
Plint, A & TREKK Network
Bottom line recommendations for the treatment and management of bronchiolitis. Posted online: January 14, 2021, Version 3.0.
Sepsis Order Set
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This order set is for management of severe sepsis in the ED and is adaptable to your hospitals form policy. This document is intended for use on patients greater than 28 days of age. Published online: Feb 2020, Version 1.2.
Asthma Order Set
TREKK Asthma PedsPac
TREKK Asthma PedsPac
This order set is for management of pediatric severe asthma in the ED and is adaptable to your hospitals form policy. This document is intended for use on patients greater than or equal to 12 months of age. Published online: February 2020, Version 1.1.
Critically Ill Neonate Order Set
TREKK Critically Ill Neonate PedsPac
TREKK Critically Ill Neonate PedsPac
This order set is for management of the critically ill neonate in the ED and is adaptable to your hospitals form policy. This algorithm is intended for infants 0-28 days. At birth, please refer to NRP guidelines. Not intended for preterm infants. Published: January 2021, version 1.2.
UNDER REVIEW: Critically Ill Neonate Algorithm
TREKK Critically Ill Neonate PedsPac
TREKK Critically Ill Neonate PedsPac
This point of care algorithm is to guide initial management of critically ill neonates in the Emergency Department. This algorithm is intended for infants 0-28 days. At birth, please refer to NRP guidelines. Not intended for preterm infants. Published online: January 2021, Version 1.2.
Bottom Line Recommendations: Urinary Tract Infection
Le Saux N, Neto G, TREKK Network
Le Saux N, Neto G, TREKK Network
Bottom Line Recommendations for diagnosis and treatment of urinary tract infection. Version 1.1
Infographic for Parents & Families: What to do when your child has a cold and is having difficulty breathing
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.
UNDER REVIEW: Bottom Line Recommendations: Asthma
Johnson D and TREKK Network
Johnson D and TREKK Network
Bottom line recommendations for the treatment and management of asthma. Updated January 2020, Version 1.5.
World Health Organization: Parenting in the time of COVID-19
World Health Organization
World Health Organization
To help parents interact constructively with their children during this time of confinement, the World Health Organization created these six one-page tips for parents cover planning one-on-one time, staying positive, creating a daily routine, avoiding bad behaviour, managing stress, and talking about COVID-19.
Clinical management of patients with moderate to severe COVID-19 - Interim guidance
Government of Canada
Government of Canada
Multisystem Trauma Algorithm
TREKK Multisystem Trauma PedsPac
TREKK Multisystem Trauma PedsPac
This point of care algorithm is to guide initial management of pediatric multisystem trauma in the Emergency Department. Published online: June 2020, Version 1.0.
Multisystem Trauma Order Set
TREKK Multisystem Trauma PedsPac
TREKK Multisystem Trauma PedsPac
This order set is for management of pediatric multisystem trauma in the ED and is adaptable to your hospitals form policy. Published online: June 2020, Version 1.0.
Multisystem Trauma Checklist
TREKK Multisystem Trauma PedsPac
TREKK Multisystem Trauma PedsPac
This checklist is for management of pediatric multisystem in the ED pre-arrival and post-departure. Published online: June 2020, Version 1.0.
Video for Parents & Families: Cough, Cold, and Wheeze: How to help manage your childs bronchiolitis
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.
Bottom Line Recommendations: Multisystem Trauma
Beno S, TREKK Network
Beno S, TREKK Network
The purpose of this document is to provide health care professionals with key facts and recommendations for the diagnosis and treatment of multisystem trauma in children in the emergency department. Published online: January 14, 2021, Version 3.0.
Recommendations de Base: Polytrauma
Beno S, TREKK Network
Beno S, TREKK Network
Le but du present document est de fournir aux professionnels de la sant les faits et recommandations cles pour le diagnostic et le traitement du polytrauma chez les enfants dans un service durgence. Published online: January 14, 2021, Version 3.0.
Quick Glance: BMJ Best Practice: Intussusception
Sutcliffe J
Sutcliffe J
Objective: This review will focus on idiopathic intussusception in infants. Intussusception in older children and adults is rare and is almost always caused by a pathologic lead point.
eMagazine No Mercy for the Coronas
Looking for resources to understand the scientific realities of the COVID-19 virus and pandemic? Check out this children's science magazine, No Mercy for the Coronas, an engaging and accessible illustrated resource for kids (and parents!) to better understand viruses like COVID-19.
This e-magazine was created by La Liberté and POP Comm, and developed with the participation of scientists and researchers at Children’s Hospital Research Institute of Manitoba (CHRIM), University of Manitoba and St. Boniface Hospital Albrechtsen Research Centre’s Youth BIOlab Jeunesse.
No Mercy for the Coronas! is for all those who wish to offer children a scientifically reliable resource during this global health crisis affecting all ages and all aspects of society. You can read or download this free magazine in English or French.
Bottom Line Recommendations: Fever in Young infants
Beer, D and TREKK Network
Beer, D and TREKK Network
Bottom line recommendations for the treatment and management of fever in neonates and infants. Published online: June 2019, Version 2.0.
Bottom Line Recommendations: Caring for Children with Developmental and Intellectual Disabilities in the ED
Hanlon-Dearman, A, Stevenson, M and TREKK Network
Hanlon-Dearman, A, Stevenson, M and TREKK Network
Bottom line recommendations for caring for children with developmental and intellectual disabilities in the ED. Published online: Feb 2020, v 1.1
How to Help When Your Child Needs to Get a Needle Poke
ECHO, ARCHE & TREKK
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 e
VIDEO: How to help when your child needs a needle poke
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 whil
Care Pathway: Intussusception Care Pathway
SickKids
SickKids
The purpose of this pathway is to assist the health care team with clinical decisions regarding the management of a patient with intussusception.
Caring for a child with food allergy: A guide on what you need to know
This visual guide is for caregivers like grandparents, babysitters, and coaches, and provides easy-to-understand information that's essential for managing food allergy and anaphylaxis.
Burns Centre Consultation Guidelines
CritiCall Ontario
CritiCall Ontario
Guidelines for burns centre consultations.
Suicide Prevention, Risk Assessment & Management, AMH
Alberta Health Services
Alberta Health Services
Suicide Prevention, Risk Assessment & Management (SPRAM) is a web-based, interactive e-Learning series designed to respond to the foundational learning needs of health practitioners working in Addiction and Mental Health (AMH).
Bottom Line: Recommendations: Special considerations in pediatrics (2013)
Surviving Sepsis Campaign
Surviving Sepsis Campaign
Special consideration in pediatrics from the Surviving Sepsis Campaign. Published: 2013.
UNDER REVIEW: Bottom Line Recommendations: Procedural Sedation
Evered L, Bhatt M & TREKK Network
Evered L, Bhatt M & TREKK Network
Bottom line recommendations for pediatric procedural sedation. Published online: March 2018.
Acute Otitis Media- Emergency Management in Children - Flowchart
Children's Health Queensland Hospital and Health Service
Children's Health Queensland Hospital and Health Service
Flowchart of emergency management in children for acute otitis media.
Sepsis Algorithm
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This point of care algorithm is to guide initial management of pediatric sepsis in the Emergency Department. This algorithm is intended for use on patients greater than 28 days of age. Published online: December 2018, Version 2.2.
Sepsis Pocket Card
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This pocket card contains tips to recognize early shock, indications of poor perfusion, and management considerations for patients with suspected sepsis. Reverse side of pocket card includes pediatric definition of hypotension. This pocket card is intended for use on patients greater than 28 days of age. Published online: December 2018, Version 1.1.
UNDER REVIEW: Bottom Line Recommendations: Suspected Physical Child Maltreatment
Boutis, K, Ornstein A, Coombs C & TREKK Network
Boutis, K, Ornstein A, Coombs C & TREKK Network
Bottom line recommendations for the treatment and management of suspected physical child maltreatment. Published online: August 2018.
Bottom Line Recommendations: Sepsis
Thompson G, Jabbour M and TREKK Network
Thompson G, Jabbour M and TREKK Network
Bottom line recommendations for the treatment and management pediatric sepsis. Published online: September 2018.
Asthma Algorithm
TREKK Asthma PedsPac
TREKK Asthma PedsPac
This point of care algorithm is to guide initial management of pediatric severe asthma in the Emergency Department. This algorithm is intended for use on patients greater than or equal to 12 months of age. Published online: March 2020, Version 1.2.
Asthma Pocket Card
TREKK Asthma PedsPac
TREKK Asthma PedsPac
This pocket card contains tips to manage pediatric patients with severe asthma. This pocket card is intended for use on patients greater or equal to 12 months of age. Published online: March 2020, Version 1.3.
Sepsis Vital Signs Pocket Card
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This pocket card outlines pediatric heart rate and pediatric respiratory rate guidelines and was reviewed in October 2018. Posted online December 2018, version 2.0.
Asthma References and Development Team
TREKK Asthma PedsPac
TREKK Asthma PedsPac
This document outlines the references used and team involved in the development of the asthma PedsPac. Published online: December 2018, Version 1.0.
Paediatric Burn Assessment
Victorial Adult Burns Service at the Alfred
Victorial Adult Burns Service at the Alfred
Burns management guidelines for pediatric burn assessment.
Paediatric Burn Guidelines
Women's and Children's Hospital
Women's and Children's Hospital
Pediatric burn guidelines reference chart.
CSF interpretation
The Royal Children's Hospital Melbourne
The Royal Children's Hospital Melbourne
Guideline to help with the interpretation of CSF results for the purpose of diagnosing or excluding meningitis.
Lumbar puncture
The Royal Children's Hospital Melbourne
The Royal Children's Hospital Melbourne
Guideline for performing lumbar puncture.
Meningitis - encephalitis
The Royal Children's Hospital Melbourne
The Royal Children's Hospital Melbourne
Guideline for the assessment and management of meningitis-encephalitis.
Best practices in managing child and adolescent behavioral health emergencies
Sepsis Triage Poster
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This screening tool is to facilitate early identification of suspected pediatric sepsis in the ED. Includes key indicators of sepsis and high-risk medical conditions. This screening tool is intended for use on patients greater than 28 days of age. Published online: June 2017, Version 1.0.
Sepsis References and Development Team
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This document outlines the references used and team involved in the development of the sepsis PedsPac. Published online: April 2017.
Video: Sepsis PedsPac - Original Simulation with Expert Commentary
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
Video of simulated sepsis management in the ED, including commentary by Drs. Gina Neto and Anna-Theresa Lobos, Canadian physicians and sepsis experts. Commentary highlights salient management considerations. This video can be used to augment sepsis training or for an individual refresher on sepsis management. The content of this video is intended for use on patients > 28 days of age. June 2017: Version 1.0.
Video: Sepsis PedsPac - Transport
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
Video of simulated sepsis patient transfer, including commentary by Drs. Gina Neto and Anna-Theresa Lobos, Canadian physicians and sepsis experts. Commentary highlights key considerations when providing information to a pediatric referral centre. This video can be used to augment sepsis training or for an individual refresher on sepsis management. The content of this video is intended for use on patients >28 days of age. Posted June 2017, Version 1.0.
Video: Sepsis PedsPac - Triage and Transfer
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
Video demonstration of the Sepsis Triage Screener being used in the ED. This video can be used to augment sepsis nursing education or for individual refresher on pediatric sepsis considerations specific to triage. The content of this video is intended for use on patients>28 days of age. Posted June 2017, Version 1.0.
Video: Sepsis PedsPac - Team Debriefing
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
Video debrief of the simulated sepsis case, with discussion on how the Sepsis PedsPac was incorporated in to patient management. The content of this video is intended for use on patients >28 days of age. Posted June 2017, Version 1.0.
eBook for Parents and Families: More than just a cold: what to do when your child has a cold and is having difficulty breathing
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.
Bottom Line: The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5)
Davis GA, Purcell L, Schneider KJ, Yeates KO, Gioia GA, Anderson V, Ellenbogen RG, Echemendia RJ, Makdissi M, Sills A, Iverson GL, Dvorak J, McCrory P, Meeuw...
Davis GA, Purcell L, Schneider KJ, Yeates KO, Gioia GA, Anderson V, Ellenboge...
The Child SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The Child SCAT5 is to be used for evaluating Children aged 5 to 12 years. For athletes aged 13 years and older, please use the SCAT5.
Bottom Line: The Sport Concussion Assessment Tool 5th Edition (SCAT5)
Echemendia RJ, Meeuwisse W, McCrory P, Davis GA, Putukian M, Leddy J, Makdissi M, Sullivan SJ, Broglio SP, Raftery M, Schneider K, Kissick J, McCrea M, Dvora...
Echemendia RJ, Meeuwisse W, McCrory P, Davis GA, Putukian M, Leddy J, Makdiss...
The SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The SCAT5 is to be used for evaluating athletes aged 13 years and older. For children aged 12 years or younger, please use the Child SCAT5.
Acute Procedural Pain: Paediatric Recommendations and Implementation Toolkits
The Canadian Association of Paediatric Health Centres, Knowledge Exchange Network
The Canadian Association of Paediatric Health Centres, Knowledge Exchange Net...
Objective: This overview is intended to summarize the systematic reviews of interventions studied to decrease paediatric pain that are currently available in the Cochrane Library. Given their unique physiology, research relevant to the management of newbo
Summary: Urinary tract infections in children
Goilav B
Goilav B
This summary presents key diagnostic risk factors for urinary tract infections (UTIs) in children. The summary also covers diagnostic investigations and treatment algorithms for uncomplicated and complicated UTIs.
Clinical Pathway: ED Pathway for Evaluation/Treatment of Febrile Young Infant (0-56 Days Old)
Scarfone R, Gala R, Murray A, Funari MK, Lavelle J, Bell L
Scarfone R, Gala R, Murray A, Funari MK, Lavelle J, Bell L
The clinical pathway for treating and evaluating febrile infants is built upon publicly available medical evidence and/or a consensus of medical practitioners at The Childrens Hospital of Philadelphia.
Pediatric Burn Referrals
UBC Division of Plastic Surgery
UBC Division of Plastic Surgery
UBC Division of Plastic Surgery: Pediatric burn referrals.
Management of Bacterial Meningitis in Children and Young People
Meningitis Research Foundation
Meningitis Research Foundation
Flowchart of management of bacterial meningitis in children and young people, incorporating NICE Bacterial Meningitis and Meningococcal Septicaemia Guideline CG102.
Aseptic Meningitis
Melia M, Johns Hopkins ABX Guide
Melia M, Johns Hopkins ABX Guide
Guideline discussing aseptic meningitis pathogens, clinical presentation, diagnosis, treatment, and pathogen specific therapies.
Ask Suicide Screening Questions Toolkit
National Mental Health Institute
National Mental Health Institute
The ASQ toolkit is organized by the medical setting in which it will be used: emergency department, inpatient medical/surgical unit, and outpatient primary care and specialty clinics.
Video for Parents & Families: Understanding and managing your child's asthma
ECHO Research and ARCHE
ECHO Research and ARCHE
ECHO Research and ARCHE, research groups from the University of Alberta, have created an informative video for parents, with tips to help families understand common symptoms of asthma, how to manage symptoms at home, and when to seek emergency care.
Flow diagram for the management of children with suspected and confirmed acute otitis media
Le Saux N, Robinson JL, Canadian Paediatric Society, Infectious Diseases and Immunization Committee
Le Saux N, Robinson JL, Canadian Paediatric Society, Infectious Diseases and ...
Flow chart of criteria for management of children with suspected and confirmed acute otitis media based on symptoms of children over 6 months of age.
Executive Summary: Evaluation and Management of Children and Adolescents With Acute Mental Health or Behavioral Problems. Part I: Common Clinical Challenges of Patients With Mental Health and/or Behavioral Emergencies
Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Emerg...
Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediat...
This executive summary is an overview of the common clinical challenges pediatric caregivers face when a child or adolescent presents with a psychiatric chief complaint or emergency.
Executive Summary: Evaluation and Management of Children With Acute Mental Health or Behavioral Problems. Part II: Recognition of Clinically Challenging Mental Health Related Conditions Presenting With Medical or Uncertain Symptoms
Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Emerg...
Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediat...
This executive summary is an overview of the common clinical challenges pediatric caregivers face when a mental health condition may be an unclear or complicating factor in a non-mental health ED presentation.
Clinical Pathway: Urinary tract infection in under 16s overview
National Institute for Health and Care Excellence
National Institute for Health and Care Excellence
This clinical pathway contains diagnosis and treatment information for persons under 16 with suspected urinary tract infection.
Early Recognition of Meningitis and Septicaemia
Royal College of Nursing, Meningitis Research Foundation
Royal College of Nursing, Meningitis Research Foundation
Guidance for front line nurses on the early recognition of meningitis and sepsis (what to look for).
Bottom Line Recommenation: Optimal pain relief for pediatric MSK injury.
Korownyk C, Young J, Michael Allan G
Korownyk C, Young J, Michael Allan G
Evidence suggests that ibuprofen provides better single-agent relief than acetaminophen or codeine, and is at least equivalent to both acetaminophen with codeine and morphine for acute injury pain, with fewer adverse events.
Emergency Medicine Cases Podcast: Emergency management of pediatric seizures - Guidance and podcast
Helman A
Helman A
With the help of two of Canada's Pediatric Emergency Medicine seizure experts handpicked by TREKK, Dr. Lawrence Richer and Dr. Angelo Mikrogianakis, we'll give you all the tools you need to approach the child who presents to the ED with a seizure with the utmost confidence.
Bottom Line: Managing febrile seizures infographic
Stahl-Timmins W
Stahl-Timmins W
This infographic provides general information on managing febrile seizures.
Bottom Line: Flowchart of evaluation and management of functional constipation in children
Koppen IJ, Lammers LA, Benninga MA, Tabbers MM
Koppen IJ, Lammers LA, Benninga MA, Tabbers MM
Flowchart of evaluation and management of functional constipation in children.
Bottom Line: Assessment in the emergency department for patients with head injury
National Institute for Health and Care Excellence (NICE), National Clincial Guideline Centre
National Institute for Health and Care Excellence (NICE), National Clincial G...
A NICE pathway brings together all NICE guidance, quality standards and materials to support implementation on a specific topic area. The pathways are interactive and designed to be used online.
Video: COVID-19 (updated)
In this video Dr. Anthony Crocco (Sketchy EBM) outlines the symptoms of COVID-19, how to protect yourself and your family, what to do to be well and when to worry. This video is not a substitute for medical care. Please consult Public Health or your health professional for medical advice.
Bottom Line: Approach to cyanotic congenital heart disease in the newborn
Cheung C
Cheung C
This document summarizes causes, symptoms, and management of cyanosis in newborns.
Dosing Chart: Analgesic starting dosages for children
World Health Organization
World Health Organization
Analgesic starting doses for children.
Chart: WHO pain wall chart for waiting rooms
World Health Organization
World Health Organization
Is your child in pain? The doctor can help. As for pain treatment!
Videos in clinical medicine. Diagnosing otitis media--otoscopy and cerumen removal
Shaikh N, Hoberman A, Kaleida PH, Ploof DL, Paradise JL
Shaikh N, Hoberman A, Kaleida PH, Ploof DL, Paradise JL
Video instructing how to diagnose otitis media with otoscopy and cerum removal.
Bottom Line: NICE Guidance: Child maltreatment: when to suspect maltreatment in under 16s
National Institute for Health and Care Excellence
National Institute for Health and Care Excellence
This guideline covers the signs of possible child maltreatment in children and young people aged under 18 years. It aims to raise awareness and help health professionals who are not child protection specialists to identify the features of physical, sexual and emotional abuse, neglect and fabricated or induced illness.
Bottom Line: Acute Concussion Evaluation (ACE): Physician/Clinician Office Version
Goia G, Collins M
Goia G, Collins M
The ACE is intended to provide an evidence-based clinical protocol to conduct an initial evaluation and diagnosis of patients (both children and adults) with known or suspected mild traumatic brain injury.
Canadian Anaphylaxis Action Plan for Kids
Dr. Waleed Alqurashi
Dr. Waleed Alqurashi
Video for Healthcare Providers: Anaphylaxis in Kids
Infographic for Parents & Families: How to Manage your Child's Anaphylaxis Reaction
ECHO Research and ARCHE
ECHO Research and ARCHE
Bottom Line: Autism Information for Paramedics and Emergency Room Staff
Gammicchia C, Johnson C, Autism Society
Gammicchia C, Johnson C, Autism Society
Information for paramedics and emergency room staff on providing services to a person on the autism spectrum.
Video: Caring for a Child with Functional Constipation
ECHO Research and ARCHE
ECHO Research and ARCHE
MyHEARTSMAP - Mental Health Self-Assessment Tool and Information
MyHEARTSMAP is a digital tool that will help families, children and youth self-assess their mental health needs. Once the self-assessment is completed, the tool will recommend appropriate resources. This tool has been found to be highly reliable and can provide options for seeking care other than the emergency department or can provide doctors with valuable information in the ED.
Measurement Tool: Faces Pain Scale - Revised for children 4 years of age and older
International Association for the Study of Pain
International Association for the Study of Pain
Scores are from the left to the right (for the child): 0, 2, 4, 6, 8, 10 (0 for no pain at all and 10 for very, very much in pain).
Infographic: Concussion
ECHO Research and ARCHE
ECHO Research and ARCHE
A concussion is a brain injury. Any child or teen who gets hit in the head, face, neck, or body has a chance of getting a concussion. Concussions can happen to anyone from falling, during sports, or car accidents.
Recommendations de Base: Traumatisme Cranien Severe (2022)
Dr. Susan Beno and Dr. Joe Nemeth
Dr. Susan Beno and Dr. Joe Nemeth
Bottom line recommendations for the treatment and management of severe head injury - French. Version 3.0 published online November 15, 2022.
Recommandations de base: Douleur procédurale (2022)
Samina Ali, Amy Drendel, Corrie Chumpitazi, Naveen Poonai
Samina Ali, Amy Drendel, Corrie Chumpitazi, Naveen Poonai
Bottom line recommendations for the treatment and management of procedural pain - French. Version 3.0 published online December 8, 2022.
Recommandations de base: Prise en charge de la douleur (2022)
Samina Ali, Amy Drendel, Corrie Chumpitazi, Naveen Poonai
Samina Ali, Amy Drendel, Corrie Chumpitazi, Naveen Poonai
French bottom line recommendations for the treatment of pain. Published online January 18, 2023.
Recommandations de base: Invagination Intestinale
Dr. Blake Bulloch and Dr. Zebulon Timmons
Dr. Blake Bulloch and Dr. Zebulon Timmons
French bottom line recommendations for the treatment of Intussusception. Published online January 2023.
Recommandations de base: Otite moyenne aigue (2022)
Dr. Nicole Le Saux
Dr. Nicole Le Saux
French bottom line recommendations for the treatment of acute otitis media. Published online November, 2022.
Recommandations de Base: Interventions médicales générant des aérosols (IMGA)
Dr. Kate Maki
Dr. Kate Maki
Aerosole-generating medical procedures (AGMPs) are procedures that can generate aerosols when an infected person's airway is manipulated.
Recommandations de base: Status epilepticus (2022)
Bottom line recommendations for the treatment of status epilepticus - French. Version 1.0 published online November 16, 2022.
Status epilepticus pédiatrique – Algorithme (2022)
Dr Katherine Muir et Dr Sarah Buttle
Dr Katherine Muir et Dr Sarah Buttle
Algorithm for treating status epilepticus - French. Version 4.0 published online November 16, 2022.
Recommandations de Base: Le Constipation
Eltorki, M., Landy, P. and TREKK Network
Eltorki, M., Landy, P. and TREKK Network
Bottom line recommendations for the treatment and management of pediatric constipation - French, version 2.0 Published online: March 2022.
Recommendations de Base: Commotion cérébrale
Dr. Roger Zemek, Dr. Jennifer Dawson & TREKK Network
Dr. Roger Zemek, Dr. Jennifer Dawson & TREKK Network
Bottom line recommendations for the treatment and management of pediatric concussion. Posted May 2022.
MyHeartsMap Ressources en Santé Mentale
MyHEARTSMAP - Outil d’auto-évaluation de la santé mentale
Les visites aux urgences liées à la santé mentale des enfants et des adolescents sont en augmentation. Cependant, il existe peu d'outils permettant d'identifier rapidement ces problèmes et de mettre les jeunes en contact avec les services de santé mentale appropriés. MyHEARTSMAP est un outil numérique d'auto-évaluation qui a été développé pour évaluer les services dont les jeunes et les familles peuvent avoir besoin, en fonction de leur score d'auto-évaluation. Consultez les infographies et les vidéos sur cette page pour en savoir plus sur l'outil ou cliquez sur le bouton ci-dessous pour accéder directement à l'outil d'auto-évaluation MyHEARTSMAP.
Recommandations de Base: Risque suicidaire: Dépistage & évaluation
Dr. Matthew Morrissette, Dr. Amanda Newton, Dr. Stephen Freedman, Dr. Laurence Katz & TREKK Network; and Dr. Susan Duffy, Dr. Vera Feuer & EIIC Network
Dr. Matthew Morrissette, Dr. Amanda Newton, Dr. Stephen Freedman, Dr. Laurenc...
Bottom line recommendations for screening and assessment of suicide risk. March 2022. Version 1.0
Recommandations de Base: Intoxication au cannabis
Dr. Kaitlin Hogue, Dr. Neil Desai and TREKK Network
Dr. Kaitlin Hogue, Dr. Neil Desai and TREKK Network
Bottom Line Recommendations for treatment and management of cannabis intoxication. Published online March 2022.
Formes et modes de consommation du cannabis
Dr. Kaitlin Hogue, Dr. Neil Desai, Danica Irwin and TREKK Network
Dr. Kaitlin Hogue, Dr. Neil Desai, Danica Irwin and TREKK Network
Formulations andmethods of delivery table for cannabis. Uploaded online: March 2022
Recommandations de Base: Fractures chez l'enfant
Boutis, K & TREKK Network
Boutis, K & TREKK Network
Recommandations de base pour le diagnostic et le traitement des fractures chez les enfants. Original (version 1.0) publié en ligne en décembre 2016. Mise à jour (version 2.0) publiée en ligne février 2018. Mise à jour (version 3.0) publiée en ligne mai 2021.
Recommandations de Base: Anaphylaxie
Alqurashi W and TREKK Network
Alqurashi W and TREKK Network
Bottom line recommendations for the treatment and management of pediatric anaphylaxis - en francais. Published online: October 2018.
Fiche Dinformation: COVID-19 pdiatrique (nouveau coronavirus)
TREKK Network
TREKK Network
Fact sheet for the treatment and management of pediatric COVID-19 (novel coronavirus) - French
Recommandations de Base: Brûlures thermiques
Crombie T & Malic C and TREKK Network
Crombie T & Malic C and TREKK Network
Bottom line recommendations for the treatment and management of pediatric thermal burns - en français. version 1.0. Published online: February 2021.
Recommandations de Base: La Bronchiolite
Plint, A & TREKK Network
Plint, A & TREKK Network
Bottom line recommendations for the treatment and management of bronchiolitis - en francais. Published online: January 14, 2021, Version 3.0.
Feuille D’ordonnances Pré-Rédigées pour Choc Septique Severe
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This order set is for management of severe sepsis in the ED and is adaptable to your hospitals form policy. This document is intended for use on patients greater than 28 days of age. Published online: Feb 2020, v 1.2.
Feuille D’ordonnances Pré-Rédigées pour Nouveau-Ne en Etat Critique
PedsPac de TREKK sur Nouveau-Ne en Etat Critique
PedsPac de TREKK sur Nouveau-Ne en Etat Critique
This order set is for management of the critically ill neonate in the ED and is adaptable to your hospitals form policy. This document is intended for infants 0-28 days. At birth, refer to NRP guidelines. Not intended for preterm infants. Published online: January 2021, version 1.2.
Feuille D’ordonnances Pré-Rédigées pour d'Asthme
PedsPac de TREKK sur d'Asthme
PedsPac de TREKK sur d'Asthme
This order set is for management of pediatric severe asthma in the ED and is adaptable to your hospitals form policy. This document is intended for use on patients > 12 months of age. Published online: Feb 2020, Version 1.1.
Algorithme pour Nouveau-Ne en Etat Critique
PedsPac de TREKK sur Nouveau-Ne en Etat Critique
PedsPac de TREKK sur Nouveau-Ne en Etat Critique
This point of care algorithm is to guide initial management of critically ill neonates in the Emergency Department. This algorithm is intended for use on patients less than or equal to 28 days of age (corrected age). Published online: February 2021, Version 1.3.
Recommandations de Base: Infection Urinaire
Le Saux N, Neto, G TREKK Network
Le Saux N, Neto, G TREKK Network
Bottom Line Recommendations for diagnosis and treatment of urinary tract infections - French. Version 1.1.
Liste de vérification pour le polytraumatisme pédiatrique
PedsPac de TREKK sur le polytraumatisme
PedsPac de TREKK sur le polytraumatisme
This checklist is for management of pediatric multisystem in the ED pre-arrival and post-departure. Published online: June 2020, Version 1.0.
Feuille d’ordonnances pré-rédigées pour le polytraumatisme pediatrique
PedsPac de TREKK sur le polytraumatisme
PedsPac de TREKK sur le polytraumatisme
This order set is for management of pediatric multisystem trauma in the ED and is adaptable to your hospitals form policy. Published online: June 2020, Version 1.0.
Recommendations de Base: Laryngite Aigu
Johnson, DW. & TREKK Network
Johnson, DW. & TREKK Network
Bottom line recommendations for the treatment and management of croup- French.
Recommendations de Base: Gastro-entrite
Freedman S, & TREKK Network
Freedman S, & TREKK Network
Bottom line recommendations for the treatment and management of pediatric gastroenteritis. Posted Feb 2020- version 3.1
Recommandations de Base: Fievre - Nouveau-ns et nourrissons
Beer, D and TREKK Network
Beer, D and TREKK Network
Bottom line recommendations for the treatment and management of fever in neonates and infants (French). Published online: June 2019, Version 2.0.
Recommandations de Base: Dficience intellectuelle et troubles du dveloppement
Hanlon-Dearman, A, Stevenson, M and TREKK Network
Hanlon-Dearman, A, Stevenson, M and TREKK Network
Bottom line recommendations for caring for children with developmental and intellectual disabilities in the ED. Published online: Feb 2020, v 1.1
Recommandations de Base: La Sédation Procédurale
Evered L, Bhatt M & TREKK Network
Evered L, Bhatt M & TREKK Network
Bottom line recommendations for the procedural sedation - French. Published online: March 2018.
Algorithme Pediatrique pour Choc Septique Severe
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This point of care algorithm is to guide initial management of pediatric sepsis in the Emergency Department. This algorithm is intended for use on patients greater than 28 days of age. Published online: April 2019, v 2.2.
Carte de Poche de Choc Septique
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This pocket card contains tips to recognize early shock, indications of poor perfusion, and management considerations for patients with suspected sepsis. Reverse side of pocket card includes pediatric definition of hypotension. This pocket card is intended for use on patients greater than 28 days of age. Published online: April 2019, Version 1.1.
Recommandations de Base: Suspicion de maltraitance physique d’un enfant
Boutis, K, Ornstein A, Coombs C & TREKK Network
Boutis, K, Ornstein A, Coombs C & TREKK Network
Bottom line recommendations for the treatment and management of suspected physical child maltreatment - FRENCH. Published online: October 2018.
Recommandations de Base: Choc septique
Thompson G, Jabbour M and TREKK Network
Thompson G, Jabbour M and TREKK Network
Bottom line recommendations for the treatment and management pediatric sepsis - en francais. Published online: October 2018.
Carte de Poche d'Asthme
PedsPac de TREKK sur d'Asthme
PedsPac de TREKK sur d'Asthme
This pocket card contains tips to manage pediatric patients with severe asthma. This pocket card is intended for use on patients > 12 months of age. Published online: April 2019, Version 1.0.
Algorithme Pediatrique pour d'Asthme
PedsPac de TREKK sur d'Asthme
PedsPac de TREKK sur d'Asthme
This point of care algorithm is to guide initial management of pediatric severe asthma in the Emergency Department. This algorithm is intended for use on patients greater than or equal to 12 months of age. Published online: March 2020, Version 1.1.
Carte de signes vitaux pour Choc Septique Severe
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This pocket card outlines pediatric heart rate and pediatric respiratory rate guidelines and was reviewed in October 2018. Posted online April 2019, version 2.0.
Scanner de Triage Choc Septique
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This screening tool is to facilitate early identification of suspected pediatric sepsis in the ED. Includes key indicators of sepsis and high-risk medical conditions. This screening tool is intended for use on patients greater than 28 days of age. Published online: June 2017, Version 1.0.
Sepsis References and Development Team
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This document outlines the references used and team involved in the development of the sepsis PedsPac. Published online: April 2017.
UNDER REVIEW: Recommandations de Base: Asthme
Johnson D and TREKK Network
Johnson D and TREKK Network
Recommandations de base pour l'évaluation et la prise en charge de l'asthme.
Prendre soin d’un enfant avec des allergies alimentaires : ce que vous devez savoir
Ce guide visuel s'adressant aux personnes qui s'occupent d'enfants, comme les grands-parents, les gardiennes et les entraineurs, fournit des renseignements essentiels pour gerer les allergies aliementaires et l'anaphylaxie qui sont faciles a comprendre.
Video (French): Le plan d’action Canadien pour l’anaphylaxie chez les enfants
Evidence Repository: Anaphylaxis (2023)
Dr. Waleed Alqurashi and Dr. Anne Ellis
Dr. Waleed Alqurashi and Dr. Anne Ellis
For a list of references that informed this Bottom Line Recommendation, see the Evidence Repository: Anaphylaxis (2023).
Algorithm: Anaphylaxis (2022)
Dr. Anne Ellis and Dr. Waleed Alqurashi
Dr. Anne Ellis and Dr. Waleed Alqurashi
This resource if for the treatment of pediatric anaphylaxis. Published online February 2023. Version 2.0.
Pocket Card: Anaphylaxis (2022)
Dr. Anne Ellis and Dr. Waleed Alqurashi
Dr. Anne Ellis and Dr. Waleed Alqurashi
This pocket card is for the treatment of pediatric anaphylaxis. Published online February 2023. Version 2.0.
Bottom Line Recommendations: Severe Head Injury (2022)
Dr. Suzanne Beno and Dr. Joe Nemeth
Dr. Suzanne Beno and Dr. Joe Nemeth
Bottom line recommendations for severe head injury. Uploaded to the website on November 15, 2022.
Recommendations de Base: Traumatisme Cranien Severe (2022)
Dr. Susan Beno and Dr. Joe Nemeth
Dr. Susan Beno and Dr. Joe Nemeth
Bottom line recommendations for the treatment and management of severe head injury - French. Version 3.0 published online November 15, 2022.
Procedural Sedation: Evidence Repository (2022)
Dr. Maala Bhatt and Dr. Corrie Chumpitazi
Dr. Maala Bhatt and Dr. Corrie Chumpitazi
For a list of references that were used in the creation of this resource, see Evidence Repository: Procedural Sedation (2022)
Evidence Repository: Gastroenteritis (2022)
Dr. Stephen Freedman & Ms. Liza Bialy
Dr. Stephen Freedman & Ms. Liza Bialy
For a list of references that were used in the creation of this resource, see Evidence Repository: Gastroenteritis (2022).
Bottom Line Recommendations: Procedural Pain (2022)
Recommandations de base: Douleur procédurale (2022)
Samina Ali, Amy Drendel, Corrie Chumpitazi, Naveen Poonai
Samina Ali, Amy Drendel, Corrie Chumpitazi, Naveen Poonai
Bottom line recommendations for the treatment and management of procedural pain - French. Version 3.0 published online December 8, 2022.
Bottom Line Recommendations: Pain Treatment (2022)
Recommandations de base: Prise en charge de la douleur (2022)
Samina Ali, Amy Drendel, Corrie Chumpitazi, Naveen Poonai
Samina Ali, Amy Drendel, Corrie Chumpitazi, Naveen Poonai
French bottom line recommendations for the treatment of pain. Published online January 18, 2023.
Bottom Line Recommendations: Intussusception (2022)
Dr. Blake Bulloch and Dr. Zebulon Timmons
Dr. Blake Bulloch and Dr. Zebulon Timmons
Bottom line recommendations for the treatment of Intussusception. Published online January 2023.
Recommandations de base: Invagination Intestinale
Dr. Blake Bulloch and Dr. Zebulon Timmons
Dr. Blake Bulloch and Dr. Zebulon Timmons
French bottom line recommendations for the treatment of Intussusception. Published online January 2023.
Bottom Line Recommendations: Acute Otitis Media (2022)
Dr. Nicole Le Saux
Dr. Nicole Le Saux
Bottom line recommendations for the treatment of acute otitis media. Published online November (2022).
Recommandations de base: Otite moyenne aigue (2022)
Dr. Nicole Le Saux
Dr. Nicole Le Saux
French bottom line recommendations for the treatment of acute otitis media. Published online November, 2022.
Evidence Repository: Urinary Tract Infection (2022)
For a list of references that informed this Bottom Line Recommendation, see the Evidence Repository: Urinary Tract Infection (2022).
How to use clinical signs of meningitis.
Tracy, A & Waterfield T.
Tracy, A & Waterfield T.
Recommandations de Base: Interventions médicales générant des aérosols (IMGA)
Dr. Kate Maki
Dr. Kate Maki
Aerosole-generating medical procedures (AGMPs) are procedures that can generate aerosols when an infected person's airway is manipulated.
Evidence Repository: Aerosol Generating Medical Procedure (AGMP) (2023)
Dr. Kate Maki and Dr. Garth Meckler
Dr. Kate Maki and Dr. Garth Meckler
Evidence repositories are collections of best available resources and evidence (clinical guidelines, peer reviewed literature, systematic reviews, etc.), collated by our knowledge synthesis team and content advisors.
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. We search databases (Cochrane Library, PubMed, TRIP Database) and web search engines (Google, Google Scholar) to locate evidence. Additionally, hospital websites are browsed for guidance documents, such as clinical practice guidelines (CPG) for healthcare professionals.
Every effort is made to identify resources that are open access (i.e. publicly available, free of charge, not requiring a subscription).
More information about the creation of our evidence repositories can be found at https://pubmed.ncbi.nlm.nih.gov/28537762
Status Epilepticus Development Sheet
Recommandations de base: Status epilepticus (2022)
Bottom line recommendations for the treatment of status epilepticus - French. Version 1.0 published online November 16, 2022.
Status epilepticus pédiatrique – Algorithme (2022)
Dr Katherine Muir et Dr Sarah Buttle
Dr Katherine Muir et Dr Sarah Buttle
Algorithm for treating status epilepticus - French. Version 4.0 published online November 16, 2022.
Sickle Cell Disease (SCD) Evidence Repository (2022)
Dr. Rachel Kesselman and Dr. Jayson Stoffman
Dr. Rachel Kesselman and Dr. Jayson Stoffman
For a list of references that will inform the development of this resource, see Evidence Repository: Sickle Cell Disease (2022).
Bottom Line Recommendations: Diabetic Ketoacidosis
Dr. Sarah Reid and Dr. Karen Gripp
Dr. Sarah Reid and Dr. Karen Gripp
Bottom line recommendations for the treatment and management of diabetic ketoacidosis (DKA).
Diabetic Ketoacidosis Development Team
This document outlines the references used and team involved in the development of the diabetic ketoacidosis PedsPac.
Diabetic Ketoacidosis Algorithm
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
An algorithm for recognizing and managing pediatric diabetic ketoacidosis
Diabetic Ketoacidosis Pocket Card
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
A pocket guide to red flags for pediatric diabetic ketoacidosis
Diabetic Ketoacidosis Order Set
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
This order set is for management of pediatric diabetic ketoacidosis in the ED. This document is adaptable to your hospitals form policy.
Algorithm: Status Epilepticus
Dr. Katherine Muir and Dr. Sarah Buttle & TREKK Network; and Dr. Manish Shah & EIIC Network
Dr. Katherine Muir and Dr. Sarah Buttle & TREKK Network; and Dr. Manish S...
Pediatric status epilepticus algorithm
Recommandations de Base: Le Constipation
Eltorki, M., Landy, P. and TREKK Network
Eltorki, M., Landy, P. and TREKK Network
Bottom line recommendations for the treatment and management of pediatric constipation - French, version 2.0 Published online: March 2022.
Evidence Repository: Asthma Exacerbations
Dr. David W Johnson & Dr. Jennifer Turnbull
Dr. David W Johnson & Dr. Jennifer Turnbull
Evidence repositories are collections of best available resources and evidence (clinical guidelines, peer reviewed literature, systematic reviews, etc.), collated by our knowledge synthesis team and content advisors.
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. We search databases (Cochrane Library, PubMed, TRIP Database) and web search engines (Google, Google Scholar) to locate evidence. Additionally, hospital websites are browsed for guidance documents, such as clinical practice guidelines (CPG) for healthcare professionals.
Every effort is made to identify resources that are open access (i.e. publicly available, free of charge, not requiring a subscription).
More information about the creation of our evidence repositories can be found at https://pubmed.ncbi.nlm.nih.gov/28537762
Evidence Repository: Bronchiolitis
Dr. Amy Plint & Dr. Gabrielle Freire
Dr. Amy Plint & Dr. Gabrielle Freire
Evidence repositories are collections of best available resources and evidence (clinical guidelines, peer reviewed literature, systematic reviews, etc.), collated by our knowledge synthesis team and content advisors.
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. We search databases (Cochrane Library, PubMed, TRIP Database) and web search engines (Google, Google Scholar) to locate evidence. Additionally, hospital websites are browsed for guidance documents, such as clinical practice guidelines (CPG) for healthcare professionals.
Every effort is made to identify resources that are open access (i.e. publicly available, free of charge, not requiring a subscription).
More information about the creation of our evidence repositories can be found at https://pubmed.ncbi.nlm.nih.gov/28537762
Bottom Line Recommendations: Concussion 2022
Dr. Roger Zemek, Dr. Jennifer Dawson & TREKK Network
Dr. Roger Zemek, Dr. Jennifer Dawson & TREKK Network
Bottom line recommendations for the treatment and management of concussion. Updated: February 2022
Recommendations de Base: Commotion cérébrale
Dr. Roger Zemek, Dr. Jennifer Dawson & TREKK Network
Dr. Roger Zemek, Dr. Jennifer Dawson & TREKK Network
Bottom line recommendations for the treatment and management of pediatric concussion. Posted May 2022.
Evidence Repository: Pain Treatment (2022)
For a list of references that were used in the creation of this resource, see Evidence Repository: Pain Treatment (2022)
Bottom Line Recommendations: Status Epilepticus
Dr. Katherine Muir and Dr. Sarah Buttle & TREKK Network; and Dr. Manish Shah & EIIC Network
Dr. Katherine Muir and Dr. Sarah Buttle & TREKK Network; and Dr. Manish S...
Bottom Line recommendations for assessment and management of status epilepticus in children over 1 month of age. May 2022. Version 1.0
MyHeartsMap Ressources en Santé Mentale
MyHEARTSMAP - Outil d’auto-évaluation de la santé mentale
Les visites aux urgences liées à la santé mentale des enfants et des adolescents sont en augmentation. Cependant, il existe peu d'outils permettant d'identifier rapidement ces problèmes et de mettre les jeunes en contact avec les services de santé mentale appropriés. MyHEARTSMAP est un outil numérique d'auto-évaluation qui a été développé pour évaluer les services dont les jeunes et les familles peuvent avoir besoin, en fonction de leur score d'auto-évaluation. Consultez les infographies et les vidéos sur cette page pour en savoir plus sur l'outil ou cliquez sur le bouton ci-dessous pour accéder directement à l'outil d'auto-évaluation MyHEARTSMAP.
Recommandations de Base: Risque suicidaire: Dépistage & évaluation
Dr. Matthew Morrissette, Dr. Amanda Newton, Dr. Stephen Freedman, Dr. Laurence Katz & TREKK Network; and Dr. Susan Duffy, Dr. Vera Feuer & EIIC Network
Dr. Matthew Morrissette, Dr. Amanda Newton, Dr. Stephen Freedman, Dr. Laurenc...
Bottom line recommendations for screening and assessment of suicide risk. March 2022. Version 1.0
Recommandations de Base: Intoxication au cannabis
Dr. Kaitlin Hogue, Dr. Neil Desai and TREKK Network
Dr. Kaitlin Hogue, Dr. Neil Desai and TREKK Network
Bottom Line Recommendations for treatment and management of cannabis intoxication. Published online March 2022.
Formes et modes de consommation du cannabis
Dr. Kaitlin Hogue, Dr. Neil Desai, Danica Irwin and TREKK Network
Dr. Kaitlin Hogue, Dr. Neil Desai, Danica Irwin and TREKK Network
Formulations andmethods of delivery table for cannabis. Uploaded online: March 2022
Bottom Line: Management of Acute Symptoms Algorithm
Ontario Neurotrauma Foundation
Ontario Neurotrauma Foundation
This document is intended to guide health care professionals in diagnosing and managing pediatric concussion. See Page 48 of this document for the Management of Acute Symptoms Algorithm (Tool 2.1).
Bottom Line Recommendations: Fractures
Boutis K & TREKK Network
Boutis K & TREKK Network
The purpose of this document is to provide healthcare professionals with key facts and recommendations for the diagnosis and treatment of fractures in children. Original (version 1.0) published online: November 2015. Updated (version 2.0) published online: February 2018. Updated (version 3.0) published online: May 2021.
Recommandations de Base: Fractures chez l'enfant
Boutis, K & TREKK Network
Boutis, K & TREKK Network
Recommandations de base pour le diagnostic et le traitement des fractures chez les enfants. Original (version 1.0) publié en ligne en décembre 2016. Mise à jour (version 2.0) publiée en ligne février 2018. Mise à jour (version 3.0) publiée en ligne mai 2021.
Bottom Line Recommendations: Anaphylaxis
Dr. Waleed Alqurashi & Dr. Anne Ellis
Dr. Waleed Alqurashi & Dr. Anne Ellis
Bottom line recommendations for the treatment and management of pediatric anaphylaxis - version 1.2. Published online: December 2018.
Recommandations de Base: Anaphylaxie
Alqurashi W and TREKK Network
Alqurashi W and TREKK Network
Bottom line recommendations for the treatment and management of pediatric anaphylaxis - en francais. Published online: October 2018.
Bottom Line Recommendations: Constipation
Eltorki, M., Landy, P.and TREKK Network
Eltorki, M., Landy, P.and TREKK Network
Bottom line recommendations for the treatment and management of pediatric constipation - version 2.0. Published online: November 2021.
UNDER REVIEW: Fact Sheet: Pediatric COVID-19
TREKK Network
TREKK Network
Fact sheet for the treatment and management of pediatric COVID-19 (novel coronavirus)
COVID-19 information and resources for paediatricians
Canadian Association of Emergency Physicians - COVID-19 Information, Resources and Advocacy Centre
Emergency Medicine Cases: Practical COVID-19 resources for front line healthcare professionals
Fiche Dinformation: COVID-19 pdiatrique (nouveau coronavirus)
TREKK Network
TREKK Network
Fact sheet for the treatment and management of pediatric COVID-19 (novel coronavirus) - French
Bottom Line Recommendations: Pediatric Thermal Burns
Crombie T & Malic C and TREKK Network
Crombie T & Malic C and TREKK Network
Bottom line recommendations for the treatment and management of pediatric thermal burns - version 1.0. Published online: February 2021.
UNDER REVIEW: Aerosol Generating Medical Procedure (AGMP)
Dr. Kate Maki and Dr. Garth Meckler
Dr. Kate Maki and Dr. Garth Meckler
Aerosol-generating medical procedures (AGMPs) are procedures that can generate aerosols when an infected person’s airway is manipulated.
Infographic for Parents & Families: Asthma and Children: What You Should Know
ECHO Research
ECHO Research
Asthma is a common condition that causes airways to swell and fill with mucus. This can make it hard to breathe.
Asthma can be caused by genetics or the environment. Asthma is long-lasting, but there are ways to help keep your child’s asthma under control.
Infographic: Opioids- Information for Parents
Infographic: Opioids- Information for Youth
Opioids- Information for Clinicians
Video for Parents & Families: Understanding and Managing your Child's Anaphylaxis
ECHO Research and ARCHE
ECHO Research and ARCHE
Anaphylaxis is a severe allergic reaction that involves two or more parts of the body and happens quickly. Watch this video to learn how to recognize anaphylaxis and what can help mange your child's anaphylaxis.
Bottom Line: Autism and the Hospital Emergency Room: A Practical Guide for Health Professionals to Meet the Needs of Individuals with Autism Spectrum Disorders
Center for Autism & Related Disabilities (CARD)
Center for Autism & Related Disabilities (CARD)
A practical guide for health professionals to meet the needs of individuals with Autism Spectrum Disorder.
Recommandations de Base: Brûlures thermiques
Crombie T & Malic C and TREKK Network
Crombie T & Malic C and TREKK Network
Bottom line recommendations for the treatment and management of pediatric thermal burns - en français. version 1.0. Published online: February 2021.
Bottom Line Recommendations: Suicidal Risk Screening and Assessment
Dr. Matthew Morrissette, Dr. Amanda Newton, Dr. Stephen Freedman, Dr. Laurence Katz & TREKK Network; and Dr. Susan Duffy, Dr. Vera Feuer & EIIC Network
Dr. Matthew Morrissette, Dr. Amanda Newton, Dr. Stephen Freedman, Dr. Laurenc...
Bottom Line Recommendations for screening and assessment of suicide risk. September 2021, Version 1.0
Bottom Line Recommendations: Cannabis Intoxication
Dr. Kaitlin Hogue, Dr. Neil Desai and TREKK Network
Dr. Kaitlin Hogue, Dr. Neil Desai and TREKK Network
Bottom line recommendations for cannabis intoxication. Published online: December 2021
Formulations and Methods of Delivery: Cannabis
Dr. Kaitlin Hogue, Dr. Neil Desai, Danica Irwin and TREKK Network
Dr. Kaitlin Hogue, Dr. Neil Desai, Danica Irwin and TREKK Network
Formulations and methods of delivery table for cannabis. Uploaded 2021-12-06
High-flow nasal cannula oxygen therapy in children
Nagler J, Torrey SB, Wiley JF
Nagler J, Torrey SB, Wiley JF
This topic will focus on the use of high-flow nasal cannula (HFNC) in pediatric patients, including discussion of equipment, proposed mechanisms of action, comparison with other oxygen delivery devices, indications and contraindications, approach to initiation, assessment of effectiveness, and potential complications.
Bottom Line Recommendations: Gastroenteritis
Freedman S, & TREKK Network
Freedman S, & TREKK Network
Bottom line recommendations for the treatment and management of pediatric gastroenteritis
Bottom Line Recommendations: Croup
Johnson, DW. & TREKK Network
Johnson, DW. & TREKK Network
Bottom line recommendations for the treatment and management of croup.
Bottom Line Recommendations: Bronchiolitis
Plint, A & TREKK Network
Plint, A & TREKK Network
Bottom line recommendations for the treatment and management of bronchiolitis. Posted online: January 14, 2021, Version 3.0.
Recommandations de Base: La Bronchiolite
Plint, A & TREKK Network
Plint, A & TREKK Network
Bottom line recommendations for the treatment and management of bronchiolitis - en francais. Published online: January 14, 2021, Version 3.0.
Sepsis Order Set
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This order set is for management of severe sepsis in the ED and is adaptable to your hospitals form policy. This document is intended for use on patients greater than 28 days of age. Published online: Feb 2020, Version 1.2.
Feuille D’ordonnances Pré-Rédigées pour Choc Septique Severe
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This order set is for management of severe sepsis in the ED and is adaptable to your hospitals form policy. This document is intended for use on patients greater than 28 days of age. Published online: Feb 2020, v 1.2.
Asthma Order Set
TREKK Asthma PedsPac
TREKK Asthma PedsPac
This order set is for management of pediatric severe asthma in the ED and is adaptable to your hospitals form policy. This document is intended for use on patients greater than or equal to 12 months of age. Published online: February 2020, Version 1.1.
Critically Ill Neonate Order Set
TREKK Critically Ill Neonate PedsPac
TREKK Critically Ill Neonate PedsPac
This order set is for management of the critically ill neonate in the ED and is adaptable to your hospitals form policy. This algorithm is intended for infants 0-28 days. At birth, please refer to NRP guidelines. Not intended for preterm infants. Published: January 2021, version 1.2.
UNDER REVIEW: Critically Ill Neonate Algorithm
TREKK Critically Ill Neonate PedsPac
TREKK Critically Ill Neonate PedsPac
This point of care algorithm is to guide initial management of critically ill neonates in the Emergency Department. This algorithm is intended for infants 0-28 days. At birth, please refer to NRP guidelines. Not intended for preterm infants. Published online: January 2021, Version 1.2.
Feuille D’ordonnances Pré-Rédigées pour Nouveau-Ne en Etat Critique
PedsPac de TREKK sur Nouveau-Ne en Etat Critique
PedsPac de TREKK sur Nouveau-Ne en Etat Critique
This order set is for management of the critically ill neonate in the ED and is adaptable to your hospitals form policy. This document is intended for infants 0-28 days. At birth, refer to NRP guidelines. Not intended for preterm infants. Published online: January 2021, version 1.2.
Feuille D’ordonnances Pré-Rédigées pour d'Asthme
PedsPac de TREKK sur d'Asthme
PedsPac de TREKK sur d'Asthme
This order set is for management of pediatric severe asthma in the ED and is adaptable to your hospitals form policy. This document is intended for use on patients > 12 months of age. Published online: Feb 2020, Version 1.1.
Algorithme pour Nouveau-Ne en Etat Critique
PedsPac de TREKK sur Nouveau-Ne en Etat Critique
PedsPac de TREKK sur Nouveau-Ne en Etat Critique
This point of care algorithm is to guide initial management of critically ill neonates in the Emergency Department. This algorithm is intended for use on patients less than or equal to 28 days of age (corrected age). Published online: February 2021, Version 1.3.
Bottom Line Recommendations: Urinary Tract Infection
Le Saux N, Neto G, TREKK Network
Le Saux N, Neto G, TREKK Network
Bottom Line Recommendations for diagnosis and treatment of urinary tract infection. Version 1.1
Recommandations de Base: Infection Urinaire
Le Saux N, Neto, G TREKK Network
Le Saux N, Neto, G TREKK Network
Bottom Line Recommendations for diagnosis and treatment of urinary tract infections - French. Version 1.1.
Infographic for Parents & Families: What to do when your child has a cold and is having difficulty breathing
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.
UNDER REVIEW: Bottom Line Recommendations: Asthma
Johnson D and TREKK Network
Johnson D and TREKK Network
Bottom line recommendations for the treatment and management of asthma. Updated January 2020, Version 1.5.
World Health Organization: Parenting in the time of COVID-19
World Health Organization
World Health Organization
To help parents interact constructively with their children during this time of confinement, the World Health Organization created these six one-page tips for parents cover planning one-on-one time, staying positive, creating a daily routine, avoiding bad behaviour, managing stress, and talking about COVID-19.
Clinical management of patients with moderate to severe COVID-19 - Interim guidance
Government of Canada
Government of Canada
Multisystem Trauma Algorithm
TREKK Multisystem Trauma PedsPac
TREKK Multisystem Trauma PedsPac
This point of care algorithm is to guide initial management of pediatric multisystem trauma in the Emergency Department. Published online: June 2020, Version 1.0.
Multisystem Trauma Order Set
TREKK Multisystem Trauma PedsPac
TREKK Multisystem Trauma PedsPac
This order set is for management of pediatric multisystem trauma in the ED and is adaptable to your hospitals form policy. Published online: June 2020, Version 1.0.
Multisystem Trauma Checklist
TREKK Multisystem Trauma PedsPac
TREKK Multisystem Trauma PedsPac
This checklist is for management of pediatric multisystem in the ED pre-arrival and post-departure. Published online: June 2020, Version 1.0.
Liste de vérification pour le polytraumatisme pédiatrique
PedsPac de TREKK sur le polytraumatisme
PedsPac de TREKK sur le polytraumatisme
This checklist is for management of pediatric multisystem in the ED pre-arrival and post-departure. Published online: June 2020, Version 1.0.
Feuille d’ordonnances pré-rédigées pour le polytraumatisme pediatrique
PedsPac de TREKK sur le polytraumatisme
PedsPac de TREKK sur le polytraumatisme
This order set is for management of pediatric multisystem trauma in the ED and is adaptable to your hospitals form policy. Published online: June 2020, Version 1.0.
Video for Parents & Families: Cough, Cold, and Wheeze: How to help manage your childs bronchiolitis
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.
Bottom Line Recommendations: Multisystem Trauma
Beno S, TREKK Network
Beno S, TREKK Network
The purpose of this document is to provide health care professionals with key facts and recommendations for the diagnosis and treatment of multisystem trauma in children in the emergency department. Published online: January 14, 2021, Version 3.0.
Recommendations de Base: Polytrauma
Beno S, TREKK Network
Beno S, TREKK Network
Le but du present document est de fournir aux professionnels de la sant les faits et recommandations cles pour le diagnostic et le traitement du polytrauma chez les enfants dans un service durgence. Published online: January 14, 2021, Version 3.0.
Quick Glance: BMJ Best Practice: Intussusception
Sutcliffe J
Sutcliffe J
Objective: This review will focus on idiopathic intussusception in infants. Intussusception in older children and adults is rare and is almost always caused by a pathologic lead point.
eMagazine No Mercy for the Coronas
Looking for resources to understand the scientific realities of the COVID-19 virus and pandemic? Check out this children's science magazine, No Mercy for the Coronas, an engaging and accessible illustrated resource for kids (and parents!) to better understand viruses like COVID-19.
This e-magazine was created by La Liberté and POP Comm, and developed with the participation of scientists and researchers at Children’s Hospital Research Institute of Manitoba (CHRIM), University of Manitoba and St. Boniface Hospital Albrechtsen Research Centre’s Youth BIOlab Jeunesse.
No Mercy for the Coronas! is for all those who wish to offer children a scientifically reliable resource during this global health crisis affecting all ages and all aspects of society. You can read or download this free magazine in English or French.
Recommendations de Base: Laryngite Aigu
Johnson, DW. & TREKK Network
Johnson, DW. & TREKK Network
Bottom line recommendations for the treatment and management of croup- French.
Recommendations de Base: Gastro-entrite
Freedman S, & TREKK Network
Freedman S, & TREKK Network
Bottom line recommendations for the treatment and management of pediatric gastroenteritis. Posted Feb 2020- version 3.1
Bottom Line Recommendations: Fever in Young infants
Beer, D and TREKK Network
Beer, D and TREKK Network
Bottom line recommendations for the treatment and management of fever in neonates and infants. Published online: June 2019, Version 2.0.
Bottom Line Recommendations: Caring for Children with Developmental and Intellectual Disabilities in the ED
Hanlon-Dearman, A, Stevenson, M and TREKK Network
Hanlon-Dearman, A, Stevenson, M and TREKK Network
Bottom line recommendations for caring for children with developmental and intellectual disabilities in the ED. Published online: Feb 2020, v 1.1
Recommandations de Base: Fievre - Nouveau-ns et nourrissons
Beer, D and TREKK Network
Beer, D and TREKK Network
Bottom line recommendations for the treatment and management of fever in neonates and infants (French). Published online: June 2019, Version 2.0.
Recommandations de Base: Dficience intellectuelle et troubles du dveloppement
Hanlon-Dearman, A, Stevenson, M and TREKK Network
Hanlon-Dearman, A, Stevenson, M and TREKK Network
Bottom line recommendations for caring for children with developmental and intellectual disabilities in the ED. Published online: Feb 2020, v 1.1
How to Help When Your Child Needs to Get a Needle Poke
ECHO, ARCHE & TREKK
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 e
VIDEO: How to help when your child needs a needle poke
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 whil
Care Pathway: Intussusception Care Pathway
SickKids
SickKids
The purpose of this pathway is to assist the health care team with clinical decisions regarding the management of a patient with intussusception.
Caring for a child with food allergy: A guide on what you need to know
This visual guide is for caregivers like grandparents, babysitters, and coaches, and provides easy-to-understand information that's essential for managing food allergy and anaphylaxis.
Burns Centre Consultation Guidelines
CritiCall Ontario
CritiCall Ontario
Guidelines for burns centre consultations.
Suicide Prevention, Risk Assessment & Management, AMH
Alberta Health Services
Alberta Health Services
Suicide Prevention, Risk Assessment & Management (SPRAM) is a web-based, interactive e-Learning series designed to respond to the foundational learning needs of health practitioners working in Addiction and Mental Health (AMH).
Bottom Line: Recommendations: Special considerations in pediatrics (2013)
Surviving Sepsis Campaign
Surviving Sepsis Campaign
Special consideration in pediatrics from the Surviving Sepsis Campaign. Published: 2013.
UNDER REVIEW: Bottom Line Recommendations: Procedural Sedation
Evered L, Bhatt M & TREKK Network
Evered L, Bhatt M & TREKK Network
Bottom line recommendations for pediatric procedural sedation. Published online: March 2018.
Acute Otitis Media- Emergency Management in Children - Flowchart
Children's Health Queensland Hospital and Health Service
Children's Health Queensland Hospital and Health Service
Flowchart of emergency management in children for acute otitis media.
Recommandations de Base: La Sédation Procédurale
Evered L, Bhatt M & TREKK Network
Evered L, Bhatt M & TREKK Network
Bottom line recommendations for the procedural sedation - French. Published online: March 2018.
Sepsis Algorithm
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This point of care algorithm is to guide initial management of pediatric sepsis in the Emergency Department. This algorithm is intended for use on patients greater than 28 days of age. Published online: December 2018, Version 2.2.
Sepsis Pocket Card
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This pocket card contains tips to recognize early shock, indications of poor perfusion, and management considerations for patients with suspected sepsis. Reverse side of pocket card includes pediatric definition of hypotension. This pocket card is intended for use on patients greater than 28 days of age. Published online: December 2018, Version 1.1.
UNDER REVIEW: Bottom Line Recommendations: Suspected Physical Child Maltreatment
Boutis, K, Ornstein A, Coombs C & TREKK Network
Boutis, K, Ornstein A, Coombs C & TREKK Network
Bottom line recommendations for the treatment and management of suspected physical child maltreatment. Published online: August 2018.
Bottom Line Recommendations: Sepsis
Thompson G, Jabbour M and TREKK Network
Thompson G, Jabbour M and TREKK Network
Bottom line recommendations for the treatment and management pediatric sepsis. Published online: September 2018.
Algorithme Pediatrique pour Choc Septique Severe
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This point of care algorithm is to guide initial management of pediatric sepsis in the Emergency Department. This algorithm is intended for use on patients greater than 28 days of age. Published online: April 2019, v 2.2.
Carte de Poche de Choc Septique
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This pocket card contains tips to recognize early shock, indications of poor perfusion, and management considerations for patients with suspected sepsis. Reverse side of pocket card includes pediatric definition of hypotension. This pocket card is intended for use on patients greater than 28 days of age. Published online: April 2019, Version 1.1.
Recommandations de Base: Suspicion de maltraitance physique d’un enfant
Boutis, K, Ornstein A, Coombs C & TREKK Network
Boutis, K, Ornstein A, Coombs C & TREKK Network
Bottom line recommendations for the treatment and management of suspected physical child maltreatment - FRENCH. Published online: October 2018.
Recommandations de Base: Choc septique
Thompson G, Jabbour M and TREKK Network
Thompson G, Jabbour M and TREKK Network
Bottom line recommendations for the treatment and management pediatric sepsis - en francais. Published online: October 2018.
Asthma Algorithm
TREKK Asthma PedsPac
TREKK Asthma PedsPac
This point of care algorithm is to guide initial management of pediatric severe asthma in the Emergency Department. This algorithm is intended for use on patients greater than or equal to 12 months of age. Published online: March 2020, Version 1.2.
Asthma Pocket Card
TREKK Asthma PedsPac
TREKK Asthma PedsPac
This pocket card contains tips to manage pediatric patients with severe asthma. This pocket card is intended for use on patients greater or equal to 12 months of age. Published online: March 2020, Version 1.3.
Sepsis Vital Signs Pocket Card
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This pocket card outlines pediatric heart rate and pediatric respiratory rate guidelines and was reviewed in October 2018. Posted online December 2018, version 2.0.
Asthma References and Development Team
TREKK Asthma PedsPac
TREKK Asthma PedsPac
This document outlines the references used and team involved in the development of the asthma PedsPac. Published online: December 2018, Version 1.0.
Carte de Poche d'Asthme
PedsPac de TREKK sur d'Asthme
PedsPac de TREKK sur d'Asthme
This pocket card contains tips to manage pediatric patients with severe asthma. This pocket card is intended for use on patients > 12 months of age. Published online: April 2019, Version 1.0.
Algorithme Pediatrique pour d'Asthme
PedsPac de TREKK sur d'Asthme
PedsPac de TREKK sur d'Asthme
This point of care algorithm is to guide initial management of pediatric severe asthma in the Emergency Department. This algorithm is intended for use on patients greater than or equal to 12 months of age. Published online: March 2020, Version 1.1.
Carte de signes vitaux pour Choc Septique Severe
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This pocket card outlines pediatric heart rate and pediatric respiratory rate guidelines and was reviewed in October 2018. Posted online April 2019, version 2.0.
Paediatric Burn Assessment
Victorial Adult Burns Service at the Alfred
Victorial Adult Burns Service at the Alfred
Burns management guidelines for pediatric burn assessment.
Paediatric Burn Guidelines
Women's and Children's Hospital
Women's and Children's Hospital
Pediatric burn guidelines reference chart.
CSF interpretation
The Royal Children's Hospital Melbourne
The Royal Children's Hospital Melbourne
Guideline to help with the interpretation of CSF results for the purpose of diagnosing or excluding meningitis.
Lumbar puncture
The Royal Children's Hospital Melbourne
The Royal Children's Hospital Melbourne
Guideline for performing lumbar puncture.
Meningitis - encephalitis
The Royal Children's Hospital Melbourne
The Royal Children's Hospital Melbourne
Guideline for the assessment and management of meningitis-encephalitis.
Best practices in managing child and adolescent behavioral health emergencies
Sepsis Triage Poster
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This screening tool is to facilitate early identification of suspected pediatric sepsis in the ED. Includes key indicators of sepsis and high-risk medical conditions. This screening tool is intended for use on patients greater than 28 days of age. Published online: June 2017, Version 1.0.
Scanner de Triage Choc Septique
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This screening tool is to facilitate early identification of suspected pediatric sepsis in the ED. Includes key indicators of sepsis and high-risk medical conditions. This screening tool is intended for use on patients greater than 28 days of age. Published online: June 2017, Version 1.0.
Sepsis References and Development Team
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This document outlines the references used and team involved in the development of the sepsis PedsPac. Published online: April 2017.
Video: Sepsis PedsPac - Original Simulation with Expert Commentary
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
Video of simulated sepsis management in the ED, including commentary by Drs. Gina Neto and Anna-Theresa Lobos, Canadian physicians and sepsis experts. Commentary highlights salient management considerations. This video can be used to augment sepsis training or for an individual refresher on sepsis management. The content of this video is intended for use on patients > 28 days of age. June 2017: Version 1.0.
Video: Sepsis PedsPac - Transport
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
Video of simulated sepsis patient transfer, including commentary by Drs. Gina Neto and Anna-Theresa Lobos, Canadian physicians and sepsis experts. Commentary highlights key considerations when providing information to a pediatric referral centre. This video can be used to augment sepsis training or for an individual refresher on sepsis management. The content of this video is intended for use on patients >28 days of age. Posted June 2017, Version 1.0.
Video: Sepsis PedsPac - Triage and Transfer
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
Video demonstration of the Sepsis Triage Screener being used in the ED. This video can be used to augment sepsis nursing education or for individual refresher on pediatric sepsis considerations specific to triage. The content of this video is intended for use on patients>28 days of age. Posted June 2017, Version 1.0.
Video: Sepsis PedsPac - Team Debriefing
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
Video debrief of the simulated sepsis case, with discussion on how the Sepsis PedsPac was incorporated in to patient management. The content of this video is intended for use on patients >28 days of age. Posted June 2017, Version 1.0.
UNDER REVIEW: Recommandations de Base: Asthme
Johnson D and TREKK Network
Johnson D and TREKK Network
Recommandations de base pour l'évaluation et la prise en charge de l'asthme.
eBook for Parents and Families: More than just a cold: what to do when your child has a cold and is having difficulty breathing
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.
Bottom Line: The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5)
Davis GA, Purcell L, Schneider KJ, Yeates KO, Gioia GA, Anderson V, Ellenbogen RG, Echemendia RJ, Makdissi M, Sills A, Iverson GL, Dvorak J, McCrory P, Meeuw...
Davis GA, Purcell L, Schneider KJ, Yeates KO, Gioia GA, Anderson V, Ellenboge...
The Child SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The Child SCAT5 is to be used for evaluating Children aged 5 to 12 years. For athletes aged 13 years and older, please use the SCAT5.
Bottom Line: The Sport Concussion Assessment Tool 5th Edition (SCAT5)
Echemendia RJ, Meeuwisse W, McCrory P, Davis GA, Putukian M, Leddy J, Makdissi M, Sullivan SJ, Broglio SP, Raftery M, Schneider K, Kissick J, McCrea M, Dvora...
Echemendia RJ, Meeuwisse W, McCrory P, Davis GA, Putukian M, Leddy J, Makdiss...
The SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The SCAT5 is to be used for evaluating athletes aged 13 years and older. For children aged 12 years or younger, please use the Child SCAT5.
Acute Procedural Pain: Paediatric Recommendations and Implementation Toolkits
The Canadian Association of Paediatric Health Centres, Knowledge Exchange Network
The Canadian Association of Paediatric Health Centres, Knowledge Exchange Net...
Objective: This overview is intended to summarize the systematic reviews of interventions studied to decrease paediatric pain that are currently available in the Cochrane Library. Given their unique physiology, research relevant to the management of newbo
Summary: Urinary tract infections in children
Goilav B
Goilav B
This summary presents key diagnostic risk factors for urinary tract infections (UTIs) in children. The summary also covers diagnostic investigations and treatment algorithms for uncomplicated and complicated UTIs.
Clinical Pathway: ED Pathway for Evaluation/Treatment of Febrile Young Infant (0-56 Days Old)
Scarfone R, Gala R, Murray A, Funari MK, Lavelle J, Bell L
Scarfone R, Gala R, Murray A, Funari MK, Lavelle J, Bell L
The clinical pathway for treating and evaluating febrile infants is built upon publicly available medical evidence and/or a consensus of medical practitioners at The Childrens Hospital of Philadelphia.
Pediatric Burn Referrals
UBC Division of Plastic Surgery
UBC Division of Plastic Surgery
UBC Division of Plastic Surgery: Pediatric burn referrals.
Management of Bacterial Meningitis in Children and Young People
Meningitis Research Foundation
Meningitis Research Foundation
Flowchart of management of bacterial meningitis in children and young people, incorporating NICE Bacterial Meningitis and Meningococcal Septicaemia Guideline CG102.
Aseptic Meningitis
Melia M, Johns Hopkins ABX Guide
Melia M, Johns Hopkins ABX Guide
Guideline discussing aseptic meningitis pathogens, clinical presentation, diagnosis, treatment, and pathogen specific therapies.
Ask Suicide Screening Questions Toolkit
National Mental Health Institute
National Mental Health Institute
The ASQ toolkit is organized by the medical setting in which it will be used: emergency department, inpatient medical/surgical unit, and outpatient primary care and specialty clinics.
Video for Parents & Families: Understanding and managing your child's asthma
ECHO Research and ARCHE
ECHO Research and ARCHE
ECHO Research and ARCHE, research groups from the University of Alberta, have created an informative video for parents, with tips to help families understand common symptoms of asthma, how to manage symptoms at home, and when to seek emergency care.
Flow diagram for the management of children with suspected and confirmed acute otitis media
Le Saux N, Robinson JL, Canadian Paediatric Society, Infectious Diseases and Immunization Committee
Le Saux N, Robinson JL, Canadian Paediatric Society, Infectious Diseases and ...
Flow chart of criteria for management of children with suspected and confirmed acute otitis media based on symptoms of children over 6 months of age.
Executive Summary: Evaluation and Management of Children and Adolescents With Acute Mental Health or Behavioral Problems. Part I: Common Clinical Challenges of Patients With Mental Health and/or Behavioral Emergencies
Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Emerg...
Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediat...
This executive summary is an overview of the common clinical challenges pediatric caregivers face when a child or adolescent presents with a psychiatric chief complaint or emergency.
Executive Summary: Evaluation and Management of Children With Acute Mental Health or Behavioral Problems. Part II: Recognition of Clinically Challenging Mental Health Related Conditions Presenting With Medical or Uncertain Symptoms
Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Emerg...
Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediat...
This executive summary is an overview of the common clinical challenges pediatric caregivers face when a mental health condition may be an unclear or complicating factor in a non-mental health ED presentation.
Clinical Pathway: Urinary tract infection in under 16s overview
National Institute for Health and Care Excellence
National Institute for Health and Care Excellence
This clinical pathway contains diagnosis and treatment information for persons under 16 with suspected urinary tract infection.
Early Recognition of Meningitis and Septicaemia
Royal College of Nursing, Meningitis Research Foundation
Royal College of Nursing, Meningitis Research Foundation
Guidance for front line nurses on the early recognition of meningitis and sepsis (what to look for).
Bottom Line Recommenation: Optimal pain relief for pediatric MSK injury.
Korownyk C, Young J, Michael Allan G
Korownyk C, Young J, Michael Allan G
Evidence suggests that ibuprofen provides better single-agent relief than acetaminophen or codeine, and is at least equivalent to both acetaminophen with codeine and morphine for acute injury pain, with fewer adverse events.
Emergency Medicine Cases Podcast: Emergency management of pediatric seizures - Guidance and podcast
Helman A
Helman A
With the help of two of Canada's Pediatric Emergency Medicine seizure experts handpicked by TREKK, Dr. Lawrence Richer and Dr. Angelo Mikrogianakis, we'll give you all the tools you need to approach the child who presents to the ED with a seizure with the utmost confidence.
Bottom Line: Managing febrile seizures infographic
Stahl-Timmins W
Stahl-Timmins W
This infographic provides general information on managing febrile seizures.
Bottom Line: Flowchart of evaluation and management of functional constipation in children
Koppen IJ, Lammers LA, Benninga MA, Tabbers MM
Koppen IJ, Lammers LA, Benninga MA, Tabbers MM
Flowchart of evaluation and management of functional constipation in children.
Bottom Line: Assessment in the emergency department for patients with head injury
National Institute for Health and Care Excellence (NICE), National Clincial Guideline Centre
National Institute for Health and Care Excellence (NICE), National Clincial G...
A NICE pathway brings together all NICE guidance, quality standards and materials to support implementation on a specific topic area. The pathways are interactive and designed to be used online.
Video: COVID-19 (updated)
In this video Dr. Anthony Crocco (Sketchy EBM) outlines the symptoms of COVID-19, how to protect yourself and your family, what to do to be well and when to worry. This video is not a substitute for medical care. Please consult Public Health or your health professional for medical advice.
Bottom Line: Approach to cyanotic congenital heart disease in the newborn
Cheung C
Cheung C
This document summarizes causes, symptoms, and management of cyanosis in newborns.
Dosing Chart: Analgesic starting dosages for children
World Health Organization
World Health Organization
Analgesic starting doses for children.
Chart: WHO pain wall chart for waiting rooms
World Health Organization
World Health Organization
Is your child in pain? The doctor can help. As for pain treatment!
Prendre soin d’un enfant avec des allergies alimentaires : ce que vous devez savoir
Ce guide visuel s'adressant aux personnes qui s'occupent d'enfants, comme les grands-parents, les gardiennes et les entraineurs, fournit des renseignements essentiels pour gerer les allergies aliementaires et l'anaphylaxie qui sont faciles a comprendre.
Videos in clinical medicine. Diagnosing otitis media--otoscopy and cerumen removal
Shaikh N, Hoberman A, Kaleida PH, Ploof DL, Paradise JL
Shaikh N, Hoberman A, Kaleida PH, Ploof DL, Paradise JL
Video instructing how to diagnose otitis media with otoscopy and cerum removal.
Bottom Line: NICE Guidance: Child maltreatment: when to suspect maltreatment in under 16s
National Institute for Health and Care Excellence
National Institute for Health and Care Excellence
This guideline covers the signs of possible child maltreatment in children and young people aged under 18 years. It aims to raise awareness and help health professionals who are not child protection specialists to identify the features of physical, sexual and emotional abuse, neglect and fabricated or induced illness.
Bottom Line: Acute Concussion Evaluation (ACE): Physician/Clinician Office Version
Goia G, Collins M
Goia G, Collins M
The ACE is intended to provide an evidence-based clinical protocol to conduct an initial evaluation and diagnosis of patients (both children and adults) with known or suspected mild traumatic brain injury.
Canadian Anaphylaxis Action Plan for Kids
Dr. Waleed Alqurashi
Dr. Waleed Alqurashi
Video for Healthcare Providers: Anaphylaxis in Kids
Infographic for Parents & Families: How to Manage your Child's Anaphylaxis Reaction
ECHO Research and ARCHE
ECHO Research and ARCHE
Bottom Line: Autism Information for Paramedics and Emergency Room Staff
Gammicchia C, Johnson C, Autism Society
Gammicchia C, Johnson C, Autism Society
Information for paramedics and emergency room staff on providing services to a person on the autism spectrum.
Video: Caring for a Child with Functional Constipation
ECHO Research and ARCHE
ECHO Research and ARCHE
Video (French): Le plan d’action Canadien pour l’anaphylaxie chez les enfants
MyHEARTSMAP - Mental Health Self-Assessment Tool and Information
MyHEARTSMAP is a digital tool that will help families, children and youth self-assess their mental health needs. Once the self-assessment is completed, the tool will recommend appropriate resources. This tool has been found to be highly reliable and can provide options for seeking care other than the emergency department or can provide doctors with valuable information in the ED.
Measurement Tool: Faces Pain Scale - Revised for children 4 years of age and older
International Association for the Study of Pain
International Association for the Study of Pain
Scores are from the left to the right (for the child): 0, 2, 4, 6, 8, 10 (0 for no pain at all and 10 for very, very much in pain).
Infographic: Concussion
ECHO Research and ARCHE
ECHO Research and ARCHE
A concussion is a brain injury. Any child or teen who gets hit in the head, face, neck, or body has a chance of getting a concussion. Concussions can happen to anyone from falling, during sports, or car accidents.
Video: Procedural Sedation, Part 1 - Arabic
IWK Health and TREKK
IWK Health and TREKK
This video is presented in Arabic. When children have a painful or anxiety provoking procedure such as straightening a broken arm, putting in stitches or performing invasive procedures, your child may need to have a procedural sedation. This video will help you learn the steps involved in a procedural sedation and will give you an idea of what to expect once you bring your child home.
Use of high-flow nasal cannula oxygen therapy in infants and children
L Chauvin-Kimoff, A DeCaen,Canadian Paediatric Society
L Chauvin-Kimoff, A DeCaen,Canadian Paediatric Society
Heated, humidified high-flow nasal cannula (HHHFNC) therapy provides warmed, humidified oxygen to infants and children in respiratory distress at flow rates that deliver higher oxygen concentrations and some positive airway pressure compared with standard low-flow therapy. Increased use and experience is informing practice and establishing the benefits of HHHFNC use in a variety of clinical conditions. The focus of this practice point is to describe best practices for HHHFNC in (non-neonatal) paediatric patients with moderate-to-severe respiratory distress and to offer a safe, practical approach to oxygen delivery and support.
Use of high-flow nasal cannula oxygen therapy in infants and children
L Chauvin-Kimoff, A DeCaen,Canadian Paediatric Society
L Chauvin-Kimoff, A DeCaen,Canadian Paediatric Society
Heated, humidified high-flow nasal cannula (HHHFNC) therapy provides warmed, humidified oxygen to infants and children in respiratory distress at flow rates that deliver higher oxygen concentrations and some positive airway pressure compared with standard low-flow therapy. Increased use and experience is informing practice and establishing the benefits of HHHFNC use in a variety of clinical conditions. The focus of this practice point is to describe best practices for HHHFNC in (non-neonatal) paediatric patients with moderate-to-severe respiratory distress and to offer a safe, practical approach to oxygen delivery and support.
Clinical Practice Guideline: Guidelines for the management of suspected and confirmed bacterial meningitis in Canadian children older than one month of age (2014)
Le Saux NCPS
Le Saux NCPS
Objective: This position statement outlines the rationale for current recommended empirical therapy using a third-generation cephalosporin and vancomycin for suspected bacterial meningitis. It also provides new recommendations for the use of adjuvant corticosteroids in this setting. Once antibiotic susceptibilities of the pathogen are known, antimicrobials should be reviewed and modified accordingly. Recommendations for treatment duration as well as audiology testing are included. The present statement replaces a previous Canadian Paediatric Society position statement on bacterial meningitis published in 2007 and revised in 2008. Published: 2014.
Meningitis: Emergency Management in Children
Tracy A, Waterfield T.
Tracy A, Waterfield T.
Clinical Practice Guideline: Updated American College of Critical Care Medicine--pediatric advanced life support guidelines for management of pediatric and neonatal septic shock: relevance to the emergency care clinician (2010)
Kissoon NO, R. A.; Carcillo, J. A.
Kissoon NO, R. A.; Carcillo, J. A.
Objective: Shock is a major preventable cause of morbidity and mortality in children referred to emergency care. The recently updated American College of Critical Care Medicine guidelines for the management of newborns and children with septic shock emphasize the role of emergency care in improving survival and functional outcomes. Implementation of these guidelines of stepwise use of fluids, antibiotics, and, if necessary, inotropes within the first hour of admission to the emergency department can reduce mortality and neurological morbidity risks 2-fold. Published: 2010.
Guideline: COVID in children with diabetes
International Society for Pediatric and Adolescent Diabetes (ISPAD)
International Society for Pediatric and Adolescent Diabetes (ISPAD)
The International Society for Pediatric and Adolescent Diabetes (ISPAD) Clinical Practice Consensus Guidelines 2018 for management of diabetic ketoacidosis (DKA) and the hyperglycemic hyperosmolar state provide comprehensive guidance for management of DKA in young people. Intravenous infusion of insulin for treating DKA may necessitate intensive care unit admission in hospitals in some parts of the world. During the Coronavirus Disease 2019 (COVID-19) pandemic, ICU services may need to be prioritised for care of affected individuals
Living Guideline For Pediatric Concussion Care
FoundationLiving Guideline for Pediatric Concussion Care (PedsConcussion)
ISPAD clinical practice consensus guidelines 2022: Diabetic ketoacidosis and hyperglycemic hyperosmolar state
Glaser N, Fritsch M, Priyambada L, Rewers A, Cherubini V, Estrada S, Wolfsdorf JI, Codner E.
Glaser N, Fritsch M, Priyambada L, Rewers A, Cherubini V, Estrada S, Wolfsdor...
Diabetes (type 1 and type 2) in children and young people: diagnosis and management
National Institute for Health and Care Excellence
National Institute for Health and Care Excellence
This guideline covers the diagnosis and management of type 1 and type 2 diabetes in children and young people aged under 18. The guideline recommends how to support children and young people and their families and carers to maintain tight control of blood glucose to reduce the long-term risks associated with diabetes.
Current recommendations for management of paediatric diabetic ketoacidosis
Gripp K, Trottier ED, Thakore S, Sniderman L, Lawrence S; Canadian Paediatric Society, Acute Care Committee.
Gripp K, Trottier ED, Thakore S, Sniderman L, Lawrence S; Canadian Paediatric...
Guideline: Telemedicine and Virtual Concussion Care
Living Guideline for Pediatric Concussion Care (PedsConcussion)
Guideline: Considerations for Telemedicine and Virtual Care Algorithm
FoundationLiving Guideline for Pediatric Concussion Care (PedsConcussion)
Managing acute pain in children presenting to the emergency department without opioids
Corrie E Chumpitazi1,Cindy Chang2,Zaza Atanelov3,Ann M Dietrich4,Samuel Hiu-Fung Lam5,Emily Rose6,Tim Ruttan7,Sam Shahid8,Michael J Stoner9,Carmen Sulton10,M...
Corrie E Chumpitazi1,Cindy Chang2,Zaza Atanelov3,Ann M Dietrich4,Samuel Hiu-F...
Epilepsies in children, young people and adults
NICE
NICE
This guideline covers diagnosing and managing epilepsy in children, young people and adults in primary and secondary care, and referral to tertiary services. It aims to improve diagnosis and treatment for different seizure types and epilepsy syndromes, and reduce the risks for people with epilepsy.
Clinical Practice Guideline: Management of the infant at increased risk for sepsis (2007)
Canadian Paediatric Society
Canadian Paediatric Society
Canadian Pediatric Society position statement on management of infants at risk for sepsis. Published: 2007.
Clinical Practice Guideline: The management of pediatric severe traumatic brain injury: Italian Guidelines.
Bussolin L, Falconi M, Leo MC, Parri N, DE Masi S, Rosati A, et al
Bussolin L, Falconi M, Leo MC, Parri N, DE Masi S, Rosati A, et al
The aim of the work was to update the "Guidelines for the Management of Severe Traumatic Brain Injury" published in 2012, to reflect the new available evidence, and develop the Italian national guideline for the management of severe pediatric head injuries to reduce variation in practice and ensure optimal care to patients.
Clinical Practice Guideline: Australian and New Zealand guideline for mild to moderate head injuries in children
Babl FE, Tavender E, Dalziel S. On behalf of the Guideline Working Group for the Paediatric Research in Emergency Departments International Collaborative (PR...
Babl FE, Tavender E, Dalziel S. On behalf of the Guideline Working Group for ...
Children frequently present with head injuries to acute care settings. Led by PREDICT (Paediatric Research in Emergency Departments International Collaborative), a multidisciplinary working group developed the first Australian and New Zealand guideline for mild to moderate head injuries in children. Addressing 33 key clinical questions, it contains 71 recommendations, and an imaging/observation algorithm. The Guideline provides evidence-based, locally applicable, practical clinical guidance for the care of children with mild to moderate head injuries presenting to acute care settings.
Clinical Practice Guideline: Acute Otitis Media
The Royal Children's Hospital Melbourne
The Royal Children's Hospital Melbourne
Guideline on the assessment and management of acute otitis media in children
Clinical Practice Guideline: Otitis media (acute): antimicrobial prescribing
National Institute for Health and Care Excellence (NICE) NICE Guideline
National Institute for Health and Care Excellence (NICE) NICE Guideline
Objective: This guideline sets out an antimicrobial prescribing strategy for acute otitis media (ear infection). aims to limit antibiotic use and reduce antimicrobial resistance.
ISPAD Clinical Practice Consensus Guideline: Diabetic ketoacidosis in the time of COVID-19 and resource-limited settings-role of subcutaneous insulin
Priyambada L, Wolfsdorf JI, Brink SJ, Fritsch M, Codner E, Donaghue KC, Craig ME.
Priyambada L, Wolfsdorf JI, Brink SJ, Fritsch M, Codner E, Donaghue KC, Craig...
The International Society for Pediatric and Adolescent Diabetes Clinical Practice Consensus Guideline 2018 for management of diabetic ketoacidosis (DKA) and the hyperglycemic hyperosmolar state provide comprehensive guidance for management of DKA in young people. Intravenous (IV) infusion of insulin remains the treatment of choice for treating DKA; however, the policy of many hospitals around the world requires admission to an intensive care unit (ICU) for IV insulin infusion. During the coronavirus 2019 (COVID-19) pandemic or other settings where intensive care resources are limited, ICU services may need to be prioritized or may not be appropriate due to risk of transmission of infection to young people with type 1 or type 2 diabetes. The aim of this guideline, which should be used in conjunction with the ISPAD 2018 guidelines, is to ensure that young individuals with DKA receive management according to best evidence in the context of limited ICU resources. Specifically, this guideline summarizes evidence for the role of subcutaneous insulin in treatment of uncomplicated mild to moderate DKA in young people and may be implemented if administration of IV insulin is not an option.
Concussions and Head Injuries in Children: Care Instructions
Resources on Concussion in a Virtual Environment (Recover)
Resources on Concussion in a Virtual Environment (Recover)
RECOVER (Resources on Concussion in a Virtual Environment) was a study being conducted by researchers at Alberta Health Services, the University of Calgary and the University of Alberta. To improve outcomes for children with concussion who are seen in emergency departments, the study developed tools to help physicians and nurses provide better care and to help families to learn more about, assess, and monitor concussion.
Liver trauma: WSES 2020 guidelines
Coccolini, F., Coimbra, R., Ordonez, C. et al.
Coccolini, F., Coimbra, R., Ordonez, C. et al.
Liver injuries represent one of the most frequent life-threatening injuries in trauma patients. In determining the optimal management strategy, the anatomic injury, the hemodynamic status, and the associated injuries should be taken into consideration. Liver trauma approach may require non-operative or operative management with the intent to restore the homeostasis and the normal physiology. The management of liver trauma should be multidisciplinary including trauma surgeons, interventional radiologists, and emergency and ICU physicians. The aim of this paper is to present the World Society of Emergency Surgery (WSES) liver trauma management guidelines.
Clinical Practice Guideline: Recommendations for the use of rotavirus vaccines in infants
Le Saux N, Canadian Paediatric Society
Le Saux N, Canadian Paediatric Society
These guidelines provide recommendations for the use of rotavirus vaccine for infants in Canada, and summarize information on the disease, epidemiology, as well as the safety and efficacy of vaccines currently authorized for the prevention of rotavirus disease in Canada.
Clinical Practice Guideline: Autism Spectrum Disorder: Updated Guidelines from the American Academy of Pediatrics
American Academy of Pediatrics
American Academy of Pediatrics
Autism spectrum disorder (ASD) is a neurodevelopmental disorder affecting one in 59 children in the United States and other industrialized nations. In addition to behavior issues, ASD is associated with seizures, gastrointestinal concerns, sleep difficulties, and mental health issues that can profoundly impact the quality of life of children and their families. The American Academy of Pediatrics (AAP) has published updated guidelines for diagnosis and treatment of ASD.
Guidelines: Constipation
Royal Children's Hospital Melbourne
Royal Children's Hospital Melbourne
These clinical practice guidelines cover the description, etiology, diagnosis and management of constipation in children.
Consensus statement: Diagnosis, treatment, and prevention of 2019 novel coronavirus infection in children: experts consensus statement.
Shen K, Yang Y, Wang T, et al.
Shen K, Yang Y, Wang T, et al.
This statement is based on the Novel Coronavirus Infection Pneumonia Diagnosis and Treatment Standards (the fourth edition) (National Health Committee) and other previous diagnosis and treatment strategies for pediatric virus infections. The present consensus statement summarizes current strategies on diagnosis, treatment, and prevention of 2019-nCoV infection in children.
Info page: What Does the Coronavirus Disease 2019 (COVID-19) Mean for Families?
Thompson LA, Rasmussen SA
Thompson LA, Rasmussen SA
Objective: To prepare families for COVID-19 in the US.
Info page: Coronavirus Disease 2019 (COVID-2019) Information for Pediatric Healthcare Providers.
US Centers for Disease Control and Prevention.
US Centers for Disease Control and Prevention.
To inform pediatric healthcare providers of information available on children with COVID-19.
Guideline:Nasal High Flow Therapy
Children's Health Queensland Hospital and Health Service
Children's Health Queensland Hospital and Health Service
The aim of this guideline is to ensure safe and effective use of Nasal High Flow (NHF) therapy for children with acute respiratory illness through: Appropriate placement in inpatient areas with trained staff. Support for decision making in relation to initiation, continuation and weaning of therapy and escalation of concerns.
Fever and temperature taking
Canadian Pediatric Society
Canadian Pediatric Society
Clinical Practice Guideline: Paediatric fracture guidelines
Victorian Paediatric Orthopaedic Network
Victorian Paediatric Orthopaedic Network
Summary of paediatric fracture types, emergency department management, and information for fracture clinics.
Clinical Practice Guideline: Peripheral neurovascular checklist
SicKids Division of Orthopaedic Surgery
SicKids Division of Orthopaedic Surgery
Peripheral Neurovascular Checklist.
Clinical Practice Guideline: Head injury: assessment and early management
National Institute for Health and Care Excellence (NICE), National Clincial Guideline Centre
National Institute for Health and Care Excellence (NICE), National Clincial G...
This guideline covers the assessment and early management of head injury in children, young people and adults. It promotes effective clinical assessment so that people receive the right care for the severity of their head injury, including referral directly to specialist care if needed.
Clinical Practice Guideline: Management of Pediatric Severe Traumatic Brain Injury: 2019 Consensus and Guidelines-Based Algorithm for First and Second Tier Therapies.
ochanek PM, Tasker RC, Bell MJ, Adelson PD, Carney N, Vavilala MS, et al
ochanek PM, Tasker RC, Bell MJ, Adelson PD, Carney N, Vavilala MS, et al
To produce a treatment algorithm for the ICU management of infants, children, and adolescents with severe traumatic brain injury.
Pediatric Trauma Society Clinical Practice Guidelines
Pediatric Trauma Society
Pediatric Trauma Society
These guidelines have been supplied by a hospital as an example of a clinical practice guideline to provide clinicians at that institution with an analytical framework for the evaluation and treatment of a particular diagnosis or condition.
Advanced Trauma Life Support Update 2019: Management and Applications for Adults and Special Populations
Galvagno SM Jr, Nahmias JT, Young DA.
Galvagno SM Jr, Nahmias JT, Young DA.
As the principal operating room resuscitationists, anesthesiologists must be familiar with the principles of Advanced Trauma Life Support, 10th edition. This edition recommends a highly structured approach to trauma patients and endorses several advances in trauma resuscitation. There are less stringent guidelines for crystalloid administration, references to video-assisted laryngoscopy, suggested use of viscoelastic methods to guide transfusion decisions, and other changes reflecting recent advances. This article discusses trauma team approach to resuscitation, greater focus on special populations, de-emphasis of spinal immobilization in favor of restriction of spinal motion, and other updates and technical advances.