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For a list of references that informed this Bottom Line Recommendation, see the Evidence Repository: Anaphylaxis (2023).

This resource if for the treatment of pediatric anaphylaxis. Published online February 2023. Version 2.0.

This pocket card is for the treatment of pediatric anaphylaxis. Published online February 2023. Version 2.0.

Bottom line recommendations for severe head injury. Uploaded to the website on November 15, 2022. 

For a list of references that were used in the creation of this resource, see Evidence Repository: Procedural Sedation (2022)

For a list of references that were used in the creation of this resource, see Evidence Repository: Gastroenteritis (2022).

Bottom line recommendations for the treatment of Intussusception. Published online January 2023.

Bottom line recommendations for the treatment of acute otitis media. Published online November (2022).

For a list of references that informed this Bottom Line Recommendation, see the Evidence Repository: Urinary Tract Infection (2022). 

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 

For a list of references that will inform the development of this resource, see Evidence Repository: Sickle Cell Disease (2022).

Bottom line recommendations for the treatment and management of diabetic ketoacidosis (DKA).

This document outlines the references used and team involved in the development of the diabetic ketoacidosis PedsPac. 

An algorithm for recognizing and managing pediatric diabetic ketoacidosis

A pocket guide to red flags for pediatric diabetic ketoacidosis

This order set is for management of pediatric diabetic ketoacidosis in the ED. This document is adaptable to your hospitals form policy. 

Pediatric status epilepticus algorithm

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 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 for the treatment and management of concussion. Updated: February 2022

For a list of references that were used in the creation of this resource, see Evidence Repository: Pain Treatment (2022)

Bottom Line recommendations for assessment and management of status epilepticus in children over 1 month of age. May 2022. Version 1.0

Bottom line recommendations for screening and assessment of suicide risk. March 2022. Version 1.0

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).

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 for the treatment and management of pediatric anaphylaxis - version 1.2. Published online: December 2018.

Bottom line recommendations for the treatment and management of pediatric constipation - version 2.0. Published online: November 2021.

Fact sheet for the treatment and management of pediatric COVID-19 (novel coronavirus)

Bottom line recommendations for the treatment and management of pediatric thermal burns - version 1.0. Published online: February 2021.

Aerosol-generating medical procedures (AGMPs) are procedures that can generate aerosols when an infected person’s airway is manipulated.

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. 

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.

A practical guide for health professionals to meet the needs of individuals with Autism Spectrum Disorder.

Bottom Line Recommendations for screening and assessment of suicide risk. September 2021, Version 1.0

Bottom line recommendations for cannabis intoxication. Published online: December 2021

Formulations and methods of delivery table for cannabis. Uploaded 2021-12-06

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 for the treatment and management of pediatric gastroenteritis

Bottom line recommendations for the treatment and management of croup.

Bottom line recommendations for the treatment and management of bronchiolitis. Posted online: January 14, 2021, Version 3.0.

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.

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.

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.

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 for diagnosis and treatment of urinary tract infection. Version 1.1

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.

Bottom line recommendations for the treatment and management of asthma. Updated January 2020, Version 1.5.

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.

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.

This checklist is for management of pediatric multisystem in the ED pre-arrival and post-departure. Published online: June 2020, Version 1.0.

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.

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.

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.

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.

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 for the treatment and management of fever in neonates and infants. Published online: June 2019, Version 2.0.

Bottom line recommendations for caring for children with developmental and intellectual disabilities in the ED. Published online: Feb 2020, v 1.1

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

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

The purpose of this pathway is to assist the health care team with clinical decisions regarding the management of a patient with intussusception.

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.  

Guidelines for burns centre consultations.

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).

Special consideration in pediatrics from the Surviving Sepsis Campaign. Published: 2013.

Bottom line recommendations for pediatric procedural sedation. Published online: March 2018.

Flowchart of emergency management in children for acute otitis media.

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.

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.

Bottom line recommendations for the treatment and management of suspected physical child maltreatment. Published online: August 2018.

Bottom line recommendations for the treatment and management pediatric sepsis. Published online: September 2018.

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.

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.

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.

This document outlines the references used and team involved in the development of the asthma PedsPac. Published online: December 2018, Version 1.0.

Burns management guidelines for pediatric burn assessment.

Pediatric burn guidelines reference chart.

Guideline to help with the interpretation of CSF results for the purpose of diagnosing or excluding meningitis.

Guideline for performing lumbar puncture.

Guideline for the assessment and management of meningitis-encephalitis.

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.

This document outlines the references used and team involved in the development of the sepsis PedsPac. Published online: April 2017.

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 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 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 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.

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.

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.

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.

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

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.

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.

UBC Division of Plastic Surgery: Pediatric burn referrals.

Flowchart of management of bacterial meningitis in children and young people, incorporating NICE Bacterial Meningitis and Meningococcal Septicaemia Guideline CG102.

Guideline discussing aseptic meningitis pathogens, clinical presentation, diagnosis, treatment, and pathogen specific therapies.

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.

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 chart of criteria for management of children with suspected and confirmed acute otitis media based on symptoms of children over 6 months of age.

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.

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.

This clinical pathway contains diagnosis and treatment information for persons under 16 with suspected urinary tract infection.

Guidance for front line nurses on the early recognition of meningitis and sepsis (what to look for).

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.

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.

This infographic provides general information on managing febrile seizures.

Flowchart of evaluation and management of functional constipation in children.

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.

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.

This document summarizes causes, symptoms, and management of cyanosis in newborns.

Analgesic starting doses for children.

Is your child in pain? The doctor can help. As for pain treatment!

Video instructing how to diagnose otitis media with otoscopy and cerum removal.

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.

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.

PLAN D'ACTION CANADIEN POUR L1ANAPHYLAXIE POUR LES ENFANTS- French

Information for paramedics and emergency room staff on providing services to a person on the autism spectrum.

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).

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.