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Resources in Evidence Repository and Individual Compendia

Key Resources

Aerosol Generating Medical Procedure (AGMP)

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Dr. Kate Maki

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

Aerosol Generating Medical Procedure (AGMP)

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Dr. Kate Maki

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

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

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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 guidelines

Clinical Practice Guideline: Relief of pain and anxiety in pediatric patients in emergency medical systems

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Fein JA, Zempsky WT, Cravero JP, Committee on Pediatric Emergency Medicine an...

Control of pain and stress for children is a vital component of emergency medical care. Timely administration of analgesia affects the entire emergency medical experience and can have a lasting effect on a childs and familys reaction to current and future medical care. A systematic approach to pain management and anxiolysis, including staff education and protocol development, can provide comfort to children in the emergency setting and improve staff and family satisfaction.

Clinical Practice Guideline: The medical assessment of bruising in suspected child maltreatment cases: A clinical perspective

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Ward MG, Ornstein A, Niec A, Murray CL, Canadian Paediatric Society Child and...

This practice point will help clinicians to distinguish between accidental and inflicted bruises, to evaluate and manage bruising in the context of suspected child maltreatment, and to evaluate for an underlying medical predisposition to bruising.

Clinical Practice Guideline: 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

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Chun TH, Mace SE, Katz ER, American Academy of Pediatrics Committee on Pediat...

Part 2 of the report discusses the challenges a pediatric clinician may face when evaluating patients with a mental health condition, which may be contributing to or a complicating factor for a medical or indeterminate clinical presentation.

Clinical Practice Guideline: Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents--second edition

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Kochanek PM, Carney N, Adelson PD, Ashwal S, Bell MJ, Bratton S, Carson S, Ch...

Published in 2012, these guidelines reflect updated information from the first edition published in 2003. Thisdocument is endorsed by the American Academy of Pediatrics-Section on Neurological Surgery, American Association of Neurological Surgeons/Congress of Neurological Surgeons, Child Neurology Society, European Society of Pediatric and Neonatal Intensive Care, Neurocritical Care Society, Pediatric Neurocritical Care Research Group, Society of Critical Care Medicine, The Paediatric Intensive Care Society (UK), Society for Neuroscience in Anesthesiology and Critical Care, and the World Federation of Pediatric Intensive and Critical Care Societies.

Summaries of systematic reviews

Cochrane Summary: Nonpharmacological management of infant and young child procedural pain

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Pillai Riddell RR, Racine NM, Gennis HG, Turcotte K, Uman LS, Horton RE, Ahol...

We examined 13 different types of commonly investigated non-pharmacological treatments (excluding breastmilk, sucrose, and music) to determine theirefficacyfor pain reactions after an acutely painful procedure (right after the needle ('pain reactivity') and less immediate pain reactions ('immediate pain-related regulation').Fifty-onerandomizedcontrolled trials were included involving 3396 participants. For preterm infants, there was sufficient evidence to recommend kangaroo care, sucking-related interventions, and swaddling/facilitated tucking interventions for both pain reactivity and immediate pain-related regulation. For neonates, there was sufficient evidence to recommend sucking-related interventions as an effective treatment for pain reactivity and immediate pain-related regulation.Rocking/holding was also found to be efficacious for neonatal immediate pain-related regulation.For older infants, there were no treatments reviewed that demonstrated sufficient evidence. Due to significant differences in the magnitude of treatment effects among studies (heterogeneity), some analyses that found a lack of treatment effect need to be interpreted with caution.

Systematic reviews

Cochrane Systematic Review: Medical interventions for fungal keratitis

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FlorCruz NV, Peczon IV, Evans JR

OBJECTIVES: To examine the effect of different antifungal drugs in the management of fungal keratitis.

Cochrane Systematic Review: Medical treatment for botulism

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Chalk CH, Benstead TJ, Keezer M

OBJECTIVES: To assess the effects of medical treatments on mortality, duration of hospitalization, mechanical ventilation, tube or parenteral feeding and risk of adverse events in botulism.

Review: Relief of pain and anxiety in pediatric patients in emergency medical systems

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Fein JA, Zempsky WT, Cravero JP, Committee on Pediatric Emergency Medicine an...

Control of pain and stress for children is a vital component of emergency medical care. Timely administration of analgesia affects the entire emergency medical experience and can have a lasting effect on a child's and family's reaction to current and future medical care. A systematic approach to pain management and anxiolysis, including staff education and protocol development, can provide comfort to children in the emergency setting and improve staff and family satisfaction.

Systematic Review: Music for pain and anxiety in children undergoing medical procedures: a systematic review of randomized controlled trials

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Klassen JA, Liang Y, Tjosvold L, Klassen TP, Hartling L

Objective: The aim of this study was to conduct a systematic review of the efficacy of music therapy (MT) on pain and anxiety in children undergoing clinical procedures.

Key studies

Key Study: Differences in medical therapy goals for children with severe traumatic brain injury-an international study

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Bell MJ, Adelson PD, Hutchison JS, Kochanek PM, Tasker RC, Vavilala MS, Beers...

To describe the differences in goals for their usual practice for various medical therapies from a number of international centers for children with severe traumatic brain injury.

Key Study: Effectiveness of Pelvic Physiotherapy in Children With Functional Constipation Compared With Standard Medical Care

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van Engelenburg-van Lonkhuyzen ML, Bols EM, Benninga MA, Verwijs WA, de Bie RA

This study aimed to compare the effectiveness of pelvic physiotherapy (PPT) vs standard medical care (SMC) in children with functional constipation.

Key Study: Effect of oxygen desaturations on subsequent medical visits in infants discharged from the emergency department with bronchiolitis

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Principi T, Coates AL, Parkin PC, Stephens D, DaSilva Z, Schuh S

Objective: To examine whether there is a difference in the proportion of unscheduled medical visits within 72 hours of emergency department discharge in infants with bronchiolitis who have oxygen desaturations to lower than 90% for at least 1 minute during home oximetry monitoring vs those without desaturations.

Key Study: Accidental pediatric ingestions of medical marijuana: a 4-year poison center experience

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Lovecchio, F., & Heise, C. W

A study of incidental pediatric cannabis consumption over a 4-year period.

Key Study: The Pharmacologic and Clinical Effects of Medical Cannabis

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Borgelt, L. M., Franson, K. L., Nussbaum, A. M., & Wang, G. S.

This article will describe the pharmacology of cannabis, effects of various dosage formulations, therapeutics benefits and risks of cannabis for pain and muscle spasm, and safety concerns of medical cannabis use.

Key Study: An economic evaluation of immediate vs non-immediate activation of emergency medical services after epinephrine use for peanut-induced anaphylaxis

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Shaker M, Kanaoka T, Feenan L, Greenhawt M.

To evaluate the cost-effectiveness of this strategy, vs a watchful waiting approach before activating emergency medical services (EMS).

TREKK.ca Past Events

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ImageSim Registration

Feb 27, 2018 - Jul 01, 2019  | Announcement  | Team: News and Events 



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View from the north - David Pontin

May 11, 2013, 3:24 pm to 3:24 pm  | Blog  | Team: News and Events 



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Emergency Medicine Prairie Annual Meeting (EMPAC)

Apr 30, 2016 - May 01, 2016  | Meeting  | Team: News and Events 



TREKK.ca Info Pages

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New Resource- AGMP Fact Sheet

Posted: Jun 21, 2021  | Announcement  | Team: News and Events 
Tags: Aerosol Generating Medical Procedure (AGMP)



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New Bottom Line Recommendation: Procedural Pain

Posted: Nov 07, 2016  | Announcement  | Team: News and Events 



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Croup in children - a Canadian Medical Association Review

Posted: Oct 21, 2013  | Journal Club  | Team: News and Events 



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Congratulations Dr. Klassen

Posted: Aug 08, 2014  | Announcement  | Team: News and Events 



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2nd Annual Emergency Medicine Cases course

Posted: Sep 27, 2016  | Announcement  | Team: News and Events 



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Croup video

Posted: Dec 15, 2016  | Announcement  | Team: News and Events 



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New Bottom Line Recommendation: Anaphylaxis

Posted: Sep 10, 2018  | Announcement  | Team: News and Events 



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Heart Month

Posted: Feb 14, 2019  | Announcement  | Team: News and Events 



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EM Cases Digest Volume 2: Pediatric Emergencies

Posted: May 04, 2016  | Announcement  | Team: News and Events 



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Useful tips for parents this holiday season

Posted: Dec 15, 2015  | Media Publication  | Team: News and Events 



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TREKK Board Announcement

Posted: May 21, 2019  | Announcement  | Team: News and Events 



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Mona Jabbour receives the Michel Weber Education Award

Posted: Jul 06, 2016  | Announcement  | Team: News and Events 



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Improving mental health care transitions for children and youth

Posted: Jul 12, 2016  | Announcement  | Team: News and Events 



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Predicting the duration of post-concussion symptoms

Posted: Mar 10, 2016  | Announcement  | Team: News and Events 



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New Podcast: Pediatric Physical Abuse Recognition and Management

Posted: Mar 27, 2018  | Announcement  | Team: News and Events 



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Why should Canada invest in emergency care for children:

Posted: Jul 18, 2017  | Announcement  | Team: News and Events 



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Croup Storybooks

Posted: Feb 19, 2015  | Resource  | Team: News and Events 
Tags: Croup



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A summer project to find online resources

Posted: Jun 24, 2013  | Blog  | Team: News and Events 



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Asthma Pathway

Posted: Oct 21, 2013  | Module  | Team: ED Clinical Pathways Implementation  > Pathways



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Parent tools - CTV Winnipeg

Posted: Jun 18, 2019  | Announcement  | Team: News and Events 



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Gastroenteritis Pathway

Posted: Oct 21, 2013  | Module  | Team: ED Clinical Pathways Implementation  > Pathways



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Caring for Kids New to Canada

Posted: Jul 11, 2013  | Story  | Team: News and Events 
Tags: Pediatrics



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New Chair for the Pediatric Emergency Research Networks

Posted: Jun 02, 2014  | Announcement  | Team: News and Events 




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