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Resources in Evidence Repository and Individual Compendia

Key Resources

Aerosol Generating Medical Procedure (AGMP)  (2021)

Aerosol Generating Medical Procedure (AGMP)

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Dr. Kate Maki

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 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  (2016)

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 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.

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.

Recommandations de Base: Interventions médicales générant des aérosols (IMGA)

Recommandations de Base: Interventions médicales générant des aérosols (IMGA)

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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. 

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

Clinical guidelines

Clinical Practice Guideline: The medical assessment of bruising in suspected child maltreatment cases: A clinical perspective  (2013)

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 Youth Maltreatment Section

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.

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  (2016)

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 Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Emerg...

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.

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.

Implementing clinical pathways for acute behavioral health issues in pediatric medical settings  (2017)

Implementing clinical pathways for acute behavioral health issues in pediatric medical settings

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Feuer, V. and L. M. Prager

Feuer, V. and L. M. Prager

Summaries of systematic reviews

Cochrane Summary: Nonpharmacological management of infant and young child procedural pain  (2015)

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, Ahola Kohut S, Hillgrove Stuart J, Stevens B, Lisi DM

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') a

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') a

Systematic reviews

Cochrane Systematic Review: Medical interventions for fungal keratitis

Cochrane Systematic Review: Medical interventions for fungal keratitis

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FlorCruz NV, Peczon IV, Evans JR

FlorCruz NV, Peczon IV, Evans JR

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

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

Cochrane Systematic Review: Medical treatment for botulism

Cochrane Systematic Review: Medical treatment for botulism

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Chalk CH, Benstead TJ, Keezer M

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.

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: Medical Encounters for Youth With Autism Spectrum Disorder: A Comprehensive Review of Environmental Considerations and Interventions  (2019)

Review: Medical Encounters for Youth With Autism Spectrum Disorder: A Comprehensive Review of Environmental Considerations and Interventions

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Straus J, Coburn S, Maskell S, Pappagianopoulos J, Cantrell K.

Straus J, Coburn S, Maskell S, Pappagianopoulos J, Cantrell K.

Approximately 1 in 59 youth are currently diagnosed with autism spectrum disorder (ASD), a neurodevelopmental disorder. In comparison to typically developing peers, youth with ASD encounter hospitalization at higher rates due to their heightened health care needs. While visiting the hospital is a stressor for youth with neurotypical needs, the experience contains unique challenges for those with ASD. This systematic literature review highlights research that considers the psychosocial impact of the hospital environment on the coping and adjustment of youth with ASD. Specifically, the review focuses on recommendations and interventions that may be used by health care professionals while supporting this population as they encounter the health care system. Ninety-six articles were identified as meeting inclusion and exclusion criteria. The findings suggest that practicing clinicians should implement a wide variety of interventions for youth with ASD including diversion techniques, comfort positions, and picture schedules. Although there are published evidence-based interventions for supporting youth with ASD in the hospital, most clinicians lack ASD-specific training. This article concludes with recommendations for future research.

Approximately 1 in 59 youth are currently diagnosed with autism spectrum disorder (ASD), a neurodevelopmental disorder. In comparison to typically developing peers, youth with ASD encounter hospitalization at higher rates due to their heightened health care needs. While visiting the hospital is a stressor for youth with neurotypical needs, the experience contains unique challenges for those with ASD. This systematic literature review highlights research that considers the psychosocial impact of the hospital environment on the coping and adjustment of youth with ASD. Specifically, the review focuses on recommendations and interventions that may be used by health care professionals while supporting this population as they encounter the health care system. Ninety-six articles were identified as meeting inclusion and exclusion criteria. The findings suggest that practicing clinicians should implement a wide variety of interventions for youth with ASD including diversion techniques, comfort positions, and picture schedules. Although there are published evidence-based interventions for supporting youth with ASD in the hospital, most clinicians lack ASD-specific training. This article concludes with recommendations for future research.

Review: A Scoping Review of Targeted Interventions and Training to Facilitate Medical Encounters for School-Aged Patients with an Autism Spectrum Disorder  (2021)

Review: A Scoping Review of Targeted Interventions and Training to Facilitate Medical Encounters for School-Aged Patients with an Autism Spectrum Disorder

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Kouo JL, Kouo TS.

Kouo JL, Kouo TS.

Individuals with an autism spectrum disorder (ASD) have a greater number of healthcare provider interactions than individuals without ASD. The obstacles to patient-centered care for this population, which include inflexibility of hospital environments, limited resources, and inadequate training, has been documented. However, there is little knowledge on efforts to address such concerns. A scoping review was conducted and the systematic search of the literature resulted in 23 relevant studies. The predominant themes include the use of data collection instruments, application of evidence-based practices and resources, and training of providers. The results of this review have implications for practitioners and future research to adapt and improve upon the provision of medical care for individuals with ASD across the lifespan.

Individuals with an autism spectrum disorder (ASD) have a greater number of healthcare provider interactions than individuals without ASD. The obstacles to patient-centered care for this population, which include inflexibility of hospital environments, limited resources, and inadequate training, has been documented. However, there is little knowledge on efforts to address such concerns. A scoping review was conducted and the systematic search of the literature resulted in 23 relevant studies. The predominant themes include the use of data collection instruments, application of evidence-based practices and resources, and training of providers. The results of this review have implications for practitioners and future research to adapt and improve upon the provision of medical care for individuals with ASD across the lifespan.

Review: Relief of pain and anxiety in pediatric patients in emergency medical systems  (2012)

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 and Section on Anesthesiology and Pain Medicine

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 futu

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 futu

Systematic Review: Music for pain and anxiety in children undergoing medical procedures: a systematic review of randomized controlled trials  (2008)

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

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.

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

Narrative review of practical aspects of aerosol delivery via high-flow nasal cannula.  (2021)

Narrative review of practical aspects of aerosol delivery via high-flow nasal cannula.

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Li J, Fink JB.

Li J, Fink JB.

Using high-flow nasal cannula (HFNC) as a "vehicle" to administer aerosolized medication has attracted clinicians' interest in recent years. In this paper, we summarize the current evidence to answer the common questions raised by clinicians about this new aerosol delivery route and best practices of administration. Benefits of trans-nasal aerosol delivery include increased comfort, ability to speak, eat, and drink for patients while meeting a range of oxygen requirements, particularly for those who need to inhale aerosolized medication for long periods.

Using high-flow nasal cannula (HFNC) as a "vehicle" to administer aerosolized medication has attracted clinicians' interest in recent years. In this paper, we summarize the current evidence to answer the common questions raised by clinicians about this new aerosol delivery route and best practices of administration. Benefits of trans-nasal aerosol delivery include increased comfort, ability to speak, eat, and drink for patients while meeting a range of oxygen requirements, particularly for those who need to inhale aerosolized medication for long periods.

Key Study: Differences in medical therapy goals for children with severe traumatic brain injury-an international study  (2013)

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 SR, Fabio A, Kelsey SF, Wisniewski SR

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.

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  (2017)

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

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.

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  (2016)

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

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.

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  (2015)

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

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Lovecchio, F., & Heise, C. W

Lovecchio, F., & Heise, C. W

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

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

Key Study: The Pharmacologic and Clinical Effects of Medical Cannabis  (2013)

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.

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.

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  (2019)

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.

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).

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

Key Study: Brief Report: Knowledge and Confidence of Emergency Medical Service Personnel Involving Treatment of an Individual with Autism Spectrum Disorder.  (2017)

Key Study: Brief Report: Knowledge and Confidence of Emergency Medical Service Personnel Involving Treatment of an Individual with Autism Spectrum Disorder.

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Wachob D, Pesci LJ.

Wachob D, Pesci LJ.

In order to best respond to an emergency situation, professionals need to have an understanding about Autism Spectrum Disorder (ASD) and techniques that will ensure proper care. The purpose of this study was to determine the knowledge and confidence of EMS personnel on interacting and treating an individual with ASD. Emergency Medical Technicians (EMT), and Paramedics were surveyed on their knowledge of ASD; familiarity or experience with ASD, and level of comfort responding to emergencies involving an individual with ASD. The results found that autism-specific training and resources were associated with higher comfort levels, but not knowledge. It was also determined that newer and younger professionals had higher knowledge and comfort when compared to the more experienced and older professionals.

In order to best respond to an emergency situation, professionals need to have an understanding about Autism Spectrum Disorder (ASD) and techniques that will ensure proper care. The purpose of this study was to determine the knowledge and confidence of EMS personnel on interacting and treating an individual with ASD. Emergency Medical Technicians (EMT), and Paramedics were surveyed on their knowledge of ASD; familiarity or experience with ASD, and level of comfort responding to emergencies involving an individual with ASD. The results found that autism-specific training and resources were associated with higher comfort levels, but not knowledge. It was also determined that newer and younger professionals had higher knowledge and comfort when compared to the more experienced and older professionals.

Other

Neuroleptic prescribing and monitoring practices in pediatric inpatient medical and psychiatric settings  (2018)

Neuroleptic prescribing and monitoring practices in pediatric inpatient medical and psychiatric settings

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Le, L., J. R. Bostwick, A. Andreasen and N. Malas

Le, L., J. R. Bostwick, A. Andreasen and N. Malas

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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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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Heart Month

Posted: Feb 14, 2019  | 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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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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Welcome Dr. Shwetz

Posted: Nov 15, 2021  | 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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Welcome Dr. Baril

Posted: Nov 15, 2021  | Announcement  | Team: News and Events 


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Croup Storybooks

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

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Caring for Kids New to Canada

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