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Browse Compendium: Cochrane Pediatric Emergency Medicine Reviews



Systematic reviews

Cochrane Systematic Review: Traditional Chinese medicine for epilepsy

Cochrane Systematic Review: Traditional Chinese medicine for epilepsy

Visit

Li Q, Chen XY, He L, Zhou D

Li Q, Chen XY, He L, Zhou D

OBJECTIVES: To determine the effectiveness and safety of traditional Chinese medicine in people with epilepsy.

OBJECTIVES: To determine the effectiveness and safety of traditional Chinese medicine in people with epilepsy.

Cochrane Systematic Review: Chinese herbal medicine Huangqi type formulations for nephrotic syndrome

Cochrane Systematic Review: Chinese herbal medicine Huangqi type formulations for nephrotic syndrome

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Feng M, Yuan W, Zhang R, Fu P, Wu T

Feng M, Yuan W, Zhang R, Fu P, Wu T

OBJECTIVES: To assess the benefits and harms of Huangqi and Huangqi type formulations in treating nephrotic syndrome in any age group, either as sole agents or in addition to other drug therapies.

OBJECTIVES: To assess the benefits and harms of Huangqi and Huangqi type formulations in treating nephrotic syndrome in any age group, either as sole agents or in addition to other drug therapies.

Cochrane Systematic Review: Chinese herbal medicine for atopic eczema

Cochrane Systematic Review: Chinese herbal medicine for atopic eczema

Visit

Zhang W, Leonard T, Bath-Hextall FJ, Chambers C, Lee C, Humphreys R, Williams HC

Zhang W, Leonard T, Bath-Hextall FJ, Chambers C, Lee C, Humphreys R, William...

OBJECTIVES: To assess the effects of Chinese herbal mixtures in the treatment of atopic eczema.

OBJECTIVES: To assess the effects of Chinese herbal mixtures in the treatment of atopic eczema.

Cochrane Systematic Review: Rapid viral diagnosis for acute febrile respiratory illness in children in the Emergency Department

Cochrane Systematic Review: Rapid viral diagnosis for acute febrile respiratory illness in children in the Emergency Department

Visit

Doan Q, Enarson P, Kissoon N, Klassen TP, Johnson DW.

Doan Q, Enarson P, Kissoon N, Klassen TP, Johnson DW.

Objectives: To determine the effect of rapid viral testing in the ED on the rate of precautionary testing, antibiotic use, and length of ED visit.

Objectives: To determine the effect of rapid viral testing in the ED on the rate of precautionary testing, antibiotic use, and length of ED visit.

Cochrane Systematic Review: Early emergency department treatment of acute asthma with systemic corticosteroids

Cochrane Systematic Review: Early emergency department treatment of acute asthma with systemic corticosteroids

Visit

Rowe BH, Spooner C, Ducharme FM, Bretzlaff JA, Bota GW.

Rowe BH, Spooner C, Ducharme FM, Bretzlaff JA, Bota GW.

Objectives: To determine the benefit of treating patients with acute asthma with systemic corticosteroids within an hour of presenting to the emergency department (ED).

Objectives: To determine the benefit of treating patients with acute asthma with systemic corticosteroids within an hour of presenting to the emergency department (ED).

Cochrane Systematic Review: Early use of inhaled corticosteroids in the emergency department treatment of acute asthma

Cochrane Systematic Review: Early use of inhaled corticosteroids in the emergency department treatment of acute asthma

Visit

Edmonds ML, Milan SJ, Camargo CA Jr, Pollack CV, Rowe BH.

Edmonds ML, Milan SJ, Camargo CA Jr, Pollack CV, Rowe BH.

Objectives: To determine the benefit of ICS for the treatment of patients with acute asthma managed in the emergency department (ED).

Objectives: To determine the benefit of ICS for the treatment of patients with acute asthma managed in the emergency department (ED).

Cochrane Systematic Review: Inhaled steroids for acute asthma following emergency department discharge

Cochrane Systematic Review: Inhaled steroids for acute asthma following emergency department discharge

Visit

Edmonds ML, Milan SJ, Brenner BE, Camargo CA Jr, Rowe BH.

Edmonds ML, Milan SJ, Brenner BE, Camargo CA Jr, Rowe BH.

Objectives: To determine the effectiveness of ICS on outcomes in the treatment of acute asthma following discharge from the ED. To quantify the effectiveness of ICS therapy on acute asthma following ED discharge, when used in addition to, or as a substitute for, systemic corticosteroids.

Objectives: To determine the effectiveness of ICS on outcomes in the treatment of acute asthma following discharge from the ED. To quantify the effectiveness of ICS therapy on acute asthma following ED discharge, when used in addition to, or as a substitute for, systemic corticosteroids.

Cochrane Systematic Review: Interventions for educating children who are at risk of asthma-related emergency department attendance

Cochrane Systematic Review: Interventions for educating children who are at risk of asthma-related emergency department attendance

Visit

Boyd M, Lasserson TJ, McKean MC, Gibson PG, Ducharme FM, Haby M.

Boyd M, Lasserson TJ, McKean MC, Gibson PG, Ducharme FM, Haby M.

Objectives: To conduct a systematic review of the literature and update the previous review as to whether asthma education leads to improved health outcomes in children who have attended the emergency room for asthma.

Objectives: To conduct a systematic review of the literature and update the previous review as to whether asthma education leads to improved health outcomes in children who have attended the emergency room for asthma.

Cochrane Systematic Review: Intravenous beta2-agonists for acute asthma in the emergency department

Cochrane Systematic Review: Intravenous beta2-agonists for acute asthma in the emergency department

Visit

Travers A, Jones AP, Kelly K, Barker SJ, Camargo CA, Rowe BH.

Travers A, Jones AP, Kelly K, Barker SJ, Camargo CA, Rowe BH.

Objectives: To determine the benefit of intravenous (IV) beta2-agonists for severe acute asthma treated in the emergency department.

Objectives: To determine the benefit of intravenous (IV) beta2-agonists for severe acute asthma treated in the emergency department.

Cochrane Systematic Review: Magnesium sulfate for treating exacerbations of acute asthma in the emergency department

Cochrane Systematic Review: Magnesium sulfate for treating exacerbations of acute asthma in the emergency department

Visit

Rowe BH, Bretzlaff JA, Bourdon C, Bota GW, Camargo CA Jr.

Rowe BH, Bretzlaff JA, Bourdon C, Bota GW, Camargo CA Jr.

Objectives: To examine the effect of additional intravenous magnesium sulfate in patients with acute asthma managed in the emergency department.

Objectives: To examine the effect of additional intravenous magnesium sulfate in patients with acute asthma managed in the emergency department.

Cochrane Systematic Review: Emergency intubation for acutely ill and injured patients

Cochrane Systematic Review: Emergency intubation for acutely ill and injured patients

Visit

Lecky F, Bryden D, Little R, Tong N, Moulton C

Lecky F, Bryden D, Little R, Tong N, Moulton C

OBJECTIVES: To determine in acutely ill and injured patients who have real or anticipated problems in maintaining an adequate airway whether emergency endotracheal intubation, as opposed to other airway management techniques, improves the outcome in terms of survival, degree of disability at discharge or length of stay and complications occurring in hospital.

OBJECTIVES: To determine in acutely ill and injured patients who have real or anticipated problems in maintaining an adequate airway whether emergency endotracheal intubation, as opposed to other airway management techniques, improves the outcome in terms of survival, degree of disability at discharge or length of stay and complications occurring in hospital.

Cochrane Systematic Review: Tranexamic acid for reducing mortality in emergency and urgent surgery

Cochrane Systematic Review: Tranexamic acid for reducing mortality in emergency and urgent surgery

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Perel P, Ker K, Morales Uribe CH, Roberts I

Perel P, Ker K, Morales Uribe CH, Roberts I

OBJECTIVES: To assess the effects of tranexamic acid on mortality, blood transfusion and thromboembolic events in adults undergoing emergency or urgent surgery.

OBJECTIVES: To assess the effects of tranexamic acid on mortality, blood transfusion and thromboembolic events in adults undergoing emergency or urgent surgery.

Cochrane Systematic Review: Emergency interventions for hyperkalaemia

Cochrane Systematic Review: Emergency interventions for hyperkalaemia

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Mahoney BA, Smith WA, Lo DS, Tsoi K, Tonelli M, Clase CM

Mahoney BA, Smith WA, Lo DS, Tsoi K, Tonelli M, Clase CM

OBJECTIVES: To review randomised evidence informing the emergency (i.e. acute, rather than chronic) management of hyperkalaemia

OBJECTIVES: To review randomised evidence informing the emergency (i.e. acute, rather than chronic) management of hyperkalaemia

Review: Pediatric orthopedic injuries: evidence-based management in the emergency department  (2017)

Review: Pediatric orthopedic injuries: evidence-based management in the emergency department

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Lien J

Lien J

This issue reviews the etiology and pathophysiology of child-specific fractures, as well as common injuries of the upper and lower extremities.

This issue reviews the etiology and pathophysiology of child-specific fractures, as well as common injuries of the upper and lower extremities.

Key studies

Key Study: Outcome of Pediatric Forearm Fracture Reductions Performed by Pediatric Emergency Medicine Providers Compared With Reductions Performed by Orthopedic Surgeons: A Retrospective Cohort Study  (2018)

Key Study: Outcome of Pediatric Forearm Fracture Reductions Performed by Pediatric Emergency Medicine Providers Compared With Reductions Performed by Orthopedic Surgeons: A Retrospective Cohort Study

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Milner, D, Krause, E, Hamre, K and Flood, A

Milner, D, Krause, E, Hamre, K and Flood, A

The aim of this study was to describe the outcome differences between board-certified orthopedists and pediatric emergency medicine (PEM) physicians conducting forearm fracture reductions.

The aim of this study was to describe the outcome differences between board-certified orthopedists and pediatric emergency medicine (PEM) physicians conducting forearm fracture reductions.

Key Study: Cost Consequence Analysis of Implementing the Low Risk Ankle Rule in Emergency Departments  (2015)

Key Study: Cost Consequence Analysis of Implementing the Low Risk Ankle Rule in Emergency Departments

Visit

Boutis, K, von Keyserlingk, C, Willan, A, Narayanan, UG, Brison, R, Grootendorst, P, Plint AC, Parker, M & Goeree, R

Boutis, K, von Keyserlingk, C, Willan, A, Narayanan, UG, Brison, R, Grootendo...

Objective: To examine the costs and consequences of implementing the Low Risk Ankle Rule.

Objective: To examine the costs and consequences of implementing the Low Risk Ankle Rule.

Overview of studies: Emergency presentation of congenital heart disease in children  (2008)

Overview of studies: Emergency presentation of congenital heart disease in children

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EB Medicine

EB Medicine

Objective: To address the evaluation and management of pediatric patients with congenital heart defects in the context of the evidence available from the medical literature.

Objective: To address the evaluation and management of pediatric patients with congenital heart defects in the context of the evidence available from the medical literature.

Overview of studies: Congenital Heart Disease In Pediatric Patients: Recognizing The Undiagnosed And Managing Complications In The Emergency Department  (2016)

Overview of studies: Congenital Heart Disease In Pediatric Patients: Recognizing The Undiagnosed And Managing Complications In The Emergency Department

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Judge P, Meckler G

Judge P, Meckler G

Objective: This review focuses on the recognition and initial management of patients with undiagnosed congenital heart disease presenting to the ED and touches on considerations for postoperative infants and children with complex congenital heart disease.

Objective: This review focuses on the recognition and initial management of patients with undiagnosed congenital heart disease presenting to the ED and touches on considerations for postoperative infants and children with complex congenital heart disease.

Key Study: Intravenous regional anaesthesia (Bier's block) for pediatric forearm fractures in a pediatric emergency department-Experience from 2003 to 2014  (2017)

Key Study: Intravenous regional anaesthesia (Bier's block) for pediatric forearm fractures in a pediatric emergency department-Experience from 2003 to 2014

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Chua ISY, Chong SL, Ong GYK

Chua ISY, Chong SL, Ong GYK

The objective of the study was to evaluate the efficacy (length of stay in the emergency department and failure rate of Bier's block) and safety profile (death and major complications) of Bier's block in its use for manipulation and reduction of paediatric forearm fractures.

The objective of the study was to evaluate the efficacy (length of stay in the emergency department and failure rate of Bier's block) and safety profile (death and major complications) of Bier's block in its use for manipulation and reduction of paediatric forearm fractures.

Key Study: The utility of clinical ultrasonography in identifying distal forearm fractures inthe pediatric emergency department  (2017)

Key Study: The utility of clinical ultrasonography in identifying distal forearm fractures inthe pediatric emergency department

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Galletebeitia Laka I, Samson F, Gorostiza I, Gonzalez A, Gonzalez C

Galletebeitia Laka I, Samson F, Gorostiza I, Gonzalez A, Gonzalez C

The aim of this study is to evaluate the utility of point-of-care ultrasound for diagnosing distal forearm fractures in pediatric emergency departments.

The aim of this study is to evaluate the utility of point-of-care ultrasound for diagnosing distal forearm fractures in pediatric emergency departments.

Key Study: Reduced Length of Stay and Adverse Events Using Bier Block for Forearm Fracture Reduction in the Pediatric Emergency Department  (2016)

Key Study: Reduced Length of Stay and Adverse Events Using Bier Block for Forearm Fracture Reduction in the Pediatric Emergency Department

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Fauteux-Lamarre E, Burstein B, Cheng A, Bretholz A

Fauteux-Lamarre E, Burstein B, Cheng A, Bretholz A

This study sought to compare Bier block and procedural sedation for forearm fracture reduction.

This study sought to compare Bier block and procedural sedation for forearm fracture reduction.

Key Study: Manipulation and reduction of paediatric fractures of the distal radius and forearm using intranasal diamorphine and 50% oxygen and nitrous oxide in the emergency department: a 2.5-year study  (2016)

Key Study: Manipulation and reduction of paediatric fractures of the distal radius and forearm using intranasal diamorphine and 50% oxygen and nitrous oxide in the emergency department: a 2.5-year study

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Kurien T, Price KR, Pearson RG, Dieppe C, Hunter JB

Kurien T, Price KR, Pearson RG, Dieppe C, Hunter JB

This study presents the results of managing children's fracture of the distal forearm in the ED using intranasal diamorphine and Entonox to allow manipulation and discharge on the same day.

This study presents the results of managing children's fracture of the distal forearm in the ED using intranasal diamorphine and Entonox to allow manipulation and discharge on the same day.

Key Study: Effect of a Computerized Reminder on Splinting of Pediatric Upper Limb Fractures in the Emergency Department  (2016)

Key Study: Effect of a Computerized Reminder on Splinting of Pediatric Upper Limb Fractures in the Emergency Department

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Mills E, Craig S, Oakley E

Mills E, Craig S, Oakley E

The primary objective was to assess if a computerized pop-up reminder increased splint application before X-ray in pediatric emergency department patients with deformed upper limb fractures.

The primary objective was to assess if a computerized pop-up reminder increased splint application before X-ray in pediatric emergency department patients with deformed upper limb fractures.

Key Study: Using softcast to treat torus fractures in a paediatric emergency department  (2015)

Key Study: Using softcast to treat torus fractures in a paediatric emergency department

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Callender O, Koe S

Callender O, Koe S

Wrist torus fractures in children are a frequent reason for Emergency Department (ED) visits. Torus fractures traditionally were treated with a backslab cast in the Children's ED and then referred to the Fracture Clinic. Guidelines were developed in order to standardise the care for children who attended the ED with a torus fracture. All patients who were seen & treated by the Advanced Nurse Practitioner (ANP) over a one year period with a diagnosis of a torus fracture were treated with immobilisation in a softcast. 119 patients met the criteria for inclusion. There were no adverse events recorded and no patient required subsequent visits to the Fracture Clinic. There was a cost savings of 18,596 as compared with the normal referral pathway to the Fracture Clinic.

Wrist torus fractures in children are a frequent reason for Emergency Department (ED) visits. Torus fractures traditionally were treated with a backslab cast in the Children's ED and then referred to the Fracture Clinic. Guidelines were developed in order to standardise the care for children who attended the ED with a torus fracture. All patients who were seen & treated by the Advanced Nurse Practitioner (ANP) over a one year period with a diagnosis of a torus fracture were treated with immobilisation in a softcast. 119 patients met the criteria for inclusion. There were no adverse events recorded and no patient required subsequent visits to the Fracture Clinic. There was a cost savings of 18,596 as compared with the normal referral pathway to the Fracture Clinic.

Key Study: Feasibility of a reduction protocol in the emergency department for diaphyseal forearm fractures in children  (2015)

Key Study: Feasibility of a reduction protocol in the emergency department for diaphyseal forearm fractures in children

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Pesenti S, Litzelmann E, Kahil M, Mallet C, Jehanno P, Mercier JC, Ilharreborde B, Mazda K

Pesenti S, Litzelmann E, Kahil M, Mallet C, Jehanno P, Mercier JC, Ilharrebor...

The purpose of this study was to analyze the results of diaphyseal forearm fractures in the emergency department in children.

The purpose of this study was to analyze the results of diaphyseal forearm fractures in the emergency department in children.

Key Study: Reducing Time to Pain Medication Administration for Pediatric Patients with Long Bone Fractures in the Emergency Department  (2018)

Key Study: Reducing Time to Pain Medication Administration for Pediatric Patients with Long Bone Fractures in the Emergency Department

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Schuman, S S, Regen, R B, Stuart, L H, Harrell, C, Jones, T L, Stewart, B M, Berg, A M, Longjohn, M and Kink, R J

Schuman, S S, Regen, R B, Stuart, L H, Harrell, C, Jones, T L, Stewart, B M, ...

The purpose of this quality improvement project was to develop a protocol with the goal to administer pain medication to children presenting with suspected long bone fractures 47 minutes of emergency department arrival.

The purpose of this quality improvement project was to develop a protocol with the goal to administer pain medication to children presenting with suspected long bone fractures 47 minutes of emergency department arrival.

Key Study: Emergency room closed reduction versus in situ splinting in the treatment of paediatric supracondylar humerus fractures  (2019)

Key Study: Emergency room closed reduction versus in situ splinting in the treatment of paediatric supracondylar humerus fractures

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Sylvia, SM, Maguire, KJ, Molho, DA, Levens, BJ, Stone, MEJ, Hanstein, R, Schulz, JF and Fornari, ED

Sylvia, SM, Maguire, KJ, Molho, DA, Levens, BJ, Stone, MEJ, Hanstein, R, Schu...

The purpose of this study was to investigate if outcomes or complications differ between two management methods.

The purpose of this study was to investigate if outcomes or complications differ between two management methods.

Key Study: Management of Paediatric Buckle (Torus) Wrist Fractures in Irish Emergency Departments: A National Survey  (2018)

Key Study: Management of Paediatric Buckle (Torus) Wrist Fractures in Irish Emergency Departments: A National Survey

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Abdelhady, A, Ahmed, A, Umana, E and O'Donnell, J

Abdelhady, A, Ahmed, A, Umana, E and O'Donnell, J

Buckle fractures are the most common wrist fractures reported in the paediatric age group. National Institute for Clinical Excellence (NICE) recommends using a non-rigid immobilisation with no follow up for these patients and appropriate discharge advice. A telephone survey was conducted to assess the variation in practice in Irish hospitals regarding the mpediatrianagement of buckle fractures.

Buckle fractures are the most common wrist fractures reported in the paediatric age group. National Institute for Clinical Excellence (NICE) recommends using a non-rigid immobilisation with no follow up for these patients and appropriate discharge advice. A telephone survey was conducted to assess the variation in practice in Irish hospitals regarding the mpediatrianagement of buckle fractures.

Key Study: Multiple interventions improve analgesic treatment of supracondylar humerus fractures in a pediatric emergency department  (2015)

Key Study: Multiple interventions improve analgesic treatment of supracondylar humerus fractures in a pediatric emergency department

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Porter, RN, Chafe, RE, Newhook, LA and Murnaghan, KD

Porter, RN, Chafe, RE, Newhook, LA and Murnaghan, KD

To measure the effectiveness of a set of interventions in improving the rate and timeliness of analgesic medication administration, as well as appropriate backslab immobilization (application of a moldable plaster or fiberglass splint), in a pediatric ED.

To measure the effectiveness of a set of interventions in improving the rate and timeliness of analgesic medication administration, as well as appropriate backslab immobilization (application of a moldable plaster or fiberglass splint), in a pediatric ED.

Other

Emergency Medicine Cases Podcast: Pediatric fever without a source  (2014)

Emergency Medicine Cases Podcast: Pediatric fever without a source

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Dr. Sarah Reid & Dr. Gina Neto

Dr. Sarah Reid & Dr. Gina Neto

Episode 48:In this episode, with the help of Dr. Sarah Reid and Dr. Gina Neto from the Childrens Hospital of Eastern Ontario, we will elucidate how to deal with fever phobia, when a rectal temp is necessary, how to pick out the kids with fever that we need to worry about, how to work up kids with fever depending on their age, risk factors and clinical picture, who needs a urinalysis, who needs a CXR, who needs blood cultures and who needs an LP, and much more. Posted online: August 2014. 

Episode 48:In this episode, with the help of Dr. Sarah Reid and Dr. Gina Neto from the Childrens Hospital of Eastern Ontario, we will elucidate how to deal with fever phobia, when a rectal temp is necessary, how to pick out the kids with fever that we need to worry about, how to work up kids with fever depending on their age, risk factors and clinical picture, who needs a urinalysis, who needs a CXR, who needs blood cultures and who needs an LP, and much more. Posted online: August 2014. 

Emergency Medicine Cases Podcast: Pediatric abdominal pain & appendicitis  (2010)

Emergency Medicine Cases Podcast: Pediatric abdominal pain & appendicitis

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Dr. Anna Jarvis & Dr. Stephen Freedman

Dr. Anna Jarvis & Dr. Stephen Freedman

Episode 19 Part 1:In Part 1 of this Episode on Pediatric Abdominal Pain, Dr. Anna Jarvis & Dr. Stephen Freedman discuss the nuances of the history, physical and work up of Pediatric Abdominal Pain & Appendicitis and key pearls on how to distinguish serious surgical causes from the very common diagnosis of gastroenteritis. An in-depth discussion on the pearls of the history, physical exam, lab tests, imaging including serial ultrasounds vs CT abdomen, clinical decision rules such as the Alvarado Score, best analgesics and antibiotics in pediatric appendicitis follows. Published online: December 2011.  

Episode 19 Part 1:In Part 1 of this Episode on Pediatric Abdominal Pain, Dr. Anna Jarvis & Dr. Stephen Freedman discuss the nuances of the history, physical and work up of Pediatric Abdominal Pain & Appendicitis and key pearls on how to distinguish serious surgical causes from the very common diagnosis of gastroenteritis. An in-depth discussion on the pearls of the history, physical exam, lab tests, imaging including serial ultrasounds vs CT abdomen, clinical decision rules such as the Alvarado Score, best analgesics and antibiotics in pediatric appendicitis follows. Published online: December 2011.  

Emergency Medicine Cases Podcast: Pediatric Pain Management  (2015)

Emergency Medicine Cases Podcast: Pediatric Pain Management

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Dr. Samina Ali & Dr. Anthony Crocco

Dr. Samina Ali & Dr. Anthony Crocco

Episode 67: Pain is the most common reason for seeking health care. It accounts for 80% of ED visits. The WHO has declared that “optimal pain treatment is a human right”. As has been shown in multiple ED-based Pediatric pain management studies, Pediatric pain is all too often under-estimated and under-treated. Why does this matter? Under-estimating and under-treating pediatric pain may have not only short term detrimental effects but life-long detrimental effects as well; not to mention, screaming miserable children disturbing other patients in your ED and complaints to the hospital from parents. Whether it’s venipuncture, laceration repair, belly pain or reduction of a fracture we need to have the skills and knowledge to optimize efficient and effective pain management in all the kids we see in the ED. What are the indications for intranasal fentanyl? intranasal ketamine? Why should codeine be contra-indicated in children? How do triage-initaited pain protocols improve pediatric pain management? Which are most effective skin analgesics for venipuncture? To help you make these important pediatric pain management decisions, in this podcast we have one of the most prominent North American researchers and experts in Emergency Pediatric pain management, Dr. Samina Ali and not only the chief of McMaster Children’s ED but also the head of the division of Pediatric EM at McMaster University, Dr. Anthony Crocco.

Episode 67: Pain is the most common reason for seeking health care. It accounts for 80% of ED visits. The WHO has declared that “optimal pain treatment is a human right”. As has been shown in multiple ED-based Pediatric pain management studies, Pediatric pain is all too often under-estimated and under-treated. Why does this matter? Under-estimating and under-treating pediatric pain may have not only short term detrimental effects but life-long detrimental effects as well; not to mention, screaming miserable children disturbing other patients in your ED and complaints to the hospital from parents. Whether it’s venipuncture, laceration repair, belly pain or reduction of a fracture we need to have the skills and knowledge to optimize efficient and effective pain management in all the kids we see in the ED. What are the indications for intranasal fentanyl? intranasal ketamine? Why should codeine be contra-indicated in children? How do triage-initaited pain protocols improve pediatric pain management? Which are most effective skin analgesics for venipuncture? To help you make these important pediatric pain management decisions, in this podcast we have one of the most prominent North American researchers and experts in Emergency Pediatric pain management, Dr. Samina Ali and not only the chief of McMaster Children’s ED but also the head of the division of Pediatric EM at McMaster University, Dr. Anthony Crocco.

Emergency Medicine Cases Podcast: Cyanotic Infant  (2016)

Emergency Medicine Cases Podcast: Cyanotic Infant

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Dr. Gary Joubert & Dr. Anton Helman

Dr. Gary Joubert & Dr. Anton Helman

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

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

Emergency Medicine Cases Podcast: Congenital Heart Disease Emergencies  (2016)

Emergency Medicine Cases Podcast: Congenital Heart Disease Emergencies

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Dr. Gary Joubert & Dr. Ashley Strobel

Dr. Gary Joubert & Dr. Ashley Strobel

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

Published online: August 2016. 

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

Published online: August 2016. 

Emergency Medicine Cases Rapid Review: Congenital Heart Disease Part 1

Emergency Medicine Cases Rapid Review: Congenital Heart Disease Part 1

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

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

Learning Objectives

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

Learning Objectives

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

Emergency Medicine Cases Rapid Review: Congenital Heart Disease Part 2

Emergency Medicine Cases Rapid Review: Congenital Heart Disease Part 2

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

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

Learning Objectives

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

Learning Objectives

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

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National Capital Conference on Emergency Medicine 2016

Feb 12, 2016 - Feb 13, 2016  | Conference  | Team: News and Events 


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Prairie Annual Pediatric Emergency Medicine Assembly 2016

Apr 07, 2016 - Apr 08, 2016  | Conference  | Team: News and Events 


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Pediatric Emergency Medicine Refresher Course

May 25, 2016, 8:00 am to 5:00 pm  | Course  | Team: News and Events 


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Society Academic Emergency Medicine Annual Meeting

May 10, 2016 - May 13, 2016  | Meeting  | 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 


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Saskatchewan Emergency Medicine Annual Conference (SEMAC)

Oct 14, 2016 - Oct 15, 2016  | Conference  | Team: News and Events 


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2019 National Emergency Nurses Association Conference

May 24, 2019 - May 26, 2019  | Announcement  | Team: News and Events  |  


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TREKK update from Terry Klassen

Mar 21, 2013, 11:23 am to 12:30 pm  | Blog  | Team: News and Events 
Tags: Emergency Medicine, Evidence-Based Medicine, Pediatrics, Research


view 9 more matching past events

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Western Emergency Department Operations Conference 2016

Apr 28, 2016 - Apr 29, 2016  | Meeting  | Team: News and Events 


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Canadian Association of Emergency Physicians (CAEP)

May 26, 2018 - May 30, 2018  | Announcement  | Team: News and Events  |  


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Western Emergency Department Operations Conference (WEDOC) 2016

Apr 28, 2016 - Apr 29, 2016  | Conference  | Team: News and Events 


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PERC Annual Meeting

Jan 24, 2016 - Jan 28, 2016  | Meeting  | Team: News and Events 


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CAEP Conference 2016

Jun 04, 2016 - Jun 06, 2016  | Conference  | Team: News and Events 


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NENA Conference 2016

Apr 22, 2016 - Apr 24, 2016  | Conference  | Team: News and Events 


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TREKKing Through Friendly Manitoba

May 23, 2014, 9:38 am to 9:38 am  | Blog  | Team: News and Events 


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Jan 8th 2013 TREKK Prioritization Committee Meeting

Jan 08, 2013, 1:00 pm to 2:00 pm  | Meeting  | Team: Prioritization Team  > Meetings


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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 gets full department status at U of S

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


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Dr. Marilyn Li Pediatric Emergency Medicine Leadership Award

Posted: Jun 02, 2015  | Announcement  | Team: News and Events 


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DKA Podcast on Emergency Medicine Cases

Posted: May 01, 2015  | Resource  | Team: News and Events 
Tags: Diabetic ketoacidosis


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2nd Annual Emergency Medicine Cases course

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


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Emergency Medicine Cases Bronchiolitis Podcast

Posted: Feb 10, 2015  | Announcement  | Team: News and Events 
Tags: Bronchiolitis


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TREKK Needs Assessment publication in CJEM

Posted: Jan 23, 2017  | Announcement  | Team: News and Events 


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EM Cases - Emergency management of pediatric seizures

Posted: Dec 02, 2015  | 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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New Chair for the Pediatric Emergency Research Networks

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


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Welcome New Board Member, Dr. Brett Burstein

Posted: Jan 16, 2023  | Announcement  | Team: News and Events 


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New Board of Directors Member

Posted: Dec 19, 2016  | Announcement  | Team: News and Events 


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Congratulations Dr. Samina Ali!

Posted: Nov 19, 2018  | 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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Dr. Terry Klassen on CTV Morning Live Winnipeg

Posted: Mar 13, 2017  | Announcement  | Team: News and Events 


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Dr. Terry Klassen on CTV Morning Live Winnipeg

Posted: Mar 13, 2017  | Announcement  | Team: News and Events 


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Congenital Heart Defect Awareness Month

Posted: Feb 14, 2017  | Announcement  | Team: News and Events 


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Welcome Dr. Jen Turnbull!

Posted: Jun 21, 2022  | Announcement  | Team: News and Events 


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Rapid Review Series: DKA

Posted: Dec 11, 2017  | Announcement  | Team: News and Events 


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New resources available on trekk.ca!

Posted: Jul 10, 2015  | Resource  | Team: News and Events 


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Guidelines for Pediatric Concussion Launched in Ottawa

Posted: Jun 26, 2014  | Story  | Team: News and Events 
Tags: Concussion


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Gastroenteritis video for parents

Posted: Nov 03, 2016  | Announcement  | Team: News and Events 
Tags: Gastroenteritis


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EM Cases Digest Volume 2: Pediatric Emergencies

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


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Couching health evidence in a story

Posted: Mar 18, 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: Pain Treatment

Posted: Jul 16, 2018  | Announcement  | Team: News and Events 


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EM Cases Podcast: Cyanotic Infant

Posted: Jul 21, 2016  | Announcement  | Team: News and Events 


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IWK implements TREKK sepsis PedsPac

Posted: Nov 16, 2017  | Announcement  | Team: News and Events 


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New bottom line recommendations for concussion on trekk.ca

Posted: Nov 05, 2014  | Announcement  | Team: News and Events 


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Top 10 ED tips for families

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


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Needs Assessment Guidelines and Updates

Posted: Dec 21, 2011  | Project  | Team: Needs Assessment  


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Reinventing Research: Engaging Patients and Parents

Posted: Jul 14, 2014  | Story  | Team: News and Events 


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National Emergency Nurses Association Conference

Posted: Feb 18, 2020  | Announcement  | Team: News and Events 


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TREKK Education Session - Brandon, Manitoba

Posted: Apr 09, 2019  | Announcement  | Team: News and Events 


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Treating Gastroenteritis: Evidence for Clinicians

Posted: Apr 10, 2015  | Announcement  | Team: News and Events 
Tags: Gastroenteritis


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TREKK Board Announcement

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


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Reaching Far and Wide- TREKK in the North

Posted: Jul 08, 2021  | Blog  | Team: News and Events 


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CanadiEM blog: TREKK Series | Bronchiolitis

Posted: Jul 20, 2016  | Blog  | Team: News and Events 


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TREKK featured in WAVE Magazine

Posted: Feb 22, 2017  | Announcement  | Team: News and Events 


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TREKK Promotional Materials

Posted: May 25, 2015  | Resource  | Team: Communications 


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New topic: febrile status epilepticus

Posted: Aug 18, 2016  | Resource  | Team: News and Events 


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CanadiEM Blog: TREKK Series | Multisystem Trauma

Posted: Sep 08, 2016  | Blog  | Team: News and Events 


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Congratulations Dr. Klassen

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


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NENA Conference 2018

Posted: Feb 15, 2018  | Announcement  | Team: News and Events 


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TREKK Scholars & Fellows Program

Posted: Jul 05, 2021  | Announcement  | Team: News and Events 


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TREKK 2014-2015 Annual Report Highlights

Posted: Sep 01, 2015  | Announcement  | Team: News and Events 


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Does a child's cough sound like a barking seal? Could be croup

Posted: May 01, 2015  | Announcement  | Team: News and Events 
Tags: Croup, Infection


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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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October 11th is Emergency Nurses Day!

Posted: Oct 11, 2023  | Announcement  | Team: News and Events 


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Become a A Pediatric Emergency Care Coordinator (PECC)

Posted: Jul 23, 2021  | Announcement  | Team: News and Events 


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2017 Pediatric Emergency Care Conference

Posted: Oct 19, 2017  | Announcement  | Team: News and Events 


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New Bottom Line Recommendation: Fever in Young Infants

Posted: Jul 04, 2019  | Announcement  | Team: News and Events 


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Building a connection: TREKK and NENA

Posted: Jun 30, 2015  | Blog  | Team: News and Events 


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Brain Awareness Week

Posted: Mar 11, 2019  | Announcement  | Team: News and Events 


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Brain Injury Awareness Month 2019

Posted: Jun 13, 2019  | Announcement  | 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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Webinar: Mobilizing knowledge to improve pediatric health care

Posted: Mar 29, 2016  | Announcement  | Team: News and Events 


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Canada Research Chair in Knowledge Synthesis and Translation

Posted: Jul 16, 2019  | Announcement  | Team: News and Events 


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Dr. Amy Plint on wrist buckle fractures

Posted: Oct 06, 2015  | Announcement  | 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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2018/19 Annual Report Summary

Posted: Aug 20, 2019  | Announcement  | Team: News and Events 


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Brain Awareness Week

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


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Profiling pediatric pain expert: Dr. Samina Ali

Posted: Mar 18, 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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New Resource- Suicidal Risk Screening & Assessment

Posted: Oct 14, 2021  | Announcement  | Team: News and Events 
Tags: Suicidal Risk Assessment


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New Bottom Line Recommendation: Procedural Pain

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


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TREKK e-update: November 13th 2015

Posted: Nov 16, 2015  | Announcement  | Team: News and Events 


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New! Multisystem Trauma Bottom Line Recommendations

Posted: Apr 02, 2015  | Announcement  | Team: News and Events 
Tags: Multiple Trauma


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Managing trauma patients in Community EDs

Posted: Mar 08, 2018  | Announcement  | Team: News and Events 


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Logged-in Asthma Module

Posted: May 22, 2014  | Online Course  | Team: ED Clinical Pathways Implementation 


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2021 CIHR IHDCYH Talks Video Competition  (External Event )

Posted: Sep 22, 2021  | Announcement  | Team: News and Events 


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The TREKK story

Posted: Aug 12, 2013  | Story  | Team: News and Events 
Tags: Emergency Medicine, Pediatrics, Evidence-Based Medicine


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2017 Annual PERC Scientific Meeting

Posted: Nov 03, 2016  | Announcement  | Team: News and Events 


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New video tells parents what to do about croup

Posted: Feb 13, 2017  | Announcement  | Team: News and Events 


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Federal Government Renews Support for TREKK

Posted: May 01, 2016  | Announcement  | Team: News and Events 


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Updated fact sheet on COVID-19 and kids

Posted: Mar 29, 2021  | Announcement  | Team: News and Events 


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TREKK featured on CTV Winnipeg

Posted: Jul 31, 2015  | Story  | Team: News and Events 


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Updated Bottom Line Recommendations: Intussusception

Posted: Jul 09, 2018  | Announcement  | Team: News and Events 


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CAPHC Webinar: PedsPacs

Posted: May 23, 2017  | Announcement  | Team: News and Events 


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Pediatric Anaphylaxis Pediatric Pack Now Available!

Posted: Oct 16, 2018  | Announcement  | Team: News and Events 


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MyHEARTSMAP- Mental Health Self Assessment Tool  (External Event )

Posted: Jan 11, 2022  | Announcement  | Team: News and Events 
Tags: Mental Health, MyHEARTSMAP


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I Love to Read Month

Posted: Feb 18, 2020  | Announcement  | Team: News and Events 


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Status Epilepticus Pediatric Pack Now Available!

Posted: Oct 02, 2018  | Announcement  | Team: News and Events 


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TREKK at CAEP 2018

Posted: Feb 06, 2018  | 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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Bronchiolitis Bottom Line: Two Year Review

Posted: May 02, 2017  | Announcement  | Team: News and Events 


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NEW Burns Bottom Line Recommendations

Posted: Feb 23, 2021  | Announcement  | Team: News and Events 


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Brain Injury Awareness month

Posted: Jun 06, 2017  | Announcement  | Team: News and Events 


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WHA and WHO Name Sepsis a Global Priority

Posted: Jun 06, 2017  | Announcement  | Team: News and Events 


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New Bottom Line Recommendations: Urinary Tract Information

Posted: Aug 20, 2019  | Announcement  | Team: News and Events 


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Parent tools - CTV Winnipeg

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


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New asthma video for parents

Posted: Mar 22, 2021  | 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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New study: Do IV Fluids affect risk of Cerebral Edema in DKA?

Posted: Jun 18, 2018  | 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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Pediatric Respiratory Assessment Measure (PRAM) App

Posted: Dec 08, 2015  | Announcement  | Team: News and Events 


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A qualitative ‘TREKK’ across Newfoundland

Posted: Oct 29, 2013  | Blog  | Team: News and Events 
Tags: Research


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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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TREKK and IWK Partner to Create New Parent Tools

Posted: Jul 19, 2022  | Announcement  | Team: News and Events 


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New PedsPacs!

Posted: Dec 20, 2018  | 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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TREKK Welcomes New Board Members

Posted: Jun 29, 2021  | Announcement  | Team: News and Events 


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TREKK Webinar

Posted: Aug 03, 2021  | Announcement  | Team: News and Events 


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New PedsPac!

Posted: Jan 31, 2019  | Announcement  | Team: News and Events 


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NEW Parent Tools!

Posted: May 30, 2019  | Announcement  | Team: News and Events 


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Parent tools - UTI and Bronchiolitis

Posted: Jan 09, 2020  | 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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TREKK Annual Report Summary

Posted: Sep 25, 2013  | Series  | Team: Communications 
Tags: Pediatrics, Emergency Medicine



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