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Resources in Evidence Repository and Individual Compendia

Bottom Line Recommendations

Bottom Line: An Evidence-Based Approach to Minimizing Acute Procedural Pain in the Emergency Department and Beyond. Pediatr Emerg Care 2016;32(1):36-42.

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Ali S, McGrath T, Drendel AL

Objective: This review article aims to provide a summary of several strategies, which are supported by definitive and systematically reviewed evidence, that can be implemented alone or in combination to reduce procedural pain and anxiety for children in the ED and beyond.

Emergency Medicine Cases Podcast: Emergency management of pediatric seizures - Guidance and podcast

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Helman A

With the help of two of Canada's Pediatric Emergency Medicine seizure experts handpicked by TREKK, Dr. Lawrence Richer and Dr. Angelo Mikrogianakis, we'll give you all the tools you need to approach the child who presents to the ED with a seizure with the utmost confidence.

Videos in clinical medicine. Diagnosing otitis media--otoscopy and cerumen removal

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Shaikh N, Hoberman A, Kaleida PH, Ploof DL, Paradise JL

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

Emergency Medicine Cases: Practical COVID-19 resources for front line healthcare professionals

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Clinical guidelines

Clinical Practice Guidelines: The treatment of pediatric supracondylar humerus fractures: Evidence-Based Guideline and Evidence Report

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Howard A, Mulpuri K, Abel MF, Braun S, Bueche M, Epps H, Hosalkar H, Mehlman ...

This clinical practice guideline is based on a systematic review of published studies on the treatment of supracondylar fractures of the humerus in children. In addition to providing practice recommendations, this guideline highlights gaps in the literature and areas that require future research.

Clinical Practice Guideline: Reducing the pain of childhood vaccination: an evidence-based clinical practice guideline

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Taddio A, Appleton M, Bortolussi R, Chambers C, Dubey V, Halperin S, Hanrahan...

Our objective was to develop a clinical practice guideline, based on systematic reviews of the literature, as interpreted by experts, to assist clinicians in managing procedure-related pain and distress among children undergoing vaccine injections.

Clinical Practice Guideline: European Society for Pediatric Gastroenterology, Hepatology, and Nutrition/European Society for Pediatric Infectious Diseases evidence-based guidelines for the management of acute gastroenteritis in children in Europe: up

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Guarino A, Ashkenazi S, Gendrel D, Lo Vecchio A, Shamir R, Szajewska H, Europ...

These guidelines update and extend evidence-based indications for the management of children with acute gastroenteritis in Europe.

Practice parameter: treatment of nervous system Lyme disease (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology

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Halperin JJ, Shapiro ED, Logigian E, Belman AL, Dotevall L, Wormser GP, Krupp...

Provides evidence-based recommendations on the treatment of nervous system Lyme disease and post-Lyme syndrome. Three questions were addressed: 1) Which antimicrobial agents are effective? 2) Are different regimens preferred for different manifestations of nervous system Lyme disease? 3) What duration of therapy is needed?

Guidelines: Evaluation and Treatment of Functional Constipation in Infants and Children: Evidence-based Recommendations from ESPGHAN and NASPGHAN

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Tabbers MM, DiLorenzo C, Berger MY, Faure C, Langendam MW, Nurko S, Staiano A...

This evidence-based guideline provides recommendations for the evaluation and treatment of children withfunctionalconstipation to standardize and improve their quality of care. In addition, 2 algorithms were developed, one for the infants under 6 months of age and the other for older infants and children.

Clinical Practice Guideline: Evidenced-based clinical practice guideline for management of newborn pain

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Spence K, Henderson-Smart D, New K, Evans C, Whitelaw J, Woolnough R

Aim: To facilitate the uptake of evidence and to reduce the evidence practice gap for management of newborn pain through the development of a clinical practice guideline.

Clinical Practice Guideline: 2015 update of the evidence base: World Allergy Organization anaphylaxis guidelines

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Simons FE, Ebisawa M, Sanchez-Borges M, Thong BY, Worm M, Tanno LK, Lockey RF...

The World Allergy Organization (WAO) Guidelines for the assessment and management of anaphylaxis provide a unique global perspective on this increasingly common, potentially life-threatening disease. Recommendations made in the original WAO Anaphylaxis Guidelines remain clinically valid and relevant, and are a widely accessed and frequently cited resource. In this 2015 update of the evidence supporting recommendations in the Guidelines, new information based on anaphylaxis publications from January 2014 through mid- 2015 is summarized.

Clinical Practice Guidelines: Treatment of Distal Radius Fractures: Guideline and Evidence Report

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Lichtman DM, Randipsingh RR, Boyer MI, Putnam MD, Ring D, Slutsky DJ, Taras JS

This an an AAOS clinical guideline for pediatric distal radial fractures.

Clinical Practice Guideline: Updated American College of Critical Care Medicine--pediatric advanced life support guidelines for management of pediatric and neonatal septic shock: relevance to the emergency care clinician (2010)

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Kissoon NO, R. A.; Carcillo, J. A.

Objective: Shock is a major preventable cause of morbidity and mortality in children referred to emergency care. The recently updated American College of Critical Care Medicine guidelines for the management of newborns and children with septic shock emphasize the role of emergency care in improving survival and functional outcomes. Implementation of these guidelines of stepwise use of fluids, antibiotics, and, if necessary, inotropes within the first hour of admission to the emergency department can reduce mortality and neurological morbidity risks 2-fold. Published: 2010.

Video: Procedural sedation and analgesia in children

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Krauss BS, Krauss BA, Green SM.

This video describe procedural sedation and analgesia for children. Published: April 2014.

Video: Managing Procedural Anxiety in Children

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Krauss BS, Krauss BA, Green SM.

This video describes the signs of acute anxiety in children and demonstrates approaches to interacting with children that minimize anxiety and maximize cooperation. Published: April 2016.

Summaries of systematic reviews

Evidence Summary: Towards evidence based medicine for paediatricians. Question 3. Does the administration of glucagon improve the rate of radiological reduction in children with acute intestinal intussusception?

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Cachat F, Ramseyer P,

This summary examines the relationship between glucagon and the rate of radiological reduction for acute intestinal intussusception.

Evidence Summary: Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. BET 2: Can emergency physicians safely rule in or rule out paediatric intussusception in the emergency department using bedside ultrasound?

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Raymond-Dufresne , Ghanayem H,

This summary investigates the diagnostic use of bedside ultrasound for paediatric intussusception in the emergency department.

Evidence Summary: Clinically suspected intussusception in children: evidence based review and self-assessment module

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Applegate KE,

This summary uses case examples to review the current evidence for the management of children with clinically suspected intussusception.

Summary: In children with bacterial meningitis, does the addition of dexamethasone to an antibiotic treatment regimen result in a better clinical outcome than the antibiotic regimen alone?: Part A: Evidence-based answer and summary

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Fox JL

Objective: To determine the efficacy of adjuvant dexamethasone therapy in paediatric bacterial meningitis.

Evidence Summary: Best evidence topic reports. Bet 4. Role of plain abdominal radiograph in the diagnosis of intussusception

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Broomfield D, Maconochie I,

This summary investigates the role of plain abdominal radiograph in the diagnosis of intussusception

Cochrane Summary: Local anaesthesia (numbing medicine) that is directly applied to the skin can provide pain control for repair of skin lacerations

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Tayeb BO, Eidelman A, Eidelman CL, McNicol ED, Carr DB

To assess whether benefits of noninvasive topical anaesthetic application occur at the expense of decreased analgesic efficacy. To compare the efficacy of various singlecomponent or multicomponent topical anaesthetic agents for repair of dermal lacerations. To determine the clinical necessity for topical application of the ester anaesthetic, cocaine.

Evidence Summary: Gastroenteritis

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Alberta Research Centre for Health Evidence (ARCHE)

The purpose of this document is to describe the effectiveness of three treatment options for pediatric gastroenteritis, based on a 2013 overview of reviews by Freedman SB et al.

Summary: Evidence for Clinicians: Nebulized epinephrine for croup in children

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Kawaguchi A, Joffe A,

Expert commentary on the Cochrane Review on nebulized epinephrine for reducing symptoms in children with severe croup. 

Overviews of systematic reviews

No evidence in favour of using ultrasound to aid diagnosis of patients with a 'blunt' injury to the abdomen

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Stengel D, Bauwens K, Rademacher G, Ekkernkamp A, Gthoff C,

This Cochrane Review may be regarded as a review which provides the best available evidence for clinical practice guidelines and management recommendations.

Cochrane Overview: Evidence Summary: Croup

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Alberta Research Centre for Health Evidence (ARCHE),

The purpose of this document is to describe the effectiveness of four treatment options, based on a 2012 Overview of Reviews.

Overview of Systematic Reviews: Evidence Summary: Bronchiolitis

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Alberta Research Centre for Health Evidence (ARCHE)

Evidence summary for the treatment and management of bronchiolitis.

Evidence Summary: Are topical antibiotics an alternative to oral antibiotics for children with acute otitis media and ear discharge?

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Venekamp RP, Prasad V, Hay AD

Objective: To review the evidence comparing efectiveness of topical antibiotics with oral antibiotics, placebo, or no treatment in children with AOM presenting with ear discharge caused by spontaneous perforation of the eardrum.

Systematic reviews

Critically Appraised Topic: Evidence-based emergency medicine/critically appraised topic. Is fluid therapy associated with cerebral edema in children with diabetic ketoacidosis?

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Hom J, and Sinert R

Diabetic ketoacidosis is the most common cause of morbidity and mortality in children with type I diabetes mellitus, and cerebral edema is the leading cause of pediatric diabetic ketoacidosis death. Excessive intravenous fluid administration has been implicated as a cause of cerebral edema. We perform an evidence-based emergency medicine review assessing the association of intravenous fluid hydration and cerebral edema.

Systematic Review: Clinical policy: evidence-based approach to pharmacologic agents used in pediatric sedation and analgesia in the emergency department

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Mace SE, Barata IA, Cravero JP, Dalsey WC, Godwin SA, Kennedy RM, Malley KC, ...

This document is a clinical policy on pediatric procedural sedation.

Systematic Review: Currently recommended treatments of childhood constipation are not evidence based: a systematic literature review on the effect of laxative treatment and dietary measures

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Pijpers MA, Tabbers MM, Benninga MA, Berger MY

The objective of this systematic review was to investigate and summarise the quantity and quality of the current evidence for the effect of laxatives and dietary measures on functional childhood constipation.

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

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Lien J

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

Systematic Review: The treatment of displaced supracondylar humerus fractures: evidence-based guideline

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Mulpuri K, Wilkins K

The purpose of this paper is to summarize and highlight the major findings from the systematic review that developed a clinical practice guideline from the American Academy of Orthopaedic Surgeons regarding treatment for type III supracondylar fractures.

Systematic Review: Risk of intussusception following rotavirus vaccination: An evidence based meta-analysis of cohort and case-control studies

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Kassim P, Eslick GD

A meta-analysis was performed to summarise available evidence and to give an overall risk of developing intussusception from case-control and cohort studies for all rotavirus vaccines that have been manufactured up to date.

Review: Irritable Bowel Syndrome in Children: Pathogenesis, Diagnosis and Evidence-Based Treatment

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Sandhu BK, Paul SP

This review covers the description, etiology, diagnosis and management of irritable bowel syndrome in children.

Cochrane Systematic Review: Polymer-based oral rehydration solution for treating acute watery diarrhoea

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Gregorio GV, Gonzales ML, Dans LF, Martinez EG

OBJECTIVES: To compare polymer-based ORS with glucose-based ORS for treating acute watery diarrhoea.

Cochrane Systematic Review: Rice-based oral rehydration solution for treating diarrhoea

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Fontaine O, Gore SM, Pierce NF

OBJECTIVES: The objective of this review was to assess the effects of rice-based oral rehydration salts solution compared with glucose-based oral rehydration salts solution on reduction of stool output and duration of diarrhoea in patients with acute watery diarrhoea.

Systematic Review: Professional skills and competence for safe and effective procedural sedation in children: recommendations based on a systematic review of the literature

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Leroy PL, Schipper DM, Knape HJ

This review investigated which skills and competence were imperative to assure optimal effectiveness and safety of procedural sedation (PS) in children and analyzed the underlying levels of evidence.

Emergency ultrasound-based algorithms for diagnosing blunt abdominal trauma

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Stengel D, Bauwens K, Rademacher G, Ekkernkamp A, Gthoff C,

Review to assess the effects of trauma algorithms that include ultrasound examinations in patients with suspected blunt abdominal trauma.

Systematic Review: Literature-based Recommendations for Suicide Assessment in the Emergency Department: A Review

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Ronquillo L, Minassian A, Vilke GM, Wilson MP

Objective: Given the emphasis on screening for suicidal ideation in the general hospital and ED, it is important for Emergency Physicians to be able to understand and perform suicide risk assessment.

Review: Safety profile of H1-antihistamines in pediatrics: an analysis based on data from VigiBase.

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Motola D, Donati M, Biagi C, et al.

comparative analysis of the safety profiles of H1antihistamines using data from the WHO database

Review: Pediatric urinary tract infection: does the evidence support aggressively pursuing the diagnosis?

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Newman DH, Shreves AE, Runde DP

The authors review both early and emerging literature to examine the utility and efficacy of early identification and treatment of urinary tract infection in children younger than 24 months.

Review: Use of Acticoat dressings in burns: what is the evidence?

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Khundkar R, Malic C, Burge T

Objective: To determine the level of evidence available in the literature in view of recent increased usage of Acticoat dressings in burns.

Systematic Review: Instruments for the Assessment of Suicide Risk: A Systematic Review Evaluating the Certainty of the Evidence

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Runeson B, Odeberg J, Pettersson A, Edbom T, Jildevik Adamsson I, Waern M

Objective: to evaluate the evidence for these instruments including assessment of risk of bias and diagnostic accuracy for suicide and suicide attempt.

Cochrane Systematic Review: Traditional Chinese medicine for epilepsy

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Li Q, Chen XY, He L, Zhou D

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

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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.

Cochrane Systematic Review: Chinese herbal medicine for atopic eczema

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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.

Systematic Review: Intravenous vs intramuscular ketamine for pediatric procedural sedation by emergency medicine specialists: a review

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Deasy C, Babl FE

This review investigated existing evidence to determine whether ketamine should be best administered intravenously or intramuscularly.

Review: Febrile seizures: emergency medicine perspective

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Kimia AA, Bachur RG, Torres A, Harper MB

This review describes current evidence on the evaluation of febrile seizures in the acute setting, the need for further outpatient assessment, and predictors regarding long-term outcomes of these patients

Review: Emergency Medicine Myths: Computed Tomography of the Head Prior to Lumbar Puncture in Adults with Suspected Bacterial Meningitis - Due Diligence or Antiquated Practice?

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April MD, Long B, Koyfman A

Objective: To review the evidence regarding the utility of obtaining head CT prior to lumbar puncture in adults with suspected bacterial meningitis.

Key studies

Key Study: Forearm-Based Ulnar Gutter versus Hand-Based Thermoplastic Splint for Pediatric Metacarpal Neck Fractures: A Blinded, Randomized Trial

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Davison PG, Boudreau N, Burrows R, Wilson KL, Bezuhly M

Primary outcome of this study was the difference in active range of motion between a conventional forearm-based ulnar gutter or hand-based thermoplastic splint.

Key Study: Population-based study of incidence and risk factors for cerebral edema in pediatric diabetic ketoacidosis

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Lawrence SE, Cummings EA, Gaboury I, and Daneman D

Objectives: To determine incidence, outcomes, and risk factors for pediatric cerebral edema with diabetic ketoacidosis (CEDKA) in Canada.

Key Study: Evaluating the Impact of Clinical Decision Tools in Pediatric Acute Gastroenteritis: A Population-based Cohort Study

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Bahm A, Freedman SB, Guan J, Guttmann A

This study sought to determine if the following tools - 1) pathways/order sets, 2) medical directives for oral rehydration therapy (ORT) or ondansetron, and 3) printed discharge instructions - are associated with acute gastroenteritis admission and emergency department revisits.

Key study: The comparative effectiveness of prednisolone and dexamethasone for children with croup: a community-based randomized trial

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Garbutt JM, Conlon B, Sterkel R, Baty J, Schechtman KB, Mandrell K, Leege E, ...

Objective: Our objective was to compare the effectiveness of prednisolone 2 mg/kg for 3 days, a treatment regimen already commonly prescribed by pediatricians in our community; with one dose of dexamethasone 0.6 mg/kg, a treatment regimen known to be effective in the ED setting, for children with mild or moderate croup diagnosed at an office visit.

Key study: Croup presentations to emergency departments in Alberta, Canada: a large population-based study

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Rosychuk RJ, Klassen TP, Metes D, Voaklander DC, Senthilselvan A, Rowe BH

Objective: The objective of this study was to describe the epidemiology of croup presentations to EDs made by infants (

Key study: A Randomized Controlled Study of Silver-Based Burns Dressing in a Pediatric Emergency Department

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Brown M, Dalziel SR, Herd E, Johnson K, Wong She R, Shepherd M

Objective: This study sought to determine whether silver sodium carboxymethyl cellulose dressing is a superior treatment to nanocrystalline silver-coated polyethylene dressing in pediatric patients with partial thickness burns.

Key study: Optimising pain management in children with acute otitis media through a primary care-based multifaceted educational intervention: study protocol for a cluster randomised controlled trial

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van Uum RT, Venekamp RP, Sjoukes A, van de Pol AC, de Wit GA, Schilder AGM, D...

Objective: We have developed a primary care-based multifaceted educational intervention to optimise pain management in children with AOM, and we trial its clinical and cost effectiveness.

Key Study: Improving Pediatric Diabetic Ketoacidosis Management in Community Emergency Departments Using a Simulation-Based Collaborative Improvement Program

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Abulebda K, Whitfill T, Montgomery EE, Kirby ML, Ahmed RA, Cooper DD, Nitu ME...

Objectives: The majority of pediatric patients with diabetic ketoacidosis (DKA) present to community emergency departments (CEDs) that are less prepared to care for acutely ill children owing to low pediatric volume and limited pediatric resources and guidelines. This has impacted the quality of care provided to pediatric patients in CEDs. We hypothesized that a simulation-based collaborative program would improve the quality of the care provided to simulated pediatric DKA patients presenting to CEDs.

Key study: Evaluating the HEADS-ED Screening Tool in a Hospital-Based Mental Health and Addictions Central Referral Intake System: A Prospective Cohort Study

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Clark SE, Cloutier P, Polihronis C, Cappelli M

Objective: evaluated the use of a mental health (MH) screening tool in a hospital-based centralized MH referral telephonic intake process.

Key Study: Defining No Pain, Mild, Moderate, and Severe Pain Based on the Faces Pain Scale-Revised and Color Analog Scale in Children With Acute Pain.

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Tsze DS, Hirschfeld G, Dayan PS, Bulloch B, von Baeyer CL.

The aims of this study were to define theFacesPainScaleRevised(FPS-R) andColor Analog Scale(CAS) scores associated with nopain, mildpain, moderatepain, and severepainin children with acutepain, and to identify differences based on age, sex, and ethnicity.

Key Study: Evidence into practice: pediatric orthopaedic surgeon use of removable splints for common pediatric fractures

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Boutis, K, Howard, A, Constantine, E, Cuomo, A, Somji, Z, & Narayanan, UG

Removable splints when compared with circumferential casts in randomized trials have been shown to be a safe and cost-effective method of managing many common minor distal radius and fibular fractures. This study estimated the extent to which this evidence is being implemented in clinical practice, and determined the perceived barriers to the adoption of this evidence.

Key Study: Evidence into practice: emergency physician management of common pediatric fractures

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Boutis, K, Howard, A, Constantine, E, Cuomo, A, & Narayanan, U

Objectives: To determine the proportion of emergency physicians who prescribe removable devices for distal radius buckle fractures and/or nondisplaced distal fibular Salter-Harris I fractures. The investigators also examined follow-up referral patterns for these injuries.

Key study: Characteristics of pediatric SARS-CoV-2 infection and potential evidence for persistent fecal viral shedding

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Xu Y, Li X, Zhu B, et al.

Objective: We report epidemiological and clinical investigations on ten pediatric SARS-CoV-2 infection cases confirmed by real-time reverse transcription PCR assay of SARS-CoV-2 RNA.

Key study: Concussion Guidelines Step 2: evidence for subtype classification

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Lumba-Brown A, Teramoto M, Bloom OJ, et al.

Objective: To use evidence-based methodology to characterize the 5 concussion subtypes and 2 associated conditions and report their prevalence in acute concussion patients as compared to baseline or controls within 3 d of injury.

Key Study: Rapid fluid resuscitation in pediatrics: testing the American College of Critical Care Medicine guideline (2007)

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Stoner MJG, D. G.; Cohen, D. M.; Fernandez, S. A.; Hall, M. W.

Objective: The 2002 American College of Critical Care Medicine (ACCM) guidelines for the resuscitation of pediatric septic shock suggest that 20 mL/kg of bolus intravenous fluid be given within 5 minutes. Of 3 commonly used, inexpensive methods of fluid delivery, we hypothesized that only use of a manual push-pull system will permit guideline adherence. Published: 2007.

Key Study: Risk factors for cerebral edema in children with diabetic ketoacidosis. The Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics

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Glaser N, Barnett P, McCaslin I, Nelson D, Trainor J, Louie J, Kaufman F, Qua...

Cerebral edema is an uncommon but devastating complication of diabetic ketoacidosis in children. Risk factors for this complication are defined in this multicenter study.

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

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: Identifying persistent postconcussion symptom risk in a pediatric sports medicine clinic

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Howell DR, Zemek R, Brilliant AN, Mannix RC, Master CL, Meehan WP.

To determine if the Predicting Persistent Post-concussive Problems in Pediatrics (5P) clinical risk score, an emergency department (ED)derived and validated tool, is associated with developing PPCS when obtained in a primary care sports concussion setting.

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Commentary: Concussion management for children has changed: new pediatric protocols using the latest evidence

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DeMatteo C, Randall S, Falla K, et al.

This study aims to update CanChild's 2015 RTA and RTS protocols, on the basis of empirical data and feedback collected from our recently completed prospective cohort study, focusing on concussed children and their caregivers; systematic review of evidence published since 2015; and consultation with concussion management experts.

Emergency Medicine Cases Podcast: Recognition and management of pediatric sepsis and septic shock

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Dr. Sarah Reid & Dr. Gina Neto

Episode 50:In this episode, a continuation of our discussion on Fever from with Ottawa PEM experts, Sarah Reid and Gina Neto, we discuss the pearls and pitfalls in the recognition and management of pediatric sepsis and septic shock. We review the subtle clinical findings that will help you pick up septic shock before its too late as well as key maneuvers and algorithms to stabilize these patients. We cover tips for using IO in children, induction agents of choice, timing of intubation, ionotropes of choice, the indications for steroids in septic shock, and much more.Posted online: August 2014. 

Emergency Medicine Cases Podcast: Pediatric fever without a source

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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. 

Emergency Medicine Cases Podcast: Pediatric orthopedics pearls & pitfalls

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Dr. Sanjay Mehta & Dr. Jonathan Pirie

Episode 35:Dr. Sanjay Mehta & Dr. Jonathan Pirie, two experienced Pediatric EM docs from The Hospital for Sick Children in Toronto discuss their approach to a variety of common, occult, challenging and easy to miss pediatric orthopedics diagnoses including: differentiating Septic Arthritis from Transient Synovitis of the hip, Toddlers Fracture, Tillaux Fracture, Suprachondylar Fracture, ACL tear, tibial spine & Segond fractures. They also debate the value of the Ottawa Knee Rules in kids, non-accidental trauma, pediatric orthopedic pain management, the evidence for the best management of Buckle, Greenstick, Salter 1 and 2 distal radius fractures and lateral malleolus fractures. Published online: August 2013. 

Emergency Medicine Cases Podcast: Pediatric syncope & adult syncope (2014)

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Dr. Eric Letovksy & Dr. Anna Jarvis

Episode 25:In this episode on Pediatric Syncope & Adult Syncope, Dr. Eric Letovksy & Dr. Anna Jarvis run through the key clinical pearls of the history, the physical, interpretation of the ECG and the value of clinical decision rules such as the ROSE rule and the San Francisco Syncope Rule in working up these patients. We discuss how to differentiate syncope from seizure, cardiac causes of syncope such as Arrhthmogenic Right Ventricular Cardiomyopthy & Prolonged QT Syndrome, and the indications for Holter monitoring, Echocardiograms and stress testing in patients with Syncope. Note: Login required

Emergency Medicine Cases Podcast: Pediatric gastroenteritis, constipation & bowel obstruction

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Dr. Anna Jarvis & Dr. Stephen Freedman

Episode 19 Part 2:In Part 2 of this pediatric abdominal pain Episode Pediatric Gastroenteritis, Constipation & Bowel Obstruction, Dr. Anna Jarvis & Dr. Stephen Freedman discuss the assessment, work-up and treatment of pediatric gastroenteritis, with particular attention to gastroenteritis & acute abdomen mimics, how best to assess hydration status, the nuances of the use of ondansetron and the prose and cons of various rehydration methods. A detailed discussion of the most common and lethal causes of acute abdomen bowel obstruction in pediatrics follows, including intussesception and midgut volvulus. Finally, the differential diagnosis and best management of the most common cause of pediatric abdominal pain, constipation, is reviewed. Published online: January 2012. 

Emergency Medicine Cases Podcast: Pediatric abdominal pain & appendicitis

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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.  

Emergency Medicine Cases Podcast: Bronchiolitis

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Dr. Dennis Scolnik & Dr. Sanjay Mehta

Episode 59:This EM Cases episode is on the diagnosis and management of Bronchiolitis. Bronchiolitis is one of the most common diagnoses made in both general and pediatric EDs, and like many pediatric illnesses, theres a wide spectrum of severity of illness as well as a huge variation in practice in treating these children. Bronchiolitis rarely requires any work up yet a lot of resources are used unnecessarily. We need to know when to worry about these kids, as most of them will improve with simple interventions and can be discharged home, while a few will require complex care. Sometimes its difficult to predict which kids will do well and which kids wont.With the help of Dr. Dennis Scolnik, the clinical fellowship program director at Torontos only pediatric emergency department and Dr. Sanjay Mehta, an amazing educator who you might remember from his fantastic work on our Pediatric Ortho episode, well sort through how to assess the child with respiratory illness, how to predict which kids might run into trouble, and what the best evidence-based management of these kids is. 

Emergency Medicine Cases Podcast: Bronchiolitis Part 2

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Dr. Amy Plint

Episode 59B: In response to Episode 59 with Dr. Sanjay Mehta and Dr. Dennis Scolnik on the emergency department diagnosis and management of Bronchiolitis, Dr. Amy Plint, one of Canadas most prominent researchers in Bronchiolitis and the Chair of Pediatric Emergency Research Canada, tells her practical approach to choosing medications in the emergency department, the take home message from her landmark 2009 NEJM study on the use of nebulized epinephrine and dexamethasone for treating Bronchiolitis, and the future of Bronchiolitis research. Published online: February 2015 

Emergency Medicine Cases Podcast: Pediatric DKA (2015)

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Dr. Sarah Reid & Dr. Sarah Curtis

Episode 63: In this episode well be asking our guest pediatric emergency medicine experts Dr. Sarah Reid and Dr. Sarah Curtis about the key historical and examination pearls to help pick up this sometimes elusive diagnosis, what the value of serum ketones are in the diagnosis of DKA, how to assess the severity of DKA to guide management, how to avoid the dreaded cerebral edema that all too often complicates DKA, how to best adjust fluids and insulin during treatment, which kids can go home, which kids can go to the floor and which kids need to be transferred to a Pediatric ICU. Published online: April 2015 

Emergency Medicine Cases Podcast: Pediatric Pain Management

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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.

Emergency Medicine Cases Podcast: Pediatric Procedural Sedation (2016)

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Dr. Amy Drendel

Episode 76: Join Dr. Amy Drendel, a world leader in pediatric pain management and procedural sedation research, as she discusses how best to manage pain and anxiety in three situations in the ED: the child with a painful fracture, the child who requires imaging in the radiology department and the child who requires a lumbar puncture.

Published online: February 2016

Emergency Medicine Cases Podcast: Management of Acute Pediatric Asthma Exacerbations (2016)

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Dr. Dennis Scolnik & Dr. Sanjay Mehta

Episode 79: In this EM Cases episode on Pediatric Asthma, Dr. Dennis Scolnik and Dr. Sanjay Mehta discuss risk stratification (including the PASS and PRAM scores), indications for CXR, the value of blood gases, MDIs with spacer vs nebulizers for salbutamol and ipatropium bromide, the best way to give corticosteroids, the value of inhaled steroids, the importance of early administration of magnesium sulphate in the sickest kids, and the controversies around the use of ketamine, heliox, high flow nasal cannuala oxygen, NIPPV, epinephrine and IV salbutamol in severe asthma exacerbations. With the multinational and extensive experience of Dr. Dennis Scolnik, the clinical fellowship Program Director at The Hospital for Sick Children in Toronto and Dr. Sanjay Mehta, multiple award winning educator, you'll become more comfortable the next time you are faced with a child presenting with asthma in your ED. Published online: April 2016.

Emergency Medicine Cases Podcast: Cyanotic Infant

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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. 

Emergency Medicine Cases Podcast: Congenital Heart Disease Emergencies

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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. 

Emergency Medicine Cases Podcast: Dilute Apple Juice for Gastroenteritis

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Dr. Stephen Freedman & Dr. Anthony Crocco

This is EM Cases Journal Jam podcast on a randomized control trial of dilute apple juice vs PediaLyte for mild pediatric gastroenteritis.

While IV rehydration is required in cases of severe gastroenteritis (which we rarely see in North America) and oral rehydration with electrolyte maintenance solutions is still the mainstay in treating moderate gastroenteritis, could better-tasting, more cost-effective fluids such as diluted apple juice be just as effective as traditional electrolyte solutions in milder cases? Listen to Dr. Justin Morgenstern (@First10EM) interviewing Dr. Stephen Freedman, the world-renowned pediatric EM researcher who put ondansetron for pediatric gastroenteritis on the map about this practice-changing paper. This is followed by a discussion of the topic from Dr. Anthony Crocco, the Division head and medical director of pediatric EM at Hamilton Health Sciences.

 

Emergency Medicine Cases Podcast: Pediatric Trauma

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Dr. Sue Beno, Dr. Faud Alnaji

Management of the pediatric trauma patient is challenging regardless of where you work. In this EM Cases episode, two leading pediatric trauma experts, Dr. Sue Beno from Hospital for Sick Children in Toronto and Dr. Faud Alnaji from Children’s Hospital of Eastern Ontario in Ottawa answer such questions as: what are the most important physiologic and anatomic differences between children and adults that are key to managing the trauma patient? How much fluid should be given prior to blood products? What is the role of POCUS in abdominal trauma? Which patients require abdominal CT?

Emergency Medicine Cases Rapid Review: Congenital Heart Disease Part 1

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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

Emergency Medicine Cases Rapid Review: Congenital Heart Disease Part 2

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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

Emergency Medicine Cases Rapid Review: Pediatric Asthma Part 1

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

Learning Objectives

  1. To assess pediatric asthma severity
  2. To use diagnostic tests effectively for pediatric asthma in the ED

Emergency Medicine Cases Rapid Review: Pediatric Asthma Part 2

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

Learning Objectives

  1. To review evidence-based treatment options for pediatric asthma
  2. To list the discharge criteria for pediatric asthma from the ED
  3. To communicate effective discharge instructions for pediatric asthma

Emergency Medicine Cases Podcast: Pediatric Physical Abuse Recognition and Management

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Dr. Carmen Coombs and Dr. Alyson Holland

Episode 108: In this EM Cases main episode podcast on Pediatric Physical Abuse Recognition and Management Dr. Carmen Coombs and Dr. Alyson Holland discuss the 6 B’s of child abuse, the TEN-4 FACE decision rule, the Pittsburgh Infant Brain Injury Score, disclosure tips, screening tests, reporting responsibilities and more.

Published online: March 2018

Emergency Medicine Cases Podcast: Burn and Inhalation Injuries

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Episode 124: Burn and inhalation injury patients present to the ED more often than one might think, with a staggering half a million annual visits in the USA alone. It turns out that for all burn patients—from minor to severe—there is a lot of room for improvement in ED management, counselling and disposition. Things like inaccurate estimation of burn size, unnecessary endotracheal intubation, over- and under-estimation of fluid resuscitation volumes, inadequate analgesia and inappropriate wound dressings are just some of the issues where a small change to ED practice patterns could have a huge impact on patient care. In this EM Cases main episode podcast we have the director of the Burn Unit at Hospital for Sick Children, Dr. Joel Fish and EM educator Dr. Maria Ivankovic discuss dozens of pearls and pitfalls in the management of both pediatric and adult burn and inhalation injuries management with a special appearance by airway master George Kovacs to talk about awake intubation in the burn and inhalation injuries patient. Published online: May 2019

Emergency Medicine Cases Podcast: Pediatric UTI Myths and Misperceptions

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Episode 123: On the one hand, UTI is one of the most common bacterial infections in children younger than 2 years of age and could lead to sepsis acutely and theoretically renal failure in the long run. On the other hand, it is important not to over-diagnose UTIs because we know that overuse of antibiotics increases costs, side effects and leads to antibiotic resistance. The first principles questions very much apply here: who to screen, how to screen, and what to do with the screen results. There are risks associated with not having a standardized approach to diagnosing pediatric UTIs. In this EM Cases main episode podcast with Dr. Olivia Ostrow and Dr. Michelle Science we discuss an approach to diagnosing pediatric UTIs whilst revealing some common pediatric UTI myths and misperceptions. Published online: April 2019

TREKK.ca Past 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



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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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ImageSim Registration

Feb 27, 2018 - Jul 01, 2019  | Announcement  | 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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Emergency Medicine Prairie Annual Meeting (EMPAC)

Apr 30, 2016 - May 01, 2016  | Meeting  | 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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Saskatchewan Emergency Medicine Annual Conference (SEMAC)

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



view 3 more matching past events

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TRIK Training

Apr 22, 2018 - Apr 24, 2018  | Announcement  | Team: News and Events  |  



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2019 Pediatric Emergency Research Canada Scientific Meeting

Feb 03, 2019 - Feb 07, 2019  | Announcement  | Team: Committee Meetings   |  



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Canadian Association of Emergency Physicians

May 26, 2019 - May 29, 2019  | Announcement  | Team: Committee Meetings   |  



TREKK.ca Info Pages

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Couching health evidence in a story

Posted: Mar 18, 2016  | Announcement  | Team: News and Events 



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Gastroenteritis video for parents

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



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Updated Bottom Line Recommendations: Acute Otitis Media

Posted: Oct 03, 2019  | 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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Updated resources: Fractures Bottom Line Recommendations

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



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Canadian Paediatric Society Position Statement: Pain Management

Posted: Nov 05, 2019  | Announcement  | 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 



view 110 more matching info pages

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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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Treating Gastroenteritis: Evidence for Clinicians

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



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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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Updated Resource for Ear Infections

Posted: May 14, 2020  | 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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Gastroenteritis video wins runner-up prize

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



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VOTING NOW OPEN: Bronchiolitis video for parents

Posted: Nov 05, 2019  | Announcement  | Team: News and Events 



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New resources

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



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Site Based Asthma Module

Posted: Jun 10, 2014  | Online Course  | Team: ED Clinical Pathways Implementation 



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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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Sick All Night - A storybook on gastroenteritis

Posted: Oct 17, 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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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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Updated Resources for Bronchiolitis

Posted: Feb 09, 2021  | 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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New Evidence Repository

Posted: Oct 18, 2016  | Announcement  | Team: News and Events 



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New Evidence Repositories

Posted: May 23, 2017  | 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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New Evidence Repository for Suspected Physical Maltreatment

Posted: May 18, 2016  | Announcement  | Team: News and Events 



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New Evidence Repository: Urinary Tract Infections

Posted: Jul 23, 2018  | Announcement  | Team: News and Events 



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Pediatric Respiratory Assessment Measure (PRAM) App

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



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Updated resource - Croup Bottom Line Recommendations

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



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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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Canadian Anaphylaxis Action Plan for Kids

Posted: Feb 25, 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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Croup in children - a Canadian Medical Association Review

Posted: Oct 21, 2013  | Journal Club  | 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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Award-winning tools

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



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Updated resource - Gastroenteritis Bottom Line Recommendations

Posted: Apr 09, 2019  | 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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Parents Needed for COVID-19 Study

Posted: Apr 21, 2020  | 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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I Love to Read Month

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



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Reinventing Research: Engaging Patients and Parents

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



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NEW Parent Tools!

Posted: May 30, 2019  | 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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TREKK Needs Assessment publication in CJEM

Posted: Jan 23, 2017  | 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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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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Parent tools - UTI and Bronchiolitis

Posted: Jan 09, 2020  | 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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Congenital Heart Defect Awareness Month

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



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New topic: febrile status epilepticus

Posted: Aug 18, 2016  | Resource  | 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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Congratulations Dr. Klassen

Posted: Aug 08, 2014  | 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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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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Rapid Review Series: DKA

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



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Join our team!

Posted: Mar 11, 2021  | 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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Updated Bottom Line Recommendations: Concussion

Posted: Jun 28, 2018  | Announcement  | Team: News and Events 



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Updated Bottom Line Recommendations: Concussion

Posted: Jul 03, 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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Congratulations Dr. Samina Ali!

Posted: Nov 19, 2018  | Announcement  | Team: News and Events 



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Web Meetings

Posted: Jan 12, 2011  | Meeting  | Team: Committee Meetings  



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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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Canada Research Chair in Knowledge Synthesis and Translation

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



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Has your child tested positive for COVID-19?

Posted: Jan 26, 2021  | Announcement  | Team: News and Events 



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Storytelling helping children with croup

Posted: Nov 21, 2013  | Story  | Team: News and Events 



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New resources on TREKK.ca

Posted: Feb 23, 2016  | 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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Guidelines for Pediatric Concussion Launched in Ottawa

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



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CanadiEM blog: TREKK Series | Bronchiolitis

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



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New PedsPac!

Posted: Jan 31, 2019  | Announcement  | 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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New bottom line recommendations for concussion on trekk.ca

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



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Pediatric Pain Letter

Posted: Nov 21, 2017  | Announcement  | 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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TREKK Board Announcement

Posted: May 21, 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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The TREKK story

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




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