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Resources in Evidence Repository and Individual Compendia

Bottom Line Recommendations

Bottom Line: Recommendations: Special considerations in pediatrics (2013)


Surviving Sepsis Campaign

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

Bottom Line: Approach to cyanotic congenital heart disease in the newborn


Cheung C

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

Clinical guidelines

Clinical Practice Guideline: The assessment and management of acute pain in infants, children, and adolescents


American Academy of Pediatrics

Pediatricians are responsible for eliminating or assuaging pain and suffering in children when possible. To accomplish this, pediatricians need to expand their knowledge, use appropriate assessment tools and techniques, anticipate painful experiences and intervene accordingly, use a multimodal approach to pain management, use a multidisciplinary approach when possible, involve families, and advocate for the use of effective pain management in children.

Clinical Practice Guideline: Data Form: Appendix from article, "Risk of intussusception after monovalent rotavirus vaccination"


Weihmiller SN, Buonomo C, Bachur R,

This checklist assists in the detection of intussusception risk following monovalent rotavirus vaccination.

Systematic reviews

Systematic Review: Digital Technology Distraction for Acute Pain in Children: AMeta-analysis


Michelle Gates,Lisa Hartling,Jocelyn Shulhan-Kilroy,Tara MacGregor,Samantha G...

Objective:To determine the effect of digital technology distraction on pain and distress in children experiencing acutely painful conditions or procedures.

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


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

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

Key studies

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


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: International pediatric sepsis consensus conference: definitions for sepsis and organ dysfunction in pediatrics (2005)


Goldstein BG, B.; Randolph, A.

Objective: Although general definitions of the sepsis continuum have been published for adults, no such work has been done for the pediatric population. Physiologic and laboratory variables used to define the systemic inflammatory response syndrome (SIRS) and organ dysfunction require modification for the developmental stages of children. An international panel of 20 experts in sepsis and clinical research from five countries (Canada, France, Netherlands, United Kingdom, and United States) was convened to modify the published adult consensus definitions of infection, sepsis, severe sepsis, septic shock, and organ dysfunction for children. Published: 2005.

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


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: Effect of potassium infusion on serum levels in children during treatment of diabetic ketoacidosis


Musaitif R and Basnet S

Objectives: to determine the effect of 40 mEq/L and 60 mEq/L infusions on potassium levels in children during treatment of DKA.

Key Study: Improving Emergency Department Management of Diabetic Ketoacidosis in Children


Baumer-Mouradian SH, Gray MP, Wolfgram PM, Kopetsky M, Chang F, Brousseau DC,...

Objectives: To use point-of-care (POC) testing to reduce DKA determination time from 86 to 30 minutes and to reduce IV placements in patients without DKA from 85% to 20% over 18 months.

Key Study: Unintentional Cannabis Intoxication in Toddlers


Claudet IM, S.; Labadie, M.; Manin, C.; Michard-Lenoir, A. P.; Eyer, D.; Dufo...

We sought to evaluate the French national trend of admissions for unintentional cannabis intoxication in children over an 11-year period (20042014).

Key Study: The Impact of Marijuana Policies on Youth: Clinical, Research, and Legal Update


Ammerman, S., Ryan, S., Adelman, W. P., & THE COMMITTEE ON SUBSTANCE ABUS...

This technical report updates the 2004 American Academy of Pediatrics technical report on the legalization of marijuana


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


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

TREKK.ca Info Pages


New topic: febrile status epilepticus

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


Congratulations Dr. Klassen

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


Emergency Medicine Cases Bronchiolitis Podcast

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


Allergy & asthma resources for parents

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


Rapid Review Series: DKA

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

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Gastroenteritis video for parents

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


Congratulations Dr. Samina Ali!

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


Sick All Night - A storybook on gastroenteritis

Posted: Oct 17, 2017  | Announcement  | Team: News and Events 


Parents Needed for COVID-19 Study

Posted: Apr 21, 2020  | Announcement  | Team: News and Events 


New Chair for the Pediatric Emergency Research Networks

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


Award-winning tools

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


A summer project to find online resources

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


VOTING NOW OPEN: Bronchiolitis video for parents

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


TREKK Board Announcement

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


I Love to Read Month

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


Predicting the duration of post-concussion symptoms

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


TREKK Annual Report Summary

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


The TREKK story

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


Caring for Kids New to Canada

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

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