Logo
BROWSE EVIDENCE REPOSITORY

 

En bref Anglais (69) Français (30) Tout (96)

Bottom Line Recommendations: Procedural Sedation

Download

Evered L, Bhatt M & TREKK Network

Bottom line recommendations for pediatric procedural sedation. Published online: March 2018.

Bottom Line Recommendations: Severe Head Injury

Download

Beno S and the TREKK Network

Updated bottom line recommendations for the treatment and management of severe head trauma. Published online: October 2017.

Bottom Line Recommendations: Fractures

Download

Boutis K, Camp M & TREKK Network

The purpose of this document is to provide healthcare professionals with key facts and recommendations for the diagnosis and treatment of fractures in children. Original (version 1.0) published online: November 2015. Updated (version 2.0) published online: February 2018.

Bottom Line Recommendations: Intussusception

Download

Timmons Z, Bulloch B & TREKK Network

The purpose of this document is to provide healthcare professionals with key facts and recommendations for the diagnosis and management of intussusception in children. Original (Version 1.0) published online in 2016. Update (Version 2.0) published online in June 2018.

Sepsis Algorithm

Download

TREKK Sepsis PedsPac

This point of care algorithm is to guide initial management of pediatric sepsis in the Emergency Department. This algorithm is intended for use on patients > 28 days of age. Published online: July 2018, Version 2.0.

Bottom Line Recommendations: Suspected Physical Child Maltreatment

Download

Boutis, K, Ornstein A, Coombs C & TREKK Network

Bottom line recommendations for the treatment and management of suspected physical child maltreatment. Published online: August 2018.

Bottom Line Recommendations: Sepsis

Download

Thompson G, Jabbour M and TREKK Network

Bottom line recommendations for the treatment and management pediatric sepsis. Published online: September 2018.

Bottom Line Recommendations: Anaphylaxis

Download

Alqurashi W and TREKK Network

Bottom line recommendations for the treatment and management of pediatric anaphylaxis. Published online: September 2018.

Status Epilepticus Algorithm

Download

TREKK Status Epilepticus PedsPac

This point of care algorithm is to guide initial management of pediatric status epilepticus in the Emergency Department. This algorithm is intended for use on patients > 28 days of age. Published online: September 2018, Version 2.0.

Status Epilepticus Pocket Card

Download

TREKK Status Epilepticus PedsPac

This pocket card contains tips to manage pediatric patients with suspected status epilepticus. Reverse side of pocket card includes pediatric considerations for febrile and non-febrile patients. This pocket card is intended for use on patients > 28 days of age. Published online: September 2018, Version 1.0.

Status Epilepticus Pre-Printed Order Set

Download

TREKK Status Epilepticus PedsPac

This pre-printed order (PPO) set is for management of pediatric status epilepticus in the ED. PPO document is adaptable to your hospitals form policy. This PPO is intended for use on patients > 28 days of age. Published online: September 2018, Version 1.0.

Status Epilepticus References and Development Team

Download

TREKK Status Epilepticus PedsPac

This document outlines the references used and team involved in the development of the status epilepticus PedsPac. Published online: September 2018.

Anaphylaxis Pre-Printed Order Set

Download

TREKK Anaphylaxis PedsPac

This pre-printed order (PPO) set is for management of pediatric anaphylaxis in the ED. PPO document is adaptable to your hospitals form policy. Published online: October 2018, Version 1.0.

Anaphylaxis References and Development Team

Download

TREKK Anaphylaxis PedsPac

This document outlines the references used and team involved in the development of the anaphylaxis PedsPac. Published online: October 2018.

Anaphylaxis Algorithm

Download

TREKK Anaphylaxis PedsPac

This point of care algorithm is to guide initial management of pediatric anaphylaxis in the Emergency Department. Published online: October 2018, Version 1.0.

Anaphylaxis Pocket Card

Download

TREKK Anaphylaxis PedsPac

This pocket card contains tips to manage pediatric patients with anaphylaxis. Published online: October 2018, Version 1.0.

Sepsis Vital Signs Pocket Card

Download

TREKK Sepsis PedsPac

This pocket card outlines pediatric heart rate and pediatric respiratory rate guidelines and was reviewed in July 2018. Posted online October 2018, version 1.0.

Bottom Line Recommendations: Concussion

Download

Zemek R & TREKK Network

Bottom line recommendations for the treatment and management of concussion. Updated: August 2018.

Bottom Line Recommendations: Pain Treatment

Download

Ali, S, Drendel A and TREKK Network

Bottom line recommendations for pediatric pain treatment. Published online: May 2018.

Bottom Line: Autism and the Hospital Emergency Room: A Practical Guide for Health Professionals to Meet the Needs of Individuals with Autism Spectrum Disorders

Visit

Center for Autism & Related Disabilities (CARD)

A practical guide for health professionals to meet the needs of individuals with Autism Spectrum Disorder.

Bottom Line Recommendations: Bronchiolitis

Download

Plint, A & TREKK Network

Bottom line recommendations for the treatment and management of bronchiolitis. Updated April 2017

Sepsis Triage Poster

Download

TREKK Sepsis PedsPac

This screening tool is to facilitate early identification of suspected pediatric sepsis in the ED. Includes key indicators of sepsis and high-risk medical conditions. This screening tool is intended for use on patients > 28 days of age. Published online: June 2017, Version 1.0.

Sepsis Pocket Card

Download

TREKK Sepsis PedsPac

This pocket card contains tips to recognize early shock, indications of poor perfusion, and management considerations for patients with suspected sepsis. Reverse side of pocket card includes pediatric definition of hypotension. This pocket card is intended for use on patients > 28 days of age. Published online: June 2017, Version 1.0.

Sepsis Pre-Printed Order Set

Download

TREKK Sepsis PedsPac

This pre-printed order (PPO) set is for management of severe sepsis in the ED. PPO document is adaptable to your hospitals form policy. This PPO is intended for use on patients > 28 days of age. Published online: April 2017.

Sepsis References and Development Team

Download

TREKK Sepsis PedsPac

This document outlines the references used and team involved in the development of the sepsis PedsPac. Published online: April 2017.

Bottom Line: The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5)

Visit

Davis GA, Purcell L, Schneider KJ, Yeates KO, Gioia GA, Anderson V, Ellenboge...

The Child SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The Child SCAT5 is to be used for evaluating Children aged 5 to 12 years. For athletes aged 13 years and older, please use the SCAT5.

Bottom Line: The Sport Concussion Assessment Tool 5th Edition (SCAT5)

Visit

Echemendia RJ, Meeuwisse W, McCrory P, Davis GA, Putukian M, Leddy J, Makdiss...

The SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The SCAT5 is to be used for evaluating athletes aged 13 years and older. For children aged 12 years or younger, please use the Child SCAT5.

Bottom Line Recommendations: Asthma

Download

Johnson D & TREKK Network

Bottom line recommendations for the treatment and management of asthma. Updated November 2017.

Bottom Line Recommendations: Multisystem Trauma

Download

Beno S, TREKK Network

The purpose of this document is to provide health care professionals with key facts and recommendations for the diagnosis and treatment of multisystem trauma in children in the emergency department.

Care Pathway: Intussusception Care Pathway

Visit

SickKids

The purpose of this pathway is to assist the health care team with clinical decisions regarding the management of a patient with intussusception.

Summary: Urinary tract infections in children

Visit

Goilav B

This summary presents key diagnostic risk factors for urinary tract infections (UTIs) in children. The summary also covers diagnostic investigations and treatment algorithms for uncomplicated and complicated UTIs.

Clinical Pathway: ED Pathway for Evaluation/Treatment of Febrile Young Infant (0-56 Days Old)

Visit

Scarfone R, Gala R, Murray A, Funari MK, Lavelle J, Bell L

The clinical pathway for treating and evaluating febrile infants is built upon publicly available medical evidence and/or a consensus of medical practitioners at The Childrens Hospital of Philadelphia.

Bottom Line Recommendations: Gastroenteritis

Download

Freedman S, & TREKK Network

Bottom line recommendations for the treatment and management of pediatric gastroenteritis

Bottom Line Recommendations: Croup

Download

Johnson, DW. & TREKK Network

Bottom line recommendations for the treatment and management of croup. Published online: October 2016.

UNDER REVIEW Bottom Line Recommendations: Diabetic Ketoacidosis

Download

Reid, S & TREKK Network

Bottom line recommendations for the treatment and management of diabetic ketoacidosis (DKA).

Bottom Line Recommendations: Acute Otitis Media

Download

Le Saux, N and TREKK Network

Bottom line recommendations for the treatment and management of acute otitis media. Published online: October 2016.

Bottom Line Recommendations: Procedural Pain

Download

Ali, S, Drendel A & TREKK Network

Bottom line recommendations for the treatment and management of procedural pain. Published online: November 2016.

Quick Glance: Recommendations de Base: Invagination

Visit

Timmons Z, Bulloch B & TREKK Networkd

The purpose of this document is to provide healthcare professionals with key facts and recommendations for the diagnosis and treatment of intussusception in children.

Bottom Line Recommendations: Flow diagram for the management of children with suspected and confirmed acute otitis media

Visit

Le Saux N, Robinson JL, Canadian Paediatric Society, Infectious Diseases and ...

This flow diagram from the position statement of the Canadian Paediatric Society illustrates the management of children with suspected and confirmed acute otitis media.

Executive Summary: Evaluation and Management of Children and Adolescents With Acute Mental Health or Behavioral Problems. Part I: Common Clinical Challenges of Patients With Mental Health and/or Behavioral Emergencies

Visit

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

This executive summary is an overview of the common clinical challenges pediatric caregivers face when a child or adolescent presents with a psychiatric chief complaint or emergency.

Executive Summary: Evaluation and Management of Children With Acute Mental Health or Behavioral Problems. Part II: Recognition of Clinically Challenging Mental Health Related Conditions Presenting With Medical or Uncertain Symptoms

Visit

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

This executive summary is an overview of the common clinical challenges pediatric caregivers face when a mental health condition may be an unclear or complicating factor in a non-mental health ED presentation.

Clinical Pathway: Urinary tract infection in under 16s overview

Visit

National Institute for Health and Care Excellence

This clinical pathway contains diagnosis and treatment information for persons under 16 with suspected urinary tract infection.

Bottom Line: Diabetic Ketoacidosis Protocol: For Children up to Age 19 Years

Visit

BC Children's Hospital

This protocol is designed as an algorithm for treating the majority of cases of diabetic ketoacidosis in infants, children and adolescents.

Bottom Line Recommendations: Intussusception

Visit

Timmons Z, Bulloch B & TREKK Networkd

The purpose of this document is to provide healthcare professionals with key facts and recommendations for the diagnosis and treatment of intussusception in children.

Bottom Line: Intussusception

Visit

Princess Margaret Hospital for Children

This general summary aids in the diagnosis and management of intussusception.

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

Visit

Helman A

With the help of two of Canadas Pediatric Emergency Medicine seizure experts hand picked by TREKK, Dr. Lawrence Richer and Dr. Angelo Mikrogianakis, well give you the all the tools you need to approach the child who presents to the ED with seizure with the utmost confidence.

Bottom Line: Managing febrile seizures infographic

Visit

Stahl-Timmins W

This infographic provides general information on managing febrile seizures.

Bottom Line: Flowchart of evaluation and management of functional constipation in children

Visit

Koppen IJ, Lammers LA, Benninga MA, Tabbers MM

Flowchart of evaluation and management of functional constipation in children.

Bottom Line: Paediatric Sepsis 6 (2015)

Visit

National Health Service

Sepsis practice guideline from National Health Service. Published: 2013.

Bottom Line: Management of Acute Symptoms Algorithm

Visit

Ontario Neurotrauma Foundation

This document is intended to guide health care professionals in diagnosing and managing pediatric concussion. See Page 48 of this document for the Management of Acute Symptoms Algorithm (Tool 2.1).

Bottom Line: Assessment in the emergency department for patients with head injury

Visit

National Institute for Health and Care Excellence (NICE), National Clincial G...

A NICE pathway brings together all NICE guidance, quality standards and materials to support implementation on a specific topic area. The pathways are interactive and designed to be used online.

Pediatric Practice Management Guideline: Blunt Abdominal Trauma Evaluation and Management Guideline

Visit

Iowa Methodist Medical Center,

To address the evaluation of pediatric patients presenting acutely after blunt abdominal trauma.

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

Visit

Surviving Sepsis Campaign

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

Bottom Line: Immediate Assessment and Magement of Diabetic Ketoacidosis (DKA) in Children

Visit

Wherrett, D, Huot, C, Mitchell, B, & Pacaud, D

Figure from Canadian Diabetes Association Clincial Practice Guidelines on Type 1 Diabetes in Children and Adolescents.

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

Visit

Cheung C

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

Dosing Chart: Analgesic starting dosages for children

Visit

World Health Organization

Analgesic starting doses for children.

Chart: WHO pain wall chart for waiting rooms

Visit

World Health Organization

Is your child in pain? The doctor can help. As for pain treatment!

Clinical Pathway: Febrile Infant Guideline

Visit

BC Children's Hospital

This clinical pathway contains initial screening and management guidance for febrile infants (0 to 60 days).

Bottom Line: Pain Ease(R): Topical anesthetic skin refrigerant (for children 4 years and older)

Visit

BC Children's Hospital

Purpose: Pain Ease spray is a vapocoolant (skin refrigerant) intended for topical application to skin and minor open wounds. It controls pain associated with injections (venipunctures, IV start) and minor surgical procedures (eg. irrigating laceration/abrasions).

Bottom Line: Psychological Interventions

Visit

BC Children's Hospital

Even with sedation, the success of a procedure is equally reliant upon careful consideration of psychosocial aspects as it is reliant on physical aspects. A sense of mastery and control experienced by parents and children is crucial to their confidence in managing any future procedures. Reducing both pain and anxiety will facilitate effective coping.

Bottom Line: Sucrose as a procedural analgesic for infants up to 12 monts of age

Visit

BC Children's Hospital

Purpose: Oral sucrose and other sweet tasting solutions have been used for management of pain in infants for centuries. Studies done since the early 1990's have demonstrated that the administration of sucrose and non-nutritive sucking are effective non-pharmacological interventions for relief of procedural pain in neonates and infants and may help reduce pain in infants up to 12 months of age. Sucrose and non-nutritive sucking are thought to elevate pain thresholds via endogenous opioid pathways.

Emergency Medicine Cases Podcast: Pediatric head injury

Visit

Dr. Rahim Valani and Dr. Jennifer Riley

Episode 3:Dr. Rahim Valani and Dr. Jennifer Riley discuss their approach to the workup and management of both minor and major Pediatric Head Injury. They review two recent landmark studies (Kupperman PECARN & CATCH studies) describing clinical decision rules for performing CT head in minor pediatric head injury, as well as practical tips on instructing parents regarding back to sport activities after discharge. In major pediatric head injury, they discuss key clinical pearls on managing blood pressure, the use of hypertonic saline and managing raised intracranial pressure in the treatment of major head injury. Published online: April 2010. 

Bottom Line: Emergency management of febrile seizure in children

Visit

Guidelines & Protocols Advisory Committee

This pathway from the clinical practice guideline presents a decision tree for emergency management of febrile seizures in children

Bottom Line Recommendations: Videos in clinical medicine. Diagnosing otitis media--otoscopy and cerumen removal

Visit

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

Pneumatic otoscopy and cerumen removal is discussed in this video. Mastery of otoscopic examination techniques is necessary for the accurate diagnosis of otitis media.

Reference Guide and Poster: The recognition and assessment of acute pain in children: Quick reference guide and poster

Visit

Royal College of Nursing

The guideline identifies reliable and valid measures of pain intensity (pain measurement scales and other tools) appropriate for neonates, preverbal infants and verbal children, and makes a series of key recommendations regarding timing and triggers for formal pain assessment. The updated guideline also includes an additional section on assessing pain in children with cognitive impairments.

Bottom Line: NICE Guidance: Child maltreatment: when to suspect maltreatment in under 16s

Visit

National Institute for Health and Care Excellence

This guideline covers the signs of possible child maltreatment in children and young people aged under 18 years. It aims to raise awareness and help health professionals who are not child protection specialists to identify the features of physical, sexual and emotional abuse, neglect and fabricated or induced illness.

Bottom Line: Acute Concussion Evaluation (ACE): Physician/Clinician Office Version

Visit

Goia G, Collins M

The ACE is intended to provide an evidence-based clinical protocol to conduct an initial evaluation and diagnosis of patients (both children and adults) with known or suspected mild traumatic brain injury.

Bottom Line: Autism Information for Paramedics and Emergency Room Staff

Visit

Gammicchia C, Johnson C, Autism Society

Information for paramedics and emergency room staff on providing services to a person on the autism spectrum.

Measurement Tool: Faces Pain Scale - Revised for children 4 years of age and older

Visit

International Association for the Study of Pain

Scores are from the left to the right (for the child): 0, 2, 4, 6, 8, 10 (0 for no pain at all and 10 for very, very much in pain).

Algorithme pour le status epilepticus pediatrique

Download

PedsPac de TREKK sur le Status Epilepticus

This point of care algorithm is to guide initial management of pediatric status epilepticus in the Emergency Department. This algorithm is intended for use on patients > 28 days of age. Published online: September 2018, Version 2.0.

Recommendations de Base: Traumatisme Cranien Severe

Download

Beno S and the TREKK Network

Updated bottom line recommendations for the treatment and management of severe head trauma - French. Version 2.1 published online: October 2018.

Recommendations de Base: Invagination

Download

Timmons Z, Bulloch B and TREKK Network

Recommandations de base pour le diagnostic et le traitement de l'invagination. Original (version 1.0) publié en ligne en fevrier 2016. Mise à jour (version 2.0) publiée en ligne juillet 2018.

Recommandations de Base: Fractures chez l'enfant

Download

Boutis, K & TREKK Network

Recommandations de base pour le diagnostic et le traitement des fractures chez les enfants. Original (version 1.0) publié en ligne en décembre 2016. Mise à jour (version 2.0) publiée en ligne février 2018.

 

Recommandations de Base: La Sédation Procédurale

Download

Evered L, Bhatt M & TREKK Network

Bottom line recommendations for the procedural sedation - French. Published online: March 2018.

Status Epilepticus References and Development Team

Download

TREKK Status Epilepticus PedsPac

This document outlines the references used and team involved in the development of the status epilepticus PedsPac. Published online: September 2018.

Carte de Poche de Status Epilepticus

Download

PedsPac de TREKK sur le Status Epilepticus

This pocket card contains tips to manage pediatric patients with suspected status epilepticus. Reverse side of pocket card includes pediatric considerations for febrile and non-febrile patients. This pocket card is intended for use on patients > 28 days of age. Published online: September 2018, Version 1.0.

Feuille d'Ordonnance Medicale pour Status Epilepticus

Download

PedsPac de TREKK sur le Status Epilepticus

This pre-printed order (PPO) set is for management of status epilepticus in the ED. PPO document is adaptable to your hospitals form policy. This PPO is intended for use on patients > 28 days of age. Published online: September 2018, Version 1.0.

Recommandations de Base: Suspicion de maltraitance physique d’un enfant

Download

Boutis, K, Ornstein A, Coombs C & TREKK Network

Bottom line recommendations for the treatment and management of suspected physical child maltreatment - FRENCH. Published online: October 2018.

Recommandations de Base: Anaphylaxie

Download

Alqurashi W and TREKK Network

Bottom line recommendations for the treatment and management of pediatric anaphylaxis - en francais. Published online: October 2018.

Recommandations de Base: Choc septique

Download

Thompson G, Jabbour M and TREKK Network

Bottom line recommendations for the treatment and management pediatric sepsis - en francais. Published online: October 2018.

Feuille d'Ordonnance Medicale pour L’Anaphylaxie

Download

PedsPac de TREKK sur l'Anaphylaxie

This French pre-printed order (PPO) set is for management of pediatric anaphylaxis in the ED. PPO document is adaptable to your hospitals form policy. Published online: October 2018, Version 1.0.

Anaphylaxis References and Development Team

Download

TREKK Anaphylaxis PedsPac

This document outlines the references used and team involved in the development of the anaphylaxis PedsPac. Published online: October 2018.

Carte de Poche pour L’Anaphylaxie

Download

PedsPac de TREKK sur l'Anaphylaxie

This pocket card contains tips to manage pediatric patients with anaphylaxis. Published online: October 2018, Version 1.0.

Algorithme pour L’Anaphylaxie

Download

PedsPac de TREKK sur l'Anaphylaxie

This point of care algorithm is to guide initial management of pediatric anaphylaxis in the Emergency Department. Published online: October 2018, Version 1.0.

Recommandations de Base: Commotion cérébrale (TCC léger)

Download

Zemek R and TREKK Network

Bottom line recommendations for the treatment and management of concussion - en francais. Updated: August 2018.

Recommandations de Base: Prise en charge de la douleur

Download

Ali, S, Drendel A and TREKK Network

Recommandations de base pour la prise en charge de la douleur aigüe chez l’enfant. Publiée en ligne juillet 2018.

 

Bottom Line: Recommandations de Base: La Bronchiolite

Download

Plint, A & TREKK Network

Bottom line recommendations for the treatment and management of bronchiolitis - en francais.

Algorithme Pediatrique pour Choc Septique Severe

Download

PedsPac de TREKK sur le Choc Septique

This point of care algorithm is to guide initial management of pediatric sepsis in the Emergency Department. This algorithm is intended for use on patients > 28 days of age. Published online: September 2018, Version 2.1.

Scanner de Triage Choc Septique

Download

PedsPac de TREKK sur le Choc Septique

This screening tool is to facilitate early identification of suspected pediatric sepsis in the ED. Includes key indicators of sepsis and high-risk medical conditions. This screening tool is intended for use on patients > 28 days of age. Published online: June 2017, Version 1.0.

Carte de Poche de Choc Septique

Download

PedsPac de TREKK sur le Choc Septique

This pocket card contains tips to recognize early shock, indications of poor perfusion, and management considerations for patients with suspected sepsis. Reverse side of pocket card includes pediatric definition of hypotension. This pocket card is intended for use on patients > 28 days of age. Published online: June 2017, Version 1.0.

Feuille d'Ordonnance Medicale pour Choc Septique Severe

Download

PedsPac de TREKK sur le Choc Septique

This pre-printed order (PPO) set is for management of severe sepsis in the ED. PPO document is adaptable to your hospitals form policy. This PPO is intended for use on patients > 28 days of age. Published online: April 2017, Version 1.0.

Sepsis References and Development Team

Download

TREKK Sepsis PedsPac

This document outlines the references used and team involved in the development of the sepsis PedsPac. Published online: April 2017.

Recommandations de Base: Asthme

Download

Johnson D & TREKK Network

Recommandations de base pour l'évaluation et la prise en charge de l'asthme.

Recommendations de Base: Polytrauma

Download

Beno S, TREKK Network

Le but du present document est de fournir aux professionnels de la sant les faits et recommandations cles pour le diagnostic et le traitement du polytrauma chez les enfants dans un service durgence.

Recommendations de Base: Laryngite Aigu

Download

Johnson, DW. & TREKK Network

Bottom line recommendations for the treatment and management of croup- French. Published online: October 2014.

Recommendations de Base: Gastro-entérite

Download

Freedman S, & TREKK Network

Bottom line recommendations for the treatment and management of pediatric gastroenteritis

UNDER REVIEW Recommendations de Base: Acidocetose Diabtique (ACD)

Download

Reid, S, & TREKK Network

Bottom line recommendations for the treatment and management of diabetic ketoacidosis (DKA).

Recommandations de Base: Otite moyenne aiguë

Download

Le Saux, N & TREKK Network

Bottom line recommendations for the treatment and management of acute otitis media - French. Published online: December 2016.

Recommandations de Base: Douleur procédurale

Download

French Bottom line recommendations for the treatment and management of procedural pain. Published online: March 2017.

Algorithme pour le status epilepticus pediatrique

Download

PedsPac de TREKK sur le Status Epilepticus

This point of care algorithm is to guide initial management of pediatric status epilepticus in the Emergency Department. This algorithm is intended for use on patients > 28 days of age. Published online: September 2018, Version 2.0.

Bottom Line Recommendations: Procedural Sedation

Download

Evered L, Bhatt M & TREKK Network

Bottom line recommendations for pediatric procedural sedation. Published online: March 2018.

Bottom Line Recommendations: Severe Head Injury

Download

Beno S and the TREKK Network

Updated bottom line recommendations for the treatment and management of severe head trauma. Published online: October 2017.

Recommendations de Base: Traumatisme Cranien Severe

Download

Beno S and the TREKK Network

Updated bottom line recommendations for the treatment and management of severe head trauma - French. Version 2.1 published online: October 2018.

Bottom Line Recommendations: Fractures

Download

Boutis K, Camp M & TREKK Network

The purpose of this document is to provide healthcare professionals with key facts and recommendations for the diagnosis and treatment of fractures in children. Original (version 1.0) published online: November 2015. Updated (version 2.0) published online: February 2018.

Bottom Line Recommendations: Intussusception

Download

Timmons Z, Bulloch B & TREKK Network

The purpose of this document is to provide healthcare professionals with key facts and recommendations for the diagnosis and management of intussusception in children. Original (Version 1.0) published online in 2016. Update (Version 2.0) published online in June 2018.

Recommendations de Base: Invagination

Download

Timmons Z, Bulloch B and TREKK Network

Recommandations de base pour le diagnostic et le traitement de l'invagination. Original (version 1.0) publié en ligne en fevrier 2016. Mise à jour (version 2.0) publiée en ligne juillet 2018.

Recommandations de Base: Fractures chez l'enfant

Download

Boutis, K & TREKK Network

Recommandations de base pour le diagnostic et le traitement des fractures chez les enfants. Original (version 1.0) publié en ligne en décembre 2016. Mise à jour (version 2.0) publiée en ligne février 2018.

 

Recommandations de Base: La Sédation Procédurale

Download

Evered L, Bhatt M & TREKK Network

Bottom line recommendations for the procedural sedation - French. Published online: March 2018.

Sepsis Algorithm

Download

TREKK Sepsis PedsPac

This point of care algorithm is to guide initial management of pediatric sepsis in the Emergency Department. This algorithm is intended for use on patients > 28 days of age. Published online: July 2018, Version 2.0.

Bottom Line Recommendations: Suspected Physical Child Maltreatment

Download

Boutis, K, Ornstein A, Coombs C & TREKK Network

Bottom line recommendations for the treatment and management of suspected physical child maltreatment. Published online: August 2018.

Bottom Line Recommendations: Sepsis

Download

Thompson G, Jabbour M and TREKK Network

Bottom line recommendations for the treatment and management pediatric sepsis. Published online: September 2018.

Bottom Line Recommendations: Anaphylaxis

Download

Alqurashi W and TREKK Network

Bottom line recommendations for the treatment and management of pediatric anaphylaxis. Published online: September 2018.

Status Epilepticus Algorithm

Download

TREKK Status Epilepticus PedsPac

This point of care algorithm is to guide initial management of pediatric status epilepticus in the Emergency Department. This algorithm is intended for use on patients > 28 days of age. Published online: September 2018, Version 2.0.

Status Epilepticus Pocket Card

Download

TREKK Status Epilepticus PedsPac

This pocket card contains tips to manage pediatric patients with suspected status epilepticus. Reverse side of pocket card includes pediatric considerations for febrile and non-febrile patients. This pocket card is intended for use on patients > 28 days of age. Published online: September 2018, Version 1.0.

Status Epilepticus Pre-Printed Order Set

Download

TREKK Status Epilepticus PedsPac

This pre-printed order (PPO) set is for management of pediatric status epilepticus in the ED. PPO document is adaptable to your hospitals form policy. This PPO is intended for use on patients > 28 days of age. Published online: September 2018, Version 1.0.

Status Epilepticus References and Development Team

Download

TREKK Status Epilepticus PedsPac

This document outlines the references used and team involved in the development of the status epilepticus PedsPac. Published online: September 2018.

Carte de Poche de Status Epilepticus

Download

PedsPac de TREKK sur le Status Epilepticus

This pocket card contains tips to manage pediatric patients with suspected status epilepticus. Reverse side of pocket card includes pediatric considerations for febrile and non-febrile patients. This pocket card is intended for use on patients > 28 days of age. Published online: September 2018, Version 1.0.

Feuille d'Ordonnance Medicale pour Status Epilepticus

Download

PedsPac de TREKK sur le Status Epilepticus

This pre-printed order (PPO) set is for management of status epilepticus in the ED. PPO document is adaptable to your hospitals form policy. This PPO is intended for use on patients > 28 days of age. Published online: September 2018, Version 1.0.

Recommandations de Base: Suspicion de maltraitance physique d’un enfant

Download

Boutis, K, Ornstein A, Coombs C & TREKK Network

Bottom line recommendations for the treatment and management of suspected physical child maltreatment - FRENCH. Published online: October 2018.

Recommandations de Base: Anaphylaxie

Download

Alqurashi W and TREKK Network

Bottom line recommendations for the treatment and management of pediatric anaphylaxis - en francais. Published online: October 2018.

Recommandations de Base: Choc septique

Download

Thompson G, Jabbour M and TREKK Network

Bottom line recommendations for the treatment and management pediatric sepsis - en francais. Published online: October 2018.

Feuille d'Ordonnance Medicale pour L’Anaphylaxie

Download

PedsPac de TREKK sur l'Anaphylaxie

This French pre-printed order (PPO) set is for management of pediatric anaphylaxis in the ED. PPO document is adaptable to your hospitals form policy. Published online: October 2018, Version 1.0.

Anaphylaxis Pre-Printed Order Set

Download

TREKK Anaphylaxis PedsPac

This pre-printed order (PPO) set is for management of pediatric anaphylaxis in the ED. PPO document is adaptable to your hospitals form policy. Published online: October 2018, Version 1.0.

Anaphylaxis References and Development Team

Download

TREKK Anaphylaxis PedsPac

This document outlines the references used and team involved in the development of the anaphylaxis PedsPac. Published online: October 2018.

Anaphylaxis Algorithm

Download

TREKK Anaphylaxis PedsPac

This point of care algorithm is to guide initial management of pediatric anaphylaxis in the Emergency Department. Published online: October 2018, Version 1.0.

Anaphylaxis Pocket Card

Download

TREKK Anaphylaxis PedsPac

This pocket card contains tips to manage pediatric patients with anaphylaxis. Published online: October 2018, Version 1.0.

Sepsis Vital Signs Pocket Card

Download

TREKK Sepsis PedsPac

This pocket card outlines pediatric heart rate and pediatric respiratory rate guidelines and was reviewed in July 2018. Posted online October 2018, version 1.0.

Carte de Poche pour L’Anaphylaxie

Download

PedsPac de TREKK sur l'Anaphylaxie

This pocket card contains tips to manage pediatric patients with anaphylaxis. Published online: October 2018, Version 1.0.

Algorithme pour L’Anaphylaxie

Download

PedsPac de TREKK sur l'Anaphylaxie

This point of care algorithm is to guide initial management of pediatric anaphylaxis in the Emergency Department. Published online: October 2018, Version 1.0.

Bottom Line Recommendations: Concussion

Download

Zemek R & TREKK Network

Bottom line recommendations for the treatment and management of concussion. Updated: August 2018.

Recommandations de Base: Commotion cérébrale (TCC léger)

Download

Zemek R and TREKK Network

Bottom line recommendations for the treatment and management of concussion - en francais. Updated: August 2018.

Bottom Line Recommendations: Pain Treatment

Download

Ali, S, Drendel A and TREKK Network

Bottom line recommendations for pediatric pain treatment. Published online: May 2018.

Recommandations de Base: Prise en charge de la douleur

Download

Ali, S, Drendel A and TREKK Network

Recommandations de base pour la prise en charge de la douleur aigüe chez l’enfant. Publiée en ligne juillet 2018.

 

Bottom Line: Autism and the Hospital Emergency Room: A Practical Guide for Health Professionals to Meet the Needs of Individuals with Autism Spectrum Disorders

Visit

Center for Autism & Related Disabilities (CARD)

A practical guide for health professionals to meet the needs of individuals with Autism Spectrum Disorder.

Bottom Line Recommendations: Bronchiolitis

Download

Plint, A & TREKK Network

Bottom line recommendations for the treatment and management of bronchiolitis. Updated April 2017

Bottom Line: Recommandations de Base: La Bronchiolite

Download

Plint, A & TREKK Network

Bottom line recommendations for the treatment and management of bronchiolitis - en francais.

Sepsis Triage Poster

Download

TREKK Sepsis PedsPac

This screening tool is to facilitate early identification of suspected pediatric sepsis in the ED. Includes key indicators of sepsis and high-risk medical conditions. This screening tool is intended for use on patients > 28 days of age. Published online: June 2017, Version 1.0.

Sepsis Pocket Card

Download

TREKK Sepsis PedsPac

This pocket card contains tips to recognize early shock, indications of poor perfusion, and management considerations for patients with suspected sepsis. Reverse side of pocket card includes pediatric definition of hypotension. This pocket card is intended for use on patients > 28 days of age. Published online: June 2017, Version 1.0.

Sepsis Pre-Printed Order Set

Download

TREKK Sepsis PedsPac

This pre-printed order (PPO) set is for management of severe sepsis in the ED. PPO document is adaptable to your hospitals form policy. This PPO is intended for use on patients > 28 days of age. Published online: April 2017.

Algorithme Pediatrique pour Choc Septique Severe

Download

PedsPac de TREKK sur le Choc Septique

This point of care algorithm is to guide initial management of pediatric sepsis in the Emergency Department. This algorithm is intended for use on patients > 28 days of age. Published online: September 2018, Version 2.1.

Scanner de Triage Choc Septique

Download

PedsPac de TREKK sur le Choc Septique

This screening tool is to facilitate early identification of suspected pediatric sepsis in the ED. Includes key indicators of sepsis and high-risk medical conditions. This screening tool is intended for use on patients > 28 days of age. Published online: June 2017, Version 1.0.

Carte de Poche de Choc Septique

Download

PedsPac de TREKK sur le Choc Septique

This pocket card contains tips to recognize early shock, indications of poor perfusion, and management considerations for patients with suspected sepsis. Reverse side of pocket card includes pediatric definition of hypotension. This pocket card is intended for use on patients > 28 days of age. Published online: June 2017, Version 1.0.

Feuille d'Ordonnance Medicale pour Choc Septique Severe

Download

PedsPac de TREKK sur le Choc Septique

This pre-printed order (PPO) set is for management of severe sepsis in the ED. PPO document is adaptable to your hospitals form policy. This PPO is intended for use on patients > 28 days of age. Published online: April 2017, Version 1.0.

Sepsis References and Development Team

Download

TREKK Sepsis PedsPac

This document outlines the references used and team involved in the development of the sepsis PedsPac. Published online: April 2017.

Bottom Line: The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5)

Visit

Davis GA, Purcell L, Schneider KJ, Yeates KO, Gioia GA, Anderson V, Ellenboge...

The Child SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The Child SCAT5 is to be used for evaluating Children aged 5 to 12 years. For athletes aged 13 years and older, please use the SCAT5.

Bottom Line: The Sport Concussion Assessment Tool 5th Edition (SCAT5)

Visit

Echemendia RJ, Meeuwisse W, McCrory P, Davis GA, Putukian M, Leddy J, Makdiss...

The SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The SCAT5 is to be used for evaluating athletes aged 13 years and older. For children aged 12 years or younger, please use the Child SCAT5.

Bottom Line Recommendations: Asthma

Download

Johnson D & TREKK Network

Bottom line recommendations for the treatment and management of asthma. Updated November 2017.

Recommandations de Base: Asthme

Download

Johnson D & TREKK Network

Recommandations de base pour l'évaluation et la prise en charge de l'asthme.

Bottom Line Recommendations: Multisystem Trauma

Download

Beno S, TREKK Network

The purpose of this document is to provide health care professionals with key facts and recommendations for the diagnosis and treatment of multisystem trauma in children in the emergency department.

Recommendations de Base: Polytrauma

Download

Beno S, TREKK Network

Le but du present document est de fournir aux professionnels de la sant les faits et recommandations cles pour le diagnostic et le traitement du polytrauma chez les enfants dans un service durgence.

Care Pathway: Intussusception Care Pathway

Visit

SickKids

The purpose of this pathway is to assist the health care team with clinical decisions regarding the management of a patient with intussusception.

Summary: Urinary tract infections in children

Visit

Goilav B

This summary presents key diagnostic risk factors for urinary tract infections (UTIs) in children. The summary also covers diagnostic investigations and treatment algorithms for uncomplicated and complicated UTIs.

Clinical Pathway: ED Pathway for Evaluation/Treatment of Febrile Young Infant (0-56 Days Old)

Visit

Scarfone R, Gala R, Murray A, Funari MK, Lavelle J, Bell L

The clinical pathway for treating and evaluating febrile infants is built upon publicly available medical evidence and/or a consensus of medical practitioners at The Childrens Hospital of Philadelphia.

Bottom Line Recommendations: Gastroenteritis

Download

Freedman S, & TREKK Network

Bottom line recommendations for the treatment and management of pediatric gastroenteritis

Bottom Line Recommendations: Croup

Download

Johnson, DW. & TREKK Network

Bottom line recommendations for the treatment and management of croup. Published online: October 2016.

Recommendations de Base: Laryngite Aigu

Download

Johnson, DW. & TREKK Network

Bottom line recommendations for the treatment and management of croup- French. Published online: October 2014.

Recommendations de Base: Gastro-entérite

Download

Freedman S, & TREKK Network

Bottom line recommendations for the treatment and management of pediatric gastroenteritis

UNDER REVIEW Bottom Line Recommendations: Diabetic Ketoacidosis

Download

Reid, S & TREKK Network

Bottom line recommendations for the treatment and management of diabetic ketoacidosis (DKA).

UNDER REVIEW Recommendations de Base: Acidocetose Diabtique (ACD)

Download

Reid, S, & TREKK Network

Bottom line recommendations for the treatment and management of diabetic ketoacidosis (DKA).

Bottom Line Recommendations: Acute Otitis Media

Download

Le Saux, N and TREKK Network

Bottom line recommendations for the treatment and management of acute otitis media. Published online: October 2016.

Recommandations de Base: Otite moyenne aiguë

Download

Le Saux, N & TREKK Network

Bottom line recommendations for the treatment and management of acute otitis media - French. Published online: December 2016.

Recommandations de Base: Douleur procédurale

Download

French Bottom line recommendations for the treatment and management of procedural pain. Published online: March 2017.

Bottom Line Recommendations: Procedural Pain

Download

Ali, S, Drendel A & TREKK Network

Bottom line recommendations for the treatment and management of procedural pain. Published online: November 2016.

Quick Glance: Recommendations de Base: Invagination

Visit

Timmons Z, Bulloch B & TREKK Networkd

The purpose of this document is to provide healthcare professionals with key facts and recommendations for the diagnosis and treatment of intussusception in children.

Bottom Line Recommendations: Flow diagram for the management of children with suspected and confirmed acute otitis media

Visit

Le Saux N, Robinson JL, Canadian Paediatric Society, Infectious Diseases and ...

This flow diagram from the position statement of the Canadian Paediatric Society illustrates the management of children with suspected and confirmed acute otitis media.

Executive Summary: Evaluation and Management of Children and Adolescents With Acute Mental Health or Behavioral Problems. Part I: Common Clinical Challenges of Patients With Mental Health and/or Behavioral Emergencies

Visit

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

This executive summary is an overview of the common clinical challenges pediatric caregivers face when a child or adolescent presents with a psychiatric chief complaint or emergency.

Executive Summary: Evaluation and Management of Children With Acute Mental Health or Behavioral Problems. Part II: Recognition of Clinically Challenging Mental Health Related Conditions Presenting With Medical or Uncertain Symptoms

Visit

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

This executive summary is an overview of the common clinical challenges pediatric caregivers face when a mental health condition may be an unclear or complicating factor in a non-mental health ED presentation.

Clinical Pathway: Urinary tract infection in under 16s overview

Visit

National Institute for Health and Care Excellence

This clinical pathway contains diagnosis and treatment information for persons under 16 with suspected urinary tract infection.

Bottom Line: Diabetic Ketoacidosis Protocol: For Children up to Age 19 Years

Visit

BC Children's Hospital

This protocol is designed as an algorithm for treating the majority of cases of diabetic ketoacidosis in infants, children and adolescents.

Bottom Line Recommendations: Intussusception

Visit

Timmons Z, Bulloch B & TREKK Networkd

The purpose of this document is to provide healthcare professionals with key facts and recommendations for the diagnosis and treatment of intussusception in children.

Bottom Line: Intussusception

Visit

Princess Margaret Hospital for Children

This general summary aids in the diagnosis and management of intussusception.

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

Visit

Helman A

With the help of two of Canadas Pediatric Emergency Medicine seizure experts hand picked by TREKK, Dr. Lawrence Richer and Dr. Angelo Mikrogianakis, well give you the all the tools you need to approach the child who presents to the ED with seizure with the utmost confidence.

Bottom Line: Managing febrile seizures infographic

Visit

Stahl-Timmins W

This infographic provides general information on managing febrile seizures.

Bottom Line: Flowchart of evaluation and management of functional constipation in children

Visit

Koppen IJ, Lammers LA, Benninga MA, Tabbers MM

Flowchart of evaluation and management of functional constipation in children.

Bottom Line: Paediatric Sepsis 6 (2015)

Visit

National Health Service

Sepsis practice guideline from National Health Service. Published: 2013.

Bottom Line: Management of Acute Symptoms Algorithm

Visit

Ontario Neurotrauma Foundation

This document is intended to guide health care professionals in diagnosing and managing pediatric concussion. See Page 48 of this document for the Management of Acute Symptoms Algorithm (Tool 2.1).

Bottom Line: Assessment in the emergency department for patients with head injury

Visit

National Institute for Health and Care Excellence (NICE), National Clincial G...

A NICE pathway brings together all NICE guidance, quality standards and materials to support implementation on a specific topic area. The pathways are interactive and designed to be used online.

Pediatric Practice Management Guideline: Blunt Abdominal Trauma Evaluation and Management Guideline

Visit

Iowa Methodist Medical Center,

To address the evaluation of pediatric patients presenting acutely after blunt abdominal trauma.

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

Visit

Surviving Sepsis Campaign

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

Bottom Line: Immediate Assessment and Magement of Diabetic Ketoacidosis (DKA) in Children

Visit

Wherrett, D, Huot, C, Mitchell, B, & Pacaud, D

Figure from Canadian Diabetes Association Clincial Practice Guidelines on Type 1 Diabetes in Children and Adolescents.

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

Visit

Cheung C

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

Dosing Chart: Analgesic starting dosages for children

Visit

World Health Organization

Analgesic starting doses for children.

Chart: WHO pain wall chart for waiting rooms

Visit

World Health Organization

Is your child in pain? The doctor can help. As for pain treatment!

Clinical Pathway: Febrile Infant Guideline

Visit

BC Children's Hospital

This clinical pathway contains initial screening and management guidance for febrile infants (0 to 60 days).

Bottom Line: Pain Ease(R): Topical anesthetic skin refrigerant (for children 4 years and older)

Visit

BC Children's Hospital

Purpose: Pain Ease spray is a vapocoolant (skin refrigerant) intended for topical application to skin and minor open wounds. It controls pain associated with injections (venipunctures, IV start) and minor surgical procedures (eg. irrigating laceration/abrasions).

Bottom Line: Psychological Interventions

Visit

BC Children's Hospital

Even with sedation, the success of a procedure is equally reliant upon careful consideration of psychosocial aspects as it is reliant on physical aspects. A sense of mastery and control experienced by parents and children is crucial to their confidence in managing any future procedures. Reducing both pain and anxiety will facilitate effective coping.

Bottom Line: Sucrose as a procedural analgesic for infants up to 12 monts of age

Visit

BC Children's Hospital

Purpose: Oral sucrose and other sweet tasting solutions have been used for management of pain in infants for centuries. Studies done since the early 1990's have demonstrated that the administration of sucrose and non-nutritive sucking are effective non-pharmacological interventions for relief of procedural pain in neonates and infants and may help reduce pain in infants up to 12 months of age. Sucrose and non-nutritive sucking are thought to elevate pain thresholds via endogenous opioid pathways.

Emergency Medicine Cases Podcast: Pediatric head injury

Visit

Dr. Rahim Valani and Dr. Jennifer Riley

Episode 3:Dr. Rahim Valani and Dr. Jennifer Riley discuss their approach to the workup and management of both minor and major Pediatric Head Injury. They review two recent landmark studies (Kupperman PECARN & CATCH studies) describing clinical decision rules for performing CT head in minor pediatric head injury, as well as practical tips on instructing parents regarding back to sport activities after discharge. In major pediatric head injury, they discuss key clinical pearls on managing blood pressure, the use of hypertonic saline and managing raised intracranial pressure in the treatment of major head injury. Published online: April 2010. 

Bottom Line: Emergency management of febrile seizure in children

Visit

Guidelines & Protocols Advisory Committee

This pathway from the clinical practice guideline presents a decision tree for emergency management of febrile seizures in children

Bottom Line Recommendations: Videos in clinical medicine. Diagnosing otitis media--otoscopy and cerumen removal

Visit

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

Pneumatic otoscopy and cerumen removal is discussed in this video. Mastery of otoscopic examination techniques is necessary for the accurate diagnosis of otitis media.

Reference Guide and Poster: The recognition and assessment of acute pain in children: Quick reference guide and poster

Visit

Royal College of Nursing

The guideline identifies reliable and valid measures of pain intensity (pain measurement scales and other tools) appropriate for neonates, preverbal infants and verbal children, and makes a series of key recommendations regarding timing and triggers for formal pain assessment. The updated guideline also includes an additional section on assessing pain in children with cognitive impairments.

Bottom Line: NICE Guidance: Child maltreatment: when to suspect maltreatment in under 16s

Visit

National Institute for Health and Care Excellence

This guideline covers the signs of possible child maltreatment in children and young people aged under 18 years. It aims to raise awareness and help health professionals who are not child protection specialists to identify the features of physical, sexual and emotional abuse, neglect and fabricated or induced illness.

Bottom Line: Acute Concussion Evaluation (ACE): Physician/Clinician Office Version

Visit

Goia G, Collins M

The ACE is intended to provide an evidence-based clinical protocol to conduct an initial evaluation and diagnosis of patients (both children and adults) with known or suspected mild traumatic brain injury.

Bottom Line: Autism Information for Paramedics and Emergency Room Staff

Visit

Gammicchia C, Johnson C, Autism Society

Information for paramedics and emergency room staff on providing services to a person on the autism spectrum.

Measurement Tool: Faces Pain Scale - Revised for children 4 years of age and older

Visit

International Association for the Study of Pain

Scores are from the left to the right (for the child): 0, 2, 4, 6, 8, 10 (0 for no pain at all and 10 for very, very much in pain).