New Paediatric DKA guidelines
The International Society for Paediatric and Adolescent Diabetes (ISPAD) has published new comprehensive guidelines, including those for diabetic ketoacidosis. Their […]
All Updates, Guidelines, Kids, Resus
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Life-saving medicine
All Updates, Resus, Trauma
Successful trauma airway management
Of 6088 patients requiring intubation within the first hour of arrival at a Level 1 trauma centre, 21 (0.3%) required […]
All Updates, ICU, Resus
'Shock Room' belongs to both ED & ICU
Belgian authors describe a four-bedded ‘shock room’, situated between the ED and the ICU and managed jointly by ED and […]
Resus, Trauma
Rectal exam for urethral injury a waste of time?
Of 41 male patients with proven blunt urethral injury over a thirteen year period at a major trauma centre, only […]
All Updates, Kids, Resus
Small infant IJV cannulation tip
Simple taping using Transpore tape of the skin over the internal jugular vein insertion point increased IJV cross sectional area […]
All Updates, Kids, PHARM, Resus
emergence with ketamine overstated
A prospective study of 746 children sedated in the emergency department with iv or im ketamine revealed 2.1% may have […]
All Updates, ICU, Kids, Resus
Vasopressin in Pediatric Vasodilatory Shock
This Canadian multi-centre study on 65 children compared vasopressin infusions with placebo in children with vasodilatory shock who had already […]
All Updates, Resus
Don't ignore hypotension in the emergency department!
Another paper shows hypotension in the ED is an ominous sign. Nonsustained hypotension – even a single episode – was […]
All Updates, Kids, Resus
Tracheal deviation in infants
It is common for the infant trachea to deviate to the right, with a frequency of 50% at one year, […]
All Updates, Kids, Resus
Frog leg position for femoral vein cannulation
An ultrasound study of 80 children from 5 pre-determined age groups showed that the femoral veins increased their diameter in […]