Emergency medicine review EMR ACT1 by CAEP 2016
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ToolLinkAboutvision/goalapp
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Med Calchttp://www.mdcalc.com/Our mission is to provide only the highest-quality, most accessible, and easiest to use clinical decision support for medical professionals – with the information clinicians need to best use them to care for patients. The result is better, more efficient care for patients.available
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PRAM scorehttp://www.chu-sainte-justine.org/childasthmatools/EN/PDF/scorePRAM_EN.pdf
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CPS on asthmahttp://www.cps.ca/documents/position/management-acute-asthma-exacerbation
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CAEP notes on asthmaeg.
PRAM score: tracheal tug, insp and exp wz, decreased through out, sat 90% score = 7

score 5-8 is moderate: keep O2 ? 95%; MDI within 60 min; oral steroids after fist aerosol; cxr if needed; ?peds consult;
5 puff if ?30kg
10 puffs if ?20kg per inhalation

dexa is .3mg/kg; max 10mg per day

methylprednisolone: 2mg/kg/dose (expect effect if 4-6 hours)
magnesium 40-50 mg /kg/hour (make sure pt fully filled)
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Asthma: impending failurehttp://pert.ucalgary.ca/airways/pedsrespfailure.php
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Interosseoushttp://www.jems.com/articles/print/volume-35/issue-9/intraosseous/pain-management-use-io.html
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Status epileticushttp://www.cps.ca/documents/position/convulsive-status-epilepticus
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Infant sepsishttp://www.cps.ca/documents/position/management-infant-sepsis
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Dehydration scale: Gorelick score: Alberta Health Services Acute Childhood Vomiting & Diarrhea Pathwayhttp://pert.ucalgary.ca/pathways/reference/Revised%20ED-UCC%20pathway%20Oct%2025%202011.pdf
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Normal Heart Rate by Age (beats/minute)
Reference: PALS Guidelines, 2015
http://www.pedscases.com/pediatric-vital-signs-reference-chart
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Sepsis and sedationhttps://emergencymedicinecases.com/episode-55-weingart-himmel-sessions-2-fluids-in-sepsis-post-intubation-analgesia-sedation/
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STEP BY STEP – A NEW APPROACH TO FEBRILE INFANTShttp://dontforgetthebubbles.com/step-by-step-a-new-approach-to-febrile-infants/Don't Forget the Bubbles is a paediatric blog providing online medical education. It is run by Tessa Davis, Henry Goldstein, Ben Lawton and Andrew Tagg, and is a collaborative effort to create a Free Open Access Medical Education (FOAM) resource for paediatrics. We have no external funding and exclusively fund DFTB ourselves.
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DKA in kidshttp://www.bcchildrens.ca/endocrinology-diabetes-site/documents/dkaprt.pdf
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Canadian CT Head RuleCanadian CT Head Rule
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Head Injuryhttp://www.mdcalc.com/pecarn-pediatric-head-injury-trauma-algorithm/
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http://hollandbloorview.ca/teachinglearning/evidencetocare/peersupportbestpracticestoolkitThis Peer Support Best Practice Toolkit is a resource for individuals developing and offering peer support programs for families of children with medical complexity and other lifelong disabilities. By providing the following information, you will help us better understand where this toolkit is being used.
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returntoplayguidelines.pdfhttp://www.coach.ca/files/returntoplayguidelines.pdfhttp://www.coach.ca/files/returntoplayguidelines.pdf
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https://www.youtube.com/watch?v=pmZ2sBmBLno
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CHEO outreach from Champlain LHINhttps://outreach.cheo.on.ca/health-information-resources/health-education-infoThe CHEO ED Outreach Website has been developed for use by community partner EDs in the Champlain LHIN.

The website is a resource to be used in conjunction with the education and support provided by the CHEO ED Outreach Program. This site contains CHEO based tools and resources to assist with pediatric emergency care
needs password for now
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TREKKhttp://trekk.ca/TRanslating Emergency Knowledge for Kids (TREKK) is a growing network of researchers, clinicians, national organizations and health consumers who share the same goal – to improve emergency care for children across Canada.To achieve our goals we will be working with over 30 general EDs across Canada, spanning 9 provinces and 1 territory:
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Trauma: use transexamic acid early at 10mg/kg IVRBC 10-20cc/kg
plastma 10cc/kg
platelets: <14kg 10-20cc/kg; >14kg 300cc
tranesemic acid: 10mg/kg IV
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Screen for abuse (especially >22wk pregnant)https://www.sickkids.ca/pdfs/Clinical%20Practice%20Guidelines/39079-Management%20of%20Bronchiolitis%20in%20Infants%20FINALFA2011.pdfIn relationship couples have dispute and emotional upsets; has there ever been a situation when things cross the line and makes you feel unsafe?
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corneal foreign body removal: don't patchhttp://emedicine.medscape.com/article/82717-overview#a8
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Credible Meds: QT drugshttps://crediblemeds.org/registerThis section of CredibleMeds® includes tools to assist physicians, nurses, pharmacists and other healthcare professionals who play central roles in medication safety.
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MDMA (ecstasy) and hyponatremiahttp://cjasn.asnjournals.org/content/3/6/1852.full.pdf+html
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Should I stay or should I go?: toxic alcohol case in the emergency department.http://getit.library.utoronto.ca/index.php/oneclick?ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=The+agony+of+ecstasy%3A+MDMA+%283%2C4-methylenedioxymethamphetamine%29+and+the+kidney&rft.jtitle=Clinical+journal+of+the+American+Society+of+Nephrology+%3A+CJASN&rft.au=Garland+A+Campbell&rft.au=Mitchell+H+Rosner&rft.date=2008-11-01&rft.eissn=1555-905X&rft.volume=3&rft.issue=6&rft.spage=1852&rft.epage=1860&rft_id=info:doi/10.2215%2FCJN.02080508
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Urine samples from disposable diapers: an accurate method for urine cultures.https://www.ncbi.nlm.nih.gov/pubmed/9071249
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Urine Culture Collected from Gel-Based Diapers: Developing a Novel Experimental Laboratory Method
http://www.jabfm.org/content/17/2/91.full
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hydrofluoric acid burnhttp://emedicine.medscape.com/article/773304-treatment#d10
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