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Pediatric “Sepsis” Consider in any toxic appearing child/neonate Especially with fever (or hypothermia) Treatment Early antibiotics Fluid bolus “Serious Bacterial Infections” (SBI) Consider in any baby with fever Three classic categories Age <30 days Introduction Weak immune system No immunizations Very high risk for serious bacterial infections Require a significant amount of testing Urinalysis with […]

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Introduction In pediatric patients, have a low threshold to check blood sugar Undiagnosed diabetics commonly identified in ED during first episode of DKA HYPOglycemia is very common in multiple conditions, especially in ill children Hyperglycemia DKA is different in kids They get cerebral edema Increased intracranial pressure with rapid fluid administration Common symptoms Headache Altered […]

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Applying oxygen is one of the first steps in treating any crashing child!!! Airway Emergencies Foreign body (FB) Patient presentation Stridor Choking episode Testing CXR May directly show foreign body May show secondary effects of a foreign body Hyperinflated/collapsed lobes of the lung Patient needs bronchoscopy if suspicion is high Peritonsillar abscess Visible in the […]

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When you have a critically ill child in front of you, always remember, OH SHIT, Grab the Broslow!!! Oxygen- Apply Oxygen and Consider Airway/Respiratory Emergencies Foreign body Peritonsillar abscess Bacterial tracheitis Epiglottitis Retropharyngeal Abscess Bronchiolitis Asthma Croup Pneumonia Cystic Fibrosis Hyper/Hypoglycemia- Check Blood Glucose Hypoglycemia DKA Sepsis- Consider Sepsis and Serious Bacterial Infections Pediatric sepsis […]