#PEM2013
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nmay.bsky.social
@_NMay More info for 8yF:
#FOAMped #PEM2013 http://t.co/7EgIRaQICP
November 27, 2024 at 1:05 PM
nmay.bsky.social
Williams syndrome - hypercalcaemia in kids. Rx 0.9% saline, furosemide & bisphosphonates (later) http://www.williams-syndrome.org/what-is-williams-syndrome
#FOAMped #PEM2013
What is Williams syndrome?
Williams syndrome (WS) is a genetic condition that is pre...
www.williams-syndrome.org
November 27, 2024 at 12:43 PM
nmay.bsky.social
Electrolytes: a creatinine in the normal adult range is ABNORMAL in a child - read results carefully
#FOAMped #PEM2013
November 27, 2024 at 12:43 PM
nmay.bsky.social
Male baby, sick with UTI - could it be posterior urethral valve? Catheter useful in these cases http://emedicine.medscape.com/article/1016086-overview
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Posterior Urethral Valves: Practice Essentials, Pathophys...
Hugh Hampton Young published the first description of pos...
emedicine.medscape.com
November 27, 2024 at 12:43 PM
nmay.bsky.social
8yF, BP in ED 154/119mmHg - plan?
#FOAMped #PEM2013 http://t.co/QPdtCL6yAe
November 27, 2024 at 12:43 PM
nmay.bsky.social
Normal adult blood pressure in primary school age child: **red flag** - be wary...
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November 27, 2024 at 12:25 PM
nmay.bsky.social
Rapid tranq. of paeds: used @alderheykids - if behaviour puts pt at risk and NO OTHER options. Last resort!
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November 27, 2024 at 12:25 PM
nmay.bsky.social
Avoiding paed rapid tranq: identify early, see quickly, 1:1 nursing (build rapport), avoid provocation, de-escalate if can
#FOAMped #PEM2013
November 27, 2024 at 12:25 PM
nmay.bsky.social
Paed rapid tranq. - may be required after drug overdose (e.g. amphetamine). Single agent preferable over cocktail
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November 27, 2024 at 12:25 PM
nmay.bsky.social
Don't forget: head injury can and does mimic psych illness - RSI for head CT (not rapid tranq) if any possibility
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November 27, 2024 at 12:25 PM
nmay.bsky.social
Risk of dystonic reactions - procyclidine MUST be available if giving haloperidol etc.
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November 27, 2024 at 12:02 PM
nmay.bsky.social
Treatment w/out consent = assault
Rx w/out consent if <16: min to save life, only what reasonable doc would do - document!
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November 27, 2024 at 12:02 PM
nmay.bsky.social
Rapid tranq policy at @alderheykids
#FOAMped #PEM2013 http://t.co/NAhievFktW
November 27, 2024 at 12:02 PM
nmay.bsky.social
@_NMay Corrected earlier tweet (2/2) Rapid paed tranq: lorazepam IV 0.1mg/kg to max 4mg given slowly over 1-2min.
#FOAMped #PEM2013
November 27, 2024 at 12:02 PM
nmay.bsky.social
Corrected earlier tweet: (1/2) Rapid paed tranq: lorazepam PO/IM 0.5mg-1mg (<12y), 1-2mg (>12y), hourly if needed, max 4mg
#FOAMped #PEM2013
November 27, 2024 at 11:38 AM
nmay.bsky.social
Rapid paed tranq MT @rfdsdoc: if IV sedation given, need full airway setup & prep for RSI. Also sedation score needed
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November 27, 2024 at 11:22 AM
nmay.bsky.social
(Still no ketamine here...) MT @Damian_Roland: Pharmacol. review of Rx the agitated young person http://medstation.yale.edu/pedres/www/pediatric%20agitation%20article.pdf #FOAMped #PEM2013
November 27, 2024 at 11:22 AM
nmay.bsky.social
NICE guideline 25: Short-term management of disturbed/violent behaviour in inpt psych setting & ED
http://www.nice.org.uk/nicemedia/live/10964/29715/29715.pdf
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NICE - File not found
www.nice.org.uk
November 27, 2024 at 11:22 AM
nmay.bsky.social
Reasonable force: no legal definition so not possible to set out comprehensively when to use or degree of force - caution!
#FOAMped #PEM2013
November 27, 2024 at 11:22 AM
nmay.bsky.social
In restrained patients be aware of position asphyxia and be prepared to act. Pt can say "I can't breathe" - NOT REASSURING
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November 27, 2024 at 11:07 AM
nmay.bsky.social
Therapeutic hypothermia post paed arrest: new Taiwanese paperfound sig inc survival to d/c but no sig diff. neuro outcomes
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November 27, 2024 at 11:07 AM
nmay.bsky.social
Multicentre study in progress in the US to look at therapeutic cooling - watch this space... http://www.thapca.org/
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November 27, 2024 at 11:07 AM
nmay.bsky.social
UK problem - to screen for Vit D deficiency in paediatric # popn? More likely deficient but clinical significance unclear
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November 27, 2024 at 11:07 AM
nmay.bsky.social
Bedside US to guide paed forearm # reduction in ED? Yes... But little published literature & potential practical issues
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November 27, 2024 at 10:53 AM
nmay.bsky.social
IN Ketamine for Paed procedural sedation - we already know the answer to this one...
http://stemlynsblog.org/2012/11/intranasal-ketamine-mum-nose-best-at-st-emlyns/
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Page not found • St.Emlyn's
stemlynsblog.org
November 27, 2024 at 10:53 AM