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TREKK Series | Procedural Sedation

In Guidelines, Medical Concepts by Kaif PardhanLeave a Comment

Cohen is an 8-year old boy (right hand dominant) who fell from the monkey bars and sustained a closed, angulated left distal radius fracture. He is neurovascularly intact and has normal vital signs for his age. He weighs 30kg. He is in a moderate amount of pain despite Tylenol and Advil which was administered in the ED. You note that he will need further pain management, reduction and splinting of his forearm injury …

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TREKK Series | Diabetic Ketoacidosis

In Guidelines, Medical Concepts by Kaif Pardhan2 Comments

Mark is a 7-year old boy who was brought into the ED by his mom who noticed he has been more fatigued than usual over the past day. Three days ago, he had rhinorrhea and a cough, and since then has been complaining of generalized abdominal pain, nausea, 2 episodes of nonbloody, nonbilious emesis today, and increased thirst. He is otherwise healthy, takes no medications, has no allergies, has up to date immunizations …

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Congratulations to Sameer Sharif, 2017 Essentials of EM / CanadiEM Fellow!

In Featured by Kaif Pardhan1 Comment

On behalf of the CanadiEM and Essentials of Emergency Medicine teams, we are pleased to announce that the winner of the 2017 Fellowship contest is Dr. Sameer Sharif! Sameer is a 3rd year resident in the FRCPC Emergency Medicine program at McMaster University. His submission, entitled ß-Blockers for Refractory Ventricular Fibrillation in Cardiac Arrest was rated highly by all three of the Editors who reviewed it. Beyond being well written, appropriately referenced, and interesting, …

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TREKK Series | Intussusception

In Guidelines, Medical Concepts by Kaif Pardhan1 Comment

An 18 month female named Ella presents to the ED with a 1-day history of multiple intermittent episodes of abdominal pain (lasting ~5-10 minutes each) where she pulls into a knee-chest position, in addition to episodes of non-bloody, non-bilious emesis after her last 3 meals. Her appetite has been poor. Her bowel movements have been normal, with no diarrhea or hematochezia. There have been no unusual ingestions, no sick contacts, and no recent …

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TREKK Series | Pediatric Multisystem Trauma

In Medical Concepts by Kaif Pardhan1 Comment

Editor’s note: This post represents the second in a series led by Drs. Ashley Lubberdink and Kaif Pardhan translating the pediatric guidelines that have been developed by TREKK (TRanslating Emergency Knowledge for Kids). For more information and further pediatric emergency medicine guidelines, please visit the TREKK website. The Case: It is a hot summer day in July. A 10-year-old boy is brought into the Pediatric ED after he has been in a collision on …