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TREKK Series | Procedural Sedation

In Guidelines, Medical Concepts by Ashley LubberdinkLeave 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 Ashley Lubberdink2 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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TREKK Series | Intussusception

In Guidelines, Medical Concepts by Ashley Lubberdink1 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 | Bronchiolitis Guidelines

In Guidelines, Medical Concepts by Ashley Lubberdink1 Comment

Editor’s note: This post represents a first 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 cold January morning. A 5- month old male is brought to your community ED with a 4-day history of cough and nasal …