@ER_Dr_ummer: Do not let US worsen your resus!
To scan within CPR pauses of <10sec is exceedingly challenging!
Prepare your machine, team, environment, yourself
If a kid is seizing for more than 5 minutes… They will continue until you do something to break it. :
Lorazepam:0.1mg/kg
Diazepam: 0.1mg/kg
Diazepam: 0.5mg/kg
Midazolam: 0.1mg/kg IV,IN or IM
seizures beget seizures #CritPoints17SD
Bronchiolitis: risk for apnea: Full term<1mo of age, born<37 and less than 48 weeks post conception, If the kid has had a single apnea episode. Needs admission:
Toxic, persistent hypoxia, apnea, RR>70, Inability to feed or dehydration. #CritPoints17SD
Bronchiolitis: <2 years of age. Big risk in: Premature, younger and medically fragile. NO: dilators(Strong level B, steroids(strong level A). High risk kids… bets are off
#CritPoints17SD
Which Fluid for kids? LR or Normosol. Saline is not normal…. Abnormal Saline can cause renal injury and worsening acidosis.
Fluid bolus is 60ml/kg/1st hour.
#CritPoints17SD
Acyclovir: All really sick kids <4 weeks of age get it!!! Sepsis syndrome with negative culture, skin vessicles, Hepatic failure all get it. . Dr. Nate Mick
Lactate of greater than 4 in a kid is highly suspicious for pending organ failure… Serial lactates in sick kids can give you the warning
#CritPoints17SD
Sepsis in kids: Not easy automatic trigger: Can get sick from bacteria or virus, Most common cause of the “sick kid”. 4 beasts: Newborns, “Syndromes", Cancers & Teens. #CritPoints17SD