Critical Kids: Phoenix Sepsis Criteria
The Critical Kids Series returns with a discussion of the Phoenix Sepsis Criteria.
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Critical Kids: PECARN C-Spine Rule
Welcome to Critical Kids, an emDOCs series focused on pediatric emergency medicine. Pediatric emergencies are challenging. We’ll provide summaries of the evidence to support your decisions at the bedside. Our first post looks at the PECARN C-Spine Rule.
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EM@3AM: Amniotic Fluid Embolism
A 37-year-old G5P4 at 33 weeks presents to the ED after being brought in by ambulance. She had a precipitous delivery while the ambulance was pulling in. The newborn is doing well, but the mother is complaining of shortness of breath and chest pain. VS include BP 88/45, HR 121, T 97.1, RR 28, SpO2 89% on 6L NC. On exam, she appears pale and anxious. She is tachycardic and tachypneic with diffuse wheezing and rhonchi. You notice precipitous vaginal bleeding and blood oozing from her IV site. What is the diagnosis?
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