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SGEM #417: Everybody’s Changing…the Reference Ranges for Pediatric Vital Signs

The Skeptics' Guide to EM

Case: A 5-year-old boy presents to the emergency department (ED) with his parents for fever and fatigue. We have been reading online about something called sepsis that can be deadly. Does he have sepsis?” Specifically, heart rate and respiratory rates are used in early attempts to detect sepsis.

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Reference ranges of paediatric heart rate and respiratory rate

Don't Forget the Bubbles

Heart rate (HR) and respiratory rate (RR) are THE major vital signs used in Advanced Paediatric Life Support ( APLS) guidance , sepsis guidelines , and Paediatric Early Warning Scores (e.g., Identify the percentage of children whose heart or respiratory rate would exceed the “severe” cut-off from the UK Sepsis Trust and NICE guidelines.

Sepsis 98
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Ultrasound of the Month - Not all veggies are good for your health

Downeast Emergency Medicine

Case presentation A 37-year-old female with a history of mild intermittent asthma, hepatitis C, and opioid abuse disorder (in remission for the past year being maintained on buprenorphine) presents to the emergency department after being called due to positive blood cultures. Arrow highlighting the small pericardial effusion.

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Case Report: A Rare, Urgent Testicular Complication

ACEP Now

Case A 37-year-old white male with no past medical history presented to the emergency department (ED) for left testicular pain, redness, and swelling. He had presented to urgent care for the same complaint a week before, but did not seek follow-up at an ED despite their recommendation.