St. Paul's Hospital Emergency Department The Continuous Pursuit of Excellence in Patient Care and Academic Emergency Medicine

Energy Drinks and Kids from Department of Emergency Medicine on Vimeo.

Dr J Laurence (R3) discusses the potential dangers of energy drinks, and how to deal with patients suffering the ill effects when the present to the ED.

This paper concludes:

" No association was found between preprocedural fasting and the incidence of adverse events occurring with procedural sedation and analgesia."

Ann Emerg Med. 2004;44:454-459. (Link)

 

A California study that found that a detailed clinical exam had no diagnostic value in detecting intra-cranial injuries found on CT scan.  They make the following recommendation: Patients with observed loss of consciousness or amnesia and Glasgow Coma Scale 13–15 should have a head computed tomography scan as part of their evaluation to avoid missing an intracranial injury. Pediatr Crit Care Med 2004; 5:230 –233. (Link)

An RCT evaluating the HAT method for the non-invasive management of pediatric scalp lacerations (with attached Editorial). Ann Emerg Med. July 2002;40:19-26. (Link to Paper)

Suggests that rapid NG hydration is as good as, and less complicated, than rapid IV hydration in moderately dehydrated children. Pediatrics 2002;109;566-572  (Link to Paper)