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PEM Pearls Papers that have changed my practice Dani Hall @danihalltweets Consultant in Paediatric Emergency Medicine

PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute

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Page 1: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute

PEM PearlsPapers that have changed my practice

Dani Hall @danihalltweetsConsultant in Paediatric Emergency Medicine

Page 2: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute
Page 3: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute
Page 4: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute
Page 5: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute

Shorter Length of Stayif admitted

But not related to atopy

Page 6: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute

Brother from another motherPred vs dex in wheeze

Page 7: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute
Page 8: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute

Brother from another motherDexamethasone = Prednisolone in wheeze

Page 9: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute

Kawasaki DiseaseScientific statement from the

American Heart Association

Page 10: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute
Page 11: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute

Kawasaki DiseaseScientific statement from the

American Heart Association

New algorithm for incomplete Kawasaki’s

Page 12: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute

Safe sedation in ED

Page 13: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute
Page 14: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute

Ketamine is safe withvery few adverse events

Anti-emetics significantly reduced vomiting

Page 15: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute

Paediatric Traumatic Cardiac Arrest

Page 16: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute
Page 17: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute

Life saving interventionsover chest compressions

Page 18: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute

Naughty or nice?

Page 19: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute
Page 20: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute

Ho Ho Help…?

Page 21: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute

Ultimately, the question to ask is“Will it change my practice?”

Page 22: PEM Pearls - Royal College of Emergency Medicine conference 2018 speaker presentations/18.04.2018 12.25...Randomized Trial of Dexamethasone Versus Prednisone for Children with Acute