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Breastfeeding and Medications

General Rule Of Thumb: If the mediation can be safely prescribed to an infant, then there is no restriction on breastfeeding when mother is taking it. Antibiotics To Avoid: Sulfa drugs: Avoid prescribing to mother of a jaundice baby younger than 1 month of age. Avoid if baby is known to have G6PD. Erythromycin: Avoid until infant is 1 month

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VBG vs ABG

Notes: In a meta-analysis, Bloom et al. note that there is good correlation between arterial and venous pH and HCO3. They also concluded that despite variability in arterial and venous pCO2 and lactate, normal venous levels have good negative predictive values. 1 Zeserson et al. studied VBG and SaO2 (pulse oximetery) results in critically ill patients. This population included 41% ED,

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Pediatric Seizure Recurrence

Recurrence rate after first unprovoked seizure 1: 6% recurrence within 48 hours ( 1 in 16 ) 15.8% recurrence within 14 days (1 in 6) 31.5% recurrence within 4 months ( 1 in 3 ) Age less than 3 yo at onset increases 14 days recurrence, OR 2.1 29% recurrence within 1 year 3 37% recurrence within 2 years 3 43% recurrence within

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PECARN Pediatric Head CT Rule

The PECARN head injury rule was derived in a population of patients younger than 18 years old with blunt head injury. 42412 patients were included in the study population with a goal of identifying patients at very low risk of clinically important traumatic brain injury (ciTBI) by history and exam criteria, obviating the need for CT imaging.  Child <2 yo

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Pediatric Fever Protocols

There have been several attempts at building protocols for pediatric fever in order to determine what children 3 months and younger can be discharged home. The most commonly used protocols include the Rochester, Philadelphia, and now Step-by-Step. Although there is an exceptional comparison of these protocols (Step by Step not included) from Hui et al in 2012, the most important

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