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Neonatal resuscitation algorithm CPAP: continuous positive airway pressure CPR: cardiopulmonary resuscitation ECG: electrocardiogram FiO2: fraction of inspired oxygen HR: heart rate PPV: positive pressure ventilation SpO2: oxygen saturation on pulse oximetry

❤️Fever is not dangerous and is a part of the innate immune system. Therefore, measures to reduce the temperature are only indicated if the child is uncomfortable.

Case 1

Simple febrile seizure Duration: < 15 minutes Frequency: maximum of one seizure within 24 hours Features Generalized seizures (no focal component) Commonly tonic-clonic Postictal phase Quick return to normal Confusion and drowsiness may be present for < 30 minutes. Complex febrile seizure A febrile seizure is classified as complex if it meets any of the following criteria: Duration: ≥ 15 minutes or interrupted with abortive therapy Frequency: > 1 seizure within 24 hours Features: any focal seizure [2] Postictal phase: may include focal neurological signs and/or postictal paralysis Febrile status epilepticus Any febrile seizure lasting > 30 minutes Any series of febrile seizures lasting > 30 minutes in total without full recovery of consciousness between seizures May be generalized or focal

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(A) Magnesium sulfate is used as a smooth muscle relaxant and can be used to help control bronchospasm in severe asthma and cause vasodilatation (A). Calcium chloride, sodium phosphate, potassium chloride, and sodium bicarbonate do not have any bronchodilating properties

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The harriet lane handbook 2026 full version

Pediatric Clinical Practice Guidelines & Policies 2026

Indications of Antibiotic in AOM .. Children  Age ≤ 6 months Age < 2 years with bilateral AOM   Any age with: Symptoms that have not improved after 48–72 hours Severe AOM  Signs of severe systemic illness  Otorrhea not due to otitis externa Cochlear implants   ..Adults: Antibiotics (e.g., amoxicillin) are typically given to prevent complications.  [

➡️Topical antibiotics are generally ineffective in treating AOM unless tympanostomy tubes are present.

Do not give intravenous sodium bicarbonate to children and young people with DKA. Only consider bicarbonate if there is life threatening hyperkalaemia or in severe acidosis with impaired myocardial contractility. It is anticipated that this would only ever be done following discussion with an Intensivist.