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Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Pediatric EM Morsels

Buckle Fractures: Evolving literature Multiple prospective studies have been performed using single posterior slabs, splints, braces and soft bulky bandages (Davidson, 2001. West, 2005. Plint, 2006.

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Overdiagnosis: Would we better better off not looking?

First 10 EM

Between 2001 and 2010 the use of CT in emergency departments increased 3-fold (and the use of MRI increased 9-fold, but for some reason it is still almost impossible for me to get one done.) There is little doubt that the use of testing has increased dramatically in emergency medicine during my career.

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PulmCrit Hot Take: Aggressive glycemic control is dead (TGC-Fast Trial)

EMCrit

Major interest in tight glycemic control in the ICU began in 2001 with an RCT by the same group of investigators, also […] EMCrit Project by Josh Farkas. background Today the Van de Bergh group in Belgium released a RCT investigating tight versus liberal glycemic control in the ICU.

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Rash Week! My aching feet!

PEMBlog

N Engl J Med 2001; 345:335-338. This is an outbreak following exposure to hot tub/pool water containing high concentrations of P. aeruginosa. Antibiotics are not necessary for treatment and it self resolves. References Fiorello L, et al. The Pseudomonas Hot-Foot Syndrome. DOI: 10.1056/NEJM200108023450504.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

2001 Apr;68(4):311-4. Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6 Pediatr Neurol. 2006 May;34(5):379-87. doi: 10.1016/j.pediatrneurol.2005.10.012. 2005.10.012. PMID: 16647999. Chaturvedi P, Kishore M. Modified Glasgow Coma Scale to predict mortality in febrile unconscious children.

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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

2001 Jan 25;344(4):264-9. Risk factors for cerebral edema in children with diabetic ketoacidosis. The Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics. N Engl J Med. PMID: 11172153. PubMed] [Read by QxMD] [link] Weiss A, Donnachie E, Beyerlein A, Ziegler A, Bonifacio E.

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Adjunctive Methylene Blue in Septic Shock?

RebelEM

Crit Care Med 2001. vs 0.5% (Range 0.4 BUT significantly lower than the clinically relevant threshold of 10% Author Conclusion: “In patients with septic shock, MB initiated within 24h reduced time to vasopressor discontinuation and increased vasopressor-free days at 28 days. Crit Care 2023. PMID: 11588440 Memis D et al.

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