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Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Pediatric EM Morsels

Trauma season is at hand and like all other pediatric emergency departments in the country, we find our ED breaking ( pun intended ) at the seams with orthopedic injuries. We see all different flavors of upper extremity injuries. West, 2005. Plint, 2006.

Fractures 290
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Overdiagnosis: Would we better better off not looking?

First 10 EM

There is little doubt that the use of testing has increased dramatically in emergency medicine during my career. 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.)

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Glasgow Coma Scale in Children

Pediatric EM Morsels

2001 Apr;68(4):311-4. Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. 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. J Surg Res.

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SGEM#264: Hooked On A Feeling? Opioid Use and Misuse Three Months After Emergency Department Visit for Acute Pain

The Skeptics' Guide to EM

Opioid Use and Misuse Three Months After Emergency Department Visit for Acute Pain. AEM August 2019 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Opioid Use and Misuse Three Months After Emergency Department Visit for Acute Pain.

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PEM Currents – Agitation in Children – Episode 3: Pharmacologic Management

EMDocs

mg/kg/dose (IM/IV) Has a FDA Black Box warning in 2001 citing concerns of QT prolongation and torsades de pointes (TdP). Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry. 5 mg PO; 0.05-0.15

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Paediatric Appendicitis

Don't Forget the Bubbles

7-year-old Tilly is brought to your emergency department at 11 p.m. Abdominal pain in children is common, accounting for over 1 in 20 attendances to paediatric emergency departments [1]. Clinical scoring tools have improved diagnostic performance in assessing suspected appendicitis in the emergency department.

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Paediatric emergency medicine in the UK: are we meeting the needs of our children today? A descriptive workforce survey 2006-2023

Emergency Medicine Journal

In England, the rate of emergency department (ED) attendance in the first year of life is greater than at any other age, amounting to 122 visits per 100 000 population. 1 Children aged 0–16 accounted for 23% of ED attendances (more than 5.4 million children) in 2022/2023, with children aged 0–4 accounting for 11%.