Pediatric EM Morsels

MARCH 17, 2023

Venomous snakebites in the United States: management review and update [published correction appears in Am Fam Physician 2002 Jul 1;66(1):30]. as far west as Texas Cottonmouths/Water Moccasins live in the southeastern U.S. in wetlands, rivers, and lake areas Coral snakes inhabit the southern U.S. J Pediatr Surg. 2014;49(6):1009-1015.

CDC 130

CDC Poisoning Pediatrics Shock 130

PEMBlog

OCTOBER 11, 2023

Pediatric genitourinary injuries in the United States from 2002 to 2010. PubMed PMID: 24857651; PubMed Central PMCID: PMC4104146. Tasian GE, Bagga HS, Fisher PB, McCulloch CE, Cinman NM, McAninch JW, Breyer BN. 2013 Jan;189(1):288-93. doi: 10.1016/j.juro.2012.09.003. 2012.09.003. Epub 2012 Nov 19. Guttmann I, Kerr HA.

Fractures 98

Fractures Pediatrics 98

RebelEM

JUNE 26, 2024

Nephrol Dial Transplant 2002; 17: 1639-42. Definition: A serum potassium level > 5.5 patients can jump from peaked T waves to sine wave) Management Basics: ABCs, IV, O 2 , Cardiac Monitor and, 12-lead EKG Identify + treat underlying cause of hyperkalemia (i.e. rhabdomyolysis -> hydration) Remove inciting factors (i.e.

EKG/ECG 59

EKG/ECG Administration Burns EMS 59

EMDocs

JUNE 25, 2024

2002 Mar;68(3):240-3; discussion 243-4. 2002 Nov;28(7):665-9. 2004;329(7457):101-103. Brandt CP, Yowler CJ, Fratianne RB. Burns with multiple trauma. Rosenkranz KM, Sheridan R. Management of the burned trauma patient: balancing conflicting priorities.

Burns 73

Burns Fluid Resuscitation Resuscitation Poisoning 73

The Trauma Pro

MAY 26, 2023

We developed our first iteration of a solid organ injury practice guideline at Regions Hospital way back in 2002. Here’s the final post on my series covering serial hemoglobin testing in the management of solid organ injury. It was borne out of the enormous degree of clinical variability I saw among my partners.

Blood Transfusions 130

Blood Transfusions Operations Pediatrics Hospitals 130

American Medical Compliance

MARCH 4, 2024

Also, OSHA stated in 2002 that although this type of care may occur often, it is not required to be reported. It can also include the use of non-prescription medicine, draining blisters, removing debris from the eyes, massages, and drinking fluids to relieve heat stress.

Burns 52

Burns CPR 52

PEMBlog

AUGUST 14, 2024

2002 Aug;95(2):461-6, table of contents. References Arain SR, Ebert TJ. The efficacy, side effects, and recovery characteristics of dexmedetomidine versus propofol when used for intraoperative sedation. Anesth Analg. doi: 10.1097/00000539-200208000-00042. PMID: 12145072. Carollo DS, Nossaman BD, Ramadhyani U.

Pediatrics 59

Pediatrics Wellness 59

RebelEM

MAY 29, 2023

Anaesth Intensive Care 2002. 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 Med 2001. PMID: 11588440 Memis D et al.

Shock 145

Shock Fluid Resuscitation Sepsis Resuscitation 145

The Skeptics' Guide to EM

FEBRUARY 3, 2023

Background: “Therapeutic” hypothermia took the critical care world by storm in 2002, with the simultaneous publication of two randomized control trials (RCTs) in the same issue of the New England Journal of Medicine – the Hypothermia after Cardiac Arrest ( HACA ) study and the Bernard study. Are we supposed to be starting hypothermia?”

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Hospitals Documentation/Coding Outcomes 52

ALiEM

FEBRUARY 16, 2024

2002), Role of sonography in the diagnosis of gallbladder perforation. 1983 Jul;148(1):219-21. doi: 10.1148/radiology.148.1.6856839. 148.1.6856839. PMID: 6856839. Khandelwal, N. and Suri, S. Ultrasound, 30: 270-274.

Radiology 64

Radiology Radiology Ultrasounds COPD 64

Emergency Medicine Journal

NOVEMBER 28, 2023

ED opt-out BBV testing identified 2002 people who were newly diagnosed (343 HIV, 1190 HBV, 484 HCV) and 473 who were previously diagnosed but not in care (HIV 209, HBV 156, HCV 108). From April 2022 through March 2023 in participating sites there were 1,384,378 ED attendances with blood tests.

Emergency Department 40

Emergency Department 40

EMDocs

MAY 15, 2024

Clinical Guide for the Management of Sickle Cell Disease, 2002. Published January 2002. Rapidly progressive acute chest syndrome in individuals with sickle cell anemia: a distinct acute chest syndrome phenotype. Am J Hematol. 2016;91(12):1185-1190. PMID:27543812 National Heart, Lung, and Blood Institute. Br J Haematol.

Blood Transfusions 78

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 78

The Skeptics' Guide to EM

JULY 3, 2021

Background: Hypothermia has been a mainstay of post-arrest care after the publication of two trials in 2002 that both suggested a benefit. The other trial was the Hypothermia After Cardiac Arrest (HACA), also published in NEJM 2002. The charge nurse turns to you and asks: should I grab the ice packs?

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Hospitals Outcomes Wellness 52

Pediatric EM Morsels

JULY 28, 2023

2002 Dec;141(6):793-7. The Pediatric Emergency Medicine Collaborative Research Commitee. Factors associated with adverse outcomes in children with diabetic ketoacidosis-related cerebral edema. PMID: 12461495.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

The Skeptics' Guide to EM

MAY 19, 2019

Civil Monetary Penalties Resulting from Violations of the Emergency Medical Treatment and Labor Act (EMTALA) Involving Psychiatric Emergencies, 2002 to 2018. Civil Monetary Penalties Resulting from Violations of the Emergency Medical Treatment and Labor Act (EMTALA) Involving Psychiatric Emergencies, 2002 to 2018.

Psychiatric 40

Psychiatric Academics Emergency Department Hospitals 40

ACEP Now

FEBRUARY 11, 2024

I first had a ‘starring’ role in 2002, playing Dr. Frankenfurter in the Rocky Horror Show. I have been involved with theater for over 25 years now!” That first show, Dr. Astin stayed behind the scenes as the assistant stage manager, but the acting bug had bitten him hard. “I That was during the first year of medical school,” he said.

Emergency Department 52

Emergency Department 52

EMDocs

MAY 28, 2024

Clinical Guide for the Management of Sickle Cell Disease, 2002. Published January 2002. Rapidly progressive acute chest syndrome in individuals with sickle cell anemia: a distinct acute chest syndrome phenotype. Am J Hematol. 2016;91(12):1185-1190. PMID:27543812 National Heart, Lung, and Blood Institute. Br J Haematol.

Blood Transfusions 75

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 75

RebelEM

FEBRUARY 12, 2024

2002; 225(2):441-449. Radiological Imaging of Patients With Suspected Urinary Tract Stones: National Trends, Diagnoses, and Predictors. 2011; 18(7):699-707. Gottlieb RH, La TC, Erturk EN, et al. CT in Detecting Urinary Tract Calculi: Influence on Patient Imaging and Clinical Outcomes Radiology.

Radiology 85

Radiology Radiology Emergency Department Ultrasounds 85

Emergency Medicine Ireland

JUNE 10, 2024

The Lindell Weaver NEJM RCT in 2002 did suggest a neuro benefit but only 8% of the patients in this trial were intubated. The New England journal of medicine 347 , 1057–1067 (2002). Oxygen reduces the half life of CO in the blood quite dramatically, commonly quoted numbers are the haf-life of COHb in an FiO2 of 0.21

Poisoning 52

Poisoning EMS Burns Shock 52

Sensible Medicine

MAY 28, 2024

USPSTF Guidelines Depression screening was first recommended to adults in 2002 with a “B” grade. But I’ve learned that screening can lead to a cascade of interventions more likely to harm than help. Seven years later, in 2009, the USPSTF expanded this guideline to include children as young as 12 years old.

Outcomes 137

Outcomes Military Psychiatric Wellness 137

Sensible Medicine

AUGUST 7, 2024

For example, Bergman reports a 2002 study in which ventilated premature babies were placed to sleep on either their tummies or backs, and the following states were measured: quiet sleep, active sleep (which is less restorative than quiet sleep), crying time, number of stress responses (startle, tremor, and twitch), and oxygen saturation.

CDC 105

CDC Documentation/Coding Research Pediatrics 105

Greater Sydney Area HEMS

APRIL 26, 2023

In fact as recently as 2002 a UK Health and Safety Executive report recommended that suspended patients ‘must never be laid down’, rather gradually transferred via a number of intermediate seated positions (1). UK Health and Safety Executive, London; 2002. That sounds like an IIMS waiting to happen…why the controversy? References 1.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Shock Research Operations 52

ACEP Now

MAY 9, 2024

The procedure has soared in popularity as beauty standards have shifted and cosmetic surgery has become increasingly transparent on social media platforms, with reported cases in the United States increasing from 614 in 2002 to 61,387 by 2021, a nearly 10,000 percent increase. Cosmetic Surgery National Data Bank: 2002 Statistics.

Emergency Department 52

Emergency Department Operations Ultrasounds Hospitals 52

PulmCCM

JUNE 12, 2023

” The treatment became widespread after a trial ( NEJM 2002, n=275) showed large neurologic and survival benefits from hypothermia; however, subsequent trials mostly failed to replicate those findings.

Hyperthermia / Hypothermia 102

Hyperthermia / Hypothermia Academics Documentation/Coding Outcomes 102

PHEM Cast

APRIL 21, 2021

Anesthesia and Analgesia, 2002; 94; S-123. Association Between Repeated Intubation Attempts and Adverse Events in Emergency Departments: An Analysis of a Multicenter Prospective Observational Study. Annals of Emergency Medicine 2012; Volume 60, Issue 6, Pages 749–754.e2 e2 Delson NJ et. Levitan RM et al.

Airway Management 52

Airway Management Resuscitation EMS Hospitals 52

Sensible Medicine

JULY 5, 2023

Pat Croskerry’s 2002 article in which he identifies 30 “failed heuristics, biases, and cognitive dispositions” is one of my absolute favorites that I reference a few times a year. I am a total sucker for an article that argues for the importance of primary care. I am also obsessed with our diagnostic reasoning biases.

EKG/ECG 82

EKG/ECG Academics Stroke 82

RebelEM

MAY 25, 2023

mental status, urine output, capillary refill) is more important than an actual goal PERMISSIVE HYPOTENSTION IN PTS WITH TBI Brotfain E et al. Hypotensive resuscitation during active hemorrhage: impact on in-hospital mortality. PMID: 12045644 Bickell WH et al. PMID: 7935634 Richards JE et al.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

The Skeptics' Guide to EM

NOVEMBER 16, 2019

But two earlier randomized controlled trials ( Hypothermia after Cardiac Arrest Study Group 2002 and Bernard et al 2002 ) showed benefit for good neurologic outcome when TTM was initiated in the hospital after ROSC was achieved. In those studies, the temperature goal was 32C-34C and 33C respectively.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia EMS Research Documentation/Coding 40

PEMBlog

OCTOBER 18, 2023

Overall picture of an emerging neonatal infectious disease induced by a superantigenic exotoxin mainly produced by methicillin-resistant Staphylococcus aureus. Microbiology and immunology, 57(11), 737–745. link] Nakano, M., Miyazawa, H., Kawagishi, M., Hasegawa, T., Iinuma, Y., & Ohta, M.

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

Maria Yang, MD

OCTOBER 6, 2023

Down and Out, On the Road: The Homeless in American History was published in 2002. A number of minority populations (e.g., Native Americans, Mexicans, women) suffer from homelessness because of policies and practices related to economic and class exclusion.

Psychiatric 59

Psychiatric 59

Northwestern EM Blog

MARCH 28, 2022

Acad Emerg Med, 2002. J Toxicol Clin Toxicol, 2002. Bhagat, C.I., Calculated vs measured plasma osmolalities revisited. Clin Chem, 1984. 30 (10): p. Hoffman, and L.S. Nelson, Error in an emergency medicine textbook: isopropyl alcohol toxicity. McMartin, K., Jacobsen, and K.E. Br J Clin Pharmacol, 2016. Clin Toxicol (Phila), 2015.

Poisoning 52

Poisoning Seizures Administration Pediatrics 52

EMDocs

FEBRUARY 15, 2024

2002; 6(4):28-30. [link] Soulaidopoulos S, Sinakos E, Dimopoulou D, Vettas C, Cholongitas E, Garyfallos A. Anticholinergic syndrome induced by toxic plants. World J Emerg Med. 2017;8(4):297-301. Jimson weed poisoning – a case report. The Permanente Journal. NC State Extension. Atropa Belladona. Accessed April 15, 2023. 2007;37:77-84.

Hyperthermia / Hypothermia 89

Hyperthermia / Hypothermia Poisoning Seizures COPD 89

EMDocs

JUNE 8, 2024

Bethesda (MD): National Cancer Institute (US); 2002-. PDQ Pediatric Treatment Editorial Board. Retinoblastoma Treatment (PDQ®): Patient Version. 2021 Oct 7. In: PDQ Cancer Information Summaries [Internet]. Figure, Anatomy of the eye, showing…]Available from: [link] Tintinalli, Judith E., and John O. McGraw Hill, 2020.

EMS 81

EMS Allergic Reactions Poisoning Emergency Department 81

The Skeptics' Guide to EM

FEBRUARY 13, 2021

Combinations of variables have been tried in the past as part of clinical scoring systems such as the Bacterial Meningitis Score (BMS) to identify children with CSF pleocytosis at low risk for bacterial meningitis ( Nigrovic et al 2002 ).

Pediatrics 52

Pediatrics Emergency Department Hospitals 52

ACEP Now

MAY 10, 2024

2002; 23(4):473-5. Otorhinolaryngeal foreign bodies in children presenting to the emergency department. Singapore Med J. 2005; 46(4):172-8. DiMuzio J, Deschler DG. Emergency department management of foreign bodies of the external ear canal in children. Otol Neurotol. Ho GC, Thind R, Yap D, et al. J Laryngol Otol. 2021;135(9):825-828.

Pediatrics 52

Pediatrics Emergency Department Poisoning Outcomes 52

Dr. Smith's ECG Blog

OCTOBER 17, 2024

PR depression — has been shown to be a relatively common ECG sign associated with clinically silent PE ( Kudo et al — JACC 39(12): 2000-2004, 2002 ). Instead, he was diagnosed with pneumonia — that turned out to be a left-sided pulmonary embolism that was initially missed. PR depression is marked and seen in multiple leads in this tracing.

EKG/ECG 73

EKG/ECG EMS Shock Ultrasounds 73

Don't Forget the Bubbles

SEPTEMBER 30, 2024

There was a disproportionate number of DNWs on Sundays, and if they presented between 4 pm and midnight, A 2002 Canadian study by Goldman et al., Of these, 40% were paediatric patients, and 12.4% of those children later returned to the ED.

Emergency Department 89

Emergency Department Research Hospitals Pediatrics 89