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SGEM #425: Are You Ready for This? Pediatric Readiness of Emergency Departments

The Skeptics' Guide to EM

National Assessment of Pediatric Readiness of US Emergency Departments during the Covid-19 Pandemic. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Reference: Remick KE, et al. JAMA Netw Open.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

We have mentioned the Glasgow Coma Scale in multiple delicious morsels: Minor closed head injuries in <3 month olds and in the rebaked morsel , Blunt cerebrovascular injury , Cerebral edema in DKA , Pediatric Trauma Pitfalls , and Carbon monoxide poisoning. When is it useful and what does it tell us? Fun fact for animal lovers!-

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Elbow Dislocations

RebelEM

Elbow Dislocations in the Emergency Department: A Review of Reduction Techniques. J Emerg Med. Medial epicondyle fractures in the pediatric population. 2003 Apr;69(2):197-200. PMID: 30521261 Gottlieb M, Schiebout J. 2018 Jun;54(6):849-854. doi: 10.1016/j.jemermed.2018.02.011. 2018.02.011. Epub 2018 Apr 19.

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ToxCard: Iron

EMDocs

2 This requirement was ultimately removed in 2003, however iron related exposures and deaths have stayed low. Ferrous sulfate tablets are radiopaque and can be visualized on radiographs, however not all preparations are radiopaque (pediatric chewable and liquid preparations). Goldfrank’s Toxicologic Emergencies, 11e.

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Pediatric Hand Fractures

Pediatric Emergency Playbook

Pediatric Hand Fractures. Pediatric Hand Injuires. Pediatric Hand Fractures. Pediatric Hand Injuires. Pediatric Hand Fractures. Pediatric Hand Fractures. Pediatric Hand Fractures. Pediatric Hand and Wrist Fractures. Pediatric Hand Fractures. Journal of Pediatrics. Nellans et al.

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The Pediatric Surgical Abdomen

Pediatric Emergency Playbook

One of our largest responsibilities in the Emergency Department is sorting out benign from surgical or medical causes of abdominal pain. Abdominal Surgical Emergencies in Children: A Relative Timeline General Advice Neonate (birth to one month) Necrotizing Enterocolitis Pneumatosis Intestinalis. Pediatr Rev. J Emerg Med.

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Improving Care for Patients with a Non-English Language Preference (NELP)

EMDocs

7 This has also been observed in a pediatric patient population. 12 How do we address these disparities in the emergency department? Pediatrics. An implementation science approach improves language access in the emergency department. Annals of Emergency Medicine. Annals of Emergency Medicine.