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Glasgow Coma Scale in Children

Pediatric EM Morsels

Motor Fingernail bed pressure with a pencil first If flexion outcome, then apply painful stimulus to neck or head (trapezius or supraorbital notch) to look for localization Spinal reflex can result in a falsely elevated score if lower extremity pain induced Verbal Orientated- Able to answer all questions. 2003 Jul;40(7):620-5.

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Elbow Dislocations

RebelEM

2003 Apr;69(2):197-200. AMA Arch Surg. 1957 Dec;75(6):972-5. doi: 10.1001/archsurg.1957.01280180104014 1957.01280180104014 PMID: 13478276 Saouti R, Albassir A, Berger JP, Fatemi F, Willems S. Anterior elbow dislocation with recurrent instability. Acta Orthop Belg. PMID: 12769023 Skelley NW, Chamberlain A. Orthopedics. 2015 Jan;38(1):42-4.

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ECPR evidence – a historical journey

Intensive Blog

Whilst acknowledging not all centres who provide ECMO are registered with ELSO 3 , an analysis of this dataset showed that in 2003 there were < 50 ECPR runs reported in total 4. This showed a similar rate of survival to discharge (27%), of whom approximately 50% had a favourable neurological outcome on discharge (CPC 1 or 2).

CPR 130
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SGEM #425: Are You Ready for This? Pediatric Readiness of Emergency Departments

The Skeptics' Guide to EM

Two previous studies conducted assessing the state of nationwide pediatric readiness were conducted in 2003 and 2013. Intervention: Web-based open assessment questionnaire containing 92 questions. * Comparison: Previous pediatric readiness scores. * Outcome: But does that always happen? Veterans Affairs and prison hospitals.

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A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

Atrial fibrillation is also a predictor of worse outcomes in this case (Alborzi). 2003, May). RBBB in blunt chest trauma seems to be indicative of several RV injury. Myocardial contusion in an 8-year-old boy. Circulation: Cardiovascular Imaging. Retrieved July 2, 2022, from [link] Sybrandy, K. Cramer, M. & Burgersdijk, C.

EKG/ECG 107
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SGEM#409: Same as it Ever Was – Tamiflu for Influenza?

The Skeptics' Guide to EM

The Cochrane collaboration published analyses of the available data in 1999, 2003 and 2006. Safety issues popped up soon after widespread use of the drug including neuropsychiatric effects as well as the more common adverse effects of nausea and vomiting. There was a large unblinded RCT of over 3,000 patients published in the Lancet in 2020.

CDC 93
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REBEL Core Cast 132.0 – Recent-Onset AFib

RebelEM

JACC 2003; 41: 255-62. Thirty-day Outcomes of Emergency Department Patients Undergoing Electrical Cardioversion for Atrial Fibrillation or Flutter. Ann Emerg Med 2015; 65(5): 532-9. PMID: 25701296 Chevalier P et al. Amiodarone Versus Placebo and Class Ic Drugs for Cardioversion of Recent-Onset Atrial Fibrillation: A Meta-Analysis.