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Glasgow Coma Scale in Children

Pediatric EM Morsels

Acad Emerg Med. Academic emergency medicine 12.9 2005): 814–819. Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. 2016 Aug;23(8):878-84. doi: 10.1111/acem.13014. Epub 2016 Aug 1. PMID: 27197686. Holmes, James F et al. Pediatr Neurol. 2005.10.012.

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Did Not Wait – DNW

Don't Forget the Bubbles

In the UK, as in most developed countries, more patients are presenting to Emergency Departments (EDs) with minor illnesses or injuries. Emergency department overcrowding is a complex issue with multiple contributing factors. Learning about international trends sparked our curiosity about our own department.

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Contrast Media Shortage of 2022 – Lessons Learned

EMDocs

Background and Context Contrast-enhanced computed tomography (CECT) is of paramount importance in the emergency department (ED) due to its indispensable role in facilitating precise diagnostic outcomes. 3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013. West J Emerg Med.

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PEM POCUS Series: Pediatric Renal and Bladder Ultrasound

ALiEM

Facts and Literature Review Bladder volume estimation Measuring bladder volume via POCUS in pediatric patients has been studied, demonstrating a benefit on Emergency Department workflow and length of stay (Table 1). The pain is intermittent, sharp, severe, and associated with 2 episodes of nonbloody, nonbilious emesis. Chen et al.,

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Ultrasound of the Month: No Definitive Yolk Sac, No Definitive IUP!

Taming the SRU

THE CASE A female in her early 20s, G4P2012, presents to the emergency department (ED) with a 5 day history of left lower quadrant abdominal pain which has been worsening since onset. The Lancet, Volume 366, Issue 9485, 2005, Pages 583-591, ISSN 0140-6736, [link]. Academic Emergency Medicine, 14: 755-758.

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PEM Currents – Agitation in Children – Episode 5: The Boarded ED Patient

EMDocs

And now we’re here at our destination, the place we know and love, the emergency room to talk about what we should be doing for the growing volume of children with mental health problems boarding in the emergency department. These populations may need to be prioritized in our efforts to address this problem.

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Diagnostics: Inflammatory Markers

Taming the SRU

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. 2005 Nov;6(11):1045-56. In 7 studies with 4164 patients, PCT with a cut-off > 0.1 ng/mL, 0.25-0.5