The Skeptics' Guide to EM

DECEMBER 14, 2024

Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. Background: Pediatric sepsis is a major global health concern, causing an estimated 3.3 The 2005 International Pediatric Sepsis Consensus Conference (IPSCC) criteria were established based on expert consensus and used for diagnosis.

Sepsis 103

Sepsis Shock Pediatrics Hospitals 103

Pediatric Emergency Playbook

AUGUST 1, 2017

Pediatr Rev. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem. Pediatr Surg Int. Eur J Pediatr Surg 2016; 26:192. Pediatrics 1977; 60:457. J Pediatr Gastroenterol Nutr 2008; 46:13. J Pediatr 2005; 146:787. Pediatr Surg Int 2003; 19:439. Pediatr Surg Int 2003; 19:247.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

PEMBlog

JUNE 14, 2023

Leyenaar; Pediatric Mental Health Boarding. Pediatrics October 2020; 146 (4): e20201174. Zima; Follow-up After Pediatric Mental Health Emergency Visits. Pediatrics March 2023; 151 (3): e2022057383. Mental Health Revisits at US Pediatric Emergency Departments. JAMA Pediatr. Pediatrics. Pediatrics.

Psychiatric 98

Psychiatric Emergency Department Pediatrics Best Practices 98

The Skeptics' Guide to EM

APRIL 17, 2021

Date: April 16th, 2021 Guest Skeptic: Dr. Anthony Crocco is the Deputy Chief – McMaster Department of Pediatrics, Acting Head of Pediatric Cardiology, and creator of Sketchy EBM. You give her an initial Pediatric Respiratory Assessment Measure ( PRAM ) score of 8 – and consider her to be having a “severe” exacerbation.

Pediatrics 52

Pediatrics PPE Emergency Department Hospitals 52

RebelEM

SEPTEMBER 13, 2023

patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01 Typically involves the mouth, larynx, pharynx, and subglottic tissue ( Kostis 2005 ). of people who take NSAIDs ( Nzeako 2010 ).

Allergic Reactions 105

Allergic Reactions Airway Management Anaphylaxis Emergency Department 105

Don't Forget the Bubbles

JULY 24, 2023

Pediatric Radiology. PEDIATRICS. The Journal of Pediatrics. 2005 May;72. Clinical Infectious Diseases. 1993 Jul 1;17(1). du Lac P, Panuel M, Devred P, Bollini G, Padovani J. MRI of disc space infection in infants and children. 1990 Jan;20. Fernandez M, Carrol CL, Baker CJ. 2000 Jun 1;105. Juvenile discitis. 1983 Dec 1;58.

Radiology 98

Radiology Radiology Infectious Diseases Pediatrics 98

Pediatric EM Morsels

JUNE 16, 2023

Arch Orthop Trauma Surg 2013;133(5):635-640.23443527 The post Morel-Lavallée Lesion in Children appeared first on Pediatric EM Morsels. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

Soft Tissue Injuries 154

Soft Tissue Injuries Dehydration Fractures Operations 154

Pediatric Emergency Playbook

OCTOBER 1, 2019

Clin Plast Surg 2005; 32:99. 1991) Pediatric fine needle aspiration biopsy. J Pediatr Surg. Current management of hemangiomas and vascular malformations. Silverman, J. Gurley, A. Holbrook, C. American Journal of Clinical Pathology 95: 653–659 Sonnino RE, Spigland N, Laberge JM, Desjardins J, Guttman FM. 1989 Oct;24(10):966-9.

Pediatrics 52

Pediatrics 52

Don't Forget the Bubbles

AUGUST 9, 2023

Ital J Pediatr 44 , 25 (2018). 2005) Subclinical thyroid dysfunction: a joint statement on management from the American Association of Clinical Endocrinologists, the American Thyroid Association, and the Endocrine Society. 2006) Subclinical thyroid disorders and cognitive performance among adolescents in the United States.BMC Pediatr.

Ultrasounds 98

Ultrasounds Pediatrics Wellness 98

PEMBlog

AUGUST 7, 2023

Pediatrics September 2012; 130 (3): 576–584. Principles and practice of pediatric sleep medicine. 197-210; 2005. Shiffman; Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome. 10.1542/peds.2012-1671 2012-1671 Katz ES, Marcus CL. Diagnosis of obstructive sleep apnea syndrome in infants and children.

Pediatrics 52

Pediatrics 52

Pediatric Emergency Playbook

OCTOBER 1, 2017

J Neurosurg Pediatrics. 2005; 29: 493–500. Complications of Intrathecal Baclofen Pump Therapy in Pediatric Patients. J Pediatr Orthop. Pediatr Neurosurg. for the Pediatric Heart Transplant Study Investigators. Prospective Trial of a Pediatric Ventricular Assist Device. 2011; 7:491-500. 2010; 30:76–81.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 52

ACEP Now

MAY 10, 2024

A recent 5-year retrospective study of 1,197 pediatric patients at a single institution studied 759 kids (63.4 A recent 5-year retrospective study of 1,197 pediatric patients at a single institution studied 759 kids (63.4 percent of ED pediatric patients compared to 92.9 2005; 46(4):172-8. Ann Oto Rhinol Laryngol.

Pediatrics 52

Pediatrics Emergency Department Poisoning Outcomes 52

Pediatric Emergency Playbook

JUNE 1, 2019

An MCI drill For Older Children, Adolescents, and Adults (8 or greater) -- START: For Children less than 8 years of age (Infants Use Pediatric Assessment Triangle) -- JumpSTART: MCI Organizational Chart Selected References Briggs SM. 2005 Dec;11(6):585- Culley JM, Svendsen E. Curr Opin Crit Care.

Mass Casualty Incidents 52

Mass Casualty Incidents Disaster Management Emergency Department Pediatrics 52

Taming the SRU

APRIL 14, 2024

For pediatric patients with an inguinal hernia, a unilateral frog leg position is helpful for aligning the inguinal canal. (7) For hernias that are difficult to reduce, make sure the patient is in optimal positioning including Trendelenburg, or unilateral frog leg positioning for pediatric patients. 6, June 2005, pp.

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

PEMBlog

AUGUST 20, 2024

ECPR involves using ECMO (Extracorporeal Membrane Oxygenation) to take over heart and lung functions, offering a last-resort option that is becoming more common in large pediatric hospitals. ELSO guidelines for adult and pediatric extracorporeal membrane oxygenation circuits. Pediatric Emergency Care , 40(8), 618-622.

CPR 52

CPR Resuscitation Pediatrics Hospitals 52

EMDocs

JUNE 16, 2023

Pediatric Mental Health Specifically within the pediatric population, there has been a steady rise in mental health concerns and suicide in children. As these sites face an increase in pediatric mental health visits, more efforts need to be directed at preparing community EDs to be pediatric ready. Doherty, Jennifer L.

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

Don't Forget the Bubbles

SEPTEMBER 30, 2024

2005 May;23(3):288–94. Patients who leave the pediatric emergency department without being seen: a case-control study. Comparison of the Demographics and Visit Characteristics of Patients Who Left the Pediatric Emergency Department Without Being Seen With Those Who Were Evaluated in the Emergency Department. Pediatr Emerg Care.

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89

PEMBlog

SEPTEMBER 26, 2024

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. Modern Day Scurvy in Pediatric Orthopaedics: A Forgotten Illness. Journal of pediatric orthopedics , 41 (3), e279–e284. This is the last of the four cases. This case was submitted by Dr. C., Mäkitie, O.,

Fractures 59

Fractures Pediatrics Wellness 59

EMDocs

AUGUST 3, 2023

2005 Apr;54(4):515-21. Pediatr Emerg Care. Br Med J (Clin Res Ed). 1984;289(6439):217-219. doi:10.1136/bmj.289.6439.217 289.6439.217 Knudsen TT, Thorsen S, Jensen SA, Dalhoff K, Schmidt LE, Becker U, Bendtsen F. Effect of intravenous N-acetylcysteine infusion on haemostatic parameters in healthy subjects. doi: 10.1136/gut.2004.043505.

Poisoning 98

Poisoning Seizures Administration Pediatrics 98

PHEM Cast

APRIL 16, 2018

EMJ; 2005: 22-24. Survival and neurological outcome after OOH TCA in pediatric & adult populations: a systematic review. The role of trauma scoring in developing trauma clinical governance in the Defence Medical Services. Phil Trans R Soc. Doi: 1098/rstb.2010.0232 2010.0232 Wise et al. Emergency thoracotomy ‘how to do it’.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

Taming the SRU

NOVEMBER 14, 2023

million visits resulting in otologic diagnoses, encompassing about 1.01% of all adult visits and 6.79% of pediatric visits (1). 2005 Jan;119(1):27-31. Pediatr Infect Dis J. A retrospective analysis of the Nationwide Emergency Department Sample (NEDS) from 2009 through 2011 identified 8.6 Emerg Med Clin North Am. 25(1):23-39.

Emergency Department 94

Emergency Department Pediatrics Wellness Fractures 94

Don't Forget the Bubbles

DECEMBER 16, 2024

Clin Microbiol Rev 2005; 18 :32682 Mooi FR, van der Maas NAT, de Melker HE. Pediatric vaccination during the COVID-19 pandemic. Pediatrics. [Accessed 14 Oct 24] Mattoo S, Cherry JD. Pertussis resurgence: waning immunity and pathogen adaptation two sides of the same coin. Epidemiol Infect.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

RebelEM

MARCH 13, 2023

Many studies suggest that increased time spent on scene correlates with worse outcomes for trauma (Stiell 2008) and all-cause incidence (Isenberg 2005) across all levels of prehospital care. Survival and neurologic outcome after traumatic out-of-hospital cardiopulmonary arrest in a pediatric and adult population: a systematic review.

Basic Life Support 52

Basic Life Support EMS Outcomes Resuscitation 52

Pediatric Emergency Playbook

JUNE 1, 2017

J Curr Pediatr. World Journal for Pediatric Congenital Heart Surgery. Pediatr Cardiol. Pediatr Rev. Pediatr Nephrol. Ann Pediatr Cardiol. Pediatr Cardiol. Pediatric myocarditis: presenting clinical characteristics. 2017; 15:47-50. Hastings RS et al. 2014; 5(4)L631-634. Hoffman JIE et al.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

Tags: advanced emergency nursing, ED, ER, NP, nurse practitioner, CNS, clinical nurse specialist, APRN, critical care, trauma, injury, pediatrics, obstetric emergency, ob-gyn, labor and delivery, perinatal trauma, perimortem cesarian section, placenta, prolapse Published: 1/26/2015 1:57:00 PM

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

Emergency Medicine Journal , 25 (12), 824-826. The Ten Commandments of Medical Emergency Management for Dentists Pediatric Emergency Medicines Ten Commandments of Pediatric Emergency Medicine Givens T. The Ten Commandments of Pediatric Emergency Medicine. J Emerg Med. 2004 Aug;27(2):193-4. PubMed PMID: 15261366.

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

Advanced Emergency Nursing from AENJ

NOVEMBER 7, 2015

Hypnosis in pediatrics: applications at a pediatric pulmonary center. BMC pediatrics, 2(1), 11. [ 2005, April). Hypnosis in the treatment of acute pain in the emergency department setting. Postgraduate medical journal, 60(702), 263-266. PMCID: PMC2417820. PDF ] * Bierman, S. Hypnosis in the emergency department.

Emergency Department 40

Emergency Department Pediatrics Emergency Nursing Seizures 40

Pediatric Emergency Playbook

OCTOBER 1, 2015

Pediatr Surg Int (2002) 18: 50-53 DiBaise JK, Scolapio JS. Pediatr Clin N Am 55 (2008) 1343–1358 Garton HJ. Pediatr Clin N Am 51 (2004) 305– 325 Kusminsky RE. Pediatr Clin N Am 55 (2008) 1299–1314 Munck A et al. Pediatr Nurs Nov 2005 Vol 31, No 6 Trachsel D, Hammer J. Home Parenteral and Enteral Nutrition.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

PEMBlog

DECEMBER 14, 2023

2005 Nov;128(5):3391-7. Int J Pediatr Otorhinolaryngol. Transcript Note: This transcript was partially completed with the use of the Descript AI Welcome to another episode of PEMCurrents, the pediatric emergency medicine podcast. For PEM currents, the pediatric emergency medicine podcast, this has been Brad Sobolewski.

Pediatrics 52

Pediatrics Wellness 52

Taming the SRU

AUGUST 30, 2023

2005 Nov;6(11):1045-56. The diagnostic accuracy of fecal calprotectin during the investigation of suspected pediatric inflammatory bowel disease. 2005 Feb 15;53(1):33-8. PMID: 28778870; PMCID: PMC6071487. Gruys E, Toussaint MJ, Niewold TA, Koopmans SJ. Acute phase reaction and acute phase proteins. J Zhejiang Univ Sci B.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

Advanced Emergency Nursing from AENJ

APRIL 8, 2014

L->R: Johnson & Johnson commercial version of adult/child & pediatric Safar S-tubes; middle: S-Tube of unknown manufacture of 2 OPAs conjoined with a plastic flange allowing use in either mode; right: comparison Berman airway, 100mm. "( sic ) Click for larger image ©Tom Trimble, RN CEN, from Author's Collection. [L->R:

Resuscitation 40

Resuscitation Ambulance Services Research Military 40

Pediatric Emergency Playbook

NOVEMBER 1, 2015

Pediatric airway management is a skill that integrates the three types of knowledge as described by the ancient Greeks: episteme , or theoretical knowledge, techne , or technical knowledge, and phronesis , or practical wisdom, also called prudence. We know it, we are comfortable with it. Give a test dose of 10 mL/kg NS.

Shock 40

Shock Sepsis Airway Management Pediatrics 40

EMDocs

OCTOBER 30, 2023

3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013. Normal CECT scans utilize iodinated contrast at 300 mg/mL concentrations with an average adult receiving 80–150 mL of contrast for most indications and pediatric age group patient receiving 1 mL/lb body weight.

Radiology 101

Radiology Radiology Emergency Department Hospitals 101

Advanced Emergency Nursing from AENJ

APRIL 25, 2016

Tags: advanced emergency nursing, ED, ER, NP, nurse practitioner, CNS, clinical nurse specialist, APRN, critical care, trauma, injury, pediatrics, hemorrhage, bleeding, tourniquet, IED, bombs, exsanguination Published: 4/25/2016 10:17:00 AM

Military 40

Military Burns Emergency Nursing Academics 40

Taming the SRU

MARCH 14, 2023

Instructions on how to drain additional CSF are provided to the intrepid flight team when they arrive and the patient is whisked away to a tertiary care center with pediatric neurosurgery. Pediatr Emerg Care. The secure the drain and close the three-way stopcock. Nakajima et al. Neurol Med Chir (Tokyo).

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

" January 2005; Last updated May 16, 2005. Weaver, Maureen. " " United States: New Law Permits Registered Nurses To Sign Death Certificates When They Are Authorized To Pronounce Death. " Wiggin & Dana LLP. Accessed 07/25/2016. " Accessed 07/25/2016.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2016

March-April, 2005. Tags: advanced emergency nursing, ED, ER, NP, nurse practitioner, CNS, clinical nurse specialist, APRN, critical care, trauma, injury, pediatrics, airway, artificial respiration, CPR, resuscitation, history of resuscitation, mouth to mouth, Peter Safar MD Published: 9/13/2016 1:42:00 PM Ebemeyer, Uwe, and others.

Resuscitation 40

Resuscitation CPR Emergency Nursing Basic Life Support 40