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. 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

AUGUST 1, 2017

Pediatr Rev. 2006; 26:1485-1500. 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. Radiographics.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

RebelEM

JANUARY 9, 2024

2006; 333(7580):1193. Cochrane Database Syst Rev 2006(2). PMID: 8874253 Oosterheert JJ, Bonten MJ, Schneider MM. Effectiveness of early switch from intravenous to oral antibiotics in severe community acquired pneumonia: multicentre randomised trial. BMJ (Clinical research ed.). PMID: 17090560 Castro-Guardiola A et al. Pneumonia 2017.

Infectious Diseases 99

Infectious Diseases Pediatrics EMS Administration 99

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Get up-to-date in the understanding and management of pediatric status epilepticus. Pediatric status epilepticus is analogous to the multi-organ dysfunction syndrome in severe sepsis. Pediatric Seizures and Strokes: Beyond Benzos and Brain Scans. 2006; 368: 222–29. 2006; 5:246-256. Pediatr Emerg Care.

Pediatrics 40

Pediatrics Seizures Stroke Radiology 40

Don't Forget the Bubbles

NOVEMBER 29, 2023

A retrospective cohort analysis of the ED portion of the National Hospital Ambulatory Medical Care Survey from 2006 to 2009 in the US revealed that less than one-half of patients undergoing ETI in the ED received sedative drugs while in the ED. Pediatric Endotracheal Intubations for Airway Management in the Emergency Department.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

PEMBlog

MAY 17, 2023

Most children who present to Pediatric Emergency Departments these days with mental health concerns – including agitation – have a known psychiatric problem or diagnosis. Pediatrics 2021; 147. Diagnostic yield of head CT in pediatric emergency department patients with acute psychosis or hallucinations.

Psychiatric 80

Psychiatric Pediatrics Emergency Department Best Practices 80

Pediatric Emergency Playbook

APRIL 1, 2018

Pediatric Hypertensive Emergencies. Pediatric Hypertension in the Emergency Department. Pediatr Nephrol. Hypertension Canada’s 2017 Guidelines for the Diagnosis, Assessment, Prevention, and Treatment of Pediatric Hypertension. Pediatrics. 2006; 18:148-154. Pediatr Neonatol. Curr Hypertens Rep.

Pediatrics 52

Pediatrics Emergency Department 52

ALiEM

NOVEMBER 15, 2023

Dosing for 3% sodium nitrite solution [8]: Adults: 300 mg (10 mL) no faster than 5 mL/min Pediatrics: 6 mg/kg (0.2 Dosing for 3% sodium nitrite solution [8]: Adults: 300 mg (10 mL) no faster than 5 mL/min Pediatrics: 6 mg/kg (0.2 grams (50 mL) Pediatrics: 250-412 mg/kg (1-1.65 Pediatrics. 2006 ;118(5):2146-58.

Poisoning 67

Poisoning Pediatrics Seizures Administration 67

Taming the SRU

JULY 2, 2023

Pediatric emergency care 12.4 Pediatrics 117.6 2006): e1170-e1178. Annals of emergency medicine 31.5 1998): 575-578. Tobias, Joseph D., Amy Lynch, and Jeremy Garrett. Alterations of end-tidal carbon dioxide during the intrahospital transport of children." 1996): 249-251. Neumar, Robert W., Annals of emergency medicine 63.2

Emergency Department 88

Emergency Department Pediatrics CPR Resuscitation 88

Northwestern EM Blog

APRIL 15, 2024

You can use a pediatric mask to fit over the stoma or a LMA. 2006): 576-579. Continuous Capnography in Pediatric Intensive Care.” Sherif Afifi, [link] Recannulate: Oxygenate from above with non-rebreather or by blow by oxygen over the tracheostomy stoma if the patient is spontaneously breathing. Laryngoscope 2012;122(1):25–9 5.

Emergency Department 98

Emergency Department Resuscitation Pediatrics Outcomes 98

Don't Forget the Bubbles

AUGUST 9, 2023

Ital J Pediatr 44 , 25 (2018). 2006) Subclinical thyroid disorders and cognitive performance among adolescents in the United States.BMC Pediatr. J Clin Endocrinol Metab. 99:2697–703. doi: 10.1210/jc.2014-1761 Crisafulli, C., Subclinical hypothyroidism in children: is it always subclinical? Endocrine 65, 608–615 (2019).

Ultrasounds 98

Ultrasounds Pediatrics Wellness 98

Pediatric Emergency Playbook

OCTOBER 1, 2017

J Neurosurg Pediatrics. Complications of Intrathecal Baclofen Pump Therapy in Pediatric Patients. J Pediatr Orthop. Pediatr Neurosurg. for the Pediatric Heart Transplant Study Investigators. 2006; 113: 2313-2319. Prospective Trial of a Pediatric Ventricular Assist Device. 2011; 7:491-500. J Emerg Med.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 52

Don't Forget the Bubbles

NOVEMBER 8, 2023

Pediatrics, 2012. European Journal of Pediatrics, 1996. Diagnostic Accuracy of History, Physical Examination, Laboratory Tests, and Point-of-care Ultrasound for Pediatric Acute Appendicitis in the Emergency Department: A Systematic Review and Meta-analysis. 2006 Oct;241(1):83-94. Hospital Admitted Patient Care Activity.

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

Pediatric Emergency Playbook

MARCH 1, 2021

Chances are, you’d be right to chalk up the pain to functional constipation — 90% of pediatric constipation is functional, multifactorial, and mostly benign — as long as it is addressed. Pediatric Constipation in the Emergency Department: Evaluation, Treatment, and Outcomes. JPGN 2006; 43:e1-e13. JPGN 2014;59: 327–333.

Pediatrics 52

Pediatrics Emergency Department Outcomes 52

Pediatric Emergency Playbook

JANUARY 1, 2018

In the Journal of Pediatric Radiology, Servaes et al catalogued the ultrasound findings in children with surgically confirmed torsion over a 12 year period. Incidence and trends of pediatric ovarian torsion hospitalizations in the United States, 2000-2006. Pediatrics 2010;125:532-8. Pediatr Emerg Care.

Pediatrics 52

Pediatrics Ultrasounds Radiology Radiology 52

Pediatric Emergency Playbook

APRIL 1, 2016

Read on to go from bread-and-butter pediatric blood work to answer the question – what’s up with troponin, lactate, d-dimer, and BNP in kids? This is especially true in children – the majority of pediatric ambulatory visits do not require blood work to make a decision about acute care. The punchline is, use a pediatric reference.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

EMDocs

AUGUST 3, 2023

Cumberland Pharmaceuticals, Nashville, TN, 2006. Pediatr Emerg Care. Hernandez SH, Howland M, Schiano TD, Hoffman RS. The pharmacokinetics and extracorporeal removal of N-acetylcysteine during renal replacement therapies. Clin Toxicol (Phila). 2015;53(10):941-949. Clin Toxicol (Phila). 2011 Jun;49(5):423-5. PMID: 21740141.

Poisoning 98

Poisoning Seizures Administration Pediatrics 98

PHEM Cast

APRIL 16, 2018

Annals of Emergency Medicine; 2006. Survival and neurological outcome after OOH TCA in pediatric & adult populations: a systematic review. Traumatic cardiac arrest: who are the survivors? Grasner et al. Cardiopulmonary resuscitation in traumatic cardiac arrest – there are survivors. Critical Care; 2011. Zwingmann et al.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

ACEP Now

SEPTEMBER 11, 2023

5 Pediatric discharges were reported by 2,784 hospitals in 2000 and the number of reporting hospitals increased to 4,179 in 2012. This database systematically and randomly samples pediatric discharges from participating hospitals. Summary The incidence of pediatric acute rheumatic fever in the United States appears to range from 0.51

Pediatrics 40

Pediatrics Poisoning Hospitals Emergency Department 40

PEMBlog

OCTOBER 19, 2023

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. He was ultimately admitted to the general pediatric service for further management. 2006 Jul 24 [Updated 2017 May 25]. Rev Paul Pediatr. This is the fourth of the four cases. Rashad MM, Nassar C.

Urgent Care 52

Urgent Care Pediatrics Poisoning Wellness 52

Don't Forget the Bubbles

MARCH 11, 2024

References The ISPN Guide to Pediatric Neurosurgery (USA): Positional Plagiocephaly in Children Homepage. New York, USA: The International Society for Pediatric Neurosurgery, 2024 (Accessed January 9, 2024). Pediatrics, 132(2), 298–304. Pediatric Annals, 52(1), e10–e17. Get a second opinion if you are unsure. Vollman, A.

Radiology 59

Radiology Radiology Pediatrics Documentation/Coding 59

Don't Forget the Bubbles

DECEMBER 16, 2024

Pediatric vaccination during the COVID-19 pandemic. Pediatrics. Prenatal pertussis vaccination coverage in England from January to March 2024 and annual coverage for 2023 to 2024 [Internet] [Accessed 14 Oct 24] Moore K, Marra F, Nussbaum A, et al. 2021;148(1) Available from: [link] [Accessed 24 Oct 2024]. Global measles outbreaks.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

Emergency Medicine Journal

NOVEMBER 28, 2023

Semin Pediatr Infect Dis. 2006; 17 (3):140-8. JAMA Pediatr. With future spikes in GAS cases likely, further research needs to be done to correctly target antibiotic prescribing for GAS pharyngitis. References Martin JM, Green M. Group A streptococcus. Spinks A, Glasziou PP, Del Mar CB. Cochrane Database Syst Rev.

Emergency Department 40

Emergency Department Hospitals Pediatrics Research 40

Pediatric Emergency Playbook

JANUARY 1, 2016

The International Society for Pediatric and Adolescent Diabetes (ISPAD) criteria for DKA : Hyperglycemia, with a blood glucose of >200 mg/dL (11 mmol/L) AND Evidence of metabolic acidosis, with a venous pH of less than 7.3 2006; 26(5):1485-500. Pediatr Diabetes. 2006 Apr;7(2):75-80. Pediatrics in Review.

Head Injuries 40

Head Injuries Pediatrics Shock Sepsis 40

Pediatric Emergency Playbook

MAY 1, 2017

Pediatrics. Pediatrics. Pediatrics. Pediatrics. Pediatrics. Pediatrics. Pediatrics in Review. Pediatrics. 2006 Jun;11(3):214-24. 2006 Jun;11(3):214-24. Pediatrics. This will tell you: home or admission. Use the Bilitool or Bhutani Nomogram (below). Can I go Home Now?

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52

Pediatric Emergency Playbook

DECEMBER 1, 2016

Two small studies, one by Caiulo et al in the European J or Pediatrics and one by Basile et al. in the BMC Pediatrics that show some preliminary data, but not enough to change practice yet. Levine et al in Pediatrics found an extremely low risk of serious bacterial illness in young febrile infants with RSV. Pediatrics.

Pediatrics 40

Pediatrics Emergency Department Hospitals Wellness 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

Pediatric Education

MAY 5, 2024

Discussion Eosinophilic esophagitis (EOE) is a clinicopathologic condition of the esophagus where a pediatric or adult patient has clinical symptoms of esophageal dysfunction along with 15 or more eosinophils per high powered field in histological samples. Pediatr Clin N Am 66 (2019) 955-965. Lehman HK, Lam W. Eosinophilic Esophagitis.

Pediatrics 40

Pediatrics Wellness 40

Pediatric Emergency Playbook

JUNE 1, 2017

J Curr Pediatr. World Journal for Pediatric Congenital Heart Surgery. Pediatr Cardiol. Pediatr Rev. 2006; 87:e168-e171. Pediatr Nephrol. Ann Pediatr Cardiol. Correctable Cause of Dilated Cardiomyopathy in an Infant with Heart Failure: ALCAPA Syndrome. 2017; 15:47-50. Hastings RS et al. 2009; 24:156-8.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Pediatric Education

OCTOBER 22, 2023

Related Cases Disease: Subcutaneous Fat Necrosis | Childbirth Symptom/Presentation: Mass or Swelling Specialty: Neonatology | Dermatology | Radiology / Nuclear Medicine / Radiation Oncology Age: Newborn To Learn More To view pediatric review articles on this topic from the past year check PubMed. A review can be found here 2.

Radiology 52

Radiology Radiology Fractures Pediatrics 52

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

The Pediatric Assessment Triangle is a rapid, global assessment tool using only visual and auditory clues to make determinations on three key domains: appearance, work of breathing, and circulation to the skin. Pediatr Clin N Am. 2006; 53:69-84. You have all of the skills you need to care for an acutely ill infant.

Seizures 40

Seizures Sepsis Pediatrics Shock 40

ACEP Now

OCTOBER 10, 2023

Case 7-2006: A 47-Year-Old Man with Altered Mental Status and Acute Renal Failure. Pediatrics. Pediatrics. J Toxicol Clin Toxicol. 1993;31(1):81-93. Takayesu JK, Bazari H, Linshaw MD. N Engl J Med. 2006;354:1065-72. Boyer EW, Mejia M, Woolf A, et al. Severe ethylene glycol ingestion treated without hemodialysis. Am J Emerg Med.

Poisoning 52

Poisoning Pediatrics Research Wellness 52

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

Don't Forget the Bubbles

MARCH 19, 2024

A 2006 publication on newborns hospitalised for over six months found that parents struggled to maintain their child’s high care needs, and 23% of infants lost contact with their birth parents. 2009) ‘Paediatric social admission to hospital’ International Pediatrics 24(20):56–64 Ombudsman for Children (2020). link] Rasanathan K.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

ACEP Now

SEPTEMBER 13, 2023

What needs to change in the future?

EMS 45

EMS Research Military Academics 45

Pediatric Emergency Playbook

FEBRUARY 1, 2017

in Pediatric Emergency Care. 2006 Jan;13(1):76-81. Pearl : the enhanced urinalysis is the addition of a gram stain. A positive gram stain has a LR+ of 87 in infants less than 60 days, according to a study by Dayan et al. When can I just call it pyelonephritis? Acad Emerg Med.

Dehydration 52

Dehydration Wellness Ultrasounds Pediatrics 52

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