Pediatric EM Morsels

MAY 24, 2024

2007 Nov 22;357:2277-2284. Low Risk Intra-Abdominal (IAI) Trauma – Derivation of the Rule The PECARN Group first released their derivation of a pediatric prediction rule for intra-abdominal injury in 2013. Incorrect interpretation of the recommendations would lead to a very high number of CT scans. 2014;165:1230-1235. 2014.08.014.

Pediatrics 164

Pediatrics Blood Transfusions EMS Fractures 164

RebelEM

JANUARY 24, 2024

Wallace 2011 ) If addressed early and appropriately, most patients have good self-reported long-term outcomes regardless of the treatment modality Links Orthobullets: Achilles Tendon Rupture Resources: Sheth U et al. 2007; 31:279-284. Br J Sports Med. 2005; 39(11): 838-42. PMID: 16244194 Margetic P et al. Coll Antropol.

Operations 101

Operations Ultrasounds Fractures Outcomes 101

Taming the SRU

NOVEMBER 14, 2023

A thorough trauma history and physical exam should be performed including evaluation for bony fracture in the surrounding structures of the face. Complications of auricular hematoma drainage include pain, paresthesia, bleeding, infection, poor cosmetic outcome, scar formation, and re-accumulation of hematoma after the procedure.

Emergency Department 94

Emergency Department Pediatrics Wellness Fractures 94

Taming the SRU

MARCH 14, 2023

Obtain shunt imaging (“shunt series,” CTH non-con) Shunt series shows no migration of the shunt catheters or fractures of the tubing. Estimated incidence of normal pressure hydrocephalus and shunt outcome in patients residing in assisted-living and extended-care facilities. Lancet Neurol. Marmarou, Young, Aygok. Neurosurg Focus.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

EB Medicine

JUNE 6, 2019

Nachi: And as a brief aside, before we continue… Missed appendicitis is one of the three most common causes of emergency medicine malpractice lawsuits - with MI and fractures being the other two. Nachi: And remember that hypothermic patients who are septic have worse outcomes than those who are hyperthermic and septic.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

EMDocs

JUNE 21, 2023

Functional outcomes Severe soft tissue injuries and damage to the bony structures => poor functional outcomes. Labs do not play a significant role Imaging X-ray : Start with plain films to look for fracture near laceration, intra-articular free air, radiopaque foreign body. 2007 Aug;21(7):442-3. Konda SR, et al.

Soft Tissue Injuries 95

Soft Tissue Injuries Fractures Dislocations Radiology 95

Don't Forget the Bubbles

JULY 17, 2023

Original clinical studies Distribution and pattern of hand fractures in children and adolescents. Clinical Outcomes of COVID-19 in Newborns and Infants: A Multicenter Experience of 576 Cases. 2023 Jun Oral food challenge outcomes in children and adolescents in a tertiary centre: A 5-year experience. McClellan JM, et al.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98