ALiEM

MARCH 7, 2024

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric renal and bladder ultrasonography. 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).

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

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

Don't Forget the Bubbles

NOVEMBER 20, 2023

Evaluation and Management of Pediatric Neck Masses. Evaluation and Management of Pediatric Neck Masses. Pediatric Neck Mass. International Journal of Pediatrics. Journal of Pediatric Surgery. Journal of Oral and Maxillofacial Surgery. DOI: 10.1016/j.joms.2006.11.039 2006.11.039 Fanous A, Morcrette G, Fabre M et al.

Pediatrics 124

Pediatrics Documentation/Coding Emergency Department Ultrasounds 124

PEMBlog

JULY 14, 2023

J Pediatr Orthop. 2007 Jun;27(4):427-31. Am Fam Physician. 2016 Feb 1;93(3):183-91. PMID: 26926612. Herrera-Soto JA, Scherb M, Duffy MF, Albright JC. Fractures of the fifth metatarsal in children and adolescents. doi: 10.1097/01.bpb.0000271323.56610.da. 0000271323.56610.da. PMID: 17513965.

Fractures 98

Fractures Pediatrics 98

The Skeptics' Guide to EM

MARCH 18, 2023

Association of early oseltamivir with improved outcomes in hospitalized children with influenza, 2007-2020. JAMA Pediatr. Guest Skeptic: Dr. Marisu Rueda-Altez is a pediatric infectious disease fellow at Children’s National Hospital in Washington, DC. JAMA Pediatr. JAMA Pediatr. Would he benefit from that too?”

Pediatrics 40

Pediatrics Infectious Diseases Administration Outcomes 40

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. J Inherit Metab Dis 2007; 30:631. Pediatr Radiol 2019; 49:240. Sedel F, Baumann N, Turpin JC, et al.

Psychiatric 80

Psychiatric Pediatrics Emergency Department Best Practices 80

RebelEM

JANUARY 9, 2024

Thorax 2007; 62(12): 1102-6. Comparison of oral amoxicillin and intravenous benzyl penicillin for community acquired pneumonia in children (PIVOT trial): a multicentre pragmatic randomised controlled equivalence trial. PMID: 17567657 Rae N et al. Pneumonia 2017.

Infectious Diseases 99

Infectious Diseases Pediatrics EMS Administration 99

Pediatric Emergency Playbook

MARCH 1, 2018

Pediatr Rev. Pediatrics. 2007 Nov;25(4):1137-59. Pediatrics. Pediatrics. Pediatric Opthalmology in the Emergency Department. Pediatrics. References Cohen GM, Albertini LW. 2012; 33(7):332-3. Friedman SB et al. The crying infant: diagnostic testing and frequency of serious underlying disease.

Pediatrics 52

Pediatrics Emergency Department 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). Pediatr Infect Dis J. 2007 Oct;26(10):879-91. 2007 Jun;121(6):530-4. A retrospective analysis of the Nationwide Emergency Department Sample (NEDS) from 2009 through 2011 identified 8.6

Emergency Department 94

Emergency Department Pediatrics Wellness Fractures 94

PEMBlog

AUGUST 14, 2024

Dexmedetomidine: applications in pediatric critical care and pediatric anesthesiology. Pediatr Crit Care Med. 2007 Mar;8(2):115-31. Curr Opin Anaesthesiol. 2008 Aug;21(4):457-61. doi: 10.1097/ACO.0b013e328305e3ef. 0b013e328305e3ef. PMID: 18660652. doi: 10.1097/01.PCC.0000257100.31779.41. 0000257100.31779.41.

Pediatrics 59

Pediatrics Wellness 59

EMDocs

AUGUST 22, 2024

7 This has also been observed in a pediatric patient population. Pediatrics. Pediatric Emergency Care. Parental language and dosing errors after discharge from the pediatric emergency department. Pediatric Emergency Care. April 2007. 10 Three times as likely to have poor health literacy (44.9% 135:e709-e716.

Documentation/Coding 105

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 105

EMDocs

MAY 26, 2023

2007 Oct;14(5):265-8. Summary All right, so that’s it for this episode – hopefully you learned a bit more about how to safely deescalate an agitated child, and how we can keep them and ourselves as providers safe in a stressful environment. West J Emerg Med. 2012 Feb;13(1):35-40. PMC3298214. Eur J Emerg Med. PMID: 17823561.

Pediatrics 98

Pediatrics Emergency Department Psychiatric Documentation/Coding 98

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. In a metropolitan area, pediatric patients with severe TBI should be transported directly to a pediatric trauma center if available.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

PEMBlog

MAY 24, 2023

2007 Oct;14(5):265-8. West J Emerg Med. 2012 Feb;13(1):35-40. PMC3298214. Melamed E, Oron Y, Ben-Avraham R, Blumenfeld A, Lin G. The combative multitrauma patient: a protocol for prehospital management. Eur J Emerg Med. PMID: 17823561.

Emergency Department 59

Emergency Department Pediatrics Psychiatric Administration 59

Pediatric Emergency Playbook

AUGUST 1, 2020

Pediatrics 2011; 128:e741. In: Pediatric Emergency Medicine, Baren JM, Rothrock SG, Brennan JA, Brown L (Eds), Saunders Elsevier, Philadelphia 2008. Pediatr Rev 2007; 28:249. Council on Sports Medicine and Fitness and Council on School Health, Policy statement—Climatic heat stress and exercising children and adolescents.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Stroke Burns Pediatrics 52

Don't Forget the Bubbles

NOVEMBER 8, 2023

Pediatrics, 2012. JAMA, 2007. 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. NHS Digital 2021-22; Available from: [link].

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

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. Epub 2007 Mar 15.

Pediatrics 52

Pediatrics Ultrasounds Radiology Radiology 52

Don't Forget the Bubbles

FEBRUARY 26, 2024

Noninvasive positive-pressure ventilation in pediatric status asthmaticus. Pediatric Critical Care Medicine. Bilevel positive airway pressure in the treatment of status asthmaticus in pediatrics. 2007 Jan 1;25(1):6-9. Frontiers in Pediatrics. Pediatric pulmonology. 2002 Apr 1;3(2):181-4. 2016 Sep 1;20:24-31.

Pediatrics 72

Pediatrics Research Documentation/Coding Outcomes 72

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

The Skeptics' Guide to EM

SEPTEMBER 7, 2018

The bottom line was that there seemed to be a knowledge gap when it comes to managing bronchiolitis in the community setting (previous evidence as suggested a knowledge gap also exists in the academic pediatric hospitals). Sadly, despite multiple guidelines ( NICE , AAP , CPS ), there has also been no “magic bullet” in terms of treatment.

Dehydration 40

Dehydration Pediatrics Hospitals Academics 40

EMDocs

MARCH 2, 2024

 An Pediatr (Engl Ed). 2019 2007 ) ISBN:1888799935. Int J Crit Illn Inj Sci. 2017  2017 Jan-Mar;7(1):58-64. Álvarez-Holzapfel MJ, Aibar Durán JÁ, Brió Sanagustin S, de Quintana-Schmidt C. Diffuse pneumocephalus after lumbar stab wound]. An  2019 Jan;90(1):63-64. Solomiichuk VO, Lebed VO, Drizhdov KI. Surg Neurol Int.  Cushing Reflex.

EMS 119

EMS Fractures Seizures Head Injuries 119

EMDocs

JANUARY 4, 2024

If > 500 msec give 2 grams magnesium IV in adults, 50 mg/kg up to 2 grams in pediatric patients and observe closely for the development of dysrhythmias. 6,15 Discuss cases of overdose, including pediatric exploratory ingestions, with a medical toxicologist or your local poison center. Epub 2007 Sep 4. Ann Emerg Med.

Seizures 94

Seizures EKG/ECG Poisoning Shock 94

Don't Forget the Bubbles

DECEMBER 16, 2024

Manual for the laboratory diagnosis of measles and rubella infection Geneva: WHO Documents Production Services, 2007 Available from: [link] [Accessed 4 Oct 2024] Government of the United Kingdom. Pediatric vaccination during the COVID-19 pandemic. Pediatrics. European Centre for Disease Prevention and Control.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

Critical Care Now

APRIL 5, 2022

The Excellence in Prehospital Injury (EPIC) Study The EPIC TBI study ran from 2007 to 2019 and involved an EMS and public health partnership in Arizona. The data was collected from 2007 until 2015, analyzed from 2015 until 2019, and then published in 2019.

Airway Management 52

Airway Management EMS CDC Pediatrics 52

Pediatric Emergency Playbook

OCTOBER 1, 2015

Pediatr Surg Int (2002) 18: 50-53 DiBaise JK, Scolapio JS. Gastroenterol Clin N Am 36 (2007) 123-144l Feinberg A et al. Pediatr Clin N Am 55 (2008) 1343–1358 Garton HJ. Pediatr Clin N Am 51 (2004) 305– 325 Kusminsky RE. January 17, 2007. Anesthesiology 2007; 106:164–77 Marks JH. Hydrocephalus.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

Pediatric Emergency Playbook

MAY 1, 2017

Pediatrics. Pediatrics. Pediatrics. Pediatrics. Pediatrics. 2007 Nov;25(4):1117-35, vii. Pediatrics. Pediatrics. Pediatrics in Review. Pediatrics. 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

JUNE 1, 2017

2007; 2:2-11. J Curr Pediatr. World Journal for Pediatric Congenital Heart Surgery. Pediatr Cardiol. Pediatr Rev. Pediatr Nephrol. Ann Pediatr Cardiol. References Congenital AboulHosn JA et al. Fontan Operation and the Single Ventricle. Congenit Heart Dis. Aliku TO et al. African Health Sci.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

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. Neurosurg Focus. Marmarou et al. J Neurosurg. Nakajima et al.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Mind The Bleep

AUGUST 5, 2023

Pediatr Clin North Am 1996; 43:409. Necrotizing Enterocolitis: Review of State-of-the-Art Imaging Findings with Pathologic Correlation. Jones J, Shah V, Botz B, et al. Pneumoperitoneum. Reference article, Radiopaedia.org (Accessed on 13 Mar 2023) [link] Neu J.

Sepsis 52

Sepsis Ultrasounds Radiology Radiology 52

Advanced Emergency Nursing from AENJ

NOVEMBER 7, 2015

Hypnosis in pediatrics: applications at a pediatric pulmonary center. BMC pediatrics, 2(1), 11. [ 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. Ehrlich, Steven D.,

Emergency Department 40

Emergency Department Pediatrics Emergency Nursing Seizures 40

Taming the SRU

APRIL 17, 2023

The majority of ingestion cases occur in pediatric patients and are often minor due to low quantities of exposure. If a plant was ingested, activated charcoal can be used for GI decontamination at a dose of 50 mg (or 1 mg/kg in pediatric patients) depending on time since ingestion. 2007 May;25(2):375-433; abstract ix.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Anaphylaxis Pediatrics 52

Pediatric Education

DECEMBER 10, 2023

One study of US National Center for Health Statistics found from 2007-2016 that infants’ deaths from strangulation/suffocation increased for all groups studied. Pediatrics. D’Alessandro, MD Professor of Pediatrics, University of Iowa Maternal breastfeeding and avoiding smoking is also recommended. doi:10.1542/peds.2022-057990

Pediatrics 40

Pediatrics Documentation/Coding Research Hospitals 40

Critical Care Now

MAY 12, 2022

2007; 75: 1523 – 28. Arch Pediatr Adolesc Med. Docusate is a suitable agent for the use as a cerumenolytic in patients presenting with cerumen impaction. References McCarter D, Courtney U, Pollart S. Cerumen Impaction. Am Fam Physician. Schwartz S, Magit A, Rosenfeld R, et. Otolaryngol Head Neck Surg. 2017; 156(1_suppl): S1 – S29.

Infectious Diseases 52

Infectious Diseases Stroke Emergency Department Administration 52

Pediatric Emergency Playbook

JUNE 1, 2016

Hypovolemic Shock The most common presentation of pediatric shock; look for decreased activity, decreased urine output, absence of tears, dry mucous membranes, sunken fontanelle. Cold shock is the most common presentation in pediatric septic shock, and is treated with epinephrine. Pediatrics. 2007; 35:64-8. Crit Care Med.

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

Dr. Smith's ECG Blog

JULY 22, 2023

Pediatric and elderly patients were more predisposed to developing an arrhythmic event in the setting of fever [7]. Recently the rate of true arrhythmic events related to fevers in the classic Brugada Type 1 syndrome was explored by Michowitz et al. Circ Res, 85(9), 803-809. [6]: 6]: Deschênes I and Laurita KR. Heart Rhythm, 4(2), 198-199. [6]

EKG/ECG 92

EKG/ECG Hyperthermia / Hypothermia Documentation/Coding Wellness 92

ACEP Now

AUGUST 1, 2023

Ultimately, it is about maintaining respect and decorum so that common ground can be found and the group can arrive at a constructive solution that contributes to the success of ACEP as a whole. Council Vice Speaker Candidates Kurtis A.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98