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) This revealed that ultrasound can improve the ability to reduce an incarcerated inguinal hernia and may decrease the rate of emergency surgery. (1) Emergency Radiology (Print) , vol. 4, 1 July 2009, p.

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

Pediatric Emergency Playbook

APRIL 1, 2018

Pediatric Hypertensive Emergencies. Pediatric Hypertension in the Emergency Department. Ann Emerg Med. 2008; 51(3):21-24. Pediatr Nephrol. Hypertension Canada’s 2017 Guidelines for the Diagnosis, Assessment, Prevention, and Treatment of Pediatric Hypertension. Pediatrics.

Pediatrics 52

Pediatrics Emergency Department 52

Pediatric Emergency Playbook

MARCH 1, 2018

Pediatr Rev. Pediatrics. Emerg Med Clin North Am. Pediatrics. Pediatrics. Pediatric Opthalmology in the Emergency Department. 2008; 26: 181-198. Pediatrics. References Cohen GM, Albertini LW. 2012; 33(7):332-3. Friedman SB et al. 2009; 123(3):841-8 Herman M, Le A.

Pediatrics 52

Pediatrics Emergency Department 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 Angioedema in the Emergency Department: An Evidence Based Review. Emergency Medicine Practice. of people who take NSAIDs ( Nzeako 2010 ).

Allergic Reactions 105

Allergic Reactions Airway Management Anaphylaxis Emergency Department 105

Pediatric Emergency Playbook

JUNE 1, 2019

Impact of a Two-step Emergency Department Triage Model with START, then CTAS, on Patient Flow During a Simulated Mass-casualty Incident. 1) 2008, pp S25-S34. Disaster management teams. Curr Opin Crit Care. 2005 Dec;11(6):585- Culley JM, Svendsen E. 2015 Apr;39(2):362-88. doi: 10.1111/disa.12103. Lee JS, Franc JM.

Mass Casualty Incidents 52

Mass Casualty Incidents Disaster Management Emergency Department Pediatrics 52

The Skeptics' Guide to EM

APRIL 16, 2022

BMJ 2021 Guest Skeptic: Dr. Matt Schmitz, Pediatric Orthopedics, Adolescent Sports Medicine and Young Adult Hip Preservation Surgeon at San Antonio Military Medical Center in Texas. Matt Schmitz, Pediatric Orthopedics, Adolescent Sports Medicine and Young Adult Hip Preservation Surgeon at San Antonio Military Medical Center in Texas.

Military 40

Military Operations Emergency Department Pediatrics 40

EMDocs

OCTOBER 30, 2023

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. Increased Computed Tomography Utilization in the Emergency Department and Its Association with Hospital Admission.

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

EB Medicine

JULY 8, 2019

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. From the 80’s to 2008, the worldwide prevalence of obesity nearly doubled! ASMBS pediatric committee best practice guidelines.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

ACEP Now

JANUARY 9, 2024

A 3-year-old male was brought to the emergency department (ED) by his mother, who reported the sudden onset of a rash (hives) covering his entire body, with no rash on his palms and soles. The next day, the patient’s mother was called to come to the emergency department with the patient due to abnormal labs. BMC Pediatr.

Poisoning 52

Poisoning Pediatrics Emergency Department Wellness 52

Taming the SRU

AUGUST 30, 2023

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. Evaluation of fever in the emergency department. ng/mL (strongly recommended against antibiotics), 0.1-0.25

Infectious Diseases 89

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

Pediatric Emergency Playbook

DECEMBER 1, 2015

Pediatric electrical injuries: a review of 38 consecutive patients. J Pediatr Surg. Acad Emerg Med. 2008; 15:988-994. In Avoiding Common Errors in the Emergency Department, 2nd Edition. Emergency department evaluation after conducted energy weapon use: review of the literature for the clinician.

Burns 40

Burns Emergency Department EKG/ECG Shock 40

Don't Forget the Bubbles

MARCH 19, 2024

Becasue paediatric emergency departments are accessible out-of-hours they become the de facto place of safety with access to immediate support. 2009) ‘Paediatric social admission to hospital’ International Pediatrics 24(20):56–64 Ombudsman for Children (2020). They can assume a ‘coordinating role’. References Carter Anand, J.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

Pediatric EM Morsels

JULY 21, 2023

We have mentioned the Glasgow Coma Scale in multiple delicious morsels: Minor closed head injuries in <3 month olds and in the rebaked morsel , Blunt cerebrovascular injury , Cerebral edema in DKA , Pediatric Trauma Pitfalls , and Carbon monoxide poisoning. Acad Emerg Med. When is it useful and what does it tell us? PMID: 27197686.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Don't Forget the Bubbles

JANUARY 27, 2025

We dont often cover gynaecological presentations in the emergency department and most chronic gynaecological problems go through the primary care referral pathway. However, CT scans remain largely more obtainable in a time critical case, in an emergency department setting. Pediatr Emerg Care, 1;38(6):e1332-e1335.

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

EMDocs

SEPTEMBER 7, 2023

2 Laboratory assays for DEG are not widely available and have long turn-around-times, thus have limited utility in diagnosis in the emergency department. Fatal Poisoning Among Young Children from Diethylene Glycol-Contaminated Acetaminophen — Nigeria, 2008—2009”. References: Abubukar et al. Schier, Capt. JAMA , vol.

Poisoning 91

Poisoning CDC Administration Emergency Department 91

EMDocs

APRIL 13, 2024

A 21-year-old man presents to the emergency department for pain and swelling in his ear beginning 3 days ago. In: Textbook of Pediatric Emergency Procedures, 2nd edition, King C, Henretig FM (Eds), Lippincott, Williams & Wilkins, Philadelphia, PA 2008. Prophylactic antibiotics are recommended. subent.com.

EMS 104

EMS Emergency Department Pediatrics Wellness 104

Taming the SRU

MARCH 14, 2023

Case 1 Fussy 1 month old A 1-month-old (ex-34 week premature) infant comes to your emergency department for fussiness. Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity. More on this below as we work through a few cases….

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

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. Ann Emerg Med. 2007.06.004.

Seizures 91

Seizures EKG/ECG Poisoning Shock 91

PHEM Cast

MARCH 3, 2019

Emergency Medicine Journal. Ketamine-propofol combination (ketofol) versus propofol alone for emergency department procedural sedation and analgesia: a randomized double-blind trial. Ann Emerg Med. Emerg Med J. Ketamine for paediatric sedation/analgesia in the emergency department. Emerg Med J.

Emergency Department 52

Emergency Department Head Injuries Pediatrics Hospitals 52

ACEP Now

AUGUST 1, 2023

In November 2022, the American College of Emergency Physicians sent a letter to President Biden on behalf of 34 organizations, asking to convene stakeholders to identify solutions to address the emergency department (ED) boarding crisis.1 The effect of emergency department crowding on clinically oriented outcomes.

Military 98

Military Hospitals Emergency Department Leadership 98

Northwestern EM Blog

JANUARY 2, 2023

The next question is whether the same trend of decreased suicidality also applies to the pediatric population. A pediatric emergency department in Texas looked at the resulted of their routine suicide risk screenings for patients aged 11-21. Pediatrics. 2008 Dec;23(12):1231-8. JAMA Netw Open. 2020.34261 5.

Emergency Department 52

Emergency Department Research Pediatrics CDC 52

Advanced Emergency Nursing from AENJ

MAY 27, 2015

An ambulance pulls up, in haste, to the Receiving door of the Emergency Department with a last squeal of the siren. September 2005) Terrorism and Other Public Health Emergencies Reference Guide for Media. [ Emergency Preparedness. 2008) Mumbai Combined Arms Operation November 26-28, 2008.

Federal Emergency Management Agency 40

Federal Emergency Management Agency Military Hospitals Administration 40

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. Pediatr Infect Dis J. JAMA Pediatr. Karageorgos, S.;

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

Act V, scene I [Text from Folger Shakespeare Library] [Audio recording of Dramatic Reading; Chapter Vox] [Video recording of Act V, scene1] Most deaths that are brought to, or occur in, an emergency department will require, at least, discussion with the local Coroner or Medical Examiner. Department of the Medical Examiner-Coroner.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

Pediatric Emergency Playbook

JANUARY 1, 2017

The guiding principles in pediatric pain assessment and management are: know the child; know the family; and know the physiology. As the pendulum on pain management swings one way or the other, do not let your pediatric patient get knocked by the wayside. You are in luck – it’s just like that – here, do you feel it?”.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

EMDocs

NOVEMBER 4, 2024

The Treatment of Acute Pain in the Emergency Department: A White Paper Position Statement Prepared for the American Academy of Emergency Medicine. J Emerg Med. Intravenous Subdissociative-Dose Ketamine Versus Morphine for Analgesia in the Emergency Department: A Randomized Controlled Trial. Acad Emerg Med.

Emergency Department 106

Emergency Department Fractures Burns EMS 106

ALiEM

DECEMBER 20, 2024

References American Academy of Pediatrics: Herpes simplex. Elk Grove Village, IL: American Academy of Pediatrics; 2015:432445. Eczema herpeticum: making the diagnosis in the emergency department. J Emerg Med. J Emerg Med. Epub 2008 Jun 27. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds.

Infectious Diseases 64

Infectious Diseases Pediatrics Academics Emergency Department 64

Taming the SRU

OCTOBER 28, 2024

In adult emergency room visits, its incidence is around 1 in 25,000 (0.00004%) and is slightly higher in pediatric emergency room visits at rates of around 0.3-5% frequently asked questions Should I manage the work up and treatment of pneumomediastinum differently if it presents in a pediatric patient instead of an adult?

COPD 79

COPD Pediatrics Emergency Department Ultrasounds 79

EMDocs

JANUARY 20, 2025

The latest SCCM pediatric sepsis guidelines 31 recommend against a fluid bolus in children who are not hypotensive and who do not have access to intensive care, with a weak recommendation to give a 10-20 ml/kg initial bolus and up to a 40-60 ml/kg bolus in children with hypotension who do have access to critical care resources.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Don't Forget the Bubbles

SEPTEMBER 18, 2024

Case 1 focuses on a case seen in the emergency department and explores the common parental query of a “weak immune system” in a young child who has had several recurrent upper respirator tract infections back-to-back but is otherwise well. A 3 year old boy is brought to emergency department and treated for viral induced wheeze.

Emergency Department 98

Emergency Department Wellness Infectious Diseases Pediatrics 98

EMDocs

MARCH 11, 2024

Louis) // Reviewed by: Joshua Lowe, MD (EM Staff Physician, USAF); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 25-year-old woman presented to the emergency department (ED) in Uganda with acute encephalopathy. Pediatr Infect Dis J. Kirk M, ed. 2013;8(1):e54395. doi:10.1371/journal.pone.0054395 doi:10.1097/01.inf.0000246977.58697.a5

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111

EB Medicine

DECEMBER 1, 2018

Additionally, guidelines were reviewed from the american college of emergency physicians, infectious disease society of america, and the american academy of pediatrics. In 2007-2008, an oseltamivir-resistant H1N1 strain emerged globally. I’d say that’s a pretty reputable group of sources.

Emergency Department 40

Emergency Department CDC Infectious Diseases EMS 40

PEMBlog

MAY 9, 2024

This episode of PEM Currents: The Pediatric Emergency Medicine Podcast is a Question and Answer style exploration of some of the most common learning points in this incredibly important topic. Recommendations for Choosing Wisely in Pediatric Emergency Medicine: Five Opportunities to Improve Value. Ann Emerg Med.

Seizures 59

Seizures Pediatrics Wellness Emergency Department 59