Sensible Medicine

MAY 28, 2024

A 2008 Cochrane review found adult depression screening does not improve outcomes. The FDA recently approved escitalopram for pediatric generalized anxiety disorder based on an 8-week trial that found the medication increased suicidal ideation 6.5-fold Since the beginning, these recommendations have drawn criticism.

Military 144

Military Outcomes Psychiatric Wellness 144

Don't Forget the Bubbles

JULY 24, 2023

2008 Jun;56. Pediatric Radiology. PEDIATRICS. The Journal of Pediatrics. Cottle L, Riordan T. Infectious spondylodiscitis. Journal of Infection. Cushing AH. Diskitis in Children. Clinical Infectious Diseases. 1993 Jul 1;17(1). du Lac P, Panuel M, Devred P, Bollini G, Padovani J. 1990 Jan;20. 2000 Jun 1;105. 1983 Dec 1;58.

Radiology 98

Radiology Radiology Infectious Diseases Pediatrics 98

Pediatric Emergency Playbook

MARCH 1, 2018

Pediatr Rev. Pediatrics. 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. The crying infant: diagnostic testing and frequency of serious underlying disease.

Pediatrics 52

Pediatrics Emergency Department 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. This allows gravity to assist you.

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

Pediatric Emergency Playbook

APRIL 1, 2018

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

Pediatrics 52

Pediatrics Emergency Department 52

PEMBlog

AUGUST 14, 2024

2008 Aug;21(4):457-61. Dexmedetomidine: applications in pediatric critical care and pediatric anesthesiology. Pediatr Crit Care Med. Carollo DS, Nossaman BD, Ramadhyani U. Dexmedetomidine: a review of clinical applications. Curr Opin Anaesthesiol. doi: 10.1097/ACO.0b013e328305e3ef. 0b013e328305e3ef. PMID: 18660652.

Pediatrics 59

Pediatrics Wellness 59

Pediatric Emergency Playbook

OCTOBER 1, 2019

Am J Otolaryngol 2008; 29:83. 1991) Pediatric fine needle aspiration biopsy. 1991) Pediatric fine needle aspiration biopsy. J Pediatr Surg. Mandell DL. Head and neck anomalies related to the branchial apparatus. Otolaryngol Clin North Am 2000; 33:1309. Marler JJ, Mulliken JB. Clin Plast Surg 2005; 32:99. Silverman, J.

Pediatrics 52

Pediatrics 52

RebelEM

SEPTEMBER 13, 2023

Other Etiologies In pediatrics, illnesses like the common cold, Streptococcus pyogenes (GAS) pharyngitis, and urinary tract infections can cause isolated angioedema (without urticaria). of people who take NSAIDs ( Nzeako 2010 ). Without the C1 inhibitor, the plasma-kallikrein-kinin system produces more bradykinin.

Allergic Reactions 105

Allergic Reactions Airway Management Anaphylaxis Emergency Department 105

Pediatric Emergency Playbook

JUNE 1, 2019

1) 2008, pp S25-S34. Disaster management teams. Curr Opin Crit Care. 2005 Dec;11(6):585- Culley JM, Svendsen E. Lerner EB, Schwartz RB, Coule PL, et al. Mass Casualty Triage: An Evaluation of the Data and Development of a Proposed National Guideline." Disaster Medicine and Public Health Preparedness 2(Suppl.

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. JAMA Feb 2009 looked at the ACC/AHA guidelines from 1984 to 2008. Date: April 16th, 2022 Reference: Blom et al.

Military 40

Military Operations Emergency Department Pediatrics 40

PHEM Cast

APRIL 16, 2018

Survival and neurological outcome after OOH TCA in pediatric & adult populations: a systematic review. 2008; 64: 9-14/ Grasner et al. Cardiopulmonary resuscitation in traumatic cardiac arrest – there are survivors. Critical Care; 2011. Zwingmann et al. Critical Care; 2012. Slessor et al. To Be Blunt: are we wasting our time?

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Resuscitation Shock Ultrasounds CPR 52

ACEP Now

JANUARY 9, 2024

A decision was made to transfer the patient to a tertiary center with inpatient pediatric capabilities. BMC Pediatr. Adv Pediatr. Baltimore: Lippincott Williams & Wilkins ;2008:307-9. In the emergency department, consultations were made with the regional poison-control center and the regional lead center.

Poisoning 52

Poisoning Pediatrics Emergency Department Wellness 52

Pediatric Emergency Playbook

SEPTEMBER 1, 2021

Pediatric hernias. 2008 Feb;88(1):27-43, vii-viii. Some surgeons opt to explore both sides at the time of diagnosis, others take conservative approach (small risk of fertility issues if both are open-explored) My take : regardless of presentation, needs admission Selected References Abdulhai S, Glenn IC, Ponsky TA. 2007.11.006.

Pediatrics 40

Pediatrics Wellness 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. Hydrocephalus. J Royal Soc Med.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

ACEP Now

JUNE 7, 2023

Long-term trends of improving ED patient intake remain intact, as times decreased in most years since 2008, when the intake time was about 41 minutes. Pediatric volume in community EDs is up. ED patient throughput improved in 2022 in some regards, which is an incredible accomplishment in a very difficult year.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

Advanced Emergency Nursing from AENJ

JULY 9, 2015

NREMT (2008). December 2008 JEMS Vol. Pediatric Laryngospasm. Pediatric Airway Management. Pediatric Airway: brief intro for trauma providers} [Video] May 21, 2012. Rescuer position for tracheal intubation on the ground. Resuscitation, 56(1), 83-89. Murphy, MD, Fred Ellinger Jr., 12 Larson, P. YouTube.com.

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40

Taming the SRU

AUGUST 30, 2023

A 2008 review in the International Journal of Medicine on spinal epidural abscess (SEA) agreed that inflammatory markers (specifically ESR and CRP) are generally sensitive in the diagnosis of SEA, but are not specific. 2008 Aug;75(8):557-66. Notably, up to 40% of patients with native vertebral osteomyelitis had a normal WBC [33-34].

Infectious Diseases 89

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

Don't Forget the Bubbles

MARCH 19, 2024

2009) ‘Paediatric social admission to hospital’ International Pediatrics 24(20):56–64 Ombudsman for Children (2020). Pediatric practitioners’ screening for adverse childhood experiences: current practices and future directions. They can assume a ‘coordinating role’. References Carter Anand, J. Available at: [link] Stapleton, L.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

EMDocs

OCTOBER 30, 2023

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. Under standard operating protocols, residual contrast materials are usually wasted, according to current CDC and JC standards.

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

Pediatric Emergency Playbook

DECEMBER 1, 2015

Pediatric electrical injuries: a review of 38 consecutive patients. J Pediatr Surg. 2008; 15:988-994. Transfer patients with high-voltage injury or significant burns to a regional burn center or trauma center. References Celik A, Ergün O, Ozok G. 2004;39(8):1233-1237. Ericsson KA. Acad Emerg Med.

Burns 40

Burns Emergency Department EKG/ECG Shock 40

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. When is it useful and what does it tell us? Fun fact for animal lovers!-

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

EB Medicine

JULY 8, 2019

From the 80’s to 2008, the worldwide prevalence of obesity nearly doubled! Nachi: Despite many adolescents meeting criteria, they should be referred with caution as the long term effects are unclear and the adolescent experience is still in its infancy with few pediatric specific programs. million adults!! 2015;25(4):622-627.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Sensible Medicine

APRIL 9, 2025

In the Spring of 2008, I was stationed aboard the La Rabida Children's hospital. I was a third year medical student and assigned there for pediatric rotation. That's when I knew pediatrics wasn't for me. I suppose that also kept me away from pediatrics. Outside all the windows spilled tranquil blue water.

Hospitals 92

Hospitals Pediatrics PPE CDC 92

Pediatric EM Morsels

MARCH 17, 2023

Ahmed 2008) **Talk with a Medical Toxicologist who can help you determine if anti-venom is needed, what kind is needed, and how to get it. Ahmed 2008) Tetanus toxoid booster is usually recommended. If you are managing a snake bite from a snake that does not typically reside in the U.S.,

CDC 130

CDC Poisoning Pediatrics Shock 130

Don't Forget the Bubbles

JANUARY 27, 2025

2017) Pediatric Ovarian Torsion, Surg Clin North Am, 97(1):209-221. Scheier E (2022) Diagnosis and Management of Pediatric Ovarian Torsion in the Emergency Department: Current Insights 14: 283291, PMC9236466. Sims MJ, Price AB, Hirsig LE, Collins HR, Hill JG, Titus MO (2022) Pediatric Ovarian Torsion: Should you go with the flow?

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

Don't Forget the Bubbles

AUGUST 21, 2023

Over a 10-year period from 2008 to 2018, 334 heart transplants were performed on children in the UK. Outcomes in Pediatric Hypertrophic Cardiomyopathy Patients with Reduced Systolic Ventricular Function. European Journal of Pediatrics; 2016: 175; 1461-1462 Cox, GF. Progress in Pediatric Cardiology. 24; 15-25 Fenton M.,

Pediatrics 98

Pediatrics Outcomes Research Sepsis 98

Pediatric Emergency Playbook

AUGUST 1, 2020

Pediatrics 2011; 128:e741. 2008 Nov;36(11):2226-37. In: Pediatric Emergency Medicine, Baren JM, Rothrock SG, Brennan JA, Brown L (Eds), Saunders Elsevier, Philadelphia 2008. Pediatr Rev 2007; 28:249. Casa DJ et al. J Athl Train. 2013 Jul-Aug; 48(4): 546–553. DeFranco MJ et al. Am J Sports Med. Ishimine P.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Stroke Burns Pediatrics 52

EMDocs

APRIL 13, 2024

In: Textbook of Pediatric Emergency Procedures, 2nd edition, King C, Henretig FM (Eds), Lippincott, Williams & Wilkins, Philadelphia, PA 2008. [link] Auricular Hematoma. subent.com. Accessed July 19, 2023. link] Martinez NJ, Friedman MJ. External ear procedures. Roy S, Smith LP.

EMS 104

EMS Emergency Department Pediatrics Wellness 104

EMDocs

SEPTEMBER 7, 2023

Fatal Poisoning Among Young Children from Diethylene Glycol-Contaminated Acetaminophen — Nigeria, 2008—2009”. Epidemic of Pediatric Deaths from Acute Renal Failure Caused by Diethylene Glycol Poisoning.” Upon review of the history, several of the patients had been exposed to a liquid acetaminophen-based teething medication.

Poisoning 92

Poisoning CDC Administration Emergency Department 92

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. 2008 Apr;51(4):412-5, 415.e1.

Seizures 92

Seizures EKG/ECG Poisoning Shock 92

EMDocs

JUNE 21, 2023

In pediatrics- consult orthopedics. 2008 Feb;466(2):432-5. No study reported using dynamic ROM Shoulder One study found an injection volume of 81mL was necessary to achieve a sensitivity of 95%; there was an increase in sensitivity with increasing volume. Hip – There are no studies available that discuss the use of SLT at the hip.

Soft Tissue Injuries 95

Soft Tissue Injuries Fractures Dislocations Radiology 95

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

MARCH 18, 2024

In France, another large randomised controlled trial of Eculizumab in typical HUS – ECULISHU ( Ecul izumab in S higa-toxin Related Hemolytic and U remic S yndrome Pediatric Patients) – has just finished. Pediatric Nephrology. Pediatr Nephrol. Blocking this process may help reduce the severity of typical HUS.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

The Skeptics' Guide to EM

MARCH 5, 2022

This includes therapeutic hypothermia for out-of-hospital cardiac arrest (OHCA), tranexamic acid (TXA) for epistaxis and electrolyte solutions for mild pediatric gastroenteritis. JAMA Feb 2009 looked at the ACC/AHA guidelines from 1984 to 2008. They wonder how strong the evidence is for much of what we do in emergency medicine.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Research Pediatrics Outcomes 40

Advanced Emergency Nursing from AENJ

APRIL 29, 2015

In 2010, the AHA recommendation for pediatrics was : ”Hyperoxia can be toxic, particularly to the preterm infant. Pediatrics, 102(1), e1-e1. Every five years, a conference determines the current state of the art for resuscitation recommendations. Cornet, A. Kooter, A. Peters, M. J., & Smulders, Y. Howard, L. S., & Davison, A.

Resuscitation 40

Resuscitation Pediatrics Administration Emergency Nursing 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. 2008) Shprecher, Schwalb, Kurlan. 2008) Shprecher, Schwalb, Kurlan. 88, 1327-1344.e2. Sasaki et al. Wallace et al.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Don't Forget the Bubbles

JUNE 10, 2024

Pediatric Clinics of North America, 64(1), 1-15. Journal of Pediatric Surgery, 44(6), 1072-1076; discussion 1075-1076. Pediatrics, 133(1), 1-12. Pediatric Research, 63(2), 117-123. References Australian and New Zealand Neonatal Network (ANZNN). ANZNN Annual Report. Barter, B.A., & Bhatia, J. Battersby, C., Gordon, P.

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Pediatrics Sepsis Fluid Resuscitation Outcomes 40