EMDocs

JULY 9, 2024

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Acad Pediatr. Acad Pediatr.

Pediatrics 73

Pediatrics Emergency Department Research Burns 73

Don't Forget the Bubbles

NOVEMBER 22, 2023

Is propofol a friend or a foe of the pediatric intensivist? Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies. British journal of anaesthesia. 2019;122(4):448-59. Koriyama H, Duff JP, Guerra GG, Chan AW. 2015;19:398.

Pediatrics 126

Pediatrics EKG/ECG Research Operations 126

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. October 8th, 2009. Pediatr Emerg Care. Arch Pediatr Adolesc Med.

Pediatrics 40

Pediatrics Seizures Stroke Radiology 40

Sensible Medicine

MAY 28, 2024

Seven years later, in 2009, the USPSTF expanded this guideline to include children as young as 12 years old. 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 fold (NNH=14, p= 0.01 ).

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Military Outcomes Psychiatric Wellness 144

ALiEM

FEBRUARY 26, 2024

Pediatr Dermatol. 2009 Jul-Aug;26(4):373-80. Case Discussion Take-Home Points When a vesicular rash is in a neonate < 1 month and all over the face, consider benign neonatal pustular lesions such as neonatal cephalic pustulosis. References Antoniou C, Dessinioti C, Stratigos AJ, Katsambas AD. doi: 10.1111/j.1525-1470.2009.00932.x.

Academics 78

Academics Pediatrics Wellness 78

Pediatric Emergency Playbook

MARCH 1, 2018

Pediatr Rev. Pediatrics. 2009; 123(3):841-8 Herman M, Le A. 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. Emerg Med Clin North Am. 2007 Nov;25(4):1137-59.

Pediatrics 52

Pediatrics Emergency Department 52

ALiEM

MAY 13, 2024

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric soft tissue ultrasonography. Take the ALiEMU PEM POCUS: Soft Tissue Quiz Case Goals List the indications of performing a pediatric soft tissue point-of-care ultrasound (POCUS). Pediatric Soft Tissue POCUS Ultrasound Technique Figure 1.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

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. 4, 1 July 2009, p.

Ultrasounds 94

Ultrasounds Emergency Department Pediatrics Radiology 94

Pediatric Emergency Playbook

AUGUST 1, 2019

Methemoglobinemia and Sulfhemoglobinemia in Two Pediatric Patients after Ingestion of Hydroxylamine Sulfate. 2009 Aug; 10(3): 197–201 Ginimuge PR et al. Pediatr Rev. Topical Benzocaine-induced Methemoglobinemia in the Pediatric Population. Topical Benzocaine-induced Methemoglobinemia in the Pediatric Population.

Pediatrics 40

Pediatrics 40

PEMBlog

OCTOBER 18, 2023

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. The patient was ultimately discharged on a seven-day total course of cephalexin per Pediatric Infectious Disease recommendations. Pediatrics international : official journal of the Japan Pediatric Society, 45(2), 233–237.

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

EMDocs

JUNE 17, 2023

The Pediatric Infectious Disease Journal. Pediatrics. 2009-1709 The post EM@3AM: Periorbital Cellulitis appeared first on emDOCs.net - Emergency Medicine Education. swelling, chemosis, fever, etc.), Preseptal Versus Orbital Cellulitis in Children: An Observational Study. 2021;40(11):969-974. doi:10.1097/inf.0000000000003226

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EMS Infectious Diseases Pediatrics Emergency Department 96

PEMBlog

MAY 11, 2023

There is inconclusive evidence that it’s better than placebo for IVs too – it may help… ( see Auerbach, 2009 ). Pediatr Emerg Care This randomized, double-blinded, placebo-controlled trial in infants 0-3 months old getting an LP, younger than 3 months, presenting to the ED meeting clinical criteria for LP.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department Academics 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. Frontiers in Pediatrics. Non‐invasive ventilation in pediatric status asthmaticus: a prospective observational study.

Pediatrics 72

Pediatrics Research Documentation/Coding Outcomes 72

PEMBlog

JULY 17, 2023

this is an updated version for July 2023 Replace a G-tube Gastrostomy tube dislodgment and malfunction are top causes for G-tube related ED visits in pediatric patients so it is important to understand how to replace a G-tube. Gastrostomy Tube-Related Complaints in the Pediatric Emergency Department.” Pediatric Emergency Care, vol.

Pediatrics 52

Pediatrics Emergency Department Hospitals 52

Taming the SRU

NOVEMBER 14, 2023

A retrospective analysis of the Nationwide Emergency Department Sample (NEDS) from 2009 through 2011 identified 8.6 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. Krogmann RJ et al. Auricular Hematoma. Updated 2018 Dec 16].

Emergency Department 95

Emergency Department Pediatrics Wellness Fractures 95

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

Pediatric Emergency Playbook

MAY 1, 2017

Pediatrics. Pediatrics. Pediatrics. Pediatrics. Pediatrics. Pediatrics. Pediatrics. Pediatrics in Review. Pediatrics. 2009; 124(4):1193-6. Pediatrics. This will tell you: home or admission. Use the Bilitool or Bhutani Nomogram (below). Can I go Home Now? Bhutani et al.

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52

EM Curious

JULY 24, 2015

Impact of ultrasound-guided femoral nerve blocks in the pediatric emergency department. Pediatric Emergency Care,30(4), 227–229. Western Journal of Emergency Medicine. 11(4), 310-313 Turner, A. Stevenson, M. D., & Cross, K. Ryan, M., & Ragg, M. Emergency Medicine Australasia,21(2), 124–130. doi:10.1111/j.1742-6723.2009.01163.xdoi:10.1097/PEC.0000000000000101

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 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. This is a broader problem in medicine.

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Military Operations Emergency Department Pediatrics 40

The Skeptics' Guide to EM

FEBRUARY 10, 2018

Lancet January 2018 Guest Skeptic: Dr. Tessa Davis is a Pediatrician specialising in Pediatric Emergency Medicine and currently practicing in a central London hospital. Lancet January 2018 Guest Skeptic: Dr. Tessa Davis is a Pediatrician specialising in Pediatric Emergency Medicine and currently practicing in a central London hospital.

Emergency Department 40

Emergency Department Pediatrics Sepsis Hospitals 40

ACEP Now

FEBRUARY 6, 2024

found 100 percent of pediatric urine specimens fluoresced even in the absence of ethylene glycol. corroborated that most pediatric urine samples fluoresce under UV light and found considerable interrater variability. Pediatrics. 2009; 47:236–238. 2 Parsa, et al. 3 Casavant, et al. Am J Emerg Med 2005;23:787-792.

Poisoning 52

Poisoning Pediatrics Shock Research 52

Pediatric Education

NOVEMBER 12, 2023

Pediatrics. 2009-0559 Davis NL. Pediatrics. Pediatrics. D’Alessandro, MD Professor of Pediatrics, University of Iowa Evidence-based medicine information on this topic can be found at SearchingPediatrics.com and the Cochrane Database of Systematic Reviews. 2009;123(5):1424-1429. doi:10.1542/peds.2009-0559

Pediatrics 40

Pediatrics Poisoning Hospitals Documentation/Coding 40

Don't Forget the Bubbles

FEBRUARY 19, 2024

A study by Russoniello, O’Brien, and Parks (2009) demonstrated that playing casual video games effectively reduced stress and improved mood among participants. Pediatrics , 127 (2), pp.e319-e329. Often, it feels easier to achieve things in games than in real life. Journal of adolescence , 27 (1), pp.5-22. Gentile, D.A.,

Academics 59

Academics Leadership Research Teamwork 59

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. Master’s Thesis).

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

Pediatric EM Morsels

AUGUST 2, 2024

Paraphimosis , phimosis , and priapism can be painful pediatric penile problems that need prompt perusal and procedures to prevent problems with peeing. Now let’s consider another penile and skin problem that is quite common – Pediatric Balanitis and Balanoposthitis. Int J Dermatol. 2009;48(2):121-124. doi:10.1111/j.1365-4632.2009.03966.x

Pediatrics 154

Pediatrics Allergic Reactions EMS Infectious Diseases 154

Pediatric EM Morsels

JULY 28, 2023

Cerebral edema is the most feared emergent complication of pediatric diabetic ketoacidosis. Pediatr Diabetes. 2009 Apr;10(2):155-7. Population-based study of incidence and risk factors for cerebral edema in pediatric diabetic ketoacidosis. The Pediatric Emergency Medicine Collaborative Research Commitee.

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Fluid Resuscitation Pediatrics Resuscitation Research 246

Pediatric EM Morsels

MAY 24, 2024

One of the most difficult and most satisfying parts of pediatric emergency medicine is using one’s history, exam and clinical tools to make an informed decision and spare children from unnecessary pain , uncomfortable exams, painful procedures and medical imaging. Low Risk Inta-Adbominal Trauma: Pediatric Trauma is Dangerous!

Pediatrics 164

Pediatrics Blood Transfusions EMS Fractures 164

EMDocs

MAY 26, 2023

2009 Nov;27(4):655-67, ix. 2009 Jun;21(3):196-202. 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. Coburn VA, Mycyk MB. Physical and chemical restraints.

Pediatrics 97

Pediatrics Psychiatric Emergency Department Documentation/Coding 97

EM Guide Wire

MAY 19, 2019

PEDIATRICS. Pediatrics in Review. PEDIATRICS. Pediatric Clinics of North America. Delayed Identification of Pediatric Abuse-Related Fractures. PEDIATRICS. 2009; 125 (1): 60-66. PEDIATRICS. PEDIATRICS. European Journal of Pediatrics. Christian CW. 2015; 135 (5): e1337-e1354.

Pediatrics 40

Pediatrics Soft Tissue Injuries Fractures Emergency Nursing 40

Pediatric Emergency Playbook

JUNE 1, 2017

2009; 8:67-69. J Curr Pediatr. World Journal for Pediatric Congenital Heart Surgery. World Journal for Pediatric Congenital Heart Surgery. Pediatr Cardiol. 2009; 24:156-8. Pediatr Rev. Pediatr Nephrol. Ann Pediatr Cardiol. Interactive Cardiovascaulr and Thoracic Surgery. Güvenç O et al.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

PEMBlog

MAY 24, 2023

2009 Nov;27(4):655-67, ix. 2009 Jun;21(3):196-202. Coburn VA, Mycyk MB. Physical and chemical restraints. Emerg Med Clin North Am. doi: 10.1016/j.emc.2009.07.003. 2009.07.003. PMID: 19932399. Downes MA, Healy P, Page CB, Bryant JL, Isbister GK. Structured team approach to the agitated patient in the emergency department.

Emergency Department 59

Emergency Department Pediatrics Psychiatric Administration 59

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.

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Airway Management Emergency Department Resuscitation Psychiatric 135

Don't Forget the Bubbles

JULY 22, 2024

The most recent meta-analysis , published in 2016 (comparing eleven studies from 1986 to 2009), struggled to reach a consensus because the trials were too heterogeneous to make robust conclusions. Pediatr Pulmonol. 2009 Jan 22;360(4):329–38. JAMA Pediatrics. So, an up-to-date, high-quality meta-analysis iss much needed.

Outcomes 105

Outcomes Research Pediatrics Hospitals 105

ALiEM

OCTOBER 2, 2023

A 6-year-old male presented to the pediatric emergency department (PED) for scalp lesions. Epub 2009 Aug 11. Pediatr Emerg Care. He was seen by his pediatrician 2 weeks prior and prescribed antibiotics and a delousing shampoo for suspected cellulitis versus lice infestation. cm in the long axis diameter.” J Laryngol Otol.

Ultrasounds 75

Ultrasounds Pediatrics Academics Emergency Department 75

EMDocs

JULY 11, 2023

Pediatric patients: Post circumcision bleed, head bleeds, bruises. PECARN Pediatric Head Injury/Trauma Algorithm, Canadian CT Head Injury Rule, Ottawa Knee and Ankle Rules) do not apply to those with hemophilia and should not guide management. 2009 Nov;15(6):1281-90. Mild hemophilia can be undiagnosed for years. Haemophilia.

Head Injuries 75

Head Injuries Pediatrics Dislocations CDC 75

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.” 6, 8 July 2009, pp. References: Abubukar et al. CDC’s Morbidity and Mortality Weekly Report. Schier, Capt.

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Poisoning CDC Administration Emergency Department 91

EMDocs

JUNE 25, 2024

Typically for adults with a TBSA of at least 20% or 10% in pediatric patients. National Burn Repository 2019 Update, Report of data from 2009–2018. Fluid resuscitation target and fluid Fluid resuscitation is one of the most important parts of management; goal is to increase intravascular volume and ensure end organ perfusion.

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Burns Fluid Resuscitation Resuscitation Poisoning 96