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Chest Pain in Children: ReBaked Morsel

Pediatric EM Morsels

EKG Reasonable screen for cardiac etiology [ Kane, 2010 ]: Chest Pain with Exertion? 2010 Jul-Aug;5(4):366-73. 2010 Dec;57(6):1385-95. 2010 Dec;57(6):1221-34. GI Look for hepatosplenomegaly Is there Epigastric tenderness? High-risk family history (ex, unexplained sudden death, drowning )? Congenit Heart Dis.

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Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Pediatric EM Morsels

2010 Oct 5;182(14):CMAJ 2010. The minority of parents would have wanted clinic follow up (6%) and reimaging (14%). References: Boutis K, Willan A, Babyn P, Goeree R, Howard A. Cast versus splint in children with minimally angulated fractures of the distal radius: a randomized controlled trial. DOI:10.1503/cmaj.100119.

Fractures 286
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Overdiagnosis: Would we better better off not looking?

First 10 EM

Between 2001 and 2010 the use of CT in emergency departments increased 3-fold (and the use of MRI increased 9-fold, but for some reason it is still almost impossible for me to get one done.) There is little doubt that the use of testing has increased dramatically in emergency medicine during my career.

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The Broselow-Luten System

Pediatric EM Morsels

Rosenburg 2010] B-L system is designed for 12yo and younger, patients up to 80 lbs, height 46-143 cm [Meguerdichian 2012] Estimates the 50%ile weight for height (Length vs Ideal Body Weight). 2010) ‘140: Does physician estimates of pediatric patient weights lead to inaccurate medication dosages’, Annals of Emergency Medicine , 56(3), p.

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Incidental Appendectomy During Trauma Laparotomy?

The Trauma Pro

Ann R Coll Surg Engl 92(6):477-82, 2010. Br J Surg 62(6):487-9, 1975 Appendicitis following blunt abdominal trauma. Am J Emerg Med 35(9):1386.e5-1386, e5-1386, 2017. Systematic review of blunt abdominal trauma as a cause of acute appendicitis.

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PulmCrit: Why the new study associating piptazo with increased mortality is wrong

EMCrit

In the early 2010's, a series of retrospective correlational studies found that patients treated […] EMCrit Project by Josh Farkas. Combine this with the conservatism that often (rightfully) surrounds drug safety, and it creates a lot of volatility. Before going further, we should review some recent history regarding piptazo.

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The Power Of Trauma Research?

The Trauma Pro

In 2010, a checklist of 25 guidelines was created (CONSORT 2010, see reference 1) to guide researchers on the essential items that should be included in all RCTs to ensure high-quality results. The randomized, controlled trial (RCT) is usually considered the big kahuna among research designs. JACS 237(5):731-736, 2023.

Research 113