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The Broselow-Luten System

Pediatric EM Morsels

He, along with Dr. Bob Luten, a PEM physician in Jacksonville, FL , designed the Broselow-Luten color-coded length-based system to help estimate a child’s weight, and thereby offload the cognitive burden of medication dosing and choice of equipment sizes in pediatric resuscitations. .” Reduces dosing errors during resus, up to 33.88%.

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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

A critical MORSEL is that every child you treat for DKA needs to have an initial thorough neuro exam including cranial nerves and then frequent neuro reassessments … and document it ( so your colleagues who take over care for the kid can know if there has been a change )! 2010 Dec;1(2):103-20. 2013 Sep;163(3):761-6. PMID: 23499379.

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ECG Blog #388 — Why Does Lead V1 Look Funny?

Ken Grauer, MD

The "good news" — is that we clearly see sinus P waves in ECG #1 , that document conversion to sinus rhythm ( ie, upright P waves in lead II that precede each QRS complex with a constant and normal PR interval ). (NOTE: The filter setting used a 150 Hz high-frequency cutoff. ) When I first saw this ECG — I had more questions than answers.

EKG/ECG 370
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VACEP Legal Victory Illustrates Why the Prudent Layperson Standard Still Matters

ACEP Now

One of the HCFA letters, written by then Medicaid Director Tim Westmoreland (the Westmoreland Letter) specifically cited that the CPT 9928X codes should be reimbursed under federal PLP unless the Medicaid plan believed there were program integrity issues with the claim.

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Pediatric Cervical Spine Injury Risk Stratification: Rebaked Morsel

Pediatric EM Morsels

We collected data directly from the bedside clinician which enabled us to gather pertinent patient symptoms and physical examination findings that may not be well documented in the medical record, but more accurately identify the child’s injuries.” 2010; doi:10.1016/j.annemergmed.2010.08.038. Lancet Child Adolesc Health. Ann Emerg Med.

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Chest pain: Are these really "Nonspecific ST-T wave abnormalities", as the cardiologist interpretation states?

Dr. Smith's ECG Blog

Since the ECG now meets STEMI criteria, a code STEMI was activated. Ann Noninvasive Electrocardiol 2010 7. There was a 99% mid RCA occlusion, and peak troponin was greater than 25,000ng/L (upper limit of assay). J Am Heart Assoc 2021 6. Phibbs and Nelson. Meyers et al. IJC Heart and Vasc 2021 8. Herman et al.

EKG/ECG 123
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52 in 52 – #38: Thrombolysis Guided by Perfusion Imaging up to 9 Hours after Onset of Stroke

EMDocs

Pre-enrollment calculations estimated that 400 enrollments would be necessary to provide the trial with 80% power to detect a 15% difference in the primary outcome, allowing for up to 90 patients to be lost to follow-up or to have insufficient data documented. Intervention: Alteplase 0.9 in alteplase group versus 0.9% to 53.54, p=0.053).

Stroke 98