Pediatric EM Morsels

JUNE 9, 2023

Gana, 2011 ] Endoscopy and other procedures Currently still debated, but reasonable to discuss additional options with your friendly Pediatric GI team. 2011 Jun;52(6):751-5. Castillo, 2019 ] Somatostatin (or its analogues, like Octreotide) Guidelines do recommend this… There is great variability in its administration, though.

Pediatrics 152

Pediatrics Head Injuries Airway Management Administration 152

Pediatric EM Morsels

APRIL 28, 2023

J Child Orthop 5, 465–470 (2011). J Child Orthop 5, 465–470 (2011). JBJS reviews 8.4 2020): e0186–e0186. & Hosalkar, H.S. Tibial tubercle fractures in children with intra-articular involvement: surgical tips for technical ease. link] Gregory W. Kunis, Joshua A. Berko, Jeffrey C. Shogan, et al. October 26, 2021.

Fractures 130

Fractures Pediatrics Operations Wellness 130

ALiEM

OCTOBER 21, 2024

2011 Jan;13(1):21-4. Treat this condition with anti-pseudomonal antibiotics. References Davidi E, Paz A, Duchman H, Luntz M, Potasman I. Perichondritis of the auricle: analysis of 114 cases. Isr Med Assoc J. PMID: 21446231. Klug TE, Holm N, Greve T, Ovesen T.

Academics 67

Academics Wellness 67

ALiEM

JANUARY 22, 2024

2011 Oct 18;183(15):E1152. Epub 2011 Sep 12. Curr Infect Dis Rep. 2009 Jan;11(1):66-72. doi: 10.1007/s11908-009-0010-x. PMID: 19094827. Shiao CC, Lin SY. Eschar: a clue to scrub typhus. doi: 10.1503/cmaj.101929. PMID: 21911554; PMCID: PMC3193135.

Academics 64

Academics Documentation/Coding Emergency Department Hospitals 64

EMDocs

AUGUST 3, 2024

Source Trends in Initial Anticoagulation Among US Patients Hospitalized With Acute Pulmonary Embolism 2011-2020. Ann Emerg Med. 2024 Jun 18:S0196-0644(24)00277-4. doi: 10.1016/j.annemergmed.2024.05.009. 2024.05.009. PMID: 38888528. #3:

Emergency Department 74

Emergency Department Outcomes Hospitals 74

Pediatric EM Morsels

MAY 10, 2024

2011 Aug;128(2):239-45. [PubMed] [Read by QxMD] Friedman KG1, Kane DA, Rathod RH, Renaud A, Farias M, Geggel R, Fulton DR, Lock JE, Saleeb SF. Management of pediatric chest pain using a standardized assessment and management plan. Pediatrics. PMID: 21746719. PubMed] [Read by QxMD] Kane DA1, Fulton DR, Saleeb S, Zhou J, Lock JE, Geggel RL.

EKG/ECG 268

EKG/ECG Pediatrics Ultrasounds Seizures 268

RebelEM

MARCH 22, 2023

Multiple studies comparing verapamil to adenosine demonstrate equal efficacy of either agent with verapamil causing more hypotension ( Delaney 2011 , Hood 1992 ) Dose: 0.07 2011; 18(3): 148-52. Can J Cardiol 2011; 27(1): 105-9. Can J Cardiol 2011; 27(1): 105-9. Am J Emerg Med 2011; 29(5): 545-8. Eur J Emerg Med.

EKG/ECG 52

EKG/ECG EMS Pediatrics Stroke 52

Emergency Medicine Ireland

OCTOBER 14, 2024

This has been moderately well studied with MIST-2 2011 and the Picollo trial (2014) being commonly quoted trials suggesting benefit. 365, 518–526 (2011). This has been moderately well studied with MIST-2 2011 and the Picollo trial (2014) being commonly quoted trials suggesting benefit. 11, 1419–1425 (2014). – M.,

Wellness 52

Wellness Ultrasounds 52

ALiEM

AUGUST 28, 2023

2011 Dec;145(6):935-9. Epub 2011 Jul 13. Imaging and specialist referral should be considered in cases concerning for tumor, abscess, or treatment failure. References Huoh KC, Eisele DW. Etiologic factors in sialolithiasis. Otolaryngol Head Neck Surg. doi: 10.1177/0194599811415489. PMID: 21753035.

Dehydration 52

Dehydration Emergency Department Academics Hospitals 52

ALiEM

SEPTEMBER 13, 2024

Epub 2011 Dec 2. [link] globe-injury Ahmed Y, Schimel AM, Pathengay A, Colyer MH, Flynn HW Jr. Endophthalmitis following open-globe injuries. Eye (Lond). 2012 Feb;26(2):212-7. doi: 10.1038/eye.2011.313. PMID: 22134598; PMCID: PMC3272210.

Emergency Department 64

Emergency Department Academics Hospitals Fractures 64

RebelEM

SEPTEMBER 23, 2024

However, it is well-established that even a single dose of etomidate can cause adrenal suppression ( Albert 2011 ). The drug has a number of reported advantages including rapid onset and a favorable hemodynamic profile (etomidate itself does not cause vasodilation or cardiac depression).

EMS 75

EMS Outcomes Resuscitation Wellness 75

Dr. Smith's ECG Blog

DECEMBER 5, 2023

ECG findings somewhat atypical for acute OMI in a teenager clearly increase suspicion for acute myocarditis. == Acute MI in Children: I list in Figure-2 — potential causes of acute MI to consider in the pediatric age group ( Suryawanshi et al — Ann Pediatr Cardiol 4(1):81-83, 2011 ).

Pediatrics 112

Pediatrics EKG/ECG Hospitals Burns 112

Taming the SRU

FEBRUARY 12, 2024

DISCUSSION Epidemiology and Background Rivaroxaban, along with other direct oral anticoagulants (DOACs), has become a mainstay of treatment for pro-thrombotic conditions since 2011. [1] 3-5] From a patient perspective, DOACs are favorable for daily dosing, oral intake, and lack of frequent clinical visits for dosing adjustments. N Engl J Med.

Administration 79

Administration Fractures Anaphylaxis Head Injuries 79

Taming the SRU

JULY 2, 2023

2011): 544-549. 2011): 189-196. "Capnography in the emergency department: a review of uses, waveforms, and limitations." The Journal of emergency medicine 53.6 2017): 829-842. Whitaker, D. Time for capnography–everywhere." Anaesthesia 66.7 Kelly, John J., Use of tube condensation as an indicator of endotracheal tube placement."

Emergency Department 88

Emergency Department Pediatrics CPR Administration 88

Don't Forget the Bubbles

OCTOBER 18, 2024

Clinical practice guidelines Midline Catheters, Dr Liz Prentice, Anaesthetic Department, The Royal Children’s Hospital, Melbourne, September 2011 The post Midline Catheters in Paediatrics – The Long and Short of it. PMID: 37695594; PMCID: PMC10495929. appeared first on Don't Forget the Bubbles.

Administration 89

Administration Pediatrics Ultrasounds Burns 89

ACEP Now

OCTOBER 9, 2024

2011 ACCF/AHA guideline for the diagnosis and treatment of hypertrophic cardiomyopathy: Executive summary: A report of the American College of cardiology foundation/American heart association task force on practice guidelines. Dr. Harrell is a PGY-1 emergency physician at Houston Health. Dr. Bower is an emergency physician at Houston Health.

EKG/ECG 52

EKG/ECG Fluid Resuscitation Ultrasounds Outcomes 52

American Medical Compliance

NOVEMBER 3, 2022

” Starting in 2011, a study led by Dr. Tait Shanafelt, professor of medicine and chief wellness officer at Stanford Medicine in California, has tracked the wellbeing of doctors and professionals across all other industries in the US. Jack Resneck Jr. doctors was 62.8%. These numbers have increased from 38.2% in 2020, 43.9%

Telemedicine 52

Telemedicine Wellness 52

Pediatric EM Morsels

JULY 21, 2023

2011 Apr;48(4):331-2. [Orso 2020] One pediatric study in this systematic review, and the intubated patients had worse outcome than non-intubated Early airway protection = lower rates of complications (in TRAUMA), but this is not always true with medical patients. PMID: 33303004; PMCID: PMC7726605. Raman S, Sreenivas V, Puliyel JM, Kumar N.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Sensible Medicine

AUGUST 19, 2024

NEJM published STITCH in 2011. The teaching points extend beyond cardiology. Sensible Medicine is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber.

Outcomes 91

Outcomes Ultrasounds Wellness 91

The Skeptics' Guide to EM

NOVEMBER 1, 2022

There have been a few randomized control trials (RCTs) of peripheral nerve blocks for shoulder dislocation, but without definitive results (Raeyat Doost 2017; Blaivas 2011). Intra-articular injection has been compared with procedural sedation (PS) for shoulder dislocation, with some potential benefits (Wakai 2011).

Dislocations 61

Dislocations Ultrasounds Emergency Department 61

Pediatric Emergency Playbook

SEPTEMBER 1, 2019

2011; 57 (4) 382-386 Miller LJ. 2011; 58 (4) 240-241. Annals of Emergency Medicine. et al A new study of intraosseous blood for laboratory analysis.Arch Pathol Lab Med. 2010 Sep;134(9):1253-60. Miller, et al. Utility of an intraosseous vascular system to deliver contrast dye using a power injector for computerized tomography studies.

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Emergency Medicine Journal

JANUARY 22, 2024

We assessed safety and efficacy data from 10 years (2011–2021) of our N 2 O PPS programme. Background Nitrous oxide (N 2 O) has multiple benefits in paediatric procedural sedation (PPS), but use is restricted by its limited analgesic properties. Analgesic potency could be increased by combining N 2 O and intranasal fentanyl (INF).

Emergency Department 40

Emergency Department Outcomes 40

Ken Grauer, MD

JUNE 26, 2023

González-Torrecilla et al: Ann Noninvasive Electrocardiol 16(1):85-95, 2011 — Reviews distinction between AVNRT vs AVRT and other regular SVT rhythms in patients without WPW. ECG Blog #220 — reviews my L IST # 1 : Causes of a Regular WCT and — HOW to assess Hemodynamic Stability.

EKG/ECG 366

EKG/ECG Wellness 366

PHEM Cast

FEBRUARY 7, 2022

2011; 364: 189-190. The value of technetium 99 scintigraphy in the prognosis of amputation in severe frostbite injuries of the extremities: A retrospective study of 92 severe frostbite injuries. The Journal of Hand Surgery. 2000; 25(5): 969-978. Cauchy et al. A Controlled Trial of a Prostacyclin and rt-PA in the Treatment of Severe Frostbite.

Hospitals 52

Hospitals 52

The Skeptics' Guide to EM

JULY 17, 2021

This is because most pneumonias in this age-group are caused by viral pathogens ( Bradley et al 2011 ). Bradley et al 2011 ). Antibiotics are recommended for school age children diagnosed with CAP. However, how long should they be treated is an open question.

Pediatrics 52

Pediatrics Emergency Department Wellness 52

Don't Forget the Bubbles

SEPTEMBER 30, 2024

A 2011-2012 Australian study by Blake et al. increase in Leicester City’s population from the 2011 census, bringing the city’s population to 368,581 and the county’s total population to 712,300. What is happening internationally? Of these, 40% were paediatric patients, and 12.4% The 2021 census revealed an 11.8%

Emergency Department 89

Emergency Department Research Hospitals Pediatrics 89

EMDocs

JUNE 13, 2024

EM, April 2011. A record that the patient acknowledged receipt of discharge instructions is a valuable defense. References : “Sign Right Here and You’re Good to Go”: A Content Analysis of Audiotaped Emergency Department Discharge Instructions. Vashi A, Rhodes K. emDOCs Podcast – C. Medscape eMedicine. Updated: Jun 7, 2023.

Documentation/Coding 77

Documentation/Coding Patient Safety Emergency Department Hospitals 77

PHEM Cast

APRIL 16, 2018

Critical Care; 2011. 2011; 82: 1138-43. Epidemiology and aetiology of TCA in England… Resuscitation; 110 (2017): 90-94. Russell RJ et al. The role of trauma scoring in developing trauma clinical governance in the Defence Medical Services. Phil Trans R Soc. Doi: 1098/rstb.2010.0232 2010.0232 Wise et al. EMJ; 2005: 22-24. Morrison et al.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

The Skeptics' Guide to EM

OCTOBER 14, 2023

That episode reviewed the 2011 Fleming et al systematic review for the normal ranges of HR and RR in children from birth to 18 years of age. Does he have sepsis?” Background: We have looked at pediatric vital signs on the SGEM back in 2014 with PedEM superhero Dr. Anthony Crocco ( SGEM#98 ).

Pediatrics 88

Pediatrics Sepsis Urgent Care Emergency Department 88

Ken Grauer, MD

MARCH 27, 2024

As noted by Moodie in his manuscript on Adult Congenital Heart Disease ( Tex Heart Inst J: 38(6):705, 2011 ) — there are now more people over the age of 20 with CHD than under that age! FINAL Thought: The underlying etiology of today's tachyarrhythmia, and this patient's principal problem — appears to be the expression of CHD in an adult.

EKG/ECG 469

EKG/ECG Wellness 469

The Skeptics' Guide to EM

JANUARY 20, 2024

The American Academy of Pediatrics ( AAP ) released guidelines for the management of febrile infants and children 2 to 24 months back in 2011 [2]. UTIs are one of the most common bacterial infections in childhood that we see in the emergency department [1].

Pediatrics 71

Pediatrics Anaphylaxis Emergency Department Outcomes 71

Sensible Medicine

OCTOBER 10, 2024

One article from 2011 approximates 86 cancers and 11 deaths per 100,000 women due to breast cancer screening. Across a population there is some percentage of breast cancers which are caused by screening mammography. The exact number is the subject of debate and not well studied.

Hospitals 128

Hospitals Wellness 128

Ken Grauer, MD

MAY 12, 2023

González-Torrecilla et al: Ann Noninvasive Electrocardiol 16(1):85-95, 2011 — Reviews distinction between AVNRT vs AVRT and other regular SVT rhythms in patients without WPW. ECG Blog #138 — AFlutter vs Atrial Tachycardia. ECG Blog #40 — Another regular SVT that turned out to be AFlutter.

EKG/ECG 195

EKG/ECG Wellness 195

Pediatric EM Morsels

MAY 12, 2023

We last pondered this in 2011 Morsel , just a couple years after PECARN head injury data was published. While this fact can adversely affect anyone, it offers the greatest challenge for those who cannot protect themselves , like children less than 3 months of age !

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

ACEP Now

JANUARY 13, 2024

As a member of the Air Force, deployed to Afghanistan in 2011, I have seen war where I should have seen it—in a designated war zone. For example, the Journal of the American Medical Association recently reported that mental health related emergency room visits spiked between 2011 and 2020.

Emergency Department 52

Emergency Department Resuscitation Patient Safety Hospitals 52

RebelEM

FEBRUARY 12, 2024

2011; 18(7):699-707. PMID: 25229916 DOI: 10.1056/NEJMoa1404446 Westphalen AC, Hsia RY, Maselli JH, Wang R, Gonzales R. Radiological Imaging of Patients With Suspected Urinary Tract Stones: National Trends, Diagnoses, and Predictors. Gottlieb RH, La TC, Erturk EN, et al. 2002; 225(2):441-449.

Radiology 85

Radiology Radiology Emergency Department Ultrasounds 85

Greater Sydney Area HEMS

FEBRUARY 20, 2024

2011; 106 : 732–737. [iv] The Lancet. 1965;286:614–7 [iii] Breschan C, Platzer M, Jost R et al. Consecutive, prospective case series of a new method for ultrasound-guided supraclavicular approach to the brachiocephalic vein in children. iv] Breschan C, Graf G, Jost R et al.

Ultrasounds 98

Ultrasounds Shock Research Operations 98