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

RebelEM

DECEMBER 4, 2024

Ann Emerg Med 2011; 57(1): 32-3. Ann Emerg Med 2011; 57(1): 31-2. Ann of EM 2011; 58: 517-20. Louis, Mosby, Inc., 2010, (Ch) 79: p 1034-63. Decker WW, Stead LG. Selecting rate control for recent-onset atrial fibrillation. PMID: 21183084 Stiell IG, Birnie D. Managing reent-onset atrial fibrillation in the emergency department.

Emergency Department 103

Emergency Department Stroke EMS Shock 103

The Trauma Pro

AUGUST 1, 2023

Ann Emerg Med 58(6):536-540, 2011. The failure occurred due to an intra-articular fragment, and that hip had to be reduced in the operating room. Reference: The Captain Morgan technique for the reduction of the dislocated hip.

Dislocations 130

Dislocations Operations 130

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

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

Ken Grauer, MD

JULY 29, 2023

Insight into this question is provided by 2 Hoffmayer et al manuscripts ( JACC 58(8):831-838, 2011 — and — Front Physiol 3:23, 2012 ). Among those patients who are successfully resuscitated — the question arises as to IF it is possible to diagnose ARVD as the cause from QRS morphology on the ECG obtained during the episode of sustained VT?

EKG/ECG 370

EKG/ECG Resuscitation Documentation/Coding Hospitals 370

Pediatric EM Morsels

OCTOBER 27, 2023

Rosenberg 2011, Yamamoto 2009] Not as accurate in obese children (physicians were better at estimating). [Lubitz 1988] Very accurate for 3.5-25kg 25kg , but not as accurate >25kg. Lubitz 1988] Good agreement with actual weight if average body habitus, better than physician estimate.

Pediatrics 269

Pediatrics Resuscitation Documentation/Coding Wellness 269

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 120

Pediatrics EKG/ECG Hospitals Burns 120

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

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

RebelEM

NOVEMBER 13, 2024

cefazolin or cefuroxime) If risk factors for MRSA present, use agent with activity against MRSA (i.e. vancomycin) If significant soft tissue injury, add gram negative coverage like late generation cephalosporin, extended-spectrum penicillin, or aminoglycoside (i.e.

Soft Tissue Injuries 105

Soft Tissue Injuries Fractures EMS 105

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 75

Emergency Department Outcomes Hospitals 75

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

Ken Grauer, MD

SEPTEMBER 6, 2024

González-Torrecilla et al review distinction between AVNRT vs AVRT — in Ann Noninvasive Electrocardiol 16(1):85-95, 2011. ECG Blog #40 — Another regular SVT that turned out to be AFlutter. Other sites where I've discussed similar cases: The March 6, 2020 post in Dr. Smith's ECG Blog. The October 31, 2016 post in Dr. Smith's ECG Blog.

EKG/ECG 248

EKG/ECG Administration Wellness Operations 248

Sensible Medicine

JANUARY 22, 2024

The STICH trial, published in 2011, randomized about 1200 patients with impaired LV systolic function and severe coronary artery disease amenable to surgery to CABG or medicine alone. Modern heart surgery uses the left internal mammary artery whereas older surgery used mostly vein grafts. Let me show you a big modern trial.

Outcomes 125

Outcomes Research 125

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

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

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

ETM Course

JUNE 28, 2015

2011 Dec;71(6):1869-72 (full article free text) 2. Surgery 2011; 150(3): 400–9 (full article free text) 7. J Trauma 2011; 71(3): 720–725 8. Here’s some references. Stannard A, Eliason JL, Rasmussen TE. Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct for hemorrhagic shock. Martinelli et al.

Hospitals 52

Hospitals Resuscitation Shock Military 52

Don't Forget the Bubbles

JANUARY 24, 2024

2017 May 25;376(21):2011-2020. Devinsky O, Cross JH, Laux L, Marsh E, Miller I, Nabbout R, Scheffer IE, Thiele EA, Wright S; Cannabidiol in Dravet Syndrome Study Group. Trial of Cannabidiol for Drug-Resistant Seizures in the Dravet Syndrome. N Engl J Med. doi: 10.1056/NEJMoa1611618. PMID: 28538134. Dilena R, Mauri E, Aronica E, et al.

Seizures 111

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 111

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

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

Pediatric Emergency Playbook

OCTOBER 1, 2017

2011; 7:491-500. Journal of Chemical Neuroanatomy; 2011; 42: 288–296. 2011; 58(11):1183–90 Fraser CD, Jaquiss RDB, Rosenthal DN et al. References Vagus Nerve Stimulators (VNS) Elliott RE, Rodgers SD, Bassani L et al. Vagus nerve stimulation for children with treatment-resistant epilepsy: a consecutive series of 141 cases.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 52

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 96

Outcomes Ultrasounds Wellness 96

PulmCCM

JUNE 12, 2023

A study in NEJM in 2011 estimated that by age 65 years, more than 75% of physicians in internal medicine subspecialties and emergency medicine would be sued for malpractice, while virtually all physicians in high-risk specialties would face at least one lawsuit.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Academics Documentation/Coding Outcomes 105

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 132

Hospitals Wellness 132

Don't Forget the Bubbles

JANUARY 29, 2024

2017;376(21):2011‐20 Duda, J and Reinert, JP. The Lancet Neurology. 2016;15(3):270‐8 Devinsky O. Trial of Cannabidiol for Drug‐Resistant Seizures in the Dravet Syndrome. The New England Journal of Medicine. Cannabidiol in refractory status epilepticus: a review of clinical experiences. 2022;103:115-119 Fetta, A.

Seizures 122

Seizures Pediatrics Research Wellness 122

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

PHEM Cast

DECEMBER 1, 2017

Prehospital needle aspiration and tube thoracostomy in trauma victims: a six-year experience with aeromedical crews. The Journal of Emergency Medicine , 13 (2), 155–163. Beckett, A., Pannell, D., Acharya, S., Kirkpatrick, A., & Tien, H. Branco, B. Eckstein, M., Martin, M. The Journal of Trauma , 71 (5), 1099–103– discussion 1103. McClure, K.,

Academics 52

Academics Radiology Radiology Resuscitation 52

ALiEM

JUNE 5, 2023

2011 Dec;1(6):496-501. Anthrax: A disease of biowarfare and public health importance. World J Clin Cases. 2015;3(1):20-33. doi: 10.12998/wjcc.v3.i1.20 Kamal SM, Rashid AK, Bakar MA, Ahad MA. Anthrax: an update. Asian Pac J Trop Biomed. doi: 10.1016/S2221-1691(11)60109-3. PMID: 23569822 ; PMCID: PMC3614207. Simonsen KA, Chatterjee K.

Infectious Diseases 102

Infectious Diseases CDC PPE Military 102

PulmCCM

OCTOBER 14, 2024

Some of its initial results were presented at a 2011 conference but were never published in a journal. CRISTAL , another large international randomized trial (Annane et al JAMA 2013) did not show a benefit of colloids as compared to crystalloids.

Resuscitation 52

Resuscitation Shock Wellness 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 87

Pediatrics Sepsis Urgent Care Emergency Department 87

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

PHEM Cast

SEPTEMBER 19, 2016

References Baile WF, Buckman R, Lenzi R, Glober G, Beale EA, Kudelka AP.

Ambulance Services 52

Ambulance Services Resuscitation Academics 52

Don't Forget the Bubbles

MAY 29, 2023

Journal of Leadership & Organizational Studies [Internet] 2011:18:4:449–458. Internet] 2011:41(1):41-47. [Internet] 2007; 505:1181–1197. Roberts SJ, Scherer LL, Bowyer CJ. Job Stress and Incivility: What Role Does Psychological Capital Play? Schwappach DLB, Gehring K. PLoS ONE [Internet] 2014 9(8): e104720. Smokler LP, Malecha A.

Leadership 98

Leadership Patient Safety Academics Research 98

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 84

Radiology Radiology Emergency Department Ultrasounds 84

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 74

EMS Outcomes Resuscitation Wellness 74