Sensible Medicine

FEBRUARY 18, 2025

What can be gleaned from the study are the outcomes from antibiotic treatment of pediatric appendicitis in children: 66% of children with acute, noncomplicated appendicitis were successfully treated with antibiotics alone. 22 ” Reference 22 was a Cochrane review of antibiotic treatment of appendicitis published in 2011.

Outcomes 94

Outcomes Research Emergency Department Pediatrics 94

Pediatric EM Morsels

MAY 12, 2023

We last pondered this in 2011 Morsel , just a couple years after PECARN head injury data was published. The post Closed Head Injury – PECARN for < 3 Months: Rebaked Morsel appeared first on Pediatric EM Morsels. Epub 2009 Sep 14. Erratum in: Lancet. 2014 Jan 25;383(9914):308. PMID: 19758692.

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

Northwestern EM Blog

DECEMBER 20, 2021

Written by: Tommy Ng, MD (NUEM ‘24) Edited by: Patricia Bigach, MD (NUEM ‘22) Expert review by : Terese Whipple, MD '20 So your kid won’t walk One of the most common complaints in a pediatric Emergency Department is a child refusing or inability to ambulate. doi:10.1136/archdischild-2011-301245. Curr Opin Pediatr. 2021, Dec 20).

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

Don't Forget the Bubbles

OCTOBER 18, 2024

Midline Compared With Peripheral Intravenous Catheters for Therapy of 4 Days or Longer in Pediatric Patients: A Randomized Clinical Trial. JAMA Pediatr. Midline Compared With Peripheral Intravenous Catheters for Therapy of 4 Days or Longer in Pediatric Patients: A Randomized Clinical Trial. JAMA Pediatr.

Administration 89

Administration Pediatrics Ultrasounds Burns 89

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. 2011; 76(12):1071-7 Baren J. Pediatric Seizures and Strokes: Beyond Benzos and Brain Scans. Pediatr Emerg Care. October 8th, 2009.

Pediatrics 40

Pediatrics Seizures Stroke Radiology 40

Don't Forget the Bubbles

AUGUST 7, 2023

The controversy around what is ‘normal’ in infants’ and children’s vitals was demonstrated in a 2011 systematic review by Fleming et al. Pediatrics. Evaluating the Pediatric Early Warning Score (PEWS) System for Admitted Patients in the Pediatric Emergency Department. Front Pediatr. What is the problem?

Sepsis 98

Sepsis Pediatrics Urgent Care Emergency Department 98

Pediatric Emergency Playbook

OCTOBER 1, 2017

J Neurosurg Pediatrics. 2011; 7:491-500. Journal of Chemical Neuroanatomy; 2011; 42: 288–296. Complications of Intrathecal Baclofen Pump Therapy in Pediatric Patients. J Pediatr Orthop. Pediatr Neurosurg. for the Pediatric Heart Transplant Study Investigators. Groves DA, Brown VJ. 2005; 29: 493–500.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 52

The Skeptics' Guide to EM

JULY 17, 2021

Short-Course Antimicrobial Therapy for Pediatric Community-Acquired Pneumonia: The SAFER Randomized Clinical Trial. JAMA Pediatr. Short-Course Antimicrobial Therapy for Pediatric Community-Acquired Pneumonia: The SAFER Randomized Clinical Trial. JAMA Pediatr. Bradley et al 2011 ).

Pediatrics 52

Pediatrics Emergency Department Wellness 52

Pediatric Emergency Playbook

MARCH 1, 2017

Comparative Efficacy of the Air-Q Intubating Laryngeal Airway during General Anesthesia in Pediatric Patients: A Systematic Review and Meta-Analysis. Black AE, Flynn PE, Smith HL, Thomas ML, Wilkinson KA; Association of Pediatric Anaesthetists of Great Britain and Ireland. Pediatr Emerg Care. J Pediatr Surg. J Emerg Med.

Airway Management 52

Airway Management Pediatrics Resuscitation Hospitals 52

EMDocs

AUGUST 22, 2024

7 This has also been observed in a pediatric patient population. Pediatrics. February 2011. Pediatric Emergency Care. Parental language and dosing errors after discharge from the pediatric emergency department. Pediatric Emergency Care. 10 Three times as likely to have poor health literacy (44.9% April 2019.

Documentation/Coding 104

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 104

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. Patients who leave the pediatric emergency department without being seen: a case-control study. Pediatr Emerg Care.

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89

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

Don't Forget the Bubbles

JANUARY 29, 2024

2017;376(21):2011‐20 Duda, J and Reinert, JP. Pediatric refractory and super-refractory status epilepticus. 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. 2022;103:115-119 Fetta, A. The Lancet. Farias-Moeller, R.,

Seizures 122

Seizures Pediatrics Research Wellness 122

Taming the SRU

JULY 3, 2023

Pediatrics 2022;150(4). Population 7180 noncritical febrile infants ≤60 days old presenting to a PECARN ED (list of centers: [link] ) between March 2011 and April 2019. Mahajan P, VanBuren JM, Tzimenatos L, et al. Serious Bacterial Infections in Young Febrile Infants With Positive Urinalysis Results. 10.1542/peds.2021-055633

Pediatrics 92

Pediatrics Research Outcomes 92

PHEM Cast

APRIL 16, 2018

Critical Care; 2011. Survival and neurological outcome after OOH TCA in pediatric & adult populations: a systematic review. 2011; 82: 1138-43. Epidemiology and aetiology of TCA in England… Resuscitation; 110 (2017): 90-94. Russell RJ et al. Phil Trans R Soc. Doi: 1098/rstb.2010.0232 2010.0232 Wise et al. EMJ; 2005: 22-24.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

Don't Forget the Bubbles

AUGUST 9, 2023

Ital J Pediatr 44 , 25 (2018). 2006) Subclinical thyroid disorders and cognitive performance among adolescents in the United States.BMC Pediatr. J Clin Endocrinol Metab. 99:2697–703. doi: 10.1210/jc.2014-1761 Crisafulli, C., Subclinical hypothyroidism in children: is it always subclinical? J Clin Endocrinol Metab. doi: 10.1210/jc.2004-1231

Ultrasounds 98

Ultrasounds Pediatrics Wellness 98

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 Pediatric patients should be considered for admission and further cardiology evaluation. 2011; 18(3): 148-52. Can J Cardiol 2011; 27(1): 105-9.

EKG/ECG 52

EKG/ECG EMS Pediatrics Stroke 52

EMDocs

DECEMBER 2, 2023

BMC Neurol 11 , 8 (2011). Kelliny, M., Binaghi, S. Cerebral aneurysm exclusion by CT angiography based on subarachnoid hemorrhage pattern: a retrospective study. link] Fang C, Leavitt JA, Hodge DO, Holmes JM, Mohney BG, Chen JJ. Incidence and Etiologies of Acquired Third Nerve Palsy Using a Population-Based Method. JAMA Ophthalmol.

EMS 92

EMS Operations Pediatrics Emergency Department 92

RebelEM

SEPTEMBER 13, 2023

Other Etiologies In pediatrics, illnesses like the common cold, Streptococcus pyogenes (GAS) pharyngitis, and urinary tract infections can cause isolated angioedema (without urticaria). Without the C1 inhibitor, the plasma-kallikrein-kinin system produces more bradykinin.

Allergic Reactions 104

Allergic Reactions Airway Management Anaphylaxis Emergency Department 104

Don't Forget the Bubbles

MAY 6, 2024

Acad Pediatr. Pediatric Critical Care Medicine , 25 (3), pp.e117-e128. The data was collected from a cohort from 2011- 2015 (nearly ten years ago). Article 1: Positive urine cultures without pyuria Wang ME, Jones VG, Kane M, et al. Clinical Course of Children 1 to 24 Months Old With Positive Urine Cultures Without Pyuria.

Sepsis 75

Sepsis Pediatrics Outcomes Documentation/Coding 75

Pediatric Emergency Playbook

MAY 1, 2017

Pediatrics. Pediatrics. Pediatrics. Pediatrics. Pediatrics. Pediatrics. 2011; 128(4):825-31. Pediatrics. 2011; 128(4):825-31. Pediatrics in Review. 2011; 32(8):341-9. Pediatrics. Pediatrics. This will tell you: home or admission. Can I go Home Now?

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52

EMDocs

AUGUST 3, 2023

2011 Jun;49(5):423-5. Pediatr Emerg Care. [link] Heard K, Schaeffer TH. Massive acetylcysteine overdose associated with cerebral edema and seizures. Clin Toxicol (Phila). doi: 10.3109/15563650.2011.583664. PMID: 21740141. Brush DE, Boyer EW. Intravenous N-acetylcysteine for children. 2004;20(9):649-650. doi:10.1097/01.pec.0000139754.56001.90

Poisoning 98

Poisoning Seizures Administration Pediatrics 98

Pediatric Emergency Playbook

JULY 1, 2019

Pediatrics in Review. 2011; 32(3) Prutsky GJ et al. Hospital Pediatrics. Failure to Thrive. When Developmental Delay and Failure to Thrive Are Not Psychosocial. 2016; (1):6

Pediatrics 40

Pediatrics Hospitals 40

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

Don't Forget the Bubbles

JUNE 17, 2024

Pediatrics. 2011 Apr 1;78(2):202-9. BMC medicine. 2023 Oct 31;21(1):403. Riskin A, Erez A, Foulk TA, Kugelman A, Gover A, Shoris I, Riskin KS, Bamberger PA. The impact of rudeness on medical team performance: a randomized trial. 2015 Sep 1;136(3):487-95. Roche E, Jones A, Plunkett A. Journal of medical ethics and history of medicine.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

Mind The Bleep

FEBRUARY 27, 2024

The FEAST study published in 2011 was undertaken across centers in Uganda, Kenya and Tanzania, and randomly allocated children presenting with severe infection and impaired perfusion to groups receiving albumin bolus, saline bolus or no bolus.

Fluid Resuscitation 96

Fluid Resuscitation Dehydration Hospitals Research 96

RebelEM

NOVEMBER 30, 2022

Clinical predictors for testicular torsion as seen in the pediatric ED. Pediatric Emer Care 2012; 28: 80-6. Pediatr Emerg Care. Goldfrank’s Toxicologic Emergencies, 9e New York, NY: McGraw-Hill; 2011. Am J Emerg Med 2010; 28:786-789. PMID: 20837255 Sidler D et al. A 25-year review of the acute scrotum in children.

Ultrasounds 52

Ultrasounds Pediatrics Operations EMS 52

Pediatric Emergency Playbook

OCTOBER 1, 2016

Stabilizing the Pediatric GI Bleed Life-threatening GI bleeding in children is, thankfully, rare, but we have to be prepared. Clinically significant upper gastrointestinal bleeding acquired in a pediatric intensive care unit: a prospective study. Pediatrics. 2011 Mar;74(1):45-66. J Pediatr Gastroenterol Nutr.

Pediatrics 52

Pediatrics Wellness Shock Resuscitation 52

EMDocs

AUGUST 12, 2023

Emergency Medicine News 33(12):p 8,9, December 2011. | In: EMRA Antibiotic Guide. Emergency Medicine Residents’ Association; 2022:10-11. Roberts, James R. ED Treatment of Flexor Tendon Injuries. DOI: 10.1097/01.EEM.0000410106.40227.cc 0000410106.40227.cc

EMS 94

EMS Fractures Operations Ultrasounds 94

Pediatric Emergency Playbook

JUNE 1, 2016

Hypovolemic Shock The most common presentation of pediatric shock; look for decreased activity, decreased urine output, absence of tears, dry mucous membranes, sunken fontanelle. Cold shock is the most common presentation in pediatric septic shock, and is treated with epinephrine. Pediatrics. 2011; Apr 26;123(16):1788-830.

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

Taming the SRU

AUGUST 30, 2023

A 2011 meta-analysis in the journal of Academic Emergency Medicine found ESR, CRP, and PCT were not acutely useful in the diagnosis of septic arthritis due to wildly varying sensitivities and specificities between studies. 2011 Jan;3(1):118-27. 2011 Aug;18(8):781-96. 2011 Sep;18(9):1011. In: StatPearls [Internet].

Infectious Diseases 90

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 90

Don't Forget the Bubbles

SEPTEMBER 5, 2024

Comparing the performance of pediatric weight estimation methods. In this study, the Broselow tape had the best overall accuracy, with 50.7% (vs 30.88% for APLS 2011) of estimates occurring within 10% of measured weight and 80.0% (vs 55% for APLS 2011) estimates within 20% of measured weight. Front Pediatr. 2024.04.053.

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

ACEP Now

AUGUST 1, 2023

Ultimately, it is about maintaining respect and decorum so that common ground can be found and the group can arrive at a constructive solution that contributes to the success of ACEP as a whole. Council Vice Speaker Candidates Kurtis A.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

Pediatric Emergency Playbook

DECEMBER 1, 2015

Pediatric electrical injuries: a review of 38 consecutive patients. J Pediatr Surg. 2011; 40(5):598-604. Transfer patients with high-voltage injury or significant burns to a regional burn center or trauma center. References Celik A, Ergün O, Ozok G. 2004;39(8):1233-1237. Ericsson KA. Acad Emerg Med. 2008; 15:988-994.

Burns 40

Burns Emergency Department EKG/ECG Shock 40

Don't Forget the Bubbles

FEBRUARY 19, 2024

Pediatrics , 127 (2), pp.e319-e329. The effects of violent video game habits on adolescent hostility, aggressive behaviors, and school performance. Journal of adolescence , 27 (1), pp.5-22. Gentile, D.A., and Khoo, A., Pathological video game use among youths: A two-year longitudinal study. and Engels, R.C., American Psychologist , 69 (1), p.66.

Academics 59

Academics Leadership Research Teamwork 59

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

Tags: advanced emergency nursing, ED, ER, NP, nurse practitioner, CNS, clinical nurse specialist, APRN, critical care, trauma, injury, pediatrics, gunshot, firearm injury, gun safety, gun control, ballistics Published: 11/21/2014 12:41:00 AM

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Pediatric EM Morsels

JULY 21, 2023

We have mentioned the Glasgow Coma Scale in multiple delicious morsels: Minor closed head injuries in <3 month olds and in the rebaked morsel , Blunt cerebrovascular injury , Cerebral edema in DKA , Pediatric Trauma Pitfalls , and Carbon monoxide poisoning. When is it useful and what does it tell us? Fun fact for animal lovers!-

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246