PEMBlog

APRIL 24, 2024

Pediatric strokes are rare and challenging to diagnose. There is a validated Pediatric Stroke Scale from the NIH that can be used in conjunction with a stroke protocol that involves Neurology, Radiology, and a local/regional Stroke Team. Early consultation with a pediatric hematologist and neurologist is mandatory.

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Stroke Pediatrics Blood Transfusions Radiology 59

Pediatric Emergency Playbook

AUGUST 1, 2017

Pediatr Rev. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem. 2012; 43(1):49-51. Pediatr Surg Int. BMJ 2012; 345:e5521. Eur J Pediatr Surg 2016; 26:192. Pediatrics 1977; 60:457. J Pediatr Gastroenterol Nutr 2008; 46:13. J Pediatr 2005; 146:787. 2012; 3:247-250.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Don't Forget the Bubbles

JANUARY 17, 2024

The liquids were chosen to “approximate a pediatric digestive environment.” Mirza and Sheikh reported perhaps the first unfortunate case in 2012. In 2012, one brand of SAP beads – Water Balz – was recalled by the U.S. BMC Pediatrics , 20 , pp.1-5. J Pediatr Surg Case Rep. Arch Pediatr.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

Don't Forget the Bubbles

NOVEMBER 29, 2023

A 2012 study on paediatric patients showed that approximately 42% were intubated without medications, and 2% were intubated with paralysis only in the ED. Pediatric Endotracheal Intubations for Airway Management in the Emergency Department. Pediatric Emergency Care 28(11): p 1129-1131, November 2012. | DOI: 10.1097/PEC.0b013e3182713316

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Airway Management Emergency Department Resuscitation Psychiatric 135

Pediatric Emergency Playbook

NOVEMBER 1, 2016

Elbow Interpretation Roadmap: CRITOE More pragmatic and utilitarian than a prosaic mnemonic, CRITOE helps us to remember the order of ossification of the pediatric elbow. 2012 Jan 18;1:CD007759. J Pediatr Orthop. Pediatrics. Pediatrics. Images courtesy of Radiopaedia. Cochrane Database Syst Rev. 2016 Mar 11.

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Pediatrics Fractures Dislocations Radiology 52

PEMBlog

OCTOBER 11, 2023

However, in pediatric patients whose pelvic bones are not fully developed, the bladder is more prone to injury. Pediatric genitourinary injuries in the United States from 2002 to 2010. Epub 2012 Nov 19. The bladder is a hollow organ and therefore is relatively protected when empty, which makes rupture uncommon. 2012.09.003.

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Fractures Pediatrics 98

Don't Forget the Bubbles

OCTOBER 11, 2023

An informal survey of North American Society of Paediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) members in Spring 2012 identified significant morbidity in >80 magnet ingestions, which resulted in 39 endoscopies, 26 surgeries, 26 bowel perforations, and three bowel resections. 2012 Sep 1;55(3):239-42.

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Pediatrics Operations Radiology Radiology 116

RebelEM

SEPTEMBER 13, 2023

Both conditions can range in severity from benign to life threatening (Wilkerson 2012). Other Etiologies In pediatrics, illnesses like the common cold, Streptococcus pyogenes (GAS) pharyngitis, and urinary tract infections can cause isolated angioedema (without urticaria). 2012; 14(11). PMID: 28552382 Wilkerson RG. Zuraw et al.

Allergic Reactions 101

Allergic Reactions Airway Management Anaphylaxis Emergency Department 101

Don't Forget the Bubbles

AUGUST 9, 2023

Ital J Pediatr 44 , 25 (2018). 2012 Aug;97(8):2732-40. Epub 2012 Jun 20. 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., Endocrine 65, 608–615 (2019). 163:1465–70.

Ultrasounds 98

Ultrasounds Pediatrics Wellness 98

EM Guide Wire

MAY 19, 2019

May 1, 2012. PEDIATRICS. Pediatrics in Review. PEDIATRICS. Pediatric Clinics of North America. Delayed Identification of Pediatric Abuse-Related Fractures. PEDIATRICS. PEDIATRICS. European Journal of Pediatrics. 2012; 171: 877-885. The Recognition of Child Abuse. Christian CW.

Pediatrics 40

Pediatrics Soft Tissue Injuries Fractures Emergency Nursing 40

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. Pediatric Seizures and Strokes: Beyond Benzos and Brain Scans. 2012; DOI 10.1007/s12028-012-9695-z Capovilla G et al. Pediatr Emerg Care.

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Pediatrics Seizures Stroke Radiology 40

The Skeptics' Guide to EM

SEPTEMBER 30, 2017

Natalie May trained as an emergency physician with subspecialty paediatric emergency medicine in the UK and worked in Manchester and Oxford before moving to Australia in 2015 to work for Sydney […] The post SGEM#190: Wee are the Champions of Pediatric Urine Samples first appeared on The Skeptics Guide to Emergency Medicine.

Pediatrics 52

Pediatrics Emergency Department Sepsis Wellness 52

EMDocs

AUGUST 22, 2024

7 This has also been observed in a pediatric patient population. Pediatrics. Pediatric Emergency Care. Parental language and dosing errors after discharge from the pediatric emergency department. Pediatric Emergency Care. 8 Nearly four times as likely to provide an incorrect medication dose to their child.

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Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 100

EM Guide Wire

JULY 21, 2019

to 9% [ Graciano, 2014 ; Heinrich, 2012 ] Difficult intubations is associated with higher incidence of oxygen desaturations below 80% and adverse events. Karsli, 2016 ] Moral of the Morsel Pediatric patients are a special population and warrant special considerations. Anatomy and Physiology matter! ” Anticipate the Worst!

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Pediatrics Wellness 40

EMDocs

JANUARY 11, 2025

2012 May-Jun;13(3):283-289. Pediatric Emergency Care 34(9):p e159-e160, September 2018. | Value of CT in the Discrimination of Fatal from Non-Fatal Stercoral Colitis. Korean J Radiol. link] Sacerdote, M., Limback, J., & Zhu, J. Fecal Impaction and Nonperforated Stercoral Colitis: Red Flags for Poor Outcomes. Cureus, 15(7), e41705.

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Don't Forget the Bubbles

AUGUST 23, 2023

2012) “Professional burnout, vicarious trauma, secondary traumatic stress, and compassion fatigue”. 2014) “Death of a child in the emergency department” American Academy of Pediatrics. 2012) “Implementation of a Rapid Post-Code Debrief Quality Improvement Project in a Community Emergency Department Setting”. Newell, J. &

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Emergency Department Resuscitation Documentation/Coding Best Practices 98

Pediatric Emergency Playbook

APRIL 1, 2018

Pediatric Hypertensive Emergencies. Pediatric Hypertension in the Emergency Department. Pediatr Nephrol. 2012; 27:741-751. Hypertension Canada’s 2017 Guidelines for the Diagnosis, Assessment, Prevention, and Treatment of Pediatric Hypertension. Pediatrics. 2012; 4:85-92. Pediatr Neonatol.

Pediatrics 52

Pediatrics Emergency Department 52

EMDocs

MAY 26, 2023

2012 Jan;109(3):27-32. 2012 Feb;13(1):35-40. Summary All right, so that’s it for this episode – hopefully you learned a bit more about how to safely deescalate an agitated child, and how we can keep them and ourselves as providers safe in a stressful environment. Deaths due to physical restraint. Dtsch Arztebl Int. PMC3272587.

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Pediatrics Emergency Department Psychiatric Documentation/Coding 94

Pediatric Emergency Playbook

MARCH 1, 2018

Pediatr Rev. 2012; 33(7):332-3. Pediatrics. Pediatrics. Pediatrics. Pediatric Opthalmology in the Emergency Department. Pediatrics. References Cohen GM, Albertini LW. Friedman SB et al. The crying infant: diagnostic testing and frequency of serious underlying disease. The crying infant.

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Pediatrics Emergency Department 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. 2012 Aug;28(8):750-2.

Airway Management 52

Airway Management Pediatrics Resuscitation Hospitals 52

PEMBlog

MAY 24, 2023

2012 Jan;109(3):27-32. 2012 Feb;13(1):35-40. For more information, please visit HRSA.gov To learn more about the Emergency Medical Services for Children Innovation and Improvement Center visit [link] Email km@emscimprovement.center Follow on Twitter @EMSCImprovement References Berzlanovich AM, Schöpfer J, Keil W. Dtsch Arztebl Int.

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Emergency Department Pediatrics Psychiatric Administration 59

PEMBlog

AUGUST 7, 2023

Pediatrics September 2012; 130 (3): 576–584. 2012-1671 Katz ES, Marcus CL. Principles and practice of pediatric sleep medicine. Shiffman; Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome. 10.1542/peds.2012-1671 Diagnosis of obstructive sleep apnea syndrome in infants and children. Elsevier Saunders.

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Pediatrics 52

EMDocs

JANUARY 17, 2024

5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9) 9) In 2019, benzonatate accounted for ~ 10% of all pediatric antitussive prescriptions dispensed via retail pharmacies. (9) Most pediatric and adult benzonatate case reports have ill-defined toxic dose ranges. Pediatr Emerg Care. Pediatrics.

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Poisoning Seizures Pediatrics EMS 81

Don't Forget the Bubbles

MARCH 18, 2024

In France, another large randomised controlled trial of Eculizumab in typical HUS – ECULISHU ( Ecul izumab in S higa-toxin Related Hemolytic and U remic S yndrome Pediatric Patients) – has just finished. 2012 Mar 19 [cited 2023 Nov 30];55(1):33–41. 2012 Jul 19 [cited 2023 Nov 30];345:e4565. Pediatric Nephrology.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

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. Epidemiology: Most common cause of acute scrotal pain in prepubertal boys Torsion present in 3.2% OR = 58.8 (Ben-Israel Physical exam, history and imaging all have significant limitations.

Ultrasounds 52

Ultrasounds Pediatrics Operations EMS 52

PEMBlog

SEPTEMBER 23, 2024

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. Intracranial arachnoid cysts: Pediatric neurosurgery update.” Journal of pediatric neurosciences vol. 7,1 (2012): 33-5. Understanding Subdural Collections in Pediatric Abusive Head Trauma.”

Pediatrics 59

Pediatrics Radiology Radiology Research 59

Pediatric Emergency Playbook

APRIL 1, 2016

Read on to go from bread-and-butter pediatric blood work to answer the question – what’s up with troponin, lactate, d-dimer, and BNP in kids? This is especially true in children – the majority of pediatric ambulatory visits do not require blood work to make a decision about acute care. The punchline is, use a pediatric reference.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

Don't Forget the Bubbles

APRIL 22, 2024

Acute dacryocystitis in pediatric patients and frequency of nasolacrimal duct patency. 2012 Apr;14:137-46. Management of pediatric acute dacryocystitis. Conjunctivitis: Repeated episodes of dacryocystitis can predispose individuals to conjunctivitis, given the proximity of the lacrimal sac to the conjunctival surface.

Infectious Diseases 85

Infectious Diseases Sepsis Pediatrics Operations 85

Don't Forget the Bubbles

NOVEMBER 8, 2023

Pediatrics, 2012. European Journal of Pediatrics, 1996. Diagnostic Accuracy of History, Physical Examination, Laboratory Tests, and Point-of-care Ultrasound for Pediatric Acute Appendicitis in the Emergency Department: A Systematic Review and Meta-analysis. Hospital Admitted Patient Care Activity. Bachur, R.G.,

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Emergency Department Ultrasounds Pediatrics Best Practices 105

Pediatric Emergency Playbook

OCTOBER 1, 2017

J Neurosurg Pediatrics. Complications of Intrathecal Baclofen Pump Therapy in Pediatric Patients. J Pediatr Orthop. Pediatr Neurosurg. for the Pediatric Heart Transplant Study Investigators. Prospective Trial of a Pediatric Ventricular Assist Device. 2011; 7:491-500. Groves DA, Brown VJ. 2005; 29: 493–500.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 52

Don't Forget the Bubbles

DECEMBER 16, 2024

Since January 2024, measles cases in the UK have surged, reaching 2,563 reported casesthe highest level since 2012. Following a 2012 outbreak, an emergency maternal pertussis vaccination programme was introduced in the UK, offering the vaccine to women in the third trimester of pregnancy. Pediatrics.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

PHEM Cast

APRIL 16, 2018

2012; 73: 102-10. Survival and neurological outcome after OOH TCA in pediatric & adult populations: a systematic review. Critical Care; 2012. Ultrasound during TCA: Cureton et al. The heart of the matter: utility of ultrasound of cardiac activity during traumatic arrest. Critical Care; 2011. Zwingmann et al. Slessor et al.

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Resuscitation Shock Ultrasounds CPR 52

PEMBlog

OCTOBER 16, 2023

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. 2012 Jan;5(1):67-70. This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference.

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Ultrasounds Emergency Department Pediatrics 69

ACEP Now

SEPTEMBER 11, 2023

5 Pediatric discharges were reported by 2,784 hospitals in 2000 and the number of reporting hospitals increased to 4,179 in 2012. This database systematically and randomly samples pediatric discharges from participating hospitals. Pediatr Ann. References Ilgenfritz S, Dowlatshahi C, Salkind A. J Emerg Med.

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Pediatrics Poisoning Hospitals Emergency Department 40

Pediatric Emergency Playbook

AUGUST 1, 2018

2012 This post and podcast are dedicated to Sarah Werner for her constant encouragement of the story in all of us. Pediatrics. J Pediatrics. 2012; 3:487-493.e3 Use this new post-test probability to help in your decision Your patient has palatal petechiae, which confers a positive likelihood ratio (LR+) of 2.7

Pediatrics 52

Pediatrics Documentation/Coding 52

Pediatric Emergency Playbook

JUNE 1, 2017

The Systemic Lupus International Collaborating Clinics (SLICC) revised the criteria in 2012. J Curr Pediatr. World Journal for Pediatric Congenital Heart Surgery. Pediatr Cardiol. 2012; AID 471759. Pediatr Rev. 2012; 7:19796. Blog Post] July 22, 2012. 2017; 15:47-50. Hastings RS et al.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Don't Forget the Bubbles

SEPTEMBER 30, 2024

A 2011-2012 Australian study by Blake et al. Patients who leave the pediatric emergency department without being seen: a case-control study. Comparison of the Demographics and Visit Characteristics of Patients Who Left the Pediatric Emergency Department Without Being Seen With Those Who Were Evaluated in the Emergency Department.

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Emergency Department Research Pediatrics Hospitals 89