Pediatric EM Morsels

MAY 24, 2024

Low Risk Intra-Abdominal (IAI) Trauma – Derivation of the Rule The PECARN Group first released their derivation of a pediatric prediction rule for intra-abdominal injury in 2013. 2013 Aug 1;167(8):700-707. Lancet Child Adolesc Health. 2024;8:339-344. Miglioretti DL, Johnson E, Williams A, et al. JAMA Pediatr.

Pediatrics 161

Pediatrics Blood Transfusions EMS Fractures 161

Pediatric EM Morsels

JULY 26, 2024

Epub 2013 Dec 18. Antibody titres at diagnosis and during follow-up of anti-NMDA receptor encephalitis: a retrospective study. Lancet Neurol. 2014 Feb;13(2):167-77. doi: 10.1016/S1474-4422(13)70282-5. Erratum in: Lancet Neurol. 2014 Feb;13(2):135. PMID: 24360484; PMCID: PMC4006368.

Psychiatric 269

Psychiatric Seizures Outcomes Pediatrics 269

PEMBlog

OCTOBER 11, 2023

2013 Jan;189(1):288-93. 2013 Apr;32(2):239-46. Epub 2013 Feb 8. Pediatric genitourinary injuries in the United States from 2002 to 2010. doi: 10.1016/j.juro.2012.09.003. 2012.09.003. Epub 2012 Nov 19. PubMed PMID: 23174237; PubMed Central PMCID: PMC3565612. Guttmann I, Kerr HA. Blunt bladder injury. Clin Sports Med.

Fractures 98

Fractures Pediatrics 98

Emergency Live

JULY 3, 2024

Established in 2013, this tool brings together and coordinates the resources of 27 member and participating states, providing rapid and effective assistance in the […] The post European Civil Protection Pool: member states united in emergency appeared first on Emergency Live.

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Pediatric EM Morsels

APRIL 5, 2024

Treatment : Supportive care Omsk hemorrhagic fever/Kyasanur Forest disease (CDC 2013) Causative Agent: Flavivirus Incubation period : 3-8 days Symptoms start with chills, fevers, headache and GI symptoms followed by symptoms of bleeding 3-4 days later including petechial rash, low hemoglobin and low WBC. Global Change Research Program.

CDC 161

CDC Infectious Diseases Pediatrics Wellness 161

EM Ottawa

FEBRUARY 22, 2024

In 2013, in the United States there were 7 million visits to the emergency department (ED) for lacerations making up a total of 5.2% Lacerations are a common presenting complaint to emergency department. of ED visits(1).

Emergency Department 93

Emergency Department 93

Ken Grauer, MD

AUGUST 18, 2023

A DDENDUM ( 8/19/2023 ) In the following 3 Figures — I post written summary from my ACLS-2013-ePub regarding the basics of Aberrant Conduction. Figure-4: Aberrant Conduction — Refractory periods/Coupling intervals ( from my ACLS-2013-ePub ). See ECG Blog #253 — Reviews a case with multiple aberrantly-conducted beats. =

EKG/ECG 195

EKG/ECG Dehydration Wellness 195

Ken Grauer, MD

JANUARY 5, 2024

Section 20 ( 54 pages = the " long " Answer ) from my ACLS-2013-Arrhythmias Expanded Version provides detailed discussion of WHAT th e AV Blocks are — and what they are not ! — — E CG M edia P EARL # 75 ( 6:10 minutes Audio ) — Reviews how to tell IF a J unctional ( AV Nodal ) R hythm is p athologic or a ppropriate ?

EKG/ECG 440

EKG/ECG Wellness 440

Emergency Medicine Journal

FEBRUARY 20, 2024

Since 2013, coroners in England and Wales have issued ‘Prevention of Future Deaths’ (PFD) reports to individuals or organisations if, following an inquest, they believe action should be taken to prevent further avoidable deaths. Using the Judiciary (England and Wales) website, 2277 unique reports were extracted for July 2013 to.

Emergency Department 40

Emergency Department Operations 40

Pediatric EM Morsels

JULY 28, 2023

2013 Sep;163(3):761-6. If you are concerned for developing cerebral edema, consider using Hypertonic Saline over Mannitol. References : White PC, Dickson BA. Low morbidity and mortality in children with diabetic ketoacidosis treated with isotonic fluids. PMID: 23499379. PubMed] [Read by QxMD] Rosenbloom AL. Diabetes Ther. PMID: 22127748.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

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 94

Soft Tissue Injuries Fractures EMS 94

RebelEM

SEPTEMBER 13, 2023

J Emerg Med 2013; 44 (4): 764-772. N Engl J Med. 2015; 372(5):418-25. PMID 25629740 Hassen GW et al. Fresh frozen plasma for progressive and refractory angiotensin-converting enzyme inhibitor-induced angioedema. PMID: 23114109 Hessert MJ and Bennett BL. Optimizing Emergent Surgical Cricothyrotomy for Austere Environments. 2013;24:53-66.

Allergic Reactions 99

Allergic Reactions Airway Management Anaphylaxis Emergency Department 99

Don't Forget the Bubbles

OCTOBER 25, 2023

2013 Sep 24;81(13):1159-65. Epub 2013 Aug 21. Better safe than tumour – Signs and Symptoms (headsmart.org.uk) Friedman DI, Liu GT, Digre KB. Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children. doi: 10.1212/WNL.0b013e3182a55f17. 0b013e3182a55f17. PMID: 23966248.

Pediatrics 124

Pediatrics 124

EMDocs

APRIL 6, 2024

Source Adverse Tracheal Intubation Events in Critically Ill Underweight and Obese Children: Retrospective Study of the National Emergency Airway for Children Registry (2013-2020). Pediatr Crit Care Med. 2024 Feb 1;25(2):147-158. Doi: 10.1097/PCC.0000000000003387. 0000000000003387. #3:

Sepsis 85

Sepsis Pediatrics Shock 85

ALiEM

MARCH 5, 2024

2013 May;5(5):330. Phytotherapy Research. 2015;29(8):1112-1116. PMID: 25997859. Srivali N, Cheungpasitporn W, Chongnarungsin D, Edmonds LC. White willow bark induced acute respiratory distress syndrome. N Am J Med Sci. PMID: 23814765. Kuzak N, Brubacher JR, Kennedy JR. Reversal of salicylate-induced euglycemic delirium with dextrose.

Hyperthermia / Hypothermia 114

Hyperthermia / Hypothermia Anaphylaxis Poisoning Administration 114

RebelEM

DECEMBER 23, 2024

saline (NS) solutions are both isotonic crystalloids widely used for intravenous fluid resuscitation across many contexts and disease states ( Myburgh 2013 ). Lactated Ringer (LR) and 0.9%

Fluid Resuscitation 121

Fluid Resuscitation Resuscitation Documentation/Coding Outcomes 121

The Skeptics' Guide to EM

DECEMBER 2, 2023

The latest clinical practice guidelines from the American Academy of Pediatrics (AAP) on the diagnosis and management of acute bacterial sinusitis in children was published in 2013 [1].

Pediatrics 121

Pediatrics Infectious Diseases Emergency Department Research 121

The Skeptics' Guide to EM

SEPTEMBER 9, 2023

This includes SGEM#19 way back in 2013 reporting a bandage wrap is a safe alternative to traditional casting for children with greenstick fractures. So, the question is: should we call in our x-ray tech in and disrupt her party fun or just use the ultrasound machine to diagnose this possible fracture?

Fractures 126

Fractures Ultrasounds Pediatrics Outcomes 126

Ken Grauer, MD

APRIL 23, 2023

Section 20 ( 54 pages = the " long " Answer ) from my ACLS-2013-Arrhythmias Expanded Version provides detailed discussion of WHAT the AV Blocks are — and what they are not ! This is a free download ). — — E CG M edia P EARL # 4 ( 4:3 0 minutes Audio ) : — takes a brief look at the AV Blocks — and focuses on WHEN to suspect Mobitz I.

EKG/ECG 195

EKG/ECG Wellness Operations Hospitals 195

American Medical Compliance

AUGUST 29, 2024

Enforcement Authority Over Business Associates According to the HITECH Act and the Office for Civil Rights’ (OCR’s) 2013 final rule, OCR has the authority to enforce compliance with the HIPAA Rules specifically against business associates.

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Ken Grauer, MD

JULY 22, 2023

Although this " Imbalance " of precordial T waves is not see n very often — in the “right” clinical setting, it has been associated with recent OMI ( O cclusion-based MI ) , most often from a LCx culprit artery ( See Manno et al: JACC 1:1213, 1983 — and the July 17, 2013 post by Salim Rezaie in ALiEM — and ECG Blog #350 ).

EKG/ECG 195

EKG/ECG Burns EMS Wellness 195

Stop and Think

MARCH 31, 2024

Our main finding was that industry paid doctors more than $12 billion dollars between 2013-2022. The influential Journal of the American Medical Association published our data this week. The numbers surprised me. B as in billions.

Research 138

Research Shock Hospitals 138

University of Maryland Department of Emergency Med

JULY 25, 2023

In a recent study of emergency physicians (EPs) who left the workforce between 2013 and 2020, authors sought to investigate their age and nu. Click to view the rest

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The Skeptics' Guide to EM

JANUARY 6, 2024

Two previous studies conducted assessing the state of nationwide pediatric readiness were conducted in 2003 and 2013. Are general emergency departments ready to care for children? 1,2] Today we’re covering the third study. Pediatric readiness is important because it is associated with decreased mortality in ill and injured children. [3,

Emergency Department 106

Emergency Department Pediatrics Anaphylaxis Leadership 106

Ken Grauer, MD

MARCH 12, 2023

T oday's C ASE C ontinues : Follow-up on today's patient is unfortunately limited ( ie, No EP study was done ). There was a known history of hyperthyroidism , with the patient on medication for this condition.

EKG/ECG 195

EKG/ECG Administration Wellness 195

PHEM Cast

JULY 14, 2016

2013 May 13;30(6):516–6. 2013 Jul 19;30(8):679–82. 2013 Dec 22;31(1):86–6. Elsevier Ltd; 2013 Jan 1;44(1):122–7. 2013 Dec 1;30(12):1067–9. 2013 May 23. : A systematic review. Elsevier Ltd; 2015 Apr 1;46(4):528–35. Smyth M, Cooke MW. Value of a rigid collar: in need of more research and better devices.

Fractures 52

Fractures Hospitals Shock Research 52

Pediatric EM Morsels

FEBRUARY 2, 2024

While there is no “right” work up for these patients, hopefully this morsel will help illuminate your evaluation of Travel-Related Illness in Children: Travel-related Illness: Basics International travel has been significantly increasing since commercial airlines made travel much easier.

Infectious Diseases 161

Infectious Diseases Pediatrics Sepsis Documentation/Coding 161

EMDocs

SEPTEMBER 23, 2023

HRS/EHRA/APHRS expert consensus statement on the diagnosis and management of patients with inherited primary arrhythmia syndromes: document endorsed by HRS, EHRA, and APHRS in May 2013 and by ACCF, AHA, PACES, and AEPC in June 2013. ECGpedia , 22 May 2013, [link]. Heart Rhythm. 2013;10(12):1932-1963. Circulation. 105.539307.

EMS 93

EMS EKG/ECG Documentation/Coding Emergency Department 93

The Skeptics' Guide to EM

FEBRUARY 18, 2023

Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019. Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019. Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019.

Emergency Department 52

Emergency Department EMS Administration 52

Pediatric Emergency Playbook

SEPTEMBER 1, 2020

2013 November ; 29(4): 569–578 Yeh PC et al. 2013 November ; 29(4): 569–578 Mallet finger in splint. 2013 November ; 29(4): 569–578 Pattni A et al. Seymour Fracture Nellans et al. Pediatric Hand Injuires. Pediatric Hand Fractures. Techniques in Orthopaedics. Nellans et al. Pediatric Hand Injuires. Yeh PC et al. Stat Pearls.

Fractures 52

Fractures Pediatrics Emergency Department 52

ALiEM

NOVEMBER 10, 2023

2013 Apr;168(4):726-32. Epub 2013 Feb 16. PMID: 34212341 Lipowicz S, Sekula P, Ingen-Housz-Oro S, Liss Y, Sassolas B, Dunant A, Roujeau JC, Mockenhaupt M. Prognosis of generalized bullous fixed drug eruption: comparison with Stevens-Johnson syndrome and toxic epidermal necrolysis. Br J Dermatol. doi: 10.1111/bjd.12133. PMID: 23413807.

Academics 64

Academics Emergency Department 64

The Skeptics' Guide to EM

JULY 8, 2023

In 2009, the Cochrane group questioned Roche about the completeness of the data and after four years of requests, finally got access to all the data in 2013 and updated their review in 2014. The Cochrane collaboration published analyses of the available data in 1999, 2003 and 2006. We covered this SRMA on SGEM#98.

CDC 96

CDC Hospitals EMS Emergency Department 96

Pediatric EM Morsels

JUNE 16, 2023

Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

Soft Tissue Injuries 152

Soft Tissue Injuries Dehydration Fractures Operations 152

ETM Course

JUNE 28, 2015

J Trauma Acute Care Surg 2013; 75(3): 506–11 5. Markov et al.Physiologic Tolerance of Descending Thoracic Aortic Balloon Occlusion in a Swine Model of Hemorrhagic Shock Surgery 2013; 153(6): 848–56 10. J Trauma Acute Care Surg 2013; 75(1): 122–8 11. J Trauma Acute Care Surg 2015 Apr;78(4):721-8 4. Brenner et al. Morrison et al.

Hospitals 52

Hospitals Resuscitation Shock Military 52

RebelEM

MAY 29, 2024

Laryngoscope 2013; 123: 2928-9. Posterior epistaxis: clinical features and acute complications. Acad Emerg Med 1995; 25(5): 592-6. PMID: 7741333 Corrales CE, Goode RL. Should patients with posterior nasal packing require ICU admission. PMID: 24114977 Post Peer Reviewed By: Salim R.

PPE 92

PPE EMS Hospitals Wellness 92

Emergency Medicine Journal

OCTOBER 23, 2024

A 2013 census 2 by the Royal College of Emergency Medicine found variation across the UK in PEM provision and that the intercollegiate gold 3 standard of at least one PEM consultant in any department seeing>16 000 children was not being met.

Emergency Department 52

Emergency Department EMS 52

PulmCCM

MAY 27, 2024

There are limits to these benefits: neither the INTERACT2 trial (NEJM 2013) nor the ATACH-2 trial (NEJM 2016) showed c… Read more Standard practice is to rapidly reduce elevated blood pressure in patients with intracerebral hemorrhage.

Stroke 52

Stroke Hospitals 52