Pediatric EM Morsels

MAY 10, 2024

2013 Oct;132(4):e1010-7. doi:10.1186/s13089-021-00205-x The post Chest Pain in Children: ReBaked Morsel appeared first on Pediatric EM Morsels. Pediatrics. PMID: 24019419. PubMed] [Read by QxMD] Friedman KG1, Kane DA, Rathod RH, Renaud A, Farias M, Geggel R, Fulton DR, Lock JE, Saleeb SF. Ultrasound J. 2021;13(1):2.

EKG/ECG 271

EKG/ECG Pediatrics Ultrasounds Seizures 271

EMDocs

AUGUST 12, 2023

We’ll keep it short, while you keep that EM brain sharp. April 9, 2013. cc The post EM@3AM: Flexor Tendon Laceration appeared first on emDOCs.net - Emergency Medicine Education. A 41-year-old male with no significant past medical history presents with a deep hand laceration. Medicine (Baltimore). 2019;98(44):e17823. J Ultrason.

EMS 95

EMS Fractures Operations Ultrasounds 95

Pediatric EM Morsels

MAY 24, 2024

Evaluation of unintentional injury and trauma is one of the hallmarks of the EM and PEM physician. Low Risk Inta-Adbominal Trauma: Just Light ‘Em Up? 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.

Pediatrics 164

Pediatrics Blood Transfusions EMS Fractures 164

Pediatric EM Morsels

NOVEMBER 3, 2023

For non-complicated malaria use oral Co ART em. 2013 Sep 4; 89(3): 527–530. PMID: 30666615 The post Imported Malaria appeared first on Pediatric EM Morsels. It takes 3 negative smears collected at 12-24 hours to exclude malaria as the cause of fever in a returning traveler from an endemic region. Treating malaria is an ART!

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

Pediatric EM Morsels

APRIL 7, 2023

Let’s take a minute to digest a morsel on another significant complication – Sickle Cell Disease and Stroke in Children : Sickle Cell Disease and Stroke: Basics Pathophysiology (Menaa, 2013, Webb, 2013) SCD causes sickling shape of red blood cells Vaso-occlusive Cascade: Sickling → vascular endothelium destruction → cytokine/ immune cell (..)

Stroke 130

Stroke Pediatrics Seizures Sepsis 130

Pediatric EM Morsels

JULY 26, 2024

Epub 2013 Dec 18. The post Anti-NMDA Receptor Encephalitis in Children and Adolescents appeared first on Pediatric EM Morsels. 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 271

Psychiatric Seizures Outcomes Pediatrics 271

Pediatric EM Morsels

OCTOBER 27, 2023

PAWPER [Wells 2013, Silvagni 2022] Takes into account body habitus. 2020) The Times & Tapes Are a-Changin’: The Latest Broselow-Luten Tape for EMS , EMS World. link] The post The Broselow-Luten System appeared first on Pediatric EM Morsels. There are other systems that account for body habitus. Broselow does not.

Pediatrics 271

Pediatrics Resuscitation Documentation/Coding Wellness 271

RebelEM

NOVEMBER 6, 2024

PMID: 31082090 Post Peer Reviewed By: Anand Swaminathan MD, MPH (Insta @EMSwami) The post Elbow Dislocations appeared first on REBEL EM - Emergency Medicine Blog. Treasure Island (FL): StatPearls Publishing; 2024 Jan–.

Dislocations 116

Dislocations Fractures Soft Tissue Injuries Outcomes 116

Pediatric EM Morsels

AUGUST 9, 2024

Foles, 2024 ] In the US, from 2013-2018, cases increased from 362 to 1,306. 2013 Aug;20(4):337-9. Epub 2013 Feb 27. The post Congenital Syphilis appeared first on Pediatric EM Morsels. Worldwide, congenital syphilis complicates about 1 million pregnancies / year. Rates of congenital syphilis are increasing. Emerg Radiol.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

Taming the SRU

DECEMBER 11, 2023

PATIENT PRESENTATION A young woman with a past medical history of major depressive disorder presented to the emergency room via EMS for a report of intentional ingestion of an unknown substance. EMS reported that she was vomiting profusely on their arrival to the scene but during transport became increasingly lethargic.

EMS 97

EMS Psychiatric Emergency Department Poisoning 97

The Skeptics' Guide to EM

JANUARY 6, 2024

She is an executive lead for the EMS for Children Innovation and Improvement Center. She is the co-Principal Investigator for the EMS for Children Data Center. She is nationally known for her work as an EMS researcher and educator. Are general emergency departments ready to care for children?

Emergency Department 136

Emergency Department Pediatrics Anaphylaxis Leadership 136

ALiEM

MAY 17, 2023

There were 132 (46%) EM residency programs with at least one unfilled PGY-1 position, and there were 554 (18.4%) overall unfilled EM positions. Dr. Sara Krzyzaniak (EM program director at Stanford) hosts this important episode with Dr. Michelle Lin (ALiEM/UCSF), reflecting on the whys, hows, and what nexts. Ann Emerg Med.

EMS 52

EMS 52

Pediatric EM Morsels

MAY 5, 2023

2013 Aug;110(4):755-73. Epub 2013 Jan 14. The post Vegan Diets in Children appeared first on Pediatric EM Morsels. Mensink GB, Fletcher R, Gurinovic M, Huybrechts I, Lafay L, Serra-Majem L, Szponar L, Tetens I, Verkaik-Kloosterman J, Baka A, Stephen AM. Mapping low intake of micronutrients across Europe. 2021 Jul;91:13-25.

Pediatrics 130

Pediatrics Documentation/Coding EMS 130

Pediatric EM Morsels

JULY 28, 2023

2013 Sep;163(3):761-6. 13406 The post Cerebral Edema and Diabetic Ketoacidosis: Rebaked appeared first on Pediatric EM Morsels. If you are concerned for developing cerebral edema, consider using Hypertonic Saline over Mannitol. References : White PC, Dickson BA. PMID: 23499379. PubMed] [Read by QxMD] Rosenbloom AL. Diabetes Ther.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

RebelEM

FEBRUARY 24, 2025

July 2013; PMID: 23774337 Cavallaro, F et al: Diagnostic accuracy of passive leg raising for prediction of fluid responsiveness in adults: systematic review and meta-analysis of clinical studies. Oct 2013; PMID: 24079262 Gohar E, et al. Mar 2004; PMID: 15090949. Marik P, et al. An Updated Meta-Analysis and a Plea for Some Common Sense.

Ultrasounds 74

Ultrasounds Shock Fluid Resuscitation Resuscitation 74

Ken Grauer, MD

JULY 22, 2023

The ECG in Figure-1 was obtained from an elderly man with a history of coronary disease — who contacted EMS for "burning" chest discomfort that woke him at 3am. Some amount of time passed at home — during which his chest discomfort persisted The patient was hemodynamically stable at the time he was seen by EMS, when ECG #1 was recorded.

EKG/ECG 195

EKG/ECG Burns EMS Wellness 195

RebelEM

MAY 29, 2024

If you treat a posterior bleed at a hospital without ENT, I would transfer as surgical intervention is pretty common REBEL EM: Do Patients with Epistaxis Managed by Nasal Packing Require Prophylactic Antibiotics? REBEL EM: Do Patients with Posterior Epistaxis Managed by Posterior Packs Require ICU Admission?

PPE 104

PPE EMS Hospitals Wellness 104

The Skeptics' Guide to EM

JULY 8, 2023

Managing editor of EM:RAP and Associate Editor at REBEL EM. Managing editor of EM:RAP and Associate Editor at REBEL EM. 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.

CDC 108

CDC Hospitals EMS Emergency Department 108

RebelEM

SEPTEMBER 13, 2023

J Emerg Med 2013; 44 (4): 764-772. PMID 18768946 Post Created By: Anand Swaminathan MD, MPH (Twitter @EMSwami ) Post Peer Reviewed By: Salim Rezaie MD (Twitter @SRRezaie) The post REBEL Core Cast 108.0 – Angioedema appeared first on REBEL EM - Emergency Medicine Blog. N Engl J Med. 2015; 372(5):418-25. 2013;24:53-66.

Allergic Reactions 105

Allergic Reactions Airway Management Anaphylaxis Emergency Department 105

The Skeptics' Guide to EM

AUGUST 19, 2023

Mike Pallaci is a Professor of Emergency Medicine (EM) for the Northeast Ohio Medical University, and an Adjunct Clinical Professor of EM for the Ohio University Heritage College of Osteopathic Medicine. The tweet said: “I am sick and tired of some non-EM docs/specialists slamming EM when we don’t aggressively lower BP in ICH.”

EMS 74

EMS Stroke Emergency Department 74

EMDocs

FEBRUARY 22, 2024

Authors: Katey DG Osborne, MD (EM Attending Physician: Tacoma, WA) and Rachel Bridwell, MD (EM Attending Physician: Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital); Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp!

EMS 98

EMS Emergency Department Hospitals 98

Pediatric EM Morsels

JUNE 16, 2023

Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Arch Orthop Trauma Surg 2013;133(5):635-640.23443527 The post Morel-Lavallée Lesion in Children appeared first on Pediatric EM Morsels.

Soft Tissue Injuries 154

Soft Tissue Injuries Dehydration Fractures Operations 154

EMDocs

JANUARY 16, 2024

Authors: Christian Gerhart, MD (EM Resident Physician, Washington University in St. Louis); Dr. Jessica Pelletier, DO (EM Attending Physician, Washington University in St. You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Per EMS he was very cold to touch. 2009;338:b2085.

Hyperthermia / Hypothermia 109

Hyperthermia / Hypothermia Resuscitation CPR EMS 109

Emergency Medicine Journal

OCTOBER 23, 2024

Paediatric emergency medicine (PEM) was first recognised in the UK in 2001 with all doctors required to have a parent specialty—emergency medicine (EM) or paediatrics. In England, the rate of emergency department (ED) attendance in the first year of life is greater than at any other age, amounting to 122 visits per 100 000 population.

Emergency Department 52

Emergency Department EMS 52

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

Taming the SRU

JULY 22, 2024

2023, October 9). Joint aspiration or injection in adults: Technique and indications. Joint Arthrocentesis in the Emergency Department” Emergency Medicine Reports, October; 38(19):217-231. Reichman E.F.(Ed.). Chapter 77. Arthrocentesis. Emergency Medicine Procedures, 2e. McGraw Hill. link] Wiler JL, Costantino TG, Filippone L, Satz W.

Ultrasounds 96

Ultrasounds Emergency Department EMS 96

EMDocs

JANUARY 29, 2024

Authors: Sameer Desai, MD (EM Attending Physician, University of Kentucky); Omar Abbas Ahmed Malik, MBBS (Patients’ Aid Foundation, Jinnah Postgraduate Medical Center) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine in St. 2013 Jul;44(7):1846-51. Epub 2013 May 23.

Stroke 99

Stroke Outcomes EMS Seizures 99

EMDocs

MAY 23, 2024

Elsevier Mosby; 2013. doi:10.3109/15563659309000375 Heavens KR, Kenefick RW, Caruso EM, Spitz MG, Cheuvront SN. Osmolality and Osmolarity: Narrowing the Terminology Gap. Pharmacotherapy. 2003;23(9):1085-1086. doi:10.1592/phco.23.10.1085.32751 23.10.1085.32751 Koeppen BM, Stanton BA. Renal Physiology. Nelson LS, Goldfrank LR.

Poisoning 91

Poisoning EMS 91

RebelEM

SEPTEMBER 28, 2023

appeared first on REBEL EM - Emergency Medicine Blog. Fibrinolysis or Primary PCI in ST-Segment elevation Myocardial Infarction. PMID: 23473396 Post Peer Reviewed By: Anand Swaminathan, MD (Twitter: @EMSwami ) The post STREAM-2: Half-Dose Tenecteplase vs Primary PCI in Older Patients with STEMI?

EKG/ECG 138

EKG/ECG Allergic Reactions Shock Stroke 138

EMDocs

AUGUST 17, 2023

Welcome back to the “52 in 52” series. This collection of posts features recently published must-know articles. Today we look at the CENSER trial. vs 48.4% (OR 3.4, 5.53) Takeaways: Positive trial => there was a statistically significant rate of shock control attained with the treatment arm.

Sepsis 93

Sepsis Shock Resuscitation Fluid Resuscitation 93

RebelEM

MAY 11, 2023

J Emerg Med 2013 , 44 (3), 592-598.e592. Am J Emerg Med 2013 , 31 (4), 734-742. Rezaie, MD (Twitter: @srrezaie ) The post Return Encounters in Emergency Department Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal appeared first on REBEL EM - Emergency Medicine Blog. DOI: 10.1016/j.jemermed.2012.07.056

Emergency Department 97

Emergency Department Administration Hospitals Academics 97

The Skeptics' Guide to EM

MAY 8, 2021

He is an EMS medical director with Lexington Fire/EMS as well as the AMR/NASCAR […] The post SGEM#329: Will Corticosteroids Help if…I Will Survive a Cardiac Arrest? He is an EMS medical director with Lexington Fire/EMS as well as the AMR/NASCAR Safety Team. first appeared on The Skeptics Guide to Emergency Medicine.

CPR 52

CPR Hyperthermia / Hypothermia EMS Documentation/Coding 52

Taming the SRU

SEPTEMBER 8, 2023

NAC: Jiang SX, Hussaini T, Yoshida EM. 2013 Sep;145(3):695. 2013 May;58(5):1397-402. 2013 May;58(5):1397-402. Epub 2013 Jan 17. 2, 2013, pp. “Acute Liver Failure: Evidence-Based Evaluation and Management.” emDOCs.Net - Emergency Medicine Education, 26 Nov. Saudi J Gastroenterol. 2022 Mar-Apr;28(2):85-91.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

ACEP Now

OCTOBER 3, 2023

The last few years have been a tumultuous time for the emergency medicine (EM) specialty, especially as it pertains to our workforce. ACEP is identifying and addressing the factors harming the EM job marketplace through advocacy work while also developing new resources. The EM job market’s lack of transparency is especially striking.

Emergency Department 52

Emergency Department EMS Wellness 52

EMergucate

JULY 26, 2013

presents with palpitations, lightheadedness and this ECG

EKG/ECG 40

EKG/ECG EMS 40

Dr. Smith's ECG Blog

DECEMBER 19, 2023

EMS obtained the following vital signs: pulse 50, respiratory rate 16, blood pressure 96/49. It appears EMS obtained two EKGs, but unfortunately these were not saved in the medical record. The EMS crew was only BLS certified, so EKG interpretation is not within their scope of practice.

EKG/ECG 127

EKG/ECG EMS Wellness Operations 127

Pediatric EM Morsels

AUGUST 18, 2023

Etminan 2019) In Belgium between 2010 – 2013, of the 262 children treated with fluroquinolones while hospitalized, only 17% were used for labelled indications. PMID: 29356761 The post Fluoroquinolone Use In Children appeared first on Pediatric EM Morsels. Meesters 2018) Resistance is growing (likely from inappropriate / overuse)!

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130