Pediatric Emergency Playbook

SEPTEMBER 1, 2020

Pediatric Hand Fractures. Pediatric Hand Injuires. 2013 November ; 29(4): 569–578 Yeh PC et al. Pediatric Hand Fractures. Pediatric Hand Injuires. Pediatric Hand Injuires. 2013 November ; 29(4): 569–578 Mallet finger in splint. Pediatric Hand Fractures. Pediatric Hand Fractures.

Fractures 52

Fractures Pediatrics Emergency Department 52

RebelEM

NOVEMBER 6, 2024

Medial epicondyle fractures in the pediatric population. J Emerg Med. 2018 Jun;54(6):849-854. doi: 10.1016/j.jemermed.2018.02.011. 2018.02.011. Epub 2018 Apr 19. PMID: 29681420 Gottschalk HP, Eisner E, Hosalkar HS. J Am Acad Orthop Surg. 2012 Apr;20(4):223-32. Doi: 10.5435/JAAOS-20-04-223. PMID: 22474092 Hankin FM.

Dislocations 116

Dislocations Fractures Soft Tissue Injuries Outcomes 116

The Skeptics' Guide to EM

SEPTEMBER 9, 2023

Ultrasonography or radiography for suspected pediatric distal forearm fractures. Ultrasonography or radiography for suspected pediatric distal forearm fractures. Background: We have covered pediatric wrist fractures a few times on the SGEM. Ultrasonography or radiography for suspected pediatric distal forearm fractures.

Fractures 139

Fractures Ultrasounds Pediatrics Outcomes 139

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. 2013 Jan;189(1):288-93. 2013 Apr;32(2):239-46. Epub 2013 Feb 8. doi: 10.1016/j.juro.2012.09.003. 2012.09.003. Epub 2012 Nov 19.

Fractures 98

Fractures Pediatrics 98

The Trauma Pro

OCTOBER 4, 2024

A pediatric multi-center study of study on adherence to activity restrictions was published last year. Ten Level I pediatric trauma centers in the US tabulated their experience with solid organ injuries over 3.75 years from 2013 to 2016. And t here are no decent papers published that look critically at this question.

Pediatrics 113

Pediatrics Outcomes Operations Emergency Department 113

EMDocs

APRIL 6, 2024

. #1: Phoenix Criteria – New Pediatric Sepsis Score Spoon Feed The Phoenix Sepsis Score, which is a novel clinical criterion for pediatric sepsis and septic shock developed using measures of organ dysfunction, outperforms existing IPSCC criteria for the diagnosis of pediatric sepsis and septic shock. Pediatr Crit Care Med.

Sepsis 98

Sepsis Pediatrics Shock 98

Pediatric Emergency Playbook

AUGUST 1, 2017

Pediatr Rev. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem. Pediatr Surg Int. Eur J Pediatr Surg 2016; 26:192. Pediatrics 1977; 60:457. J Pediatr Gastroenterol Nutr 2008; 46:13. J Pediatr 2005; 146:787. Pediatr Surg Int 2003; 19:439. Pediatr Surg Int 2003; 19:247.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

ALiEM

MARCH 7, 2024

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric renal and bladder ultrasonography. Facts and Literature Review Bladder volume estimation Measuring bladder volume via POCUS in pediatric patients has been studied, demonstrating a benefit on Emergency Department workflow and length of stay (Table 1).

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

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. 2013 Mar; 95(2): e36–e37. 2013 Jun; 7(3): 225–233. J Pediatr Orthop. Pediatrics. Images courtesy of Radiopaedia. Ann R Coll Surg Engl.

Pediatrics 52

Pediatrics Fractures Dislocations Radiology 52

Pediatric EM Morsels

AUGUST 18, 2023

Jackson 2016) A systematic review of safety data for over 16000 pediatric patients did show MAEs were the most frequently reported event. 451 pediatric patients were included. Etminan 2019) In Belgium between 2010 – 2013, of the 262 children treated with fluroquinolones while hospitalized, only 17% were used for labelled indications.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

Broome Docs

MAY 31, 2024

2013 Sep;24(9):1848-53. Epub 2013 Jul 17. JAMA Pediatr. PMID: 37019501 Pulmonary primatology is harder than you may think Drew T, Võ ML, Wolfe JM. The invisible gorilla strikes again: sustained inattentional blindness in expert observers. Psychol Sci. doi: 10.1177/0956797613479386. 2024 Apr 1:e240167.

Airway Management 82

Airway Management Poisoning Pediatrics 82

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. 2013; 54 Suppl 7:23-34 Chin RFM et al., Pediatr Emerg Care.

Pediatrics 40

Pediatrics Seizures Stroke Radiology 40

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). J Emerg Med 2013; 44 (4): 764-772. Without the C1 inhibitor, the plasma-kallikrein-kinin system produces more bradykinin. N Engl J Med.

Allergic Reactions 105

Allergic Reactions Airway Management Anaphylaxis Emergency Department 105

EMDocs

JANUARY 11, 2025

Pediatric Emergency Care 34(9):p e159-e160, September 2018. | Stercoral Colitis in the Emergency Department: A Retrospective Review of Presentation, Management, and Outcomes. Annals of emergency medicine, 82(1), 3746. link] Chakravartty, S., Chang, A., & Nunoo-Mensah, J. A systematic review of stercoral perforation. Cureus, 15(7), e41705.

EMS 98

EMS Sepsis Shock Fluid Resuscitation 98

Don't Forget the Bubbles

OCTOBER 25, 2023

2013 Sep 24;81(13):1159-65. Epub 2013 Aug 21. 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

AUGUST 22, 2024

7 This has also been observed in a pediatric patient population. Pediatrics. The limited English proficiency population in the United States in 2013. Pediatric Emergency Care. Parental language and dosing errors after discharge from the pediatric emergency department. Pediatric Emergency Care. 135:e709-e716.

Documentation/Coding 104

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

Don't Forget the Bubbles

AUGUST 7, 2023

Pediatrics. 2013 Apr 1;131(4):e1150–7. Evaluating the Pediatric Early Warning Score (PEWS) System for Admitted Patients in the Pediatric Emergency Department. Management of Children With Fever at Risk for Pediatric Sepsis: A Prospective Study in Pediatric Emergency Care. Front Pediatr. Acad Emerg Med.

Sepsis 98

Sepsis Pediatrics Urgent Care Emergency Department 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

Pediatric Emergency Playbook

OCTOBER 1, 2017

J Neurosurg Pediatrics. Complications of Intrathecal Baclofen Pump Therapy in Pediatric Patients. J Pediatr Orthop. Pediatr Neurosurg. 2013; 49:138–144. 2013; 29:347–349. for the Pediatric Heart Transplant Study Investigators. Prospective Trial of a Pediatric Ventricular Assist Device.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 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

Don't Forget the Bubbles

SEPTEMBER 27, 2023

Hosp Pediatr. Pediatrics. Pediatrics. 2013 Feb;18(1):5-10. Role of a respiratory viral panel in the clinical management of pediatric inpatients. Pediatr Infect Dis J. [link] [link] Innis K, Hasson D, Bodilly L, Sveen W, Stalets EL, Dewan M. Do I need proof of the culprit? 2021;11(1):e1-e5. JAMA Netw Open.

Emergency Department 84

Emergency Department Pediatrics Point-of-Care Testing Hospitals 84

PEMBlog

FEBRUARY 8, 2024

You should always consult pediatric surgery/gynecology. Pediatr Infect Dis J. 2013 Nov;32(11):1295-6. I will not drain a breast abscess, especially in a newborn female. You run the risk of breast hypoplasia and scarring even with a successful I&D. References Montague EC, Hilinski J, Andresen D, Cooley A. doi: 10.1097/INF.0b013e3182a06448.

Pediatrics 52

Pediatrics Wellness 52

EMDocs

OCTOBER 9, 2023

Published 2013 Aug 15. 2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces.

Basic Life Support 108

Basic Life Support CPR Fractures Emergency Department 108

The Skeptics' Guide to EM

OCTOBER 28, 2017

Pediatrics 2017 Guest Skeptic: Dr. Anthony Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. The pediatric age group represents one of the populations at risk for oligoanalgesia. Reference: Harrison et al.

Pediatrics 52

Pediatrics Documentation/Coding Emergency Department Hospitals 52

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

AUGUST 9, 2023

Ital J Pediatr 44 , 25 (2018). 2013) Serum thyrotropin concentration in children with isolated thyroid nodules. 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., 163:1465–70.

Ultrasounds 98

Ultrasounds Pediatrics Wellness 98

PEMBlog

OCTOBER 18, 2023

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. The patient was ultimately discharged on a seven-day total course of cephalexin per Pediatric Infectious Disease recommendations. Pediatrics international : official journal of the Japan Pediatric Society, 45(2), 233–237.

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

The Skeptics' Guide to EM

DECEMBER 7, 2019

Pediatrics 2019 Guest Skeptic: Dr. Katie Noorbakhsh is a pediatric emergency physician at the Children’s Hospital of Pittsburgh. This is an SGEM Xtra and it was inspired by the recent publication in Pediatrics on BRUEs. […] The post SGEM Xtra: Strange BRUE first appeared on The Skeptics Guide to Emergency Medicine.

Pediatrics 52

Pediatrics Seizures CPR Hospitals 52

The Skeptics' Guide to EM

DECEMBER 15, 2018

Pediatrics. Pediatrics. Eur J Paediatr Neurol 2013) that concluded antipyretics were ineffective in reducing the recurrence of febrile seizures in children. SGEM#95 covered this paper with Pediatric Super Hero Anthony Crocco. Date: December 13th , 2018 Reference: Murata et al.

Seizures 52

Seizures Pediatrics Emergency Department Administration 52

Pediatric Emergency Playbook

JANUARY 1, 2018

In the Journal of Pediatric Radiology, Servaes et al catalogued the ultrasound findings in children with surgically confirmed torsion over a 12 year period. Incidence and trends of pediatric ovarian torsion hospitalizations in the United States, 2000-2006. Pediatrics 2010;125:532-8. Pediatr Emerg Care. 2004;14:168.

Pediatrics 52

Pediatrics Ultrasounds Radiology Radiology 52

Don't Forget the Bubbles

SEPTEMBER 30, 2024

conducted over three years (2013-2015) in Florida, found that younger children and those arriving in the evening or overnight had higher rates of “Did Not Wait” cases. Patients who leave the pediatric emergency department without being seen: a case-control study. Pediatr Emerg Care. Gaucher et al. Emerg Med J.

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89

EMDocs

AUGUST 8, 2023

Pediatr Emerg Care. Don’t rely on the Prehn’s sign in your evaluation of torsion. 2016 validation study 0 points for low risk, 1-5 for intermediate risk and 6-7 for high risk. 2022 meta-analysis 0-2 as low risk and ≥5 or higher as high risk = AUC of 0.924. sensitive. CJEM. 2021 Nov;23(6):740-743. Epub 2021 Aug 18.

Ultrasounds 94

Ultrasounds Documentation/Coding Outcomes Emergency Department 94

Pediatric Emergency Playbook

JULY 1, 2018

Psychiatric outcomes after pediatric sports-related concussion. J Neurosurg Pediatr. 2013; 47:15-26. The first week after concussion: Blood flow, brain function and white matter microstructure. Neuroimage Clin. 2017; 14: 480–489. Ellis MJ et al. 2015; 16:709-718. Graham R et al. Harmon KG et al. Br J Sports Med. McCrory P et al.

Psychiatric 40

Psychiatric Pediatrics Research Outcomes 40

Pediatric Education

MAY 19, 2024

The NEST study was a prospective cohort study of 202 terms infants from July 2013-14 that had universally performed newborn ophthalmological screening at birth. Some examples include: A 2013 study of 3573 infants performed after 42 days of life on most of the patients born in their hospital found ~21% had retinal hemorrhages and 1.4%

Pediatrics 40

Pediatrics Wellness Hospitals 40

PHEM Cast

APRIL 16, 2018

Survival and neurological outcome after OOH TCA in pediatric & adult populations: a systematic review. 2013; 74: 634-8. Critical Care; 2012. Slessor et al. To Be Blunt: are we wasting our time? Emergency Deaprtment Thoracotomy following blunt trauma: a systematic review & meta-analysis. Anneals of EM; 2015: 297-307.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

Pediatric Emergency Playbook

DECEMBER 1, 2016

Two small studies, one by Caiulo et al in the European J or Pediatrics and one by Basile et al. in the BMC Pediatrics that show some preliminary data, but not enough to change practice yet. Levine et al in Pediatrics found an extremely low risk of serious bacterial illness in young febrile infants with RSV. Pediatrics.

Pediatrics 40

Pediatrics Emergency Department Hospitals Wellness 40

Pediatric Emergency Playbook

AUGUST 1, 2018

2013 Jun; 28(6): 830–834. Pediatrics. Pediatrics. J Pediatrics. Management of Adults with Acute Streptococcal Pharyngitis: Minimal Value for Backup Strep Testing and Overuse of Antibiotics. J Gen Intern Med. Oliver J et al. Group A Streptococcus pharyngitis and pharyngeal carriage: A meta-analysis. PLoS Negl Trop Dis.

Pediatrics 52

Pediatrics Documentation/Coding 52