Pediatric Emergency Playbook

JANUARY 1, 2017

Tachycardia, tachypnea, and a change in behavior can be indicators not only to the presence of pain, but possibly to its etiology as well. For children greater than one year who are preverbal, a well performing scale is the FLACC score: Face, Legs, Activity, Cry, Consolability ( Table 3 ).

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Don't Forget the Bubbles

JUNE 30, 2023

Well, one study in Kornelson’s systematic review and meta-analysis is interesting. 2014 Dec;77(6):852-8; discussion 858. But – these findings are all from observational cohort studies with small numbers and significant heterogeneity, especially regarding the dosing of TXA. Or is there a risk TXA could cause harm?” PMID: 25423534.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

RebelEM

MARCH 23, 2023

Our Conclusion : Although not the subject of this study, across multiple medical conditions, lower hospital lengths of stay are associated with lower morbidity and mortality as well as lower healthcare costs. Buell D, Filewod N, Ailon J, Burns KEA. 2014 May-Jun;49(3):287-91. Epub 2014 Jan 8. 2021 Feb 11;13(2):e13282.

Emergency Department 52

Emergency Department Outcomes Burns Hospitals 52

EMDocs

JULY 15, 2023

She has had pruritus and swelling to the site accompanied by a painful burning sensation and a couple “painful knots” on her right inguinal region. The patient reported feeling better, pain and other symptoms were well controlled 24 hours after starting antibiotics and pain medication. 2014 Jul 15;59(2):e10-52. Clin Infect Dis.

EMS 80

EMS Infectious Diseases Shock Ultrasounds 80

PHEM Cast

MARCH 17, 2016

References Wilmalasena Y, Burns B, Reid C, Ware S., 2014; 65(4): 349-355. video cast from Emergency Medicine colleagues in the States discussing and demonstrating techniques for optimal bag-valve-mask ventilation. Annals of Emergency Medicine. 2012; 59(3): 165-175. Weingart SD, Trueger NS, Wong N, Scofi J, Singh N, Rudolph SS.

Airway Management 52

Airway Management Burns Emergency Department Resuscitation 52

EMDocs

JUNE 14, 2023

He complains of eye irritation with redness with a burning sensation and tearing sometimes. This leads to an enhanced, as well as a prolonged predominant cholinergic effect. Iran Red Crescent Med J 16: e5072, 2014. He has been having difficulty walking and is having trouble manipulating tools he uses for work with his hands.

PPE 85

PPE Poisoning Seizures Emergency Department 85

EMDocs

JULY 9, 2024

Gottlieb LM, Hessler D, Long D, Laves E, Burns AR, Amaya A, Sweeney P, Schudel C, Adler NE. Addressing social determinants of health at well child care visits: a cluster RCT. Pediatric Social Risk Screening: Leveraging Research to Ensure Equity. Acad Pediatr. 2022 Mar;22(2):190-192. doi: 10.1016/j.acap.2021.09.013. 2021.09.013.

Pediatrics 67

Pediatrics Emergency Department Research Burns 67

Taming the SRU

AUGUST 30, 2023

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. Epub 2014 Dec 3. Epub 2014 Oct 27. They are used clinically to detect pathological inflammation or measure response to treatment [1-2].

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

Pediatric Emergency Playbook

APRIL 1, 2017

11 Beware the “double-ring” sign: this is a button battery13 This is an emergency: the electrolyte-rich mucosa conducts a focal current from the narrow negative terminal of the battery, rapidly causing burn, necrosis, and possibly perforation. Neodymium magnet toys (“buckyballs”) were recalled in 2014 (but are still out there!)

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

Don't Forget the Bubbles

JANUARY 4, 2024

In 2014, the Royal College of Radiologists (RCR) Paediatric Trauma Protocols were published, recommending that CT chest imaging be appropriately limited to children in specific high-risk groups. Reviewed by: Sian Venables and Ashwin Mahtani Article 4: Does being admitted with a burn impact school performance? JACEP Open.

Burns 129

Burns Academics Hospitals Outcomes 129

Downeast Emergency Medicine

MARCH 24, 2021

Well, patients have a greater potential to be sicker, and even though there is a higher chance of a bacterial infection these patients should NOT be started empirically on antibiotics. In this patient population, well appearing children can have stool cultures ordered and be referred to follow up as an outpatient. Sudbury, Mass.:

Pediatrics 52

Pediatrics Dehydration Emergency Department Wellness 52

EMDocs

NOVEMBER 4, 2024

21 Case: A 40-year-old male presents to the ED with a burning epigastric pain that has been worsening over the past week. Pain can be gnawing, aching, burning, and located in the upper abdomen. She denies any trauma, swelling, or redness in the joints, as well as fever or weight loss. Curr Opin Support Palliat Care.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Taming the SRU

MARCH 3, 2025

million fires in 2020, with some studies quoting over 500,000 emergency room visits annually for burn and inhalation injuries (4). On the other hand, non-fatal injuries from chemical inhalation represent a substantial number of ED visits, with one study quoting over 125,000 ER visits in between 2014-2017 (14).

Burns 52

Burns Fluid Resuscitation Emergency Department Resuscitation 52

EMDocs

JANUARY 20, 2025

1,2 For hypervolemia in heart failure patients, orthopnea >2 pillows is the most reliable clinical finding, 3,4 though an increase in peripheral edema and increased weight can be useful as well. 6-8 In patients who are on long-term hemodialysis, typical non-invasive signs of volume assessment seem to be unreliable as well.

Dehydration 72

Dehydration Fluid Resuscitation Sepsis Resuscitation 72

EMDocs

JANUARY 6, 2025

She receives IV calcium gluconate and bicarbonate as well as oral potassium binders for hyperkalemia. 89 The high malnutrition rate is caused by factors such as a heavy disease burden, particularly malaria, as well as poor food consumption and inadequate infant and child feeding practices. Hypoglycemia is managed with IV dextrose.

Infectious Diseases 70

Infectious Diseases CDC PPE Rapid Diagnostic Testing 70

EMDocs

MARCH 14, 2024

Medicaid expansions began on January 1, 2014, and by the end of the year 27 states (including the District of Columbia) had expanded Medicaid eligibility. link] Williams E, Rudowitz R, Burns A. Sebelius ruled that only funding for expanded eligibility could be withheld from states. Mississippi Today. Published February 29, 2024.

Administration 96

Administration Outcomes Burns Operations 96