article thumbnail

Superior Mesenteric Artery Syndrome (SMA Syndrome) in Children

Pediatric EM Morsels

Record, 2015) Normal aortomesenteric angle ranges from 28 o to 65 o and the normal distance from 10 to 34 mm. Record, 2015) Nausea and pain are typically post-prandial. Record, 2015). Record, 2015) Secondary findings on imaging including gastric distension and distension of the proximal duodenum. The Oschner Journal.

article thumbnail

ECG Blog #434 — WHY Did this Patient Arrest?

Ken Grauer, MD

The cause of the abnormal baseline deflections seen in Figure-2 is most likely muscle tremor artifact ( See Bouthillet T — ACLS Med Training, Dec, 2015 ). PEARL # 2: We can tell at a glance in Figure-1 — that the "culprit" causing the artifact in today's ECG is the RA ( R ight A rm ) extremity.

EKG/ECG 407
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Travel-Related Illnesses in Children

Pediatric EM Morsels

Hospitalization for travel-related illness are around 10% for both VFR and tourists (Leuthard 2015) Multiple studies have reported the most common travel infections in various countries. In the 1950’s travel accounted for 25 million international tourists. A study of swiss tourists found they compromised 53.4%

article thumbnail

Glasgow Coma Scale in Children

Pediatric EM Morsels

2015 Feb;100(2):207-8. Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6 Nayana Prabha PC, Nalini P, Tiroumourougane Serane V. Role of Glasgow Coma Scale in pediatric nontraumatic coma. Indian Pediatr. 2003 Jul;40(7):620-5. PMID: 12881617. Biradar, S. Pediatr Crit Care Med. doi: 10.1097/PCC.0000000000001957.

article thumbnail

Overdiagnosis: Would we better better off not looking?

First 10 EM

Carpenter 2015) […] The post Overdiagnosis: Would we better better off not looking? Between 2001 and 2010 the use of CT in emergency departments increased 3-fold (and the use of MRI increased 9-fold, but for some reason it is still almost impossible for me to get one done.) appeared first on First10EM.

article thumbnail

Congenital Pulmonary Airway Malformation (CPAM)

Pediatric EM Morsels

Let’s take a moment to digest a morsel on this condition that may lead to recurrent pulmonary problems: Congenital Pulmonary Airway Malformation: Basics Developmental lesion of the lungs characterized by pseudocysts, lesions, and dilated airways (Dessole, 2019) Incidence is 1 in 11,000 to 1 in 35,000 (Dessole, 2019) Most often unilateral 85% (..)

article thumbnail

Delayed sequence intubation: An RCT

First 10 EM

Weingart 2011, Weingart 2015) It is a brilliant concept, makes a ton of sense on paper, and anecdotally has seemed to help a number of my patients. Introduced to the world by our friend Scott Weingart, delayed sequence intubation (DSI) is often summarized as procedural sedation for the procedure of preoxygenation.

EMS 134