Northwestern EM Blog

DECEMBER 20, 2021

Written by: Tommy Ng, MD (NUEM ‘24) Edited by: Patricia Bigach, MD (NUEM ‘22) Expert review by : Terese Whipple, MD '20 So your kid won’t walk One of the most common complaints in a pediatric Emergency Department is a child refusing or inability to ambulate. Management is orthopedic consultation for operative stabilization [12].

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

Don't Forget the Bubbles

JUNE 17, 2024

Riskin (2015) showed that rudeness accounted for a 12% reduction in diagnostic and procedural performance in a simulated resuscitation. 2015 May;30:656-74. Exposure to incivility hinders clinical performance in a simulated operative crisis. Pediatrics. 2015 Sep 1;136(3):487-95. British journal of nursing.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

SheMD

NOVEMBER 27, 2023

I was working 3 days/week in a pediatric clinic in an urban area in New York City. I had worked so hard and put in so many years that I had to go back—that pediatrics was a career, a calling. In 2015, I took my children with me to a meeting in Washington DC where I was presenting my research.

Pediatrics 98

Pediatrics Research Operations 98

ALiEM

MAY 13, 2024

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric soft tissue ultrasonography. Take the ALiEMU PEM POCUS: Soft Tissue Quiz Case Goals List the indications of performing a pediatric soft tissue point-of-care ultrasound (POCUS). Pediatric Soft Tissue POCUS Ultrasound Technique Figure 1.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

Taming the SRU

AUGUST 30, 2023

A 2015 prospective, cross-sectional study of 78 Thai patients published in the International Journal of Rheumatic Disease demonstrated a sensitivity of 59% and specificity of 84% for PCT with a cut-off of 0.5 This finding was not significantly different among operators with different levels of experience, or between adults and children.

Infectious Diseases 89

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

EMDocs

MARCH 2, 2024

 An Pediatr (Engl Ed). 2019 2015 Sep 29;6:155. The most common causes include trauma and cranial surgeries, but there are other etiological factors, and in rare cases, it can also be spontaneous. [1-3] 1-3] The most common location is the frontal region, followed by the occipital and temporal regions. [4] Int J Crit Illn Inj Sci. 2017

EMS 119

EMS Fractures Seizures Head Injuries 119

Don't Forget the Bubbles

MARCH 11, 2024

Craniosynostosis needs urgent referral and is usually corrected operatively before a child’s first birthday. References The ISPN Guide to Pediatric Neurosurgery (USA): Positional Plagiocephaly in Children Homepage. New York, USA: The International Society for Pediatric Neurosurgery, 2024 (Accessed January 9, 2024). Vladusic, S.

Radiology 59

Radiology Radiology Pediatrics Documentation/Coding 59

Pediatric Emergency Playbook

FEBRUARY 1, 2016

Crash course in pediatric anatomy and physiology in trauma When you think of trauma in children, think of Charlie Brown. In pediatric trauma, we need to be proactive. Chest Tube Pearl #1: Chest tube sizing in pediatrics is straightforward if we remember that the traditional chest tube size is 4 x the ETT size. J Pediatr Surg.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

Pediatric Emergency Playbook

JUNE 1, 2017

Fontan Operation and the Single Ventricle. J Curr Pediatr. World Journal for Pediatric Congenital Heart Surgery. Pediatr Cardiol. Pediatr Cardiol. 2015; 19(2):e107-e109. Pediatr Rev. References Congenital AboulHosn JA et al. Congenit Heart Dis. 2007; 2:2-11. Aliku TO et al. 2017; 15:47-50.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

33 Charts

OCTOBER 2, 2021

In a pediatric gastroenterology practice these messages can run into thousands of words in some cases. (As The fundamental problem: we turned on 24/7/365 access for patients (who of course like it) with no operational or business model to handle it. Crucial that we fix this. The problem with human communication is that it’s nuanced.

Leadership 75

Leadership Operations Administration Hospitals 75

Pediatric Emergency Playbook

APRIL 1, 2017

Steady the operating hand by placing your hypothenar eminence on the child’s zygoma or temporal scalp, to avoid jutting the instrument into the ear canal with sudden movement. A commonly available suction catheter is the Frazier suction tip ( right ), a single-use device used in the operating room. Pediatrics. Pediatrics.

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

Advanced Emergency Nursing from AENJ

JULY 9, 2015

They may be entrapped; have limited access; may be midway in an operating position that can’t be changed; may need to be sitting due to pulmonary edema, morbid obesity, aspiration prevention or for awake intubation. Pediatric Laryngospasm. Pediatric Airway Management. Video] Jan 28, 2015. Try these situations.

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40

PEMBlog

JUNE 5, 2024

It was inspired by a hot-off-the-presses publication from the Pediatric Emergency Care Applied Research Network (PECARN) focused on clinical decision rules for cervical spine imaging in children. Leonard JR, Jaffe DM, Kuppermann N, Olsen CS, Leonard JC; Pediatric Emergency Care Applied Research Network (PECARN) Cervical Spine Study Group.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

Don't Forget the Bubbles

JULY 26, 2023

REVERT trial (adults); Appelboam et al, Lancet 2015 showed that by modifying the traditional valsalva manoeuvre to be done semi-recumbent with a passive leg raise immediately afterwards increased the success from 17% cardioversion to 43%. Image from: [link] with thanks How often does the Valsalva manoeuvre work?

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Advanced Emergency Nursing from AENJ

MAY 27, 2015

15/01/2015). 2008) Mumbai Combined Arms Operation November 26-28, 2008. Corbin, Dave. 05.03.2015 - 08:17 PM) Mitigating the Terrorist Threat Against Hospitals- 4 Strategies. TheSecureHospital.com. Ganor, Prof. Boaz, & Wernli, Dr. Miri Halperin. (15/01/2015). The Paris Attack and the Terrorist Threat to Hospitals. Ganor, Prof.

Federal Emergency Management Agency 40

Federal Emergency Management Agency Military Hospitals Administration 40

Advanced Emergency Nursing from AENJ

JUNE 16, 2015

It would be kept in an anteroom of an Isolation Room (the only one with a private bathroom for the patient) which had cabinetry and sink, and an electric outlet to operate the battery charger. They are costly, too. I was to store, charge, retrieve, and order resupply for it.

PPE 40

PPE Infectious Diseases Emergency Nursing Operations 40

Taming the SRU

MARCH 14, 2023

Ultimately, definitive management is in the operating room with revision or replacement of the VP shunt. Instructions on how to drain additional CSF are provided to the intrepid flight team when they arrive and the patient is whisked away to a tertiary care center with pediatric neurosurgery. Pediatr Emerg Care. Lancet Neurol.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Farrington] Rebuilding of outdated hospitals put emergency rooms on ground level with nearby X-ray service, and, ideally, sometimes closer to the Blood Bank and the Operating Rooms. We applied to "The Golden Hour" the attitudes and abilities that led to a man on the moon. Life in the Fast Lane. Accessed 2/2/2016. McNamara, Paul.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

" [Coroners Society] King Richard I (the Lionheart) needed vast sums of money for the Third Crusade, operation of the kingdom, and for his ransom fro m Duke Leopold of Austria. Published January 15, 2015. Medical Examiners' and Coroners' Handbook on Death Registration and Fetal Death Reporting. 2003 Revision. Accessed 07/25/2016.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

EB Medicine

AUGUST 1, 2018

Jeff: For more on synthetic intoxications in the ED, be sure to take a look at the recent May 2018 issue of Pediatric Emergency Medicine Practice on Synthetic Drug Intoxication in Children if you haven’t already read it. Nachi: Let’s talk about some special populations next -- starting with Pediatrics. Counsel them on drug abuse also.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EB Medicine

JULY 8, 2019

Nachi: Unfortunately this procedure is associated with a relatively high re-operation rate – one study found 20% of patients required removal or revision. Jeff: Even more shockingly, some series showed a 52% repeat operation rate. These patients often require emergent operative intervention. First up, the kids.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2016

Safar's work, in a series of studies and papers, validated manual methods of opening the airway, in use by anesthesiologists but relatively unknown outside the operating room, as effective and able to be taught and used by lay people. March 27, 2015. " established that exhaled air was a satisfactory gas for resuscitation.

Resuscitation 40

Resuscitation CPR Emergency Nursing Basic Life Support 40

Dr. Smith's ECG Blog

NOVEMBER 24, 2017

Acad Emerg Med 2015 Oct; 22(10):1139-44. A receiver operating characteristic graph over all the different percentage cutoffs might help more formally make those tradeoffs. Here is another study showing how insensitive computer algorithms are for a long QT (Pediatrics 2001;108:8 12). Berling I and Isbister GK.

EKG/ECG 52

EKG/ECG Outcomes Wellness Hospitals 52

Don't Forget the Bubbles

JANUARY 27, 2025

2015) Surgical problems in the paediatric patient, Clinical Gynaecology, 2 nd edition, p578-579. 2017) Pediatric Ovarian Torsion, Surg Clin North Am, 97(1):209-221. Scheier E (2022) Diagnosis and Management of Pediatric Ovarian Torsion in the Emergency Department: Current Insights 14: 283291, PMC9236466. 2015 Aug;33(8):487-93.

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

Pediatric Emergency Playbook

JANUARY 1, 2017

The guiding principles in pediatric pain assessment and management are: know the child; know the family; and know the physiology. As the pendulum on pain management swings one way or the other, do not let your pediatric patient get knocked by the wayside. They do not understand rational or logical thinking.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Don't Forget the Bubbles

MAY 24, 2023

A 5-year-old boy with a past medical history of Crouzon syndrome presents in the Pediatric ED. How to perform a pediatric airway assessment There are lots of things to consider when evaluating the airway prior to any intubation(Table 1). Table 1: Airway assessment Can we predict a difficult pediatric airway?

Airway Management 98

Airway Management Pediatrics Teamwork Emergency Department 98

Taming the SRU

SEPTEMBER 1, 2023

2015) reported a sensitivity of 98.9% to divert the plane). for detecting major injuries Abnormal CXR Rapid deceleration mechanism Presence of a distracting injury Chest wall tenderness Sternal/thoracic spine/scapular tenderness There are limited decision-making rules for thoracic spine imaging Yet a study (Inaba et al.,

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

EMDocs

JANUARY 16, 2025

Authors: Kyle Smiley (EM Resident, BAMC, San Antonio, TX) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to Critical Kids, an emDOCs series focused on pediatric emergency medicine. Pediatric emergencies are challenging. Well provide summaries of the evidence to support your decisions at the bedside.

Sepsis 95

Sepsis Pediatrics Shock Hospitals 95

Don't Forget the Bubbles

JULY 5, 2023

Afro-Caribbean patients should be screened for sickle cell before anaesthesia for possible pre-operative transfusion. Anemia ; 2015.DOI:10.1155/2015/791498. DOI:10.1155/2015/791498. Pediatr Allergy, Immunol Pulmonol 2017; 30: 191–201. Plast Reconstr Surg – Glob Open 2015; 3: 83–86. References Adewoyin AS.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

Don't Forget the Bubbles

SEPTEMBER 23, 2024

suprapubic catheters, gastrostomy tubes, haemodialysis or peritoneal dialysis lines – may have been left in situ in the initial post-operative period), and central vascular catheters. Look for scars indicating previous central lines, peritoneal dialysis catheters or operations. Pediatric nephrology , 22 (9), pp.1243-1250.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

They also proved that only expired air resuscitation guaranteed sufficient inflation volumes; that exhaled air was a suitable resuscitating gas; and that the operator would have continuous feedback from each breath. Schnabel, K., Bongartz, G., & Frei, F.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40

Advanced Emergency Nursing from AENJ

FEBRUARY 27, 2015

YouTube.com Published on Jan 27, 2015. President Eisenhower's Operation for Regional Enteritis A Footnote to History. Presidential Diseases. 2013] http://www.healthline.com. http://www.healthline.com/health-slideshow/diseases-of-presidents#7 A History of Death and Illness in the White House: U.S. PBS NewsHour” Dec.

Stroke 40

Stroke COPD Emergency Nursing Sepsis 40