Pediatric EM Morsels

AUGUST 18, 2023

Binz 2015) Remember, dogs grow 18 times as fast an infant in the first year of life. Binz 2015) More recent lamb studies have been performed, where the growth more closely approximates a human child. Jackson 2016) A systematic review of safety data for over 16000 pediatric patients did show MAEs were the most frequently reported event.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

PEMBlog

MAY 15, 2023

An estimated 80% of pediatric syncope is due to autonomic (vasovagal or neurocardiogenic) syncope. 6% of pediatric syncope. Concerning ECG findings Long QT syndrome: QTc longer than 480 msec. Textbook of Pediatric Emergency Medicine. Wolters Kluwer/Lippincott Williams & Wilkins Health, 2015. Larkin, John, et al.

Pediatrics 97

Pediatrics EKG/ECG Emergency Department Burns 97

ACEP Now

NOVEMBER 7, 2024

A 2015 study found that psychiatric patients were about twice as likely to be boarded as other medical patients; boarding times for psychiatric patients were close to five times as high as those for the rest of the hospital’s boarders. Pediatric mental health boarding. Pediatrics. West J Emerg Med. 2019;20(5):690-695.

Psychiatric 59

Psychiatric Pediatrics Hospitals Emergency Department 59

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

Don't Forget the Bubbles

AUGUST 19, 2024

Primary osteomyelitis of the sternum in the pediatric age group: report of a new case and comprehensive analysis of seventy-four cases. Pediatr Infect Dis J. 2015 Apr;34(4):e92-e101. Arch Argent Pediatr. Pediatric Acute Hematogenous Osteomyelitis. J Pediatr Orthop. 2015 Sep;35(6):634-9. 2022-01449.eng.

Infectious Diseases 104

Infectious Diseases Pediatrics Emergency Department Hospitals 104

Pediatric EM Morsels

MAY 12, 2023

2015 Nov;100(11):1032-7. Epub 2015 Aug 21. The post Closed Head Injury – PECARN for < 3 Months: Rebaked Morsel appeared first on Pediatric EM Morsels. Burrows P, Trefan L, Houston R, Hughes J, Pearson G, Edwards RJ, Hyde P, Maconochie I, Parslow RC, Kemp AM. Arch Dis Child. doi: 10.1136/archdischild-2014-307119.

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

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

EMDocs

JULY 9, 2024

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Acad Pediatr. Acad Pediatr.

Pediatrics 74

Pediatrics Emergency Department Research Burns 74

Don't Forget the Bubbles

JANUARY 17, 2024

The liquids were chosen to “approximate a pediatric digestive environment.” 2015 But we all know that what happens in the lab does not always mirror what happens in real life. BMC Pediatrics , 20 , pp.1-5. J Pediatr Surg Case Rep. Orbeez: the magic water absorbing bead—risk of pediatric bowel obstruction?

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

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. 2015 Feb; 473(2): 738–741. J Pediatr Orthop. Pediatrics. Although children develop at different rates, the order of ossification is programmed into us.

Pediatrics 52

Pediatrics Fractures Dislocations Radiology 52

PEMBlog

JUNE 14, 2023

Leyenaar; Pediatric Mental Health Boarding. Pediatrics October 2020; 146 (4): e20201174. Zima; Follow-up After Pediatric Mental Health Emergency Visits. Pediatrics March 2023; 151 (3): e2022057383. Mental Health Revisits at US Pediatric Emergency Departments. JAMA Pediatr. Pediatrics. Pediatrics.

Psychiatric 98

Psychiatric Emergency Department Pediatrics Best Practices 98

The Skeptics' Guide to EM

SEPTEMBER 30, 2017

Natalie May trained as an emergency physician with subspecialty paediatric emergency medicine in the UK and worked in Manchester and Oxford before moving to Australia in 2015 to work for Sydney […] The post SGEM#190: Wee are the Champions of Pediatric Urine Samples first appeared on The Skeptics Guide to Emergency Medicine.

Pediatrics 52

Pediatrics Emergency Department Sepsis Wellness 52

EM Guide Wire

JULY 21, 2019

” [ Belanger, 2015 ] Difficult Airway – unable to provide adequate gas exchange despite BVM, airway adjuncts, or combination of the two. Belanger, 2015 ] There are patient factors that are associated with difficult intubation. Belanger, 2015 ] There are patient factors that are associated with difficult intubation.

Pediatrics 40

Pediatrics Wellness 40

The Skeptics' Guide to EM

MAY 20, 2023

A bayesian interpretation of a pediatric cardiac arrest trial (THAPCA-OH). She is part of the Don’t Forget the Bubbles team and faculty at Queen Mary […] The post SGEM #404: Sitting on the Dock of the Bay-esian Interpretation of Therapeutic Hypothermia for Pediatric Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Pediatrics CPR Hospitals 52

Don't Forget the Bubbles

JULY 19, 2023

Trends and Clinical Characteristics of Pediatric Patients Presenting to an Ophthalmology Emergency Department with an Initial Diagnosis of Optic Nerve Head Elevation. 2015 ) found an incidence of true papilloedema of 25% and 6%, respectively, in children referred to tertiary ophthalmology departments with suspected optic disc swelling.

Pediatrics 98

Pediatrics Emergency Department Outcomes Wellness 98

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. 2015 Nov 15;92(10):908-16. Curr Opin Pediatr. Hip Pain in Pediatrics.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

ALiEM

MAY 24, 2023

A young boy is brought to the pediatric emergency screaming at the top of his lungs by his parents. In: Fleisher and Ludwig’s Textbook of Pediatric Emergency Medicine, 7th ed, Shaw K, Bachur RG (Eds), Lippincott Williams & Wilkins, Philadelphia 2015. His penile skin is trapped in the zipper of his jeans.

Pediatrics 93

Pediatrics 93

EM Guide Wire

MAY 19, 2019

PEDIATRICS. 2015; 135 (5): e1337-e1354. Pediatrics in Review. PEDIATRICS. 2015; 136(5): 831-838. Pediatric Clinics of North America. Delayed Identification of Pediatric Abuse-Related Fractures. PEDIATRICS. PEDIATRICS. PEDIATRICS. European Journal of Pediatrics.

Pediatrics 40

Pediatrics Soft Tissue Injuries Fractures Emergency Nursing 40

Don't Forget the Bubbles

NOVEMBER 20, 2023

Evaluation and Management of Pediatric Neck Masses. Pediatric Neck Mass. International Journal of Pediatrics. Journal of Pediatric Surgery. DOI: 10.3390/dermatopathology8030039 Jackson D. Physician Assistant Clinics. DOI 10.1016/j.cpha.2017.12.003 2017.12.003 Machado De Carvalho G, Silva de Lavor M et al.

Pediatrics 124

Pediatrics Documentation/Coding Emergency Department Ultrasounds 124

The Skeptics' Guide to EM

SEPTEMBER 10, 2022

Single-dose dexamethasone is not inferior to 2 doses in mild to moderate pediatric asthma exacerbations in the emergency department. Pediatr Emerg Care. 2022 Guest Skeptic: Dr. Harrison Hayward is a Pediatric Emergency Medicine fellow at Children’s National Hospital. Pediatr Emerg Care. Pediatr Emerg Care.

Pediatrics 52

Pediatrics Emergency Department Urgent Care Hospitals 52

EMDocs

AUGUST 22, 2024

have limited English proficiency according to the 2015 U.S. 7 This has also been observed in a pediatric patient population. Pediatrics. Pediatric Emergency Care. Parental language and dosing errors after discharge from the pediatric emergency department. Pediatric Emergency Care. Lion KC, et al.

Documentation/Coding 104

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

Don't Forget the Bubbles

AUGUST 2, 2023

Orthop Traumatol Surg Res 2015; 101: pp. Published 2015 Jul 29. Clinical Features of Pediatric Complex Regional Pain Syndrome: A 5-Year Retrospective Chart Review. Pediatric complex regional pain syndrome: a review. Pediatr Rheumatol Online J. References Bayle-Iniguez X., Audouin-Pajot C., Sales de Gauzy J.,

Psychiatric 98

Psychiatric Pediatrics Outcomes Academics 98

RebelEM

JANUARY 9, 2024

Additionally, multiple studies demonstrate increased harm with IV antibiotics such as increased rate of diarrhea ( Haran 2014 ), complications from IV placement ( Li 2015 ), and increased length of stay or cost ( Lorgelly 2010 ). 2015; 12(5):e1001825. The American journal of emergency medicine. 2014; 32(10):1195-9. PLoS medicine.

Infectious Diseases 99

Infectious Diseases Pediatrics EMS Administration 99

Pediatric Emergency Playbook

MARCH 1, 2017

Just do it. 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. 2015 Apr;25(4):346-62. J Pediatr Surg.

Airway Management 52

Airway Management Pediatrics Resuscitation Hospitals 52

Taming the SRU

JULY 2, 2023

Pediatric emergency care 12.4 Part 1: executive summary: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care." Circulation 132.18_suppl_2 (2015): S315-S367. Pediatrics 117.6 1996): 249-251. Neumar, Robert W., Waugh, Jonathan B., Epps, and Yulia A.

Emergency Department 88

Emergency Department Pediatrics CPR Administration 88

Don't Forget the Bubbles

JULY 24, 2023

Pediatric Radiology. PEDIATRICS. The Journal of Pediatrics. 2015 Oct 12;28. Clinical Infectious Diseases. 1993 Jul 1;17(1). du Lac P, Panuel M, Devred P, Bollini G, Padovani J. MRI of disc space infection in infants and children. 1990 Jan;20. Fernandez M, Carrol CL, Baker CJ. 2000 Jun 1;105. Juvenile discitis.

Radiology 98

Radiology Radiology Infectious Diseases Pediatrics 98

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). 2015; 372(5):418-25. 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

Pediatric Emergency Playbook

FEBRUARY 1, 2020

2015; 46:870-873. Pediatric Thermal Burns and Treatment: A Review of Progress and Future Prospects. 2015; e24-227 Sherren PB et al. Emergency Care of Pediatric Burns. Bedside Escharotomies for Burns Classic Paragraph Selected References Mahar PD et al. Mathis E et al. 2017; 4:91. Osuka A et al. Sebastian R et al.

Burns 52

Burns Pediatrics Shock 52

ALiEM

FEBRUARY 26, 2024

Pediatr Dermatol. 2015 Mar-Apr;60(2):211. References Antoniou C, Dessinioti C, Stratigos AJ, Katsambas AD. Clinical and therapeutic approach to childhood acne: an update. 2009 Jul-Aug;26(4):373-80. doi: 10.1111/j.1525-1470.2009.00932.x. 1525-1470.2009.00932.x. PMID: 19689511. Neonatal pustular dermatosis: an overview.

Academics 78

Academics Pediatrics Wellness 78

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

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. Pediatrics. 2015 Sep 1;136(3):487-95. Civility Saves Lives The impact of incivility in healthcare cannot be understated. British journal of nursing. BMC medicine.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

PEMBlog

AUGUST 8, 2023

Listen Henoch–Schönlein Purpura (HSP) – PEM Currents: The Pediatric Emergency Medicine Podcast – Brad Sobolewski, MD, MEd [link] Subscribe References Chen JY et al. World J Pediatr. 2015 Feb;11(1):29-34. Pediatric Emergency Care;8(4):213-215. Saulsbury, FT (1999) Henoch-Schönlein purpura in children.

Pediatrics 52

Pediatrics 52

Don't Forget the Bubbles

JUNE 30, 2023

593-600 Therapeutic hypothermia is no longer recommended in survivors of pediatric out-of-hospital cardiac arrest due to drowning. 20 (2015): 1898-1908 As the PICU reg finishes their teaching and prescribes some warm IV fluids, Elsa’s sats drop to 54%. European Journal of Cardio-Thoracic Surgery , 59 (3), pp.593-600 Meert et al.

Hyperthermia / Hypothermia 145

Hyperthermia / Hypothermia Military CPR EKG/ECG 145

Don't Forget the Bubbles

JANUARY 24, 2024

Ketogenic diet treatment for pediatric super-refractory status epilepticus. Ketogenic Diet in the Treatment of Super-Refractory Status Epilepticus at a Pediatric Intensive Care Unit: A Single-Center Experience. Pediatric super-refractory status epilepticus treated with allopregnanolone. 2016 Oct;41:62-5. doi: 10.1016/j.seizure.2016.07.006.

Seizures 111

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 111

Pediatric Emergency Playbook

NOVEMBER 1, 2017

Pediatrics. 2015; 135(3):504-512. To scan or not to scan: pediatric minor head trauma in your office, clinic or emergency department. Contemporary Pediatrics. JAMA Pediatr. Not all minor head trauma is clinically significant. Ann Emerg Med. 2014; 63(6):657-665. Dayan PS et al. Horeczko T, Kuppermann N.

Pediatrics 52

Pediatrics Emergency Department Outcomes 52

EM Curious

APRIL 29, 2015

TOP 10 TRAUMA PAPERS OF 2014-2015 [PODCAST]: It's been a huge year in trauma literature with big changes and a large volume of dogma smashing evidence. Listen to a great review of the top 10 trauma papers in 2014-2015 @ St. Listen to the two part podcast featuring Dr. Andy Sloas & pediatric cardiology expert Dr. Buck Kyle @ PEM ED.

Head Injuries 52

Head Injuries EMS Pediatrics CPR 52

Pediatric Emergency Playbook

OCTOBER 1, 2016

Stabilizing the Pediatric GI Bleed Life-threatening GI bleeding in children is, thankfully, rare, but we have to be prepared. 2015 Jul;17(7):27. Clinically significant upper gastrointestinal bleeding acquired in a pediatric intensive care unit: a prospective study. Pediatrics. 2015 Nov;13(12):2109-17. JAMA Pediatr.

Pediatrics 52

Pediatrics Wellness Shock Resuscitation 52