Pediatric EM Morsels

NOVEMBER 3, 2023

For non-complicated malaria use oral Co ART em. 2016 Apr; 32(4): 227–231. PMID: 30666615 The post Imported Malaria appeared first on Pediatric EM Morsels. Worldwide, children <5 years old account for 76% of deaths related to malaria, but these are predominantly in Sub-Saharan Africa (WHO 2022) P. vivax , P. knowlesi and P.

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

EMDocs

JUNE 8, 2024

We’ll keep it short, while you keep that EM brain sharp. American Academy of Ophthalmology , AAO, 5 May 2016, www.aao.org/eyenet/article/savvy-steroid-use. The post EM@3AM: Traumatic Iritis appeared first on emDOCs.net - Emergency Medicine Education. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide.

EMS 98

EMS Allergic Reactions Poisoning Emergency Department 98

EMDocs

APRIL 27, 2024

We’ll keep it short, while you keep that EM brain sharp. New York, McGraw-Hill, 2016, Ch 242:p 1581-2. link] The post EM@3AM: Malignant/Necrotizing Otitis Externa appeared first on emDOCs.net - Emergency Medicine Education. He says the pain is worse at night and when he is chewing. Al-Noury, K., & Lotfy, A.

EMS 105

EMS Infectious Diseases Radiology Radiology 105

Pediatric EM Morsels

JUNE 14, 2024

(Tavasoli 2018, Wolf 2012) More common in adults; children comprise 20% of total cases (Pidcock 2007, Wang 2019) Bimodal age distribution (Absoud 2016) Children < 5 years Children > 10 years Symptoms evolve over 2-4 days and peak at 5-6 days (Absoud 2016) ATM may occur alone OR as part of another disorders (e.g.

Pediatrics 143

Pediatrics EMS Outcomes 143

Pediatric EM Morsels

OCTOBER 27, 2023

Bowen 2016] Moral of the Morsel: Weight Matters! 2020) The Times & Tapes Are a-Changin’: The Latest Broselow-Luten Tape for EMS , EMS World. link] The post The Broselow-Luten System appeared first on Pediatric EM Morsels. [Khouli 2015] In South Sudan, the Broselow system overestimated weight by 26.6% x exp[0.02

Pediatrics 271

Pediatrics Resuscitation Documentation/Coding Wellness 271

EMDocs

NOVEMBER 19, 2024

2016 Dec;54(10):899-923. His roommate found an empty pill bottle on the floor next to him. The bottle contained 100 mg quetiapine tablets, and 50 tablets were unaccounted for. Practical guidance for the use of long-acting injectable antipsychotics in the treatment of schizophrenia. Psychol Res Behav Manag. 2022;15:3915-3929. Published 2019.

Poisoning 111

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 111

EMDocs

OCTOBER 21, 2023

We’ll keep it short, while you keep that EM brain sharp. doi: 10.1136/neurintsurg-2016-012515. Epub 2016 Jul 15. Neurocrit Care 24, 172–179 (2016). The post EM@3AM: Basilar Artery Occlusion appeared first on emDOCs.net - Emergency Medicine Education. J Neurointerv Surg. 2017 Aug;9(8):722-726. Updated 2022 Dec 22].

EMS 98

EMS Stroke Outcomes Hospitals 98

Pediatric EM Morsels

JUNE 16, 2023

Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

Soft Tissue Injuries 154

Soft Tissue Injuries Dehydration Fractures Operations 154

Pediatric EM Morsels

AUGUST 4, 2023

Reece, 2016) There is multiple cases of sudden death from undiagnosed SMA syndrome in the literature attributed to a variety of causes at autopsy. 2016: 7809281. PMID: 31451453 The post Superior Mesenteric Artery Syndrome (SMA Syndrome) in Children appeared first on Pediatric EM Morsels. The Oschner Journal. 15(1):74-78.

Pediatrics 246

Pediatrics Burns Operations Ultrasounds 246

EMDocs

NOVEMBER 4, 2023

We’ll keep it short, while you keep that EM brain sharp. December 27, 2016. doi:10.1258/0956462053888853 The post EM@3AM: Testicular/Scrotal Abscesses appeared first on emDOCs.net - Emergency Medicine Education. A 54-year-old male with a history of diabetes presents with “pain in my groin” for the past two weeks. Testicular.

EMS 96

EMS Ultrasounds Emergency Department Infectious Diseases 96

Pediatric EM Morsels

JULY 21, 2023

We had just received a young child from EMS who was post-ictal with decreased mentation. 2016 Aug;23(8):878-84. Epub 2016 Aug 1. The post Glasgow Coma Scale in Children appeared first on Pediatric EM Morsels. In emergency medicine, we often use illness scripts and protocols to help drive our decision-making.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Pediatric EM Morsels

AUGUST 18, 2023

Jackson 2016) Ciprofloxacin was the first fluoroquinolone approved by the FDA in the 1980’s as a broad-spectrum antibiotic. Jackson 2016) It can also be used in UTIs , but is typically reserved for special cases where the infectious bacteria is found to be multidrug resistant or in complicated UTIs. 2016 138(5):e20162706.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

EMDocs

SEPTEMBER 6, 2023

Reference: EM@3AM – Heat Stroke Case 2: 40-year-0ld female feels unwell but no other specific complaints. 2016 study published in American Journal of Emergency Medicine , “ Urinary obstruction is an important complicating factor in patients with septic shock due to urinary infection ” by Reyner et al. 2016 Apr;34(4):694-6.

Anaphylaxis 97

Anaphylaxis Shock Sepsis Stroke 97

Pediatric EM Morsels

APRIL 7, 2023

Epub 2016 Oct 17. 2016 Dec 2;2016(1):625-631. The post Sickle Cell Disease and Stroke appeared first on Pediatric EM Morsels. J Stroke Cerebrovasc Dis. 2017 Jan;26(1):108-115. doi: 10.1016/j.jstrokecerebrovasdis.2016.08.038. 2016.08.038. PMID: 27765556. J Chronic Dis. 1985;38(6):495-505. doi: 10.1016/0021-9681(85)90033-5.

Stroke 130

Stroke Pediatrics Seizures Sepsis 130

Pediatric EM Morsels

MAY 12, 2023

However clinical judgement was more specific in this same group (54% vs 92%) [ Atabaki, 2016 ]. 2016 May;23(5):566-75. Epub 2016 Apr 20. The post Closed Head Injury – PECARN for < 3 Months: Rebaked Morsel appeared first on Pediatric EM Morsels. Acad Emerg Med. doi: 10.1111/acem.12923. PMID: 26825755.

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

RebelEM

JULY 20, 2023

EMS radios in for a burn patient and to anticipate a difficult airway. Emergency Medicine (EM) is an amazing specialty because anything can come through the door at any moment. This same reality makes practicing EM incredibly challenging and at times downright terrifying. You can hear the tension in their voice. PMID: 28866621.

EMS 75

EMS Burns Airway Management Wellness 75

Pediatric EM Morsels

JULY 5, 2024

2016; Published June 20, 2016. The post Pediatric Cervical Spine Injury Risk Stratification: Rebaked Morsel appeared first on Pediatric EM Morsels. J Spinal Disord Tech. 2015;28(7). PMID: 26165728. Cui LW, Probst MA, Hoffman JR, Mower WR. Sensitivity of plain radiography for pediatric cervical spine injury. Emerg Radiol.

Pediatrics 164

Pediatrics Head Injuries Dislocations Research 164

Pediatric EM Morsels

NOVEMBER 17, 2023

2016 Feb;30(1):3-11. The post Cuffed Endotracheal Tubes for Children: ReBaked Morsel appeared first on Pediatric EM Morsels. Shi F, Xiao Y, Xiong W, Zhou Q, Huang X. Cuffed versus uncuffed endotracheal tubes in children: a meta-analysis. doi: 10.1007/s00540-015-2062-4. Epub 2015 Aug 22. PMID: 26296534.

Pediatrics 187

Pediatrics Emergency Department Outcomes Sepsis 187

EMDocs

DECEMBER 23, 2024

Epub 2016 Oct 15. His initial EKG is the following: What do you think? Best Clinical Practice: Emergency Medicine Management of Stable Monomorphic Ventricular Tachycardia. J Emerg Med. 2017 Apr;52(4):484-492. doi: 10.1016/j.jemermed.2016.09.010. 2016.09.010. PMID: 27751700. Ho DSW, Zecchin RP, Richards DAB, et al.

EKG/ECG 75

EKG/ECG Shock Wellness EMS 75

EMDocs

DECEMBER 6, 2024

McGraw Hill; 2016. Hernandez SH, Nelson LS. In: Tintinalli JE, Stapczynski J, Ma O, Yealy DM, Meckler GD, Cline DM. Tintinallis Emergency Medicine: A Comprehensive Study Guide, 8e. & Rangan, C. Iron Poisoning: A Literature-Based Review of Epidemiology, Diagnosis, and Management. Pediatric Emergency Care, 27 (10), 978-985.

Poisoning 98

Poisoning Fluid Resuscitation Seizures Resuscitation 98

The Skeptics' Guide to EM

JANUARY 27, 2024

He is also an assistant medical director for EMS at the Centre for Paramedic Education and Research in Hamilton, Ontario, Canada. Compare that previously mentioned 40-patient study to the 2016 Canadian study by Robichaud et al which was 22 times larger (n=1,004) than the Ferguson study [5].

Administration 127

Administration Academics EKG/ECG EMS 127

EMergucate

MAY 30, 2016

ANZCOR Cardiac Arrest Flowchart Reviewed: 16 August, 2016

EMS 40

EMS 40

RebelEM

SEPTEMBER 9, 2024

Philadelphia, PA: Wolters Kluwer; 2016:27–54. Rezaie, MD (Twitter/X: @srrezaie ) The post Rosh Review My EMCert Monthly Question appeared first on REBEL EM - Emergency Medicine Blog. Fleisher & Ludwig’s Textbook of Pediatric Emergency Medicine.

Resuscitation 58

Resuscitation Emergency Department Pediatrics EMS 58

Dr. Smith's ECG Blog

OCTOBER 12, 2024

With EMS, patient had a GCS of 3 and was saturating 60% on room air. He improved to 100% with the addition of non-rebreather, however remained altered and was intubated by EMS with ketamine and succinylcholine. 2016 Nov;34(11):2182-2185. Epub 2016 Aug 27. Lee DH, Walsh B, Smith SW. Am J Emerg Med. doi: 10.1016/j.ajem.2016.08.053.

EKG/ECG 116

EKG/ECG Documentation/Coding Emergency Department COPD 116

Taming the SRU

FEBRUARY 24, 2024

Sometimes even the smallest contributions can make the biggest difference in patient experience and overall ED quality.

Leadership 94

Leadership EMS Pediatrics Stroke 94

Dr. Smith's ECG Blog

APRIL 30, 2024

MY Initial Thoughts on ECG #1: Before delving into specifics of ECG #1 — it's important to appreciate that there is a limit to the amount of voltage that prehospital ECGs in most EMS systems are able to display. This is relevant to interpretation of the initial (EMS) ECG in today's case — as I explain momentarily!

EKG/ECG 108

EKG/ECG EMS CPR Resuscitation 108

RebelEM

NOVEMBER 30, 2023

Studies without IRB approval Studies older than 2016 Intervention: Administration of <30 mL/kg IV crystalloid fluids within three hours of sepsis identification. Limitations: The investigators excluded studies published before 2016, non-English studies, and non-published studies, potentially missing valuable data.

Sepsis 121

Sepsis Fluid Resuscitation Resuscitation Administration 121

PHEM Cast

MARCH 28, 2017

They were interviewed at TraumaCare 2016, TraumaCare 2017 and the BASICS/FPHC Conference 2016. link] Rusty recommended The Howl – EMS Wolfpack podcasts for more on this subject: [link] This is the article written by fire fighter Rob Norman [link] Want to know more about EMDR?

EMS 52

EMS 52

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Written by Pendell Meyers A teenager was involved in a motor vehicle collision and presented to the Emergency Department via EMS altered and potentially critically ill. 2016, April 13). He was intubated for altered mental status. Chest trauma was suspected on initial exam. Here is his initial ECG around 1330: What do you think?

EKG/ECG 115

EKG/ECG Wellness Fractures Emergency Department 115

EMDocs

JANUARY 29, 2024

Authors: Sameer Desai, MD (EM Attending Physician, University of Kentucky); Omar Abbas Ahmed Malik, MBBS (Patients’ Aid Foundation, Jinnah Postgraduate Medical Center) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine in St. 2016 Sep 15;375(11):1033-43. Epub 2016 Jun 8.

Stroke 101

Stroke Outcomes EMS Seizures 101

EMDocs

AUGUST 3, 2023

2016 Jul;54(6):519-22. Epub 2016 Apr 27. PMID: 25133498 Ghannoum M, Kazim S, Grunbaum AM, Villeneuve E, Gosselin S. Massive acetaminophen overdose: effect of hemodialysis on acetaminophen and acetylcysteine kinetics. Clin Toxicol (Phila). doi: 10.1080/15563650.2016.1175006. PMID: 27118496. Bebarta VS, Kao L, Froberg B, et al.

Poisoning 98

Poisoning Seizures Administration Pediatrics 98

Taming the SRU

JUNE 24, 2024

LaFollette is an Associate Professor in Emergency Medicine at the University of Cincinnati and co-editor of TamingtheSRU.com References Adult Bradycardia Algorithm , 2020, cpr.heart.org/-/media/cpr-files/cpr-guidelines-files/algorithms/algorithmacls_bradycardia_200612.pdf. Bektas, Firat, and Secgin Soyuncu. 2090–2093, [link] Moayedi, Siamak, et al.

Advances Cardiac Life Support (ACLS) 90

Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 90

Dr. Smith's ECG Blog

SEPTEMBER 23, 2024

When EMS found her, she was dyspneic and diaphoretic. It is not generally appreciated that that anterior lead ST elevation can sometimes be seen with acute PE ( Zhan et al — Ann Noninvasive Electrocardiol 19(6):543-551, 2014 — and — Omar HR — Eur Heart J: Acute Cardiovascu Care (5(8): 579-586, 2016 ).

EKG/ECG 128

EKG/ECG Ultrasounds Shock EMS 128

EMDocs

JANUARY 17, 2024

When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. Bishop-Freeman SC, Shonsey EM, Friederich LW, Beuhler MC, Winecker RE. 2016 Dec;12 (4):416]. Cardiac Arrest Due to Benzonatate Overdose. Am J Case Rep. 2019;20:640-2. Epub 20190503.

Poisoning 92

Poisoning Seizures Pediatrics EMS 92

JournalFeed

JANUARY 17, 2022

Today, we are talking about race in EM with the authors of a recent op-ed in Annals of Emergency Medicine. We tackle some tough questions about racism and how we can be better allies as EM colleagues. 2016 Jan;99(1):117-24. It’s a special edition of the JournalFeed Podcast. Patient Educ Couns. doi: 10.1016/j.pec.2015.08.012.

EMS 52

EMS Emergency Department 52

EMDocs

JULY 9, 2024

2016 Nov 7;170(11):e162521. Epub 2016 Nov 7. 2016 Mar;16(2):168-74. Gottlieb LM, Hessler D, Long D, Laves E, Burns AR, Amaya A, Sweeney P, Schudel C, Adler NE. Effects of Social Needs Screening and In-Person Service Navigation on Child Health: A Randomized Clinical Trial. JAMA Pediatr. doi: 10.1001/jamapediatrics.2016.2521.

Pediatrics 75

Pediatrics Emergency Department Research Burns 75

The Skeptics' Guide to EM

JUNE 11, 2017

Lancet 2016. Lancet 2016. Guest Skeptic: Dr. Robert Edmonds is an Emergency Medicine staff physician in Newport News, VA and a recent graduate of the University of Missouri-Kansas City EM residency. Lancet 2016. first appeared on The Skeptics Guide to Emergency Medicine.

Stroke 52

Stroke EMS Outcomes 52