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Congenital Pulmonary Airway Malformation (CPAM)

Pediatric EM Morsels

I know we already know this, but it especially true when you are talking about trying to obtain images on a wiggling fetus somewhere around the size of a banana. Leblanc C, Baron M, Desselas, E, Phan, MH, Rybak A, Thouvenin G, Lauby C, Irtan S. Congential pulmonary airway malformations: state-of-the-art review for pediatrician’s use. Eur J Pediatr.

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Gelastic Seizures: No Laughing Matter

Pediatric EM Morsels

Nicotera, 2024 ] Can have associated autonomic features also: [ Bacus, 2023; Striano, 2017 ] Flushing Pupillary dilation Tachycardia Altered respirations Rare seizure type ~1% of all epilepsies Likely under-reported Ages: Typically seen in children ages 4 to 10 years. 2017 Jun;58 Suppl 2:12-15. Can even become status gelasticus.

Seizures 258
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More On MRI And External Fixators

The Trauma Pro

One paper from 2017 described a retrospective case series from four trauma centers. 2017 Nov;31(11):e375-e380. And thinner materials (narrow pins) result in more current and heating. Will the metal degrade image quality? Thankfully, there is a continuing trickle of evidence that is accumulating to give us some guidance.

Fractures 261
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Food Protein Induced Enterocolitis Syndrome (FPIES)

Pediatric EM Morsels

2017 Jun 27;10:197-207. Michelet M, Schluckebier D, Petit LM, Caubet JC. Food protein-induced enterocolitis syndrome – a review of the literature with focus on clinical management. J Asthma Allergy. doi: 10.2147/JAA.S100379. PMID: 28721077; PMCID: PMC5499953.

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The Role Of Postop CT Scan In Penetrating Trauma

The Trauma Pro

J Trauma 83(4):575-578, 2017. Simple stabs and gunshots that stay away from these areas/structures probably do not need follow-up imaging. Reference: Routine computed tomography after recent operative exploration for penetrating trauma: What injuries do we miss?

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Prehospital: What’s The Best Chest Seal For Sucking Chest Wounds?

The Trauma Pro

J Trauma 83(1):182-189, 2017. Just be aware that vented seals with drainage channels perform much better than those that rely on a one-way valve. Reference: Do vented chest seals differ in efficacy? An experimental evaluation using a swine hemopneumothorax model.

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Back Braces: Are They Really Needed?

The Trauma Pro

J Clin Neurosci 45:33-39, 2017. Listed in 2017, to be completed Nov 2026. Evaluation of postoperative bracing on unstable traumatic lumbar fractures after pedicle screw fixation. Int J Burns Trauma 12(4):168-174, 2022. Is postoperative bracing after pedicle screw fixation of spine fractures necessary? NCT03097081.

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