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. Arch Argent Pediatr. 2017 Sep;49(3):223-226. Epub 2017 May 23. Pediatric Acute Hematogenous Osteomyelitis. J Pediatr Orthop. doi: 10.1097/INF.0000000000000597.

Infectious Diseases 104

Infectious Diseases Pediatrics Emergency Department Hospitals 104

Don't Forget the Bubbles

SEPTEMBER 20, 2023

Pediatric Abdominal X-rays in the Acute Care Setting – Are We Overdiagnosing Constipation? Are We Using Abdominal Radiographs Appropriately in the Management of Pediatric Constipation? Pediatric abdominal radiograph use, constipation, and significant misdiagnoses. Pediatr Emerg Care. J Pediatr Gastroenterol Nutr.

Pediatrics 133

Pediatrics Emergency Department Radiology Radiology 133

Advanced Emergency Nursing from AENJ

OCTOBER 8, 2017

​ Emergency Nursing Week 2017 Throughout human existence, a need for 'emergency nursing' has always existed. No Author) (2017) Emergency Nurses Week. Whether provided by fellow warriors or caregivers in the family grouping, care for wounds and illness was an ad hoc thing. PDF ] Emergency Nurses Association. (No

Emergency Nursing 40

Emergency Nursing Emergency Department Hospitals Academics 40

The Skeptics' Guide to EM

NOVEMBER 11, 2017

[display_podcast] Date: November 9th, 2017 Reference: Cronin JJ et al. Michael Falk is a Pediatric Emergency Medicine provider who works at Harlem Hospital Center in New York and Children’s […] The post SGEM#194: Highway to the Dexamethasone – For Pediatric Asthma Exacerbations first appeared on The Skeptics Guide to Emergency Medicine.

Pediatrics 52

Pediatrics Emergency Department Hospitals 52

The Skeptics' Guide to EM

SEPTEMBER 30, 2017

[display_podcast] Date: September 26th, 2017 Reference: Kaufman, et al. display_podcast] Date: September 26th, 2017 Reference: Kaufman, et al. In 2016, the American Academy of Pediatrics (AAP) reaffirmed their clinical practice guidelines for the diagnosis and management of UTIs. BMJ April 17. BMJ April 17.

Pediatrics 52

Pediatrics Emergency Department Sepsis Wellness 52

Pediatric EM Morsels

MAY 12, 2023

2017 Mar;24(3):308-314. The post Closed Head Injury – PECARN for < 3 Months: Rebaked Morsel appeared first on Pediatric EM Morsels. PMID: 26297697; PMCID: PMC4680174. Ide K, Uematsu S, Tetsuhara K, Yoshimura S, Kato T, Kobayashi T. External Validation of the PECARN Head Trauma Prediction Rules in Japan. Acad Emerg Med.

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

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. Published 2017 Jul 18. Curr Opin Pediatr. Hip Pain in Pediatrics.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

PEMBlog

MAY 31, 2023

Pediatric Agitation in the Emergency Department: A Survey of Pediatric Emergency Care Coordinators. Acad Pediatr. 2017 Sep;40(3):397-410. Erratum in: West J Emerg Med. 2019 Jul;20(4):688-689. PMID: 30881565; PMCID: PMC6404720. Foster AA, Saidinejad M, Duffy S, Hoffmann JA, Goodman R, Monuteaux MC, Li J. 2023.03.005.

Psychiatric 93

Psychiatric Emergency Department Pediatrics Administration 93

Pediatric EM Morsels

APRIL 7, 2023

There are many conditions that we would like to think belong only to the “ adult patient problem DDx; ” however, as we have discussed several times previously, pediatric patients can experience many “adult conditions” (see, Aortic Dissection , Kidney Stones , and Cholecystitis ). 2017 Jan;26(1):108-115.

Stroke 130

Stroke Pediatrics Seizures Sepsis 130

The Skeptics' Guide to EM

MAY 7, 2017

[display_podcast] Date: May 1st, 2017 Reference: Poonai et al. Acad Emerg Med May 2017. display_podcast] Date: May 1st, 2017 Reference: Poonai et al. Acad Emerg Med May 2017. Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes.

Fractures 40

Fractures Pediatrics Ultrasounds Academics 40

The Skeptics' Guide to EM

OCTOBER 28, 2017

[display_podcast] Date: October 24th, 2017 Reference: Harrison et al. Pediatrics 2017 Guest Skeptic: Dr. Anthony Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. Anthony is also the creator of SketchyEBM.

Pediatrics 52

Pediatrics Documentation/Coding Emergency Department Hospitals 52

Pediatric Emergency Playbook

APRIL 1, 2018

Pediatric Hypertensive Emergencies. Pediatric Hypertension in the Emergency Department. Pediatr Nephrol. Hypertension Canada’s 2017 Guidelines for the Diagnosis, Assessment, Prevention, and Treatment of Pediatric Hypertension. Pediatrics. 2017; 140(3):e20171904 Gilhotra Y et al. Pediatr Neonatol.

Pediatrics 52

Pediatrics Emergency Department 52

EMDocs

JUNE 2, 2023

Pediatric Agitation in the Emergency Department: A Survey of Pediatric Emergency Care Coordinators. Acad Pediatr. 2017 Sep;40(3):397-410. The fourth episode in this series will shift gears and talk about safely transporting children to the ED via prehospital services. Erratum in: West J Emerg Med. 2019 Jul;20(4):688-689.

Psychiatric 91

Psychiatric Pediatrics Emergency Department Administration 91

EMDocs

OCTOBER 9, 2023

2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces. Published 2017 Mar 28.

Basic Life Support 107

Basic Life Support CPR Fractures Emergency Department 107

Sensible Medicine

MAY 28, 2024

In a 2017 Lancet trial , 10,190 personnel from the UK military were randomized to post-deployment depression screening or no screening. The FDA recently approved escitalopram for pediatric generalized anxiety disorder based on an 8-week trial that found the medication increased suicidal ideation 6.5-fold fold (NNH=14, p= 0.01 ).

Military 144

Military Outcomes Psychiatric Wellness 144

Don't Forget the Bubbles

JANUARY 15, 2024

2017 Sep 20. The symptoms in this age group can mimic other common pediatric skin conditions like eczema or diaper rash, leading to potential misdiagnosis. Vancouver If you think it has gone away, read this recent article in the Lancet. Chosidow O, Fuller LC. Scratching the itch: is scabies a truly neglected disease?

Infectious Diseases 101

Infectious Diseases Pediatrics Telemedicine Leadership 101

RebelEM

JANUARY 9, 2024

Pneumonia 2017. Even better would be to see studies comparing one route to the other. Thorax 2007; 62(12): 1102-6. PMID: 17567657 Rae N et al. Oral versus intravenous clarithromycin in moderate to severe community-acquired pneumonia: an observational study. PMID: 28702304 Rojas MX, Granados C. Cochrane Database Syst Rev 2006(2).

Infectious Diseases 98

Infectious Diseases Pediatrics EMS Administration 98

Taming the SRU

JULY 3, 2023

Pediatrics 2022;150(4). 2017-3068). Keep in mind that, unlike in most of adult medicine, the common practice at some pediatric EDs is to collect only a single blood culture, so there was no discussion in this paper about single specimen growth of possible contaminants like staph epidermidis. 10.1542/peds.2021-055633

Pediatrics 92

Pediatrics Research Outcomes 92

Don't Forget the Bubbles

JULY 24, 2023

Pediatric Radiology. PEDIATRICS. The Journal of Pediatrics. 2017 Oct;38. 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. 1983 Dec 1;58.

Radiology 98

Radiology Radiology Infectious Diseases Pediatrics 98

The Skeptics' Guide to EM

NOVEMBER 18, 2017

[display_podcast] Date: November 11th, 2017 Reference: Sundén-Cullberg et al. Critical Care Medicine 2017. display_podcast] Date: November 11th, 2017 Reference: Sundén-Cullberg et al. Critical Care Medicine 2017. We have covered fever before on the SGEM in pediatric patients.

Sepsis 52

Sepsis Emergency Department Seizures Pediatrics 52

Pediatric Emergency Playbook

FEBRUARY 1, 2020

Pediatric Thermal Burns and Treatment: A Review of Progress and Future Prospects. 2017; 4:91. 2017; 50(1):60-65. Emergency Care of Pediatric Burns. Clinical differences between major burns patients deemed survivable and non-survivable on admisssion. 2015; 46:870-873. Mathis E et al. Osuka A et al. Sebastian R et al.

Burns 52

Burns Pediatrics Shock 52

Don't Forget the Bubbles

NOVEMBER 27, 2023

Clinical Signs to Categorize Shock and Target Vasoactive Medications in Warm Versus Cold Pediatric Septic Shock. Pediatr Crit Care Med. Pediatr Crit Care Med. Don’t Forget The Bubbles. Available at [link] Round J. Inotropes made simple. Paediatric FOAMed. Available at [link] Walker SB, Conlon TW, Zhang B, et al.

Shock 143

Shock Sepsis Fluid Resuscitation Resuscitation 143

Pediatric Emergency Playbook

NOVEMBER 1, 2017

Pediatrics. To scan or not to scan: pediatric minor head trauma in your office, clinic or emergency department. Contemporary Pediatrics. JAMA Pediatr. 2017; 24(3)382-384. Not all minor head trauma is clinically significant. Ann Emerg Med. 2014; 63(6):657-665. Dayan PS et al. 2015; 135(3):504-512. Kupperman et al.

Pediatrics 52

Pediatrics Emergency Department Outcomes 52

EMDocs

AUGUST 22, 2024

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. 8 Nearly four times as likely to provide an incorrect medication dose to their child.

Documentation/Coding 104

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

The Skeptics' Guide to EM

SEPTEMBER 1, 2018

Pediatrics. February 2017 Guest Skeptic: Dr. Simon McCormick is an Emergency Medicine Consultant from Northern Ireland who works in Rotherham Hospital in Yorkshire, England. Pediatrics. Pediatrics. [display_podcast] Date: August 22nd, 2018 Reference: Riskin A, Erez A, Foulk TA, et al.

Pediatrics 52

Pediatrics Resuscitation Emergency Department Hospitals 52

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

ACEP Now

JULY 8, 2023

1 The authors evaluated four parameters for their ability to predict severe illness in the pediatric ED setting: altered mental status, abnormal capillary refill, abnormal peripheral pulses, and cold or mottled extremities. A separate 2017 prospective observational study by de Vos-Kerkhof, et al., References Scott HF, et al.

Pediatrics 52

Pediatrics Poisoning Emergency Department Sepsis 52

Pediatric Emergency Playbook

JULY 1, 2020

Pediatrics. 2017 Jul; 96(30): e7641. Pediatrics 1980; 65:1125. Central Nervous System Manifestations of Childhood Shigellosis: Prevalence, Risk Factors, and Outcome. 1999 Feb;103(2):E18 Lee JY et al. Diagnostic yield of stool culture and predictive factors for positive culture in patients with diarrheal illness.

Poisoning 52

Poisoning Pediatrics Outcomes 52

Don't Forget the Bubbles

NOVEMBER 8, 2023

Pediatrics, 2012. European Journal of Pediatrics, 1996. Diagnostic Accuracy of History, Physical Examination, Laboratory Tests, and Point-of-care Ultrasound for Pediatric Acute Appendicitis in the Emergency Department: A Systematic Review and Meta-analysis. 2017 May;24(5):523-551. Hospital Admitted Patient Care Activity.

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

EMDocs

DECEMBER 2, 2023

2017 Jan 1;135(1):23-28. BMC Neurol 11 , 8 (2011). link] Fang C, Leavitt JA, Hodge DO, Holmes JM, Mohney BG, Chen JJ. Incidence and Etiologies of Acquired Third Nerve Palsy Using a Population-Based Method. JAMA Ophthalmol. doi: 10.1001/jamaophthalmol.2016.4456. PMID: 27893002; PMCID: PMC5462106. Jacobson DM, McCanna TD, Layde PM.

EMS 92

EMS Operations Pediatrics Emergency Department 92

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). J Allergy Clin Immune Tract 2017; 5(5): 1402-9. Without the C1 inhibitor, the plasma-kallikrein-kinin system produces more bradykinin. EBMedicine.net.

Allergic Reactions 104

Allergic Reactions Airway Management Anaphylaxis Emergency Department 104

The Skeptics' Guide to EM

MAY 28, 2017

[display_podcast] Date: May 24th, 2017 Reference: Georgiou et al. Pediatrics 2017. display_podcast] Date: May 24th, 2017 Reference: Georgiou et al. Pediatrics 2017. Pediatrics 2017. Efficacy and Safety of Nonoperative Treatment for Acute Appendicitis: A Meta-analysis.

Pediatrics 40

Pediatrics Operations Emergency Department Ultrasounds 40

Advanced Emergency Nursing from AENJ

NOVEMBER 27, 2017

On November 6 th , 2017, it was announced in the journal Circulation of the American Heart Association , that ILCOR is converting to an annual cycle to minimize delay in effectuating change in recommendations and practices. AHA] 2017 Recommendations—Updated 1. AHA] 2017 Recommendation—Updated 1.

CPR 40

CPR Basic Life Support Resuscitation Pediatrics 40

PHEM Cast

APRIL 16, 2018

EMJ 2017; 34: 860-900. Epidemiology and aetiology of TCA in England… Resuscitation; 110 (2017): 90-94. Survival and neurological outcome after OOH TCA in pediatric & adult populations: a systematic review. Closed chest compressions reduce survival in a model of haemorrhagic-induced traumatic cardiac arrest. Resuscitation.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

The Skeptics' Guide to EM

FEBRUARY 2, 2018

AEM Dec 2017. Guest Skeptic: Dr. Melissa Langhan is an Associate Professor of Pediatric Emergency Medicine at Yale University in New Haven, CT. AEM Dec 2017. Guest Skeptic: Dr. Melissa Langhan is an Associate Professor of Pediatric Emergency Medicine at Yale University in New Haven, CT. AEM Dec 2017.

Pediatrics 40

Pediatrics Ultrasounds Emergency Department Research 40

Don't Forget the Bubbles

SEPTEMBER 30, 2024

examined 977,907 first-time ED presentations by children aged 0-15 across thirteen acute hospital trusts (between April 2014 and March 2017), trying to figure out how many were non-urgent. Patients who leave the pediatric emergency department without being seen: a case-control study. Pediatr Emerg Care. Simpson et al.

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89