Pediatric EM Morsels

JUNE 7, 2024

Difficult vs. Severe Asthma: Definition and Limits of Asthma Control in the Pediatric Population. Front Pediatr. 2018 Jun 19;6:170. The post ReBaked Morsel on Asthma Control – The 2020 NIH Asthma Management Guidelines appeared first on Pediatric EM Morsels. doi: 10.3389/fped.2018.00170. 2018.00170. Clin Med Res.

Pediatrics 208

Pediatrics Emergency Department Wellness EMS 208

ALiEM

AUGUST 9, 2023

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric lung ultrasound. Take the ALiEMU PEM POCUS: Pediatric Lung Ultrasound Quiz Module Goals List indications for performing a pediatric lung point-of-care ultrasound (POCUS). He was admitted to the pediatric intensive care unit. Pediatrics.

Ultrasounds 98

Ultrasounds Pediatrics Emergency Department Operations 98

Pediatric EM Morsels

JUNE 9, 2023

Acute Esophageal Variceal Bleeding: Basics Pediatric liver disease may be due to numerous causes. Banc-Husu, 2023 ] Cholestastis Inflammatory conditions Genetic and Metabolic diseases Pediatric cirrhotic liver disease has many complications. Carneiro de Moura, 2018 ] Seen in 57% of cohort. J Pediatr Gastroenterol Nutr.

Pediatrics 154

Pediatrics Head Injuries Airway Management Administration 154

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. first sign of MS).

Pediatrics 143

Pediatrics EMS Outcomes 143

Pediatric EM Morsels

NOVEMBER 17, 2023

A single cadaveric study from the 1950s showed that the pediatric subglottic space approximated a circular funnel with the narrowest portion at the cricoid level This study included only 15 children aged 4 months–14 years But why was this a problem? Front Pediatr. Cuffed endotracheal tubes in pediatric intensive care.

Pediatrics 187

Pediatrics Emergency Department Outcomes Sepsis 187

ACEP Now

JANUARY 5, 2025

Int J Pediatr Otorhinolaryngol. Anesthetic management of the pediatric bleeding tonsil. Published August 6, 2018. Post tonsillectomy hemorrhage: who needs intervention? 2015;79(2):165-169. Fields RG, Gencorelli FJ, Litman RS. Paediatr Anaesth. 2010;20(11):982-986. Morgenstern J. Massive hemorrhage post-tonsillectomy.

Airway Management 98

Airway Management Operations Resuscitation Pediatrics 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

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

Pediatric EM Morsels

AUGUST 18, 2023

Jackson 2016) A systematic review of safety data for over 16000 pediatric patients did show MAEs were the most frequently reported event. 451 pediatric patients were included. Wirth 2018) One study including 4.4 Meesters 2018) Resistance is growing (likely from inappropriate / overuse)! Pediatrics. Clin Pediatr.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

The Skeptics' Guide to EM

JULY 17, 2018

[display_podcast] Date: July 16th, 2018 Reference: Gupta M et al. Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma. AEM July 2018 Guest Skeptics: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.

Pediatrics 52

Pediatrics Head Injuries Academics Emergency Department 52

MEDEST118

MAY 14, 2024

Skeletal development of the proximal humerus in the pediatric population: MRI features. 2018 Sep;5(3):208-209. AJR Am J Roentgenol. 2014 Feb;202(2):418-25. doi: 10.2214/AJR.13.10711. PMID: 24450686. Reid C, Fogg T, Healy G. Deformation of a humeral intraosseous catheter due to positioning for thoracostomy. Clin Exp Emerg Med.

Pediatrics 81

Pediatrics 81

Pediatric EM Morsels

JULY 7, 2023

Cunningham, 2018 ] Account for less than 1% of all knee injuries. Epub 2018 Apr 19. The post Proximal Tibiofibular Joint Dislocation in Children appeared first on Pediatric EM Morsels. The PTF joint is inherently stable with good ligamentous support, especially when the knee is in extension. Emerg Med Australas. PMID: 29671944.

Dislocations 143

Dislocations Fractures Pediatrics EMS 143

EM Literature of Note

SEPTEMBER 13, 2024

These are each awful, of course, in their own way from a patient- and parent-oriented standpoint, but they’re also quite awful at the population level, overburdening limited pediatric and emergency department resources. “Nirsevimab and Acute Bronchiolitis Episodes in Pediatric Emergency Departments” [link] Tweet

Emergency Department 87

Emergency Department Pediatrics Administration Wellness 87

EMDocs

JANUARY 11, 2025

Pediatric Emergency Care 34(9):p e159-e160, September 2018. | Fecal Impaction and Nonperforated Stercoral Colitis: Red Flags for Poor Outcomes. Cureus, 15(7), e41705. link] Proulx, Erik MD * ; Glass, Casey MD . Constipation-Associated Stercoral Colitis. DOI: 10.1097/PEC.0000000000001600 Levine, Brian J. EMRA Antibiotic Guide.

EMS 94

EMS Sepsis Shock Fluid Resuscitation 94

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 70

Pediatrics Emergency Department Research Burns 70

Pediatric EM Morsels

MAY 5, 2023

Adults are one thing, but how does that translate to our growing, developing pediatric patients? 2018 Dec 20;11(1):5. Lemale J, Mas E, Jung C, Bellaiche M, Tounian P; French-speaking Pediatric Hepatology, Gastroenterology and Nutrition Group (GFHGNP). Arch Pediatr. doi: 10.3390/nu11010005. 2019 Oct;26(7):442-450.

Pediatrics 130

Pediatrics Documentation/Coding EMS 130

Don't Forget the Bubbles

JUNE 14, 2023

Ben Symon is a pediatric emergency medicine physician. Echoing Vic Brazil , in her talk from 2018, he reminds us that tribalism is still rife in our healthcare system and that we are all complicit in the othering that takes place in tea rooms and in elevators every day.

Pediatrics 135

Pediatrics Hospitals 135

Pediatric EM Morsels

AUGUST 9, 2024

Foles, 2024 ] In the US, from 2013-2018, cases increased from 362 to 1,306. The post Congenital Syphilis appeared first on Pediatric EM Morsels. Worldwide, congenital syphilis complicates about 1 million pregnancies / year. Hussain, 2023 ] Leads to >300,000 perinatal deaths / year globally. A case of congenital syphilis.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

Don't Forget the Bubbles

JUNE 30, 2023

published in 2018, looked at 1900 matched pairs of injured children under 12, half of whom received TXA. Tranexamic acid administration to pediatric trauma patients in a combat setting: the pediatric trauma and tranexamic acid study (PED-TRAX). Safety of Tranexamic Acid During Pediatric Trauma: A Nationwide Database Study.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

All Ohio EM

JANUARY 14, 2019

What about in a pediatric patient? Your main clientele is just starting to wake up and your coffee is running out when you get an EMS encode for a pediatric patient found ejected from high speed, head-on MVC. It is likely that only level 1 pediatric trauma centers will carry this type of device, so plan to call on your inner MacGyver.

Pediatrics 52

Pediatrics EMS Fractures Ultrasounds 52

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

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

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. 2018 May 17;378(20):1888-1897.

Seizures 111

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 111

The Skeptics' Guide to EM

OCTOBER 20, 2018

[display_podcast] Date: October 17th , 2018 Reference #1: Aycock, Westafer et al. Ann Emerg Med 2018 (CRD42017056195) Reference #2: Weisbord SD, Gallagher M, Jneid H, et al; PRESERVE Trial Group. NEJM 2018 (ClinicalTrials.gov NCT01467466.) [display_podcast] Date: October 17th , 2018 Reference #1: Aycock, Westafer et al.

Emergency Department 72

Emergency Department Outcomes Pediatrics 72

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

The Skeptics' Guide to EM

APRIL 27, 2019

NEJM 2018 Guest Skeptic: Dr. Anthony G. 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. NEJM 2018 Guest Skeptic: Dr. Anthony G. Background: We have covered many pediatric topics with you on the SGEM.

Pediatrics 40

Pediatrics Dehydration Emergency Department Hospitals 40

Don't Forget the Bubbles

AUGUST 23, 2023

2018) “Benefits of using the pause after death in emergency departments: a Delphi study”. 2018) “Sacred Pause Imitative in the ICU: A survey of ICU physicians and nurses”. 2014) “Death of a child in the emergency department” American Academy of Pediatrics. . & Liska, H. Journal of Trauma Nursing. 23 (2), pp. Cunningham T.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

The Skeptics' Guide to EM

DECEMBER 15, 2018

Date: December 13th , 2018 Reference: Murata et al. Pediatrics. 2018 Guest Skeptic: Dr. Damian Roland is a Consultant at the University of Leicester NHS Trust and Honorary Associate Professor for the University of Leicester’s SAPPHIRE group. Date: December 13th , 2018 Reference: Murata et al. Pediatrics.

Seizures 52

Seizures Pediatrics Emergency Department Administration 52

PEMBlog

SEPTEMBER 23, 2024

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. 51,2 (2018): 126-128. 2019, doi:10.1136/bcr-2018-228790 Jafrani, Ryan et al. Intracranial arachnoid cysts: Pediatric neurosurgery update.” Brain tumor research and treatment vol. 12,4 e228790.

Pediatrics 59

Pediatrics Radiology Radiology Research 59

EMDocs

JULY 1, 2023

BMC Pediatrics. 2018; 3: e41-e45. Upon further research in the 1970’s, retrospective data from autopsies of those patients showed coronary aneurysms 5 Pathophysiology: Kawasaki Disease is a vasculitis of medium sized arteries. Rosh Review Website Link FOAMed: [link] [link] [link] References: Noorani, M., Lakhani, N. 2018;18(334).

EMS 84

EMS Infectious Diseases Pediatrics Research 84

The Skeptics' Guide to EM

APRIL 1, 2018

[display_podcast] Date: March 30th, 2018 Reference: Bronzetti et al. February 2018. display_podcast] Date: March 30th, 2018 Reference: Bronzetti et al. February 2018. February 2018. Population: Patients age 1-18 years followed at the pediatric arrhythmology outpatient clinic with SVT.

Pediatrics 52

Pediatrics Emergency Department EKG/ECG Hospitals 52

Don't Forget the Bubbles

AUGUST 28, 2023

doi:10.1136/archdischild-2018-315269 Hammer MM, Miskin N, Madan R, Hunsaker AR. Pediatr Surg Int. Pediatr Surg Int. Pediatric mediastinal lymphoma. Pediatric mediastinal masses. Pediatr Radiol.2022;52(10):1935-1947. Arch Dis Child Educ Pract Ed. 2019;104(6):298-303.doi:10.1136/archdischild-2018-315269

Pediatrics 97

Pediatrics Research Emergency Department Ultrasounds 97

Pediatric Emergency Playbook

FEBRUARY 1, 2020

Pediatric Thermal Burns and Treatment: A Review of Progress and Future Prospects. Emergency Care of Pediatric Burns. 2018; 441-458. Bedside Escharotomies for Burns Classic Paragraph Selected References Mahar PD et al. Clinical differences between major burns patients deemed survivable and non-survivable on admisssion.

Burns 52

Burns Pediatrics Shock 52

Sensible Medicine

AUGUST 7, 2024

A 2015 Nature (Pediatric Research) paper by Nils J. Research by Collett et al (2018) shows that, despite some improvement in PP by 18 months, the deformations persist beyond 36 months. I found no data on how many excess pediatric and craniofacial-specialist visits PP has consumed over the years to rule out craniosynostosis.

CDC 114

CDC Documentation/Coding Research Pediatrics 114

Emergency Medicine Cases

MAY 15, 2018

In anticipation of EM Cases Episode 110 Airway Pitfalls Live from EMU 2018 with Scott Weingart, we have Dr. Shira Brown tell her Best Case Ever of a pediatric trauma patient who required a cricothyrotomy.

Pediatrics 52

Pediatrics EMS Wellness Resuscitation 52

Don't Forget the Bubbles

OCTOBER 25, 2023

Holland JA, Funnell JP, Mittal R , et al How to use lumbar puncture manometry in children [link] [link] Moavero Romina, Sforza Giorgia, Papetti Laura, et al Clinical Features of Pediatric Idiopathic Intracranial Hypertension and Applicability of New ICHD-3 Criteria Frontiers in Neurology , Vol 9 2018 DOI 10.3389/fneur.2018.00819

Pediatrics 124

Pediatrics 124

Don't Forget the Bubbles

JANUARY 29, 2024

2018; 391(10125):1085‐96 Vasquez, A., Pediatric refractory and super-refractory status epilepticus. Cannabidiol in patients with seizures associated with Lennox‐Gastaut syndrome (GWPCARE4): a randomised, double‐blind, placebo-controlled phase 3 trial. The Lancet. Farias-Moeller, R., and Tatum, W.

Seizures 122

Seizures Pediatrics Research Wellness 122