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The Broselow-Luten System

Pediatric EM Morsels

He, along with Dr. Bob Luten, a PEM physician in Jacksonville, FL , designed the Broselow-Luten color-coded length-based system to help estimate a child’s weight, and thereby offload the cognitive burden of medication dosing and choice of equipment sizes in pediatric resuscitations. .” 2019 Jan;22(1):147-156. x exp[0.02

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ECG Blog #366 — Diltiazem didn't work.

Ken Grauer, MD

Figure-2: I've color-coded P waves from Figure-1 according to P wave morphology ( See text ). NOTE: For clarity — I've color-coded P waves in the long lead II rhythm strip according to morphology. The September 30, 2019 post in Dr. Smith’s ECG Blog — for an example of “MAT”, but without the tachycardia.

EKG/ECG 195
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Typhoid Fever in Children

Pediatric EM Morsels

(Forster, 2021) Transmission is by Fecal-Oral route (Chiodini 2018) Incubation period 6-30 days after exposure (Chiodini 2018) Salmonella typhi produces an endotoxin although its clinical significance is not yet well understood (Gibani 2019) Two typhoid vaccines are available for those > 6 m/o and are 50-80% effective. Lancet Infect Dis.

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Four patients with chest pain and ‘normal’ ECG: can you trust the computer interpretation?

Dr. Smith's ECG Blog

4,5] We have now formally studied this question: Emergency department Code STEMI patients with initial electrocardiogram labeled ‘normal’ by computer interpretation: a 7-year retrospective review.[6] 2019 ; 54 : 79 - 81. have published a number of warnings about the previous reassuring studies.[4,5] J Electrocardiol. Am J Emerg Med.

EKG/ECG 118
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Improving Care for Patients with a Non-English Language Preference (NELP)

EMDocs

13 Interventions may include: Ascertaining a patient’s preferred language early in the clinical encounter (during registration, for instance), and clearly documenting this preference in a place that is visible to all providers. Utilizing certified interpreters and documenting their use. Educating patients on their rights. 45:446-458.

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ECG Blog #388 — Why Does Lead V1 Look Funny?

Ken Grauer, MD

The "good news" — is that we clearly see sinus P waves in ECG #1 , that document conversion to sinus rhythm ( ie, upright P waves in lead II that precede each QRS complex with a constant and normal PR interval ). (NOTE: The filter setting used a 150 Hz high-frequency cutoff. ) When I first saw this ECG — I had more questions than answers.

EKG/ECG 370
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Vegan Diets in Children

Pediatric EM Morsels

2019 Oct;26(7):442-450. Epub 2019 Oct 12. Vegan diet in children and adolescents. Recommendations from the French-speaking Pediatric Hepatology, Gastroenterology and Nutrition Group (GFHGNP). Arch Pediatr. doi: 10.1016/j.arcped.2019.09.001. 2019.09.001. PMID: 31615715.