Pediatric EM Morsels

SEPTEMBER 22, 2023

To celebrate the end of trauma season ( is it ever really over? ), we here at the Ped EM Morsels Bakery have cooked up a morsel to remind you that pediatric trauma can be even more difficult than you think. McGraw Hill Education; 2019:104-109 Dave S, DAHLSTROM JJ. McGraw Hill Education; 2019:125-138 Ziu E, Mesfin FB. Never fear.

Shock 304

Shock Pediatrics Dislocations Hyperthermia / Hypothermia 304

Pediatric EM Morsels

NOVEMBER 3, 2023

For non-complicated malaria use oral Co ART em. 2019; 17: 98. PMID: 31109328 Forgie EME, Brooks HM, Barton M, Hawkes M. 2019; 47(2): 183–193. PMID: 30666615 The post Imported Malaria appeared first on Pediatric EM Morsels. Treating malaria is an ART! Add oral Primaquine if known to have P. vivax or P. 8 Dec 2022.

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

Pediatric EM Morsels

OCTOBER 27, 2023

2020) The Times & Tapes Are a-Changin’: The Latest Broselow-Luten Tape for EMS , EMS World. 2019 Jan;22(1):147-156. link] The post The Broselow-Luten System appeared first on Pediatric EM Morsels. x exp[0.02 x length or height (cm)] There is a great review article that lists many other weight estimation formulae.

Pediatrics 271

Pediatrics Resuscitation Documentation/Coding Wellness 271

ACEP Now

JUNE 21, 2023

emergency medicine (EM) residency training length has been a decades-long dilemma: four vs. three years. First, is three years enough time to become an EM physician? But critical questions remain unanswered when it comes to specialization, career trajectory, and actual competence as an EM physician. 11 What should we take away?

EMS 114

EMS Academics Telemedicine Operations 114

Pediatric EM Morsels

AUGUST 4, 2023

Okamoto, 2019) Superior Mesenteric Artery Syndrome: Presentation Presenting complaints are often vague but include epigastric abdominal pain, gastric distension, early satiety, and vomiting. Okamoto, 2019) In unable to tolerate PO intake next steps include nasojejunal tube feed or TPN if necessary. Ann Vasc Surg. 76: 514-535.

Pediatrics 246

Pediatrics Burns Operations Ultrasounds 246

Emergency Medicine Cases

DECEMBER 31, 2019

Based on a blend of the number of podcast downloads, webpage views, social media engagement, number of positive emails and comments that I received, and my own favs, I'm pleased to bring you the EM Cases Best of 2019 Top 10. The post EM Cases Best of 2019: Top 10 appeared first on Emergency Medicine Cases.

EMS 52

EMS 52

EMDocs

JUNE 8, 2024

We’ll keep it short, while you keep that EM brain sharp. 2019, wikem.org/wiki/Traumatic_iritis. The post EM@3AM: Traumatic Iritis appeared first on emDOCs.net - Emergency Medicine Education. Practical Pearls for Managing Anterior Uveitis.” Review of Optometry , 15 Jan. Lu, Kevin, et al. Traumatic Iritis.” WikEM , Oct.

EMS 98

EMS Allergic Reactions Poisoning Emergency Department 98

Ken Grauer, MD

DECEMBER 15, 2023

ECG #2 was actually done first, at the time the EMS unit arrived on the scene ( at which time the patient was having severe chest pain ). The January 9, 2019 post in Dr. Smith's ECG Blog ( Please scroll down to the bottom of the page to see My Comment ). Figure-1: The initial ECG in today's case. (

EKG/ECG 371

EKG/ECG EMS Hospitals 371

Pediatric EM Morsels

JULY 21, 2023

We had just received a young child from EMS who was post-ictal with decreased mentation. cats and dogs have their own GCS scores [Lapsley 2019, Ash 2018] Moral of the Morsel Modified can make it Merrier! 2019 Jul;20(7):660-666. 2019 Sep;241:112-118. Epub 2019 Apr 22. 2019 Jul;20(7):682-683. 2019): 478–483.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Dr. Smith's ECG Blog

JANUARY 2, 2025

Dodd KW, Elm KD, Dodd EM, Smith SW. Applying my method to the March 19, 2019 case that I show in Figure-1 the rhythm in this Figure-1 ECG is regular, with an R-R interval just under 4 large boxes. New formula for evaluation of the QT interval in patients with left bundle branch block. Heart Rhythm [Internet]. 2014;11:22732277.

EKG/ECG 116

EKG/ECG Sepsis Wellness Documentation/Coding 116

EMDocs

JUNE 3, 2023

We’ll keep it short, while you keep that EM brain sharp. New York: McGraw-Hill; 2019. 29.8.1550 The post EM@3AM: Cerebellar Stroke appeared first on emDOCs.net - Emergency Medicine Education. A 53-year-old female with a past medical history significant for hypertension presents to the ED with headache and dizziness. 10.1161/01.str.29.8.1550

Stroke 97

Stroke EMS Pediatrics EKG/ECG 97

EMDocs

NOVEMBER 18, 2023

We’ll keep it short, while you keep that EM brain sharp. Published 2019 Dec 27. doi:10.1155/2019/9108903 18) Fang A, Ashwani K. x The post EM@3AM: Liver Transplant Complications appeared first on emDOCs.net - Emergency Medicine Education. Radiol Clin North Am. 1995;33(3):541-558. Case Rep Transplant. 2019;2019:9108903.

EMS 95

EMS Ultrasounds Emergency Department Outcomes 95

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

The Trauma Pro

OCTOBER 1, 2024

What might the impact of ride services on patient transport be for both patient and EMS? Health Econ 28(7)L817-829, 2019. And, of course, some people have used these services for transportation to the hospital instead of an ambulance ride. Ambulance rides are expensive. Depending on region, they may range from $500-$5000.

Ambulance Services 130

Ambulance Services EMS Hospitals 130

ALiEM

JANUARY 5, 2024

2019 Dec 9;21(1):96-101. Read and Listen to the Other EM Match Advice Episodes Blog posts: [link] Author information Sara M. Association of American Medical Colleges. Post-interview Thank-you Communications Influence Both Applicant and Residency Program Rank Lists in Emergency Medicine. West J Emerg Med. doi: 10.5811/westjem.2019.10.44031.

EMS 70

EMS 70

Pediatric EM Morsels

JULY 26, 2024

Epub 2019 Dec 19. The post Anti-NMDA Receptor Encephalitis in Children and Adolescents appeared first on Pediatric EM Morsels. Anti-N-methyl-D-aspartate receptor encephalitis with accompanying ovarian teratoma in female patients from East China: Clinical features, treatment, and prognostic outcomes. 2020 Feb;75:55-62. 2019.12.016.

Psychiatric 271

Psychiatric Seizures Outcomes Pediatrics 271

Pediatric EM Morsels

JULY 7, 2023

Horan, 2006 ] Anatomy of the PTF Joint [ Cunningham, 2019 ] The PTF joint is a synovial joint between the lateral condyle of the tibia and the head of the fibula. Cunningham, 2019 ] Treatment [ Horan, 2006 ] 1st option for Subluxation and Anterolateral Dislocation is Manual Reduction ( similar to reducing that Nursemaid’s Elbow ).

Dislocations 143

Dislocations Fractures Pediatrics EMS 143

The Skeptics' Guide to EM

JANUARY 30, 2019

Date: January 30th, 2019 This is the third annual Canadian EM Wellness Week from CAEP. Day 1: Finessing your Finances in Residency Day 2: You’ve Got A Friend in Me – The Importance of Social Wellness and Being a […] The post SGEM Xtra: CAEP Wellness Week 2019 first appeared on The Skeptics Guide to Emergency Medicine.

Wellness 52

Wellness EMS 52

Emergency Medicine Journal

JULY 22, 2024

Background The outcomes of patients who call an ambulance but are discharged at scene reflect the safety and quality of emergency medical service (EMS) care. Methods This was a retrospective data linkage study on consecutive adult EMS patients discharged at scene by paramedics in Victoria, Australia, between 1 January 2015 and 30 June 2019.

Outcomes 98

Outcomes EMS Hospitals Research 98

All Ohio EM

AUGUST 31, 2018

The leadership of the EM residency programs at Ohio Health Doctors Hospital, Adena Health System, and The Ohio State University are collaborating on the first annual All-Ohio Emergency Medicine Conference in Columbus at the Short North Theatre on January 23, 2019.

EMS 52

EMS Leadership Hospitals 52

Pediatric EM Morsels

JUNE 9, 2023

Specific Therapies for Variceal Hemorrhage : [ Luoto, 2020 ; Castillo, 2019; Garcia-Tsao, 2007 ] Antibiotic prophylaxis (usually for 7 days) Ceftriaxone is reasonable 1st choice. Castillo, 2019 ] Somatostatin (or its analogues, like Octreotide) Guidelines do recommend this… There is great variability in its administration, though.

Pediatrics 154

Pediatrics Head Injuries Airway Management Administration 154

Pediatric EM Morsels

NOVEMBER 17, 2023

2019 Sep;74(9):1186-1190. Epub 2019 Jul 16. The post Cuffed Endotracheal Tubes for Children: ReBaked Morsel appeared first on Pediatric EM Morsels. West J Emerg Med. 2023 Apr 28;24(3):579-587. doi: 10.5811/westjem.59560. PMID: 37278787; PMCID: PMC10284523. Shah A, Carlisle JB. Cuffed tracheal tubes: guilty now proven innocent.

Pediatrics 187

Pediatrics Emergency Department Outcomes Sepsis 187

The Skeptics' Guide to EM

APRIL 4, 2020

Date: April 4th, 2020 It has been just over a year since Dr. Salim Razaie (REBEL EM) and I stepped into the ring for a boxing matched theme debate in Sydney, Australia. It was the EBM rumble down under for SMACC 2019. It was the EBM rumble down under for SMACC 2019. You can see the original SGEM Xtra post from March 2019.

CPR 52

CPR EMS Stroke Hospitals 52

ACEP Now

NOVEMBER 8, 2024

Emergency medical services (EMS) scope of practice is governed by the state, but national scope of practice guidelines are available for the four different EMS provider levels. The guidelines, updated most recently in 2019, note that endotracheal intubation is reserved for paramedics. DOT HS 813 151). Published August 2021.

Airway Management 40

Airway Management EMS Hospitals Administration 40

RebelEM

FEBRUARY 19, 2024

PMID: 34599691 For More Thoughts on This Topic Checkout: REBEL EM: The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults REBEL EM: Are Peripheral Vasopressors Causing Too Many Complications? REBEL EM: Peripheral Vasopressors – Safe or Dangerous? Crit Care Med 2021.

Administration 137

Administration Sepsis EMS Shock 137

ALiEM

MAY 17, 2023

There were 132 (46%) EM residency programs with at least one unfilled PGY-1 position, and there were 554 (18.4%) overall unfilled EM positions. Dr. Sara Krzyzaniak (EM program director at Stanford) hosts this important episode with Dr. Michelle Lin (ALiEM/UCSF), reflecting on the whys, hows, and what nexts. Ann Emerg Med.

EMS 52

EMS 52

Dr. Smith's ECG Blog

MAY 3, 2024

In Figure-1 — I reproduce major points that I've summarized from Dr. Smith's August 9, 2019 post on the subject. Figure-1: Reasons for the varied ECG presentation of acute LMain occlusion — excerpted from Dr. Smith’s 8/9/2019 post ( See text ). Quite literally — You can see almost anything!

Shock 127

Shock EKG/ECG Hospitals EMS 127

Emergency Medicine Cases

MAY 7, 2019

The post EM Quick Hits 4 Acetaminophen Overdose & Warfarin Interaction, Dental Infections, MTP RABT Score, Statins for STEMI, Cricothyrotomy Tips appeared first on Emergency Medicine Cases.

EMS 52

EMS Resuscitation 52

Dr. Smith's ECG Blog

JUNE 21, 2023

EMS was called, and they recorded the following ECG on scene at 13:16: What do you think? In this medical system, the EMS provider can then be routed to the ED or to a type of urgent care facility that is open 24 hrs/day and staffed by a primary care provider. In this case, the EMS provider was routed to the urgent care facility.

Urgent Care 98

Urgent Care EKG/ECG EMS Emergency Department 98

RebelEM

FEBRUARY 1, 2024

What they Did : Investigator-initiated, Multicenter, Parallel-ground, Open-label, Registry-linked, Randomized, Controlled, Non-Inferiority trial 22 Canadian Primary and Comprehensive Stroke Centers from December 2019 to January 2022 Eligible ischemic stroke patients randomized 1:1 to receive intravenous tenecteplase (0.25 vs Alteplase 34.8%

Stroke 135

Stroke Blood Transfusions Outcomes EMS 135

Pediatric EM Morsels

MAY 5, 2023

2019 Oct;26(7):442-450. Epub 2019 Oct 12. The post Vegan Diets in Children appeared first on Pediatric EM Morsels. 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.

Pediatrics 130

Pediatrics Documentation/Coding EMS 130

EMDocs

APRIL 10, 2024

Authors: Alex Rogers, MD (EM Resident Physician, Christus Spohn/Texas A&M University School of Medicine, Corpus Christi, TX); J.D. McGraw Hill Companies, Inc; 2019. doi:10.1136/bcr-2019-233119 Neal JM, Barrington MJ, Fettiplace MR, et al. The American Journal of Emergency Medicine. 2022;59:42-48. doi:10.1016/j.ajem.2022.06.017

Advances Cardiac Life Support (ACLS) 111

Advances Cardiac Life Support (ACLS) Seizures EMS Poisoning 111

RebelEM

SEPTEMBER 7, 2023

BACKGROUND: intracerebral hemorrhage (ICH) makes up 10-15% of all strokes and significantly contributes to overall stroke-related morbidity and mortality ( Hostettler 2019 ). 2019 Jul;19(7):679-694. Epub 2019 Jun 12. 2019 May;68:38-45. appeared first on REBEL EM - Emergency Medicine Blog. Expert Rev Neurother.

Seizures 132

Seizures Stroke Outcomes Research 132

First 10 EM

MAY 27, 2024

Connolly 2019) At that point, I concluded that andexanet alfa should clearly not be used (although our pharmacies didn’t listen and wasted a lot […] The post Andexanet alfa: expensive and harmful?

EMS 119

EMS 119

Pediatric EM Morsels

MARCH 17, 2023

Judge 2019) Best when given within 4 hours of the bite, but still effective within 24 hours Always give an entire vial of antivenom, never a partial vial. Published November 13, 2019. doi:10.1186/1757-1626-1-16 The post Snake Bites and Children appeared first on Pediatric EM Morsels. Am Fam Physician. 2002;65(7):1367-1374.

CDC 130

CDC Poisoning Pediatrics Shock 130

Pediatric EM Morsels

APRIL 7, 2023

The post Sickle Cell Disease and Stroke appeared first on Pediatric EM Morsels. Stroke in patients with sickle cell disease. Expert Rev Hematol. 2013 Jun;6(3):301-16. doi: 10.1586/ehm.13.25. PMID: 23782084.

Stroke 130

Stroke Pediatrics Seizures Sepsis 130

RebelEM

MAY 25, 2023

Lancet 2019. JAMA Surgery 2019. PMID: 36542395 Post Peer Reviewed By: Anand Swaminathan, MD (Twitter: @EMSwami ) The post Trauma Resuscitation Updates appeared first on REBEL EM - Emergency Medicine Blog. PMID: 31461138 Brotfain E et al. PMID: 31623894 Curry N et al. British Journal of Anaesthesia 2015. JAMA Surg 2022.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145