Pediatric EM Morsels

JULY 19, 2024

2022 Sep-Oct;43(5):103582. Epub 2022 Aug 6. 2022 Mar 4;14(3):e22857. Spencer R, Newby M, Hickman W, Williams N, Kellermeyer B. Efficacy of tranexamic acid (TXA) for post-tonsillectomy hemorrhage. Am J Otolaryngol. doi: 10.1016/j.amjoto.2022.103582. 2022.103582. PMID: 35988367. Am J Emerg Med. 2020 Sep;38(9):1943. 2020.01.042.

Airway Management 290

Airway Management Pediatrics Wellness Operations 290

Pediatric EM Morsels

JULY 21, 2023

Jain 2022] Now used for critically ill trauma and medical patients in >75 countries. Jain 2022] Now used for critically ill trauma and medical patients in >75 countries. Jain 2022] Glasgow Coma Scale in Children – How do you perform it correctly?

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Ken Grauer, MD

MAY 20, 2023

In the October 15, 2022 post of Dr. Smith's ECG Blog — Drs. Smith and Meyers in their October 15, 2022 post on Precordial Swirl. Figure-3: Selected sets of V1,V2 leads from the examples of Precordial Swirl provided in the October 15, 2022 post in Dr. Smith's ECG Blog. What is P recordial S wirl ?

EKG/ECG 361

EKG/ECG Wellness 361

Pediatric EM Morsels

JUNE 30, 2023

PMID: 28050458 Salerno M, Sessa F, Cocimano G, Roccuzzo S, Esposito M, Pomara C. Congenital Cystic Adenomatoid Malformation (CCAM) Type II: A Rare Case of Sudden Infant Death. Dec: 9 (12): 1830. link] PMID: 36553274 The post Congenital Pulmonary Airway Malformation (CPAM) appeared first on Pediatric EM Morsels.

Ultrasounds 284

Ultrasounds Pediatrics Operations EMS 284

Ken Grauer, MD

MAY 31, 2024

The October 21, 2022 post — for " artifactual VT". The April 6, 2023 post — excessive baseline artifact misdiagnosed as AFib ( instead of sinus rhythm with AV Wenckebach — as in Figure-4 in this post ). The March 17, 2023 post — for PTA. The January 17, 2023 post — for PTA. The November 10, 2020 post — for PTA.

Shock 414

Shock EKG/ECG Seizures 414

Pediatric EM Morsels

MARCH 1, 2024

Wojsyk-Banaszak, 2018 ) Mainstay of initial therapeutic management is: ( Wojsyk-Banaszak, 2018 ; Fernando, 2022 ) Prolonged course of IV antibiotics Chest physiotherapy Patients managed with medical strategies (compared to surgical) had lower complication rates and shorter hospitalizations. 2022 Jul;92(7-8):1850-1855. Epub 2022 Jun 9.

Ultrasounds 173

Ultrasounds Pediatrics Operations Hospitals 173

PulmCCM

JANUARY 15, 2025

In 2022, a class-action lawsuit was filed against Apple in New York alleging that the pulse oximeter on Apple Watches was inaccurate in dark-toned patients. 2022 Lawsuit alleges Apple Watch's blood oxygen sensor 'racially biased'; accuracy problems reported industry-wide. ABC News December 29 2022 Morales vs. Apple Inc.

Academics 81

Academics Documentation/Coding Administration Research 81

Pediatric EM Morsels

JUNE 2, 2023

Allergy Asthma Clin Immunol 18, 54 (2022). Food protein-induced enterocolitis syndrome in a tertiary pediatric center: safety of guideline-conforming food challenges. link] The post Food Protein Induced Enterocolitis Syndrome (FPIES) appeared first on Pediatric EM Morsels.

Dehydration 193

Dehydration Shock Pediatrics Emergency Department 193

The Trauma Pro

JULY 23, 2024

Legal Medicine, Volume 54, 101996, 2022. Only they can appreciate the nuances and reconstructive needs of this injury. Reference: Mechanism of transverse fracture of the skull base caused by blunt force to the mandible.

Fractures 264

Fractures 264

Pediatric EM Morsels

SEPTEMBER 22, 2023

Updated 2022 Feb 10]. Updated 2022 Mar 3]. Tenenbein M, Macias CG, Sharieff GQ, et al, eds. In: Strange and Schafermeyer’s: Pediatric Emergency Medicine. 5 th Edition. McGraw Hill Education; 2019:104-109 Dave S, DAHLSTROM JJ. Neurogenic Shock. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.

Shock 304

Shock Pediatrics Dislocations Hyperthermia / Hypothermia 304

The Skeptics' Guide to EM

FEBRUARY 22, 2025

Clinical Chemistry and Laboratory Medicine 2022; 60(5):786-792 Clin Chem Lab Med. 2022 Date: February 21, 2025 Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care Medicine at Mayo Clinic Arizona.

Sepsis 60

Sepsis Infectious Diseases Emergency Department Pediatrics 60

RebelEM

NOVEMBER 6, 2024

2022 Aug 2. Acute elbow dislocation: evaluation and management. J Am Acad Orthop Surg. 1998 Jan-Feb;6(1):15-23. doi: 10.5435/00124635-199801000-00002. PMID: 9692937 Decker N, Norse A. Anterior Elbow Dislocation. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. Simple elbow dislocation. Shoulder Elbow.

Dislocations 114

Dislocations Fractures Soft Tissue Injuries Outcomes 114

EMDocs

NOVEMBER 19, 2024

Published 2022. J Emerg Crit Care Med Vol 6 (October 30, 2022) J Emerg Crit Care Med. Accessed October 23, 2023. Stiff and Twisted. Life In The Fast Lane. Published 2020. Accessed October 23, 2023. Movement Disorder Emergencies. Accessed October 23, 2023. Elgazzar FM, Elgohary MS, Basiouny SM, Lashin HI. Hum Exp Toxicol.

Poisoning 111

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 111

The Trauma Pro

OCTOBER 22, 2024

Scand J Trauma open access 30: article 7, 2022. The information will assist our prehospital colleagues in making the best decisions possible when faced with patients trapped in their cars. Reference: Assessing spinal movement during four extrication methods: a biomechanical study using healthy volunteers.

EMS 264

EMS 264

EMDocs

NOVEMBER 13, 2024

2022 Mar-Apr;12(2):519-532. 2022 Oct;106(4):Online. 2022 Dec 30;14(12):e33124. Performance of Leukocyte Esterase Reagent Strips in the Detection of Spontaneous Bacterial Peritonitis in Cirrhotic Patients: A Systematic Review and Meta-analysis. J Clin Exp Hepatol. Oliveira JC, Carrera E, Petry RC, et al. Am Fam Physician.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Ultrasounds Shock Hospitals 105

EMDocs

JANUARY 25, 2025

Philadelphia, PA: Elsevier; 2022:1-11. 101,33 (2022): e30116. Updated 2022 Nov 14]. Curr Opin Hematol. 2017;24(1):46-53. doi:10.1097/MOH.0000000000000305 0000000000000305 Kazumi Y (2023) The Epidemiology and Outcomes of Leukopenia in Different Populations and Regions. J Blood Disord Transfus. 14:559 Tilahun, M., Gedefie, A.,

EMS 94

EMS Infectious Diseases Allergic Reactions Fluid Resuscitation 94

Pediatric EM Morsels

AUGUST 2, 2024

Balanitis and Balanoposthitis – Basics Terminology [Assim 2022, Dynamedex 2024, Perkins 2024] Balanitis – Inflammation of the glans penis Posthitis – Inflammation of the foreskin (prepuce) Balanoposthitis – Inflammation of both (ouch!)

Pediatrics 154

Pediatrics Allergic Reactions EMS Infectious Diseases 154

PulmCCM

FEBRUARY 27, 2025

2022 Feb;1(2):EVIDoa2100010. Epub 2022 Jan 18. Hammond NE, Zampieri FG, Di Tanna GL, Garside T, Adigbli D, Cavalcanti AB, Machado FR, Micallef S, Myburgh J, Ramanan M, Rice TW, Semler MW, Young PJ, Venkatesh B, Finfer S, Delaney A. Balanced Crystalloids versus Saline in Critically Ill Adults - A Systematic Review with Meta-Analysis.

Resuscitation 95

Resuscitation Outcomes Research 95

ACEP Now

DECEMBER 8, 2024

The Centers for Disease Control and Prevention (CDC) estimates of emergency department (ED) visits for 2022 were recently released. ED visit estimates and utilization rates for 2018 to 2022 are shown in Figure 1. Estimates of Emergency Department Visits in the United States, 2016-2022. Click to enlarge. Augustine JJ.

CDC 52

CDC Emergency Department Hospitals 52

Northwestern EM Blog

FEBRUARY 4, 2025

2022 Mar 2;13:801855. Kratom withdrawal: Discussions and conclusions of a scientific expert forum. Drug and alcohol dependence reports 4. Hofmeister M. Kratom consumption can be addictive and have adverse health effects. Novelty in Clinical Medicine. 1(4): 168-172 5. Kerrigan S, Basilier S. Kratom: A systematic review of toxicological issues.

Seizures 72

Seizures Poisoning Forensics Emergency Department 72

EMDocs

DECEMBER 1, 2024

January 2022. Answer : Murine Typhus Epidemiology: Murine typhus is endemic in several parts of the U.S.: Revisiting doxycycline in pregnancy and early childhood–time to rebuild its reputation? Expert Opin Drug Saf. 2016;15(3):367-82. Food and Drug Administration. Doxycycline Capsules USP. Available at: [link].

EMS 104

EMS Infectious Diseases Shock Airway Management 104

Pediatric EM Morsels

AUGUST 9, 2024

Early Congenital Syphilis Present before 2 years of age [ Hussain, 2023 ; Foles, 2024; Fang, 2022; Morrisroe, 2021 ] Only ~33% of newborns present with symptoms at birth and can be subtle. Congenital Syphilis Epidemiology, Prevention, and Management in the United States: A 2022 Update. 2022 Dec 27;14(12):e33009. PMID: 37604180.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

EMCrit

SEPTEMBER 24, 2022

Where are we on Fluids on 2022? EMCrit Project by Scott Weingart, MD FCCM.

136

136

Emergency Medicine Journal

MARCH 25, 2025

This service evaluation was a case series of paediatric patients with injuries found to be consistent with major trauma self-presenting to an inner-city major trauma centre (MTC) in the UK between 5 August 2020 and 6 May 2022.

Research 52

Research EMS Hospitals 52

Pediatric EM Morsels

NOVEMBER 17, 2023

2022 May 11;10:864766. 2022 Apr;29(4):406-414. Epub 2022 Jan 12. Bibl K, Pracher L, Küng E, Wagner M, Roesner I, Berger A, Hermon M, Werther T. Incidence of Post-extubation Stridor in Infants With Cuffed vs. Uncuffed Endotracheal Tube: A Retrospective Cohort Analysis. Front Pediatr. doi: 10.3389/fped.2022.864766. 2022.864766.

Pediatrics 187

Pediatrics Emergency Department Outcomes Sepsis 187

Pediatric EM Morsels

MARCH 17, 2023

Ahmed 2008, Meyers 2022) Of course, treat any other systemic symptoms (like respiratory failure, hypotension) as you typically would. If you are managing a snake bite from a snake that does not typically reside in the U.S., please utilize other resources and local Toxicology experts for help with management protocols.

CDC 130

CDC Poisoning Pediatrics Shock 130

Pediatric EM Morsels

MARCH 29, 2024

Pediatr Rev (2022) 43 (7): 371–383. Incidence of inborn errors of metabolism in British Columbia, 1969–1996. Pediatrics. 2000; 105:e 10. Inborn Errors of Metabolism: Becoming Ready for Rare. Samantha A. Schrier Vergano. link] The post Rebaked: Inborn Errors of Metabolism presenting in the ED appeared first on Pediatric EM Morsels.

Dehydration 297

Dehydration Pediatrics Sepsis EMS 297

Ken Grauer, MD

APRIL 18, 2023

The April 17, 2022 post ( Leads V1,V2 misplacement ). The May 24, 2022 post ( LA-LL reversal ). The May 26, 2022 post ( LA-LL reversal ). The August 17, 2022 post ( LA-RA reversal ). = The November 19, 2020 post ( LA-LL reversal ). The November 27, 2021 post ( LA-RA reversal ).

EKG/ECG 195

EKG/ECG Wellness 195

Northwestern EM Blog

MARCH 1, 2025

This maneuver improves oxygenation and gas exchange via three main mechanisms (Malhotra, 2022): 1. It is the distending force of the lungs, opposing the innate inward elastic recoil of the lung parenchyma (Neupane and Jamil, 2022). What are the physiologic effects of proning? 2013; Mi et.

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

First 10 EM

JANUARY 15, 2024

I did a pretty thorough review of all COVID antiviral therapies in 2022, both on First10EM and on the EMCases Journal Jam, but that was 2 years ago. We are once again buried in a wave of viral respiratory illnesses, and much of the burden of illness is still COVID.

135

135

Pediatric EM Morsels

JULY 28, 2023

ISPAD Clinical Practice Consensus Guidelines 2022: Diabetic ketoacidosis and hyperglycemic hyperosmolar state. 2022; 23( 7): 835- 856. Nicole Glaser, Maria Fritsch, Leena Priyambada, Arleta Rewers, Valentino Cherubini, Sylvia Estrada, Joseph I. Wolfsdorf, Ethel Codner Glaser, N, Fritsch, M, Priyambada, L, et al. Pediatr Diabetes.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

Pediatric EM Morsels

AUGUST 11, 2023

2022 Sep;68(9):661-663. Coli Proteus species Non-Abscess infection: Staphylococcus aures = the most common Pseudomonas aeruginosa and others still may be seen Perichondritis of the Ear: Presentation Redness , Pain , and Swelling of the pinna Typically spares the lobule ! References: Kim MM, Goldman RD. Can Fam Physician. doi: 10.46747/cfp.6809661.

Burns 130

Burns Pediatrics EMS Outcomes 130

Pediatric EM Morsels

AUGUST 23, 2024

Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport-Amsterdam, October 2022. Br J Sports Med. 2023 Jun;57(11):695-711. doi: 10.1136/bjsports-2023-106898. PMID: 37316210. The post Return to Learn / Return to Sport after Concussion appeared first on Pediatric EM Morsels.

Seizures 281

Seizures Pediatrics Academics Emergency Department 281

Don't Forget the Bubbles

MAY 31, 2023

2023 May 17:archdischild-2022-325280. doi: 10.1136/archdischild-2022-325280. in the Lancet Diabetes and Endocrinology 2022 , stated that an ‘ additional pronounced increase during the COVID-19 pandemic were general phenomena observed in most registries from different countries and continents.’ 2022 Nov 1;10(11):786-94.

Emergency Department 135

Emergency Department Research Documentation/Coding Outcomes 135

Emergency Medicine Journal

JANUARY 21, 2025

Methods This was a single-centre, triple-blind, randomised controlled trial conducted in the ED in Thailand between March 2022 and April 2023. This study compares the treatment outcomes of HDICS as add-on therapy to the outcomes of standard treatment in adult patients with acute asthma exacerbation in the ED.

Hospitals 52

Hospitals Outcomes 52

EMDocs

DECEMBER 19, 2023

Accessed August 25, 2022. Accessed August 25, 2022. McGraw Hill; 2022. Accessed August 25, 2022. Accessed August 25, 2022. Accessed August 25, 2022. Accessed August 25, 2022. Accessed August 25, 2022. Accessed August 25, 2022. Accessed August 25, 2022. Accessed August 25, 2022.[link]

Poisoning 105

Poisoning Seizures Anaphylaxis Burns 105

Emergency Live

APRIL 11, 2024

The findings from Fondazione Gimbe highlight a concerning increase in healthcare expenses for Italian households in 2022, raising serious socio-health questions. Throughout 2022, Italian families had to bear a considerable burden for healthcare expenses.

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