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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. .” Published 2022 Sep 15. Broselow does not.

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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

A critical MORSEL is that every child you treat for DKA needs to have an initial thorough neuro exam including cranial nerves and then frequent neuro reassessments … and document it ( so your colleagues who take over care for the kid can know if there has been a change )! 2022; 23( 7): 835- 856. Pediatr Diabetes. doi: 10.1111/pedi.13406

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A First Look at Emergency Department Data for 2022

ACEP Now

The performance of EDs in 2020 and into 2021 changed abruptly, and that carried through into 2022. ED leaders worked to develop new physician documentation and coding guidelines that needed to be implemented at the beginning of 2023. percent in 2022, compared to 2.7 percent in 2019.

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Travel-Related Illnesses in Children

Pediatric EM Morsels

In one ED study, ALL cases of missed travel-related illness did not have a documented travel history in their ED note , whereas 90% of the identified travel-related illnesses had a provider documented travel history (Greenky 2022) Those who are visiting friends and relatives (VFR) are typically at highest risk. Am J Emerg Med.

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Rethinking Fluid Resuscitation in Vaso-Occlusive Crisis: Is Lactated Ringer’s the Superior Choice?

RebelEM

Reliance on ICD-10 and billing codes: Because this study was performed retrospectively using a national database, data on eligibility, types and quantity of fluid received, and patient outcomes were all assessed using ICD-10 and billing codes.

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Nonsurgical Admissions And The Nelson Score

The Trauma Pro

To take some of the variability out of the decision-making process for admitting service, two surgical groups on Long Island created a scoring system that incorporated several parameters described in the ACS Optimal Resource Document (Orange book). Am Surg, 88(7), 1537-1540, 2022. Journal of Trauma Nursing, 25 (3), 192-195, 2018.

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The DIMPLES study

Don't Forget the Bubbles

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.