Don't Forget the Bubbles

MAY 6, 2024

Acad Pediatr. Outcomes included clinical status when urine culture was available, subsequent antibiotic treatment within seven days and subsequent UTI within 30 days. The primary outcome was the successful intubation on the second attempt. The study included academic NICUs, which may reduce the generalisability of the results.

Sepsis 75

Sepsis Outcomes Pediatrics Documentation/Coding 75

Taming the SRU

FEBRUARY 24, 2024

ENRICH Trial - the leadership journey - EMS grand rounds - r4 capstone - r1 clinical knowledge - pediatric lecture ENRICH Trial WITH visiting professor Dr. david wright ICH makes up only 10-15% of all strokes yet has a higher mortality than ischemic strokes and SAH Current 2022 AHA/ASA guidelines for spontaneous ICH (prior to ENRICH Trial) minimally-invasive (..)

Leadership 94

Leadership EMS Pediatrics Stroke 94

ALiEM

OCTOBER 30, 2023

Those who take the academic route face unclear promotion expectations, uncertainty about their niche, and a double-whammy of high clinical burden and a tacit expectation that you “prove” your worth as a teacher by taking on more tasks before being rewarded with salary support. And that’s exactly the purpose of a coach.

Academics 64

Academics Leadership Wellness Research 64

SheMD

MAY 18, 2023

There is a shortage of female physicians in academic medicine, which may be contributed to by differences in work-life balance and child rearing. Childbearing leave policies at academic medical institutions may have an impact on gender differences in faculty retention. What were their outcomes: 8.6 How does this apply to us?

Academics 52

Academics Pediatrics Outcomes Hospitals 52

EMDocs

OCTOBER 30, 2023

Background and Context Contrast-enhanced computed tomography (CECT) is of paramount importance in the emergency department (ED) due to its indispensable role in facilitating precise diagnostic outcomes. 3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013. West J Emerg Med. 2017;18(5):835-845.

Radiology 92

Radiology Radiology Emergency Department Hospitals 92

Cook County EM Blog

APRIL 27, 2022

2019.09.007 What : Retrospective cohort study of all droperidol administrations between January 2012 and April 2018 at an academic and pediatric emergency department in the US with 77,000 annual visits. Am J Emerg Med. 2020;38(7):1310-1314. doi:10.1016/j.ajem.2019.09.007 Zero deaths were attributed to droperidol administration.

Administration 52

Administration EKG/ECG Emergency Department EMS 52

The Skeptics' Guide to EM

JULY 27, 2019

There is evidence in both the medical literature and economic theory to support using a package of feedback, nudges and peer comparisons to improve prescribing outcomes. A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings.

Urgent Care 52

Urgent Care Emergency Department Academics Pediatrics 52

PulmCCM

MAY 8, 2023

Read in JAMA Functional outcomes after survival from critical illness , and the constellation of disabilities and dysfunction now termed post-ICU syndrome, are finally getting more attention. Read in JAMA A pediatric critical care physician loses his daughter , Ceci, to an inexplicable illness, and shares his grief in a heart-crushing essay.

Stroke 52

Stroke Blood Transfusions Hospice Anaphylaxis 52

PEMBlog

MAY 11, 2023

Pediatr Emerg Care This randomized, double-blinded, placebo-controlled trial in infants 0-3 months old getting an LP, younger than 3 months, presenting to the ED meeting clinical criteria for LP. The primary outcome was the difference between the Neonatal Faces Coding Scale (NFCS) before the procedure and during LP needle insertion.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department Academics 52

Don't Forget the Bubbles

JANUARY 31, 2024

Patterns and Predictors of Health Care Utilization After Pediatric Concussion: A Retrospective Cohort Study. Academic Pediatrics 2024 24 1 51-58 What’s it about? Effective pre-hospital analgesia contributes to timely ED analgesia, and not having adequate analgesia can contribute to anxiety and poorer outcomes.

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

Don't Forget the Bubbles

SEPTEMBER 5, 2024

Comparing the performance of pediatric weight estimation methods. Obesity is considered a contributing factor for some musculoskeletal outcomes. The main outcome measure was a GP consultation with a recorded musculoskeletal symptom or diagnosis. Front Pediatr. Am J Emerg Med. 2024 Aug;82:26-32. doi: 10.1016/j.ajem.2024.04.053.

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

Taming the SRU

AUGUST 30, 2023

A 2011 meta-analysis in the journal of Academic Emergency Medicine found ESR, CRP, and PCT were not acutely useful in the diagnosis of septic arthritis due to wildly varying sensitivities and specificities between studies. The diagnostic accuracy of fecal calprotectin during the investigation of suspected pediatric inflammatory bowel disease.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

EB Medicine

JULY 8, 2019

Jeff: And while it’s not exactly core EM, we’re going to briefly discuss indications for bariatric surgery, as this is something we don’t often review even in academic training programs. with generally good clinical outcomes including improved quality of life and reducing or staving off comorbidities. 2015;25(4):622-627. 2012;8(1):1-7.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Don't Forget the Bubbles

AUGUST 2, 2023

Early management leads to better outcomes. Children and their families should undergo a psychological assessment to understand and properly address possible individual, familial, social or academic issues. Outcomes of children with complex regional pain syndrome after intensive inpatient rehabilitation. Pain Res Manag.

Psychiatric 98

Psychiatric Pediatrics Outcomes Academics 98

Don't Forget the Bubbles

FEBRUARY 7, 2024

This week, NCEPOD (National Confidential Enquiry into Patient Outcomes and Death) produced a much-anticipated report on how we manage acute testicular torsion in young people. Pediatric radiology , 48 , pp.735-744. Clinical predictors for testicular torsion as seen in the pediatric ED. Journal of Pediatric Urology , 17 (2), pp.190-e1.

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

ACEP Now

AUGUST 1, 2023

As your council officer, I commit to ensuring your voice contributes to the best outcome for our College, our members, EM residents, and our patients. Council Vice Speaker Candidates Kurtis A. If and when differences arise, I have the expertise to bring all sides together while adhering to our governing principles.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

Don't Forget the Bubbles

MAY 3, 2023

Insulin Infusion Dosing in Pediatric Diabetic Ketoacidosis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Results of this study showed that the use of low-dose insulin infusion led to similar clinical outcomes and fewer adverse events compared to the standard-dose insulin infusion. Which way should we go?

CPR 52

CPR Airway Management Emergency Department Resuscitation 52

ACEP Now

AUGUST 25, 2023

The Pediatric Pain Management Standard 1 for children was published this year to provide guidance to health organizations on how to deliver equitable and quality pain management across hospital settings. IN fentanyl has been safely used to treat pain in pediatric patients. It offers a way to deliver analgesia without IV access.3,

Administration 97

Administration Pediatrics Emergency Department Outcomes 97

The Skeptics' Guide to EM

APRIL 6, 2024

He is the designer of Empiric Game, a medical editor and contributor to Pediatrics Reviews and Perspectives (PedsRAP) and the […] The post SGEM #435: Don’t Stop Believing…A Vaccine can Work for RSV first appeared on The Skeptics Guide to Emergency Medicine. This tragic outcome slowed the development of an RSV vaccine for years.

Pediatrics 53

Pediatrics Hospitals Research Academics 53

EMDocs

NOVEMBER 25, 2023

Source Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Am J Hematol. 2023 Apr;98(4):620-627. doi: 10.1002/ajh.26837. Epub 2023 Feb 6. #2:

Sepsis 63

Sepsis Emergency Department Pediatrics Academics 63

Don't Forget the Bubbles

FEBRUARY 24, 2025

However, our true success is measured by how effectively we share knowledge, foster understanding, and improve patient outcomes. Embracing plain language over academic formality doesn’t diminish the profession’s rigour; instead, it reinforces our fundamental purpose. Pediatr Crit Care Med J. Pediatrics.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

Don't Forget the Bubbles

OCTOBER 4, 2023

In the same journal , we learned that in fetuses with transposition of great arteries (TGA), a better prenatal diagnosis led to poorer early postoperative outcomes. A study in Pediatrics revealed that a breath of fresh air (<10°C) works well while we wait for the steroids to kick in. Pediatr Nephrol. Eur J Pediatr.

Pediatrics 111

Pediatrics Fractures Outcomes Research 111

The Skeptics' Guide to EM

NOVEMBER 23, 2024

Study of Pediatric Appendicitis Scores and Management Strategies: A Prospective Observational Feasibility Study. Academic Emergency Medicine. Dec 2024 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine physician at Children’s National Hospital in Washington, DC. Date: November 13, 2024 Reference: Lee WH, et al.

Pediatrics 77

Pediatrics Sepsis Academics Emergency Department 77

Taming the SRU

OCTOBER 31, 2024

Development of a New Screening Tool for Pediatric Septic Shock. Ann Emerg Med 2024; Big Picture Current screening tools for pediatric septic shock and sepsis are highly specific but lack sensitivity. Score ranges from 0-4 points Quick Pediatric Septic Shock Screening Score (qPS4).

Sepsis 72

Sepsis Shock Pediatrics Administration 72

Sensible Medicine

DECEMBER 27, 2024

When my wife and I submitted our rank list for our fellowships (mine in adult cardiology, hers in pediatric hospital medicine), it was hard not to feel very proud. As many of you know, this outcome is far from guaranteed. If you appreciate our work, consider becoming a free or paid subscriber. Share Photo Credit: Mehul Dave

Research 96

Research Academics Teamwork Leadership 96

Sensible Medicine

JULY 28, 2023

I had pored over a website, recommended by my gastroenterologist, on which IBD docs reported their patients’ COVID outcomes stratified by their medication. I also began to feel useful as a physician and an academic. I had given up the virtual clinics in favor of my usual practice.

Hospitals 95

Hospitals PPE Urgent Care Academics 95

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

Don't Forget the Bubbles

JANUARY 4, 2024

Have the UK Pediatric Trauma Protocols resulted in a reduction in chest computed tomography imaging for children presenting with major blunt trauma? Impact of childhood burns on academic performance: a matched population-based cohort study Halim N, Holland AJA, McMaugh A, et al. JACEP Open. 2023; 4:e13041. link] What’s it about?

Burns 129

Burns Academics Hospitals Outcomes 129

Pediatric Education

JANUARY 12, 2025

Endogeneous CS is rare in the pediatric population. Cognitive and emotional regulation has been disrupted by the CS, and therefore it can take a long time for the brain to resolve it (cerebral atrophy has been documented in pediatric patients). Pediatric in Review. Pediatric in Review. A review can be found here.

Pediatrics 40

Pediatrics Academics Fractures Wellness 40

Taming the SRU

FEBRUARY 3, 2025

It is also worth noting that these aggressive hematologic cancers occur more commonly in children and thus the risk of TLS can be higher in the pediatric population6. mg/dl (pediatrics) calcium < 7 mg/dl Clinical Tumor Lysis Syndrome (2) - laboratory TLS + one of the following: cardiac arrhythmia seizure sudden death creatinine > 1.5x

Fluid Resuscitation 56

Fluid Resuscitation Seizures Dehydration Emergency Department 56

Don't Forget the Bubbles

AUGUST 14, 2023

Reviews and opinion articles The urological evaluation and management of neurogenic bladder in children and adolescents-what every pediatric nephrologist needs to know. Patterns in the Development of Pediatric Allergy. Pediatrics. Eur J Pediatr. J Pediatr Gastroenterol Nutr. J Pediatr Gastroenterol Nutr.

Pediatrics 52

Pediatrics Hospitals Emergency Department Outcomes 52

Sensible Medicine

FEBRUARY 6, 2025

Pembrolizumab and Nivolumab came out of nowhere and have dramatically improved cancer outcomes. Universities have abandoned academic pursuits and desperately try to prostitute themselves to Pharma, to acquire enough cash to buy up regional practices, and further their monopoly. The quality of medical students has also improved.

Administration 103

Administration Telemedicine Hospitals Operations 103

Don't Forget the Bubbles

JANUARY 6, 2025

Reviewed by: Mikaeel Jaffer Article 2: Does the duration of pre-hospital CPR affect neurological outcomes? Yasuda M, Amagasa S, Kashiura M, et alDuration of prehospital and in-hospital cardiopulmonary resuscitation and neurological outcome in paediatric out-of-hospital cardiac arrestEmergency Medicine Journal 2024;41:742-748.

Dislocations 59

Dislocations CPR Ultrasounds Resuscitation 59

Sensible Medicine

JUNE 23, 2023

Most concerning, the pregnancy outcomes of those who participated in the trial, and their babies, are still not public today, nearly years later. This recommendation came before a study in the Journal of the American Medical Association (JAMA) Pediatrics discovered vaccine mRNA particles in breast milk. Pfizer never gave us a reason.

CDC 101

CDC Research Academics Administration 101