ALiEM

APRIL 10, 2023

Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2021 SAEM Annual Meeting | Copyrighted by SAEM 2021 – all rights reserved. PMID: 14870986. View other cases from this Clinical Image Series on ALiEM.

Pediatrics 98

Pediatrics EKG/ECG Academics Wellness 98

ALiEM

AUGUST 30, 2024

Case Question: What is in the differential diagnosis of a pediatric patient with an anterior neck mass? Case Discussion Take-Home Points Enlarged goiter in the setting of hypothyroidism should be considered in a pediatric patient with a midline lower neck mass. Pediatric neck masses. Pediatr Rev. Free T4 : 0.5 (ref

Pediatrics 64

Pediatrics Ultrasounds Academics Emergency Department 64

ACEP Now

NOVEMBER 14, 2023

But inside these charming historic walls is a research-driven, quaternary-care, academic, medical center. Though they were managing the boarding of admitted ED patients better than many academic medical centers, the increasing boarding burden on top of the surge in daily volume created an urgent need to restructure the ED flow.

Academics 52

Academics Emergency Department Leadership Operations 52

Emergency Medicine Cases

APRIL 9, 2019

Olivia Ostrow, Pediatric Emergency Physician at Hospital for Sick Children, Assistant professor at the University of Toronto and a Medical Safety Leader with an academic focus in quality improvement, discusses a case that exemplifies how indiscriminate work up of pediatric UTI can lead to over-testing, over-treating and even worse outcomes.

Pediatrics 52

Pediatrics Academics EMS Outcomes 52

ALiEM

MARCH 7, 2024

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric renal and bladder ultrasonography. Facts and Literature Review Bladder volume estimation Measuring bladder volume via POCUS in pediatric patients has been studied, demonstrating a benefit on Emergency Department workflow and length of stay (Table 1).

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

The Skeptics' Guide to EM

JULY 17, 2018

Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma. Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma.

Pediatrics 52

Pediatrics Head Injuries Academics Emergency Department 52

Don't Forget the Bubbles

JUNE 30, 2023

But remember – although the academic debate is great fun, don’t let it delay neuro-protective measures while debating the evidence! Tranexamic acid administration to pediatric trauma patients in a combat setting: the pediatric trauma and tranexamic acid study (PED-TRAX). Pediatr Crit Care Med. Erratum in: Lancet.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

The Skeptics' Guide to EM

MAY 7, 2017

He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine simulation […] The post SGEM#177: POCUS – A New Sensation for Diagnosing Pediatric Fractures first appeared on The Skeptics Guide to Emergency Medicine. Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.

Fractures 40

Fractures Pediatrics Ultrasounds Academics 40

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. Clin J Am Soc Nephrol.

Academics 64

Academics Leadership Wellness Research 64

ACEP Now

NOVEMBER 7, 2024

For decades, only one major organization—the American Heart Association (AHA)—provided standardized training and certifications in Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS). Still, all academic programs and health care organizations should recognize both American Red Cross and AHA certifications.

Advances Cardiac Life Support (ACLS) 74

Advances Cardiac Life Support (ACLS) Military CPR Basic Life Support 74

EMDocs

JUNE 9, 2023

If you have restraints in your ambulance, are those restraints appropriately sized for pediatric patients? A truly agitated patient may be better served being stabilized at the nearest hospital rather than longer transport to an academic children’s hospital. Remember that EMS and law enforcement techniques for restraint are different.

EMS 95

EMS Documentation/Coding Pediatrics Psychiatric 95

ALiEM

FEBRUARY 26, 2024

Pediatr Dermatol. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Clinical and therapeutic approach to childhood acne: an update. 2009 Jul-Aug;26(4):373-80. doi: 10.1111/j.1525-1470.2009.00932.x.

Academics 78

Academics Pediatrics Wellness 78

PEMBlog

MARCH 20, 2024

But there are some challenges when it comes to the utilization of FOAM: – Decentralization of FOAM resources – Concerns about the quality of information being presented The Solution: The Systematic Online Academic Resource, or SOAR, review was created in an effort to address some of these limitations. We want to help you learn!

Infectious Diseases 59

Infectious Diseases Pediatrics Academics 59

JournalFeed

APRIL 15, 2023

Ketamine ICP Safety Spoon Feed This retrospective study of thirty-three pediatric patients with severe traumatic brain injury (sTBI) demonstrated no increase in intracranial pressure (ICP) after administration of ketamine.

Academics 52

Academics Pediatrics Operations Emergency Department 52

PEMBlog

MARCH 21, 2024

But there are some challenges when it comes to the utilization of FOAM: – Decentralization of FOAM resources – Concerns about the quality of information being presented The Solution: The Systematic Online Academic Resource, or SOAR, review was created in an effort to address some of these limitations. We want to help you learn!

Infectious Diseases 59

Infectious Diseases Pediatrics Academics 59

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. Read , our disclosure for more info. How does this apply to us?

Academics 52

Academics Pediatrics Outcomes Hospitals 52

Sensible Medicine

JUNE 15, 2024

These essays will be about how institutions, particularly academic medical leaders, fail doctors in training. Orthopedics pays way more than pediatrics whether or not your medical school cost you $400,000 or $0. Let me discuss the ways in which medical school fails students. I won't pull punches. At worst it's irrelevant.

Research 144

Research Wellness Academics Administration 144

ACEP Now

NOVEMBER 7, 2023

The Council consists of members representing ACEP’s 53 chapters, 39 sections of membership, the Association of Academic Chairs of Emergency Medicine, the Council of Emergency Medicine Residency Directors, the Emergency Medicine Residents’ Association, and the Society for Academic Emergency Medicine.

Academics 52

Academics Emergency Department Critical Access Pediatrics 52

Taming the SRU

FEBRUARY 24, 2024

non-invasive positive pressure ventilation and IV nitroglycerin infusion have been shown to reduce morbidity (intubation rates, ICU admission) & mortality.

Leadership 94

Leadership EMS Pediatrics Stroke 94

PEMBlog

MARCH 19, 2024

But there are some challenges when it comes to the utilization of FOAM: – Decentralization of FOAM resources – Concerns about the quality of information being presented The Solution: The Systematic Online Academic Resource, or SOAR, review was created in an effort to address some of these limitations. We want to help you learn!

Infectious Diseases 52

Infectious Diseases Pediatrics Stroke Academics 52

PEMBlog

MARCH 18, 2024

But there are some challenges when it comes to the utilization of FOAM: – Decentralization of FOAM resources – Concerns about the quality of information being presented The Solution: The Systematic Online Academic Resource, or SOAR, review was created in an effort to address some of these limitations. We want to help you learn!

Infectious Diseases 52

Infectious Diseases Pediatrics Academics Hospitals 52

ACEP Now

JANUARY 5, 2025

Finally, in what serves as a bit of idle academic curiosity, a re-examination of the rate of intracranial hemorrhage after thrombolysis found starkly different statistics than those typically used in discussions with patients. Pediatrics. Leyenaar JK, Acquilano SC, Freyleue SD, et al. 2024;154(4):e2024065776.

Sepsis 40

Sepsis Research Airway Management Stroke 40

ALiEM

OCTOBER 7, 2024

Etiology and treatment of pediatric sixth nerve palsy. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Merino P, Gómez de Liaño P, Villalobo JM, Franco G, Gómez de Liaño R. 2010.09.009.

Academics 64

Academics Emergency Department Pediatrics Wellness 64

Don't Forget the Bubbles

MAY 6, 2024

Acad Pediatr. The study included academic NICUs, which may reduce the generalisability of the results. Pediatric Critical Care Medicine , 25 (3), pp.e117-e128. Article 1: Positive urine cultures without pyuria Wang ME, Jones VG, Kane M, et al. 2024;24(1):111-118. doi:10.1016/j.acap.2023.06.023 2023.06.023 What’s it about?

Sepsis 75

Sepsis Pediatrics Outcomes Documentation/Coding 75

EMDocs

JUNE 16, 2023

Pediatric Mental Health Specifically within the pediatric population, there has been a steady rise in mental health concerns and suicide in children. It is also important to recognize that the majority of children seeking ED care are treated at community sites rather than urban, academic institutions.

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

EM SIM Cases

MARCH 14, 2023

This primer on Rapid Cycle Deliberate Practice was written by academic pediatric emergency medicine specialist and simulation guru Dr. Quang Ngo. The Problem Sam is on faculty at an academic pediatric residency program with an interest in simulation enhanced education. Academic Life in Emergency Medicine.

CPR 52

CPR Resuscitation Pediatrics Academics 52

Don't Forget the Bubbles

SEPTEMBER 30, 2024

Relationship between the National ED Overcrowding Scale and the number of patients who leave without being seen in an academic ED. Patients who leave the pediatric emergency department without being seen: a case-control study. Pediatr Emerg Care. Am J Emerg Med. 2005 May;23(3):288–94. Goodacre S, Webster A. Emerg Med J.

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89

ACEP Now

OCTOBER 9, 2024

We understand there are large community hospitals, academic centers and rural hospitals with vastly different resources and needs. However, when a patient walks through the door, they want to know there are resources available for that ED to delivery high quality care.”

Emergency Department 52

Emergency Department Critical Access Geriatric Emergencies Ultrasounds 52

The Skeptics' Guide to EM

JULY 27, 2019

AEM July 2019 * Population: Clinicians (general ED physicians, pediatric ED physicians, advanced care practitioners, internists and pediatricians) at five EDs and four UCCs in three academic health systems who prescribed antibiotics for ARIs.

Urgent Care 52

Urgent Care Emergency Department Academics Pediatrics 52

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

SEPTEMBER 7, 2018

The bottom line was that there seemed to be a knowledge gap when it comes to managing bronchiolitis in the community setting (previous evidence as suggested a knowledge gap also exists in the academic pediatric hospitals).

Dehydration 40

Dehydration Pediatrics Hospitals Academics 40

Taming the SRU

AUGUST 4, 2024

to teach you and your learner something new on shift skin adhesives WITH dr. hill Dermabond is a polymer (octyl cyanoacrylate) that can be used to repair lacerations in the Emergency Department faster than sutures, allowing the ED physician to be more efficient.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

Don't Forget the Bubbles

FEBRUARY 19, 2024

Disruption of Daily Life: Excessive gaming can significantly impact academic performance. A study by Chiu, Lee, and Huang (2004) found a negative correlation between the amount of time spent on gaming and academic performance. This can lead to increased anxiety, depression, and a decline in academic performance. Ferguson, C.J.,

Academics 59

Academics Leadership Research Teamwork 59

EM Curious

JULY 24, 2015

Academic Emergency Medicine, 20(6), 584–591. Impact of ultrasound-guided femoral nerve blocks in the pediatric emergency department. Pediatric Emergency Care,30(4), 227–229. doi:10.1111/acem.12154 12154 Cristos, S., Chiampas, G, Offman, R, & Rifenburg, R. Ultrasound-Guided Three-In-One Nerve Block for Femur Fractures.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

EMDocs

OCTOBER 30, 2023

Relative proportions of reported diagnostic indications versus clinical outcomes in a retrospective analysis of all CT imaging in 3 EDs over 1 year at an academic center. A 12% reduction in CECTs performed was recorded after EHR interventions in a large health system encompassing 12 hospitals including academic and community medical centers.

Radiology 92

Radiology Radiology Emergency Department Hospitals 92

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. Pediatr Emerg Care. Let’s take a look at a couple of studies. PMID: 29160002. Ferayorni A, Yniguez R, Bryson M, Bulloch B.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department Academics 52

Pediatric Emergency Playbook

MARCH 1, 2016

Pediatric Massive Transfusion 40 mL/kg of blood products given at any time within the first 24 hours. Fox et al in Academic Emergency Medicine found a sensitivity of 52%; with a 95% confidence interval [CI] = 31% to 73%. Massive transfusion and blood product use in the pediatric trauma patient. Semin Pediatr Surg.

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40