EM Literature of Note

SEPTEMBER 13, 2024

These are each awful, of course, in their own way from a patient- and parent-oriented standpoint, but they’re also quite awful at the population level, overburdening limited pediatric and emergency department resources. RSV, in particular, is a vicious scourge of young and vulnerable infants.

Emergency Department 87

Emergency Department Pediatrics Administration Wellness 87

ACEP Now

MARCH 10, 2025

You work as the medical director at a suburban, community emergency department (ED). Often, the role and responsibilities are added to the ED medical director job description, though other specialists including family practitioners, obstetricians and gynecologists, and pediatrics may serve as medical directors.

Sexual Assault 52

Sexual Assault Forensics Leadership Pediatrics 52

PEMBlog

JUNE 14, 2023

Thousands of children and adolescents spend days at time in Emergency Departments waiting for definitive mental health disposition. Department of Health and Human Services (HHS) as part of an award (U07MC37471) totaling $3M with 0 percent financed with nongovernmental sources. Leyenaar; Pediatric Mental Health Boarding.

Psychiatric 98

Psychiatric Emergency Department Pediatrics Best Practices 98

EMDocs

JANUARY 11, 2025

A) Administration of IV morphine for pain control B) Admission to general surgery for IV antibiotics C) Discharge home on lactulose D) Emergent surgical consultation for exploratory laparotomy E) Manual disimpaction Correct answer: E Although uncommon, stercoral colitis is a potentially life-threatening complication of chronic constipation.

EMS 94

EMS Sepsis Shock Fluid Resuscitation 94

PEMBlog

MAY 31, 2023

Marianne Gausche-Hill New England EMSC: New England Regional Behavioral Health Toolkit Disclaimer The Emergency Medical Services for Children Innovation and Improvement Center is supported by the Health Resources and Services Administration (HRSA) of the U.S. West J Emerg Med. Erratum in: West J Emerg Med. Acad Pediatr.

Psychiatric 93

Psychiatric Emergency Department Pediatrics Administration 93

EMDocs

DECEMBER 6, 2024

In 1997, the Food and Drug Administration (FDA) mandated unit-dose packaging for all iron-containing products with more than 30 milligrams of elemental iron. Ferrous sulfate tablets are radiopaque and can be visualized on radiographs, however not all preparations are radiopaque (pediatric chewable and liquid preparations). Tenenbein M.

Poisoning 94

Poisoning Fluid Resuscitation Seizures Resuscitation 94

ACEP Now

OCTOBER 11, 2024

Pediatric submersion injuries are one of the leading causes of preventable morbidity and mortality in the pediatric population. Optimally, bystander CPR, including the administration of rescue breaths, should be initiated prior to arrival of emergency medical services. 4 Another study cited only 2.3

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Resuscitation 52

Don't Forget the Bubbles

NOVEMBER 29, 2023

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. Pediatric Endotracheal Intubations for Airway Management in the Emergency Department.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

The Skeptics' Guide to EM

JUNE 17, 2023

Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. She is a Professor of Pediatrics and Interim Chief of the Section of Pediatric Emergency Medicine at the Medical College of Wisconsin.

Emergency Department 74

Emergency Department Pediatrics Head Injuries Administration 74

ACEP Now

JUNE 7, 2023

The preliminary results of the 2022 Emergency Department Benchmarking Alliance performance measures survey found a significant deterioration in patient processing due to inpatient boarding. Preliminary results of the survey are being released to help emergency physicians understand that current challenges are occurring nationwide.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

EMDocs

NOVEMBER 19, 2024

Second-generation antipsychotic medications: Pharmacology, administration, and side effects. Low-dose lipid emulsion for pediatric vasoplegic shock due to quetiapine and fluvoxamine overdose: a case report. J Emerg Crit Care Med Vol 6 (October 30, 2022) J Emerg Crit Care Med. Innov Clin Neurosci. 2018;15(7-8):20-22.

Poisoning 108

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 108

EMDocs

JUNE 2, 2023

Route of administration If the patient is cooperative, offer oral medications first. Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry.

Psychiatric 85

Psychiatric Pediatrics Emergency Department Administration 85

PEMBlog

MAY 17, 2023

Most children who present to Pediatric Emergency Departments these days with mental health concerns – including agitation – have a known psychiatric problem or diagnosis. Department of Health and Human Services (HHS) as part of an award (U07MC37471) totaling $3M with 0 percent financed with nongovernmental sources.

Psychiatric 80

Psychiatric Pediatrics Emergency Department Best Practices 80

EM Literature of Note

AUGUST 25, 2024

A heartening trend for a simpler administration and adherence strategy – and non-inferior, overall, while entirely reasonable to judiciously select a higher-risk patient in whom it might be plausible to prescribe prednisone/prednisolone instead. emergency departments” [link] Tweet

Emergency Department 94

Emergency Department Administration Wellness Pediatrics 94

The Skeptics' Guide to EM

FEBRUARY 25, 2023

Sodium bicarbonate use during pediatric cardiopulmonary resuscitation: a secondary analysis of the icu-resuscitation project trial. Pediatric Crit Care Med. 2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center. Pediatric Crit Care Med.

Pediatrics 52

Pediatrics Hospitals CPR Resuscitation 52

EMDocs

JUNE 9, 2023

These protocols are often developed in collaboration with multiple stakeholders that can include EMS staff and administration, legal counsel, community members, law enforcement. If you have restraints in your ambulance, are those restraints appropriately sized for pediatric patients?

EMS 95

EMS Documentation/Coding Pediatrics Psychiatric 95

Pediatric Emergency Playbook

AUGUST 1, 2017

One of our largest responsibilities in the Emergency Department is sorting out benign from surgical or medical causes of abdominal pain. Abdominal Surgical Emergencies in Children: A Relative Timeline General Advice Neonate (birth to one month) Necrotizing Enterocolitis Pneumatosis Intestinalis. Pediatr Rev. J Emerg Med.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

ACEP Now

JULY 7, 2023

CASE A 30-year-old woman presents to the emergency department with left arm pain from a chronic wound. Since 2020 to 2021, the Drug Enforcement Administration has reported a sharp rise in xylazine use across the U.S., Opioid overdoses involving xylazine in emergency department patients: a multicenter study.

Forensics 98

Forensics Airway Management Emergency Department Administration 98

Taming the SRU

JULY 2, 2023

End-Tidal CO2 monitoring has a variety of uses in the Emergency Department. An abrupt increase in end-tidal is an indicator of the return of spontaneous circulation (however this can also represent recent administration of bicarbonate). Capnography in the emergency department: a review of uses, waveforms, and limitations."

Emergency Department 88

Emergency Department Pediatrics CPR Administration 88

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

Case: A 28-year-old male with a history of type-1 diabetes mellitus presents to the emergency department (ED) with increase in thirst and light headedness. The patient’s symptoms begin to improve after initial intravenous (IV) fluid administration of one litre of 0.9% He is otherwise healthy. Electrolytes show a gap of 21.

Diabetic Emergencies 102

Diabetic Emergencies Operations Hospitals Research 102

The Skeptics' Guide to EM

MARCH 18, 2023

JAMA Pediatr. Guest Skeptic: Dr. Marisu Rueda-Altez is a pediatric infectious disease fellow at Children’s National Hospital in Washington, DC. She is also the […] The post SGEM #397: Give a Little Bit…of Oseltamivir to Pediatric Patients Admitted with Influenza first appeared on The Skeptics Guide to Emergency Medicine.

Pediatrics 40

Pediatrics Infectious Diseases Administration Outcomes 40

ACEP Now

OCTOBER 10, 2024

RICH MCCORMICK, MD, is a veteran and emergency physician who serves Georgia’s 6th Congressional District in the United States House of Representatives. Between deployments, Dr. McCormick earned his Master of Business Administration from National University and medical degree from Morehouse School of Medicine in Atlanta.

Telemedicine 105

Telemedicine Critical Access Hospitals Emergency Department 105

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

Don't Forget the Bubbles

MAY 17, 2023

’, ‘ Who can best score postoperative pain: parents or the children? ’, ‘ Is functional constipation associated with hypohydration? ’, ‘ Who is best at assessing foreign body aspiration on chest X-ray: pediatric pulmonologists, pediatric residents, or radiologists? ’ Eur J Pediatr. Eur J Pediatr. Eur J Pediatr.

Pediatrics 72

Pediatrics X-Ray Interpretation Sepsis Fractures 72

PEMBlog

MAY 24, 2023

Marianne Gausche-Hill New England EMSC: New England Regional Behavioral Health Toolkit Disclaimer The Emergency Medical Services for Children Innovation and Improvement Center is supported by the Health Resources and Services Administration (HRSA) of the U.S. Emerg Med Clin North Am. Emerg Med Australas. 2009.07.003.

Emergency Department 59

Emergency Department Pediatrics Psychiatric Administration 59

EMDocs

JANUARY 17, 2024

She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). The US Food and Drug Administration (FDA) approved benzonatate in 1958 for cough relief in patients ≥ 10 years. 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9)

Poisoning 81

Poisoning Seizures Pediatrics EMS 81

ACEP Now

JULY 8, 2023

1 The authors evaluated four parameters for their ability to predict severe illness in the pediatric ED setting: altered mental status, abnormal capillary refill, abnormal peripheral pulses, and cold or mottled extremities. Dr. Jones is assistant professor of pediatric emergency medicine at the University of Kentucky in Lexington.

Pediatrics 52

Pediatrics Poisoning Emergency Department Sepsis 52

EMDocs

SEPTEMBER 7, 2023

2 Laboratory assays for DEG are not widely available and have long turn-around-times, thus have limited utility in diagnosis in the emergency department. 2 Administration of an alcohol dehydrogenase (ADH) inhibitor, such as fomepizole, is recommended in suspected or known DEG poisoning. O’Brien, Katherine L. JAMA , vol.

Poisoning 84

Poisoning CDC Administration Emergency Department 84

Cook County EM Blog

APRIL 27, 2022

Effectiveness and safety of droperidol in a United States emergency department. Am J Emerg Med. 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.

Administration 52

Administration EKG/ECG Emergency Department EMS 52

The Skeptics' Guide to EM

DECEMBER 15, 2018

Pediatrics. He specialises in Paediatric Emergency Medicine and is a passionate […] The post SGEM#239: Febrile Seizure Recurrence – With or Without You Acetaminophen? first appeared on The Skeptics Guide to Emergency Medicine. Pediatrics. SGEM#95 covered this paper with Pediatric Super Hero Anthony Crocco.

Seizures 52

Seizures Pediatrics Emergency Department Administration 52

ACEP Now

MARCH 12, 2024

ACEP helped make this possible by mobilizing Congress to request HHS action during last year’s Leadership and Advocacy Conference, where emergency physicians from across the country gathered in D.C. This is a daily situation in emergency departments across the country.” to share their concerns directly with elected officials.

Leadership 52

Leadership Emergency Department Pediatrics Research 52

EB Medicine

SEPTEMBER 1, 2018

Jeff: Welcome back to Emplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice. I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta and we’ll be taking you through the September 2018 issue of Emergency Medicine Practice - Emergency Department Management of North American Snake envenomations.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

Don't Forget the Bubbles

OCTOBER 2, 2024

A previously well 6-year-old boy is brought into the emergency department at a major trauma centre via HEMS following a road traffic accident, in which he was hit by a car while crossing the road. No studies involving mannitol administration met the foundation’s inclusion criteria. Pediatric Critical Care Medicine.

Administration 49

Administration Pediatrics Outcomes Research 49

EMDocs

NOVEMBER 27, 2023

A 55-year-old male, with a previous medical history of hypertension, hyperlipidemia, and gout, presents to the emergency department for four days of fever and progressive rash. Am J Emerg Med. Case Rep Pediatr. He denies recent travel or exposure to new skin products, laundry detergents, or pets. 2022;56:1-6.

EMS 91

EMS Sepsis Burns EKG/ECG 91

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. Increased Computed Tomography Utilization in the Emergency Department and Its Association with Hospital Admission.

Radiology 92

Radiology Radiology Emergency Department Hospitals 92

EM Guide Wire

NOVEMBER 2, 2020

of the total visits Average time to administration was 154 minutes 11.1% of patients were able to be discharged home after administration 6.8% Administration of 2 g of IV magnesium sulfate improves pulmonary function when used as an adjunct to standard therapy in patients with very severe, acute asthma. final FEV1 was 51.1%

Pediatrics 52

Pediatrics Anaphylaxis Emergency Department Administration 52

Don't Forget the Bubbles

JANUARY 31, 2024

Article 1: What predicts parental anxiety in the Paediatric Emergency Department? Predictors of parental anxiety in a paediatric emergency department. Emergency Medicine Journal. Patterns and Predictors of Health Care Utilization After Pediatric Concussion: A Retrospective Cohort Study. Martin, S.R.,

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72