Pediatric EM Morsels

SEPTEMBER 22, 2023

Most commonly caused by fracture or dislocation of vertebrae. Shunting of blood to the extremities results in thermal dysregulation and subsequent hypothermia. Crystalloid may help, but neurogenic shock may not respond to fluid administration. This leads to descending sympathetic tracts being disrupted.

Shock 304

Shock Pediatrics Hyperthermia / Hypothermia Dislocations 304

EMDocs

JUNE 25, 2024

Most common traumatic injuries are fractures, TBIs, and thoracic or abdominal injuries. For large burns, consider albumin to lower total volume administration and improve urine output. Severely burned patients have impaired thermoregulation and are at risk of hypothermia. Around 5% will have a concomitant injury from trauma.

Burns 94

Burns Fluid Resuscitation Resuscitation Poisoning 94

Don't Forget the Bubbles

MAY 17, 2023

Video laryngoscopy-assisted less-invasive surfactant administration quality improvement initiative. Distribution and pattern of hand fractures in children and adolescents. Increased fracture risk among children diagnosed with attention- deficit/hyperactivity disorder: a large matched cohort study. Strane D, et al. Pediatrics.

Pediatrics 72

Pediatrics X-Ray Interpretation Sepsis Fractures 72

Dr. Smith's ECG Blog

NOVEMBER 25, 2022

This appears to be immediately beneath the sternal fracture. However, his cardiac MRI shows scar that is also possibly associated with his sternal fracture given his location. At this point, recommend a short-term follow-up cardiac MRI tailored to evaluation of the right ventricle, in a few days after patient recovery.

EKG/ECG 52

EKG/ECG Fractures Hyperthermia / Hypothermia Wellness 52

Taming the SRU

AUGUST 25, 2023

doxycycline Consider a splint/cast window to allow direct monitoring mainly used for fracture blisters and/or open wounds yet takes away from the strength of the splint/cast Case #3 43yo with FOOSH injury and closed wrist deformity, yet no x-ray machine is available to you Least likely injuries to need an x-ray in a resource-limiting setting?

Seizures 75

Seizures Fractures EKG/ECG Resuscitation 75

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