Broome Docs

NOVEMBER 17, 2024

Early intramuscular adrenaline administration is associated with improved survival from out-of-hospital cardiac arrest. Antibiotic prophylaxis in pediatric dog bite injuries: Infection rates and prescribing practices. Palatinus HN, Johnson MA, Wang HE, Hoareau GL, Youngquist ST. Resuscitation. 2024 Aug;201:110266. 2024.110266.

Resuscitation 61

Resuscitation Administration Radiology Radiology 61

PulmCCM

APRIL 14, 2025

Because SEP-1 was enacted by CMS’s administrative fiat, no randomized trials have been performed before or since to gauge its effectiveness. fluid administration, blood culture and lactate collection, and antibiotics, delivered in the first 3 hours. Five did not report on the association between bundle compliance and mortality.

Sepsis 59

Sepsis Infectious Diseases Administration Shock 59

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

PEMBlog

JUNE 7, 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.

Pediatrics 123

Pediatrics Psychiatric Emergency Department EMS 123

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 97

EMS Sepsis Shock Fluid Resuscitation 97

Don't Forget the Bubbles

OCTOBER 18, 2024

Midlines are preferred over routine peripheral cannulas for IV drug administration lasting more than four days. They are not suitable for CT contrast administration. Midline Compared With Peripheral Intravenous Catheters for Therapy of 4 Days or Longer in Pediatric Patients: A Randomized Clinical Trial. JAMA Pediatr.

Administration 89

Administration Pediatrics Ultrasounds Burns 89

Pediatric Emergency Playbook

AUGUST 1, 2017

Pediatr Rev. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem. Pediatr Surg Int. Eur J Pediatr Surg 2016; 26:192. Pediatrics 1977; 60:457. J Pediatr Gastroenterol Nutr 2008; 46:13. J Pediatr 2005; 146:787. Pediatr Surg Int 2003; 19:439. Pediatr Surg Int 2003; 19:247.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

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. “Nirsevimab and Acute Bronchiolitis Episodes in Pediatric Emergency Departments” [link] Tweet

Emergency Department 87

Emergency Department Pediatrics Administration Wellness 87

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. Acad Pediatr. Erratum in: West J Emerg Med. 2019 Jul;20(4):688-689.

Psychiatric 93

Psychiatric Emergency Department Pediatrics Administration 93

ACEP Now

MARCH 10, 2025

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. For pediatric programs, it is preferred that the medical director be trained as a child abuse pediatrician.

Sexual Assault 52

Sexual Assault Forensics Leadership Pediatrics 52

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

PEMBlog

JUNE 14, 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. Leyenaar; Pediatric Mental Health Boarding. JAMA Pediatr. Pediatrics.

Psychiatric 98

Psychiatric Emergency Department Pediatrics Best Practices 98

Emergency Medicine Cases

MAY 5, 2020

The post EM Quick Hits 18 Conservative Management Pneumothorax, Microdosing Buprenorphine, Practical Use of CRITOE, Canadian TIA Score, Pediatric Surviving Sepsis Guidelines, Safety of Peripheral Vasopressors appeared first on Emergency Medicine Cases.

Sepsis 52

Sepsis Pediatrics EMS Fractures 52

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

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. Atypical neuroleptic malignant syndrome precipitated by clozapine and quetiapine overdose: a diagnostic challenge. Published 2023.

Poisoning 111

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 111

Taming the SRU

SEPTEMBER 20, 2023

EKG QUICK Hits: electrolyte abnormalities - air care grand rounds - pediatric pain and procedural sedation EKG Quick hits: electrolyte abnormalities WITH Dr. Baez Potassium Hyperkalemia Peaked T-waves (there is tall and spiked T-waves, that you “wouldn’t want to sit on”) PR interval increases Widening of the QRS Can lead to a sine wave Hypokalemia (..)

EKG/ECG 78

EKG/ECG Pediatrics Administration Wellness 78

EMDocs

JUNE 2, 2023

Route of administration If the patient is cooperative, offer oral medications first. Pediatric Agitation in the Emergency Department: A Survey of Pediatric Emergency Care Coordinators. Acad Pediatr. If a patient has a PRN on their med list do that! This can give the patient a sense of some control. 2019 Jul;20(4):688-689.

Psychiatric 91

Psychiatric Pediatrics Emergency Department Administration 91

EMDocs

NOVEMBER 6, 2023

Naloxone administration may reverse respiratory arrest, preventing progression to cardiac arrest. Standard advanced life support with the addition of administration of sodium bicarbonate is appropriate for the treatment of life-threatening dysrhythmias caused by cocaine or other sodium channel blockers. COR 2a, LOE B-NR.

Poisoning 115

Poisoning Hyperthermia / Hypothermia Seizures Administration 115

Taming the SRU

NOVEMBER 21, 2023

airway grand rounds - r1 clinical knowledge: heavy metals - consultant corner: acute leukemia - pediatric sim - pediatric cases airway grand rounds WITH dr. carleton Difficult airway algorithm: when should we RSI? While we are often cautious with IVF, volume and rate of fluid administration does not cause cerebral edema.

Pediatrics 92

Pediatrics EKG/ECG Resuscitation Dehydration 92

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. Pediatrics 2021; 147. Diagnostic yield of head CT in pediatric emergency department patients with acute psychosis or hallucinations.

Psychiatric 80

Psychiatric Pediatrics Emergency Department Best Practices 80

Don't Forget the Bubbles

NOVEMBER 27, 2023

Myth busting: Is peripheral administration safe? Adverse events associated with administration of vasopressor medications through a peripheral intravenous catheter: a systematic review and meta-analysis. Clinical Signs to Categorize Shock and Target Vasoactive Medications in Warm Versus Cold Pediatric Septic Shock.

Shock 143

Shock Sepsis Fluid Resuscitation Resuscitation 143

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

EMDocs

JULY 1, 2023

This is the only situation in which aspirin is recommended for administration in children, as the benefits outweigh the risks of Reye syndrome. BMC Pediatrics. Early consultation with a specialist is recommended in these cases 7,8 Workup: Lab tests can support the diagnosis of KD, especially in incomplete KD cases as above. Lakhani, N.

EMS 91

EMS Infectious Diseases Pediatrics Research 91

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 97

EMS Documentation/Coding Pediatrics Psychiatric 97

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

The patient’s symptoms begin to improve after initial intravenous (IV) fluid administration of one litre of 0.9% That was an episode covering the practice changing randomized control trial published in NEJM by Dr. Nathan Kuppermann from the PECARN Team for pediatric DKA [3]. Blood glucose in triage is 489 mg/dl (27.2

Diabetic Emergencies 110

Diabetic Emergencies Operations Hospitals Research 110

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. of asthma visits to 17.3% – and the rates are over double that in children.

Emergency Department 94

Emergency Department Administration Wellness Pediatrics 94

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

ACEP Now

OCTOBER 10, 2024

Between deployments, Dr. McCormick earned his Master of Business Administration from National University and medical degree from Morehouse School of Medicine in Atlanta. Right now, there’s no incentive to get people out of the emergency department by hospital administrators. OTHER EMERGENCY PHYSICIAN CANDIDATES Click to enlarge.

Telemedicine 105

Telemedicine Critical Access Hospitals Emergency Department 105

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

Sensible Medicine

JUNE 15, 2024

They would rather hire more compliance officers and mid-level administrators. Orthopedics pays way more than pediatrics whether or not your medical school cost you $400,000 or $0. For what they pay, you’d think students get more apprenticeship and coaching but they do not. The future incentive is no different.

Research 144

Research Wellness Academics Administration 144

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). Their findings are summarized in periodic releases entitled Focused Updates and Guidelines.

Advances Cardiac Life Support (ACLS) 74

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

RebelEM

JANUARY 9, 2024

Oral administration of antibiotics: a rational alternative to the parenteral route. Read More First10EM: Magical Thinking in Modern Medicine: IV Antibiotics for Cellulitis First10EM: Oral Antibiotics are Equivalent to IV (Again) – The OVIVA Trial References MacGregor RR, Graziani AL. 1997; 24(3):457-67.

Infectious Diseases 98

Infectious Diseases Pediatrics EMS Administration 98

Don't Forget the Bubbles

OCTOBER 2, 2024

Moderate-quality evidence is available for bolus administration of hypertonic saline, while only low-quality evidence supports continuous administration. No studies involving mannitol administration met the foundation’s inclusion criteria. Pediatric Critical Care Medicine. Pediatric Critical Care Medicine.

Administration 49

Administration Pediatrics Outcomes Research 49

The Skeptics' Guide to EM

MAY 4, 2019

Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis. Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis. Background: The study we are going to talk about today comes from PECARN (Pediatric Emergency Care Applied Research Network). Date: April 29th, 2019 Reference: Kuppermann et al.

Pediatrics 52

Pediatrics Dehydration Research Emergency Department 52

AED Leader

MAY 27, 2024

Pediatric Capability Children are not immune to sudden cardiac arrest, and having an AED with pediatric capability is crucial for schools. Look for AEDs with pediatric pads or electrodes specifically designed for children. However, AEDs with pediatric capability can be safely used on children.

CPR 52

CPR Pediatrics Shock Resuscitation 52

The Skeptics' Guide to EM

DECEMBER 15, 2018

Pediatrics. Pediatrics. SGEM#95 covered this paper with Pediatric Super Hero Anthony Crocco. The American Academy of Pediatrics guidelines say “fever, in and of itself, is not known to endanger a generally healthy child. Date: December 13th , 2018 Reference: Murata et al.

Seizures 52

Seizures Pediatrics Emergency Department Administration 52

EMDocs

MARCH 2, 2024

A) Administration of mannitol B) Admission for observation C) Discharge home D) Discharge home with oral steroids Answer: B The patient has a skull fracture with an overlying laceration. Administration of mannitol (A) is indicated for patients with elevated intracranial pressure.  An Pediatr (Engl Ed). 2019 Surg Neurol Int. 

EMS 120

EMS Fractures Seizures Head Injuries 120