PEMBlog

APRIL 24, 2024

Pediatric strokes are rare and challenging to diagnose. There is a validated Pediatric Stroke Scale from the NIH that can be used in conjunction with a stroke protocol that involves Neurology, Radiology, and a local/regional Stroke Team. Early consultation with a pediatric hematologist and neurologist is mandatory.

Stroke 59

Stroke Pediatrics Blood Transfusions Radiology 59

EMDocs

DECEMBER 6, 2024

Ferrous sulfate tablets are radiopaque and can be visualized on radiographs, however not all preparations are radiopaque (pediatric chewable and liquid preparations). Blood transfusion for clinically significant blood loss. Arch Pediatr Adolesc Med. Pediatric Emergency Care, 27 (10), 978-985. Tenenbein M.

Poisoning 94

Poisoning Fluid Resuscitation Seizures Resuscitation 94

Taming the SRU

MAY 30, 2023

Comiskey Hyperammonemia 10% of of patient presenting with hepatic encephalopathy do not have elevated ammonias Most commonly seen in adults is secondary to liver dysfunction with cirrhosis or portal venous system shunting.

OB/GYN 52

OB/GYN Ultrasounds Pediatrics Resuscitation 52

Don't Forget the Bubbles

OCTOBER 28, 2024

Studies involving children have shown mixed results regarding the data on transfusion ratios. recent systematic review on pediatric patients found no clear mortality benefit for using either a high/balanced or low/unbalanced transfusion ratio. In practice, achieving a balanced 1:1:1 transfusion ratio can be challenging.

Blood Transfusions 72

Blood Transfusions Hyperthermia / Hypothermia Shock Pediatrics 72

The Trauma Pro

DECEMBER 10, 2024

The only exception is pediatric patients, who seem to clot these on their own. If you have a patient with a spleen or liver injury that has contrast extravasation or a pseudoaneurysm, consider this a patient that needs hemorrhage control by interventional radiology under Standard 4.15

Blood Transfusions 147

Blood Transfusions Radiology Radiology Emergency Department 147

Taming the SRU

JUNE 6, 2023

mg/kg of IBW Seek to match a patient's minute ventilation with TV and RR after intubation Intentionally match patient's intrinsic RR noted prior to intubation Note that healthy lungs can handle 8 mL/kg, based on IBW, if that is useful for compensation Secure your ETT Thomas Tube Holder is a new ETT holder on Air Care for ETT down to size 6.5

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64