Pediatric EM Morsels

AUGUST 11, 2023

Pediatr Emerg Care. The post Perichondritis of the Ear in Children appeared first on Pediatric EM Morsels. PMID: 33251051; PMCID: PMC7686808. Stewart GM, Thorp A, Brown L. Perichondritis–a complication of high ear piercing. 2006 Dec;22(12):804-6. doi: 10.1097/01.pec.0000248687.96433.63. 0000248687.96433.63. PMID: 17198212.

Burns 130

Burns Pediatrics EMS Outcomes 130

Taming the SRU

APRIL 11, 2024

cm is normal Hazard ratio in patients with abnormal TAPSE in normotensive patients is high even though the patient is currently hemodynamically stable Acute vs chronic right heart strain Acute McConnell’s sign: apical hypokinesis with RV free wall hypokinesis Will be present in all causes of increased RV pressure including PE, pulmonary HTN, etc.

Ultrasounds 96

Ultrasounds Pediatrics Hyperthermia / Hypothermia Burns 96

EMDocs

JULY 9, 2024

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Acad Pediatr. Acad Pediatr.

Pediatrics 73

Pediatrics Emergency Department Research Burns 73

Don't Forget the Bubbles

OCTOBER 18, 2024

Midline Compared With Peripheral Intravenous Catheters for Therapy of 4 Days or Longer in Pediatric Patients: A Randomized Clinical Trial. JAMA Pediatr. JAMA Pediatr. 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

ACEP Now

OCTOBER 10, 2024

On physical exam, you notice what appears to be a blister from a burn on her right palm (see photo on cover). When you are done, you tell the mother what you found and ask her if there is any way the child could have been burned. Case Resolution Given the location of the burn, pediatric burn surgery was consulted.

Forensics 40

Forensics Domestic Violence Burns Pediatrics 40

Taming the SRU

SEPTEMBER 15, 2023

ETT onto a fiberoptic scope.

CPR 91

CPR Burns Airway Management Wellness 91

PEMBlog

OCTOBER 17, 2023

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. Patients often describe a sensation of burning or stinging pain rather than itching. Clinical Pediatric Dermatology 5 th ed, Elsevier, 2016, 382-401. This is the second of the four cases.

Urgent Care 69

Urgent Care Burns Pediatrics Emergency Department 69

Medagadget

JULY 25, 2023

Wired or more invasive systems may not be suitable for everyone – for instance, burn patients with damaged skin or infants with a tiny body surface area may not be able to avail of such systems. This latest technology can monitor breathing remotely and may enable multiple patients to be monitored from one base station.

Burns 67

Burns Research Pediatrics 67

Pediatric Education

AUGUST 18, 2024

Known side effects: Pungent breath and body odor Nausea/dyspepsia Allergic reactions Skin irritant and burns (especially if used crushed/cut bulb is used under occlusion) – raw garlic should not be used on any skin surface because of the risk of irritation/burn Drug interference – can possible potentiate the drugs effects (i.e.

Allergic Reactions 40

Allergic Reactions Burns Pediatrics 40

Pediatric Emergency Playbook

DECEMBER 1, 2015

Case 1: Toddler with an oral commissure burn An electrical burn to the angle of the mouth cauterizes superficial bleeding vessels, and hours later the wound becomes covered with a white layer of fibrin, surrounded by erythema. Most patients do well, and the burn heals by secondary intention. J Pediatr Surg. Ericsson KA.

Burns 40

Burns Emergency Department EKG/ECG Shock 40

Taming the SRU

AUGUST 4, 2024

Wound healing is faster with Dermabond compared to sutures, and can be useful as a less-painful technique to repair certain wounds Dermabond differs from non-medicinal superglue because it is sterile, is more flexible, and ultimately less brittle than standard superglue There have been care reports of non-medicinal glue (superglue, nail glue, etc.)

Dislocations 86

Dislocations Emergency Department Documentation/Coding Burns 86

Pediatric Education

JULY 16, 2023

They are common after burns and develop within 3 months of skin injury. In addition to mechanical problems due to their location or size, they often cause pain, tenderness, burning or pruritis. How is burn treatment different than other wounds? D’Alessandro, MD Professor of Pediatrics, University of Iowa

Burns 40

Burns Pediatrics Wellness 40

Medagadget

OCTOBER 31, 2023

This brings us to the burning question: does it work? It’s durable and has a form factor that’s more familiar and comparable to the conventional stethoscopes that most people are used to wielding (such as the Littmann Classic III). In short, yes. It works pretty well, especially with the up-to-40X digital amplification.

EKG/ECG 90

EKG/ECG Burns Wellness Telemedicine 90

Taming the SRU

MARCH 17, 2023

mepivacaine (1-3 h) 1% lidocaine +/- epi (2-3h) 0.25% bupivacaine (2-3 h) 0.25-0.5% mg/kg IV Versed: 0.2 mg/kg IM, 0.2 mg/kg IN (may repeat to max of 0.4 mg/kg IN), 0.2 mg/kg IV Versed: 0.2 mg/kg IM, 0.2 mg/kg IN (may repeat to max of 0.4 mg/kg IN), 0.2

Seizures 40

Seizures Fractures Burns Pediatrics 40

PEMBlog

OCTOBER 2, 2024

In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast , I explore the complexities of gastroesophageal reflux (GER) and gastritis in children and adolescents. Topics covered include: The pathophysiology of GER and GERD in the pediatric population. J Pediatr Gastroenterol Nutr. J Pediatr Gastroenterol Nutr.

Pediatrics 52

Pediatrics Emergency Department Ultrasounds Wellness 52

Pediatric Education

MAY 14, 2023

Patient Presentation A 9-month-old, previously healthy, male came to clinic for followup 2 days after being discharged from the pediatric intensive care unit (PICU). Trauma Burns Chest Inhalation Neurogenic due to increased intracranial pressure. Reexpansion pulmonary edema: review of pediatric cases. Pediatr Crit Care Med.

Pediatrics 40

Pediatrics Infectious Diseases Burns Wellness 40

Pediatric Education

JUNE 16, 2024

She denied any actual pain or burning sensations, nausea, emesis, or abnormal tastes in her mouth. Medical and psychiatric differential diagnoses of pediatric globus sensation: A case study with review discussion. D’Alessandro, MD Professor of Pediatrics, University of Iowa She had no voice changes or hoarseness.

Psychiatric 40

Psychiatric Pediatrics Burns Ultrasounds 40

Pediatric Education

OCTOBER 29, 2023

Common fine particulate matter < 2.5 µm ( PM 2.5 ) sources include the natural sources of biomass burning, coal burning, road and soil dust, sea spray aerosols, wildfire particles, and volcanic dust. D’Alessandro, MD Professor of Pediatrics, University of Iowa Human sources of PM 2.5 2022;19(12):7511. AirNow.gov.

Burns 40

Burns Pediatrics Stroke 40

Pediatric Emergency Playbook

OCTOBER 1, 2015

Increased demand may be temporary, such as in burns, s/p cardiac surgery, or ay prolonged recovery. Pediatr Surg Int (2002) 18: 50-53 DiBaise JK, Scolapio JS. Pediatr Clin N Am 55 (2008) 1343–1358 Garton HJ. Pediatr Clin N Am 51 (2004) 305– 325 Kusminsky RE. Pediatr Clin N Am 55 (2008) 1299–1314 Munck A et al.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

EMDocs

JUNE 25, 2024

Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover the evaluation and management of the patient with a burn injury. Episode 103: Thermal Burn Injury Initial evaluation of thermal burns Range of burn severities and types: minor sunburns to full thickness burns and severe inhalation injury.

Burns 96

Burns Fluid Resuscitation Resuscitation Poisoning 96

Taming the SRU

AUGUST 30, 2023

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. The diagnostic accuracy of fecal calprotectin during the investigation of suspected pediatric inflammatory bowel disease. Notably, PCT is not elevated in noninfectious inflammatory conditions including most rheumatological diseases, gout, SLE, and IBD.

Infectious Diseases 90

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 90

Pediatric EM Morsels

AUGUST 4, 2023

Ganss, 2018) There are additional associations with scoliosis, burn injuries, and spinal cord injuries. (Oka, Oka, 2023) A systematic review linked SMA syndrome to the immediate post-operative period after surgery for scoliosis in pediatric patients, and found the mean days to onset of symptoms was 9. Record, 2015). England, 2021).

Pediatrics 246

Pediatrics Burns Operations Ultrasounds 246

PEMBlog

MAY 15, 2023

An estimated 80% of pediatric syncope is due to autonomic (vasovagal or neurocardiogenic) syncope. 6% of pediatric syncope. References Burns, Ed, et al. “QT Textbook of Pediatric Emergency Medicine. “What is the yield of screening echocardiography in pediatric syncope? ” Pediatrics 105.5

Pediatrics 97

Pediatrics EKG/ECG Emergency Department Burns 97

Downeast Emergency Medicine

MARCH 24, 2021

OVERVIEW Diarrhea is a common complaint for our pediatric patients in the emergency department. Most pediatric diarrhea is not life threatening, and usually is treated with supportive care. However, there are important red flags to consider when assessing a pediatric patient with diarrhea. Pediatr Emerg Care 1997, 13(3):179-182.

Pediatrics 52

Pediatrics Dehydration Emergency Department Wellness 52

Don't Forget the Bubbles

JUNE 30, 2023

Tranexamic acid administration to pediatric trauma patients in a combat setting: the pediatric trauma and tranexamic acid study (PED-TRAX). Effectiveness and safety of tranexamic acid in pediatric trauma: A systematic review and meta-analysis. Safety of Tranexamic Acid During Pediatric Trauma: A Nationwide Database Study.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

EB Medicine

NOVEMBER 1, 2018

Nachi: Each year, in the US, approximately 10,000 patients present with electrical burns or shocks. You’re probably familiar with this concept when you see high voltages arcing through the air without direct contact with the actual electrical source, leading to diffuse burns. Most electrical injuries present with burns to the skin.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

Taming the SRU

JUNE 7, 2023

CPC: Rheumatic Fever - Carbon Monoxide Poisoning - Pediatrics: Toxicology - Combined EM/IM: Competency CPC: Rheumatic Fever WITH Drs.

Poisoning 77

Poisoning EKG/ECG Pediatrics Burns 77

Taming the SRU

MAY 11, 2024

Validity Evidence for a Team-Leading Assessment Tool in Pediatric Emergency Resuscitation Using Video Review (Hartwell et al.) Assessed and provided feedback of pediatric resuscitations based on video review. Developed a tool to help with assessing resident-delivered lectures. Approach - how do we teach learners?

Resuscitation 93

Resuscitation Administration Fluid Resuscitation Research 93

EMDocs

NOVEMBER 27, 2023

Burn center transfer for management of severe exfoliative dermatitis Predictive factors for serious cases have yet to be identified, however allopurinol associated DRESS has a higher associated progression to serious DRESS and death rate. Case Rep Pediatr. and/or N-acetylcysteine (NAC). Am J Emerg Med. 2022;56:1-6. 2013;2013:928910.

EMS 96

EMS Sepsis Burns EKG/ECG 96

Don't Forget the Bubbles

JULY 31, 2023

J Pediatric Infect Dis Soc. A Quest for Better Strategy in Pediatric Intraosseous Placement Using Radiographic Measurements in Patients Younger Than 2 Years. Pediatric Emergency Care March 15, 2023. | The author reviewed this article after having a burning desire to question where the guidance came from! Eur J Pediatr.

Rapid Diagnostic Testing 98

Rapid Diagnostic Testing Resuscitation Emergency Department Pediatrics 98

Pediatric Emergency Playbook

AUGUST 1, 2020

Pediatrics 2011; 128:e741. In: Pediatric Emergency Medicine, Baren JM, Rothrock SG, Brennan JA, Brown L (Eds), Saunders Elsevier, Philadelphia 2008. Pediatr Rev 2007; 28:249. Council on Sports Medicine and Fitness and Council on School Health, Policy statement—Climatic heat stress and exercising children and adolescents.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Stroke Burns Pediatrics 52

EMDocs

OCTOBER 25, 2024

Burn center transfer for management of severe exfoliative dermatitis Predictive factors for serious cases have yet to be identified, however allopurinol associated DRESS has a higher associated progression to serious DRESS and death rate. Provide clear instructions for use and have patient throw it out after 24 hours.

Sepsis 98

Sepsis Burns EKG/ECG EMS 98

Don't Forget the Bubbles

FEBRUARY 5, 2025

E.g. burns, neurosurgery, interventional radiology. Signs of Hypovolaemia Children have approximately 80ml/kg of blood volume; clinical signs of shock may not occur until there has been a loss of more than 20% of circulating blood volume in pediatric trauma. Non-fatal strangulation: in physical and sexual assault. TXA in head injuries.

Domestic Violence 59

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault 59

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

Emergency Medicine Journal , 25 (12), 824-826. The Ten Commandments of Medical Emergency Management for Dentists Pediatric Emergency Medicines Ten Commandments of Pediatric Emergency Medicine Givens T. The Ten Commandments of Pediatric Emergency Medicine. Thieme. Ten commandments of burn management Gupta J L.

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

PEMBlog

JUNE 5, 2024

It was inspired by a hot-off-the-presses publication from the Pediatric Emergency Care Applied Research Network (PECARN) focused on clinical decision rules for cervical spine imaging in children. Leonard JR, Jaffe DM, Kuppermann N, Olsen CS, Leonard JC; Pediatric Emergency Care Applied Research Network (PECARN) Cervical Spine Study Group.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

Pediatric Emergency Playbook

APRIL 1, 2017

11 Beware the “double-ring” sign: this is a button battery13 This is an emergency: the electrolyte-rich mucosa conducts a focal current from the narrow negative terminal of the battery, rapidly causing burn, necrosis, and possibly perforation. Pediatrics. Pediatrics. Pediatr Emerg Care. Eur J Pediatr. 2008.01.013.

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

PEMBlog

APRIL 26, 2023

Listen Gun Violence and Safety (2023) – Brad Sobolewski, MD, MEd – featuring Kit Carney, MD & Kristen Humphrey, MD – PEM Currents: The Pediatric Emergency Medicine Podcast [link] Subscribe Advocacy and education resources Be SMART Campaign Be SMART emphasizes the importance of responsible gun ownership and secure gun storage.

Pediatrics 52

Pediatrics Wellness Poisoning Burns 52