Pediatric Emergency Playbook

NOVEMBER 1, 2016

Elbow Interpretation Roadmap: CRITOE More pragmatic and utilitarian than a prosaic mnemonic, CRITOE helps us to remember the order of ossification of the pediatric elbow. If not, assume a fracture-dislocation. J Pediatr Orthop. Pediatrics. Images courtesy of Radiopaedia. Capitellum By age one, the capitellum ossifies.

Pediatrics 52

Pediatrics Fractures Dislocations Radiology 52

Life in the Fast Lane

DECEMBER 10, 2023

Michael Gibbs MD Pediatric Ortho Cases 007 December 2022; Elbow injuries. Pediatric Orthopedic case interpretation with Haley Dusek, Danielle Sutton, and Virginia Casey

Pediatrics 52

Pediatrics Dislocations Radiology Radiology 52

Taming the SRU

JANUARY 24, 2024

fracture of proximal 1/3 of ulna w/ radial head dislocation Management? Keep the memory alive Allow yourself the time and space to grieve Talk to your people & let it all out Remember why you chose this field to begin with Identify some wins to remind yourself it isn’t all bad Be patient with yourself Stay humble R3 Small groups WITH drs.

Fractures 89

Fractures Leadership Dislocations Resuscitation 89

Taming the SRU

FEBRUARY 23, 2024

Clinical pathologic case presentation - r1 diagnostics/therapeutics: Lumbar punctures - AIRWAY GROUND ROUNDS- r4 capstone - r3 taming the sru - ultrasound grand rounds Clinical pathologic case presentation WITH Drs.

Pediatrics 75

Pediatrics Ultrasounds Fractures Wellness 75

Pediatric Education

MARCH 17, 2024

A review of the reduction methods for RHS can be found here Unfortunately, the elbow is the most commonly dislocated joint and can have chronic instability although this is usually due to more significant trauma. Radial head subluxation in pediatric clinics and emergency departments in China. Most (N=76%) had one relapse, 17.8%

Dislocations 40

Dislocations Fractures Pediatrics Urgent Care 40

EMDocs

JULY 11, 2023

Pediatric patients: Post circumcision bleed, head bleeds, bruises. PECARN Pediatric Head Injury/Trauma Algorithm, Canadian CT Head Injury Rule, Ottawa Knee and Ankle Rules) do not apply to those with hemophilia and should not guide management. Fractures and dislocations are indications for full dose factor replacement.

Head Injuries 74

Head Injuries Pediatrics Dislocations CDC 74

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 85

Dislocations Emergency Department Documentation/Coding Burns 85

EM Curious

JULY 24, 2015

Maybe it's dislocated? Impact of ultrasound-guided femoral nerve blocks in the pediatric emergency department. Pediatric Emergency Care,30(4), 227–229. The Case Let's say we do a little time warp, and we are unfortunately six months into the past, stuck in the dredges of frigid winter. Maybe he's broken his hip? Stevenson, M.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

Pediatric Education

APRIL 28, 2024

A review can be found here Related Cases Disease: Cerebral Palsy Symptom/Presentation: Developmental Delay | Extremity Problems | Weakness Specialty: Developmental Disabilities | Neonatology | Neurology / Neurosurgery Age: Infant To Learn More To view pediatric review articles on this topic from the past year check PubMed. JAMA Pediatr.

Seizures 40

Seizures Pediatrics Dislocations Stroke 40

Advanced Emergency Nursing from AENJ

MAY 14, 2017

Fractures and dislocations that are being reduced can produce a snap or click as the parts mesh again. Even the electrocautery pen can induce a little sizzle as it cauterizes or as it perforates a nail with a subungual hematoma. Readers must verify validity to their own practice.

Dislocations 40

Dislocations Emergency Nursing Seizures Fractures 40

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% 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

EB Medicine

NOVEMBER 1, 2018

Mechanical injury can be a result of forceful muscular contractions, and trauma can manifest as fractures, dislocations, and significant muscular injuries. For pediatric patients with oral electric injuries from biting on a cord, consult ENT early and consider admission for observation of delayed arterial bleeding.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

EMDocs

JUNE 21, 2023

In pediatrics- consult orthopedics. No study reported using dynamic ROM Shoulder One study found an injection volume of 81mL was necessary to achieve a sensitivity of 95%; there was an increase in sensitivity with increasing volume. Hip – There are no studies available that discuss the use of SLT at the hip.

Soft Tissue Injuries 88

Soft Tissue Injuries Fractures Dislocations Radiology 88

Taming the SRU

AUGUST 25, 2023

wrist in extension clavicle tibial pediatric forearm Most likely injuries to need an x-ray? bicarb <18mEq/L) ketosis (preferably serum beta-hydroxybutyrate >3mmol/L) Risk factors SGLT2 inhibitor use fasting state ketogenic diet intra-abdominal pathology (AGE, pancreatitis, etc.) to 1 mcg/kg/hour procedural sedation loading dose: 0.5-1

Seizures 75

Seizures Fractures EKG/ECG Resuscitation 75

ACEP Now

MARCH 5, 2025

This means that we get so much hands-on experience doing procedures like fracture/dislocation reductions, complex laceration repairs, ENT procedures, and advanced eye exams. Another huge draw is our pediatric training. We get longitudinalexposure to pediatrics with the opportunity to see kids during each emergency department shift.

Dislocations 52

Dislocations Academics Pediatrics Research 52

Don't Forget the Bubbles

JANUARY 6, 2025

Reviewed by: Frederick Smith Article 3: Does this infant have a dislocated hip? Does This Infant Have a Dislocated Hip? This is a systematic review to evaluate the diagnostic accuracy of clinical examination in identifying dislocated hips in infants. And how good are our tests at picking it up? 2024;331(18):15761585.

Dislocations 59

Dislocations CPR Ultrasounds Resuscitation 59

EMDocs

NOVEMBER 6, 2024

Temporomandibular dislocation: a complication of tetanus. Pediatr Neonatol. tetani infection is also indicated. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101(4):437-441. doi:10.1016/j.tripleo.2005.04.013 2005.04.013 Alfery DD, Rauscher LA. Tetanus: a review. Crit Care Med. 1979;7(4):176-181. J Trop Med Hyg.

Poisoning 95

Poisoning Airway Management Dislocations Forensics 95