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Trauma season is at hand and like all other pediatricemergencydepartments in the country, we find our ED breaking ( pun intended ) at the seams with orthopedic injuries. Pediatric patients have unique bony anatomy and physiology compared to the skeletally mature. J Pediatr Orthop. PediatrEmerg Care.
National Assessment of Pediatric Readiness of US EmergencyDepartments during the Covid-19 Pandemic. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatricemergency medicine attending at Children’s National Hospital in Washington, DC. Reference: Remick KE, et al. JAMA Netw Open.
Since tonsillectomy is one of the most common pediatric surgeries in the US (~500,000 per year) and the rate of post-tonsillectomy hemorrhage is about 1-5% , it is a good idea that we all are familiar with how to manage this issue! If bleeding, the only lab that is needed in the EmergencyDepartment is a type and cross.
Fluid management in the EmergencyDepartment (ED) is crucial in the adequate resuscitation of the acutely ill and decompensating patient. compared the effects of these two among the acute gastroenteritis children and reported that the use of ORT was associated with shorter hospital stay and increased patient satisfaction.
In this episode we dive into the resurgence of Mycoplasma pneumoniae an atypical bacterial cause of community-acquired pneumonia thats making waves in pediatricemergency medicine. PediatrEmerg Care. Plus, well discuss whether M. pneumoniae even needs to be treated in the first place! Plus, well discuss whether M.
Elizabeth Wharff was the director of emergency psychiatry at Boston’s Children’s Hospital in the late 1990s when she became concerned about what was, then, a new problem. They would be the least difficult and disruptive, the least strain on the hospital staff,” Dr. Wharff explained.
We have mentioned the Glasgow Coma Scale in multiple delicious morsels: Minor closed head injuries in <3 month olds and in the rebaked morsel , Blunt cerebrovascular injury , Cerebral edema in DKA , Pediatric Trauma Pitfalls , and Carbon monoxide poisoning. When is it useful and what does it tell us?
Today we are talking about a rare disease called FPIES (food protein induced enterocolitis syndrome) and how you might encounter these patients in the PediatricEmergencyDepartment. Food protein-induced enterocolitis syndrome in a tertiary pediatric center: safety of guideline-conforming food challenges.
You’re in the paediatric emergencydepartment, typing some notes for the child you’ve just discharged. As you arrive in resus, so too do half the children’s hospital. A study in Denmark in 2021 explored barriers to effective resuscitation in over 900 in-hospital resuscitations across six hospitals in Denmark.
2024 Date: May 29, 2024 Guest Skeptic: Dr. Caleb Ward is a pediatricemergency medicine attending and Associate Professor of Pediatrics and Emergency Medicine at Children’s National Hospital and The George Washington School of Medicine and Health Sciences in Washington, DC. Cochrane Database Syst Rev.
A young woman, 13 days post-tonsillectomy, comes into your rural emergencydepartment (ED) coughing up blood. Dr. Helman is an emergency physician at North York General Hospital in Toronto. Int J Pediatr Otorhinolaryngol. Anesthetic management of the pediatric bleeding tonsil. 2012;344:e3054. Morgenstern J.
One of the most difficult and most satisfying parts of pediatricemergency medicine is using one’s history, exam and clinical tools to make an informed decision and spare children from unnecessary pain , uncomfortable exams, painful procedures and medical imaging. Low Risk Inta-Adbominal Trauma: Pediatric Trauma is Dangerous!
You work as the medical director at a suburban, community emergencydepartment (ED). At your monthly meeting with the chief medical officer (CMO) and chief nursing officer (CNO), they inform you of the hospitals plan to start a Sexual Assault Nurse Examiner (SANE) Program. As expected, you have several questions.
Early intramuscular adrenaline administration is associated with improved survival from out-of-hospital cardiac arrest. PECARN prediction rule for cervical spine imaging of children presenting to the emergencydepartment with blunt trauma: a multicentre prospective observational study. J Am Coll Emerg Physicians Open.
You are the Paediatric doctor on call and receive a call for an incoming patient to the emergencydepartment. Tragically, several attempts at resuscitation upon arrival at the emergencydepartment were unsuccessful. Pediatric Endotracheal Intubations for Airway Management in the EmergencyDepartment.
After listening to this episode you will be able to: Identify unique aspects of the pre-hospital environment that impact assessment and treatment of agitated children Describe the role of EMS personnel and EMS director in the care of agitated children.
JAMA Pediatr. JAMA Pediatr. Aug 2023 Date: October 30, 2023 Guest Skeptic: Dr. Ellie Hill is a pediatricemergency medicine physician at Children’s National Hospital in Washington, DC and Assistant Professor of Pediatrics and Emergency Medicine at George Washington University School of Medicine and Health Sciences.
In this episode, Dr. Ben Grebber, a pediatric resident at Boston Children’s Hospital/Tufts Children’s Hospital, discusses Bee Stings and Spider Bites. Pediatrics in review, 20(5), 147-151. Pediatrics in Review, 41(7), 348-356. It is summertime, so the bees and bugs are out! Hymenoptera Stings.
Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. He specializes in Paediatric Emergency Medicine and is a passionate believer and advocate of FOAMed. He specializes in Paediatric Emergency Medicine and is a passionate believer and advocate of FOAMed. Reference: Sanchez-Pinto, L.N.,
A pediatric multi-center study of study on adherence to activity restrictions was published last year. Ten Level I pediatric trauma centers in the US tabulated their experience with solid organ injuries over 3.75 And the more people I poll on what they do, the more and very different answers I get. Until now. years from 2013 to 2016.
Pediatric submersion injuries are one of the leading causes of preventable morbidity and mortality in the pediatric population. Optimally, bystander CPR, including the administration of rescue breaths, should be initiated prior to arrival of emergency medical services. 9,11 As with many pediatric issues, prevention is key.
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.
Ferrous sulfate tablets are radiopaque and can be visualized on radiographs, however not all preparations are radiopaque (pediatric chewable and liquid preparations). Goldfrank’s Toxicologic Emergencies, 11e. Arch Pediatr Adolesc Med. Tintinallis Emergency Medicine: A Comprehensive Study Guide, 8e. Tenenbein M.
Software attacks crippled operations in large hospital chains, and physical assaults on ED staff continued unabated. The preliminary results of the 2022 EmergencyDepartment Benchmarking Alliance performance measures survey found a significant deterioration in patient processing due to inpatient boarding.
Ultrasonography or radiography for suspected pediatric distal forearm fractures. New England Journal of Medicine June 2023 Date: July 19, 2023 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anesthesia, and critical care. Reference: Snelling et al. Reference: Snelling et al.
Sione, a young Pacific Islander boy, is brought to the emergencydepartment with a 3-day history of acute onset, progressively worsening central chest pain. of child emergencydepartment presentations. References Children’s Health Queensland Hospital and Health Service. Pediatr Infect Dis J. Sept 5, 2022.
The parents of 18-month-old Susie brought her to the EmergencyDepartment after she had a seizure at home. Take home points References American Academy of Pediatrics, Subcommittee on Febrile Seizures. Pediatrics. J Trop Pediatr. Pediatr Rev. Pediatrics. Front Pediatr. Pediatrics.
3,4 Notably, institutions receiving federal funding (such as hospitals receiving Medicare reimbursement) must abide by Title VI of the 1964 Civil Rights Act, which entitles persons with NELP to language assistance. 7 This has also been observed in a pediatric patient population. Pediatrics. Lion KC, et al. 135:e709-e716.
In 1901, UVA opened its first hospital with 25 beds and three operating rooms. The emergencydepartment (ED) at UVA was rebuilt in 2019 and the department had not fully optimized its operations when COVID-19 hit. Pediatric patients go to their own zone. Patients are treated in a vertical model in the RME.
For more information, please visit HRSA.gov To learn more about the Emergency Medical Services for Children Innovation and Improvement Center visit [link] Email km@emscimprovement.center Follow on Twitter @EMSCImprovement References Gerson R, Malas N, Feuer V, Silver GH, Prasad R, Mroczkowski MM. West J Emerg Med. Acad Pediatr.
As a Trauma Unit within the Thames Valley Trauma Network, Wexham Park Hospital hosts trainees from across the spectrum of acute specialties. Article 1: What predicts parental anxiety in the Paediatric EmergencyDepartment? Predictors of parental anxiety in a paediatric emergencydepartment. Martin, S.R.,
Systematic Review of CT Angiography in Guiding Management in Pediatric Oropharyngeal Trauma. March 2023 Date: January 30, 2024 Guest Skeptic: Dr. Alexandra (Ali) Espinel is an Associate professor of pediatrics and otolaryngology at Children’s National Hospital and George Washington University. Laryngoscope. Laryngoscope.
He was extubated on hospital day 2 and was able to be discharged to psychiatry on hospital day 5. Low-dose lipid emulsion for pediatric vasoplegic shock due to quetiapine and fluvoxamine overdose: a case report. J Emerg Crit Care Med Vol 6 (October 30, 2022) J Emerg Crit Care Med. The patient gradually improved.
In this episode, Sam Ashoo, MD interviews Rawad Rayes, MD and Eva Tovar Hirashima, MD, MPH – two of the authors of the August 2022 PEMP article on Pediatric Firearm Injuries to the Extremity: Management in the EmergencyDepartment. Episode Outline: How common are pediatric firearm injuries?
In the UK, as in most developed countries, more patients are presenting to EmergencyDepartments (EDs) with minor illnesses or injuries. examined 977,907 first-time ED presentations by children aged 0-15 across thirteen acute hospital trusts (between April 2014 and March 2017), trying to figure out how many were non-urgent.
How do we manage the agitated child in the pre-hospital environment? There are protocols in place that assist highly trained Emergency Medical Service providers in assuring that agitated children are safely transported to their destination. Unlike a hospital, there is limited space, staff, equipment, and medication. mg/kg IN; 0.1-0.15
Anthony Crocco is the Deputy Chief – McMaster Department of Pediatrics, Acting Head of Pediatric Cardiology, and creator of Sketchy EBM. Date: April 16th, 2021 Guest Skeptic: Dr. Anthony Crocco is the Deputy Chief – McMaster Department of Pediatrics, Acting Head of Pediatric Cardiology, and creator of Sketchy EBM.
A Randomized Trial of Single-Dose Oral Dexamethasone Versus Multidose Prednisolone for Acute Exacerbations of Asthma in Children Who Attend the EmergencyDepartment. A Randomized Trial of Single-Dose Oral Dexamethasone Versus Multidose Prednisolone for Acute Exacerbations of Asthma in Children Who Attend the EmergencyDepartment.
Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the EmergencyDepartment: Consensus Statement of the American Association for Emergency Psychiatry. West J Emerg Med. Erratum in: West J Emerg Med. Erratum in: West J Emerg Med. Erratum in: West J Emerg Med.
Stercoral colitis in the emergencydepartment: a review of the literature. International journal of emergency medicine, 17(1), 3. Stercoral Colitis in the EmergencyDepartment: A Retrospective Review of Presentation, Management, and Outcomes. Annals of emergency medicine, 82(1), 3746. Stercoral Colitis.
Single-dose dexamethasone is not inferior to 2 doses in mild to moderate pediatric asthma exacerbations in the emergencydepartment. PediatrEmerg Care. 2022 Guest Skeptic: Dr. Harrison Hayward is a PediatricEmergency Medicine fellow at Children’s National Hospital. PediatrEmerg Care.
Take-Pause: Efficacy of mindfulness-based virtual reality as an intervention in the pediatricemergencydepartment. AEM March 2022 Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. Reference: Butt et al.
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