Taming the SRU

DECEMBER 17, 2024

Fluid management in the Emergency Department (ED) is crucial in the adequate resuscitation of the acutely ill and decompensating patient. This has been particularly validated in pediatric literature; however, this can be applicable to the adult patient population within the right circumstances i.e Am J Emerg Med 2016;34(4):7136.

Dehydration 84

Dehydration Fluid Resuscitation Administration Resuscitation 84

ALiEM

NOVEMBER 17, 2023

A 4-year-old female with no significant past medical history is brought to the Emergency Department by her grandmother for concern for two days of progressive vaginal bleeding. Urethral prolapse is a rare condition occurring in prepubertal female pediatric patients. Laboratory Data Hemoglobin : 12.2

Pediatrics 100

Pediatrics Emergency Department Academics OB/GYN 100

Pediatric EM Morsels

MARCH 15, 2024

We encounter seizures commonly in the Emergency Department. Being comfortable evaluating and managing pediatric seizures also requires a lot of humility. World J Pediatr. The post Gelastic Seizures: No Laughing Matter appeared first on Pediatric EM Morsels. Vitamin B6 Deficiency ). 2023 Nov 8. Epub ahead of print.

Seizures 260

Seizures Pediatrics Psychiatric Emergency Department 260

Pediatric EM Morsels

JUNE 2, 2023

Today we are talking about a rare disease called FPIES (food protein induced enterocolitis syndrome) and how you might encounter these patients in the Pediatric Emergency Department. Food protein-induced enterocolitis syndrome in a tertiary pediatric center: safety of guideline-conforming food challenges.

Dehydration 193

Dehydration Shock Pediatrics Emergency Department 193

PEMBlog

MARCH 4, 2025

In this episode we dive into the resurgence of Mycoplasma pneumoniae an atypical bacterial cause of community-acquired pneumonia thats making waves in pediatric emergency medicine. Pediatr Emerg Care. For PEMCurrents, the Pediatric Emergency Medicine Podcast, this has been Brad Sobolewski. UpToDate , 1 Nov.

Pediatrics 94

Pediatrics Military CDC Hospitals 94

ALiEM

AUGUST 9, 2023

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric lung ultrasound. Take the ALiEMU PEM POCUS: Pediatric Lung Ultrasound Quiz Module Goals List indications for performing a pediatric lung point-of-care ultrasound (POCUS). He was admitted to the pediatric intensive care unit. Balk et al.,

Ultrasounds 98

Ultrasounds Pediatrics Emergency Department Operations 98

The Skeptics' Guide to EM

OCTOBER 14, 2023

Vicki Currie is a paediatric emergency medicine registrar in the West Midlands in the United Kingdom. She is also a member […] The post SGEM #417: Everybody’s Changing…the Reference Ranges for Pediatric Vital Signs first appeared on The Skeptics Guide to Emergency Medicine. Reference: Brennan L et al. It seems awfully high.

Pediatrics 103

Pediatrics Sepsis Urgent Care Emergency Department 103

ACEP Now

NOVEMBER 7, 2024

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. A 2020 study in the journal Pediatrics found that close to three in every five patients who sought mental health treatment at EDs were boarded. West J Emerg Med.

Psychiatric 59

Psychiatric Pediatrics Hospitals Emergency Department 59

PEMBlog

MAY 15, 2023

An estimated 80% of pediatric syncope is due to autonomic (vasovagal or neurocardiogenic) syncope. History and physical examination are critical components to any emergency department evaluation but are especially helpful in syncope patients. 6% of pediatric syncope. Textbook of Pediatric Emergency Medicine.

Pediatrics 97

Pediatrics EKG/ECG Emergency Department Burns 97

The Skeptics' Guide to EM

JUNE 1, 2024

2024 Date: May 29, 2024 Guest Skeptic: Dr. Caleb Ward is a pediatric emergency 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.

Pediatrics 87

Pediatrics EMS Emergency Department Research 87

EB Medicine

OCTOBER 21, 2024

In this episode, Sam Ashoo, MD and T.R.

Pediatrics 59

Pediatrics Elder Abuse Risk Management Emergency Department 59

EMDocs

MARCH 1, 2025

1: High-Dose Inhaled Steroids for Acute Asthma Spoon Feed Nebulized high-dose inhaled corticosteroid plus a short acting beta-agonist reduced emergency department length of stay in adult asthma exacerbation. Acad Emerg Med. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: 2025 Jan 13. doi: 10.1111/acem.15084.

Emergency Department 63

Emergency Department Pediatrics Research 63

Pediatric EM Morsels

MAY 24, 2024

One of the most difficult and most satisfying parts of pediatric emergency 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!

Pediatrics 164

Pediatrics Blood Transfusions EMS Fractures 164

ACEP Now

JANUARY 5, 2025

A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. Int J Pediatr Otorhinolaryngol. Anesthetic management of the pediatric bleeding tonsil. and youre three hours from the nearest tertiary care center. Her vital signs are normal, except for a heart rate of 115 bpm.

Airway Management 98

Airway Management Operations Resuscitation Pediatrics 98

ALiEM

AUGUST 30, 2024

A 5-year-old female presented to the emergency department (ED) with a one-year history of gradually increasing anterior neck swelling. Case Question: What is in the differential diagnosis of a pediatric patient with an anterior neck mass? Pediatric neck masses. Pediatr Rev. Free T4 : 0.5 (ref doi: 10.1542/pir.34-3-115.

Pediatrics 64

Pediatrics Ultrasounds Academics Emergency Department 64

EB Medicine

APRIL 17, 2024

In this episode, Sam Ashoo, MD interviews Ashley A. Foster, MD, Bijan Ketabchi, MD, MPH and Jennifer A. Foster, MD, Bijan Ketabchi, MD, MPH and Jennifer A.

Emergency Department 104

Emergency Department Pediatrics 104

PEMBlog

JUNE 14, 2023

Thousands of children and adolescents spend days at time in Emergency Departments waiting for definitive mental health disposition. Leyenaar; Pediatric Mental Health Boarding. Pediatrics October 2020; 146 (4): e20201174. Zima; Follow-up After Pediatric Mental Health Emergency Visits. West J Emerg Med.

Psychiatric 98

Psychiatric Emergency Department Pediatrics Best Practices 98

PEMBlog

NOVEMBER 21, 2024

Michael “Fish” Fishman, MD, PEM – Fellow, Boston Children’s Utilizing Co-regulated Evaluations (CORE) to Optimize Feedback and Evaluations Explored success in implementing and maintaining a co-regulated evaluation system in the Emergency Department.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department 52

The Skeptics' Guide to EM

JANUARY 20, 2024

JAMA Pediatr. JAMA Pediatr. Aug 2023 Date: October 30, 2023 Guest Skeptic: Dr. Ellie Hill is a pediatric emergency 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.

Pediatrics 74

Pediatrics Anaphylaxis Emergency Department Outcomes 74

PEMBlog

JUNE 7, 2023

Other Episodes in the Agitation Series Episode 1: Differentiating organic versus psychiatric causes of agitation and altered mental status | Supplementary EMDocs article Episode 2: Non-pharmacologic management of agitated children | Supplementary EMDocs article Episode 3: Pharmacologic management of the agitated child | Supplementary EMDocs article (..)

Pediatrics 123

Pediatrics Psychiatric Emergency Department EMS 123

ACEP Now

OCTOBER 11, 2024

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.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Resuscitation 52

EB Medicine

MARCH 1, 2023

Announcements: The interactive Clinical Pathways have launched and they are available for free! — In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the February 2023 Pediatric Emergency Medicine Practice article on Pediatric Electrolyte Emergencies: Recognition and Management in the Emergency Department — History Point-of-care (..)

Pediatrics 52

Pediatrics Point-of-Care Testing Emergency Department 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. RSV, in particular, is a vicious scourge of young and vulnerable infants.

Emergency Department 87

Emergency Department Pediatrics Administration Wellness 87

Don't Forget the Bubbles

SEPTEMBER 13, 2023

The parents of 18-month-old Susie brought her to the Emergency Department 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.

Seizures 131

Seizures Pediatrics Emergency Department Radiology 131

Ultrasound Gel

MAY 11, 2020

This study looks at the implementation of a transcervical ultrasound protocol in a pediatric emergency department to see if it helps this population. This study looks at the implementation of a transcervical ultrasound protocol in a pediatric emergency department to see if it helps this population.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department 52

The Skeptics' Guide to EM

FEBRUARY 22, 2025

Case: A 62-year-old male presents to the Emergency Department (ED) with fever, confusion, and shortness of breath. Excluded: Pediatric patients, COVID-19 patients, non-diagnostic studies (ie studies evaluating only the prognostic role of MDW), non-English studies and case reports and reviews.

Sepsis 60

Sepsis Infectious Diseases Emergency Department Pediatrics 60

EMDocs

MAY 4, 2024

. #1: Emergent Cath Lab Activations with “Normal” Computer ECG Interpretations Spoon Feed A significant minority of code STEMI patients have an initial normal computer ECG interpretation. Consequently, emergency physicians must remain vigilant to identify signs of OMI regardless of the initial computer ECG interpretation. 14795. . #3:

Documentation/Coding 95

Documentation/Coding Stroke Emergency Department Pediatrics 95

ACEP Now

OCTOBER 11, 2024

Introduction Pediatric intubations in the emergency department (ED) occur at only a tenth the frequency of adult intubations. 1 Pediatric rapid sequence intubation (RSI) in the ED is associated with a higher frequency of failed first attempts and adverse effects than in adult patients. mg/kg IV, ketamine at 1.5–2

Pediatrics 52

Pediatrics Airway Management Emergency Department Wellness 52

EB Medicine

JANUARY 3, 2023

See the summary here. In this episode, Sam Ashoo, MD, interviews Ara Festekjian, MD, one of the authors of the November 2022 Pediatric Emergency Medicine Practice article on Pediatric Septic Shock in the Emergency Department Introduction: How common is sepsis in kids and what is the mortality rate in the US?

Shock 52

Shock Pediatrics Airway Management Sepsis 52

ACEP Now

JUNE 7, 2023

The preliminary results of the 2022 Emergency Department Benchmarking Alliance performance measures survey found a significant deterioration in patient processing due to inpatient boarding. Preliminary results of the survey are being released to help emergency physicians understand that current challenges are occurring nationwide.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

ACEP Now

NOVEMBER 14, 2023

The emergency department (ED) at UVA was rebuilt in 2019 and the department had not fully optimized its operations when COVID-19 hit. While most academic EDs have lost pediatric volume, the UVA ED continues to see almost 20 percent pediatric patients. Pediatric patients go to their own zone.

Academics 52

Academics Emergency Department Leadership Operations 52

EM SIM Cases

MAY 9, 2023

When it comes to pediatric drowning, prevention is the best medicine. EHS arrived, provided oxygen supplementation, and brought them to your tertiary emergency department, with access to PICU. The team should begin CPR and follow the PALS pediatric bradycardia algorithm. Pediatric Drowning Download Hon, K. ,

Pediatrics 52

Pediatrics CPR Radiology Radiology 52

ACEP Now

JULY 7, 2024

ACEP Now offers real-time clinical news, news from the American College of Emergency Physicians, and news on practice trends and health care reform for the emergency medicine physician. ACEP Now is an official publication of the American College of Emergency Physicians.

Emergency Department 52

Emergency Department Pediatrics 52

Ultrasound Gel

OCTOBER 15, 2018

The pediatric literature for point of care ultrasound seems to lag behind that of adults. Although point of care ultrasound is used routinely in adults, it may not be as frequently employed in the pediatric emergency department. The pediatric literature for point of care ultrasound seems to lag behind that of adults.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department 52

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). Goldfrank’s Toxicologic Emergencies, 11e. Arch Pediatr Adolesc Med. Tintinallis Emergency Medicine: A Comprehensive Study Guide, 8e. Tenenbein M.

Poisoning 94

Poisoning Fluid Resuscitation Seizures Resuscitation 94

Pediatric Emergency Playbook

SEPTEMBER 1, 2020

Pediatric Hand Fractures. Pediatric Hand Injuires. Pediatric Hand Fractures. Pediatric Hand Injuires. Pediatric Hand Fractures. Pediatric Hand Fractures. Pediatric Hand Fractures. Pediatric Hand and Wrist Fractures. Pediatric Hand Fractures. Journal of Pediatrics. Nellans et al.

Fractures 52

Fractures Pediatrics Emergency Department 52

Don't Forget the Bubbles

NOVEMBER 29, 2023

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. Pediatric Endotracheal Intubations for Airway Management in the Emergency Department.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135