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Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Pediatric EM Morsels

Trauma season is at hand and like all other pediatric emergency departments 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. Pediatr Emerg Care.

Fractures 290
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SGEM #425: Are You Ready for This? Pediatric Readiness of Emergency Departments

The Skeptics' Guide to EM

National Assessment of Pediatric Readiness of US Emergency Departments during the Covid-19 Pandemic. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Reference: Remick KE, et al. JAMA Netw Open.

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EM@3AM: Pediatric Osteomyelitis

EMDocs

This is thought to be secondary to increased microtrauma for boys 1 In pediatric patients long bones (femur, tibia) are more commonly infected nearing 75% of the time. Pediatric osteomyelitis treatment algorithm. Bacterial osteomyelitis in pediatric patients: a comprehensive review. Osteoarticular infections in pediatrics.

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The Broselow-Luten System

Pediatric EM Morsels

Bob Luten, a PEM physician in Jacksonville, FL , designed the Broselow-Luten color-coded length-based system to help estimate a child’s weight, and thereby offload the cognitive burden of medication dosing and choice of equipment sizes in pediatric resuscitations. DeBoer 2020] Now seen as industry standard in pediatric emergency care.

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Post-Tonsillectomy Hemorrhage: ReBaked Morsel

Pediatric EM Morsels

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 Emergency Department is a type and cross.

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SGEM #467: Send me on my way…without Cervical Spine Imaging

The Skeptics' Guide to EM

PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. Tabitha Cheng is a Southern California native and board-certified emergency medicine physician and completed an EMS fellowship as well.

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Pediatric DKA and HHS

EB Medicine

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the November 2023 Pediatric Emergency Medicine Practice article, Pediatric Diabetes: Management of Acute Complications in the Emergency Department and some of the highlights from the other EB Medicine articles published in November.