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

JUNE 7, 2024

Lucky for us, in 2020 there were some updates made to the NIH Asthma Management Guidelines and we’re going to discuss which ones can help us in the Emergency Department! You’re probably asking yourself… is this really important for us in the Emergency Department to know? Front Pediatr. No more SABA ! 2018.00170.

Pediatrics 206

Pediatrics Emergency Department Wellness EMS 206

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 258

Seizures Pediatrics Psychiatric Emergency Department 258

Pediatric EM Morsels

JULY 21, 2023

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. Acad Emerg Med. When is it useful and what does it tell us? PMID: 27197686.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

The Skeptics' Guide to EM

DECEMBER 2, 2023

JAMA July 2023 Date: October 17, 2023 Guest Skeptic: Dr. Alasdair Munro is a clinical research fellow specializing in pediatric infectious disease at the University of Southampton. Case: A 4-year-old girl presents to your emergency department (ED) with fever and nasal drainage. Reference: Shaikh N, et al.

Pediatrics 116

Pediatrics Infectious Diseases Emergency Department Research 116

The Trauma Pro

NOVEMBER 12, 2024

The Pediatric Readiness Score (PRS) is a new(er) metric that is now required for all US trauma centers verified by the American College Surgeons. It is a measure introduced by the National Pediatric Readiness Project. The goal was to improve hospitals’ pediatric readiness through a self-administered survey.

Pediatrics 113

Pediatrics Emergency Nursing Hospitals Resuscitation 113

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 189

Dehydration Shock Pediatrics Emergency Department 189

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

Pediatric EM Morsels

NOVEMBER 17, 2023

A single cadaveric study from the 1950s showed that the pediatric subglottic space approximated a circular funnel with the narrowest portion at the cricoid level This study included only 15 children aged 4 months–14 years But why was this a problem? Front Pediatr. Acad Emerg Med. Acad Emerg Med. West J Emerg Med.

Pediatrics 183

Pediatrics Emergency Department Outcomes Sepsis 183

Don't Forget the Bubbles

MAY 10, 2023

You’re in the paediatric emergency department, typing some notes for the child you’ve just discharged. Closed-Loop Communication Improves Task Completion in Pediatric Trauma Resuscitation. Promoting hot debriefing in an emergency department. Scand J Trauma Resusc Emerg Med. Emerg Med J.

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Teamwork 91

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

Pediatric EM Morsels

AUGUST 23, 2024

Concussions are commonly encountered in the Emergency Department. The post Return to Learn / Return to Sport after Concussion appeared first on Pediatric EM Morsels. We have previously discussed an approach to the question of when a patient “ can return to sport.” Br J Sports Med. 2023 Jun;57(11):695-711.

Seizures 270

Seizures Pediatrics Academics Emergency Department 270

EB Medicine

OCTOBER 21, 2024

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

Pediatrics 59

Pediatrics Elder Abuse Risk Management Emergency Department 59

ALiEM

JUNE 10, 2024

Similarly, the Pediatric Emergency Care Applied Research Network (PECARN) has developed robust tools for assessing blunt head trauma in children. However, until now, there has been a gap in guidance for clinicians managing pediatric patients at risk for cervical spine injuries. Case Scenario: What would you do?

Pediatrics 126

Pediatrics Emergency Department Research Fractures 126

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 84

Pediatrics EMS Emergency Department Research 84

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 87

Pediatrics Sepsis Urgent Care Emergency Department 87

ALiEM

MARCH 7, 2024

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric renal and bladder ultrasonography. Facts and Literature Review Bladder volume estimation Measuring bladder volume via POCUS in pediatric patients has been studied, demonstrating a benefit on Emergency Department workflow and length of stay (Table 1).

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

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 161

Pediatrics Blood Transfusions EMS Fractures 161

Pediatric EM Morsels

FEBRUARY 2, 2024

Pediatric patients with recent travel and fever of unknown origin should be considered for admission if malaria is a possible diagnosis. Fever in the Returned Pediatric Traveler. Glob Pediatr Health. Curr Probl Pediatr Adolesc Health Care. Am J Emerg Med. Pediatr Emerg Care. 2021 May; 8:1-16.

Infectious Diseases 161

Infectious Diseases Pediatrics Sepsis Documentation/Coding 161

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 71

Pediatrics Anaphylaxis Emergency Department Outcomes 71

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 102

Emergency Department Pediatrics 102

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

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

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

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

PEMBlog

OCTOBER 31, 2024

every year, leading to emergency department visits and hospitalizations. A new study conducted by the Pediatric Emergency Care Applied Research Network (PECARN) aimed to determine whether LGG could reduce the severity of gastroenteritis in children. emergency departments. Pediatrics, 2013.

Outcomes 105

Outcomes Pediatrics Emergency Department Research 105

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 85

Emergency Department Pediatrics Administration Wellness 85

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

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

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

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

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

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

The Skeptics' Guide to EM

OCTOBER 12, 2024

A national survey of children’s experiences and needs when attending Canadian pediatric emergency departments. June 2024 Date: Oct 1, 2024 Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. Reference: Ma K et al. Reference: Ma K et al.

Emergency Department 90

Emergency Department Pediatrics Outcomes EMS 90

EM Literature of Note

NOVEMBER 20, 2024

This article regarding the cost of upgrading emergency departments to be “ready” for sick children has been bouncing around in the background since its publication, with some initial lay press coverage. Then, they use these data and salary estimates to come up with the institutional costs of readiness.

Pediatrics 86

Pediatrics Emergency Department Critical Access Outcomes 86