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?

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Don't Forget the Bubbles

JANUARY 17, 2024

Curious Ken is brought into your emergency department. Forrester reported data from the Texas Poison Centers surrounding 110 cases of superabsorbent polymer bead ingestions between 2011 and 2016. The liquids were chosen to “approximate a pediatric digestive environment.” BMC Pediatrics , 20 , pp.1-5.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

EMDocs

JULY 30, 2024

When should I suspect PNU poisoning? How do I treat PNU poisoning? Background: N-3-pyridylmethyl-N-p-nitrophenylurea (PNU, Pyrinuron, Pyriminil) was released in 1975 as a “safe” poison to use against mice resistant to anticoagulant rodenticides.¹ Fortunately, PNU poisoning is rare. Clinical Pediatrics.

Poisoning 75

Poisoning Seizures Fluid Resuscitation Pediatrics 75

EMDocs

AUGUST 15, 2023

He was admitted to the pediatrics service for further management. Treatment of snakebite poisoning. His father confirmed the snake was a copperhead. He was initially seen at a regional ED and was administered 10 vials of crotalidae equine immune F(ab’) 2 (ANAVIP®) antivenom before transfer to your referral center. Am J Hosp Pharm.

Poisoning 98

Poisoning CDC Administration EMS 98

EMDocs

JANUARY 17, 2024

She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). 8) Over the next 24 years, numerous peer reviewed publications on benzonatate poisoning appeared in the medical literature. (3,

Poisoning 91

Poisoning Seizures Pediatrics EMS 91

EMDocs

SEPTEMBER 7, 2023

In mass poisoning cases, DEG has been substituted as a solvent in oral medications and in topical medicinal products. 4 Despite the policy changes in the United States, epidemic poisonings involving DEG continue to impact adults and children on a global scale with 14 mass poisonings occurring since the Sulfanilamide Disaster.

Poisoning 93

Poisoning CDC Administration Emergency Department 93

EMDocs

JUNE 8, 2024

A 32-year-old man presents to the emergency department with eye pain. However, it would be expected to emerge with reduced visual acuity or other visual disturbances such as diplopia. Overview of Eye Injuries in the Emergency Department.” Posttraumatic Iridocyclitis – Injuries; Poisoning.”

EMS 98

EMS Allergic Reactions Poisoning Emergency Department 98

EB Medicine

SEPTEMBER 1, 2018

Jeff: Welcome back to Emplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice. I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta and we’ll be taking you through the September 2018 issue of Emergency Medicine Practice - Emergency Department Management of North American Snake envenomations.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

ACEP Now

JANUARY 5, 2025

The PREOXI trial compared oxygen mask pre-oxygenation versus noninvasive positive-pressure ventilation (NIPPV) in patients requiring intubation in emergency departments (EDs) and intensive care units. Authors of one study clearly felt the same way and implemented a direct admission program across three pediatric health systems.

Sepsis 40

Sepsis Research Airway Management Stroke 40

EB Medicine

MARCH 4, 2020

Literature Review: There is abundant literature on pediatric AGE but sparse research on AGE in adults. Therefore, many recommendations are extrapolated from the pediatric literature. not ED specific) Food poisoning is responsible for 5% of AGE but results in 30% of deaths. Salmonella, most common o 5.3% Fish tastes normal.

Emergency Department 40

Emergency Department Dehydration Poisoning Allergic Reactions 40

EMDocs

JANUARY 4, 2024

If > 500 msec give 2 grams magnesium IV in adults, 50 mg/kg up to 2 grams in pediatric patients and observe closely for the development of dysrhythmias. 6,15 Discuss cases of overdose, including pediatric exploratory ingestions, with a medical toxicologist or your local poison center. Accessed 12/18/2022. 2014;52(9):969-72.

Seizures 93

Seizures EKG/ECG Poisoning Shock 93

Taming the SRU

MAY 1, 2023

Subsequent exposure results in a T-cell mediated response (Type IV hypersensitivity reaction) Plants: Toxicodendron species (poison ivy, poison oak, poison sumac) Also present in foods, including pistachio, cashew, and mango.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Seizures Emergency Department 52

ACEP Now

SEPTEMBER 11, 2023

5 Pediatric discharges were reported by 2,784 hospitals in 2000 and the number of reporting hospitals increased to 4,179 in 2012. This database systematically and randomly samples pediatric discharges from participating hospitals. Summary The incidence of pediatric acute rheumatic fever in the United States appears to range from 0.51

Pediatrics 40

Pediatrics Poisoning Hospitals Emergency Department 40

ACEP Now

DECEMBER 10, 2023

5 Symptoms of milkweed poisoning may include abdominal discomfort, nausea, vomiting, diarrhea, weakness, lethargy, and confusion, progressing to seizures, heart rhythm changes, and bradycardia. corneal toxicity secondary to latex from Asclepias curassavica in a pediatric patient. J Chem Ecol. 2019;45(1):50-60. Yang JF, Beal CJ.

Poisoning 52

Poisoning Seizures Documentation/Coding Emergency Department 52

ACEP Now

MARCH 6, 2024

7 The operators involved in the trial were mostly emergency medicine residents or critical care fellows, but this fact does not diminish the generalizability of these observations. Many clinicians staffing emergency departments intubate infrequently, as well, and these results are likely applicable to a wide scope of practice.

Research 52

Research Airway Management Stroke Outcomes 52

EMDocs

JUNE 7, 2023

2,7 Organophosphate poisonings in agriculturally-centered communities are of public health concern in developing countries. Millions are poisoned, and hundreds of thousands die each year worldwide. Millions are poisoned, and hundreds of thousands die each year worldwide. She complains of dizziness, nausea, and abdominal cramps.

Poisoning 98

Poisoning Airway Management Seizures PPE 98

Taming the SRU

SEPTEMBER 1, 2023

Can also extend this logic to those with TBI’s or trauma patients are inebriated Can attempt try to mitigate the risk and harm associated with iWBCT’s Future use of low-dose iWBCT Full-body MR imaging is already being used in pediatric patients Logistic regression in REACT-2 patient population identified 10 characteristics to warrant iWBCT in patients (..)

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

EMDocs

JANUARY 22, 2025

Is there an ideal observation period in the emergency department after reversal with naloxone? Ann Emerg Med. Naloxone in opioid poisoning: walking the tightrope. Emergency Medicine Journal. Acad Emerg Med. One-Year Mortality of Patients After Emergency Department Treatment for Nonfatal Opioid Overdose.

Seizures 97

Seizures Administration Emergency Department Poisoning 97

ACEP Now

SEPTEMBER 13, 2023

pediatric sickle cell centers and suggested poor splenic function in 94 percent of sickle cell anemia (SCA) patients by 5 years of age; 28 percent of children had poor splenic function at 1 year of age and the authors noted that initial splenic dysfunction rose sharply after 6 months of age. J Pediatr Pharmacol Ther. 2010;15(3):152-9.

Pediatrics 40

Pediatrics Ultrasounds Emergency Department Poisoning 40

PEMBlog

JANUARY 16, 2025

In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast , we explore the complex and often underrecognized issue of inhalant misuse. Learn how to recognize and manage cases in the emergency department, ask the right questions to uncover inhalant use, and provide critical resources for prevention and support.

Pediatrics 52

Pediatrics Poisoning Wellness Burns 52

Taming the SRU

NOVEMBER 13, 2024

haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S.,

Psychiatric 89

Psychiatric Seizures Emergency Department Pediatrics 89

EMDocs

NOVEMBER 6, 2024

Unusual strychnine poisoning and its treatment: report of eight cases. 2022 Annual Report of the National Poison Data System ® (NPDS) from America’s Poison Centers ® : 40th Annual Report. Case report: Survival after deliberate strychnine self-poisoning, with toxicokinetic data. Strychnine poisoning.

Poisoning 98

Poisoning Airway Management Dislocations Forensics 98