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

EMDocs

OCTOBER 30, 2023

2 In response to the constrained availability of contrast media, emergency medicine (EM) and radiology departments were compelled to enact modifications in their imaging techniques. In most cases, the radiology team functioned as the main decision-maker playing a key role in drafting institutional protocols. 11 Table 1.

Radiology 92

Radiology Radiology Emergency Department Hospitals 92

Don't Forget the Bubbles

NOVEMBER 8, 2023

7-year-old Tilly is brought to your emergency department at 11 p.m. Abdominal pain in children is common, accounting for over 1 in 20 attendances to paediatric emergency departments [1]. Clinical scoring tools have improved diagnostic performance in assessing suspected appendicitis in the emergency department.

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

Northwestern EM Blog

DECEMBER 20, 2021

Written by: Tommy Ng, MD (NUEM ‘24) Edited by: Patricia Bigach, MD (NUEM ‘22) Expert review by : Terese Whipple, MD '20 So your kid won’t walk One of the most common complaints in a pediatric Emergency Department is a child refusing or inability to ambulate. Curr Opin Pediatr. Hip Pain in Pediatrics. 2021, Dec 20).

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

Taming the SRU

APRIL 14, 2024

For pediatric patients with an inguinal hernia, a unilateral frog leg position is helpful for aligning the inguinal canal. (7) This revealed that ultrasound can improve the ability to reduce an incarcerated inguinal hernia and may decrease the rate of emergency surgery. (1) The Journal of Emergency Medicine , vol.

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

ALiEM

MAY 13, 2024

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric soft tissue ultrasonography. Take the ALiEMU PEM POCUS: Soft Tissue Quiz Case Goals List the indications of performing a pediatric soft tissue point-of-care ultrasound (POCUS). Pediatric Soft Tissue POCUS Ultrasound Technique Figure 1.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

Pediatric Education

JUNE 9, 2024

Patient Presentation An 18-year-old female came to the emergency department with an 18 hour history of sudden onset of right lower quadrant pain. The radiologic evaluation of ultrasound showed an enlarged right ovary with a large follicular cyst and decreased blood flow in the pedicle. Journal of Pediatric Surgery.

Pediatrics 52

Pediatrics Ultrasounds Radiology Radiology 52

The Skeptics' Guide to EM

NOVEMBER 9, 2019

Case: A 6-year-old boy comes into your emergency department at around midnight with his parents complaining of abdominal pain. This has included performing lumbar punctures, diagnosing acute abdominal aneurysms, acute heart failure, pediatric fractures, retinal detachments and endotracheal tube placement.

Ultrasounds 52

Ultrasounds Fractures Pediatrics Radiology 52

EB Medicine

JULY 8, 2019

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. Internal hernia after laparoscopic Roux-en-Y gastric bypass: a correlation between radiological and operative findings. 2015;25(4):622-627.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Northwestern EM Blog

MAY 16, 2022

1 Low-dose non-contrast abdominal CT has become the gold standard for diagnosis as it has become readily available in emergency departments nationwide, with some studies touting sensitivity and specificity of 97% and 95%, respectively.2 The estimated incidence over the past two decades is up to 340 visits per 100,000 individuals.1

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

Taming the SRU

SEPTEMBER 15, 2023

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED?

CPR 90

CPR Burns Airway Management Wellness 90

Pediatric Emergency Playbook

FEBRUARY 1, 2016

Crash course in pediatric anatomy and physiology in trauma When you think of trauma in children, think of Charlie Brown. In pediatric trauma, we need to be proactive. Chest Tube Pearl #1: Chest tube sizing in pediatrics is straightforward if we remember that the traditional chest tube size is 4 x the ETT size. J Pediatr Surg.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

PEMBlog

JUNE 5, 2024

It was inspired by a hot-off-the-presses publication from the Pediatric Emergency Care Applied Research Network (PECARN) focused on clinical decision rules for cervical spine imaging in children. Pediatrics. Evaluation of pediatric cervical spine injuries. Am J Emerg Med. Pediatrics. Ann Emerg Med.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

Broome Docs

AUGUST 2, 2022

JAMA Pediatr. PMID: 35311942 Bottom line: I include this for interest’s sake only, as it sounds more like science fiction than medicine at this point (at least based on the funding of the emergency departments I work in), but it will be an interesting field to watch over the coming years. Am J Emerg Med. 2022.03.020.

Sepsis 52

Sepsis Emergency Department Radiology Radiology 52

ACEP Now

NOVEMBER 14, 2023

One of the most hair-raising presentations to the emergency department (ED) can be massive hemoptysis with respiratory failure. The emergency department evaluation and management of massive hemoptysis. Am J Emerg Med. References Deshwal H, Sinha A, Mehta AC. Life-threatening hemoptysis. Semin Respir Crit Care Med.

Radiology 52

Radiology Radiology Emergency Department Airway Management 52

Taming the SRU

APRIL 5, 2023

THE CASE An elderly female patient presents to the emergency department (ED) with 1 week of generalized weakness leading to numerous falls. Horseshoe Kidney: Radiology Reference Article. Point-of-care ultrasound in pediatric nephrology. Pediatr Nephrol. She denies any fevers, abdominal pain, nausea, or vomiting.

Ultrasounds 52

Ultrasounds Pediatrics Radiology Radiology 52

PEMBlog

SEPTEMBER 13, 2023

2006;67(9):1542-1550 American Academy of Pediatrics, Subcommittee on Febrile Seizures. Pediatrics. Neurodiagnostic evaluation of the children with a simple febrile seizure. 2011;127(2):389-394. DOI: [link] [doi.org]

Seizures 52

Seizures Pediatrics Point-of-Care Testing Wellness 52

Pediatric Emergency Playbook

APRIL 1, 2017

Pediatrics. Pediatrics. Procedural sedation use in the ED: management of pediatric ear and nose foreign bodies. Am J Emerg Med. Emergency department management of foreign bodies of the external ear canal in children. Pediatr Emerg Care. Am J Emerg Med. Eur J Pediatr. 2008.01.013.

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

ACEP Now

MARCH 14, 2024

A 24-year-old male with history of quadriplegia and traumatic brain injury presents to the emergency department with hemorrhage in his oral cavity and blood from his tracheostomy tube. 15,19 Endovascular intervention depends upon the patient’s hemodynamic stability and availability of interventional radiology. J Chest Surg.

Operations 52

Operations Pediatrics Radiology Radiology 52

Don't Forget the Bubbles

JANUARY 27, 2025

We dont often cover gynaecological presentations in the emergency department and most chronic gynaecological problems go through the primary care referral pathway. However, CT scans remain largely more obtainable in a time critical case, in an emergency department setting. Pediatr Emerg Care, 1;38(6):e1332-e1335.

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

Don't Forget the Bubbles

OCTOBER 28, 2024

doi: 10.1136/archdischild-2024-327224 Six-year-old Rhaenyra is brought into the emergency department after being hit by a car. recent systematic review on pediatric patients found no clear mortality benefit for using either a high/balanced or low/unbalanced transfusion ratio. Am J Emerg Med. 2021;49:404-405.

Blood Transfusions 72

Blood Transfusions Hyperthermia / Hypothermia Shock Pediatrics 72

Don't Forget the Bubbles

SEPTEMBER 20, 2023

Do not obtain abdominal radiographs for suspected constipation The parents of 4-year-old Matthew bring him into the Emergency Department with abdominal pain. Functional constipation and nonspecific, generalized abdominal pain are common presenting complaints for children in emergency departments. of cases.

Pediatrics 133

Pediatrics Emergency Department Radiology Radiology 133

PEMBlog

SEPTEMBER 20, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Kelly Levasseur, DO Children’s Hospital of Michigan Detroit, MI, USA docklevasseur@gmail.com Jennifer Thull-Freedman, MD Alberta Children’s Hospital Calgary, Alberta, Canada Jennifer.Thull-Freedman@albertahealthservices.ca

Pediatrics 123

Pediatrics Emergency Department Hospitals Ultrasounds 123

Don't Forget the Bubbles

MARCH 4, 2024

We have teamed up with the team from the Emergency Department at Bristol Royal Hospital, who have used this as a springboard for their journal club. (It’s The children’s Emergency department sees approximately 50,000 presentations per year. International Consensus Criteria for Pediatric Sepsis and Septic Shock.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

Don't Forget the Bubbles

DECEMBER 2, 2024

A Quality Improvement Initiative to Minimize Unnecessary Chest X-Ray Utilization in Pediatric Asthma Exacerbations. Pediatr Qual Saf. AAE is a very common cause of hospital visits in pediatric EDs. Quality Indicators of Pediatric Asthma Care in the Emergency Department; a Systematic Review and Meta-Analysis.

Documentation/Coding 98

Documentation/Coding Pediatrics Emergency Department Fractures 98

Don't Forget the Bubbles

FEBRUARY 7, 2024

My first real encounter with the healthcare system took place when I was about seven years old and had to go into hospital for an orchidopexy, so I can empathize with all the young people who come through our emergency department with acute testicular pain. Pediatric radiology , 48 , pp.735-744. Pediatrics , 102 (1), pp.73-76.

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

Don't Forget the Bubbles

JANUARY 22, 2024

Choosing Wisely in Paediatric Car e A trainee-led project in a UK tertiary paediatric emergency department looked at the usefulness of blood tests in 101 children. You receive a referral for a 7-year-old Josh, who presented to the emergency department (ED) with a 5-day history of fever, cough, and borderline oxygen saturation.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

PEMBlog

AUGUST 30, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Michele Nypaver, MD University of Michigan Ann Arbor, MI, USA michelen@med.umich.edu Jennifer Thull-Freedman, MD Alberta Children’s Hospital Calgary, Alberta, Canada Jennifer.Thull-Freedman@albertahealthservices.ca

Pediatrics 52

Pediatrics Best Practices Hospitals Emergency Department 52

Advanced Emergency Nursing from AENJ

MAY 27, 2015

An ambulance pulls up, in haste, to the Receiving door of the Emergency Department with a last squeal of the siren. July, 2002) Managing the Emergency Consequences of Terrorist Incidents. Department of Labor. The ED staff open the doors for them, wondering “Why didn’t they call first?”,

Federal Emergency Management Agency 40

Federal Emergency Management Agency Military Hospitals Administration 40

Don't Forget the Bubbles

SEPTEMBER 18, 2024

Case 1 focuses on a case seen in the emergency department and explores the common parental query of a “weak immune system” in a young child who has had several recurrent upper respirator tract infections back-to-back but is otherwise well. A 3 year old boy is brought to emergency department and treated for viral induced wheeze.

Emergency Department 98

Emergency Department Wellness Infectious Diseases Pediatrics 98

The Trauma Pro

DECEMBER 10, 2024

In fact, some trauma centers actually discharge these patients home from the emergency department. The only exception is pediatric patients, who seem to clot these on their own. It is almost a given that low-grade solid organ injuries are relatively benign and seldom require any intervention.

Blood Transfusions 147

Blood Transfusions Radiology Radiology Emergency Department 147

Taming the SRU

JUNE 6, 2023

million presentation to ED’s throughout the US Usually occur due to falls Also commonly occur due to sports, MVC’s, etc.

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

Don't Forget the Bubbles

SEPTEMBER 23, 2024

You are working in the paediatric emergency department of a busy District General Hospital. These centres have a close relationship with their patients, but this does not mean they may not turn up at your emergency department! BK virus infection, replication, and diseases in pediatric kidney transplantation.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Don't Forget the Bubbles

OCTOBER 9, 2023

focussed on emergency departments. Both studies found external specialities , particularly cardiology and radiology, were more hostile than their own teams. 2018) Bad manners in the Emergency Department: Incivility among doctors PLOS ONE [link] Lasater K, Mood L, Buchwach D. Klingberg et al. N, Brown A.

Seizures 116

Seizures Incident Reporting Research Emergency Department 116