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

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. NG/DL) Ultrasound of the neck revealed an enlarged thyroid gland with lobular contours and diffuse hypoechoic echogenicity, without noticeable nodules, fluid collection, or lymphadenopathy.

Pediatrics 64

Pediatrics Ultrasounds Academics Emergency Department 64

Ultrasound Gel

MAY 11, 2020

Many turn to CT, but ultrasound offers an appealing alternative. This study looks at the implementation of a transcervical ultrasound protocol in a pediatric emergency department to see if it helps this population. Many turn to CT, but ultrasound offers an appealing alternative. link] [link]

Pediatrics 52

Pediatrics Ultrasounds Emergency Department 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.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department 52

The Trauma Pro

OCTOBER 4, 2024

A pediatric multi-center study of study on adherence to activity restrictions was published last year. Ten Level I pediatric trauma centers in the US tabulated their experience with solid organ injuries over 3.75 And the more people I poll on what they do, the more and very different answers I get. Until now. years from 2013 to 2016.

Pediatrics 113

Pediatrics Outcomes Operations Emergency Department 113

ACEP Now

APRIL 8, 2025

An Events Taskforce conducts Around the World themed virtual learning series that have included topics such as trauma care, mental health emergencies, diagnostic dilemmas, simulation, and women in emergency medicine. Are you worried about the boarding crisis in emergency departments in the United States?

Emergency Department 52

Emergency Department Ultrasounds Pediatrics EMS 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) 2) Management: Confirmed by CT Surgical consult Utility of Ultrasound Ultrasound can be helpful in identifying hernias and in assisting in reduction. This allows gravity to assist you.

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

Downeast Emergency Medicine

FEBRUARY 14, 2023

THE CASE A 13-year-old boy is seen in the Emergency Department (ED) for a cough. Credits: Andrew fried, md A point-of-care lung ultrasound is performed, with the following findings on the left lung fields. Point of Care Ultrasound of the Left Lung Fields. Point of Care Ultrasound of the Left Lung Fields.

Ultrasounds 52

Ultrasounds Emergency Department Pediatrics 52

Pediatric Emergency Playbook

AUGUST 1, 2017

One of our largest responsibilities in the Emergency Department is sorting out benign from surgical or medical causes of abdominal pain. Abdominal Surgical Emergencies in Children: A Relative Timeline General Advice Neonate (birth to one month) Necrotizing Enterocolitis Pneumatosis Intestinalis. Pediatr Rev. J Emerg Med.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

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

Don't Forget the Bubbles

NOVEMBER 13, 2023

Should we use ultrasound to diagnose distal forearm fractures in children and adolescents? X-ray (radiography) is the standard imaging technique used in emergency departments. However, ultrasound is gaining popularity due to its portability, affordability, and lack of ionising radiation. N Engl J Med. PMID: 37256975.

Fractures 64

Fractures Ultrasounds Emergency Department Pediatrics 64

EMDocs

JUNE 1, 2024

Source Ultrasound-guided central venous catheterization around the neck: Systematic review and network meta-analysis. Am J Emerg Med. Source PECARN prediction rules for CT imaging of children presenting to the emergency department with blunt abdominal or minor head trauma: a multicentre prospective validation study.

Emergency Department 89

Emergency Department Ultrasounds Pediatrics Wellness 89

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. BMC Musculoskelet Disord. 2017;18(1):304.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

Don't Forget the Bubbles

NOVEMBER 20, 2023

Neck lumps are a common presenting complaint to the paediatric emergency department with many aetiologies, sometimes resulting in a diagnostic conundrum. These may require surgical drainage following confirmation on ultrasound scan. Evaluation and Management of Pediatric Neck Masses. Pediatric Neck Mass.

Pediatrics 124

Pediatrics Documentation/Coding Emergency Department Ultrasounds 124

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

ACEP Now

OCTOBER 9, 2024

Emergency physicians have long taken pride in delivering care every day of the week, every hour of the day. ACEP’s Emergency Department Accreditation program adds a layer to that, says Marianne Gausche-Hill, MD, FACEP, FAAP, FAEM, Chair of the program’s Board of Governors.

Emergency Department 52

Emergency Department Critical Access Geriatric Emergencies Ultrasounds 52

Ultrasound Gel

APRIL 15, 2019

Ultrasound is great for finding fractures, but what about being able to guide the reduction? This has been shown to be useful in a pediatric population, but this study looks at a population of adult patients in the emergency department to see just how accurate ultrasound is for determining if the pieces have been put back together.

Fractures 52

Fractures Ultrasounds Emergency Department Pediatrics 52

The Skeptics' Guide to EM

MAY 7, 2017

Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes. Acad Emerg Med May 2017. Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. [display_podcast] Date: May 1st, 2017 Reference: Poonai et al.

Fractures 40

Fractures Pediatrics Ultrasounds Academics 40

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. IMAGING WITH ULTRASOUND In patients with a horseshoe kidney, there are several differences that make point-of-care ultrasound (POCUS) evaluation difficult. Pediatr Nephrol.

Ultrasounds 52

Ultrasounds Pediatrics Radiology Radiology 52

Don't Forget the Bubbles

MAY 17, 2023

’, ‘ Who can best score postoperative pain: parents or the children? ’, ‘ Is functional constipation associated with hypohydration? ’, ‘ Who is best at assessing foreign body aspiration on chest X-ray: pediatric pulmonologists, pediatric residents, or radiologists? ’ Eur J Pediatr. Eur J Pediatr. Eur J Pediatr.

Pediatrics 72

Pediatrics X-Ray Interpretation Sepsis Fractures 72

Don't Forget the Bubbles

MAY 8, 2024

An interesting study (JAMA Pediatrics) shows the benefits of newborn screening for spinal muscular atrophy (SMA), as initiating disease-modifying therapy earlier improves clinical outcomes. Pediatr Nephrol. Eur J Pediatr. Long COVID in pediatrics-epidemiology, diagnosis, and management. Eur J Pediatr. JAMA Pediatr.

Pediatrics 69

Pediatrics Emergency Department Outcomes Research 69

EMDocs

AUGUST 8, 2023

Keys: Order the ultrasound in a patient with testicular pain, especially with any TWIST score >0. Minimal if any harm to patients by obtaining ultrasound. If you are going to use the TWIST score, make sure your department and your urologists are comfortable with it. Pediatr Emerg Care. POCUS is not as accurate.

Ultrasounds 93

Ultrasounds Documentation/Coding Outcomes Emergency Department 93

The Skeptics' Guide to EM

NOVEMBER 9, 2019

Chip is the CEO of an ultrasound education company called Practical POCUS which is based in the United States but is expanding into an international market. Case: A 6-year-old boy comes into your emergency department at around midnight with his parents complaining of abdominal pain.

Ultrasounds 52

Ultrasounds Fractures Pediatrics Radiology 52

Don't Forget the Bubbles

JANUARY 31, 2024

Article 1: What predicts parental anxiety in the Paediatric Emergency Department? Predictors of parental anxiety in a paediatric emergency department. Emergency Medicine Journal. The authors compared 100 POCUS (Point-Of-Care-UltraSound ) images captured by trained physicians (in FUSIC/CACTUS). Martin, S.R.,

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

EMDocs

AUGUST 12, 2023

He presented to the emergency department because he is having numbness distal to the site of injury, as well as constant bleeding and some difficulty with flexing his finger. The value of ultrasound for detecting hand fractures: A meta-analysis. Examination reveals the following: What is the diagnosis? 2012;16(4):338-349.

EMS 95

EMS Fractures Operations Ultrasounds 95

PEMBlog

OCTOBER 16, 2023

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. This case was submitted by… A 12-year-old female was brought to your emergency department by her mother for 1 month of diffuse abdominal and back pain. This is the first of the four cases. Ovarian cyst B.

Ultrasounds 69

Ultrasounds Emergency Department Pediatrics 69

Don't Forget the Bubbles

AUGUST 28, 2023

Ultrasound can be used to identify any large pleural effusions. Five-year-old Ginny presents to the Emergency Department with a syncopal episode. Pediatr Surg Int. Pediatric mediastinal lymphoma. Pediatric mediastinal masses. Pediatr Radiol.2022;52(10):1935-1947. J Comput Assist Tomogr. Mediastinum.

Pediatrics 97

Pediatrics Research Emergency Department Ultrasounds 97

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. The diagnosis of ovarian torsion was made.

Pediatrics 52

Pediatrics Ultrasounds Radiology Radiology 52

EM Curious

JULY 24, 2015

One of our beloved colleagues from the community has recently declared to us his love of ultrasound guided nerve blocks--a skill that is established in the anesthesia world but is quickly gaining traction in our realm. Academic Emergency Medicine, 20(6), 584–591. Ultrasound-Guided Three-In-One Nerve Block for Femur Fractures.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

EB Medicine

NOVEMBER 1, 2021

and get 20% of all orders at [link] Emergency Department Management of Rib Fractures Author: Patrick Maher, MD Episode Outline: Why rib fractures? It is in Beta and your feedback is welcome. Also, this month use code ACEP21! Coming to Google Play soon. It is in Beta and your feedback is welcome. ,* Also, this month use code ACEP21!

Fractures 52

Fractures Documentation/Coding Operations Emergency Department 52

Taming the SRU

AUGUST 4, 2024

to teach you and your learner something new on shift skin adhesives WITH dr. hill Dermabond is a polymer (octyl cyanoacrylate) that can be used to repair lacerations in the Emergency Department faster than sutures, allowing the ED physician to be more efficient.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

EM Curious

SEPTEMBER 9, 2015

LITERATURE OF INTEREST An Age-Adjusted D-dimer Threshold for Emergency Department Patients With Suspected Pulmonary Embolus: Accuracy and Clinical Implications. SEE YOU NEXT WEEK Online Advanced Ultrasound Education Northwestern EM Residency Education Coming soon.

Stroke 52

Stroke Pediatrics Best Practices EMS 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. Consider performing a RUSH exam (that is rapid ultrasound for shock and hypotension) to identify the cause. Jeff: Next up is ultrasound.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

The Skeptics' Guide to EM

FEBRUARY 2, 2018

Guest Skeptic: Dr. Melissa Langhan is an Associate Professor of Pediatric Emergency Medicine at Yale University in New Haven, CT. Guest Skeptic: Dr. Melissa Langhan is an Associate Professor of Pediatric Emergency Medicine at Yale University in New Haven, CT. AEM Dec 2017. AEM Dec 2017. Time is testis.

Pediatrics 40

Pediatrics Ultrasounds Emergency Department Research 40

The Skeptics' Guide to EM

DECEMBER 3, 2022

Pediatrics 2022 Guest Skeptic: Dr. Angelica DesPain is an Assistant Professor of Pediatrics and a pediatric emergency medicine physician at the Baylor College of Medicine Children’s Hospital of San Antonio in San Antonio, TX. Date: November 16th, 2022 Reference: Lipsett SC, Monuteaux MC, Shanahan KH, et al.

Pediatrics 40

Pediatrics Operations Ultrasounds Emergency Department 40

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

PEMBlog

OCTOBER 2, 2024

In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast , I explore the complexities of gastroesophageal reflux (GER) and gastritis in children and adolescents. Topics covered include: The pathophysiology of GER and GERD in the pediatric population. J Pediatr Gastroenterol Nutr. Pediatrics.

Pediatrics 52

Pediatrics Emergency Department Ultrasounds Wellness 52