Pediatric EM Morsels

MARCH 31, 2023

Let’s recall one important morsel that deserves a Rebake – Pseudosubluxation of the pediatric cervical spine : Pseudosubluxation: Basics Refers to the normal mobility of the cervical vertebrae, IN FLEXION , which may look to be pathologic but is not. Pediatric spinal injuries- current concepts. PMID: 841068. 2023.102122.

Fractures 130

Fractures Dislocations Pediatrics Radiology 130

Emergency Medicine Cases

FEBRUARY 12, 2019

On this EM Quick Hits podcast we have Emily Austin on organophosphate poisoning, Arun Sayal on malrotation of metacarpal fractures, Andrew Petrosoniak on pitfalls in abdominal stab wound management, Anand Swaminathan on tranexamic acid for non-massive hemoptysis, and Natalie May on pediatric IV cannulation tips and tricks.

Poisoning 52

Poisoning Fractures Pediatrics EMS 52

Pediatric EM Morsels

MAY 12, 2023

They have thinner bones of the skull which makes them more prone to skull fractures. of these had a CT performed 1 (0.2%) had a clinically important TBI (ciTBI) 10 (5.1%) had any TBI on CT 9 (4.6%) had skull fractures Remember to always watch out for NAT ! PECARN is highly sensitive for identifying those with clinically important TBI.

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

Emergency Medicine Cases

OCTOBER 8, 2019

The post EM Quick Hits 9 Burn Blister Debridement, ECG Cases, Compartment Syndrome, Pediatric Asthma, Spinal Trauma, Motivational Interviewing P2 appeared first on Emergency Medicine Cases.

Burns 52

Burns Pediatrics EMS EKG/ECG 52

Emergency Medicine Cases

MAY 5, 2020

The post EM Quick Hits 18 Conservative Management Pneumothorax, Microdosing Buprenorphine, Practical Use of CRITOE, Canadian TIA Score, Pediatric Surviving Sepsis Guidelines, Safety of Peripheral Vasopressors appeared first on Emergency Medicine Cases.

Sepsis 52

Sepsis Pediatrics EMS Fractures 52

Emergency Medicine Cases

JULY 13, 2021

The post EM Quick Hits 30 Scaphoid Fracture, Therapeutic Hypothermia, HEADS-ED, Pelvic Trauma, Kratom, Femoral Lines appeared first on Emergency Medicine Cases.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fractures EMS Pediatrics 52

EB Medicine

NOVEMBER 3, 2022

In this episode, Sam Ashoo, MD, interviews Ami Shah, MD, MPH, and Don Walker, MD, about eye injuries in the pediatric population. Why ocular injuries? Table 3) Prehospital Care What do our EMS colleagues need to keep in mind when transporting a child with an ocular injury? Orbital fractures: What should we be looking for?

Pediatrics 52

Pediatrics Fractures EMS Outcomes 52

The Skeptics' Guide to EM

JULY 23, 2022

Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK. Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK. The X-ray shows a buckle fracture of his right distal radius.

Fractures 52

Fractures Pediatrics Emergency Department Outcomes 52

Emergency Medicine Cases

OCTOBER 9, 2018

Arun Sayal, an emergency physician who runs a weekly minor fracture clinic at NYGH discusses his approach to pediatric elbow injuries, the importance of good lateral images, common and uncommon missed elbow injuries and clinically important epicondylar fractures that can mimic normal ossification centers and more.

Pediatrics 52

Pediatrics Fractures EMS 52

Pediatric EM Morsels

JULY 7, 2023

Evaluating the limping child , though, requires us to ponder not only the common (ex, Toddler’s Fracture ), but also to be vigilant for the severe (ex, Septic Arthritis ). The post Proximal Tibiofibular Joint Dislocation in Children appeared first on Pediatric EM Morsels. Emerg Med J. 2006 May;23(5):e33. doi: 10.1136/emj.2005.032144.

Dislocations 143

Dislocations Fractures Pediatrics EMS 143

All Ohio EM

JANUARY 14, 2019

By: Zach Hampton, DO EM Resident at Doctors Hospital Ever performed a needle cricothyrotomy? What about in a pediatric patient? Your main clientele is just starting to wake up and your coffee is running out when you get an EMS encode for a pediatric patient found ejected from high speed, head-on MVC. Like, a real one?

Pediatrics 52

Pediatrics EMS Fractures Wellness 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

Pediatric EM Morsels

JUNE 16, 2023

Arch Orthop Trauma Surg 2013;133(5):635-640.23443527 The post Morel-Lavallée Lesion in Children appeared first on Pediatric EM Morsels. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

Soft Tissue Injuries 154

Soft Tissue Injuries Dehydration Fractures Operations 154

Emergency Medicine Cases

NOVEMBER 5, 2019

The post EM Quick Hits 10 – TXA CRASH-3, CJEM Cellulitis, Double Defib, Serratus Anterior Block, PARC score, Toxic Shock Syndrome appeared first on Emergency Medicine Cases.

Shock 52

Shock EMS Head Injuries Pediatrics 52

The Skeptics' Guide to EM

NOVEMBER 9, 2019

He also hosts a great #FOAMed blog and podcast called TOTAL EM. He also hosts a great #FOAMed blog and podcast called TOTAL EM. 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

EM Curious

MAY 27, 2015

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest. Read on here at Boring EM.

EMS 52

EMS Shock EKG/ECG Pediatrics 52

Taming the SRU

OCTOBER 16, 2024

Amputations Distal to DIP may require revision amputation, which is in the purview of EM physicians. Patients are unable to actively flex their DIP and x-ray imaging often will reveal and avulsion fracture. X-ray imaging should be obtained to evaluate for avulsion fracture. Consider antibiotics for high risk patients (e.g.,

Airway Management 75

Airway Management Fractures CDC Pediatrics 75

EM Curious

JULY 24, 2015

EMS appears with a patient who just wiped out big time on the ice. It's a bit of a departure from what we've described above--he mainly goes right at a shaft fracture--but it's the same general idea: As always, these posts are for EDUCATIONAL PURPOSES ONLY. Ultrasound-Guided Three-In-One Nerve Block for Femur Fractures.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

Taming the SRU

FEBRUARY 5, 2024

Pay close attention to the head and cervical spine for evidence of injuries that necessitate imaging, such as midline spinal tenderness and/or signs of basilar skull fracture (Table 3). For pediatric patients, we recommend using the PECARN Pediatric Head Injury Algorithm. JAMA Pediatr. JAMA Netw Open. 2018;1(1):e180210.

Head Injuries 59

Head Injuries Emergency Department Seizures Pediatrics 59

PEMBlog

OCTOBER 18, 2024

Orthopedic Risks: Watch for Fat Embolism DMD patients are prone to fat embolisms following fractures due to the fatty infiltration of their bone marrow. Any trauma that results in fractures should raise immediate concern for fat embolism syndrome, which can present rapidly and lead to respiratory and cardiovascular complications.

Emergency Department 52

Emergency Department Fractures Best Practices Documentation/Coding 52

Taming the SRU

JULY 31, 2024

However, believers in this superstition will perceive crazier shifts if the word is uttered so you probably shouldn’t say it, or use cautiously Full moons have no impact on ED, EMS, or HEMS volumes or acuity. Nice people are not more likely to get cancer.

EKG/ECG 52

EKG/ECG Sepsis Documentation/Coding Stroke 52

Pediatric Emergency Playbook

OCTOBER 1, 2015

EMS is bringing you a child with a VP shunt, port-a-cath, trached on a vent, seizing, hypotensive, and now desaturating – ETA – 3 minutes. The two most common complications of VP shunts are malfunction (due to obstruction, fracture, or kinking) or infection. Pediatr Surg Int (2002) 18: 50-53 DiBaise JK, Scolapio JS.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

Pediatric Education

APRIL 16, 2023

Anterior knee pain is a common presenting problem in the pediatric age group, and the differential diagnosis is broad. Curr Opin Pediatr. 2022.05.008 Molony JT, Greenberg EM, Weaver AP, Racicot M, Merkel D, Zwolski C. Rehabilitation After Pediatric and Adolescent Knee Injuries. 2020;32(1):107-112. doi:10.1097/MOP.0000000000000842

Pediatrics 40

Pediatrics Fractures Outcomes EMS 40

RebelEM

JANUARY 30, 2023

Rezaie, MD (Twitter: @srrezaie ) The post Intra-articular Lidocaine vs Procedural Sedation and Analgesia for Closed Reduction of Acute Anterior Shoulder Dislocation appeared first on REBEL EM - Emergency Medicine Blog. vs. 91.4%; RR 0.93; 95% CI 0.86–1.01, vs. 20.8%; RR 0.16; 95% CI 0.07–0.33,

Dislocations 58

Dislocations Emergency Department Outcomes Research 58

Pediatric EM Morsels

JANUARY 19, 2024

If you have ever talked with a pediatric emergency medicine physician about some basic tenets of their practice, one of them will inevitably be, “ Never trust a neonate. ” The first few months of life outside the womb can elucidate a myriad of problems that were previously hidden during the prenatal state. The Journal of Pediatrics.

Infectious Diseases 271

Infectious Diseases CDC Pediatrics Fractures 271

EMDocs

JUNE 8, 2024

We’ll keep it short, while you keep that EM brain sharp. Orbital wall fractures: palpate bony structures surrounding the eye, check extra ocular muscle movements to rule out entrapment, obtain CT imaging if suspected [7]. PDQ Pediatric Treatment Editorial Board. High risk of re-bleeding and vision loss [7]. 2021 Oct 7.

EMS 98

EMS Allergic Reactions Poisoning Emergency Department 98

Pediatric EM Morsels

MAY 24, 2024

Evaluation of unintentional injury and trauma is one of the hallmarks of the EM and PEM physician. Low Risk Inta-Adbominal Trauma: Pediatric Trauma is Dangerous! Low Risk Inta-Adbominal Trauma: Just Light ‘Em Up? As it turns out, the donut of truth can be the donut of danger for our pediatric population. 2014.08.014.

Pediatrics 164

Pediatrics Blood Transfusions EMS Fractures 164

Taming the SRU

FEBRUARY 24, 2024

Sometimes even the smallest contributions can make the biggest difference in patient experience and overall ED quality. Early recognition and prompt treatment is key. non-invasive positive pressure ventilation and IV nitroglycerin infusion have been shown to reduce morbidity (intubation rates, ICU admission) & mortality.

Leadership 95

Leadership EMS Pediatrics Stroke 95

EM Guide Wire

MAY 19, 2019

PEDIATRICS. Pediatrics in Review. PEDIATRICS. Pediatric Clinics of North America. Delayed Identification of Pediatric Abuse-Related Fractures. PEDIATRICS. PEDIATRICS. PEDIATRICS. European Journal of Pediatrics. Teeuw AH, Hoytema van Konijnenburg EM, Sieswerda-Hoogendoorn T, et al.

Pediatrics 40

Pediatrics Soft Tissue Injuries Fractures Emergency Nursing 40

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

The Skeptics' Guide to EM

JULY 17, 2018

Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma. Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma.

Pediatrics 52

Pediatrics Head Injuries Academics Emergency Department 52

Taming the SRU

MAY 11, 2024

r1 clinical knowledge - r4 capstone - research grand rounds - the art of em - Community corner - PEM Lecture r1 Clinical knowledge: transplant complications WITH dr. gabor Time-sensitive peri-transplant emergencies: Bleeding fistula- stop the bleed. Assessed and provided feedback of pediatric resuscitations based on video review.

Resuscitation 93

Resuscitation Administration Fluid Resuscitation Research 93

Emergency Medicine Cases

JUNE 13, 2017

The post Episode 97 EM Literature Review 2016 from EMU & Whistler Conferences appeared first on Emergency Medicine Cases.

EMS 52

EMS Head Injuries Pediatrics Sepsis 52

Taming the SRU

FEBRUARY 23, 2024

Clinical pathologic case presentation - r1 diagnostics/therapeutics: Lumbar punctures - AIRWAY GROUND ROUNDS- r4 capstone - r3 taming the sru - ultrasound grand rounds Clinical pathologic case presentation WITH Drs.

Pediatrics 75

Pediatrics Ultrasounds Fractures Wellness 75

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. Depending on the height of the child and the height of the car, the initial impact will cause a femur fracture, a pelvic fracture, or direct abdominal trauma. In pediatric trauma, we need to be proactive.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

The Skeptics' Guide to EM

MARCH 15, 2019

He hosts a great #FOAMed blog and podcast called TOTAL EM. He hosts a great #FOAMed blog and podcast called TOTAL EM. Guest Skeptic: Chip Lange is an Emergency Medicine Physician Assistant (PA) working primarily in rural Missouri in community hospitals. Date: March 12th, 2019 Reference: Gottlieb, Holladay and Peksa.

Ultrasounds 52

Ultrasounds Fractures EMS Hospitals 52

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

In fact, one of my surgeon grandfather's ortho buddies (perhaps with the help of some lunchtime martinis) took a look at the x-rays of my Boxer's Fracture and snapped it back into place without any analgesia or procedural sedation, casted me, and sent me home. Advocacy for Trauma Care and EMS Development. Development of EM Residencies.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40